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MARSHALL MEDICAL CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
MARSHALL MEDICAL CENTER (EIN 94-1450151)
Tax period
2023-11-01 to 2024-10-31
Filed
2025-09-12
IRS object ID
202502559349301205
Schema version
2023v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-09-12T10:26:16-05:00ReturnTs
Tax Period End2024-10-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY ADVISORY GROUP LPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12882 PROSPECT PARK DR STE 300AddressLine1Txt
CityRANCHO CORDOVACityNm
State AbbreviationCAStateAbbreviationCd
ZIP95670ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-11-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN941450151EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARSHALL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMARSBusinessNameControlTxt
Phone5306221441PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11100 MARSHALL WAYAddressLine1Txt
CityPLACERVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95667ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSIRI NELSONPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone5306221441PhoneNum
Signature2025-09-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY L HENDLEYPreparerPersonNm
PTINP01300654PTIN
Phone9165038100PhoneNum
Preparation2025-09-09PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSIRI NELSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11100 MARSHALL WAYAddressLine1Txt
CityPLACERVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95667ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$344,356,150GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MARSHALLMEDICAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1957FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH OF OUR COMMUNITY AND OFFER HEALTH SERVICES OF SUPERIOR VALUE AND QUALITY.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee1819TotalEmployeeCnt
Total Volunteers120TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,454,804PYContributionsGrantsAmt
CY Contributions Grants$1,134,267CYContributionsGrantsAmt
PY Program Service Revenue$325,634,558PYProgramServiceRevenueAmt
CY Program Service Revenue$339,575,189CYProgramServiceRevenueAmt
PY Investment Income-$1,279,738PYInvestmentIncomeAmt
CY Investment Income$1,295,493CYInvestmentIncomeAmt
PY Other Revenue$3,215,971PYOtherRevenueAmt
CY Other Revenue$1,626,722CYOtherRevenueAmt
PY Total Revenue$331,025,595PYTotalRevenueAmt
CY Total Revenue$343,631,671CYTotalRevenueAmt
PY Grants And Similar Paid$15,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$12,300CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$156,832,089PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$165,390,358CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$165,344,031PYOtherExpensesAmt
CY Other Expenses$174,842,458CYOtherExpensesAmt
PY Total Expenses$322,191,120PYTotalExpensesAmt
CY Total Expenses$340,245,116CYTotalExpensesAmt
PY Revenues Less Expenses$8,834,475PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,386,555CYRevenuesLessExpensesAmt
Total Assets BOY$339,775,718TotalAssetsBOYAmt
Total Assets EOY$350,530,200TotalAssetsEOYAmt
Total Liabilities BOY$149,067,796TotalLiabilitiesBOYAmt
Total Liabilities EOY$150,729,348TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$190,707,922NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$199,800,852NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMARSHALL MEDICAL CENTER PROUDLY SERVES THE WESTERN SLOPE OF EL DORADO COUNTY. OUR MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY AND OFFER HEALTH SERVICES OF SUPERIOR VALUE AND QUALITY, CENTERED ON THE GOALS AND NEEDS OF OUR PATIENTS. WE STRIVE TO DELIVER SERVICE THAT EXCEEDS OUR PATIENTS' EXPECTATIONS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$253,347,227ExpenseAmt
Grant$12,300GrantAmt
Revenue$339,575,189RevenueAmt
DescSEE SCHEDULE OIN KEEPING WITH THE COMMITMENT TO IMPROVE THE HEALTH OF OUR COMMUNITY AND OFFER HEALTH SERVICES OF SUPERIOR VALUE AND QUALITY, THE FOLLOWING WILL BE CONSIDERED WHEN INDIVIDUALS WHO NEED HEALTH CARE CANNOT PAY:- PROVIDING FREE CARE AND/OR SUBSIDIZED CARE;- PROVIDING CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST; AND- PROVIDING HEALTH/WELLNESS ACTIVITIES AND COMMUNITY EDUCATION PROGRAMS.NOT ONLY DOES MARSHALL MEDICAL CENTER PROVIDE LOW-COST CARE TO INDIVIDUALS COVERED BY GOVERNMENT PROGRAMS AND THOSE UNABLE TO AFFORD HEALTH CARE, BUT IT ALSO HELPS PATIENTS FIND AND ACCESS PRIVATE AND GOVERNMENTAL RESOURCES FOR HEALTH CARE BENEFITS. MARSHALL MEDICAL CENTER RECOGNIZES BELOW-COST REIMBURSEMENTS AS CHARITY AND UNCOMPENSATED CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. INPATIENT SERVICES IN TAX YEAR 2023 WERE PROVIDED TO 4,380 PATIENTS. SOME EXAMPLES OF INPATIENT SERVICES INCLUDED:- 323 BABIES DELIVERED- 3 SPECIAL PROCEDURES PERFORMED- 154 CARDIAC CATHETERIZATIONS- 142,823 LABORATORY TESTS PERFORMED- 4,983 CT SCANS- 7,070 RADIOLOGY PROCEDURES PERFORMEDOUTPATIENT SERVICES IN TAX YEAR 2023 WERE PROVIDED TO 209,828 PATIENTS. SOME EXAMPLES FOR OUTPATIENT SERVICES INCLUDED:- 36,952 EMERGENCY ROOM VISITS- 3,066 OUTPATIENT SPECIAL PROCEDURES PERFORMED- 36,861 RADIOLOGY PROCEDURES PERFORMED- 539 CARDIAC CATHETERIZATIONS- 487,924 LABORATORY TESTS PERFORMED- 14,621 CT SCANS- 24,782 RURAL HEALTH CLINIC VISITS- 17,535 CARDIOLOGY CLINIC VISITS- 4,348 PULMONOLOGY CLINIC VISITS- 7,095 ONCOLOGY CLINIC VISITS- 7,751 OP INFUSION CLINIC VISITS- 2,420 RHEUMATOLOGY CLINIC VISITS- 16,792 PEDIATRIC CLINIC VISITS- 9,307 OB CLINICS VISITS- 8,141 CANCER PROGRAM CASES- 64,709 FAMILY PRACTICE CLINICS VISITS- 10,383 GASTROENTEROLOGY CLINIC VISITS- 2,254 ENT CLINIC VISITS- 3,353 HEARING CLINIC VISITS- 16,241 ORTHOPEDIC CLINIC VISITS- 6,084 SURGERY CLINIC VISITS- 4,954 UROLOGY CLINIC VISITS- 869 PSYCHIATRY CLINIC VISITS- 3,865 PODIATRY CLINIC VISITS- 3,963 HBO & WOUND CARE CLINIC VISITS- 22,874 HOSPITALISTS VISITS- 6,453 CARES CLINIC VISITS- 1,525 SPECIALTY SERVICES VISITSMARSHALL MEDICAL CENTER RECOGNIZES IT HAS AN OBLIGATION TO PROVIDE SERVICES ABOVE AND BEYOND ITS ROLE AS A HEALING FACILITY. THE FOLLOWING COMMUNITY BENEFITS DEMONSTRATE THE TANGIBLE WAYS IN WHICH THE ORGANIZATION IS FULFILLING ITS MISSION:- BLOOD PRESSURE CLINICS;- FLU CLINICS;- VOLUNTEER PROGRAM;- FOR YOUR HEALTH (A COMMUNITY MAGAZINE);- CANCER RESOURCE CENTER;- PALLIATIVE CARE PROGRAM;- HOLIDAY FOOD DRIVE FOR VARIOUS FOOD BANKS;- SEXUAL ASSAULT RESPONSE TEAM PROGRAM;- COMMUNITY HEALTH LIBRARY;- CHILDBIRTH CLASSES;- CONGESTIVE HEART ACTIVE TELEPHONE TREATMENT PROGRAM;- SCHOLARSHIPS;- PHARMACEUTICAL TRIALS;- USE OF HOSPITAL CONFERENCE ROOMS FOR COMMUNITY-BASED ORGANIZATIONS;- SEMINARS AND SUPPORT GROUPS;- FREE TRAINING FOR PHARMACY STUDENTS, NURSING STUDENTS, LVN STUDENTS, AND OTHER HEALTHCARE PROFESSIONALS;- SMOKING CESSATION PROGRAM;- CONTRIBUTED TO THE COMMUNITY THROUGH VOLUNTEER SERVICE TO ORGANIZATIONS, INCLUDING CHAMBERS OF COMMERCE;- LOW-COST MAMMOGRAPHY PROGRAM;- HELD NUMEROUS COMMUNITY HEALTH EDUCATION CLASSES;- MARSHALL MEDICAL CENTER'S CHAPLAIN PROVIDED 1,731 PATIENT VISITS AND CONDUCTED TWO MEMORIAL SERVICES;- ACCEL PROGRAM (LOCAL PROJECT TO COORDINATE THE SAFETY NETWORK FOR EL DORADO COUNTY);- ELECTRONIC HEALTH INFORMATION EXCHANGE;- PROVIDED FREE TRANSPORTATION TO PATIENTS UNABLE TO AFFORD TRANSPORTATION;- PROVIDED MEETING LOCATION FOR NUMEROUS SUPPORT GROUPS (MENTAL HEALTH FIRST AID, STROKE EDUCATION AND SUPPORT AND MORE) AT NO CHARGE;- COMMUNITY SPONSORSHIPS INCLUDING BUT NOT LIMITED TO, CENTER FOR VIOLENCE-FREE RELATIONSHIPS, SOROPTIMIST INTERNATIONAL, HANDS4HOPE, AND ROTARY CLUB OF EL DORADO HILLS; AND- ENCOURAGED EMPLOYEES TO PARTICIPATE IN VARIOUS COMMUNITY-BUILDING ORGANIZATIONS INCLUDING, BUT NOT LIMITED TO EL DORADO COUNTY ECONOMIC DEVELOPMENT CORP, LEADERSHIP EL DORADO, EL DORADO UNION HIGH SCHOOL DISTRICT CAREER EDUCATION ADVISORY COMMITTEE, AND VARIOUS HEALTH ORGANIZATION BOARDS.Desc
Total Program Service Expenses$253,347,227TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation EasementsYes (1)ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt BondsYes (1)InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document129IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1819EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOEL ENGELMANNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5306262606PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11100 MARSHALL WAYAddressLine1Txt
CityPLACERVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95667ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
SIRI NELSON
PRESIDENT/CEO39.001.50Yes (X)Yes (X)$654,913$0$28,912
LAURIE ELDRIDGE
CHIEF FINANCIAL OFFICER (THRU 10/24)39.001.00Yes (X)$369,308$0$78,279
MARTIN ENTWISTLE - ASSOCIATE
CHIEF MEDICAL OFFICER/VP POP. HEALTH40.001.50$365,078$0$15,006Yes (X)
BRETT APPLEBERG - CHIEF HUMAN
RESOURCES OFFICER (THRU 04/24)40.000.00$301,797$0$4,374Yes (X)
CYNTHIA RICE
CHIEF NURSING OFFICER40.000.00$301,025$0$31,079Yes (X)
JONATHAN RUSSELL
CHIEF AMBULATORY OFFICER40.000.50$280,025$0$26,997Yes (X)
BRIAN GOLDSMITH MD
CHIEF MEDICAL OFFICER40.000.00$284,394$0$11,885Yes (X)
MARTIN DALY
VP OF INFORMATION TECHNOLOGY40.000.00$271,549$0$12,828Yes (X)
MINDY DANOVARO
EXECUTIVE DIRECTOR OF PHILANTHROPY39.001.00$268,183$0$12,775Yes (X)
JANICE RANGER - EXECUTIVE
DIRECTOR OF FINANCE (THRU 09/23)40.000.00$243,606$0$3,778Yes (X)
ROBIN MCATEE
OPERATING ROOM RN40.000.00$240,614$0$5,170Yes (X)
CORINA BRONNY
STAFF RN - ICU40.000.00$232,439$0$2,857Yes (X)
JON HAUGAARD
CHAIR2.000.00Yes (X)Yes (X)$0$0$0
THOMAS CUMPSTON
VICE CHAIR2.001.00Yes (X)Yes (X)$0$0$0
JOHN R KNIGHT
SECRETARY/TREASURER2.000.00Yes (X)Yes (X)$0$0$0
SEAN ANDERSON MD
CHIEF OF STAFF2.000.00Yes (X)$0$0$0
GEORGE NIELSEN
PAST CHAIR (THRU 02/24)2.000.00Yes (X)$0$0$0
ANNA BLAIR RN
DIRECTOR2.000.00Yes (X)$0$0$0
GERARDO GALANG MD
DIRECTOR2.000.00Yes (X)$0$0$0
ANDREA HOWARD
DIRECTOR2.001.00Yes (X)$0$0$0
ALEXIS LONG MD
DIRECTOR2.000.00Yes (X)$0$0$0
ED MANANSALA EDD
DIRECTOR (THRU 01/24)2.000.00Yes (X)$0$0$0
MIKE PERVIS
DIRECTOR2.000.00Yes (X)$0$0$0
CHRISTEEN REEG
DIRECTOR (THRU 08/24)2.000.00Yes (X)$0$0$0
SYLVIA STEPHENSON
DIRECTOR2.000.00Yes (X)$0$0$0
KIM STOLL
DIRECTOR2.001.00Yes (X)$0$0$0
BRIAN VEERKAMP
DIRECTOR2.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,812,931TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$233,940TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K400IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EL DORADO MULTISPECIALTY MED GROUP
1095 MARSHALL WAYPLACERVILLECA95667MULTISPECIALTY CARE SERVICES$27,343,450
MARSHALL PRIMARY CARE MED ASSOC
2882 PROSPECT PARK DRRANCHO CORDOVACA95670PHYSICIAN PRIMARY CARE SERVICES$13,969,089
EL DORADO ANESTHESIA MED GROUP
113 MIRAMONT COURTEL DORADO HILLSCA95670ANESTHESIA SERVICES$5,249,726
AYA HEALTHCARE INC
PO BOX 123519DALLASTX75312HEALTHCARE STAFFING$2,344,564
OBHG CALIFORNIA PC
777 LOWNDES HILL ROAD BUILDING 1GREENVILLESC29607OB/GYN CARE SERVICES$2,105,668
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K50CntrctRcvdGreaterThan100KCnt
Related Organizations$175,242RelatedOrganizationsAmt
Government Grants$681,335GovernmentGrantsAmt
All Other Contributions$277,690AllOtherContributionsAmt
Total Contributions$1,134,267TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE, NET621110$338,506,542$338,506,542
EL DORADO SURGERY CENT621110$1,068,647$1,068,647
FieldValueIRS element (for citing)
Total Program Service Revenue$339,575,189TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,332,335TotalRevenueColumnAmt
Exclusion$1,332,335ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$373,339RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$178,156RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$195,183RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$195,183TotalRevenueColumnAmt
Exclusion$195,183ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$509,481OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$546,323OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$36,842OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$36,842TotalRevenueColumnAmt
Exclusion-$36,842ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA REVENUE900099$762,171$762,171
MISCELLANEOUS REVENUE900099$669,368$669,368
FieldValueIRS element (for citing)
Other Revenue Total$1,431,539OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$343,631,671TotalRevenueColumnAmt
Related Or Exempt Func Income$339,575,189RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,922,215ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$12,300TotalAmt
Program Services$12,300ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,227,240TotalAmt
Program Services$2,616,752ProgramServicesAmt
Management And General$610,488ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$108,936,467TotalAmt
Program Services$86,709,060ProgramServicesAmt
Management And General$22,227,407ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,903,309TotalAmt
Program Services$3,762,095ProgramServicesAmt
Management And General$2,141,214ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$37,923,436TotalAmt
Program Services$30,686,052ProgramServicesAmt
Management And General$7,237,384ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,399,906TotalAmt
Program Services$7,516,188ProgramServicesAmt
Management And General$1,883,718ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,980,582TotalAmt
Program Services$12,000ProgramServicesAmt
Management And General$2,968,582ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$400,732TotalAmt
Management And General$400,732ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$245,659TotalAmt
Management And General$245,659ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$23,373TotalAmt
Management And General$23,373ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$65,911,318TotalAmt
Program Services$60,745,266ProgramServicesAmt
Management And General$5,166,052ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$204,337TotalAmt
Program Services$22ProgramServicesAmt
Management And General$204,315ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,677,641TotalAmt
Program Services$621,743ProgramServicesAmt
Management And General$1,055,898ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,824,029TotalAmt
Management And General$8,824,029ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,368,276TotalAmt
Program Services$1,596,942ProgramServicesAmt
Management And General$5,771,334ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$289,728TotalAmt
Program Services$131,367ProgramServicesAmt
Management And General$158,361ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$262,692TotalAmt
Program Services$8,718ProgramServicesAmt
Management And General$253,974ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,904,201TotalAmt
Management And General$2,904,201ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,488,993TotalAmt
Management And General$14,488,993ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,683,315TotalAmt
Program Services$428,978ProgramServicesAmt
Management And General$1,254,337ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$46,981,266$46,821,327$159,939
BAD DEBT EXPENSE$5,244,372$5,244,372
REGISTRY$1,428,886$1,045,128$383,758
SECURITY$1,263,994$1,263,994

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$12,659,064TotalAmt
Program Services$5,388,917ProgramServicesAmt
Management And General$7,270,147ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$340,245,116TotalAmt
Program Services$253,347,227ProgramServicesAmt
Management And General$86,897,889ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$30,983,920BOYAmt
EOY$22,243,320EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$23,793,490BOYAmt
EOY$15,423,806EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$77,846,315BOYAmt
EOY$83,333,621EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,180,566BOYAmt
EOY$959,893EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,024,348BOYAmt
EOY$5,830,048EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,664,463BOYAmt
EOY$2,789,120EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$345,030,007LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$208,346,367LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$120,548,029BOYAmt
EOY$136,683,640EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$31,840,356BOYAmt
EOY$36,466,670EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$4,752,442BOYAmt
EOY$5,503,196EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$39,141,789BOYAmt
EOY$41,296,886EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$339,775,718BOYAmt
EOY$350,530,200EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$45,568,108BOYAmt
EOY$50,524,745EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$77,061,096BOYAmt
EOY$76,158,005EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$23,266,664BOYAmt
EOY$19,524,629EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,171,928BOYAmt
EOY$4,521,969EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$149,067,796BOYAmt
EOY$150,729,348EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$190,707,922BOYAmt
EOY$199,800,852EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$190,707,922BOYAmt
EOY$199,800,852EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$339,775,718BOYAmt
EOY$350,530,200EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,386,555ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$5,790,517NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$84,142OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$23,373FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$23,373FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$340,221,743FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$340,245,116FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$24,137CurrentYearMinus3Amt
Current Year Minus2$60,250CurrentYearMinus2Amt
Current Year Minus1$15,967CurrentYearMinus1Amt
Current Year$23,373CurrentYearAmt
Total$123,727TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$7,175CurrentYearMinus3Amt
Current Year Minus2$7,789CurrentYearMinus2Amt
Current Year Minus1$0CurrentYearMinus1Amt
Current Year$0CurrentYearAmt
Total$14,964TotalAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Protection Natural HabitatYes (X)ProtectionNaturalHabitatInd
Total Easements1TotalEasementsCnt
Total Acreage0.10TotalAcreageCnt
Historic Structure Easements0HistoricStructureEasementsCnt
Historic Strctr Easements Aftr0HistoricStrctrEasementsAftrCnt
Modified Easements0ModifiedEasementsCnt
States Easements Held1StatesEasementsHeldCnt
Written Policy Monitoring0WrittenPolicyMonitoringInd
Staff Hours Spent Enforcement0.00StaffHoursSpentEnforcementCnt
Expenses Incurred Enforcement$0ExpensesIncurredEnforcementAmt

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,191,083OtherCostOrOtherBasisAmt
Book Value$7,191,083BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$173,062,891OtherCostOrOtherBasisAmt
Depreciation$93,566,192DepreciationAmt
Book Value$79,496,699BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,434,049OtherCostOrOtherBasisAmt
Depreciation$22,615,824DepreciationAmt
Book Value$7,818,225BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$118,483,554OtherCostOrOtherBasisAmt
Depreciation$92,164,351DepreciationAmt
Book Value$26,319,203BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,858,430OtherCostOrOtherBasisAmt
Book Value$15,858,430BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$136,683,640TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
PREPAID PENSION COSTS$32,299,276
RIGHT-OF-USE LEASE ASSET$4,355,548
UNAMORTIZED LOAN COSTS$2,458,644
THIRD PARTY COST SETTLEMENT$1,242,907
OTHER ASSETS$940,511
FieldValueIRS element (for citing)
Total Book Value Other Assets$41,296,886TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
LEASE LIABILITY$4,411,883
THIRD PARTY PAYOR SETTLEMENTS$110,086
FieldValueIRS element (for citing)
Total Liability$4,521,969TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$344,130,516TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$5,790,517NetUnrealizedGainsInvstAmt
Other Revenue-$47,300OtherRevenueAmt
Revenue Not Reported$5,743,217RevenueNotReportedAmt
Revenue Subtotal$338,387,299RevenueSubtotalAmt
Other Revenues Not Included$5,244,372OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$5,244,372RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$343,631,671TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$335,037,586TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$36,842OtherExpensesIncludedAmt
Expenses Not Reported$36,842ExpensesNotReportedAmt
Expenses Subtotal$335,000,744ExpensesSubtotalAmt
Other Expenses Not Included$5,244,372OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$5,244,372ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$340,245,116TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II, LINE 9:MARSHALL MEDICAL CENTER HAS ONE CONSERVATION EASEMENT FOR THE PROTECTION OF NATURAL HABITAT, WHICH WAS OBTAINED ON APRIL 16, 2003. THE CONSERVATION EASEMENT IS INCLUDED AS PART OF LAND THAT IS INCLUDED IN PROPERTY AND EQUIPMENT ON THE BALANCE SHEET. NO REVENUE OR MATERIAL EXPENSES ARE ASSOCIATED WITH THE EASEMENT.
PART X, LINE 2:THE MEDICAL CENTER IS A TAX-EXEMPT ORGANIZATION AND IS NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES, EXCEPT FOR UNRELATED BUSINESS INCOME, IN ACCORDANCE WITH SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ADDITION, THE MEDICAL CENTER QUALIFIED FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. THE PROVISION FOR INCOME TAXES WAS $0 FOR THE YEARS ENDED OCTOBER 31, 2024 AND 2023.
PART XI, LINE 2D - OTHER ADJUSTMENTS:PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST 152,974. LOSS ON SALE OF FIXED ASSETS 36,842. GRANT REVERSAL FOR FY 2023 -237,116.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBTS 5,244,372.
PART XII, LINE 2D - OTHER ADJUSTMENTS:LOSS ON SALE OF FIXED ASSETS 36,842.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBTS 5,244,372.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other149.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other450.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served568PersonsServedCnt
Total Community Benefit Expns$6,651,476TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,378,571DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,272,905NetCommunityBenefitExpnsAmt
Total Expense0.00960TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served568PersonsServedCnt
Total Community Benefit Expns$6,651,476TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,378,571DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,272,905NetCommunityBenefitExpnsAmt
Total Expense0.00960TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs14ActivitiesOrProgramsCnt
Persons Served11913PersonsServedCnt
Total Community Benefit Expns$4,653,325TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,271,083DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,382,242NetCommunityBenefitExpnsAmt
Total Expense0.00990TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served223PersonsServedCnt
Total Community Benefit Expns$4,890,436TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,890,436NetCommunityBenefitExpnsAmt
Total Expense0.01430TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$161,961TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$161,961NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs14ActivitiesOrProgramsCnt
Persons Served12136PersonsServedCnt
Total Community Benefit Expns$9,705,722TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,271,083DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,434,639NetCommunityBenefitExpnsAmt
Total Expense0.02470TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs24ActivitiesOrProgramsCnt
Persons Served12704PersonsServedCnt
Total Community Benefit Expns$16,357,198TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,649,654DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,707,544NetCommunityBenefitExpnsAmt
Total Expense0.03430TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served50000PersonsServedCnt
Total Community Benefit Expns$412TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$412NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served140PersonsServedCnt
Total Community Benefit Expns$242,523TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$242,523NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served50140PersonsServedCnt
Total Community Benefit Expns$242,935TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$242,935NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$5,244,372BadDebtExpenseAmt
Bad Debt Expense Attributable$614,640BadDebtExpenseAttributableAmt
Reimbursed By Medicare$66,279,251ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$126,565,434CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$60,286,183MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 EL DORADO SURGERY CENTER LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesOUTPATIENT SURGERY CENTERPrimaryActivitiesTxt
Org Profit Or Ownership0.87000OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.13000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARSHALL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11100 MARSHALL WAYAddressLine1Txt
CityPLACERVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95667ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.MARSHALLMEDICAL.ORGWebsiteAddressTxt
State License30000059StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MARSHALL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE LINE 7DOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE LINE 7DStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care149.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care450.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE LINE 16JFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE LINE 16JFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE LINE 16JFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
MARSHALL MEDICAL CENTERPART V, SECTION B, LINE 5: SEVENTEEN (17) PHONE INTERVIEWS WERE CONDUCTED DURING JUNE 2022. COMMUNITY STAKEHOLDERS IDENTIFIED BY THE HOSPITAL WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT INTERVIEWS. INTERVIEW PARTICIPANTS INCLUDED A BROAD RANGE OF STAKEHOLDERS CONCERNED WITH HEALTH AND WELLBEING IN EL DORADO COUNTY, WHO SPOKE TO ISSUES AND NEEDS IN THE COMMUNITIES SERVED BY THE HOSPITAL.MARSHALL ALSO CONDUCTED SURVEYS WITH COMMUNITY RESIDENTS TO OBTAIN INPUT ON HEALTH NEEDS, BARRIERS TO CARE AND RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED HEALTH NEEDS. THE SURVEYS WERE AVAILABLE IN AN ELECTRONIC FORMAT THROUGH A SURVEYMONKEY LINK. THE SURVEYS WERE COLLECTED FROM JUNE 6 TO JULY 11, 2022. DURING THIS TIME, 62 COMMUNITY MEMBERS COMPLETED THE SURVEY.
MARSHALL MEDICAL CENTERPART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ONLINE AT HTTPS://WWW.MARSHALLMEDICAL.ORG/ABOUT-US/COMMUNITY-BENEFIT/.
MARSHALL MEDICAL CENTERPART V, SECTION B, LINE 11: IN FY24, MARSHALL ENGAGED IN ACTIVITIES AND PROGRAMS THAT ADDRESSED THE PRIORITY HEALTH NEEDS IDENTIFIED IN THE FY23-FY25 IMPLEMENTATION STRATEGY. MARSHALL COMMITTED TO COMMUNITY BENEFIT EFFORTS THAT ADDRESSED BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE), CHRONIC DISEASE PREVENTION, MANAGEMENT, AND TREATMENT, AND SUPPORT FOR THE HEALTH AND WELFARE OF THE COMMUNITY. SELECTED ACTIVITIES AND PROGRAMS THAT HIGHLIGHT THE HOSPITAL'S COMMITMENT TO THE COMMUNITY ARE DETAILED BELOW.ACCESS TO BEHAVIORAL HEALTH SERVICES (MENTAL HEALTH AND SUBSTANCE USE):RESPONSE TO NEED:1. MARSHALL CARES (CLINICALLY ASSISTED RECOVERY & EDUCATION SERVICES) - CARES TREATS OPIATE USE DISORDER AND HAS GROWN INTO A CLINIC FOCUSED ON SUPPORTIVE TREATMENT FOR PEOPLE WITH ANY SUBSTANCE DEPENDENCY, INCLUDING ALCOHOL, TOBACCO, STIMULANTS, OPIOIDS, BENZODIAZEPINES, AND OTHER SEDATIVE HYPNOTICS. CLINIC SERVICES SERVED 822 PEOPLE AND INCLUDED COMPREHENSIVE MEDICATION ASSISTED TREATMENT WITH A PHYSICIAN, COUNSELING, CASE MANAGEMENT AND BEHAVIORAL HEALTH SUPPORT SERVICES.2. MEDICATION ASSISTED TREATMENT (MAT) - SINCE DECEMBER 2016, MARSHALL HAS PARTICIPATED IN A JOINT EFFORT WITH THE EL DORADO COMMUNITY HEALTH CENTER (EDCHC) AND THE CALIFORNIA HEALTHCARE FOUNDATION TO PROVIDE MEDICATION ASSISTED TREATMENT (MAT) FOR OPIOID ADDICTION. WHEN PEOPLE COME TO MARSHALL'S EMERGENCY DEPARTMENT IN WITHDRAWAL, THEY WORK WITH A SUBSTANCE USE NAVIGATOR (SUN) AND ARE OFFERED PARTICIPATION IN THE MAT/ED BRIDGE PROGRAM, WHICH INCLUDES BUPRENORPHINE TO ALLEVIATE WITHDRAWAL SYMPTOMS. THROUGH THE EDCHC AND MARSHALL CARES, THEY ARE ALSO REFERRED TO OUTPATIENT THERAPY, WHERE THEY MEET WITH A DOCTOR WITHIN 48 HOURS. THE PROGRAM INCLUDES GROUP SESSIONS, COUNSELING, AND SOCIAL SERVICES. IN FY24, THE SUN CONSULTED WITH 900 PEOPLE. BEYOND OPIOID USE DISORDER TREATMENT, MARSHALL HAS ALSO ENGAGED TO SUPPORT TREATING ALCOHOL USE DISORDER, NICOTINE USE DISORDER, AS WELL AS METHAMPHETAMINE USE. FENTANYL-SPECIFIC USE AND OVERDOSE CONTINUES TO RISE AS SIGNIFICANT PUBLIC HEALTH IMPACT DUE TO ITS HIGHLY CONCENTRATED AND OFTEN POLLUTED NATURE, PARTICULARLY IN SEMI-RURAL WESTERN EL DORADO COUNTY.3. OVERDOSE RECOGNITION AND PREVENTION - OUTREACH TO THE COMMUNITY FOR EDUCATION ON SUBSTANCE USE TREATMENT, OVERDOSE PREVENTION AND STIGMA REDUCTION. COMMUNITY PROGRAMS REACHED 60 PEOPLE. THROUGH AN OUTREACH PARTNERSHIP WITH ASSOCIATION GUADALUPANA, MARSHALL PARTICIPATED IN A HEALTH FAIR AT ST PATRICK'S CATHOLIC CHURCH IN PLACERVILLE FOR SPANISH-SPEAKING COMMUNITY MEMBERS. IN ADDITION, THE HOSPITAL PARTICIPATED IN COMMUNITY OUTREACH EVENTS, INCLUDING THE CATALYST COMMUNITY KIDS EXPO, PLACERVILLE FARMERS MARKET, NATIONAL NIGHT OUT, THE CENTER FOR VIOLENCE FREE RELATIONSHIPS, AND THE NEW MORNING YOUTH AND FAMILY SERVICES YOUTH SHELTER. THE FOCUS WAS ON PROVIDING SUBSTANCE USE EDUCATION AND ACCESS TO OVERDOSE PREVENTION SUPPLIES. THESE COMMUNITY EVENTS REACHED 698 PEOPLE.CHRONIC DISEASE PREVENTION, MANAGEMENT AND TREATMENT:RESPONSE TO NEED:1. POPULATION HEALTH - THE MARSHALL POPULATION HEALTH TEAM COORDINATED THE COMMUNITY SERVICES THAT MARSHALL PROVIDED, WITH THE OBJECTIVE OF STRENGTHENING THE CONTINUUM OF CARE PROVIDED TO OUR PATIENTS AND THE COMMUNITY. DRIVEN BY PRIMARY CARE PROVIDERS, AND WITH ENGAGEMENT OF CLINIC STAFF AND SPECIALISTS, MARSHALL PLACED A PARTICULAR FOCUS ON SCREENINGS FOR BREAST CANCER, COLON CANCER AND DIABETES AND MET OR EXCEEDED ITS PERFORMANCE TARGETS IN ALL THREE AREAS. POPULATION HEALTH, IN ADDITION TO COORDINATING HEALTH PROMOTION ACTIVITIES FOR EXISTING PATIENTS, COMPLETED 7 OUTREACH EVENTS REACHING OVER 200 PEOPLE TO EDUCATE THE COMMUNITY REGARDING CANCER SCREENINGS AND HEALTH PROMOTION ACTIVITIES.2. COMMUNITY CARE NETWORK (CCN) - THE CCN FOCUSES ON IMPROVING THE EFFECTIVENESS AND QUALITY OF CARE FOR HIGH-RISK PATIENTS. THROUGH THE COMMUNITY CARE NETWORK (CCN) HIGH RISK PATIENT CASE MANAGEMENT, TRANSITIONAL CASE MANAGEMENT (TCM) AND ENHANCED CARE MANAGEMENT (ECM) PROGRAMS, MARSHALL ASSISTS CHRONICALLY ILL PATIENTS WITH HEALTH CARE COORDINATION AND MANAGEMENT, IN-HOME CARE, MEDICAL SUPPLIES, AND VOLUNTEER HEALTH COACHES, AT NO COST. CCN REMOVES OBSTACLES THAT OFTEN PREVENT PEOPLE FROM RECEIVING ROUTINE AND PREVENTIVE CARE. THESE PROGRAMS REDUCE READMISSIONS AND UNNECESSARY EMERGENCY ROOM VISITS. FOR PEOPLE WITH MORE COMPLEX NEEDS, A TEAM OF SOCIAL WORKERS, LVNS, RN CASE MANAGERS, PHARMACISTS, DIABETES EDUCATORS, DIETITIANS, AND PHYSICAL THERAPISTS WORK WITH THEM IN THEIR HOMES TO NAVIGATE THEIR PATHS TO IMPROVED HEALTH AND OVERCOME COMMUNITY BARRIERS. IN FY24, 4,538 PEOPLE WERE REACHED THROUGH THESE CCN PROGRAMS.3. CONGESTIVE HEART ACTIVE TELEPHONE TREATMENT (CHATT) - THE CHATT PROGRAM HELPED PEOPLE MANAGE CONGESTIVE HEART FAILURE. CHATT IMPROVED QUALITY OF LIFE, REDUCED CHF COMPLICATIONS AND HELPED KEEP PEOPLE WITH CHF OUT OF THE HOSPITAL. THIS SERVICE INCLUDED FREQUENT TELEPHONE CALLS FROM A REGISTERED NURSE, WHO SPECIALIZES IN CARDIOVASCULAR CARE. IN FY24, CHATT SERVED 284 INDIVIDUALS.CANCER RESOURCE CENTER:MARSHALL'S CANCER RESOURCE CENTER PROVIDED CLASSES, SUPPORT GROUPS AND SERVICES. SERVICES WERE AVAILABLE TO ANYONE IMPACTED BY CANCER IN EL DORADO COUNTY.- TRANSPORTATION IS A WELL-KNOWN BARRIER TO ACCESSING HEALTH CARE, ESPECIALLY IN RURAL AREAS. THE CANCER RESOURCE CENTER PROVIDED 21 PEOPLE WITH 58 ROUND TRIP RIDES AS WELL AS PROVIDED 102 PEOPLE WITH 308 GAS CARDS.- THE WIG BANK SERVED 64 PEOPLE AND PROVIDED 42 WIGS.- PROVIDED 38 NO-COST MAMMOGRAMS.- PROVIDED LODGING ASSISTANCE FOR 11 PEOPLE WHO COULD NOT AFFORD THE COST OF A HOTEL ROOM WHILE OBTAINING CANCER TREATMENT.- 85 PEOPLE PARTICIPATED IN A COMMUNITY WIDE MAKING STRIDES AGAINST BREAST CANCER PREVENTION EVENT.- NUTRITION CONSULTATIONS AND SERVICES REACHED 232 PEOPLE.- 272 PEOPLE WITH CANCER WERE PROVIDED WITH CASE MANAGEMENT NAVIGATION SERVICES.- 462 PEOPLE RECEIVED PSYCHOSOCIAL DISTRESS SCREENING.- SOCIAL WORK CONSULTATIONS AND SERVICES ASSISTED 233 PEOPLE.5. HEALTH EDUCATION - IN FY24, MARSHALL REACHED 230 COMMUNITY MEMBERS WITH THE FOLLOWING COMMUNITY HEALTH EDUCATION SESSIONS:- DEMENTIA AWARENESS- JOINT REPLACEMENT EDUCATION- SMOKING CESSATION- WEIGHT LOSS MANAGEMENTDIABETES AND NUTRITION EDUCATION:HEALTHY LIVING CLASSES WERE PROVIDED MONTHLY TO 145 PEOPLE. THESE FREE VIRTUAL CLASSES, LED BY A NURSE, PROVIDED INFORMATION ON THE BASICS OF DIABETES SELF-MANAGEMENT. CLASSES INCLUDED: UNDERSTANDING DIABETES AND PLANNING FOR SUCCESS AND HEALTHY EATING FOR DIABETES.IN ADDITION, MARSHALL PROVIDED TELE-VISITS FOR THE DIABETES IN PREGNANCY PROGRAM, A GESTATIONAL DIABETES PROGRAM THAT REACHED 53 PEOPLE. PARTICIPANTS LEARNED ABOUT NUTRITION AND MEAL PLANNING, CONTROLLING BLOOD SUGAR, EXERCISE AND EMOTIONAL SUPPORT RESOURCES.REMOTE PATIENT MANAGEMENT FOR RURALLY ISOLATED INDIVIDUALS:MARSHALL, IN PARTNERSHIP WITH UC DAVIS, CONTINUED A PILOT PROGRAM TO IDENTIFY APPROACHES TO OVERCOMING CHALLENGES IN THE DEPLOYMENT OF REMOTE PATIENT MANAGEMENT DEVICES TO THOSE LIVING IN RURAL COMMUNITIES, WHICH INCLUDE CONNECTIVITY, FEAR OF TECHNOLOGY, AND DESIRE TO BE COMPLETELY INDEPENDENT. OUR GOAL IS TO PROACTIVELY IDENTIFY NEEDS AND CONNECT INDIVIDUALS TO SERVICES IN THE COMMUNITY. 12 UNIQUE INDIVIDUALS WERE SERVED THROUGH THIS PILOT PROGRAM, PROVIDING CRITICAL INTELLIGENCE TO INFORM FUTURE PROGRAM DEVELOPMENT.SUPPORT GROUPS:COMMUNITY EDUCATION AND SUPPORT GROUPS WERE OFFERED TO COMMUNITY MEMBERS THROUGH ONLINE OPTIONS, INCLUDING ZOOM. THE SUPPORT GROUPS INCLUDED:- BARIATRIC SURGERY - 40 ATTENDEES- STROKE - 300 ENCOUNTERSSUPPORT FOR THE HEALTH AND WELFARE OF THE COMMUNITY RESPONSE TO NEED:1. FINANCIAL AID AND HEALTH INSURANCE ASSISTANCE - PROVIDED FINANCIAL ASSISTANCE THROUGH FREE AND DISCOUNTED CARE FOR HEALTH CARE SERVICES, CONSISTENT WITH MARSHALL MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY. OFFERED ASSISTANCE TO ENROLL IN PUBLIC HEALTH INSURANCE PROGRAMS.2. TRANSPORTATION AND OTHER MEDICAL NEEDS - PROVIDED TRANSPORTATION TO PEOPLE WHO COULD NOT AFFORD TRANSPORTATION TO OR FROM MEDICAL SERVICES AND APPOINTMENTS. FOR PEOPLE LIVING IN POVERTY, THE HOSPITAL PROVIDED MEDICATIONS, ASSISTED LIVING, AND CARE MANAGEMENT SERVICES.3. COMMUNITY HEALTH LIBRARY - MARSHALL'S COMMUNITY HEALTH LIBRARY CONTAINS OVER 5,000 RESOURCES, WHICH WERE MADE AVAILABLE AT NO CHARGE FOR USE BY COMMUNITY RESIDENTS. STAFF LIBRARIANS ALSO CONDUCTED MEDICAL TOPIC SEARCHES FOR COMMUNITY MEMBERS. IN FY24, 276 COMMUNITY MEMBERS ACCESSED THESE SERVICES.
MARSHALL MEDICAL CENTERPART V, SECTION B, LINE 13B: WHEN ANY PATIENT'S SINGLE VISIT RESPONSIBILITY EXCEEDS $50,000, THE BALANCE ABOVE $50,000 WILL BE DISCOUNTED BY 50% AS CATASTROPHIC ADJUSTMENT AUTOMATICALLY UPON FINAL BILLING. PATIENTS ARE NOT REQUIRED TO APPLY FOR THIS PROGRAM TO BE ENTITLED TO THIS 50% OVER $50,000 DISCOUNT. IF THE PATIENT APPLIES AND QUALIFIES FOR THE FINANCIAL ASSISTANCE PROGRAM, THE REMAINING BALANCE WILL RECEIVE THE APPROPRIATE REDUCTION IN ADDITION TO THE CATASTROPHIC ADJUSTMENT. A PATIENT WHOSE FAMILY INCOME DOES NOT EXCEED 450% OF THE FEDERAL POVERTY LEVEL MAY QUALIFY FOR CHARITY CARE ON THE BASIS OF HIGH MEDICAL COSTS, WHICH IS DEFINED TO MEAN ANY OF THE FOLLOWING: 1) ANNUAL OUT-OF-POCKET COSTS PAID AT THIS FACILITY EXCEED 10% OF SUCH PATIENTS' FAMILY GROSS INCOME AND ESSENTIAL LIVING EXPENSES IN THE PRIOR 12 MONTHS, OR 2) ANNUAL OUT-OF-POCKET EXPENSES THAT EXCEED 10% OF SUCH PATIENT'S FAMILY GROSS INCOME AND ESSENTIAL LIVING EXPENSES, IF THE PATIENT PROVIDES DOCUMENTATION OF THE PATIENT'S MEDICAL EXPENSES PAID BY THE PATIENT OR THE PATIENT'S FAMILY IN THE PRIOR 12 MONTHS. THIS SHALL NOT INCLUDE OUT-OF-POCKET COSTS FOR INSURANCE PREMIUMS.
MARSHALL MEDICAL CENTERPART V, SECTION B, LINE 15E: WHEN ANY PATIENT'S SINGLE VISIT RESPONSIBILITY EXCEEDS $50,000, THE BALANCE ABOVE $50,000 WILL BE DISCOUNTED BY 50% AS CATASTROPHIC ADJUSTMENT AUTOMATICALLY UPON FINAL BILLING. PATIENTS ARE NOT REQUIRED TO APPLY FOR THIS PROGRAM TO BE ENTITLED TO THIS 50% OVER $50,000 DISCOUNT. IF THE PATIENT APPLIES AND QUALIFIES FOR THE FINANCIAL ASSISTANCE PROGRAM, THE REMAINING BALANCE WILL RECEIVE THE APPROPRIATE REDUCTION IN ADDITION TO THE CATASTROPHIC ADJUSTMENT.A PATIENT WHOSE FAMILY INCOME DOES NOT EXCEED 450 PERCENT OF THE FEDERAL POVERTY LEVEL MAY QUALIFY FOR CHARITY CARE ON THE BASIS OF HIGH MEDICAL COSTS, WHICH IS DEFINED TO MEAN ANY OF THE FOLLOWING:1. ANNUAL OUT-OF-POCKET COSTS PAID AT THIS FACILITY EXCEED 10% OF SUCH PATIENTS' FAMILY GROSS INCOME AND ESSENTIAL LIVING EXPENSES IN THE PRIOR 12 MONTHS; OR2. ANNUAL OUT-OF-POCKET EXPENSES THAT EXCEED 10% OF SUCH PATIENT'S FAMILY GROSS INCOME AND ESSENTIAL LIVING EXPENSES, IF THE PATIENT PROVIDES DOCUMENTATION OF THE PATIENT'S MEDICAL EXPENSES PAID BY THE PATIENT OR THE PATIENT'S FAMILY IN THE PRIOR 12 MONTHS.THIS SHALL NOT INCLUDE OUT-OF-POCKET EXPENSES FOR INSURANCE PREMIUMS.
MARSHALL MEDICAL CENTERPART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND APPLICATION ARE AVAILABLE ONLINE AT HTTPS://WWW.MARSHALLMEDICAL.ORG/PATIENTS-VISITORS/PATIENT-INFORMATION/INSURANCE-BILLING-INFORMATION/BUSINESS-OFFICE/HELP-PAYING-YOUR-BILL/,MARSHALL MEDICAL CENTER'S HOSPITAL BILLING DEPARTMENT ALSO ATTEMPTS TO MAKE CONTACT WITH PATIENTS TO INFORM THEN THAT THEY SHOULD APPLY FOR FINANCIAL ASSISTANCE.
PART V, SECTION B, LINE 11 (CONTINUED):4. STREET NURSING AND OUTREACH PROGRAM - THE STREET NURSING AND OUTREACH PROGRAM PROVIDED TRAUMA-INFORMED CARE DIRECTLY TO UNHOUSED AND UNSTABLY HOUSED COMMUNITY MEMBERS. THE PROGRAMS PROVIDED CARE AT LOCATIONS THROUGHOUT EL DORADO COUNTY, INCLUDING THE PLACERVILLE AND GEORGETOWN LIBRARIES, UPPER ROOM DINING HALL, GREEN VALLEY CHURCH SHOWER PROGRAM, AND THE NAVIGATION CENTER OPERATED BY VOLUNTEERS OF AMERICA.SERVICES INCLUDED MEDICAL COORDINATION, MENTAL HEALTH REFERRALS, HOUSING NAVIGATION, BENEFITS ASSISTANCE, TRANSPORTATION SUPPORT, AND RESOURCE DISTRIBUTION (E.G., HYGIENE KITS, FOOD, CLOTHING, TENTS, AND MEDICAL SUPPLIES). THE STREET OUTREACH TEAM COMPLETED 782 FACE-TO-FACE ENGAGEMENTS, 1,862 PHONE CONTACTS, AND HOSTED 17 OUTREACH EVENTS, REACHING AN AVERAGE OF 27 INDIVIDUALS PER EVENT. IN TOTAL, 105 INDIVIDUALS WERE PROVIDED WITH ONGOING CASE MANAGEMENT SUPPORT. THE STREET MEDICINE TEAM PROVIDED DIRECT MEDICAL CARE TO 152 UNIQUE PATIENTS, ADDRESSING CHRONIC DISEASES, ACUTE ILLNESS, WOUND CARE, MEDICATION ACCESS, AND HEALTH EDUCATION. MOBILE CARE WAS DELIVERED AT ENCAMPMENTS, SHELTERS, AND TRANSITIONAL HOUSING SITES, HELPING PATIENTS MANAGE HEALTH CONDITIONS OUTSIDE OF TRADITIONAL CARE SYSTEMS.KEY OUTREACH INITIATIVES INCLUDED: HYDRATION STATIONS WERE PROVIDED DURING EXTREME HEAT DAYS, OFFERING GATORADE, WATER, AND COOLING ITEMS. TWO FOOD INSECURITY EVENTS DISTRIBUTED 37 FOOD BASKETS. FIVE FLU VACCINATION CLINICS, IN PARTNERSHIP WITH EL DORADO COUNTY PUBLIC HEALTH, ADMINISTERED 47 VACCINES. COLD WEATHER RESPONSE EVENTS DISTRIBUTED SLEEPING BAGS, INSULATED TENTS, GLOVES, HAND WARMERS, AND PONCHOS. WILDFIRE EVACUATION RESPONSE. MARSHALL PARTNERED WITH THE AMERICAN RED CROSS TO SUPPORT A MEDICAL CLINIC AT A DESIGNATED EVACUATION CENTER DURING THE CROZIER FIRE. STAFF PROVIDED OUTREACH AND CARE FOR FIVE CONSECUTIVE DAYS, OFFERING MEDICAL SUPPORT, EMOTIONAL REASSURANCE, AND RESOURCES TO COMMUNITY MEMBERS DISPLACED BY THE FIRE.5. EMERGENCY EVACUATION SHELTER CLINIC PLANNING - IN ADDITION TO THE SERVICES PROVIDED ABOVE, THE STREET NURSING AND OUTREACH PROGRAM HAS UNDERTAKEN EMERGENCY PREPAREDNESS PLANNING TO BUILD THE INFRASTRUCTURE NECESSARY TO DEPLOY AN EMERGENCY EVACUATION SHELTER MEDICAL / NURSING CLINIC. MARSHALL HAS PROVIDED THESE SERVICES IN THE PAST AND HAVE ANALYZED THE COMPONENTS NECESSARY TO DEPLOY RAPIDLY AND PROVIDE SUFFICIENT CARE IN THE COMMUNITY. THE PROGRAM NOW HAS A TRAILER PREPARED WITH URGENT CARE SUPPLIES, ELECTRONIC EQUIPMENT FOR REGISTRATION AND DOCUMENTATION, VITAL SIGN EQUIPMENT, AND FIRST AID/MINOR WOUND CARE SUPPLIES. THIS ENSURES THAT OUR VULNERABLE POPULATIONS ARE ABLE TO RAPIDLY AND PROACTIVELY RECEIVE CARE WHILE DISPLACED AND THAT MARSHALL IS PREPARED TO RESPOND WITH URGENCY.STOP THE BLEEDMARSHALL TRAINED STAFF MEMBERS AS INSTRUCTORS TO EDUCATE COMMUNITY MEMBERS TO TREAT INJURIES CAUSED BY HOME ACCIDENTS, MOTOR VEHICLE ACCIDENTS, ACTIVE SHOOTERS, BOMBINGS, AND WORK-RELATED INJURIES. IN FY24, MARSHALL STAFF INSTRUCTORS TRAINED 329 EL DORADO COUNTY RESIDENTS, WHICH INCLUDED ONLINE COURSES AND IN-PERSON TRAINING.1. FALL PREVENTION - PROVIDED THE MATTER OF BALANCE FALL PREVENTION CLASS THAT ENGAGED 19 COMMUNITY MEMBERS.2. COMMUNITY HEALTH MAGAZINE - FOR YOUR HEALTH IS MARSHALL'S QUARTERLY MAGAZINE, WHICH WAS WIDELY DISTRIBUTED THROUGHOUT EL DORADO COUNTY AND AVAILABLE IN DIGITAL FORMAT ON THE HOSPITAL'S WEBSITE. TOPICS IN FY24 INCLUDED STROKE AWARENESS, CANCER CARE, SKIN CANCER PREVENTION, AND GENERAL WELLNESS.3. CHILDBIRTH CLASSES - PROVIDED FREE OR LOW-COST EDUCATIONAL CLASSES TO THE COMMUNITY, INCLUDING CHILDBIRTH CLASSES. CLASSES WERE SELF-PACED AND VIRTUAL AND WERE PAIRED WITH LIVESTREAM Q & A SESSIONS. CLASS TOPICS INCLUDED: HEALTHY PREGNANCY, BREASTFEEDING, AND BABY CARE. 58 COMMUNITY MEMBERS PARTICIPATED IN ENGLISH AND SPANISH.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - CARES
1045 MARSHALL WAYPLACERVILLECA95667OTHER OUTPATIENT CLINIC - CLINICALLY ASSISTED RECOVERY AND EDUCATION SERVICE
2 - PSYCHIATRY & NEUROLOGY
3581 PALMER DRIVE SUITE 202CAMERON PARKCA95682OTHER OUTPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:MARSHALL MEDICAL CENTER IS COMMITTED TO SERVING THE MEMBERS OF OUR COMMUNITY. WE WANT TO MAKE SURE THAT YOU ARE GIVEN EVERY OPPORTUNITY TO APPLY FOR ANY FINANCIAL ASSISTANCE, INCLUDING CHARITY CARE, FOR WHICH YOU MAY BE ELIGIBLE. YOU MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE IF YOU SUBMIT THE NECESSARY DOCUMENTATION AND EITHER: (1) YOUR FAMILY INCOME IS BELOW 450% OF THE CURRENT FEDERAL POVERTY GUIDELINES; OR (2) YOU INDIVIDUALLY OR YOUR FAMILY HAS HIGH MEDICAL COSTS. YOU WOULD HAVE HIGH MEDICAL COSTS IF YOUR INDIVIDUAL OR YOUR FAMILY ANNUAL OUT-OF-POCKET COSTS EXCEED 10% OF YOUR OR YOUR FAMILY GROSS INCOME AND ESSENTIAL LIVING EXPENSES IN THE PRIOR 12 MONTHS. THE SPECIFIC LEVEL OF ASSISTANCE YOU MAY BE ELIGIBLE FOR WILL DEPEND ON YOUR PARTICULAR FAMILY INCOME LEVEL.
PART I, LINE 7:BEGINNING WITH TAX YEAR 2014, MARSHALL MEDICAL CENTER IMPLEMENTED A COST ACCOUNTING SYSTEM TO ESTIMATE DIRECT AND INDIRECT COSTS OF PROVIDING PATIENT CARE. THE RESULTING COST-TO-CHARGE RATIO WAS APPLIED TO GROSS REVENUES ASSOCIATED WITH FINANCIAL ASSISTANCE AND MEANS-TESTED PROGRAMS IN ORDER TO CALCULATE FINANCIAL ASSISTANCE AT COST.
PART I, LN 7 COL(F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $5,244,372.
PART II, COMMUNITY BUILDING ACTIVITIES:WORKFORCE DEVELOPMENT - MARSHALL LEADERSHIP PARTICIPATED IN THE EL DORADO UNION HIGH SCHOOL DISTRICT CAREER TECHNICAL EDUCATION ADVISORY COMMITTEE, A GROUP OF PRIVATE ENTITIES THAT ASSIST THE HIGH SCHOOL DISTRICT PLAN AND PREPARE FOR TECHNICAL CAREERS AND EDUCATION OFFERINGS. 50 STUDENTS PARTICIPATED IN THE HEALTH CAREER EXPLORATION DAY.ADVOCACY - HOSPITAL REPRESENTATIVES ENGAGED IN ADVOCACY EFFORTS THAT SUPPORTED THE COMMUNITY.ECONOMIC DEVELOPMENT - HOSPITAL LEADERS SUPPORTED LOCAL CHAMBERS OF COMMERCE AND FOCUSED ON ISSUES RELATED TO COMMUNITY HEALTH AND SAFETY.
PART III, LINE 2:MARSHALL MEDICAL CENTER MAKES A BEST EFFORT TO APPLY ALL KNOWN DISCOUNTS AND PAYMENTS POSTED TO THE PATIENT ACCOUNT PRIOR TO DETERMINATION OF BAD DEBT WRITE-OFF. NON-COMPLIANT PATIENTS MAY RESULT IN THE DELAY OF PROPERLY APPLIED DISCOUNTS.IN ACCORDANCE WITH CALIFORNIA HEALTH AND SAFETY CODE SECTIONS 127400 ET SEQ., MARSHALL MEDICAL CENTER DISCOUNTS PAYMENTS AND PROVIDES CHARITY CARE TO FINANCIALLY QUALIFIED PATIENTS. PATIENTS WHO QUALIFY FOR THESE DISCOUNTS OR CHARITY CARE UNDER OUR POLICIES INCLUDE PATIENTS WHO MEET BOTH OF THE FOLLOWING QUALIFICATIONS:1. THE PATIENT EITHER IS SELF-PAY OR HAS HIGH MEDICAL COSTS, AS DEFINED IN OUR DISCOUNT PAYMENT AND CHARITY CARE POLICIES; AND2. THE PATIENT HAS A FAMILY INCOME (AS DEFINED IN THE POLICIES) THAT DOES NOT EXCEED 350% OF THE FEDERAL POVERTY LEVEL.
PART III, LINE 3:MARSHALL MEDICAL CENTER ESTIMATES THAT APPROXIMATELY 11.72% OF ALL PATIENT ACCOUNTS ASSIGNED TO BAD DEBT MIGHT BE ATTRIBUTABLE TO PATIENTS WHO MIGHT HAVE QUALIFIED FOR FINANCIAL ASSISTANCE HAD THOSE PATIENTS PROVIDED SUFFICIENT INFORMATION TO BECOME QUALIFIED.
PART III, LINE 4:SEE THE "PATIENT ACCOUNTS RECEIVABLE" SECTION IN NOTE 1, PAGE 12, IN THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR A DISCUSSION OF THE ORGANIZATION'S BAD DEBT EXPENSE.
PART III, LINE 8:MARSHALL MEDICAL CENTER USES A COST ACCOUNTING SYSTEM, MAKING A BEST EFFORT TO APPLY ALL KNOWN DISCOUNTS AND PAYMENTS POSTED TO THE PATIENT ACCOUNT PRIOR TO DETERMINATION OF BAD DEBT WRITE-OFFS. NON-COMPLIANT PATIENTS MAY RESULT IN THE DELAY OF PROPERLY APPLIED DISCOUNTS.THE SHORTFALL INCURRED ON MEDICARE PATIENTS CAN BE CONSIDERED A COMMUNITY BENEFIT BECAUSE MARSHALL MEDICAL CENTER IS THE ONLY HOSPITAL FACILITY WITHIN APPROXIMATELY 25 MILES. THEREFORE, PATIENTS WOULD HAVE TO TRAVEL OUTSIDE OF THE COMMUNITY TO OBTAIN HEALTHCARE SERVICES. THE ONLY OTHER HOSPITAL FACILITY IN EL DORADO COUNTY IS APPROXIMATELY 50 MILES FROM PLACERVILLE AND PATIENTS WOULD HAVE TO TRAVERSE A 7,000+ FOOT ELEVATION MOUNTAIN PASS TO OBTAIN HEALTHCARE SERVICES FROM THAT FACILITY. OUR PATIENT POPULATION IS HEAVILY MEDICARE-WEIGHTED AND MARSHALL PROVIDES A VAST AMOUNT OF CARE TO THIS MEDICARE POPULATION, WHICH TEND TOWARDS MORE ACUTE ILLNESSES THAT MAKE TRAVEL DIFFICULT. BECAUSE WE ARE A COMMUNITY-BASED HOSPITAL, WE HAVE TO PROVIDE A BROAD RANGE OF SERVICES TO MEET THE NEEDS OF THE COMMUNITY, WHICH IMPACTS OUR ABILITY TO SPECIALIZE IN MORE FOCUSED SERVICES.
PART III, LINE 9B:AT THE TIME OF REGISTRATION AND IN THE FIRST BILLING STATEMENT, PATIENTS ARE PRESENTED WITH ALL DISCOUNT AND PROGRAM OPTIONS AVAILABLE. BILLING STATEMENTS 2 THROUGH 5 REMIND THE PATIENT OF DISCOUNTS AVAILABLE. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED COVERAGE OR FOR MARSHALL MEDICAL CENTER'S OWN FINANCIAL ASSISTANCE PROGRAM, MARSHALL MEDICAL CENTER SHALL NOT KNOWINGLY SEND OR ASSIGN SUCH PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY PRIOR TO 180 DAYS FROM THE DATE OF MARSHALL MEDICAL CENTER'S INITIAL BILLING OF THAT ACCOUNT. PRIOR TO FILING ANY LEGAL ACTION AGAINST A PATIENT, THE DEBT COLLECTION AGENCY WILL (A) PERFORM AN ANALYSIS OF THE PATIENT'S ASSETS AND INCOME TO DETERMINE WHETHER THE PATIENT HAS ASSETS AND INCOME SUFFICIENT TO JUSTIFY FILING THE LEGAL ACTION, (B) PRESENT THE ANALYSIS TO MARSHALL MEDICAL CENTER'S DIRECTOR OF HOSPITAL PATIENT BILLING, IN SUCH FORMAT AS MARSHALL MEDICAL CENTER MAY REQUEST, AND (C) OBTAIN THE DIRECTOR'S APPROVAL FOR FILING THE LEGAL ACTION AGAINST THE PATIENT.
PART VI, LINE 2:THE COMMUNITY'S HEALTHCARE NEEDS ARE DETERMINED BASED ON MANY FACTORS INCLUDING BUT NOT LIMITED TO MARKET STUDIES, PHYSICIAN FEEDBACK BASED ON THE NEEDS OF THEIR PATIENTS, HEALTH MANPOWER STUDIES, SURVEYS, AND A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS.
PART VI, LINE 3:AT THE TIME OF REGISTRATION, EVERY UNINSURED PATIENT IS PRESENTED WITH A DOCUMENT THAT OUTLINES ALL THE FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS, AS WELL AS THE ORGANIZATIONAL CHARITY CARE POLICY THAT THEY MAY BE ABLE TO QUALIFY FOR. MARSHALL MEDICAL CENTER PROVIDES, AT ITS EXPENSE, PRIVATE CONSULTANTS AND COUNTY MEDI-CAL EMPLOYEES WHO WORK WITH PATIENTS DURING AND AFTER SERVICES TO ASSIST THEM IN COMPLETING THE NECESSARY FORMS, TO FILE ALL THE NECESSARY DOCUMENTS, AND TO ATTEND ANY REQUISITE APPOINTMENTS WITH PROVIDING AGENCIES. FINANCIAL COUNSELORS ARE ALSO PROVIDED TO ASSIST PATIENTS IN UNDERSTANDING ELIGIBILITY REQUIREMENTS RELATED TO QUALIFYING FOR CHARITY CARE.
PART VI, LINE 4:MARSHALL MEDICAL CENTER SERVES APPROXIMATELY 158,730 RESIDENTS ON THE WESTERN SLOPE OF THE SIERRAS IN EL DORADO COUNTY. OTHER PERTINENT DEMOGRAPHICS ABOUT OUR HOSPITAL SERVICE AREA FOR TAX YEAR 2023 INCLUDE:- 20.6% IS UNDER AGE 18; 57.9% IS AGE 18-64 AND 21.5% IS AGE 65 AND OVER- PERCENTAGE LIVING IN POVERTY IS 7.9%- PERCENTAGE LACKING HIGH SCHOOL DIPLOMA IS 6.0% (EL DORADO COUNTY)- PERCENTAGE UNINSURED IS 3.6%- ETHNIC PERCENTAGES ARE: WHITE 80.1%, HISPANIC 10.6%, ASIAN 4.3%, AFRICAN AMERICAN 0.8%, NATIVE AMERICAN, PACIFIC ISLANDER OR OTHER RACE 4.2%
PART VI, LINE 5:MARSHALL MEDICAL CENTER PROMOTES THE HEALTH OF THE COMMUNITY THROUGH A LARGE AND VARIED ARRAY OF HEALTHCARE SERVICES INCLUDING BUT NOT LIMITED TO INPATIENT SERVICES (OBSTETRICS, SURGERIES, RADIOLOGY, DIAGNOSTIC CARDIAC CATHETERIZATIONS) AND OUTPATIENT SERVICES (EMERGENCY ROOM, OUTPATIENT SURGERIES, RADIOLOGY, LABORATORY, DIAGNOSTIC CARDIAC CATHETERIZATIONS, NUMEROUS FAMILY AND SPECIALTY CLINICS, RURAL HEALTH CLINIC, CANCER PROGRAMS, AND HOME HEALTH VISITS). WE RECOGNIZE THAT WE HAVE AN OBLIGATION TO PROVIDE SERVICES ABOVE AND BEYOND OUR ROLE AS A HEALING FACILITY.- OPEN MEDICAL STAFF: WE OFFER AN "OPEN MEDICAL STAFF" MODEL EXCEPT FOR A FEW SELECT SPECIALTIES, WHICH ARE "EXCLUSIVE CONTRACTS".- COMMUNITY BOARD: OUR BOARD OF DIRECTORS IS COMPRISED OF 14 VOLUNTEER COMMUNITY MEMBERS. THEY DEDICATE NUMEROUS HOURS OF THEIR OWN TIME TO CONTRIBUTE TO A POSITIVE HEALTH ENVIRONMENT THROUGH MARSHALL MEDICAL CENTER.- USE OF SURPLUS FUNDS: EXCESS REVENUE (SURPLUS FUNDS) ARE RETAINED FOR FUTURE COMMUNITY NEEDS INCLUDING BUT NOT LIMITED TO CAPITAL IMPROVEMENTS, EXPANSION OF NEW SERVICES AND TECHNOLOGICAL IMPROVEMENTS. THE COMMUNITY-BASED BOARD OF DIRECTORS CONTROLS THE DIRECTION OF THE USE OF SURPLUS FUNDS.
PART VI, LINE 7, REPORTS FILED WITH STATESCA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1EL DORADO COUNTY CHAMBER OF COMMERCEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1542 MAIN STREETAddressLine1Txt
CityPLACERVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95667ZIPCd
FieldValueIRS element (for citing)
Recipient EIN941328508RecipientEIN
IRC Section501(C)(6)IRCSectionDesc
Cash Grant$12,300CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantGENERAL OPERATING SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org0Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationMARSHALL MEDICAL CENTER'S ASSISTANCE TO EITHER AN ORGANIZATION OR AN INDIVIDUAL IS LIMITED. THE PROCEDURES FOR MONITORING THE GRANTS ARE DIFFERENT FOR EACH TYPE OF ASSISTANCE. MARKETING SPONSORSHIP ASSISTANCE - THE AMOUNTS TO EACH ORGANIZATION ARE NOMINAL AND USUALLY GIVEN TO NONPROFIT ORGANIZATIONS. NO MONITORING IS NEEDED ON THESE DONATED MONIES BASES ON MATERIALITY AND CRITERIA FOR SELECTION. PROGRAM SUPPORT RELATED TO PAYROLL FUNDING - MONITORING IS CONDUCTED AS THE FUNDS ARE ISSUED TO COVER THE PAYROLL AND BENEFIT EXPENSES OF A RELATED NONPROFIT ORGANIZATION. ADDITIONALLY, THE GRANT RECIPIENT SHARES A BOARD MEMBER WITH MARSHALL MEDICAL CENTER AND RECIPIENT MANAGEMENT REPORTS TO MARSHALL MEDICAL CENTER'S BOARD OF DIRECTORS ON AN ANNUAL BASIS. PROGRAM SUPPORT RELATED TO COMMUNITY HEALTH ISSUES - THIS FINANCIAL ASSISTANCE IS GIVEN TO A HEALTHCARE NONPROFIT FOR COMMUNITY HEALTH NEEDS. THE CARE MANAGER FOR THE RECEIVING ORGANIZATION ATTENDS CASE MANAGEMENT MEETINGS HERE AT MARSHALL AND GIVES PERIODIC VERBAL REPORTS ON PROGRESS MADE WITH THE GRANTED MONEY. THE ORGANIZATION ALSO PROVIDES COMPREHENSIVE WRITTEN REPORTS REGARDING PROGRESS ON AN ANNUAL BASIS TO MANAGEMENT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SIRI NELSON
PRESIDENT/CEO$547,091$0$107,822$0$0$0$23,725$0$5,187$0$683,825$0$0$0
LAURIE ELDRIDGE
CHIEF FINANCIAL OFFICER (THRU 10/24)$324,812$0$44,496$0$0$0$72,359$0$5,920$0$447,587$0$0$0
MARTIN ENTWISTLE - ASSOCIATE
CHIEF MEDICAL OFFICER/VP POP. HEALTH$337,333$0$27,745$0$0$0$13,725$0$1,281$0$380,084$0$0$0
BRETT APPLEBERG - CHIEF HUMAN
RESOURCES OFFICER (THRU 04/24)$276,797$0$25,000$0$0$0$0$0$4,374$0$306,171$0$0$0
CYNTHIA RICE
CHIEF NURSING OFFICER$274,775$0$26,250$0$0$0$30,298$0$781$0$332,104$0$0$0
JONATHAN RUSSELL
CHIEF AMBULATORY OFFICER$255,947$0$24,078$0$0$0$20,916$0$6,081$0$307,022$0$0$0
BRIAN GOLDSMITH MD
CHIEF MEDICAL OFFICER$260,406$0$23,988$0$0$0$11,095$0$790$0$296,279$0$0$0
MARTIN DALY
VP OF INFORMATION TECHNOLOGY$252,024$0$19,525$0$0$0$12,047$0$781$0$284,377$0$0$0
MINDY DANOVARO
EXECUTIVE DIRECTOR OF PHILANTHROPY$267,183$0$1,000$0$0$0$9,792$0$2,983$0$280,958$0$0$0
JANICE RANGER - EXECUTIVE
DIRECTOR OF FINANCE (THRU 09/23)$45,100$0$102,974$0$95,532$0$0$0$3,778$0$247,384$0$0$0
ROBIN MCATEE
OPERATING ROOM RN$229,661$0$7,453$0$3,500$0$0$0$5,170$0$245,784$0$0$0
CORINA BRONNY
STAFF RN - ICU$223,336$0$9,103$0$0$0$0$0$2,857$0$235,296$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AROBIN MCATEE RECEIVED $3,500 OF GROSS-UP PAYMENTS. THIS IS INCLUDED IN TAXABLE INCOME.
PART I, LINE 4AJANICE RANGER RECEIVED A SEVERANCE PAYMENT OF $95,532. THE TERMS AND CONDITIONS ARE AVAILABLE TO THE IRS UPON REQUEST.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
A52164382813032UVPO2020-04-27$54,734,815SEE PART VI000
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
B52164382813033L6R32015-04-09$30,423,048SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRetiredRetiredAmtSubstantial CompletionSubstantialCompletionYr
A$56,046,673$2,911,731$166,675$636,674$2,289,428$27,641,555$19,459,114$3,630,705Yes (1)000
B$30,423,055$3,849,054$498,389$791,050$29,133,616Yes (1)0Yes (1)Yes (1)$6,080,0002015

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)00.000000.000000.0000000Yes (1)
B0Yes (1)Yes (1)Yes (1)00.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)Yes (1)0000Yes (1)Yes (1)
B00Yes (1)Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
COLUMN A, PART I (F):THE BONDS CURRENTLY REFUNDED THE BORROWER'S SERIES 2004B BONDS (ORIGINALLY ISSUED ON MARCH 25, 2004) AS WELL AS FOR THE FINANCING AND RENOVATIONS TO CERTAIN HEALTH FACILITIES, TO FUND A DEBT SERVICE RESERVE, TO PAY RELATED CAPITALIZED INTEREST AND TO PAY COST OF ISSUANCE RELATED TO THE BONDS.
COLUMN A, PART II, LINE 3:THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, COLUMN (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS.
COLUMN A, PART III, LINE 7:AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE SECURITY OR PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATE IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE.
COLUMN A, PART IV, LINE 2 (B):THE PORTION OF THE BOND PROCEEDS USED FOR CURRENT REFUNDING HAS MET THE 6-MONTH EXPENDITURE EXCEPTION.
COLUMN B, PART I (F):THE BONDS CURRENTLY REFUNDED THE BORROWER'S SERIES 2004A BONDS (ORIGINALLY ISSUED ON MARCH 25, 2004).
COLUMN B, PART II, LINE 4:THE SERIES 2015 BOND RESERVE ACCOUNT WAS FUNDED BY BOND PROCEEDS OF THE SERIES 2004A AND SERIES 2012A BONDS.
COLUMN B, PART II, LINE 13:PROCEEDS OF THE BONDS WERE ISSUED FOR THE PURPOSE OF CURRENT REFUNDING; THEREFORE, THE PROJECT PERIOD IS NOT APPLICABLE FOR THIS BOND ISSUE.
COLUMN B, PART III, LINE 7:AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE SECURITY OR PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATE IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE.
COLUMN B, PART IV, LINE 2 (C):THE REBATE COMPUTATION WAS PERFORMED AS OF APRIL 9, 2020 AND SHOWED NO REBATE DUE.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1ATHE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE BOARD, THE PAST CHAIR, THE PRESIDENT/CEO, THE CHIEF OF THE MEDICAL STAFF, AND THE LONGEST-TENURED MEDICAL GROUP DIRECTOR. THE EXECUTIVE COMMITTEE HAS THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL DURING THE INTERIM BETWEEN MEETINGS OF THE BOARD, PROVIDED THAT ANY ACTION IT TAKES CANNOT CONFLICT WITH THE POLICIES AND PRIOR RESOLUTIONS OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 2SIRI NELSON, JONATHAN RUSSELL, AND MARTIN ENTWISTLE WERE BOARD MEMBERS OF EL DORADO SURGERY CENTER DURING THE FISCAL YEAR ENDED OCTOBER 31, 2024.
FORM 990, PART VI, SECTION B, LINE 11BPRIOR TO FILING THE FORM 990, MANAGEMENT (CFO AND EXECUTIVE DIRECTOR OF FINANCE) REVIEWED THE FORM 990 IN DETAIL. ANY APPROPRIATE CHANGES WERE MADE. THE FULL GOVERNING BOARD OF DIRECTORS (BOD) HAS DELEGATED THE RESPONSIBILITY OF REVIEWING THE FORM 990 PRIOR TO FILING WITH THE IRS TO THE BOD AUDIT COMMITTEE, A SUBCOMMITTEE OF THE FULL GOVERNING BOD, SO THE FORM 990 WAS THEN SUBMITTED TO THE GOVERNING BOD AUDIT COMMITTEE. THE AUDIT COMMITTEE PERFORMED A HIGH-LEVEL REVIEW OF THE FORM 990 AND REQUESTED MANAGEMENT TO MAKE ANY CHANGES THE COMMITTEE DEEMED NECESSARY. PRIOR TO FILING THE FORM 990 WITH THE IRS, THE AUDIT COMMITTEE PROVIDED A SUMMARY TO THE FULL GOVERNING BOD OF THE BOD AUDIT COMMITTEE'S REVIEW OF THE FORM 990. AT ANY TIME, BOTH BEFORE OR AFTER FILING, THE COMPLETE FORM 990 WAS AVAILABLE UPON REQUEST TO ANY MEMBER OF THE GOVERNING BOD.
FORM 990, PART VI, SECTION B, LINE 12CCHIEF ADMINISTRATIVE OFFICERS, VICE PRESIDENTS, DIRECTORS, ASSISTANT DIRECTORS, PURCHASING STAFF, LEGAL STAFF, COMPLIANCE STAFF, AND MEMBERS OF THE GOVERNING BOARD ARE REQUIRED TO ANNUALLY PROVIDE A DISCLOSURE STATEMENT IDENTIFYING ANY ORGANIZATIONS IN WHICH THE INDIVIDUAL OR AN IMMEDIATE FAMILY MEMBER HAS AN INTEREST IN. THERE IS NO MINIMUM AMOUNT OF VALUE OF AN ITEM, SERVICE, OR ARRANGEMENT THAT WILL TRIGGER A CONFLICT OF INTEREST. DISCLOSURE STATEMENTS ARE REVIEWED BY THE CEO FOR ANY ACTUAL OR POTENTIAL CONFLICTS. THE CEO'S DISCLOSURE STATEMENT IS REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEES OF THE GOVERNING BOARD. THE GOVERNING BOARD'S DISCLOSURE STATEMENTS ARE REVIEWED BY THE ADMINISTRATIVE OFFICE PERSONNEL. SHOULD ANY TRANSACTION INVOLVING POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARISE, THE CEO APPOINTS A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE ARRANGEMENT IN QUESTION, CONCLUDE THAT THE TRANSACTION IS FAIR AND REASONABLE TO THE HOSPITAL, BE APPROVED IN GOOD FAITH BY A VOTE OF THE DIRECTORS THAT DO NOT HAVE A CONFLICT, AND THAT THE HOSPITAL COULD NOT OBTAIN A MORE ADVANTAGEOUS ARRANGEMENT UNDER THE CIRCUMSTANCES.
FORM 990, PART VI, SECTION B, LINE 15THE GOVERNING BOARD DETERMINES THE CEO'S COMPENSATION WITH INPUT FROM THE AUDIT AND COMPLIANCE COMMITTEES, USING DATA COMPILED FROM THE CALIFORNIA HEALTHCARE ASSOCIATION'S ALLIED FOR HEALTH EXECUTIVE COMPENSATION SURVEY, WILLIS TOWERS WATSON EXECUTIVE COMPENSATION SURVEY, AND OTHER SOURCES SUCH AS AN INDEPENDENT COMPENSATION CONSULTANT, ALL IN ACCORDANCE WITH THE HOSPITAL'S EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT. THE PROCESS FOR DETERMINING THE CEO'S COMPENSATION INVOLVES THE EXECUTIVE TEAM MEETING WITH THE BOARD TO DISCUSS COMPENSATION MATTERS. KASSY PAUL, EXECUTIVE ASSISTANT TO THE BOARDS, RECORDS THESE DISCUSSIONS IN THE BOARD MINUTES, WHICH ARE THEN APPROVED AT THE FOLLOWING BOARD MEETING. THE CEO'S TOTAL REWARDS PACKAGE IS REVIEWED EVERY THREE YEARS BY OUTSIDE CONSULTANTS. IN 2024, THIS REVIEW WAS CONDUCTED BY WILLIS TOWERS WATSON. ADDITIONALLY, THE CEO IS ELIGIBLE FOR THE ANNUAL INCENTIVE PROGRAM (AIP) AND MERIT INCREASES, CONSISTENT WITH OTHER ASSOCIATES. THE CEO DETERMINES COMPENSATION FOR OFFICERS AND KEY EMPLOYEES. EXECUTIVE COMPENSATION SURVEYS, AN INDEPENDENT COMPENSATION CONSULTANT, AND COMPARABILITY DATA WERE USED TO DETERMINE COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GPROFESSIONAL FEES - PHYSICIANS: PROGRAM SERVICE EXPENSES 56,253,769. MANAGEMENT AND GENERAL EXPENSES 1,392,170. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,645,939. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 4,491,497. MANAGEMENT AND GENERAL EXPENSES 3,773,882. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,265,379.
FORM 990, PART XI, LINE 9:PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST 152,974. GRANT REVERSAL FOR FY 2023 -237,116.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MARSHALL FOUNDATION FOR COMMUNITY HEALTHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1996AddressLine1Txt
CityPLACERVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95667ZIPCd
FieldValueIRS element (for citing)
EIN237419011EIN
Primary ActivitiesSUPPORT MARSHALL MEDICAL CENTER & COMMUNITY HEALTHPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MARSHALL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1EL DORADO SURGERY CENTER LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14300 GOLDEN CENTER DRIVE SUITE EAddressLine1Txt
CityPLACERVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95667ZIPCd
FieldValueIRS element (for citing)
EIN450586784EIN
Primary ActivitiesSURGICAL SERVICESPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MARSHALL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$272,198ShareOfTotalIncomeAmt
Share Of EOY Assets$968,952ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.87000OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MARSHALL FOUNDATION FOR COMMUNITY HEALTH
L$77,472COST
EL DORADO SURGERY CENTER LLC
S$367,894CASH
MARSHALL FOUNDATION FOR COMMUNITY HEALTH
C$175,242CASH
MARSHALL FOUNDATION FOR COMMUNITY HEALTH
O$764,308COST