SONORA COMMUNITY HOSPITAL: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- SONORA COMMUNITY HOSPITAL (EIN 94-1415069)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-18
- IRS object ID
- 201523229349300812
- Schema version
- 2014v5.0
- 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 | 2015-11-18T18:37:41-08:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | 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 | 2015-11-18 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Andrew Jahn | PrincipalOfficerNm |
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) |
|---|---|---|
| Gross Receipts | $236,852,713 | 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 | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1565 | TotalEmployeeCnt |
| Total Volunteers | 184 | TotalVolunteersCnt |
| Total Gross UBI | $139,769 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $9,832 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,389,535 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,339,443 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $207,351,153 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $233,307,879 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,593,058 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,872,007 | CYInvestmentIncomeAmt |
| PY Other Revenue | $250,646 | PYOtherRevenueAmt |
| CY Other Revenue | $281,702 | CYOtherRevenueAmt |
| PY Total Revenue | $210,584,392 | PYTotalRevenueAmt |
| CY Total Revenue | $236,801,031 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $160,644 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,103,340 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $94,878,237 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $100,996,577 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $87,172 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $2,000 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $497,606 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $100,639,115 | PYOtherExpensesAmt |
| CY Other Expenses | $112,285,742 | CYOtherExpensesAmt |
| PY Total Expenses | $195,765,168 | PYTotalExpensesAmt |
| CY Total Expenses | $214,387,659 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $14,819,224 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $22,413,372 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $143,898,807 | TotalAssetsBOYAmt |
| Total Assets EOY | $158,916,445 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $64,896,691 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $60,499,596 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $79,002,116 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $98,416,849 | 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 | $189,406,285 | ExpenseAmt |
| Grant | $1,103,341 | GrantAmt |
| Revenue | $230,110,090 | 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 2014 were provided to approximately 5,494 patients. These services included:- Babies: 533 deliveries- Surgeries: 3,175 hours- Radiology: 13,158 procedures - Laboratory tests: 153,283 tests Outpatient services in 2014 were provided to about 287,000 patients. Including:- Emergency room: 27,565 visits- Outpatient surgeries: 4,574 hours- Radiology procedures: 70,008 performed- Laboratory tests: 279,363 performed- Medical clinics: 173,010 visitsSonora Community Hospital provides home care services in its surrounding communities. In 2014, we made 33,691 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 2014, we provided 12,287 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 $29,205 to 28 non-profit community service organizations in 2014. | Desc |
| Total Program Service Expenses | $189,406,285 | 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 | Yes (true) | 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 | 183 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1565 | 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 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 |
|---|---|---|---|---|---|---|---|---|---|
| Larry Caviness | |||||||||
| Director | 0.00 | 2.00 | Yes (X) | $0 | $3,081 | $0 | |||
| Charles Dickinson | |||||||||
| Director | 0.00 | 2.00 | Yes (X) | $0 | $6,340 | $0 | |||
| Ruthita Fike | |||||||||
| Director | 0.00 | 2.00 | Yes (X) | $0 | $2,050 | $0 | |||
| Christine Friestad | |||||||||
| Director | 0.00 | 2.00 | Yes (X) | $0 | $2,557 | $0 | |||
| Melody Gabriel | |||||||||
| Director | 0.00 | 2.00 | Yes (X) | $0 | $2,388 | $0 | |||
| Ricardo Graham | |||||||||
| Director | 0.00 | 2.00 | Yes (X) | $0 | $7,573 | $0 | |||
| Kerry Heinrich | |||||||||
| Director | 0.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Larry Innocent | |||||||||
| Director | 0.00 | 2.00 | Yes (X) | $0 | $2,388 | $0 | |||
| Helmuth Jones | |||||||||
| Director | 0.00 | 2.00 | Yes (X) | $0 | $83,882 | $0 | |||
| Allan Reimche | |||||||||
| Director | 0.00 | 2.00 | Yes (X) | $0 | $3,958 | $0 | |||
| Wesley Rippey | |||||||||
| Director | 0.00 | 2.00 | Yes (X) | $0 | $116,805 | $0 | |||
| Max Torkelsen | |||||||||
| Director | 0.00 | 2.00 | Yes (X) | $0 | $3,731 | $0 | |||
| Robert Carmen | |||||||||
| Dir/Chair | 0.00 | 50.00 | Yes (X) | $0 | $440,880 | $14,928 | Yes (X) | ||
| Scott Reiner | |||||||||
| Dir/Chair | 0.00 | 50.00 | Yes (X) | $0 | $1,256,086 | $211,057 | Yes (X) | ||
| Bill Wing | |||||||||
| Dir/VCh/AsstSec | 0.00 | 50.00 | Yes (X) | $0 | $903,909 | $198,325 | Yes (X) | ||
| Meredith Jobe Esq | |||||||||
| Secretary | 0.00 | 50.00 | $0 | $432,115 | $83,255 | Yes (X) | |||
| Jack Wagner | |||||||||
| Asst Secretary | 0.00 | 50.00 | $0 | $535,352 | $27,472 | Yes (X) | |||
| Douglas Rebok | |||||||||
| Asst Secretary | 0.00 | 50.00 | $0 | $800,609 | $156,007 | Yes (X) | |||
| Rodney Wehtje | |||||||||
| Asst Treasurer | 0.00 | 50.00 | $0 | $1,607,163 | $97,250 | Yes (X) | |||
| Jeff Eller | |||||||||
| President/CEO | 50.00 | 0.00 | $0 | $737,409 | $132,908 | Yes (X) | |||
| Andrew Jahn | |||||||||
| Pres/CEO/Treas | 50.00 | 0.00 | $0 | $365,024 | $76,907 | Yes (X) | |||
| Gregory McCulloch | |||||||||
| Treas/CFO/VPFin | 50.00 | 0.00 | $0 | $255,995 | $43,218 | Yes (X) | |||
| Julie Kline | |||||||||
| Sr VP Pt Care Svcs | 50.00 | 0.00 | $0 | $291,425 | $52,862 | Yes (X) | |||
| Michelle Fuentes | |||||||||
| VP Operations | 50.00 | 0.00 | $0 | $206,240 | $28,915 | Yes (X) | |||
| Rick Dodds | |||||||||
| VP HR | 50.00 | 0.00 | $0 | $35,985 | $4,875 | Yes (X) | |||
| Edward Clinite | |||||||||
| CMO | 20.00 | 0.00 | $323,536 | $0 | $0 | Yes (X) | |||
| Jeph Solo | |||||||||
| Lead Surgery RN | 53.00 | 0.00 | $211,281 | $0 | $22,444 | Yes (X) | |||
| Nickolas Dobler | |||||||||
| Physician Assist | 50.00 | 0.00 | $181,430 | $0 | $19,487 | Yes (X) | |||
| John Frank | |||||||||
| Pharmacist | 41.00 | 0.00 | $181,346 | $0 | $23,929 | Yes (X) | |||
| Susan Shinkai | |||||||||
| Pharmacist | 38.00 | 0.00 | $176,328 | $0 | $19,989 | Yes (X) | |||
| Katherine Anderson | |||||||||
| Registered Nurse | 48.00 | 0.00 | $175,407 | $0 | $19,907 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,249,328 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,102,945 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,233,735 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 163 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | 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 | $3,247,387 |
| Sonora Anesthesia Services | |||||
| PO Box 845 | Sonora | CA | 95370 | Medical Group | $992,276 |
| Medical Solutions | |||||
| 1010 N 102nd Street | Omaha | NE | 68114 | Temporary Staffing | $1,096,522 |
| Sound Inpatient Physicians | |||||
| 1123 Pacific Ave | Tacoma | WA | 98402 | Medical Group | $1,279,526 |
| Adventisth Health Physicians Network | |||||
| 2100 Douglas Blvd | Roseville | CA | 95661 | Medical Group | $954,558 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 73 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $1,680 | MembershipDuesAmt |
| Fundraising | $29,200 | FundraisingAmt |
| Government Grants | $43,174 | GovernmentGrantsAmt |
| All Other Contributions | $1,265,389 | AllOtherContributionsAmt |
| Total Contributions | $1,339,443 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Dietary Service Revenue | 722210 | $547,564 | $547,564 | |
| EMR Incentives | 900099 | $1,652,545 | $1,652,545 | |
| Patient Service Revenue | 900099 | $226,954,740 | $226,954,740 | |
| Pharmacy | 446110 | $3,646,453 | $3,646,453 | |
| Rent - Medical Offices | 531120 | $413,880 | $413,880 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $92,697 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $92,697 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $233,307,879 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,423,343 | TotalRevenueColumnAmt |
| Exclusion | $1,423,343 | 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 | $454,144 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,480 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $448,664 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $448,664 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $448,664 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $188,135 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $29,200 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $46,202 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $141,933 | TotalRevenueColumnAmt |
| Exclusion | $141,933 | 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 |
|---|---|---|---|
| Company Store | 621990 | $16,444 | $16,444 |
| Retail Pharmacy | 446110 | $78,436 | $78,436 |
| Sonora Oxygen Service | 621610 | $43,689 | $43,689 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,200 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $1,200 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $139,769 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $236,801,031 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $230,110,090 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $139,769 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,211,729 | 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 | $962,870 | TotalAmt |
| Program Services | $962,870 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,470 | TotalAmt |
| Program Services | $140,470 | 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 | $137,500 | TotalAmt |
| Program Services | $137,500 | ProgramServicesAmt |
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 | $73,885,649 | TotalAmt |
| Program Services | $66,073,197 | ProgramServicesAmt |
| Management And General | $7,642,949 | ManagementAndGeneralAmt |
| Fundraising | $169,503 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,829,121 | TotalAmt |
| Program Services | $2,829,121 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,812,828 | TotalAmt |
| Program Services | $16,608,986 | ProgramServicesAmt |
| Management And General | $2,168,318 | ManagementAndGeneralAmt |
| Fundraising | $35,524 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,331,479 | TotalAmt |
| Program Services | $4,785,890 | ProgramServicesAmt |
| Management And General | $533,313 | ManagementAndGeneralAmt |
| Fundraising | $12,276 | 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 | $584,961 | TotalAmt |
| Management And General | $584,961 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $509,649 | TotalAmt |
| Management And General | $509,649 | 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 | $26,766,042 | TotalAmt |
| Program Services | $26,440,584 | ProgramServicesAmt |
| Management And General | $325,458 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $478,432 | TotalAmt |
| Management And General | $478,432 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,735,596 | TotalAmt |
| Program Services | $1,852,248 | ProgramServicesAmt |
| Management And General | $860,857 | ManagementAndGeneralAmt |
| Fundraising | $22,491 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,762,630 | TotalAmt |
| Program Services | $8,585,503 | ProgramServicesAmt |
| Management And General | $174,180 | ManagementAndGeneralAmt |
| Fundraising | $2,947 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,375,081 | TotalAmt |
| Program Services | $5,920,822 | ProgramServicesAmt |
| Management And General | $454,259 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $667,568 | TotalAmt |
| Program Services | $431,507 | ProgramServicesAmt |
| Management And General | $234,853 | ManagementAndGeneralAmt |
| Fundraising | $1,208 | 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 | $231,260 | TotalAmt |
| Program Services | $179,167 | ProgramServicesAmt |
| Management And General | $51,482 | ManagementAndGeneralAmt |
| Fundraising | $611 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,706,987 | TotalAmt |
| Program Services | $1,706,987 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,985,612 | TotalAmt |
| Program Services | $5,965,937 | ProgramServicesAmt |
| Management And General | $17,815 | ManagementAndGeneralAmt |
| Fundraising | $1,860 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,198,562 | TotalAmt |
| Program Services | $1,198,562 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Pt care supplies | $33,566,036 | $33,566,036 | ||
| Purchased services | $21,776,642 | $11,194,168 | $10,333,288 | $249,186 |
| Miscellaneous | $539,555 | $441,947 | $97,608 | |
| Equipment rentals | $401,129 | $384,783 | $16,346 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $214,387,659 | TotalAmt |
| Program Services | $189,406,285 | ProgramServicesAmt |
| Management And General | $24,483,768 | ManagementAndGeneralAmt |
| Fundraising | $497,606 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $474,304 | BOYAmt |
| EOY | $1,105,529 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,374,492 | BOYAmt |
| EOY | $59,340,670 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $488,790 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,037,294 | BOYAmt |
| EOY | $27,383,757 | 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 | $3,015,586 | BOYAmt |
| EOY | $3,320,424 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,054,111 | BOYAmt |
| EOY | $857,727 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $114,361,383 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $60,592,603 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,902,842 | BOYAmt |
| EOY | $53,768,780 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,455,875 | BOYAmt |
| EOY | $1,420,956 | 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) |
|---|---|---|
| EOY | $433,978 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,584,303 | BOYAmt |
| EOY | $10,795,834 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,898,807 | BOYAmt |
| EOY | $158,916,445 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,613,140 | BOYAmt |
| EOY | $12,943,121 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $449,736 | BOYAmt |
| EOY | $170,434 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,052,818 | BOYAmt |
| EOY | $2,742,997 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,780,997 | BOYAmt |
| EOY | $44,643,044 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,896,691 | BOYAmt |
| EOY | $60,499,596 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,948,071 | BOYAmt |
| EOY | $96,441,031 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,054,045 | BOYAmt |
| EOY | $1,975,818 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,002,116 | BOYAmt |
| EOY | $98,416,849 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,898,807 | BOYAmt |
| EOY | $158,916,445 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $22,413,372 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$2,998,639 | 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 | $5,230 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,230 | 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 | $1,054,045 | 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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $708,131 | BeginningYearBalanceAmt |
| Contributions | $538,837 | ContributionsAmt |
| Other Expenditures | $341,664 | OtherExpendituresAmt |
| End Year Balance | $905,304 | 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 | $59,478,725 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,470,403 | DepreciationAmt |
| Book Value | $33,008,322 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,379,772 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,178,931 | DepreciationAmt |
| Book Value | $1,200,841 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $37,661,384 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,799,552 | DepreciationAmt |
| Book Value | $7,861,832 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,643,707 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,143,717 | DepreciationAmt |
| Book Value | $5,499,990 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $53,768,780 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other receivables | $180,381 |
| Receivables from 3rd party payors | $9,352,039 |
| Receivables from related orgs | $1,263,414 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,795,834 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Other liabilities | $184,670 |
| Payables to related orgs | $37,700,785 |
| Workers' comp liability | $6,757,589 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $44,643,044 | 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 | $138,525 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $23,200 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $115,325 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $2,800 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $14,638 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $200 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $9,762 | OtherDirectExpensesEvent1Amt |
| Event2 | Golf Tournament | Event2Nm |
| Gross Receipts Event2 | $78,810 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $6,000 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $72,810 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $1,500 | CashPrizesEvent2Amt |
| Non Cash Prizes Event2 | $4,633 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $10,350 | RentFacilityCostsEvent2Amt |
| Other Direct Expenses Event2 | $2,319 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $217,335 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $29,200 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $188,135 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $1,500 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $4,633 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $13,150 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $14,638 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $200 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $12,081 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $46,202 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $141,933 | 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 | $1,234,890 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,234,890 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00580 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,022,380 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $49,742,457 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$10,720,077 | NetCommunityBenefitExpnsAmt |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $272,362 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $169,656 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $102,706 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,529,632 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $49,912,113 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$9,382,481 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00630 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $394,883 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,888 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $362,995 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,982,196 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,025,057 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,957,139 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00910 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $962,871 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $962,871 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00450 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,339,950 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,056,945 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,283,005 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01530 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $54,869,582 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $60,969,058 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$6,099,476 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02160 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,608 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,652 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,956 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,608 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,652 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,956 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,948,804 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $565,153 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $89,302,997 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $98,714,485 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$9,411,488 | 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
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sonora Regional Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.adventisthealth.org/sonora-regional/ | OwnWebsiteURLTxt |
| 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 Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| 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 | ||||
| 193 Fairview Ln | Sonora | CA | 95370 | Primary, Specialty, Dental and Urgent Care Clinic |
| Sonora Regional Surgery Center | ||||
| 905 Morning Star Dr | Sonora | CA | 95370 | Outpatient Surgery Center |
| Sonora Regional Home Health Angels Camp | ||||
| 467 S Main St | Angels Camp | CA | 95222 | Home Health Agency |
| Sonora Regional Home Health | ||||
| 20100 Cedar Rd N | Sonora | CA | 95370 | Home Health Agency |
| Sonora Regional Imaging Center | ||||
| 12811 Covey Cir | Sonora | CA | 95370 | Diagnostic Imaging Center |
| Sonora Care Center | ||||
| 538 Ponderosa Dr | Sonora | CA | 95370 | Skilled Nursing Facility |
| Transitional Care Unit | ||||
| 179 S Fairview Ln | Sonora | CA | 95370 | Skilled Nursing Facility |
| 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 |
| 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 |
| Community Pharmacy Forest Road | ||||
| 193 S Fairview Ln Ste A | Sonora | CA | 95370 | Outpatient Pharmacy |
| Greenley Oaks Ear Nose and Throat | ||||
| 795 Morningstar Dr | Sonora | CA | 95370 | Specialty Care Clinic |
| Sierra Internal Medicine Center | ||||
| 900 Greenley Rd Ste 922 | Sonora | CA | 95370 | Primary Care Clinic |
| Sonora Oxygen and Medical Supply | ||||
| 358 W Stockton St | Sonora | CA | 95370 | Oxygen and Durable Medical Equipment Supplier |
| 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 |
| Yosemite Joint Replacement | ||||
| 680 Guzzi Ln Ste 102 | Sonora | CA | 95370 | Specialty Care Clinic |
| Foothill Pediatrics | ||||
| 12791 Cabezut Rd | Sonora | CA | 95370 | Primary Care Clinic |
| Sierra Surgical Associates | ||||
| 680 Guzzi Ln Ste 204 | Sonora | CA | 95370 | Specialty Care Clinic |
| Center for Wound Care | ||||
| 12811 Covey Cir | Sonora | CA | 95370 | Wound Care Clinic |
| Angels Camp Orthopedics | ||||
| 23 N Main St | Angels Camp | CA | 95222 | Specialty Care Clinic |
| Community Infusion Center | ||||
| 900 Greenley Rd | Sonora | CA | 95370 | Outpatient Services |
| Angels Camp Family Medical Center | ||||
| 445 S Main St | Angels Camp | CA | 95222 | Primary Care Clinic |
| Hillside Internal Medicine | ||||
| 690 Guzzi Ln Ste B | Sonora | CA | 95370 | Primary Care Clinic |
| Indian Rock Physicial Therapy | ||||
| 14540 Mono Wy Ste 130 | Sonora | CA | 95370 | Outpatient Physical Therapy Services |
| Sierra Cancer Center | ||||
| 900 Greenley Rd Ste 902 | Sonora | CA | 95370 | Specialty Care Clinic |
| Angels Camp Prompt Care | ||||
| 23 N Main St | Angels Camp | CA | 95222 | Urgent Care Clinic |
| Greenley Primary Care | ||||
| 19747 Greenley Rd Ste S2 | Sonora | CA | 95370 | Primary Care Clinic |
| Bones Physicial Therapy | ||||
| 13808 Mono Wy | Sonora | CA | 95370 | Outpatient Physical Therapy Services |
| Anticoagulation Clinic | ||||
| 193 S Fairview Ln Ste L | Sonora | CA | 95370 | Outpatient Services |
| Job Care Occupational Health Clinic | ||||
| 19747 Greenley Rd Ste S2 | Sonora | CA | 95370 | Occupational Health Clinic |
| Community Pharmacy Greenley Road | ||||
| 900 Greenley Rd Ste 912 | Sonora | CA | 95370 | Outpatient Pharmacy |
| Cedarwood Internal Medicine Center | ||||
| 690 Guzzi Ln Ste A | Sonora | CA | 95370 | Primary Care Clinic |
| Angels Camp Physicial Therapy | ||||
| 467 S Main St | Angels Camp | CA | 95222 | Outpatient Physical Therapy Services |
| Groveland Family Medical Center | ||||
| 18661 Hwy 120 | Groveland | CA | 95321 | Primary Care Clinic |
| Arnold Family Medical Center | ||||
| 2037 Hwy 4 | Arnold | CA | 95223 | Primary Care Clinic |
| Mountain Medical Family Practice | ||||
| 680 Guzzi Ln Ste 101 | Sonora | CA | 95370 | Primary Care Clinic |
| Sierra Vascular Surgery | ||||
| 690 Guzzi Ln Ste 104 | Sonora | CA | 95370 | Specialty Care Clinic |
| Sierra Pulmonology | ||||
| 680 Guzzi Ln Ste 201 | Sonora | CA | 95370 | Specialty Care Clinic |
| Cardiac and Pulmonary Rehab | ||||
| 19747 Greenley Rd | Sonora | CA | 95370 | Outpatient Services |
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* 84,870,127 Prior Year Settlements 784,462 Cost Report Reimbursable Bad Debts 706,425 Estimates and Accrual Variances 2,661 Other 2,939,322 Subtotal - Amount reported in Pt III, Ln 5 89,302,997 Amounts included in Pt I, Lns g and f 0 Total Medicare Revenue 89,302,997* 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
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CA Hlth Fnd & Trust | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1215 K St Ste 800 | AddressLine1Txt |
| City | Sacramento | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95814 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 941498697 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $933,665 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | Hlth srvs uninsured/underinsured pt | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | 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 | $113,465 | Cash |
| Utilities, food, other emergency assist | 250 | $27,005 | 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 | false | 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 | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Andrew Jahn | |||||||||||||
| Pres/CEO/Treas | $311,200 | $22,899 | $30,925 | $44,086 | $32,821 | $441,931 | |||||||
| Bill Wing | |||||||||||||
| Dir/VCh/AsstSec | $740,333 | $163,576 | $168,721 | $29,604 | $1,102,234 | $118,557 | |||||||
| Douglas Rebok | |||||||||||||
| Asst Secretary | $588,532 | $212,077 | $131,335 | $24,672 | $956,616 | $122,223 | |||||||
| Edward Clinite | |||||||||||||
| CMO | $274,232 | $4,235 | $45,069 | $323,536 | |||||||||
| Gregory McCulloch | |||||||||||||
| Treas/CFO/VPFin | $197,719 | $25,000 | $33,276 | $14,504 | $28,714 | $299,213 | |||||||
| Jack Wagner | |||||||||||||
| Asst Secretary | $433,694 | $101,658 | $10,660 | $16,812 | $562,824 | ||||||||
| Jeff Eller | |||||||||||||
| President/CEO | $513,652 | $58,484 | $165,273 | $95,110 | $37,798 | $870,317 | $69,418 | ||||||
| Jeph Solo | |||||||||||||
| Lead Surgery RN | $203,780 | $6,307 | $1,194 | $233,725 | $12,520 | $9,924 | |||||||
| John Frank | |||||||||||||
| Pharmacist | $175,136 | $1,737 | $4,473 | $205,275 | $10,505 | $13,424 | |||||||
| Julie Kline | |||||||||||||
| Sr VP Pt Care Svcs | $218,297 | $22,108 | $51,020 | $34,171 | $18,691 | $344,287 | $37,059 | ||||||
| Katherine Anderson | |||||||||||||
| Registered Nurse | $172,991 | $1,886 | $530 | $195,314 | $9,991 | $9,916 | |||||||
| Meredith Jobe Esq | |||||||||||||
| Secretary | $340,482 | $91,633 | $70,330 | $12,925 | $515,370 | $46,949 | |||||||
| Michelle Fuentes | |||||||||||||
| VP Operations | $157,421 | $25,000 | $23,819 | $10,508 | $18,407 | $235,155 | |||||||
| Nickolas Dobler | |||||||||||||
| Physician Assist | $84,426 | $97,004 | $200,917 | $19,487 | |||||||||
| Robert Carmen | |||||||||||||
| Dir/Chair | $327,030 | $113,850 | $14,928 | $455,808 | |||||||||
| Rodney Wehtje | |||||||||||||
| Asst Treasurer | $376,932 | $1,230,231 | $74,835 | $22,415 | $1,704,413 | $1,192,595 | |||||||
| Scott Reiner | |||||||||||||
| Dir/Chair | $880,711 | $375,375 | $181,681 | $29,376 | $1,467,143 | $273,487 | |||||||
| Susan Shinkai | |||||||||||||
| Pharmacist | $164,917 | $4,809 | $6,602 | $196,317 | $10,056 | $9,933 | |||||||
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 = -$2998639 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 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 Madrone St | 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 |
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 |
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