SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL (EIN 94-1502014)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-15
- IRS object ID
- 201112279349303901
- Schema version
- 2009v1.7
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-15T13:17:53-07:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TCA Partners LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 East Herndon Avenue Suite 211 | AddressLine1 |
| City | Fresno | City |
| State | CA | State |
| ZIP Code | 93720 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941502014 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Southern Monterey County Memorial Hosp | BusinessNameLine1 |
| Business Name Line2 | George L Mee Memorial Hospital | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SOUT | NameControl |
| Phone | 8313856000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 Canal Street | AddressLine1 |
| City | King City | City |
| State | CA | State |
| ZIP Code | 93930 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Susan M Childers | Name |
| Title | CFO | Title |
| Date Signed | 2011-08-15 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Inger Sullenger CPA | Name |
| Phone | 5594317708 | Phone |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Susan M Childers | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 Canal Street | AddressLine1 |
| City | King City | City |
| State | CA | State |
| ZIP Code | 93930 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 69460312 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c | X | Organization501c |
| Web Site | meememorial.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1964 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | The Hospital provides comprehensive medical care to the local community and outlying areas within a 50-mile radius. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 629 | TotalNbrEmployees |
| Total Nbr Volunteers | 50 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 184012 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 120196 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 60984975 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 68755087 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 39449 | InvestmentIncomePriorYear |
| Investment Income Current Year | 904 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -2455660 | OtherRevenuePriorYear |
| Other Revenue Current Year | 584125 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 58752776 | TotalRevenuePriorYear |
| Total Revenue Current Year | 69460312 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 29845737 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 38691644 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 30577888 | OtherExpensePriorYear |
| Other Expenses Current Year | 29712932 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 60423625 | TotalExpensesPriorYear |
| Total Expenses Current Year | 68404576 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1670849 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1055736 | RevenuesLessExpensesCY |
| Total Assets BOY | 34747608 | TotalAssetsBOY |
| Total Assets EOY | 38012500 | TotalAssetsEOY |
| Total Liabilities BOY | 50517543 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 52726699 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -15769935 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -14714199 | NetAssetsOrFundBalancesEOY |
| Mission Description | The Hospital provides comprehensive medical care to the local community and outlying areas within a 50-mile radius. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 55207077 | Expense |
| Revenue | 69310474 | Revenue |
| Description | The Hospital, is a 119-bed licensed facility that provides comprehensive medical care to the local community and outlying areas within a 50-mile radius. Types of care offerred are: acute; long-term; and rural health clinic services. Over the fiscal year, total patient days were: 22,017; and total patients treated were: 32,088. | Description |
| Total Program Service Expense | 55207077 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 129 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 629 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Quid Pro Quo Disclosure | false | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Terry Copeland Controller | NamePerson |
| Telephone Number | 8313857162 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 Canal Street | AddressLine1 |
| City | King City | City |
| State | CA | State |
| ZIP Code | 93930 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Highest Compensated EmployeeHighestCompensatedEmployee | Key EmployeeKeyEmployee |
|---|---|---|---|---|---|---|---|---|
| Susan M Childers | ||||||||
| CFO | 40.00 | X | 62873 | 0 | 9431 | |||
| Sarah Nash | ||||||||
| Trustee | 2.00 | 0 | 0 | 0 | X | |||
| Sandra Montijo MD | ||||||||
| Physician | 40.00 | 199328 | 0 | 29899 | X | |||
| Roy Schindelheim | ||||||||
| CHIEF OF STAFF | 42.00 | 190135 | 0 | 28520 | X | |||
| Roger Borzini | ||||||||
| Chairman | 2.00 | 0 | 0 | 0 | X | |||
| Raye Burkhardt | ||||||||
| CNO | 40.00 | X | 186471 | 0 | 27971 | |||
| Paulette Bumbalough | ||||||||
| Trustee | 2.00 | 0 | 0 | 0 | X | |||
| Obiloh Ego MD | ||||||||
| Physician | 40.00 | 297757 | 0 | 44664 | X | |||
| Michael Robinson MD | ||||||||
| Physician | 0. | 167398 | 0 | 25109 | X | |||
| Lex Smith | ||||||||
| CEO | 40.00 | X | 104500 | 0 | 15675 | |||
| Leopold Graupera MD | ||||||||
| Physician | 40.00 | 276478 | 0 | 41472 | X | |||
| Ken Joyner | ||||||||
| CHRO | 40.00 | X | 41536 | 0 | 6230 | |||
| John Myers | ||||||||
| Trustee | 2.00 | 0 | 0 | 0 | X | |||
| Jim Larson | ||||||||
| Secretary/Treas | 2.00 | 0 | 0 | 0 | X | |||
| Janet Buttgereit | ||||||||
| Vice Chairman | 2.00 | 0 | 0 | 0 | X | |||
| Bruce Greenberg MD | ||||||||
| Physician | 40.00 | 190135 | 0 | 28520 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1716611 | TotalReportableCompFromOrg |
| Total Other Compensation | 257491 | TotalOtherCompensation |
| Number Individuals GT100 K | 56 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Wellspring PartnersHuron Consulting SvcsLLC | |||||
| 4795 Paysphere Circle | Chicago | IL | 60674 | Consulting | 1100000 |
| Monterey Anesthesia Professionals | |||||
| 1522 Constitution Blvd 123 | Salinas | CA | 93905 | Medical | 1160041 |
| Medical Doctor Associates | |||||
| PO Box 277185 | Atlanta | GA | 303857185 | Medical | 1384188 |
| Maxit Healthcare LLC | |||||
| 129 Penn St | Westfield | IN | 46074 | Consulting | 401607 |
| HFS Consultants | |||||
| 505 14th St Fifth Floor | Oakland | CA | 946121912 | Consulting | 559378 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 21 | NumberOfContractorsGT100K |
| All Other Contributions | 120196 | AllOtherContributions |
| Noncash Contributions | 74970 | NoncashContributions |
| Total Contributions | 120196 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Patient Service Revenue | Description |
| Total Revenue Column | 68755087 | TotalRevenueColumn |
| Related Or Exempt Function Income | 68755087 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 68755087 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 904 | TotalRevenueColumn |
| Exclusion | $904 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 28738 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 28738 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28738 | TotalRevenueColumn |
| Exclusion | $28,738 | ExclusionAmount |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| Other Operating | 555387 | 555387 |
| Extraordinary Item |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 555387 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 69460312 | TotalRevenueColumn |
| Related Or Exempt Function Income | 69310474 | RelatedOrExemptFunctionIncome |
| Exclusion | $29,642 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 422510 | Total |
| Program Services | 340994 | ProgramServices |
| Management And General | 81516 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25926692 | Total |
| Program Services | 20924578 | ProgramServices |
| Management And General | 5002114 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 666129 | Total |
| Program Services | 537611 | ProgramServices |
| Management And General | 128518 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9637542 | Total |
| Program Services | 7778142 | ProgramServices |
| Management And General | 1859400 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2038771 | Total |
| Program Services | 1645425 | ProgramServices |
| Management And General | 393346 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9885 | Total |
| Program Services | 7978 | ProgramServices |
| Management And General | 1907 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 426560 | Total |
| Program Services | 344263 | ProgramServices |
| Management And General | 82297 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44973 | Total |
| Program Services | 36296 | ProgramServices |
| Management And General | 8677 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6175297 | Total |
| Program Services | 4983878 | ProgramServices |
| Management And General | 1191419 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1651427 | Total |
| Program Services | 1332812 | ProgramServices |
| Management And General | 318615 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1348369 | Total |
| Program Services | 1088224 | ProgramServices |
| Management And General | 260145 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 745892 | Total |
| Program Services | 601985 | ProgramServices |
| Management And General | 143907 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Utilities | 834016 | 673107 | 160909 |
| Supplies | 4754127 | 3836899 | 917228 |
| Purchased Services | 4344039 | 3505931 | 838108 |
| Other | 1037584 | 837400 | 200184 |
| Bad Debt | 7580211 | 6117738 | 1462473 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 760552 | Total |
| Program Services | 613816 | ProgramServices |
| Management And General | 146736 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68404576 | Total |
| Program Services | 55207077 | ProgramServices |
| Management And General | 13197499 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1572 | BOY |
| EOY | 1787 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1061466 | BOY |
| EOY | 636416 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8011080 | BOY |
| EOY | 12232725 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 746293 | BOY |
| EOY | 654170 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 156270 | BOY |
| EOY | 483457 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 41227472 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 17895166 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24106102 | BOY |
| EOY | 23332306 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 664825 | BOY |
| EOY | 671639 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34747608 | BOY |
| EOY | 38012500 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12040646 | BOY |
| EOY | 14395493 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11197364 | BOY |
| EOY | 10772809 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17101387 | BOY |
| EOY | 16742389 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10178146 | BOY |
| EOY | 10816008 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50517543 | BOY |
| EOY | 52726699 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -15769935 | BOY |
| EOY | -14714199 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -15769935 | BOY |
| EOY | -14714199 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34747608 | BOY |
| EOY | 38012500 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
| Federal Grant Audit Performed | false | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1412182 | OtherCostOrOtherBasis |
| Book Value | 1412182 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27673748 | OtherCostOrOtherBasis |
| Depreciation | 8487212 | Depreciation |
| Book Value | 19186536 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 655442 | OtherCostOrOtherBasis |
| Depreciation | 563954 | Depreciation |
| Book Value | 91488 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11486100 | OtherCostOrOtherBasis |
| Depreciation | 8844000 | Depreciation |
| Book Value | 2642100 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 23332306 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Self Insured Health Care Claims | $1,000,000 |
| Estimated Third Party Payor Settlements | $698,289 |
| Accrued Payroll & Related Expenses | $5,042,319 |
| Accrued Interest Payable | $4,075,400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 10816008 | TotalOfAmounts |
| Total Revenue | 69460312 | TotalRevenue |
| Total Expenses | 68404576 | TotalExpenses |
| Excess Or Deficit For Year | 1055736 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 1055736 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 69460312 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 69460312 | RevenueSubtotal |
| Total Revenue Per Form990 | 69460312 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 68404576 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 68404576 | ExpensesSubtotal |
| Total Expenses Per Form990 | 68404576 | TotalExpensesPerForm990 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | false | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
| Report Publically Available | false | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1216433 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1216433 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01780 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 52124196 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 52124196 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.76200 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 53340629 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 53340629 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.77980 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 53340629 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 53340629 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.77980 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $7,580,211 | BadDebtExpenseAmount |
| Amount Attributable To | 7580211 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 8666832 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 12827560 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -4160728 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (6 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | OtherOther | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours |
|---|---|---|---|---|---|---|---|
| Greenfield Clinic | |||||||
| 467 El Camino Real | Greenfield | CA | 93927 | Rural Health Clinic | |||
| Womens Center | |||||||
| 400 Canal St Ste C | King City | CA | 93930 | Health Clinic | |||
| Family Medical Center | |||||||
| 400 Canal St Ste A | King City | CA | 93930 | Health Clinic | |||
| Specialty Clinic | |||||||
| 400 Canal St Ste B | King City | CA | 93930 | Health Clinic | |||
| King City Clinic | |||||||
| 210 Canal St | King City | CA | 93930 | Rural Health Clinic | |||
| George LMee Memorial Hospital | |||||||
| 300 Canal Street | King City | CA | 93930 | X | X | X | |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Footnote | The Hospital uses "charity care" footnotes to describe bad debt expense:NOTE A: SIGNIFICANT ACCOUNTING POLICIESCharity Care: The Hospital accepts all patients regardless of their ability to pay. A patient is classified as a charity patient by reference to certain established policies of the Hospital. Essentially, these policies define charity services as those services for which no payment is anticipated. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as net patient service revenues. Services provided are recorded as gross patient service revenues and then written off entirely as an adjustment to net patient service revenues.NOTE K - CHARITY CARE AND COMMUNITY BENEFIT EXPENSEThe Hospital maintains records to identify and monitor the level of charity care and community service it provides. These records include: the amount of charges foregone, (based on established rates), for services and supplies furnished under its charity care and community service policies, the estimated cost of those services and supplies, and statistics quantifying the level of charity care as a percentage of expenses of the Hospital as a whole.The following is a summary of the Hospitals charity care and community benefit expense for the years ended September 30, 2010 and 2009, in terms of services to the poor and benefits to the broader community: Total quantifiable community benefits: $85,404,257, and $90,313,895, respectively. | BadDebtFootnote |
| Shortfall As Community Benefit | The entire shortfall is considered to be a community benefit. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Charity care patients are sent a determination letter explaining qualifications. Payment arrangements are made with those that are not 100% approved. | DebtCollectionPolicy |
| Number Of Facility Type Expln | Besides the main Hospital, there are five rural health clinic facilities. | NumberOfFacilityTypeExpln |
| Needs Assessment | The Hospital assesses the healthcare needs of the community through collaboration with other facilities and health related organizations involved in community needs assessments, health surveys, community awareness programs, community feedback and other informational outreaches. | NeedsAssessment |
| Patient Education Assistance | Business office staff screens patients individually, and explain the need to apply for State aid first. If approved they will be treated under that program, if not they will apply for charity care. They are given a financial application so the Hospital will be able to determine whether or not they qualify for charity care. | PatientEducationAssistance |
| Community Information | George L. Mee Memorial Hospital (the Hospital) is located in King City, California. The Hospital, organized in March, 1959, is a 119-bed licensed facility providing acute, long-term care and rural health clinic services to residents of the Southern Monterey County area. | CommunityInformation |
| Community Building Activities | N/A | CommunityBuildingActivities |
| Other Information | N/A | OtherInformation |
| Affiliated Health Care System | N/A | AffiliatedHealthCareSystem |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg |
|---|---|---|---|
| Sandra Montijo MD | |||
| 199328 | 29899 | 229227 | 229227 |
| Roy Schindelheim | |||
| 190135 | 28520 | 218655 | 184269 |
| Raye Burkhardt | |||
| 186471 | 27971 | 214442 | 212790 |
| Obiloh Ego MD | |||
| 297757 | 44664 | 342421 | 273064 |
| Michael Robinson MD | |||
| 167398 | 25109 | 192507 | |
| Leopold Graupera MD | |||
| 276478 | 41472 | 317950 | 229227 |
| Bruce Greenberg MD | |||
| 190135 | 28520 | 218655 | 178269 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Roy Schindelheim | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Voting Key Employe | Relationship |
| Amount Of Transaction | 218655 | AmountOfTransaction |
| Description Of Transaction | compensation as Chf Staff | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 2 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 74970 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Invoiced Cost | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | true | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part VI, Line 19 | Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | Documents are made available upon request. |
| Form 990, Part VI, Line 15b | Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | Compensation is established through use of a consultant/recruiter that obtains salary survey information. The Board approves all compensation agreements and records them in written employment contracts. |
| Form 990, Part VI, Line 12c | Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | Both the Board of Directors and the Senior Management team review conflict of interest statements annually. |
| Form 990, Part VI, Line 11 | Form 990, Part VI, Line 11: Form 990 Review Process | A copy of the 990 is distributed to the Board of Directors. |
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