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Nonprofiteer
← ADVENTIST HEALTH MENDOCINO COAST

Form 990 for tax year 2023

Filed by ADVENTIST HEALTH MENDOCINO COAST.

Totals

Total revenue
$83,424,814
Total expenses
$89,153,884
Contributions and grants received
$313,691
Grants paid
$11,955
Program service revenue
$82,759,738
Investment income
$351,385
Other revenue
$0
Total assets, end of year
$55,528,153
Total liabilities, end of year
$69,798,863
Net assets or fund balances, end of year
-$14,270,710
Program services expenses (Part IX)
$65,571,397
Management and general expenses
$23,582,487
Fundraising expenses
$0
Program service expenses (Part III)
$65,571,397

Program services were 73.5% 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.

  • 1e · Government grants (contributions)

    $96,172

  • 1f · All other contributions, gifts and grants

    $217,519

  • 1g · Noncash contributions included above

    $1,500

  • 2a · Program service revenue: Patient service revenue

    total $81,617,241 · related or exempt $81,617,241

  • 2b · Program service revenue: Premium revenue

    total $623,097 · related or exempt $623,097

  • 2c · Program service revenue: Other program services

    total $406,549 · related or exempt $406,549

  • 2d · Program service revenue: 340b Pharmacy revenue

    total $62,013 · related or exempt $62,013

  • 2e · Program service revenue: Dietary/cafeteria revenue

    total $50,838 · related or exempt $50,838

  • 3 · Investment income

    total $351,385 · excluded $351,385

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $11,955 · program services $11,955

  • 7 · Other salaries and wages

    total $27,392,654 · program services $19,096,710 · management and general $8,295,944

  • 8 · Pension plan contributions

    total $962,984 · program services $657,170 · management and general $305,814

  • 9 · Other employee benefits

    total $5,805,550 · program services $4,084,949 · management and general $1,720,601

  • 10 · Payroll taxes

    total $1,918,875 · program services $1,365,557 · management and general $553,318

  • 11a · Fees: management

    total $7,274,259 · management and general $7,274,259

  • 11b · Fees: legal

    total $153,135 · management and general $153,135

  • 11c · Fees: accounting

    total $4,874 · management and general $4,874

  • 11d · Fees: lobbying

    total $13,142 · program services $13,142

  • 11g · Fees: other

    total $22,599,127 · program services $21,598,560 · management and general $1,000,567

  • 12 · Advertising and promotion

    total $27,612 · management and general $27,612

  • 13 · Office expenses

    total $507,583 · program services $341,594 · management and general $165,989

  • 14 · Information technology

    total $3,930,327 · program services $1,977,531 · management and general $1,952,796

  • 16 · Occupancy

    total $3,822,505 · program services $2,113,138 · management and general $1,709,367

  • 17 · Travel

    total $197,712 · program services $116,437 · management and general $81,275

  • 19 · Conferences, conventions and meetings

    total $38,190 · program services $29,159 · management and general $9,031

  • 20 · Interest

    total $1,949,146 · program services $1,949,146

  • 22 · Depreciation, depletion and amortization

    total $2,535,019 · program services $2,383,623 · management and general $151,396

  • 23 · Insurance

    total $526,980 · program services $526,980

  • 24a · Other expenses: Patient care supplies

    total $9,116,406 · program services $9,078,260 · management and general $38,146

  • 24b · Other expenses: Rent/lease cost equipme

    total $160,821 · program services $144,000 · management and general $16,821

  • 24c · Other expenses: Quality assurance fees

    total $46,617 · program services $46,617

  • 24e · All other expenses

    total $158,411 · program services $36,869 · management and general $121,542

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $50,083

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $18,158,945

  • 3 · Pledges and grants receivable

    beginning of year $57,013 · end of year $51,482

  • 4 · Accounts receivable

    beginning of year $25,592,630 · end of year $19,927,279

  • 8 · Inventories for sale or use

    beginning of year $929,595 · end of year $1,258,576

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,076,401 · end of year $1,101,470

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

    $5,965,330

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

    $1,423,836

  • 10c · Land, buildings and equipment, net

    beginning of year $4,347,812 · end of year $4,541,494

  • 15 · Other assets

    beginning of year $18,651,225 · end of year $10,438,824

  • 17 · Accounts payable and accrued expenses

    beginning of year $7,764,737 · end of year $7,924,896

  • 19 · Deferred revenue

    beginning of year $4,734,806 · end of year $4,454,775

  • 24 · Unsecured notes and loans payable

    beginning of year $37,022,489 · end of year $0

  • 25 · Other liabilities

    beginning of year $10,471,585 · end of year $57,419,192

  • 27 · Net assets without donor restrictions

    beginning of year -$9,551,947 · end of year -$14,745,972

  • 28 · Net assets with donor restrictions

    beginning of year $213,006 · end of year $475,262

Mission and programs · 2023

Mission

Living God's love by inspiring health, wholeness and hope.

  • See Schedule O

    Expenses $65,571,397 · Grants $11,955 · Revenue $82,759,738

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

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

  • Wing Bill - Former

    Dir/Pres/Chair/Asst Secr 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

  • 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 AHMC

    Pres, North Coast Network thru 03/23

    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

  • Spencer Lindsey - Former

    Operations Executive thru 12/20

    Total calculated
    $616,196
    From this org
    $0
    From related orgs
    $564,751
    Other
    $51,445
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $450,442 related
    Bonus
    $0 + $59,341 related
    Other
    $0 + $54,968 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $38,149 related
    Filer's total
    $0 + $616,196 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

  • 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

  • Leach Judy

    Administrative Executive

    Total calculated
    $526,683
    From this org
    $0
    From related orgs
    $481,611
    Other
    $45,072
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $375,669 related
    Bonus
    $0 + $69,490 related
    Other
    $0 + $36,452 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $31,776 related
    Filer's total
    $0 + $526,683 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

  • Givens Linda - Former

    Patient Care Executive thru 12/20

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

    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

  • Courtenay Therese

    Associate Patient Care Executive

    Total calculated
    $385,656
    From this org
    $0
    From related orgs
    $330,083
    Other
    $55,573
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $232,951 related
    Bonus
    $0 + $40,076 related
    Other
    $0 + $57,056 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $42,277 related
    Filer's total
    $0 + $385,656 related

  • Hendricks Kelly

    Director, RN

    Total calculated
    $289,016
    From this org
    $286,980
    From related orgs
    $0
    Other
    $2,036
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $221,956
    Bonus
    $23,123
    Other
    $41,901
    Deferred
    $0
    Nontaxable benefits
    $2,036
    Filer's total
    $289,016

  • Sumner Sharon

    RN House Supervisor

    Total calculated
    $265,019
    From this org
    $198,652
    From related orgs
    $0
    Other
    $66,367
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $190,233
    Bonus
    $1,650
    Other
    $6,769
    Deferred
    $6,071
    Nontaxable benefits
    $60,296
    Filer's total
    $265,019

  • 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

  • Miller William

    Medical Director-Hospitalist

    Total calculated
    $251,432
    From this org
    $250,647
    From related orgs
    $0
    Other
    $785
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $196,436
    Bonus
    $100
    Other
    $54,111
    Deferred
    $0
    Nontaxable benefits
    $785
    Filer's total
    $251,432

  • Symonds Susan

    Manager, Laboratory

    Total calculated
    $246,547
    From this org
    $204,971
    From related orgs
    $0
    Other
    $41,576
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $164,567
    Bonus
    $18,821
    Other
    $21,583
    Deferred
    $6,046
    Nontaxable benefits
    $35,530
    Filer's total
    $246,547

  • Brown-Douglas Heather

    Director, Quality and Risk Mgmt

    Total calculated
    $235,039
    From this org
    $211,945
    From related orgs
    $0
    Other
    $23,094
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $164,668
    Bonus
    $16,081
    Other
    $31,196
    Deferred
    $7,830
    Nontaxable benefits
    $15,264
    Filer's total
    $235,039

  • Innocent Larry

    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

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

  • 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. Parker, Bessant - severance payment - $212,500 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, and Bill Wing.

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

No itemized grants to organizations 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.

  • Blue Legacy Ventures LLC

    Real property rental · FL

  • Blue Zones LLC

    Education · MN

  • PAR LLC DBA CherryWood Village

    Senior housing · OR

  • PVHR LLC DBA Paradise Village

    Senior housing · OR

  • PVHR2 LLC DBA Parkview Memory Care at Paradise Village

    Senior housing · OR

  • WWGHR LLC DBA Wheatland Village

    Senior housing · OR

Related corporations and trusts

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

  • AdHealth Limited

    C · Pure captive insurance · BD

  • Adventist Health Plan Inc

    C · Health insurance · CA

  • South Coast Medical Center

    C · Wind down after sale of hospital · CA

  • Thrive Productions Inc

    C · Production company · MN

Provenance

Return type
form_990
Tax year
2023
Filed
1 November 2024
IRS schema version
2023v5.1
Source object
202423109349301747

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