Adventist Health Clearlake Hospital Inc

Roseville, CA
Tax-exempt since Nov. 1997
EIN: 68-0395149

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Type of Nonprofit

Designated as a 501(c)3 Organizations for any of the following purposes: religious, educational, charitable, scientific, literary, testing for public safety, fostering national or international amateur sports competition (as long as it doesn’t provide athletic facilities or equipment), or the prevention of cruelty to children or animals.

Category: Health — General and Rehabilitative / Hospital, General (NTEE)

Donations to this organization are tax deductible.

Details

According to its Dec. 2022 tax filing, this nonprofit:

Operated hospital facilities

Organization operated one or more hospital facilities. Details are reported on Schedule H.

Revenue

$192M (2022)

Expenses

$179M (2022)

Total Assets

$140M (2022)

Total Liabilities

$112M (2022)

Source: Form 990 tax filings from 2011 to 2022

Tax Filings by Year

Form 990 is an information return that most organizations claiming federal tax-exempt status must file yearly with the IRS. Nonprofit Explorer has IRS digitized Form 990 data for filings processed in 2012 and later. If this organization filed an amended return, it may not be reflected below. Duplicate download links may indicate a resubmission or amendment to this organization's original return. Form 990 data is from the IRS.

Fiscal Year Ending Dec.
2022

Revenue

$192,286,425

Expenses

$179,275,358

Net Income

$13,011,067

Net Assets

$27,462,142

Notable Sources of Revenue		Percent of Total Revenue
Contributions	$7,292,822	3.8%
Program Services	$182,562,730	94.9%
Investment Income	$2,277,721	1.2%
Bond Proceeds	$0
Royalties	$0
Rental Property Income	$158,744	0.1%
Net Fundraising	$0
Sales of Assets	-$5,592
Net Inventory Sales	$0
Other Revenue	$0

Notable Expenses		Percent of Total Expenses
Executive Compensation	$0
Professional Fundraising Fees	$0
Other Salaries and Wages	$56,281,948	31.4%

Assets/Debt
Total Assets	$139,959,853
Total Liabilities	$112,497,711
Net Assets	$27,462,142

Operated hospital facilities

Compensation

Key Employees and Officers	Compensation	Related	Other
Cardenas Lucita (Rn)	$503,160	$0	$39,477
Cole Delores (Rn)	$421,517	$0	$27,052
Anjejo Isaac (Rn, First Assistant)	$348,186	$0	$34,902
Mc Cance David (Rn)	$324,675	$0	$45,886
Aleman Andrea (Rn Supervisor)	$319,624	$0	$35,240
Wing Bill (Dir/Asst Secr/Vice Chair Thru 01/22)	$0	$2,511,347	$56,319
Heinrich Kerry (Dir/Chair/Ceo As Of 01/22)	$0	$2,131,443	$75,065
Hofheins Todd (Dir/Vice Chair/Coo As Of 01/22)	$0	$1,971,652	$72,279
Jahn Andrew (Care Division President Thru 02/22)	$0	$1,409,539	$74,100
Beaman John (Cfo/Asst Secretary As Of 01/22)	$0	$1,361,096	$58,476
Nahapetian Arby Care (Division Medical Officer Thru 02/22)	$0	$1,334,111	$68,537
Stevens Eric President (Northern Ca/Hi State Network)	$0	$1,315,314	$62,845
Spenst Brett Care Division (Finance Officer Thru 02/22)	$0	$1,322,824	$36,101
Reiner Scott (Former Dir/Chair/Ceo Thru 12/21)	$0	$1,222,073	$36,652
Jobe Meredith (Secretary)	$0	$930,036	$39,184
Byrnes John Former (Medical Officer, Ncr Thru 02/20)	$0	$841,204	$65,864
Howe Judson (President, North Coast Network)	$0	$782,335	$54,114
Tetz Warren (Treasurer 07/22 12/22)	$0	$565,355	$37,880
Cantrell Misty Patient (Care Executive As Of 09/22)	$0	$507,425	$64,679
Mock Jeffrey (Interim Treasurer As Of 12/22)	$0	$422,487	$97,833
Assavapisitkul Colleen Pt (Cr Exec Thru 05/22/Pres As Of 05/22)	$0	$459,052	$46,184
Jacobson Carlton Former Treas (/Asst Secr Thru 12/21/Fin Off Ahcl)	$0	$383,633	$42,724
Eller Jeff (Former President, Ncr)	$0	$352,684	$52,686
Lonto Robert (Former Reg Hp Dir, Ncr Thru 02/20)	$0	$270,421	$82,148
Santos David (President Thru 05/22)	$0	$230,650	$30,853
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990

Filed on Nov. 6, 2023

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Fiscal Year Ending Dec.
2021

Revenue

$164,443,894

Expenses

$160,755,837

Net Income

$3,688,057

Net Assets

$7,327,371

Notable Sources of Revenue		Percent of Total Revenue
Contributions	$2,984,785	1.8%
Program Services	$160,733,224	97.7%
Investment Income	$612,603	0.4%
Bond Proceeds	$0
Royalties	$0
Rental Property Income	$145,712	0.1%
Net Fundraising	$6,600	0.0%
Sales of Assets	-$39,030
Net Inventory Sales	$0
Other Revenue	$0

Notable Expenses		Percent of Total Expenses
Executive Compensation	$0
Professional Fundraising Fees	$0
Other Salaries and Wages	$52,506,595	32.7%

Assets/Debt
Total Assets	$121,179,230
Total Liabilities	$113,851,859
Net Assets	$7,327,371

Operated hospital facilities

Compensation

Key Employees and Officers	Compensation	Related	Other
Cardenas Lucita (Rn)	$383,557	$0	$37,519
Shapiro Marc (Medical Officer)	$306,507	$0	$0
Anjejo Isaac (Rn, First Assistant)	$285,786	$0	$33,858
Mc Cance David (Rn)	$281,356	$0	$23,407
Gumpert Norman (Pharmacist)	$256,418	$0	$67,909
Reiner Scott (Chair/Ceo Thru 12/21)	$0	$2,940,088	$62,418
Wing Bill (Dir/Asst Secr/Vice Chair)	$0	$2,459,079	$76,222
Jahn Andrew (Care Division President)	$0	$1,848,683	$72,937
Hofheins Todd (Cfo)	$0	$1,319,147	$59,910
Jacobson Carlton (Treasurer/Asst Secr Thru 12/21)	$0	$1,138,512	$60,316
Nahapetian Arby (Care Division Chief Medical Officer)	$0	$1,058,113	$78,302
Eller Jeff (President, Ncr)	$0	$1,100,138	$22,996
Jobe Meredith (Secretary)	$0	$932,705	$59,761
Byrnes John Former (Medical Officer, Ncr Thru 02/20)	$0	$906,436	$56,796
Stevens Eric (Care Division Operations Executive)	$0	$884,611	$49,992
Spenst Brett (Care Division Finance Officer)	$0	$786,101	$45,300
Santos David (President)	$0	$667,944	$72,931
Lonto Robert (Former Reg Hp Dir, Ncr Thru 02/20)	$0	$415,896	$72,696
Assavapisitkul Colleen (Patient Care Executive)	$0	$338,122	$71,401
Heinrich Kerry (Dir/Ceo Elect As Of 11/21)	$0	$282,697	$2,627
Reppert Joseph (Former Cfo/Asst Secr Thru 08/19)	$0	$179,119	$11,442
Freedman John (Dir/Vice Chair/Chair As Of 08/21)	$0	$26,435	$0
Banks David (Director)	$0	$26,159	$0
Cherry Robert (Director)	$0	$26,159	$0
Davis Andrew (Director)	$0	$26,159	$0
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990

Filed on Nov. 11, 2022

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Fiscal Year Ending Dec.
2020

Revenue

$145,501,441

Expenses

$143,212,527

Net Income

$2,288,914

Net Assets

$30,471,560

Notable Sources of Revenue		Percent of Total Revenue
Contributions	$4,721,327	3.2%
Program Services	$139,837,783	96.1%
Investment Income	$815,710	0.6%
Bond Proceeds	$0
Royalties	$0
Rental Property Income	$122,185	0.1%
Net Fundraising	$3,331	0.0%
Sales of Assets	$1,105	0.0%
Net Inventory Sales	$0
Other Revenue	$0

Notable Expenses		Percent of Total Expenses
Executive Compensation	$0
Professional Fundraising Fees	$0
Other Salaries and Wages	$44,991,995	31.4%

Assets/Debt
Total Assets	$117,922,733
Total Liabilities	$87,451,173
Net Assets	$30,471,560

Operated hospital facilities

Compensation

Key Employees and Officers	Compensation	Related	Other
Cardenas Lucita (Rn)	$325,953	$0	$22,553
Anjejo Isaac (Rn, First Assistant)	$320,631	$0	$40,335
Gumpert Norman (Pharmacist)	$295,743	$0	$78,463
Mc Cance David (Rn)	$273,933	$0	$4,017
Estabrook Brian (Physician Assistant)	$252,047	$0	$74,332
Reiner Scott (Dir/Chair)	$0	$2,358,378	$54,819
Wing Bill (Dir/Asst Secr/Vice Chair)	$0	$1,760,327	$59,054
Jahn Andrew (President, Care Division)	$0	$1,365,841	$59,307
Eller Jeff (President, Ncr Thru 06/20)	$0	$1,154,747	$49,411
Nahapetian Arby (Care Division Chief Medical Officer)	$0	$868,206	$54,711
Reppert Joseph (Former Cfo/Asst Secr Thru 08/19)	$0	$813,425	$41,111
Jobe Meredith (Secretary)	$0	$769,985	$43,868
Byrnes John (Medical Officer, Ncr)	$0	$766,859	$46,424
Santos David (President)	$0	$509,955	$59,268
Hofheins Todd (Cfo As Of 08/20)	$0	$469,107	$13,281
Lonto Robert (Reg Hp Dir, Ncr)	$0	$376,950	$59,047
Lang Kevin (Finance Officer, Ncr)	$0	$388,220	$0
Shapiro Marc (Medical Officer)	$0	$377,697	$0
Jacobson Carlton (Treasurer/Asst Secr)	$0	$316,693	$49,056
Assavapisitkul Colleen (Patient Care Executive)	$0	$287,922	$58,282
Wagner Jack (Former Asst Secr Thru 03/18)	$0	$269,387	$13,558
Kinney Jill (Admin Dir Marketing & Comm, Ncr)	$0	$190,297	$42,340
Freedman John (Director)	$0	$27,216	$0
Davis Andrew (Director)	$0	$26,971	$0
Reiner Richard (Director)	$0	$26,764	$0
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990

Filed on Nov. 10, 2021

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Fiscal Year Ending Dec.
2019

Revenue

$120,738,242

Expenses

$114,743,366

Net Income

$5,994,876

Net Assets

$28,182,646

Notable Sources of Revenue		Percent of Total Revenue
Contributions	$1,550,497	1.3%
Program Services	$118,263,999	98.0%
Investment Income	$767,176	0.6%
Bond Proceeds	$0
Royalties	$0
Rental Property Income	$0
Net Fundraising	$139,569	0.1%
Sales of Assets	$6,988	0.0%
Net Inventory Sales	$0
Other Revenue	$10,013	0.0%

Notable Expenses		Percent of Total Expenses
Executive Compensation	$0
Professional Fundraising Fees	$0
Other Salaries and Wages	$36,167,755	31.5%

Assets/Debt
Total Assets	$101,098,983
Total Liabilities	$72,916,337
Net Assets	$28,182,646

Operated hospital facilities

Compensation

Key Employees and Officers	Compensation	Related	Other
Gumpert Norman (Pharmacist)	$275,707	$0	$40,088
Anjejo Isaac (Rn, First Assistant)	$271,941	$0	$22,896
Mc Cance David (Rn)	$256,443	$0	$0
Madsen Kathleen (Rn)	$224,410	$0	$39,470
Cardenas Lucita (Rn)	$223,456	$0	$12,268
Reiner Scott (Dir/Chair)	$0	$1,995,696	$53,734
Wing Bill (Dir/Asst Secretary/Cfo)	$0	$1,572,254	$46,583
Reppert Joseph (Cfo/Asst Secr Thru 08/19)	$0	$1,209,069	$57,565
Eller Jeff (President, Ncr)	$0	$1,172,082	$40,197
Lang Kevin (Finance Officer, Ncr)	$0	$1,038,744	$0
Wagner Jack (Former Asst Secr Thru 03/18)	$0	$778,475	$29,189
Jobe Meredith (Secretary)	$0	$730,385	$45,909
Byrnes John (Medical Officer, Ncr)	$0	$718,300	$29,813
Santos David (President)	$0	$553,385	$58,654
Lonto Robert (Reg Hp Dir, Ncr)	$0	$388,199	$58,409
Jacobson Carlton (Treasurer/Asst Secr)	$0	$336,316	$53,444
Shapiro Marc (Medical Officer)	$0	$383,841	$0
Assavapistkul Colleen (Patient Care Executive)	$0	$310,246	$57,069
Kinney Jill (Admin Dir Marketing & Comm, Ncr)	$0	$181,700	$21,349
Reiner Richard (Director)	$0	$28,588	$0
Davis Andrew (Director)	$0	$28,246	$0
Cherry Robert (Director)	$0	$26,315	$0
Heinrich Kerry (Director)	$0	$20,102	$0
Innocent Larry (Director)	$0	$18,852	$0
Woodson Marc (Director)	$0	$15,000	$0
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990

Filed on Nov. 10, 2020

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Fiscal Year Ending Dec.
2018

Revenue

$111,059,504

Expenses

$99,074,768

Net Income

$11,984,736

Net Assets

$22,187,770

Notable Sources of Revenue		Percent of Total Revenue
Contributions	$255,034	0.2%
Program Services	$110,022,443	99.1%
Investment Income	$385,206	0.3%
Bond Proceeds	$0
Royalties	$0
Rental Property Income	$0
Net Fundraising	$2,646	0.0%
Sales of Assets	$394,175	0.4%
Net Inventory Sales	$0
Other Revenue	$0

Notable Expenses		Percent of Total Expenses
Executive Compensation	$0
Professional Fundraising Fees	$0
Other Salaries and Wages	$33,360,725	33.7%

Assets/Debt
Total Assets	$90,362,230
Total Liabilities	$68,174,460
Net Assets	$22,187,770

Operated hospital facilities

Compensation

Key Employees and Officers	Compensation	Related	Other
Cardenas Lucita (Rn)	$273,429	$0	$22,182
Gumpert Norman (Pharmacist)	$263,330	$0	$43,245
Mc Cance David (Rn)	$257,281	$0	$0
Madsen Kathleen (Rn)	$237,357	$0	$38,062
Anjejo Isaac (Rn, First Assistant)	$221,959	$0	$23,827
Banks David (Director)	$0	$27,620	$0
Cherry Robert (Director)	$0	$25,126	$0
Davis Andrew (Director)	$0	$24,002	$0
Freedman John (Director)	$0	$718	$0
Gabriel Melody (Director Thru 12/2018)	$0	$20,464	$0
Graham Ricardo (Director)	$0	$1,442	$0
Heinrich Kerry (Director)	$0	$20,485	$0
Innocent Larry (Director)	$0	$31,885	$0
Pedersen James (Director Thru 07/2018)	$0	$3,625	$0
Reiner Richard (Director)	$0	$27,964	$0
Reiner Scott (Dir/Chair)	$0	$2,458,436	$44,472
Rippey Wesley (Director Thru 05/2018)	$0	$623,943	$47,568
Salazar Velino (Director)	$0	$1,542	$0
Wing Bill (Dir/Vice Chair/Asst Secr)	$0	$1,875,311	$49,315
Jacobson Carlton (Treasurer)	$0	$340,005	$42,060
Jobe Meredith (Secretary)	$0	$666,615	$38,328
Santos David (President)	$0	$540,580	$46,927
Wagner Jack (Asst Secretary Thru 03/2018)	$0	$1,332,908	$34,076
Assavapistkul Collen (Patient Care Executive)	$0	$274,480	$31,999
Byrnes John (Medical Officer, Ncr)	$0	$501,269	$14,905
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990

Filed on Nov. 14, 2019

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Fiscal Year Ending Dec.
2017

Revenue

$104,612,651

Expenses

$90,204,017

Net Income

$14,408,634

Net Assets

$10,697,492

Notable Sources of Revenue		Percent of Total Revenue
Contributions	$1,259,083	1.2%
Program Services	$103,236,063	98.7%
Investment Income	$126,969	0.1%
Bond Proceeds	$0
Royalties	$0
Rental Property Income	$0
Net Fundraising	$723	0.0%
Sales of Assets	-$6,666
Net Inventory Sales	-$238
Other Revenue	$0

Notable Expenses		Percent of Total Expenses
Executive Compensation	$0
Professional Fundraising Fees	$0
Other Salaries and Wages	$31,837,752	35.3%

Assets/Debt
Total Assets	$76,944,191
Total Liabilities	$66,246,699
Net Assets	$10,697,492

Operated hospital facilities

Compensation

Key Employees and Officers	Compensation	Related	Other
Gumpert Norman (Pharmacist)	$263,308	$0	$51,047
Shelton Jacarre (Dir Pharmacy)	$203,205	$0	$23,300
Anjejo Isaac (Rn)	$200,133	$0	$27,210
Denny Lisa (Rn)	$199,542	$0	$43,810
Dupper Brent (Director Phys Svc)	$178,288	$0	$49,000
Banks David (Director)	$0	$1,553	$0
Cherry Robert (Director)	$0	$11,550	$0
Davis Andrew (Director)	$0	$10,600	$0
Freedman John (Director)	$0	$1,133	$0
Gabriel Melody (Director)	$0	$1,203	$0
Graham Ricardo (Director)	$0	$2,074	$0
Heinrich Kerry (Director)	$0	$15,866	$0
Innocent Larry (Director)	$0	$17,608	$0
Pedersen James (Director)	$0	$2,101	$0
Reiner Richard (Director)	$0	$19,819	$0
Rippey Wesley (Director)	$0	$118,116	$0
Salazar Velino (Director)	$0	$1,928	$0
Reiner Scott (Dir/Chair)	$0	$1,982,804	$53,885
Wing Bill (Dir/V Chair/A Sec)	$0	$1,460,244	$52,693
Jobe Meredith (Secretary)	$0	$654,239	$42,313
Wagner Jack (Asst Secretary)	$0	$1,070,403	$37,117
Santos David (President/Ceo)	$0	$474,821	$53,864
Jacobson Carlton (Treas/Asst Sec)	$0	$319,752	$49,405
Lonto Robert (Reg Vp Hr)	$0	$304,495	$53,840
Eller Jeff (Pres Ncr)	$0	$1,037,468	$45,013
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990

Filed on Dec. 18, 2018

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990-T

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Fiscal Year Ending Dec.
2016

Revenue

$96,035,653

Expenses

$87,164,982

Net Income

$8,870,671

Net Assets

-$2,573,749

Notable Sources of Revenue		Percent of Total Revenue
Contributions	$375,263	0.4%
Program Services	$94,646,082	98.6%
Investment Income	$76,366	0.1%
Bond Proceeds	$0
Royalties	$0
Rental Property Income	$0
Net Fundraising	$0
Sales of Assets	$0
Net Inventory Sales	-$444
Other Revenue	$938,386	1.0%

Notable Expenses		Percent of Total Expenses
Executive Compensation	$0
Professional Fundraising Fees	$0
Other Salaries and Wages	$28,305,917	32.5%

Assets/Debt
Total Assets	$64,207,325
Total Liabilities	$66,781,074
Net Assets	-$2,573,749

Operated hospital facilities

Compensation

Key Employees and Officers	Compensation	Related	Other
Gumpert Norman (Pharmacist)	$255,133	$0	$50,223
Shelton Jacarre (Dir. Pharmacy)	$201,760	$0	$21,713
Mc Curry William (Rn)	$197,192	$0	$43,444
Denny Lisa (Rn)	$193,368	$0	$42,881
Dupper Brent (Exec Dir Phys Sv)	$172,529	$0	$44,138
Dickinson Charles (Director)	$0	$217,464	$54,172
Freedman John (Director)	$0	$300	$0
Friestad Christine (Director)	$0	$968	$0
Gabriel Melody (Director)	$0	$2,269	$0
Graham Ricardo (Director)	$0	$4,246	$0
Heinrich Kerry (Director)	$0	$683	$0
Innocent Larry (Director)	$0	$1,503	$0
Reimche Allan (Director)	$0	$4,407	$0
Rippey Wesley (Director)	$0	$129,770	$0
Salazar Velino (Director)	$0	$3,915	$0
Torkelsen Max (Director)	$0	$4,102	$0
Reiner Scott (Dir/Chair)	$0	$1,711,534	$286,273
Wing Bill (Dir/V Chair/A Sec)	$0	$1,319,055	$238,355
Jobe Meredith (Secretary)	$0	$552,085	$99,823
Wagner Jack (Asst Secretary)	$0	$1,117,705	$41,826
Mc Donald Edward (Asst Secretary)	$0	$412,999	$150,378
Santos David (President/Ceo)	$0	$377,160	$75,998
Jacobson Carlton (Treas/Asst Sec)	$0	$277,366	$61,801
Lonto Robert (Reg Vp Hr)	$0	$244,632	$51,397
Cowan Joshua (Ncr Vp Marketing/Corp Dev)	$0	$335,562	$33,352
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990

Filed on Nov. 16, 2017

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990-T

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Fiscal Year Ending Dec.
2015

Revenue

$82,682,586

Expenses

$74,323,140

Net Income

$8,359,446

Net Assets

-$11,110,744

Notable Sources of Revenue		Percent of Total Revenue
Contributions	$86,327	0.1%
Program Services	$82,469,785	99.7%
Investment Income	$88,205	0.1%
Bond Proceeds	$0
Royalties	$0
Rental Property Income	$0
Net Fundraising	$0
Sales of Assets	$32,643	0.0%
Net Inventory Sales	-$874
Other Revenue	$6,500	0.0%

Notable Expenses		Percent of Total Expenses
Executive Compensation	$236,428	0.3%
Professional Fundraising Fees	$0
Other Salaries and Wages	$25,767,156	34.7%

Assets/Debt
Total Assets	$58,326,135
Total Liabilities	$69,436,879
Net Assets	-$11,110,744

Operated hospital facilities

Compensation

Key Employees and Officers	Compensation	Related	Other
Clarke John (Crna)	$328,149	$0	$109
Gumpert Norman (Pharmacist)	$228,439	$0	$43,687
Denny Lisa (Rn)	$190,200	$0	$20,200
Assavapisitkul Colleen (Cno)	$182,926	$0	$53,502
Madsen Kathleen (Rn)	$154,787	$0	$40,149
Dupper Brent (Exec Dir Phys Sv)	$146,743	$0	$38,618
Caviness Larry (Director)	$0	$6,749	$0
Dickinson Charles (Director)	$0	$5,456	$0
Friestad Christine (Director)	$0	$1,752	$0
Gabriel Melody (Director)	$0	$2,333	$0
Graham Ricardo (Director)	$0	$4,132	$0
Heinrich Kerry (Director)	$0	$528	$0
Innocent Larry (Director)	$0	$2,045	$0
Jones Helmuth (Director)	$0	$84,278	$0
Reimche Allan (Director)	$0	$2,734	$0
Rippey Wesley (Director)	$0	$126,608	$0
Salazar Velino (Director)	$0	$1,416	$0
Torkelsen Max (Director)	$0	$2,801	$0
Reiner Scott (Dir/Chair)	$0	$1,526,040	$261,659
Wing Bill (Dir/V Chair/A Sec)	$0	$1,245,488	$228,400
Jobe Meredith (Secretary)	$0	$537,841	$93,577
Wagner Jack (Asst Secretary)	$0	$1,056,525	$41,424
Mc Donald Edward (Asst Secretary)	$0	$434,922	$109,393
Wehtje Rodney (Asst Treasurer)	$0	$591,283	$58,716
Santos David (President/Ceo)	$0	$377,413	$69,193
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990

Filed on Nov. 16, 2016

Primary tax return for a nonprofit’s activities, finances, and governance

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Schedules ▼

PDF XML

990-T

For unrelated business income from activities not substantially related to the organization's tax-exempt purpose

PDF

Fiscal Year Ending Dec.
2014

Revenue

$73,806,062

Expenses

$68,665,457

Net Income

$5,140,605

Net Assets

-$18,816,583

Notable Sources of Revenue		Percent of Total Revenue
Contributions	$371,315	0.5%
Program Services	$73,276,579	99.3%
Investment Income	$36,501	0.0%
Bond Proceeds	$0
Royalties	$0
Rental Property Income	$0
Net Fundraising	$1,394	0.0%
Sales of Assets	$114,098	0.2%
Net Inventory Sales	$675	0.0%
Other Revenue	$5,500	0.0%

Notable Expenses		Percent of Total Expenses
Executive Compensation	$368,558	0.5%
Professional Fundraising Fees	$0
Other Salaries and Wages	$22,708,338	33.1%

Assets/Debt
Total Assets	$57,998,272
Total Liabilities	$76,814,855
Net Assets	-$18,816,583

Operated hospital facilities

Compensation

Key Employees and Officers	Compensation	Related	Other
Gumpert Norman (Pharmacist)	$224,368	$0	$44,896
Clarke John (Crna)	$219,391	$0	$109
Shapiro Marc (Cmo)	$166,500	$0	$0
Mc Curry William (Rn Iv, Op Surgery)	$165,860	$0	$46,945
Assavapisitkul Colleen (Cno)	$147,756	$0	$54,302
Olson Paul (House Sup Coord)	$144,867	$0	$39,798
Senff Jenny (Clinic Exl/Ed Dir)	$139,130	$0	$36,114
Caviness Larry (Director)	$0	$3,081	$0
Dickinson Charles (Director)	$0	$6,340	$0
Fike Ruthita (Director)	$0	$2,050	$0
Friestad Christine (Director)	$0	$2,557	$0
Gabriel Melody (Director)	$0	$2,388	$0
Graham Ricardo (Director)	$0	$7,573	$0
Heinrich Kerry (Director)	$0	$0	$0
Innocent Larry (Director)	$0	$2,388	$0
Jones Helmuth (Director)	$0	$83,882	$0
Reimche Allan (Director)	$0	$3,958	$0
Rippey Wesley (Director)	$0	$116,805	$0
Torkelsen Max (Director)	$0	$3,731	$0
Carmen Robert (Dir/Chair)	$0	$440,880	$14,928
Reiner Scott (Dir/Chair/Sec)	$0	$1,256,086	$211,057
Wing Bill (Dir/V Chair/A Sec)	$0	$903,909	$198,325
Jobe Meredith (Secretary)	$0	$432,115	$83,255
Wagner Jack (Asst Secretary)	$0	$535,352	$27,472
Rebok Douglas (Asst Secretary)	$0	$800,609	$156,007
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990

Filed on Nov. 20, 2015

Primary tax return for a nonprofit’s activities, finances, and governance

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Schedules ▼

PDF XML

990-T

For unrelated business income from activities not substantially related to the organization's tax-exempt purpose

PDF

Fiscal Year Ending Dec.
2013

Revenue

$65,821,100

Expenses

$67,957,232

Net Income

-$2,136,132

Net Assets

-$21,329,874

Notable Sources of Revenue		Percent of Total Revenue
Contributions	$398,142	0.6%
Program Services	$65,394,366	99.4%
Investment Income	$54,527	0.1%
Bond Proceeds	$0
Royalties	$0
Rental Property Income	$0
Net Fundraising	$0
Sales of Assets	-$31,419
Net Inventory Sales	-$516
Other Revenue	$6,000	0.0%

Notable Expenses		Percent of Total Expenses
Executive Compensation	$271,711	0.4%
Professional Fundraising Fees	$0
Other Salaries and Wages	$22,020,546	32.4%

Assets/Debt
Total Assets	$45,752,435
Total Liabilities	$67,082,309
Net Assets	-$21,329,874

Operated hospital facilities

Compensation

Key Employees and Officers	Compensation	Related	Other
Shapiro Mark (Cmo)	$271,711	$0	$0
Gumpert Norman (Pharmacist)	$213,536	$0	$39,167
Brunk Tammy (Cnm, Fnp Midwife)	$172,342	$0	$64,472
Myers Irvin (Nuclear Med Tech)	$161,425	$0	$20,182
Mc Curry William (Rn Iv, Op Surgery)	$147,921	$0	$46,364
Madsen Kathleen (Rn Iii, Surgery)	$130,268	$0	$42,003
Caviness Larry (Director)	$0	$2,263	$0
Dickinson Charles (Director)	$0	$5,021	$0
Fike Ruthita (Director)	$0	$576	$0
Friestad Christine (Director)	$0	$1,783	$0
Gabriel Melody (Director)	$0	$1,443	$0
Graham Ricardo (Director)	$0	$3,020	$0
Innocent Larry (Director)	$0	$1,410	$0
Jones Helmuth (Director)	$0	$85,460	$0
Reimche Allan (Director)	$0	$2,070	$0
Rippey Wesley (Director)	$0	$96,929	$0
Torkelsen Max (Director)	$0	$2,799	$0
Carmen Robert (Dir/Chair)	$0	$1,469,005	$44,835
Reiner Scott (Dir/V Chair/Sec)	$0	$1,075,867	$198,380
Rebok Douglas (Asst Secretary)	$0	$787,365	$162,365
Wehtje Rodney (Asst Treasurer)	$0	$508,359	$105,863
Wing Bill (Asst Secretary)	$0	$782,125	$172,894
Newmyer Terrance (President)	$0	$638,878	$107,750
Herber Steven (Int Pres/Sr Vp)	$0	$336,328	$83,683
Mc Donald Edward (Asst Sec/Sr Vp)	$0	$319,210	$85,507
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990

Filed on Nov. 18, 2014

Primary tax return for a nonprofit’s activities, finances, and governance

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PDF XML

990-T

For unrelated business income from activities not substantially related to the organization's tax-exempt purpose

PDF

Fiscal Year Ending Dec.
2012

Revenue

$68,368,593

Expenses

$67,947,299

Net Income

$421,294

Net Assets

-$19,193,742

Notable Sources of Revenue		Percent of Total Revenue
Contributions	$159,837	0.2%
Program Services	$68,071,405	99.6%
Investment Income	$111,741	0.2%
Bond Proceeds	$0
Royalties	$0
Rental Property Income	$0
Net Fundraising	-$3,773
Sales of Assets	$22,395	0.0%
Net Inventory Sales	$988	0.0%
Other Revenue	$6,000	0.0%

Notable Expenses		Percent of Total Expenses
Executive Compensation	$0
Professional Fundraising Fees	$0
Other Salaries and Wages	$22,682,580	33.4%

Assets/Debt
Total Assets	$41,843,951
Total Liabilities	$61,037,693
Net Assets	-$19,193,742

990

Primary tax return for a nonprofit’s activities, finances, and governance

PDF

990-T

For unrelated business income from activities not substantially related to the organization's tax-exempt purpose

PDF

Fiscal Year Ending Dec.
2011

Revenue

$66,211,740

Expenses

$63,190,273

Net Income

$3,021,467

Net Assets

-$19,636,087

Notable Sources of Revenue		Percent of Total Revenue
Contributions	$156,865	0.2%
Program Services	$65,880,405	99.5%
Investment Income	$160,662	0.2%
Bond Proceeds	$0
Royalties	$0
Rental Property Income	$0
Net Fundraising	$0
Sales of Assets	$0
Net Inventory Sales	$13,808	0.0%
Other Revenue	$0

Notable Expenses		Percent of Total Expenses
Executive Compensation	$0
Professional Fundraising Fees	$0
Other Salaries and Wages	$21,862,251	34.6%

Assets/Debt
Total Assets	$42,051,593
Total Liabilities	$61,687,680
Net Assets	-$19,636,087

990

Primary tax return for a nonprofit’s activities, finances, and governance

PDF

990-T

990

Primary tax return for a nonprofit’s activities, finances, and governance

PDF

About This Data

Nonprofit Explorer includes summary data for nonprofit tax returns and full Form 990 documents, in both PDF and digital formats.

The summary data contains information processed by the IRS during the 2012-2019 calendar years; this generally consists of filings for the 2011-2018 fiscal years, but may include older records. This data release includes only a subset of what can be found in the full Form 990s.

In addition to the raw summary data, we link to PDFs and digital copies of full Form 990 documents wherever possible. This consists of separate releases by the IRS of Form 990 documents processed by the agency, which we update regularly.

We also link to copies of audits nonprofit organizations that spent $750,000 or more in Federal grant money in a single fiscal year since 2016. These audits are copied from the Federal Audit Clearinghouse.

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Every organization that has been recognized as tax exempt by the IRS has to file Form 990 every year, unless they make less than $200,000 in revenue and have less than $500,000 in assets, in which case they have to file form 990-EZ. Organizations making less than $50,000 don’t have to file either form but do have to let the IRS they’re still in business via a Form 990N "e-Postcard."

Nonprofit Explorer has organizations claiming tax exemption in each of the 27 subsections of the 501(c) section of the tax code, and which have filed a Form 990, Form 990EZ or Form 990PF. Taxable trusts and private foundations that are required to file a form 990PF are also included. Small organizations filing a Form 990N "e-Postcard" are not included in this data.

Types of Nonprofits

There are 27 nonprofit designations based on the numbered subsections of section 501(c) of the tax code. See the list »

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Raw filing data. Includes EINs and summary financials as structured data.
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Form 990 documents. Prior to 2017, these documents were obtained and processed by Public.Resource.org and ProPublica. Bulk PDF downloads since 2017 are available from the IRS.
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By Andrea Suozzo, Alec Glassford and Ash Ngu, ProPublica, and Brandon Roberts, Special to ProPublica.
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Updated April 24, 2024

Adventist Health Clearlake Hospital Inc

Organization summary

Type of Nonprofit

Details

Summary charts: organization finances over time

Revenue $192M (2022)

Expenses $179M (2022)

Total Assets $140M (2022)

Total Liabilities $112M (2022)

Tax Filings by Year

Fiscal Year Ending Dec. 2022

Extracted Financial Data

Extracted Financial Data from Form 990

Other

Compensation

Document Links

990

Fiscal Year Ending Dec. 2021

Extracted Financial Data

Extracted Financial Data from Form 990

Other

Compensation

Document Links

990

Fiscal Year Ending Dec. 2020

Extracted Financial Data

Extracted Financial Data from Form 990

Other

Compensation

Document Links

990

Fiscal Year Ending Dec. 2019

Extracted Financial Data

Extracted Financial Data from Form 990

Other

Compensation

Document Links

990

Fiscal Year Ending Dec. 2018

Extracted Financial Data

Extracted Financial Data from Form 990

Other

Compensation

Document Links

990

Fiscal Year Ending Dec. 2017

Extracted Financial Data

Extracted Financial Data from Form 990

Other

Compensation

Document Links

990

990-T

Fiscal Year Ending Dec. 2016

Extracted Financial Data

Extracted Financial Data from Form 990

Other

Compensation

Document Links

990

990-T

Fiscal Year Ending Dec. 2015

Extracted Financial Data

Extracted Financial Data from Form 990

Other

Compensation

Document Links

990

990-T

Fiscal Year Ending Dec. 2014

Extracted Financial Data

Extracted Financial Data from Form 990

Other

Compensation

Document Links

990

990-T

Fiscal Year Ending Dec. 2013

Extracted Financial Data

Extracted Financial Data from Form 990

Revenue

$192M (2022)

Expenses

$179M (2022)

Total Assets

$140M (2022)

Total Liabilities

$112M (2022)

Fiscal Year Ending Dec.
2022

Fiscal Year Ending Dec.
2021

Fiscal Year Ending Dec.
2020

Fiscal Year Ending Dec.
2019

Fiscal Year Ending Dec.
2018

Fiscal Year Ending Dec.
2017

Fiscal Year Ending Dec.
2016

Fiscal Year Ending Dec.
2015

Fiscal Year Ending Dec.
2014

Fiscal Year Ending Dec.
2013

Fiscal Year Ending Dec.
2012

Fiscal Year Ending Dec.
2011

Fiscal Year Ending Dec.
2010

Fiscal Year Ending Dec.
2009

Fiscal Year Ending Dec.
2008

Fiscal Year Ending Dec.
2007

Fiscal Year Ending Dec.
2006

Fiscal Year Ending Dec.
2005

Fiscal Year Ending Dec.
2004

Fiscal Year Ending Dec.
2003

Fiscal Year Ending Dec.
2002

Fiscal Year Ending Dec.
2001