Sonoma West Medical Center

Address
501 Petaluma Ave
Sebastopol, CA 95472
Contact
Website: http://sonomawestmedicalcenter.com
Phone: +1 (707) 823-8511
Nonprofit
EIN: 47-2189738
Year formed: 2015

Mission

SWMC connects and delivers personalized high-quality, accessible local healthcare services and advocates for the health and wellness of the communities in the District.
 20162015
Basic features of the organization
Year of formation2015
Form of organization
CorporationTrue
Human resources, including compensation
Summary compensation info
Total compensation of current key personnel$451,755.00$330,175.00
Sum of reportable (W2/1099) compensation$1,100,301.00 
Number of employees2500
Number of people compensated >$100k70
Number of volunteers5012
Number of highly compensated contractors110
Personnel
Andra, Cheri
TitleCNOCNO
Name of key/compensated personCheri AndraCheri Andra
Position of compensated person
Current officerTrueTrue
Average hours per week working for org40.0040.00
Reportable compensation from org$118,695.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Average hours per week working for related orgs0.000.00
Balletto, John
TitleBoard MemberBoard Member
Name of key/compensated personJohn BallettoJohn Balletto
Position of compensated person
Average hours per week working for org0.500.50
Reportable compensation from org$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Average hours per week working for related orgs0.000.00
Campbell, Craig
TitleBoard MemberBoard Member
Name of key/compensated personCraig CampbellCraig Campbell
Position of compensated person
Average hours per week working for org0.500.50
Reportable compensation from org$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Average hours per week working for related orgs0.000.00
Caracciolo, Paul
TitleSecretarySecretary
Name of key/compensated personPaul CaraccioloPaul Caracciolo
Position of compensated person
Average hours per week working for org0.500.50
Reportable compensation from org$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Average hours per week working for related orgs0.000.00
Demont, Joe
TitleCFOCFO
Name of key/compensated personJoe DemontJoe Demont
Position of compensated person
Current officerTrueTrue
Average hours per week working for org40.0040.00
Reportable compensation from org$76,710.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Average hours per week working for related orgs0.000.00
Edwards, Merry
TitleBoard MemberBoard Member
Name of key/compensated personMerry EdwardsMerry Edwards
Position of compensated person
Average hours per week working for org0.500.50
Reportable compensation from org$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Average hours per week working for related orgs0.000.00
Ely, Mary
TitleTreasurerTreasurer
Name of key/compensated personMary ElyMary Ely
Position of compensated person
Average hours per week working for org0.500.50
Reportable compensation from org$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Average hours per week working for related orgs0.000.00
Gude, Jim
TitleBoard MemberBoard Member
Name of key/compensated personJim GudeJim Gude
Position of compensated person
Average hours per week working for org0.500.50
Reportable compensation from org$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Average hours per week working for related orgs0.000.00
Hino, Raymond
TitleCEOCEO
Name of key/compensated personRaymond HinoRaymond Hino
Position of compensated person
Current officerTrueTrue
Average hours per week working for org55.0040.00
Reportable compensation from org$249,999.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Average hours per week working for related orgs0.000.00
Hynes, Jane
TitleBoard MemberBoard Member
Name of key/compensated personJane HynesJane Hynes
Position of compensated person
Average hours per week working for org0.500.50
Reportable compensation from org$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Average hours per week working for related orgs0.000.00
Jones, Cara
TitleMedical Staff 
Name of key/compensated personCara Jones 
Position of compensated person
Average hours per week working for org50.00 
Reportable compensation from org$110,510.00 
Other comp, non-reportable, from org and related orgs$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00 
Average hours per week working for related orgs0.00 
Mahoney, Maryann
TitleMedical Staff 
Name of key/compensated personMaryann Mahoney 
Position of compensated person
Average hours per week working for org50.00 
Reportable compensation from org$152,139.00 
Other comp, non-reportable, from org and related orgs$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00 
Average hours per week working for related orgs0.00 
Moise, Beth
TitleBoard MemberBoard Member
Name of key/compensated personBeth MoiseBeth Moise
Position of compensated person
Average hours per week working for org0.500.50
Reportable compensation from org$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Average hours per week working for related orgs0.000.00
Peleuses, John
TitleCEO 
Name of key/compensated personJohn Peleuses 
Position of compensated person
Current officerTrue 
Average hours per week working for org0.00 
Reportable compensation from org$0.00 
Other comp, non-reportable, from org and related orgs$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00 
Average hours per week working for related orgs0.00 
Pforsich, Andy
TitleBoard MemberBoard Member
Name of key/compensated personAndy PforsichAndy Pforsich
Position of compensated person
Average hours per week working for org0.500.50
Reportable compensation from org$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Average hours per week working for related orgs0.000.00
Scott, Linda
TitleMedical Staff 
Name of key/compensated personLinda Scott 
Position of compensated person
Average hours per week working for org50.00 
Reportable compensation from org$120,951.00 
Other comp, non-reportable, from org and related orgs$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00 
Average hours per week working for related orgs0.00 
Smith, Dan
TitleChairmanChairman
Name of key/compensated personDan SmithDan Smith
Position of compensated person
Average hours per week working for org0.500.50
Reportable compensation from org$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Average hours per week working for related orgs0.000.00
Storm-Martin, Virginia
TitleBoard MemberBoard Member
Name of key/compensated personVirginia Storm-MartinVirginia Storm-Martin
Position of compensated person
Average hours per week working for org0.500.50
Reportable compensation from org$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Average hours per week working for related orgs0.000.00
Thompson, Chris
TitleBoard MemberBoard Member
Name of key/compensated personChris ThompsonChris Thompson
Position of compensated person
Average hours per week working for org0.500.50
Reportable compensation from org$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Average hours per week working for related orgs0.000.00
Wenderoth, Elizabeth
TitleMedical Staff 
Name of key/compensated personElizabeth Wenderoth 
Position of compensated person
Average hours per week working for org50.00 
Reportable compensation from org$125,762.00 
Other comp, non-reportable, from org and related orgs$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00 
Average hours per week working for related orgs0.00 
Yarbrough, David
TitleCNOCNO
Name of key/compensated personDavid YarbroughDavid Yarbrough
Position of compensated person
Current officerTrueTrue
Average hours per week working for org40.0040.00
Reportable compensation from org$26,840.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Average hours per week working for related orgs0.000.00
Purpose: mission, activities, & accomplishments
Mission or significant activitiesTo operate an acute care hospital in Western Somoma CountyTo operate an acute care hospital in Western Somoma County
Program service expenses, total$15,495,185.00$4,741,318.00
Programs, including revenue & expenses
The organization received exempt status in April 2015. During this (partial) initial year of operations (April-September 2015) the organization began prepping for the opening of the hospital facility. Staffing, equipment, supplies, etc. were acquired and organized in preparation. The hospital began operations shortly after year-end on October 30, 2015.During the period of 10/1/2017 and 9/30/2017, the hospital treated 4,598 patients for a total of 6,179 visits.Palm Drive Health Care District (the District) is a public entity organized under Local District Law as set forth in the Health and Safety Code of the State of California. The District is a political subdivision of the State of California and is generally not subject to federal or state income taxes. The District is located in Sebastopol, CA and owns and is licensed to operate a 37-bed acute care hospital. The District's mission is to provide health care services primarily to individuals who reside in the local geographic area. The District signed a Management and Staffing Service Agreement (MSA) with Sonoma West Medical Center (SWMC) on March 18, 2015. This agreement calls for SWMC to operate the hospital facility on behalf of the District, and for the District to provide $1,000,000 (subject to availability) to augment the operations of the hospital that SWMC will be operating. Specifically, the funding is to be used to maintain hospital property, purchase or repair equipment and to subsidize charity care and programs that benefit the community. The MSA creates a governing board which will oversee the operations of the Hospital. This governing board is a subcommittee of the District, with representation from SWMC and participating physicians.
Program expenses$15,495,185.00$4,741,318.00
Program revenue$12,991,053.00$43.00
Program descriptionThe organization received exempt status in April 2015. During this (partial) initial year of operations (April-September 2015) the organization began prepping for the opening of the hospital facility. Staffing, equipment, supplies, etc. were acquired and organized in preparation. The hospital began operations shortly after year-end on October 30, 2015.During the period of 10/1/2017 and 9/30/2017, the hospital treated 4,598 patients for a total of 6,179 visits.Palm Drive Health Care District (the District) is a public entity organized under Local District Law as set forth in the Health and Safety Code of the State of California. The District is a political subdivision of the State of California and is generally not subject to federal or state income taxes. The District is located in Sebastopol, CA and owns and is licensed to operate a 37-bed acute care hospital. The District's mission is to provide health care services primarily to individuals who reside in the local geographic area. The District signed a Management and Staffing Service Agreement (MSA) with Sonoma West Medical Center (SWMC) on March 18, 2015. This agreement calls for SWMC to operate the hospital facility on behalf of the District, and for the District to provide $1,000,000 (subject to availability) to augment the operations of the hospital that SWMC will be operating. Specifically, the funding is to be used to maintain hospital property, purchase or repair equipment and to subsidize charity care and programs that benefit the community. The MSA creates a governing board which will oversee the operations of the Hospital. This governing board is a subcommittee of the District, with representation from SWMC and participating physicians.The organization received exempt status in April 2015. During this (partial) initial year of operations (April-September 2015) the organization began prepping for the opening of the hospital facility. Staffing, equipment, supplies, etc. were acquired and organized in preparation. The hospital began operations shortly after year-end on October 30, 2015.
Financial data
Revenue
Total revenue$24,526,566.00$4,530,905.00
Revenue from contributions (total)$10,565,569.00$4,530,862.00
Investment income, current yr$0.00$0.00
Total revenue from grants, etc., current yr$10,565,569.00$4,530,862.00
Total unrelated business revenue$0.00$0.00
Other revenue, current yr$969,944.00$43.00
Program service revenue (total)$12,991,053.00$0.00
Gross receipts$24,526,566.00$4,530,905.00
Sources of contributions
Revenue from gov't grants$600,000.00 
Revenue from all other contributions$9,965,569.00$4,530,862.00
Other types of revenue
Royalties (total)$0.00$0.00
Miscellaneous revenue (total)$969,944.00$43.00
Net revenue from gaming (total)$0.00$0.00
Income from dividends, interest, and similar investments$0.00$0.00
Net rental income$0.00$0.00
Net income from fundraising events$0.00$0.00
Net inventory sales (total)$0.00$0.00
Expense categories (totals)
Total functional expenses: sum of all$22,587,732.00$6,936,665.00
Total functional expenses: program service $15,495,185.00$4,741,318.00
Total functional expenses: management and general$7,092,547.00$2,195,347.00
Total functional expenses: fundraising$0.00$0.00
Fees for services
Lobbying fees (total)$0.00$0.00
Legal fees (total)$0.00$33,708.00
Fundraising service fees (total)$0.00$0.00
General management fees (total)$0.00$350,131.00
Investment management fees (total)$0.00$0.00
Assets and liabilities
Total assets$6,268,189.00$1,672,222.00
Total assets, beginning of year$1,672,222.00 
Total liabilities$9,794,611.00$3,919,430.00
Total liabilities, beginning of year$3,919,430.00 
Pledges & accounts receivable, net$0.00$0.00
Loans & receivables from key persons$0.00$0.00
Unrestricted net assets, end of yr-$3,526,422.00-$2,247,208.00
Net assets-$3,526,422.00-$2,247,208.00
Net assets, beginning of year-$2,247,208.00 
Other liabilities$1,081,723.00$378,570.00
Intangible assets$0.00$0.00
Other assets$752,017.00$0.00
Investments: other securities$0.00$0.00
Investments: publicly traded securities$0.00$0.00
Cash: non-interest bearing$26,993.00$470,520.00
Cash: non-interest bearing, beginning of year$470,520.00 
Investments -- program-related$0.00$0.00
Inventories for sale or use$614,057.00$120,500.00
Other financial variables
Revenue less expenses$1,938,834.00-$2,405,760.00
Advertising (total)$0.00$0.00
Savings & temp cash investment$0.00$0.00
Accounts receivable, net$3,384,667.00$0.00
Prepaid expenses & deferred charges$67,770.00$88,400.00
Accounts payable & accrued expenses$3,777,108.00$786,104.00
Unsecured notes & loans to unrelated parties$2,667,500.00$2,754,756.00
Secured mortgages and notes payable$2,268,280.00 
Total net assets or fund balances-$3,526,422.00-$2,247,208.00
Depreciation, depletion, amortization$151,628.00$55,440.00
Payment to affiliates$0.00$0.00
Governance and accountability
Number of voting members1212
Number of independent voting members1212
Financial sheets auditedTrue 
Audited on both consolidated and separate basisTrue 
Accrual accountingTrueTrue
Tax year start date2015-10-012014-10-01
Tax year end date2016-09-012015-09-01
Indicators for schedules (selected)
Attached copy of audited financialsTrue 
Operate hospital facilitiesTrue 
Hospital data
Facility count1 
Hospital facilities
Sonoma West Medical Center
Facility nameSonoma West Medical Center 
Facility line number1 
Facility's websitesonomawestmedicalcenter.com 
Address 501 Petaluma Ave 
StateCA 
Zip code95472 
State license number110000091 
Type(s) of facility
Licensed facilityTrue 
General medical and surgicalTrue 
ER - 24 hoursTrue 
Community benefits and community building
Has financial assistance policyTrue 
Provide discounts to medically indigentTrue 
Financial assistance at cost, net community benefit $531,622.00 
Financial assistance at cost, percent of total $0.02 
Medicaid, net community benefit expense$1,179,417.00 
Medicaid, percent of total expense$0.05 
Total benefits, net community benefit expense$1,711,039.00 
Total community benefits as percent of total expense$0.08 
Bad debt expense$2,658,110.00 
Bad debt due to charity$531,622.00 
Revenue from Medicare$9,038,748.00 
Medicare allowable costs$9,038,748.00 
Metadata about the filing
E-return type: 990, 990EZ, or 990PF990990
Reason for form submission
First filing True
Date e-filing submitted2017-11-062017-08-03
IRS schema version2015v3.02014v6.0
Filing identifier201742279349302254201730469349302618
Use these data in your project Benchmark this organization against its peers