Civic Intelligence

Sonora Community Hospital DBA Sonora Regional Medical Center

990 • Fiscal year 2016 • EIN 94-1415069

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 17, 2017

Organization Profilewww.sonoramedicalcenter.org
1000 Greenley RdSonora, CA 95370

(209) 532-5000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

41st percentile

0.29x

Higher debt load relative to assets than 41% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Liabilities / Revenue

20th percentile

0.23x

Higher debt load relative to revenue than 20% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Net Margin

71st percentile

10.0%

Higher net margin than 71% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Top Officer Pay

85th percentile

$1,997,807

Higher top officer pay than 85% of similar nonprofits.

Top officer pay equals 0.8% of source-year revenue.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Asset Growth

86th percentile

13%

Faster asset growth than 86% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2015 to 2016

Revenue Growth

47th percentile

2.4%

Faster revenue growth than 47% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets41st percentile

Assets

Up

$210,800,980

Up $24,739,482 (+13%) from 2015

Net Assets

Up

$150,578,417

Up $25,121,184 (+20%) from 2015

Liabilities

Down

$60,222,563

Down $381,702 (-0.6%) from 2015

Revenue And Expenses
Liabilities / Revenue20th percentileNet Margin71st percentile

Revenue

Up

$259,002,439

Up $5,959,974 (+2.4%) from 2015

Expenses

Up

$233,189,921

Up $9,018,567 (+4.0%) from 2015

Net Income

Down

$25,812,518

Down $3,058,593 (-11%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth86th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$600M$400M$200M$0Assets 2010: $99,152,006Liabilities 2010: $64,654,240Net Assets 2010: $34,497,7662010Assets 2011: $110,165,596Liabilities 2011: $65,549,967Net Assets 2011: $44,615,6292011Assets 2012: $131,911,126Liabilities 2012: $67,728,234Net Assets 2012: $64,182,8922012Assets 2013: $143,898,807Liabilities 2013: $64,896,691Net Assets 2013: $79,002,1162013Assets 2014: $158,916,445Liabilities 2014: $60,499,596Net Assets 2014: $98,416,8492014Assets 2015: $186,061,498Liabilities 2015: $60,604,265Net Assets 2015: $125,457,2332015Assets 2016: $210,800,980Liabilities 2016: $60,222,563Net Assets 2016: $150,578,4172016Assets 2017: $260,052,818Liabilities 2017: $109,492,827Net Assets 2017: $150,559,9912017Assets 2018: $282,941,161Liabilities 2018: $109,619,262Net Assets 2018: $173,321,8992018Assets 2019: $315,792,191Liabilities 2019: $120,091,724Net Assets 2019: $195,700,4672019Assets 2020: $358,296,615Liabilities 2020: $141,109,559Net Assets 2020: $217,187,0562020Assets 2021: $379,691,129Liabilities 2021: $147,257,108Net Assets 2021: $232,434,0212021Assets 2022: $341,499,704Liabilities 2022: $130,484,412Net Assets 2022: $211,015,2922022Assets 2023: $375,399,394Liabilities 2023: $132,209,584Net Assets 2023: $243,189,8102023Assets 2024: $407,470,202Liabilities 2024: $136,104,276Net Assets 2024: $271,365,9262024

Highlighted filing

2016

Assets$210,800,980
Liabilities$60,222,563
Net Assets$150,578,417
Open 2016 Filing

Operations Trend

Revenue Growth47th percentile

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$400M$300M$200M$100M$0-$100MExpenses 2010: $167,739,0242010Expenses 2011: $181,381,6612011Expenses 2012: $181,040,3902012Revenue 2013: $210,584,392Expenses 2013: $195,765,168Net Income 2013: $14,819,2242013Revenue 2014: $236,801,031Expenses 2014: $214,387,659Net Income 2014: $22,413,3722014Revenue 2015: $253,042,465Expenses 2015: $224,171,354Net Income 2015: $28,871,1112015Revenue 2016: $259,002,439Expenses 2016: $233,189,921Net Income 2016: $25,812,5182016Revenue 2017: $258,436,799Expenses 2017: $236,437,266Net Income 2017: $21,999,5332017Revenue 2018: $270,236,242Expenses 2018: $247,474,334Net Income 2018: $22,761,9082018Revenue 2019: $284,244,432Expenses 2019: $261,862,774Net Income 2019: $22,381,6582019Revenue 2020: $282,491,825Expenses 2020: $259,980,732Net Income 2020: $22,511,0932020Revenue 2021: $321,296,303Expenses 2021: $271,527,154Net Income 2021: $49,769,1492021Revenue 2022: $288,509,438Expenses 2022: $304,560,323Net Income 2022: -$16,050,8852022Revenue 2023: $346,670,034Expenses 2023: $312,218,163Net Income 2023: $34,451,8712023Revenue 2024: $381,474,923Expenses 2024: $349,333,511Net Income 2024: $32,141,4122024

Highlighted filing

2016

Revenue$259,002,439
Expenses$233,189,921
Net Income$25,812,518
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 17, 2017
Return Version
2016v3.0
Gross Receipts
$259,105,982
Mission and Program Overview

Mission

Living Gods love by inspiring health, wholeness and hope.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$90,056,819$89,721,735▼ $335,084
Land, Buildings, and Equipment, Net$53,743,611$61,292,688▲ $7,549,077
Accounts Receivable$26,065,905$25,494,105▼ $571,800
Investments in Publicly Traded Securities$6,642,150$6,115,191▼ $526,959
Inventories for Sale or Use$3,421,382$3,600,915▲ $179,533
Cash and Non-Interest-Bearing Accounts$250,267$1,045,986▲ $795,719
Pledges and Grants Receivable$1,097,764$674,421▼ $423,343
Prepaid Expenses and Deferred Charges$763,672$502,848▼ $260,824
Intangible Assets$433,978$433,978→ $0
Other Notes and Loans Receivable, Net-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Total Assets$186,061,498$210,800,980▲ $24,739,482
Other Assets Total$3,585,950$21,919,113▲ $18,333,163
Liabilities
Other Liabilities$44,440,939$42,357,611▼ $2,083,328
Accounts Payable and Accrued Expenses$14,127,404$16,338,546▲ $2,211,142
Mortgage Notes Payable Secured by Investment Property$2,035,210$1,526,406▼ $508,804
Deferred Revenue$712--
Total Liabilities$60,604,265$60,222,563▼ $381,702
Net Assets / Fund Balance
Unrestricted Net Assets$122,123,419$145,855,667▲ $23,732,248
Temporarily Rstr Net Assets$3,333,814$4,722,750▲ $1,388,936
Total Net Assets Fund Balance$125,457,233$150,578,417▲ $25,121,184
Total Liabilities and Net Assets / Fund Balance$186,061,498$210,800,980▲ $24,739,482

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$30,624,366$32,953,140$63,577,506
Equipment$8,224,655$26,686,191$34,910,846
Other Land Buildings$15,502,523$2,343,628$17,846,151
Land$6,197,795-$6,197,795
Leasehold Improvements$743,349$2,508,321$3,251,670
Other Assets Org$12,191,370--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2016$3,333,814$1,848,665-$417,984$4,722,741
2015$1,975,818$1,766,110-$347,325$3,333,814
2014$1,054,045$1,389,642-$327,399$1,975,818
2013$993,956$514,739-$320,516$1,054,045
2012$887,815$497,849-$292,965$993,956
Compensation and Service Providers
Top Officer Pay85th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Andrew JahnPresident/CEOFT$150,000$174,747$289,554
Bill WingDir/VCh/AsstSec-$201,846$55,897$258,208
Andre RossiDirector - PharmacyFT$194,096$40,781$234,877
Gail WitzlestienerDirector - Public relatFT$173,878$4,299$204,664
Edward CliniteCMOPT$143,574$40,415$202,730
Carmen RobertFormer Dir/Chair-$151,456$56,183$197,139
Wesley RippeyDirector--$129,769$129,769
Allan ReimcheDirector--$4,407$4,407
Ricardo GrahamDirector--$4,246$4,246
Max TorkelsenDirector--$4,102$4,102
Velino SalazarDirector--$3,915$3,915
Melody GabrielDirector--$2,269$2,269
Charles DickinsonDirector--$2,249$2,249
Larry InnocentDirector--$1,503$1,503
Christine FriestadDirector--$968$968
Kerry HeinrichDirector--$683$683
John FreedmanDirector--$300$300

Board Members and Trustees

NameTitle
Scott ReinerDir/Chair
Gretchen WaltersDirector - MS/ICU
Shane TiptonDirector - Oncology
Jack WagnerAsst Secretary
Gregory McCullochCFO/Asst Sec
Wehtje RodneyFormer Asst Treas
Susan ShinkaiPharmacist
Meredith JobeSecretary
Julie KlineSr VP Pt Care Svcs
Michelle FuentesVP Operations

Highest Paid Contractors

ContractorServicesLocationCompensation
Sierra Emergency Medical GroupMedical GroupPO Box 4685, Sonora, CA 95370$3,621,598
Galen Inpatient Physician servicesMedical Group2100 Powell St Ste 900, Emeryville, CA 94608$2,181,797
Adventisth Health Physicians NetworkMedical group2100 Douglas Blvd, Roseville, CA 95661$1,243,579
Sonora Anesthesia ServicesMedical GroupPO Box 845, Sonora, CA 95370$898,217
Yosemite Pathology Medical GroupMedical Group4301 N Star Way Ste A, Modesto, CA 95356$833,469
Revenue and Support

Revenue Composition

Contributions and Grants
$1,723,041
Program Service Revenue
$255,164,509
Investment Income
$2,072,882
Other Revenue
$42,007
All Other Contributions
$1,388,936
Change in Net Assets
$25,812,518
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$127,623,458
Salaries, Compensation, and Employee Benefits$105,379,905
Total Fundraising Expense$692,176
Grants and Similar Amounts Paid$186,558
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$73,893,822$4,321,364$251,608$78,466,794
Fees for Services Other$28,676,211$169,504-$28,845,715
Other Employee Benefits$16,452,715$1,085,312$31,576$17,569,603
Information Technology$9,629,730$9,716$1,612$9,641,058
Occupancy$6,014,773$198,963-$6,213,736
Depreciation Depletion$5,834,226$53,622$1,860$5,889,708
Payroll Taxes$5,329,715$285,699$13,759$5,629,173
Pension Plan Contributions$3,424,791--$3,424,791
Office Expenses$1,424,837$778,752$22,939$2,226,528
Interest$1,329,009--$1,329,009
Insurance$729,317--$729,317
Advertising-$516,935-$516,935
Travel$379,327$129,065$1,778$510,170
Fees for Services Legal-$456,255-$456,255
Current Officers, Directors, Trustees, and Key Employees-$289,544-$289,544
Other Expenses$245,838$6,825$1,225$253,888
Grants to Domestic Individuals$226,275--$226,275
Conferences and Meetings$123,161$42,898$3,497$169,556
All Other Expenses-$32,067-$32,067
Grants to Domestic Orgs$-39,717--$-39,717
Total Functional Expenses$203,441,760$29,055,985$692,176$233,189,921
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$103,543
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Gala$264,050-$40,098-
Golf Tournament$70,055-$2,692-
Total Events$334,105-$103,543$-103,543
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Edward CliniteCMO SelfBldg LeaseNo$62,214

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Payables to related orgs$34,543,571
Workers' comp liability$6,300,599
Payables to third party payors$1,328,771
Other liabilities$184,670
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder

“The hospital is organized as a not-for-profit religious corporation. The sole corporate member is Adventist Health System/West, a California not-for-profit religious corporation. The hospital operates as an affiliate of Adventist Health System/West.”

Form 990, Part VI, Line 7B: Describe Decisions of Governing Body Approval by Members or Shareholders

“The hospital bylaws define its board of directors to be the same individuals who are members of the Adventist Health System/West board of directors. Adventist Health System/West, a California not-for-profit religious corporation, is the sole corporate member of the hospital.The sole corporate member, Adventist Health System/West, must approve all changes to the articles of incorporation and bylaws.”

Form 990, Part VI, Line 11B: Form 990 Review Process

“The completed Form 990 is shared with members of the corporation's board of directors by electronic communication for their review prior to filing. A special board meeting is scheduled to answer questions and receive input from the board prior to filing.”

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

“During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital officers, key employees and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation, to illustrate examples of a conflict and to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the CEO immediately. The corporate internal audit staff review these questionnaires and disclosures each year during the audit process.”

Form 990, Part VI, Line 15A: Compensation Review & Approval Process - CEO, Top Management

“See explanation of process for setting CEO compensation below on Form 990, Part VI, Line 15b explanation.”

Form 990, Part VI, Line 15B: Compensation Review and Approval Process for Officers and Key Employees

“The hospital board of directors has established a Compensation Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, including salary ranges for hospital CEOs and CFOs, that would be indicated by the data; evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data.The board-approved executive compensation philosophy specifies that salary ranges will be established for executives with midpoints set at the median of the peer group and having a 50 percent spread (about 20% above and below midpoint) from minimum to maximum. The CEO and Sr Vice Presidents (Executive Cabinet) have a maximum potential incentive of 30 percent of base salary. (This incentive potential is less than the industry norm.) Other executives have a maximum potential incentive of 25 percent of base salary.”

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

“The hospital does not make its governing documents publicly available, beyond required filings of articles of incorporation with the secretary of state. The hospital does not make its conflict of interest policy available. The hospital files monthly/quarterly summary financial reports with the state health-planning agency that are open to public review.”

Filing and Contact Details

Filer

Filer Name
Sonora Community Hospital
EIN
94-1415069
Phone
2095325000
Address
1000 Greenley Rd, Sonora, CA 95370

Signing Officer

Name
Gregory McCulloch
Title
Treas/Asst Sec
Signed
2017-11-17

Organization Details

Principal Officer
Andrew Jahn
Formed
1958
Legal Domicile
CA
Voting Board Members
11
Independent Board Members
7
Employees
1,687
Volunteers
184
Supplemental Narrative

Additional Explanations

Other Changes In Net Assets Or Fund Balances - Other Decreases

“Transfers to related organizations = -$691334”

Financial Statement Notes

Part V, Line 4: Intended uses of the endowment fund.

“Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended.”

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0Sonora Community Hospital (SCH) provides quality medical health care regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of SCH, the organization recognizes that not all individuals possess the ability to pay for essential medical services.SCH's vision is to enhance the health of the communities where we live and serve, by engaging our communities and our patients in a new definition of and partnership for personal community health. In keeping with this commitment to serve all members of the community, the following will be considered when individuals who need health care cannot pay:- providing free care and/or subsidized care- providing care to persons covered by governmental programs at below cost- providing health/wellness activities and community education programsNot only does SCH provide low-cost care to individuals covered by government programs and those unable to afford health care, but it also helps patients find and access private and governmental resources for health care benefits. SCH recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community.Inpatient services in 2016 were provided to approximately 5,267 patients. These services included:- Babies: 547 deliveries- Surgeries: 1,320 procedures- Radiology: 10,915 procedures - Laboratory tests: 107,527 tests Outpatient services in 2016 were provided to about 356,000 patients. Including:- Emergency room: 33,539 visits- Outpatient surgeries: 3,026 procedures- Radiology procedures: 77,512 performed- Laboratory tests: 344,182 performed- Medical clinics: 165,432 visitsSonora Community Hospital provides home care services in its surrounding communities. In 2016, we made 29,282 individual visits for home care services. These services include, but are not limited to:- Respiratory Care- Elderly Care- Geriatric Case Management- Ostomy & Wound Care- Diabetes Care- IV Home TherapySonora Community Hospital provides hospice services in its surrounding communities. In 2016, we provided 8,239 days of hospice care.SCH recognizes it has an obligation to provide human services above and beyond its role as a healing facility. The following community benefits demonstrate the tangible ways in which the organization is fulfilling its mission:Project HOPE, which stands for Health, Outreach, Prevention and Education- delivers dozens of free physicals and other services to indigent children and their parents at various locations throughout California's Tuolumne County with the help of volunteer nurses and physicians.Community Events - First aid stations at the local Mother Lode Fair, Home and Garden show and the Tuolumne Me-Wuk Health Fair. Exhibits at the Groveland Family Wellness Fair and the Tuolumne County Youth Health Fair. Close to 3,000 health screenings done at the annual Tuolumne County Health Fair.Health Education and Support ProgramsThe many support groups and health education classes conducted, including but not limited to:Cancer support group, Diabetes support group, Depression Recovery Program class, Spiritual Care training, CHIP Coronary Health Improvement Project, Epilepsy/Seizure Support Group, La Leche League, Childbirth Preparation Classes, Preparation for Cesarean Birth Classes, OakPlus Wellness Seminars, Quit for Life: Tobacco Cessation Classes, Lifeline Emergency Response ProgramMaintained and monitored up to 320 Lifeline Emergency Response Units. This 24-hour-a-day system offers immediate response to those whose physical condition could otherwise limit their ability to summon help.Spiritual SupportSCH's chaplains provided over 4,000 patient visits and over 1,500 hours of patient counseling, and provided over 300 hours of employee counseling, conducted memorial services and officiated at weddings.Community SupportSCH donated $329,156 to 54 non-profit community service organizations in 2015.
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Document Assets

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Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$210,800,980
Liabilities
$60,222,563
Net assets
$150,578,417
Revenue
$259,002,439
Expenses
$233,189,921
Net income
$25,812,518
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$407$136$271$381$349$32.1
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$375$132$243$347$312$34.5
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$341$130$211$289$305$16.1
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$380$147$232$321$272$49.8
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$358$141$217$282$260$22.5
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$316$120$196$284$262$22.4
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$283$110$173$270$247$22.8
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$260$109$151$258$236$22.0
2016Detailed filing. Detailed filing data is available for this year.$211$60.2$151$259$233$25.8
2015Detailed filing. Detailed filing data is available for this year.$186$60.6$125$253$224$28.9
2014Detailed filing. Detailed filing data is available for this year.$159$60.5$98.4$237$214$22.4
2013Detailed filing. Detailed filing data is available for this year.$144$64.9$79.0$211$196$14.8
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$132$67.7$64.2$181
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$110$65.5$44.6$181
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$99.2$64.7$34.5$168