Marin General Hospital

“Marin healthcare district is the sole corporate member of marin general hospital.”

“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”

“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.”

“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.”

“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.”

“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.”

“Marin general hospital will make the governing documents and conflict of interest policy available to the public upon request.”

“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.”

“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.”

“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”

“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”