MEMORIAL HEALTH SERVICES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MEMORIAL HEALTH SERVICES (EIN 95-1643381)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-05
IRS object ID
201401259349301915
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-05T15:56:39-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line118111 VON KARMAN AVENUE SUITE 1000AddressLine1
CityIRVINECity
StateCAState
ZIP Code92612ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN951643381EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HEALTH SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MARY GALLARDOInCareOfName
Name ControlMEMONameControl
Phone7143773002Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line117360 BROOKHURST STREETAddressLine1
Address Line2SuiteAddressLine2
CityFOUNTAIN VALLEYCity
StateCAState
ZIP Code92708ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD A GRANIEREName
TitleEXECUTIVE VICE PRESIDENTTitle
Date Signed2014-05-05DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameKARA ADAMSName
Phone9497942300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBARRY ARBUCKLENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line117360 BROOKHURST STAddressLine1
CityFOUNTAIN VALLEYCity
StateCAState
ZIP Code92708ZIPCode
FieldValueIRS element (for citing)
Gross Receipts588475417GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number5661GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.MEMORIALCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1937YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE HEALTH AND WELL BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITIES THROUGH INNOVATION AND THE PURSUIT OF EXCELLENCE.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees726TotalNbrEmployees
Total Nbr Volunteers11TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year232500ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year125110847ProgramServiceRevenuePriorYear
Program Service Revenue CY220594813ProgramServiceRevenueCY
Investment Income Prior Year15019005InvestmentIncomePriorYear
Investment Income Current Year48156467InvestmentIncomeCurrentYear
Other Revenue Prior Year646232OtherRevenuePriorYear
Other Revenue Current Year728001OtherRevenueCurrentYear
Total Revenue Prior Year141008584TotalRevenuePriorYear
Total Revenue Current Year269479281TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3889265GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY4004902GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year63353671SalariesEtcPriorYear
Salaries Etc Current Year69140840SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year69885414OtherExpensePriorYear
Other Expenses Current Year75173012OtherExpensesCurrentYear
Total Expenses Prior Year137128350TotalExpensesPriorYear
Total Expenses Current Year148318754TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3880234RevenuesLessExpensesPriorYear
Revenues Less Expenses CY121160527RevenuesLessExpensesCY
Total Assets BOY1337208796TotalAssetsBOY
Total Assets EOY1494948309TotalAssetsEOY
Total Liabilities BOY1050997097TotalLiabilitiesBOY
Total Liabilities EOY1033728445TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY286211699NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY461219864NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO IMPROVE THE HEALTH AND WELL BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITIES THROUGH INNOVATION AND THE PURSUIT OF EXCELLENCE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense111885482Expense
Grants4004902Grants
Revenue221322814Revenue
DescriptionMEMORIAL HEALTH SERVICES' FACILITIES ENGAGED IN ACUTE HOSPITAL INPATIENT AND OUTPATIENT CARE FOR THEIR RESPECTIVE LOCAL COMMUNITIES. THE TOP THREE HEALTH SERVICE LINES ARE CARDIOLOGY, GENERAL SURGERY, AND PULMONOLOGY. OBSTETRIC SERVICES COME IN A CLOSE FOURTH. THE MEMORIAL HEALTH SERVICES ENTITY PROVIDES ADMINISTRATIVE SERVICES FOR EACH OF THESE FACILITIES. PLEASE SEE SCHEDULE O FOR ADDITIONAL INFORMATION ON MEMORIALCARE HEALTH SYSTEM.Description
Total Program Service Expense111885482TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10961040NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees726NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARY GALLARDONamePerson
Telephone Number7143773411TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line117360 BROOKHURST STAddressLine1
CityFOUNTAIN VALLEYCity
StateCAState
ZIP Code92708ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
BARRY ARBUCKLE
PRESIDENT AND CEO50.010.0XX17361950236365
THOMAS COLLINS
DIRECTOR2.02.0X000
SANTOS CORTEZ DDS
DIRECTOR2.02.0X000
PATRICK DONAHUE
DIRECTOR2.02.0X000
ERIC FELDMAN MD
DIRECTOR2.02.0X000
RUSSELL HILL
DIRECTOR2.02.0X000
LARRY LAMBERT
DIRECTOR, CHAIRMAN2.04.0XX000
FRANK MARINO MD
DIRECTOR2.02.0X000
HUGH MORAN
DIRECTOR2.02.0X000
KEITH NELSON
DIRECTOR2.02.0X000
TOM ROGERS
DIRECTOR, SECRETARY2.02.0XX000
ROBERT SCHACK
DIRECTOR, VICE-CHAIRMAN2.02.0XX000
TAMMIE M BRAILSFORD
CHIEF OPERATIONS OFFICER50.010.0X10155610300850
RICHARD A GRANIERE
EVP/CFO/TREASURER50.010.0X7581380164740
J SCOTT JOSLYN
SVP, INFO SYSTEMS/CI50.010.0X5959950275360
KAREN A TESTMAN
SVP, FINANCIAL OPERATIONS50.010.0X550576074570
HELEN CICINO FABIAN
SVP, GENERAL COUNSEL50.010.0X5213910104338
HELEN L MACFIE
SVP, PERFORMANCE IMPROVEMENT50.010.0X5161060178097
DAVID LAGREW MD
CHIEF MEDICAL INFO OFFICER50.010.0X386983014206
JOHN C METCALFE
VP, RISK MANAGEMENT50.010.0X373994039401
LORRAINE BOOTH
VP, PEOPLE AND CULTURE50.010.0X355981039338
LAURA SICAEROS
VP, PHYSICIAN INTEGRATION50.010.0X329409019086
AARON COLEY
VP, DECISION SUPPORT50.010.0X326404031468
KEVIN C TORRES
VP, INFORMATION SERVICES50.010.0X316523037575
JOHN D CASCELL
VP, MANAGED CARE50.010.0X312915038913
BRENNAN R JAMES
VP, BUSINESS DEVELOPMENT50.010.0X301144991320689
LAURA LUNDQUIST
VP, INFORMATION SERVICES50.010.0X284863035834
BRIAN C STUCKMAN
VP, MATERIALS AND LEAN50.010.0X272857032992
CHRISTOPHER FINCH
CHIEF COMPLIANCE/AUDIT50.010.0X203255032612
TONI A UPTON
VP BUSINESS SERVICES50.010.0X160893035508
DAVID TILLMAN MD
MED DIR, ORG HEALTH/WELLNESS60.00.027984202388X
HARRIS R STUTMAN MD
EXECUTIVE DIR, RESEARCH ADMIN60.00.0244257030723X
DONALD THOMPSON
SENIOR ASSOCIATE COUNSEL60.00.0238686025453X
ANH T QUAN
SENIOR TECHNICAL SPECIALIST60.00.0206053012956X
KAREN WEINSTEIN
SENIOR ASSOCIATE COUNSEL60.00.0218045031441X
FieldValueIRS element (for citing)
Total Reportable Comp From Org10506066TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs9913TotalReportableCompFrmRltdOrgs
Total Other Compensation1814903TotalOtherCompensation
Number Individuals GT100 K155NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BROOKMEADE INC
PO BOX 202056DALLASTX753202056IT CONSULTING1368023
HOOPER LUNDY BOOKMAN
1875 CENTURY PARK EAST STE 1600LOS ANGELESCA90067LEGAL SERVICES1283178
SHEPPARD MULLIN RICHTER HAMPTON
333 SOUTH HOPE ST 43RD FLOORLOS ANGELESCA900711422LEGAL SERVICES1261959
FALCON CONSULTING GROUP LLC
1165 NORTH CLARK STE 402CHICAGOIL60610IT CONSULTING1232629
HEALTH ADVOCATES LLC
13412 VENTURA BLVD 300SHERMAN OAKSCA91423COLLECTION SERVICES916198
FieldValueIRS element (for citing)
Number Of Contractors GT100 K40NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HEALTH CARE SUPPORT591000208687462208687462
MEANINGFUL USE9000991188638111886381
AFFILIATE RENTAL6214001972019720
MEDICAL OFFICES62111012501250
FieldValueIRS element (for citing)
Total Program Service Revenue220594813TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column44343137TotalRevenueColumn
Exclusion$44,343,137ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities322809466Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities318996136Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3813330Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3813330TotalRevenueColumn
Exclusion$3,813,330ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT MEDICAL RECORD SOFTWARE518210670809670809
VENDOR REBATES9000993844838448
ALL OTHER REVENUE9000991874418744
FieldValueIRS element (for citing)
Total Other Revenue728001TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column269479281TotalRevenueColumn
Related Or Exempt Function Income221322814RelatedOrExemptFunctionIncome
Exclusion$48,156,467ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total4004902Total
Program Services4004902ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total9363448Total
Program Services1230633ProgramServices
Management And General8132815ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total38024883Total
Program Services31796658ProgramServices
Management And General6228225ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2921513Total
Program Services2921513ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total15177461Total
Program Services13143537ProgramServices
Management And General2033924ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3653535Total
Program Services3350914ProgramServices
Management And General302621ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2415381Total
Program Services1312967ProgramServices
Management And General1102414ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1746162Total
Management And General1746162ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total434436Total
Management And General434436ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total120943Total
Program Services120943ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total297281Total
Management And General297281ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7198699Total
Program Services5450659ProgramServices
Management And General1748040ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2396762Total
Program Services2292556ProgramServices
Management And General104206ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2328384Total
Program Services2044178ProgramServices
Management And General284206ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total20352873Total
Program Services20352873ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3618348Total
Program Services3051524ProgramServices
Management And General566824ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total229590Total
Program Services132115ProgramServices
Management And General97475ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total227293Total
Program Services171699ProgramServices
Management And General55594ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total12105404Total
Management And General12105404ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total687628Total
Program Services17337ProgramServices
Management And General670291ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total677966Total
Program Services485212ProgramServices
Management And General192754ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
INSTITUTIONAL SUPPORT1780600017806000
LICENSES & TAXES979637979637
DUES AND SUBSCRIPTIONS873478679305194173
OTHER SUPPLIES30319524329759898

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total373552Total
Program Services297023ProgramServices
Management And General76529ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total148318754Total
Program Services111885482ProgramServices
Management And General36433272ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY72992737BOY
EOY94231027EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8812804BOY
EOY31983EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2551988BOY
EOY208786EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY201712BOY
EOY138456EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5643154BOY
EOY6241176EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis42493358LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec19229563LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY26602936BOY
EOY23263795EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY970496085BOY
EOY1086363130EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY43873259BOY
EOY45629009EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY164955954BOY
EOY199142427EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY41078167BOY
EOY39698520EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1337208796BOY
EOY1494948309EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY72473155BOY
EOY51380667EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY293535000BOY
EOY283945000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY201113742BOY
EOY200000000EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY483875200BOY
EOY498402778EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1050997097BOY
EOY1033728445EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY286211699BOY
EOY461219864EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY286211699BOY
EOY461219864EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1337208796BOY
EOY1494948309EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses121160527ReconcilationRevenueExpenses
Reconciliation Unrealized Invest34788355ReconciliationUnrealizedInvest
Reconcilation Other Changes19059283ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (4 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
LONG BEACH MEMORIAL MEDICAL CENTER
95352703103truetruetrue$0
SADDLEBACK MEMORIAL MEDICAL CENTER
95258579203truetruetrue$0
ANAHEIM MEMORIAL MEDICAL CENTER
95196674609truetruetrue$0
ORANGE COAST MEMORIAL MEDICAL CENTER
33068741403truetruetrue$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs4TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts
General ExplanationMHS SUPPORTS THE PURPOSES AND ACTIVITIES OF THE SUPPORTED ORGANIZATIONS BY PROVIDING THEM WITH ADMINISTRATIVE SERVICES. IN PROVIDING SUCH SERVICES MHS WILL BE OPERATED IN CONNECTION WITH THE SUPPORTED ORGANIZATION AND WILL MAINTAIN: 1. A CLOSE, CONTINUOUS AND RESPONSIVE WORKING RELATIONSHIP WITH THE OFFICERS AND DIRECTORS OF THE SUPPORTED ORGANIZATIONS; AND 2. A SIGNIFICANT INVOLVEMENT IN THE OPERATIONS OF THE SUPPORTED ORGANIZATIONS BY PERFORMING SUCH ADMINISTRATIVE FUNCTIONS THAT, BUT FOR THE INVOLVEMENT OF MHS, WOULD NORMALLY BE PERFORMED BY THE SUPPORTED ORGANIZATIONS THEMSELVES. IN FISCAL YEAR 2013, MHS PROVIDED $100,573,000 IN ADMINISTRATIVE SERVICES TO THE SUPPORTED ORGANIZATIONS.GeneralExplanation

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$105,943GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$15,000OtherActivitiesAmount
Total Lobbying Expenditures IIB120943TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
LOBBYING ACTIVITIESSCHEDULE C, PART II-B, LINE 1FA CONTRIBUTION WAS MADE TO THE CALIFORNIA HOSPITALS COMMITTEE ON ISSUES (CHCI) IN SEPTEMBER 2012 FOR $105,943. THIS WAS AN ASSESSMENT MADE TO EACH MEMBER OF THE CALIFORNIA HOSPITAL ASSOCIATION EQUALING 25% OF THEIR ANNUAL MEMBERSHIP DUES. THIS ASSESSMENT WAS DONE TO RAISE FUNDS FOR THE CHCI. THESE FUNDS WILL GO TO FUND CRITICAL BALLOT ISSUES OF EXTREME IMPORTANCE TO THE HEALTH CARE INDUSTRY IN CALIFORNIA. ONE ISSUE OF MAJOR IMPORTANCE IS PROPOSITION 30. THE CHCI SEEKS TO UNITE MEMBERS TOGETHER TO ENSURE PASSAGE OF PROPOSITION 30 TO PROTECT HOSPITALS AND PREVENT MEDI-CAL PAYMENT CUTS WHICH WILL BE DEVASTATING TO PATIENTS AND HOSPITALS. PER CHCI, 100% OF THE CONTRIBUTION IS FOR LOBBYING EXPENSES FOR MEDICARE COST REPORTING AND FORM 990 COMPLIANCE REPORTING.
SCHEDULE C, PART II-B, LINE 1ILOBBYING EXPENSES ARE THE PORTION OF DUES PAID TO A HEALTHCARE ASSOCIATION ALLOCATED TO LOBBYING ACTIVITIES.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis546718OtherCostOrOtherBasis
Depreciation198184Depreciation
Book Value348534BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis16725087OtherCostOrOtherBasis
Depreciation16143805Depreciation
Book Value581282BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis25221553OtherCostOrOtherBasis
Depreciation2887574Depreciation
Book Value22333979BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings23263795TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT-MMF198842427C
INVESTMENT-SEASIDE300000C
FieldValueIRS element (for citing)
Total Of Book Value Program Related199142427TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$460,830,668
SERP PAYABLE$18,483,958
TENDER BOND PREMIUM/DISCOUNT$18,406,296
WORKER'S COMPENSATION LIABILITY$641,856
MEDICAL PROFESSIONAL LIABILITY$40,000
FieldValueIRS element (for citing)
Total Of Amounts498402778TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierCONSOLIDATED AUDIT FOOTNOTE FOR FIN 48 (ASC 740)Identifier
Return ReferenceSCHEDULE D, PART X, LINE 2ReturnReference
ExplanationACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DE-RECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2013 AND 2012.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
PARTNERS IN CARE FOUNDATION
732 MOTT ST STE 150SAN FERNANDOCA91340953954057501(C)(3)26000SPONSORSHIP
CALIFORNIA HEALTH ASSOCIATION AND TRUST
1215 K ST STE 800SACRAMENTOCA95814941498697501(C)(3)3958151CA HOSPITAL FEE PROGRAM
CITY OF NEWPORT BEACH
3300 NEWPORT BLVDNEWPORT BEACHCA92660956000751GOVERNMENT5151DONATION-BIKE SAFETY IMPROVEMENT FUND
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationTHE GRANTS ARE GIVEN AND ARE NOT MONITORED BY MEMORIAL HEALTH SERVICES (MHS). ONCE IT IS GIVEN, ONLY TO LEGITIMATE ORGANIZATIONS, IT IS LEFT UP TO THE DISCRETION OF THE GRANTEE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Discretionary Spending AccountXDiscretionarySpendingAccount
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredfalseSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (24 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BARRY ARBUCKLE
PRESIDENT AND CEO94695606614560127783021380902255601972560000
TAMMIE M BRAILSFORD
CHIEF OPERATIONS OFFICER6080710354172053318028080402004601316411000
RICHARD A GRANIERE
EVP/CFO/TREASURER462190023655405939401450110197290922878000
J SCOTT JOSLYN
SVP, INFO SYSTEMS/CI371328017226105240602559180194420871355000
KAREN A TESTMAN
SVP, FINANCIAL OPERATIONS34750301591010439720542710202990625146000
HELEN CICINO FABIAN
SVP, GENERAL COUNSEL33348701546710332330854330189050625729000
HELEN L MACFIE
SVP, PERFORMANCE IMPROVEMENT323767014579604654301633470147500694203000
DAVID LAGREW MD
CHIEF MEDICAL INFO OFFICER285900088747012336000142060401189000
JOHN C METCALFE
VP, RISK MANAGEMENT2528840829970381130250000144010413395000
LORRAINE BOOTH
VP, PEOPLE AND CULTURE2329580773330456900250000143380395319000
LAURA SICAEROS
VP, PHYSICIAN INTEGRATION231592073348024469017500015860348495000
AARON COLEY
VP, DECISION SUPPORT2339820766370157850175000139680357872000
KEVIN C TORRES
VP, INFORMATION SERVICES2163290715440286500175000200750354098000
JOHN D CASCELL
VP, MANAGED CARE2173430715710240010200000189130351828000
BRENNAN R JAMES
VP, BUSINESS DEVELOPMENT21004890597260901848785420000064346321787995900
LAURA LUNDQUIST
VP, INFORMATION SERVICES2005460658930184240250000108340320697000
BRIAN C STUCKMAN
VP, MATERIALS AND LEAN1916180634210178180150000179920305849000
CHRISTOPHER FINCH
CHIEF COMPLIANCE/AUDIT182555071250135750146170179950235867000
TONI A UPTON
VP BUSINESS SERVICES15266506489017390167330187750196401000
DAVID TILLMAN MD
MED DIR, ORG HEALTH/WELLNESS2629810545501140600023880282230000
HARRIS R STUTMAN MD
EXECUTIVE DIR, RESEARCH ADMIN196548041578061310171930135300274980000
DONALD THOMPSON
SENIOR ASSOCIATE COUNSEL21338202500003040121650132880264139000
ANH T QUAN
SENIOR TECHNICAL SPECIALIST199217006836000129560219009000
KAREN WEINSTEIN
SENIOR ASSOCIATE COUNSEL2094280816004570134040180370249486000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL COMPENSATION INFORMATIONSCHEDULE J, PART I, LINE 1ACERTAIN EXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION.
SUPPLEMENTAL COMPENSATION INFORMATIONSCHEDULE J, PART I, LINE 4BMEMORIAL HEALTH SERVICES SPONSORS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), COVERING SELECTED EXECUTIVES, AS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD. THE SERP PROVIDES FOR A LUMP SUM PAYMENT TO EACH EXECUTIVE AT VESTING DATE, AS DEFINED IN THE SERP AGREEMENT. THERE WERE NO PAYOUTS DURING 2012.
NON-FIXED PAYMENTSSCHEDULE J, PART I, LINE 7CERTAIN MEMBERS OF EXECUTIVE MANAGEMENT RECEIVE PART OF THEIR OVERALL COMPENSATION IN THE FORM OF AN INCENTIVE PAYMENT. SEVERAL DIFFERENT FINANCIAL AND NON-FINANCIAL METRICS ARE UTILIZED IN THE FORMULA WHICH ARE REVIEWED AND APPROVED EACH YEAR IN ADVANCE BY THE COMPENSATION COMMITTEE OF THE MEMORIAL HEALTH SERVICES BOARD. ANY INCENTIVE PAYMENTS AWARDED ARE ALSO APPROVED ANNUALLY BY THE COMPENSATION COMMITTEE, AFTER AN AUDIT AND/OR REVIEW HAS BEEN CONDUCTED.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521643828IssuerEIN
CUSIP Number13033LYP6CUSIPNumber
Date Issued2012-04-25DateIssued
Issue Price184454365IssuePrice
Description Of PurposeSEE PART VIDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds184454365TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds0IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds184454365OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2012YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingtrueAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtytrueMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractstrueEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Prcntge Bond Financed Prop0.00000PrcntgeBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrsfalseNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YettrueRebateNotDueYet
Exception To RebatefalseExceptionToRebate
No Rebate DuefalseNoRebateDue
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqstrueWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActiontrueProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierPURPOSE OF BONDSIdentifier
Return Reference0ReturnReference
ExplanationSCHEDULE K, PART I, COLUMN F THE BONDS WERE USED FOR ADVANCE REFUNDING OF 2003 CERTIFICATES OF PARTICIPATION ISSUED ON FEBRUARY 12, 2003.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4MEMORIALCARE HEALTH SYSTEM (MEMORIALCARE) IS A NOT-FOR-PROFIT INTEGRATED DELIVERY SYSTEM, WHICH INCLUDES LONG BEACH MEMORIAL MEDICAL CENTER, MILLER CHILDREN'S HOSPITAL LONG BEACH, COMMUNITY HOSPITAL LONG BEACH, ORANGE COAST MEMORIAL MEDICAL CENTER, SADDLEBACK MEMORIAL MEDICAL CENTER IN LAGUNA HILLS AND SAN CLEMENTE, PHYSICIAN GROUPS- MEMORIALCARE MEDICAL GROUP AND GREATER NEWPORT PHYSICIANS, AND NUMEROUS OUTPATIENT LOCATIONS. THE MEMORIALCARE HEALTH SYSTEM OPERATES 1,546 LICENSED PATIENT BEDS. FOR FY2013, THE SYSTEM'S HOSPITALS RECORDED 326,132 PATIENT DAYS, 70,688 PATIENT DISCHARGES, 34,697 SURGERIES, 9,640 BABIES DELIVERED, 192,473 EMERGENCY DEPARTMENT VISITS, AND 58,697 HOME HEALTH VISITS. MEMORIALCARE HAS GAINED WIDESPREAD RECOGNITION FOR ITS UNIQUE APPROACH TO HEALTHCARE. FOR THE THIRD CONSECUTIVE YEAR, LONG BEACH MEMORIAL MEDICAL CENTER, ORANGE COAST MEMORIAL MEDICAL CENTER, AND SADDLEBACK MEMORIAL MEDICAL CENTER WERE NAMED "HIGH PERFORMING" IN MULTIPLE SPECIALTIES BY U.S. NEWS AND WORLD REPORT'S 2013-2014 "BEST REGIONAL HOSPITALS" RANKINGS. ALL THREE HOSPITALS WERE RANKED WITHIN THE TOP 20 HIGH PERFORMING HOSPITALS IN CALIFORNIA. ALL THREE HOSPITALS WERE HONORED WITH AN "A" HOSPITAL SAFETY SCORE BY THE LEAPFROG GROUP FOR THE SECOND YEAR IN A ROW. MEMORIALCARE MEDICAL GROUP AND GREATER NEWPORT PHYSICIANS WERE HONORED BY THE CALIFORNIA ASSOCIATION FOR PHYSICIAN GROUPS (CAPG) WITH THE ELITE STATUS RATING OF FOUR STARS. MEMORIALCARE MEDICAL GROUP WAS RECOGNIZED FOR THE EIGHTH YEAR IN A ROW AS ONE OF CALIFORNIA'S TOP-RATED PHYSICIAN GROUPS BY THE INTEGRATED HEALTHCARE ASSOCIATION (IHA). IN ADDITION, MEMORIALCARE HEALTH SYSTEM HAS BEEN HONORED FOR THREE CONSECUTIVE YEARS WITH THE GALLUP GREAT WORKPLACE AWARD. MEMORIALCARE IS ONE OF ONLY 32 ORGANIZATIONS WORLDWIDE TO RECEIVE THE AWARD IN 2013, AND ONE OF ONLY 30 ORGANIZATIONS TO EVER WIN THE AWARD FOR THREE CONSECUTIVE YEARS. MEMORIALCARE'S PRIMARY PROGRAM SERVICES ARE FOCUSED ON PATIENT CARE AND ADDRESS OUR CHARITABLE MISSION TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. MEMORIALCARE AND ITS MEMBER HOSPITALS ARE COMMITTED TO MEETING THE HEALTH CARE NEEDS OF PATIENTS WHO MAY BE UNINSURED OR UNDERINSURED. AS PART OF FULFILLING THIS COMMITMENT, WE PROVIDE MEDICALLY NECESSARY SERVICES, WITHOUT COST OR AT A REDUCED COST, TO PATIENTS WHO QUALIFY BASED ON INCOME. MEMORIALCARE REPORTS COMMUNITY BENEFIT ON A SYSTEM-LEVEL BASIS, THEREFORE, THE COMMUNITY BENEFIT EFFORTS REPORTED IN THIS REPORT REPRESENT THE ENTIRE SYSTEM. THE COMMUNITY BENEFIT THAT MEMORIALCARE PROVIDES INCLUDES CHARITY CARE, FREE OR DISCOUNTED SERVICES, MEDICAID (MEDI-CAL) SHORTFALL, UNREIMBURSED COSTS OF GOVERNMENT-SPONSORED HEALTH PROGRAMS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, AND COMMUNITY BUILDING ACTIVITIES.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990FORM 990, PART VI, LINE 11BTHE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT WITH INPUT AND INFORMATION GATHERED FROM THE LEGAL DEPARTMENTS AND UPPER MANAGEMENT. THE 990 FOR MEMORIAL HEALTH SERVICES (MHS) IS REVIEWED BY THE MHS CFO AND CHIEF INVESTMENT OFFICER/TREASURER PRIOR TO RELEASE TO THE IRS. THE CFO/CHIEF INVESTMENT OFFICER WILL REVIEW THE 990 WITH THE MHS BOARD AT AN UPCOMING BOARD MEETING.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTFORM 990, PART VI, LINE 12CTHE GENERAL COUNSEL'S OFFICE ANNUALLY SURVEYS EACH DIRECTOR AND OFFICER AND REQUIRES AFFIRMATION THAT THE CONFLICT OF INTEREST POLICY HAS BEEN READ AND UNDERSTOOD. THE RESULTS OF THE SURVEY ARE REPORTED TO THE GOVERNANCE COMMITTEE, WHICH IS RESPONSIBLE FOR GOVERNANCE OVERSIGHT AND NOMINATIONS. CONFLICTS ARE EVALUATED FOR BEING OCCASIONAL OR DISABLING IN NATURE. THE GENERAL COUNSEL MAKES THE INITIAL EVALUATION AND ADVISES THE GOVERNANCE COMMITTEE IN ITS DELIBERATIONS. WHEN AN OCCASIONAL CONFLICT IS IDENTIFIED, THE GENERAL COUNSEL ADVISES THE SUBJECT DIRECTOR AND GOVERNANCE IN A "REBUTTABLE PRESUMPTION" TYPE PROCESS. SHOULD A DISABLING CONFLICT BE IDENTIFIED, THE DIRECTOR RESIGNS OR IS REMOVED UPON THE RECOMMENDATION OF THE GENERAL COUNSEL, GOVERNANCE COMMITTEE AND BOARD. IN ADDITION, AN ANNUAL NOTICE IS SENT BY EMAIL TO EACH EMPLOYEE HAVING EMAIL REGARDING THE ACCEPTANCE OF GIFTS.
PROCESS USED TO DETERMINE COMPENSATIONFORM 990 PART VI, LINES 15A & 15BCOOK & CO. IS RETAINED BY THE COMPENSATION COMMITTEE TO PROVIDE ADVICE AND COUNSEL REGARDING ITS COMPENSATION PROGRAM PROVIDED TO MEMORIALCARE'S SENIOR MANAGEMENT TEAM (VP'S AND ABOVE). COOK & CO. PROVIDES OBJECTIVE, THIRD-PARTY ADVICE ON THE REASONABLENESS OF COMPENSATION AND BENEFIT LEVELS PROVIDED IN COMPARISON WITH THOSE OF OTHER SIMILARLY SITUATED ORGANIZATIONS, AND THE APPROPRIATENESS OF THE OVERALL COMPENSATION PROGRAM IN LIGHT OF ORGANIZATION'S PERFORMANCE AND OTHER RELEVANT FACTORS USED IN DETERMINING THE REASONABLENESS OF COMPENSATION. FINAL REVIEW AND APPROVAL BY THE MHS BOARD OF DIRECTORS. REVIEW OF MANAGERS, PROGRAM DIRECTORS, DIRECTORS AND EXECUTIVE DIRECTORS COMPENSATION IS CONDUCTED BY THE MHS COMPENSATION DIRECTOR IN CONJUNCTION WITH THE COMPENSATION VALUE ADDED TEAM. FINAL APPROVAL IS OBTAINED FROM THE MHS COO AND THE MHS VP PEOPLE & CULTURE. ALL MANAGEMENT WAS LAST REVIEWED ON OCTOBER 15, 2013. THE REVIEW THAT WAS PERFORMED FOR FY13 WAS COMPLETED ON OCTOBER 15, 2012.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLICFORM 990, PART VI, LINE 19THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC (ITS ARTICLES ARE AVAILABLE FROM THE CALIFORNIA SECRETARY OF STATE). THE FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.
OTHER CHANGES IN NET ASSETS OR FUND BALANCESFORM 990, PART XI, LINE 9AMMC PENSION LIABILITY ADJUSTMENT $ 7,571,308 RECLASS EQUITY FROM INVESMENT IN NHS TO MHS $ 9,555,062 SERP LIABILITY ADJUSTMENT $ 1,627,651 EQUITY TRANSFER TO AMMC $ 178,536 DIVIDEND PAYMENTS IN FORM OF PRIVATE EQUITY FROM NHS $ 117,949 EQUITY TRANSFER TO MEMORIALCARE INNOVATION FUND $ 8,777 ----------- TOTAL $19,059,283

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ANAHEIM MEMORIAL MEDICAL CENTER
1111 W LA PALMA AVENUEANAHEIMCA92801951966746HEALTHCARECA501(C)(3)9MHStrue
AMERICAN INST FOR PHILANTHROPIC STUDIES
2801 ATLANTIC BLVDLONG BEACHCA90806953756364PHILAN. EDU.CA501(C)(3)7MMCFtrue
SEASIDE HEALTH PLAN
2801 ATLANTIC AVENUELONG BEACHCA90806461870181MEDICAL SVCSCA501(C)(4)MHStrue

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
MEMORIALCARE SURG CNTR OC LLC
9920 TALBERT AVENUEFOUNTAIN VALLEYCA92708261394069HEALTHCARECAOCMMCRELATED00false$0false0.00000
MEMORIALCARE HOME HEALTH LLC
23521 PASEO DE VALENCIA STE 100FOUNTAIN VALLEYCA92708HEALTHCARECASMMCRELATED00false$0false0.00000
BEACH SURGICAL HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244371708521HEALTHCARECAMMFRELATED00false$0false0.00000
MEMORIALCARE INNOVATION FUND LP
320 GOLDEN SHORE STE 120LONG BEACHCA90802460791893HEALTHCARECAMHSRELATED44093141304925false$0false1.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
NATIONAL HEALTHCARE SERVICES
330 GOLDEN SHORE AVENUELONG BEACHCA90802953496341MEDICAL SERVICESCAMHSC-CORP1562978113245441.00000true
SADDLEBACK MEDICAL VENTURES
330 GOLDEN SHORE AVENUE 120LONG BEACHCA90802330308236MEDICAL SERVICESCANHSC-CORP000.00000true
SEASIDE HEALTH PLAN
2801 ATLANTIC AVELONG BEACHCA90806461870181MEDICAL SERVICESCAMHSC-CORP001.00000true
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (25 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ANAHEIM MEMORIAL MEDICAL CENTER
S10766333ACCRUAL
ANAHEIM MEMORIAL MEDICAL CENTER
Q3220618ACCRUAL
LONG BEACH MEMORIAL MEDICAL CENTER
S1198206712ACCRUAL
LONG BEACH MEMORIAL MEDICAL CENTER
Q636856887ACCRUAL
LONG BEACH MEMORIAL MEDICAL CENTER
P240177096ACCRUAL
LONG BEACH MEMORIAL MEDICAL CENTER
R36660449ACCRUAL
LONG BEACH MEMORIAL MEDICAL CENTER
O3747887ACCRUAL
LONG BEACH MEMORIAL MEDICAL CENTER
I472743ACCRUAL
LONG BEACH MEMORIAL MEDICAL CENTER
K113556ACCRUAL
MEMORIALCARE MEDICAL FOUNDATION
S165270886ACCRUAL
MEMORIALCARE MEDICAL FOUNDATION
P66624402ACCRUAL
MEMORIALCARE MEDICAL FOUNDATION
R25767335ACCRUAL
MEMORIALCARE MEDICAL FOUNDATION
O4165256ACCRUAL
ORANGE COAST MEMORIAL MEDICAL CENTER
S269334262ACCRUAL
ORANGE COAST MEMORIAL MEDICAL CENTER
Q166797408ACCRUAL
ORANGE COAST MEMORIAL MEDICAL CENTER
P49631766ACCRUAL
ORANGE COAST MEMORIAL MEDICAL CENTER
R28082359ACCRUAL
ORANGE COAST MEMORIAL MEDICAL CENTER
O1625783ACCRUAL
ORANGE COAST MEMORIAL MEDICAL CENTER
I194048ACCRUAL
SADDLEBACK MEMORIAL MEDICAL CENTER
S379468860ACCRUAL
SADDLEBACK MEMORIAL MEDICAL CENTER
Q245314435ACCRUAL
SADDLEBACK MEMORIAL MEDICAL CENTER
P85925052ACCRUAL
SADDLEBACK MEMORIAL MEDICAL CENTER
O1928938ACCRUAL
SADDLEBACK MEMORIAL MEDICAL CENTER
R1437312ACCRUAL
SADDLEBACK MEMORIAL MEDICAL CENTER
I131761ACCRUAL

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierIDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS PARTNERSHIPSIdentifier
Return ReferenceSCHEDULE R, PART IIIReturnReference
ExplanationMEMORIALCARE SURGICAL CENTER AT ORANGE COAST, LLC EIN: 26-1394069 ADDRESS: 9920 TALBERT AVENUE FOUNTAIN VALLEY, CA 92708 MEMORIALCARE HOME HEALTH, LLC EIN: PENDING ADDRESS 23521 PASEO DE VALENCIA, STE 100 FOUNTAIN VALLEY, CA 92708 BEACH SURGICAL HOLDINGS, LLC EIN: 37-1708521 ADDRESS: 3000 RIVERCHASE GALLERIA, STE 500 BIRMINGHAM, AL 35244 MEMORIALCARE INNOVATION FUND, LP EIN: 46-0791893 ADDRESS: 320 GOLDEN SHORE, STE 120 LONG BEACH, CA 90802Explanation

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