DAMERON HOSPITAL ASSOCIATION: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- DAMERON HOSPITAL ASSOCIATION (EIN 94-1201197)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-10
- IRS object ID
- 201723149349303247
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-10T16:10:30-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Moss Adams LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3121 W March Ln Ste 200 | AddressLine1Txt |
| City | Stockton | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 952192367 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941201197 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dameron Hospital Association | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DAME | BusinessNameControlTxt |
| Phone | 2099445550 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 525 West Acacia Street | AddressLine1Txt |
| City | Stockton | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95203 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lorraine Auerbach | PersonNm |
| Person Title | President/CEO | PersonTitleTxt |
| Phone | 2099445550 | PhoneNum |
| Signature | 2017-11-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Joua V Lo | PreparerPersonNm |
| PTIN | P01225144 | PTIN |
| Phone | 2099556100 | PhoneNum |
| Preparation | 2017-11-09 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 73.93.142.236 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-09 | IPDt |
| IP Tm | 17:31:48 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 189799C539B232A8D1FA5D0851A612580EB85C47 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Lorraine Auerbach | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 525 West Acacia Street | AddressLine1Txt |
| City | Stockton | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $285,273,148 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.dameronhospital.org | WebsiteAddressTxt |
| Type Of Organization Assoc | Yes (X) | TypeOfOrganizationAssocInd |
| Formation | 1912 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | We support physicians and our employees in providing quality care in a safe, caring environment. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 1035 | TotalEmployeeCnt |
| Total Volunteers | 56 | TotalVolunteersCnt |
| Total Gross UBI | $174,435 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $210 | PYContributionsGrantsAmt |
| CY Contributions Grants | $406,500 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $232,844,153 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $171,039,828 | CYProgramServiceRevenueAmt |
| PY Investment Income | $824,947 | PYInvestmentIncomeAmt |
| CY Investment Income | -$1,015,863 | CYInvestmentIncomeAmt |
| PY Other Revenue | $588,070 | PYOtherRevenueAmt |
| CY Other Revenue | $391,474 | CYOtherRevenueAmt |
| PY Total Revenue | $234,257,380 | PYTotalRevenueAmt |
| CY Total Revenue | $170,821,939 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $90,704,238 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $73,988,296 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $103,808,474 | PYOtherExpensesAmt |
| CY Other Expenses | $107,813,118 | CYOtherExpensesAmt |
| PY Total Expenses | $194,512,712 | PYTotalExpensesAmt |
| CY Total Expenses | $181,801,414 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $39,744,668 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$10,979,475 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $193,812,310 | TotalAssetsBOYAmt |
| Total Assets EOY | $184,156,739 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $30,520,788 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $27,090,592 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $163,291,522 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $157,066,147 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | We support physicians and our employees in providing quality care in a safe, caring environment. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $161,806,528 | ExpenseAmt |
| Revenue | $170,929,325 | RevenueAmt |
| Desc | Dameron Hospital is a Joint Commission accredited, 202-bed, not-for-profit community hospital delivering excellent healthcare to generations of San Joaquin County residents for over 100 years and is a nationally recognized as a leader in quality and safety. Dameron Hospital strives to promote healing and wellness through compassionate, quality and cost-effective care to meet the identified needs of the community we serve. Dameron Hospital is proud of its past and is dedicated to its future in providing services to the community to meet their healthcare needs. In keeping with a healthier community, Dameron Hospital is a smoke-free, tobacco-free environment.Dameron Hospital exists solely to serve the healthcare needs of the greater Stockton area and San Joaquin County, providing the community with advanced technology and state-of-the-art diagnostic and therapeutic equipment, as well as facilities for Inpatient, Outpatient, Occupational Services and Ambulatory Care Center. Dameron Hospital offers a broad array of services for the health maintenance for all age groups.Comprehensive patient services include Bariatric, Cardiology, Orthopedics, Emergency/Urgent Care, and Imaging Specialties. In May of 2016 the Obstetrics, Pediatrics, and NICU departments were closed. Dameron Hospital no longer offers these services. | Desc |
| Total Program Service Expenses | $161,806,528 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 136 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1035 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lorraine Travis-Brown | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2099445550 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 525 W Acacia St | AddressLine1Txt |
| City | Stockton | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95203 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Lorraine Auerbach | ||||||||||
| President/CEO | 40.00 | 1.00 | Yes (X) | Yes (X) | $1,075,346 | $0 | $13,090 | |||
| William Trezza | ||||||||||
| Chairman of the Board | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| Dan Dixon | ||||||||||
| Vice Chairman | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| Brian Martucci | ||||||||||
| Secretary | 10.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Philip Ruhl | ||||||||||
| Director | 10.00 | Yes (X) | $39,000 | $0 | $0 | |||||
| Robert Lawrence | ||||||||||
| Director | 10.00 | Yes (X) | $0 | $0 | $0 | |||||
| Hon Ron A Northup | ||||||||||
| Director | 10.00 | Yes (X) | $0 | $0 | $0 | |||||
| Gary Giannini | ||||||||||
| Director | 10.00 | Yes (X) | $0 | $0 | $0 | |||||
| Elizabeth Propp | ||||||||||
| VP of Finance/CFO | 40.00 | 1.00 | Yes (X) | $395,267 | $0 | $30,683 | ||||
| Bradley Reinke | ||||||||||
| VP of Medical Affairs/CMO | 32.00 | $284,088 | $0 | $0 | Yes (X) | |||||
| Janine Hawkins | ||||||||||
| VP Pt Care Svcs (Thru 12/2016) | 40.00 | $496,346 | $0 | $27,148 | Yes (X) | |||||
| Michael Glasberg | ||||||||||
| VP of Operations/COO | 40.00 | $472,483 | $0 | $24,347 | Yes (X) | |||||
| Terrance Thomas | ||||||||||
| Registered Nurse | 40.00 | $218,319 | $0 | $19,796 | Yes (X) | |||||
| Chad Davis | ||||||||||
| Assistant Director of Surgery | 40.00 | $215,350 | $0 | $13,540 | Yes (X) | |||||
| Denise Hair | ||||||||||
| Assistant CNO | 40.00 | $196,288 | $0 | $18,113 | Yes (X) | |||||
| Chris Peterson | ||||||||||
| Cardiac Cath Supervisor | 40.00 | $190,578 | $0 | $17,992 | Yes (X) | |||||
| Tresha Moreland | ||||||||||
| VP of HR (Thru 3/2016) | 40.00 | $229,254 | $0 | $1,890 | Yes (X) | |||||
| Christopher Arismendi | ||||||||||
| Former CEO (Thru 10/2012) | 0.00 | $253,846 | $0 | $0 | Yes (X) | |||||
| David Kerrins | ||||||||||
| Former CIO (Thru 12/2015) | 0.00 | $239,185 | $0 | $0 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,305,350 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $166,599 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 175 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CPS LLC | |||||
| P O Box 638316 | Cincinnati | OH | 45263 | Pharmacy Services | $4,155,396 |
| Sound Physicians | |||||
| P O Box 742936 | Los Angeles | CA | 90074 | Hospitalist Services | $3,009,197 |
| Pacific Heart and Vascular Medical Group | |||||
| 1801 East March Lane Suite D400 | Stockton | CA | 95210 | Cardiovascular Services | $1,499,747 |
| Anesthesiology Consultants | |||||
| PO Box 13728 | Sacramento | CA | 95853 | Anesthesiology Services | $1,096,419 |
| Rehab Practice Management | |||||
| 9364 Ansley Avenue | Brentwood | TN | 37027 | Rehabilitation Services | $897,099 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $406,500 | RelatedOrganizationsAmt |
| Total Contributions | $406,500 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Rev. | 621110 | $74,959,144 | $74,959,144 |
| Medical/Medicare Pymts | 621110 | $58,710,735 | $58,710,735 |
| Hospital Fee | 621110 | $33,978,400 | $33,978,400 |
| Cafeteria | 722210 | $665,230 | $665,230 |
| Rebates/Refunds | 621110 | $245,952 | $245,952 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,480,367 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,480,367 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $171,039,828 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,739,141 | TotalRevenueColumnAmt |
| Exclusion | $1,739,141 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $238,578 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $122,949 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $115,629 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $115,629 | TotalRevenueColumnAmt |
| Exclusion | $115,629 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $109,397,844 | SecuritiesAmt |
| Other | $287,007 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $112,119,070 | SecuritiesAmt |
| Other | $320,785 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$2,721,226 | SecuritiesAmt |
| Other | -$33,778 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,755,004 | TotalRevenueColumnAmt |
| Exclusion | -$2,755,004 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $1,769,254 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $1,888,405 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$119,151 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$110,503 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$8,648 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Other Income | 900099 | $211,913 | $211,913 | |
| Income from K-1 | 541900 | $183,083 | $183,083 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $394,996 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $170,821,939 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $170,929,325 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $174,435 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$688,321 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,857,799 | TotalAmt |
| Management And General | $2,857,799 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $493,031 | TotalAmt |
| Management And General | $493,031 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,324,652 | TotalAmt |
| Program Services | $47,575,096 | ProgramServicesAmt |
| Management And General | $1,749,556 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,631,217 | TotalAmt |
| Program Services | $1,579,866 | ProgramServicesAmt |
| Management And General | $51,351 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,376,850 | TotalAmt |
| Program Services | $12,876,041 | ProgramServicesAmt |
| Management And General | $1,500,809 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,304,747 | TotalAmt |
| Program Services | $5,053,353 | ProgramServicesAmt |
| Management And General | $251,394 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,098,592 | TotalAmt |
| Program Services | $1,875,365 | ProgramServicesAmt |
| Management And General | $2,223,227 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,712,733 | TotalAmt |
| Management And General | $1,712,733 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225,943 | TotalAmt |
| Management And General | $225,943 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,873 | TotalAmt |
| Management And General | $112,873 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,861,911 | TotalAmt |
| Program Services | $21,981,273 | ProgramServicesAmt |
| Management And General | $6,880,638 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,109,123 | TotalAmt |
| Program Services | $24,945,123 | ProgramServicesAmt |
| Management And General | $164,000 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,542,748 | TotalAmt |
| Program Services | $8,542,748 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,819,360 | TotalAmt |
| Program Services | $1,537,796 | ProgramServicesAmt |
| Management And General | $281,564 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,915 | TotalAmt |
| Program Services | $17,575 | ProgramServicesAmt |
| Management And General | $5,340 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,554 | TotalAmt |
| Program Services | $75,312 | ProgramServicesAmt |
| Management And General | $4,242 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225 | TotalAmt |
| Program Services | $225 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,554,028 | TotalAmt |
| Program Services | $8,554,028 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,307,306 | TotalAmt |
| Management And General | $1,307,306 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medi-cal Hospital Fee E | $18,146,400 | $18,146,400 | |
| Bad Debts Provision | $8,996,581 | $8,996,581 | |
| Dues & Subscriptions | $222,826 | $49,746 | $173,080 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,801,414 | TotalAmt |
| Program Services | $161,806,528 | ProgramServicesAmt |
| Management And General | $19,994,886 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,900 | BOYAmt |
| EOY | $3,900 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,227,265 | BOYAmt |
| EOY | $12,154,218 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,986,653 | BOYAmt |
| EOY | $19,810,737 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $617,553 | BOYAmt |
| EOY | $551,998 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,538,329 | BOYAmt |
| EOY | $3,710,377 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,583,795 | BOYAmt |
| EOY | $1,551,203 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $199,568,931 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $136,577,140 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,647,711 | BOYAmt |
| EOY | $62,991,791 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,477,331 | BOYAmt |
| EOY | $61,218,932 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,130,792 | BOYAmt |
| EOY | $7,074,220 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,598,981 | BOYAmt |
| EOY | $15,089,363 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $193,812,310 | BOYAmt |
| EOY | $184,156,739 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,179,131 | BOYAmt |
| EOY | $16,673,472 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,341,657 | BOYAmt |
| EOY | $10,417,120 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,520,788 | BOYAmt |
| EOY | $27,090,592 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,587,284 | BOYAmt |
| EOY | $157,058,310 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $704,238 | BOYAmt |
| EOY | $7,837 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,291,522 | BOYAmt |
| EOY | $157,066,147 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $193,812,310 | BOYAmt |
| EOY | $184,156,739 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$10,979,475 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $4,754,100 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule 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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,273,787 | OtherCostOrOtherBasisAmt |
| Book Value | $5,273,787 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,995,756 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $88,337,028 | OtherCostOrOtherBasisAmt |
| Depreciation | $52,125,254 | DepreciationAmt |
| Book Value | $38,207,530 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,560,764 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,161,853 | DepreciationAmt |
| Book Value | $398,911 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $93,974,424 | OtherCostOrOtherBasisAmt |
| Depreciation | $78,500,778 | DepreciationAmt |
| Book Value | $15,473,646 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,427,172 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,789,255 | DepreciationAmt |
| Book Value | $3,637,917 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $62,991,791 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Receivables | $1,196,456 |
| Cost Report Settlement Receivable | $13,521,823 |
| Deferred Compensation Fund | $194,859 |
| Due from Medical Group | $176,225 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $15,089,363 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Risk Management Programs | $6,852,432 |
| Retiree Medical Liability | $3,564,688 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,417,120 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 350.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 150.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $68,640 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $68,640 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $54,691,035 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,203,166 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,487,869 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13590 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $54,759,675 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,203,166 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,556,509 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13630 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,516 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $46,516 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,200 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $77,510 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $77,510 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $136,226 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $136,226 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $54,895,901 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,203,166 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,692,735 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13710 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $29,597 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $29,597 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $250 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $250 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $8,197 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,197 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $8,472 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,472 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $77,510 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $77,510 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 12 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $124,276 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $124,276 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,996,581 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $899,658 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $44,237,005 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $58,760,720 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$14,523,715 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dameron Hospital Association | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 525 West Acacia Street | AddressLine1Txt |
| City | Stockton | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.dameronhospital.org | WebsiteAddressTxt |
| State License | 030000024 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dameron Hospital Association | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.dameronhospital.org | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | www.healthiersanjoaquin.org | OtherWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.dameronhospital.org | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 350.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 150.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.dameronhospital.org | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.dameronhospital.org | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.dameronhospital.org | 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 |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Dameron Hospital Association | Part V, Section B, Line 5: The robust and comprehensive assessment included both primary and secondary data. Primary data included input from more than 180 members of the Hospital Service Area (HSA), expert interviews with 45 key informants, focus group interviews with 137 community members and more than 300 community health assessnent surveys were collected. Secondary data included health outcome data, socio-demographic data, behavioral, and environmental data at the ZIP code or census tract level. Analysis of both primary and secondary data revealed 10 specific Communities of Concern, living with a high burden of disease in San Joaquin County. These 10 communities had consistently high rates of negative health outcomes that frequently exceeded county, state, and Healthy People 2020 benchmarks. The primary goals of the assessment are:- Engage local stakeholders- Generate knowledge that will lead to collaborative action- Identify data that would be useful for policy and advocacy work- Establish a "Call to Action" for community members- Assess community needs and assets- Develop a community dissemination plan- Provide ongoing tracking and monitoringRanking of the seven health needs are shown below:1. Lack of access to primary and preventative care services2. Lack of or limited access to health education3. Lack of or limited access to dental care4. Limited cultural competence in health and related systems5. Limited or no nutrition literacy/access to healthy and nutritious foods, food security6. Limited transportation options7. Lack of safe and affordable places to be active |
| Dameron Hospital Association | Part V, Section B, Line 6a: - St. Joseph's Medical Center- Lodi Memorial Hospital- Sutter Tracy Community Hospital- Kaiser Permanente |
| Dameron Hospital Association | Part V, Section B, Line 11: The implementation plan was developed following a distinct three step strategic planning process. First, the health needs identified in the CHNA were prioritized by members of the SJC2HAC. Second, Dameron Hospital selected four of the prioritized health needs as a primary focus for the purposes of meeting the health needs of the Community. Those chosen most closely aligned with the hospital's Mission and organizational capabilities. The third, and final step was the development of an implementation plan.Step 1: Prioritizing Health NeedsThe SJC2HAC prioritized and ranked the identified community health needs. Each health need was ranked along two dimensions: 1) the significance or severity of the health need; and 2) the ability of a hospital to make a notable impact on the identified health need.Step 2: Identify Health Needs for Dameron Hospital's 2015 focusDameron Hospital identified four primary health needs, from the seven, that aligned with its Mission and organizational capabilities. Dameron Hospital's Mission is to support physicians and our employees in providing quality patient care in a safe and caring environment.Step 3: Strategic PlanningThis process followed two key steps. First, personnel in the hospital were recruited to participate and develop the implementation plan. Second, Dameron Hospital leadership evaluated the implementation plan and its alignment to the community needs assessment. The final Plan is depicted in Strategic Plan (pgs. 20-22 of the Community Benefit Report) This evaluation and prioritization results were used as the roadmap for our 2015 Community Benefit Plan. |
| Dameron Hospital Association | Part V, Section B, Line 20e: - Documented its determination of whether individuals were eligible for financial assistance under the hospital facility's financial assistance policy.- Notified individuals of the financial assistance policy in communications with the individuals regarding the individual's bills.- Notified individuals of the financial assistance policy on admission.- Notified individuals of the financial assistance policy prior to discharge. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 8,996,581. |
| Part II, Community Building Activities: | * Community support- Free Interpreter Services for patients and their designated support person.- Taxi/bus transportation to and from the Hospital/Clinic, if needed.* Leadership development and training for community membersLeadership Stockton is a program designed to inspire a new generation of men and women to assume leadership roles in the community. The nine-month program challenges and prepares individuals from diverse backgrounds to become influential in the region's future. To develop educated and motivated community leader participants are exposed to civic, civil, education, healthcare and non-profit entities. Participants heard from area healthcare leaders about the current and future state of healthcare. Brad Reinke, MD and Chief Medical Officer presented on behalf of Dameron Hospital. The roundtable discussion enabled participants to learn about hospital and healthcare facilities located throughout Greater Stockton community. A question and answer period concluded the forum.* Coalition buildingDameron Hospital is an active participant in the San Joaquin County Healthier Community Coalition. The purposes of the Coalition are: a) to provide leadership in the development and coordination of health status improvement efforts in San Joaquin County; b) to provide a forum for health services stakeholders to share ideas and information about projects and seek collaborative partners; and c) to work collaboratively and encourage the efforts of other collaborative attempting to respond to community health issues and problems. Dameron Hospital collaborated on creating an all-inclusive free and confidential service helpline for local resources. The 211 helpline, launched in 2015, is available 24 hours a day, seven days a week. Dameron staff has co-chaired this Coalition and participated in key leadership roles since 2011. Its purpose is to make it easy for people to find the help they need, when they need it. (http://www.211.org)Dameron Hospital participated in the recent Community Health Needs Assessment (CHNA), which is publicly available at http://healththiersanjoaquin.org. Additional detail about identified needs, data collected, community input obtained, and prioritization methods used can be found in the CHNA report. The significant community health needs identified are:1. Obesity/Diabetes2. Education3. Youth Development4. Economic Security5. Violence and Injury6. Substance Use7. Access to Housing8. Access to Care9. Mental Health10. Oral Health11. Asthma/Air Quallity* Community health improvement advocacyDameron has offered flu shot clinics in the community. In addition, Dameron's Linacia pharmacy has provided pharmaceuticals at no cost to a number of indigent patients.* Workforce developmentDecision Medicine:This two-week program, sponsored by San Joaquin Medical Society, is designed to introduce high school students to the field of medicine through personal mentoring opportunities and site visits with behind-the-scenes access to some of our regional hospitals, clinics and public health centers. Decision Medicine 2016 took place at various locations in Northern California, including hospitals, various clinics and inside actual private offices of participating physicians in San Joaquin County. Decision Medicine 2016 at Dameron Hospital was a full eight-hour day including student interactive tours into the Core Laboratory, the Pathology Laboratory, American Medical Response ambulance tour, and a tour of the Hospital Data Center; didactic lectures on Basic Hematology & Comparative Cellular Morphology and Forensic Pathology; and hands-on laboratory exercises for Phlebotomy, Blood Specimen Preparation, Blood Smear Technique, Differential Staining Technique, Blood Smear Examination by Light Microscopy, and Blood Typing. In addition, students were provided an individual Complete Blood Analysis (CBC), a preliminary ABO blood group determination, historical information about Dameron Hospital and career information in pathology and laboratory medicine. Dameron Hospital hosted twenty-four students that included lunch and refreshments throughout the day. The Director of Risk Management coordinates this Program for Dameron Hospital. Volunteers include a Board Member, Chief Information Officer, Hospital Executive Leadership Team Member, Laboratory Medical Director, Laboratory Manager, several Clinical Laboratory Scientists, Patient Relations Coordinator, and Health Educator.Health Careers Academy:The Health Careers Academy (HCA) was established in 2011 by the Stockton Unified School District to meet the growing community need for healthcare clinicians in Stockton and the greater San Joaquin County. HCA has a student population of 470 students with a senior class of 118. The goal of HCA is to produce students who have been challenged with a rigorous college prep curriculum, as well as teaching them health career technical skills. Students are provided with community service opportunities to gain better sense of community awareness and are exposed to various medical professions during their PRN rounds. Upon graduation, they leave prepared to join the workforce; pursue further health related vocational training; or attend a four-year college. Dameron Hospital staff is committed to offering speakers, mentors and participate in mock interview at the request of the HCA. Our Community Benefit Director serves on the HCA Community Committee to enhance the learning experiences of our future health care professions.Association of California Nurse Leaders (ACNL):This Association was created and is embraced by nurse leaders throughout California. Its mission is to develop nurse leaders; advance professional practice; influence health policy; and promote quality and patient safety. With health care reform, implementation of the IOM Future of Nursing initiatives, professional practice issues and regulatory mandates, challenges and opportunities for nurse leaders have never been greater. ACNL helps nurse leaders address these issues together. ACNL provides essential information, statewide networking with peers, progressive leadership development programs and timely educational activities. Dameron Hospital's Nursing Directors are members of the North Central Chapter that includes monthly chapter meetings, participation in ACNL projects and sponsoring annual ACNL conferences.Dameron Hospital continued its ACNL membership and active participation through 2016.* Other community building activityContinuing Medical Education:The Institute for Medical Quality/California Medical Association (IMQ/CMA) provides Continuing Medical Education (CME) for physicians accredited at Dameron Hospital. Classes are offered at noon on Fridays (excluding Holidays and the months of July and August) in the hospital's Annex building. The classes are open to all physicians throughout the community. Dameron provided 26 continuing medical education classes throughout 2016 and will continue to provide Continuing Medical Education Classes in 2017. A total of 476 medical professionals attended the classes in 2016 and 86 other healthcare professionals. Diabetes:Dameron Hospital offered a Diabetes Outpatient Education Program through April of 2016. The program was free to community residents who registered for the program. Dameron Hospital's staff of dieticians, registered nurses, certified diabetic educators, social workers and physicians administered the program and utilized the American Diabetes Association (ADA) certified U.S. Department of Health "Journey to Control Diabetes Conversation Maps." Dameron offered diabetes education and glucose screenings at numerous health fairs and public events throughout the community. More than 100 people were given diabetic education at these community events.Chronic Obesity:In 2014 Dameron Hospital initiated a comprehensive Bariatric Services Program. Chronic obesity is the largest health care problem in San Joaquin County, which in turns contributes to Hypertension, Diabetes, and associated orthopedic dysfunctions. Our dedicated Bariatric Services Coordinator facilitates all components of the Bariatric Program. Weight loss seminars and support groups are available to the entire community. Seminars attended by 703 educated interested individuals about the problems of obesity and the surgical options that are available. Dameron also offers a Healthy Lifestyles class that is available to anyone who has had a Bariatric procedure. The class provides reinforcement of concepts to enhance learning and provide a networking opportunity to over 287 Bariatric patients in 2016. Many areas of San Joaquin County have food deserts, no access to fresh fruit and vegetables, which contribute to obesity in the African-American and Hispanic populations. |
| Part III, Line 4: | The organization determines the amount that could be attributable to patients who likely would qualify for financial assistance under the hospital's financial assistance policy based upon a query of the collections system (Golden State Collections) - 10% of estimated bad debt expense.Any discounts and/or payments applied to a patient's account are not reversed before writing the account off to bad debt. In other words, the net balance of the account is what's written off.Bad debt expense is not included as a community benefit in the hospital's community benefit report.Bad Debt expense footnote - See audited financial statements, page 9 & 10, footnote 1, Patient accounts receivable and Allowance for uncollectible accounts sections. |
| Part III, Line 8: | If Medicare does not reimburse our costs for patient care, the excess of cost over reimbursement should be considered a benefit to the community we serve.Medicare uses the Medicare cost report program in computing the cost in providing medical care services for Medicare beneficiaries. The Medicare cost report calculates routine costs using per diem methodolgy and the ancillary cost is calculated using cost to charge ratios. |
| Part III, Line 9b: | In accordance with the Hospital's Charity Care and Discounted Payment Policy, patients will be made aware of the availability of Charity Care and Discounted Payment options on the Hospital's website, at all points of registration in the Hospital, as well as in connection with billing statements issued by the Hospital.The Patient Accounting Department sends the responsible party a final bill at least 90 days from the date the Hospital provides the first post-discharge billing statement, informing the responsible party of the Hospital's Charity Care and Discounted Payment Policy, a plain language summary of that policy and the patient's rights, as required under California Health and Safety Code section 127430(a), the phone number the responsible party can call for more information if interested in applying, the collections actions that may be pursued in the event of nonpayment, and the deadline for when those actions may be commenced (such deadline to be at least 30 days from the date of the final bill is sent). The Patient Accounting Department will also attempt to call or otherwise orally inform the responsible party of the Hospital's Charity Care and Discounted Payment Policy and how the responsible party may obtain assistance with the application process. The responsible party is requested to forward any insurance information or to make payment or submit an application under the Charity Care and Discounted Payment Policy within the stated deadline or the account may be referred to collections. Collections actions may include engaging a collection agency to assist with obtaining payment, reporting the patient's account to a consumer credit reporting agency, deferring, denying or requiring a payment before providing elective, non-Medically Necessary Services because of the patient's nonpayment of one or more bills for previously provided care, commencing a civil action against the patient for nonpayment, wage garnishment, bank garnishment and abstract liens on real property as well as business garnishment if responsible party is the business owner. However, for a patient that lacks coverage, the Hospital, any assignee of the Hospital, or other owner of the patient debt, including a collection agency, will not report adverse information to a consumer credit reporting agency or commence civil action against the patient for nonpayment at any time prior to 150 days after the initial billing. This period shall be extended if the patient has a pending appeal for coverage of the services until a final determination of the appeal is made.If the responsible party requests financial assistance, the request is forwarded to the Credit and Collections Department and the patient is sent an application under the Charity Care and Discounted Payment Policy identifying the charity process and the documentation required for processing. The responsible party is given 30 days to complete and return the application and supporting documents. If the collections process has already begun, it shall be suspended during this time. If an incomplete application is received, the Hospital will provide written notice describing additional information needed and will provide the contact information, including the telephone number and office location, of a person who can provide information about the Hospital's Charity Care and Discounted Payment Policy and assistance with completing the application.Collections shall remain suspended until a determination of eligibility is made or the Hospital has determined, after a reasonable period of time, the patient has failed to respond to requests for additional information to complete the application. If a complete application is received, the Hospital will determine the patient's eligibility and will notify the patient in writing of the determination and the basis for the determination. If the patient is determined to be eligible for assistance under the Charity Care and Discounted Payment Policy, (1) if such assistance is in the form of a discount, the patient will receive a billing statement that indicates the amount owed, how that amount was determined, and states or describes how the patient can obtain information regarding the Amount Generally Billed ("AGB") for the care provided, and (2) the patient will be refunded any amounts paid over the amount for which the patient has been determined under the Charity Care and Discounted Payment Policy to be responsible. The Hospital shall further take all reasonably available measures to address any adverse information reported to credit reporting agencies. The Hospital will accept applications under the Charity Care and Discounted Payment Policy until 240 days from the date the Hospital provides the first post-discharge billing statement.Extended payment plans for the amount owed may be arranged for those unable to pay their account in full pursuant to the Hospital's Charity Care and Discounted Payment Policy. Requests for payment plans exceeding the Hospital's schedule may be referred to the Hospital's designee for handling. If the account is not paid or satisfactory payment arrangements made, the account is sent for pre-collection to the Credit and Collections Department or its designee, as described in the Charity Care and Discounted Payment Policy. The Hospital may declare an extended payment plan (including a Reasonable Payment Plan) inoperative if the patient fails to make all consecutive payments during a 90-day period. Before declaring an extended payment plan inoperative, the Hospital, collection agency or assignee shall make a reasonable attempt to contact the patient by telephone, give written notice that the extended payment plan may become inoperative, and inform the patient that s/he may renegotiate the terms of the payment plan. |
| Part VI, Line 2: | Dameron Hospital is a member of the San Joaquin County Community Health Assessment Collaborative (SJC2HAC), responsible for producing and releasing, every three years, the Healthier San Joaquin County Community Assessment, required by Federal and State laws. In accordance with these legislative requirements, Dameron Hospital, in collaboration with other members of SJC2HAC, conducted an assessment of the community they serve, which encompasses all of San Joaquin County. Based on the results of this assessment, an Implementation Plan was developed detailing how the community needs will be addressed. This Plan is submitted annually to The California Office of Statewide Health Planning and Development (OSHPD), The Internal Revenue Service, and the Dameron Hospital Board of Directors. The Community Assessment was conducted over eight-months and was led by Valley Vision, Inc., a non-profit community consulting organization dedicated to improving the quality of life for residents across Northern California. The most recent SJC2HAC assessment was released in March 2013. The assessment is used to: inform and engage local stakeholders and community members, promote collaborative efforts based on data, solicit community input and obtain group consensus in order to improve the health of our community. The Dameron Hospital Association 2016 Community Benefit Report reflects the 2013 SJC2HAC findings, our program, and activities to meet the identified needs of the community. |
| Part VI, Line 3: | The Hospital shall offer a paper copy of a plain language summary of the financial assistance policy to patients as part of the intake or discharge process, including for individuals who received emergency or outpatient care and were never admitted as inpatients. A conspicuous written notice on billing statements will notify and inform recipients about the availability of financial assistance under this Policy. Such notice shall provide the telephone number of the Hospital's department that can provide information about the Policy and the application process and the direct Website address where copies of the FAP, Financial Assistance Application form, and a plain language summary may be obtained. Signage regarding the Policy, how to obtain more information about the Policy and how to obtain copies of the Policy, the Financial Assistance Application form, and a plain language summary, is posted at all points of registration, including the emergency department, the billing office, the admissions office and other outpatient settings. Prior to commencing collection activities, the Hospital or its designee shall provide the patient with written notice containing a plain language summary of the patient's rights pursuant to California Health and Safety Code Section 127430(a), and a statement that nonprofit credit counseling services may be available in the area.The Hospital will, in addition to informing patients about this Policy, notify and inform members of the community about the availability of financial assistance under this Policy as well as how or where to obtain more information about the Policy and the Financial Assistance Application process and to obtain copies of the FAP, Financial Assistance Application form, and a plain language summary of the Policy. |
| Part VI, Line 4: | San Joaquin County is one of the original counties of California, created in 1850 and is located in the Central Valley of Northern California; home to approximately 730,000 residents. Stockton is the County seat, the largest incorporated city in the county and is home to almost half of the county's residents. San Joaquin County is one of the most agriculturally rich regions in California and known for its asparagus, strawberries, almonds, cherries, wine grapes and other abundant crops. The racial and ethnic makeup of county residents includes Whites (68.1%), African American (8.1%), and Native American (2.0%), Asian (15.9%), Pacific Islander (0.7%), and two or more races (4.9%). Hispanic or Latino origin includes (40.5%). According to the US Census (2010-2014v), almost 40% of all county residents speak a language other than English at home, and nearly one in four over the age of 25 does not have a high school diploma.San Joaquin County offers its residents affordable housing, abundant recreational facilities, excellent educational opportunities, and diverse cultural resources. As the northernmost county in the Central Valley, San Joaquin County includes the cities of Stockton, Lathrop, Lodi, Manteca, Ripon, Tracy, and Escalon, as well as numerous planned communities, census-designated areas, small towns and unincorporated areas.The U.S Census Bureau anticipates that San Joaquin County's population will reach 789,000 by 2020. Population change by ethnicity will also affect San Joaquin County; the largest increase over the next thirty years will come from an estimated 104.6% increase in the Hispanic/Latino population and the white population will decrease by 8.7%. This represents a significant shift in San Joaquin County demographics. In 2015, unemployment for the county was 8.9% compared to the state rate of 6.2%. San Joaquin County's population is slowly aging. The 2014 Census showed that people aged 60 and older now make up 11.8% of the population.According to the U.S. Census Bureau (2010-2015) San Joaquin County's median household income median is $53,274 household income, which aligns with the median income in the United States ($53,889), but lower California ($61,818). It is important to note that a 17.5% of the San Joaquin County population lives below federal poverty level compared to the 15.3% rate in the state of California. Poverty is highest among children. |
| Part VI, Line 5: | In addition to our medical services and programs, Dameron Hospital also offers the following Community Benefit and outreach services: - Complimentary use of classroom for various community education and support groups - Volunteer Program for community members willing to donate their time in a health care environment - Sponsorship of health-related community events and activities - Donations of materials, equipment and supplies to community groups - Employee volunteer time - Taxi/bus transportation to and from the Hospital/Clinic, if needed - Continuing Medical Education for community physicians - Community education classes - Referral service to community sub-specialties at tertiary centers, for population age 21 of under - Unreimbursed Medi-Cal, Medicare, Charity Care, and Uninsured patient discounts - Participation in the Decision Medicine program exposing high school students to health care careers to encourage youth to give back to the community and consider a career in medicine - On-site free wireless Internet access and Notary Services - Workforce development - Health professional education - Management participation in local leadership programs and local school mentoring programs - Online health center "FollowMyHealth" - Physician recruitment in a medical shortage area - Staff participation in conducting community health needs assessments - Multilingual education classes - Provide a clinical setting for undergraduate/vocational training to students enrolled in outside programs - Free Interpreter Services for patients and their designated support person |
| Part VI, Line 6: | (not part of affiliated healthcare system) |
| Part VI, Line 7, Reports Filed With States | CA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Lorraine Auerbach | ||||||||||||||
| President/CEO | $729,298 | $0 | $254,340 | $0 | $91,708 | $0 | $0 | $0 | $13,090 | $0 | $1,088,436 | $0 | $0 | $0 |
| Elizabeth Propp | ||||||||||||||
| VP of Finance/CFO | $330,162 | $0 | $65,105 | $0 | $0 | $0 | $19,021 | $0 | $11,662 | $0 | $425,950 | $0 | $0 | $0 |
| Bradley Reinke | ||||||||||||||
| VP of Medical Affairs/CMO | $246,960 | $0 | $37,128 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $284,088 | $0 | $0 | $0 |
| Janine Hawkins | ||||||||||||||
| VP Pt Care Svcs (Thru 12/2016) | $252,873 | $0 | $49,360 | $0 | $194,113 | $0 | $15,075 | $0 | $12,073 | $0 | $523,494 | $0 | $0 | $0 |
| Michael Glasberg | ||||||||||||||
| VP of Operations/COO | $378,733 | $0 | $93,750 | $0 | $0 | $0 | $17,763 | $0 | $6,584 | $0 | $496,830 | $0 | $0 | $0 |
| Terrance Thomas | ||||||||||||||
| Registered Nurse | $218,319 | $0 | $0 | $0 | $0 | $0 | $7,681 | $0 | $12,115 | $0 | $238,115 | $0 | $0 | $0 |
| Chad Davis | ||||||||||||||
| Assistant Director of Surgery | $215,350 | $0 | $0 | $0 | $0 | $0 | $7,936 | $0 | $5,604 | $0 | $228,890 | $0 | $0 | $0 |
| Denise Hair | ||||||||||||||
| Assistant CNO | $178,603 | $0 | $17,685 | $0 | $0 | $0 | $10,523 | $0 | $7,590 | $0 | $214,401 | $0 | $0 | $0 |
| Chris Peterson | ||||||||||||||
| Cardiac Cath Supervisor | $190,578 | $0 | $0 | $0 | $0 | $0 | $6,334 | $0 | $11,658 | $0 | $208,570 | $0 | $0 | $0 |
| Tresha Moreland | ||||||||||||||
| VP of HR (Thru 3/2016) | $55,921 | $0 | $0 | $0 | $173,333 | $0 | $0 | $0 | $1,890 | $0 | $231,144 | $0 | $0 | $0 |
| Christopher Arismendi | ||||||||||||||
| Former CEO (Thru 10/2012) | $0 | $0 | $0 | $0 | $253,846 | $0 | $0 | $0 | $0 | $0 | $253,846 | $0 | $0 | $0 |
| David Kerrins | ||||||||||||||
| Former CIO (Thru 12/2015) | $0 | $0 | $0 | $0 | $239,185 | $0 | $0 | $0 | $0 | $0 | $239,185 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Lines 4a-b | Dr. Christopher Arismendi terminated as CEO/President on 10/31/12. His severance agreement was for a total of $1,200,000 over 4 years, and during 2016 the remainder of $253,846 was paid to him. David Kerrins terminated as CIO on 12/8/2015. His severance agreement was for a total of $239,185, which was paid to him in full during 2016. Tresha Moreland terminated as VP of Human Resources on 3/22/16. Her severance agreement was for a total of $217,000 over 12 months, and during 2016 a total of $141,885 was paid to her. The 457(f) plan was opened up in 2014 to highly compensated executive or managerial personnel determined to be eligible by the plan committee. During 2016 there were two remaining participants, one of whom (William Chase) terminated in 2014 and one who terminated at the end of 2016. The latter participant received a distribution of a portion of her remaining prior year contributions of $156,382 during 2016. |
| Part I, Line 7 | Executive Incentive Compensation is set based on meeting a specific set of metrics established annually by the CEO and Executive Team and approved by the Board. Metrics generally include quality, finance, patient safety, patient experience, employee engagement and meaningful use goals. Each year, the Board appoints an Executive Compensation Committee to 1) review and approve an Annual Executive Compensation Plan; 2) to evaluate Executive performance against established goals as well as overall executive performance; and 3) to set the overall Executive Compensation Plan for the following year. The CEO provides recommendations concerning the performance and compensation of the Executives for Board approval. The Executive Compensation Committee and Chairman of the Board evaluate the CEO and approve the CEO's compensation. The Annual Executive Compensation Plan is developed and presented to the Board by an independent healthcare compensation expert who also advises and guides the board as to market and other factors affecting executive and CEO compensation. This includes but is not limited to base compensation, the Executive Incentive program and recommended performance and market compensation adjustments. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, line 3 | On May 1, 2016, Kaiser ended the long standing contract for Dameron Hospital to provide hospital services to its members. While Dameron negotiated a new patient care services contract with Kaiser effective May 1st, with Kaiser's purchase of a portion of St Joseph Medical Center, the Association no longer will be the major provider of hospital services to Kaiser members in the San Joaquin area. Under the previous agreement, Kaiser represented approximately 27% of the net patient revenue for Dameron for the years ended 2015 and 2014. As a result of the loss of the previous Kaiser contract and in particular due to the related loss of physician coverage in the Maternal Child Health (MCH) areas, Dameron announced effective April 27, 2016 that it discontinued its MCH service line. This eliminated 70 positions or approximately 8% of Dameron's workforce and placed MCH beds in licensing suspense while Dameron assesses both the future of MCH services and alternative revenue replacement strategies. |
| Form 990, Part VI, Section B, line 11b | Form 990 has been reviewed by the CEO and financial staff and mission and the revenue sources for the hospital have remained unchanged in 2016. |
| Form 990, Part VI, Section B, line 12c | Each individual Fiduciary must execute a Conflicts of Interest Disclosure Statement and Questionnaire at least annually and must promptly report all facts regarding any new transaction that might create a Conflict of Interest as soon as they become aware of any such transaction. It is each Fiduciary's duty to make a full disclosure as provided herein of all material facts regarding any possible conflict of interest, to describe the situation or transaction, and to disclose the details of the employee, medical staff officer, or Related Party's interest in the situation or transaction. All Fiduciaries shall report all possible conflicts of interest to the Chief Executive Officer, or her designee. The Chief Executive Officer, or designee, shall conduct such review as appropriate, and refer such information to the Board of Directors of the Hospital. The Board of Directors shall review such conflicts and disclosures. The Board of Directors may consult with legal counsel and such other authorities as may be desired, and may request any additional information deemed relevant, including the source and amount of any income or financial interest or other economic benefit to be derived by such person from the situation or transaction. It is the policy of the Board of Directors that the existence of ANY interest described within the Corporate Compliance & Regulatory Affairs policy shall be disclosed before any transaction is consummated. Each Fiduciary has a continuing responsibility to scrutinize any transaction in which the Fiduciary or a Related Party is directly or indirectly interested for potential conflict of interest and to make a full disclosure as provided herein. The Chief Executive Officer, or the Board of Directors shall as provided herein then determine whether a Conflict of Interest exists and shall take the appropriate action. All decisions regarding conflicts of interest rest in the sole discretion of the Board of Directors in the exercise of its ultimate judgment of the best interests of the Hospital. All officers who are employees, along with the rest of management and the Board are subject to an annual conflict of interest disclosure process. |
| Form 990, Part VI, Section B, line 15 | In 2013 the organization established an executive compensation committee, which sets the policy each year and creates the compensation document. An outside independent consultant, Romanoff & Associates, provides salary ranges and market value used in setting compensation. Process was last done on May 25, 2016. |
| Form 990, Part VI, Section C, line 19 | Financial statements are made available upon request. Governing documents and conflict of interest policy are not available to the public to view. |
| Form 990, Part IX, line 11g | Nurse Registry: Program service expenses 3,911,405. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,911,405. Other Contracted Services: Program service expenses 1,337,389. Management and general expenses 544,960. Fundraising expenses 0. Total expenses 1,882,349. Physicians Fees: Program service expenses 3,583,751. Management and general expenses 19,200. Fundraising expenses 0. Total expenses 3,602,951. Other Professional Fees: Program service expenses 2,372,463. Management and general expenses 1,040,761. Fundraising expenses 0. Total expenses 3,413,224. Pharmacy and Laboratory Outsourcing: Program service expenses 3,684,815. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,684,815. Maintenance: Program service expenses 2,797,376. Management and general expenses 1,930. Fundraising expenses 0. Total expenses 2,799,306. Medical records & Transcription services: Program service expenses 0. Management and general expenses 1,401,000. Fundraising expenses 0. Total expenses 1,401,000. Other Purchased Services: Program service expenses 4,294,074. Management and general expenses 3,872,787. Fundraising expenses 0. Total expenses 8,166,861. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dameron Hospital Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 525 West Acacia Street | AddressLine1Txt |
| City | Stockton | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 942811364 | EIN |
| Primary Activities | Support Dameron Hospital Association | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dameron Hospital Association | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dameron Hospital Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $406,500 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |