Adventist Health Clearlake Hospital Inc
Donations deductibleAdventist Health Clearlake Hospital Inc's network
16 peoplei16 people on this map.The large node is the subject of this page. Solid lines are what the register itself records (16). Form 990 filings give names without a person identifier; SEC insider filings carry a CIK.The board
16 listediTime on the board is observed from the annual filings: the IRS files no appointment date, so the bar counts years from the first filing the person appears on - a lower bound, not a filed start date. Names are exactly as filed. The IRS publishes no person identifier, so this edition does not yet link a person across organisations.Tenure and departures are observed across annual filings. Observed tenure is a lower bound - a member may have joined before the first year on record. The organisation reported 14 voting members of its governing body on its latest Form 990 Part VI, which matches the board listed here.| Name | Role as filed | Since | On the board |
|---|---|---|---|
| Heinrich Kerry Chair | Dir/Chair/CEO | 2018 | 8 yrs |
| Beckett Ann | Director as of 01/24 | 2024 | 2 yrs |
| Cherry Robert | Director | 2018 | 8 yrs |
| Cress John | Director as of 10/24 | 2024 | 2 yrs |
| Daggett Jonathan | Director as of 01/24 | 2024 | 2 yrs |
| Davis Andrew | Director | 2018 | 8 yrs |
| Fehr Joy | Director | 2020 | 6 yrs |
| Freedman John | Director | 2018 | 8 yrs |
| Hofheins Todd | Dir/Vice Chair/COO | 2022 | 4 yrs |
| Innocent Larry | Director | 2018 | 8 yrs |
| Jutzy Kenneth | Director as of 01/24 | 2024 | 2 yrs |
| Newton Bradford | Director | 2022 | 4 yrs |
| Reiner Richard | Director | 2018 | 8 yrs |
| Salazar Velino | Director thru 09/24 | 2018 | 8 yrs |
| Wagner Jack | Director | 2023 | 3 yrs |
| Woodson Marc | Director | 2019 | 7 yrs |
Officers and senior leadership
50 listediNamed in Part VII as officers, key employees or highest-compensated staff - not board members, shown for completeness.| Name | Title as filed | On the filings |
|---|---|---|
| Aleman Andrea | RN Supervisor | 2022 |
| Anjejo Isaac | RN, First Assistant | since 2018 |
| Assadian Hoda | Operations Executive thru 06/24 | since 2023 |
| Assavapisitkul Colleen - Pt | President thru 05/24 | since 2020 |
| Assavapistkul Colleen | Patient Care Executive | 2019 |
| Assavapistkul Collen | Patient Care Executive | 2018 |
| Beaman John | CFO/Asst Secretary as of 01/22 | since 2022 |
| Bloom Evan | Medical Officer | since 2023 |
| Byrnes John | Medical Officer, NCR | since 2018 |
| Cantrell Misty | Patient Care Executive thru 08/24 | since 2023 |
| Cantrell Misty - Patient | Care Executive as of 09/22 | 2022 |
| Cardenas Lucita | RN | since 2018 |
| Cole Delores | RN | 2022 |
| Eberhart Gregory | Area Medical Officer thru 04/24 | since 2023 |
| Eller Jeff | President, NCR thru 06/20 | since 2018 |
| Estabrook Brian | Physician Assistant | 2020 |
| Flynn Laura | Director, RN | since 2023 |
| Gumpert Norman | Pharmacist | since 2018 |
| Hofheins Todd | CFO as of 08/20 | 2020 |
| Howe Judson | President, North Coast Network | 2022 |
| Howe Judson - President | North Coast Network thru 03/23 | 2023 |
| Howe Judson-Pres Ahcl to 0724 | Pres, N Coast Netw thru 07/24 | 2024 |
| Jacobson Carlton | Treasurer/Asst Secr | since 2018 |
| Jahn Andrew | President, Care Division | since 2020 |
| Jobe Meredith | Company secretary | since 2018 |
| Kassis Charles | Operations Executive as of 04/24 | 2024 |
| Kinney Jill | Admin Dir Marketing & Comm, NCR | since 2019 |
| Kruger Thomas | RN | 2023 |
| Lang Kevin | Finance Officer, NCR | since 2018 |
| Lonto Robert | Reg VP HR | since 2018 |
| Madsen Kathleen | RN | since 2018 |
| McCance David | RN | since 2018 |
| McCurry William | RN | 2024 |
| McNabb Erin | Administratve Director, RN | 2024 |
| Mock Jeffrey | Treasurer/Asst Secr as of 09/23 | since 2022 |
| Mock Jeffrey-Treasasst Secr | Ops Exec, N Coast Svc Ar as of 09/24 | 2024 |
| Nahapetian Arby | Care Division Chief Medical Officer | 2020 |
| Nahapetian Arby - Former Care | Division Medical Officer thru 02/22 | 2022 |
| Poff Alicia | RN | 2024 |
| Reppert Joseph | CFO/Asst Secr thru 08/19 | since 2018 |
| Santos David | President thru 05/22 | since 2018 |
| Shapiro Marc | Medical Officer | since 2019 |
| Shapiro Mark | Medical Officer | 2018 |
| Shelton Jacarre | Director, Pharmacy | 2023 |
| Shepardson Dean - Treasurer | Asst Secr from 03/23 thru 09/23 | 2023 |
| Spenst Brett - Care Division | Finance Officer thru 02/22 | 2022 |
| Stevens Eric - President | Northern CA/HI State Network | since 2022 |
| Stevens Eric-Pres Ahcl 0724 | Pres, N Coast Svc Area as of 07/24 | 2024 |
| Tetz Warren | Treasurer 07/22 - 12/22 | 2022 |
| Wagner Jack | Asst Secretary thru 03/2018 | 2018 |
Pay and hours
year to 31 December 2024iFrom Part VII of the Form 990: compensation reported for each officer, director, trustee, key employee and highest-paid staff member, and the average hours a week they report. Most board members are unpaid; a blank means nothing was reported. Pay from related organisations is shown separately.| Name | Title as filed | Hours a week | Pay from the organisation | Related organisations | Other |
|---|---|---|---|---|---|
| Anjejo Isaac | RN | 40 | $379k | $42k | |
| McCurry William | RN | 40 | $272k | $38k | |
| Flynn Laura | Director, RN | 40 | $264k | $25k | |
| Poff Alicia | RN | 40 | $249k | $52k | |
| McNabb Erin | Administratve Director, RN | 40 | $247k | $42k | |
| Heinrich Kerry | Dir/Chair/CEO | 0 | $0 | $4m | $58k |
| Hofheins Todd | Dir/Vice Chair/COO | 0 | $0 | $2.4m | $66k |
| Freedman John | Director | 0 | $0 | $27k | |
| Newton Bradford | Director | 0 | $0 | $27k | |
| Cherry Robert | Director | 0 | $0 | $27k | |
| Davis Andrew | Director | 0 | $0 | $27k | |
| Innocent Larry | Director | 0 | $0 | $27k | |
| Reiner Richard | Director | 0 | $0 | $27k | |
| Wagner Jack | Director | 0 | $0 | $22k | |
| Woodson Marc | Director | 0 | $0 | $22k | |
| Salazar Velino | Director thru 09/24 | 0 | $0 | $21k | |
| Fehr Joy | Director | 0 | $0 | $19k | |
| Beckett Ann | Director as of 01/24 | 0 | $0 | $18k | |
| Daggett Jonathan | Director as of 01/24 | 0 | $0 | $16k | |
| Jutzy Kenneth | Director as of 01/24 | 0 | $0 | $16k | |
| Cress John | Director as of 10/24 | 0 | $0 | $430 | |
| Beaman John | CFO/Assistant Secretary | 0 | $0 | $2m | $80k |
| Stevens Eric-Pres AHCL 0724 | Pres, N Coast Svc Area as of 07/24 | 5 | $0 | $1.9m | $58k |
| Jobe Meredith | Secretary | 0 | $0 | $1.2m | $58k |
| Assavapisitkul Colleen | President thru 05/24 | 50 | $0 | $641k | $68k |
| Mock Jeffrey-TreasAsst Secr | Ops Exec, N Coast Svc Ar as of 09/24 | 10 | $0 | $568k | $36k |
| Howe Judson-Pres AHCL to 0724 | Pres, N Coast Netw thru 07/24 | 8.3 | $0 | $830k | $79k |
| Eberhart Gregory | Area Medical Officer thru 04/24 | 12.5 | $0 | $671k | $74k |
| Cantrell Misty | Patient Care Executive thru 08/24 | 50 | $0 | $549k | $80k |
| Assadian Hoda | Operations Executive thru 06/24 | 16.7 | $0 | $498k | $60k |
| Bloom Evan | Area Medical Officer as of 04/24 | 50 | $0 | $374k | $68k |
| Kassis Charles | Operations Executive as of 04/24 | 50 | $0 | $277k | $13k |
| Shepardson Dean - Former | Treasurer/Asst Secr thru 09/23 | 0 | $0 | $651k | $76k |
| Jacobson Carlton-Frmr Treas | Asst Secr thru 12/21/Fin Off AHCL | 50 | $0 | $421k | $58k |
| Wing Bill - Former Dir | Asst Secr/Vice Chair thru 01/22 | 0 | $0 | $273k | |
| Nahapetian Arby - Former Care | Division Medical Officer thru 02/22 | 0 | $0 | $1.8m | $80k |
| Jahn Andrew - Former Care | Division President thru 02/22 | 0 | $0 | $693k | $59k |
About
- Legal name
- Adventist Health Clearlake Hospital Inc
- EIN
- 680395149
- Address
- 1 Adventist Health Way, Roseville, CA, 95661-3266
- State
- California
- Mission
- Living God's love by inspiring health, wholeness and hope. (as filed on the Form 990)
- Activity (NTEE)
- E220 Health care
- IRS classification
- 501(c)03 (tax-exempt under section 501(c)(3) where shown)
- Classified purpose
- Health Care
- Size band
- 9 (IRS master file code)
- Formed
- 1996
- Principal officer
- Parker Pridgen (as named on the Form 990)
- IRS ruling date
- 1 November 1997
- Status
- Code 01 (unconditional exemption)
- Form 990 filings on record
- 6, latest 2024
- IRS Publication 78
- PC (contributions deductible)
Most connected
Related organisations (Schedule R)
RelatedHospitalAdventist Health DelanoRelatedCharitable foundationAdventist Health FoundationRelatedHospitalAdventist Health Medical Center TehachapiRelatedHospitalAdventist Health Mendocino Coast
Longest observed on the filings
≥8years on the filingsHeinrich Kerry
≥8years on the filingsCherry Robert
≥8years on the filingsDavis Andrew
≥8years on the filingsFreedman John
Latest return
year to 31 December 2024iFigures from the newest Form 990 or 990-EZ in the IRS e-file releases of 2025 and 2026, for the year ending 31 December 2024. US dollars, as filed.- Total assets
- $164.6m
- Total liabilities
- $120.9m
- Net assets or fund balances
- $43.8m
- Contributions and grants received
- $2.4m
- Program service revenue
- $186.1m
- Grants and similar paid out
- $364k
- Employees
- 968
- Volunteers
- 5
Filed finances
1 yeariTotals as filed on the IRS Form 990 (revenue and expenses), by tax year.| Tax year | Total revenue | Total expenses | Surplus or deficit |
|---|---|---|---|
| 2024 | $191.7m | $188.2m | $3.5m |
As filed on the IRS Form 990. US dollars.
Grants paid
3 listediFrom Schedule I of the Form 990: grants and assistance to organisations in the United States, largest first (up to 25). Schedule I is filed only by organisations that gave more than $5,000 to any one recipient.| Recipient | Purpose | Amount |
|---|---|---|
| California Health Fund & Trust | Health services un/underinsured patients | $255k |
| Lake County Wine Alliance | Sponsorship/donation/auction | $17k |
| Clearlake Youth Soccer League | $8k |