ADVENTIST HEALTH DELANO: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- ADVENTIST HEALTH DELANO (EIN 77-0258013)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-15
- IRS object ID
- 201833199349318323
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-15T17:42:02-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3121 W MARCH LN STE 200 | AddressLine1Txt |
| City | STOCKTON | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 952192367 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 770258013 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL CALIF FOUNDATION FOR HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 6617254800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1401 GARCES HWY | AddressLine1Txt |
| City | DELANO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93215 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BAHRAM GHAFARRI | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 6617215229 | PhoneNum |
| Signature | 2018-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TRACY S PAGLIA | PreparerPersonNm |
| PTIN | P00366884 | PTIN |
| Phone | 2099556100 | PhoneNum |
| Preparation | 2018-11-14 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 12.129.7.100 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-14 | IPDt |
| IP Tm | 22:09:07 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | BE861C6778D90A5D3E7861ABDDE45BE6309F51A4 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELANO REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | WILLIAM NOBLE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 881 ALMA REAL DR STE 301 | AddressLine1Txt |
| City | PACIFIC PALISADES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90272 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $89,131,283 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DRMC.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1990 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE HOSPITAL AND OUT PATIENT CARE TO THE DELANO, CA AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 825 | TotalEmployeeCnt |
| Total Volunteers | 24 | TotalVolunteersCnt |
| Total Gross UBI | -$31,602 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$137,742 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,631 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,185 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $88,812,155 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $81,846,957 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,735,480 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,338,642 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,009,827 | PYOtherRevenueAmt |
| CY Other Revenue | $616,261 | CYOtherRevenueAmt |
| PY Total Revenue | $91,559,093 | PYTotalRevenueAmt |
| CY Total Revenue | $83,803,045 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $41,749,959 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $41,054,945 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $40,771,030 | PYOtherExpensesAmt |
| CY Other Expenses | $37,572,506 | CYOtherExpensesAmt |
| PY Total Expenses | $82,520,989 | PYTotalExpensesAmt |
| CY Total Expenses | $78,627,451 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,038,104 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,175,594 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $144,546,154 | TotalAssetsBOYAmt |
| Total Assets EOY | $162,333,585 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $38,490,755 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $51,339,800 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $106,055,399 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $110,993,785 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PROVIDE HOSPITAL AND OUT PATIENT CARE TO THE DELANO, CA AND SURROUNDING AREAS. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $54,131,261 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $81,846,957 | RevenueAmt |
| Desc | CENTRAL CALIFORNIA FOUNDATION FOR HEALTH OPERATES THE DELANO REGIONAL MEDICAL CENTER, "HOSPITAL."ON MAY 29, 1992 THE COMPANY ACQUIRED THE OPERATIONS OF THE HOSPITAL. DELANO REGIONAL MEDICAL CENTER (DRMC) IS A 105 BED ACUTE HOSPITAL AND 51 BED LONG-TERM CARE FACILITY IN DELANO, CA SERVING A PRIMARILY RURAL POPULATION OF ABOUT 79,000 (2010 CENSUS). THE HEALTH FACILITY PROVIDES A FULL RANGE OF PRIMARY AND SECONDARY ACUTE CARE SERVICES, SUB-ACUTE, SKILLED NURSING, COMPREHENSIVE EMERGENCY OUTPATIENT AND AMBULATORY CARE SERVICES. TO MEET THE NEEDS OF THE RESIDENTS OF ITS SERVICE AREAS, THE HOSPITAL HAS STEADILY EXPANDED IT SERVICES OVER TIME SINCE IT FIRST OPENED ITS DOORS. | Desc |
| Total Program Service Expenses | $54,131,261 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 129 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 825 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAHRAM GHAFFARI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6617254800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1401 GARCES HWY | AddressLine1Txt |
| City | DELANO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93215 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| WILLIAM NOBLE | ||||||||
| CEO/CHAIRMAN | 30.00 | Yes (X) | Yes (X) | $611,605 | $0 | $0 | ||
| SHERYL WIGGINS | ||||||||
| CORPORATE SECRETARY | 3.00 | Yes (X) | Yes (X) | $18,000 | $0 | $0 | ||
| IRMA BARBA | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $6,000 | $0 | $0 | |||
| DILBAGH GEHLAWAT MD | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $6,000 | $0 | $0 | |||
| LINDA HYLTON | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $6,000 | $0 | $0 | |||
| SADEGH SALMASSI MD | ||||||||
| BOARD MEMBER/CHIEF OF STAFF | 2.00 | Yes (X) | $6,000 | $0 | $0 | |||
| BRIAN KOMOTO | ||||||||
| BOARD MEMBER (THRU 12/17) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BAHRAM GHAFFARI | ||||||||
| PRESIDENT | 40.00 | Yes (X) | $984,825 | $0 | $24,457 | |||
| DOUGLAS DICKSON | ||||||||
| CFO (THRU 6/17) | 40.00 | Yes (X) | $87,097 | $0 | $368 | |||
| KANNER TILLMAN | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $9,235 | $0 | $0 | |||
| AMY SCROGGS | ||||||||
| CHIEF NURSING OFFICER | 40.00 | $191,513 | $0 | $6,125 | Yes (X) | |||
| SANDRA BAKICH | ||||||||
| COMPLIANCE OFFICER/IS DIRECTOR | 40.00 | $180,289 | $0 | $6,731 | Yes (X) | |||
| BABITA DATTA | ||||||||
| OB/GYN PHYSICIAN | 40.00 | $512,040 | $0 | $6,951 | Yes (X) | |||
| TERRANCE MONRIAN | ||||||||
| PHARMACY/OUTCOMES DIRECTOR | 40.00 | $269,402 | $0 | $6,039 | Yes (X) | |||
| MEE YOUNG LEE | ||||||||
| PHARMACIST | 40.00 | $218,076 | $0 | $6,280 | Yes (X) | |||
| BRYANT MENG | ||||||||
| PHARMACIST | 40.00 | $199,689 | $0 | $5,289 | Yes (X) | |||
| SAMUEL KHALIL | ||||||||
| PHARMACIST | 40.00 | $190,303 | $0 | $7,351 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,496,074 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $69,591 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 66 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| COMFORT ANESTHESIA ASSOCIATES INC | |||||
| 11704 NANTWICK CT | BAKERSFIELD | CA | 93311 | PROFESSIONAL SERVICES ANESTHESIA | $1,246,521 |
| DELANO HEALTH ASSOCIATES | |||||
| 1401 GARCES HWY | DELANO | CA | 93215 | PROFESSIONAL SERVICES REGISTRY | $654,708 |
| CENTRAL CALIFORNIA HOSPITALISTS | |||||
| 6001 TRUXTUN AVE BLDG A STE 180 | BAKERSFIELD | CA | 93309 | PROFESSIONAL SERVICES HOSPITALISTS | $375,000 |
| TEAM PHYSICIANS OF CALIFORNIA MEDICAL GR | |||||
| PO BOX 634850 | CINCINNATI | OH | 452634850 | PROFESSIONAL SERVICES ER PHYSICIANS | $276,382 |
| STANLEY CALDERWOOD MD | |||||
| 600 HOSKING AVE APT 46D | BAKERSFIELD | CA | 93307 | PROFESSIONAL SERVICES PEDIATRIC HOSPITAL | $245,050 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $1,185 | AllOtherContributionsAmt |
| Total Contributions | $1,185 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICES | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $81,846,957 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $81,846,957 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $81,846,957 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,332,692 | TotalRevenueColumnAmt |
| Exclusion | $1,332,692 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $317,758 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $101,290 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $216,468 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $216,468 | TotalRevenueColumnAmt |
| Exclusion | $216,468 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,030,800 | SecuritiesAmt |
| Other | $12,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,036,850 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$6,050 | SecuritiesAmt |
| Other | $12,000 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,950 | TotalRevenueColumnAmt |
| Exclusion | $5,950 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $52,356 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $190,098 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$137,742 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$137,742 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFETERIA SALES | 722100 | $291,077 | $291,077 | |
| MANAGEMENT FEES - DHA | 561000 | $106,140 | $106,140 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $140,318 | TotalRevenueColumnAmt |
| Exclusion | $140,318 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $537,535 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $83,803,045 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $81,846,957 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$31,602 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,986,505 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,047,545 | TotalAmt |
| Program Services | $291,148 | ProgramServicesAmt |
| Management And General | $1,756,397 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,524,127 | TotalAmt |
| Program Services | $21,818,966 | ProgramServicesAmt |
| Management And General | $6,705,161 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,771,966 | TotalAmt |
| Program Services | $3,292,142 | ProgramServicesAmt |
| Management And General | $1,479,824 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,711,307 | TotalAmt |
| Program Services | $3,962,649 | ProgramServicesAmt |
| Management And General | $1,748,658 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $491,543 | TotalAmt |
| Management And General | $491,543 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,363 | TotalAmt |
| Management And General | $72,363 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,546,322 | TotalAmt |
| Program Services | $5,295,727 | ProgramServicesAmt |
| Management And General | $250,595 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,325 | TotalAmt |
| Management And General | $71,325 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $588,931 | TotalAmt |
| Program Services | $172,673 | ProgramServicesAmt |
| Management And General | $416,258 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,927,775 | TotalAmt |
| Program Services | $1,156,665 | ProgramServicesAmt |
| Management And General | $771,110 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,276,138 | TotalAmt |
| Program Services | $470,181 | ProgramServicesAmt |
| Management And General | $805,957 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,259 | TotalAmt |
| Program Services | $51,655 | ProgramServicesAmt |
| Management And General | $11,604 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,564 | TotalAmt |
| Program Services | $33,760 | ProgramServicesAmt |
| Management And General | $22,804 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $760,090 | TotalAmt |
| Program Services | $760,090 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,936,906 | TotalAmt |
| Program Services | $4,678,942 | ProgramServicesAmt |
| Management And General | $1,257,964 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $450,423 | TotalAmt |
| Management And General | $450,423 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $4,962,299 | $4,902,043 | $60,256 |
| PROVISION FOR BAD DEBT | $3,661,900 | $3,661,900 | |
| QUALITY ASSURANCE FEES | $3,603,234 | $3,603,234 | |
| NON-MEDICAL SUPPLIES | $2,360,917 | $1,417,431 | $943,486 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,742,517 | TotalAmt |
| Program Services | $2,223,955 | ProgramServicesAmt |
| Management And General | $3,518,562 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,627,451 | TotalAmt |
| Program Services | $54,131,261 | ProgramServicesAmt |
| Management And General | $24,496,190 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,102,706 | BOYAmt |
| EOY | $10,817,459 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,667,660 | BOYAmt |
| EOY | $15,252,482 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,631,113 | BOYAmt |
| EOY | $10,497,313 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $290,887 | BOYAmt |
| EOY | $599,434 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $871,386 | BOYAmt |
| EOY | $1,161,488 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $705,679 | BOYAmt |
| EOY | $3,607,060 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $128,070,234 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $82,138,572 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,264,491 | BOYAmt |
| EOY | $45,931,662 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,017,861 | BOYAmt |
| EOY | $50,535,771 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,262 | BOYAmt |
| EOY | $163,214 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,832,109 | BOYAmt |
| EOY | $23,767,702 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,546,154 | BOYAmt |
| EOY | $162,333,585 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,812,223 | BOYAmt |
| EOY | $18,142,011 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,697,263 | BOYAmt |
| EOY | $11,034,912 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,425,319 | BOYAmt |
| EOY | $21,650,427 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $555,950 | BOYAmt |
| EOY | $512,450 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,490,755 | BOYAmt |
| EOY | $51,339,800 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,055,399 | BOYAmt |
| EOY | $110,993,785 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,055,399 | BOYAmt |
| EOY | $110,993,785 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,546,154 | BOYAmt |
| EOY | $162,333,585 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $5,175,594 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$237,208 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,314,177 | OtherCostOrOtherBasisAmt |
| Book Value | $4,314,177 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $55,679,376 | OtherCostOrOtherBasisAmt |
| Depreciation | $39,025,568 | DepreciationAmt |
| Book Value | $16,653,808 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $54,961,161 | OtherCostOrOtherBasisAmt |
| Depreciation | $43,113,004 | DepreciationAmt |
| Book Value | $11,848,157 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,115,520 | OtherCostOrOtherBasisAmt |
| Book Value | $13,115,520 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $45,931,662 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSITS | $259,385 |
| OTHER RECEIVABLES | $3,251,261 |
| INTEREST RECEIVABLE | $393,842 |
| 457(B) RECEIVABLE | $518,339 |
| MEDI-CAL QAF FUND | $19,344,875 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $23,767,702 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ACCRUED BOND INTEREST | Desc |
| Amt | $512,450 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $512,450 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE FOUNDATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE FOUNDATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OTHER DIRECT EXPENSES. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $599,948 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $599,948 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00800 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $45,218,318 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $45,155,982 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $62,336 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $45,818,266 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $45,155,982 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $662,284 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00880 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,561,694 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,561,694 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02080 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $400,105 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $400,105 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,838 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $33,838 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,995,637 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,995,637 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02660 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $47,813,903 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $45,155,982 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,657,921 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03540 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,661,900 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $674,656 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $9,267,609 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $10,139,872 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$872,263 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELANO REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1401 GARCES HWY | AddressLine1Txt |
| City | DELANO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93215 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.DRMC.COM | WebsiteAddressTxt |
| State License | 120000180 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELANO REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.DRMC.COM/ABOUT-DRMC/COMMUNITY-BENEFITS-REPORTS.PHP | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | WWW.HEALTHYKERN.ORG | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.DRMC.COM/WP-CONTENT/UPLOADS/2015/09/DRMC-IMPLEMENTATION-STRATEGY | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.DRMC.COM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.DRMC.COM | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.DRMC.COM | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DELANO REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 5: THE HOSPITAL SURVEYED MEMBERS OF THE COMMUNITY AS WELL AS COMMUNITY ORGANIZATIONS TO GAIN INPUT ON THE HEALTHCARE NEEDS OF THE DELANO AREA. THESE SURVEYS WERE TRANSLATED INTO OUR IMPLEMENTATION PLAN OF OUR CHNA. THE ORGANIZATIONS SURVEYED INCLUDES: THE DELANO UNION SCHOOL DISTRICT, DELANO JOINT UNION HIGH SCHOOL DISTRICT, THE DELANO CHAMBER OF COMMERCE, DELANO PARKS AND RECREATION DEPARTMENT, ROTARY , AND THE KIWANIS CLUB OF DELANO. |
| DELANO REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 6A: DIGNITY HOSPITALS IN BAKERSFIELD |
| DELANO REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 11: 1. ACCESS TO HEALTHCAREPROVIDE FINANCIAL ASSISTANCE THROUGH BOTH FREE AND DISCOUNTED CARE FOR HEALTHCARE SERVICES CONSISTENT WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.CONNECT THE MEDICALLY INDIGENT TO RESOURCES TO ACCESS MEDICAL HOME. PROVIDE TRANSPORTATION SUPPORT.INVESTIGATE LAUNCHING A MOBILE UNIT TO INCREASED ACCESS TO HEALTH SERVICES IN AREA FARMING COMMUNITIES.PROVIDE FREE PREVENTIVE HEALTH SCREENINGS AT COMMUNITY EVENTS.2. CARDIOVASCULAR DISEASEPROVIDE CHRONIC DISEASE EDUCATION FOCUSED ON PREVENTION AND DISEASE SELF-MANAGEMENT, HEALTHY EATING AND PHYSICAL ACTIVITY.PROVIDE SCREENING FOR CHOLESTEROL, BLOOD PRESSURE AND BMI.OFFER CPR TRAINING TO COMMUNITY RESIDENTS.3. DIABETESPROVIDE DIABETES EDUCATION FOCUSED ON PREVENTION AND DISEASE SELF MANAGEMENT, HEALTHY LIFESTYLES, NUTRITION AND PHYSICAL ACTIVITY.PROVIDE SCREENING FOR CHOLESTEROL, BLOOD PRESSURE, BLOOD GLUCOSE AND BMI.DISTRIBUTE GLUCOMETERS AND GLUCOSE STRIPS TO INDIVIDUALS WITH DIABETES WHO CANNOT AFFORD OR ACCESS THESE DIABETES MONITORING RESOURCES.4. SEXUALLY TRANSMITTED INFECTIONSTHROUGH DRMC WOMEN'S MEDICAL CLINIC AND URGENT CARE CLINIC PROVIDE EDUCATION FOCUSED ON STI PREVENTION AND FAMILY PLANNING SERVICES.DISTRIBUTE CONDOMS TO REDUCE SPREAD OF STISPROVIDE FAMILY PLANNING COUNSELING TO TEENS AND YOUNG PARENTS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - WASCO MEDICAL PLAZA | ||||
| 2300 7TH STREET | WASCO | CA | 93280 | OUTPATIENT CLINIC |
| 2 - DELANO WOMEN'S MEDICAL CLINIC | ||||
| 1201 JEFFERSON | DELANO | CA | 93215 | OUTPATIENT WOMEN'S CLINIC |
| 3 - DELANO DIABETIC CLINIC | ||||
| 1519 GARCES HWY STE 103 | DELANO | CA | 93215 | DIABETIC MONITORING & SCREENING |
| 4 - DELANO URGENT CARE | ||||
| 1201 JEFFERSON 12TH AVE ENTRANCE | DELANO | CA | 93215 | OUTPATIENT URGENT CARE CLINIC |
| 5 - DELANO WOUND CARE CLINIC | ||||
| 1519 GARCES HWY STE 103 | DELANO | CA | 93215 | OUTPATIENT WOUND CARE CLINIC |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3,661,900. |
| PART III, LINE 4: | SEE FOOTNOTE 1 ON AUDITED FINANCIAL STATEMENTS FOR FOOTNOTES DISCUSSING BAD DEBT ("ACCOUNTS RECEIVABLE AND "CHARITY AND INDIGENT CARE" SECTIONS).DUE TO THE AREA WE SERVE MOST OF OUR TRADING AREA CITIZENS ARE LOWER AND LOW MIDDLE INCOME PEOPLE AND THEREFORE MOST OF THE BAD DEBT IS A COMMUNITY BENEFIT AS THEY ARE GETTING MEDICAL CARE AT FREE OR LOWERED AMOUNTS.IF A PATIENT IS IDENTIFIED AT REGISTRATION OR AFTER THE BILLING PROCESS IS INITIATED, THE PATIENT IS, DEPENDING ON INCOME, OFFERED A SLIDING SCALE DISCOUNT BASED ON % OF POVERTY THAT THEY ARE AT, OR FULL WRITEOFF. IF THE PATIENT DOES NOT RESPOND TO BILLING EFFORTS THEN POLICY DICTATES THAT WE SEND THEM, AFTER 4 STATEMENTS, TO COLLECTION. CHARITY CARE CAN STILL BE GIVEN IF THE PATIENT RESPONDS AFTER BEING SENT TO COLLECTION. BECAUSE WE ARE A FARMING COMMUNITY, MOST SELF PAYS ARE TRANSIENT FARM WORKERS AND OFTEN DO NOT STAY AT THE ADDRESS WE HAVE IN THE RECORDS. |
| PART III, LINE 8: | DEPENDING ON UTILIZATION AND CMI AVERAGE OF THE PATIENTS WE MAY BE EITHER ABOVE OR BELOW COST.COSTING METHODOLOGY: TOTAL COST AS A PERCENTAGE OF TOTAL NET REVENUE AND APPLY TOTAL COST TO THE NET REVENUE FOR MEDICARE. |
| PART III, LINE 9B: | ONCE A PATIENT IS IDENTIFIED AS A CHARITY CARE PATIENT ALL COLLECTION EFFORTS CEASE. |
| PART VI, LINE 2: | DELANO REGIONAL MEDICAL CENTER IS PART OF A CORE GROUP OF LOCAL HEALTHCARE AND COMMUNITY AGENCIES, THAT ASSESSES THE COMMUNITY NEEDS WE SERVE. THROUGH THE CREATION OF A WEB BASED INTERACTIVE NEEDS ASSESSMENT (WWW.HEALTHYKERN.ORG) NEEDS ARE ASSESSED THROUGH A CONSTANTLY UPDATED NEEDS ASSESSMENT WITH REPORTING AND TRACKING TOOLS. THIS WEB BASED ASSESSMENT PROVIDES A TOOL FOR COMMUNITY STRATEGIC PLANNING, BRINGS US TOGETHER WITH OTHER STAKEHOLDERS IN OUR COMMUNITY FOR PARTNERSHIP IN DETERMINING THE NEEDS AS WELL AS DEFINING BEST PRACTICES. |
| PART VI, LINE 3: | BY LETTER AND AT ADMISSION, WE INFORM PATIENTS ABOUT THE AVAILABILITY TO HELP APPLY FOR SPECIFIC GOVERNMENTAL PROGRAM ASSISTANCE AND THE PATIENTS' ABILITY TO APPLY FOR CHARITY CONSIDERATION. ALSO, POSTERS IN BOTH ENGLISH AND SPANISH ARE DISPLAYED IN THE ER, WAITING AREA, CLINICS AND HOSPITAL ADMISSION AREAS INFORMING OF THE AVAILABILITY OF THE HOSPITAL'S PROGRAM TO ASSIST THROUGH THE CHARITY OR SLIDING FEE SCALE FOR THEIR BILL. |
| PART VI, LINE 4: | THE HOSPITAL SERVES A CULTURALLY ABUNDANT AND DIVERSE POPULATION OF APPROXIMATELY 130,000 PEOPLE FROM THREE PRIMARY CULTURAL GROUPS: HISPANIC, FILIPINO AND CAUCASIAN. DRMC IS THE SOLE HOSPITAL PROVIDER WITHIN A 30 MILE RADIUS. OVER THE YEARS, THE HOSPITAL'S SERVICE AREA HAS BEEN FACED WITH MANY CHALLENGES. THESE INCLUDE HIGH RATES OF UNEMPLOYMENT, OBESITY, TEEN PREGNANCY, DIABETES, ASTHMA, POVERTY, SUBSTANCE ABUSE, LOW EDUCATIONAL ATTAINMENT, AND LIMITED ACCESS TO HEALTHCARE SERVICES. ALTHOUGH THESE ISSUES ARE NOT UNIQUE TO OUR SERVICE AREA, DATA SHOW THAT OUR COMMUNITIES ARE MUCH WORSE THAN THE AVERAGE COMMUNITY IN KERN COUNTY OR CALIFORNIA AS A WHOLE.THE FOLLOWING STATISTICS PRESENT A PICTURE OF THE COMMUNITIES WE SERVE.ETHNIC COMPOSITION: HISPANIC 68.47% WHITE 9.2% ASIAN/PACIFIC ISLANDER 15.9% BLACK 5.07% AMERICAN INDIAN 1.4%UNEMPLOYMENT RATE: OUR COMMUNITIES RANK #7 OUT OF THE 101 COMMUNITIES IN THE US FOR THE HIGHEST UNEMPLOYMENT RATE AT 35.2% (SEASONALLY ADJUSTED)ECONOMIC LEVELS: ACCORDING TO 2007 DATA, 28.2% OF OUR POPULATION FALL BELOW THE NATIONAL POVERTY LEVELS. THE CALIFORNIA STATE AVERAGE IS 14.2%EDUCATION: DESPITE GOOD API SCORES, 52% OF FAMILIES CONTINUE TO HAVE AN EDUCATION ATTAINMENT AND READING LEVEL AT THE THIRD GRADE LEVEL OR LOWER.PUBLIC ASSISTANCE: 285 OF FAMILIES RECEIVE AFDC AND 85% OF STUDENTS, DEPENDING ON SEASON, QUALIFY FOR FREE OR REDUCED PRICE LUNCHES AT SCHOOL.CULTURAL: OVER 20% OF FAMILIES ARE MIGRANT FARM WORKERS. 72% OF FAMILY ARE PRIMARILY SPANISH SPEAKING. |
| PART VI, LINE 5: | DRMC'S COMMITMENT TO THE COMMUNITIES EXTENDS TO THE EMPLOYMENT OF A DIRECTOR OF MARKETING AND COMMUNITY RELATIONS, AS WELL AS A MARKETING & COMMUNITY RELATIONS COORDINATOR BOTH OF WHICH PROVIDE OUTREACH SERVICES WITHIN THE COMMUNITIES DRMC SERVES. THE COMMUNITY RELATIONS COORDINATOR SERVES AS A LIAISON BETWEEN DRMC'S SERVICES AND THE COMMUNITY, IN AN EFFORT TO PROVIDE ASSISTANCE TO THE MEDICALLY UNDERSERVED. |
| PART VI, LINE 6: | N/A |
| PART VI, LINE 7, REPORTS FILED WITH STATES | CA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM NOBLE | ||||||||||||||
| CEO/CHAIRMAN | $611,605 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $611,605 | $0 | $0 | $0 |
| BAHRAM GHAFFARI | ||||||||||||||
| PRESIDENT | $643,750 | $0 | $321,875 | $0 | $19,200 | $0 | $0 | $0 | $24,457 | $0 | $1,009,282 | $0 | $0 | $0 |
| AMY SCROGGS | ||||||||||||||
| CHIEF NURSING OFFICER | $172,848 | $0 | $16,265 | $0 | $2,400 | $0 | $0 | $0 | $6,125 | $0 | $197,638 | $0 | $0 | $0 |
| SANDRA BAKICH | ||||||||||||||
| COMPLIANCE OFFICER/IS DIRECTOR | $164,882 | $0 | $13,607 | $0 | $1,800 | $0 | $0 | $0 | $6,731 | $0 | $187,020 | $0 | $0 | $0 |
| BABITA DATTA | ||||||||||||||
| OB/GYN PHYSICIAN | $512,040 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,951 | $0 | $518,991 | $0 | $0 | $0 |
| TERRANCE MONRIAN | ||||||||||||||
| PHARMACY/OUTCOMES DIRECTOR | $252,226 | $0 | $17,176 | $0 | $0 | $0 | $0 | $0 | $6,039 | $0 | $275,441 | $0 | $0 | $0 |
| MEE YOUNG LEE | ||||||||||||||
| PHARMACIST | $218,076 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,280 | $0 | $224,356 | $0 | $0 | $0 |
| BRYANT MENG | ||||||||||||||
| PHARMACIST | $199,689 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,289 | $0 | $204,978 | $0 | $0 | $0 |
| SAMUEL KHALIL | ||||||||||||||
| PHARMACIST | $190,303 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,351 | $0 | $197,654 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 6 | FormAndLineReferenceDesc |
| Explanation | PRESIDENT AND LEADERSHIP PERSONNEL ARE PAID AN ADDITIONAL SUM TO THEIR WAGES IF CERTAIN FINANCIAL GOALS ARE MET IN REGARDS TO NET INCOME, PATIENT SATISFACTION AND DEPARTMENTS MEETING THEIR BUDGETS. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF DELANO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 956000702 | BondIssuerEIN |
| CUSIP | 245584BU0 | CUSIPNum |
| Bond Issued | 2012-12-20 | BondIssuedDt |
| Issue Price | $30,542,500 | IssuePriceAmt |
| Purpose | TO REFUND AND RETIRE 1998 BONDS AT A LOWER RATE OF INTEREST | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $6,745,000 | RetiredAmt |
| Total Proceeds | $30,607,090 | TotalProceedsAmt |
| In Reserve Fund | $3,091,968 | InReserveFundAmt |
| Issuance Costs From Proceeds | $686,695 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $26,801,555 | OtherSpentProceedsAmt |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | Yes (1) | Form8038TFiledInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K SUPPLENTAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | PART II, LINE 3 - THE TOTAL INCLUDES CUMULATIVE INVESTMENT EARNINGS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | RETAIL PHARMACY |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS ONE CLASS OF MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS WERE APPOINTED WHEN THE ORGANIZATION WAS FORMED. UPON DEATH OR RESIGNATION OF ONE OF THE MEMBERS, REMAINING MEMBERS ELECT/APPOINT NEW MEMBER. MEMBERS ARE ELECTED FOR LIFE AND CANNOT BE REMOVED UNLESS THEY CHOOSE TO RESIGN. MEMBERS HAVE THE RIGHT TO NAME NEW MEMBERS OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | CHANGES TO BYLAWS BY THE GOVERNING BODY MUST BE APPROVE BY THE MEMBERS AS WELL AS THE DECISION TO SELL THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | BEFORE FILING, FORM 990 IS REVIEWED BY THE AUDITING FIRM, CEO AND PRESIDENT. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE THROUGH A COMPLIANCE OFFICER MONITORING SYSTEM. WE STRESS WITH NEW EMPLOYEES AS WELL AS YEARLY AT THE EDUCATION FAIR THAT WE INVITE EMPLOYEES TO REPORT ANY HOSPITAL ACTIVITY THAT THEY THINK MIGHT BE A COMPLIANCE ISSUE EVEN TO A RECORDED PHONE # THAT IS MONITORED BY THE COMPLIANCE COMMITTEE. ALL COMPLIANCE ISSUES ARE INVESTIGATED BY THE COMPLIANCE DIRECTOR AND A COMMITTEE IF NEEDED. IF AN ISSUE EXISTS, A RECOMMENDED COURSE OF ACTION THAT WOULD INCLUDE NOTIFICATION TO THE PROPER AUTHORITY OF THE RESULT OF THE INVESTIGATION IS PRESENTED. |
| FORM 990, PART VI, SECTION B, LINE 15A | COMPENSATION FOR THE CEO/CHAIRMAN AND CFO/PRESIDENT ARE BASED ON AN ANNUAL SURVEY OF THE CALIFORNIA HOSPITAL ASSOCIATION, SURVEYING RECRUITMENT AGENCIES, LEGAL COUNSEL CONSULTATION, DISCUSSION WITH BOARD COMMITTEE AND FINAL BOARD APPROVAL. SALARY SURVEYS AS WELL AS THE OTHER SOURCES LISTED ARE CONTINUOUSLY MONITORED. CONTRACTS FOR THE CEO AND CFO WERE REVIEWED, APPROVED AND DOCUMENTED. COMPENSATION FOR KEY EMPLOYEES IS DETERMINED BY THE CEO AND CFO. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATION OFFICE. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELANO HEALTH ASSOCIATES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1401 GARCES HWY | AddressLine1Txt |
| City | DELANO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93215 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 770340007 | EIN |
| Primary Activities | TO PROVIDE HEALTHCARE REGISTRY SERVICES TO DELANO REGIONAL MEDICAL CENTER. | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $654,710 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $1,219,902 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELANO HEALTH ASSOCIATES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | P | TransactionTypeTxt |
| Involved | $656,089 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |