SONORA COMMUNITY HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: SONORA COMMUNITY HOSPITAL (EIN 94-1415069)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-12
IRS object ID: 202533169349308943
Schema version: 2024v5.2
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 H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-12T20:09:15-08:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt
Disaster Relief	Los Angeles Wildfires and Windstorms	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	500 N BRAND BLVD STE 1930	AddressLine1Txt
City	GLENDALE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91203	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	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	Shultz Jeff	PersonNm
Person Title	Finance Officer	PersonTitleTxt
Signature	2025-11-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	McCulloch Gregory eff 1224	PrincipalOfficerNm

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)
Gross Receipts	$381,514,700	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
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	15	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	1616	TotalEmployeeCnt
Total Volunteers	65	TotalVolunteersCnt
Total Gross UBI	$27,666	TotalGrossUBIAmt
PY Contributions Grants	$2,895,530	PYContributionsGrantsAmt
CY Contributions Grants	$4,153,583	CYContributionsGrantsAmt
PY Program Service Revenue	$313,247,675	PYProgramServiceRevenueAmt
CY Program Service Revenue	$342,823,560	CYProgramServiceRevenueAmt
PY Investment Income	$17,406,106	PYInvestmentIncomeAmt
CY Investment Income	$16,410,418	CYInvestmentIncomeAmt
PY Other Revenue	$13,120,723	PYOtherRevenueAmt
CY Other Revenue	$18,087,362	CYOtherRevenueAmt
PY Total Revenue	$346,670,034	PYTotalRevenueAmt
CY Total Revenue	$381,474,923	CYTotalRevenueAmt
PY Grants And Similar Paid	$162,561	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,101,759	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$126,472,143	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$144,363,058	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$267,394	CYTotalFundraisingExpenseAmt
PY Other Expenses	$185,583,459	PYOtherExpensesAmt
CY Other Expenses	$203,868,694	CYOtherExpensesAmt
PY Total Expenses	$312,218,163	PYTotalExpensesAmt
CY Total Expenses	$349,333,511	CYTotalExpensesAmt
PY Revenues Less Expenses	$34,451,871	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$32,141,412	CYRevenuesLessExpensesAmt
Total Assets BOY	$375,399,394	TotalAssetsBOYAmt
Total Assets EOY	$407,470,202	TotalAssetsEOYAmt
Total Liabilities BOY	$132,209,584	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$136,104,276	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$243,189,810	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$271,365,926	NetAssetsOrFundBalancesEOYAmt
Mission	Living Gods love by inspiring health, wholeness and hope.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$285,869,632	ExpenseAmt
Grant	$1,101,759	GrantAmt
Revenue	$381,474,923	RevenueAmt
Desc	Sonora Community Hospital, dba Adventist Health Sonora (AHSR), provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. AHSR is a nonprofit community-based system that serves Tuolumne and Calaveras counties and provides comprehensive healthcare services in specialties including: behavioral health, cardiology, dentistry, endocrinology, family medicine, gastroenterology, general surgery, internal medicine, obstetrics and gynecology, oncology, orthopedics,otolaryngology, pain medicine, pediatrics, physical medicine, pulmonology, sleep medicine, spine care, urology, and wound care.Although, reimbursement for services rendered is critical to the operation and stability of Sonora Community Hospital, the organization recognizes that not all individuals possess the ability to pay for essential medical services.Adventist Healths 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 coverage will be considered when individuals who need health care cannot afford to pay: Free care and/or subsidized care Care to persons covered by governmental programs at/or below cost Health/wellness activities and community education programsNot only does Sonora Community Hospital provide low-cost care to individuals covered by government programs, and those unable to afford healthcare, it also helps patients find and access private and governmental resources for healthcare benefits.AHSR recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed cost of providing care to these patients in 2024 was $429,551.The following Inpatient services were provided to all our patients:444 babies delivered796 surgeries performed36,339 patient days The following Outpatient services were provided to all our patients:36,302 emergency department visits3,401 outpatient surgeries performed158,056 outpatient visits 202,106 clinic visitsAHSR recognizes it has an obligation to provide human services above and beyond its role as a healing facility. Schedule H provides more details on the tangible ways in which the organization is fulfilling its mission. The total unreimbursed cost of these community benefits in 2024 was $37,481,251.AHSR's quality and performance awards include: "A" Hospital Safety Grade from The Leapfrog Group in Spring 2025 and Fall 2024, designated as a STEMI ReceivingCenter and the only hospital providing lifesaving percutaneous coronary intervention in the Sierra Nevada foothills, certified by the Quality Oncology Practice Initiative in recognition of the high- quality hematology and oncology care, and designated as a Blue Distinction Center for Spine Surgery by Blue Cross and Blue Shield.Adventist Healths mission statement of living God's love by inspiring health, wholeness and hope is coupled with a vision to transform the health experience of our communities through collaborative programs, community investments and community outreach. We are inspired by the healing ministry, as represented by the life of Jesus Christ, and believe we are called to live out our mission intentionally in the communities we serve. In the small towns, suburbs, and inner cities we serve, we continue our journey to provide quality healthcare until every person made in God's image has experienced the best health today, hope for tomorrow, and God's love that endures forever.As part of AHSR's ongoing commitment to creating sustainable solutions to rural healthcare challenges, Adventist Health Sonora is investing in education and workforce development programs that train, retain, and empower local healthcare professionals. This summer, the Family Medicine Residency Rural Training Track welcomed its inaugural class of four resident physicians. Over the next two years, these physicians will complete hands-on residency training and deliver primary care services at the Family Medicine Residency Medical Office in Sonora. As an accredited graduate medical education program, the residency emphasizes the unique healthcare needs of rural communities. A new cohort of four resident physicians will join the program annually. Also launching this fall is the Pacific Union College (PUC) Associate of Science in Nursing program at Adventist Health Sonora, welcoming its first class of 20 students. This hybrid program combines online instruction from PUC faculty with in-person clinical rotations at Adventist Health Sonora, allowing students to pursue nursing careers while staying connected to their local community.These programs are building a pipeline of homegrown healthcare professionals so we can serve the needs of our community, now and into the future, said Greg McCulloch, president of Adventist Health Sonora. One of our core beliefs as an organization is that our rural community deserves accessible, quality healthcare. Programs like these are vital for rural communities, where residents often face significant barriers to care due to chronic shortages of providers and nurses. The Health Resources and Services Administration (HRSA) has officially designated Tuolumne County as a Medically Underserved Area because of a shortage of primary care health services. These new initiatives build on Adventist Health Sonoras growing portfolio of workforce development programs. The certified nursing assistant (CNA) and medical assistant (MA) training programs have already made a measurable impact, providing entry-level pathways into healthcare. Since 2022, 32 CNAs have graduated from the program, and 10 MAs completed the first MA cohort earlier this year. A new MA cohort is set to begin this fall.We see our workforce training programs as a win-win, said Tyler Newton, operations and service line executive at Adventist Health Sonora. They help us meet the growing healthcare needs of our region while providing local talent with opportunities to grow their careers and continue caring for the community they love. Together, these programs represent Adventist Health Sonoras deep and continuing investment in community-based solutions that address the unique healthcare needs of rural residentsand build a healthier future for all.Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/	Desc
Total Program Service Expenses	$285,869,632	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
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
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	Yes (true)	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	false	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
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	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
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	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1616	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	false	QuidProQuoContributionsInd
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
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	13	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	Yes (true)	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
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	John Beaman	PersonNm
Phone	9164060000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 619135	AddressLine1Txt
City	Roseville	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95661	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
Heinrich Kerry
Director/CEO	0.00	50.50	Yes (X)	Yes (X)	$0	$3,974,195	$57,975
Hofheins Todd
COO/Vice Chair	0.00	50.50		Yes (X)	$0	$2,407,675	$65,992
Beaman John
CFO/Asst Secty	0.00	50.50		Yes (X)	$0	$1,980,861	$79,808
Stevens Eric
President, Northern CA Network	5.00	45.50			$0	$1,886,146	$57,975
Nahapetian Arby
Former Care Div Med Off thru 2/22	0.00	50.00			$0	$1,759,258	$79,808
Jobe Meredith
Secretary	0.00	50.50		Yes (X)	$0	$1,221,104	$57,975
Heard Alexander
Former Med Officer thru 4/22	0.00	50.00			$0	$678,715	$79,808
Jahn Andrew
Former Care Div Pres thru 2/22	0.00	50.00			$0	$736,769	$17,097
McCulloch Gregory eff 1224
President	50.00	0.00		Yes (X)	$0	$615,151	$79,797
Fuentes Michelle thru 524
President	0.00	50.00		Yes (X)	$0	$500,337	$35,225
Newton Tyler
Ops & Service Line Exec eff 6/24	50.00	0.00			$0	$455,207	$79,691
Stuart Stephanie
Medical Officer	50.00	0.00			$0	$427,807	$64,348
Estenson Kara
Patient Care Exec thru 12/24	50.00	0.00			$0	$425,245	$57,749
Shultz Jeffrey eff 824
Treasurer	50.00	0.00		Yes (X)	$0	$298,935	$78,212
Butterworth Faith
Pharmacy Director	50.00	0.00			$259,855	$0	$34,592
Tipton Shane
Physician Asst	40.00	0.00			$236,890	$0	$44,331
Perez Juan
RN	40.00	0.00			$235,401	$0	$45,646
Wing Bill
Former Dir/Asst Sec/VChair thru1/22	0.00	0.00			$0	$273,263	$0
Cowden Gina
RN Director	40.00	0.00			$227,586	$0	$45,419
Shinkai Susan
Lead Pharmacist	40.00	0.00			$244,992	$0	$23,788
Laris Edward
Director of Surgical Services	50.00	0.00			$242,960	$0	$22,001
Casey Christy
Administrative Director, Operations	50.00	0.00			$229,190	$0	$27,571
Mirrashed Nadereh Hannah
Director of Laboratory Services	50.00	0.00			$221,215	$0	$35,391
Bouchard Hope
RN, Nurse Lead	40.00	0.00			$183,734	$0	$31,168
Watkins Sharon
Interim Patient Care Exec eff 12/24	50.00	0.00			$113,177	$0	$10,522
Freedman John
Director/Chair	0.00	4.00	Yes (X)		$0	$27,203	$0
Newton Bradford
Dir/Vice Chair	0.00	4.00	Yes (X)		$0	$26,939	$0
Cherry Robert
Director	0.00	4.00	Yes (X)		$0	$26,611	$0
Davis Andrew
Director	0.00	4.00	Yes (X)		$0	$26,611	$0
Innocent Larry
Director	0.00	4.00	Yes (X)		$0	$26,611	$0
Reiner Richard
Director	0.00	4.00	Yes (X)		$0	$26,611	$0
Wagner Jack
Director	0.00	4.00	Yes (X)		$0	$21,611	$0
Woodson Marc
Director	0.00	4.00	Yes (X)		$0	$21,611	$0
SalazarVelino thru924
Director	0.00	4.00	Yes (X)		$0	$21,181	$0
Fehr Joy
Director	0.00	4.00	Yes (X)		$0	$18,680	$0
Beckett Ann
Director	0.00	4.00	Yes (X)		$0	$17,930	$0
Daggett Jonathan
Director	0.00	4.00	Yes (X)		$0	$16,180	$0
Jutsy Kenenth
Director	0.00	4.00		Yes (X)	$0	$16,180	$0
Cress John eff 1024
Director	0.00	4.00	Yes (X)		$0	$430	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,195,000	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$17,935,057	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,211,889	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	374	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
Barton Associates Inc
PO Box 417844	Boston	MA	02241	Staffing Services	$5,113,722
Sonora Anesthesia Services
80 S Forest Rd	Sonora	CA	95370	Medical Services	$2,659,159
CardioSolution Physicians California PC
PO Box 639417	Cincinnati	OH	45263	Medical Services	$2,232,862
Northern California Spine Institute
900 Greenley Rd Ste 914	Sonora	CA	95370	Medical Services	$2,096,418
Galen Inpatient Physicians Inc
2100 Powell St Ste 400	Emeryville	CA	94608	Medical Services	$1,951,298

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	76	CntrctRcvdGreaterThan100KCnt
Government Grants	$2,959,288	GovernmentGrantsAmt
All Other Contributions	$1,194,295	AllOtherContributionsAmt
Total Contributions	$4,153,583	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Dietary	722514	$842,168	$842,168
Medical Office Rentals	531120	$2,005,471	$2,005,471
Other Revenue	900099	$210,108	$204,370	$5,738
Patient Care Services	900099	$327,880,037	$327,880,037
Pharmacy	446110	$11,853,358	$11,853,358

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$32,418	TotalRevenueColumnAmt
Related Or Exempt Func Income	$32,418	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$342,823,560	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,410,418	TotalRevenueColumnAmt
Exclusion	$16,410,418	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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$18,127,139	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$39,777	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,087,362	TotalRevenueColumnAmt
Unrelated Business Revenue	$21,928	UnrelatedBusinessRevenueAmt
Exclusion	$18,065,434	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$381,474,923	TotalRevenueColumnAmt
Related Or Exempt Func Income	$342,817,822	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$27,666	UnrelatedBusinessRevenueAmt
Exclusion	$34,475,852	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	$1,101,759	TotalAmt
Program Services	$1,101,759	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	$0	TotalAmt

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	$112,059,269	TotalAmt
Program Services	$97,145,724	ProgramServicesAmt
Management And General	$14,740,807	ManagementAndGeneralAmt
Fundraising	$172,738	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,547,588	TotalAmt
Program Services	$3,942,367	ProgramServicesAmt
Management And General	$598,211	ManagementAndGeneralAmt
Fundraising	$7,010	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$19,636,840	TotalAmt
Program Services	$16,648,070	ProgramServicesAmt
Management And General	$2,952,300	ManagementAndGeneralAmt
Fundraising	$36,470	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,119,361	TotalAmt
Program Services	$7,142,873	ProgramServicesAmt
Management And General	$962,658	ManagementAndGeneralAmt
Fundraising	$13,830	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$25,388,377	TotalAmt
Management And General	$25,388,377	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$495,459	TotalAmt
Management And General	$495,459	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$31,764	TotalAmt
Management And General	$31,764	ManagementAndGeneralAmt

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	$59,089,942	TotalAmt
Program Services	$51,477,429	ProgramServicesAmt
Management And General	$7,604,936	ManagementAndGeneralAmt
Fundraising	$7,577	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$115,198	TotalAmt
Management And General	$115,198	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,108,773	TotalAmt
Program Services	$2,696,132	ProgramServicesAmt
Management And General	$396,691	ManagementAndGeneralAmt
Fundraising	$15,950	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,180,395	TotalAmt
Program Services	$2,092,267	ProgramServicesAmt
Management And General	$8,086,628	ManagementAndGeneralAmt
Fundraising	$1,500	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,529,388	TotalAmt
Program Services	$9,716,369	ProgramServicesAmt
Management And General	$805,038	ManagementAndGeneralAmt
Fundraising	$7,981	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$287,833	TotalAmt
Program Services	$246,557	ProgramServicesAmt
Management And General	$40,327	ManagementAndGeneralAmt
Fundraising	$949	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	$63,742	TotalAmt
Program Services	$44,436	ProgramServicesAmt
Management And General	$19,306	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,670,308	TotalAmt
Program Services	$3,670,308	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,304,567	TotalAmt
Program Services	$9,075,319	ProgramServicesAmt
Management And General	$229,248	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,512,487	TotalAmt
Program Services	$1,511,987	ProgramServicesAmt
Management And General	$500	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Patient Care Supplies	$71,992,165	$71,843,564	$147,608	$993
Other Expenses	$4,314,671	$3,825,484	$486,791	$2,396
Equipment Rentals	$2,444,138	$2,349,500	$94,638
Quality Assurance	$1,339,487	$1,339,487

All Other Expenses AllOtherExpensesGrp

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

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$349,333,511	TotalAmt
Program Services	$285,869,632	ProgramServicesAmt
Management And General	$63,196,485	ManagementAndGeneralAmt
Fundraising	$267,394	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$207,783,708	BOYAmt
EOY	$229,647,689	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$40,024,935	BOYAmt
EOY	$44,569,211	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	$7,282,241	BOYAmt
EOY	$7,318,644	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$794,074	BOYAmt
EOY	$887,454	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$201,007,548	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$116,579,021	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$86,314,527	BOYAmt
EOY	$84,428,527	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
EOY	$0	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	$32,765,931	BOYAmt
EOY	$40,184,699	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$375,399,394	BOYAmt
EOY	$407,470,202	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$22,220,866	BOYAmt
EOY	$25,134,562	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$109,988,718	BOYAmt
EOY	$110,969,714	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$132,209,584	BOYAmt
EOY	$136,104,276	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$241,601,558	BOYAmt
EOY	$269,615,866	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,588,252	BOYAmt
EOY	$1,750,060	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$243,189,810	BOYAmt
EOY	$271,365,926	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$375,399,394	BOYAmt
EOY	$407,470,202	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$32,141,412	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$3,965,296	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	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

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	$21,974	OtherActivitiesAmt
Total Lobbying Expenditures	$21,974	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part II-B, Line 1i - Other Activities Description	The organization belongs to industry and professional associations for which a portion of the membership dues is used for lobbying activities. Expenditures to Noteware were paid for the purpose of working with legislators and government officials relating to legislation affecting hospitals and healthcare.
Part IV - Additional Information

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,588,253	BeginningYearBalanceAmt
Contributions	$1,290,058	ContributionsAmt
Other Expenditures	$1,128,251	OtherExpendituresAmt
End Year Balance	$1,750,060	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,454,171	BeginningYearBalanceAmt
Contributions	$550,472	ContributionsAmt
Other Expenditures	$416,390	OtherExpendituresAmt
End Year Balance	$1,588,253	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,565,506	BeginningYearBalanceAmt
Contributions	$1,416,799	ContributionsAmt
Investment Earnings Or Losses	-$1,162	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,526,972	OtherExpendituresAmt
End Year Balance	$1,454,171	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,949,771	BeginningYearBalanceAmt
Contributions	$367,851	ContributionsAmt
Investment Earnings Or Losses	$1,706	InvestmentEarningsOrLossesAmt
Other Expenditures	$753,822	OtherExpendituresAmt
End Year Balance	$1,565,506	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,151,843	BeginningYearBalanceAmt
Contributions	$200,241	ContributionsAmt
Other Expenditures	$402,313	OtherExpendituresAmt
End Year Balance	$1,949,771	EndYearBalanceAmt

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,067,863	OtherCostOrOtherBasisAmt
Book Value	$8,067,863	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$114,304,641	OtherCostOrOtherBasisAmt
Depreciation	$60,878,688	DepreciationAmt
Book Value	$53,425,953	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,619,564	OtherCostOrOtherBasisAmt
Depreciation	$7,180,821	DepreciationAmt
Book Value	$5,438,743	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$66,015,480	OtherCostOrOtherBasisAmt
Depreciation	$48,519,512	DepreciationAmt
Book Value	$17,495,968	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$84,428,527	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
Other Receivables	$1,141,292
Receivables from related organizations	$3,809,403
Receivables from Third Parties	$35,234,004

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$40,184,699	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Other Liabilities	$6,872,153
Payables to Related Organizations	$102,343,495
Payables to Third Parties	$1,754,066

Field	Value	IRS element (for citing)
Total Liability	$110,969,714	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 4: Intended uses of the endowment fund.

Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended.

Part X : FIN48 Footnote

The System recognizes tax benefits from any uncertain tax positions only if it is more-likely-than-not the tax position will be sustained, based solely on its technical merits, with the taxing authority having full knowledge of all relevant information. The System records a liability for unrecognized tax benefits from uncertain tax positions as discrete tax adjustments in the first interim period the more-likely-than-not threshold is not met. The System recognizes deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of its assets and liabilities along with net operating loss and tax credit carryovers only for tax positions that meet the more-likely-than-not recognition criteria. At December 31, 2024 and 2023, no such assets or liabilities were recorded.The System currently files Form 990 (informational return of organizations exempt from income taxes) and form 990-T (business income tax return for an exempt organization) in the U.S. federal jurisdiction and the state of California. The System is not subject to income tax examinations prior to 2021 in major tax jurisdictions.

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	$429,551	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$429,551	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,511,936	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,511,936	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,941,487	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,511,936	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$429,551	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,462,566	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,960	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,428,606	NetCommunityBenefitExpnsAmt
Total Expense	0.00700	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$918,382	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$344,088	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$574,294	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$76,222,041	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,839,158	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,382,883	NetCommunityBenefitExpnsAmt
Total Expense	0.09840	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$95,468	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$95,468	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$79,698,457	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,217,206	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,481,251	NetCommunityBenefitExpnsAmt
Total Expense	0.10730	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$121,639,944	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$83,729,142	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,910,802	NetCommunityBenefitExpnsAmt
Total Expense	0.10850	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$808,253	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$808,253	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,300	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,300	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,600	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,600	NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,000	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$215,675	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$215,675	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,032,828	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,032,828	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,474,514	BadDebtExpenseAmt
Bad Debt Expense Attributable	$187,316	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$96,420,015	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$94,089,384	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$2,330,631	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	See Form 990 Question J	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

Field	Value	IRS element (for citing)
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	22	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	22	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
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
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 Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Facility: - Part V, Section B, Line 5	The CHNA Steering Committee identified vulnerable populations and worked with local organizations to coordinate key informant interviews to ensure that minority populations the voices of those with chronic disease, low incomes, and the underserved were heard. Civic government, community-based healthcare workers focusing on behavioral health, faith, law enforcement, low-income, medically underserved, minority populations, older adults, providers, and unhoused populations participated in fourteen key informant interviews. The 2022 Community Health Needs Assessment was developed using four separate sources of primary and secondary data. This mixed methods approach is considered a preferred practice for needs assessments because it allows for the greatest understanding of community needs from the broadest range of perspectives. Primary data refers to data collected and analyzed specifically for this project, while secondary data refers to data compiled and analyzed by external groups and utilized here. Qualitative primary data collection involved focus group interviews with local service providers and service recipients and individual key informant interviews with local leaders. These were conducted in-person and virtually. Direct quotes were taken from a transcription of key informant interviews and are intended to be 100% accurate but could not be verified in all situations. This information was collected by the Adventist Health Community Well-Being team and evaluation consultants from the Center for Behavioral Health Integration. Secondary data was amassed and analyzed across 45 different data sets by the University of Missouri Extension Center for Applied Research and Engagement Systems (CARES). Finally, survey data sets of registered voters in the community were collected and analyzed by UC Berkeley Institute of Governmental Studies (IGS).
Facility: - Part V, Section B, Line 11	Tax year 2024 was Year Two of the Implementation Strategy for the 2022 CHNA. All programs and activities provided to the community were in response to the priority health needs identified in the 2022 CHNA. Our 2022 CHNA identified three areas of significant need: Financial Stability, Housing, and Mental Health. Priority Need One: Financial Stability: The goal is to increase financial stability by reducing the negative impacts caused by chronic health conditions that lead to lost work time and increased health care costs. A secondary goal is expanding the number of staff and providers able to see underinsured patients and increase the number of family practice practitioners in our community to reduce expensive travel and delayed treatment, which can lead to financial instability. Sonora Community Hospital provided screenings and other health services to educate, prevent chronic disease and increase access to healthcare and well-being services thereby relieving a financial burden. This was accomplished through the following events in 2024: 1). Hosted the ThirdAnnual Turkey Trot to increase diabetes awareness. The event brought increased awareness of diabetes prevention and screening tools to over 300 members of the community. 2). Sonora Community Hospital hosted the Ladies Night Out Event to bring the community together to learn about the importance of early screening, education about breast health, and cancer treatment. Approximately 7500 community members attended the event. 3). The hospital hosted Heart Health Month events, which included community outreach events to provide blood pressure screening, cardio/pulmonary health information, and access to no-cost exercise to prevent chronic disease. Over 400 individuals attended in February 2024. 4). Sonora Community Hospital served as the co-Chair for the Tuolumne County Health Fair 2024 event. Established screenings and lab draws at no/low cost. Over 500 people attended.5). MACT Health Board Health event in Calaveras County supported no cost health screenings to over 500 attendees. 6). Supported and co-hosted Tuolumne County Blue Zones Project cooking demonstrations to provide affordable, healthy meal options to community members. In addition to cooking demos, hospital representatives serve on the Tuolumne Thrives committee (CNAP) to promote healthy, low-cost foods, WIC, and food assistance services to the community. 7). Provided low-cost high school physicals so all youth can participate in school-based low/no cost sports. 8). Provided volunteers and medical staff at the Life Hope Clinic providing screenings included blood pressure, cholesterol, blood sugar, vision, dental, and foot health. 9). First Aid team provided at the July local county fair at no cost provided educational materials and services to over 1500 attendees. 10). Created tobacco cessation programs for youth & adults at AHSR and provided funding to TUPE. 11). Increased access to dental screening, varnishes, and dental referrals through a collaborative program called Smilekeepers which served over 5,200 youth in preschool 12 grade programs including juvenile hall. 12). Promoted low-to-no-cost fitness classes offered by partners including Blue Zone Project (Tai Chi, Yoga and swim classes) and hospital Living Well Fitness Center (6,677). Provided funding for the continued building of accessible, free outdoor trail system in Groveland, an underserved area of Tuolumne County (~500 currently accessing. Will increase as system is finished.)Additional financial interventions provided by Sonora Community Hospital in 2024 included: 1), Transportation was provided to 540 individuals who earn less than 250% of poverty level to access medical care and services. 2). Funding was provided to support transportation services to/from Tuolumne (south) and Calaveras counties in order for people to keep health related appointments. 3). Provided funding to support income eligible high school students access to adulting skills such as career development, drivers license applications, interview skills, and lessons on how to access health care/health insurance. 4). Clothing Closet provided clean, new clothing for individuals who are unhoused. 75-100 individuals. Workforce development initiatives that align with improving access to care through increasing healthcare pathways included: 1). 10 CNAs graduated in 2024. A new cohort of MA recruits completed in 2024. An RN pathway started the 2024 with 18 participating. 2). The Rural Medicine Residency Program began with four residents assigned to Sonora Community Hospital. Four additional residents will start in July 2025. 3). Partnership development in the K-16 grant AHSR Operations Executive/leaders, education partners, colleges, and workforce partners collaboratively developed healthcare career pathways track as part of an $18 million grant.Priority Need Two: Housing: The goal is for residents to have access to safe, affordable, and stable housing and resources that provide the conditions necessary for health and well-being through the development and maintenance partnerships to address unhoused individuals/families and housing using evidence-based strategies. This is accomplished through direct funding and support for individuals experiencing homelessness or housing insecurity. A Hospital representative served on the Board of Supervisors Homeless Subcommittee. Accomplishments include the purchase Oak Terrace Transitional Housing Center, which is a low barrier, housing first temporary housing shelter. A Hospital representative also serves on the Resiliency Village and Amador Tuolumne Community Action Agency (ATCAA) Boards which provides temporary housing and financial support including case management to those who qualify for assistance. Over 4,100 individuals and households served in the ATCAA temporary shelter, received unity and food assistance, and 54 individuals supported through Resiliency Village. Donations to Nancys Hope and ATCAA and Refuge Recovery which provides emergency, temporary shelter, rental assistance, and placement for unhoused individuals into residential recovery programs with case management services. Approximately 2000 individuals were assisted by these groups in 2024.. Homeless navigator and Community Health Worker positions were filled in 2024 and a Housing Support Specialist position was funded.. Habitat for Humanity was provided direct funding to support affordable housing builds in the community. Columbia College Foundation and Foster Youth Housing spaces were provided in onsite dormitories to address student housing needs where Hospital representatives serve on the board. The Tuolumne County Housing Collaborative met several times in 2024 with the goal of identifying opportunities to increase housing options in the area. The Hospital operations executive serves on the committee.Priority Need Three: Mental Health; To prevent substance and tobacco use and improve health outcomes and recovery by screening for substance use disorders (SUD) and co-occurring disorders in the community and to link individuals assessed as needing additional services to treatment and other resources. Substance use reduction programs and activities included the following in 2024: 1). A Substance Use Navigator (SUN) funded through the CalBridge program had264people accept services and follow-up consultations, 23 were referred to mental health services and 3880 Narcan kits were distributed. The SUN and pharmacy representative are onthe Tuolumne County Opioid Coalition to create more opportunities to identify services. The Well-Being Director is also a part of the Opioid Coalition. 2). The Tuolumne County Tobacco Coalition was formed in 2023 to address the impacts of tobacco use and to develop tobacco use cessation programs for youth and adults and a Sonora Community Hospital staff member serves on that coalition. 3). Smoking Cessation and Pain Management classes were implemented in 2024 at the hospital that are open to the community. Mental Health Support programs and activities in 2024 included the following: 1). Sonora Community Hospital co-sponsored Adult and Youth Mental Health Training along with the YES Partnership. Over 300 individuals were trained at 10 trainings and three trainers were certified. 2). With the YES Partnership, the hospital now has an Applied Suicide Intervention Skills Training (ASIST) trainer to deliver 2-day trainings in the community. They attended a weeklong intensive training program and will provide three 2-day trainings to the community and employees at minimum. 3). The Cancer Patient Support Group meets weekly with about 10-15 attendees. 4). Neurological, Pulmonary Health, and Diabetes Support groups meet monthly with 10-15 attendees. 5). Mental Health support for women was delivered during the International Womens Day event where a speaker focused on Purpose and Finding Connection, this was offered free to the community. 6). The Tuolumne County Behavioral He
Facility: - Part V, Section B, Line 13h	Patients who do not meet the income criteria, may be eligible for financial assistance based on essential living expenses and resources. The following two (2) qualifications must both apply:1. Essential living expenses: Exceed fifty percent (50%) of the household income; and2. Resources: The patient's excess medical expenses (the amount that allowable medical expenses are greater than 50% of annual household income) must be greater than available qualifying assets.

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (41 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Health Pavilion
900 Mono Wy	Sonora	CA	95370	Clinic and Medical Services
Community Pharmacy Stockton St
220 W Stockton St	Sonora	CA	95370	Pharmacy
Community Pharmacy Greenley Rd
900 Greenley Rd	Sonora	CA	95370	Pharmacy
Center for Wound Care
12811 Covey Cir	Sonora	CA	95370	Clinic Services
Northern California Spine Institute
900 Greenley Rd Ste 914	Sonora	CA	95370	Clinic Services
Bones Sports Medicine and Rehabilitation
13808 Mono Wy	Sonora	CA	95370	Clinic Services
Greenley Oaks Ear Nose and Throat
795 Morningstar Dr	Sonora	CA	95370	Clinic Services
Sierra Care Center Unit 7
538 Ponderosa Dr	Sonora	CA	95370	Long-Term Care
Surgery Center
12811 Covey Cir	Sonora	CA	95370	Outpatient Procedures
Sierra Orthopedic Institute
680 Guzzi Ln Ste 105	Sonora	CA	95370	Clinic Services
Sierra Care Center Unit 6
179 S Fairview Ln	Sonora	CA	95370	Long-Term Care
Oxygen and Medical Supply
220 W Stockton St	Sonora	CA	95370	Oxygen and Durable Medical Equipment
Hillside Internal Medicine 1
690 Guzzi Ln Ste B	Sonora	CA	95370	Clinic Services
Sonora Urology Clinic
690 Guzzi Suite B	Sonora	CA	95370	Clinic Services
Sierra Cardiology
900 Greenley Rd Ste 911 915	Sonora	CA	95370	Clinic Services
Sierra OBGYN
900 Greenley Rd Ste 922	Sonora	CA	95370	Clinic Services
Rural Health Specialty Care
193 S Fairview Ln Ste C F	Sonora	CA	95370	Clinic Services
Foothill Specialty Group
680 Guzzi Ln Ste 206	Sonora	CA	95370	Clinic Services
Rural Health Dental Care
193 S Fairview Ln Ste J	Sonora	CA	95370	Clinic Services
Yosemite Orthopedics and Joint Replacement
680 Guzzi Ln Ste 102	Sonora	CA	95370	Clinic Services
Sonora Sleep Lab
729 Pauline Ct	Sonora	CA	95370	Medical Services
General Surgery Associates
680 Guzzi Ln Ste 206	Sonora	CA	95370	Clinic Services
Angels Camp Family Medical Office
445 S Main St	Angels Camp	CA	95222	Clinic Services
Foothill Pediatrics and Rheumatology
12791 Cabezut Rd	Sonora	CA	95370	Clinic Services
Groveland Family Medical Office
18661 Hwy 120	Groveland	CA	95321	Clinic Services
Rural Health Primary Care
193 S Fairview Ln Ste B	Sonora	CA	95370	Clinic Services
Cedarwood Internal Medicine
690 Guzzi Ln Ste A	Sonora	CA	95370	Clinic Services
Live Well Be Well Center
19747 Greenley Rd	Sonora	CA	95370	Clinic Services
Greenley Primary Care
19747 Greenley Rd	Sonora	CA	95370	Clinic Services
Sierra Pulmonology
900 Greenley Rd Ste 923	Sonora	CA	95370	Clinic Services
Rural Health Pediatric Care
193 S Fairview Ln Ste L	Sonora	CA	95370	Clinic Services
Angels Camp Physical Therapy
457 S Main St	Angels Camp	CA	95222	Clinic Services
JobCare
19747 Greenley Rd	Sonora	CA	95370	Clinic Services
Cardiac Rehabilitation
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
Pulmonary Rehabilitation
19747 Greenley Rd	Sonora	CA	95370	Clinic Services
Indian Rock Prompt Care
14590 Mono Wy	Sonora	CA	95370	Clinic Services
Living Well Fitness Cntr Radiology
4 S Forest Rd	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

Supplemental Information Detail SupplementalInformationDetail (14 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 is multiplied times the hospital's bad debt expense. 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. 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 4 - Bad Debt Expense	The system-wide combined audited financial statements do not contain a footnote describing bad debt expense.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	The Medicare cost report apportions the hospitals costs on the basis of inpatient days and ancillary and outpatient charges to establish the costing methodology.Healthcare delivery by hospitals is a complex, highly regulated business in the United States. Healthcare unit cost inflation is driven by compliance with ever-expanding regulatory requirements, shortages of highly skilled labor and evolving medical and information technology. The health care market basket is unrelated to that of the average individual consumer. Medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that Medicare payments too many U.S. hospitals are well below the cost of providing care. These unreimbursed costs are a community benefit for seniors and others in the community as these individuals are continuing to receive care without which many would become dependent on other governmental resources such as Medicaid. The benefit to the community for healthier Medicare recipients is no different than those benefits the community realizes for uninsured and underinsured patients who are eligible for partial and full charity care. Medicare is a safety net for seniors and others. Without Medicare coverage, many individuals would undoubtedly qualify for charity care.In addition to the mismatch between Medicare payment increases and healthcare cost inflation, the highly complex Medicare payment systems and formulas produce disparate payment levels from one hospital to another for the same service. These disparate payment levels create disparate results within groups of hospitals. For further information please refer to schedule H part III section B.
Part III, Line 9b - 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	Sonora Community Hospital promotes access to their 2022 Community Health Needs Assessment (CHNA), the 2023 Community Health Implementation Strategy (CHIS) approved in fiscal year 2023, and the Year Two Update, FY 2024 for the Community Health Implementation Strategy by posting their reports on the Hospital's website at:https://www.adventisthealth.org/sonora/about-us/community-benefit/ The two most recent Community Health Needs Assessments, the two most recent Implementation Strategy reports and the 2022, 2023 and 2024 Community Health Plan Updates are also available on the Adventist Health Corporate website at https://www.adventisthealth.org/about-us/community-benefit/The Community Health Needs Assessment (CHNA) includes both the activity and product of identifying and prioritizing a community's health needs, accomplished through the collection and development of a community health plan. The second component of the CHNA, the community health plan, includes strategies and plans to address prioritized needs, with the goal of contributing to improvements in the community's health. Qualitative and quantitative data sources were used in conducting the CHNA. To accomplish the many important systemic goals that are underway in our community, Adventist Health supports local partners to augment our own efforts, and to promote a healthier community. Partnership is not used as a legal term, but a description of the relationships of connectivity that are necessary to collectively improve the health of our region. One of our objectives is to partner with other nonprofit and faith-based organizations that share our values and priorities to improve the health status and quality of life of the community we serve. This is an intentional effort to avoid duplication and leverage the successful work already in existence in the community. In addition to the CHNA, our hospital engages in a process of continuous quality improvement, focusing on questions such as: are our interventions making a difference in improving health outcomes; are we providing the appropriate resources in the appropriate locations; and how are we using technology to track our health improvements and provide relevant feedback at the local level. Building a healthy community requires multiple stakeholders working together with a common purpose. With that in mind, our hospital leadership serves on a variety of community boards and committees focused on addressing community-specific needs, allowing for ongoing responsiveness to the health care needs of the community and collaboration with local agencies and organizations, enabling maximum effectiveness through collective impact.
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 hospitals website at: https://www.adventisthealth.org/patient-resources/bill-pay/financial-assistance/ The documents are available in multiple languages. The link to the hospitals Self-Pay Billing and Collection Policy is posted at: https://www.adventisthealth.org/documents/system/13863-self-pay-billing-and-collection-policy.pdfAt 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	Located in the heart of Californias gold country, Tuolumne County is nestled in the Sierra Nevada Foothills and is the gateway to the world-famous Yosemite National Park. Founded during the California Gold Rush, Sonora, has a rich heritage, small town feel, and historic charm. These are all communities represented in the Sonora CHNA service area where the largest age group is over age 55 (45.13%). The community is vibrant and cultured with art, galleries, festivals, events, and small businesses. Of the population, 12.57% are Hispanic and 74.74% own their home. The median household income is $58,959 of which 58.6% is spent on housing and transportation. Among this population, 15.2% of children live in poverty and 5.45% of students are unhoused, compared to the state average of 4.25% and national average of 2.77%. The following zip codes represent Sonora Community Hospitals primary service area (PSA), accounting for 75% of hospital discharges. Additionally, we took a collaborative approach and expanded our PSA by inviting Steering Committee members to include the zip codes of those they serve. The Sonora Community Hospital CHNA market has a total population of 84,499 (based on the 2020 Decennial Census). The largest city in the service area is Sonora, with a population of 4,904. The service area is comprised of the following zip codes: 95311, 95310, 95248, 95251, 95224, 95318, 95223, 95370, 95383, 95321, 95364, 95247, 95329, 95222,, 95372, 95305, 95346, 95379, 95375, 95233, 95327, 95335, 95228, 95249, 95246. 74.74% of the population own their home and 25.26% of the population rents their home. Total Population by Age Groups: Age 0-4: 4.4%, Age 5-17: 11.9%, Age 18-24: 6.3%, Age 25-34: 11.5%, Age 35-44: 9.8.
Part VI, Line 4 - Community Building Activities	The hospital is involved in numerous community building activities which promote the health of the community. Overwhelmingly, we see diseases of despair including suicide, substance abuse, mental health and chronic illnesses plaguing the communities in which we have a significant presence in. These community concerns are addressed through health improvement, education, poverty, workforce development and access to care. This is why we have focused our work around addressing behavior and the systems keeping the most vulnerable people in cycles of poverty and high utilization. In an effort to heal these communities, we have strategically invested in our communities by partnering with national leaders in community well-being. We believe the power of community transformation lies in the hands of the community. Our solution for transformation is to create a sustainable model of well-being that measurably impacts the well-being of people, well-being of place and equity. In 2020, Adventist Health acquired Blue Zones as the first step toward reaching our solution. By partnering with Blue Zones, we will be able to gain ground in shifting the balance from healthcare treating people once they are ill to transformative well-being changing the way communities live, work and play. In 2021, Adventist Health committed to launching six Blue Zone Projects within our community footprint in 2022, these projects were active and growing. In 2023, we saw tremendous growth in several of our markets promoting walking moais, worksite wellness, Blue Zones Project school pledges to create an environment that instills healthy lifestyle choices for our children and Blue Zones Project restaurant pledges to provide healthy options. Blue Zones widens our impact from only reaching our hospitals communities in four states to a global mission practice. 2024 saw continued transformation of our six community Blue Zones Projects through policy initiatives around built environment, tobacco use and food. 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.
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	Listing of Organizations that Particpated in the Hospital's CHNA -Participating organizations include Amador Tuolumne Community Action Agency, Area 12 Agency on Aging, Center for Non-Violent Community, Groveland Trial Heads, Interfaith, Mathiesen Memorial Health Clinic, Mother Lode Workforce, Resiliency Village, Sierra Bible Church Tuolumne County, Tuolumne County Department of Public Health, Tuolumne County Office of Education and Tuolumne County Sheriffs Department. Identified Needs from CHNA, Not Addressed and Why - No hospital can address all the health needs identified in its community. Sonora Community Hospital is committed to serving the community by adhering to its mission, and using its skills, expertise, and resources to provide a range of community benefit programs. Significant health needs that will not be directly addressed but fulfilled by other community organizations include access to care, health risk behaviors, health conditions, food security, environment & infrastructure, inclusion & equity, COVID, education, community vitality and community safety. While these significant health needs are not address directly, they are likely to benefit from collective efforts of our community partnerships. Other Items:On April 9, 2022, Sonora Community Hospital proudly launched Blue Zones Project Tuolumne County (BZPTC). Here is a summary of progress outcomes for 2024 for the three main pillars of of engagement of people, places and policy. PEOPLE Pillar: BZP Tuolumne had an eventful year with many engagements reaching over 1,374 unique individuals in 2024. This included 259 people attending walking moais, 230 in attendance at purpose workshops, 550 people in attendance at cooking demonstrations/classes, 120 volunteers and an average of 35 people attending community Tai Chi classes. Events included: June 13, 2024: Purpose Workshop for Columbia College Classified employees. The Purpose Workshop included over 40 people during their wellness retreat at Baker Station in the high country near Kennedy Meadows. June 15, 2024: Sonora Bike Day at Indigeny Reserve Apple Ranch. BZP hosted the 2nd annual Sonora bike day with several community partners including local bike shops, We Deliver Wheels, Tuolumne Public Health, Tuolumne County Bike Coalition, and Motherlode Mountain Bike Racing Team. This was an amazing cross-generation gathering of over 150 people who enjoyed bike rides on the Indigeny bike trails, free bike repairs, a bike rodeo, and more. October 26, 2024: Cooking demonstrations at the Tuolumne County Health Fair. This event required a separate building at the fair, where BZP volunteers and staff held 8 cooking demonstrations that engaged over 150 people. We invited 5 volunteer chefs and received lots of positive feedback from the community.PLACES Pillar: As of December 2024, Sonora Elementary School, Daria Cassina High School and Columbia Elementary School have been approved as Blue Zones certified and three more are registered and working on their validation packets and pledge items. Blue Zones Project Tuolumne currently has four approved worksites. Sonora Community Hospital and A-TCAA Head Start are two worksites that were approved in 2024. Our other two approved worksites, Tuolumne County Health & Human Services Agency and Jamestown Elementary School worked on Sustainability Plans. Currently 9 more worksites are registered and working on their validation and pledge packets towards approval. There were six Blue Zones approved restaurants in 2024 including the Garden Caf at Sonora Community Hospital. Natures Whole Foods and Columbia Mercantile were Blue Zones Project approved grocery stores in 2024. POLICY Pillar: Built Environment policy and project work center around: 1). Groveland Community Connectivity Plan advancement. Partnered with Groveland Community Services District to host the 2nd Community Walk & Talk to highlight completed trails, current developments, and future plans to promote active transportation and build community pride and connectivity. 2). Advanced Safe Routes to School activities at Jamestown Elementary School. 3). Completed support work for senior community needs assessment and moved forward the creation of an Age-Friendly coalition/committee. 4). Partnership with Tuolumne Park & Recreation District to install a pop-up StoryWalk Trail during the Tuolumne Great Pumpkin Halloween Parade and Trick or Treat event on 10/30/24. Kids and families walked and read the story, answered questions, provided positive feedback, and supported the idea of a permanent StoryWalk Trail in the future 5). Sonora City Council approved a project on Stewart St, between Linoberg and Theall, for pedestrian safety improvements and beautification. Currently, informing businesses and residents who are directly impacted, collecting pre-installation data, and procuring project materials. 6). Partnered with BZP People & Places to install Disc Golf courses on two school campuses. Installation of disc golf courses at Columbia Elementary & Dario Cassina High School. Grand opening Community Celebration at Dario Cassina High School on 11/1/24. Columbia Elementary School course completed. POLICY Pillar Food systems policy and project work centered around: 1). Partnered with Tuolumne County Public Health CalFresh Healthy Living Program and the City of Sonora to bring EBT (a system that allows recipients to access government benefits electronically) to the Sonora Farmers Market. 2). Healthy Cooking Classes and Skill Building across all ages including mentorship of a high school senior to lead a healthy cooking class with teens; partnering with the Senior Center for summer cooking classes for seniors at the center and at the farmers market. 3). Chop Chop: The fun cooking magazine for families issued quarterly teaches children how to cook and eat healthy foods (published English and Spanish). Led to the first cooking skills class at Jamestown Elementary After School Program in December 2024. 4). The Charlie Cart Project provides educators with everything they need to get their communities cooking. It includes a fully stocked mobile kitchen, well-tested curriculum, training and support, and a passionate network of food educators. The Charlie Cart Project partnerships with the Chicken Ranch Tribe and Dario Cassina High School to bring healthy cooking classes to two communities. Chicken Ranch Tribes Charlie Cart arrived in early December with community classes planned for January. TOBACCO POLICY and project work centered around: 1). Partnered with Tuolumne County Public and Environmental Health Departments to educate and inform the Tuolumne County Board of Supervisors of the Tobacco Retail License (TRL) process. Supported the creation and adoption of a Tuolumne County TRL, adopted by the County Board of Supervisors on 12/3/24 to be implemented on 1/2/25. 2). Continued support of Red Ribbon Week activities (nationwide campaign held annually aimed at raising awareness about the dangers of drug abuse and promoting prevention strategies) at schools, talking to kids about healthy alternatives to vaping, and offering calm strips for anxiety. 3). Attended Tobacco Information & Education Days in Sacramento to advocate for state legislature support to advance tobacco product regulation at the local level.Primary website address: See Form 990, Pg 1, Item JNeeds Assessment website: See Sch H Part VI - Needs AssessmentFAP website: See Sch H Part VI-Patient Education

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt
Amador Tuolumne Community Act
10590 Hwy 88	Jackson	CA	95642	942765408	501(c)(3)	$15,000	$0	Fund Transfer	Sponsorship
ATCAA
ATCAA Food Bank	Jamestown	CA	95327	946685384	501(c)(3)	$11,530	$0	Funds Transfer	Donation
CA Health Fund & Trust
1215 K St Ste 800	Sacramento	CA	95814	941498697	501(c)(3)	$900,233	$0	Fund Transfer	Uninsured/Underinsured Patients
Groveland Trail Heads
21133 Jimmersall Ln	Groveland	CA	95321	461697267	501(c)(3)	$6,000	$0	Fund Transfer	Donation
Mother Lode Adventist Jr Acad
80 N Forest Rd	Sonora	CA	95370	770321173	501(c)(3)	$5,200	$0	Fund Transfer	Sponsorship
Nancys Hope
797 W Stockton St	Sonora	CA	95370	270994704	501(c)(3)	$16,430	$0	Fund Transfer	Sponsorship
Sierra Senior Providers
540 Greenley Rd	Sonora	CA	95370	770432625	501(c)(3)	$7,500	$0	Fund Transfer	Sponsorship
Sonora Union High School Dist
100 School St	Sonora	CA	95370	770181953	501(c)(3)	$6,243	$0	Funds Transfer	General Support
Tuolumne County Superintenden
Smile Keepers	Sonora	CA	95370	946050189	501(c)(3)	$40,000	$0	Funds Transfer	Sponsorship

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	3	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, priority areas identified in the Community Health Needs Assessment and mission. After disbursing grant funds,hospital requests a report to confirm the appropriate 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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt
Beaman John
CFO/Asst Secty	$1,261,000	$698,818	$21,043	$13,296	$66,512	$2,060,669
Bouchard Hope
RN, Nurse Lead							$180,336	$3,398	$9,175	$21,993	$214,902
Butterworth Faith
Pharmacy Director							$239,629	$19,605	$11,981	$22,611	$294,447	$621
Casey Christy
Administrative Director, Operations							$211,392	$17,328		$27,571	$256,761	$470
Cowden Gina
RN Director							$205,226	$22,360	$10,312	$35,107	$273,005
Estenson Kara
Patient Care Exec thru 12/24	$313,181	$70,712	$41,352	$13,296	$44,453	$482,994
Fuentes Michelle thru 524
President	$290,866	$166,797	$42,674	$13,296	$21,929	$535,562
Heard Alexander
Former Med Officer thru 4/22	$508,587	$97,870	$72,258	$13,296	$66,512	$758,523
Heinrich Kerry
Director/CEO	$2,342,000	$1,586,113	$46,082	$13,296	$44,679	$4,032,170
Hofheins Todd
COO/Vice Chair	$1,474,000	$888,115	$45,560	$13,296	$52,696	$2,473,667
Jahn Andrew
Former Care Div Pres thru 2/22	$281,190	$407,001	$48,578	$13,296	$3,801	$753,866
Jobe Meredith
Secretary	$796,100	$281,132	$143,872	$13,296	$44,679	$1,279,079
Laris Edward
Director of Surgical Services							$218,669	$21,927	$10,933	$11,068	$264,961	$2,364
McCulloch Gregory eff 1224
President	$460,858	$86,287	$68,006	$13,296	$66,501	$694,948
Mirrashed Nadereh Hannah
Director of Laboratory Services							$204,119	$17,096	$10,318	$25,073	$256,606
Nahapetian Arby
Former Care Div Med Off thru 2/22	$1,111,000	$458,435	$189,823	$13,296	$66,512	$1,839,066
Newton Tyler
Ops & Service Line Exec eff 6/24	$354,550	$65,681	$34,976	$13,296	$66,395	$534,898
Perez Juan
RN							$231,633	$3,768	$11,874	$33,772	$281,047
Shinkai Susan
Lead Pharmacist							$234,428	$6,129	$11,721	$12,067	$268,780	$4,435
Shultz Jeffrey eff 824
Treasurer	$241,388	$38,113	$19,434	$12,069	$66,143	$377,147
Stevens Eric
President, Northern CA Network	$1,196,000	$495,682	$194,464	$13,296	$44,679	$1,944,121
Stuart Stephanie
Medical Officer	$325,118	$72,096	$30,593	$13,296	$51,052	$492,155
Tipton Shane
Physician Asst							$208,505	$25,925	$10,425	$33,906	$281,221	$2,460
Wing Bill
Former Dir/Asst Sec/VChair thru1/22			$273,263			$273,263

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Tyler Newton	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Son-Board Member	RelationshipDescriptionTxt
Transaction	$534,897	TransactionAmt
Transaction	Employment	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	Additional information regarding interested persons listed above:1. Tyler Newton is the son of Board Member, Bradford Newton.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, Line 6	The Hospital is organized as a religious corporation and operates as a not-for-profit hospital. 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, Section A, Line 7a	The Hospital Bylaws define its Board of Directors to be the same individuals who are members of the Adventist Health System/West Board of Directors.
Form 990, Part VI, Section A, Line 7b	The Board of Directors of the Hospital shall have sole authority to amend or repeal the Articles of Incorporation, subject to the additional approval of the Board of Directors of Adventist Health System/West. The Hospital does not have any Members.
Form 990, Part VI, Section B, Line 11b	This Form 990 including all supporting schedules was prepared by a public accounting firm, reviewed by the Corporate Finance Officer and Market Financial Officer, and shared by electronic communication with the Corporation's Board of Directors prior to filing.
Form 990, Part VI, Section B, Line 12c	During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital corporate 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 market president or the System General Counsel immediately.The System General Counsel distributes, collects, and reviews for signatures the COIs for all applicable Corporate employees, stakeholders and the board. In addition, the hospital's administration is responsible for keeping record to ensure all hospital-based individuals with director and above positions have submitted their COIs. The System General Counsel reviews all the disclosures on the board and Corporate employees' COIs. System General Counsel retains the COIs for all individuals. Further inquiries on any potential significant conflicts are made as needed. Conflicts are documented and reviewed with the Board.
Form 990, Part VI, Section B, Line 15a	The Hospital's Board of Directors has established a Human Resources 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 at least annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, including salary ranges for hospital presidents and finance officers 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 hospital executives, with midpoints aligned with the 60th percentile of comparable system hospital data, and having a 50 percent spread from minimum to maximum.
Form 990, Part VI, Section B, Line 15b	See Line 15a explanation.
Form 990, Part VI, Section C, Line 19	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 upon request, but does file monthly/quarterly summary financial reports with the state health-planning agency.
Form 990, Part XI, Line 9	Transfer to Related Entities = -$3965296

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 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 Clearlake Hospital Inc
15630 18th Avenue	Clearlake	CA	95422	680395149	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Adventist Health Delano
1401 Garces Hwy	Delano	CA	93215	770258013	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Adventist Health Foundation
1 Adventist Health Way	Roseville	CA	95661	680002188	Charitable Foundation	CA	501(c)(3)	7	Adventist Health SystemWest	false
Adventist Health Med Ctr Tehachapi
1100 Magellan Drive	Tehachapi	CA	93561	812240617	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Adventist Health Mendocino Coast
700 River Drive	Fort Bragg	CA	95437	845174585	Hospital	CA	501(c)(3)	3	Stone Point Health	false
Adventist Health Physicians Network
1 Adventist Health Way	Roseville	CA	95661	680357690	Medical Foundation	CA	501(c)(3)	12b2	Adventist Health SystemWest	false
Adventist Health SystemWest
1 Adventist Health Way	Roseville	CA	95661	953484589	Integrated Health System	CA	501(c)(3)	10	NA	false
Adventist Health Tulare
869 North Cherry Street	Tulare	CA	93274	832351753	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Castle Medical Center
640 Ulukahiki Street	Kailua	HI	96734	990107330	Hospital	HI	501(c)(3)	3	Adventist Health SystemWest	false
Feather River Hospital
1 Adventist Health Way	Roseville	CA	95661	941101228	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Glendale Adventist Medical Center
1509 Wilson Terrace	Glendale	CA	91206	951816017	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Hanford Community Hospital
115 Mall Drive	Hanford	CA	93230	940535360	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Lodi Memorial Hospital Association Inc
975 S Fairmont Avenue	Lodi	CA	95240	941044474	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Mid-Columbia Medical Center
1700 E 19th Street	The Dalles	OR	97058	930386936	Hospital	OR	501(c)(3)	3	Stone Point Health	false
Northwest Medical Fdtn of Tillamook
1000 Third Street	Tillamook	OR	97141	930622075	Hospital	OR	501(c)(3)	3	Adventist Health SystemWest	false
Portland Adventist Medical Center
10123 SE Market Street	Portland	OR	97216	930429015	Hospital	OR	501(c)(3)	3	Adventist Health SystemWest	false
Reedley Community Hospital
372 Cypress Avenue	Reedley	CA	93654	453220509	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Rideout Memorial Hospital
726 Fourth Street	Marysville	CA	95901	941387866	Hospital	CA	501(c)(3)	3	Stone Point Health	false
St Helena Hospital
10 Woodland Road	St Helena	CA	94574	941279779	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
San Joaquin Community Hospital
2615 Chester Avenue	Bakersfield	CA	93301	952294234	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Sierra Vista Hospital Inc
1010 Murray Avenue	San Luis Obispo	CA	93405	952588614	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Simi Valley Hospital and Health Care Svc
2975 N Sycamore Drive	Simi Valley	CA	93065	956064971	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Stone Point Health
1 Adventist Health Way	Roseville	CA	95661	823763347	Supporting Organization	CA	501(c)(3)	12b2	Adventist Health SystemWest	false
Twin Cities Community Hospital Inc
1100 Las Tablas Road	Templeton	CA	93465	752918765	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Ukiah Adventist Hospital
275 Hospital Drive	Ukiah	CA	95482	941639901	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
United Com-Serve
726 Fourth Street	Marysville	CA	95901	943015356	Skilled Nursing/Assisted Living/Hm Hlth	CA	501(c)(3)	12b2	Stone Point Health	false
Western Health Resources
1 Adventist Health Way	Roseville	CA	95661	953867863	Home Care	CA	501(c)(3)	10	Adventist Health SystemWest	false
White Memorial Medical Center
1720 E Cesar E Chavez Avenue	Los Angeles	CA	90033	952282647	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Willits Hospital Inc
1 Marcela Drive	Willits	CA	95490	680108919	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
Blue Legacy Ventures LLC
1010 NE 2nd Avenue	Miami	FL	33132	871254649	Real Property Rental	FL	AHSWest	false	false
Blue Zones LLC
200 Southdale Center	Edina	MN	55435	271603327	Education	MN	AHSWest	false	false
PAR LLC dba CherryWood Village
8440 SE Sunnybrook Blvd Suite 100	Clackamas	OR	97015	931262371	Senior Housing	OR	AHSWest	false	false
PVHR LLC dba Paradise Village
8440 SE Sunnybrook Blvd Suite 100	Clackamas	OR	97015	260622555	Senior Housing	OR	AHSWest	false	false
PVHR2 LLC dba Parkview Memory Care
8440 SE Sunnybrook Blvd Suite 100	Clackamas	OR	97015	473300170	Senior Housing	OR	AHSWest	false	false
WWGHR LLC dba Wheatland Village
8440 SE Sunnybrook Blvd Suite 100	Clackamas	OR	97015	810591221	Senior Housing	OR	AHSWest	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
Adventist Health Plan Inc
1 Adventist Health Way	Roseville	CA	95661	463833261	Health Insurance	CA	AHSWest	C-Corp	false
Thrive Productions Inc
200 Southdale Center	Edina	MN	55435	453369049	Production Company	MN	AHSWest	C-Corp	false
AdHealth Limited
					Pure Captive Insurance		AHSWest	C-Corp	false	PO Box HM 2062	Hamilton	BD	HM HX	BD

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	false	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	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	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	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Adventist Health SystemWest
e	$102,343,495	Notes Payable
Adventist Health SystemWest
m	$33,475,005	Operating Exp
Adventist Health SystemWest
o	$3,117,704	Compensation
Adventist Health SystemWest
r	$21,863,981	Cash Mgt Funds