MEMORIAL HEALTH SERVICES: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MEMORIAL HEALTH SERVICES (EIN 95-1643381)
Tax period
2011-07-01 to 2012-06-30
Filed
2014-03-26
IRS object ID
201410859349300521
Schema version
2011v1.5
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)
Timestamp2014-03-26T12:32:25-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Line1178 S RIO GRANDE STREET SUITE 400AddressLine1
CitySALT LAKE CITYCity
StateUTState
ZIP Code84101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

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
CityFOUNTAIN VALLEYCity
StateCAState
ZIP Code92708ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD GRANIEREName
TitleEXECUTIVE VICE PRESIDENTTitle
Date Signed2014-03-19DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone8013503300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnXAmendedReturn
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 Receipts493472708GrossReceipts
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 Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees716TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year196778ContributionsGrantsPriorYear
Contributions Grants Current Year232500ContributionsGrantsCurrentYear
Program Service Revenue Prior Year171787976ProgramServiceRevenuePriorYear
Program Service Revenue CY125110847ProgramServiceRevenueCY
Investment Income Prior Year26046871InvestmentIncomePriorYear
Investment Income Current Year15019005InvestmentIncomeCurrentYear
Other Revenue Prior Year986801OtherRevenuePriorYear
Other Revenue Current Year646232OtherRevenueCurrentYear
Total Revenue Prior Year199018426TotalRevenuePriorYear
Total Revenue Current Year141008584TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6391202GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3889265GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year61842912SalariesEtcPriorYear
Salaries Etc Current Year63353671SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year41539789OtherExpensePriorYear
Other Expenses Current Year69885414OtherExpensesCurrentYear
Total Expenses Prior Year109773903TotalExpensesPriorYear
Total Expenses Current Year137128350TotalExpensesCurrentYear
Revenues Less Expenses Prior Year89244523RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3880234RevenuesLessExpensesCY
Total Assets BOY1065001920TotalAssetsBOY
Total Assets EOY1337208796TotalAssetsEOY
Total Liabilities BOY754003653TotalLiabilitiesBOY
Total Liabilities EOY1050997097TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY310998267NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY286211699NetAssetsOrFundBalancesEOY
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 EXCELLENCEMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense92926384Expense
Grants3889265Grants
Revenue125757079Revenue
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 Expense92926384TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
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 SecuritiestrueReportInvestOthSecurities
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 With10961041NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees716NumberOfEmployees
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 Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
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 BodyfalseForm990ProvidedToGoverningBody
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
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (38 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
BARRY ARBUCKLE
PRESIDENT & CEO50.0XX14769240775684
BRUCE CHANNING
DIRECTOR (PART YEAR)2.0X000
THOMAS COLLINS
DIRECTOR, SECRETARY2.0XX000
SANTOS CORTEZ DDS
DIRECTOR2.0X000
CHRIS DOWNEY
DIRECTOR (PART YEAR)2.0X000
BARBARA ENLOW
DIRECTOR2.0X000
ERIC FELDMAN MD
DIRECTOR2.0X000
LARRY JACKSON
DIRECTOR (PART YEAR)2.0X000
LARRY LAMBERT
DIRECTOR, VICE CHAIRMAN2.0XX000
FRANK MARINO MD
DIRECTOR2.0X000
HUGH MORAN
DIRECTOR2.0X000
KEITH NELSON
DIRECTOR, CHAIRMAN2.0XX000
THOMAS ROGERS
DIRECTOR2.0X000
ROBERT SCHACK
DIRECTOR2.0X000
PATRICK DONAHUE
DIRECTOR2.0X000
RUSSELL HILL
DIRECTOR2.0X000
TAMMIE M BRAILSFORD
CHIEF OPERATIONS OFFICER50.0X8734860468454
RICHARD A GRANIERE
EVP/CFO/TREASURER50.0X7117050421299
J SCOTT JOSLYN
SVP, INFO SYSTEMS/CI50.0X5392610237495
HELEN CICINO FABIAN
SVP, GENERAL COUNSEL50.0X4843250144531
KAREN TESTMAN
SVP, FINANCIAL OPERATIONS50.0X4817810172147
HELEN L MACFIE
SVP, PERFORMANCE IMPROVEMENT50.0X4421040178142
DAVID LAGREW MD
CHIEF MEDICAL INFO OFFICER50.0X340376014656
JOHN C METCALFE
VP RISK MANAGEMENT50.0X345502040270
ANN SYMONDS
SVP, MATERIALS SERVICES50.0X275064028102
KEVIN C TORRES
VP, INFORMATION SERVICES50.0X303769038055
BRENNAN R JAMES
VP, BUSINESS DEVELOPMENT50.0X300747022040
LORRAINE BOOTH
VP, PEOPLE AND CULTURE50.0X310264040076
JOHN D CASCELL
VP, MANAGED CARE50.0X291176039780
LAURA SICAEROS
VP, PHYSICIAN INTEGRATION50.0X305669018844
AARON B COLEY
VP, DECISION SUPPORT50.0X283459036839
LAURA LUNDQUIST
VP, INFORMATION SERVICES50.0X263891035871
BRIAN STUCKMAN
VP,MATERIAL MGMT LEAN RESOURCE50.0X234531027242
DONALD THOMPSON
SENIOR ASSOCIATE COUNSEL60.0225890025237X
ANH T QUAN
TECHNICAL SPECIALIST60.0212606012644X
KAREN WEINSTEIN
SR ASSOCIATE COUNSEL60.0212167032025X
HARRIS STUTMAN MD
EXECUTIVE DIRECTOR60.0208855031036X
PETER MACKLER
EXEC DIREC, GOVERN RELATIONS60.0206110020933X
FieldValueIRS element (for citing)
Total Reportable Comp From Org9329662TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation2861402TotalOtherCompensation
Number Individuals GT100 K130NumberIndividualsGT100K
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
SHEPPARDMULLINRICHTER HAMPTON
333 SOUTH HOPE STREET 48TH FLOORLOS ANGELESCA90071HR LEGAL SERVICES1758730
HEALTH ADVOCATES
13412 VENTURA BLVD 300SHERMAN OAKSCA91423COLLECTION SERVICES704254
TRIAGE CONSULTING GROUP
221 MAIN STREET 100SAN FRANCISCOCA94105COLLECTION SERVICES562737
PAUL HASTINGS JANOFSKY
515 S FLOWER STREET 25TH FLOORLOS ANGELESCA90071LEGAL SERVICES561529
LAW OFFICES-STEPHENSON ACQUISTO C
303 N GLENOAKS BLVD SUITE 700BURBANKCA91502COLLECTION SERVICES480194
FieldValueIRS element (for citing)
Number Of Contractors GT100 K26NumberOfContractorsGT100K
All Other Contributions232500AllOtherContributions
Total Contributions232500TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HEALTH CARE SUPPORT591000118216837118216837
MEANINGFUL USE90009968667636866763
AFFILIATE RENTAL6214002599725997
MEDICAL OFFICES62111012501250
FieldValueIRS element (for citing)
Total Program Service Revenue125110847TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column23786234TotalRevenueColumn
Exclusion$23,786,234ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities343696895Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities352464124Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-8767229Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-8767229TotalRevenueColumn
Exclusion-$8,767,229ExclusionAmount

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 SOFTWARE518210423489423489
VENDOR REBATES9000992141921419
All other revenue900099201324201324
FieldValueIRS element (for citing)
Total Other Revenue646232TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column141008584TotalRevenueColumn
Related Or Exempt Function Income125757079RelatedOrExemptFunctionIncome
Exclusion$15,019,005ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3889265Total
Program Services3889265ProgramServices

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)
Total9198739Total
Program Services1300702ProgramServices
Management And General7898037ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total36095021Total
Program Services29689653ProgramServices
Management And General6405368ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3061028Total
Program Services3058528ProgramServices
Management And General2500ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total11695235Total
Program Services8958701ProgramServices
Management And General2736534ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3303648Total
Program Services3008150ProgramServices
Management And General295498ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2643293Total
Program Services1158867ProgramServices
Management And General1484426ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1914453Total
Management And General1914453ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total68355Total
Management And General68355ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total15000Total
Program Services15000ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total368126Total
Program Services43427ProgramServices
Management And General324699ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total32613517Total
Program Services20637894ProgramServices
Management And General11975623ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2188935Total
Program Services2124865ProgramServices
Management And General64070ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1752797Total
Program Services1660862ProgramServices
Management And General91935ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total13446008Total
Program Services13446008ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3399320Total
Program Services3052587ProgramServices
Management And General346733ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total234067Total
Program Services139316ProgramServices
Management And General94751ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total242552Total
Program Services193085ProgramServices
Management And General49467ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total9089028Total
Management And General9089028ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1119640Total
Program Services13282ProgramServices
Management And General1106358ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total373259Total
Program Services199579ProgramServices
Management And General173680ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DUES AND SUBSCRIPTIONS40855332810280451
MEDICAL SUPPLIES85118511

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total137128350Total
Program Services92926384ProgramServices
Management And General44201966ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY96172143BOY
EOY72992737EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY49117806BOY
EOY8812804EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3807189BOY
EOY2551988EOY

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)
BOY261292BOY
EOY201712EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3642424BOY
EOY5643154EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis45144871LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec18541935LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY25575706BOY
EOY26602936EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY760747131BOY
EOY970496085EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY39847674BOY
EOY43873259EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY83597640BOY
EOY164955954EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2232915BOY
EOY41078167EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1065001920BOY
EOY1337208796EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY39680075BOY
EOY72473155EOY

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)
BOY334000000BOY
EOY293535000EOY

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)
BOY3700000BOY
EOY201113742EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY376623578BOY
EOY483875200EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY754003653BOY
EOY1050997097EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY310998267BOY
EOY286211699EOY

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)
BOY310998267BOY
EOY286211699EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1065001920BOY
EOY1337208796EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3880234ReconcilationRevenueExpenses
Reconcilation Other Changes-28666802ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

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 OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$15,000OtherActivitiesAmount
Total Lobbying Expenditures IIB15000TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1IReturnReference
ExplanationLOBBYING EXPENSES ARE THE PORTION OF DUES PAID TO A HEALTHCARE ASSOCIATION ALLOCATED TO LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

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

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis405702OtherCostOrOtherBasis
Depreciation131216Depreciation
Book Value274486BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis16337156OtherCostOrOtherBasis
Depreciation15815497Depreciation
Book Value521659BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis28402013OtherCostOrOtherBasis
Depreciation2595222Depreciation
Book Value25806791BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings26602936TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
DescriptionINVESTMENT-MMFDescription
Book Value164955954BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Program Related164955954TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$442,489,741
TENDER BOND PREMIUM/DISCOUNT$20,357,700
SERP PAYABLE$19,134,247
SWAP PAYABLE$1,762,823
WORKER'S COMPENSATION LIABILITY$90,689
MEDICAL PROFESSIONAL LIABILITY$40,000
FieldValueIRS element (for citing)
Total Of Amounts483875200TotalOfAmounts

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
UC REGENTS U OF CA BERKLEY SCHOOL OF PUBLIC HEALTH
50 UNIVERSITY HALLBERKELEYCA94720946002123501(C)(3)116667
CALIFORNIA HEALTH ASSOCIATION AND TRUST
1215 K ST STE 800SACRAMENTOCA95814941498697501(C)(3)3760098CA HOSPITAL FEE PROGRAM
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

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 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 (23 entries)

Base 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
90157204531410122211075290502277902252608000
TAMMIE M BRAILSFORD
5626930260221050572044743202102201341940000
RICHARD A GRANIERE
4467580178243086704040050202079701133004000
J SCOTT JOSLYN
358105013021205094402170540204410776756000
HELEN CICINO FABIAN
330700012063803298701247180198130628856000
KAREN TESTMAN
329436011951903282601524790196680653928000
HELEN L MACFIE
299444011004203261801628100153320620246000
DAVID LAGREW MD
267038061076012262000146560355032000
JOHN C METCALFE
2389900739870325250250000152700385772000
ANN SYMONDS
135924070000069140019600085020303166000
KEVIN C TORRES
2101170627510309010175000205550341824000
BRENNAN R JAMES
216455065195019097019600024400322787000
LORRAINE BOOTH
2109190651310342140250000150760350340000
JOHN D CASCELL
2090160636460185140200000197800330956000
LAURA SICAEROS
213243074089018337017500013440324513000
AARON B COLEY
2094780638530101280175000193390320298000
LAURA LUNDQUIST
1947500588050103360250000108710299762000
BRIAN STUCKMAN
182008046078064450150000122420261773000
DONALD THOMPSON
21255901302903020121650130720251127000
ANH T QUAN
2085610004045000126440225250000
KAREN WEINSTEIN
2075110421104450134040186210244192000
HARRIS STUTMAN MD
19585407978050230171930138430239891000
PETER MACKLER
18146107733016916013455074780227043000

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 2011.
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

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 SCHEDULE ODescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds184454365TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds1282IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds184453083OtherSpentProceeds
Amount Unspent0AmountUnspent
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledtrueForm8038TFiled
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
Exception To RebatefalseExceptionToRebate
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
REASON FOR AMENDED 990FORM 990, SCHEDULE BTHE FORM 990 IS BEING AMENDED TO CORRECT DEFERRED COMPENSATION AMOUNTS REPORTED ON PART VII, COLUMN F AND SCHEDULE J, PART II, COLUMN C FOR A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE REVISED AMOUNTS REFLECT THE INCREASE OR (DECREASE) IN THE ACTUARIAL VALUE FOR THE YEAR FOR EACH EXECUTIVE PARTICIPATING IN THE NON QUALIFIED DEFINED BENEFIT PLAN.
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4MEMORIALCARE HEALTH SYSTEM 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, MEMORIAL CARE MEDICAL FOUNDATION, AND NUMEROUS OUTPATIENT LOCATIONS. THE MEMORIALCARE HEALTH SYSTEM OPERATES 1,537 LICENSED PATIENT BEDS. FOR FY2012, THE SYSTEM'S HOSPITALS RECORDED 331,800 PATIENT DAYS, 70,208 PATIENT DISCHARGES, 37,328 SURGERIES, 9,690 BABIES DELIVERED, 184,765 EMEREGENCY DEPARTMENT VISITS, AND 58,295 HOME HEALTH VISITS. MEMORIALCARE HAS GAINED WIDESPREAD RECOGNITION FOR ITS UNIQUE APPROACH TO HEALTH CARE. FOR THE SECOND YEAR IN A ROW, LONG BEACH MEMORIAL, ORANGE COAST MEMORIAL, AND SADDLEBACK MEMORIAL WERE NAMED "HIGH PEROFRMING" BY U.S. NEWS & WORLD REPORT'S 2012-2013 "BEST REGIONAL HOSPITALS" RANKINGS. ALL THREE HOSPITALS WERE RANKED WITHIN THE TOP 40 THROUGHOUT CALIFORNIA. THE ORGANIZATION HAS ALSO BEEN IDENTIFIED AS ONE OF THE TOP INTEGRATED SYSTEMS IN AMERICA FOR NINE YEARS IN A ROW (VERISPAN TOP 100), A LEADING HOSPITAL ORGANIZATION FOR TECHNOLOGY (MOST WIRED HOSPITALS), ONE OF THE BEST GOVERNED HOSPITAL SYSTEMS IN THE U.S. (THE GOVERNANCE INSTITUTE) AND FOR HAVING THE TOP LEADERSHIP TEAM IN THE COUNTRY (HEALTHLEADERS). IN ADDITION, MEMORIALCARE HEALTH SYSTEM HAS BEEN HONORED FOR TWO CONSECUTIVE YEARS WITH THE GALLUP GREAT WORKPLACE AWARD. 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 990 WAS PREPARED BY THE ACCOUNTING DEPARTMENT WITH INFORMATION GATHERED FROM LEGAL AND UPPER MANAGEMENT. THE 990 WAS REVIEWED BY THE CONTROLLERS OF EACH FACILITY AND THE CFO. THE 990 FOR MEMORIAL HEALTH SERVICES (MHS) IS REVIEWED BY THE MHS CFO PRIOR TO RELEASE TO THE IRS. THE CFO WILL REVIEW THE 990 WITH THE MHS BOARD AT THE MAY 2013 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 & 15BVP'S AND ABOVE (INCLUSIVE OF CEO'S) COMPENSATION IS REVIEWED BY AN EXTERNAL CONSULTANT WITH FINAL REVIEW AND APPROVAL BY THE MHS BOARD OF DIRECTORS AND THEIR OUTSIDE COUNSEL. ALL MARKET DATA IS OBTAINED FROM THIRD PARTY SURVEY SOURCES. MARKET DATA REVIEWS ARE CONSISTENTLY COMPLETED ON AN ANNUAL BASIS. REVIEW OF MANAGERS, PROGRAM DIRECTOR, DIRECTORS AND EXECUTIVE DIRECTORS COMPENSATION IS CONDUCTED BY MHS COMPENSATION MANAGER IN CONJUNCTION WITH THE COMPENSATION VALUE ADDED TEAM. FINAL APPROVAL IS OBTAINED FROM THE MHS COO AND MHS SVP PEOPLE & CULTURE/LEGAL. MANAGEMENT WAS REVIEWED ON OCTOBER 15, 2012 AND EXECUTIVES WER REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE ON OCTOBER 24, 2011. THE PROCESS FOR DETERMINING COMPENSATION IS DOCUMENTED IN THE MINUTES OF THE MEMORIAL HEALTH SERVICES BOARD.
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.
HOURS DEVOTED TO RELATED ORGANIZATIONSFORM 990, PART VIITHE FOLLOWING INDIVIDUALS DEVOTE APPROXIMATELY 2 HOURS PER WEEK TO RELATED ORGANIZATIONS: THOMAS COLLINS SANTOS CORTEZ, DDS LARRY JACKSON HUGH MORAN KEITH NELSON THOMAS ROGERS ROBERT SCHACK PATRICK DONAHUE RUSSELL HILL BRUCE CHANNING DEVOTES APPROXIMATELY 3 HOURS PER WEEK TO RELATED ORGANIZATIONS. LARRY LAMBERT DEVOTES APPROXIMATELY 4 HOURS PER WEEK TO RELATED ORGANIZATIONS. THE FOLLOWING OFFICERS OF MHS DEVOTE APPROXIMATELY 10 HOURS PER WEEK TO RELATED ORGANIZATIONS: BARRY ARBUCKLE TAMMIE M. BRAILSFORD RICHARD A. GRANIERE J. SCOTT JOSLYN HELEN CICINO FABIAN KAREN TESTMAN HELEN L. MACFIE DAVID LAGREW JOHN C. METCALFE ANN SYMONDS KEVIN C. TORRES BRENNAN R. JAMES LORRAINE BOOTH JOHN D. CASCELL LAURA SICAEROS AARON B. COLEY LAURA LUNDQUIST BRIAN STUCKMAN
OTHER CHANGES IN NET ASSETS OR FUND BALANCESFORM 990, PART XI, LINE 5EQUITY TRANSFER TO AMMC $( 6,096,064) UNREALIZAED GAINS/(LOSS) ON INVESTMENTS $(19,628,913) SERP LIABILITY ADJUSTMENT $( 3,252,143) UNREALIZED MARKET VALUE OF INVESTMENTS $ 310,318 ------------- TOTAL $(28,666,802)
PURPOSE OF BONDSSCHEDULE K, PART I, COLUMN FTHE BONDS WERE USED FOR CURRENT REFUNDING OF 2003 CERTIFICATES OF PARTICIPATION ISSUED ON FEBRUARY 12, 2003.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 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)11,IIMMCFtrue

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1MEMORIALCARE SURG CNTR OC LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line19920 TALBERT AVENUEAddressLine1
CityFOUNTAIN VALLEYCity
StateCAState
ZIP Code92708ZIPCode
FieldValueIRS element (for citing)
EIN261394069EIN
Primary ActivityHEALTHCAREPrimaryActivity
Legal Domicile StateCALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1OCMMCBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income0ShareOfTotalIncome
Share Of EOY Assets0ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
Code V$0CodeVAmount
General Or Managing PartnerfalseGeneralOrManagingPartner
Percentage Ownership0.00000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
NATIONAL HEALTHCARE SERVICES
330 GOLDEN SHORE AVENUELONG BEACHCA90802953496341MEDICAL SERVICESCAMHSC-CORP305365428737391.00000
SADDLEBACK MEDICAL VENTURES
330 GOLDEN SHORE AVENUE 120LONG BEACHCA90802330308236MEDICAL SERVICESCANHSC-CORP000.00000
MEMORIAL CONTINUING CARE
330 GOLDEN SHORE AVENUE 120LONG BEACHCA90802330043615MEDICAL SERVICESCANHSC-CORP000.00000
ANAHEIM HEALTH FACILITIES SERVICE CORP
1111 WEST LA PALMA AVENUEANAHEIMCA92801300026906MEDICAL CLINICCAAMMCC-CORP000.00000
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
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
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 (15 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
LONG BEACH MEMORIAL MEDICAL CENTER
J87154ACCRUAL
LONG BEACH MEMORIAL MEDICAL CENTER
O586314273ACCRUAL
LONG BEACH MEMORIAL MEDICAL CENTER
P243337732ACCRUAL
LONG BEACH MEMORIAL MEDICAL CENTER
R856095120ACCRUAL
LONG BEACH MEMORIAL MEDICAL CENTER
Q13950938ACCRUAL
SADDLEBACK MEMORIAL MEDICAL CENTER
R370725336ACCRUAL
SADDLEBACK MEMORIAL MEDICAL CENTER
Q328389215ACCRUAL
ORANGE COAST MEMORIAL MEDICAL CENTER
R233824943ACCRUAL
ORANGE COAST MEMORIAL MEDICAL CENTER
Q207563880ACCRUAL
MEMORIALCARE MEDICAL FOUNDATION
Q3733865ACCRUAL
MEMORIALCARE MEDICAL FOUNDATION
R56581254ACCRUAL
MEMORIALCARE MEDICAL FOUNDATION
O15281115ACCRUAL
MEMORIALCARE MEDICAL FOUNDATION
P49514914ACCRUAL
ANAHEIM MEMORIAL MEDICAL CENTER
R3779499ACCRUAL
ANAHEIM MEMORIAL MEDICAL CENTER
R1916632ACCRUAL

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 92708Explanation

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