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SAN GORGONIO MEMORIAL HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
SAN GORGONIO MEMORIAL HOSPITAL (EIN 33-0420041)
Tax period
2024-07-01 to 2025-06-30
Filed
2026-05-07
IRS object ID
202611279349304161
Schema version
2024v5.5
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)
Return2026-05-07T16:20:44-05:00ReturnTs
Tax Period End2025-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN393647910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI ADVISORY LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1105 E PINE ST UPPER FLOORAddressLine1Txt
CityMISSOULACityNm
State AbbreviationMTStateAbbreviationCd
ZIP59802ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN330420041EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAN GORGONIO MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSANGBusinessNameControlTxt
Phone9518451121PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 NORTH HIGHLAND SPRINGS AVENUEAddressLine1Txt
CityBANNINGCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92220ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHELE FINNEYPersonNm
Person TitleCEOPersonTitleTxt
Phone9518451121PhoneNum
Signature2026-05-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSAM BRUNSON CPAPreparerPersonNm
PTINP01696998PTIN
Phone4067281800PhoneNum
Preparation2026-05-06PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHELE FINNEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 NORTH HIGHLAND SPRINGS AVENUEAddressLine1Txt
CityBANNINGCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92220ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$112,433,101GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SGMH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1991FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionSAN GORGONIO MEMORIAL HOSPITAL IS A NONPROFIT PUBLIC BENEFIT CORPORATION FORMED FOR THE PURPOSE OF RESTORING HEALTH AND RELIEVING SUFFERING BY PROVIDING SAFE, HIGH-QUALITY, AFFORDABLE HEALTHCARE SERVICES.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee764TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,397,081PYContributionsGrantsAmt
CY Contributions Grants$7,007,662CYContributionsGrantsAmt
PY Program Service Revenue$95,823,909PYProgramServiceRevenueAmt
CY Program Service Revenue$101,419,694CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$440,224CYInvestmentIncomeAmt
PY Other Revenue-$2,822,063PYOtherRevenueAmt
CY Other Revenue$3,565,521CYOtherRevenueAmt
PY Total Revenue$94,398,927PYTotalRevenueAmt
CY Total Revenue$112,433,101CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$56,968,252PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$59,322,159CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$147,199CYTotalFundraisingExpenseAmt
PY Other Expenses$46,117,384PYOtherExpensesAmt
CY Other Expenses$60,133,884CYOtherExpensesAmt
PY Total Expenses$103,085,636PYTotalExpensesAmt
CY Total Expenses$119,456,043CYTotalExpensesAmt
PY Revenues Less Expenses-$8,686,709PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$7,022,942CYRevenuesLessExpensesAmt
Total Assets BOY$33,962,200TotalAssetsBOYAmt
Total Assets EOY$29,684,757TotalAssetsEOYAmt
Total Liabilities BOY$83,706,479TotalLiabilitiesBOYAmt
Total Liabilities EOY$86,451,978TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$49,744,279NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$56,767,221NetAssetsOrFundBalancesEOYAmt
MissionSAN GORGONIO MEMORIAL HOSPITAL IS A NONPROFIT PUBLIC BENEFIT CORPORATION FORMED FOR THE PURPOSE OF RESTORING HEALTH AND RELIEVING SUFFERING BY PROVIDING SAFE, HIGH-QUALITY, AFFORDABLE HEALTHCARE SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$97,340,836ExpenseAmt
Grant$0GrantAmt
Revenue$104,080,939RevenueAmt
DescTHE HOSPITAL IS COMPRISED OF AN ACUTE CARE FACILITY WHICH PROVIDES HEALTHCARE SERVICES. THE HOSPITAL PROVIDED E/R VISITS (43,285), I/P DISCHARGES (2,410), O/P REGISTRATIONS (6,228), LESS E/R ADMITTED AS I/P (-2,435), AND BEHAVIORAL HEALTH VISITS (19,146) FOR A TOTAL OF 68,634 VISITS, AND PROVIDED 9,562 DAYS OF CARE DURING THE FISCAL YEAR. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT AN AMOUNT BELOW COST, AND PROVIDES CARE TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CHARITY $1,132,981. UNPAID MEDI-CAL PROGRAM CHARGES WERE $166,410,647. UNPAID MEDICARE PROGRAM CHARGES FOR THE FISCAL YEAR WERE $69,272,220. TOTAL QUANTIFIABLE COMMUNITY BENEFITS WERE $236,815,848.Desc
Total Program Service Expenses$97,340,836TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document38IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee764EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DANIEL HECKATHORNE CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9518451121PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 NORTH HIGHLAND SPRINGS AVENUEAddressLine1Txt
CityBANNINGCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92220ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
SUSAN DIBIASI
CHAIRPERSON5.00Yes (X)Yes (X)$3,100$0$0
STEVEN RUTHLEDGE
VICE CHAIR5.00Yes (X)Yes (X)$3,100$0$0
RON RADER
SECRETARY5.00Yes (X)Yes (X)$3,400$0$0
DARRELL PETERSON
TREASURER3.00Yes (X)Yes (X)$1,900$0$0
PATRICIA BROWN
BOARD MEMBER3.00Yes (X)$0$0$0
SHANNON MCDOUGALL
BOARD MEMBER3.00Yes (X)$1,400$0$0
LANNY SWERDLOW
BOARD MEMBER3.00Yes (X)$1,500$0$0
RANDAL STEVENS
BOARD MEMBER3.00Yes (X)$1,300$0$0
DORIS FOREMAN
BOARD MEMBER3.00Yes (X)$0$0$0
PERRY GOLDSTEIN
BOARD MEMBER3.00Yes (X)$0$0$0
DENNIS TANKERSLEY
BOARD MEMBER (TERM 12/24)3.00Yes (X)$0$0$0
STEVE BARRON
CHIEF EXECUTIVE OFFICER40.00Yes (X)$468,591$0$23,430
DANIEL HECKATHORNE
CHIEF FINANCIAL OFFICER40.00Yes (X)$263,186$0$13,159
ANGELA BRADY
CHIEF OF NURSING40.00Yes (X)$248,068$0$12,403
TZARIMNAH KARAM
VP OF HUMAN RESOURCES40.00Yes (X)$201,707$0$10,085
JOHN PELEUSES
VP, ANCILLARY SERVICES40.00Yes (X)$222,184$0$11,109
JOSE RUIZ
IMAGING TECHNICIAN40.00$224,073$0$11,204Yes (X)
ASHLEY D BARAGRY
REGISTERED NURSE40.00$207,732$0$10,387Yes (X)
ANA VALDEZ
DIRECTOR OF RISK/PERFORMANCE IMPROVEMENT40.00$205,799$0$10,290Yes (X)
RIEL T SAGUN
REGISTERED NURSE40.00$198,669$0$9,933Yes (X)
ANNA KAMPANARTSANYAKORN
REGISTERED NURSE40.00$191,073$0$9,554Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,446,782TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$121,554TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K169IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ALLSCRIPTS HEALTHCARE LLC
24630 NETWORK PLCHICAGOIL60673EHR SOFTWARE AND SUPPORT$5,710,838
SAYCO BUILDERS
31566 RAILROAD CANYON RD STE 2 1CANYON LAKECA92587CONSTRUCTION SERVICES$2,801,108
CONCORDANCE
14540 INNOVATION DRRIVERSIDEOH44101MEDICAL AND GENERAL SUPPLIES$2,347,576
CARDINAL HEALTH 110 LLC
PO BOX 56412LOS ANGELESCA90074PHARMACUTICLES$2,322,640
ANESTHESIA CONSULTING PARTNERS
700 E REDLANDS BLVDREDLANDSCA92373PHYSICIAN/ANESTHESIA SERVICES$1,920,369
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K78CntrctRcvdGreaterThan100KCnt
Government Grants$7,007,662GovernmentGrantsAmt
Total Contributions$7,007,662TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621110$101,119,694$101,119,694
MANAGEMENT FEE REVENUE900099$300,000$300,000
FieldValueIRS element (for citing)
Total Program Service Revenue$101,419,694TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$440,224TotalRevenueColumnAmt
Exclusion$440,224ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
IEHP P4P REVENUE900099$1,443,056$1,443,056
PT JV REIMBURSEMENT621300$1,218,189$1,218,189
CAFETERIA SALES722514$560,698$560,698

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$343,578TotalRevenueColumnAmt
Exclusion$343,578ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,565,521OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$112,433,101TotalRevenueColumnAmt
Related Or Exempt Func Income$104,080,939RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,344,500ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,657,905TotalAmt
Management And General$1,657,905ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$47,713,140TotalAmt
Program Services$38,206,885ProgramServicesAmt
Management And General$9,412,599ManagementAndGeneralAmt
Fundraising$93,656FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,288,570TotalAmt
Program Services$1,059,383ProgramServicesAmt
Management And General$226,590ManagementAndGeneralAmt
Fundraising$2,597FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,015,982TotalAmt
Program Services$3,887,888ProgramServicesAmt
Management And General$1,118,564ManagementAndGeneralAmt
Fundraising$9,530FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,646,562TotalAmt
Program Services$2,826,451ProgramServicesAmt
Management And General$813,183ManagementAndGeneralAmt
Fundraising$6,928FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$367,666TotalAmt
Management And General$367,666ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$523,607TotalAmt
Management And General$523,607ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$128,053TotalAmt
Management And General$128,053ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$18,151,385TotalAmt
Program Services$14,069,138ProgramServicesAmt
Management And General$4,047,759ManagementAndGeneralAmt
Fundraising$34,488FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$32,269TotalAmt
Management And General$32,269ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,408,095TotalAmt
Program Services$2,046,881ProgramServicesAmt
Management And General$361,214ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,146,828TotalAmt
Program Services$4,374,804ProgramServicesAmt
Management And General$772,024ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,031,420TotalAmt
Program Services$1,726,707ProgramServicesAmt
Management And General$304,713ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$33,307TotalAmt
Program Services$13,323ProgramServicesAmt
Management And General$19,984ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$121,730TotalAmt
Program Services$36,519ProgramServicesAmt
Management And General$85,211ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,022,581TotalAmt
Management And General$1,022,581ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$709,122TotalAmt
Program Services$602,754ProgramServicesAmt
Management And General$106,368ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,698,375TotalAmt
Program Services$1,596,472ProgramServicesAmt
Management And General$101,903ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$13,001,971$13,001,971
MEDICAL SUPPLIES$9,489,952$9,489,952
NON-MEDICAL SUPPLIES$1,513,740$1,210,992$302,748
REPAIRS & MAINTENANCE$1,226,582$1,042,595$183,987

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,527,201TotalAmt
Program Services$2,148,121ProgramServicesAmt
Management And General$379,080ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$119,456,043TotalAmt
Program Services$97,340,836ProgramServicesAmt
Management And General$21,968,008ManagementAndGeneralAmt
Fundraising$147,199FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$18,062,264BOYAmt
EOY$5,245,787EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$18,338BOYAmt
EOY$35,813EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$283,782BOYAmt
EOY$701,794EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,681,423BOYAmt
EOY$9,005,980EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,075,663BOYAmt
EOY$2,510,280EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$364,122BOYAmt
EOY$364,122EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,864,048LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,118,372LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,421,067BOYAmt
EOY$1,745,676EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,055,541BOYAmt
EOY$10,075,305EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$33,962,200BOYAmt
EOY$29,684,757EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,831,076BOYAmt
EOY$17,319,963EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$14,637,471BOYAmt
EOY$12,000,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$57,237,932BOYAmt
EOY$57,132,015EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$83,706,479BOYAmt
EOY$86,451,978EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$49,744,279BOYAmt
EOY-$56,767,221EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$49,744,279BOYAmt
EOY-$56,767,221EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$33,962,200BOYAmt
EOY$29,684,757EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$7,022,942ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$105,780BeginningYearBalanceAmt
Investment Earnings Or Losses-$105,576InvestmentEarningsOrLossesAmt
Administrative Expenses$204AdministrativeExpensesAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$92,062BeginningYearBalanceAmt
Investment Earnings Or Losses$14,750InvestmentEarningsOrLossesAmt
Administrative Expenses$1,083AdministrativeExpensesAmt
End Year Balance$105,780EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$109,863BeginningYearBalanceAmt
Investment Earnings Or Losses-$16,716InvestmentEarningsOrLossesAmt
Administrative Expenses$1,034AdministrativeExpensesAmt
End Year Balance$92,113EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$97,072BeginningYearBalanceAmt
Investment Earnings Or Losses$13,950InvestmentEarningsOrLossesAmt
Administrative Expenses$1,159AdministrativeExpensesAmt
End Year Balance$109,863EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$327,572BeginningYearBalanceAmt
Investment Earnings Or Losses-$29,400InvestmentEarningsOrLossesAmt
Other Expenditures$200,000OtherExpendituresAmt
Administrative Expenses$1,100AdministrativeExpensesAmt
End Year Balance$97,072EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,864,048OtherCostOrOtherBasisAmt
Depreciation$3,118,372DepreciationAmt
Book Value$1,745,676BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,745,676TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
BENEFICIAL INTEREST IN NET ASSETS OF SAN GORGONIO HOSPITAL FOUNDATION$861,015
ACCRUED MANAGEMENT FEES$1,500,000
ERC RECEIVALBE$7,714,290
FieldValueIRS element (for citing)
Total Book Value Other Assets$10,075,305TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS$6,297,086
LEASES PAYABLE$668,907
DUE TO RELATED PARTY$49,137,247
SUBSCRIPTION-BASED LIABILITIES$452,677
HOSPITAL CP LEASE$576,098
FieldValueIRS element (for citing)
Total Liability$57,132,015TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationSAN GORGONIO MEMORIAL HOSPITAL FOUNDATION HOLDS FUNDS RESTRICTED FROM THE MORONGO TRIBE TO BE USED FOR SPECIFIC HOSPITAL PURPOSES.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,171,083TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,291,417DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,879,666NetCommunityBenefitExpnsAmt
Total Expense0.12100TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,423,813TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,879,528DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,544,285NetCommunityBenefitExpnsAmt
Total Expense0.14600TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$43,594,896TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,170,945DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,423,951NetCommunityBenefitExpnsAmt
Total Expense0.26700TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,178TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$45,178NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$946,120TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$946,120NetCommunityBenefitExpnsAmt
Total Expense0.00890TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,000NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$992,298TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$992,298NetCommunityBenefitExpnsAmt
Total Expense0.00930TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$44,587,194TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,170,945DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,416,249NetCommunityBenefitExpnsAmt
Total Expense0.27630TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$13,001,971BadDebtExpenseAmt
Reimbursed By Medicare$14,002,105ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$25,047,993CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$11,045,888MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAN GORGONIO MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 NORTH HIGHLAND SPRINGS AVEAddressLine1Txt
CityBANNINGCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92220ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.SGMH.ORGWebsiteAddressTxt
State License1568469997StateLicenseNum
Subordinate Hospital EIN330420041SubordinateHospitalEIN
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SAN GORGONIO MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, LINE 7D:OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, LINE 7D:StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SAN GORGONIO MEMORIAL HOSPITALPART V, SECTION B, LINE 5: DISTRICT BOARD AND COMMUNITY LEADERS WERE CONTACTED FOR INFORMATION AND THE NEEDS ASSESSMENT WAS PRODUCED BY AND WITH OTHER HOSPITALS IN THE AREA.
SAN GORGONIO MEMORIAL HOSPITALPART V, SECTION B, LINE 6A: THE ASSESSMENT WAS CONDUCTED IN COLLABORATION WITH LOMA LINDA UNIVERSITY HOSPITAL.
SAN GORGONIO MEMORIAL HOSPITALPART V, SECTION B, LINE 7D: HTTPS://WWW.SGMH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION-STRATEGY-REPORT
SAN GORGONIO MEMORIAL HOSPITALPART V, SECTION B, LINE 11: IT WOULD BE FISCALLY IMPOSSIBLE FOR THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS OF THE COMMUNITY, BUT THROUGH CONTINUED COLLABORATION WITH OTHER COMMUNITY AGENCIES THE HOSPITAL HOPES TO CONTINUE TO IDENTIFY PRIORITY AREAS WHERE THEY CAN MAKE THE MOST IMPACT. THE HOSPITAL HAS IDENTIFIED ACCESS TO HEALTH CARE, BEHAVIORAL HEALTH, WOMEN'S HEALTH SERVICES, AND CHRONIC DISEASE WITH A SPECIAL EMPHASIS ON STROKE CARE AS THEIR PRIORITY AREAS. THESE WERE CHOSEN AS BROAD PRIORITIES TO ADDRESS A WIDE SPECTRUM OF INTERVENTIONS IN PARTNERSHIP WITH THE COMMUNITY. A FOCUS WILL ALLOW TRUE IMPACT VERSUS BEING FRAGMENTED AND INEFFECTIVE. A DETAILED COMMUNITY HEALTH PLAN HAS BEEN DEVELOPED WITH KEY METRICS FOR EACH OF THE PRIORITY AREAS.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:A COST-TO-CHARGE RATIO WAS CALCULATED USING WORKSHEET 2.
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 $ 13,001,971.
PART II, COMMUNITY BUILDING ACTIVITIES:WE SUPPLIED HEALTHY BALANCES MEALS TO OUR HOMEBOUND SENIORS THAT NEEDED ASSISTANCE AND TO OUR AUXILIARY MEMBERS WHO GRACIOUSLY DONATE THEIR TIME TO ASSIST AT THE HOSPITAL. ALSO, WE HAVE HAD MANY CLASSES FOR OUR ASSOCIATES AS WELL AS TUITION ASSISTANCE TO FURTHER THEIR CAREER.
PART III, LINE 2:THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED INCLUDES THE COST TO CHARGE RATIO OF PATIENT CARE.
PART III, LINE 3:BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE POLICY CANNOT BE DETERMINED. THE HOSPITAL DID NOT TRACK THE AMOUNT OF BAD DEBT EXPENSE THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY, AND FURTHERMORE SUFFICIENT INFORMATION WAS NOT OBTAINED FROM ALL PATIENTS THAT MIGHT BE ELIGIBLE TO MAKE THIS DETERMINATION AND CALCULATION.
PART III, LINE 4:THE FOOTNOTE DESCRIBING BAD DEBT EXPENSE IS ON PAGE 10 OF THE ATTACHED FINANCIAL STATEMENTS (PATIENT ACCOUNTS RECEIVABLE AND CREDIT POLICY FOOTNOTE).
PART III, LINE 8:ANY SHORTFALL IS DEEMED A COMMUNITY BENEFIT IN ITS ENTIRETY.
PART III, LINE 9B:IT IS THE POLICY OF SAN GORGONIO MEMORIAL HOSPITAL THAT ALL PATIENTS WILL BE TREATED FAIRLY IN PRICING AND COLLECTION PRACTICES. THE HOSPITAL'S REGISTRATION AND PATIENT FINANCIAL SERVICES STAFF WILL MAKE A REASONABLE ATTEMPT TO ESTIMATE EACH PATIENT'S LIABILITY. THE HOSPITAL'S PFS STAFF, IN CONJUNCTION WITH CONTRACTED EARLY OUT AGENCIES WILL MAKE A SUBSEQUENTLY ATTEMPT TO COLLECT EACH PATIENT'S LIABILITY AND TO OFFER DISCOUNT AND CHARITY CARE APPLICATIONS. THIS IS OFFERED IN COMPLIANCE WITH CALIFORNIA ASSEMBLY BILL 774 (STATUTES OF 2006) AND SB 1276 (CHAPTER 758, STATUES OF 2014). THIS POLICY DOES NOT APPLY TO ANY PHYSICIAN SERVICES RENDERED AT SGMH.
PART VI, LINE 2:THE MANAGEMENT TEAM, HOSPITAL DEPARTMENT STAFF AND MANAGERS, AND THE BOARD OF DIRECTORS ARE COMPRISED OF COMMUNITY MEMBERS. THEY ARE ABLE TO GATHER AND COMMUNICATE THE HEALTH CARE NEEDS OF THE COMMUNITY THE HOSPITAL SERVES AND CONTINUALLY ADDRESS THEM AT STAFF AND BOARD MEETINGS. THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS PUBLICLY AVAILABLE ON THE INTERNET AT: HTTP://WWW.SGMH.ORG. THE HOSPITAL CONDUCTED A CHNA/IMPLEMENTATION STRATEGY IN 2022 THAT IS ALSO POSTED ON THE ORGANIZATION'S WEBSITE, AND WILL BE APPLICABLE TO THE COMING FEW YEARS' FORM 990S.
PART VI, LINE 3:IT IS THE HOSPITAL'S POLICY THAT WHEN IT BECOMES APPARENT THAT A PATIENT MAY HAVE DIFFICULTY IN MEETING HIS/HER FINANCIAL RESPONSIBILITY TO THE HOSPITAL, THE PATIENT WILL BE REQUESTED TO COMPLETE THE APPLICATION PROCESS FOR CALIFORNIA MEDI-CAL AND/OR OTHER AVAILABLE PROGRAMS. HOSPITAL STAFF ASSIST IN THE APPLICATION PROCESS. PATIENTS WHO DO NOT QUALIFY FOR CALFORNIA MEDI-CAL OR OTHER ASSISTANCE MAY APPLY FOR THE HOSPITAL'S ASSISTANCE PROGRAM.
PART VI, LINE 4:THE HOSPITAL IS CLASSIFIED BY THE STATE OF CALIFORNIA AS A RURAL HOSPITAL LOCATED IN THE PASS AREA OF RIVERSIDE COUNTY. IT PRIMARILY SERVES THE CITIES OF BANNING, BEAUMONT, CABAZON, AND CALIMESA, CALIFORNIA. THE POPULATION SERVED IS HIGH-RISK DUE TO POVERTY LEVEL INCOMES, LOW EDUCATION LEVELS, AND HIGH DRUG USE. THE COUNTY HAS AN UNEMPLOYMENT RATE OF 8.7%. THE HOSPITAL'S PAYOR MIX INCLUDED APPROXIMATELY 31% MEDI-CAL RECIPIENTS AND 5% UNINSURED.
PART VI, LINE 5:THE HOSPITAL CONTINUES TO STRIVE TO MEET THE HEALTH NEEDS OF ITS COMMUNITY AS THESE NEEDS EVOLVE.
PART VI, LINE 7, REPORTS FILED WITH STATESCA

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEVE BARRON
CHIEF EXECUTIVE OFFICER$468,591$0$0$0$0$0$23,430$0$0$0$492,021$0$0$0
DANIEL HECKATHORNE
CHIEF FINANCIAL OFFICER$263,186$0$0$0$0$0$13,159$0$0$0$276,345$0$0$0
ANGELA BRADY
CHIEF OF NURSING$248,068$0$0$0$0$0$12,403$0$0$0$260,471$0$0$0
JOSE RUIZ
IMAGING TECHNICIAN$224,073$0$0$0$0$0$11,204$0$0$0$235,277$0$0$0
JOHN PELEUSES
VP, ANCILLARY SERVICES$222,184$0$0$0$0$0$11,109$0$0$0$233,293$0$0$0
ASHLEY D BARAGRY
REGISTERED NURSE$207,732$0$0$0$0$0$10,387$0$0$0$218,119$0$0$0
ANA VALDEZ
DIRECTOR OF RISK/PERFORMANCE IMPROVE$205,799$0$0$0$0$0$10,290$0$0$0$216,089$0$0$0
TZARIMNAH KARAM
VP OF HUMAN RESOURCES$201,707$0$0$0$0$0$10,085$0$0$0$211,792$0$0$0
RIEL T SAGUN
REGISTERED NURSE$198,669$0$0$0$0$0$9,933$0$0$0$208,602$0$0$0
ANNA KAMPANARTSANYAKORN
REGISTERED NURSE$191,073$0$0$0$0$0$9,554$0$0$0$200,627$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PROVIDED TO THE FINANCE COMMITTEE AND FULL BOARD AT A MONTHLY BOARD MEETING, BUT MAY BE PRESENTED AT A DATE SUBSEQUENT TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CEXECUTIVE ASSISTANT/COMPLIANCE OFFICER MONITORS AND DOCUMENTS CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS REVIEW AND APPROVE MANAGEMENT WAGES EACH YEAR DURING THE BUDGET PROCESS. SOURCES UTILIZED BY THE BOARD WHEN REVIEWING FAIR MARKET VALUE IN COMPENSATION INCLUDE MARKET SURVEYS AND SALARY RANGES PROVIDED BY THE HR DEPARTMENT.
FORM 990, PART VI, SECTION C, LINE 19PUBLISHED ON WEBSITE WWW.SGMH.ORG OR AVAILABLE BY REQUEST FROM THE CEO, CFO, CONTROLLER, OR EXECUTIVE ASSISTANT.
FORM 990, PART IX, LINE 11GNURSING AND OTHER CONTRACT LABOR: PROGRAM SERVICE EXPENSES 6,760,195. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,760,195. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 4,589,244. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,589,244. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,719,699. MANAGEMENT AND GENERAL EXPENSES 4,047,759. FUNDRAISING EXPENSES 34,488. TOTAL EXPENSES 6,801,946.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxt
SAN GORGONIO HEALTH CARE DISTRICT
600 N HIGHLAND SPRINGS AVEBANNINGCA92220956004149HEALTHCARECAGOVERNMENTN/A0
SAN GORGONIO MEMORIAL HOSPITAL FOUNDATION
600 N HIGHLAND SPRINGS AVEBANNINGCA92220953863230SUPPORT SAN GORGONIO MEMORIAL HOSPITALCA501(C)(3)N/A0LINE 7
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd