STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

ADVENTIST HEALTH DELANO: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ADVENTIST HEALTH DELANO (EIN 77-0258013)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201143189349307754
Schema version
2010v3.4
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)
Timestamp2011-11-14T17:50:38-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-01-01TaxPeriodBeginDate

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
TitleEXECUTIVE DIRECTOR & CFOTitle
Phone6617215229Phone
Date Signed2011-11-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTRACY S PAGLIAName
Phone2099556100Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

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 Receipts98365146GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
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 SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees718TotalNbrEmployees
Total Nbr Volunteers46TotalNbrVolunteers
Total Gross UBI60325TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year31875ContributionsGrantsPriorYear
Contributions Grants Current Year108294ContributionsGrantsCurrentYear
Program Service Revenue Prior Year65196980ProgramServiceRevenuePriorYear
Program Service Revenue CY75774893ProgramServiceRevenueCY
Investment Income Prior Year1035134InvestmentIncomePriorYear
Investment Income Current Year1199380InvestmentIncomeCurrentYear
Other Revenue Prior Year471955OtherRevenuePriorYear
Other Revenue Current Year457800OtherRevenueCurrentYear
Total Revenue Prior Year66735944TotalRevenuePriorYear
Total Revenue Current Year77540367TotalRevenueCurrentYear
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 Year31038039SalariesEtcPriorYear
Salaries Etc Current Year34440622SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year32596607OtherExpensePriorYear
Other Expenses Current Year36942568OtherExpensesCurrentYear
Total Expenses Prior Year63634646TotalExpensesPriorYear
Total Expenses Current Year71383190TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3101298RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6157177RevenuesLessExpensesCY
Total Assets BOY100565148TotalAssetsBOY
Total Assets EOY104465645TotalAssetsEOY
Total Liabilities BOY56218540TotalLiabilitiesBOY
Total Liabilities EOY54082829TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY44346608NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY50382816NetAssetsOrFundBalancesEOY
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 SERVICESMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense56986721Expense
Grants0Grants
Revenue75774893Revenue
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 Expense56986721TotalProgramServiceExpense
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 With1096141NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees718NumberOfEmployees
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 Members3NumberIndependentVotingMembers
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 (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
WILLIAM NOBLE
CHAIRMAN20.00X24500000
ROSEMARIE BANS
BOARD MEMBER1.00X000
DILBAGH GEHLAWAT MD
BOARD MEMBER1.00X4674000
LYNOUS HALL MD
BOARD MEMBER1.00X4587500
BRIAN KOMOTO
BOARD MEMBER1.00X000
SHERYL WIGGINS
BOARD MEMBER1.00X600000
LYNDA HYLTON
BOARD MEMBER1.00X000
BAHRAM GHAFFARI
EXECUTIVE DIRECTOR & CFO40.0056724303412X
TERRY MONRIAN
PHARMACIST40.0021804303412X
MEE YOUNG LEE
PHARMACIST40.0017104003412X
JENNIFER TELAN
PHARMACIST40.0016559403412X
ROGER OSWALD
PHARMACIST40.0016756703412X
KEVIN DO
PHARMACIST40.0016150703412X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1794609TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation20472TotalOtherCompensation
Number Individuals GT100 K24NumberIndividualsGT100K
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 SERVICES1212311
SUNG HYUN
PO BOX 7096STOCKTONCA95267ANESTHESIOLOGIST707396
HEALTHCARE PERFORMANCE GROUP
PO BOX 588SPRINGHILLKS66083INFORMATION SYSTEM CONSULTANT380404
DEBBIE DENNIS JOHNSON
8766 SUNSET AVEFAIR OAKSCA95628CLINIC PHYSICIAN255097
OPTIMA HEALTHCARE
9229 SIERRA COLLEGE BLVDROSEVILLECA95661NURSE REGISTRY245540
FieldValueIRS element (for citing)
Number Of Contractors GT100 K19NumberOfContractorsGT100K
Government Grants106610GovernmentGrants
All Other Contributions1684AllOtherContributions
Total Contributions108294TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAL PMTS6214006201378562013785
PATIENT SERVICES REV.6214001376110813761108
FieldValueIRS element (for citing)
Total Program Service Revenue75774893TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1199380TotalRevenueColumn
Exclusion$1,199,380ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real104810Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real104810Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column104810TotalRevenueColumn
Exclusion$104,810ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities20824779Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities20824779Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA SALES722100252576$252,576
MANAGEMENT FEES - DHA5610006032560325
EDUCATION61171011920$11,920

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column28169TotalRevenueColumn
Exclusion$28,169ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue352990TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column77540367TotalRevenueColumn
Related Or Exempt Function Income75774893RelatedOrExemptFunctionIncome
Unrelated Business Revenue60325UnrelatedBusinessRevenue
Exclusion$1,596,855ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total815655Total
Management And General815655ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total26225300Total
Program Services20563629ProgramServices
Management And General5661671ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5309779Total
Program Services3413038ProgramServices
Management And General1896741ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2089888Total
Program Services1583509ProgramServices
Management And General506379ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total260722Total
Management And General260722ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total110000Total
Management And General110000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4844307Total
Program Services3470453ProgramServices
Management And General1373854ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7758943Total
Program Services6689751ProgramServices
Management And General1069192ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total584120Total
Program Services350472ProgramServices
Management And General233648ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1086080Total
Program Services52749ProgramServices
Management And General1033331ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total64516Total
Program Services15345ProgramServices
Management And General49171ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total50647Total
Program Services9714ProgramServices
Management And General40933ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2179573Total
Program Services2179573ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5814266Total
Program Services5814266ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total779193Total
Program Services470954ProgramServices
Management And General308239ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
QUALITY ASSURANCE FEE S62405076240507
PROVISION FOR BAD DEBT52867395286739
REPAIRS AND MAINTENANCE1181553846022335531

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total701402Total
Management And General701402ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total71383190Total
Program Services56986721ProgramServices
Management And General14396469ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY508655BOY
EOY506053EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5200095BOY
EOY4413215EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY12939765BOY
EOY11075845EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY164581BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY840903BOY
EOY795451EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY585467BOY
EOY621792EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis94572803LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec42665615LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY52228804BOY
EOY51907188EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY26150908BOY
EOY30475205EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY118354BOY
EOY182572EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1827616BOY
EOY4488324EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY100565148BOY
EOY104465645EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4191171BOY
EOY4575948EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY354453BOY
EOY332184EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY50687080BOY
EOY48228200EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY7257BOY
EOY6228EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY978579BOY
EOY940269EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY56218540BOY
EOY54082829EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY44346608BOY
EOY50382816EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY44346608BOY
EOY50382816EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY100565148BOY
EOY104465645EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses6157177ReconcilationRevenueExpenses
Reconcilation Other Changes-120969ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Basis52901101OtherCostOrOtherBasis
Depreciation24703831Depreciation
Book Value28197270BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis37358277OtherCostOrOtherBasis
Depreciation17722721Depreciation
Book Value19635556BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis673930OtherCostOrOtherBasis
Depreciation239063Depreciation
Book Value434867BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings51907188TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionACCRUED BOND INTERESTDescription
Amount$940,269Amount
FieldValueIRS element (for citing)
Total Of Amounts940269TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE FOUNDATION ADOPTED THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740-10, INCOME TAXES, RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS ON JANUARY 1, 2007, WHICH HAD NO FINANCIAL STATEMENT IMPACT TO THE FOUNDATION. THE FOUNDATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE FOUNDATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OTHER DIRECT EXPENSES.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care0AmountsBudgetedForCharityCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served1541PersonsServed
Total Community Benefit Expense658477TotalCommunityBenefitExpense
Net Community Benefit Expense658477NetCommunityBenefitExpense
Percent Of Total Expense0.01000PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense23109142TotalCommunityBenefitExpense
Direct Offsetting Revenue14591904DirectOffsettingRevenue
Net Community Benefit Expense8517238NetCommunityBenefitExpense
Percent Of Total Expense0.12890PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served1541PersonsServed
Total Community Benefit Expense23767619TotalCommunityBenefitExpense
Direct Offsetting Revenue14591904DirectOffsettingRevenue
Net Community Benefit Expense9175715NetCommunityBenefitExpense
Percent Of Total Expense0.13890PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served1237PersonsServed
Total Community Benefit Expense39731TotalCommunityBenefitExpense
Net Community Benefit Expense39731NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served1237PersonsServed
Total Community Benefit Expense39731TotalCommunityBenefitExpense
Net Community Benefit Expense39731NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served2778PersonsServed
Total Community Benefit Expense23807350TotalCommunityBenefitExpense
Direct Offsetting Revenue14591904DirectOffsettingRevenue
Net Community Benefit Expense9215446NetCommunityBenefitExpense
Percent Of Total Expense0.13950PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$2,046,483BadDebtExpenseAmount
Amount Attributable To2000000AmountAttributableTo
Amount Reimbursed By Medicare7002389AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare5283532CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall1718857MedicareSurplusOrShortfall

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

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanationReturn ReferenceReturnReferenceIdentifierIdentifier
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 $ 5286739.
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 III, LINE 4: WE ARE A LOW INCOME AREA OF KERN COUNTY. MOST OF THE PATIENTS THAT DO NOT QUALIFY FOR GOVERNMENTAL ASSISTANCE ARE FARM WORKERS AND OTHER LOW INCOME PEOPLE. MANY TIMES THEY CANNOT BE FOLLOWED UP WITH TO GET MINIMAL DOCUMENTATION THAT WOULD INDICATE THEIR POVERTY OR BELOW POVERTY STATUS.COSTING METHODOLOGY: AVERAGE PERCENTAGE OF EXPENSE OF HOSPITAL AS A PERCENTAGE OF GROSS REVENUE.FOOTNOTES FROM AUDITED FINANCIAL STATEMENTS: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. CHARGES FOREGONE FOR CHARITY AND INDIGENT CARE APPROXIMATED $2,056,000 AND $2,327,000 IN 2010 AND 2009, RESPECTIVELY.
PART III, LINE 8: DEPENDING ON UTILIZATION AND CMI AVERAGE OF THE PATIENTS WE MAY BE EITHER ABOVE OR BELOW COSTCOSTING 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 6: 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 3,388 PEOPLE IN 2009.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 COMMUNITY COLLABORATIVES 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 7: N/A
CAPART VI, LINE 7REPORTS FILED WITH STATES

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
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 Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base 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
245000000000000245000000
BAHRAM GHAFFARI
567243000000034120570655000
TERRY MONRIAN
218043000000034120221455000
MEE YOUNG LEE
171040000000034120174452000
JENNIFER TELAN
165594000000034120169006000
ROGER OSWALD
167567000000034120170979000
KEVIN DO
161507000000034120164919000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF DELANOBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN956000702IssuerEIN
CUSIP Number245584BG1CUSIPNumber
Date Issued2006-03-16DateIssued
Issue Price15375000IssuePrice
Description Of PurposeFINANCE THE ACQUISITION OF HOSPITAL INFORMATION SYSTEM AND EQUIPMENTDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds15486119TotalProceeds
Amount In Reserve Fund1657449AmountInReserveFund
Issuance Costs From Proceeds307500IssuanceCostsFromProceeds
Capital Expenditures13717551CapitalExpenditures
Year Of Subst Completion2009YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged0BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierPART II LINE 3Identifier
Return ReferenceTOTAL PROCEEDS OF ISSUEReturnReference
ExplanationTHE TOTAL INCLUDES CUMULATIVE INVESTMENT EARNINGS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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 GORVERNING 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.
THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE THROUGH A COMPLIANCE OFFICER MONITORING SYSTEM.FORM 990, PART VI, SECTION B, LINE 12C
COMPENSATION 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.FORM 990, PART VI, SECTION B, LINE 15
GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR VIEWING AT THE ADMINISTRATION OFFICE DURING BUSINESS HOURS.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -120,969.FORM 990, PART XI, LINE 5:

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 Income1213375ShareOfTotalIncome
Share Of EOY Assets308990ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
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
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 Org1ReimbursementPaidByOtherOrg
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 TypeOTransactionType
Amount Involved1212311AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination