SAN GORGONIO MEMORIAL HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: SAN GORGONIO MEMORIAL HOSPITAL (EIN 33-0420041)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-04-18
IRS object ID: 201341089349300069
Schema version: 2011v1.5
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 D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-04-18T14:23:40-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DINGUS ZARECOR & ASSOCIATES	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	12015 E MAIN STE A	AddressLine1
City	SPOKANE VALLEY	City
State	WA	State
ZIP Code	99206	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	330420041	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SAN GORGONIO MEMORIAL HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SANG	NameControl
Phone	9517692103	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	600 NORTH HIGHLAND SPRINGS AVE	AddressLine1
City	BANNING	City
State	CA	State
ZIP Code	92220	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DAVID RECUPERO	Name
Title	CFO	Title
Phone	9517692103	Phone
Date Signed	2013-04-04	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	THOMAS DINGUS	Name
Phone	5092420874	Phone
Date Prepared	2013-04-18	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DAVID RECUPERO CFO	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	600 NORTH HIGHLAND SPRINGS AVE	AddressLine1
City	BANNING	City
State	CA	State
ZIP Code	92220	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	58490779	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.SGMH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1990	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	SAN GORGONIO MEMORIAL HOSPITAL IS A NONPROFIT PUBLIC BENEFIT CORPORATION FORMED FOR THE PURPOSE OF OPERATING THE SAN GORGONIO ACUTE CARE FACILITY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	568	TotalNbrEmployees
Total Nbr Volunteers	118	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	790452	ContributionsGrantsPriorYear
Contributions Grants Current Year	2712887	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	49848384	ProgramServiceRevenuePriorYear
Program Service Revenue CY	55484174	ProgramServiceRevenueCY
Investment Income Current Year	557	InvestmentIncomeCurrentYear
Other Revenue Prior Year	332617	OtherRevenuePriorYear
Other Revenue Current Year	293161	OtherRevenueCurrentYear
Total Revenue Prior Year	50971453	TotalRevenuePriorYear
Total Revenue Current Year	58490779	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	23788536	SalariesEtcPriorYear
Salaries Etc Current Year	27074515	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	52306	TotalFundrsngExpCurrentYear
Other Expense Prior Year	26390411	OtherExpensePriorYear
Other Expenses Current Year	30134320	OtherExpensesCurrentYear
Total Expenses Prior Year	50178947	TotalExpensesPriorYear
Total Expenses Current Year	57208835	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	792506	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1281944	RevenuesLessExpensesCY
Total Assets BOY	9239952	TotalAssetsBOY
Total Assets EOY	11473919	TotalAssetsEOY
Total Liabilities BOY	23605302	TotalLiabilitiesBOY
Total Liabilities EOY	6916106	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	-14365350	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	4557813	NetAssetsOrFundBalancesEOY
Mission Description	SAN GORGONIO MEMORIAL HOSPITAL IS A NONPROFIT PUBLIC BENEFIT CORPORATION FORMED FOR THE PURPOSE OF OPERATING THE SAN GORGONIO ACUTE CARE FACILITY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	49800830	Expense
Revenue	55484174	Revenue
Description	THE HOSPITAL IS COMPRISED OF AN ACUTE CARE FACILITY WHICH PROVIDES HEALTHCARE SERVICES. THE HOSPITAL PROVIDED 13,734 DAYS OF PATIENT SERVICES AND 1,880 OF SKILLED NURSING DAYS FOR THE FISCAL YEAR. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 3,006,758 FOR CHARITY CARE, 53,821,102 FOR MEDICARE, 12,315,846 FOR MEDI-CAL, AND 71,776,209 FOR OTHER THIRD-PARTY PAYORS FOR THE FISCAL YEAR.	Description
Total Program Service Expense	49800830	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	false	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	34	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	568	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	true	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DAVID RECUPERO	NamePerson
Telephone Number	9517692103	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	600 NORTH HIGHLAND SPRINGS AVE	AddressLine1
City	BANNING	City
State	CA	State
ZIP Code	92220	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
JERILYNN KAIBEL DC
CHAIR	1.00	X	X	2550	0	0
OLIVIA HERSHEY
TREASURER	1.00	X	X	2050	0	0
ESTELLE LEWIS
BOARD MEMBER	1.00	X		2000	0	0
DENAE REGINS
SECRETARY	1.00	X	X	1850	0	0
ED HIETT
BOARD MEMBER	1.00	X		1700	0	0
DOROTHY ELLIS
VICE CHAIR	1.00	X	X	0	0	0
LYNN BALDI
BOARD MEMBER	1.00	X		0	0	0
JOE DOTAN MD
BOARD MEMBER	1.00	X		0	0	0
MARY ANN MARTIN ANDREAS
BOARD MEMBER	1.00	X		0	0	0
DEVIN BORNA MD
BOARD MEMBER	1.00	X		0	0	0
N IRWIN REEVES
BOARD MEMBER	1.00	X		0	0	0
FARZAD FARROKHI MD
BOARD MEMBER	1.00	X		0	0	0
LUDWIG CIBELLI MD
BOARD MEMBER	1.00	X		0	0	0
MARK TURNER
CEO	40.00		X	327038	0	22972
DAVID RECUPERO
CFO	40.00		X	203985	0	10582
ANGELA BRADY
RN	50.00			150190	0	3932	X
CARRIE ECHOLS
OB DIRECTOR	40.00			141711	0	2903	X
LYNN GOMEZ
DIRECTOR OF	40.00			141536	0	9573	X
MICHELLE SAYRE
COO	40.00			135820	0	21999	X
KARI SPOELSTRA
RN	40.00			130315	0	17181	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1240745	TotalReportableCompFromOrg
Total Other Compensation	89142	TotalOtherCompensation
Number Individuals GT100 K	25	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
DESERT ANESTHESIS CONSULTING
1540 BARTON RD SUITE 434	REDLANDS	CA	92373	ANESTHESIOLOGY	838822
MCKESSON
PO BOX 98347	CHICAGO	IL	60693	IT SERVICES	532767
EPIC MANAGEMENT
10393 ENTERPRISE DR	REDLANDS	CA	92374	MGMT CONSULTING	417653
MISSION LINNEN
5400 ALTON ST	CHINO	CA	91710	LINEN & LAUNDRY	346148
UHS
1280 RESEARCH DR UNIT B	REDLANDS	CA	92374	REPAIRS & MAINT	228712

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	12	NumberOfContractorsGT100K
Government Grants	2712887	GovernmentGrants
Total Contributions	2712887	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SERVICE REVENUE	Description
Business Code	621990	BusinessCode
Total Revenue Column	55484174	TotalRevenueColumn
Related Or Exempt Function Income	55484174	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	55484174	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	557	TotalRevenueColumn
Exclusion	$557	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA REVENUE	722210	202596	$202,596
OTHER REVENUE	900099	78445	$78,445
PHARMACY REVENUE	900099	12120	$12,120

Field	Value	IRS element (for citing)
Total Other Revenue	293161	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	58490779	TotalRevenueColumn
Related Or Exempt Function Income	55484174	RelatedOrExemptFunctionIncome
Exclusion	$293,718	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	612909	Total
Management And General	612909	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	21967826	Total
Program Services	18650837	ProgramServices
Management And General	3308507	ManagementAndGeneral
Fundraising	8482	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	276314	Total
Program Services	239545	ProgramServices
Management And General	36660	ManagementAndGeneral
Fundraising	109	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1883639	Total
Program Services	1575722	ProgramServices
Management And General	307200	ManagementAndGeneral
Fundraising	717	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2333827	Total
Program Services	1948029	ProgramServices
Management And General	384954	ManagementAndGeneral
Fundraising	844	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	494308	Total
Management And General	494308	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	46861	Total
Management And General	46861	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	48752	Total
Management And General	48752	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	5243529	Total
Program Services	3379307	ProgramServices
Management And General	1857514	ManagementAndGeneral
Fundraising	6708	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2296758	Total
Program Services	1695102	ProgramServices
Management And General	598855	ManagementAndGeneral
Fundraising	2801	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	795	Total
Management And General	795	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1500293	Total
Program Services	1313097	ProgramServices
Management And General	179643	ManagementAndGeneral
Fundraising	7553	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	42360	Total
Program Services	5245	ProgramServices
Management And General	35482	ManagementAndGeneral
Fundraising	1633	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	25539	Total
Program Services	6177	ProgramServices
Management And General	18936	ManagementAndGeneral
Fundraising	426	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	173255	Total
Program Services	173255	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	684799	Total
Program Services	646724	ProgramServices
Management And General	38075	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
BAD DEBT EXPENSE	12164809	12164809
MEDICAL SUPPLIES & DRUGS	4748028	4748028
OTHER OPERATING EXPENSES	1504729	278729	1213596	12404
BED TAX	1159505	1159505

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Program Services	1816719	ProgramServices
Management And General	-1827348	ManagementAndGeneral
Fundraising	10629	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	57208835	Total
Program Services	49800830	ProgramServices
Management And General	7355699	ManagementAndGeneral
Fundraising	52306	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1228029	BOY
EOY	748302	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	5240	BOY
EOY	1800553	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	7006317	BOY
EOY	7635595	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	939909	BOY
EOY	955699	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	15983	BOY
EOY	15985	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	44474	BOY
EOY	317785	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	9239952	BOY
EOY	11473919	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	4119890	BOY
EOY	3966152	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	19485412	BOY
EOY	2949954	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	23605302	BOY
EOY	6916106	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-14365350	BOY
EOY	4557813	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	-14365350	BOY
EOY	4557813	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	9239952	BOY
EOY	11473919	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	1281944	ReconcilationRevenueExpenses
Reconcilation Other Changes	17641219	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
BANK LINE OF CREDIT	$2,408,396
MALPRACTICE CLAIMS PAYABLE	$274,558
THIRD-PARTY SETTLEMENTS	$267,000

Field	Value	IRS element (for citing)
Total Of Amounts	2949954	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	LIABILITY UNDER FIN 48 FOOTNOTE	Identifier
Return Reference	SCHEDULE D, PAGE 3, PART X	ReturnReference
Explanation	THE SYSTEM IS EXEMPT FROM FEDERAL INCOME TAX. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE SYSTEM EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF JUNE 30, 2012 AND 2011, THE SYSTEM HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	false	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	661487	TotalCommunityBenefitExpense
Net Community Benefit Expense	661487	NetCommunityBenefitExpense
Percent Of Total Expense	0.01470	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11145497	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8908450	DirectOffsettingRevenue
Net Community Benefit Expense	2237047	NetCommunityBenefitExpense
Percent Of Total Expense	0.04970	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11806984	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8908450	DirectOffsettingRevenue
Net Community Benefit Expense	2898534	NetCommunityBenefitExpense
Percent Of Total Expense	0.06440	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5873	TotalCommunityBenefitExpense
Net Community Benefit Expense	5873	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	93942	TotalCommunityBenefitExpense
Net Community Benefit Expense	93942	NetCommunityBenefitExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12737	TotalCommunityBenefitExpense
Net Community Benefit Expense	12737	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	112552	TotalCommunityBenefitExpense
Net Community Benefit Expense	112552	NetCommunityBenefitExpense
Percent Of Total Expense	0.00250	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11919536	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8908450	DirectOffsettingRevenue
Net Community Benefit Expense	3011086	NetCommunityBenefitExpense
Percent Of Total Expense	0.06690	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$2,676,258	BadDebtExpenseAmount
Amount Reimbursed By Medicare	11406544	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	13411490	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-2004946	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SAN GORGONIO MEMORIAL HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	600 N HIGHLAND SPRINGS AVE	AddressLine1
City	BANNING	City
State	CA	State
ZIP Code	92220	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SAN GORGONIO MEMORIAL HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	350.0	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	350.0	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Medicare Rate	X	MedicareRate
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	PART I LINE 7 COLUMN F	BAD DEBT EXPENSE INCLUDED ON FORM 990 PART IX LINE 25 COLUMN A OF 12164809 WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN PART I LINE 7 COLUMN F
COSTING METHODOLOGY EXPLANATION	PART I LINE 7	THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COSTTOCHARGES FOR AMOUNTS REPORTED IN THE TABLE TOTAL OPERATING EXPENSES LESS BAD DEBT NONPATIENT CARE ACTIVITIES TOTAL COMMUNITY BENEFIT AND TOTAL COMMUNITY BUILDING EXPENSES
COMMUNITY BUILDING ACTIVITIES	PART II	THE HOSPITAL PROVIDES DIET COUNSELING FREE OF CHARGE TO PATIENTS HOSPITAL STAFF LECTURE ON HEALTHCARE RELATED TOPICS AT VARIOUS SUPPORT GROUPS INCLUDING DIABETIC AND CANCER SURVIVORS SUPPORT GROUPS AND AT THE SOROPTOMIST CLUB OF BEAUMONTBANNING THE HOSPITAL HAS ALSO PARTICIPATED IN COMMUNITY HEALTH FAIRS
BAD DEBT EXPENSE EXPLANATION	PART III LINE 4	THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON SCHEDULE H PART III LINE 2 INCLUDES THE COST TO CHARGE RATIO OF PATIENT CARE THE HOSPITAL DID NOT TRACK THE AMOUNT OF BAD DEBT EXPENSE THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITALS CHARITY CARE POLICY BUT FOR WHOM SUFFICIENT INFORMATION WAS NOT OBTAINED TO MAKE DETERMINATION OF THEIR ELIGIBILITY DURING THE FISCAL YEAR THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS READS AS FOLLOWS RECEIVABLES ARISING FROM REVENUE FROM SERVICES TO PATIENTS ARE REDUCED BY ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS AND CONTRACTUAL ADJUSTMENTS BASED ON EXPERIENCE THIRDPARTY CONTRACTUAL REIMBURSEMENT ARRANGEMENTS AND ANY UNUSUAL CIRCUMSTANCES WHICH MAY AFFECT THE ABILITY OF PATIENTS TO MEET THEIR OBLIGATIONS ACCOUNTS DEEMED UNCOLLECTIBLE ARE CHARGED AGAINST THESE ALLOWANCES ACCOUNTS ARE DETERMINED TO BE DELINQUENT IF THEY ARE NOT RESOLVED WITHIN 90120 DAYS OF BILLING
MEDICARE EXPLANATION	PART III LINE 8	MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS ARE NOT COUNTED AS COMMUNITY BENEFIT THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR
COLLECTION PRACTICES EXPLANATION	PART III LINE 9B	THE HOSPITALS BUSINESS OFFICE STAFF FOLLOW UP ON ACCOUNTS 15 TO 30 DAYS AFTER THE ACCOUNTS ARE BILLED THE STAFF CONTACT THE INSURERS TO VERIFY CLAIMS HAVE BEEN RECEIVED AND TO RESEND THE CLAIMS IF NECESSARY AFTER VERIFYING CLAIMS HAVE BEEN RECEIVED THE STAFF CONTINUE TO CONTACT THE INSURERS EVERY 30 DAYS AS NECESSARY TO FOLLOW UP ON THE STATUS OF THE CLAIMS ALL CLAIMS NOT RESOLVED WITHIN 60 DAYS OF BILLING ARE REVIEWED BY A SUPERVISOR OR MANAGER FOR ADDITIONAL GUIDANCE AND CONSIDERATION ACCOUNTS NOT RESOLVED WITHIN SIXTY DAYS OF BILLING ARE CONSIDERED DELINQUENT THE SUPERVISOR OR MANAGER WILL DETERMINE WHETHER THE ACCOUNTS SHOULD BE WRITTEN OFF AS BAD DEBT FURTHER COLLECTION PROCEDURES SHOULD BE ATTEMPTED ANDOR THE STATE INSURANCE COMMISSION OFFICE SHOULD BE CONTACTED
NEEDS ASSESSMENT	PART VI	MANAGEMENT HOSPITAL DEPARTMENT STAFF AND MANAGERS AND THE BOARD OF DIRECTORS ARE COMPRISED OF MEMBERS WITHIN THE COMMUNITY THEY ARE ABLE TO GATHER AND COMMUNICATE THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES AND CONTINUALLY ADDRESS THEM AT STAFF AND BOARD MEETINGS
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	IT IS THE HOSPITALS POLICY THAT WHEN IT BECOMES APPARENT THAT A PATIENT MAY HAVE DIFFICULTY IN MEETING HISHER FINANCIAL RESPONSIBILITY TO THE HOSPITAL THE PATIENT WILL BE REQUESTED TO COMPLETE THE APPLICATION PROCESS FOR CALIFORNIA MEDICAL ANDOR OTHER AVAILABLE PROGRAMS HOSPITAL STAFF ASSIST IN THE APPLICATION PROCESS PATIENTS WHO DO NOT QUALIFY FOR CALIFORNIA MEDICAL OR OTHER ASSISTANCE MAY APPLY FOR THE HOSPITALS ASSISTANCE PROGRAM
COMMUNITY INFORMATION	PART VI	THE HOSPITAL IS A RURAL HOSPITAL LOCATED IN THE PASS AREA OF RIVERSIDE COUNTY IT PRIMARILY SERVES THE CITIES OF BANNING BEAUMONT CABAZON AND CALIMESA CALIFORNIA THE POPULATION SERVED IS HIGH RISK DUE TO POVERTY LEVEL INCOMES LOW EDUCATION LEVELS AND HIGH DRUG USE THE COUNTY HAS AN UNEMPLOYMENT RATE OF 142 THE HOSPITALS PAYOR MIX INCLUDES APPROXIMATELY 22 MEDICAL RECIPIENTS AND 11 UNINSURED
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE	PART VI	THE HOSPITAL HOLDS COMMUNITY EDUCATION COURSES SUCH AS CPR CERTIFICATION SMOKING CESSATION CHILDBIRTH PREPARATION ETC THE HOSPITAL ALSO HAS SEVERAL CONTRACTS WITH VARIOUS SCHOOLS TO PROVIDE TEACHING PROGRAMS FOR NURSING STUDENTS THIS TRAINING CONTRIBUTES TO HEALTHCARE PROFESSIONAL DEVELOPMENT OF THE STUDENTS THE HOSPITAL ALSO PROVIDES USAGE OF MEETING ROOMS AT NO CHARGE TO VARIOUS COMMUNITY GROUPS
AFFILIATED HEALTH CARE INFORMATION	PART VI	NA

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
MARK TURNER
327038	22972	350010
DAVID RECUPERO
203985	10582	214567
ANGELA BRADY
150190	3932	154122
LYNN GOMEZ
141536	9573	151109
MICHELLE SAYRE
135820	21999	157819

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	OTHER ADDITIONAL INFORMATION	Identifier
Return Reference	SCHEDULE J, PART III	ReturnReference
Explanation	THE HOSPITAL CONTRACTS WITH EPIC MANAGEMENT LP (EPIC) FOR MANAGEMENT SERVICES. HOWEVER, THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER ARE EMPLOYEES OF THE HOSPITAL.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
DEVIN BORNA MD
BOARD MEMBER	419411	PHYS. GROUP PARTNER	false
FARZAD FARROKHI MD
BOARD MEMBER	419411	PHYS. GROUP PARTNER	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS	FORM 990, PAGE 1, PART I, LINE 6	THE HOSPITAL VOLUNTEERS HELP IN THE GIFT SHOP, CAFETERIA, AND RECEPTION BOOTHS, AS WELL AS MATERIALS MANAGEMENT DELIVERIES AND MAILING.
RELATED PARTY INFORMATION AMONG OFFICERS	FORM 990, PAGE 6, PART VI, LINE 2	DEVIN BORNA, MD FARZAD FARROKHI, MD BOARD MEMBER BOARD MEMBER BUSINESS RELATIONSHIP
MANAGEMENT DELEGATED	FORM 990, PAGE 6, PART VI, LINE 3	THE HOSPITAL CONTRACTS WITH EPIC MANAGEMENT LP (EPIC) FOR MANAGEMENT SERVICES. HOWEVER, THE HOSPITAL'S CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER ARE EMPLOYEES OF THE HOSPITAL.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	A COPY OF THE 990 IS PROVIDED TO THE CFO, WHO REVIEWS THE FORM, SCHEDULES, AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE FORM 8879-EO IS SIGNED BY AN AUTHORIZED SIGNER BEFORE THE RETURN IS E-FILED BY THE PREPARER.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	BOARD MEMBERS, ADMINISTRATOR AND OTHER DESIGNATED POSITIONS ARE REQUIRED TO SUBMIT AN ANNUAL CONFLICT OF INTEREST STATEMENT. THE CONFLICT OF INTEREST GUIDELINES ARE MONITORED AND ENFORCED BY THE SECRETARY OF THE DISTRICT.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE BOARD OF DIRECTORS REVIEW AND APPROVE MANAGEMENT WAGES EACH YEAR DURING THE BUDGET PROCESS. SOURCES UTILIZED BY THE BOARD WHEN REVIEWING FAIR MARKET VALUE IN COMPENSATION INCLUDE MARKET SURVEYS AND SALARY RANGES PROVIDED BY THE MANAGEMENT COMPANY.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	SEE FORM 990, PART VI, LINE 15A.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	SAN GORGONIO MEMORIAL HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 5	EXTRAORDINARY GAIN ON DEFEASANCE OF DEBT = 17,641,219

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	SAN GORGONIO HEALTH CARE DISTRICT	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	600 N HIGHLAND SPRINGS AVE	AddressLine1
City	BANNING	City
State	CA	State
ZIP Code	922203090	ZIPCode

Field	Value	IRS element (for citing)
EIN	956004149	EIN
Primary Activities	HEALTHCARE	PrimaryActivities
Legal Domicile State	CA	LegalDomicileState
Exempt Code Section	501(C)	ExemptCodeSection
Public Charity Status	3	PublicCharityStatus
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Controlled Org	false	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	SAN GORGONIO HEALTH CARE DISTRICT	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	J	TransactionType
Amount Involved	784157	AmountInvolved
Method Of Amt Determination	ACTUAL	MethodOfAmtDetermination