Colusa Regional Medical Center: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- Colusa Regional Medical Center (EIN 31-1750849)
- Tax period
- 2009-04-01 to 2010-03-31
- Filed
- 2011-01-18
- IRS object ID
- 201110189349300211
- Schema version
- 2009v1.7
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-01-18T11:42:42-08:00 | Timestamp |
| Tax Period End Date | 2010-03-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TCA Partners LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 East Herndon Avenue Suite 211 | AddressLine1 |
| City | Fresno | City |
| State | CA | State |
| ZIP Code | 93720 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-04-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311750849 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Colusa Regional Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COLU | NameControl |
| Phone | 5304585821 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 199 East Webster Street | AddressLine1 |
| City | Colusa | City |
| State | CA | State |
| ZIP Code | 95932 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Terrence Deak | Name |
| Title | CFO | Title |
| Date Signed | 2011-01-18 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Inger Sullenger CPA | Name |
| Phone | 5594317708 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Dale Kirby | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 199 East Webster Street | AddressLine1 |
| City | Colusa | City |
| State | CA | State |
| ZIP Code | 959322954 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 21472591 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c | X | Organization501c |
| Web Site | www.colusamedicalcenter.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2001 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | Not-for-profit General Acute Care Hospital | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 173 | TotalNbrEmployees |
| Total Nbr Volunteers | 30 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 238713 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 131109 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 18966526 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 20630454 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 108780 | InvestmentIncomePriorYear |
| Investment Income Current Year | 80178 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 353597 | OtherRevenuePriorYear |
| Other Revenue Current Year | 630850 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 19667616 | TotalRevenuePriorYear |
| Total Revenue Current Year | 21472591 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 10151297 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 10779394 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 9606241 | OtherExpensePriorYear |
| Other Expenses Current Year | 10392119 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 19757538 | TotalExpensesPriorYear |
| Total Expenses Current Year | 21171513 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -89922 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 301078 | RevenuesLessExpensesCY |
| Total Assets BOY | 10455004 | TotalAssetsBOY |
| Total Assets EOY | 9584818 | TotalAssetsEOY |
| Total Liabilities BOY | 7912320 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 6633164 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2542684 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2951654 | NetAssetsOrFundBalancesEOY |
| Mission Description | Not-for-profit General Acute Care Hospital | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 15545176 | Expense |
| Revenue | 20630454 | Revenue |
| Description | The Hospital provides inpatient, outpatient, and emergency care services to patients in the surrounding community regardless of age, sex, religion, or ability to pay. | Description |
| Total Program Service Expense | 15545176 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | 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 |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | 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 |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| 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 | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 54 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 173 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Quid Pro Quo Disclosure | false | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | 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 |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | false | 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 |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| 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 | Terry Deak CFO | NamePerson |
| Telephone Number | 5304585821 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 199 East Webster Street | AddressLine1 |
| City | Colusa | City |
| State | CA | State |
| ZIP Code | 959322954 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | Individual Trustee Or DirectorIndividualTrusteeOrDirector |
|---|---|---|---|---|---|---|---|
| Terrence Deak | |||||||
| CFO | 50.00 | X | 135309 | 0 | 32834 | ||
| Teresita Mayo | |||||||
| Registered Nurse | 40.00 | 135444 | 0 | 22436 | X | ||
| Shirley Barnett | |||||||
| Registered Nurse | 0. | 121963 | 0 | 13114 | X | ||
| Sam Medrano MD | |||||||
| Director/COS | 2.00 | 0 | 0 | 0 | X | ||
| Ray Krause | |||||||
| Vice President | 2.00 | 0 | 0 | 0 | X | ||
| Nancy Newlin | |||||||
| Secretary | 2.00 | 0 | 0 | 0 | X | ||
| Marilyn Davison | |||||||
| Director | 2.00 | 0 | 0 | 0 | X | ||
| Katherine Hughes | |||||||
| CNO | 50.00 | X | 142615 | 0 | 16233 | ||
| Joan Chatell | |||||||
| Registered Nurse | 40.00 | 129381 | 0 | 14229 | X | ||
| Jan Gomes | |||||||
| Director | 2.00 | 0 | 0 | 0 | X | ||
| Gary Teragawa | |||||||
| Director | 2.00 | 0 | 0 | 0 | X | ||
| Deborah Santivanez | |||||||
| Nurse Practitioner | 40.00 | 137367 | 0 | 10409 | X | ||
| D'Ann Bressler | |||||||
| Director/Found | 2.00 | 0 | 0 | 0 | X | ||
| Dale Kirby | |||||||
| CEO | 50.00 | X | 203333 | 0 | 26412 | ||
| Christine Gregory | |||||||
| Registered Nurse | 40.00 | 138965 | 0 | 20928 | X | ||
| Brady Myers | |||||||
| President | 2.00 | 0 | 0 | 0 | X | ||
| Bob Kessinger | |||||||
| Treasurer | 2.00 | 0 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1144377 | TotalReportableCompFromOrg |
| Total Other Compensation | 156595 | TotalOtherCompensation |
| Number Individuals GT100 K | 15 | 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 |
|---|---|---|---|---|---|
| Sodexho | |||||
| Dept 43283 | Los Angeles | CA | 90088 | Dietary Svcs | 541987 |
| Pharmasource Healthcare | |||||
| PO Box 632849 | Cincinnati | OH | 45263 | Pharmacy Svcs | 268169 |
| North Valley Nephrology | |||||
| 1525 Plumas Court Ste B | Yuba City | CA | 95991 | Hospitalist Svcs | 547470 |
| Burger Rehabilitation Services | |||||
| 1301 E Bidwell St | Folsom | CA | 95630 | Therapy Svcs | 594530 |
| Anesthesia IAG Services | |||||
| 1333 Cabana Way | Victorville | CA | 92392 | CRNA Anesthesia Svcs | 302347 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| Government Grants | 8973 | GovernmentGrants |
| All Other Contributions | 122136 | AllOtherContributions |
| Noncash Contributions | 34495 | NoncashContributions |
| Total Contributions | 131109 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Net Patient Service Rev | Description |
| Total Revenue Column | 20630454 | TotalRevenueColumn |
| Related Or Exempt Function Income | 20630454 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 20630454 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 76952 | TotalRevenueColumn |
| Exclusion | $76,952 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 497792 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 497792 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 497792 | TotalRevenueColumn |
| Exclusion | $497,792 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 3226 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 3226 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3226 | TotalRevenueColumn |
| Exclusion | $3,226 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Dietary,Pharm,Educ, Etc | Description |
| Total Revenue Column | 133058 | TotalRevenueColumn |
| Exclusion | $133,058 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 133058 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 21472591 | TotalRevenueColumn |
| Related Or Exempt Function Income | 20630454 | RelatedOrExemptFunctionIncome |
| Exclusion | $711,028 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 556736 | Total |
| Program Services | 408781 | ProgramServices |
| Management And General | 147955 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7852453 | Total |
| Program Services | 5765661 | ProgramServices |
| Management And General | 2086792 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 115675 | Total |
| Program Services | 84934 | ProgramServices |
| Management And General | 30741 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1613282 | Total |
| Program Services | 1184552 | ProgramServices |
| Management And General | 428730 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 641248 | Total |
| Program Services | 470836 | ProgramServices |
| Management And General | 170412 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25443 | Total |
| Program Services | 18682 | ProgramServices |
| Management And General | 6761 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52614 | Total |
| Program Services | 38632 | ProgramServices |
| Management And General | 13982 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28873 | Total |
| Program Services | 21200 | ProgramServices |
| Management And General | 7673 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 126788 | Total |
| Program Services | 93094 | ProgramServices |
| Management And General | 33694 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 553595 | Total |
| Program Services | 406477 | ProgramServices |
| Management And General | 147118 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5915 | Total |
| Program Services | 4343 | ProgramServices |
| Management And General | 1572 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15126 | Total |
| Program Services | 11106 | ProgramServices |
| Management And General | 4020 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 253004 | Total |
| Program Services | 185768 | ProgramServices |
| Management And General | 67236 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 634827 | Total |
| Program Services | 466122 | ProgramServices |
| Management And General | 168705 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 179549 | Total |
| Program Services | 131834 | ProgramServices |
| Management And General | 47715 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Supplies | 1665199 | 1222672 | 442527 |
| Professional Fees | 4422666 | 3247341 | 1175325 |
| Miscellaneous | 183213 | 134524 | 48689 |
| Equipment Rent & Maintenance | 179989 | 132157 | 47832 |
| Bad Debt | 1984996 | 1457483 | 527513 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80322 | Total |
| Program Services | 58977 | ProgramServices |
| Management And General | 21345 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21171513 | Total |
| Program Services | 15545176 | ProgramServices |
| Management And General | 5626337 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 149652 | BOY |
| EOY | 156482 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2321608 | BOY |
| EOY | 2031334 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2652649 | BOY |
| EOY | 2186046 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 370688 | BOY |
| EOY | 397258 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 91406 | BOY |
| EOY | 60193 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 8581866 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3838933 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4831778 | BOY |
| EOY | 4742933 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37223 | BOY |
| EOY | 10572 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10455004 | BOY |
| EOY | 9584818 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3029458 | BOY |
| EOY | 1819138 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4882862 | BOY |
| EOY | 4814026 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7912320 | BOY |
| EOY | 6633164 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2542684 | BOY |
| EOY | 2951654 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2542684 | BOY |
| EOY | 2951654 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10455004 | BOY |
| EOY | 9584818 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
| Federal Grant Audit Performed | false | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4301071 | OtherCostOrOtherBasis |
| Depreciation | 710144 | Depreciation |
| Book Value | 3590927 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4280795 | OtherCostOrOtherBasis |
| Depreciation | 3128789 | Depreciation |
| Book Value | 1152006 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 4742933 | TotalOfBookValueLandBuildings |
| Total Revenue | 21472591 | TotalRevenue |
| Total Expenses | 21171513 | TotalExpenses |
| Excess Or Deficit For Year | 301078 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 107892 | NetUnrealizedGLOnInvestments |
| Prior Period Adjustments | 5 | PriorPeriodAdjustments |
| Total Adjustments | 107897 | TotalAdjustments |
| Excess Or Deficit Per FS | 408975 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 21580483 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 107892 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 107892 | RevenueNotRptdF990 |
| Revenue Subtotal | 21472591 | RevenueSubtotal |
| Total Revenue Per Form990 | 21472591 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 21171513 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 21171513 | ExpensesSubtotal |
| Total Expenses Per Form990 | 21171513 | TotalExpensesPerForm990 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 125.000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
| Report Publically Available | false | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 215681 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 30000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 185681 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00880 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5525480 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2547728 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2977752 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14060 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5741161 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2577728 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3163433 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14940 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5741161 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2577728 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3163433 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14940 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 7600 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 7600 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3450 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3450 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 21500 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 21500 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 32550 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 32550 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,984,996 | BadDebtExpenseAmount |
| Amount Attributable To | 793998 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 8192540 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 8332704 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -140164 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | false | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Colusa Regional Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 199 East Webster Street | AddressLine1 |
| City | Colusa | City |
| State | CA | State |
| ZIP Code | 959322954 | 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 VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Footnote | The Hospital does not include a note describing bad debt expense, but does present two Charity Care Notes...Significant Accounting Policies - Charity Care: The Hospital accepts all patients regardless of their ability to pay. A patient is classified as a charity patient by reference to certain established policies of the Hospital. Essentially, these policies define charity services as those services for which no payment is anticipated. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as net patient service revenues. Services provided are recorded as gross patient service revenues and then written off entirely as an adjustment to net patient service revenues.NOTE 12 CHARITY CAREIn support of its mission, the Hospital voluntarily provides free care to patients who lack financial resources and are deemed to be medically indigent. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported in net patient service revenue. In addition, the Hospital provides services to other medically indigent patients under certain government-reimbursed public aid programs. Such programs pay providers amounts which are less than established charges for the services provided to the recipients, and many times the payments are less than the cost of rendering the services provided.Uncompensated charges relating to these services for the years ended March 31, 2010 and 2009 are as follows: 2010 - Charity allowances $418,000 and State Medi-Cal and other public aid programs $13,809,000 for a total of $14,227,000; and 2009 - Charity allowances $369,000 and State Medi-Cal and other public aid programs $13,201,000 for a total of $13,570,000. In addition to uncompensated charges, the Hospital also commits significant time and resources to endeavors and critical services which meet otherwise unfilled community needs. Many of these activities are sponsored with the knowledge that they will not be self-supporting or financially viable. Such programs include health screening and assessments, prenatal education and care, community educational services and various support groups. | BadDebtFootnote |
| Shortfall As Community Benefit | The entire shortfall was considered a community benefit. | ShortfallAsCommunityBenefit |
| Number Of Facility Type Expln | Besides the main hospital consisting of 42 beds, we also operate a 6 bed skilled nursing facility on our main campus, as well as 4 licensed rural health clinics in surrounding communities throughout Colusa County. | NumberOfFacilityTypeExpln |
| General Explanation | N/A | GeneralExplanation |
| Needs Assessment | The organization assesses health care needs of the communities it serves through patient and physician surveys, and input from community leaders, our community Board members, and other members of the community. | NeedsAssessment |
| Patient Education Assistance | Patients are educated and informed about their eligibility for assistance through the prominent posting in each registration area, printing on the bill that is sent to patients, and other posted notices about the counseling available at the Hospital. | PatientEducationAssistance |
| Community Information | The Hospital serves the healthcare needs of the residents of Colusa County. We are largely a farming community, with about 30% of the population being Hispanic. A focus of the services we offer is to provide the medical services for this underserved population in our County. | CommunityInformation |
| Community Building Activities | Community building activities are generally provided to educate the community on health related issues, illness prevention, and free/discounted services to assess health and patient needs. | CommunityBuildingActivities |
| Other Information | The Hospital's community board and management is committed to using surplus funds to improve access to care and improve existing services throughout Colusa County. | OtherInformation |
| Affiliated Health Care System | N/A | AffiliatedHealthCareSystem |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| 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 |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Bonus Filing OrgBonusFilingOrg |
|---|---|---|---|---|---|
| Terrence Deak | |||||
| 135309 | 3982 | 28852 | 168143 | 168215 | |
| Teresita Mayo | |||||
| 135444 | 3883 | 18553 | 157880 | 162699 | |
| Katherine Hughes | |||||
| 142615 | 4211 | 12022 | 158848 | 160428 | |
| Dale Kirby | |||||
| 193977 | 5916 | 20496 | 229745 | 234859 | 9356 |
| Christine Gregory | |||||
| 138965 | 2454 | 18474 | 159893 | 150937 | |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | Capital Equip | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 34495 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV/Cost | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part VI, Line 19 | Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | Documents are all housed in Hospital Administration, and available upon request to the public. |
| Form 990, Part VI, Line 15b | Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | The CEO reviews compensation surveys before adjusting salaries of officers of the organization. |
| Form 990, Part VI, Line 11 | Form 990, Part VI, Line 11: Form 990 Review Process | The 990 is reviewed and approved by management before filing, and a copy is available for the Board to review. |
| Form 990, Part VI, Line 2 | Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | Brady Myers is Chair of the Hospital Board, and is also the Hospital's Insurance Broker. No compensation was paid by the Hospital to Brady Myers for these services. |
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