2026-05-07T16:20:44-05:00 2025-06-30 393647910 WIPFLI ADVISORY LLC 105 E PINE ST UPPER FLOOR MISSOULA MT 59802 990 2024-07-01 330420041 SAN GORGONIO MEMORIAL HOSPITAL SANG 9518451121 600 NORTH HIGHLAND SPRINGS AVENUE BANNING CA 92220 MICHELE FINNEY CEO 9518451121 2026-05-06 1 1 SAM BRUNSON CPA P01696998 4067281800 2026-05-06 2024 2025-03-06 01:10:19Z MICHELE FINNEY 600 NORTH HIGHLAND SPRINGS AVENUE BANNING CA 92220 112433101 0 X WWW.SGMH.ORG X 1991 CA SAN 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. 9 9 764 100 0 0 1397081 7007662 95823909 101419694 0 440224 -2822063 3565521 94398927 112433101 0 0 0 0 56968252 59322159 0 0 147199 46117384 60133884 103085636 119456043 -8686709 -7022942 33962200 29684757 83706479 86451978 -49744279 -56767221 SAN 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. 0 0 97340836 0 104080939 THE 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. 97340836 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 38 0 764 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X DANIEL HECKATHORNE CFO 9518451121 600 NORTH HIGHLAND SPRINGS AVENUE BANNING CA 92220 SUSAN DIBIASI CHAIRPERSON 5.00 X X 3100 0 0 STEVEN RUTHLEDGE VICE CHAIR 5.00 X X 3100 0 0 RON RADER SECRETARY 5.00 X X 3400 0 0 DARRELL PETERSON TREASURER 3.00 X X 1900 0 0 PATRICIA BROWN BOARD MEMBER 3.00 X 0 0 0 SHANNON MCDOUGALL BOARD MEMBER 3.00 X 1400 0 0 LANNY SWERDLOW BOARD MEMBER 3.00 X 1500 0 0 RANDAL STEVENS BOARD MEMBER 3.00 X 1300 0 0 DORIS FOREMAN BOARD MEMBER 3.00 X 0 0 0 PERRY GOLDSTEIN BOARD MEMBER 3.00 X 0 0 0 DENNIS TANKERSLEY BOARD MEMBER (TERM 12/24) 3.00 X 0 0 0 STEVE BARRON CHIEF EXECUTIVE OFFICER 40.00 X 468591 0 23430 DANIEL HECKATHORNE CHIEF FINANCIAL OFFICER 40.00 X 263186 0 13159 ANGELA BRADY CHIEF OF NURSING 40.00 X 248068 0 12403 TZARIMNAH KARAM VP OF HUMAN RESOURCES 40.00 X 201707 0 10085 JOHN PELEUSES VP, ANCILLARY SERVICES 40.00 X 222184 0 11109 JOSE RUIZ IMAGING TECHNICIAN 40.00 X 224073 0 11204 ASHLEY D BARAGRY REGISTERED NURSE 40.00 X 207732 0 10387 ANA VALDEZ DIRECTOR OF RISK/PERFORMANCE IMPROVEMENT 40.00 X 205799 0 10290 RIEL T SAGUN REGISTERED NURSE 40.00 X 198669 0 9933 ANNA KAMPANARTSANYAKORN REGISTERED NURSE 40.00 X 191073 0 9554 2446782 0 121554 169 0 1 0 ALLSCRIPTS HEALTHCARE LLC 24630 NETWORK PL CHICAGO IL 60673 EHR SOFTWARE AND SUPPORT 5710838 SAYCO BUILDERS 31566 RAILROAD CANYON RD STE 2 1 CANYON LAKE CA 92587 CONSTRUCTION SERVICES 2801108 CONCORDANCE 14540 INNOVATION DR RIVERSIDE OH 44101 MEDICAL AND GENERAL SUPPLIES 2347576 CARDINAL HEALTH 110 LLC PO BOX 56412 LOS ANGELES CA 90074 PHARMACUTICLES 2322640 ANESTHESIA CONSULTING PARTNERS 700 E REDLANDS BLVD REDLANDS CA 92373 PHYSICIAN/ANESTHESIA SERVICES 1920369 78 7007662 7007662 NET PATIENT SERVICE REVENUE 621110 101119694 101119694 MANAGEMENT FEE REVENUE 900099 300000 300000 101419694 440224 440224 IEHP P4P REVENUE 900099 1443056 1443056 PT JV REIMBURSEMENT 621300 1218189 1218189 CAFETERIA SALES 722514 560698 560698 343578 343578 3565521 112433101 104080939 0 1344500 X 1657905 1657905 47713140 38206885 9412599 93656 1288570 1059383 226590 2597 5015982 3887888 1118564 9530 3646562 2826451 813183 6928 367666 367666 523607 523607 128053 128053 18151385 14069138 4047759 34488 32269 32269 2408095 2046881 361214 5146828 4374804 772024 2031420 1726707 304713 33307 13323 19984 121730 36519 85211 1022581 1022581 709122 602754 106368 1698375 1596472 101903 BAD DEBT EXPENSE 13001971 13001971 MEDICAL SUPPLIES 9489952 9489952 NON-MEDICAL SUPPLIES 1513740 1210992 302748 REPAIRS & MAINTENANCE 1226582 1042595 183987 2527201 2148121 379080 119456043 97340836 21968008 147199 18062264 5245787 18338 35813 283782 701794 9681423 9005980 2075663 2510280 364122 364122 4864048 3118372 1421067 1745676 2055541 10075305 33962200 29684757 11831076 17319963 14637471 12000000 57237932 57132015 83706479 86451978 X -49744279 -56767221 -49744279 -56767221 33962200 29684757 -7022942 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 105780 -105576 204 92062 14750 1083 105780 109863 -16716 1034 92113 97072 13950 1159 109863 327572 -29400 200000 1100 97072 0.00000 0.00000 0.00000 0 1 1 4864048 3118372 1745676 1745676 BENEFICIAL INTEREST IN NET ASSETS OF SAN GORGONIO HOSPITAL FOUNDATION 861015 ACCRUED MANAGEMENT FEES 1500000 ERC RECEIVALBE 7714290 10075305 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 6297086 LEASES PAYABLE 668907 DUE TO RELATED PARTY 49137247 SUBSCRIPTION-BASED LIABILITIES 452677 HOSPITAL CP LEASE 576098 57132015 PART V, LINE 4: SAN GORGONIO MEMORIAL HOSPITAL FOUNDATION HOLDS FUNDS RESTRICTED FROM THE MORONGO TRIBE TO BE USED FOR SPECIFIC HOSPITAL PURPOSES. 1 1 1 X 1 X 1 1 1 0 1 1 14171083 1291417 12879666 0.12100 29423813 13879528 15544285 0.14600 43594896 15170945 28423951 0.26700 45178 45178 0.00040 946120 946120 0.00890 1000 1000 0.00000 992298 992298 0.00930 44587194 15170945 29416249 0.27630 1 13001971 14002105 25047993 -11045888 X 1 1 1 1 SAN GORGONIO MEMORIAL HOSPITAL 600 NORTH HIGHLAND SPRINGS AVE BANNING CA 92220 WWW.SGMH.ORG 1568469997 330420041 X X X SAN GORGONIO MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X 22 1 1 0 1 X SEE PART V, LINE 7D: X X 1 22 1 SEE PART V, LINE 7D: 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X 1 X X 1 X 0 X X X X 1 X 0 0 SAN GORGONIO MEMORIAL HOSPITAL PART 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 HOSPITAL PART V, SECTION B, LINE 6A: THE ASSESSMENT WAS CONDUCTED IN COLLABORATION WITH LOMA LINDA UNIVERSITY HOSPITAL. SAN GORGONIO MEMORIAL HOSPITAL PART V, SECTION B, LINE 7D: HTTPS://WWW.SGMH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION-STRATEGY-REPORT SAN GORGONIO MEMORIAL HOSPITAL PART 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. 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 STATES CA X X X X 0 0 0 0 0 0 0 0 0 STEVE BARRON CHIEF EXECUTIVE OFFICER 468591 0 0 0 0 0 23430 0 0 0 492021 0 0 0 DANIEL HECKATHORNE CHIEF FINANCIAL OFFICER 263186 0 0 0 0 0 13159 0 0 0 276345 0 0 0 ANGELA BRADY CHIEF OF NURSING 248068 0 0 0 0 0 12403 0 0 0 260471 0 0 0 JOSE RUIZ IMAGING TECHNICIAN 224073 0 0 0 0 0 11204 0 0 0 235277 0 0 0 JOHN PELEUSES VP, ANCILLARY SERVICES 222184 0 0 0 0 0 11109 0 0 0 233293 0 0 0 ASHLEY D BARAGRY REGISTERED NURSE 207732 0 0 0 0 0 10387 0 0 0 218119 0 0 0 ANA VALDEZ DIRECTOR OF RISK/PERFORMANCE IMPROVE 205799 0 0 0 0 0 10290 0 0 0 216089 0 0 0 TZARIMNAH KARAM VP OF HUMAN RESOURCES 201707 0 0 0 0 0 10085 0 0 0 211792 0 0 0 RIEL T SAGUN REGISTERED NURSE 198669 0 0 0 0 0 9933 0 0 0 208602 0 0 0 ANNA KAMPANARTSANYAKORN REGISTERED NURSE 191073 0 0 0 0 0 9554 0 0 0 200627 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 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 12C EXECUTIVE ASSISTANT/COMPLIANCE OFFICER MONITORS AND DOCUMENTS CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 THE 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 19 PUBLISHED ON WEBSITE WWW.SGMH.ORG OR AVAILABLE BY REQUEST FROM THE CEO, CFO, CONTROLLER, OR EXECUTIVE ASSISTANT. FORM 990, PART IX, LINE 11G NURSING 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. SAN GORGONIO HEALTH CARE DISTRICT 600 N HIGHLAND SPRINGS AVE BANNING CA 92220 956004149 HEALTHCARE CA GOVERNMENT N/A 0 SAN GORGONIO MEMORIAL HOSPITAL FOUNDATION 600 N HIGHLAND SPRINGS AVE BANNING CA 92220 953863230 SUPPORT SAN GORGONIO MEMORIAL HOSPITAL CA 501(C)(3) LINE 7 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0