Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 01-01-2013 , 2013, and ending 12-31-2013
BCheck if applicable:
CName of organization
MARIN GENERAL HOSPITAL
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
250 BON AIR ROAD
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
GREENBRAE, CA94904
D Employer identification number

94-2823538
E Telephone number

G Gross receipts $ 325,515,054
F Name and address of principal officer:
LEE DOMANICO
250 BON AIR ROAD
GREENBRAE,CA94904
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.MARINGENERAL.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1991
M State of legal domicile: CA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES IN A COMPASSIONATE AND HEALING ENVIRONMENT.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 10
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 10
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 1,823
6 Total number of volunteers (estimate if necessary) ............. 6 281
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 45,045
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -3,411
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 3,609,682 4,750,424
9 Program service revenue (Part VIII, line 2g) ......... 296,953,669 314,837,387
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 528 9,130
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 30,038,503 3,682,675
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 330,602,382 323,279,616
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 761,272 9,048,701
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 172,256,312 176,921,525
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 122,355,439 128,172,123
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 295,373,023 314,142,349
19 Revenue less expenses. Subtract line 18 from line 12....... 35,229,359 9,137,267
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 198,885,071 198,919,079
21 Total liabilities (Part X, line 26)............. 133,360,851 124,723,149
22 Net assets or fund balances. Subtract line 21 from line 20..... 65,524,220 74,195,930
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES IN A COMPASSIONATE AND HEALING ENVIRONMENT.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 290,798,376 including grants of $ 9,048,701 ) (Revenue $ 314,837,387 )
SEE SCHEDULE O
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet290,798,376
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part IIIClick to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II....................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
286
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
1,823
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
10
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
10
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletRONALD SPERLING100 B DRAKES LANDING SUITE 250GREENBRAECA94904 (415) 464-2090
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) PAUL KIRINCIC........................................................................
CHAIRMAN
 2.00
.......................   		X   X       0 0 0
(2) STEVEN A SCHROEDER MD........................................................................
VICE CHAIRMAN
 2.00
.......................   		X   X       0 0 0
(3) JEREMY FAIR........................................................................
TREASURER
 2.00
.......................   		X   X       0 0 0
(4) MARA PEREZ PHD........................................................................
MGH BOARD MEMBER/SECRETARY
 2.00
.......................   		X   X       0 0 0
(5) DAVID HILL........................................................................
MGH BOARD MEMBER
 2.00
.......................   		X           0 0 0
(6) ANN KAO MD........................................................................
MGH BOARD MEMBER
 2.00
.......................   		X           0 0 0
(7) GENE MARIE O'CONNELL........................................................................
MGH BOARD MEMBER
 2.00
.......................   		X           0 0 0
(8) DEREK PARKER........................................................................
MGH BOARD MEMBER
 2.00
.......................   		X           0 0 0
(9) ROBERT PEIRCE........................................................................
MGH BOARD MEMBER
 2.00
.......................   		X           0 0 0
(10) TIMOTHY SOWERBY MD........................................................................
MGH BOARD MEMBER
 2.00
.......................   		X           0 0 0
(11) LEE DOMANICO........................................................................
CEO/MGH BOARD EX-OFFICIO
 36.00
.......................4.00 		    X       1,182,835 0 16,187
(12) DAVID W COX........................................................................
CHIEF FINANCIAL OFFICER
 38.00
.......................2.00 		    X       530,249 0 29,267
(13) JON D FRIEDENBERG........................................................................
CHF ADMINISTRATIVE OFFICER
 32.00
.......................8.00 		    X       437,035 0 43,553
(14) MARK A ZIELAZINSKI........................................................................
CHIEF INFO & TECH OFFICER
 40.00
.......................   		    X       341,719 0 34,873
(15) JOEL SKLAR........................................................................
CHIEF MEDICAL OFFICER
 28.00
.......................   		    X       323,141 0 34,691
(16) THERESA E GIANFORTUNE........................................................................
CHF HUMAN RESOURCES OFFICER
 40.00
.......................   		    X       205,444 0 22,393
(17) LINDA LANG........................................................................
CHF HUMAN RESOURCES OFFICER
 40.00
.......................   		    X       107,484 0 2,523
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) RICHARD S REID........................................................................
VP/CONTROLLER
 40.00
.......................   		      X     317,352 0 67,313
(19) SUSAN S CUMMING........................................................................
MEDICAL DIRECTOR MGH
 32.00
.......................   		      X     305,855 0 29,916
(20) CHUN LI........................................................................
CHIEF CLIN PHYSICIST
 32.00
.......................   		      X     305,258 0 57,332
(21) GOONASAGRIE NAIDOO........................................................................
VP OF NURSING
 40.00
.......................   		      X     245,822 0 61,305
(22) GREGORY LEE........................................................................
CARD CATH TECH IV
 40.00
.......................   		        X   429,654 0 35,027
(23) MARGARET M ROBERTS........................................................................
CLINICAL RN III
 36.00
.......................   		        X   327,726 0 54,402
(24) SANDY D AUGUSTUS........................................................................
CLINICAL RN III
 28.00
.......................   		        X   325,014 0 49,024
(25) JAMES I WHITLOCK........................................................................
RAD TECH IV
 40.00
.......................   		        X   263,864 0 47,130
(26) WESTERBERG JEFFREY W........................................................................
RAD TECH IV
 40.00
.......................   		        X   259,377 0 48,580








1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 5,907,829 0 633,516
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet515
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
PRIMA MEDICAL FOUNDATION4 HAMILTON LANDING STE 100NOVATOCA94949 PHYSICIAN SERVICES 3,169,740
MARIN HOSPITALIST MEDICAL GROUPPO BOX 708NOVATOCA94948 PHYSICIAN SERVICES 2,342,219
QUEST DIAGNOSTICS INC3924 COLLECTION CTR DRCHICAGOIL60693 LABORATORY/TESTING SERVICES 1,541,234
ANESTHESIOLOGY CONSULTANTS OF540 SAN PEDRO COVESAN RAFAELCA94901 PHYSICIAN SERVICES 1,534,724
TRUENORTH AR LLC3050 FITE CIRCLE STE 170SACRAMENTOCA95827 COLLECTION SERVICES 1,044,574
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet50
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 2,595,329
e Government grants (contributions)1e 2,155,095
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 4,750,424
Program Service RevenueAmt Business Code
2a PATIENT SERVICE REV. 621100 314,837,387 314,837,387    
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 314,837,387
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 9,130     9,130
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents 2,080,355  
b Less: rental expenses 2,235,438  
c Rental income or (loss) -155,083  
d Net rental income or (loss).......MediumBullet -155,083     -155,083
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses    
c Gain or (loss)    
d Net gain or (loss)..........MediumBullet        
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a ALL OTHER REVENUES 900099 2,835,708   45,045 2,790,663
b INVESTMENT IN PARTNERSHIP 900099 1,002,050     1,002,050
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 3,837,758
12 Total revenue. See Instructions......MediumBullet 323,279,616 314,837,387 45,045 3,646,760
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 8,991,068 8,991,068
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 57,633 57,633
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 4,701,548   4,701,548  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 132,508,423 126,090,546 6,417,877  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 8,858,471 8,392,960 465,511  
9 Other employee benefits ....... 20,750,301 19,056,286 1,694,015  
10 Payroll taxes ........... 10,102,782 9,282,697 820,085  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 1,190,363 1,071,573 118,790  
c Accounting ........... 252,835   252,835  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........        
12 Advertising and promotion .... 653,086 653,086    
13 Office expenses ....... 3,089,427 3,017,577 71,850  
14 Information technology ...... 8,876,846 7,958,092 918,754  
15 Royalties ..        
16 Occupancy ........... 13,771,176 12,459,318 1,311,858  
17 Travel ............ 108,907 108,907    
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 1,611,276 1,611,276    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 13,072,177 13,072,177    
23 Insurance .............. 1,800,506 1,620,455 180,051  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 40,066,721 40,066,721    
b PURCHASED SERVICES 25,260,817 19,337,150 5,923,667  
c PRO. FEES - PHYSICIANS 12,238,668 12,238,668    
d
e All other expenses 6,179,318 5,712,186 467,132  
25 Total functional expenses. Add lines 1 through 24e 314,142,349 290,798,376 23,343,973 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 23,634,897 1 48,172,713
2 Savings and temporary cash investments ......... 370,989 2 372,553
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 47,046,797 4 49,559,372
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 4,757,248 8 4,860,164
9 Prepaid expenses and deferred charges .......... 4,841,856 9 4,533,877
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 210,275,833
b Less: accumulated depreciation ..... 10b 146,905,941 62,946,809 10c 63,369,892
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 ..... 5,292,156 12 8,637,971
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 49,994,319 15 19,412,537
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 198,885,071 16 198,919,079
Liabilities 17 Accounts payable and accrued expenses ......... 49,145,877 17 46,366,876
18 Grants payable .................   18  
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 59,138,129 23 51,734,801
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 25,076,845 25 26,621,472
26 Total liabilities. Add lines 17 through 25......... 133,360,851 26 124,723,149
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 65,524,220 27 74,195,930
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 65,524,220 33 74,195,930
34 Total liabilities and net assets/fund balances ........ 198,885,071 34 198,919,079
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
323,279,616
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
314,142,349
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
9,137,267
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
65,524,220
5
Net unrealized gains (losses) on investments ...............
5
-4,217
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-461,340
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
74,195,930
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MARIN GENERAL HOSPITAL
 
Employer identification number

94-2823538
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here.................................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
MARIN GENERAL HOSPITAL
 
Employer identification number

94-2823538
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
MARIN GENERAL HOSPITAL
  		Employer identification number

94-2823538
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

   
RESTRICTED
RESTRICTED
RESTRICTED, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
MARIN GENERAL HOSPITAL
  		Employer identification number

94-2823538
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
MARIN GENERAL HOSPITAL
  		Employer identification number

94-2823538
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
MARIN GENERAL HOSPITAL
 
Employer identification number

94-2823538
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2013

Schedule C (Form 990 or 990-EZ) 2013
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2013


Schedule C (Form 990 or 990-EZ) 2013
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
Yes
 
22,387
j
Total. Add lines 1c through 1i ...............................
22,387
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-B, LINE 1: THE ORGANIZATION PAYS MEMBERSHIP DUES TO HOSPITAL COUNCIL NORTHERN CENTRAL CALIFORNIA (HCNCC). A PORTION OF THE DUES PAID WERE USED FOR LOBBYING PURPOSES.
Schedule C (Form 990 or 990EZ) 2013

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MARIN GENERAL HOSPITAL
 
Employer identification number

94-2823538
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 214,643 214,643 214,643 214,643 214,643
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ...... 214,643 214,643 214,643 214,643 214,643
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet100.000 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................   26,968,343 26,514,181 454,162
c Leasehold improvements ............   59,976,111 47,986,394 11,989,717
d Equipment ................   106,524,816 72,157,027 34,367,789
e Other .................   16,806,563 248,339 16,558,224
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 63,369,892
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) OTHER RECEIVABLES 5,397,438
(2) ASSETS LIMITED TO USE 5,089,323
(3) DEPOSITS 618,400
(4) INTERCOMPANY RECEIVABLES 4,090,227
(5) THIRD PARTY SETTLEMENTS 4,217,149




Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 19,412,537
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
INSURANCE LIABILITIES 4,989,011
POST-RETIREMENT HEALTH OBLIGATION 7,704,243
INTERCOMPANY PAYABLES 1,997,178
ACCRUED PENSION LIABILITIES 11,931,040





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 26,621,472
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 321,353,000
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a -4,217
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d -4,157,837
e Add lines 2a through 2d ..................... 2e -4,162,054
3 Subtract line 2e from line 1..................... 3 325,515,054
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b -2,235,438
c Add lines 4a and 4b....................... 4c -2,235,438
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 323,279,616
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 309,143,000
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d 2,235,390
e Add lines 2a through 2d...................... 2e 2,235,390
3 Subtract line 2e from line 1..................... 3 306,907,610
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b 7,234,739
c Add lines 4a and 4b....................... 4c 7,234,739
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 314,142,349
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART V, LINE 4: ENDOWMENT FUNDS ARE NOW ADMINISTERED BY FOUNDATION OF WHICH THE ORGANIZATION IS THE SOLE CORPORATE PARENT. EARNINGS FROM GENERAL ENDOWMENT FUND ARE AVAILABLE TO BE DESIGNATED BY FOUNDATION BOARD. THE EARNINGS FROM THE OTHER ENDOWMENT FUNDS ARE TRANSFERRED TO RELATED TEMPORARILY RESTRICTED FUNDS.
PART X, LINE 2: MGH IS ORGANIZED AS A NOT-FOR-PROFIT ENTITY UNDER THE GENERAL NONPROFIT CORPORATION LAWS OF THE STATE OF CALIFORNIA. EXEMPTIONS FROM FEDERAL INCOME TAXATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA FRANCHISE TAXATION HAVE BEEN OBTAINED. CERTAIN ACTIVITIES AND SUBSIDIARIES MAY BE SUBJECT TO INCOME TAXES; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN PRIMA MEDICAL FOUNDATION 42,000. CHANGE IN BENEFIT PLAN 3,033,548. EQUITY TRANSFER TO FOUNDATION RECLASSIFIED TO GRANT EXPENSE -540,000. EQUITY TRANSFER TO PRIMA RECLASSIFIED TO GRANT EXPENSE -2,840,739. RECLASSIFICATION OF SUPPORT TO RELATED ORGANIZATIONS -3,854,000. AUDITED FINANCIAL STATEMENT ROUNDING 1,354.
PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF RENTAL EXPENSES FROM EXPENSES -2,235,438.
PART XII, LINE 2D - OTHER ADJUSTMENTS: AUDITED FINANCIAL STATEMENT ROUNDING -48. RECLASSIFICATION OF RENTAL EXPENSES TO REVENUE 2,235,438.
PART XII, LINE 4B - OTHER ADJUSTMENTS: EQUITY TRANSFER TO FOUNDATION RECLASSIFIED FROM REVENUES 540,000. RECLASSIFICATION OF SUPPORT TO RELATED ORGANIZATIONS 3,854,000. EQUITY TRANSFER TO PRIMA RECLASSIFIED TO GRANT EXPENSE 2,840,739.
PARTS XI, XII, & XIII - RECONCILIATIONS: THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE PREPARED ON A CONSOLIDATED BASIS; HOWEVER, SEPARATE FINANCIAL INFORMATION IS MAINTAINED FOR EACH ORGANIZATION. THE SEPARATE FINANCIAL INFORMATION FOR THIS ORGANIZATION IS THE BASIS FOR THE RECONCILIATIONS AT SCHEDULE D, PARTS XI, XII, & XIII.
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MARIN GENERAL HOSPITAL
 
Employer identification number

94-2823538
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		    2,787,633   2,787,633 0.890 %
b Medicaid (from Worksheet 3,
column a) .... 		    23,711,680 1,315,277 22,396,403 7.130 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		    10,463,668   10,463,668 3.330 %
d Total Financial Assistance
and Means-Tested
Government Programs . 		    36,962,981 1,315,277 35,647,704 11.350 %
Other Benefits
   6,851 434,189 575 433,614 0.140 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    479,462 3,400 476,062 0.150 %
g Subsidized health services
(from Worksheet 6) .. 		           
h Research (from Worksheet 7)     12,678   12,678 0 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		    8,064,471   8,064,471 2.570 %
j Total. Other Benefits ..   6,851 8,990,800 3,975 8,986,825 2.860 %
k Total. Add lines 7d and 7j .   6,851 45,953,781 1,319,252 44,634,529 14.210 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
16,786,264
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
82,909,883
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
128,375,695
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-45,465,812
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
11 MGHSCA LLC
  		OUTPATIENT SURGERY CENTER 51.000 % 0 % 0 %
22 MARIN MAGNETIC RESONANCE IMAGING CENTER
  		OUTPATIENT IMAGING/MRI CENTER 51.000 % 0 % 0 %
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, primary website address, and state license number 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 MARIN GENERAL HOSPITAL
250 BON AIR ROAD
GREENBRAE,CA94904
110000361 		X X         X      
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MARIN GENERAL HOSPITAL
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 400.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12   No
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17 Yes  
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
MARIN GENERAL HOSPITAL PART V, SECTION B, LINE 3: FOCUS GROUPS, LED BY MARIN HEALTH AND HUMAN SERVICES, WERE HELD IN MARIN CITY, NOVATO, CANAL, SAN GERONIMO, WEST MARIN, WHISTLESTOP AND AT THE YOUTH LEADERSHIP INSTITUTE. THE SURVEY ASKED FOCUS GROUP PARTICIPANTS ABOUT: IMPORTANT HEALTH ISSUES THEY FACE, THEIR FAMILIES, AND THEIR COMMUNITIES FACED; WHAT THEY SAW AS HEALTHY AND UNHEALTHY ABOUT THEIR COMMUNITIES; AND WHAT THEY'D CHANGE IN THEIR COMMUNITIES TO MAKE THEM HEALTHIER. A TOTAL OF 103 ENGLISH, AND 50 SPANISH RESPONSES WERE OBTAINED.
MARIN GENERAL HOSPITAL PART V, SECTION B, LINE 4: KAISER PERMANENTE, NOVATO COMMUNITY HOSPITAL
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?10
Name and address Type of Facility (describe)
1 IMAGING CENTER
1350 S ELISEO DRIVE 105 205
GREENBRAE,CA94904 		OUTPATIENT IMAGING
2 ONCOLOGY SERVICES
1350 S ELISEO DRIVE 100 140
GREENBRAE,CA94904 		OUTPATIENT ONCOLOGY
3 OUTPATIENT LAB
655 REDWOOD HWY 100
MILL VALLEY,CA94941 		OUTPATIENT LAB
4 OUTPATIENT LAB
5 BON AIR ROAD 119
LARKSPUR,CA94939 		OUTPATIENT LAB
5 OUTPATIENT LAB
900 S ELISEO DRIVE 104
GREENBRAE,CA94904 		OUTPATIENT LAB
6 PHYSICAL THERAPY
1350 S ELISEO DRIVE 250
GREENBRAE,CA94904 		PHYSICAL THERAPY
7 OUTPATIENT SURGERY CENTER
505 SIR FRANCIS DRAKE BLVD
GREENBRAE,CA94904 		OUTPATIENT SURGERY
8 PRIMA MEDICAL FOUNDATION
100 A DRAKES LANDING
GREENBRAE,CA94904 		PHYSICIAN'S MEDICAL GROUP
9 OUTPATIENT LAB
100 A DRAKES LANDING
GREENBRAE,CA94904 		OUTPATIENT LAB
10 MARIN MAGNETIC IMAGING
1260 S ELISEO
GREENBRAE,CA94904 		OUTPATIENT IMAGING
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
MARIN GENERAL HOSPITAL PART V, SECTION B, LINE 3: FOCUS GROUPS, LED BY MARIN HEALTH AND HUMAN SERVICES, WERE HELD IN MARIN CITY, NOVATO, CANAL, SAN GERONIMO, WEST MARIN, WHISTLESTOP AND AT THE YOUTH LEADERSHIP INSTITUTE. THE SURVEY ASKED FOCUS GROUP PARTICIPANTS ABOUT: IMPORTANT HEALTH ISSUES THEY FACE, THEIR FAMILIES, AND THEIR COMMUNITIES FACED; WHAT THEY SAW AS HEALTHY AND UNHEALTHY ABOUT THEIR COMMUNITIES; AND WHAT THEY'D CHANGE IN THEIR COMMUNITIES TO MAKE THEM HEALTHIER. A TOTAL OF 103 ENGLISH, AND 50 SPANISH RESPONSES WERE OBTAINED.
MARIN GENERAL HOSPITAL PART V, SECTION B, LINE 4: KAISER PERMANENTE, NOVATO COMMUNITY HOSPITAL
Schedule H (Form 990) 2013
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MARIN GENERAL HOSPITAL
 
Employer identification number
94-2823538
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) MARIN COMMUNITY CLINIC
300 PROF CTR PARKWAY
SAN RAFAEL,CA94903 		94-2237120 501(C)(3) 220,762       GENERAL SUPPORT
(2) MARIN GENERAL HOSPITAL VOLUNTEERS
250 BON AIR RD
GREENBRAE,CA94904 		94-2823538 501(C)(3) 76,800       GENERAL SUPPORT
(3) MARIN ECONOMIC FORUM
3501 CIVIC CENTER DRIVE
SAN RAFAEL,CA94903 		68-0101012 501(C)(3) 10,000       GENERAL SUPPORT
(4) SAN RAFAEL CHAMBER OF COMMERCE
817 MISSION AVE
SAN RAFAEL,CA94901 		94-0839470 501(C)(6) 18,944       GENERAL SUPPORT
(5) MARIN GENERAL HOSPITAL FOUNDATION
100B DRAKES LANDING 255
GREENBRAE,CA94904 		94-6127213 501(C)(3) 540,000       GENERAL SUPPORT
(6) PRIMA MEDICAL FOUNDATION
4 HAMILTON LANDING SUITE 100
NOVATO,CA94949 		27-1376321 501(C)(3) 8,117,463       GENERAL SUPPORT












2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
5
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) PATIENT ASSISTANCE 290 57,633      












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
PART I, LINE 2: THE HOSPITAL DOES NOT REQUIRE ACCOUNTING OF THE USE OF GRANT FUNDS PROVIDED. IN THE CASES OF GENERAL PURPOSE GRANTS, THE GRANTEE'S CHARITABLE PURPOSE IS REVIEWED PRIOR TO THE ISSUANCE OF THE GRANT. A GRANT WAS AWARDED TO THE MARIN COMMUNITY CLINIC, AN ORGANIZATION WITH LOCATIONS BOTH ON AND OFF-SITE FROM THE HOSPITAL, WHICH THE HOSPITAL INTERACTS WITH ON A DAILY BASIS.
Schedule I (Form 990) 2013


Additional Data


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Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MARIN GENERAL HOSPITAL
 
Employer identification number

94-2823538
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
Yes
 
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)LEE DOMANICOCEO/MGH BOARD EX-OFFICIO (i)
(ii)		 709,150
0 		279,123
0 		194,562
0 		16,187
0 		0
0 		1,199,022
0 		0
0
(2)DAVID W COXCHIEF FINANCIAL OFFICER (i)
(ii)		 384,818
0 		145,431
0 		0
0 		8,029
0 		21,238
0 		559,516
0 		0
0
(3)JON D FRIEDENBERGCHF ADMINISTRATIVE OFFICER (i)
(ii)		 316,312
0 		120,723
0 		0
0 		13,637
0 		29,916
0 		480,588
0 		0
0
(4)MARK A ZIELAZINSKICHIEF INFO & TECH OFFICER (i)
(ii)		 302,088
0 		39,631
0 		0
0 		12,750
0 		22,123
0 		376,592
0 		0
0
(5)JOEL SKLARCHIEF MEDICAL OFFICER (i)
(ii)		 259,751
0 		63,390
0 		0
0 		13,453
0 		21,238
0 		357,832
0 		0
0
(6)THERESA E GIANFORTUNECHF HUMAN RESOURCES OFFICER (i)
(ii)		 146,105
0 		59,339
0 		0
0 		10,004
0 		12,389
0 		227,837
0 		0
0
(7)RICHARD S REIDVP/CONTROLLER (i)
(ii)		 266,112
0 		51,240
0 		0
0 		37,397
0 		29,916
0 		384,665
0 		0
0
(8)SUSAN S CUMMINGMEDICAL DIRECTOR MGH (i)
(ii)		 305,855
0 		0
0 		0
0 		0
0 		29,916
0 		335,771
0 		0
0
(9)CHUN LICHIEF CLIN PHYSICIST (i)
(ii)		 274,570
0 		30,688
0 		0
0 		36,094
0 		21,238
0 		362,590
0 		0
0
(10)GOONASAGRIE NAIDOOVP OF NURSING (i)
(ii)		 245,822
0 		0
0 		0
0 		30,142
0 		31,163
0 		307,127
0 		0
0
(11)GREGORY LEECARD CATH TECH IV (i)
(ii)		 429,654
0 		0
0 		0
0 		24,933
0 		10,094
0 		464,681
0 		0
0
(12)MARGARET M ROBERTSCLINICAL RN III (i)
(ii)		 327,726
0 		0
0 		0
0 		33,164
0 		21,238
0 		382,128
0 		0
0
(13)SANDY D AUGUSTUSCLINICAL RN III (i)
(ii)		 325,014
0 		0
0 		0
0 		19,108
0 		29,916
0 		374,038
0 		0
0
(14)JAMES I WHITLOCKRAD TECH IV (i)
(ii)		 263,864
0 		0
0 		0
0 		17,214
0 		29,916
0 		310,994
0 		0
0
(15)WESTERBERG JEFFREY WRAD TECH IV (i)
(ii)		 259,377
0 		0
0 		0
0 		18,664
0 		29,916
0 		307,957
0 		0
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 6 THE CALCULATION OF BONUSES IS DEPENDENT ON MANY FACTORS THAT ARE ASSIGNED VARIOUS WEIGHTINGS. THOSE FACTORS ARE: - PATIENT SATISFACTION SURVEY SCORES - EMPLOYEE SATISFACTION SURVEY SCORES - PHYSICIAN SATISFACTION SURVEY SCORES - EXCESS OF REVENUE OVER EXPENSES - REVENUE GROWTH - COMMUNITY BENEFIT PROGRAMS - QUALITY AND SAFETY RESULTS
PART I, LINE 3: OTHER REPORTABLE COMPENSATION THE TAXABLE COMPENSATION RECEIVED BY THE EXECUTIVE TEAM WAS FOR HEALTH AND WELFARE BENEFITS, DEFINED BENEFIT RETIREMENT PENSION PLAN, DISBILITY, LONG-TERM CARE INSURANCE, LIFE INSURANCE AND ACCIDENTIAL DEATH AND DISMEMBERMENT INSURANCE. THE TAXABLE COMPENSATION RECEIVED BY THE KEY EMPLOYEES AND FIVE HIGHEST COMPENSATED EMPLOYEES WAS FOR GROUP TERM LIFE INSURANCE. THE OTHER REPORTABLE COMPENSATION WAS INCLUDED IN THEIR FORM W-2.
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MARIN GENERAL HOSPITAL
 
Employer identification number

94-2823538
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 6 MARIN HEALTHCARE DISTRICT IS THE SOLE CORPORATE MEMBER OF MARIN GENERAL HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF THE GENERAL MEMBER MAY, BY RESOLUTION, AUTHORIZE A PERSON OR COMMITTEE OF PERSONS TO EXERCISE ITS VOTE ON ANY MATTER TO COME BEFORE THE MEMBERSHIP OF THIS CORPORATION. IN ADDITION, THE GENERAL MEMBER MAY EXERCISE ITS MEMBERSHIP RIGHTS AT ANY REGULAR OR SPECIAL MEETING OF THE BOARD OF DIRECTORS OF THE GENERAL MEMBER. THE FUNCTIONS REQUIRED BY LAW OR BY THE BYLAWS TO BE PERFORMED AT THE ANNUAL MEMBERSHIP MEETING OR ANY REGULAR OR SPECIAL MEETING OF THE MEMBERS OF THIS CORPORATION MAY BE PERFORMED AT ANY REGULAR OR SPECIAL MEETING OF THE GENERAL MEMBER'S OWN BOARD OF DIRECTORS
FORM 990, PART VI, SECTION A, LINE 7B OTHER RESERVED RIGHTS INCLUDE: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. DISPOSITION OF A SIGNIFICANT PORTION OF THE ASSETS OF THE ORGANIZATION; C. ISSUANCE OF LONG TERM DEBT EXCEEDING A CERTAIN PORTION OF THE ORGNIZATIONS ASSETS.
FORM 990, PART VI, SECTION B, LINE 11 OUR TAX ADVISOR PROVIDES AND PREPARES THE RETURN IN CONSULTATION WITH OUR ACCOUNTING DEPARTMENT. THE INFORMATION IS THEN REVIEWED BY OUR CHIEF FINANCIAL OFFICER PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C EACH INDIVIDUAL BOARD MEMBER AND OFFICER HAS TO SIGN AN ACKNOWLEDGEMENT FORM THAT THEY HAVE READ THE POLICY. A DISCLOSURE STATEMENT IS COMPLETED BY ALL OFFICERS AND BOARD MEMBERS. ON THIS STATEMENT THE INDIVIDUAL WILL LIST A WIDE RANGE OF INFORMATION WHICH INCLUDES BUSINESS RELATIONSHIPS, EMPLOYMENT RELATIONSHIPS, PROPERTY INTERESTS, AND THOSE OF RELATED PARTIES. THE CEO AND BOARD CHAIR WILL REVIEW THE STATEMENTS AND MONITOR SITUATIONS THAT MAY POSE A POTENTIAL CONFLICT OF INTEREST. THE CEO AND BOARD CHAIR MAY CONSULT WITH LEGAL COUNSEL AS NECESSARY. IF THERE IS A POTENTIAL CONFLICT OF INTEREST RELATED TO A PARTICULAR TRANSACTION, THE INTERESTED TRUSTEE MUST DISCLOSE THE EXISTENCE AND NATURE OF THE RELATIONSHIP. THE BOARD CHAIR MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE CONFLICT. UNTIL THE POTENTIAL CONFLICT IS RESOLVED, THE BOARD CHAIR MAY REQUEST THE TRUSTEE TO LEAVE THE ROOM OR NOT PARTICIPATE DURING RELATED PRESENTATIONS AND DISCUSSIONS. IN ALL CIRCUMSTANCES INVOLVING AN ACTUAL CONFLICT, THE INTERESTED TRUSTEE SHALL REFRAIN FROM VOTING ON ANY MATTER RELATED TO THE TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE MGH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE EXECUTIVE COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF MGH'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL, CALIFORNIA AND LOCAL MARKET AREA COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE) AND (C) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG TERM INCENTIVE). THIS ANALYSIS INCLUDES COMPARABLE ORGANIZATIONS AND GEOGRAPHIC CONSIDERATIONS. FOR THE MOST SENIOR EXECUTIVE POSITIONS, NATIONAL AND REGIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS MGH ARE MOST APPROPRIATE. ALL OFFICERS OF THE ORGANIZATION UNDERGO A REVIEW ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19 MARIN GENERAL HOSPITAL WILL MAKE THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN PRIMA MEDICAL FOUNDATION 42,000. CHANGE IN BENEFIT PLAN 3,033,548. AUDITED FINANCIAL STATEMENT ROUNDING 360. CHANGE IN INVESTMENT - MGHF -3,537,248.
FORM 990, PART XII, LINE 2C : AUDIT COMMITTEE AND OVERSIGHT MARIN GENERAL HOSPITAL HAD AN AUDIT OF ITS BALANCE SHEET AND STATEMENT OF OPERATIONS PERFORMED BY INDEPENDENT AUDITORS. AN AUDIT COMMITTEE SELECTS THE AUDITORS AND REVIEWS RESULTS. THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM PRIOR YEAR.
FORM 990, PART III, LINE 4A : EXEMPT PURPOSE ACHIEVEMENTS MARIN GENERAL HOSPITAL (MGH) IS A NOT-FOR-PROFIT HOSPITAL LOCATED IN GREENBRAE, CALIFORNIA, WITH 235 LICENSED ACUTE CARE BEDS, IT IS THE LARGEST ACUTE CARE HOSPITAL IN MARIN COUNTY AND PROVIDES BOTH PRIMARY AND SECONDARY CARE AND GENERAL SERVICES SUCH AS THE MARIN CANCER INSTITUTE AND THE MARIN HEART INSTITUTE. OTHER SERVICES INCLUDE A LEVEL III TRAUMA CENTER AND FULL COMPLEMENT OF ACUTE CARE AND ANCILLARY SERVICES SUCH AS NEONATAL INTENSIVE CARE, PEDIATRICS, A FAMILY BIRTHING CENTER, SHARED CARE, HOME CARE, ADULT BEHAVIORAL HEALTH SERVICES, AN ELECTROPHYSIOLOGY LABORATORY, A STROKE PROGRAM AND CARDIAC CATHETERIZATION LABORATORY. MGH IS ACCREDITED BY THE JOINT COMMISSION. MISSION AND VALUES: THE MISSION OF MGH IS AS FOLLOWS: TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES IN A COMPASSIONATE AND HEALING ENVIRONMENT. MGH'S VALUES ARE: MARIN GENERAL HOSPITAL WILL BE THE INDISPENSABLE PROVIDER OF HEALTH CARE IN MARIN, RECOGNIZING AND VALUED BY OUR COMMUNITY, PATIENTS, PHYSICIANS, AND EMPLOYEES FOR DELIVERING SUPERIOR CLINICAL OUTCOMES IN A SUSTAINABLE STATE-OF-THE-ART FACILITY. GOVERNANCE: MGH IS AN INDEPENDENT 501(C)(3) NOT FOR PROFIT HOSPITAL. ITS SOLE CORPORATE MEMBER IS THE MARIN HEALTHCARE DISTRICT, A POLITICAL SUBDIVISION OF THE STATE OF CALIFORNIA, WHICH RETAINS CERTAIN RESERVE POWERS OVER THE ORGANIZATION. MGH IS GOVERNED BY ITS OWN BOARD OF DIRECTORS. PROGRAMS, FACILITIES, AND SERVICES: OPENED IN MAY 1952, MGH HAS CONTINUED TO EXPAND ITS PROGRAMS, SERVICES AND FACILITIES. SERVICES INCLUDE A BASIC EMERGENCY DEPARTMENT AND LEVEL III TRAUMA CENTER, MEDICAL AND SURGICAL SERVICES, MATERNITY SERVICES, PEDIATRICS, NEONATAL INTENSIVE CARE, AN ADULT PSYCHIATRIC UNIT, A COMPREHENSIVE CANCER CENTER, PARTIAL HOSPITALIZATION FOR ADULT PSYCHIATRIC PATIENTS, A HEARING AND SPEECH CENTER, OUTPATIENT LABORATORIES, AND RADIOLOGY SERVICES. SPECIFIC SERVICES ARE AS FOLLOWS: -ANGIOPLASTY: FULL SERVICES TO ASSIST CLEARING OF ARTERY BLOCKAGES. -AMBULATORY SURGERY CENTER: THE SURGERY CENTER PROVIDES ELECTIVE OUTPATIENT SURGERIES AND DIAGNOSTIC PROCEDURES. -CARDIAC SPECIALTY UNIT: PROVIDES CARE TO COMPLEX MULTI-SYSTEM NEEDS AND CARDIAC MONITORING. -CARDIAC CATHETERIZATION LABORATORY: 24-HOUR PROGRAM CONDUCTS PROCEDURES TO DIAGNOSE AND TREAT CORONARY ARTERY HEART VALVES AND FUNCTIONS. -DESIGNATED CHEST PAIN CENTER WITH PERCUTANEOUS CORONARY INTERVENTION (PCI): -SPIRITUAL CARE PROGRAM: PROVIDES EMOTIONAL AND SPIRITUAL SUPPORT SERVICES FOR PATIENTS AND THEIR FAMILIES AND FRIENDS. -ELECTROPHYSIOLOGY LAB: USES STATE-OF-THE-ART TECHNOLOGY TO DIAGNOSE AND TREAT PATIENTS WITH IRREGULAR HEARTBEATS (ARRHYTHMIA). -EMERGENCY SERVICES: AN EMERGENCY DEPARTMENT AND MARIN COUNTY'S ONLY DESIGNATED TRAUMA CENTER (LEVEL III), WITH A PARAMEDIC BASE STATION AND 24-HOUR SERVICE. -FAMILY BIRTHING CENTER: OFFERS PRIVATE ROOMS AND A VARIETY OF BIRTHING OPTIONS IN A FAMILY ENVIRONMENT, INCLUDING THE ABILITY TO MEET SPECIAL MEDICAL NEEDS. -GENERAL SURGICAL UNIT -HEARING AND SPEECH PROGRAM: AN OUTPATIENT PROGRAM OFFERING COMPREHENSIVE DIAGNOSTIC AND REHABILITATIVE SPEECH, LANGUAGE AND HEARING SERVICES. -CENTER FOR INTEGRATIVE HEALTH & WELLNESS: PROVIDES INPATIENT AND OUTPATIENT PROGRAMS WHICH COMPLEMENT MEDICAL CARE, INCLUDING MASSAGE THERAPY, SUPPORT GROUPS, GUIDED IMAGERY, ART THERAPY, ETC. -INTENSIVE CARE UNIT -LABORATORY: COMPREHENSIVE DIAGNOSTIC TESTING SERVICES ON-SITE ALONG WITH SATELLITE LOCATIONS OFF-SITE. -LACTATION CENTER: COMPREHENSIVE EDUCATIONAL AND RETAIL SERVICES FOR BREASTFEEDING MOTHERS, INCLUDING THE BABYNOOK STORE. -LITHOTRIPSY: REMOVAL OF KIDNEY STONES. -MAGNETIC RESONANCE IMAGING CENTER (MRI): OPERATES A MOBILE UNIT THAT PROVIDES DEFINITIVE IMAGING OF INTERNAL BODY STRUCTURES -MARIN CANCER INSTITUTE: PROVIDES COMPREHENSIVE CANCER CARE SERVICES FROM DIAGNOSIS THROUGH TREATMENT. -HAYNES CARDIOVASCULAR INSTITUTE: PROVIDES COMPREHENSIVE HEART & VASCULAR SERVICES INCLUDING: ANEURYSMS, CORONARY ARTERY DISEASE, CORONARY REVERSAL, DISORDERS OF CARDIAC RHYTHM, HEART ATTACKS, HEART FAILURE, PERIPHERAL VASCULAR DISEASE, VASCULAR HEART DISEASE. -HOSPITALIST PROGRAM: INTERNAL MEDICINE PHYSICIANS WHO CARE FOR HOSPITALIZED PATIENTS. HOSPITALISTS ARE PHYSICIANS WHO ARE EXPERTS IN TREATING ACUTE ILLNESSES AND THEIR ENTIRE ATTENTION IS DIRECTED TOWARD PATIENTS WHILE THEY ARE IN THE HOSPITAL. -MARIN MAMMOGRAPHY AND BREAST HEALTH CENTER: OFFERS BREAST HEALTH SERVICES AND EDUCATION. -MEDICAL UNITS -NEONATAL INTENSIVE CARE UNIT: THE ONLY LEVEL II UNIT IN MARIN COUNTY. -NUCLEAR MEDICINE: INPATIENT AND EMERGENCY SERVICES AVAILABLE 24/7. ROUTINE OUTPATIENT SERVICES AVAILABLE ON WEEKDAYS AND SATURDAYS. -PEDIATRICS PHARMACY: 24-HOUR SERVICES FOR INPATIENTS. -PHYSICAL THERAPY: PROVIDES SERVICES FOR INPATIENTS AND OUTPATIENTS, SPECIALIZING IN LYMPHEDEMA AND URINARY INCONTINENCE. -BEHAVIORAL HEALTH UNIT: CONTAINS INPATIENT UNIT, PARTIAL DAY CARE AND PARTIAL HOSPITALIZATION. -RADIOLOGY: PROVIDES X-RAYS, CT SCANNING, ULTRASOUND AND DIGITAL SUBTRACTION ANGIOGRAPHY. -RESPIRATORY CARE: PROVIDES 24 HOUR INPATIENT CARE, AS WELL AS OUTPATIENT CARE, BEDSIDE SPIROMETRY AND HOME CARE. -SHARED CARE UNIT: INCORPORATES FAMILY INTO THE PATIENT CARE ENVIRONMENT AND PROVIDES FAMILY TEACHING. -SURGERY -ORTHOPEDIC SURGERY PROGRAM: TOTAL JOINT REPLACEMENT, SPINE SURGERY -ELECTIVE NEUROSURGERY PROGRAM: IN COLLABORATION WITH UCSF -PALLIATIVE CARE -DIABETES CARE PROGRAM: INPATIENT DIABETES "KEYS TO CONTROL" EDUCATION PROGRAM SINCE 1952, THE HOSPITAL HAS UNDERGONE MAJOR EXPANSIONS. IN 1989, THE "HOSPITAL OF THE FUTURE" - A $36 MILLION NEW WEST WING, WAS OPENED AND HOUSES CARDIAC SURGERY, INTENSIVE CARE, EMERGENCY AND GENERAL SURGERY. IN 1992, THE CANCER INSTITUTE WAS EXPANDED. LATER, A STATE OF THE ART FAMILY BIRTHING CENTER WAS ADDED (1999), AND IN 2006, THE CARDIAC CATHETERIZATION LABORATORY WAS COMPLETELY RENOVATED. IN 2001, THE $3.4 MILLION JOHNSON FAMILY FOUNDATION ELECTROPHYSIOLOGY LAB WAS OPENED WITH A $3.9 MILLION RENOVATION AND EQUIPMENT REPLACEMENT COMPLETED IN 2011. IN 2005, THE HOSPITAL PURCHASED TWO STATE-OF-THE-ART DIGITAL MAMMOGRAPHY MACHINES, WITH A THIRD MACHINE BEING ADDED IN 2008. QUALITY IMPROVEMENT: QUALITY PATIENT CARE IS THE TOP PRIORITY AT MGH. THE GOAL OF OUR PATIENT CARE TEAMS IS TO TREAT THE WHOLE PERSON WITH PERSONAL, COMPASSIONATE, AND EXPERT CARE. PHYSICIANS HAVE PRIMARY RESPONSIBILITY FOR ASSURING DELIVERY OF HIGH QUALITY CARE. A NUMBER OF SPECIFIC FORMAL STRUCTURES AND PROCESSES ARE IN PLACE TO MONITOR AND EVALUATE QUALITY AND TO FACILITATE CONTINUOUS QUALITY IMPROVEMENT. THESE INCLUDE A QUALITY COMMITTEE OF THE BOARD OF DIRECTORS, PARTICIPATION IN ACCREDITATION SURVEYS AND AN INTERNAL "QUALITY DASHBOARD" IN WHICH SPECIFIC OUTCOME INDICATORS ARE REVIEWED ON A ROUTINE BASIS AND COMPARED TO REGIONAL AND NATIONAL STANDARDS. ON A QUALITY BASIS, AN INDEPENDENT SURVEY (PRESS-GANEY) IS CONDUCTED TO ASSESS PATIENT SATISFACTION WITH THEIR CARE AT MGH. CONSISTENTLY, 88% OR MORE OF RESPONDING PATIENTS SURVEYED RATED THE CARE THEY RECEIVED AS "GOOD" OR "VERY GOOD" (THE HIGHEST RATING).
FORM 990, PART III, LINE 4A : EXEMPT PURPOSE ACHIEVEMENTS CONTINUED AWARDS AND ACCREDITATIONS: JOINT COMMISSION ACCREDITATIONS - ACCREDITED PROGRAMS & CERTIFICATIONS (2010): MARIN GENERAL HOSPITAL HAS EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR ACCREDITATION BY DEMONSTRATING COMPLIANCE WITH THE JOINT COMMISSION'S NATIONAL STANDARDS FOR HEALTH CARE QUALITY AND SAFETY IN HOSPITALS AND IN BEHAVIORAL HEALTH CARE. MARIN GENERAL HOSPITAL ALSO EARNED PRIMARY STROKE CENTER CERTIFICATION FROM THE JOINT COMMISSION ON MAY 13, 2010. ACCREDITATION FROM THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (2010): OUR BREAST HEALTH CENTER HAS OUTSTANDING EARLY DETECTION RATES AND IS ONE OF A FEW BAY AREA BREAST HEALTH CENTERS TO BE ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC). THE NAPBC IS A CONSORTIUM OF NATIONAL, PROFESSIONAL ORGANIZATIONS FOCUSED ON BREAST HEALTH AND DEDICATED TO THE IMPROVEMENT OF QUALITY CARE AND OUTCOMES OF PATIENTS WITH DISEASES OF THE BREAST THROUGH EVIDENCE-BASED STANDARDS AND PATIENT AND PROFESSIONAL EDUCATION. -SOCIETY OF CHEST PAIN CENTERS (SCPC) - CHEST PAIN CENTER ACCREDITATION WITH PCI (PERCUTANEOUS CORONARY INTERVENTION) (2011): THE DESIGNATION DENOTES FACILITIES THAT UTILIZE STANDARDIZED DIAGNOSTIC AND TREATMENT PROGRAMS TO IMPROVE EVALUATION AND SPEED UP THE EFFECTIVE ADMINISTRATION OF TREATMENT TO CHEST PAIN PATIENTS. -NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS - ACCREDITED PROGRAM (2011): THE BREAST DIAGNOSTIC CENTER IS ACCREDITED AS A BREAST IMAGING CENTER OF EXCELLENCE DEMONSTRATING EXCELLENCE IN MAMMOGRAPHY, STEREOTACTIC BREAST BIOPSY, BREAST ULTRASOUND AND ULTRASOUND-GUIDED BREAST BIOPSY. -COMMISSION ON CANCER - THREE YEAR ACCREDITATION WITH COMMENDATION (2011): IN 2011, THE COMMISSION ON CANCER (COC) OF THE AMERICAN COLLEGE OF SURGEONS AWARDED THREE-YEAR APPROVAL STATUS AND EIGHT OUT OF EIGHT POSSIBLE COMMENDATIONS TO THE MARIN CANCER INSTITUTE (MCI). -AMERICAN STROKE ASSOCIATION - GOLD PLUS STROKE PERFORMANCE AWARD (2012): THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION RECOGNIZE THE HOSPITALS FOR THEIR SUCCESS IN USING GET WITH THE GUIDELINES TO IMPROVE QUALITY OF CARE FOR HEART DISEASE AND STROKE PATIENTS. -CALIFORNIA MEDICAL ASSOCIATION INSTITUTE FOR MEDICAL QUALITY - ACCREDITATION FOR CONTINUING MEDICAL EDUCATION (2012): PHYSICIANS WHO ATTEND CME COURSES OFFERED BY IMQ/CMA ACCREDITED PROVIDERS MEET THE MEDICAL BOARD OF CALIFORNIA'S DIVISION OF LICENSURE REQUIREMENTS FOR PHYSICIAN LICENSURE AND THE CALIFORNIA MEDICAL ASSOCIATION'S CERTIFICATION IN CONTINUING MEDICAL EDUCATION. LEVEL III TRAUMA PROGRAM REVERIFICATION (2012): AMERICAN COLLEGE OF SURGEONS THE AMERICAN COLLEGE OF SURGEONS DOES NOT DESIGNATE TRAUMA CENTERS; INSTEAD, IT VERIFIES THE PRESENCE OF THE RESOURCES LISTED IN RESOURCES FOR OPTIMAL CARE OF THE INJURED PATIENT. THIS IS A VOLUNTARY PROCESS AND ONLY THOSE TRAUMA CENTERS THAT HAVE SUCCESSFULLY COMPLETED A VERIFICATION VISIT ARE INCLUDED. BREAST IMAGING CENTER OF EXCELLENCE (2012): AMERICAN COLLEGE OF RADIOLOGY MARIN GENERAL HOSPITAL HAS BEEN DESIGNATED A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). THE ACR AWARD RECOGNIZES BREAST IMAGING CENTERS THAT HAVE EARNED ACCREDITATION IN ALL OF THE COLLEGE'S VOLUNTARY BREAST-IMAGING ACCREDITATION PROGRAMS AND MODULES, IN ADDITION TO THE MANDATORY MAMMOGRAPHY ACCREDITATION PROGRAM. RECOGNIZED CENTERS HAVE UNDERGONE PEER-REVIEW EVALUATIONS EVERY THREE YEARS TO CONFIRM THAT THEY ADHERE TO HIGH PRACTICE STANDARDS IN IMAGE QUALITY, PERSONNEL QUALIFICATIONS, FACILITY EQUIPMENT, AND QUALITY CONTROL AND ASSURANCE PROCEDURES. TO MAINTAIN THEIR DESIGNATION, FACILITIES MUST UNDERGO AN ON-SITE REVIEW EVERY THREE YEARS. COMMUNITY BENEFIT PROGRAMS: MGH PLACES STRONG EMPHASIS ON PROGRAMS AND ACTIVITIES THAT BENEFIT THE COMMUNITY OUTSIDE THE HOSPITAL'S WALLS. THESE INCLUDE PREVENTION, DETECTION, EDUCATION, AND PROFESSIONAL EDUCATION PROGRAMS AS WELL AS PARTICIPATION AS A FOUNDING AGENCY IN THE HEALTHY MARIN PARTNERSHIP. MGH PROGRAMS AND ACTIVITIES RANGE FROM PARTNERSHIPS WITH OTHER COMMUNITY ORGANIZATIONS, PROVIDING FUNDING TO COMMUNITY PROGRAMS, DIRECT SERVICE IN THE COMMUNITY, AND PROVIDING CHARITY MEDICAL CARE. EXAMPLES INCLUDE: CONTRIBUTING TO THE MARIN COMMUNITY CLINIC (A NON-PROFIT MEDICAL CLINIC LOCATED ON THE MGH CAMPUS WHICH PROVIDES SERVICES TO THE UNDERINSURED AND UNINSURED); FREE PROSTATE & SKIN CANCER SCREENINGS; LOW COST MAMMOGRAM SCREENINGS; MARIN GENERAL HOSPITAL CONTRIBUTED $55 MILLION IN SUPPORT OF COMMUNITY BENEFIT PROGRAMS IN 2012. THE MAJORITY OF THIS SPENDING WAS FOR CHARITY CARE AND UN-REIMBURSED CARE TOTALING MORE THAN $46 MILLION. THE UNPAID COST OF MEDI-CARE WAS $40.5 MILLION.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MARIN GENERAL HOSPITAL
 
Employer identification number

94-2823538
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) MARIN HEALTHCARE DISTRICT

100 B DRAKES LANDING RD STE 250

GREENBRAE,CA94904
91-1886269 		CORPORATE PARENT CA     N/A
 
No
(2) MARIN GENERAL HOSPITAL FOUNDATION

100 B DRAKES LANDING RD STE 250

GREENBRAE,CA94904
94-6127213 		FUNDRAISING FOUNDATION CA 501(C)(3) 11-I MARIN GENERAL HOSPITAL
 
Yes
 
(3) PRIMA MEDICAL FOUNDATION

4 HAMILTON LANDING STE 100

NOVATO,CA94949
27-1376321 		PHYSICIAN MEDICAL FOUNDATION CA 501(C)(3) 9  
 
No








For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) MGHSCA LLC

100B DRAKES LANDING RD STE 190
GREENBRAE,CA94904
38-3861395 		OUTPATIENT SURGERY CENTER CA N/A
                  
(2) MARIN MAGNETIC RESONANCE IMAGING CENTER

1260 SOUTH ELISEO
GREENBRAE,CA94904
68-0055977 		OUTPATIENT IMAGING CA N/A
                  










Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No












Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
Yes
 
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) MARIN GENERAL HOSPITAL FOUNDATION

 B 540,000 BOOK VALUE
(2) MARIN GENERAL HOSPITAL FOUNDATION

 C 2,349,753 BOOK VALUE
(3) MARIN GENERAL HOSPITAL FOUNDATION

 M 250,145 BOOK VALUE
(4) MARIN GENERAL HOSPITAL FOUNDATION

 O 492,840 BOOK VALUE
(5) MARIN GENERAL HOSPITAL FOUNDATION

 Q 475,882 BOOK VALUE
(6) PRIMA MEDICAL FOUNDATION

 B 8,117,463 BOOK VALUE
(7) MARIN MAGNETIC RESONANCE IMAGING CENTER

 S 191,250 BOOK VALUE
(8) MGHSCA LLC

 S 817,754 BOOK VALUE
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V?UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


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