SONORA COMMUNITY HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: SONORA COMMUNITY HOSPITAL (EIN 94-1415069)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-12-26
IRS object ID: 201843609349300304
Schema version: 2017v2.2
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-12-26T06:56:31-08:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt
Disaster Relief	California Wildfires DR-4407 and IRS CA-2018-13	DisasterReliefTxt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	800519547	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	THE ACCOUNTANCY LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	330 N BRAND BLVD STE 200	AddressLine1Txt
City	GLENDALE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	912032361	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	941415069	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Sonora Community Hospital	BusinessNameLine1Txt
Business Name Line2	dba Adventist Health Sonora	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	SONO	BusinessNameControlTxt
Phone	2095325000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 Greenley Rd	AddressLine1Txt
City	Sonora	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95370	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Gregory McCulloch	PersonNm
Person Title	Treas/Asst Sec	PersonTitleTxt
Signature	2018-12-26	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	S Clement	PreparerPersonNm
PTIN	P01218012	PTIN
Phone	8185475701	PhoneNum
Self Employed	Yes (X)	SelfEmployedInd

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Michelle Fuentes	PrincipalOfficerNm
Gross Receipts	$262,097,549	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
All Affiliates Included	false	AllAffiliatesIncludedInd
Group Exemption	1071	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.adventisthealth.org/sonora	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1958	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	Living Gods love by inspiring health, wholeness and hope.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1671	TotalEmployeeCnt
Total Volunteers	120	TotalVolunteersCnt
Total Gross UBI	$56,716	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$13,151	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,723,041	PYContributionsGrantsAmt
CY Contributions Grants	$1,362,251	CYContributionsGrantsAmt
PY Program Service Revenue	$255,164,509	PYProgramServiceRevenueAmt
CY Program Service Revenue	$252,403,784	CYProgramServiceRevenueAmt
PY Investment Income	$2,072,882	PYInvestmentIncomeAmt
CY Investment Income	$1,892,873	CYInvestmentIncomeAmt
PY Other Revenue	$42,007	PYOtherRevenueAmt
CY Other Revenue	$2,777,891	CYOtherRevenueAmt
PY Total Revenue	$259,002,439	PYTotalRevenueAmt
CY Total Revenue	$258,436,799	CYTotalRevenueAmt
PY Grants And Similar Paid	$186,558	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$44,695	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$105,379,905	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$110,047,260	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$545,602	CYTotalFundraisingExpenseAmt
PY Other Expenses	$127,623,458	PYOtherExpensesAmt
CY Other Expenses	$126,345,311	CYOtherExpensesAmt
PY Total Expenses	$233,189,921	PYTotalExpensesAmt
CY Total Expenses	$236,437,266	CYTotalExpensesAmt
PY Revenues Less Expenses	$25,812,518	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$21,999,533	CYRevenuesLessExpensesAmt
Total Assets BOY	$210,800,980	TotalAssetsBOYAmt
Total Assets EOY	$260,052,818	TotalAssetsEOYAmt
Total Liabilities BOY	$60,222,563	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$109,492,827	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$150,578,417	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$150,559,991	NetAssetsOrFundBalancesEOYAmt
Mission	Living Gods love by inspiring health, wholeness and hope.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$201,512,095	ExpenseAmt
Grant	$44,695	GrantAmt
Revenue	$252,360,994	RevenueAmt
Desc	Sonora Community Hospital (SCH) provides quality medical health care regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of SCH, the organization recognizes that not all individuals possess the ability to pay for essential medical services.SCH's vision is to enhance the health of the communities where we live and serve, by engaging our communities and our patients in a new definition of and partnership for personal community health. In keeping with this commitment to serve all members of the community, 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- providing health/wellness activities and community education programsNot only does SCH 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. SCH recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed value of providing care to these patients in 2017 was $25,373,409. Services in 2017 were provided to approximately 136,351 patients. These services included:- Babies: 565 deliveries- Surgeries: 6,142 procedures- Emergency room: 34,160 visits- Medical clinics: 1,182,526 visitsSonora Community Hospital provides home care services in its surrounding communities. In 2017, we made 29,282 individual visits for home care services. These services include, but are not limited to:- Respiratory Care- Elderly Care- Geriatric Case Management- Ostomy & Wound Care- Diabetes Care- IV Home TherapySonora Community Hospital provides hospice services in its surrounding communities. In 2017, we provided 8,239 days of hospice care.SCH recognizes it has an obligation to provide human 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:Project HOPE, which stands for Health, Outreach, Prevention and Education- delivers dozens of free physicals and other services to indigent children and their parents at various locations throughout California's Tuolumne County with the help of volunteer nurses and physicians.Community Events - First aid stations at the local Mother Lode Fair, Home and Garden show and the Tuolumne Me-Wuk Health Fair. Exhibits at the Groveland Family Wellness Fair and the Tuolumne County Youth Health Fair. Close to 3,000 health screenings done at the annual Tuolumne County Health Fair.Health Education and Support ProgramsThe many support groups and health education classes conducted, including but not limited to:Cancer support group, Diabetes support group, Depression Recovery Program class, Spiritual Care training, CHIP Coronary Health Improvement Project, Epilepsy/Seizure Support Group, La Leche League, Childbirth Preparation Classes, Preparation for Cesarean Birth Classes, OakPlus Wellness Seminars, Quit for Life: Tobacco Cessation Classes, Lifeline Emergency Response ProgramMaintained and monitored up to 320 Lifeline Emergency Response Units. This 24-hour-a-day system offers immediate response to those whose physical condition could otherwise limit their ability to summon help.Spiritual SupportSCH's chaplains provided over 4,000 patient visits and over 1,500 hours of patient counseling, and provided over 300 hours of employee counseling, conducted memorial services and officiated at weddings.Community SupportSCH donated $44,537.60 to 65 non-profit community service organizations in 2017.	Desc
Total Program Service Expenses	$201,512,095	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	191	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1671	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Org Filed In Lieu Of Form1041	false	OrgFiledInLieuOfForm1041Ind
Licensed More Than One State	false	LicensedMoreThanOneStateInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Greg McCulloch	PersonNm
Phone	2095365019	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 Greenley Rd	AddressLine1Txt
City	Sonora	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95370	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Banks David
Director	0.00	4.00	Yes (X)	$0	$1,553	$0
Cherry Robert
Director	0.00	4.00	Yes (X)	$0	$11,550	$0
Davis Andrew
Director	0.00	4.00	Yes (X)	$0	$10,600	$0
Freedman John
Director	0.00	4.00	Yes (X)	$0	$1,133	$0
Gabriel Melody
Director	0.00	4.00	Yes (X)	$0	$1,203	$0
Graham Ricardo
Director	0.00	4.00	Yes (X)	$0	$2,074	$0
Heinrich Kerry
Director	0.00	4.00	Yes (X)	$0	$15,866	$0
Innocent Larry
Director	0.00	4.00	Yes (X)	$0	$17,608	$0
Pedersen James
Director	0.00	4.00	Yes (X)	$0	$2,101	$0
Reiner Richard
Director	0.00	4.00	Yes (X)	$0	$19,819	$0
Rippey Wesley
Director	0.00	4.00	Yes (X)	$0	$118,116	$0
Salazar Velino
Director	0.00	4.00	Yes (X)	$0	$1,928	$0
Reiner Scott
Dir/Chair	0.00	50.00	Yes (X)	$0	$1,982,804	$53,885	Yes (X)
Wing Bill
Dir/VCh/AsstSec	0.00	50.00	Yes (X)	$0	$1,460,244	$52,693	Yes (X)
Jobe Meredith
Secretary	0.00	50.00		$0	$654,239	$42,313	Yes (X)
Wagner Jack
Asst Secretary	0.00	50.00		$0	$1,070,403	$37,117	Yes (X)
Jahn Andrew
President	50.00	0.00		$0	$658,815	$64,229	Yes (X)
McCulloch Gregory
Treas/Asst Sec	50.00	0.00		$0	$358,782	$53,849	Yes (X)
Kline Julie
Sr VP/Patient Care Exec	50.00	0.00		$0	$373,398	$42,273		Yes (X)
Fuentes Michelle
VP Operations	50.00	0.00		$0	$333,337	$53,845		Yes (X)
Clinite Edward
CMO	22.00	0.00		$319,075	$0	$0		Yes (X)
Ferch Wayne
President CCR	0.00	50.00		$0	$957,186	$45,065		Yes (X)
Larsen David
Finance Officer CCR	0.00	50.00		$0	$548,036	$55,984		Yes (X)
Tipton Shane
Dir Oncology	40.00	0.00		$192,452	$0	$53,490			Yes (X)
Tipton Jay
CRNA	40.00	0.00		$204,274	$0	$25,927			Yes (X)
Mulamalla Hari
Dir Pharmacy	40.00	0.00		$180,994	$0	$36,027			Yes (X)
Colwell Timothy
Dir Finance	40.00	0.00		$173,888	$0	$43,046			Yes (X)
King Thomas
NP	40.00	0.00		$170,223	$0	$46,395			Yes (X)
Wehtje Rodney
Former Asst Treas	0.00	0.00		$0	$249,427	$23,299				Yes (X)
Rebok Douglas
Former Asst Sec	0.00	0.00		$0	$120,028	$6,244				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,240,906	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,970,250	TotReportableCompRltdOrgAmt
Total Other Compensation	$735,681	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	178	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Quiring General LLC
5118 E Clinton Way STE 201	Fresno	CA	93727	Building Contractor	$15,792,334
Sierra Emergency Medical Group
PO Box 4685	Sonora	CA	95370	Medical Group	$3,346,584
Layton Construction Company LLC
9090 S Sandy Pkwy	Sandy	UT	84070	Building Contractor	$2,144,786
Siemens Medical Solutions
51 Valley Stream Pkwy	Malvern	PA	193551406	Medical Group	$1,524,171
Galen Inpatient Physicians Inc
2100 Powell St STE 900	Emeryville	CA	94608	Medical Group	$1,432,758

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	80	CntrctRcvdGreaterThan100KCnt
Fundraising	$112,295	FundraisingAmt
All Other Contributions	$1,249,956	AllOtherContributionsAmt
Total Contributions	$1,362,251	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
Dietary	722210	$625,700	$625,700
Other Revenue	900099	$199,160	$199,160
Patient service revenue	900099	$251,485,205	$251,442,415	$42,790
Rent - Medical Offices	531120	$93,719	$93,719

Field	Value	IRS element (for citing)
Total Program Service Revenue	$252,403,784	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,892,873	TotalRevenueColumnAmt
Exclusion	$1,892,873	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$240,085	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$112,295	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$112,492	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$127,593	TotalRevenueColumnAmt
Exclusion	$127,593	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$5,080	GamingGrossIncomeAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,080	TotalRevenueColumnAmt
Exclusion	$5,080	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$6,136,760	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$3,548,258	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,588,502	TotalRevenueColumnAmt
Exclusion	$2,588,502	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Retail Pharmacy	446110	$39,306	$39,306
Sonora Oxygen Service	621610	$17,410	$17,410

Field	Value	IRS element (for citing)
Other Revenue Total	$56,716	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$258,436,799	TotalRevenueColumnAmt
Related Or Exempt Func Income	$252,360,994	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$56,716	UnrelatedBusinessRevenueAmt
Exclusion	$4,656,838	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$44,695	TotalAmt
Program Services	$44,695	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$319,075	TotalAmt
Program Services	$169,075	ProgramServicesAmt
Management And General	$150,000	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$81,858,121	TotalAmt
Program Services	$76,014,135	ProgramServicesAmt
Management And General	$5,709,535	ManagementAndGeneralAmt
Fundraising	$134,451	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,499,242	TotalAmt
Program Services	$3,467,780	ProgramServicesAmt
Management And General	$31,462	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,421,751	TotalAmt
Program Services	$17,060,580	ProgramServicesAmt
Management And General	$1,321,146	ManagementAndGeneralAmt
Fundraising	$40,025	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,949,071	TotalAmt
Program Services	$5,551,724	ProgramServicesAmt
Management And General	$387,461	ManagementAndGeneralAmt
Fundraising	$9,886	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$361,821	TotalAmt
Management And General	$361,821	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$29,188,984	TotalAmt
Program Services	$26,837,730	ProgramServicesAmt
Management And General	$2,351,254	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$476,486	TotalAmt
Management And General	$476,486	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,536,090	TotalAmt
Program Services	$1,349,888	ProgramServicesAmt
Management And General	$175,752	ManagementAndGeneralAmt
Fundraising	$10,450	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,554,150	TotalAmt
Program Services	$10,531,817	ProgramServicesAmt
Management And General	$20,440	ManagementAndGeneralAmt
Fundraising	$1,893	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,292,138	TotalAmt
Program Services	$7,860,191	ProgramServicesAmt
Management And General	$429,065	ManagementAndGeneralAmt
Fundraising	$2,882	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$560,537	TotalAmt
Program Services	$378,818	ProgramServicesAmt
Management And General	$170,604	ManagementAndGeneralAmt
Fundraising	$11,115	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$200,749	TotalAmt
Program Services	$146,268	ProgramServicesAmt
Management And General	$53,298	ManagementAndGeneralAmt
Fundraising	$1,183	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$741,327	TotalAmt
Program Services	$741,327	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,657,566	TotalAmt
Program Services	$5,591,590	ProgramServicesAmt
Management And General	$64,983	ManagementAndGeneralAmt
Fundraising	$993	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$284,862	TotalAmt
Program Services	$284,862	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Pt care supplies	$35,148,986	$34,406,533	$742,453
Purchased services	$31,344,406	$9,953,743	$21,186,086	$204,577
Miscellaneous	$1,758,615	$893,014	$738,551	$127,050
Equipment rentals	$238,594	$228,325	$9,172	$1,097

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$236,437,266	TotalAmt
Program Services	$201,512,095	ProgramServicesAmt
Management And General	$34,379,569	ManagementAndGeneralAmt
Fundraising	$545,602	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,045,986	BOYAmt
EOY	$83,515	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$89,721,735	BOYAmt
EOY	$108,441,052	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$674,421	BOYAmt
EOY	$674,421	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$25,494,105	BOYAmt
EOY	$28,653,397	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,600,915	BOYAmt
EOY	$4,076,818	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$502,848	BOYAmt
EOY	$318,374	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$154,563,258	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$70,019,205	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$61,292,688	BOYAmt
EOY	$84,544,053	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$6,115,191	BOYAmt
EOY	$6,191,383	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$433,978	BOYAmt
EOY	$433,978	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$21,919,113	BOYAmt
EOY	$26,635,827	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$210,800,980	BOYAmt
EOY	$260,052,818	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$16,338,546	BOYAmt
EOY	$20,400,720	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,526,406	BOYAmt
EOY	$1,017,602	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$42,357,611	BOYAmt
EOY	$88,074,505	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$60,222,563	BOYAmt
EOY	$109,492,827	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$145,855,667	BOYAmt
EOY	$145,084,588	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,722,750	BOYAmt
EOY	$5,475,403	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$150,578,417	BOYAmt
EOY	$150,559,991	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$210,800,980	BOYAmt
EOY	$260,052,818	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$21,999,533	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$22,017,959	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Church	Yes (X)	ChurchInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$6,138	OtherActivitiesAmt
Total Lobbying Expenditures	$6,138	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1i - Other Activities Description	FormAndLineReferenceDesc
Explanation	A portion of industry association dues is allocated to lobbying activities.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,722,741	BeginningYearBalanceAmt
Contributions	$1,334,245	ContributionsAmt
Grants Or Scholarships	$108,765	GrantsOrScholarshipsAmt
Other Expenditures	$472,818	OtherExpendituresAmt
End Year Balance	$5,475,403	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,333,814	BeginningYearBalanceAmt
Contributions	$1,848,665	ContributionsAmt
Grants Or Scholarships	$41,754	GrantsOrScholarshipsAmt
Other Expenditures	$417,984	OtherExpendituresAmt
End Year Balance	$4,722,741	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,975,818	BeginningYearBalanceAmt
Contributions	$1,766,110	ContributionsAmt
Grants Or Scholarships	$60,789	GrantsOrScholarshipsAmt
Other Expenditures	$347,325	OtherExpendituresAmt
End Year Balance	$3,333,814	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,054,045	BeginningYearBalanceAmt
Contributions	$1,389,642	ContributionsAmt
Grants Or Scholarships	$140,470	GrantsOrScholarshipsAmt
Other Expenditures	$327,399	OtherExpendituresAmt
End Year Balance	$1,975,818	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$993,956	BeginningYearBalanceAmt
Contributions	$514,739	ContributionsAmt
Grants Or Scholarships	$134,134	GrantsOrScholarshipsAmt
Other Expenditures	$320,516	OtherExpendituresAmt
End Year Balance	$1,054,045	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	false	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,330,024	OtherCostOrOtherBasisAmt
Book Value	$7,330,024	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$69,449,268	OtherCostOrOtherBasisAmt
Depreciation	$36,587,271	DepreciationAmt
Book Value	$32,861,997	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,953,785	OtherCostOrOtherBasisAmt
Depreciation	$2,621,040	DepreciationAmt
Book Value	$332,745	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$40,506,958	OtherCostOrOtherBasisAmt
Depreciation	$28,272,611	DepreciationAmt
Book Value	$12,234,347	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$34,323,223	OtherCostOrOtherBasisAmt
Depreciation	$2,538,283	DepreciationAmt
Book Value	$31,784,940	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$84,544,053	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Other assets	$40,212
Other receivables	$1,671,000
Receivable from related orgs	$4,750,877
Receivables from 3rd party payors	$20,173,738

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$26,635,827	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Other liabilities	$184,670
Payables to related orgs	$80,396,764
Payables to third party payors	$1,245,166
Workers' comp liability	$6,247,905

Field	Value	IRS element (for citing)
Total Liability	$88,074,505	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Line 4: Intended uses of the endowment fund.	FormAndLineReferenceDesc
Explanation	Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended.	ExplanationTxt

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd
Licensed States	CA	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Gala	Event1Nm
Gross Receipts Event1	$265,050	GrossReceiptsEvent1Amt
Charitable Contri Event1	$82,050	CharitableContriEvent1Amt
Gross Revenue Event1	$183,000	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$18,586	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$23,589	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$43,652	OtherDirectExpensesEvent1Amt
Event2	Golf Tournament	Event2Nm
Gross Receipts Event2	$64,975	GrossReceiptsEvent2Amt
Charitable Contri Event2	$17,855	CharitableContriEvent2Amt
Gross Revenue Event2	$47,120	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$6,144	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$4,900	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$8,526	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$22,355	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$12,390	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$9,965	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$800	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$4,000	FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events	$2,295	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$352,380	GrossReceiptsTotalAmt
Charitable Contributions Tot	$112,295	CharitableContributionsTotAmt
Gross Revenue Total Events	$240,085	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$25,530	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$32,489	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$54,473	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$112,492	DirectExpenseSummaryEventsAmt
Net Income Summary	$127,593	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,689,296	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,689,296	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,689,296	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,689,296	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$361,129	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,229	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$330,900	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$305,050	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$305,050	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,594,333	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,711,996	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,882,337	NetCommunityBenefitExpnsAmt
Total Expense	0.02060	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,906	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$28,906	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,289,418	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,742,225	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,547,193	NetCommunityBenefitExpnsAmt
Total Expense	0.02340	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,978,714	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,742,225	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,236,489	NetCommunityBenefitExpnsAmt
Total Expense	0.03050	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,357	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,357	NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$500	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$436,538	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$436,538	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$439,395	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$439,395	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$609,981	BadDebtExpenseAmt
Bad Debt Expense Attributable	$143,163	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$104,471,913	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$104,580,373	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$108,460	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	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	Sonora Community Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 Greenley Rd	AddressLine1Txt
City	Sonora	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95370	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.adventisthealth.org/sonora	WebsiteAddressTxt
State License	030000094	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	Sonora Community Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Sch H Part VI - Needs Assessment	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	See Sch H Part VI - Needs Assessment	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Sch H Part VI - Needs Assessment	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Sch H Part VI-Patient Education	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Sch H Part VI-Patient Education	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Sch H Part VI-Patient Education	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 (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	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 (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Line 5 - Account Input from Persons Who Represent the Community	FormAndLineReferenceDesc
Explanation	The 2016 CHNA data collection process can be summarized as follows: 1. review of prior CHNA reporting efforts; 2. collection of most recently available demographic, socioeconomic and health indicator data.The data collection process of the CHNA included an initial meeting of the Tuolumne County Community Health Assessment (TCCHA) Steering Committee to plan a TCCHA project. The Steering Committee consisted of local community leaders including business owners, non-profit executive directors, seniors, county and state social service directors, health care providers, community members and law enforcement. The committee members dedicated their time, knowledge, expertise and resources throughout the 10-month process.The process of data collection was guided by the consultant and Public Health Director, and shared by each of the committees, with data analysis conducted and reviewed by the full Steering Committee and in some cases by other members of the community. Multiple meetings were conducted over a six-month period, with contributions of time and resources from the community members.	ExplanationTxt

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (56 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Surgery Center
905 Morningstar Dr	Sonora	CA	95370	Outpatient Surgery
Outpatient Imaging Center
900 Mono Wy	Sonora	CA	95370	Diagnostic Imaging
Radiation Oncology
900 Greenley Rd Ste 901	Sonora	CA	95370	Clinic Services
Outpatient Rehabilitation
900 Mono Wy	Sonora	CA	95370	Physical Therapy and Rehabilitation
Infusion Center
900 Greenley Rd Ste 902	Sonora	CA	95370	Clinic Services
Indian Rock Prompt Care
14590 Mono Wy	Sonora	CA	95370	Clinic Services
Home Health - Sonora
20100 Cedar Rd N	Sonora	CA	95370	Home Health
Sierra Orthopedic Institute
680 Guzzi Ln Ste 105	Sonora	CA	95370	Clinic Services
Bones Sports Medicine and Rehabilitation
13808 Mono Wy	Sonora	CA	95370	Clinic Services
Sierra Care Center Unit 7
538 Ponderosa Dr	Sonora	CA	95370	Long-Term Care
Sierra Care Center Unit 6
179 S Fairview Ln	Sonora	CA	95370	Long-Term Care
Sierra Cardiology
900 Greenley Rd Ste 911	Sonora	CA	95370	Clinic Services
Center for Wound Care
12811 Covey Cir	Sonora	CA	95370	Clinic Services
Sierra OBGYN
900 Greenley Rd Ste 922	Sonora	CA	95370	Clinic Services
Rural Health Primary Care
193 S Fairview Ln Ste B	Sonora	CA	95370	Clinic Services
Oxygen and Medical Supply
220 W Stockton St	Sonora	CA	95370	Oxygen and Durable Medical Equipment
Yosemite Orthopedics and Joint Replacement
680 Guzzi Ln Ste 102	Sonora	CA	95370	Clinic Services
Foothill Specialty Group
680 Guzzi Ln Ste 206	Sonora	CA	95370	Clinic Services
Community Pharmacy Greenley Rd
900 Greenley Rd	Sonora	CA	95370	Pharmacy
Sierra Vascular and General Surgery Associates
900 Greenley Rd Ste 922	Sonora	CA	95370	Clinic Services
Sierra Vascular and General Surgery Associates
900 Greenley Rd Ste 922	Sonora	CA	95370	Clinic Services
Greenley Oaks Ear Nose and Throat
795 Morningstar Dr	Sonora	CA	95370	Clinic Services
Angels Camp Orthopedics
23 N Main St	Angels Camp	CA	95222	Clinic Services
Angels Camp Rapid Care
23 N Main St	Angels Camp	CA	95222	Clinic Services
Rural Health Specialty Care
193 S Fairview Ln Ste C / F	Sonora	CA	95370	Clinic Services
Rural Health Dental Care
193 S Fairview Ln Ste J	Sonora	CA	95370	Clinic Services
Hospice - Sonora
20100 Cedar Rd N	Sonora	CA	95370	Hospice Services
Community Pharmacy Stockton St
220 W Stockton St	Sonora	CA	95370	Pharmacy
Foothill Pediatrics and Rheumatology
12791 Cabezut Rd	Sonora	CA	95370	Clinic Services
Hillside Internal Medicine 1
690 Guzzi Ln Ste B	Sonora	CA	95370	Clinic Services
Live Well Be Well Center
19747 Greenley Rd	Sonora	CA	95370	Clinic Services
Mountain Medical Family Practice
680 Guzzi Ln Ste 106	Sonora	CA	95370	Clinic Services
Angels Camp Physical Therapy
457 S Main St	Angels Camp	CA	95222	Clinic Services
Angels Camp Family Medical Office
445 S Main St	Angels Camp	CA	95222	Clinic Services
Transitional Care Unit
179 S Fairview Ln	Sonora	CA	95370	Subacute Hospitalization
Cancer Center
900 Greenley Rd Ste 902	Sonora	CA	95370	Clinic Services
Rural Health Pediatric Care
193 S Fairview Ln Ste L	Sonora	CA	95370	Clinic Services
Greenley Primary Care
19747 Greenley Rd	Sonora	CA	95370	Clinic Services
Sierra Internal Medicine
680 Guzzi Ln Ste 201	Sonora	CA	95370	Clinic Services
Arnold Family Medical Office
2037 Hwy 4	Arnold	CA	95223	Clinic Services
Cedarwood Internal Medicine
690 Guzzi Ln Ste A	Sonora	CA	95370	Clinic Services
Groveland Family Medical Office
18661 Hwy 120	Groveland	CA	95321	Clinic Services
Mountain Medical Physicial Medicine and Rehabilitiation
680 Guzzi Ln Ste 101	Sonora	CA	95370	Clinic Services
Hillside Internal Medicine 2
680 Guzzi Ln Ste 204	Sonora	CA	95370	Clinic Services
Occupational Health
19747 Greenley Rd	Sonora	CA	95370	Clinic Services
Sierra Pulmonology
900 Greenley Rd Ste 923	Sonora	CA	95370	Clinic Services
Oxygen and Medical Supply - Hanford
440 Greenfield Ave Ste A	Hanford	CA	93230	Oxygen and Durable Medical Equipment
Pulmonary Rehabilitation
19747 Greenley Rd	Sonora	CA	95370	Clinic Services
Cardiac Rehabilitation
19747 Greenley Rd	Sonora	CA	95370	Clinic Services
Mother Lode Sleep Center
729 Pauline Ct	Sonora	CA	95370	Sleep Medicine
LivingWell Fitness Center
4 S Forest Rd	Sonora	CA	95370	Fitness Classes
Anticoagulation Clinic
19747 Greenley Rd	Sonora	CA	95370	Clinic Services
Hospice - Angels Camp
451 S Main St	Angels Camp	CA	95222	Hospice Services
Home Health - Angels Camp
451 S Main St	Angels Camp	CA	95222	Home Health
Heart Failure Resource Center
19747 Greenley Rd	Sonora	CA	95370	Clinic Services
Health Pavilion
900 Mono Wy	Sonora	CA	95370	Clinic Services

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7 - Explanation of Costing Methodology	The costs were determined by using a cost-to-charge ratio. The cost-to-charge computation is based on hospital specific data included in the system-wide combined audited financial statements. The formula used for computation equals financial statement data as follows:(Total expenses - (Provision for bad debts + Other revenue + Interest income)) / Gross patient charges
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	Uncollected patient accounts are analyzed using written patient financial services policies that apply standard procedures for all patient accounts. The result of the analysis is what is recognized as bad debt expense. For example, all self-pay patients receive a discount. If the discounted account is unpaid after collection efforts, the unpaid balance is classified as bad debt. The cost-to-charge ratio described for Part I, Line 7 is multiplied times the hospital's bad debt expense as reported in the system-wide combined audited financial statements. The resulting figure has been reported as bad debts at cost on Part III, Line 2.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit	The portion of the bad debts attributed to charity care as reported on Part III, Line 3 was calculated by an independent third-party consulting firm. This is an estimate of additional charity care that would have been granted if patients had cooperated by furnishing family financial information. A statistically valid sampling of patient accounts written-off was evaluated. The evaluation used various factors to determine which patients would have been eligible for charity care. Had the hospital obtained sufficient information from all patients who qualified for financial assistance, these additional accounts would have been recorded as charity care instead of bad debt.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	Medicare shortfall should be considered a community benefit because our mission is to promote health in the community and we do not limit the care available to any patients, including those covered by Medicare. We are relieving a government burden by providing care to Medicare patients even though costs exceed reimbursement. Tax-exempt hospitals are expected to participate in the Medicare program.Reconciliation of Medicare Revenue from the hospital's Medicare Cost Report to GL: Medicare Cost Report Revenue* 89,685,829 Prior Year Settlements (661,098) Cost Report Reimbursable Bad Debts 578,100 Estimates and Accrual Variances (48,076) Other 14,917,158 Subtotal - Amount reported in Pt III, Ln 5 104,471,913 Amounts included in Part I, Lines f and g - Total Medicare Revenue 104,471,913* Note: The Medicare Cost Report revenue does not include the bad debt reimbursement. The Cost Report revenue does include the patient co-pay and deductible amounts. Adding the bad debt reimbursement would have duplicated the revenue already accounted for in the co-pay and deductible amounts.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	When a patient has requested screening for charity care, the hospital must immediately cease collection activity and place the account in a charity pending status. If 100% charity is approved, the entire account balance is written off to charity care. If the patient has a sliding scale liability based on the federal poverty guidelines, they are billed only for that liability. If the patient fails to pay their after-charity liability, they are assigned to a collection agency with an identifier that indicates to the agency that the patient is "low income" and the following criteria must be followed by the agency:1. They may not report the patient to a credit bureau2. They may not file a lawsuit to recover the outstanding liability3. They may not charge interest
Part VI, Line 2 - Needs Assessment	The hospital's 2016 CHNA, the 2017 Community Health Plan (CHP) Update/Annual Report, and the 2016 Implementation Strategy (adopted in May 2017), known as the 2017 Community Health Plan (Implementation Strategy) & 2016 Update/Annual Report, are posted on the hospital's website at https://www.adventisthealth.org/sonora/about-us/community-benefit/. The CHNA, Implementation Strategy, and the CHPs are also available on the Adventist Health Corporate website at https://www.adventisthealth.org/about-us/community-benefit/.Hospital leadership serves on a variety of community boards and committees focused on addressing community-specific needs, allowing for ongoing responsiveness the health care needs of the community and collaboration with local agencies and organizations, enabling maximum effectiveness through collective impact.Committee/Board Participation includes: Tuolumne County Behavioral Health, Amador Tuolumne Community Action Agency, Tuolumne Me Wuk Indian Health Center, Area 12 Agency on Aging, Infant Child Enrichment Services, and First Five.Continued from Schedule H, Part V, Section B, Line 11:Priority Areas Not Addressed:Two additional areas that have been identified as priority areas but have not been addressed in our hospitals 2017-2019 Community Health Plan (implementation strategy), due to resource limitations, are End of Life and Redesigning the Health System.Adventist Health Sonora is committed to improving not only the health our community by addressing community health needs through the CHNA process but those additional needs seen through our senior population and chronic disease. Interventions include:1.Better Breathers Club is designed to offer community education and support to those with chronic lung disease. Meetings are open to family members and caregivers. Members of the community served 62.Oak Plus Senior Wellness is a wellness program open to the community for anyone over 65 years. Individuals receive discounts for medical services, pharmacy, medical supplies and the Live Well Fitness Center. Individuals also have access to monthly wellness lectures by health professionals. Members of the community served 2003.Live Well. Be Fit. Senior Exercise Program improve overall physical endurance, balance, strength and flexibility. Additional Senior Center Class is for those members who want to improve their lifestyle through therapeutic lifestyle changes. Members of the community served 304.Ladies Night Out in honor of breast cancer awareness month for education purposes. Member of the community served 5005.Chronic Disease classes for any member of our community that is trying to improve their health through therapeutic lifestyle change including exercise. Members of the community served 316.Speakers Bureau for Tuolumne County. Presented to area churches, community groups and local nursing program students about hospice and end of life services in Tuolumne County. Members of the community served - 123
Part VI, Line 3 - Patient Education of Eligibility for Assistance	The plain language summary of the Financial Assistance Policy (FAP) is posted along with the complete FAP policy and FAP Application on the hospital's website at https://www.adventisthealth.org/sonora/patient-resources/financial-services/financial-assistance/. These documents are available in multiple languages.At the time of registration, patients who are uninsured and underinsured are provided information about government healthcare programs. Patients are also orally informed of their right to request charity assistance. Signs are displayed in the patient business office, patient registration areas and the emergency room in multiple languages informing patients of this right as well. The hospital also provides a brochure during the registration process that explains the hospital billing and collection procedures, and how to request financial assistance. In addition, every billing statement sent to patients contains information on how to request financial assistance.
Part VI, Line 4 - Community Information	The hospital is the only health care system in the area, serving two counties and surrounding areas. In early 2009 the hospital was designated as a "sole community hospital" by Medicare. The area is predominantly rural, with agriculture, logging and tourism being the major employment opportunities. The population includes a large number of retired individuals.Tuolumne County suffered a 2.8% decrease in population in the last 15 years, which contrasts with the population numbers trends in the neighboring counties, and in the state in general. The countys population is also older than the states population, with 22% of the countys population being over 65, compared to 12% for the state. Females make up 55% of Tuolumne County residents over 64 years old. Most of our countys populations is white - 91.1%, with the remaining percentages allocated to: 2% Asian, 3% Black or African American, 4% American Indian or Alaska Native, and 11% Hispanic / Latino (or other).
Part VI, Line 4 - Community Building Activities	The hospital is involved in numerous community building activities which promote the health of the communities it serves. Numerous community concerns are addressed, including health improvement, education, poverty, workforce development and access to care. We also encourage our employees to serve on community collaboration boards, health advocacy programs, and physical improvement projects to promote the health of the communities we serve. In addition, we work with neighborhood programs, including schools, work sites and safety net providers to promote health and wellness and prevent disease. These activities are not included elsewhere on Schedule H.
Part VI, Line 5 - Promotion of Community Health	Our hospitals mission is, Living Gods love by inspiring health, wholeness and hope. Our community benefit work is rooted deep within our mission and merely an extension of our mission and service. We have also incorporated our community benefit work to be an integral component of improving the triple aim. The Triple Aim concept broadly known and accepted within health care includes:1) Improve the experience of care for our residents.2) Improve the health of populations.3) Reduce the per capita costs of health care.Our strategic investments in our community are focused on a more planned, proactive approach to community health. The basic issue of good stewardship is making optimal use of limited charitable funds. Defaulting to charity care in our emergency rooms for the most vulnerable is not consistent with our mission. An upstream and more proactive and strategic allocation of resources enables us to help low income populations avoid preventable pain and suffering; in turn allowing the reallocation of funds to serve an increasing number of people experiencing health disparities.Hospitals and health systems are facing continuous challenges during this historic shift in our health system. Given todays state of health, where cost and heartache is soaring, now more than ever, we believe we can do something to change this. These challenges include a paradigm shift in how hospitals and health systems are positioning themselves and their strategies for success in a new payment environment. This will impact everyone in a community and will require shared responsibility among all stakeholders. As hospitals move toward population health management, community health interventions are a key element in achieving the overall goals of reducing the overall cost of health care, improving the health of the population, and improving access to affordable health services for the community both in outpatient and community settings. The key factor in improving quality and efficiency of the care hospitals provide is to include the larger community they serve as a part of their overall strategy. Population health is not just the overall health of a population, but also includes the distribution of health. Overall health could be quite high if the majority of the population is relatively healthyeven though a minority of the population is much less healthy. Ideally such differences would be eliminated or at least substantially reduced.Community health can serve as a strategic platform to improve the health outcomes of a defined group of people, concentrating on three correlated stages:1) The distribution of specific health statuses and outcomes within a population; 2) Factors that cause the present outcomes distribution; and 3) Interventions that may modify the factors to improve health outcomes.Improving population health requires effective initiatives to: 1) Increase the prevalence of evidence-based preventive health services and preventive health behaviors, 2) Improve care quality and patient safety, and 3) Advance care coordination across the health care continuum. We will work together with our community to ensure the community health improvements are identified and then targeted for programs to influence behaviors to obtain improved health within the whole community.
Part VI, Line 6 - Affilated Health Care System	The hospital is a member of Adventist Health, a health care system which provides healthcare services in diverse markets within the Western United States. A member hospital may share some services with other member hospitals in its geographic area, such as clinical, management and support services. Using today's technology, hospitals outside the geographic area are able to provide support through remote services such as telepharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk management, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate administrative support for hospital affiliated medical groups that engage physicians through employment or other contracts. This provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communities served by all member hospitals.
Part VI, Line 7 - States Filing of Community Benefit Report	CA
Part VI - Additional Information	Part I, Line 7b, Column(e) reflects the net amounts received for the rural health clinic(s) operated by the hospital in its rural service area for the benefit of the underserved population who would otherwise not have access to health care. The rural health clinic(s) may also offer dental and mental health services, which are frequently not readily obtainable by the underserved population.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CA Hlth Fnd & Trust	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1215 K St Ste 800	AddressLine1Txt
City	Sacramento	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95814	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	941498697	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$31,945	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	Health services for un/underinsured	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Grantmaker's Description of How Grants are Used	FormAndLineReferenceDesc
Explanation	Prior to issuing grants, hospital evaluates organization requesting grant and ensures alignment with hospital's exempt purpose and mission. After disbursing grant funds, hospital does not monitor use of funds.	ExplanationTxt

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	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd
Rebuttable Presumption Proc	false	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Clinite Edward
CMO	$150,000	$169,075	$319,075
Colwell Timothy
Dir Finance	$149,122	$15,033	$216,934	$9,733	$6,440	$36,606
Ferch Wayne
President CCR							$642,426	$183,984	$130,776	$16,408	$28,657	$1,002,251	$104,580
Fuentes Michelle
VP Operations							$240,929	$49,011	$43,397	$16,356	$37,489	$387,182
Jahn Andrew
President							$407,614	$115,984	$135,217	$16,356	$47,873	$723,044	$52,679
Jobe Meredith
Secretary							$395,752	$98,614	$159,873	$16,356	$25,957	$696,552	$60,017
King Thomas
NP	$170,223		$216,618		$9,789	$36,606
Kline Julie
Sr VP/Patient Care Exec							$242,228	$49,042	$82,128	$16,356	$25,917	$415,671	$20,657
Larsen David
Finance Officer CCR							$372,364	$73,887	$101,785	$16,421	$39,563	$604,020	$32,524
McCulloch Gregory
Treas/Asst Sec							$251,548	$50,935	$56,299	$16,356	$37,493	$412,631	$6,904
Mulamalla Hari
Dir Pharmacy	$180,556	$438	$217,021		$10,376	$25,651
Rebok Douglas
Former Asst Sec									$120,028		$6,244	$126,272	$120,028
Reiner Scott
Dir/Chair							$1,184,750	$324,119	$473,935	$16,356	$37,529	$2,036,689	$406,467
Tipton Jay
CRNA	$203,274		$230,201	$1,000	$11,919	$14,008
Tipton Shane
Dir Oncology	$176,574	$8,316	$245,942	$7,562	$11,406	$42,084
Wagner Jack
Asst Secretary							$755,988	$221,735	$92,680	$11,160	$25,957	$1,107,520
Wehtje Rodney
Former Asst Treas							$158,863		$90,564	$213	$23,086	$272,726	$79,970
Wing Bill
Dir/VCh/AsstSec							$953,512	$273,121	$233,611	$16,356	$36,337	$1,512,937	$172,851

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Edward Clinite	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	CMO Self	RelationshipDescriptionTxt
Transaction	$67,869	TransactionAmt
Transaction	Bldg Lease	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part V Supplemental Information	FormAndLineReferenceDesc
Explanation	Edward Clinite,D.O. and his wife own property placed in a trust that is being leased by the hospital at fair market rental value. The transaction is subject to the organization's compliance program and is approved through the appropriate organizational approval process, which may include the Compliance Committee of the Board.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	The hospital is organized as a not-for-profit religious corporation. The sole corporate member is Adventist Health System/West, a California not-for-profit religious corporation. The hospital operates as an affiliate of Adventist Health System/West.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	Part VI, Line 7aThe hospital bylaws define its board of directors to be the same individuals who are members of the Adventist Health System/West board of directors.Part VI, Line 7bThe sole corporate member, Adventist Health System/West, must approve all changes to the articles of incorporation and bylaws.
Form 990, Part VI, Line 11b: Form 990 Review Process	The completed Form 990 is shared with members of the corporation's board of directors by electronic communication for their review prior to filing. A special board meeting is scheduled to answer questions and receive input from the board prior to filing.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital officers, key employees and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation, to illustrate examples of a conflict and to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the CEO immediately. The corporate internal audit staff review these questionnaires and disclosures each year during the audit process.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	See explanation of process for setting CEO compensation below on Form 990, Part VI, Line 15b explanation.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	The hospital board of directors has established a Human Peformance Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, including salary ranges for hospital CEOs and CFOs, that would be indicated by the data; evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data.The board-approved executive compensation philosophy specifies that salary ranges will be established for executives with midpoints set at the median of the peer group and having a 50 percent spread (about 20% above and below midpoint) from minimum to maximum. The system CEO and Sr Vice Presidents (Executive Cabinet) have a maximum potential incentive of 30 percent of base salary. (This incentive potential is less than the industry norm.) Other executives have a maximum potential incentive of 25 percent of base salary.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	The hospital does not make its governing documents publicly available, beyond required filings of articles of incorporation with the secretary of state. The hospital does not make its conflict of interest policy available. The hospital files monthly/quarterly summary financial reports with the state health-planning agency that are open to public review.
Other Changes In Net Assets Or Fund Balances - Other Decreases	Net asset reclassification = -$1686
Other Changes In Net Assets Or Fund Balances - Other Decreases	Transfers from related orgs = -$22016273

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Adventist Health SystemWest
2100 Douglas Blvd	Roseville	CA	95661	953484589	Support / manage system-wide activities	CA	501(c)(3)	1	NA	false
Adventist Health Clearlake Hospital
Ave 18 at Hwy 53	Clearlake	CA	95422	680395149	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Castle Medical Center
640 Ulukahiki St	Kailua	HI	96734	990107330	Hospital	HI	501(c)(3)	1	Adventist Health SystemWest	false
Feather River Hospital
5974 Pentz Rd	Paradise	CA	95969	941101228	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Glendale Adventist Medical Center
1509 Wilson Terrace	Glendale	CA	91206	951816017	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Hanford Community Hospital
450 Greenfield Ave	Hanford	CA	93230	940535360	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
NW Medical Foundation of Tillamook
1000 Third St	Tillamook	OR	97141	930622075	Hospital	OR	501(c)(3)	1	Adventist Health SystemWest	false
Paradise Valley Hospital
2100 Douglas Blvd	Roseville	CA	95661	951816034	Wind down after sale of hospital facilities	CA	501(c)(3)	1	Adventist Health SystemWest	false
Portland Adventist Medical Center
10123 SE Market St	Portland	OR	97216	930429015	Hospital	OR	501(c)(3)	1	Adventist Health SystemWest	false
St Helena Hospital
10 Woodland Rd	St Helena	CA	94574	941279779	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
San Joaquin Community Hospital
2615 Chester Ave	Bakersfield	CA	93301	952294234	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Simi Valley Hospital & Health Care Svcs
2975 N Sycamore Dr	Simi Valley	CA	93065	956064971	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Ukiah Adventist Hospital
275 Hospital Dr	Ukiah	CA	95482	941639901	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Walla Walla General Hospital
1025 S Second St	Walla Walla	WA	99362	910617726	Hospital	WA	501(c)(3)	1	Adventist Health SystemWest	false
White Memorial Medical Center
1720 Cesar E Chavez Ave	Los Angeles	CA	90033	952282647	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Willits Hospital Inc
1 Marcela Dr	Willits	CA	95490	680108919	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Adventist Health Physicians Network
2100 Douglas Blvd	Roseville	CA	95661	680357690	Medical Foundation	CA	501(c)(3	11b, II	Adventist Health SystemWest	false
Reedley Community Hospital
372 W Cypress Ave	Reedley	CA	93654	453220509	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Western Health Resources
2100 Douglas Blvd	Roseville	CA	95661	953867863	Home care	CA	501(c)(3)	1	Adventist Health SystemWest	false
Lodi Memorial Hospital Association Inc
975 S Fairmont Ave	Lodi	CA	95240	941044474	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Adventist Hlth Medical Ctr Tehachapi
115 W E St	Tehachapi	CA	93561	812240617	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	South Coast Medical Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 Douglas Blvd	AddressLine1Txt
City	Roseville	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95661	ZIPCd

Field	Value	IRS element (for citing)
EIN	952037291	EIN
Primary Activities	Wind down after sale of hospital	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corp	EntityTypeTxt
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	The reporting organization, a member of Adventist Health (System), is requesting abatement of late filing penalties due to extraordinary events occurring within the System caused by the Camp Fire in Butte County, California that erupted on November 8, 2018. On November 12, 2018, President Donald J Trump issued a Presidential Major Disaster Declaration. We request that the relief provided by the Internal Revenue Service in CA-2018-13 under IRC 7508A and Regulation 301.7508A-1 be applied to the reporting organization. The System experienced a catastrophic loss to the hospital in Paradise and multiple other buildings. Included in that loss was the building that housed critical information technology infrastructure. The morning following the start of the fire, the information technology area experienced System-wide loss of service over the following two weeks. The IT function had to make changes to accommodate the losses to infrastructure due to the fire. Tax software was not functional through November 30, 2018. During 2017 the System transitioned to an Enterprise Resource Planning cloud-based system and adopted a shared services model. This change resulted in the loss of personnel knowledgeable about the organizational structure, activities, and financial reporting of the entity. The ability to aggregate data consistent with prior years' reporting was challenging. More time was required to ensure reporting was in alignment with the tax format. Inquiry and reassignment of accounts was needed as we became aware of the constraints in the new ERP environment from within which we obtained the reporting data. Rebalancing of the income statement and net assets was critical and took extensive effort to complete.	ExplanationTxt