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Nonprofiteer
← WILLITS HOSPITAL INC

Form 990 for tax year 2023

Filed by WILLITS HOSPITAL INC.

Totals

Total revenue
$96,656,602
Total expenses
$91,611,343
Contributions and grants received
$130,644
Grants paid
$59,186
Program services expenses (Part IX)
$74,387,132
Management and general expenses
$17,224,211
Fundraising expenses
$0
Program service expenses (Part III)
$74,387,132

Program services were 81.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Heinrich Kerry

    Dir/Chair/CEO

    Total calculated
    $3,359,823
    From this org
    $0
    From related orgs
    $3,302,428
    Other
    $57,395
    Hours/week
    0 + 50.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $2,017,000 related
    Bonus
    $0 + $1,208,880 related
    Other
    $0 + $76,548 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $44,099 related
    Filer's total
    $0 + $3,359,823 related

  • Hofheins Todd

    Dir/Vice Chair/COO

    Total calculated
    $2,348,733
    From this org
    $0
    From related orgs
    $2,272,592
    Other
    $76,141
    Hours/week
    0 + 50.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,389,462 related
    Bonus
    $0 + $735,265 related
    Other
    $0 + $147,865 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $62,845 related
    Filer's total
    $0 + $2,348,733 related

  • Beaman John

    CFO/Assistant Secretary

    Total calculated
    $1,753,908
    From this org
    $0
    From related orgs
    $1,680,553
    Other
    $73,355
    Hours/week
    0 + 50.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,091,769 related
    Bonus
    $0 + $569,149 related
    Other
    $0 + $19,635 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $60,059 related
    Filer's total
    $0 + $1,753,908 related

  • Stevens Eric - President

    Northern CA/HI State Network

    Total calculated
    $1,585,845
    From this org
    $0
    From related orgs
    $1,526,293
    Other
    $59,552
    Hours/week
    5 + 45.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,045,616 related
    Bonus
    $0 + $319,995 related
    Other
    $0 + $160,682 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $46,256 related
    Filer's total
    $0 + $1,585,845 related

  • Jahn Andrew - Former

    Care Division President thru 02/22

    Total calculated
    $1,569,691
    From this org
    $0
    From related orgs
    $1,465,906
    Other
    $103,785
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,044,420 related
    Bonus
    $0 + $406,990 related
    Other
    $0 + $14,496 related
    Deferred
    $0 + $53,160 related
    Nontaxable benefits
    $0 + $50,625 related
    Filer's total
    $0 + $1,569,691 related

  • Nahapetian Arby - Former Care

    Division Medical Off thru 02/22

    Total calculated
    $1,551,907
    From this org
    $0
    From related orgs
    $1,482,294
    Other
    $69,613
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $967,385 related
    Bonus
    $0 + $329,621 related
    Other
    $0 + $185,288 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $56,317 related
    Filer's total
    $0 + $1,551,907 related

  • Wells Jason

    Former President thru 12/20

    Total calculated
    $1,507,759
    From this org
    $0
    From related orgs
    $1,470,582
    Other
    $37,177
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $892,808 related
    Bonus
    $0 + $337,640 related
    Other
    $0 + $240,134 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $23,881 related
    Filer's total
    $0 + $1,507,759 related

  • Wing Bill - Former

    Dir/Asst Secr/Vice Chair thru 01/22

    Total calculated
    $1,478,533
    From this org
    $0
    From related orgs
    $1,438,460
    Other
    $40,073
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $1,438,460 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $26,777 related
    Filer's total
    $0 + $1,478,533 related

  • Charpentier Paul

    Physician

    Total calculated
    $1,402,930
    From this org
    $1,351,494
    From related orgs
    $0
    Other
    $51,436
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,332,294
    Bonus
    $19,200
    Other
    $0
    Deferred
    $12,672
    Nontaxable benefits
    $38,764
    Filer's total
    $1,402,930

  • Jobe Meredith

    Secretary

    Total calculated
    $1,018,898
    From this org
    $0
    From related orgs
    $959,488
    Other
    $59,410
    Hours/week
    0 + 50.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $660,525 related
    Bonus
    $0 + $168,715 related
    Other
    $0 + $130,248 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $46,114 related
    Filer's total
    $0 + $1,018,898 related

  • Howe Judson - President AHHM

    Pres, North Coast Network thru 03/22

    Total calculated
    $837,892
    From this org
    $0
    From related orgs
    $808,895
    Other
    $28,997
    Hours/week
    8.3 + 41.7 related

    Schedule J breakdown matched by us

    Base
    $0 + $538,154 related
    Bonus
    $0 + $186,337 related
    Other
    $0 + $84,404 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $15,701 related
    Filer's total
    $0 + $837,892 related

  • Tetz Warren - Former

    Treas/Asst Secr thru 12/22

    Total calculated
    $618,860
    From this org
    $0
    From related orgs
    $560,025
    Other
    $58,835
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $17,731 related
    Bonus
    $0 + $125,629 related
    Other
    $0 + $416,665 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $45,539 related
    Filer's total
    $0 + $618,860 related

  • Eberhart Gregory

    Area Medical Officer

    Total calculated
    $610,905
    From this org
    $0
    From related orgs
    $582,946
    Other
    $27,959
    Hours/week
    12.5 + 37.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $516,674 related
    Bonus
    $0 + $19,931 related
    Other
    $0 + $46,341 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $14,663 related
    Filer's total
    $0 + $610,905 related

  • Spenst Brett - Former Care

    Division Finance Officer thru 02/22

    Total calculated
    $566,472
    From this org
    $0
    From related orgs
    $520,625
    Other
    $45,847
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $259,692 related
    Bonus
    $0 + $250,809 related
    Other
    $0 + $10,124 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $32,551 related
    Filer's total
    $0 + $566,472 related

  • Mock Jeffrey

    Treasurer/Asst Secr as of 09/23

    Total calculated
    $538,188
    From this org
    $0
    From related orgs
    $470,391
    Other
    $67,797
    Hours/week
    10 + 40.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $344,451 related
    Bonus
    $0 + $53,131 related
    Other
    $0 + $72,809 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $54,501 related
    Filer's total
    $0 + $538,188 related

  • Shepardson Dean - Treasurer

    Asst Secr from 03/23 thru 09/23

    Total calculated
    $517,604
    From this org
    $0
    From related orgs
    $461,843
    Other
    $55,761
    Hours/week
    12.5 + 37.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $307,500 related
    Bonus
    $0 + $25,000 related
    Other
    $0 + $129,343 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $42,465 related
    Filer's total
    $0 + $517,604 related

  • Assadian Hoda

    Operations Executive

    Total calculated
    $513,302
    From this org
    $0
    From related orgs
    $460,925
    Other
    $52,377
    Hours/week
    16.7 + 33.3 related

    Schedule J breakdown matched by us

    Base
    $0 + $329,595 related
    Bonus
    $0 + $101,331 related
    Other
    $0 + $29,999 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $39,081 related
    Filer's total
    $0 + $513,302 related

  • Givens Linda

    Patient Care Executive/Administrator

    Total calculated
    $470,959
    From this org
    $0
    From related orgs
    $402,990
    Other
    $67,969
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $305,709 related
    Bonus
    $0 + $60,305 related
    Other
    $0 + $36,976 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $54,673 related
    Filer's total
    $0 + $470,959 related

  • D'Anis Matthew

    Director, Pharmacy

    Total calculated
    $366,071
    From this org
    $285,786
    From related orgs
    $0
    Other
    $80,285
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $239,925
    Bonus
    $23,159
    Other
    $22,702
    Deferred
    $10,344
    Nontaxable benefits
    $69,941
    Filer's total
    $366,071

  • Radell Raymond

    Certified RN Anesthetist

    Total calculated
    $322,790
    From this org
    $288,209
    From related orgs
    $0
    Other
    $34,581
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $281,540
    Bonus
    $6,669
    Other
    $0
    Deferred
    $11,163
    Nontaxable benefits
    $23,418
    Filer's total
    $322,790

  • Niderost Gregory

    Certified RN Anesthetist

    Total calculated
    $322,290
    From this org
    $278,661
    From related orgs
    $0
    Other
    $43,629
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $271,949
    Bonus
    $6,712
    Other
    $0
    Deferred
    $7,931
    Nontaxable benefits
    $35,698
    Filer's total
    $322,290

  • Buckingham Amy

    Associate Patient Care Executive

    Total calculated
    $321,086
    From this org
    $0
    From related orgs
    $257,621
    Other
    $63,465
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $229,280 related
    Bonus
    $0 + $27,036 related
    Other
    $0 + $1,305 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $50,169 related
    Filer's total
    $0 + $321,086 related

  • Ramirez Johann - Admin

    Director, Business Dev & Strategy

    Total calculated
    $320,815
    From this org
    $262,252
    From related orgs
    $0
    Other
    $58,563
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $91,778
    Bonus
    $30,600
    Other
    $139,874
    Deferred
    $8,699
    Nontaxable benefits
    $49,864
    Filer's total
    $320,815

  • Byrnes John - Former

    Medical Officer, NCR thru 02/20

    Total calculated
    $298,614
    From this org
    $0
    From related orgs
    $263,659
    Other
    $34,955
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $263,659 related
    Deferred
    $0 + $13,183 related
    Nontaxable benefits
    $0 + $21,772 related
    Filer's total
    $0 + $298,614 related

  • Parker Bessant - Former

    Area Medical Officer thru 03/22

    Total calculated
    $264,256
    From this org
    $0
    From related orgs
    $211,890
    Other
    $52,366
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $211,890 related
    Deferred
    $0 + $10,594 related
    Nontaxable benefits
    $0 + $41,772 related
    Filer's total
    $0 + $264,256 related

  • Freedman John

    Director

    Total calculated
    $26,770
    From this org
    $0
    From related orgs
    $26,770
    Other
    $0
    Hours/week
    0 + 4 related

  • Cherry Robert

    Director

    Total calculated
    $26,611
    From this org
    $0
    From related orgs
    $26,611
    Other
    $0
    Hours/week
    0 + 4 related

  • Davis Andrew

    Director

    Total calculated
    $26,611
    From this org
    $0
    From related orgs
    $26,611
    Other
    $0
    Hours/week
    0 + 4 related

  • Innocent Larry

    Director

    Total calculated
    $26,611
    From this org
    $0
    From related orgs
    $26,611
    Other
    $0
    Hours/week
    0 + 4 related

  • Newton Bradford

    Director

    Total calculated
    $26,611
    From this org
    $0
    From related orgs
    $26,611
    Other
    $0
    Hours/week
    0 + 4 related

  • Reiner Richard

    Director

    Total calculated
    $26,611
    From this org
    $0
    From related orgs
    $26,611
    Other
    $0
    Hours/week
    0 + 4 related

  • Salazar Velino

    Director

    Total calculated
    $26,611
    From this org
    $0
    From related orgs
    $26,611
    Other
    $0
    Hours/week
    0 + 4 related

  • Banks David

    Director

    Total calculated
    $26,181
    From this org
    $0
    From related orgs
    $26,181
    Other
    $0
    Hours/week
    0 + 4 related

  • Woodson Marc

    Director

    Total calculated
    $21,611
    From this org
    $0
    From related orgs
    $21,611
    Other
    $0
    Hours/week
    0 + 4 related

  • Wagner Jack

    Director

    Total calculated
    $16,180
    From this org
    $0
    From related orgs
    $16,180
    Other
    $0
    Hours/week
    0 + 4 related

  • Fehr Joy

    Director

    Total calculated
    $430
    From this org
    $0
    From related orgs
    $430
    Other
    $0
    Hours/week
    0 + 4 related

  • Ocampo Lucy

    Director thru 08/23

    Total calculated
    $0
    Hours/week
    0 + 4 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Lines 4a-b
Severance payments are made based upon agreements between certain qualifying employees and Adventist Health System/West. Details of the terms and conditions of the severance agreements are available to the IRS upon request. Byrnes, John - severance payment - $262,731 Parker, Bessant - severance payment - $212,500 Ramirez, Johann - severance payment - $112,232 Tetz, Warren - severance payment - $416,673 Wing, Bill - severance payment - $1,440,800 Select executives agreed to participate in CAP-EX in place of a traditional insurance SERP. See Schedule L, Part V of Adventist Health System/West, for a broader description. Split-Dollar life insurance participants are John Beaman, Kerry Heinrich, Todd Hofheins, Andrew Jahn, Brett Spenst, Jack Wagner, and Bill Wing. A flexible benefits plan (CAA) is offered to groups of highly-compensated employees meeting certain criteria. The participants are provided with an amount equivalent to 41 percent of their base compensation, less the value of their corporate provided benefits. The balance is set aside for nonvested deferred compensation that is subject to substantial risk of forfeiture and is at risk to the creditors of Adventist Health. Payouts occur according to the participants' payment elections after all substantial risks of forfeiture have lapsed. The plan was frozen for new non-vested contributions in 2016. Jahn, Andrew - participant, no activity in 2023

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
1 November 2024
IRS schema version
2023v5.1
Source object
202443109349302689

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