2011-08-15T14:54:08-05:00 2010-09-30 BDO USA LLP 3200 BRISTOL ST 4TH FLOOR COSTA MESA CA 92626 990 2009-10-01 952821104 HENRY MAYO NEWHALL MEMORIAL HOSPITAL HENR 6612001191 23845 MCBEAN PARKWAY VALENCIA CA 91355 CR Bob Hudson 2011-08-11 DAVID K YASUKOCHI 7149573200 2009 2016-02-24 21:20:13Z ROGER E SEAVER 23845 MCBEAN PARKWAY VALENCIA CA 91355 226574370 false X WWW.HENRYMAYO.COM X 1972 CA TO 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. 15 9 1545 361 0 0 1647189 3659479 200987490 219498711 1006262 1168946 1833761 2247234 205474702 226574370 8748109 10917829 0 0 81941343 91163141 0 0 0 102933981 113019817 193623433 215100787 11851269 11473583 227842753 241152790 167543333 169782486 60299420 71370304 TO 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. false false 168248624 10917829 220813230 TO 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. 168248624 true true false true false false false false false true true false false false false false false false false false true false true true true false false false false false false false false false true false false false false false true false false false false 208 0 true 1545 true false false false false false false false false false false false false false false 15 9 true false false false false false false true true false false true true true true true true true false true true CA X X X ANNA BREWER 6612001191 23845 MCBEAN PARKWAY VALENCIA CA 91355 Craig Peters 2.0 X X 0 0 Dale Donohoe 2.0 X 0 0 Don Kimball 2.0 X X 0 0 Douglas R Sink 2.0 X 0 0 Elizabeth Hopp 2.0 X 0 0 Frank Yusuf MD 2.0 X 0 0 James D Hicken 2.0 X X 0 0 Judge Graciela Freixes 2.0 X 0 0 Judy Fish PhD 2.0 X X 0 0 Mark Liker MD 2.0 X 0 0 Marlee Lauffer 2.0 X 0 0 Richard Corlin MD 2.0 X 0 0 ROGER E SEAVER 40.0 X X 539887 59394 Roscoe Marter MD 2.0 X 0 0 Vinod Assomull MD 2.0 X 0 0 0 CR BOB HUDSON 40.0 X 337858 44154 JOHN V SCHLEIF 40.0 X 366557 37546 CYNTHIA A PETERSON 40.0 X 218281 23828 JONATHAN S MILLER 40.0 X 163499 24437 LARRY R KIDD 40.0 X 242107 17416 MARK A PULEO 40.0 X 191191 28345 DONNA G FERGUSON 40.0 X 168529 16502 EVA A NOWLIN 40.0 X 155279 13573 GERALD A SUBAR 40.0 X 202029 18370 KEITH J BOYLE 40.0 X 155644 14945 RAGHDA SALAHI 40.0 X 178631 0 10002 2919492 0 308512 13 false true false INTEGRATED SUPPORT SOLUTIONS 14558 SYLVAN STREET VAN NUYS CA 91411 OTHER PRCHD SRVCS 7026816 PACIFIC NATIONAL GROUP 2392 SBATEMAN AVE IRWINDALE CA 91010 CONSTRUCTION 5095631 INTERTEX GENERAL CONTRACTORS 28212 KELLY JOHNSON PKWY STE 275 VALENCIA CA 91355 CONTRACTOR 3328584 KEMP BROTHERS CONSTRUCTION 10135 GEARY AVE SANTA FE SPRINGS CA 90670 CONSTRUCTION 3142173 MCCARTHY BUILDING COMPANIES 20401 SW BIRCH ST SUITE 300 NEWPORT BEACH CA 92660 CONSTRUCTION 3302935 61 1793000 347000 1519479 3659479 HEALTHCARE SERVICE/CHARITY CARE 621110 219498711 219498711 219498711 1168946 1168946 0 0 860000 860000 860000 860000 0 0 0 0 JV INCOME 621110 454519 454519 OTHER OPERATING REVENUE 621110 932715 932715 1387234 226574370 220813230 2101661 0 10917829 10917829 0 0 2059480 2059480 0 68474170 68474170 1628496 1628496 13513808 13513808 5487187 5487187 1443907 1443907 1175444 1175444 330422 330422 112948 112948 0 0 4906146 4906146 694157 694157 29075862 29075862 1888701 1888701 0 4935325 4935325 164059 164059 0 0 7568356 7568356 0 12006625 12006625 2522132 2522132 BAD DEBT EXPENSE 16802823 16802823 PURCHASED SERVICES 15521040 15521040 REPAIR AND MAINTENANCE 3014686 3014686 MISCELLANEOUS 4031290 4031290 NURSING REGISTRY 6825894 6825894 215100787 168248624 46852163 0 36922449 16481438 4856243 20482811 33415364 32211460 3554330 3208999 2367721 2192884 237078603 105399158 113979937 131679445 18330925 16220360 14415784 18675393 227842753 241152790 21491576 25375905 2705427 2667750 123649053 122355718 13432676 12538147 6264601 6844966 167543333 169782486 X 58350592 70257463 1948828 1112841 60299420 71370304 227842753 241152790 X false true true X true true X false false false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false true 112948 112948 false 990 SCH C POLITICAL CAMPAIGN AND LOBBYING ACTIVITIES 990 SCH C PART II-B QUESTION 1(I) Amount spent to influence a legislative body (by communications with a member of a legislative body, government official, or employee of such). 2113433 2113433 130451157 49348548 81102609 67127504 47036274 20091230 37386509 9014336 28372173 131679445 US TREASURY MONEY MKT FUNDS 6694101 F FIXED INCOME SECURITIES 6470759 F GUARANTEED INSURANCE CONTRACT 3055500 F 16220360 UNAMORTIZED FINANCING COST 8439292 OTHER RECEIVABLES 1031812 OTHER ASSETS 1325606 RECEIVABLE FROM AFFILIATE 879188 PLEDGED LEASE 2667750 LONG TERM INVESTMENTS 4331745 18675393 0 ACCRUED INTEREST 3035966 ACCRUED MALPRACTICE LIABILITY 3809000 OTHER LONG TERM LIABILITIES 0 6844966 226574370 215100787 11473583 -402699 -402699 11070884 215253842 -402699 -402699 215656541 10917829 10917829 226574370 204182958 204182958 10917829 10917829 215100787 F990 SCH D PART XIII RECONC. OF EXPENSES PER AFS WITH EXPENSES PER RETURN 990 SCH D PART XIII QUESTION 4B CHARITY CARE 10,917,829 F990 SCH D PART XII RECON OF REVENUE PER AFS WITH REVENUE PER RETURN 990 SCH D PART XII QUESTION 4D CHARITY CARE 10,917,829 ===================================== 10,917,829 true true X true X true X true true false true true 10917829 10917829 0.05080 6175709 6175709 0.02870 0 0 0.00000 17093538 17093538 0.07950 6904457 6904457 0.03210 0 0 0 0.00000 0 0 0 0.00000 6904457 0 6904457 0.03210 23997995 0 23997995 0.11160 true 16802823 0 56539788 71045722 -14505934 X true true Tower Imaging Valenc Imaging Service 0.50000 0.00000 0.00000 HENRY MAYO NEWHALL MEMORIAL HOSPITAL

23845 MCBEAN PKWY VALENCIA CA 91355

X X X The 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. To 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. We 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. The 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. Throughout 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. CA true CHARITY CARE - HENRY MAYO NEWHALL HOSPITAL 4416 10917829 COST OF SERV MED SERVICES SCH I GENERAL INFO ON GRANTS AND ASSISTANCE 990 SCH I PART I QUESTION 2 The 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 INDIV 990 SCH I PART III PATIENTS MEETING CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY MAY RECEIVE HEALTHCARE SERVICES AT NO CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES X true true X X X X false false false false false false false false false CR BOB HUDSON 283100 47014 7744 14413 29741 382012 CYNTHIA A PETERSON 217001 0 1280 9976 13852 242109 DONNA G FERGUSON 167871 0 658 2700 13802 185031 EVA A NOWLIN 154190 0 1089 7857 5716 168852 GERALD A SUBAR 201224 0 805 0 18370 220399 JOHN V SCHLEIF 308872 49500 8185 15330 22216 404103 JONATHAN S MILLER 163169 0 330 5999 18438 187936 KEITH J BOYLE 148836 0 6808 8240 6705 170589 LARRY R KIDD 241563 0 544 11700 5716 259523 MARK A PULEO 190647 0 544 9907 18438 219536 ROGER E SEAVER 444641 81120 14126 21277 38117 599281 RAGHDA SALAHI 178631 0 0 0 0 0 8996 0 1006 0 188633 0 SCH J COMPENSATION INFORMATION 990 SCH J PART I Q1 Roger 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. CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 130795JG3 2007-08-01 45000000 FINANCE AND REFINANCE FACILITIES false true CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 130795UX3 2008-06-13 30000000 FINANCE AND REFINANCE FACILITIES false true 45177952 3533097 0 1411683 3272502 0 34312891 2010 false false false 29840700 2299888 0 1886484 2363378 0 23674621 2010 false false false false false false false true true false false false false true true false false false true TRANSAMERICA OCCIDEN 30. true true false false false false false false VINOD ASSOMUL MD CO-OWNER- CA KIDNEY CARE 706040 INPATIENT RENAL DIALySIS SERVI false DALE DONOHOE OWNER- INTERTEX GENERAL 3328584 CONSTRUCTION false MARK LIKER MD OWNER- MODERN DIAGNOSTICS 204560 INTER NEURO MONITORING false F990 GOVERNANCE, MGMT AND DISCLOSURE 990 PART VI SECTION A QUESTION 11 THE 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 POLICIES 990 PART VI SECTION B QUESTION 15 The 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 DISCLOSURE 990 PART VI SECTION C QUESTION 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. F990 POLICIES 990 PART VI SECTION B QUESTION 12C All 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 DISCLOSURE 990 PART VI SECTION A QUESTION 2 Vinod Assomul MD - Business Relationship Dale Donohoe - Business Relationship Mark Liker MD - Business Relationship HENRY MAYO NEWHALL MEMORIAL HEALTH FOUND 23845 MCBEAN PARKWAY VALENCIA CA 91355 953849903 RAISE FUNDS CA 501(C)(3) 7 NA SANTA CLARITA HEALTHCARE ASSOCIATION 23845 MCBEAN PARKWAY VALENCIA CA 91355 953921194 HEALTHCARE ED CA 501(C)(3) 11 NA TOWER IMAGING VALENCIA 23929 MCBEAN PARKWAY BLDG F STE 1 VALENCIA CA 91355 RADIOLOGY SER CA C CORP 483546 2531947 0.50000 SANTA CLARITA VALLEY HEALTHCARE MGMT GRP 23845 MCBEAN PARKWAY VALENCIA CA 91355 953938667 HEALTHCARE SE CA C CORP 0 0 0.00000 false false false false false false false false false false false false false false false false false false