Form990-EZ
Click to see list of attachments
Department of the Treasury
Internal Revenue Service
Short Form
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
bullet Do not enter social security numbers on this form as it may be made public.
bullet Information about Form 990-EZ and its instructions is at www.irs.gov/form990.
OMB No. 1545-1150
2014
Open to Public
Inspection
A
For the 2014 calendar year, or tax year beginning 01-01-2014, and ending 12-31-2014
B
Check if applicable:
C Name of organization
MEDICAL STAFF OF UNIVERSITY OF
CALIFORNIA IRVINE MEDICAL CENTER
Number and street (or P. O. box, if mail is not delivered to street address)101 THE CITY DRIVE BLDG 53 RT 54
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code ORANGE, CA928683298
D Employer identification number

54-2084394
E Telephone number

(714) 456-7435
F Group Exemption
Numberbullet  
G Accounting Method: Other (specify) bullet   H Check bulletI Website:bulletN/AJ Tax-exempt status(check only one) - ( 6) bullet(insert no.) or
K Form of organization:  
L Add lines 5b, 6c, and 7b to line 9 to determine gross receipts. If gross receipts are $200,000 or more, or if total assets (Part II, column (B) below) are $500,000 or more, file Form 990 instead of Form 990-EZ . . . . . . . . . bullet $ 120,398
Part I
Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I)Check if the organization used Schedule O to respond to any question in this Part I..................
VerticalRevenue 1 Contributions, gifts, grants, and similar amounts received............... 1 120,050
2 Program service revenue including government fees and contracts ............ 2  
3 Membership dues and assessments...................... 3  
4 Investment income........................... 4 348
5a Gross amount from sale of assets other than inventory........ 5a  
b Less: cost or other basis and sales expenses........... 5b  
c Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ...... 5c  
6 Gaming and fundraising events
a Gross income from gaming (attach Schedule G if greater than $15,000) . 6a  
b Gross income from fundraising events (not including $   of contributions
from fundraising events reported on line 1) (attach Schedule G if the
sum of such gross income and contributions exceeds $15,000) 6b  
c Less: direct expenses from gaming and fundraising events....... 6c  
d Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c) 6d  
7a Gross sales of inventory, less returns and allowances........ 7a  
b Less: cost of goods sold................. 7b  
c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) ......... 7c  
8 Other revenue (describe in Schedule O) ..................... 8  
9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8.............. Bullet 9 120,398
VerticalExpenses 10 Grants and similar amounts paid (list in Schedule O) ................. 10 14,900
11 Benefits paid to or for members........................ 11  
12 Salaries, other compensation, and employee benefits................ 12  
13 Professional fees and other payments to independent contractors............ 13 3,962
14 Occupancy, rent, utilities, and maintenance................... 14 4,165
15 Printing, publications, postage, and shipping................... 15  
16 Other expenses (describe in Schedule O) .................... 16 171,496
17 Total expenses. Add lines 10 through 16 ................. Bullet 17 194,523
VerticalNetAssets 18 Excess or (deficit) for the year (Subtract line 17 from line 9)............ 18 -74,125
19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
end-of-year figure reported on prior year’s return)................ 19 352,506
20 Other changes in net assets or fund balances (explain in Schedule O) .......... 20 0
21 Net assets or fund balances at end of year. Combine lines 18 through 20.........Bullet 21 278,381
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 10642I Form 990-EZ (2014)
Form 990-EZ (2014)
Page 2
Part IIBalance Sheets (see the instructions for Part II)Check if the organization used Schedule O to respond to any question in this Part II.................

(A) Beginning of year(B) End of year
22Cash, savings, and investments................
349,385
22
274,425
23Land and buildings....................
 
23
 
24Other assets (describe in Schedule O) ..........
3,121
24
3,956
25Total assets......................
352,506
25
278,381
26
Total liabilities (describe in Schedule O) .............
0
26
0
27Net assets or fund balances (line 27 of column (B) must agree with line 21)..
352,506
27
278,381
Part IIIStatement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III . Expenses
(Required for section 501(c)(3) and 501(c)(4) organizations; optional for others.)
What is the organization's primary exempt purpose? MEDICAL STAFF ORGANIZATION ACTIVELY PROMOTES QUALITY PATIENT CARE AND TREATMENT, MONITORS PATIENT CARE PRACTICES AND CONDUCTS PATIENT CARE AUDITS
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 MAINTAINING OVERSIGHT OF THE CREDENTIALING OF THE MEDICAL STAFF, PROFESSIONAL PERFORMANCE AND ETHICAL CONDUCT. SCHEDULING AND ORGANIZING CONTINUING MEDICAL EDUCATION FOR THE MEDICAL STAFF.
(Grants $ 0) If this amount includes foreign grants, check here ...MediumBullet		 28a 0
29 ESTABLISHING AND MAINTAINING RULES AND REGULATIONS FOR THE GOVERNANCE OF THE MEDICAL STAFF AND THE RESOLUTION OF MEDICAL ADMINISTRATIVE MATTERS.
(Grants $ 0) If this amount includes foreign grants, check here ...MediumBullet		 29a 0
30 MAKING RECOMMENDATIONS TO THE GOVERNING BODY REGARDING PROGRAMS AND ACTIONS TO ENSURE QUALITY PATIENT CARE AND ENFORCEMENT OF PROFESSIONAL STANDARDS.
(Grants $ 0) If this amount includes foreign grants, check here ...MediumBullet		 30a 0
IDENTIFYING COMMUNITY HEALTH NEEDS AND SUPPORTING/ IMPLEMENTING PROGRAMS.
(Grants $ 0) If this amount includes foreign grants, check here ...MediumBullet		 0
31 Other program services (describe in Schedule O)
(Grants $   ) If this amount includes foreign grants, check here...MediumBullet		 31a
32 Total program service expenses (add lines 28a through 31a).......... bullet 32  
Part IV
List of Officers, Directors, Trustees, and Key Employees (list each one even if not compensated — see the instructions for Part IV)Check if the organization used Schedule O to respond to any question in this Part IV............
(a) Name and title (b) Average
hours per week
devoted to position		 (c)Reportable compensation
(Forms W-2/1099-MISC) (if not paid, enter -0-) 		(d) Health benefits, contributions to employee benefit plans,
and deferred compensation		 (e) Estimated amount
of other compensation
KENNETH LINDEN MD  
ACTING PRESIDENT 		10.00 0 0 0
KAREN NOBLETT MD  
IMMEDIATE PAST PRESIDENT 		5.00 0 0 0
ALPESH AMIN MD  
VICE PRESIDENT 		5.00 0 0 0
ROGER STEINERT MD  
INTERIM DEAN 		2.00 0 0 0
WILLIAM ARMSTRONG MD  
MEDICAL EXECUTIVE COMMITTE 		1.00 0 0 0
TERRY BELMONT  
MEDICAL EXECUTIVE COMMITTE 		1.00 0 0 0
SUMIT GARG MD  
MEDICAL EXECUTIVE COMMITTE 		1.00 0 0 0
JODY RAWLES MD  
MEDICAL EXECUTIVE COMMITTE 		1.00 0 0 0
MINH-HA TRAN DO  
MEDICAL EXECUTIVE COMMITTE 		1.00 0 0 0
DAN COOPER MD  
MEDICAL EXECUTIVE COMMITTE 		1.00 0 0 0
BYRON ALLEN MD  
MEDICAL EXECUTIVE COMMITTE 		1.00 0 0 0
SCOTT GOODWIN MD  
MEDICAL EXECUTIVE COMMITTE 		1.00 0 0 0
Form 990-EZ (2014)
Form 990-EZ (2014)
Page 3
Part V
Other Information
(Note the Schedule A and personal benefit contract statement requirements in the
instructions for Part V.) Check if the organization used Schedule O to respond to any question in this Part V.......
Yes
No
33
Did the organization engage in any significant activity not previously reported to the IRS? If "Yes," provide a detailed description of each activity in Schedule O ...................
33
 
No
34
Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy of the amended documents if they reflect a change to the organization’s name. Otherwise, explain the changeon Schedule O (see instructions) ..........................
34
 
No
35a
Did the organization have unrelated business gross income of $1,000 or more during the year from business activities (such as those reported on lines 2, 6a, and 7a, among others)? ............
35a
 
No
b
If "Yes," to line 35a, has the organization filed a Form 990-T for the year? If "No," provide an explanation in Schedule O
35b
 
 
c
Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax requirements during the year? If "Yes," complete Schedule C, Part III
35c
 
No
36
Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If “Yes," complete applicable parts of Schedule N ................
36
 
No
37a
Enter amount of political expenditures, direct or indirect, as described in the instructions. bullet
37a
0
b
Did the organization file Form 1120-POL for this year?...................
37b
 
 
38a
Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were
any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?..
38a
 
No
b
If “Yes," complete Schedule L, Part II and enter the total amount involved .
38b
 
39
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on line 9.......
39a
 
b
Gross receipts, included on line 9, for public use of club facilities.....
39b
 
40a
Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under:
section 4911 bullet   ; section 4912 bullet   ; section 4955 bullet  
b
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? If “Yes," complete Schedule L, Part I
40b
 
 
c
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958bullet  
d
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Enter amount of tax on line 40c reimbursed by the organization...........bullet  
e
All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If "Yes," complete Form 8886-T ......................
40e
 
No
41List the states with which a copy of this return is filed. bulletCA
42aThe organization's books are in care of bulletROSE JACOBS Telephone no. bullet (714) 456-7435
Located at bullet101 THE CITY DRIVEORANGE,CA ZIP + 4bullet92868
b
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)?
Yes
No
42b
 
No
If “Yes," enter the name of the foreign country: bullet
See the instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR)
c
At any time during the calendar year, did the organization maintain an office outside the U.S.? . . .
42c
 
No
If “Yes," enter the name of the foreign country: bullet
43......bullet
and enter the amount of tax-exempt interest received or accrued during the tax year....bullet43
 
Yes
No
44a
Did the organization maintain any donor advised funds during the year? If "Yes," Form 990 must be completed instead of
Form 990-EZ................................
44a
 
No
b
Did the organization operate one or more hospital facilities during the year? If "Yes," Form 990 must be completedinstead of Form 990-EZ.............................
44b
 
No
c
Did the organization receive any payments for indoor tanning services during the year?.........
44c
 
No
d
If "Yes," to line 44c, has the organization filed a Form 720 to report these payments? If "No," provide an
explanation in Schedule O ............................
44d
 
 
45a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?.........
45a
 
No
45b
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," Form 990 and Schedule R may need to be completed instead of Form 990-EZ (see instructions)......................
45b
 
 
Form 990-EZ (2014)
Form 990-EZ (2014)
Page 4
Yes
No
46
Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition tocandidates for public office? If “Yes," complete Schedule C, Part I. ..............
46
 
No
Part VI
Section 501(c)(3) organizations only All section 501(c)(3) organizations must answer questions 47-49b and 52, and complete the tables for lines 50 and 51 Check if the organization used Schedule O to respond to any question in this Part VI ................
Yes
No
47
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 II .......................
47
 
 
48
Is the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ..
48
 
 
49a
Did the organization make any transfers to an exempt non-charitable related organization?......
49a
 
 
b
If "Yes," was the related organization a section 527 organization?................
49b
 
 
50
Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and title of each employee (b) Average
hours per week
devoted to position		 (c) Reportable compensation
(Forms W-2/1099-MISC) 		(d) Health benefits, contributions to employee benefit plans, and deferred compensation (e) Estimated amount of other compensation
 
f
Total number of other employees paid over $100,000 .................bullet  

51
Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and business address of each independent contractor (b) Type of service (c) Compensation
 
d
Total number of other independent contractors each receiving over $100,000..........bullet  
52
Did the organization complete Schedule A? NOTE. All Section 501(c)(3) organizations must attach a completed Schedule A ...............bullet
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 bullet

Firm's EIN bullet
Firm's address bullet



Phone no.
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
Form 990-EZ (2014)


Form 990-EZ, Special Condition Description:
Special Condition Description

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 990-EZ 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
2014
Open to Public
Inspection
Name of the organization
MEDICAL STAFF OF UNIVERSITY OF
CALIFORNIA IRVINE MEDICAL CENTER
Employer identification number

54-2084394
Return Reference Explanation
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME DESCRIPTION: DIVIDEND INCOME. AMOUNT: 26. DESCRIPTION: INTEREST INCOME. AMOUNT: 322. TOTAL INCLUDED ON FORM 990-EZ, LINE 4: 348.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: NURSES WEEK. GRANTEE NAME: UNIVERSITY OF CALIFORNIA, IRVINE. GRANTEE ADDRESS: 510 ALDRICH HALL IRVINE, CA 92697. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 04/05/14. AMOUNT GIVEN: 5,000.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: HOSPITAL WEEK. GRANTEE NAME: UNIVERSITY OF CALIFORNIA, IRVINE. GRANTEE ADDRESS: 510 ALDRICH HALL IRVINE, CA 92697. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 05/27/14. AMOUNT GIVEN: 9,000.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: CHILD LIFE PROGRAM. GRANTEE NAME: UNIVERSITY OF CALIFORNIA, IRVINE. GRANTEE ADDRESS: 510 ALDRICH HALL IRVINE, CA 92697. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 12/10/14. AMOUNT GIVEN: 900. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 14,900.
FORM 990-EZ, PART I, LINE 14 DESCRIPTION: DEPRECIATION. AMOUNT: 4,165.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: ANNUAL MEETING. AMOUNT: 656. DESCRIPTION: ANNUAL SOFTWARE LICENSE. AMOUNT: 7,750. DESCRIPTION: BANK CHARGES. AMOUNT: 180. DESCRIPTION: CONFERENCES, CONVENTIONS, MEETINGS. AMOUNT: 2,676. DESCRIPTION: CONTINUING EDUCATION. AMOUNT: 6,773. DESCRIPTION: CREDENTIALING. AMOUNT: 28,038. DESCRIPTION: DUES AND SUBSCRIPTIONS. AMOUNT: 4,550. DESCRIPTION: FILING FEE. AMOUNT: 10. DESCRIPTION: MEDICAL CENTER FEE. AMOUNT: 110,768. DESCRIPTION: MEDICAL STAFF APPRECIATION DAY. AMOUNT: 7,655. DESCRIPTION: GIFTS GIVEN. AMOUNT: 542. DESCRIPTION: CERTIFICATION. AMOUNT: 500. DESCRIPTION: CONFERENCE CALL LINE. AMOUNT: 119. DESCRIPTION: MEDICAL STAFF SERVICES WEEK. AMOUNT: 134. DESCRIPTION: LATE FILING PENALTY. AMOUNT: 221. DESCRIPTION: GIFTS/TOYS FOR ADOPT A FAMILY PROGRAM, UCI. AMOUNT: 900. DESCRIPTION: MISCELLANEOUS. AMOUNT: 24. TOTAL TO FORM 990-EZ, LINE 16: 171,496.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS DESCRIPTION: OTHER DEPRECIABLE ASSETS. BEG. OF YEAR AMOUNT: 3,121. END OF YEAR AMOUNT: 3,956.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014

Additional Data


Software ID:  
Software Version:  

TY 2014 TransferPrsnlBnftContractsDecl
Name:
MEDICAL STAFF OF UNIVERSITY OF
CALIFORNIA IRVINE MEDICAL CENTER
EIN: 54-2084394
Declaration:
THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.