HENRY MAYO NEWHALL MEMORIAL HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
HENRY MAYO NEWHALL MEMORIAL HOSPITAL (EIN 95-2821104)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-15
IRS object ID
201132279349303953
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-15T14:54:08-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BDO USA LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13200 BRISTOL ST 4TH FLOORAddressLine1
CityCOSTA MESACity
StateCAState
ZIP Code92626ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN952821104EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HENRY MAYO NEWHALL MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHENRNameControl
Phone6612001191Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line123845 MCBEAN PARKWAYAddressLine1
CityVALENCIACity
StateCAState
ZIP Code91355ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCR Bob HudsonName
TitleCFOTitle
Date Signed2011-08-11DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID K YASUKOCHIName
Phone7149573200Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROGER E SEAVERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line123845 MCBEAN PARKWAYAddressLine1
CityVALENCIACity
StateCAState
ZIP Code91355ZIPCode
FieldValueIRS element (for citing)
Gross Receipts226574370GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.HENRYMAYO.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1972YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH CARE SERVICES TO THE CITIZENS OF THE SANTA CLARITA VALLEY AND SURROUNDING AREAS, AND IMPROVE THE HEALTH OF OUR COMMUNITY THROUGH COMPASSION AND EXCELLENCE IN HEALTHCARE SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees1545TotalNbrEmployees
Total Nbr Volunteers361TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1647189ContributionsGrantsPriorYear
Contributions Grants Current Year3659479ContributionsGrantsCurrentYear
Program Service Revenue Prior Year200987490ProgramServiceRevenuePriorYear
Program Service Revenue CY219498711ProgramServiceRevenueCY
Investment Income Prior Year1006262InvestmentIncomePriorYear
Investment Income Current Year1168946InvestmentIncomeCurrentYear
Other Revenue Prior Year1833761OtherRevenuePriorYear
Other Revenue Current Year2247234OtherRevenueCurrentYear
Total Revenue Prior Year205474702TotalRevenuePriorYear
Total Revenue Current Year226574370TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year8748109GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY10917829GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year81941343SalariesEtcPriorYear
Salaries Etc Current Year91163141SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year102933981OtherExpensePriorYear
Other Expenses Current Year113019817OtherExpensesCurrentYear
Total Expenses Prior Year193623433TotalExpensesPriorYear
Total Expenses Current Year215100787TotalExpensesCurrentYear
Revenues Less Expenses Prior Year11851269RevenuesLessExpensesPriorYear
Revenues Less Expenses CY11473583RevenuesLessExpensesCY
Total Assets BOY227842753TotalAssetsBOY
Total Assets EOY241152790TotalAssetsEOY
Total Liabilities BOY167543333TotalLiabilitiesBOY
Total Liabilities EOY169782486TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY60299420NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY71370304NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH CARE SERVICES TO THE CITIZENS OF THE SANTA CLARITA VALLEY AND SURROUNDING AREAS, AND IMPROVE THE HEALTH OF OUR COMMUNITY THROUGH COMPASSION AND EXCELLENCE IN HEALTHCARE SERVICES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense168248624Expense
Grants10917829Grants
Revenue220813230Revenue
DescriptionTO PROVIDE HEALTH CARE SERVICES TO THE CITIZENS OF THE SANTA CLARITA VALLEY AND SURROUNDING AREAS. THE HOSPITAL HAD 59,179 PATIENT DAYS DURING THE YEAR. WE ALSO PROVIDED SERVICES FOR 48,413 EMERGENCY VISITS. 73% of total hospital inpatient admits (excluding newborns) are admitted through the emergency room.Description
Total Program Service Expense168248624TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
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 RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With1096208NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1545NumberOfEmployees
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
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonANNA BREWERNamePerson
Telephone Number6612001191TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line123845 MCBEAN PARKWAYAddressLine1
CityVALENCIACity
StateCAState
ZIP Code91355ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationOther CompensationOtherCompensationReportable Comp From Related OrgsReportableCompFromRelatedOrgsKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Craig Peters
Chair2.0XX00
Dale Donohoe
Trustee2.0X00
Don Kimball
Vice Chair2.0XX00
Douglas R Sink
Trustee2.0X00
Elizabeth Hopp
Trustee2.0X00
Frank Yusuf MD
Trustee2.0X00
James D Hicken
Treasurer2.0XX00
Judge Graciela Freixes
Trustee2.0X00
Judy Fish PhD
Secretary2.0XX00
Mark Liker MD
Trustee2.0X00
Marlee Lauffer
Trustee2.0X00
Richard Corlin MD
Trustee2.0X00
ROGER E SEAVER
PRESIDENT/CEO40.0XX53988759394
Roscoe Marter MD
Trustee2.0X00
Vinod Assomull MD
Trustee2.0X000
CR BOB HUDSON
SR VP/CFO40.0X33785844154
JOHN V SCHLEIF
SR VP/COO40.0X36655737546
CYNTHIA A PETERSON
VP/CIO40.021828123828X
JONATHAN S MILLER
SR DIR OF CLINICAL LAB40.016349924437X
LARRY R KIDD
VP/CNO40.024210717416X
MARK A PULEO
VP/CHIEF HR40.019119128345X
DONNA G FERGUSON
DIR OF SURG40.016852916502X
EVA A NOWLIN
QRM DIRECTOR40.015527913573X
GERALD A SUBAR
DIR OF PHARM40.020202918370X
KEITH J BOYLE
DIR SERVICE EXCELLENCE40.015564414945X
RAGHDA SALAHI
PHARMACIST40.0178631100020X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2919492TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation308512TotalOtherCompensation
Number Individuals GT100 K13NumberIndividualsGT100K
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
INTEGRATED SUPPORT SOLUTIONS
14558 SYLVAN STREETVAN NUYSCA91411OTHER PRCHD SRVCS7026816
PACIFIC NATIONAL GROUP
2392 SBATEMAN AVEIRWINDALECA91010CONSTRUCTION5095631
INTERTEX GENERAL CONTRACTORS
28212 KELLY JOHNSON PKWY STE 275VALENCIACA91355CONTRACTOR3328584
KEMP BROTHERS CONSTRUCTION
10135 GEARY AVESANTA FE SPRINGSCA90670CONSTRUCTION3142173
MCCARTHY BUILDING COMPANIES
20401 SW BIRCH ST SUITE 300NEWPORT BEACHCA92660CONSTRUCTION3302935
FieldValueIRS element (for citing)
Number Of Contractors GT100 K61NumberOfContractorsGT100K
Related Organizations1793000RelatedOrganizations
Government Grants347000GovernmentGrants
All Other Contributions1519479AllOtherContributions
Total Contributions3659479TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHEALTHCARE SERVICE/CHARITY CAREDescription
Business Code621110BusinessCode
Total Revenue Column219498711TotalRevenueColumn
Related Or Exempt Function Income219498711RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue219498711TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1168946TotalRevenueColumn
Exclusion$1,168,946ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real860000Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real860000Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column860000TotalRevenueColumn
Related Or Exempt Function Income860000RelatedOrExemptFunctionIncome

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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 (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
JV INCOME621110454519454519
OTHER OPERATING REVENUE621110932715$932,715
FieldValueIRS element (for citing)
Total Other Revenue1387234TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column226574370TotalRevenueColumn
Related Or Exempt Function Income220813230RelatedOrExemptFunctionIncome
Exclusion$2,101,661ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total10917829Total
Program Services10917829ProgramServices

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)
Total2059480Total
Program Services2059480ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total68474170Total
Program Services68474170ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1628496Total
Program Services1628496ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total13513808Total
Program Services13513808ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5487187Total
Program Services5487187ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1443907Total
Management And General1443907ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1175444Total
Management And General1175444ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total330422Total
Management And General330422ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total112948Total
Management And General112948ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4906146Total
Program Services4906146ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total694157Total
Management And General694157ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total29075862Total
Program Services29075862ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1888701Total
Program Services1888701ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4935325Total
Program Services4935325ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total164059Total
Management And General164059ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total7568356Total
Management And General7568356ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total12006625Total
Management And General12006625ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2522132Total
Management And General2522132ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
BAD DEBT EXPENSE1680282316802823
PURCHASED SERVICES1552104015521040
REPAIR AND MAINTENANCE30146863014686
MISCELLANEOUS40312904031290
NURSING REGISTRY68258946825894

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total215100787Total
Program Services168248624ProgramServices
Management And General46852163ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY36922449BOY
EOY16481438EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4856243BOY
EOY20482811EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY33415364BOY
EOY32211460EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3554330BOY
EOY3208999EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2367721BOY
EOY2192884EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis237078603LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec105399158LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY113979937BOY
EOY131679445EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY18330925BOY
EOY16220360EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY14415784BOY
EOY18675393EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY227842753BOY
EOY241152790EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY21491576BOY
EOY25375905EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2705427BOY
EOY2667750EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY123649053BOY
EOY122355718EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY13432676BOY
EOY12538147EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6264601BOY
EOY6844966EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY167543333BOY
EOY169782486EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY58350592BOY
EOY70257463EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1948828BOY
EOY1112841EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY60299420BOY
EOY71370304EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY227842753BOY
EOY241152790EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

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
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$112,948OtherActivitiesAmount
Total Lobbying Expenditures IIB112948TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
Identifier990 SCH C POLITICAL CAMPAIGN AND LOBBYING ACTIVITIESIdentifier
Return Reference990 SCH C PART II-B QUESTION 1(I)ReturnReference
ExplanationAmount spent to influence a legislative body (by communications with a member of a legislative body, government official, or employee of such).Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2113433OtherCostOrOtherBasis
Book Value2113433BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis130451157OtherCostOrOtherBasis
Depreciation49348548Depreciation
Book Value81102609BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis67127504OtherCostOrOtherBasis
Depreciation47036274Depreciation
Book Value20091230BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis37386509OtherCostOrOtherBasis
Depreciation9014336Depreciation
Book Value28372173BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings131679445TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
US TREASURY MONEY MKT FUNDS6694101F
FIXED INCOME SECURITIES6470759F
GUARANTEED INSURANCE CONTRACT3055500F
FieldValueIRS element (for citing)
Total Of Book Value Securities16220360TotalOfBookValueSecurities

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
UNAMORTIZED FINANCING COST8439292
OTHER RECEIVABLES1031812
OTHER ASSETS1325606
RECEIVABLE FROM AFFILIATE879188
PLEDGED LEASE2667750
LONG TERM INVESTMENTS4331745
FieldValueIRS element (for citing)
Total Book Value Other Assets18675393TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCRUED INTEREST$3,035,966
ACCRUED MALPRACTICE LIABILITY$3,809,000
OTHER LONG TERM LIABILITIES$0
FieldValueIRS element (for citing)
Total Of Amounts6844966TotalOfAmounts
Total Revenue226574370TotalRevenue
Total Expenses215100787TotalExpenses
Excess Or Deficit For Year11473583ExcessOrDeficitForYear
Net Unrealized GL On Investments-402699NetUnrealizedGLOnInvestments
Total Adjustments-402699TotalAdjustments
Excess Or Deficit Per FS11070884ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt215253842TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-402699NetUnrealizedGainsInvestments
Revenue Not Rptd F990-402699RevenueNotRptdF990
Revenue Subtotal215656541RevenueSubtotal
Other Revenues Not Included10917829OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt10917829RevenueNotRptdOnFinStmt
Total Revenue Per Form990226574370TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt204182958TotExpensesEtcAuditedFinclStmt
Expenses Subtotal204182958ExpensesSubtotal
Other Expenses Not Included10917829OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt10917829ExpensesNotRptdOnFinStmt
Total Expenses Per Form990215100787TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990 SCH D PART XIII RECONC. OF EXPENSES PER AFS WITH EXPENSES PER RETURN990 SCH D PART XIII QUESTION 4BCHARITY CARE 10,917,829
F990 SCH D PART XII RECON OF REVENUE PER AFS WITH REVENUE PER RETURN990 SCH D PART XII QUESTION 4DCHARITY CARE 10,917,829 ===================================== 10,917,829

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense10917829TotalCommunityBenefitExpense
Net Community Benefit Expense10917829NetCommunityBenefitExpense
Percent Of Total Expense0.05080PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense6175709TotalCommunityBenefitExpense
Net Community Benefit Expense6175709NetCommunityBenefitExpense
Percent Of Total Expense0.02870PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense17093538TotalCommunityBenefitExpense
Net Community Benefit Expense17093538NetCommunityBenefitExpense
Percent Of Total Expense0.07950PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense6904457TotalCommunityBenefitExpense
Net Community Benefit Expense6904457NetCommunityBenefitExpense
Percent Of Total Expense0.03210PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense6904457TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense6904457NetCommunityBenefitExpense
Percent Of Total Expense0.03210PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense23997995TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense23997995NetCommunityBenefitExpense
Percent Of Total Expense0.11160PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$16,802,823BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare56539788AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare71045722CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-14505934MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1Tower Imaging ValencBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityImaging ServiceDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.50000OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership0.00000OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership0.00000PhysicansProfitOrOwnership

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1HENRY MAYO NEWHALL MEMORIAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line123845 MCBEAN PKWYAddressLine1
CityVALENCIACity
StateCAState
ZIP Code91355ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Bad Debt FootnoteThe Hospital offers managed care-style discounts to most uninsured patients, which enables the Hospital to offer lower rates to those patients who historically have been charged standard gross charges. Under this method, the discount offered to uninsured patients is recognized as a contractual allowance instead of provision for bad debts, which reduces net patient revenues at the time the uninsured patient accounts are recorded and reduces provision for bad debts. The uninsured patient accounts, net of contractual allowances recorded, are further reduced to their net realizable value through provision for bad debts based on historical collection trends and other factors that affect the estimation process. For the years ended September 30, 2010 and 2009, provision for bad debts were approximately $16,803,000 and $11,591,000, respectively.BadDebtFootnote
Needs AssessmentTo understand the needs of the community, Henry Mayo worked with Meyer Marketing Intelligence, Inc. to conduct the 2010 Triennial Community Needs Assessment Study. This study collected and analyzed data to assess gaps in healthcare services in the Santa Clarita Valley.NeedsAssessment
Patient Education AssistanceWe help to ensure greater access to health care for the uninsured and underinsured and provide much-needed, sometimes life-saving, medical services for our community by offering the following programs. Evaluate alignment models and opportunities which lead local access to outpatient care for Medi-Cal, Medi-Medi, and the uninsured. Organize and launch Spanish-language "health discussions" in community with clinic staff and physicians who speak Spanish. Develop email list for not-for-profits and Medi-Cal providers with link to Spanish and English flyers for health fairs and health programs to download and post. Sustain existing screening programs related to management of heart disease, diabetes and early detection and prevention of cancers. Evaluate opportunities for alignment with Senior Center associated with management of chronic disease or readmissions.PatientEducationAssistance
Community InformationThe needs assessment study defined Henry Mayo's service area as follows: The Santa Clarita Valley in northern Los Angeles County is bordered by the Angeles National Forest on the south, the Ventura County line on the west, the northern edge of Castaic on the north, and the Acton and Agua Dulce area on the east. It is comprised of the City of Santa Clarita, the unincorporated communities of Southern Oaks, Stevenson Ranch, Westridge, Castaic, and other unincorporated areas directly adjacent to the city limits. The study found: The Santa Clarita Valley has a higher proportion of non-Hispanic residents than most other Southern California communities and a comparatively higher income and educational level. The region had an estimated population of 263,973 in 2010 and is projected to increase at an average annual rate of 1.7% to 286,986 people by 2015. The population is relatively young with an average age of 36 years. There are a substantial percentage of Asians, African Americans, and other races even though the population is primarily white. In total, close to one-fourth of the population is of Hispanic or Latin origin. While the majority of the population primarily speaks English at home, other languages include Spanish, Asian and IndoEuropean languages.CommunityInformation
Other InformationThroughout the year, we offered a number of preventive and health screenings to help keep the community healthy. We held quarterly "Care for Your Heart" health screenings, which included cholesterol and glucose tests, blood pressure monitoring, height and weight analysis, body fat and BMI measurement, oxygen saturation and carbon monoxide measurement and heart risk assessment. We also offered free flu shots for seniors during the cold and flu season. Rather than have them come to us, we sent our nurses into the community to give flu shots to seniors with limited access to transportation.OtherInformation
Reports Filed With StatesCAReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantCHARITY CARE - HENRY MAYO NEWHALL HOSPITALTypeOfGrant
Number Of Recipients4416NumberOfRecipients
Amount Of Non Cash Assistance10917829AmountOfNonCashAssistance
Method Of ValuationCOST OF SERVMethodOfValuation
Description Of Non Cash AssistanceMED SERVICESDescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCH I GENERAL INFO ON GRANTS AND ASSISTANCE990 SCH I PART I QUESTION 2The hospital assists individuals who are uninsured or underinsured by providing charity care. This is applied by following the hospitals charity care policy. This policy is administered through the Business Service Department of the hospital.
SCH I GENERAL GRANTS AND OTHER ASSISTANCE TO INDIV990 SCH I PART IIIPATIENTS MEETING CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY MAY RECEIVE HEALTHCARE SERVICES AT NO CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
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 PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
CR BOB HUDSON
2831004701477441441329741382012
CYNTHIA A PETERSON
21700101280997613852242109
DONNA G FERGUSON
1678710658270013802185031
EVA A NOWLIN
1541900108978575716168852
GERALD A SUBAR
2012240805018370220399
JOHN V SCHLEIF
3088724950081851533022216404103
JONATHAN S MILLER
1631690330599918438187936
KEITH J BOYLE
1488360680882406705170589
LARRY R KIDD
2415630544117005716259523
MARK A PULEO
1906470544990718438219536
ROGER E SEAVER
44464181120141262127738117599281
RAGHDA SALAHI
1786310089961006188633000000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSCH J COMPENSATION INFORMATIONIdentifier
Return Reference990 SCH J PART I Q1ReturnReference
ExplanationRoger Seaver does not golf at all but is allowed to host community leaders, Foundation and Hospital Board members or other leaders of the community and their guests periodically, and on a limited basis. C.R. Bob Hudson pays any cost over and above the membership dues for his personal golf, which is very limited (under 18 rounds per year). Both memberships are used as donations to other charities' auction items on a limited basis.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
680164610130795JG32007-08-0145000000FINANCE AND REFINANCE FACILITIESfalsetrue
CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
680164610130795UX32008-06-1330000000FINANCE AND REFINANCE FACILITIESfalsetrue

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundAmount DefeasedAmountDefeasedAmount UnspentAmountUnspentIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMade
4517795235330970141168332725020343128912010falsefalsefalse
2984070022998880188648423633780236746212010falsefalsefalse

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsetruetrue
falsefalsefalsefalsetruetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
TRANSAMERICA OCCIDEN
falsefalsefalsetrue30.truetruefalse
(no name)
falsefalsefalsefalsefalse

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
VINOD ASSOMUL MD
CO-OWNER- CA KIDNEY CARE706040INPATIENT RENAL DIALySIS SERVIfalse
DALE DONOHOE
OWNER- INTERTEX GENERAL3328584CONSTRUCTIONfalse
MARK LIKER MD
OWNER- MODERN DIAGNOSTICS204560INTER NEURO MONITORINGfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990 GOVERNANCE, MGMT AND DISCLOSURE990 PART VI SECTION A QUESTION 11THE CHAIRMAN OF THE FINANCE COMMITTEE, CHAIRMAN OF THE AUDIT AND COMPLIANCE COMMITTEE AND THE BOARD OF DIRECTORS REVIEWED THE ENTIRE FORM 990 RETURN PRIOR TO FILING.
F990 POLICIES990 PART VI SECTION B QUESTION 15The organization 's CEO, executive director, or top management officials' compensation are determined through the use of a compensation committee, independent consulting, and board of directors approval. Other officers/key employees of the organization receive performance reviews annually and ratings are applied that suggest the percentage of salary increase. Percentages are determined through market surveys done by Human Resources and approved each year via the budget and aprroval process.
F990 DISCLOSURE990 PART VI SECTION C QUESTION 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
F990 POLICIES990 PART VI SECTION B QUESTION 12CAll board members are required to read the conflict of interest policy and complete a formal conflict of interest questionnaire annually and results of any conflict, if any, would be reported to the full board. Board members are aware and reminded of the hospital's fiduciary responsibility in reporting conflicts of interest. There have been circumstances where a conflict of interest exists and it has been disclosed to the board of directors.
F990 GOVERNANCE, MGMT AND DISCLOSURE990 PART VI SECTION A QUESTION 2Vinod Assomul MD - Business Relationship Dale Donohoe - Business Relationship Mark Liker MD - Business Relationship

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/BusinessNameLine1
HENRY MAYO NEWHALL MEMORIAL HEALTH FOUND
23845 MCBEAN PARKWAYVALENCIACA91355953849903RAISE FUNDSCA501(C)(3)7NA
SANTA CLARITA HEALTHCARE ASSOCIATION
23845 MCBEAN PARKWAYVALENCIACA91355953921194HEALTHCARE EDCA501(C)(3)11NA

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipEINEIN
TOWER IMAGING VALENCIA
23929 MCBEAN PARKWAY BLDG F STE 1VALENCIACA91355RADIOLOGY SERCAC CORP48354625319470.50000
SANTA CLARITA VALLEY HEALTHCARE MGMT GRP
23845 MCBEAN PARKWAYVALENCIACA91355HEALTHCARE SECAC CORP000.00000953938667
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 OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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