ORCHARD HOSPITAL: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- ORCHARD HOSPITAL (EIN 94-1049467)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-09
- IRS object ID
- 202221299349301637
- Schema version
- 2020v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-09T12:24:54-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 12237 | AddressLine1Txt |
| City | GREEN BAY | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 543072237 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941049467 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORCHARD HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ORCH | BusinessNameControlTxt |
| Phone | 5308465671 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 240 SPRUCE STREET | AddressLine1Txt |
| City | GRIDLEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95948 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEVEN STARK | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5308465671 | PhoneNum |
| Signature | 2022-05-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | STEVEN | PersonFirstNm |
| Person Last | STARK | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TERRI REXRODE CPA MST | PreparerPersonNm |
| PTIN | P00096513 | PTIN |
| Phone | 9206620016 | PhoneNum |
| Preparation | 2022-04-27 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEVEN STARK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 240 SPRUCE STREET | AddressLine1Txt |
| City | GRIDLEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95948 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $42,779,260 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ORCHARDHOSPITAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1949 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | ORCHARD HOSPITAL WILL BE A HEALTH CENTER OF EXCELLENCE, NATIONALLY RECOGNIZED FOR PROVIDING QUALITY, COMPASSIONATE AND PERSONALIZED CARE THAT IMPROVES THE HEALTH AND WELL-BEING OF OUR PATIENTS AND THEIR COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 340 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,891,903 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,823,820 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $32,531,144 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $34,664,321 | CYProgramServiceRevenueAmt |
| PY Investment Income | $64,137 | PYInvestmentIncomeAmt |
| CY Investment Income | $137,723 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $153,396 | CYOtherRevenueAmt |
| PY Total Revenue | $34,487,184 | PYTotalRevenueAmt |
| CY Total Revenue | $42,779,260 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $7,899 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $16,706,852 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,239,520 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $140,577 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $16,639,819 | PYOtherExpensesAmt |
| CY Other Expenses | $17,243,173 | CYOtherExpensesAmt |
| PY Total Expenses | $33,346,671 | PYTotalExpensesAmt |
| CY Total Expenses | $35,490,592 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,140,513 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,288,668 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $22,277,797 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,685,362 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $16,465,282 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,192,816 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,812,515 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,492,546 | NetAssetsOrFundBalancesEOYAmt |
| Mission | ORCHARD HOSPITAL WILL BE A HEALTH CENTER OF EXCELLENCE, NATIONALLY RECOGNIZED FOR PROVIDING QUALITY, COMPASSIONATE AND PERSONALIZED CARE THAT IMPROVES THE HEALTH AND WELL-BEING OF OUR PATIENTS AND THEIR COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $25,319,328 | ExpenseAmt |
| Grant | $7,899 | GrantAmt |
| Revenue | $34,796,856 | RevenueAmt |
| Desc | THE HOSPITAL IS AN ACUTE CARE FACILITY THAT OPERATES A 24-BED CRITICAL ACCESS HOSPITAL (CAH) WHICH PROVIDES HEALTHCARE SERVICES TO THE CITY OF GRIDLEY AND THE SURROUNDING COMMUNITY. THE HOSPITAL PROVIDED 2,569 DAYS OF PATIENT SERVICES AND THE NURSING FACILITY PROVIDED 23,069 DAYS OF SERVICE FOR THE FISCAL YEAR.THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $120,485 FOR CHARITY CARE, $12,572,553 FOR MEDICARE, $15,179,379 FOR MEDI-CAL, AND $5,564,107 FOR OTHER THIRD-PARTY PAYORS FOR THE FISCAL YEAR. | Desc |
| Total Program Service Expenses | $25,319,328 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 80 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 340 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANTONIO JIMENEZ | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5308465671 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 240 SPRUCE STREET | AddressLine1Txt |
| City | GRIDLEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95948 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ART COTA | ||||||||
| CHARIPERSON | 2.00 | Yes (X) | Yes (X) | $1,400 | $0 | $0 | ||
| CLARK S REDFIELD | ||||||||
| VICE CHAIR/SECRETARY | 2.00 | Yes (X) | Yes (X) | $1,000 | $0 | $0 | ||
| EDWIN A BECKER | ||||||||
| BOARD FINANCIAL OFFICER | 2.00 | Yes (X) | Yes (X) | $1,300 | $0 | $0 | ||
| JOHN T HARRIS | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $1,400 | $0 | $0 | |||
| MARGARET BROWN | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $800 | $0 | $0 | |||
| JOE CUNHA | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $900 | $0 | $0 | |||
| CURT ENGEN | ||||||||
| BOARD MEMBER (THRU MARCH) | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JATINDER KULLAR | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $600 | $0 | $0 | |||
| KARI WHEELER | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $1,000 | $0 | $0 | |||
| STEVEN STARK | ||||||||
| CEO | 40.00 | Yes (X) | $369,157 | $0 | $61,923 | 1.00 | ||
| LENNY VERSER | ||||||||
| CFO | 40.00 | Yes (X) | $92,952 | $0 | $13,664 | |||
| TRACY ATKINS | ||||||||
| CNO | 40.00 | $223,888 | $0 | $11,097 | Yes (X) | |||
| JASJOT DHADLI | ||||||||
| PHARMACY DIRECTOR | 40.00 | $182,615 | $0 | $17,826 | Yes (X) | |||
| JOHN HELVEY | ||||||||
| CIO | 40.00 | $166,110 | $0 | $28,966 | Yes (X) | |||
| THOMAS DEVINE | ||||||||
| CRNA | 40.00 | $139,026 | $0 | $27,865 | Yes (X) | |||
| CHRISTINE HICKEY | ||||||||
| PHYSICIAN ASSISTANT | 40.00 | $141,016 | $0 | $17,555 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,323,164 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $178,896 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 26 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| REHABVISIONS | |||||
| 11623 ARBOR STREET | OMAHA | NE | 68144 | OUTSOURCED PT/OT/ST | $680,738 |
| ABM | |||||
| PO BOX 52609 | LOS ANGELES | CA | 90074 | OUTSOURCED EVS | $601,594 |
| NPH NURSES PROFESSIONAL HEALTH | |||||
| 1801 FOUNDATION LANE | CHICO | CA | 95928 | TRAVELER NURSING (RN/LVN/CAN) | $571,442 |
| ISHIMOTO MDGREG | |||||
| 791 CALIFORNIA ST | GRIDLEY | CA | 95948 | PHYSICIAN | $420,633 |
| KEUM MD JACOB SUNG | |||||
| 947 COLUMBUS AVE 3B | NEW YORK | NY | 10025 | PHYSICIAN | $406,710 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 20 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $56,623 | RelatedOrganizationsAmt |
| Government Grants | $6,966,032 | GovernmentGrantsAmt |
| All Other Contributions | $801,165 | AllOtherContributionsAmt |
| Total Contributions | $7,823,820 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621400 | $33,925,478 | $33,925,478 |
| 340B REVENUE | 621400 | $502,655 | $502,655 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $236,188 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $236,188 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $34,664,321 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $137,723 | TotalRevenueColumnAmt |
| Exclusion | $137,723 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $132,535 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $132,535 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $132,535 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $132,535 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DIETARY INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $20,861 | TotalRevenueColumnAmt |
| Exclusion | $20,861 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $20,861 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $42,779,260 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $34,796,856 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $158,584 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,899 | TotalAmt |
| Program Services | $7,899 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $600,753 | TotalAmt |
| Management And General | $600,753 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,629,181 | TotalAmt |
| Program Services | $10,114,630 | ProgramServicesAmt |
| Management And General | $3,446,870 | ManagementAndGeneralAmt |
| Fundraising | $67,681 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $295,157 | TotalAmt |
| Program Services | $177,681 | ProgramServicesAmt |
| Management And General | $116,777 | ManagementAndGeneralAmt |
| Fundraising | $699 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,627,899 | TotalAmt |
| Program Services | $1,401,067 | ProgramServicesAmt |
| Management And General | $1,221,317 | ManagementAndGeneralAmt |
| Fundraising | $5,515 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,086,530 | TotalAmt |
| Program Services | $569,189 | ProgramServicesAmt |
| Management And General | $515,100 | ManagementAndGeneralAmt |
| Fundraising | $2,241 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,295 | TotalAmt |
| Management And General | $140,295 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,811 | TotalAmt |
| Management And General | $41,811 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,271 | TotalAmt |
| Management And General | $7,271 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,732,817 | TotalAmt |
| Program Services | $6,742,591 | ProgramServicesAmt |
| Management And General | $1,958,346 | ManagementAndGeneralAmt |
| Fundraising | $31,880 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,005,886 | TotalAmt |
| Program Services | $482,797 | ProgramServicesAmt |
| Management And General | $522,991 | ManagementAndGeneralAmt |
| Fundraising | $98 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $716,139 | TotalAmt |
| Management And General | $716,139 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,224 | TotalAmt |
| Program Services | $4,678 | ProgramServicesAmt |
| Management And General | $5,454 | ManagementAndGeneralAmt |
| Fundraising | $92 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,261 | TotalAmt |
| Program Services | $10,579 | ProgramServicesAmt |
| Management And General | $5,682 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,270 | TotalAmt |
| Program Services | $32,539 | ProgramServicesAmt |
| Management And General | $41,731 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $527,920 | TotalAmt |
| Program Services | $266,247 | ProgramServicesAmt |
| Management And General | $261,673 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252,109 | TotalAmt |
| Program Services | $17,021 | ProgramServicesAmt |
| Management And General | $235,088 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $3,151,951 | $3,151,951 | |
| MEDICAL SUPPLIES & DRUG | $1,506,576 | $1,506,576 | |
| LICENSES & FEES | $326,851 | $236,087 | $90,764 |
| REPAIRS & MAINTENANCE | $322,404 | $240,893 | $81,511 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $410,388 | TotalAmt |
| Program Services | $356,903 | ProgramServicesAmt |
| Management And General | $21,114 | ManagementAndGeneralAmt |
| Fundraising | $32,371 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,490,592 | TotalAmt |
| Program Services | $25,319,328 | ProgramServicesAmt |
| Management And General | $10,030,687 | ManagementAndGeneralAmt |
| Fundraising | $140,577 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,669,463 | BOYAmt |
| EOY | $2,399,513 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,431 | BOYAmt |
| EOY | $60,996 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,642,767 | BOYAmt |
| EOY | $8,225,146 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $450,415 | BOYAmt |
| EOY | $456,504 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $201,258 | BOYAmt |
| EOY | $158,039 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,190,201 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,225,129 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,075,254 | BOYAmt |
| EOY | $2,965,072 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,578,781 | BOYAmt |
| EOY | $4,849,670 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $654,428 | BOYAmt |
| EOY | $570,422 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,277,797 | BOYAmt |
| EOY | $19,685,362 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,886,638 | BOYAmt |
| EOY | $3,378,334 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,495,755 | BOYAmt |
| EOY | $9,500 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,178,933 | BOYAmt |
| EOY | $218,428 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,903,956 | BOYAmt |
| EOY | $3,586,554 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,465,282 | BOYAmt |
| EOY | $7,192,816 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,043,614 | BOYAmt |
| EOY | $12,377,688 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $768,901 | BOYAmt |
| EOY | $114,858 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,812,515 | BOYAmt |
| EOY | $12,492,546 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,277,797 | BOYAmt |
| EOY | $19,685,362 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $7,288,668 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $153,838 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$762,475 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $7,271 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $7,271 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS USED A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $106,951 | OtherCostOrOtherBasisAmt |
| Book Value | $106,951 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,919,153 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,490,223 | DepreciationAmt |
| Book Value | $1,428,930 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,061,664 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,734,906 | DepreciationAmt |
| Book Value | $1,326,758 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $102,433 | OtherCostOrOtherBasisAmt |
| Book Value | $102,433 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,965,072 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $1,099,877 |
| MEDICARE REFUNDABLE ADVANCE | $2,353,918 |
| ASSETS LIMITED AS TO USE - DEFERRED RETIREMENT COMPENSATION | $132,759 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,586,554 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 350.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,984 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,984 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,058,351 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,203,288 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,079,335 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,203,288 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,984 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,899 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,899 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,899 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,899 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,087,234 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,203,288 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,883 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,151,951 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $9,476,876 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $9,452,486 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $24,390 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORCHARD HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 240 SPRUCE STREET | AddressLine1Txt |
| City | GRIDLEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95948 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.ORCHARDHOSPITAL.COM | WebsiteAddressTxt |
| State License | 230000007 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORCHARD HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C, LINE 7D | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C, LINE 7D | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 350.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.ORCHARDHOSPITAL.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.ORCHARDHOSPITAL.COM/IMAGES/POLICY%20ATTACHMENT%20COMMUNITY%20CA | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.ORCHARDHOSPITAL.COM/IMAGES/FINANCIAL%20ASSISTANCE%20POLICY%20PL | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ORCHARD HOSPITAL | PART V, SECTION B, LINE 3J: THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT ALSO DESCRIBES THE FOLLOWING ITEMS:-THE HOSPITAL'S IMPLEMENTATION PLAN, WHICH IDENTIFIES AND PRIORITIZES THE NEEDS OF THE COMMUNITY AND LAYS OUT A STRATEGY TO ADDRESS EACH COMMUNITY NEED-LIST OF PARTICIPATING ORGANIZATIONS FOR COMMUNITY INPUT-LIST OF QUESTIONS ASKED TO EACH COMMUNITY MEMBER ADDRESSING THE MOST IMPORTANT FACTORS FOR A HEALTHY COMMUNITY, THE GREATEST NEEDS AFFECTING CHILDREN'S HEALTH, AND THE MOST IMPORTANT HEALTH FACTORS AND RISKY BEHAVIORS FACING THE COMMUNITY. -COMMUNITY HEALTH SURVEY WHICH LISTS SPECIFIC QUESTIONS ABOUT THE HEALTH, FAMILY, AND LIFESTYLE OF THE INTERVIEWEE AS WELL AS THE INTERVIEWEE'S VIEW OF THE COMMUNITY'S HEALTH.-LIST OF HEALTH AGENCIES AND THEIR CONTACT INFORMATION REFERENCE CHART TO SUPPORT THE INFORMATION REPORTED ON SCHEDULE H. |
| ORCHARD HOSPITAL | PART V, SECTION B, LINE 5: IN ORDER TO CAPTURE AS ACCURATE A PICTURE OF THE HEALTH NEEDS OF THE COMMUNITY AS POSSIBLE, THE HOSPITAL PARTNERED WITH BUTTE COUNTY PUBLIC HEALTH, AS WELL AS THREE NEIGHBORING HOSPITALS, ENLOE MEDICAL CENTER IN CHICO, FEATHER RIVER HOSPITAL IN PARADISE, AND OROVILLE HOSPITAL IN OROVILLE TO CONDUCT A THREE-PHASE COMMUNITY HEALTH NEEDS ASSESSMENT. PHASE 1 - A TEAM RESEARCHED PUBLICLY AVAILABLE SECONDARY DATA FROM SEVERAL ONLINE SOURCES TO OBTAIN DEMOGRAPHIC INFORMATION ABOUT MEMBERS OF THE COMMUNITY. PHASE 2 - THE TEAM COMPILED INFORMATION USED TO INITIATE IN-DEPTH DISCUSSIONS AND SHAPED THE QUESTIONS ASKED IN FOCUS GROUP MEETINGS. THE INITIATIVE INFORMED THE HOSPITAL AND THE COMMUNITY AT LARGE OF SEVERAL HEALTH AREAS WARRANTING IMPROVEMENT EFFORTS IN BUTTE COUNTY. PHASE 3 - THE TEAM LAUNCHED AN ANONYMOUS COMMUNITY HEALTH SURVEY THROUGHOUT BUTTE COUNTY AND INTO SOME OF THE SURROUNDING AREAS. |
| ORCHARD HOSPITAL | PART V, SECTION B, LINE 6A: THE HOSPITAL WORKED COLLABORATIVELY WITH THE FOLLOWING HOSPITALS AND PUBLIC HEALTH ENTITY TO COMPLETE THE DATA GATHERING PROCESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT:-ENLOE MEDICAL CENTER-FEATHER RIVER HOSPITAL ADVENTIST HEALTH-OROVILLE HOSPITAL-BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH |
| ORCHARD HOSPITAL | PART V, SECTION B, LINE 6B: SEE SCHEDULE H, PART V, LINE 6A. |
| ORCHARD HOSPITAL | PART V, SECTION B, LINE 7D: NOTIFICATION TO THE PUBLIC THAT THE ORCHARD HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT WAS AVAILABLE FOR REVIEW ON THE ORCHARD HOSPITAL WEBSITE. NOTIFICATION TO ALL OF OUR EMPLOYEES WAS MADE THROUGH A FACILITY WIDE MASS EMAIL. EMAIL INCLUDED A LINK TO THE REPORT ON OUR WEBSITE AND AN ATTACHMENT (PDF) OF THE REPORT.SCHEDULE H, PART V, SECTION B, LINES 7A & 10A:HTTPS://WWW.ORCHARDHOSPITAL.COM/DEFAULT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORTS |
| ORCHARD HOSPITAL | PART V, SECTION B, LINE 11: ORCHARD HOSPITAL THEN ADOPTED THE GOALS FOR SOUTH BUTTE COUNTY THE HOSPITAL STRATEGIC PLAN. SPECIFICALLY, AROUND (1) ACCESS TO CARE, (2) MENTAL HEALTH AND SUBSTANCE USE DISORDERS, AND (3) CHRONIC DISEASE AND CONDITIONS. THE HOSPITAL IS CONTINUING TO ADDRESS THE HEALTH CARE NEEDS IDENTIFIED BY THE CHNA. THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA AND HOW THEY ARE BEING ADDRESSED FOLLOW:OBESITY - COLLABORATE WITH LOCAL SCHOOLS AND PARTNER WITH SCHOOL NURSES AND THE CENTER FOR NUTRITION & ACTIVITY PROMOTION. OFFER A SUMMER PROGRAM FOR NUTRITION AND ACTIVITIES WHILE SUPPORTING PLAY 60.DIABETES - DIETICIAN AND/OR PROVIDER (MD OR FNP) WILL MEET WITH THE PATIENT THEN HAVE A 20-30-MINUTE DIABETIC COUNSELING SESSION.SUBSTANCE ABUSE/CANCER "TOBACCO" - COLLABORATE WITH THE BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH AND BUTTE COUNTY DRUG ABUSE TASK FORCE TO IMPLEMENT A SMOKING CESSATION PROGRAM. WORK WITH THE LOCAL SCHOOL DISTRICTS AND THE LOCAL PARKS AND RECREATION DEPARTMENTS TO ROLL- OUT PROGRAMS TO THE YOUTH. PROMOTION OF THIS PROGRAM WILL CONTINUE TO BE COMMUNICATED TO PATIENTS THROUGH STAFF AND PHYSICIANS. WORK WITH OUR CURRENT HUMAN RESOURCE DEPARTMENT AND HEALTHCARE INSURANCE TO OFFER INCENTIVES TO OUR EMPLOYEES FOR PARTICIPATING IN SMOKING CESSATION. THE HOSPITAL WILL ALSO BE OFFERING THE ACCESSIBLE INTERVENTION AND RESPIRATORY EDUCATION (AIRE PROGRAM) FOR THOSE THAT HAVE COPD.THE FOLLOWING IDENTIFIED NEEDS ARE NOT DIRECTLY BEING ADDRESSED THROUGH SPECIFIC OBJECTIVES OR NEW INITIATIVES DUE TO THE HOSPITAL INDIRECTLY ADDRESSING THESE NEEDS THROUGH ITS PROGRAMS AND COMMUNITY PARTNERSHIPS.-HEART DISEASE/HIGH BLOOD PRESSURE-MENTAL HEALTH ISSUES-TEEN PREGNANCY/OBSTETRICS AND GYNECOLOGY SERVICES-RESPIRATORY/LUNG DISEASE/COPD-STROKE-SUICIDEFOR MANY OF THESE PRIORITIES, THE HOSPITAL HAS CONTINUED TO WORK WITH COUNTY WIDE INITIATIVES ON AN ON-GOING BASIS. THE DETAILED IMPLEMENTATION STRATEGY FOR EACH PRIORITY CAN BE FOUND IN APPENDIX 6 OF THE CHNA. |
| ORCHARD HOSPITAL | PART V, SECTION B, LINE 16J: THE HOSPITAL'S WEBSITE HIGHLIGHTS THE HOSPITAL'S COMMITMENT TO PROVIDING QUALITY CARE TO PATIENTS IN THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. VISITORS TO THE WEBSITE AND THE HOSPITAL ARE INFORMED OF THE AVAILABILITY OF THE SERVICES OF FINANCIAL COUNSELORS TO ASSIST THEM IN OBTAINING FINANCIAL ASSISTANCE. THE UNCOMPENSATED CARE (CHARITY CARE) POLICY IS COMMUNICATED TO HOSPITAL PATIENTS THROUGH POSTED SIGNS IN THE HOSPITAL BUSINESS OFFICE AND ADMITTING AREAS AND THROUGH MESSAGES ON BILLING STATEMENTS TO PATIENTS. IN FINANCIAL CLASSES ASSOCIATED WITH SELF-PAY ACCOUNTS OR ASSOCIATED WITH SPONSORED ACCOUNTS WITH DEDUCTIBLE OR CO-PAYMENT RESPONSIBILITIES, UNINSURED, AND/OR LOW-INCOME PATIENTS ARE REFERRED TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY. THE HOSPITAL MAKES PAPER COPIES OF THE FINANCIAL ASSISTANCE POLICY AND THE APPLICATION FORM AVAILABLE UPON REQUEST AND WITHOUT CHARGE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - ORCHARD HOSP MEDICAL SPECIALTY CENTER | ||||
| 284 SPRUCE STREET | GRIDLEY | CA | 95948 | RURAL HEALTH CLINIC |
| 2 - ORCHARD HOSP MED SPECIALTY CENTER-OROVILLE | ||||
| 2445 ORO DAM BLVD SUITE 8 | OROVILLE | CA | 95965 | RURAL HEALTH CLINIC |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | HTTPS://WWW.ORCHARDHOSPITAL.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE |
| PART I, LINE 7: | THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES DERIVED FROM WORKSHEET 2, FOR AMOUNTS REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES LESS NON-PATIENT CARE ACTIVITIES, MEDICAID PROVIDER TAXES, TOTAL COMMUNITY BENEFIT AND TOTAL COMMUNITY BUILDING EXPENSES). |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3,151,951. |
| PART III, LINE 2: | THE COSTING METHODOLOGY USED BY THE HOSPITAL INCLUDES THE COST TO CHARGE RATIO OF PATIENT CARE. |
| PART III, LINE 3: | THE HOSPITAL DID NOT TRACK THE AMOUNT OF BAD DEBT EXPENSE THAT COULD RESONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY BUT FOR WHOM SUFFICIENT INFORMATION WAS NOT OBTAINED TO MAKE DETERMINATION OF THEIR ELIGIBILITY DURING THE YEAR. |
| PART III, LINE 4: | PATIENT ACCOUNTS RECEIVABLE ARE RECORDED IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS NET OF CONTRACTUAL ADJUSTMENTS AND AN ALLOWANCE FOR DOUBTFUL ACCOUNTS THAT REFLECTS MANAGEMENT'S BEST ESTIMATE OF THE AMOUNTS THAT WILL NOT BE COLLECTED. MANAGEMENT PROVIDES FOR CONTRACTUAL ADJUSTMENTS UNDER TERMS OF THIRD-PARTY REIMBURSEMENT AGREEMENTS AND UNINSURED PATIENT DISCOUNTS THROUGH A REDUCTION OF GROSS REVENUE AND A CREDIT TO PATIENT ACCOUNTS RECEIVABLE. IN ADDITION, MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY FROM UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON HISTORICAL LOSS EXPERIENCE AND CONSIDERING RECEIVABLES FOR WHICH PATIENTS ARE PERSONALLY RESPONSIBLE FOR. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES HISTORICAL LOSS EXPERIENCE ON REVENUE FROM ALL PAYORS AND CONSIDERS TRENDS IN THE AGING OF RECEIVABLES. BASED ON THESE FACTORS, THE ORGANIZATION ESTIMATES THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| PART III, LINE 8: | NONE OF THE MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS IS TREATED AS CHARITY CARE OR A COMMUNITY BENEFIT. ONLY THOSE PATIENTS THAT MET THE FINANCIAL ASSISTANCE POLICY REQUIREMENTS ARE CONSIDERED CHARITY CARE PATIENTS. MEDICARE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR PURSUANT TO THE FACILITY'S DESIGNATION AS "CRITICAL ACCESS HOSPITAL." |
| PART III, LINE 9B: | ALL COLLECTION ACTIVITY CEASES WHEN A PATIENT IS DECLARED ELIGIBLE FOR UNCOMPENSATED CARE OR QUALIFIES FOR GOVERNMENT PROGRAMS. |
| PART VI, LINE 2: | AS PART OF THE HOSPITAL'S COMMITMENT TO IMPROVE THE QUALITY OF LIFE AND HEALTH OF THE RESIDENTS OF THE COMMUNITIES THE HOSPITAL SERVES, THE HOSPITAL PERFORMS A STRATEGIC PLAN IN WHICH HOSPITAL OFFICIALS MEET WITH COMMUNITY LEADERS TO REQUEST INPUT ON THE COMMON NEEDS OF THE SURROUNDING COMMUNITIES. THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY AND COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING URL: HTTPS://WWW.ORCHARDHOSPITAL.COM/DEFAULT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORTS. ANY ADDITIONAL HEALTH CARE NEEDS OF THE COMMUNITY ARE EVALUATED AS THEY COME UP, BASED ON CHANGES IN THE COMMUNITY. |
| PART VI, LINE 3: | FINANCIAL ASSISTANCE CONTACT INFORMATION IS MADE AVAILABLE ON THE HOSPITAL WEBSITE, POSTED IN BUSINESS SERVICE AREA, IN ADMISSIONS, AND ON BILLING STATEMENTS. FINANCIAL COUNSELORS DISCUSS WITH PATIENTS THE AVAILABILITY OF CARE. A COUNTY ELIGIBILITY PERSON IS ON-SITE FOR THREE DAYS A WEEK TO HELP PATIENTS SIGN UP FOR MEDICAL ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY (FAP) IS MADE AVAILABLE TO ANY PATIENTS WHO REQUEST A COPY. AN APPLICATION FOR ELIGIBILITY DETERMINATION FOR UNCOMPENSATED CARE IS PROVIDED UPON DISCHARGE. IF INSURANCE IS INADEQUATE, THE FAP IS DISCUSSED WITH THOSE PATIENTS. |
| PART VI, LINE 4: | THE HOSPITAL PRIMARILY SERVICES THE TOWNS OF BIGGS, GRIDLEY AND RICHVALE WHICH ARE LOCATED IN BUTTE COUNTY, CA AND THE TOWN OF LIVE OAK, WHICH IS LOCATED IN SUTTER COUNTY, CA. THE POPULATION OF GRIDLEY, BIGGS, AND RICHVALE AMOUNTS TO OVER 10,500. THE 2020 CENSUS DATA SHOWS THAT THE MEDIAN HOUSEHOLD INCOME FOR BUTTE COUNTY IS $52,537 WHICH IS LOWER THAN THE STATE AND NATION. APPROXIMATELY 17.3% OF BUTTE COUNTY RESIDENTS ARE AT OR BELOW POVERTY LEVEL. APPROXIMATELY 22% OF BUTTE COUNTY RESIDENTS ARE RECEIVING MEDICAID. APPROXIMATELY 86.06% OF PATIENTS SEEN AT THE HOSPITAL ARE MEDICARE OR MEDICAID INSURED. THE HOSPITAL IS THE ONLY ACUTE CARE HOSPITAL IN GRIDLEY, AS WELL AS ALONG THE HIGHWAY 99 CORRIDOR BETWEEN SACRAMENTO AND RED BLUFF. |
| PART VI, LINE 5: | THE HOSPITAL IS DEDICATED TO UNDERSTANDING AND MEETING THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. AS A PART OF THIS COMMITMENT, MOST OF THE BOARD MEMBERS LIVE IN THE COMMUNITY AND ARE NOT EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE HOSPITAL. THE HOSPITAL IS ALSO DEDICATED TO PROVIDING THE FINEST HEALTHCARE TO THE COMMUNITY. THEREFORE, IF THERE ARE ANY SURPLUS FUNDS, THE HOSPITAL REINVESTS THOSE FUNDS INTO THE FACILITY OF EQUIPMENT. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVEN STARK | ||||||||||||||
| CEO | $304,081 | $0 | $25,000 | $0 | $40,076 | $0 | $32,178 | $0 | $29,745 | $0 | $431,080 | $0 | $0 | $0 |
| TRACY ATKINS | ||||||||||||||
| CNO | $193,619 | $0 | $7,500 | $0 | $22,769 | $0 | $6,603 | $0 | $4,494 | $0 | $234,985 | $0 | $0 | $0 |
| JASJOT DHADLI | ||||||||||||||
| PHARMACY DIRECTOR | $179,650 | $0 | $0 | $0 | $2,965 | $0 | $6,084 | $0 | $11,742 | $0 | $200,441 | $0 | $0 | $0 |
| JOHN HELVEY | ||||||||||||||
| CIO | $145,171 | $0 | $7,500 | $0 | $13,439 | $0 | $5,941 | $0 | $23,025 | $0 | $195,076 | $0 | $0 | $0 |
| THOMAS DEVINE | ||||||||||||||
| CRNA | $127,521 | $0 | $8,450 | $0 | $3,055 | $0 | $5,035 | $0 | $22,830 | $0 | $166,891 | $0 | $0 | $0 |
| CHRISTINE HICKEY | ||||||||||||||
| PHYSICIAN ASSISTANT | $138,145 | $0 | $0 | $0 | $2,871 | $0 | $4,778 | $0 | $12,777 | $0 | $158,571 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE 990 IS PROVIDED TO THE CFO WHO REVIEWS THE FORM, SCHEDULES, AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS DISTRIBUTED TO THE BOARD OF DIRECTORS WHO THEN APPROVE THE 990. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CFO SIGNS THE FORM 8879-EO AUTHORIZING THE PREPARER TO E-FILE THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | A CONFLICT OF INTEREST STATEMENT IS COMPLETED BY THE BOARD OF DIRECTORS ON A PERIODIC BASIS. ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE ARE CONSIDERED DURING THE DECISION-MAKING PROCESS FOR ALL TRANSACTIONS. ANY DIRECTOR INVOLVED IN A POTENTIAL CONFLICT OF INTEREST IS EXCLUDED FROM VOTING ON THAT DECISION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD USES COMPARABILITY DATA THAT INCLUDES THE CALIFORNIA HOSPITAL ASSOCIATION ANNUAL SURVEY TO DETERMINE THE COMPENSATION AMOUNT. IF ANY BOARD MEMBER HAS A CONFLICT OF INTEREST REGARDING COMPENSATION, THE BOARD MEMBER DOES NOT PARTICIPATE IN THE DECISION-MAKING PROCESS OR VOTE. THE DECISION IS DOCUMENTED BY THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. REQUESTED INFORMATION IS PRINTED AND AVAILABLE TO THE INTERESTED PARTY AT THE OFFICE. |
| FORM 990, PART IX, LINE 11G | PHYISCIAN SERVICES: PROGRAM SERVICE EXPENSES 4,540,335. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,540,335. THERAPIST SERVICES: PROGRAM SERVICE EXPENSES 625,777. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 625,777. OTHER CONTRACTED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 492,471. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 492,471. OTHER SERVICES: PROGRAM SERVICE EXPENSES 1,084,008. MANAGEMENT AND GENERAL EXPENSES 1,958,346. FUNDRAISING EXPENSES 31,880. TOTAL EXPENSES 3,074,234. |
| FORM 990, PART XI, LINE 9: | RESTRICTED CONTRIBUTIONS RELEASED FROM NET ASSETS -762,475. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORCHARD HOSPITAL FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 240 SPRUCE STREET | AddressLine1Txt |
| City | GRIDLEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95948 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 680474996 | EIN |
| Primary Activities | SUPPORT | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORCHARD HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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