Nonprofit · EIN 94-1623075
SISKIYOU HOSPITAL INC
Also known as FAIRCHILD MEDICAL CENTER
Tax-exempt · YREKA, CA 96097
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| December 31, 2024 | 990 | $129,802,776 | $121,626,506 | $8,176,270 | $121,818,947 | $20,717,110 | $101,101,837 |
| December 31, 2023 | 990 | $114,934,161 | $114,326,679 | $607,482 | $97,011,895 | $9,788,352 | $87,223,543 |
Financial details: 990 for the year ended December 31, 2024
Revenue
- Contributions, gifts and grants
- $82,760
- of which government grants
- $46,310
- Program service revenue
- $129,366,880
- Investment income
- $353,136
- Other revenue
- $0
Expenses
- Grants and similar amounts paid
- $0
- Compensation of officers, directors and key employees
- $838,436
- Other salaries and wages
- $42,716,597
- Salaries, compensation and benefits (total)
- $60,876,461
- Professional fundraising fees
- $0
- Occupancy
- $9,063,979
- Depreciation
- $5,103,773
- Program services (functional)
- $83,735,328
- Management and general (functional)
- $37,891,178
Balance sheet and other
- Total assets, start of year
- $97,011,895
- Total assets, end of year
- $121,818,947
- Total liabilities, end of year
- $20,717,110
- Net assets, end of year
- $101,101,837
- Land, buildings and equipment
- $34,529,660
- Net assets without donor restrictions
- $98,591,894
- Net assets with donor restrictions
- $2,509,943
- Gross receipts
- $129,802,776
- Employees
- 663
- Volunteers
- 37
- Year formed
- 1962
- State of legal domicile
- CA
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended December 31, 2024, highest compensation first.
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| Jonathon Andrus | CEO Officer | 40 | $459,252 | $67,315 |
| Jon Wilton | Anesthesiologist | 40 | $359,432 | $39,120 |
| Ryan Knight | Anesthesiologist | 40 | $321,206 | $52,010 |
| Kelly Martin | CFO Officer | 40 | $246,843 | $65,026 |
| MICHAEL MADDEN | ASST ADMIN | 40 | $237,472 | $52,217 |
| CHRISTOPHER RICHMOND | PHARMACIST | 40 | $220,866 | $56,514 |
| Orrin Rice | PA, Orthopedic | 40 | $212,871 | $58,730 |
| Vina Swenson | Chief of staff Trustee or director, Officer | 1 | $18,000 | $0 |
| Larry Mulloy | Member at large Trustee or director | 8 | $0 | $0 |
| Darrin Mercier | VICE-CHAIRMAN Trustee or director, Officer | 1 | $0 | $0 |
| Dwayne Jones | Secretary Trustee or director, Officer | 1 | $0 | $0 |
| Lorah Guse | Auxiliary Rep Trustee or director | 1 | $0 | $0 |
| Jerome Tres Churchill III | Chairman Trustee or director, Officer | 1 | $0 | $0 |
| Eleanor Wilson | Director Trustee or director | 1 | $0 | $0 |
| Louis Derouchey MD | Director Trustee or director | 1 | $0 | $0 |
7 more people on this return
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| Carrie Hayden | Director Trustee or director | 1 | $0 |
| Jay Quisenberry | Director Trustee or director | 1 | $0 |
| Douglas Langford DDS | Director Trustee or director | 1 | $0 |
| Judy Baker | Director Trustee or director | 1 | $0 |
| Kristi Von Tickner | Treasurer Trustee or director, Officer | 1 | $0 |
| Deanne Terry | Director Trustee or director | 1 | $0 |
| Michael Maloney MD | Former Chief of staff | 1 | $0 |
990 for the year ended December 31, 2023: 21 people
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| Jonathon Andrus | CEO Officer | 40 | $426,800 | $65,912 |
| Jon Wilton | Anesthesiologist | 40 | $344,925 | $34,878 |
| Megan Eckel | Anesthesiologist | 40 | $284,178 | $46,112 |
| Ryan Knight | Anesthesiologist | 40 | $267,907 | $30,928 |
| Kelly Martin | CFO Officer | 40 | $228,719 | $59,835 |
| MICHAEL MADDEN | ASST ADMIN | 40 | $216,632 | $48,372 |
| CHRISTOPHER RICHMOND | PHARMACIST | 40 | $203,938 | $50,266 |
| William Broeckel MD | Chief of staff Trustee or director, Officer | 1 | $18,000 | $0 |
| Larry Mulloy | Member at large Trustee or director, Officer | 8 | $0 | $0 |
| Darrin Mercier | VICE-CHAIRMAN Trustee or director, Officer | 1 | $0 | $0 |
| Dwayne Jones | Treasurer Trustee or director, Officer | 1 | $0 | $0 |
| Jerome Tres Churchill III | Chairman Trustee or director, Officer | 1 | $0 | $0 |
| Vina Swenson MD | Chiefstaffelect Trustee or director, Officer | 1 | $0 | $0 |
| Louis Derouchey MD | Director Trustee or director | 1 | $0 | $0 |
| Carrie Hayden | Director Trustee or director | 1 | $0 | $0 |
| Jay Quisenberry | Director Trustee or director | 1 | $0 | $0 |
| Douglas Langford DDS | Director Trustee or director | 1 | $0 | $0 |
| Judy Baker | Director Trustee or director | 1 | $0 | $0 |
| Kristi Von Tickner | Secretary Trustee or director, Officer | 1 | $0 | $0 |
| Deanne Terry | Director Trustee or director | 1 | $0 | $0 |
| Patricia Laustalot | Director-Former | 1 | $0 | $0 |
Address and contacts
- Address (IRS master file)
- 444 BRUCE ST, YREKA, CA 96097-3450
- Principal officer (990 for 2024)
- KELLY MARTIN
- Signed the 990
- KELLY MARTIN, CFO
- Phone
- (530) 842-4121
- Website
- www.fairchildmed.org
- Return prepared by
- AGT CPAS AND ADVISORS
California records
California keeps its own records of charities and corporations. Search them by EIN 94-1623075 or by the name SISKIYOU HOSPITAL INC.
- Attorney General, Registry of Charities and Fundraisers
- Registration status and filed reports (CT-TR-1, RRF-1)
- Secretary of State, bizfile Online
- Corporation status, entity number, agent for service
- Franchise Tax Board
- Entity status letter (state tax exemption, good standing)
Mission
FAIRCHILD MEDICAL CENTER OFFERS PRIMARY & SPECIALTY SERVICES INCLUDING MEDICAL, SURGICAL, ORTHOPEDIC, EMERGENCY, OBSTETRICAL, PEDIATRIC CARE, OUTPATIENT CLINIC, & OTHER SPECIALTIES AVAILABLE THROUGH TELEMEDICINE, OUR FOCUS IS TO PROVIDE LOCAL ACCESS TO HIGH QUALITY HEALTH CARE SERVICES.
Program accomplishments
- Fairchild Medical Center provides quality healthcare services regardless of race, creed, sex, national origin, handicap, age, ancestry or ability to pay. Fairchild Medical Center strives to provide for the health needs of its underinsured and uninsured patients. Although reimbursement for services rendered is critical to the operation and financial stability of Fairchild Medical Center, it is recognized that not all individuals possess the ability to purchase essential medical services, and further, that our mission is to serve the community with respect to providing healthcare services and education. Therefore, the Hospital is committed to serving all members of its community through consideration of:free care and/or subsidized care;care provided to persons covered by governmental programs at below cost;health activities and programs to support community;Where the need and/or individuals inability to pay coexists. Other activities include wellness programs, community education programs, elderly programs, physically or mentally challenged, medically under-served, and a variety of broad community support activities.Fairchild Medical Center served 1,339 inpatients and provided more than 125,000outpatient services during 2024.Fairchild Medical Center provides care to persons covered by governmental programs at below cost. Recognizing its mission to the community, services are provided to both MediCare and MediCal patients. The Hospital realized MediCal/CMSP payments below the cost the hospital incurs to provide the service of $7,973,378. To the extent reimbursement is below cost, Fairchild Medical Center recognizes these amounts as a service to the community in meeting its mission.Fairchild Medical Center currently has Medicare reimbursement reduced 2% to anamount below cost. In 2024, reimbursement was reduced $378,422.The Hospital maintains a Charity Care Policy which defines how partial and/or full charity care will be based on the individuals ability to pay as defined by Federal Poverty Income Guidelines utilizing a sliding scale. Confidentiality of information and the individuals dignity are paramount. Charity Care is also provided through many reduced price services and free programs offered throughout the year based on activities and services which Fairchild Medical Center believes will serve a bona fide community health need. These include:Free care for patients who are financially unable to pay for services in total or services in excess of private insurance reimbursement. During 2024, total charges written off for Charity Care were $1,180,722 with a cost associated with charity at $477,926 to a primary service area a little over 24,000 people.Fairchild Medical Center has two Rural Health Clinics that provide care in designated Healthcare Professional Shortage Areas (HPSA) for all who need services. The Rural Health Clinic provides Dental services for indigent patients. Organization and management of the Fairchild Medical Center National Hospital Week. The Hospital maintains a toll-free dedicated telephone number for advice nurse services which supply information regarding access to urgent care services; clinical advice; personal health education; information on prescription and over-the-counter drugs; and mental health referrals, as appropriate. The cost to provide this service to our community is $37,620.Hospital Administration and staff are called upon to speak before community organizations on a variety of healthcare topics.The Hospital remains focused on maintaining accreditation through the Joint Commission on Accreditation of Healthcare Organizations. The Hospital recruited and hired a Performance Improvement Risk Manager to assist in this endeavor. The Manager also focuses on Patient Safety issues within the Hospital.Administration continues to focus attention on Corporate Compliance issues as well as the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The Hospitals Hospitalist program continues to provide a continuity of care to those patients admitted to the Hospital.Various hospital staff served on many community and statewide committees promoting the advancement of healthcare. The costs of these activities have been subsidized by Fairchild Medical Center.Fairchild Medical Center offers various seminars on health related issues to the community for free. The Community has supported the charitable purposes of Fairchild Medical Center through various donations of money as well as services. Through the community supported auxiliary organizations services valued at over $105,000 for patient comfort and support were provided. Fairchild Medical Center Auxiliary provides a patient transport van to transport patients that need healthcare services. These donations provided a direct benefit to the community through lower costs in both patient services and other wellness programs such as those described previously. We also received donations of equipment from the Hospitals Guilds and Auxiliary.Expenses $83,735,328 · revenue $129,366,880
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in December, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | December 31, 2025 | May 15, 2026 | Not on file |
| 2024 | December 31, 2024 | May 15, 2025 | 990 on file |
| 2023 | December 31, 2023 | May 15, 2024 | 990 on file |
IRS record
- EIN
- 94-1623075
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Hospital or medical research organization
- Donations deductible (Pub 78)
- Public charity, 50% deduction limit
- Exempt since
- 1966
- Accounting year ends
- December
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Health care (E20)
- Assets (IRS master file)
- $121,818,947
- Income (IRS master file)
- $129,802,776
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | December 2024 | $129,802,776 | $121,626,506 | $121,818,947 | XML |
| 990 | December 2023 | $114,934,161 | $114,326,679 | $97,011,895 | XML |
| 990 | December 2022 | $114,338,891 | $109,819,995 | $97,811,875 | IRS |
| 990 | December 2021 | – | – | – | IRS |
| 990 | December 2020 | – | – | – | IRS |
| 990 | December 2018 | – | – | – | IRS |
| 990 | December 2017 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 94-1623075).
Questions about SISKIYOU HOSPITAL INC
- What is the EIN of SISKIYOU HOSPITAL INC?
- The employer identification number (EIN) of SISKIYOU HOSPITAL INC is 94-1623075.
- Is SISKIYOU HOSPITAL INC tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 1966.
- Are donations to SISKIYOU HOSPITAL INC tax-deductible?
- Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
- Which annual return does SISKIYOU HOSPITAL INC file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of SISKIYOU HOSPITAL INC due?
- The return for tax year 2025 (the year ending December 31, 2025) is due May 15, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did SISKIYOU HOSPITAL INC last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended December 2024.
- Who is the principal officer of SISKIYOU HOSPITAL INC?
- The 990 for the year ended December 31, 2024 names KELLY MARTIN.
- Who are the officers and directors of SISKIYOU HOSPITAL INC?
- The 990 for the year ended December 31, 2024 lists 22 people; 8 received compensation from the organization, the highest $459,252 (Jonathon Andrus, CEO).
- How much revenue does SISKIYOU HOSPITAL INC have?
- On its 990 for the year ended December 31, 2024 it reported revenue of $129,802,776, expenses of $121,626,506 and total assets of $121,818,947 at year end.
Other nonprofits in YREKA
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- FAIRCHILD MEDICAL CENTER FOUNDATION INC EIN 68-0350012 · last filed 990 for 2024
- TOPS CLUB INC EIN 32-0498618 · last filed 990-N for 2022
- SISKIYOU CREDIT UNION EIN 94-1588778 · last filed 990 for 2025
- SISKIYOU COUNTY ECONOMIC DEVELOPMENT COUNCIL EIN 68-0062634 · last filed 990 for 2025
- LILLYS GIFT FOUNDATION EIN 68-0445376 · last filed 990-PF for 2025
- TRI VALLEY MEDICAL INC EIN 94-3011965 · last filed 990 for 2024
- MADRONE HOSPICE INC EIN 68-0042668 · last filed 990 for 2026