2011-08-13T09:00:17-04:00 2010-09-30 ERNST & YOUNG US LLP 18111 VON KARMAN AVENUE SUITE 1000 IRVINE CA 92612 990 2009-10-01 951643327 HOAG MEMORIAL HOSPITAL PRESBYTERIAN HOAG 9497644411 ONE HOAG DRIVE BOX 6100 NEWPORT BEACH CA 926586100 JENNIFER MITZNER 2011-08-12 9497942300 2009 2016-02-24 21:20:13Z RICHARD F AFABLE MD ONE HOAG DRIVE BOX 6100 NEWPORT BEACH CA 926586100 2493930893 false X WWW.HOAGHOSPITAL.ORG X 1944 CA Our mission as a not-for-profit, faith-based hospital is to provide the highest quality health care services to the communities we serve. 16 12 4754 1400 389157 0 20465251 7247538 719587112 766408017 -23883989 29359294 3888622 3464371 720056996 806479220 5529792 4710069 0 0 324991865 347178556 0 0 0 382720662 412906889 713242319 764795514 6814677 41683706 1920990358 2037017974 700929957 745611558 1220060401 1291406416 Our mission as a not-for-profit, faith-based hospital is to provide the highest quality health care services to the communities we serve. false false 583703923 4710069 767781511 PROVISION OF HEALTH CARE SERVICES - SEE SCHEDULE O 583703923 true true false true false false false false false true false true false false true false false false false false true true false true true false false false false false true false false true true false false false false true true true false false true 803 0 true 4754 true true true false false false false false false false false 16 12 false false true false true true true true true false false true true true true true true true true true true CA X X JENNIFER MITZNER 9497644411 ONE HOAG DRIVE BOX 6100 NEWPORT BEACH CA 926586100 Stephen Jones 3.0 X X 0 0 0 Robert W Evans 3.0 X X 0 0 0 John L Benner 3.0 X X 0 0 0 Dick Allen 3.0 X 3253 0 0 Allyson M Brooks MD 3.0 X 0 0 0 Jake Easton III 3.0 X 20265 0 0 Martin J Fee MD 3.0 X 54140 0 0 Max W Hampton 3.0 X 0 0 0 Jeffrey H Margolis 3.0 X 0 0 0 Gary S McKitterick 3.0 X 0 0 0 Richard A Norling 3.0 X 0 0 0 Richard M Ortwein 3.0 X 0 0 0 Virginia Ueberroth 3.0 X 0 0 0 Yulun Wang PhD 3.0 X 0 0 0 Douglas R Zusman MD 3.0 X 0 0 0 Richard F Afable MD 50.0 X X 1047277 0 216499 Jennifer Mitzner 50.0 X 581298 0 70976 Ann L Taylor 50.0 X 100958 0 12510 Jack Cox MD 50.0 X 483502 0 131026 Richard Martin 50.0 X 542841 0 58981 Robert Braithwaite 50.0 X 405107 0 31289 Timothy CL Moore 50.0 X 184606 0 5980 Cynthia H Perazzo 50.0 X 189125 0 3322 Sandford Smith 50.0 X 340724 0 79842 Robert Dillman 50.0 X 497354 0 26294 Robert Tancredi 50.0 X 385715 0 121 Vivian Dickerson 50.0 X 445669 0 20014 Michael Brant-Zawadzki 50.0 X 457803 0 25917 Martin S Kleinbart 50.0 X 433712 0 17977 Joanne D Fix X 10890 0 0 Michael Stephens X 20850 0 0 6205089 0 700748 577 true true false Greater Newport Physicians 330 Placentia Suite 270 NEWPORT BEACH CA 92663 medical 8407137 Taylor Associates Architects 2220 University Dr Suite 200 LOS ANGELES CA 92660 architecture 6261477 Deloitte Touche LLP 4022 Sells Drive HERMITAGE TN 37076 consulting 4461782 Pacific Hospitalist Associates 510 Superior Avenue Suite 290 NEWPORT BEACH CA 92663 medical 3798494 G G Organization LTD 7670 Woodway Suite 250 HOUSTON TX 77063 collection agency 2683662 82 7247538 7247538 PATIENT SERVICES 622110 675263444 675263444 HMO Capitated Payments 622110 75108464 75108464 MOB rental income 531190 8253864 8387595 -133731 CAFETERIA SALES 722310 3672774 3672774 REFUNDS & REBATES 532299 2206658 2206658 1902813 1902813 766408017 18280477 18280477 9856 9856 0 1696098593 2422041 1684399687 3051986 11698906 -629945 11068961 11068961 0 0 0 CHILD CARE PROGRAM 624410 1342952 1342952 INCOME FROM PARTNERSHIPS/LLC'S 525990 1113437 1129616 -16179 MANAGEMENT FEES 561000 539067 539067 468915 109165 359750 3464371 806479220 767780529 389157 31061996 4709869 4709869 200 200 0 0 4815146 581839 4233307 211570 211570 270805595 194599243 76206352 13998738 10042406 3956332 37577972 26919864 10658108 19769535 13969967 5799568 0 3324205 9055 3315150 629800 6298 623502 0 3705429 3705429 79093879 70152358 8941521 3952628 2777627 1175001 135275453 125544254 9731199 7528253 5289931 2238322 0 26271683 22868985 3402698 168784 41442 127342 0 588232 230748 357484 17263251 15536926 1726325 0 55322082 25008989 30313093 2267069 1433541 833528 Pre-Opening Costs Irvine Locat 26900288 21520230 5380058 BAD DEBT EXPENSES 29082980 29082980 All other expenses 21532873 13377171 8155702 764795514 583703923 181091591 0 35065946 38826941 120917983 42547664 71521882 82467851 2500000 2500000 382467 602963 3847474 3530280 8772462 9792052 1324505808 487129318 749639659 837376490 660397389 700871089 197807000 250607000 40071044 42250329 1941738 1891950 28125314 23753365 1920990358 2037017974 95230363 113515253 537901137 535566081 67798457 96530224 700929957 745611558 X 1214551487 1285897502 5508914 5508914 1220060401 1291406416 1920990358 2037017974 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 31229 31229 false Lobbying activities Schedule C, Part II-B, Line 1i Hoag Memorial Hospital Presbyterian (HMHP) pays dues to the Hospital Association of Southern California. A portion of the dues paid by HMHP are spent on lobbying efforts by the Hospital Association. In FY 2010, $31,229 was spent on lobbying. 77330825 77330825 705375075 217148886 488226189 45711255 15682502 30028753 369822896 254297930 115524966 126265757 126265757 837376490 PRIVATE EQUITY FUNDS 14470000 F REAL ASSETS 12400000 F EQUITY COMMINGLED FUND 124828000 F HEDGE FUNDS 98909000 F 250607000 0 DUE TO GOVERNMENT AGENCIES 538000 Lease Incentive Obligation-Irvine 11202394 INTEREST RATE SWAP 44334965 ARO Liability 2337524 Accrued Income Guarantees 2417541 Accrued Malpractice Liability 18243000 Accrued Capitation Liability 17456800 96530224 FIN 48 Footnote The Organization adopted Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) 740-10-25-9 relating to uncertainty in income taxes for the year ended September 30, 2008. The adoption of ASC 740-10-25-9 did not have a material impact on the Organization's consolidated financial statements. false Central America and the Caribbean 0 0 Investments 0 0 0 0 true true X true X true X true true true false true true 9052513 9052513 0.01240 21047000 11141000 9906000 0.01350 11076000 3491000 7585000 0.01030 41175513 14632000 26543513 0.03620 6273550 6273550 0.00860 565906 565906 0.00080 3111720 3111720 0.00430 928757 24896 903861 0.00120 2318146 2318146 0.00320 13198079 24896 13173183 0.01810 54373592 14656896 39716696 0.05430 64369 0.00000 136224 0.00000 20596 0.00000 221189 0.00000 false 8306664 0 129635917 197968339 -68332422 X false hoag ortho institute specialty hospital 0.51000 0.49000 main st spec sur ctr outpatient surgery center 0.42360 0.14660 ortho surg newpt bch mgmt services 0.45900 0.10000 HOAG MEMORIAL HOSPITAL PRESBYTERIAN

ONE HOAG DRIVE P O BOX 6100 NEWPORT BEACH CA 926586100

X X X X HOAG MEMORIAL HOSPITAL Presbyterian

1200 SAND CANYON IRVINE CA 92614

X X X X HOAG DIABETES EDUCATION CENTER

520 superior avenue NEWPORT BEACH CA 92663

outpatient DIABETES education center HOAG NEWPORT SURGICARE

1441 AVOCADO SUITE 100 NEWPORT BEACH CA 92663

OUTPATIENT SURGERY CENTER NEWPORT SUPERIOR MEDICAL CENTER

1501 SUPERIOR AVENUE NEWPORT BEACH CA 92663

HEALTH CENTER HOAG HEALTH CENTER - ALISO VIEJO

26671 ALISO CREEK ROAD ALISO VIEJO CA 92656

HEALTH CENTER HOAG HEALTH CENTER - HUNTINGTON BEACH

19582 BEACH BOULEVARD HUNTINGTON BEACH CA 92648

HEALTH CENTER HEALTH CARE CENTER-COSTA MESA

1190 BAKER COSTA MESA CA 92626

HEALTH CENTER IRVINE IMAGING CENTER

4870 Barranca Parkway IRVINE CA 92614

IMAGING CENTER HIC Woodbury

6352 Irvine Blvd Irvine CA 92614

HEALTH CENTER COST ACCOUNTING SYSTEM WAS USED TO DERIVE THE COST-TO-CHARGE RATIO. OUR TOTAL COSTS (DIRECT AND INDIRECT) AND TOTAL CHARGES WERE $618,056,000 AND $1,832,430,000, RESPECTIVELY. THIS RESULTED IN A COST-TO-CHARGE RATIO OF APPROXIMATELY 33.7% WHICH WAS USED TO CALCULATE CHARITY CARE AT COST (GROSS PATIENT CHARGES WRITTEN OFF ON THE P&L TIMES COST-TO-CHARGE RATIO). THE COST ACCOUNTING SYSTEM ADDRESSES INPATIENT, OUTPATIENT AND VARIOUS PAYOR TYPES. Worksheet 2 was not used. OUR TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) WERE $760,294,360. THE BAD DEBT INCLUDED IN THIS AMOUNT WAS $29,082,980. THIS LEFT US WITH TOTAL EXPENSES OF $731,211,380 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). Accounts receivable Audited Financial Statement disclosure: The Organization receives payment for services rendered to patients from the federal and state governments under the Medicare and Medi-Cal programs, privately sponsored managed cared programs for which payment is made based on terms defined under formal contracts, and other payors. The following table summarizes the percentage for net accounts receivable from all payors at September 30, 2010: Government: 12% Contracted: 60% Other: 28% TOTAL: 100% The Organization's management believes there is no material credit risk associated with receivables from government programs. Receivables from contracted payors and others are from various payors who are subject to differing economic conditions, and do not represent any concentrated risks to the Organization. Management continually monitors and adjusts the provision for contractual discounts and doubtful accounts associated with receivables based on historical experience. Estimated cost of bad debt attributable to patient accounts was derived based on bad debt attributable to patient accounts times the ratio of patient care cost to charges (33.7%). Discounts on patient accounts are recorded as an adjustment to revenue, not bad debt expense. Payments on patient accounts that were written off are recorded as an adjustment to bad debt expense. Costing Methodology - Medicare allowable costs were calculated using a cost to charge ratio. Community Benefit - The hospital believes that all of the $68M shortfall should be considered as community benefit. Medicare shortfalls must be absorbed by the hospital in order to continue treating the elderly in our community. During FY10, Medicare accounted for 23% of the hospital's net patient revenues. The hospital provides care regardless of this shortfall and thereby relieves the federal government of the burden of paying the full cost for Medicare beneficiaries. Hoag participates with the Orange County Health Needs Assessment, a collaborative partnership of hospitals and other public and private health related organization in the county to insure the continued viability of this vital source of community health data. The data gathered in this organization is provided on a website and is available to all Orange County hospitals and other organizations may use to determine priority health concerns. The data provides information related to access to health care, lack of health coverage, and chronic disease information. In the Hoag service area, 13% of children and 27% of non-elderly adults were without any form of health care coverage; 29% of children were overweight or at risk for being overweight and 50% of adults were overweight or obese (15% reported having diabetes, 33% reported high blood sugar and cholesterol, and 23% reported arthritis); 75% of children between 6 and 17 have been diagnosed with a mental or behavioral problem; 95% of their parents have sought out advice from their primary care physician, and 16% of adults have expressed concern of their own mental health. In addition to the visual notices of assistance available, Self Pay patients, meet with the financial counselor to evaluate their status. For all other patients, they would be educated at time of need or upon patient's inquiry about their balance. The Hoag Memorial Hospital Presbyterian service area encompasses 9 cities in Orange County, California: Costa Mesa, Fountain Valley, Garden Grove, Huntington Beach, Irvine, Laguna Beach, Newport Beach, Santa Ana, and Westminster. Census data shows that the service area is racially and ethnically diverse with a large proportion of Vietnamese, Other Asian or Pacific Islander, and Hispanic/Latino individuals. This population shows lower levels of education and income and higher levels of poverty when comparing to all of Orange County; however, there are also regions within the service area with median household incomes and education levels considerably higher than the county average. The primary purpose of Hoag's Community Building Activities is to improve local health in Orange County through a collaborative process with other nonprofit organizations and health care delivery systems in providing funding opportunities for health related community initiatives. A great example would be the formation of the Health Funders Partnership of Orange County which is a group of 16 foundations, corporate, private nonprofit, and public sector organizations that fund projects with a focus on Diabetes prevention and strengthening the healthcare safety net for the uninsured residents of Orange County. Hoag has been a partner of this collaborative from its inception and has provided financial support and strategic direction to improve the health of the community. The following community building activities are reported on Schedule H, Part II: * Schedule H, Part II, Line 3 - Hoag also supports with Community Disaster Preparedness planning ($61K) and the OC Congregation Community Organizations ($2.5K) * Schedule H, Part II, Line 7 - Hoag works with various OC Community clinics, the Health Funders Partnership of OC, and the OC Health Needs Assessment group to further community building activities ($136K) * Schedule H, Part II, Line 8 - Hoag works with Project Search to assist in workforce development for the disabled ($20.5K) THE BOARD OF DIRECTORS IS MADE UP OF MEDICAL AND BUSINESS PROFESSIONALS, ALMOST ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THESE VOLUNTEERS GIVE COUNTLESS HOURS OF SERVICE TO THE HOSPITAL IN THEIR OVERSIGHT ROLE. THEY ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS, IN FUNDRAISING, AND IN GENERAL STEWARDSHIP. THE HOAG MEMORIAL HOSPITAL PRESBYTERIAN MEDICAL STAFF ADOPTS BYLAWS TO PROVIDE FOR THE ORGANIZATION OF THE MEDICAL STAFF AND TO PROVIDE A FRAMEWORK FOR SELFGOVERNMENT IN ORDER TO PERMIT THE MEDICAL STAFF TO DISCHARGE ITS RESPONSIBILITIES IN MATTERS INVOLVING THE QUALITY OF MEDICAL CARE AND TO GOVERN THE ORDERLY RESOLUTION OF THOSE PURPOSES. THESE BYLAWS PROVIDE THE PROFESSIONAL AND LEGAL STRUCTURE FOR MEDICAL STAFF OPERATIONS, ORGANIZED MEDICAL STAFF RELATIONS WITH THE BOARD OF DIRECTORS, AND RELATIONS WITH APPLICANTS TO AND MEMBERS OF THE MEDICAL STAFF. PHYSICIANS, DENTISTS, AND PODIATRISTS WHO MEET THE CRITERIA OUTLINED WITHIN THE MEDICAL STAFF BYLAWS SHALL BE DEEMED TO POSSESS BASIC QUALIFICATIONS FOR MEMBERSHIP IN THE MEDICAL STAFF. NO ASPECT OF MEDICAL STAFF MEMBERSHIP OR PARTICULAR CLINICAL PRIVILEGES SHALL BE DENIED ON THE BASIS OF SEX, RACE, AGE, CREED, COLOR, OR NATIONAL ORIGIN. COMMUNITY BENEFIT STAFF CONTINUOUSLY ASSESS THE HEALTH NEEDS OF THE COMMUNITY BY SERVING ON BOARD OF DIRECTORS AND COMMITTEES OF NON PROFIT ORGANIZATIONS. HOAG WAS PART OF A COLLABORATIVE INITIATIVE TO HIRE A FULL-TIME SCHOOL-BASED COUNTY PHYSICIAN THROUGH THE DEPARTMENT OF EDUCATION TO SERVE THE PUBLIC SCHOOL SYSTEM IN ORANGE COUNTY. HOAG PROVIDES THE MAJORITY FUNDING FOR THIS POSITION. HOAG HOSPITAL HAS A RELATIONSHIP WITH LOCAL COLLEGES AND UNIVERSITIES TO INVEST IN THE EDUCATION OF VARIOUS HEALTH PROFESSIONS. HOAG HOSPITAL AND SHARE OUR SELVES (SOS) FREE CLINIC HAVE NURTURED A UNIQUE PARTNERSHIP SINCE 1984 TO PROVIDE HEALTH CARE TO THE LOW INCOME, UNINSURED, AND UNDERINSURED INDIVIDUALS RESIDING IN THE COMMUNITY. THE SOS AND HOAG COLLABORATION INCLUDES MORE THAN 150 VOLUNTEER HEALTHCARE SPECIALISTS AVAILABLE TO PROVIDE CARE TO SOS PATIENTS. HOAG SUPPORTS THE CLINIC BY PROVIDING DIAGNOSTIC TESTS, PROCEDURES, HOSPITALIZATIONS AND ER VISITS FOR SOS PATIENTS FREE OF CHARGE. HOAG ALSO EMPLOYS THE MEDICAL AND ASSOCIATE MEDICAL DIRECTORS WHO ARE STATIONED FULL TIME AT THE SOS CLINIC. THIS REFERRAL SYSTEM AND CLINICAL SUPPORT GIVES SOS THE ABILITY TO MAKE LIFE-SAVING CARE AVAILABLE TO PATIENTS AND ENSURES CONTINUITY OF CARE, SEAMLESS DISCHARGE PLANNING, AND PATIENT TRACKING. HOAG HOSPITAL ALSO MAINTAINS A UNIQUE RELATIONSHIP WITH THE ALZHEIMER'S FAMILY SERVICES CENTER (AFSC) WHICH IS COMMITTED TO THE MISSION OF IMPROVING THE QUALITY OF LIFE FOR FAMILIES CHALLENGED BY ALZHEIMER'S DISEASE OR ANOTHER DEMENTIA THROUGH SERVICES TAILORED TO MEET INDIVIDUAL NEEDS. HOAG HOSPITAL OWNS THE AFSC FACILITY AND PROVIDES IT AT NO CHARGE, INCLUDING MAINTENANCE SERVICES AS SPECIFIED IN THE LEASE, TO THE AGENCY. ADDITIONALLY, THE HOSPITAL PROVIDES ANNUAL OPERATING AND TRANSPORTATION GRANTS, AND IN-KIND SERVICES SUCH AS CONSULTATION IN NURSING AND COMPLIANCE-RELATED ISSUES TO THE CENTER. HOAG ALSO EMPLOYS THE EXECUTIVE DIRECTOR AND ONE DEMENTIA EDUCATION SPECIALIST, BOTH OUT-STATIONED FULL TIME AT AFSC. IN 2010, SOS AND HOAG PARTNERED WITH EL SOL SCIENCE AND ARTS ACADEMY IN SANTA ANA TO ESTABLISH THE SOS-EL SOL WELLNESS CENTER, A SCHOOL-BASED HEALTH CENTER. N/A CA true Access California Services 2180 W Crescent Ave C Anaheim CA 92801 330826205 501 (c) (3) 45000 Expansion of Mental Health Program AIDS Services Foundation of Orange County 17982 Sky Park circle Irvine CA 92614 330126481 501 (c) (3) 25000 Alzheimer's Association of Orange County 17771 Cowan 200 Irvine CA 92614 953702013 501 (c) (3) 50000 Alzheimer's Family Services Center 9451 Indianapolis Ave HB CA 92646 953463978 501 (c) (3) 995690 PROGRAM GRANT American Diabetes Assoc 151 Kalmus DrC100 Costa Mesa CA 92626 131623888 501 (c) (3) 20000 PROGRAM GRANT American Lung Assoc 1570 E 17th St F Santa Ana CA 92705 950362650 501 (c) (3) 25613 American Red Cross OC 601 North Golden Circle Santa Ana CA 92705 530196605 501 (c) (3) 25000 Arthritis Foundation 171455 Newhope St FV CA 92708 951885447 501 (c) (3) 25000 Boys & Girls Club of the Harbor Area 2131 Tustin Ave Costa Mesa CA 92627 951809563 501 (c) (3) 6000 CaliforniaKids 5200 Lankershim Blvd NH CA 91601 952036014 501 (c) (3) 250000 PROGRAM GRANT California State University 401 golden shore long beach CA 90802 931150363 GOVERNMENT 300000 Childrens Hospital Orange County Foundation 455 S Main St Orange CA 92868 956097416 501 (c) (3) 454056 SENIOR TRANSPORTAITON & OPERATING GRANTS City of Huntington Beach Council on Aging 1706 Orange Ave Huntington Beach CA 92648 510179431 501 (c) (3) 77000 City of Newport Beach PO Box 1768 Newport Beach CA 92658 956000751 government 616000 Coalition of Orange County Comm Clinics 17701 Cowant Ste 220 Irvine CA 92614 952900725 501 (c) (3) 21000 Community Partners FBO Epilepsy Alliance 1500 Adams Ave 314 Costa Mesa CA 92626 954302067 501 (c) (3) 20000 Costa Mesa Senior Center 695 West 19th St Costa Mesa CA 92627 338265009 501 (c) (3) 134407 SENIOR TRANSPORTATION County of Orange Health Care Agency 405 West 5th St 7th Fl Santa Ana CA 92701 956000928 government 150000 East Africa Partnership 21581 Midcrest Dr Lake Forest CA 92630 270570704 501 (c) (3) 24000 Epilepsy Support Network 9114 Adams Ave 288 HB CA 92646 270681680 501 (c) (3) 25000 Friends of Oasis 800 Marguerite Ave Corona Del Mar CA 92625 953196296 501 (c) (3) 15000 Girls Incorporated of Orange County 1815 Anaheim Ave Costa Mesa CA 92627 951810150 501 (c) (3) 15000 Goodwill of Orange County 410 North Fairview Santa Ana CA 92703 951644018 501 (c) (3) 60000 Healthy Smiles 10602 Chapman Ave 200 Garden Grv CA 92840 383675065 501 (c) (3) 7000 Human Options PO Box 53745 Irvine CA 92619 953667817 501 (c) (3) 25000 Irvine Adult Day Health Services 20 Lake Road Irvine CA 92604 330599371 501 (c) (3) 81909 Irvine Childrens Fund 14301 Yale Ave Irvine CA 92604 330177921 501 (c) (3) 12000 SUPPORT LOW INCOME SUBSIDY PROGRAM Irvine Police Explorers PO Box 19575 Irvine CA 92623 208416297 government 7500 NURSING PROFESSORSHIP GRANTS Irvine Community Alliance Fund PO box 19575 Irvine CA 92623 330258368 501 (c) (3) 24000 YOUTH PROGRAM John Wayne Cancer Foundation PO Box 1779 Newport Beach CA 92659 954023430 501 (c) (3) 5742 YOUTH PROGRAM Juvenile Diabetes Research Foundation 17872 Mitchell North Irvine CA 92614 231907729 501 (c) (3) 12000 SENIOR TRANSPORTATION Laguna Beach Senior - SUSI Q 380 Third St Laguna Beach CA 92651 952983350 501 (c) (3) 15000 PROGRAM GRANT- UCI PAUL MERAGE BUSS SCHL Lifeline PO Box 981009 Boston MD 02298 042537528 501 (c) (3) 6399 NURSING PROFESSORSHIP GRANTS March of Dimes California Chapter 1050 Sansome St 4Fl San Francisco CA 94111 131846366 501 (c) (3) 10000 PARTNERSHIP ORANGE COUNTY Mardan Foundation of Educational Therapy 1 Osborn Irvine CA 92604 952547940 501 (c) (3) 10000 SPONSORSHIP, HOMELESS WOMEN National Parkinson Foundation OC Chapter PO Box 2207 Newport Beach CA 92659 911803228 501 (c) (3) 12000 Newport Community Counseling Center 2200 San Joaquin Hills Rd NB CA 92660 202108327 501 (c) (3) 10000 Newport Mesa School Foundation PO Box 1368 Newport Beach CA 92663 953545875 501 (c) (3) 10461 Newport -Mesa Unified School District 2985 A Bear St Costa Mesa CA 92626 952417783 government 201539 Orange County United Way 18012 Mitchell Ave South Irvine CA 92614 330047994 501 (c) (3) 100000 Orange Coast College Foundation 2701 Fairview Road Costa Mesa CA 92628 330071349 501 (c) (3) 15000 Orange County Rescue Mission One Hope Drive Tustin CA 92782 952479552 501 (c) (3) 15000 Public Health Foundation Enterprises Inc 12447 Lewis St 205 Garden Grove CA 92840 952557063 501 (c) (3) 80224 Share Our Selves Clinic 1550 Superior Ave Costa Mesa CA 92627 953222316 501 (c) (3) 46000 Someone Care Soup Kitchen 720 W 19th St Costa Mesa CA 92627 330279080 501 (c) (3) 35000 South County Senior Services 24300 El Toro Rd Bl A 2000 Lag Wd CA 92637 931163563 501 (c) (3) 117500 Sweet Success Express Program PO Box 9705 Fountain Valley CA 92728 342044369 501 (c) (3) 15000 Trauma Intervention Program 6 Marble Creek Lane Coto De Casa CA 92679 330317893 501 (c) (3) 10000 UCI Foundation Dev Office MPAA 210 Irvine CA 92697 952540117 501 (c) (3) 110000 UCI Department of Pathology 2646 Biological Sci III Irvine CA 92627 952226406 501 (c) (3) 10000 Volunteer Center of Orange County 1901 E 4th St 100 Santa Ana CA 92705 952021700 501 (c) (3) 69000 Women Helping Women 711 W 17th St A10 Costa Mesa CA 92627 330576900 501 (c) (3) 10000 YMCA of Orange County 13821 Newport Ave Ste 200 Tustin CA 92780 951644055 501 (c) (3) 150000 54 0 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants Prior to consideration of a funding grant, all recipients must be IRS currently designated tax exempt 501 (c) (3) nonprofit, and we must have a verified copy of their 501 (c) (3) status in file. They must have an Executive Director and an established Board of Directors, meeting regularly. We research the reputation and record of performance of the program and its Director. For some of these programs we have a departmental member serving on their Board of Directors. We require a copy of their current budget for review and our files. We interview the Exec. Director and one or more board members in our offices; and conduct on site visits. Once a program donation has been made, we expect a report on its progress. Throughout the course of a project or program, there are occasional meetings with the director, program personnel, and reports of numbers served, and services provided. For some the reports include outcome improvement measures. Throughout this process, those donated funds are being monitored for their focus on the intended purpose. Those that request continued funding provide us with a detailed report of progress. X X X true true X X X X X X true true false false false false false false false Richard F Afable MD 589973 0 325333 0 131971 0 191924 0 24575 0 1263776 0 0 0 Jennifer Mitzner 426807 0 144453 0 10038 0 53001 0 17975 0 652274 0 0 0 Jack Cox MD 365969 0 27171 0 90362 0 120137 0 10889 0 614528 0 0 0 Richard Martin 398019 0 134716 0 10106 0 51217 0 7764 0 601822 0 0 0 Robert Braithwaite 358266 0 36578 0 10263 0 13475 0 17814 0 436396 0 0 0 Timothy CL Moore 148492 0 32000 0 4114 0 0 0 5980 0 190586 0 0 0 Cynthia H Perazzo 185220 0 0 0 3905 0 0 0 3322 0 192447 0 0 0 Sandford Smith 310447 0 20471 0 9806 0 66176 0 13666 0 420566 0 0 0 Robert Dillman 463042 0 30279 0 4033 0 12250 0 14044 0 523648 0 0 0 Robert Tancredi 356507 0 25000 0 4208 0 0 0 121 0 385836 0 0 0 Vivian Dickerson 388165 0 53471 0 4033 0 12250 0 7764 0 465683 0 0 0 Michael Brant-Zawadzki 405949 0 47821 0 4033 0 12250 0 13667 0 483720 0 0 0 Martin S Kleinbart 378580 0 54749 0 383 0 10367 0 7610 0 451689 0 0 0 Joanne D Fix 0 0 0 0 10890 0 0 0 0 0 10890 0 0 0 Michael Stephens 0 0 0 0 20850 0 0 0 0 20850 0 0 0 Supplemental Compensation Information Schedule J, Part I, Line 1(a) The CEO and Chief Quality Officer are provided with a housing allowance in accordance with their employment contracts. Housing allowances are grossed up to eliminate the impact of income taxes. Such allowances are reported as taxable income to the executive and are included in column B(III) of Part II. The CEO also receives a reimbursement for a portion of his club dues that are essential to fundraising efforts. This reimbursement was excluded from taxable income. Schedule J, Part I, Line 4(a) The following individuals received severance payment for the year 2009: Mary Kay Payne - $275,600.00 Langston Trigg - $156,873.60 Schedule J, Part I, Line 4(b) The organization maintains a legacy deferred compensation plan that is frozen (no new contribution can be made). No options were exercised during calendar year 2009. City of Newport Beach 956000751 651785AT4 2008-05-22 452080000 REFUND BONDS 8/24/05 & 5/31/07 false false City of Newport Beach 956000751 651785BN6 2009-06-01 218570636 See Schedule O false false 452080000 0 0 0 2044099 0 0 true false true true 218571204 0 0 0 2602704 0 20037358 2010 true false true true false true true true true 0.00790 0.00000 0.00790 true false true true true true 0.00790 0.00000 0.00790 true false true true citibank na 32.6 false false true false true false false false true RICHARD AFABLE MD recruitment X 1000000 1000000 false true true JACK COX SR VP recruitment X 1500000 1500000 false true true Cynthia Perazzo SVP moving expenses X 105000 67083 false true true 2567083 MELISSA DICKERSON TIM MOORE/SEE SCHEDULE O 16785 EMPLOYEE OF HOAG MEMORIAL HOSP false RANEY ZUSMAN DOUGLAS ZUSMAN/SEE SCH O 540410 MEDICAL SERVICES false ALEXANDER EASTON JAKE EASTON III/SEE SCH O 19115 EMPLOYEE OF HOAG MEMORIAL HOSP false Form 990, Part III, Line 4 Program Service Accomplishments Executive Summary of Hoag Memorial Hospital Presbyterian's Community Benefit Report for 2010 filed with OSHPD. The Community Medicine Department at Hoag Memorial Hospital Presbyteian was established in 1995. Since its beginning the program has focused on two principal strategies: *Provide necessary healthcare-related services which are unduplicated in the community; and *provide financial support to existing community based not-for-profit organizations which already provide effective healthcare and related social services to meet community health needs. The department of Community Medicine, led by its director, Dr. Gwyn Parry, is responsible for the coordination of Hoag Hospital community benefit reporting and provides free programs to assist the underserved in the community. These include community case management, community counseling and health ministries coordination. In addition to these services, many other Hoag hospital departments provide community health services including education and support groups which are free to the community. The hospital also has substantial relationships with local colleges and universities to invest in the education of various health professionals. Community Medicine grants support Hoag health associates - organizations that provide a broad range of services, including the following: *free medical and dental care *adult day care and education for persons who suffer from Alzheimer's disease or mild dementia with support and education for their caregivers and families *transportation services for local senior centers Hoag Memorial Hospital Presbyterian is a not-for-profit organization that operates general acute care hospitals in Newport Beach and Irvine, California. The hospital provides inpatient, outpatient, and emergency services for residents of Orange County, California. Hoag operates a 498 licensed bed facility in Newport Beach and a 154 licensed bed facility in Irvine. Fully accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and designated as a Magnet Hospital by the American Nurses Credentialing Center (ANCC), Hoag offers a comprehensive mix of health care services. These include the Centers of Excellence in Cancer, Heart and Vascular Institute, Neurosciences Institute, Orthopedic Services and Women's Health Services. Since opening the Newport Beach campus in 1952, Hoag has grown from a single-site hospital to having three hospitals across two campuses and multiple satellite outpatient services locations. Hoag has instilled its exemplary brand of quality patient care at all locations. ANCC Magnet Recognition Program (R) has re-designated Hoag Hospital Newport Beach as a Magnet hospital and extended the Magnet designation to Hoag Hospital Irvine in recognition of the commitment to nursing excellence at both hospitals. Hoag has also received acclaim as a top ranking hospital from consumer publications. In June 2010, US News & World Report released its latest top 100 hospital rankings. The Cancer Institute ranked 9th among California hospitals and the highest in Orange County. For the 15th consecutive year, Hoag has been named the most preferred hospital by Orange County residents based on a consumer study by National Research Corporation (NRC). And in a reader's poll, The Orange County Register selected Hoag Hospital as the Best Hospital in Orange County, a title Hoag has claimed for 15 of the 16 years the poll has been taken. Hoag serves its surrounding communities with health centers located in Costa Mesa, Huntington Beach, Fountain Valley, Aliso Viejo, two Irvine locations and its newest location in Newport Beach. Hoag successfully opened Hoag Hospital Irvine on September 1, 2010. The new hospital is an acute care general hospital with a full-staffed emergency room focused on improving the flow of emergent care and features Hoag Orthopedics, an inpatient hospital within Hoag Hospital Irvine, progressive cardiac care and dedicated hospitalists committed to expanding care 24/7. Form 990, Part VI, Line 4 Significant changes to organizational documents During the year ended September 30, 2010 the organization's bylaws were amended to increase the the maximum number of voting members on the board from 17 to 19. Form 990, Part VI, Line 6 Description of Classes of Members or Stockholders In accordance WIth the bylaws of the corporation, the members of the corporation are fifty (50) in number and are divided equally between the george hoag family foundation and the constituent churches of the Los Ranchos presytery of the Presbyterian Church (USA), as represented by the association of presbyterian members. Form 990, Part VI, Line 7a Description of Classes of Persons and the Nature of Their Rights The members of the corporation have the power to elect or remove directors from the board of directors of the corporation. Form 990, Part VI, Line 7B Decisions requiring approval The powers and responsibilities of the members of the corporation include but are not limited to: a) to assure the Board of Directors carries out the corporation's mission; b) to consider the qualifications of Directors to be elected to the Board of Directors; c) to approve any change in the name of the Corporation; d) to approve any changes to the Corporation's mission statement; and e) to approve any sale or alienation to the property or assets of the Corporation. Form 990, Part VI, Line 11 Process used by Management and/or governing body to review 990 The organization's Board of Directors has delegated to the Audit and Compliance Committee of the Board the review of the Form 990 prior to issuance. Management, including an officer of the organization, prepares and reviews the Form 990. The Audit and Compliance Committee is provided with a draft Form 990 and is provided ample time to read the document and develop questions. The Audit and Compliance Committee then convenes prior to issuance of the Form 990 to review and discuss the draft form 990 with management and external experts hired by management. An electronic version of the Form 990 is posted to a secure web site available to all of the Board of Directors prior to filing. Form 990, Part VI, Line 12c Process used to Monitor Transactions for Conflict of Interest The organization has a comprehensive conflict of interest policy. Officers, directors, non-director members of Board Committees, and senior executives are required to complete an annual Conflict of Interest questionnaire. Responses to the questionnaire are reviewed by the Chair and CEO and matters are discussed at the appropriate level as applicable given the situation. Individual transactions that occur between the annual questionnaires are reviewed by the corporation's legal and compliance officers for potential conflicts of interest. Any director who has a conflict of interest with respect to a proposed contract, transaction or arrangement shall refrain from voting on any matter relating to the contract, transaction or arrangement. Form 990, Part VI, LINES 15a & 15b Process Used to determine compensation The compensation of the CEO, CFO and all senior vice presidents (key employees) are determined by the Compensation Committee of the Board of Directors. The Compensation Committee is comprised solely of independent directors. The Compensation Committee receives a study performed by an independent consulting firm that reviews levels of compensation at comparable organizations for comparable positions when setting compensation of the officers and key employees. This process of using comparable data to establish levels of compensation has been in place for in excess of five years. The compensation committee documents that the compensation is reasonable in its board minutes during executive session. This process was last completed in 2010. Form 990, Part VI, Line 19 Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public The Corporation's financial statements are made available to the public in summary by inclusion in an Annual Report that is available on its Web site http://www.hoaghospital.org/PDF/Corporate-AnnualReport.pdf. Hoag's Code of Conduct is posted on its public Web site as well. The Code of Conduct provides readers with an understandable review of the code of conduct that must be adhered to by all employees, directors and vendors. The Corporation makes its governing documents available upon request. Schedule K, Part I, lINE B, column(f) Description of purpose Refund Bonds issued on 5/31/07 & 5/22/08 and Improve & Equip existing facility Schedule K, Part II, line 5, column A: The total issuance cost from proceeds reported on Schedule K, Part II, Line 5, column A includes $92,721.46 of letter of credit/credit enhancement fees paid from Series 2008 Bond proceeds in Fiscal Year 2008. The remaining $1,951,377.54 is for issuance costs, including (but not limited to) underwriters' fees, trustee and bond counsel fees paid during the period May - October 2008. Schedule K, Part II, line 8, column A Year of substantial completion Proceeds of the City of Newport Beach, Series 2008 Bond issue were used to finance multiple projects. Most of these projects have been substantially completed as of May 2011. One project which is partially financed with bond proceeds in the amount $2.7 million is expected to be substantially completed in Fiscal Year 2011. Two other projects which were partially financed with bond proceeds in the total amount of $167,210 are expected to be substantially completed in Fiscal 2013/2014. Schedule L, Part IV Business Relationships *Timothy Moore disclosed that his daughter-in-law, Melissa Dickerson (Service Desk Agent) IS an employee of HOAG MEMORIAL HOSPITAL PRESBYTERIAN. *Dr. Douglas Zusman has 50% ownership interest in Raney & Zusman which provides medical services to HOAG MEMORIAL HOSPITAL PRESBYTERIAN. *Jake Easton III's son, Alexander Easton was a transport operator for HOAG MEMORIAL HOSPITAL PRESBYTERIAN. SCHEDULE R, PART V, LINE 2 TRANSACTIONS WITH RELATED ORGANIZATIONS THE AMOUNTS REPORTED ON SCHEDULE R, PART V, LINE 2 ARE DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING. 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