DAMERON HOSPITAL ASSOCIATION: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- DAMERON HOSPITAL ASSOCIATION (EIN 94-1201197)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-15
- IRS object ID
- 202403209349322645
- Schema version
- 2023v5.1
- 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) |
|---|---|---|
| Return | 2024-11-15T17:05:44-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3121 W MARCH LN STE 200 | AddressLine1Txt |
| City | STOCKTON | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 952192367 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941201197 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAMERON HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DAME | BusinessNameControlTxt |
| Phone | 2099445550 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 525 WEST ACACIA STREET | AddressLine1Txt |
| City | STOCKTON | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95203 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATIE DELMORE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2099445550 | PhoneNum |
| Signature | 2024-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TRACY S PAGLIA | PreparerPersonNm |
| PTIN | P00366884 | PTIN |
| Phone | 2099556100 | PhoneNum |
| Preparation | 2024-11-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DANIEL LONG | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 525 WEST ACACIA STREET | AddressLine1Txt |
| City | STOCKTON | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $156,446,442 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DAMERONHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1912 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | WE SUPPORT PHYSICIANS AND OUR EMPLOYEES IN PROVIDING QUALITY CARE IN A SAFE, CARING ENVIRONMENT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 705 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | -$1,723 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $34,284 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,844 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $136,984,238 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $154,749,622 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$1,015 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,262 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$409,509 | PYOtherRevenueAmt |
| CY Other Revenue | -$868,116 | CYOtherRevenueAmt |
| PY Total Revenue | $136,573,714 | PYTotalRevenueAmt |
| CY Total Revenue | $153,891,612 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $53,547,538 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $53,542,481 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $123,978,562 | PYOtherExpensesAmt |
| CY Other Expenses | $136,507,940 | CYOtherExpensesAmt |
| PY Total Expenses | $177,526,100 | PYTotalExpensesAmt |
| CY Total Expenses | $190,050,421 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$40,952,386 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$36,158,809 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $78,718,215 | TotalAssetsBOYAmt |
| Total Assets EOY | $72,433,970 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $80,455,279 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $108,684,189 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$1,737,064 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$36,250,219 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE SUPPORT PHYSICIANS AND OUR EMPLOYEES IN PROVIDING QUALITY CARE IN A SAFE, CARING ENVIRONMENT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $159,693,844 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $153,363,919 | RevenueAmt |
| Desc | DAMERON HOSPITAL IS A FULLY ACCREDITED, 200+ BED COMMUNITY HOSPITAL PROVIDING ACUTE AND TERTIARY LEVEL CARE TO SAN JOAQUIN COUNTY RESIDENTS. NOW MANAGED BY ADVENTIST HEALTH, OUR HOSPITAL REMAINS COMMITTED TO PROVIDING THE HIGH QUALITY CARE THAT HAS EARNED VARIOUS STATE AND NATIONAL RECOGNITIONS, AS WELL AS NUMEROUS AWARDS AND ACCOLADES. THE HOSPITAL HAS ALSO BEEN DESIGNATED BY BLUE SHIELD OF CALIFORNIA AS A BLUE DISTINCTION CENTER FOR BARIATRIC SURGERY AND FOR KNEE AND HIP REPLACEMENTS AS PART OF THE BLUE DISTINCTION CENTERS FOR SPECIALTY CARE PROGRAM. IN ADDITION TO BEING A TOP-RATED JOINT REPLACEMENT CENTER IN THE STOCKTON AREA, AND THE COUNTY'S LEADING ORTHOPEDIC HOSPITAL, DAMERON HAS ALSO BEEN RECOGNIZED AS A TOP PERFORMER FOR ITS QUALITY METRICS BY THE JOINT COMMISSION.THE SAN JOAQUIN COUNTY EMERGENCY MEDICAL SERVICES AGENCY HAS ALSO NAMED DAMERON AS A DESIGNATED STEMI (HEART ATTACK) RECEIVING CENTER AND CERTIFIED STROKE CENTER. THANKS TO DAMERON'S LIFELINE TECHNOLOGY AND CARDIAC-PREPARED ER STAFF, EMERGENCY RESPONDERS HAVE A LOCAL CARE PARTNER THAT IS ALSO A CERTIFIED CARDIAC CARE HOSPITAL AND A CARDIOTHORACIC SURGERY CENTER WITH AN ACTIVE CARDIAC CATHETERIZATION LAB. DAMERON HOSPITAL CONTINUES ITS LEADING-EDGE TRADITION, AND WE ARE CONTINUALLY ENHANCING OUR FACILITIES AND SERVICES TO HELP FULFILL OUR MISSION OF DELIVERING TOP-QUALITY CARE TO THE COMMUNITY. DAMERON SERVICES INCLUDE CARDIOLOGY AND CARDIAC SURGERY, ORTHOPEDICS, BARIATRIC SURGERY, AS WELL AS GENERAL ACUTE CARE, EMERGENCY, AND INTENSIVE CARE SERVICES. DAMERON ALSO PROVIDES PHYSICAL THERAPY AND OCCUPATIONAL HEALTH SERVICES AT OUR MARCH LANE FACILITY. | Desc |
| Total Program Service Expenses | $159,693,844 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 112 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 705 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KATIE DELMORE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2099445550 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 525 WEST ACACIA STREET | AddressLine1Txt |
| City | STOCKTON | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95203 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| MARIA VILLARREAL | ||||||||
| REGISTERED NURSE | 40.00 | 0.00 | Yes (X) | $296,948 | $0 | $27,259 | ||
| MEMBER AKUVA | ||||||||
| REGISTERED NURSE | 40.00 | 0.00 | Yes (X) | $234,842 | $0 | $26,385 | ||
| TAMMY A SWANSON | ||||||||
| REGISTERED NURSE | 40.00 | 0.00 | Yes (X) | $219,033 | $0 | $37,239 | ||
| GARY BROWN | ||||||||
| REGISTERED NURSE | 40.00 | 0.00 | Yes (X) | $229,178 | $0 | $25,147 | ||
| CHRIS PETERSON | ||||||||
| CARDIAC CATH SUPERVISOR | 40.00 | 0.00 | Yes (X) | $211,639 | $0 | $24,866 | ||
| TARANDEEP ARORA | ||||||||
| CHIEF OF STAFF | 40.00 | 0.00 | $23,920 | $0 | $0 | Yes (X) | ||
| WILLIAM TREZZA | ||||||||
| CHAIRMAN OF THE BOARD | 10.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| DANIEL DIXON | ||||||||
| VICE CHAIRMAN/SECRETARY | 10.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| MICHAEL HAKEEM | ||||||||
| BOARD MEMBER | 10.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| KATHY LAGORIO-JANSSEN | ||||||||
| BOARD MEMBER | 10.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| HON RONALD NORTHUP | ||||||||
| BOARD MEMBER | 10.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| TERESA DAY | ||||||||
| CEO | 40.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| KATIE DELMORE | ||||||||
| CFO | 40.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| ERIC CORNWELL | ||||||||
| CMO (THRU 03/23) | 40.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| DATTA GAURAV - ASSOC MEDICAL | ||||||||
| OFFICER/INTERIM CMO (AS OF 03/23) | 40.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| TIMOTHY KARAGOUNIS | ||||||||
| CHIEF OPERATIONS OFFICER | 40.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| DONOVAN STEWART | ||||||||
| CHIEF NURSING OFFICER | 40.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,215,560 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $140,896 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 152 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ALLSCRIPTS | |||||
| 24630 NETWORK PLACE | CHICAGO | IL | 60673 | I.T. MANAGEMENT | $4,595,197 |
| CEP AMERICA ANESTHESIA PC | |||||
| 2100 POWELL STREET SUITE 400 | EMERYVILLE | CA | 94608 | ANESTHESIA | $4,220,442 |
| THOMAS MGMT | |||||
| 700 E FRANKLIN ROAD | MERIDIAN | ID | 83642 | FOOD SERVICE MANAGEMENT | $2,540,895 |
| SOUND PHYSICIANS | |||||
| PO BOX 742936 | LOS ANGELES | CA | 90074 | PHYSICIANS | $1,842,998 |
| PT SOLUTIONS | |||||
| PO BOX 742557 | ATLANTA | GA | 31139 | P.T. MANAGEMENT | $1,560,815 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 32 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $7,844 | AllOtherContributionsAmt |
| Total Contributions | $7,844 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PATIENT SERVICE REV. | 621110 | $99,158,596 | $99,158,596 | |
| MEDICAL/MEDICARE PYMTS | 621110 | $35,634,282 | $35,634,282 | |
| HOSPITAL FEE | 621110 | $12,781,698 | $12,781,698 | |
| CAFETERIA | 722514 | $461,362 | $461,362 | |
| REBATES/REFUNDS | 621110 | $15,664 | $15,664 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,698,020 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,698,020 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $154,749,622 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,262 | TotalRevenueColumnAmt |
| Exclusion | $2,262 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $1,604,482 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $2,554,830 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$950,348 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$908,677 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$41,671 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| OTHER INCOME | 900099 | $42,284 | $42,284 | |
| INCOME FROM K-1 | 541900 | $39,948 | $39,948 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $82,232 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $153,891,612 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $153,363,919 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$1,723 | UnrelatedBusinessRevenueAmt |
| Exclusion | $521,572 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,920 | TotalAmt |
| Management And General | $23,920 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,410,182 | TotalAmt |
| Program Services | $34,929,415 | ProgramServicesAmt |
| Management And General | $3,480,767 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $859,169 | TotalAmt |
| Program Services | $781,843 | ProgramServicesAmt |
| Management And General | $77,326 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,885,051 | TotalAmt |
| Program Services | $9,826,029 | ProgramServicesAmt |
| Management And General | $1,059,022 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,364,159 | TotalAmt |
| Program Services | $3,043,707 | ProgramServicesAmt |
| Management And General | $320,452 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,644,939 | TotalAmt |
| Program Services | $1,365,049 | ProgramServicesAmt |
| Management And General | $1,279,890 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $743,972 | TotalAmt |
| Management And General | $743,972 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $342,495 | TotalAmt |
| Management And General | $342,495 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,404,233 | TotalAmt |
| Program Services | $34,846,265 | ProgramServicesAmt |
| Management And General | $8,557,968 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,326,321 | TotalAmt |
| Program Services | $27,142,412 | ProgramServicesAmt |
| Management And General | $183,909 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,017,091 | TotalAmt |
| Program Services | $467,392 | ProgramServicesAmt |
| Management And General | $9,549,699 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,987,932 | TotalAmt |
| Program Services | $2,548,113 | ProgramServicesAmt |
| Management And General | $439,819 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,565 | TotalAmt |
| Program Services | $12,806 | ProgramServicesAmt |
| Management And General | $759 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,749 | TotalAmt |
| Program Services | $29,415 | ProgramServicesAmt |
| Management And General | $1,334 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,818,301 | TotalAmt |
| Management And General | $2,818,301 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,145,981 | TotalAmt |
| Program Services | $4,145,981 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,259,786 | TotalAmt |
| Management And General | $1,259,786 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT PROVISION | $33,375,559 | $33,375,559 | |
| MEDI-CAL HOSPITAL FEE E | $5,813,107 | $5,813,107 | |
| DUES & SUBSCRIPTIONS | $223,296 | $6,138 | $217,158 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,360,613 | TotalAmt |
| Program Services | $1,360,613 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,050,421 | TotalAmt |
| Program Services | $159,693,844 | ProgramServicesAmt |
| Management And General | $30,356,577 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,000 | BOYAmt |
| EOY | $3,159 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,843 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,821,662 | BOYAmt |
| EOY | $8,575,137 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,112,938 | BOYAmt |
| EOY | $3,495,418 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,324,653 | BOYAmt |
| EOY | $794,707 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $222,307,565 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $181,091,278 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,957,771 | BOYAmt |
| EOY | $41,216,287 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $395,890 | BOYAmt |
| EOY | $395,890 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,092,458 | BOYAmt |
| EOY | $17,953,372 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,718,215 | BOYAmt |
| EOY | $72,433,970 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,784,864 | BOYAmt |
| EOY | $99,464,663 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,786,219 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,884,196 | BOYAmt |
| EOY | $9,219,526 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,455,279 | BOYAmt |
| EOY | $108,684,189 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,744,908 | BOYAmt |
| EOY | -$36,258,063 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,844 | BOYAmt |
| EOY | $7,844 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,737,064 | BOYAmt |
| EOY | -$36,250,219 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,718,215 | BOYAmt |
| EOY | $72,433,970 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$36,158,809 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $1,645,654 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,182,186 | OtherCostOrOtherBasisAmt |
| Book Value | $5,182,186 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $99,494,196 | OtherCostOrOtherBasisAmt |
| Depreciation | $70,746,805 | DepreciationAmt |
| Book Value | $28,747,391 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,560,764 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,513,003 | DepreciationAmt |
| Book Value | $47,761 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $106,217,757 | OtherCostOrOtherBasisAmt |
| Depreciation | $101,904,367 | DepreciationAmt |
| Book Value | $4,313,390 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,852,662 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,927,103 | DepreciationAmt |
| Book Value | $2,925,559 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $41,216,287 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| COST REPORT SETTLEMENT RECEIVABLE | $12,554,471 |
| DUE FROM MEDICAL GROUP | $4,023,272 |
| ROU ASSETS | $1,375,629 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $17,953,372 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| RISK MANAGEMENT PROGRAMS | $3,884,146 |
| RETIREE MEDICAL LIABILITY | $2,850,584 |
| ROU LEASE LIABILITY | $1,422,357 |
| OTHER NONCURRENT LIABILITIES | $1,062,439 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,219,526 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 350.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 150.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $869,743 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $869,743 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00560 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,441,619 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,005,931 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,435,688 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06660 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,311,362 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,005,931 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,305,431 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07220 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,311,362 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,005,931 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,305,431 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07220 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $33,375,560 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,337,556 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $20,685,853 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $35,634,282 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$14,948,429 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAMERON HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 525 WEST ACACIA STREET | AddressLine1Txt |
| City | STOCKTON | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.DAMERONHOSPITAL.ORG | WebsiteAddressTxt |
| State License | 030000024 | 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 | DAMERON HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SCH H PART VI - NEEDS ASSESSMENT | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE SCH H PART VI - NEEDS ASSESSMENT | OtherWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SCH H PART VI - NEEDS ASSESSMENT | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 350.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 150.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SCH H PART VI-PATIENT EDUC | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SCH H PART VI-PATIENT EDUC | FAPAppAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DAMERON HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 5: A. IDENTITY OF PARTNER ORGANIZATIONS THAT COLLABORATED ON THE ASSESSMENTTHE SAN JOAQUIN COUNTY 2022 CHNA WAS AN EFFORT OF THE HEALTHIER SAN JOAQUIN COLLABORATIVE THAT INCLUDED SAN JOAQUIN PUBLIC HEALTH SERVICES, SAN JOAQUIN'S NONPROFIT HOSPITALS, AS WELL AS MANY PARTNER ORGANIZATIONS AND INDIVIDUALS THROUGHOUT THE COMMUNITY. THE CHNA WAS LED BY A CORE TEAM THAT WAS RESPONSIBLE FOR PLANNING AND KEY DECISION-MAKING, INCLUDING PROVIDING INPUT FOR DEVELOPING DATA COLLECTION INSTRUMENTS, WORKING ALONGSIDE AD LUCEM CONSULTING TO COLLECT AND ANALYZE DATA, AND REVIEWING AND COMMENTING ON THE REPORT. THE BROADLY REPRESENTATIVE CHNA STEERING COMMITTEE SUPPORTED THE PROCESS BY COLLECTING PRIMARY DATA AND PARTICIPATING IN DATA REVIEW AND HEALTH NEEDS PRIORITIZATION.I. CORE TEAM MEMBERS INCLUDED: ADVENTIST HEALTH (LODI MEMORIAL AND DAMERON HOSPITALS), COMMUNITY FOUNDATION OF SAN JOAQUIN, COMMUNITY MEDICAL CENTERS, DIGNITY HEALTH, ST. JOSEPH'S MEDICAL CENTER, BEHAVIORAL HEALTH CENTER, FIRST 5 SAN JOAQUIN, HEALTH NET, HEALTH PLAN OF SAN JOAQUIN, KAISER PERMANENTE, SAN JOAQUIN COUNTY CLINICS/SAN JOAQUIN GENERAL HOSPITAL, SAN JOAQUIN COUNTY OFFICE OF EDUCATION, SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES, SUTTER HEALTH VALLEY AREA, AND UNIVERSITY OF THE PACIFIC. II. STEERING COMMITTEE MEMBERS INCLUDED: 211 SAN JOAQUIN, ADVENTIST HEALTH, LODI MEMORIAL, DAMERON HOSPITALS, AMELIA ADAMS WHOLE LIFE CENTER, ASIAN PACIFIC SELF-DEVELOPMENT AND RESIDENTIAL ASSOCIATION (APSARA), BOYS AND GIRLS CLUB, CATHOLIC CHARITIES STOCKTON DIOCESE, CHILD ABUSE PREVENTION COUNCIL, CITY OF STOCKTON (OFFICE OF THE MAYOR, OFFICE OF VIOLENCE PREVENTION), COMMUNITY FOUNDATION OF SAN JOAQUIN, COMMUNITY MEDICAL CENTERS, DATA CO-OP (INTERIM DIRECTOR), DELTA HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES (REGION 9), DIGNITY HEALTH, ST. JOSEPH'S MEDICAL CENTER, BEHAVIORAL HEALTH CENTER, EL CONCILIO, EMERGENCY FOOD BANK, FAITH IN THE VALLEY, FIRST 5 SAN JOAQUIN, HEALTH FORCE PARTNERS, HEALTH NET, HEALTH PLAN OF SAN JOAQUIN, HISPANIC CHAMBER OF COMMERCE, KAISER PERMANENTE, LITTLE MANILA RISING, LOVE INC. MANTECA, MARY MAGDALENE COMMUNITY SERVICES PUBLIC HEALTH ADVOCATES, REINVENT SOUTH STOCKTON COALITION, SAN JOAQUIN PRIDE CENTER, SIERRA VISTA HOMES (RESIDENT'S COUNCIL), SJC BEHAVIORAL HEALTH SERVICES, SJC CHILDREN'S ALLIANCE, SJC CLINICS, SJC COUNCIL OF GOVERNMENTS, SJC OFFICE OF EDUCATION (EARLY CHILDHOOD EDUCATION AND COMPREHENSIVE HEALTH PROGRAMS), SJC HEALTH CARE SERVICES AGENCY AND WHOLE PERSON CARE PROGRAM, SJC HUMAN SERVICES AGENCY: AGING AND COMMUNITY SERVICES, SJC PUBLIC HEALTH SERVICES, ST. MARY'S DINING ROOM, STOCKTONIANS TAKING ACTION TO NEUTRALIZE DRUGS (STAND), STOCKTON NAACP, SUTTER HEALTH VALLEY AREA, THIRD CITY COALITION, UNIVERSITY OF THE PACIFIC, SCHOOL OF HEALTH SCIENCES, VISIONARY HOME BUILDERS, AND WOMEN'S CENTER AND YOUTH SERVICES AGENCY.III. SAN JOAQUIN COMMUNITY RESIDENTS: THE SAN JOAQUIN COUNTY 2022 CHNA WOULD NOT HAVE BEEN POSSIBLE WITHOUT THE SUPPORT AND ENGAGEMENT OF COUNTY RESIDENTS. MANY COMMUNITY RESIDENTS VOLUNTEERED THEIR TIME AS FOCUS GROUP PARTICIPANTS TO PROVIDE THE CRITICAL PERSPECTIVES OF RESIDENTS LIVING, WORKING, AND RAISING FAMILIES IN COUNTY COMMUNITIES. OTHERS HELPED TO SUPPORT THE PROCESS BY PROVIDING FEEDBACK/VALIDATION OF THE PRELIMINARY FINDINGS. B. IDENTITY AND QUALIFICATIONS OF CONSULTANTS USED TO CONDUCT THE ASSESSMENTTHE HEALTHIER SAN JOAQUIN COLLABORATIVE CONTRACTED WITH AD LUCEM CONSULTING, A PUBLIC HEALTH CONSULTING FIRM, TO CONDUCT THE SAN JOAQUIN COUNTY CHNA. AD LUCEM CONSULTING SPECIALIZES IN INITIATIVE DESIGN, STRATEGIC PLANNING, GRANTS MANAGEMENT, AND PROGRAM EVALUATION, TAILORING METHODS AND STRATEGIES TO EACH PROJECT AND ADAPTING TO CLIENT NEEDS AND PRIORITIES, POSITIONING CLIENTS FOR SUCCESS. AD LUCEM CONSULTING WORKS IN CLOSE COLLABORATION WITH CLIENTS, SYNTHESIZING COMPLEX INFORMATION INTO EASY-TO-UNDERSTAND, USABLE FORMATS, BRINGING A HANDS-ON, DOWN-TO-EARTH APPROACH TO EACH PROJECT. AD LUCEM CONSULTING SUPPORTS CLIENTS THROUGH A VARIETY OF SERVICES THAT CAN BE APPLIED TO A RANGE OF ISSUES. AD LUCEM CONSULTING HAS DEVELOPED CHNA REPORTS AND IMPLEMENTATION STRATEGY PLANSFOR HOSPITALS INCLUDING SYNTHESIS OF SECONDARY AND PRIMARY DATA, NEEDS PRIORITIZATION, AND IDENTIFICATION OF ASSETS AND IMPLEMENTATION STRATEGIES.TO LEARN MORE ABOUT AD LUCEM CONSULTING, VISIT WWW.ADLUCEMCONSULTING.COM. |
| DAMERON HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 6A: ADVENTIST HEALTH LODI MEMORIAL AND DAMERON HOSPITALS, DIGNITY HEALTH, ST. JOSEPH'S MEDICAL CENTER, BEHAVIORAL HEALTH CENTER, KAISER PERMANENTE, SAN JOAQUIN GENERAL HOSPITAL, AND SUTTER HEALTH VALLEY AREA. |
| DAMERON HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 11: THE IMPLEMENTATION PLAN WAS DEVELOPED FOLLOWING A DISTINCT THREE STEP STRATEGIC PLANNING PROCESS. FIRST, THE HEALTH NEEDS IDENTIFIED IN THE CHNA WERE PRIORITIZED BY MEMBERS OF THE SJC2HAC. SECOND, DAMERON HOSPITAL SELECTED FOUR OF THE PRIORITIZED HEALTH NEEDS AS A PRIMARY FOCUS FOR THE PURPOSES OF MEETING THE HEALTH NEEDS OF THE COMMUNITY. THOSE CHOSEN MOST CLOSELY ALIGNED WITH THE HOSPITAL'S MISSION AND ORGANIZATIONAL CAPABILITIES. THE THIRD, AND FINAL STEP WAS THE DEVELOPMENT OF AN IMPLEMENTATION PLAN.STEP 1: PRIORITIZING HEALTH NEEDSTHE SJC2HAC PRIORITIZED AND RANKED THE IDENTIFIED COMMUNITY HEALTH NEEDS. EACH HEALTH NEED WAS RANKED ALONG TWO DIMENSIONS: 1) THE SIGNIFICANCE OR SEVERITY OF THE HEALTH NEED; AND 2) THE ABILITY OF A HOSPITAL TO MAKE A NOTABLE IMPACT ON THE IDENTIFIED HEALTH NEED.STEP 2: IDENTIFY HEALTH NEEDS FOR DAMERON HOSPITAL'S 2020 FOCUSDAMERON HOSPITAL IDENTIFIED THREE PRIMARY HEALTH NEEDS, FROM THE ELEVEN, THAT ALIGNED WITH ITS MISSION AND ORGANIZATIONAL CAPABILITIES. DAMERON HOSPITAL'S MISSION IS TO SUPPORT PHYSICIANS AND OUR EMPLOYEES IN PROVIDING QUALITY PATIENT CARE IN A SAFE AND CARING ENVIRONMENT.STEP 3: STRATEGIC PLANNINGTHIS PROCESS FOLLOWED TWO KEY STEPS. FIRST, PERSONNEL IN THE HOSPITAL WERE RECRUITED TO PARTICIPATE AND DEVELOP THE IMPLEMENTATION PLAN. SECOND, DAMERON HOSPITAL LEADERSHIP EVALUATED THE IMPLEMENTATION PLAN AND ITS ALIGNMENT TO THE COMMUNITY NEEDS ASSESSMENT. THE FINAL PLAN IS DEPICTED IN STRATEGIC PLAN (PGS. 20-22 OF THE COMMUNITY BENEFIT REPORT) THIS EVALUATION AND PRIORITIZATION RESULTS WERE USED AS THE ROADMAP FOR OUR 2020 COMMUNITY BENEFIT PLAN. |
| DAMERON HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 20E: - DOCUMENTED ITS DETERMINATION OF WHETHER INDIVIDUALS WERE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY.- NOTIFIED INDIVIDUALS OF THE FINANCIAL ASSISTANCE POLICY IN COMMUNICATIONS WITH THE INDIVIDUALS REGARDING THE INDIVIDUAL'S BILLS.- NOTIFIED INDIVIDUALS OF THE FINANCIAL ASSISTANCE POLICY ON ADMISSION.- NOTIFIED INDIVIDUALS OF THE FINANCIAL ASSISTANCE POLICY PRIOR TO DISCHARGE. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 33,375,560. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE HOSPITAL IS INVOLVED IN NUMEROUS COMMUNITY BUILDING ACTIVITIES WHICH PROMOTE THE HEALTH OF THE COMMUNITY. OVERWHELMINGLY, WE SEE DISEASES OF DESPAIR INCLUDING SUICIDE, SUBSTANCE ABUSE, MENTAL HEALTH, AND CHRONIC ILLNESSES PLAGUING THE COMMUNITIES IN WHICH WE HAVE A SIGNIFICANT PRESENCE IN. THESE COMMUNITY CONCERNS ARE ADDRESSED THROUGH HEALTH IMPROVEMENT, EDUCATION, POVERTY, WORKFORCE DEVELOPMENT, AND ACCESS TO CARE. THIS IS WHY WE HAVE FOCUSED OUR WORK AROUND ADDRESSING BEHAVIOR AND THE SYSTEMS KEEPING THE MOST VULNERABLE PEOPLE IN CYCLES OF POVERTY AND HIGH UTILIZATION. IN AN EFFORT TO HEAL THESE COMMUNITIES, WE HAVE STRATEGICALLY INVESTED IN OUR COMMUNITIES BY PARTNERING WITH HEALTHFORCE PARTNERS, AMERICAN HEART ASSOCIATION, SAN JOAQUIN MEDICAL SOCIETY DECISION MEDICAL PROGRAM, SAN JOAQUIN DELTA COLLEGE AND LOCAL BUSINESSES. WE BELIEVE THE POWER OF COMMUNITY TRANSFORMATION LIES IN THE HANDS OF THE COMMUNITY. OUR SOLUTION FOR TRANSFORMATION IS TO CREATE A SUSTAINABLE MODEL OF WELL-BEING THAT MEASURABLY IMPACTS THE WELL-BEING OF PEOPLE, WELL-BEING OF PLACE, AND EQUITY. BY PARTNERING WITH VARIOUS ORGANIZATIONS, WE WILL BE ABLE TO GAIN GROUND IN SHIFTING THE BALANCE FROM HEALTHCARE - TREATING PEOPLE ONCE THEY ARE ILL - TO TRANSFORMATIVE WELL-BEING - CHANGING THE WAY COMMUNITIES LIVE, WORK, AND PLAY. 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. IN ADDITION, 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 III, LINE 3: | THE HOSPITAL PROVIDED CARE TO ALL WHO PRESENTED THEMSELVES IN OUR EMERGENCY ROOM, WITHOUT ASKING FOR PROOF OF INSURANCE. THE HOSPITAL'S UNINSURED POPULATION CONTINUES TO INCREASE. UNINSURED PATIENTS ARE SCREENED FOR MEDICAID LINKAGE, GIVEN ASSISTANCE IN APPLYING FOR MEDICAID AND IF INELIGIBLE FOR MEDICAID ARE GIVEN INFORMATION REGARDING THE HOSPITAL'S CHARITY CARE POLICY AND ENCOURAGED TO APPLY FOR CHARITY CARE AND DISCOUNTED PAYMENT OPTIONS. OFTEN THE INFORMATION GATHERED IN THE MEDICAID APPLICATION WILL MAKE THIS DETERMINATION "AUTOMATIC." IF ADDITIONAL INFORMATION IS REQUIRED, THE HOSPITAL ATTEMPTS TO CONTACT THE PATIENT. THOSE THAT DO NOT RESPOND WILL BE SENT TO A COLLECTION AGENCY AFTER 120 DAYS AND FOUR STATEMENTS. THE HOSPITAL ESTIMATES 10% OF BAD DEBT EXPENSE (CALCULATED AT COST) SHOULD BE CONSIDERED CHARITY CARE. THE HOSPITAL'S BAD DEBT ACCOUNTS ARE ANALYZED BY A THIRD PARTY TO DETERMINE THIS AMOUNT. |
| PART III, LINE 4: | PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT AMOUNTS THAT REFLECT THE CONSIDERATION TO WHICH THE ORGANIZATION EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE ASSOCIATION PERFORMS A MONTHLY ANALYSIS OF HISTORIC PAID CLAIMS AND IDENTIFIES PAYMENT TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE APPROPRIATE AND SUFFICIENT IMPLICIT PRICE CONCESSIONS REFLECTED IN ACCOUNTS RECEIVABLE.FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ASSOCIATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES ADDITIONAL IMPLICIT PRICE CONCESSIONS, IF NECESSARY, BASED UPON HISTORICAL COLLECTION HISTORY FOR DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAD NOT YET PAID FOR REMAINING PAYOR BALANCES.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ASSOCIATION RECORDS A SIGNIFICANT IMPLICIT PRICE CONCESSION IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS HAVE BEEN UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS REFLECTED AS A REDUCTION IN ACCOUNTS RECEIVABLE. |
| PART III, LINE 8: | THE MEDICARE COST REPORT APPORTIONS THE HOSPITAL'S COSTS ON THE BASIS OF INPATIENT DAYS AND ANCILLARY AND OUTPATIENT CHARGES TO ESTABLISH THE COSTING METHODOLOGY.HEALTHCARE DELIVERY BY HOSPITALS IS A COMPLEX, HIGHLY REGULATED BUSINESS IN THE UNITED STATES. HEALTHCARE UNIT COST INFLATION IS DRIVEN BY COMPLIANCE WITH EVER EXPANDING REGULATORY REQUIREMENTS, SHORTAGES OF HIGHLY SKILLED LABOR AND INVOLVING MEDICAL AND INFORMATION TECHNOLOGY. THE HEALTH CARE "MARKET BASKET" IS UNRELATED TO THAT OF THE AVERAGE INDIVIDUAL CONSUMER.MEDICARE ANNUAL PAYMENT UPDATES HAVE FALLEN BEHIND ACTUAL HEALTHCARE COST INFLATION TO THE POINT THAT MEDICARE PAYMENTS TO MANY U.S. HOSPITALS ARE WELL BELOW THE COST OF PROVIDING CARE. THESE UNREIMBURSED COSTS ARE A COMMUNITY BENEFIT FOR SENIORS AND OTHERS IN THE COMMUNITY AS THESE INDIVIDUALS ARE CONTINUING TO RECEIVE CARE WITHOUT WHICH MANY WOULD BECOME DEPENDENT ON OTHER GOVERNMENTAL RESOURCES SUCH AS MEDICAID. THE BENEFIT TO THE COMMUNITY FOR HEALTHIER MEDICARE RECIPIENTS IS NO DIFFERENT THAN THOSE BENEFITS THE COMMUNITY REALIZES FOR UNINSURED AND UNDERINSURED PATIENTS WHO ARE ELIGIBLE FOR PARTIAL AND FULL CHARITY CARE. MEDICARE IS A SAFETY NET FOR SENIORS AND OTHERS. WITHOUT MEDICARE COVERAGE, MANY INDIVIDUALS WOULD UNDOUBTEDLY QUALIFY FOR CHARITY CARE.IN ADDITION TO THE MISMATCH BETWEEN MEDICARE PAYMENT INCREASES AND HEALTHCARE COST INFLATION, THE HIGHLY COMPLEX MEDICARE PAYMENT SYSTEMS AND FORMULAS PRODUCE DISPARATE PAYMENT LEVELS FROM ONE HOSPITAL TO ANOTHER FOR THE SAME SERVICE. THESE DISPARATE PAYMENT LEVELS CREATE DISPARATE RESULTS WITHIN GROUPS OF HOSPITALS. FOR FURTHER INFORMATION, PLEASE REFER TO SCHEDULE H, PART III, SECTION B. |
| PART III, LINE 9B: | 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 ISWRITTEN 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, LINE 2: | THE HOSPITAL'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE 2023 COMMUNITY HEALTH IMPLEMENTATION STRATEGY (CHIS) APPROVED IN FISCAL YEAR 2023, AND THE 2022 COMMUNITY HEALTH PLAN (CHP) UPDATED FOR FISCAL YEAR 2022 ARE POSTED ON THE HOSPITAL'S WEBSITE AT:WWW.DAMERONHOSPITAL.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/THE CHNA INCLUDES BOTH THE ACTIVITY AND PRODUCT OF IDENTIFYING AND PRIORITIZING A COMMUNITY'S HEALTH NEEDS, ACCOMPLISHED THROUGH THE COLLECTION AND DEVELOPMENT OF A COMMUNITY HEALTH PLAN. THE SECOND COMPONENT OF THE CHNA, THE COMMUNITY HEALTH PLAN, INCLUDES STRATEGIES AND PLANS TO ADDRESS PRIORITIZED NEEDS, WITH THE GOAL OF CONTRIBUTING TO IMPROVEMENTS IN THE COMMUNITY'S HEALTH. QUALITATIVE AND QUANTITATIVE DATA SOURCES WERE USED IN CONDUCTING THE CHNA. TO ACCOMPLISH THE MANY IMPORTANT SYSTEMIC GOALS THAT ARE UNDERWAY IN OUR COMMUNITY, OUR HOSPITAL SUPPORT LOCAL PARTNERS TO AUGMENT OUR OWN EFFORTS, AND TO PROMOTE A HEALTHIER COMMUNITY. PARTNERSHIP IS NOT USED AS A LEGAL TERM, BUT A DESCRIPTION OF THE RELATIONSHIPS OF CONNECTIVITY THAT ARE NECESSARY TO COLLECTIVELY IMPROVE THE HEALTH OF THE REGIONS WE SERVE. ONE OF OUR OBJECTIVES IS TO PARTNER WITH OTHER NONPROFIT AND FAITH-BASED ORGANIZATIONS THAT SHARE OUR VALUES AND PRIORITIES TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF THE COMMUNITY WE SERVE. THIS IS AN INTENTIONAL EFFORT TO AVOID DUPLICATION AND LEVERAGE THE SUCCESSFUL WORK ALREADY IN EXISTENCE IN THE COMMUNITY. |
| PART VI, LINE 3: | THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY (FAP) IS POSTED ALONG WITH THE COMPLETE FAP POLICY AND FAP APPLICATION ON THE HOSPITAL'S WEBSITE AT:HTTPS://WWW.DAMERONHOSPITAL.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/THESE DOCUMENTS ARE AVAILABLE IN MULTIPLE LANGUAGES.AT THE TIME OF REGISTRATION, PATIENTS WHO ARE UNINSURED AND UNDERINSURED ARE PROVIDED INFORMATION ABOUT GOVERNMENT HEALTHCARE PROGRAMS. PATIENTS ARE ALSO 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, LINE 4: | SAN JOAQUIN COUNTY, IN THE CENTRAL VALLEY OF CALIFORNIA, IS ROUGHLY 60 MILES EAST OF SAN FRANCISCO AND 35 MILES SOUTH OF SACRAMENTO, WITH A TOTAL POPULATION OF 742,603 (2019). HISTORICALLY, AGRICULTURE HAS BEEN A STRONG DRIVER OF OUR ECONOMY AND MANY MIGRANTS AND IMMIGRANTS HAVE SETTLED HERE TO WORK IN THE FIELDS AND HELP WITH AGRICULTURAL PROCESSING OR SHIPPING. THE COUNTY IS MOSTLY RURAL, WITH ONE LARGE URBAN CORE (STOCKTON) AND SEVENSMALLER CITIES, AS WELL AS MANY RANCHING AND FARMING COMMUNITIES SCATTERED ACROSS THE COUNTY.SAN JOAQUIN COUNTY IS HOME TO A HIGH CONCENTRATION OF RESIDENTS AT ELEVATED RISK FOR COVID-19 AND WHO HAVE EXPERIENCED ENORMOUS IMPACTS FROM THE PANDEMIC. A QUARTER OF RESIDENTS ARE FOREIGN-BORN. OVERALL, 14.5% OF RESIDENTS LIVE IN POVERTY. RESIDENTS AGED 65 YEARS AND OLDER HAVE A POVERTY RATE OF 9.9%. THE EDUCATIONAL ATTAINMENT OF SAN JOAQUIN COUNTY RESIDENTS IS MUCH LOWER THAN CALIFORNIA RESIDENTS. ONLY 18.8% OF COUNTYRESIDENTS AGED 25 AND OLDER HAVE A BACHELOR'S DEGREE OR HIGHER, COMPARED TO 33.9% OF CALIFORNIANS AGED 25 AND OLDER THAT HAVE A BACHELOR'S DEGREE OR HIGHER. MANY RESIDENTS OF SAN JOAQUIN COUNTY SPEAK LANGUAGES OTHER THAN ENGLISH AT HOME. OVER ONE QUARTER OF SAN JOAQUIN COUNTY RESIDENTS COMMUNICATE AT HOME IN SPANISH, WHICH IS LESS THAN THE OVERALL RATE FOR CALIFORNIA, AND FEWER COUNTY RESIDENTS SPEAK CHINESE LANGUAGES THANCALIFORNIA AS A WHOLE. A HIGHER PERCENTAGE OF COUNTY RESIDENTS SPEAK TAGALOG, PUNJABI, AND KHMER AS COMPARED TO CALIFORNIA OVERALL. SAN JOAQUIN COUNTY HAD HIGHER (RISK ADJUSTED) RATES OF ADULT HOSPITALIZATION FOR HEART FAILURE, COPD/ASTHMA (AGES 40+), ASTHMA (AGES 18-39) AND HYPERTENSION IN 2020 THAN CALIFORNIA OVERALL. MANY OF THESE HOSPITALIZATIONS COULD POTENTIALLY BE AVOIDABLE THROUGH ACCESS TO HIGH QUALITY OUTPATIENT CARE.IN SAN JOAQUIN COUNTY, THE TOP FIVE CAUSES OF DEATH ARE HEART DISEASE, CANCER, COVID-19, STROKE, AND LUNG DISEASE. ACCORDING TO 2021 COUNTY HEALTH PROFILES, OUT OF 58 COUNTIES, SJC HAD THE 14TH HIGHEST DEATH RATE FROM DIABETES, 26TH HIGHEST CORONARY HEART DISEASE DEATH RATE, AND THE 5TH HIGHEST STROKE DEATH RATE IN THE STATE. THE TOP FIVE CAUSES OF DEATH DIFFER BY RACE/ETHNICITY. HEART DISEASE AND CANCER ARE AMONG THE TOP FIVE CAUSES OF DEATH FOR ALL RACIAL/ETHNIC GROUPS; DIABETES IS AMONG THE TOP FIVE CAUSES OF DEATH FOR ASIAN AND NATIVE HAWAIIAN/PACIFIC ISLANDER RESIDENTS, AND UNINTENTIONAL INJURIES APPEARS IN THE TOP FIVE CAUSES OF DEATH FOR BLACK/AFRICAN AMERICAN, LATINX (HISPANIC), NATIVE HAWAIIAN/PACIFIC ISLANDER AND MULTIETHNIC RESIDENTS. COVID-19 WAS THE NUMBER ONE CAUSE OF DEATH FOR ASIAN AND LATINX (HISPANIC) RESIDENTS. |
| PART VI, LINE 5: | WE INCORPORATED OUR COMMUNITY BENEFIT WORK TO BE AN INTEGRAL COMPONENT OF IMPROVING THE "TRIPLE AIM." THE "TRIPLE AIM" CONCEPT BROADLY KNOWN AND ACCEPTED WITHIN HEALTH CARE INCLUDES:1. IMPROVE THE EXPERIENCE OF CARE FOR OUR RESIDENTS.2. IMPROVE THE HEALTH OF POPULATIONS.3. REDUCE THE PER CAPITA COSTS OF HEALTH CARE.OUR STRATEGIC INVESTMENTS IN OUR COMMUNITY ARE FOCUSED ON A MORE PLANNED, PROACTIVE APPROACH TO COMMUNITY HEALTH. THE BASIC ISSUE OF GOOD STEWARDSHIP IS MAKING OPTIMAL USE OF LIMITED CHARITABLE FUNDS. DEFAULTING TO CHARITY CARE IN OUR EMERGENCY ROOMS FOR THE MOST VULNERABLE IS NOT CONSISTENT WITH OUR MISSION. AN UPSTREAM AND MORE PROACTIVE AND STRATEGIC ALLOCATION OF RESOURCES ENABLES US TO HELP LOW INCOME POPULATIONS AVOIDPREVENTABLE PAIN AND SUFFERING, IN TURN ALLOWING THE REALLOCATION OF FUNDS TO SERVE AN INCREASING NUMBER OF PEOPLE EXPERIENCING HEALTH DISPARITIES.HOSPITALS AND HEALTH SYSTEMS ARE FACING CONTINUOUS CHALLENGES DURING THIS HISTORIC SHIFT IN OUR HEALTH SYSTEM. GIVEN TODAY'S STATE OF HEALTH, WHERE COST AND HEARTACHE ARE SOARING, NOW MORE THAN EVER, WE BELIEVE WE CAN DO SOMETHING TO CHANGE THIS. THESE CHALLENGES INCLUDE A PARADIGM SHIFT IN HOW HOSPITALS AND HEALTH SYSTEMS ARE POSITIONING THEMSELVES AND THEIR STRATEGIES FOR SUCCESS IN A NEW PAYMENT ENVIRONMENT. THIS WILL IMPACT EVERYONE IN A COMMUNITY AND WILL REQUIRE SHARED RESPONSIBILITY AMONG ALL STAKEHOLDERS.AS HOSPITALS MOVE TOWARD POPULATION HEALTH MANAGEMENT, COMMUNITY HEALTH INTERVENTIONS ARE A KEY ELEMENT IN ACHIEVING THE OVERALL GOALS OF REDUCING THE OVERALL COST OF HEALTH CARE, IMPROVING THE HEALTH OF THE POPULATION, AND IMPROVING ACCESS TO AFFORDABLE HEALTH SERVICES FOR THE COMMUNITY BOTH IN OUTPATIENT AND COMMUNITY SETTINGS. THE KEY FACTOR IN IMPROVING QUALITY AND EFFICIENCY OF THE CARE HOSPITALS PROVIDE IS TO INCLUDE THE LARGER COMMUNITY THEY SERVE AS A PART OF THEIR OVERALL STRATEGY.POPULATION HEALTH IS NOT JUST THE OVERALL HEALTH OF A POPULATION, BUT ALSO INCLUDES THE DISTRIBUTION OF HEALTH. OVERALL HEALTH COULD BE QUITE HIGH IF THE MAJORITY OF THE POPULATION IS RELATIVELY HEALTHY EVEN THOUGH AMINORITY OF THE POPULATION IS MUCH LESS HEALTHY. IDEALLY SUCH DIFFERENCES WOULD BE ELIMINATED OR AT LEAST SUBSTANTIALLY REDUCED.COMMUNITY HEALTH CAN SERVE AS A STRATEGIC PLATFORM TO IMPROVE THE HEALTH OUTCOMES OF A DEFINED GROUP OF PEOPLE, CONCENTRATING ON THREE CORRELATED STAGES:1. THE DISTRIBUTION OF SPECIFIC HEALTH STATUSES AND OUTCOMES WITHIN A POPULATION;2. FACTORS THAT CAUSE THE PRESENT OUTCOMES DISTRIBUTION; AND3. INTERVENTIONS THAT MAY MODIFY THE FACTORS TO IMPROVE HEALTH OUTCOMES.IMPROVING POPULATION HEALTH REQUIRES EFFECTIVE INITIATIVES TO:1. INCREASE THE PREVALENCE OF EVIDENCE-BASED PREVENTIVE HEALTH SERVICES AND PREVENTIVE HEALTH BEHAVIORS;2. IMPROVE CARE QUALITY AND PATIENT SAFETY; AND3. ADVANCE CARE COORDINATION ACROSS THE HEALTH CARE CONTINUUM.IN ADDITION TO OUR MEDICAL SERVICES AND PROGRAMS, DAMERON HOSPITAL ALSO OFFERS THE FOLLOWING COMMUNITY BENEFIT AND OUTREACH SERVICES: 1. SPONSORSHIP OF HEALTH-RELATED COMMUNITY EVENTS AND ACTIVITIES;2. TAXI/BUS TRANSPORTATION TO AND FROM THE HOSPITAL/CLINIC, IF NEEDED MEDICAL EDUCATION FOR COMMUNITY PHYSICIANS;3. PARTICIPATION IN THE DECISION MEDICINE PROGRAM EXPOSING HIGH SCHOOL STUDENTS TO HEALTH CARE CAREERS TO ENCOURAGE YOUTH TO GIVE BACK TO THE COMMUNITY AND CONSIDER A CAREER IN MEDICINE;4. ONLINE HEALTH CENTER "FOLLOWMYHEALTH; AND5. PROVIDE A CLINICAL SETTING FOR UNDERGRADUATE/VOCATIONAL TRAINING TO STUDENTS ENROLLED IN OUTSIDE PROGRAMS. |
| PART VI, LINE 6: | THE HOSPITAL IS MANAGED BY ADVENTIST HEALTH, A HEALTH CARE SYSTEM WHICH PROVIDES HEALTHCARE SERVICES IN DIVERSE MARKETS WITHIN THE WESTERN UNITED STATES. THE CORPORATE OFFICE PROVIDES IMPORTANT SHARED ADMINISTRATIVE SUPPORT FOR DAMERON. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | CA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARIA VILLARREAL | ||||||||||||||
| REGISTERED NURSE | $296,948 | $0 | $0 | $0 | $0 | $0 | $10,195 | $0 | $17,064 | $0 | $324,207 | $0 | $0 | $0 |
| MEMBER AKUVA | ||||||||||||||
| REGISTERED NURSE | $234,842 | $0 | $0 | $0 | $0 | $0 | $8,107 | $0 | $18,278 | $0 | $261,227 | $0 | $0 | $0 |
| TAMMY A SWANSON | ||||||||||||||
| REGISTERED NURSE | $219,033 | $0 | $0 | $0 | $0 | $0 | $20,381 | $0 | $16,858 | $0 | $256,272 | $0 | $0 | $0 |
| GARY BROWN | ||||||||||||||
| REGISTERED NURSE | $229,178 | $0 | $0 | $0 | $0 | $0 | $8,289 | $0 | $16,858 | $0 | $254,325 | $0 | $0 | $0 |
| CHRIS PETERSON | ||||||||||||||
| CARDIAC CATH SUPERVISOR | $211,639 | $0 | $0 | $0 | $0 | $0 | $7,802 | $0 | $17,064 | $0 | $236,505 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7 | EXECUTIVE INCENTIVE COMPENSATION IS SET BASED ON MEETING A SPECIFIC SET OF METRICS ESTABLISHED ANNUALLY BY THE CEO AND EXECUTIVE TEAM AND APPROVED BY THE BOARD. METRICS GENERALLY INCLUDE QUALITY, FINANCE, PATIENT SAFETY, PATIENT EXPERIENCE, EMPLOYEE ENGAGEMENT AND MEANINGFUL USE GOALS. |
| FORM 990, PART VII, LINE 5: | ADVENTIST HEALTH COMPENSATED THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A: TERESA DAY HAD REPORTABLE COMPENSATION IN THE AMOUNT OF $1,282,531 ERIC CORNWELL HAD REPORTABLE COMPENSATION IN THE AMOUNT OF $594,097 KATIE DELMORE HAD REPORTABLE COMPENSATION IN THE AMOUNT OF $549,028 TIMOTHY KARAGOUNIS HAD REPORTABLE COMPENSATION IN THE AMOUNT OF $443,845 DONOVAN STEWART HAD REPORTABLE COMPENSATION IN THE AMOUNT OF $438,101 DAMERON MEDICAL GROUP COMPENSATED THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A: DATTA GAURAV HAS REPORTABLE COMPENSATION IN THE AMOUNT OF $269,548 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAMERON MEDICAL GROUP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | ENTITY IS OWNED BY THE CMO OF THE HOSPITAL | RelationshipDescriptionTxt |
| Transaction | $2,506,918 | TransactionAmt |
| Transaction | SUPPORT FEES | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | DAMERON HOSPITAL ASSOCIATION HAS ENTERED INTO AN AGREEMENT WITH ADVENTIST HEALTH SYSTEM/WEST TO PROVIDE THE FOLLOWING: - DAY-TO-DAY MANAGEMENT AND OPERATION SERVICES FOR THE HOSPITAL, INCLUDING ALL USUAL AND CUSTOMARY RESPONSIBILITIES, DUTIES, AND OBLIGATIONS IN CONNECTION WITH OPERATING AND MAINTAINING THE HOSPITAL AS A NONPROFIT HOSPITAL IN COMPLIANCE WITH REGULATIONS AND STANDARDS. THIS INCLUDES SERVICES OF SENIOR MANAGEMENT PERSONNEL TO SUPPORT PERSONNEL AS DEEMED NECESSARY. - MANAGE AND SUPERVISE ALL HOSPITAL EMPLOYED AND CONTRACTED PERSONNEL AND WILL ANALYZE THE WORKFORCE AND PROVIDE A RECOMMENDED STAFFING PLAN. - RESPONSIBLE FOR BILLING AND COLLECTION OF CHARGES FOR ALL SERVICES PROVIDED BY THE HOSPITAL, FOLLOWING THE HOSPITAL'S CURRENT CHARGE SCHEDULES AND COLLECTION POLICIES, INCLUDING THE CHARITY CARE POLICY. - TAKE OVER PAYMENT OF EXPENSES, INVOICES, ACCOUNTS PAYABLE, AND OTHER OBLIGATIONS OF THE HOSPITAL IN ACCORDANCE WITH THE HOSPITAL'S POLICIES. THEY ARE ALLOWED ACCESS TO THE BANK ACCOUNTS, AND EXPENSES EXCEEDING $250,000 REQUIRE DAMERON BOD APPROVAL. - OVERSEE THE ACCOUNTING SYSTEM AND PREPARE MONTHLY, QUARTERLY, AND ANNUAL FINANCIAL STATEMENTS AND BOOKKEEPING. - MANAGE ALL CURRENT VENDOR AGREEMENTS AND LOOK TO RENEGOGIATE CONTRACTS WITH UNFAVORABLE TERMS. ANY CONTRACT NEGOTIATIONS OF $250,000 OR MORE REQUIRE DAMERON BOD APPROVAL. ALL CAPITAL PLAN PROJECTS MUST RECEIVE DAMERON BOARD OF DIRECTORS APPROVAL. AND ENSURE THE HOSPITAL REMAINED FULLY LICENSED AND CERTIFIED FOR PARTICIPATION IN GOVERNMENT PROGRAMS AND OTHER THIRD PARTY PAYOR PROGRAMS. - SHALL ASSESS AND RECOMMEND IMPROVEMENTS AND EFFICIENCIES TO THE HOSPITAL'S OPERATIONS INCLUDING IMPROVING FINANCIAL EFFECTIVENESS, QUALITY OF OPERATIONS, CAPITAL BUDGET, AND EXPENDITURES. THE BOD WILL ULTIMATELY MAKE DECISIONS RELATED TO THE CAPITAL BUDGET, EXPENDITURES, AND INVESTMENTS. - DEVELOP BRANDING FOR BOARD APPROVAL. - DAMERON HOSPITAL ASSOCIATION MUST OBTAIN CONSENT FROM ADVENTIST PRIOR TO TAKING THE FOLLOWING ACTIONS: AUTHORIZE OR APPROVE THE TRANSFER OR DISPOSE OF REAL OR PERSONAL PROPERTY (EXCEPT OBSOLETE ITEMS); ENTER INTO DEBT THAT CREATES LIENS ON REAL OR PERSONAL PROPERTY OF THE HOSPITAL; EXECUTE LEASES, CONTRACTS, OR AGREEMENTS; TERMINATE LICENSES, CERTIFICATIONS, OR PERMITS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY THE CFO AND ACCOUNTING MANAGER. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH INDIVIDUAL FIDUCIARY MUST EXECUTE A CONFLICTS OF INTEREST DISCLOSURE STATEMENT AND QUESTIONNAIRE AT LEAST ANNUALLY AND MUST PROMPTLY REPORT ALL FACTS REGARDING ANY NEW TRANSACTION THAT MIGHT CREATE A CONFLICT OF INTEREST AS SOON AS THEY BECOME AWARE OF ANY SUCH TRANSACTION. IT IS EACH FIDUCIARY'S DUTY TO MAKE A FULL DISCLOSURE AS PROVIDED HEREIN OF ALL MATERIAL FACTS REGARDING ANY POSSIBLE CONFLICT OF INTEREST, TO DESCRIBE THE SITUATION OR TRANSACTION, AND TO DISCLOSE THE DETAILS OF THE EMPLOYEE, MEDICAL STAFF OFFICER, OR RELATED PARTY'S INTEREST IN THE SITUATION OR TRANSACTION. ALL FIDUCIARIES SHALL REPORT ALL POSSIBLE CONFLICTS OF INTEREST TO THE CHIEF EXECUTIVE OFFICER, OR HER DESIGNEE. THE CHIEF EXECUTIVE OFFICER, OR DESIGNEE, SHALL CONDUCT SUCH REVIEW AS APPROPRIATE, AND REFER SUCH INFORMATION TO THE BOARD OF DIRECTORS OF THE HOSPITAL. THE BOARD OF DIRECTORS SHALL REVIEW SUCH CONFLICTS AND DISCLOSURES. THE BOARD OF DIRECTORS MAY CONSULT WITH LEGAL COUNSEL AND SUCH OTHER AUTHORITIES AS MAY BE DESIRED, AND MAY REQUEST ANY ADDITIONAL INFORMATION DEEMED RELEVANT, INCLUDING THE SOURCE AND AMOUNT OF ANY INCOME OR FINANCIAL INTEREST OR OTHER ECONOMIC BENEFIT TO BE DERIVED BY SUCH PERSON FROM THE SITUATION OR TRANSACTION. IT IS THE POLICY OF THE BOARD OF DIRECTORS THAT THE EXISTENCE OF ANY INTEREST DESCRIBED WITHIN THE CORPORATE COMPLIANCE & REGULATORY AFFAIRS POLICY SHALL BE DISCLOSED BEFORE ANY TRANSACTION IS CONSUMMATED. EACH FIDUCIARY HAS A CONTINUING RESPONSIBILITY TO SCRUTINIZE ANY TRANSACTION IN WHICH THE FIDUCIARY OR A RELATED PARTY IS DIRECTLY OR INDIRECTLY INTERESTED FOR POTENTIAL CONFLICT OF INTEREST AND TO MAKE A FULL DISCLOSURE AS PROVIDED HEREIN. THE CHIEF EXECUTIVE OFFICER, OR THE BOARD OF DIRECTORS SHALL AS PROVIDED HEREIN THEN DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS AND SHALL TAKE THE APPROPRIATE ACTION. ALL DECISIONS REGARDING CONFLICTS OF INTEREST REST IN THE SOLE DISCRETION OF THE BOARD OF DIRECTORS IN THE EXERCISE OF ITS ULTIMATE JUDGMENT OF THE BEST INTERESTS OF THE HOSPITAL. ALL OFFICERS WHO ARE EMPLOYEES, ALONG WITH THE REST OF MANAGEMENT AND THE BOARD ARE SUBJECT TO AN ANNUAL CONFLICT OF INTEREST DISCLOSURE PROCESS. |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC TO VIEW. |
| FORM 990, PART IX, LINE 11G | NURSE REGISTRY: PROGRAM SERVICE EXPENSES 12,446,825. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,446,825. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,926,379. MANAGEMENT AND GENERAL EXPENSES 346,610. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,272,989. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 6,035,615. MANAGEMENT AND GENERAL EXPENSES 2,229,553. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,265,168. MEDICAL RECORDS OUTSOURCING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,349,417. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,349,417. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 8,289,176. MANAGEMENT AND GENERAL EXPENSES 2,535,316. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,824,492. DIETARY OUTSOURCING: PROGRAM SERVICE EXPENSES 2,729,058. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,729,058. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 3,275,986. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,275,986. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 143,226. MANAGEMENT AND GENERAL EXPENSES 2,097,072. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,240,298. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAMERON HOSPITAL FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 525 WEST ACACIA STREET | AddressLine1Txt |
| City | STOCKTON | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 942811364 | EIN |
| Primary Activities | SUPPORT DAMERON HOSPITAL ASSOCIATION | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAMERON HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |