SONORA COMMUNITY HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: SONORA COMMUNITY HOSPITAL (EIN 94-1415069)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-16
IRS object ID: 201613219349300211
Schema version: 2015v2.0
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 G
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-16T00:28:09-08:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	941415069	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Sonora Community Hospital	BusinessNameLine1Txt
Business Name Line2	dba Sonora Regional Medical Center	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	SONO	BusinessNameControlTxt
Phone	2095325000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 Greenley Rd	AddressLine1Txt
City	Sonora	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95370	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Gregory McCulloch	PersonNm
Person Title	Treas/CFO/VPFin	PersonTitleTxt
Signature	2016-11-16	SignatureDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	$253,093,120	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
All Affiliates Included	false	AllAffiliatesIncludedInd
Group Exemption	1071	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.sonoramedicalcenter.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1958	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	The hospital mission is to provide our community with physical, mental, and spiritual healing in a way that reflects God's love for all.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	1595	TotalEmployeeCnt
Total Volunteers	184	TotalVolunteersCnt
Total Gross UBI	$131,762	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$4,860	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,339,443	PYContributionsGrantsAmt
CY Contributions Grants	$1,800,911	CYContributionsGrantsAmt
PY Program Service Revenue	$233,307,879	PYProgramServiceRevenueAmt
CY Program Service Revenue	$248,663,025	CYProgramServiceRevenueAmt
PY Investment Income	$1,872,007	PYInvestmentIncomeAmt
CY Investment Income	$2,269,047	CYInvestmentIncomeAmt
PY Other Revenue	$281,702	PYOtherRevenueAmt
CY Other Revenue	$309,482	CYOtherRevenueAmt
PY Total Revenue	$236,801,031	PYTotalRevenueAmt
CY Total Revenue	$253,042,465	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,103,340	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$478,345	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$100,996,577	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$108,191,169	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$2,000	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$2,000	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$469,675	CYTotalFundraisingExpenseAmt
PY Other Expenses	$112,285,742	PYOtherExpensesAmt
CY Other Expenses	$115,499,840	CYOtherExpensesAmt
PY Total Expenses	$214,387,659	PYTotalExpensesAmt
CY Total Expenses	$224,171,354	CYTotalExpensesAmt
PY Revenues Less Expenses	$22,413,372	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$28,871,111	CYRevenuesLessExpensesAmt
Total Assets BOY	$158,916,445	TotalAssetsBOYAmt
Total Assets EOY	$186,061,498	TotalAssetsEOYAmt
Total Liabilities BOY	$60,499,596	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$60,604,265	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$98,416,849	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$125,457,233	NetAssetsOrFundBalancesEOYAmt
Mission	To share Gods love by providing physical, mental and spiritual healing.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$199,445,925	ExpenseAmt
Grant	$478,345	GrantAmt
Revenue	$245,307,106	RevenueAmt
Desc	Sonora Community Hospital (SCH) provides quality medical health care regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of SCH, the organization recognizes that not all individuals possess the ability to pay for essential medical services.SCH's vision is to enhance the health of the communities where we live and serve, by engaging our communities and our patients in a new definition of and partnership for personal community health. In keeping with this commitment to serve all members of the community, the following will be considered when individuals who need health care cannot pay:- providing free care and/or subsidized care- providing care to persons covered by governmental programs at below cost- providing health/wellness activities and community education programsNot only does SCH provide low-cost care to individuals covered by government programs and those unable to afford health care, but it also helps patients find and access private and governmental resources for health care benefits. SCH recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community.Inpatient services in 2015 were provided to approximately 5,433 patients. These services included:- Babies: 560 deliveries- Surgeries: 2,728 hours- Radiology: 12,461 procedures - Laboratory tests: 137,950 tests Outpatient services in 2015 were provided to about 386,000 patients. Including:- Emergency room: 30,394 visits- Outpatient surgeries: 4,495 hours- Radiology procedures: 77,322 performed- Laboratory tests: 314,408 performed- Medical clinics: 196,074 visitsSonora Community Hospital provides home care services in its surrounding communities. In 2015, we made 31,647 individual visits for home care services. These services include, but are not limited to:- Respiratory Care- Elderly Care- Geriatric Case Management- Ostomy & Wound Care- Diabetes Care- IV Home TherapySonora Community Hospital provides hospice services in its surrounding communities. In 2015, we provided 10,514 days of hospice care.SCH recognizes it has an obligation to provide human services above and beyond its role as a healing facility. The following community benefits demonstrate the tangible ways in which the organization is fulfilling its mission:Project HOPE, which stands for Health, Outreach, Prevention and Education- delivers dozens of free physicals and other services to indigent children and their parents at various locations throughout California's Tuolumne County with the help of volunteer nurses and physicians.Community Events - First aid stations at the local Mother Lode Fair, Home and Garden show and the Tuolumne Me-Wuk Health Fair. Exhibits at the Groveland Family Wellness Fair and the Tuolumne County Youth Health Fair. Close to 4,000 health screenings done at the annual Tuolumne County Health Fair.Health Education and Support ProgramsThe many support groups and health education classes conducted, including but not limited to:Cancer support group, Diabetes support group, Depression Recovery Program class, Spiritual Care training, CHIP Coronary Health Improvement Project, Epilepsy/Seizure Support Group, La Leche League, Childbirth Preparation Classes, Preparation for Cesarean Birth Classes, OakPlus Wellness Seminars, Quit for Life: Tobacco Cessation Classes, Lifeline Emergency Response ProgramMaintained and monitored up to 320 Lifeline Emergency Response Units. This 24-hour-a-day system offers immediate response to those whose physical condition could otherwise limit their ability to summon help.Spiritual SupportSCH's chaplains provided over 4,000 patient visits and over 1,500 hours of patient counseling, and provided over 300 hours of employee counseling, conducted memorial services and officiated at weddings.Community SupportSCH donated $329,156 to 54 non-profit community service organizations in 2015.	Desc
Total Program Service Expenses	$199,445,925	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	154	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1595	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Org Filed In Lieu Of Form1041	false	OrgFiledInLieuOfForm1041Ind
Licensed More Than One State	false	LicensedMoreThanOneStateInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Greg McCulloch	PersonNm
Phone	2095365019	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 Greenley Rd	AddressLine1Txt
City	Sonora	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95370	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Larry Caviness
Director	0.00	4.00	Yes (X)	$0	$6,749	$0
Charles Dickinson
Director	0.00	4.00	Yes (X)	$0	$5,456	$0
Christine Friestad
Director	0.00	4.00	Yes (X)	$0	$1,752	$0
Melody Gabriel
Director	0.00	4.00	Yes (X)	$0	$2,333	$0
Ricardo Graham
Director	0.00	4.00	Yes (X)	$0	$4,132	$0
Kerry Heinrich
Director	0.00	4.00	Yes (X)	$0	$528	$0
Larry Innocent
Director	0.00	4.00	Yes (X)	$0	$2,045	$0
Helmuth Jones
Director	0.00	4.00	Yes (X)	$0	$84,278	$0
Allan Reimche
Director	0.00	4.00	Yes (X)	$0	$2,734	$0
Wesley Rippey
Director	0.00	4.00	Yes (X)	$0	$126,608	$0
Velino Salazar
Director	0.00	4.00	Yes (X)	$0	$1,416	$0
Max Torkelsen
Director	0.00	4.00	Yes (X)	$0	$2,801	$0
Scott Reiner
Dir/Chair	0.00	50.00	Yes (X)	$0	$1,526,040	$261,659	Yes (X)
Bill Wing
Dir/VCh/AsstSec	0.00	50.00	Yes (X)	$0	$1,245,488	$228,400	Yes (X)
Meredith Jobe
Secretary	0.00	50.00		$0	$537,841	$93,577	Yes (X)
Jack Wagner
Asst Secretary	0.00	50.00		$0	$1,056,525	$41,424	Yes (X)
Rodney Wehtje
Asst Treasurer	0.00	50.00		$0	$591,283	$58,716	Yes (X)
Andrew Jahn
President/CEO	50.00	0.00		$0	$479,969	$103,994	Yes (X)
Gregory McCulloch
Treas/Asst Sec	50.00	0.00		$0	$283,854	$50,283	Yes (X)
Julie Kline
Sr VP Pt Care Svcs	50.00	0.00		$0	$322,836	$60,366		Yes (X)
Michelle Fuentes
VP Operations	50.00	0.00		$0	$270,322	$50,280		Yes (X)
Edward Clinite
CMO	22.00	0.00		$298,116	$0	$0		Yes (X)
Andre Rossi
Dir - Pharmacy	50.00	0.00		$203,029	$0	$21,898			Yes (X)
Nickolas Dobler
Physician Assist	50.00	0.00		$190,840	$0	$0			Yes (X)
Susan Shinkai
Pharmacist	41.00	0.00		$189,296	$0	$20,844			Yes (X)
Shane Tipton
Dir - Oncology	50.00	0.00		$181,852	$0	$20,658			Yes (X)
Kathleen Nguyen
Pharmacy Coord	42.00	0.00		$180,029	$0	$20,217			Yes (X)
Eller Jeff
Former President/CEO	0.00	0.00		$0	$882,487	$150,704				Yes (X)
Rebok Douglas
Former Asst Secretary	0.00	0.00		$0	$597,483	$29,043				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,243,162	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,034,960	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,212,063	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	172	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Sierra Emergency Medical Group
PO Box 4685	Sonora	CA	95370	Medical Group	$3,437,411
Sonora Anesthesia Services
PO Box 845	Sonora	CA	95370	Medical Group	$956,669
Medical Solutions
1010 N 102nd Street	Omaha	NE	68114	Temporary Staffing	$2,552,213
Sound Inpatient Physicians
1123 Pacific Ave	Tacoma	WA	98402	Medical Group	$1,260,211
Adventisth Health Physicians Network
2100 Douglas Blvd	Roseville	CA	95661	Medical Group	$1,173,602

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	69	CntrctRcvdGreaterThan100KCnt
Membership Dues	$2,264	MembershipDuesAmt
Fundraising	$13,025	FundraisingAmt
Related Organizations	$15,000	RelatedOrganizationsAmt
Government Grants	$18,303	GovernmentGrantsAmt
All Other Contributions	$1,752,319	AllOtherContributionsAmt
Total Contributions	$1,800,911	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
Patient Service Revenue	900099	$242,219,810	$242,219,810
Pharmacy	446110	$3,536,373		$3,536,373
EMR Incentives	900099	$1,806,269	$1,806,269
Dietary Service Revenue	722210	$573,736	$573,736
Rent - Medical Offices	531120	$284,156	$284,156

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$242,681	TotalRevenueColumnAmt
Related Or Exempt Func Income	$242,681	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$248,663,025	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,088,593	TotalRevenueColumnAmt
Exclusion	$2,088,593	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$180,454	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$180,454	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$180,454	TotalRevenueColumnAmt
Related Or Exempt Func Income	$180,454	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$228,375	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$13,025	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$50,655	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$177,720	TotalRevenueColumnAmt
Exclusion	$177,720	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Retail Pharmacy	446110	$79,458	$79,458
Sonora Oxygen Service	621610	$40,143	$40,143
Company Store	621990	$7,068	$7,068

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,093	TotalRevenueColumnAmt
Unrelated Business Revenue	$5,093	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$131,762	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$253,042,465	TotalRevenueColumnAmt
Related Or Exempt Func Income	$245,307,106	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$131,762	UnrelatedBusinessRevenueAmt
Exclusion	$5,802,686	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	$329,156	TotalAmt
Program Services	$329,156	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$149,189	TotalAmt
Program Services	$149,189	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$150,000	TotalAmt
Management And General	$150,000	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$80,386,105	TotalAmt
Program Services	$72,588,034	ProgramServicesAmt
Management And General	$7,627,699	ManagementAndGeneralAmt
Fundraising	$170,372	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,105,266	TotalAmt
Program Services	$3,105,266	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,765,161	TotalAmt
Program Services	$16,296,343	ProgramServicesAmt
Management And General	$2,427,792	ManagementAndGeneralAmt
Fundraising	$41,026	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,784,637	TotalAmt
Program Services	$5,229,861	ProgramServicesAmt
Management And General	$542,596	ManagementAndGeneralAmt
Fundraising	$12,180	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$696,535	TotalAmt
Management And General	$696,535	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$511,722	TotalAmt
Management And General	$511,722	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$2,000	TotalAmt
Fundraising	$2,000	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$29,004,245	TotalAmt
Program Services	$28,855,899	ProgramServicesAmt
Management And General	$148,346	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$522,412	TotalAmt
Management And General	$522,412	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,440,098	TotalAmt
Program Services	$1,544,902	ProgramServicesAmt
Management And General	$871,900	ManagementAndGeneralAmt
Fundraising	$23,296	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,760,559	TotalAmt
Program Services	$8,662,328	ProgramServicesAmt
Management And General	$94,204	ManagementAndGeneralAmt
Fundraising	$4,027	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,111,099	TotalAmt
Program Services	$5,667,796	ProgramServicesAmt
Management And General	$443,303	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$553,341	TotalAmt
Program Services	$387,847	ProgramServicesAmt
Management And General	$163,550	ManagementAndGeneralAmt
Fundraising	$1,944	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$238,148	TotalAmt
Program Services	$172,829	ProgramServicesAmt
Management And General	$65,319	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,509,031	TotalAmt
Program Services	$1,509,031	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,330,652	TotalAmt
Program Services	$6,282,676	ProgramServicesAmt
Management And General	$46,116	ManagementAndGeneralAmt
Fundraising	$1,860	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$778,317	TotalAmt
Program Services	$778,317	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Pt care supplies	$35,258,555	$35,258,555
Purchased services	$22,030,026	$11,958,394	$9,859,897	$211,735
Miscellaneous	$472,460	$395,535	$76,925
Equipment rentals	$282,640	$273,967	$7,438	$1,235

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$224,171,354	TotalAmt
Program Services	$199,445,925	ProgramServicesAmt
Management And General	$24,255,754	ManagementAndGeneralAmt
Fundraising	$469,675	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,105,529	BOYAmt
EOY	$250,267	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$59,340,670	BOYAmt
EOY	$90,056,819	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$488,790	BOYAmt
EOY	$1,097,764	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$27,383,757	BOYAmt
EOY	$26,065,905	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,320,424	BOYAmt
EOY	$3,421,382	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$857,727	BOYAmt
EOY	$763,672	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$117,760,859	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$64,017,248	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$53,768,780	BOYAmt
EOY	$53,743,611	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,420,956	BOYAmt
EOY	$6,642,150	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$433,978	BOYAmt
EOY	$433,978	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$10,795,834	BOYAmt
EOY	$3,585,950	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$158,916,445	BOYAmt
EOY	$186,061,498	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$12,943,121	BOYAmt
EOY	$14,127,404	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$170,434	BOYAmt
EOY	$712	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$2,742,997	BOYAmt
EOY	$2,035,210	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$44,643,044	BOYAmt
EOY	$44,440,939	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$60,499,596	BOYAmt
EOY	$60,604,265	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$96,441,031	BOYAmt
EOY	$122,123,419	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,975,818	BOYAmt
EOY	$3,333,814	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$98,416,849	BOYAmt
EOY	$125,457,233	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$158,916,445	BOYAmt
EOY	$186,061,498	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$28,871,111	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$1,830,727	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Church	Yes (X)	ChurchInd

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)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$11,553	OtherActivitiesAmt
Total Lobbying Expenditures	$11,553	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1i - Other Activities Description	FormAndLineReferenceDesc
Explanation	A portion of industry association dues is allocated to lobbying activities.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,975,818	BeginningYearBalanceAmt
Contributions	$1,766,110	ContributionsAmt
Grants Or Scholarships	$60,789	GrantsOrScholarshipsAmt
Other Expenditures	$347,325	OtherExpendituresAmt
End Year Balance	$3,333,814	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,054,045	BeginningYearBalanceAmt
Contributions	$1,389,642	ContributionsAmt
Grants Or Scholarships	$140,470	GrantsOrScholarshipsAmt
Other Expenditures	$327,399	OtherExpendituresAmt
End Year Balance	$1,975,818	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$993,956	BeginningYearBalanceAmt
Contributions	$514,739	ContributionsAmt
Grants Or Scholarships	$134,134	GrantsOrScholarshipsAmt
Other Expenditures	$320,516	OtherExpendituresAmt
End Year Balance	$1,054,045	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$887,815	BeginningYearBalanceAmt
Contributions	$497,849	ContributionsAmt
Grants Or Scholarships	$98,743	GrantsOrScholarshipsAmt
Other Expenditures	$292,965	OtherExpendituresAmt
End Year Balance	$993,956	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$905,304	BeginningYearBalanceAmt
Contributions	$378,471	ContributionsAmt
Grants Or Scholarships	$50,891	GrantsOrScholarshipsAmt
Other Expenditures	$345,069	OtherExpendituresAmt
End Year Balance	$887,815	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	false	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,197,795	OtherCostOrOtherBasisAmt
Book Value	$6,197,795	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$60,865,548	OtherCostOrOtherBasisAmt
Depreciation	$28,914,624	DepreciationAmt
Book Value	$31,950,924	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,373,780	OtherCostOrOtherBasisAmt
Depreciation	$2,406,675	DepreciationAmt
Book Value	$967,105	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,214,548	OtherCostOrOtherBasisAmt
Depreciation	$30,453,834	DepreciationAmt
Book Value	$7,760,714	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,109,188	OtherCostOrOtherBasisAmt
Depreciation	$2,242,115	DepreciationAmt
Book Value	$6,867,073	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$53,743,611	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Payables to related orgs	$36,302,136
Workers' comp liability	$6,259,443
Other liabilities	$184,670
Payables to third party payors	$1,694,690

Field	Value	IRS element (for citing)
Total Liability	$44,440,939	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Line 4: Intended uses of the endowment fund.	FormAndLineReferenceDesc
Explanation	Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended.	ExplanationTxt

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd
Licensed States	CA	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Gala	Event1Nm
Gross Receipts Event1	$158,525	GrossReceiptsEvent1Amt
Charitable Contri Event1	$10,500	CharitableContriEvent1Amt
Gross Revenue Event1	$148,025	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$3,600	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$16,624	FoodAndBeverageEvent1Amt
Entertainment Event1	$800	EntertainmentEvent1Amt
Other Direct Expenses Event1	$9,501	OtherDirectExpensesEvent1Amt
Event2	Golf Tournament	Event2Nm
Gross Receipts Event2	$82,875	GrossReceiptsEvent2Amt
Charitable Contri Event2	$2,525	CharitableContriEvent2Amt
Gross Revenue Event2	$80,350	GrossRevenueEvent2Amt
Cash Prizes Event2	$1,600	CashPrizesEvent2Amt
Non Cash Prizes Event2	$4,078	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$6,200	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$4,825	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$3,427	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$241,400	GrossReceiptsTotalAmt
Charitable Contributions Tot	$13,025	CharitableContributionsTotAmt
Gross Revenue Total Events	$228,375	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$1,600	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$4,078	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$9,800	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$21,449	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$800	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$12,928	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$50,655	DirectExpenseSummaryEventsAmt
Net Income Summary	$177,720	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$925,529	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$925,529	NetCommunityBenefitExpnsAmt
Total Expense	0.00410	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,550,716	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,953,630	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$6,402,914	NetCommunityBenefitExpnsAmt

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,363	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$76,134	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$67,771	NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,484,608	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,029,764	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$5,545,156	NetCommunityBenefitExpnsAmt
Total Expense	0.00410	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$356,604	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$140,622	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$215,982	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$317,931	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$317,931	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$674,535	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$140,622	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$533,913	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,159,143	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,170,386	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$5,011,243	NetCommunityBenefitExpnsAmt
Total Expense	0.00650	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,114	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,190	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,924	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,114	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,190	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,924	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,545,518	BadDebtExpenseAmt
Bad Debt Expense Attributable	$415,435	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$94,436,581	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$97,441,860	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,005,279	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	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	Sonora Regional Medical Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 Greenley Rd	AddressLine1Txt
City	Sonora	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95370	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.sonoramedicalcenter.org	WebsiteAddressTxt
State License	030000094	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	www.co.tuolumne.ca.us	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.adventisthealth.org/sonora-regional/Documents/So	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 5 - Account Input from Persons Who Represent the Community	The data collection process of the CHNA included an initial meeting of the Tuolumne County Community Health Assessment (TCCHA) Steering Committee to plan a TCCHA project. The Steering Committee consisted of local community leaders including business owners, non-profit executive directors, seniors, county and state social service directors, health care providers, community members and law enforcement. The committee members dedicated their time, knowledge, expertise and resources throughout the 10-month process.
Part V, Line 7d - Description of Making Needs Assessment Widely Available	The full URL for locating the Community Health Needs Assessment on the hospital's website is: https://www.adventisthealth.org/sonora-regional/Documents/Sonora%20CHNA.pdfThe full URL for locating the Community Health Needs Assessment on the Tuolumne County Public Health website is: http://www.co.tuolumne.ca.us/DocumentCenter/View/2740The full URL for locating the Community Health Plan (implementation strategy) on the hospital's website is: https://www.adventisthealth.org/sonora-regional/Documents/Sonora%20Regional%20Medical%20Center%202013%20Community%20Health%20Plan.pdfSoftware limitations prevented these full URLs from displaying on Schedule H Part V.
Part V, Line 16i - Other Means Hospital Facility Publicized the Policy	Plain language summary of the hospital's financial assistance policy was located at http://www.sonoramedicalcenter.org/about-us/patient-financial-services. The summary is now located at https://www.adventisthealth.org/sonora-regional/pages/patients-and-visitors/financial-services.aspx.

Field	Value	IRS element (for citing)
Facility	41	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (41 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Forest Rd Health and Wellness Center
193 Fairview Ln	Sonora	CA	95370	Primary, Specialty, Dental and Urgent Care Clinic
Sonora Regional Home Health & Hospice
20100 Cedar Rd N	Sonora	CA	95370	Home Health Agency
Sonora Regional Surgery Center
905 Morning Star Dr	Sonora	CA	95370	Outpatient Surgery Center
Sonora Convalescent Center
179 S Fairview Ln	Sonora	CA	95370	Long-Term Skilled Nursing Facility
Sonora Care Center
538 Ponderosa Dr	Sonora	CA	95370	Long-Term Skilled Nursing Facility
Sonora Regional Imaging Center
12811 Covey Cir	Sonora	CA	95370	Diagnostic Imaging Center
Community Pharmacy Greenley Road
900 Greenley Rd Ste 912	Sonora	CA	95370	Outpatient Pharmacy
Radiation Oncology
900 Greenley Rd Ste 901	Sonora	CA	95370	Radiation Therapy Center
Sierra Orthopedic Institute
680 Guzzi Ln Ste 105	Sonora	CA	95370	Specialty Care Clinic
Bones Physicial Therapy
13808 Mono Wy	Sonora	CA	95370	Outpatient Physical Therapy Services
Sonora Oxygen and Medical Supply
358 W Stockton St	Sonora	CA	95370	Oxygen and Durable Medical Equipment Supplier
Community Pharmacy Forest Road
193 S Fairview Ln Ste A	Sonora	CA	95370	Outpatient Pharmacy
Sierra Cardiology
900 Greenley Rd Ste 911	Sonora	CA	95370	Specialty Care Clinic
Foothill Specialty Group
680 Guzzi Ln Ste 206	Sonora	CA	95370	Specialty Care Clinic
Indian Rock Prompt Care
14540 Mono Wy	Sonora	CA	95370	Urgent Care Clinic
Sierra OBGYN
680 Guzzi Ln Ste 106	Sonora	CA	95370	Specialty Care Clinic
Greenley Oaks Ear Nose and Throat
795 Morningstar Dr	Sonora	CA	95370	Specialty Care Clinic
Yosemite Joint Replacement
680 Guzzi Ln Ste 102	Sonora	CA	95370	Specialty Care Clinic
Center for Wound Care
12811 Covey Cir	Sonora	CA	95370	Wound Care Clinic
Foothill Pediatrics
12791 Cabezut Rd	Sonora	CA	95370	Primary Care Clinic
Angels Camp Prompt Care
23 N Main St	Angels Camp	CA	95222	Urgent Care Clinic
Community Infusion Center
900 Greenley Rd	Sonora	CA	95370	Outpatient Services
Hillside Internal Medicine
690 Guzzi Ln Ste B	Sonora	CA	95370	Primary Care Clinic
Sierra Surgical Associates
680 Guzzi Ln Ste 204	Sonora	CA	95370	Specialty Care Clinic
Anticoagulation Clinic
193 S Fairview Ln Ste L	Sonora	CA	95370	Outpatient Services
Angels Camp Family Medical Center
445 S Main St	Angels Camp	CA	95222	Primary Care Clinic
Sierra Internal Medicine Center
900 Greenley Rd Ste 922	Sonora	CA	95370	Primary Care Clinic
Sierra Internal Medicine #2
680 Guzzi Lane Ste 201	Sonora	CA	95370	Primary Care Clinic
Greenley Primary Care
19747 Greenley Rd Ste S2	Sonora	CA	95370	Primary Care Clinic
Angels Camp Orthopedics
23 N Main St	Angels Camp	CA	95222	Specialty Care Clinic
Angels Camp Physicial Therapy
467 S Main St	Angels Camp	CA	95222	Outpatient Physical Therapy Services
Job Care Occupational Health Clinic
19747 Greenley Rd Ste S2	Sonora	CA	95370	Occupational Health Clinic
Cedarwood Internal Medicine Center
690 Guzzi Ln Ste A	Sonora	CA	95370	Primary Care Clinic
Transitional Care Unit
179 S Fairview Ln	Sonora	CA	95370	Skilled Nursing Facility
Groveland Family Medical Center
18661 Hwy 120	Groveland	CA	95321	Primary Care Clinic
Sierra Pulmonology
680 Guzzi Ln Ste 201	Sonora	CA	95370	Specialty Care Clinic
Sierra Cancer Center
900 Greenley Rd Ste 902	Sonora	CA	95370	Specialty Care Clinic
Mountain Medical Family Practice
680 Guzzi Ln Ste 101	Sonora	CA	95370	Primary Care Clinic
Cardiac and Pulmonary Rehab
19747 Greenley Rd	Sonora	CA	95370	Outpatient Services
Arnold Family Medical Center
2037 Hwy 4	Arnold	CA	95223	Primary Care Clinic
Sonora Regional Home Health Angels Camp
467 S Main St	Angels Camp	CA	95222	Home Health Agency

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7 - Explanation of Costing Methodology	The costs were determined by using a cost-to-charge ratio. The cost-to-charge computation is based on hospital specific data included in the system-wide combined audited financial statements. The formula used for computation equals financial statement data as follows:(Total expenses - (Provision for bad debts + Other revenue + Interest income)) / Gross patient charges
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	Uncollected patient accounts are analyzed using written patient financial services policies that apply standard procedures for all patient accounts. The result of the analysis is what is recognized as bad debt expense. For example, all self-pay patients receive a discount. If the discounted account is unpaid after collection efforts, the unpaid balance is classified as bad debt. The cost-to-charge ratio described for Part I, Line 7 is multiplied times the hospital's bad debt expense as reported in the system-wide combined audited financial statements. The resulting figure has been reported as bad debts at cost on Part III, Line 2.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit	The portion of the bad debts attributed to charity care as reported on Part III, Line 3 was calculated by an independent third-party consulting firm. This is an estimate of additional charity care that would have been granted if patients had cooperated by furnishing family financial information. A statistically valid sampling of patient accounts written-off was evaluated. The evaluation used various factors to determine which patients would have been eligible for charity care. Had the hospital obtained sufficient information from all patients who qualified for financial assistance, these additional accounts would have been recorded as charity care instead of bad debt.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	Medicare shortfall should be considered a community benefit because our mission is to promote health in the community and we do not limit the care available to any patients, including those covered by Medicare. We are relieving a government burden by providing care to Medicare patients even though costs exceed reimbursement. Tax-exempt hospitals are expected to participate in the Medicare program.Reconciliation of Medicare Revenue from the hospital's Medicare Cost Report to GL: Medicare Cost Report Revenue* 88,865,703 Prior Year Settlements 2,137,169 Cost Report Reimbursable Bad Debts 589,321 Estimates and Accrual Variances (267,381) Other 3,111,769 Subtotal - Amount reported in Pt III, Ln 5 94,436,581 Amounts included in Pt I, Lns g and f 0 Total Medicare Revenue 94,436,581* Note: The Medicare Cost Report revenue does not include the bad debt reimbursement. The Cost Report revenue does include the patient co-pay and deductible amounts. Adding the bad debt reimbursement would have duplicated the revenue already accounted for in the co-pay and deductible amounts.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	When a patient has requested screening for charity care, the hospital must immediately cease collection activity and place the account in a charity pending status. If 100% charity is approved, the entire account balance is written off to charity care. If the patient has a sliding scale liability based on the federal poverty guidelines, they are billed only for that liability. If the patient fails to pay their after-charity liability, they are assigned to a collection agency with an identifier that indicates to the agency that the patient is "low income" and the following criteria must be followed by the agency:1. They may not report the patient to a credit bureau2. They may not file a lawsuit to recover the outstanding liability3. They may not charge interest
Part VI - Needs Assessment	The health system retains outside research firms every 3 years to assess changes in the market and community perception. Data is collected through a variety of vehicles, including phone surveys, paper surveys, and focus groups. Questions were added to the survey to help assess the impact of our community benefit activities and residents' barriers to access for health care services as well as unmet community needs.
Part VI - Patient Education of Eligibility for Assistance	At the time of registration, patients who are uninsured and underinsured are provided information about government healthcare programs. Patients also are orally informed of their right to request charity assistance. Signs are displayed in the patient business office, patient registration areas and the emergency room in multiple languages informing patients of this right as well. The hospital also provides a brochure during the registration process that explains the hospital billing and collection procedures, and how to request financial assistance. In addition, every billing statement sent to patients contains information on how to request financial assistance.
Part VI - Community Information	The hospital is the only health care system in the area serving two counties and surrounding areas. In early 2009 the hospital was designated as a "sole community hospital" by Medicare. The area is rural. Agriculture, logging and tourism are the major employment opportunities. The population includes a large number of retired individuals.
Part VI - Community Building Activities	Our hospital is involved in numerous community building activities which promote the health of the communities it serves. Numerous community concerns are addressed, including health improvement, education, poverty, workforce development and access to care. We also encourage our employees to serve on community collaboration boards, health advocacy programs, and physical improvement projects to promote the health of the communities we serve. And, we work with neighborhood programs, including schools, work sites and safety net providers to promote health and wellness and prevent disease. These activities are not included elsewhere on Schedule H.
Part VI - Explanation Of How Organization Furthers Its Exempt Purpose	The hospital continues to operate its 24-hour emergency department. The hospital has open medical staff to all qualified individuals. The hospital continues to expand its primary care outreach program through outpatient clinics, including a mobile clinic. The hospital operates skilled nursing facilities, which serve those who are unable to continue living without assistance due chronic medical conditions.
Part VI - Affilated Health Care System Roles and Promotion	The hospital is a member of Adventist Health, a health care system which provides healthcare services in diverse markets within the Western United States. A member hospital may share some services with other member hospitals in its geographic area, such as clinical, management and support services. Using today's technology, hospitals outside the geographic area are able to provide support through remote services such as telepharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk management, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate administrative support for hospital affiliated medical groups that engage physicians through employment or other contracts. This provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communites served by all member hospitals.
Part VI - States Where Community Benefit Report Filed	CA
Part VI - Additional Information	Part I, Line 7b, Column(e) reflects the net amounts received for the rural health clinic(s) operated by the hospital in its rural service area for the benefit of the underserved population who would otherwise not have access to health care. The rural health clinic(s) may also offer dental and mental health services, which are frequently not readily obtainable by the underserved population.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	IRC SectionIRCSectionDesc
CA Hlth Fnd & Trust
1215 K St Ste 800	Sacramento	CA	95814	941498697	$275,577	$0	Health services for un/underinsured
Foothill Pregnancy Center
427 N Highway 49 Ste 101	Sonora	CA	95370	770517719	$12,000	$0	Health services for un/underinsured	501(c)(3)
Mother Lode Adventist Jr Acad
80 Forest Rd	Sonora	CA	95370	770429142	$7,000	$0	Support education and outreach

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc
Transport and Assistance Cancer Pts	500	$97,065	Cash
Utilities, food, other emergency assist	250	$52,124	Cash

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Grantmaker's Description of How Grants are Used	FormAndLineReferenceDesc
Explanation	Prior to issuing grants, hospital evaluates organization requesting grant and ensures alignment with hospital's exempt purpose and mission. After disbursing grant funds, hospital does not monitor use of funds.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd
Rebuttable Presumption Proc	false	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt
Eller Jeff
Former President/CEO	$557,068	$166,235	$159,184	$120,354	$30,350	$1,033,191	$71,670
Rebok Douglas
Former Asst Secretary	$206,161	$198,734	$192,588	$16,180	$12,863	$626,526	$150,311
Andre Rossi
Dir - Pharmacy								$194,250	$6,743	$2,036	$11,990	$9,908	$224,927
Nickolas Dobler
Physician Assist								$87,641	$102,360	$839			$190,840
Susan Shinkai
Pharmacist								$178,745	$5,062	$5,489	$10,936	$9,908	$210,140
Shane Tipton
Dir - Oncology								$163,644	$16,395	$1,813	$10,750	$9,908	$202,510
Kathleen Nguyen
Pharmacy Coord								$179,903	$42	$84	$10,309	$9,908	$200,246
Wesley Rippey
Director			$126,608			$126,608
Scott Reiner
Dir/Chair	$962,984	$298,366	$264,690	$227,469	$34,190	$1,787,699	$182,145
Bill Wing
Dir/VCh/AsstSec	$814,628	$250,491	$180,369	$192,782	$35,618	$1,473,888	$130,871
Meredith Jobe
Secretary	$355,393	$98,178	$84,270	$74,975	$18,602	$631,418	$53,771
Jack Wagner
Asst Secretary	$775,339	$146,404	$134,782	$16,384	$25,040	$1,097,949
Rodney Wehtje
Asst Treasurer	$380,562	$109,398	$101,323	$34,588	$24,128	$649,999	$69,093
Andrew Jahn
President/CEO	$363,872	$101,633	$14,464	$64,696	$39,298	$583,963
Gregory McCulloch
Treas/Asst Sec	$227,484	$46,143	$10,227	$16,180	$34,103	$334,137
Julie Kline
Sr VP Pt Care Svcs	$225,902	$50,287	$46,647	$36,418	$23,948	$383,202	$29,530
Michelle Fuentes
VP Operations	$223,734	$35,818	$10,770	$16,180	$34,100	$320,602
Edward Clinite
CMO								$262,261		$35,855			$298,116

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	The hospital is organized as a not-for-profit religious corporation. The sole corporate member is Adventist Health System/West, a California not-for-profit religious corporation. The hospital operates as an affiliate of Adventist Health System/West.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	The hospital bylaws define its board of directors to be the same individuals who are members of the Adventist Health System/West board of directors. Adventist Health System/West, a California not-for-profit religious corporation, is the sole corporate member of the hospital.The sole corporate member, Adventist Health System/West, must approve all changes to the articles of incorporation and bylaws.
Form 990, Part VI, Line 11b: Form 990 Review Process	The completed Form 990 is shared with members of the hospital's board of directors by electronic communication for their review prior to filing. A special board meeting is scheduled to answer questions and receive input from the board after their review but prior to filing.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital officers, key employees and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation, to illustrate examples of a conflict and to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the CEO immediately. The corporate internal audit staff review these questionnaires and disclosures each year during the audit process.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	See explanation of process for setting CEO compensation below on Form 990, Part VI, Line 15b explanation.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	The hospital board of directors has established a Compensation Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, including salary ranges for hospital CEOs and CFOs, that would be indicated by the data; evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data.The board-approved executive compensation philosophy specifies that salary ranges will be established for hospital CEOs and executives, with midpoints aligned with the 50th percentile of comparable system hospital data, and having a 24 percent spread from minimum to maximum (industry norm is approximately a 50 percent spread). A hospital CEO has a maximum potential incentive of 30 percent of base salary. (This incentive potential is less than the industry norm.) Other hospital executives have a maximum potential incentive of 20 percent of base salary.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	The hospital does not make its governing documents publicly available, beyond required filings of articles of incorporation with the secretary of state. The hospital does not make its conflict of interest policy available. The hospital files monthly/quarterly summary financial reports with the state health-planning agency that are open to public review.
Other Changes In Net Assets Or Fund Balances - Other Decreases	Transfers to related organizations = -$1830727

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Adventist Health SystemWest
2100 Douglas Blvd	Roseville	CA	95661	953484589	Support / manage system-wide activities	CA	501(c)(3)	1	NA	false
Adventist Health Clearlake Hospital
Ave 18 at Hwy 53	Clearlake	CA	95422	680395149	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Castle Medical Center
640 Ulukahiki St	Kailua	HI	96734	990107330	Hospital	HI	501(c)(3)	1	Adventist Health SystemWest	false
Central Valley General Hospital
1025 N Douty St	Hanford	CA	93230	770324630	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Feather River Hospital
5974 Pentz Rd	Paradise	CA	95969	941101228	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Glendale Adventist Medical Center
1509 Wilson Terrace	Glendale	CA	91206	951816017	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Hanford Community Hospital
450 Greenfield Ave	Hanford	CA	93230	940535360	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
NW Medical Foundation of Tillamook
1000 Third St	Tillamook	OR	97141	930622075	Hospital	OR	501(c)(3)	1	Adventist Health SystemWest	false
Paradise Valley Hospital
2100 Douglas Blvd	Roseville	CA	95661	951816034	Wind down after sale of hospital facilities	CA	501(c)(3)	1	Adventist Health SystemWest	false
Portland Adventist Medical Center
10123 SE Market St	Portland	OR	97216	930429015	Hospital	OR	501(c)(3)	1	Adventist Health SystemWest	false
St Helena Hospital
10 Woodland Rd	St Helena	CA	94574	941279779	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
San Joaquin Community Hospital
2615 Chester Ave	Bakersfield	CA	93301	952294234	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Simi Valley Hospital & Health Care Svcs
2975 N Sycamore Dr	Simi Valley	CA	93065	956064971	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Ukiah Adventist Hospital
275 Hospital Dr	Ukiah	CA	95482	941639901	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Walla Walla General Hospital
1025 S Second St	Walla Walla	WA	99362	910617726	Hospital	WA	501(c)(3)	1	Adventist Health SystemWest	false
White Memorial Medical Center
1720 Cesar E Chavez Ave	Los Angeles	CA	90033	952282647	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Willits Hospital Inc
1 Marcela Dr	Willits	CA	95490	680108919	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Adventist Health Physicians Network
2100 Douglas Blvd	Roseville	CA	95661	680357690	Medical Foundation	CA	501(c)(3	11b, II	Adventist Health SystemWest	false
Reedley Community Hospital
372 W Cypress Ave	Reedley	CA	93654	453220509	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Western Health Resources
2100 Douglas Blvd	Roseville	CA	95661	953867863	Home care	CA	501(c)(3)	1	Adventist Health SystemWest	false
Lodi Memorial Hospital Association Inc
975 S Fairmont Ave	Lodi	CA	95240	941044474	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
South Coast Medical Center
2100 Douglas Blvd	Roseville	CA	95661	952037291	Wind down after sale of hospital	CA	NA	C Corp	false
Adventist Health Plan Inc
2100 Douglas Blvd	Roseville	CA	95661	463833261	Insurance	CA	NA	C Corp	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd