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Nonprofiteer
← ST HELENA HOSPITAL

Form 990 for tax year 2023

Filed by ST HELENA HOSPITAL.

Totals

Total revenue
$298,037,707
Total expenses
$314,367,879
Contributions and grants received
$4,720,671
Grants paid
$103,898
Program service revenue
$293,121,306
Investment income
$195,730
Other revenue
$0
Total assets, end of year
$205,326,410
Total liabilities, end of year
$224,822,773
Net assets or fund balances, end of year
-$19,496,363
Program services expenses (Part IX)
$263,214,040
Management and general expenses
$50,324,686
Fundraising expenses
$829,153
Program service expenses (Part III)
$263,214,040

Program services were 83.7% 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

    $2,576,470

  • 1e · Government grants (contributions)

    $2,144,201

  • 2a · Program service revenue: Patient service revenue

    total $234,916,319 · related or exempt $234,874,922 · unrelated business $41,397

  • 2b · Program service revenue: Premium revenue

    total $28,648,550 · related or exempt $28,648,550

  • 2c · Program service revenue: 340B Pharmacy

    total $10,893,215 · related or exempt $10,893,215

  • 2d · Program service revenue: Related rental revenue

    total $1,759,564 · related or exempt $1,759,564

  • 2e · Program service revenue: Cafeteria revenue

    total $732,073 · related or exempt $732,073

  • 2f · All other program service revenue

    total $16,171,585 · related or exempt $16,171,585

  • 3 · Investment income

    total $37,190 · excluded $37,190

  • 7a · Gross sales of assets other than inventory

    other assets $158,540

  • 7b · Less cost or other basis and sales expenses

    other assets $0

  • 7c · Gain or loss

    other assets $158,540

  • 7d · Net gain or loss

    total $158,540 · excluded $158,540

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $103,898 · program services $103,898

  • 6 · Compensation of disqualified persons

    total $71,641 · program services $71,641

  • 7 · Other salaries and wages

    total $82,981,861 · program services $70,822,989 · management and general $11,669,685 · fundraising $489,187

  • 8 · Pension plan contributions

    total $3,033,950 · program services $2,563,209 · management and general $453,371 · fundraising $17,370

  • 9 · Other employee benefits

    total $10,192,034 · program services $8,798,782 · management and general $1,285,660 · fundraising $107,592

  • 10 · Payroll taxes

    total $5,976,586 · program services $5,213,523 · management and general $726,148 · fundraising $36,915

  • 11a · Fees: management

    total $26,452,344 · program services $732,360 · management and general $25,719,984

  • 11b · Fees: legal

    total $78,975 · management and general $78,975

  • 11c · Fees: accounting

    total $16,943 · management and general $16,943

  • 11d · Fees: lobbying

    total $38,664 · program services $38,664

  • 11g · Fees: other

    total $64,236,274 · program services $61,901,237 · management and general $2,308,291 · fundraising $26,746

  • 12 · Advertising and promotion

    total $64,686 · management and general $64,686

  • 13 · Office expenses

    total $1,023,190 · program services $572,400 · management and general $341,262 · fundraising $109,528

  • 14 · Information technology

    total $8,062,241 · program services $1,391,229 · management and general $6,652,513 · fundraising $18,499

  • 16 · Occupancy

    total $5,487,251 · program services $5,406,652 · management and general $78,000 · fundraising $2,599

  • 17 · Travel

    total $195,235 · program services $141,779 · management and general $46,117 · fundraising $7,339

  • 19 · Conferences, conventions and meetings

    total $17,330 · program services $7,794 · management and general $5,804 · fundraising $3,732

  • 20 · Interest

    total $8,981,731 · program services $8,981,731

  • 22 · Depreciation, depletion and amortization

    total $10,579,704 · program services $10,497,409 · management and general $82,295

  • 23 · Insurance

    total $1,977,673 · program services $1,591,394 · management and general $386,279

  • 24a · Other expenses: Patient care supplies

    total $57,729,229 · program services $57,729,229

  • 24b · Other expenses: Quality assurance fees

    total $11,826,868 · program services $11,826,868

  • 24c · Other expenses: Rental/lease costs

    total $819,261 · program services $814,887 · fundraising $4,374

  • 24e · All other expenses

    total $14,420,310 · program services $14,006,365 · management and general $408,673 · fundraising $5,272

Balance sheet

Part X, book values.

  • 4 · Accounts receivable

    beginning of year $29,462,173 · end of year $34,190,703

  • 8 · Inventories for sale or use

    beginning of year $7,030,544 · end of year $6,930,547

  • 9 · Prepaid expenses and deferred charges

    beginning of year $497,734 · end of year $970,963

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

    $290,447,400

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

    $188,809,473

  • 10c · Land, buildings and equipment, net

    beginning of year $103,283,495 · end of year $101,637,927

  • 15 · Other assets

    beginning of year $62,999,791 · end of year $61,596,270

  • 17 · Accounts payable and accrued expenses

    beginning of year $115,131,297 · end of year $132,732,005

  • 25 · Other liabilities

    beginning of year $92,489,823 · end of year $92,090,768

  • 27 · Net assets without donor restrictions

    beginning of year -$29,686,130 · end of year -$45,952,409

  • 28 · Net assets with donor restrictions

    beginning of year $25,338,747 · end of year $26,456,046

Mission and programs · 2023

Mission

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

  • See Schedule O

    Expenses $263,214,040 · Grants $103,898 · Revenue $293,079,909

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

  • 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 Officer 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

  • 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

  • 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

    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

  • Herber Steven

    President

    Total calculated
    $792,362
    From this org
    $0
    From related orgs
    $737,596
    Other
    $54,766
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $524,908 related
    Bonus
    $0 + $111,643 related
    Other
    $0 + $101,045 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $41,470 related
    Filer's total
    $0 + $792,362 related

  • Tetz Warren

    Former Treasurer 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

  • 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

  • Mensch Deborah

    Patient Care Executive

    Total calculated
    $442,692
    From this org
    $0
    From related orgs
    $382,720
    Other
    $59,972
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $289,214 related
    Bonus
    $0 + $43,395 related
    Other
    $0 + $50,111 related
    Deferred
    $0 + $13,296 related
    Nontaxable benefits
    $0 + $46,676 related
    Filer's total
    $0 + $442,692 related

  • Lungu John - Administrative

    Director, Behavioral Health

    Total calculated
    $407,994
    From this org
    $319,688
    From related orgs
    $0
    Other
    $88,306
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $238,607
    Bonus
    $39,481
    Other
    $41,600
    Deferred
    $13,116
    Nontaxable benefits
    $75,190
    Filer's total
    $407,994

  • Nonescan Cindy

    RN

    Total calculated
    $341,143
    From this org
    $270,351
    From related orgs
    $0
    Other
    $70,792
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $265,374
    Bonus
    $4,977
    Other
    $0
    Deferred
    $9,146
    Nontaxable benefits
    $61,646
    Filer's total
    $341,143

  • Hasso Ruth

    RN

    Total calculated
    $340,442
    From this org
    $292,991
    From related orgs
    $0
    Other
    $47,451
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $287,404
    Bonus
    $4,977
    Other
    $610
    Deferred
    $12,009
    Nontaxable benefits
    $35,442
    Filer's total
    $340,442

  • Tomlinson Sean

    Director, Pharmacy

    Total calculated
    $326,457
    From this org
    $284,332
    From related orgs
    $0
    Other
    $42,125
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $252,030
    Bonus
    $20,643
    Other
    $11,659
    Deferred
    $9,470
    Nontaxable benefits
    $32,655
    Filer's total
    $326,457

  • 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

  • Roberts Janice

    Director, Cardiac Service Line

    Total calculated
    $297,256
    From this org
    $274,589
    From related orgs
    $0
    Other
    $22,667
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $220,615
    Bonus
    $18,233
    Other
    $35,741
    Deferred
    $0
    Nontaxable benefits
    $22,667
    Filer's total
    $297,256

  • Vichi Julie

    Finance Officer

    Total calculated
    $296,009
    From this org
    $0
    From related orgs
    $238,955
    Other
    $57,054
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $184,188 related
    Bonus
    $0 + $23,277 related
    Other
    $0 + $31,490 related
    Deferred
    $0 + $11,948 related
    Nontaxable benefits
    $0 + $45,106 related
    Filer's total
    $0 + $296,009 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, 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. Byrnes, John - severance payment - $262,731 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 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.

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
202443109349303359

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