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Nonprofiteer
← COMMUNITY HOSPITAL OF SAN BERNARDINO

Form 990 for tax year 2023

Filed by COMMUNITY HOSPITAL OF SAN BERNARDINO.

Totals

Total revenue
$382,812,620
Total expenses
$337,167,331
Contributions and grants received
$2,940,383
Grants paid
$2,529,929
Program service revenue
$379,153,884
Investment income
$146,092
Other revenue
$572,261
Total assets, end of year
$235,330,278
Total liabilities, end of year
$275,609,918
Net assets or fund balances, end of year
-$40,279,640
Program services expenses (Part IX)
$298,970,466
Management and general expenses
$38,196,865
Fundraising expenses
$0
Program service expenses (Part III)
$298,970,466

Program services were 88.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $2,805,784

  • 1f · All other contributions, gifts and grants

    $134,599

  • 1g · Noncash contributions included above

    $1,637

  • 2a · Program service revenue: MEDICARE/MEDICAID PAYM

    total $233,416,716 · related or exempt $233,416,716

  • 2b · Program service revenue: PATIENT NET OF CHARITY

    total $144,245,811 · related or exempt $144,245,811

  • 2c · Program service revenue: MEDICAL OFFICE BUILDIN

    total $1,385,230 · related or exempt $1,385,230

  • 2d · Program service revenue: COUNTY EMERGENCY MED S

    total $97,122 · related or exempt $97,122

  • 2e · Program service revenue: EDUCATION

    total $8,851 · related or exempt $8,851

  • 2f · All other program service revenue

    total $154 · related or exempt $154

  • 3 · Investment income

    total $146,092 · excluded $146,092

  • 11a · Other revenue: CAFETERIA

    total $495,233 · excluded $495,233

  • 11b · Other revenue: RECEIPT WRITE OFF

    total $71,872 · excluded $71,872

  • 11c · Other revenue: VENDING MACHINE COMMIS

    total $4,572 · excluded $4,572

  • 11d · All other revenue

    total $584 · excluded $584

  • 11e · Other revenue, total

    $572,261

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $2,459,529 · program services $2,459,529

  • 2 · Grants to domestic individuals

    total $70,400 · program services $70,400

  • 5 · Compensation of officers, directors and key employees

    total $1,416,426 · program services $1,323,127 · management and general $93,299

  • 6 · Compensation of disqualified persons

    total $1,901,647 · program services $1,901,647

  • 7 · Other salaries and wages

    total $131,516,479 · program services $122,417,772 · management and general $9,098,707

  • 8 · Pension plan contributions

    total $8,563,139 · program services $7,682,584 · management and general $880,555

  • 9 · Other employee benefits

    total $24,984,014 · program services $24,725,635 · management and general $258,379

  • 10 · Payroll taxes

    total $9,273,883 · program services $9,273,032 · management and general $851

  • 11b · Fees: legal

    total $464,517 · management and general $464,517

  • 11d · Fees: lobbying

    total $76,115 · management and general $76,115

  • 11g · Fees: other

    total $48,415,214 · program services $35,402,682 · management and general $13,012,532

  • 12 · Advertising and promotion

    total $1,931,616 · program services $24,440 · management and general $1,907,176

  • 13 · Office expenses

    total $4,229,857 · program services $3,829,919 · management and general $399,938

  • 14 · Information technology

    total $11,452,646 · program services $495,899 · management and general $10,956,747

  • 16 · Occupancy

    total $4,323,702 · program services $4,323,702

  • 17 · Travel

    total $98,308 · program services $34,296 · management and general $64,012

  • 19 · Conferences, conventions and meetings

    total $40,328 · program services $28,884 · management and general $11,444

  • 20 · Interest

    total $10,659,223 · program services $10,659,223

  • 22 · Depreciation, depletion and amortization

    total $9,541,665 · program services $9,541,665

  • 23 · Insurance

    total $2,761,256 · program services $2,761,256

  • 24a · Other expenses: MEDI-CAL PROVIDER FEE

    total $43,037,607 · program services $43,037,607

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $16,468,852 · program services $16,468,852

  • 24c · Other expenses: FOOD & INVENTORY SUPPLI

    total $1,725,612 · program services $1,671,875 · management and general $53,737

  • 24d · Other expenses: LICENSES AND TAXES

    total $794,461 · program services $324,537 · management and general $469,924

  • 24e · All other expenses

    total $960,835 · program services $511,903 · management and general $448,932

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,400 · end of year $2,400

  • 2 · Savings and temporary cash investments

    beginning of year $3,947,833 · end of year $39,185,452

  • 3 · Pledges and grants receivable

    beginning of year $313,350 · end of year $415,941

  • 4 · Accounts receivable

    beginning of year $28,662,597 · end of year $29,687,458

  • 7 · Other notes and loans receivable

    beginning of year $74,143 · end of year $66,667

  • 8 · Inventories for sale or use

    beginning of year $5,673,059 · end of year $5,688,851

  • 9 · Prepaid expenses and deferred charges

    beginning of year $63,900,540 · end of year $69,283,864

  • 10a · Land, buildings and equipment: cost or other basis

    $93,734,914

  • 10b · Land, buildings and equipment: accumulated depreciation

    $36,230,220

  • 10c · Land, buildings and equipment, net

    beginning of year $57,482,644 · end of year $57,504,694

  • 15 · Other assets

    beginning of year $62,955 · end of year $33,494,951

  • 17 · Accounts payable and accrued expenses

    beginning of year $35,548,193 · end of year $54,330,591

  • 21 · Escrow or custodial account liability

    end of year $113,622

  • 23 · Secured mortgages and notes payable

    beginning of year $1,623,652 · end of year $1,352,722

  • 25 · Other liabilities

    beginning of year $210,532,023 · end of year $219,812,983

  • 27 · Net assets without donor restrictions

    beginning of year -$87,584,347 · end of year -$40,279,640

  • 28 · Net assets with donor restrictions

    end of year $0

Mission and programs · 2023

Mission

COMMUNITY HOSPITAL OF SAN BERNARDINO ("CHSB") IS A NON-PROFIT, FULL-SERVICE, ACUTE CARE FACILITY IN BUSINESS TO PROVIDE ACUTE INPATIENT CARE, LONG-TERM CARE AND A WIDE RANGE OF ANCILLARY AND THERAPEUTIC CARE TO THE COMMUNITY WE SERVE. OUR VISION IS TO CREATE AND PROVIDE HEALTH CARE SOLUTIONS, AND MEET THE HEALTH CARE NEEDS OF OUR COMMUNITY.

Activities or mission (Part I)

AS AN AFFILIATE OF COMMONSPIRIT HEALTH ("COMMONSPIRIT"), COMMUNITY HOSPITAL OF SAN BERNARDINO IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL.

  • CHSB'S MISSION IS TO CONTRIBUTE TO THE HEALTH OF THE COMMUNITY THROUGH THE PROVISION OF QUALITY SERVICES IN A COMPASSIONATE AND COST EFFECTIVE MANNER. THE HOSPITAL IS LICENSED FOR 431 BEDS AND CURRENTLY HAS 382 BEDS AVAILABLE. THE HOSPITAL HAD 89,325 TOTAL PATIENT DAYS, 11,239 ADMISSIONS, AND 65,186 EMERGENCY ROOM VISITS. INPATIENT SERVICES: ACUTE PATIENT CARE; MATERNAL CHILD CARE; MENTAL HEALTH CARE; NEUROLOGICAL CARE; AND A VARIETY OF OUTPATIENT CARE.

    Expenses $298,970,466 · Grants $2,529,929 · Revenue $379,153,884

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • NICHOLAS TESTA MD

    DIRECTOR (THRU 3/11/24)

    Total calculated
    $1,096,776
    From this org
    $0
    From related orgs
    $1,045,649
    Other
    $51,127
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $677,234 related
    Bonus
    $0 + $366,770 related
    Other
    $0 + $1,645 related
    Deferred
    $0 + $30,188 related
    Nontaxable benefits
    $0 + $20,939 related
    Filer's total
    $0 + $1,096,776 related

  • JUNE COLLISON

    HOSPITAL PRESIDENT

    Total calculated
    $1,065,678
    From this org
    $0
    From related orgs
    $913,116
    Other
    $152,562
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $473,950 related
    Bonus
    $0 + $418,629 related
    Other
    $0 + $20,537 related
    Deferred
    $0 + $98,268 related
    Nontaxable benefits
    $0 + $54,294 related
    Filer's total
    $0 + $1,065,678 related

  • GAIL DALY

    DIRECTOR

    Total calculated
    $1,034,614
    From this org
    $0
    From related orgs
    $897,214
    Other
    $137,400
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $405,748 related
    Bonus
    $0 + $482,865 related
    Other
    $0 + $8,601 related
    Deferred
    $0 + $80,874 related
    Nontaxable benefits
    $0 + $56,526 related
    Filer's total
    $0 + $1,034,614 related

  • RUBY A SKINNER

    VP/CMO

    Total calculated
    $501,817
    From this org
    $470,977
    From related orgs
    $0
    Other
    $30,840
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $367,119
    Bonus
    $102,305
    Other
    $1,553
    Deferred
    $19,800
    Nontaxable benefits
    $11,040
    Filer's total
    $501,817

  • ANITA CHOU

    VP/CFO

    Total calculated
    $473,770
    From this org
    $0
    From related orgs
    $412,602
    Other
    $61,168
    Hours/week
    25 + 25 related

    Schedule J breakdown matched by us

    Base
    $0 + $311,896 related
    Bonus
    $0 + $100,299 related
    Other
    $0 + $407 related
    Deferred
    $0 + $27,150 related
    Nontaxable benefits
    $0 + $34,018 related
    Filer's total
    $0 + $473,770 related

  • VICTORIA SELBY

    COO

    Total calculated
    $417,730
    From this org
    $377,625
    From related orgs
    $0
    Other
    $40,105
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $291,939
    Bonus
    $81,671
    Other
    $4,015
    Deferred
    $28,970
    Nontaxable benefits
    $11,135
    Filer's total
    $417,730

  • ROSILYN NOLAN

    CNEO

    Total calculated
    $416,422
    From this org
    $357,775
    From related orgs
    $0
    Other
    $58,647
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $266,455
    Bonus
    $76,842
    Other
    $14,478
    Deferred
    $34,539
    Nontaxable benefits
    $24,108
    Filer's total
    $416,422

  • DAVID J EVANS

    FORMER OFFICER-VP/CFO (THRU 2/22/23)

    Total calculated
    $410,045
    From this org
    $382,521
    From related orgs
    $0
    Other
    $27,524
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $63,225
    Bonus
    $59,735
    Other
    $259,561
    Deferred
    $19,657
    Nontaxable benefits
    $7,867
    Filer's total
    $410,045

  • RACHELLE WENGER

    DIRECTOR

    Total calculated
    $398,953
    From this org
    $0
    From related orgs
    $314,091
    Other
    $84,862
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $202,675 related
    Bonus
    $0 + $106,834 related
    Other
    $0 + $4,582 related
    Deferred
    $0 + $52,815 related
    Nontaxable benefits
    $0 + $32,048 related
    Filer's total
    $0 + $398,954 related

  • PATRICIA WOMACK

    DIRECTOR OF PHARMACY

    Total calculated
    $353,942
    From this org
    $309,330
    From related orgs
    $0
    Other
    $44,612
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $253,741
    Bonus
    $53,465
    Other
    $2,124
    Deferred
    $41,810
    Nontaxable benefits
    $2,802
    Filer's total
    $353,942

  • NELLIE B MGENI

    CLINICAL NURSE II

    Total calculated
    $350,505
    From this org
    $283,805
    From related orgs
    $0
    Other
    $66,700
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $273,186
    Bonus
    $800
    Other
    $9,819
    Deferred
    $47,480
    Nontaxable benefits
    $19,220
    Filer's total
    $350,505

  • LYNDA CASTRO

    CONTROLLER

    Total calculated
    $326,633
    From this org
    $274,595
    From related orgs
    $0
    Other
    $52,038
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $203,201
    Bonus
    $49,142
    Other
    $22,252
    Deferred
    $31,809
    Nontaxable benefits
    $20,229
    Filer's total
    $326,633

  • CAROLINE SWINTON

    DIRECTOR OF QUALITY PATIENT SAFETY

    Total calculated
    $308,324
    From this org
    $260,962
    From related orgs
    $0
    Other
    $47,362
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $188,674
    Bonus
    $52,393
    Other
    $19,895
    Deferred
    $34,968
    Nontaxable benefits
    $12,393
    Filer's total
    $308,323

  • DAWIT G TESFAGIORGIS

    CLINICAL NURSE II

    Total calculated
    $279,486
    From this org
    $259,290
    From related orgs
    $0
    Other
    $20,196
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $255,072
    Bonus
    $800
    Other
    $3,418
    Deferred
    $19,937
    Nontaxable benefits
    $259
    Filer's total
    $279,486

  • JOHNNY NEGUSSE MD

    DIRECTOR

    Total calculated
    $36,000
    From this org
    $36,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    1 + 10 related

  • BETTY DANIELS MD

    DIRECTOR (START 1/1/24)

    Total calculated
    $24,000
    From this org
    $24,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • JOE M MAWAD MD

    DIRECTOR

    Total calculated
    $5,000
    From this org
    $0
    From related orgs
    $5,000
    Other
    $0
    Hours/week
    4.5 + 5 related

  • CHEHAB ELAWAR

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • RICHARD GONZALEZ ESQ

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • VICKI R LEE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • GABRIEL RAMIREZ

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • CLAUDIA M DAVIS PHD

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • NICOLE HENLEY PHD

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • TONY MYRELL

    CHAIR

    Total calculated
    $0
    Hours/week
    1

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, and on a Form 990-PF Part VIII's — 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

  • 4a · Severance or change-of-control payment

Answered no

  • 4b · Supplemental nonqualified retirement plan
  • 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, LINE 3
THE ORGANIZATION RELIED ON A RELATED ORGANIZATION, COMMONSPIRIT, THAT USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3, TO ESTABLISH THE ORGANIZATION'S CEO'S COMPENSATION: (1) HUMAN RESOURCES AND COMPENSATION COMMITTEE OF THE COMMONSPIRIT BOARD OF STEWARDSHIP TRUSTEES; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; AND (4) APPROVAL BY THE BOARD OR HUMAN RESOURCES AND COMPENSATION COMMITTEE. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15A FOR ADDITIONAL INFORMATION.
PART I, LINE 4A
CERTAIN LISTED PERSONS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 TO 24 MONTHS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. CERTAIN LISTED PERSONS ARE COVERED BY A NON-EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 2 TO 52 WEEKS OF BASE COMPENSATION, DEPENDING ON THE EMPLOYEE'S POSITION AND TENURE, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. A PAYMENT OCCURED UNDER THESE PLANS DURING 2023 INCLUDE D. EVANS, $212,786.
SCHEDULE J, PART II SUPPLEMENTAL DISCLOSURES
THE ORGANIZATION FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES IT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND THE ORGANIZATION'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2023
Filed
3 May 2025
IRS schema version
2023v6.0
Source object
202501239349300815

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