MADERA COMMUNITY HOSPITAL

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1971

Legal Domicile

Principal Officer

Karen Paolinelli

Phone

5596755555

Tax Period

2022-07-01 to 2023-06-30

MADERA COMMUNITY HOSPITAL, founded in 1971, is a mid-sized nonprofit in the Health Care sector that reported $46.3M in total revenue in fiscal year 2022. Revenue fell 56% from the prior year — a significant decline worth monitoring. Expenses of $74.0M exceeded revenue, resulting in a 60% operating deficit.

Mission

Madera Community Hospital provides Inpatient and Outpatient healthcare services to the citizens of Madera and its surrounding communities.

Program Service Accomplishments

Program 1

Expenses: $42,590,106 Revenue: $44,622,253

Delivery and Management of General Inpatient and Outpatient Healthcare Services were provided to the citizens of Madera and its surrounding communities.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2022)

Revenue Breakdown

Contributions & Grants $400,000

Program Service Revenue $43,218,740

Investment Income $20,708

Other Revenue $2,650,526

TOTAL REVENUE $46,289,974

Expense Breakdown

Grants Paid $0

Salaries & Benefits $29,588,377

Fundraising Expenses $0

Program Expenses $42,590,106

Other Expenses $44,461,536

TOTAL EXPENSES $74,049,913

Year-over-Year Comparison

	2022	2021	Change
Revenue	$46,289,974	$104,389,786	-0.6%
Expenses	$74,049,913	$116,248,083	-0.4%
Net Income	$-27,759,939	$-11,858,297	+1.3%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

984

Volunteers

N/A

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$648,952

Total Directors

Key Employees

$193,594

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
Karen Paolinelli	Exec Director/CEO	40	Officer	$354,319	$3,050	$357,369
Mark J Foote	Vice President - Finance	40	Officer	$288,705	$2,878	$291,583
Jeanine Gillmeister	Chief Nursing Officer	40	Key Emp	$193,594	$0	$193,594
Eva A Singsing	Med/Surg Clinical Coordinator	40	Highest	$187,785	$1,873	$189,658
Colton Lee Pfister	Director of Phamacy	40	Highest	$182,542	$1,845	$184,387
Alma Mendoza	Pharmacist II	40	Highest	$181,819	$1,856	$183,675
Cindy Burgamy-Stevens	Family Nurse Practition	40	Highest	$177,315	$1,773	$179,088
Mathew F Kobzeff	Pharmacist II	40	Highest	$173,703	$1,775	$175,478
Mohammad Arain	Board Member	0.5	Director	$0	$0	$0
Jon Basila	Board Member	0.5	Director	$0	$0	$0
Deirdre daSilva	Chairman	1	Director	$0	$0	$0
Anita Eden	Board Member	0.5	Director	$0	$0	$0
Stell Manfredi	Board Member	1.00	Director	$0	$0	$0
Jay Mahil	Board Member	0.5	Director	$0	$0	$0
Aftab Naz	Board Member	0.5	Director	$0	$0	$0
Wally Nishimoto	Board Member	0.5	Director	$0	$0	$0
Bruce Norten	Board Member	0.5	Director	$0	$0	$0
Monte Pistoresi	Board Member	0.5	Director	$0	$0	$0
Robert Poythress	Board Member	0.5	Director	$0	$0	$0
Cyril Rebel	Board Member	0.5	Director	$0	$0	$0
Don Warnock	Board Member	0.5	Director	$0	$0	$0
Jan Zitek	Board Member	0.5	Director	$0	$0	$0

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2023	$46,289,974	$74,049,913	$59,433,595	$-27,759,939
2022	$104,389,786	$116,248,083	$81,559,320	$-11,858,297
2021	$101,891,868	$104,397,812	$91,019,873	$-2,505,944
2020	$90,269,759	$91,337,168	$93,621,036	$-1,067,409
2019	$95,452,043	$93,635,532	$94,680,348	$1,816,511
2018	$93,302,041	$90,032,245	$90,612,803	$3,269,796