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ADVENTIST HEALTH DELANO: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ADVENTIST HEALTH DELANO (EIN 77-0258013)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-12-20
IRS object ID
201323549349300217
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-12-20T12:34:03-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN910189318EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13121 WEST MARCH LANE SUITE 100AddressLine1
CitySTOCKTONCity
StateCAState
ZIP Code952192303ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN770258013EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CENTRAL CALIF FOUNDATION FOR HEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCENTNameControl
Phone6617254800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11401 GARCES HWYAddressLine1
CityDELANOCity
StateCAState
ZIP Code93215ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBAHRAM GHAFFARIName
TitlePRESIDENTTitle
Phone6617215229Phone
Date Signed2013-12-19DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTRACY S PAGLIAName
PTINP00366884PTIN
Phone2099556100Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1DELANO REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonWILLIAM NOBLENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1881 ALMA REAL DR STE 301AddressLine1
CityPACIFIC PALISADESCity
StateCAState
ZIP Code90272ZIPCode
FieldValueIRS element (for citing)
Gross Receipts148259778GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.DRMC.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTHCARE TO THE DELANO, CA AND SURROUNDING AREAS IN BOTH A HOSPITAL AS WELL AS OUT PATIENT SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees735TotalNbrEmployees
Total Nbr Volunteers22TotalNbrVolunteers
Total Gross UBI57418TotalGrossUBI
Net Unrelated Business Txbl Income-2907NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year258414ContributionsGrantsPriorYear
Contributions Grants Current Year337509ContributionsGrantsCurrentYear
Program Service Revenue Prior Year73092171ProgramServiceRevenuePriorYear
Program Service Revenue CY81662004ProgramServiceRevenueCY
Investment Income Prior Year1593741InvestmentIncomePriorYear
Investment Income Current Year1324789InvestmentIncomeCurrentYear
Other Revenue Prior Year1898072OtherRevenuePriorYear
Other Revenue Current Year869851OtherRevenueCurrentYear
Total Revenue Prior Year76842398TotalRevenuePriorYear
Total Revenue Current Year84194153TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year33815393SalariesEtcPriorYear
Salaries Etc Current Year35441519SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year37344733OtherExpensePriorYear
Other Expenses Current Year42926127OtherExpensesCurrentYear
Total Expenses Prior Year71160126TotalExpensesPriorYear
Total Expenses Current Year78367646TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5682272RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5826507RevenuesLessExpensesCY
Total Assets BOY109202290TotalAssetsBOY
Total Assets EOY111120930TotalAssetsEOY
Total Liabilities BOY52495557TotalLiabilitiesBOY
Total Liabilities EOY48690731TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY56706733NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY62430199NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE HEALTHCARE TO THE DELANO, CA AND SURROUNDING AREAS IN BOTH A HOSPITAL AS WELL AS OUT PATIENT SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense58635202Expense
Grants0Grants
Revenue81662004Revenue
DescriptionCENTRAL CALIFORNIA FOUNDATION FOR HEALTH OPERATES DELANO REGIONAL MEDICAL CENTER (THE HOSPITAL).ON MAY 29, 1992 THE COMPANY ACQUIRED THE OPERATIONS OF THE HOSPITAL. THE HOSPITAL IS A 111-BED ACUTE CARE AND 45-BED SKILLED NURSING FACILITY IN DELANO, CALIFORNIA SERVING A PRIMARILY RURAL POPULATION OF APPROXIMATELY 80,000. THE HEALTH FACILITIES PROVIDE A FULL RANGE OF PRIMARY AND SECONDARY ACUTE CARE SERVICES, SUB ACUTE,SKILLED NURSING, AND COMPREHENSIVE EMERGENCY, OUTPATIENT AND AMBULATORY CARE SERVICES.TO MEET THE NEEDS OF THE RESIDENTS OF ITS SERVICE AREA, THE HOSPITAL HAS STEADILY EXPANDED ITS SERVICES OVER TIME SINCE IT WAS FIRST OPENED. THE HOSPITAL'S PRIMARY HEALTH FACILITY, DELANO REGIONAL MEDICAL CENTER, WAS ORIGINALLY CONSTRUCTED AS AN ACUTE CARE HOSPITAL. SINCE ITS OPENING, ADDITIONS TO THE HOSPITAL AND THE EXPANSION INTO OTHER FACILITIES IN THE SURROUNDING AREA HAVE INCLUDED A WOMEN'S CLINIC IN DOWNTOWN DELANO AND THE WASCO MEDICAL PLAZA IN WASCO, CA.Description
Total Program Service Expense58635202TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096130NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees735NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KEN SNYDERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6617254800TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11401 GARCES HWYAddressLine1
CityDELANOCity
StateCAState
ZIP Code93215ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
WILLIAM NOBLE
CHAIRMAN OF THE BOARD20.00XX36410000
VIJAYKUMAR B PATEL MD
BOARD MEMBER0.50X000
ROSE MARIE BANS
BOARD MEMBER0.50X000
LYNDA HYLTON
BOARD MEMBER0.50X000
DILBAGH GEHLAWAT MD
BOARD MEMBER0.50X175000
BRIAN KOMOTO
BOARD MEMBER0.50X000
SHERYL WIGGINS
CORPORATE SECRETARY0.50XX1200000
BAHRAM GHAFFARI
PRESIDENT/CFO40.00X77250805592
SHERRI JOHNSON
DIRECTOR OF NURSING40.0016216005592X
DATTA BABITA
CLINIC PHYSICIAN40.0041705505592X
TERRANCE MONRIAN
PHARMACIST DIRECTOR40.0025069405592X
KEVIN DO
PHARMACIST40.0020585905592X
LEE MEE YOUNG
PHARMACIST40.0018251105592X
ROGER OSWALD
PHARMACIST40.0017737005592X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2546007TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation39144TotalOtherCompensation
Number Individuals GT100 K37NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DELANO HEALTH ASSOCIATES
1401 GARCES HWYDELANOCA93215REGISTRY SERVICES829066
CERNER CORPORATION
PO BOX 412702KANSAS CITYMO64141COMPUTER SOFTWARE MAINTENANCE & SCES772724
SUNG HYUN MD
PO BOX 7096STOCKTONCA95267ANESTHESIA SERVICES707396
HEALTHCARE PERFORMANCE GROUP
PO BOX 588KANSAS CITYMO66083COMPUTER SOFTWARE MAINTENANCE & SCES646054
CLIFFORD & BROWN
1430 TRUXTON AVEBAKERSFIELDCA933015230ATTORNEY444567
FieldValueIRS element (for citing)
Number Of Contractors GT100 K15NumberOfContractorsGT100K
Government Grants272230GovernmentGrants
All Other Contributions65279AllOtherContributions
Total Contributions337509TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAL PMTS6214007411906074119060
PATIENT SERVICES62140066753306675330
HEALTH RECORD INCENTIVE900099867614867614
FieldValueIRS element (for citing)
Total Program Service Revenue81662004TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1106714TotalRevenueColumn
Exclusion$1,106,714ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real231997Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real40192Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real191805Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column191805TotalRevenueColumn
Exclusion$191,805ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities64243508Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities64025433Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities218075Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column218075TotalRevenueColumn
Exclusion$218,075ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA SALES722100300771$300,771
ANTITRUST SETTLEMENT90009976974$76,974
MANAGEMENT FEES - DHA5610005741857418

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column242883TotalRevenueColumn
Exclusion$242,883ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue678046TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column84194153TotalRevenueColumn
Related Or Exempt Function Income81662004RelatedOrExemptFunctionIncome
Unrelated Business Revenue57418UnrelatedBusinessRevenue
Exclusion$2,137,222ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1323702Total
Program Services167752ProgramServices
Management And General1155950ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total25764399Total
Program Services19241227ProgramServices
Management And General6523172ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6333558Total
Program Services4383314ProgramServices
Management And General1950244ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2019860Total
Program Services1514992ProgramServices
Management And General504868ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total516080Total
Management And General516080ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total266250Total
Management And General266250ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6898566Total
Program Services4471285ProgramServices
Management And General2427281ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total145358Total
Management And General145358ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2432728Total
Program Services1816182ProgramServices
Management And General616546ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2303644Total
Program Services1382186ProgramServices
Management And General921458ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total912669Total
Program Services714856ProgramServices
Management And General197813ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1910914Total
Program Services1910914ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6338581Total
Program Services3803149ProgramServices
Management And General2535432ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total674068Total
Program Services388012ProgramServices
Management And General286056ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR BAD DEBT79402257940225
QUALITY ASSURANCE FEE56701605670160
MEDICAL SUPPLIES4555306449584259464
MAINTENANCE & REPAIRS22345213407189381

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2138126Total
Program Services601035ProgramServices
Management And General1537091ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total78367646Total
Program Services58635202ProgramServices
Management And General19732444ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY787930BOY
EOY912062EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY10028918BOY
EOY13740327EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11183812BOY
EOY10546261EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY49375BOY
EOY12113EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY835028BOY
EOY848978EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY506567BOY
EOY750713EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis99187244LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec54798852LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY48866735BOY
EOY44388392EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY32686134BOY
EOY35585570EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY117443BOY
EOY61223EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4140348BOY
EOY4275291EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY109202290BOY
EOY111120930EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5625188BOY
EOY6401237EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY309915BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY45592622BOY
EOY42250924EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5096BOY
EOY1012EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY962736BOY
EOY37558EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY52495557BOY
EOY48690731EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY56706733BOY
EOY62430199EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY56706733BOY
EOY62430199EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY109202290BOY
EOY111120930EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses5826507ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-103041ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3639495OtherCostOrOtherBasis
Book Value3639495BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis53050319OtherCostOrOtherBasis
Depreciation28720836Depreciation
Book Value24329483BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis41970277OtherCostOrOtherBasis
Depreciation25797658Depreciation
Book Value16172619BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis527153OtherCostOrOtherBasis
Depreciation280358Depreciation
Book Value246795BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings44388392TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionACCRUED BOND INTERESTDescription
Amount$37,558Amount
FieldValueIRS element (for citing)
Total Of Amounts37558TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE FOUNDATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE FOUNDATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OTHER DIRECT EXPENSES.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense10328551TotalCommunityBenefitExpense
Direct Offsetting Revenue3040000DirectOffsettingRevenue
Net Community Benefit Expense7288551NetCommunityBenefitExpense
Percent Of Total Expense0.10350PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense30655867TotalCommunityBenefitExpense
Direct Offsetting Revenue41124475DirectOffsettingRevenue
Net Community Benefit Expense-10468608NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense40984418TotalCommunityBenefitExpense
Direct Offsetting Revenue44164475DirectOffsettingRevenue
Net Community Benefit Expense-3180057NetCommunityBenefitExpense
Percent Of Total Expense0.10350PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense880931TotalCommunityBenefitExpense
Net Community Benefit Expense880931NetCommunityBenefitExpense
Percent Of Total Expense0.01250PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense880931TotalCommunityBenefitExpense
Net Community Benefit Expense880931NetCommunityBenefitExpense
Percent Of Total Expense0.01250PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense41865349TotalCommunityBenefitExpense
Direct Offsetting Revenue44164475DirectOffsettingRevenue
Net Community Benefit Expense-2299126NetCommunityBenefitExpense
Percent Of Total Expense0.11600PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense221915TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense221915NetCommunityBuildingExpense
Percent Of Total Expense0.00320PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense221915TotalCommunityBuildingExpense
Net Community Building Expense221915NetCommunityBuildingExpense
Percent Of Total Expense0.00320PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$7,940,225BadDebtExpenseAmount
Amount Attributable To7800000AmountAttributableTo
Amount Reimbursed By Medicare9819506AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare9483478CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall336028MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1DELANO REGIONAL MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11401 GARCES HWYAddressLine1
CityDELANOCity
StateCAState
ZIP Code93215ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1DELANO REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Insurance StatusXInsuranceStatus
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities5NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
WASCO MEDICAL PLAZA CLINIC
2300 7TH STREETWASCOCA93280RURAL CLINIC
DELANO WOMEN'S MEDICAL CLINIC
1201 JEFFERSONDELANOCA93215RURAL HEALTH CLINIC OB GYN
DELANO DIABETIC CLINIC
1519 GARCES HWYDELANOCA93215DIABETIC MONITORING AND SCREENING CLINIC
DELANO PROMPT CARE CLINIC
1201 JEFFERSONDELANOCA93215AFTER HOURS PROMPT CARE
DELANO WOUND CARE
1519 GARCES HWYDELANOCA93215WOUND CARE CLINIC FOR WOUNDS THAT ARE NOT HEALING PROPERLY.

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanationReturn ReferenceReturnReferenceIdentifierIdentifier
PART I, L7 COL(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 $7,940,225.
OUR COMMUNITY REPORT IS PUBLISHED AND DISTRIBUTED TO THE PUBLIC BY MAIL AND IS AVAILABLE FOR REVIEW AT OUR FACILITIES. A COPY IS ALSO SUBMITTED TO STATE AGENCIES THAT MAKES THE REPORT AVAILABLE TO THE PUBLIC.PART I, LINE 6:
PART II: COMMUNITY EDUCATION ON HEALTH, PROFESSIONAL EDUCATION, COMMUNITY SERVICE AND INVOLVEMENT, OUTREACHES, SPONSORSHIPS & DONATIONS, COMMUNITY SUPPORT - THESE PROGRAMS ARE AN EFFORT TO RAISE HEALTH AWARENESS, ENCOURAGE SCREENINGS AND PREVENTATIVE HEALTH CARE, IN ALL AREAS INCLUDING OB AND PRE NATEL EDUCATION.WE BEGAN, IN 2012, A PROGRAM IN CONJUNCTION WITH KERN FAMILY MANAGED CARE FOR DIABETIC PATIENTS TO COUNSEL, TRACK AND ENCOURAGE THE PATIENTS TO GET THEIR REGULAR LAB WORK, DR VISITS, MONTHLY MEETINGS ON DIET, EXERCISE, AND PHYSICAL SCREENINGS TO PREVENT THE HIGH ER ROOM UTILIZATION.PART III, LINE 2: COSTING METHODOLOGY: SEE FOOTNOTES PROVIDED FOR PART III, LINE 4.
PART III, LINE 4: FOOTNOTES FROM AUDITED FINANCIAL STATEMENTS:ACCOUNTS RECEIVABLE - ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE FOUNDATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE FOUNDATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND RECORDS THEM AT THE ESTIMATED NET COLLECTIBLE AMOUNT. ADDITIONALLY, THE FOUNDATION PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE FOUNDATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.CHARITY AND INDIGENT CARE - THE FOUNDATION PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY AND INDIGENT CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE FOUNDATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUES. DIRECT AND INDIRECT COSTS FOR PROVIDING CHARITY CARE ARE ESTIMATED BY CALCULATING A RATIO OF COST TO GROSS CHARGES AND THEN MULTIPLYING THAT RATIO BY THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. THE DIRECT AND INDIRECT COSTS RELATED TO THIS CARE TOTALED APPROXIMATELY $858,000 AND $887,000 IN 2012 AND 2011, RESPECTIVELY.DUE TO THE AREA WE SERVE MOST OF OUR TRADING AREA CITIZENS ARE LOWER AND LOW MIDDLE INCOME PEOPLE AND THEREFORE MOST OF THE BAD DEBT IS A COMMUNITY BENEFIT AS THEY ARE GETTING MEDICAL CARE AT FREE OR LOWERED AMOUNTS.IF A PATIENT IS IDENTIFIED AT REGISTRATION OR AFTER THE BILLING PROCESS IS INITIATED, THE PATIENT IS, DEPENDING ON INCOME, OFFERED A SLIDING SCALE DISCOUNT BASED ON % OF POVERTY THAT THEY ARE AT, OR FULL WRITEOFF. IF THE PATIENT DOES NOT RESPOND TO BILLING EFFORTS THEN POLICY DICTATES THAT WE SEND THEM, AFTER 4 STATMENTS, TO COLLECTION. CHARITY CARE CAN STILL BE GIVEN IF THE PATIENT RESPOND AFTER BEING SENT TO COLLECTION. BECAUSE WE ARE A FARMING COMMUNITY MOST SELF PAYS ARE TRANSIENT FORM WORKERS AND OFTEN DO NOT STAY AT THE ADDRESS WE HAVE IN THE RECORDS.
PART III, LINE 8: DEPENDING ON UTILIZATION AND CMI AVERAGE OF THE PATIENTS WE MAY BE EITHER ABOVE OR BELOW COST.COSTING METHODOLOGY: TOTAL COST AS A PERCENTAGE OF TOTAL NET REVENUE AND APPLY TOTAL COST TO THE NET REVENUE FOR MEDICARE.
PART III, LINE 9B: ONCE A PATIENT IS IDENTIFIED AS A CHARITY CARE PATIENT ALL COLLECTION EFFORTS CEASE.
PART VI, LINE 2: DELANO REGIONAL MEDICAL CENTER IS PART OF A CORE GROUP OF LOCAL HEALTHCARE AND COMMUNITY AGENCIES, THAT ASSESSES THE COMMUNITY NEEDS WE SERVE. THROUGH THE CREATION OF A WEB BASED INTERACTIVE NEEDS ASSESSMENT (WWW.HEALTHYKERN.ORG) NEEDS ARE ASSESSED THROUGH A CONSTANTLY UPDATED NEEDS ASSESSMENT WITH REPORTING AND TRACKING TOOLS. THIS WEB BASED ASSESSMENT PROVIDES A TOOL FOR COMMUNITY STRATEGIC PLANNING, BRINGS US TOGETHER WITH OTHER STAKEHOLDERS IN OUR COMMUNITY FOR PARTNERSHIP IN DETERMINING THE NEEDS AS WELL AS DEFINING BEST PRACTICES.
PART VI, LINE 3: BY LETTER AND AT ADMISSION, WE INFORM PATIENTS ABOUT THE AVAILABILITY TO HELP APPLY FOR SPECIFIC GOVERNMENTAL PROGRAM ASSISTANCE AND THE PATIENTS' ABILITY TO APPLY FOR CHARITY CONSIDERATION. ALSO, POSTERS IN BOTH ENGLISH AND SPANISH ARE DISPLAYED IN THE ER, WAITING AREA, CLINICS AND HOSPITAL ADMISSION AREAS INFORMING OF THE AVAILABILITY OF THE HOSPITAL'S PROGRAM TO ASSIST THROUGH THE CHARITY OR SLIDING FEE SCALE FOR THEIR BILL.
PART VI, LINE 4: THE HOSPITAL SERVES A CULTURALLY ABUNDANT AND DIVERSE POPULATION OF APPROXIMATELY 130,000 PEOPLE FROM THREE PRIMARY CULTURAL GROUPS: HISPANIC, FILIPINO AND CAUCASIAN. DRMC IS THE SOLE HOSPITAL PROVIDER WITHIN A 30 MILE RADIUS. OVER THE YEARS, THE HOSPITAL'S SERVICE AREA HAS BEEN FACED WITH MANY CHALLENGES. THESE INCLUDE HIGH RATES OF UNEMPLOYMENT, OBESITY, TEEN PREGNANCY, DIABETES, ASTHMA, POVERTY, SUBSTANCE ABUSE, LOW EDUCATIONAL ATTAINMENT, AND LIMITED ACCESS TO HEALTHCARE SERVICES. ALTHOUGH THESE ISSUES ARE NOT UNIQUE TO OUR SERVICE AREA, DATA SHOW THAT OUR COMMUNITIES ARE MUCH WORSE THAN THE AVERAGE COMMUNITY IN KERN COUNTY OR CALIFORNIA AS A WHOLE.THE FOLLOWING STATISTICS PRESENT A PICTURE OF THE COMMUNITIES WE SERVE.ETHNIC COMPOSITION: HISPANIC 68.47% WHITE 9.2% ASIAN/PACIFIC ISLANDER 15.9% BLACK 5.07% AMERICAN INDIAN 1.4%UNEMPLOYMENT RATE: OUR COMMUNITIES RANK #7 OUT OF THE 101 COMMUNITIES IN THE US FOR THE HIGHEST UNEMPLOYMENT RATE AT 35.2% (SEASONALLY ADJUSTED)ECONOMIC LEVELS: ACCORDING TO 2007 DATA, 28.2% OF OUR POPULATION FALL BELOW THE NATIONAL POVERTY LEVELS. THE CALIFORNIA STATE AVERAGE IS 14.2%EDUCATION: DESPITE GOOD API SCORES, 52% OF FAMILIES CONTINUE TO HAVE AN EDUCATION ATTAINMENT AND READING LEVEL AT THE THIRD GRADE LEVEL OR LOWER.PUBLIC ASSISTANCE: 285 OF FAMILIES RECEIVE AFDC AND 85% OF STUDENTS, DEPENDING ON SEASON, QUALIFY FOR FREE OR REDUCED PRICE LUNCHES AT SCHOOL.CULTURAL: OVER 20% OF FAMILIES ARE MIGRANT FARM WORKERS. 72% OF FAMILY ARE PRIMARILY SPANISH SPEAKING.
PART VI, LINE 5: DRMC'S COMMITMENT TO THE COMMUNITIES EXTENDS TO THE EMPLOYMENT OF A FULL TIME PROMOTORA (COMMUNITY HEALTH WORKER) WORKING WITHIN THE COMMUNITIES WE SERVE, AS WELL AS IN THE FARM FIELDS, ASSISTING THE MEDICALLY UNDERSERVED. THROUGH THIS PROGRAM HEALTH SCREENINGS, HEALTHSERVICES, EDUCATION, BASIC NEEDS SERVICES AND AN EXTENSIVE REFERRAL PROGRAM, HAVE BEEN PROVIDED TO 3,175 PEOPLE IN 2012.IN ADDITION TO THE PROMOTORA OUTREACHES, THE HOSPITAL ALSO CONDUCTS SEVERAL FREE HEALTH SCREENINGS, IMMUNIZATION CLINICS, AND EDUCATIONAL PROGRAMS FOR THE COMMUNITIES ANNUALLY. DRMC SUPPORTS, SPONSORS AND PARTICIPATES IN THE ACTIVITIES OF OTHER LOCAL ORGANIZATIONS AND PROJECTS THAT FOCUS ON HELPING OUR RESIDENTS. WE WORK CLOSELY WITH COMMUNITYCOLLABORATIVES AND OTHER HEALTH AGENCIES TO IDENTIFY AND ADDRESS THE SOCIAL AND HEALTH CARE NEEDS OF THE COMMUNITY WHICH INCLUDE SUCH ACTIVITIES AS FUNDING THE COMMUNITY SENIOR NUTRITION PROGRAM WHICH HELPS SERVE MEALS TO LOCAL SENIORS.SERVICE TO ASSIST THE COMMUNITY MEET THEIR NUTRITIONAL NEEDS EXHIBITS ITSELF IN PROVIDING LOCAL GARDENERS LAND TO GROW FRUITS AND VEGETABLES FOR THEIR FAMILIES AT NO COST.
PART VI, LINE 6: N/A
CAPART VI, LINE 7REPORTS FILED WITH STATES

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WILLIAM NOBLE
CHAIRMAN OF THE BOARD364100000000000364100000
BAHRAM GHAFFARI
PRESIDENT/CFO51500802575000000055920778100000
SHERRI JOHNSON
DIRECTOR OF NURSING162160000000055920167752000
DATTA BABITA
CLINIC PHYSICIAN417055000000055920422647000
TERRANCE MONRIAN
PHARMACIST DIRECTOR250694000000055920256286000
KEVIN DO
PHARMACIST205859000000055920211451000
LEE MEE YOUNG
PHARMACIST182511000000055920188103000
ROGER OSWALD
PHARMACIST177370000000055920182962000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 6ReturnReference
ExplanationPRESIDENT AND LEADERSHIP PERSONNEL ARE PAID AN ADDITIONAL SUM TO THEIR WAGES IF CERTAIN FINANCIAL GOALS ARE MET IN REGARDS TO NET INCOME, PATIENT SATISFACTION AND DEPARTMENTS MEETING THEIR BUDGETS.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF DELANO
A956000702245584BG12006-03-1615375000FINANCE THE ACQUISITION OF HOSPITAL INFORMATION SYSTEM AND EQUIPMENT000
CITY OF DELANO
B956000702245584BU02012-12-2030542500TO REFUND AND RETIRE 1998 BONDS AT A LOWER RATE OF INTEREST000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindOther Spent ProceedsOtherSpentProceeds
A3610000155036191772156307500136028440011
B305448893054250608239101126882401

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A00000.000000.000000.00000001
B00000.000000.000000.00000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDue
A110001
B000001100

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSCHEDULE K SUPPLENTAL INFORMATIONIdentifier
ExplanationPART II, LINE 3 - THE TOTAL INCLUDES CUMULATIVE INVESTMENT EARNINGS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS WERE APPOINTED WHEN THE ORGANIZATION WAS FORMED. UPON DEATH OR RESIGNATION OF ONE OF THE MEMBER, REMAINING MEMBERS ELECT/APPOINT NEW MEMBER. MEMBERS ARE ELECTED FOR LIFE AND CANNOT BE REMOVED UNLESS THEY CHOSE TO RESIGN. MEMBERS HAVE THE RIGHT TO NAME MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BCHANGES TO BY-LAWS BY THE GOVERNING BODY MUST BE APPROVE BY THE MEMBERS AS WELL AS THE DECISION TO SELL THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BEFORE FILING, FORM 990 IS REVIEWED BY THE AUDITING FIRM, CFO AND CEO.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE THROUGH A COMPLIANCE OFFICER MONITORING SYSTEM. WE STRESS WITH NEW EMPLOYEES AS WELL AS YEARLY AT THE EDUCATION FAIR THAT WE INVITE EMPLOYEES TO REPORT ANY HOSPITAL ACTIVITY THAT THEY THINK MIGHT BE A COMPLIANCE ISSUE EVEN TO A RECORDED PHONE # THAT IS MONITORED BY THE COMPLIANCE COMMITTEE. ALL COMPLIANCE ISSUES ARE INVESTIGATED BY THE COMPLIANCE DIRECTOR AND A COMMITTEE IF NEEDED. IF AN ISSUE EXISTS, A RECOMMENDED COURSE OF ACTION THAT WOULD INCLUDE NOTIFICATION TO THE PROPER AUTHORITY OF THE RESULT OF THE INVESTIGATION IS PRESENTED.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION IS BASED ON AN ANNUAL SURVEY OF THE CALIFORNIA HOSPITAL ASSN, SURVEYING RECRUITMENT AGENCIES, LEGAL COUNSEL CONSULTATION, DISCUSSION WITH BOARD COMMITTEE AND FINAL BOARD APPROVAL. SALARY SURVEYS AS WELL AS THE OTHER SOURCES LISTED ARE CONTINUOUSLY MONITORED.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATION OFFICE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1DELANO HEALTH ASSOCIATES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11401 GARCES HWYAddressLine1
CityDELANOCity
StateCAState
ZIP Code93215ZIPCode
FieldValueIRS element (for citing)
EIN770340007EIN
Primary ActivityTO PROVIDE HEALTH CARE AND HEALTH RELATED SERVICES.PrimaryActivity
Legal Domicile StateCALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Share Of Total Income832005ShareOfTotalIncome
Share Of EOY Assets142326ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1DELANO HEALTH ASSOCIATES INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypePTransactionType
Amount Involved891133AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination