Velarion Records

2 locations registered under this record — data as of October 5, 2026

Disproportionate share hospital · TULARE, CA

TULARE LOCAL HEALTHCARE DISTRICT DBA TULARE REGIONAL MEDICAL CENTER

Taking partNoTermination date filedJanuary 1, 2018Last certifiedAugust 15, 2016

  • 2Registered locations
  • 1Associated locations
  • 0Contract pharmacies
  • 0With no end date
  • April 1, 2014In 340B since

Every Medicare cost report this hospital has filed is on its cost-report record.

Finances, as filed

From this hospital’s Medicare cost report for the year ended June 30, 2017.

FigureAs filedWhere it comes from
Total patient revenue$236,775,766CMS-2552-10 worksheet G300000 line 100 column 100
Contractual allowances$196,359,125CMS-2552-10 worksheet G300000 line 200 column 100
Net patient revenue$40,416,641CMS-2552-10 worksheet G300000 line 300 column 100
Total operating expenses$83,872,684CMS-2552-10 worksheet G300000 line 400 column 100
Income from service to patients−$43,456,043CMS-2552-10 worksheet G300000 line 500 column 100
Charity care, at charges$3,318,000CMS-2552-10 worksheet S100000 line 2000 column 300
Charity care, at cost$1,005,205CMS-2552-10 worksheet S100000 line 2300 column 300
Bad debt expense$8,054,400CMS-2552-10 worksheet S100000 line 2600 column 100
Bad debt other than Medicare, at cost$2,454,148CMS-2552-10 worksheet S100000 line 2900 column 100
Uncompensated care, at cost$3,459,353CMS-2552-10 worksheet S100000 line 3000 column 100
Total facility beds108CMS-2552-10 worksheet S300001 line 1400 column 200
Cost-to-charge ratio0.3030CMS-2552-10 worksheet S100000 line 100 column 100
Allowable disproportionate share percentage0.3074CMS-2552-10 worksheet E00A18A line 3300 column 100

Cost report filed under CMS certification number 050359 for July 1, 2016 to June 30, 2017, settled. The public file it was read from.

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by Adventist Health Tulare (employer identification number 832351753) for tax year 2023. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$15,080,732IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$340,186IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$10,574,899IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$10,915,085IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$4,165,647IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.1633IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202423069349301437. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by Adventist Health Tulare (employer identification number 832351753) for tax year 2023. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
Aflague StefanieCharge Pharmacist$194,177$0$24,048
Alkire SherylDirector RN$210,209$0$46,262
Ammon EdwardFormer Foundation Executive 06/23$0$303,802$63,429
Ayala RaulAmbulatory Medical Officer, CVN Cli$0$682,235$48,767
Banks DavidDirectorTrustee/director$0$26,181$0
Beaman JohnCFO/ Asst SecOfficer$0$1,680,553$71,703
Cherry RobertDirectorTrustee/director$0$26,611$0
Davis AndrewDirectorTrustee/director$0$26,611$0
Day LaurenPhilanthropy Executive, CVN$0$338,461$64,069
Fehr JoyDirectorTrustee/director$0$430$0
Freedman JohnDir/ChairTrustee/director$0$26,770$0
Garcia RosaRN, Nurse Lead$250,227$0$89,430
Haydock TimothyTreas/Asst SecOfficer$0$628,764$39,500
Heinrich KerryDirector/CEOTrustee/director, Officer$0$3,302,428$55,743
Hofheins ToddCOO/Vice ChairOfficer$0$2,272,592$74,489
Innocent LarryDirectorTrustee/director$0$26,611$0
Jahn AndrewFrmr Care Div Pres thru 02/22$0$1,465,906$50,625
Jobe MeredithSecretaryOfficer$0$959,488$60,723
Jones LarryAdmin Director, Ancillary Services$0$254,743$54,929
Kaur GurvinderMedical Officer, CVN$0$715,637$68,525
Kofl AndreaCtrl Vally PresOfficer$0$1,173,342$69,422
Martin CassiDirector RN$240,720$0$71,583
McGowan JohnAssoc Patient Care Exec thru 06/23$0$121,061$35,756
Nahapetian ArbyFrmr Care Div Med Off thru 02/22$0$1,482,294$67,961
Newton BradfordDir/Vice ChairTrustee/director$0$26,611$0
Ng MankwongPharmacist$199,530$0$49,231
Pereira SheriAssociate Patient Care Executive$0$292,706$34,431
Reiner RichardDirectorTrustee/director$0$26,611$0
Reyna SonjaOperations Executive, CVN$0$587,275$68,357
Salazar VelinoDirectorTrustee/director$0$26,611$0
SpenstBrettFrmr Care Div Fin Off thru 02/22$0$520,625$44,711
StevensEricFrmr Care Div Ops Exec thru 02/22$0$1,526,293$57,900
Taggart LauriePatient Care Executive, CVN$0$509,618$55,425
WagnerJackDirectorTrustee/director$0$16,180$0
Wells JasonCentral CA Netw Pres eff 01/23/23$0$1,470,582$23,881
Wing BillyFormer Dir/A Sec/V Chair thru 01/22$0$1,438,460$26,777
Woodson MarcDirectorTrustee/director$0$21,611$0

E-file object id 202423069349301437. The IRS archive it was read from.

Where this hospital sits among its peers

A position, not a grade. Each line names the figure, how it is measured, and the hospitals it is placed among: short-term acute care hospitals in the same state and the same bed-size band, each on its latest filed year. Under it, the same figure across every hospital that filed for the year — a larger set, and a different one.

  • 25thpercentile of 151 hospitals in CA, same facility class, 100 to 199 bedsNet patient revenue, in dollars, as filed

Net patient revenue across every hospital that filed for 2017, in every state and of every size, with this one marked.

Net patient revenue (CMS-2552-10 worksheet G300000 line 300 column 100)

This hospital$9,352,630$432,529,339

Middle half between $18,465,512 and $178,888,246, median $50,913,906, across 5,843 hospitals that filed for 2017, in every state and of every size.

  • 39thpercentile of 150 hospitals in CA, same facility class, 100 to 199 bedsTotal operating expenses, in dollars, as filed

Total operating expenses across every hospital that filed for 2017, in every state and of every size, with this one marked.

Total operating expenses (CMS-2552-10 worksheet G300000 line 400 column 100)

This hospital$10,864,308$430,664,184

Middle half between $19,493,879 and $175,313,145, median $51,529,308, across 6,022 hospitals that filed for 2017, in every state and of every size.

  • 34thpercentile of 101 hospitals in CA, same facility class, 100 to 199 bedsCharity care, at cost, in dollars, as filed
  • 42ndpercentile of 104 hospitals in CA, same facility class, 100 to 199 bedsUncompensated care, at cost, in dollars, as filed
  • 23rdpercentile of 151 hospitals in CA, same facility class, 100 to 199 bedsTotal facility beds, a count of beds, as filed

Total facility beds across every hospital that filed for 2017, in every state and of every size, with this one marked.

Total facility beds (CMS-2552-10 worksheet S300001 line 1400 column 200)

This hospital20328

Middle half between 25 and 170, median 66, across 6,017 hospitals that filed for 2017, in every state and of every size.

  • 93rdpercentile of 104 hospitals in CA, same facility class, 100 to 199 bedsCost-to-charge ratio, the ratio, as filed

Cost-to-charge ratio across every hospital that filed for 2017, in every state and of every size, with this one marked.

Cost-to-charge ratio (CMS-2552-10 worksheet S100001 line 100 column 100)

This hospital0.14850.7123

Middle half between 0.2078 and 0.4811, median 0.3024, across 4,772 hospitals that filed for 2017, in every state and of every size.

Changes recorded

Nothing on this record has moved since it was first read here on September 6, 2026.

Every Medicare cost report this hospital has filed, every change this record has shown since it was first read here, and five hospitals of its own size in California beside it — each figure with the cell it came from — are in the report above.

Register detail and identifiers

Participation, as filed

Participating
FALSE
Participation start date
April 1, 2014
Termination date
January 1, 2018
Termination reason
Failure to recertify
Certification date
August 15, 2016
Record last edited
January 1, 2018

Identifiers

340B ID
DSH050359
Entity type as filed
DSH
CMS certification number
050359
Rural
No

869 N Cherry St., TULARE CA 93274

Locations registered under this record

Browse all of them as a list →

DSH050359AHillman Health Care CenterDSHTulare, CANo
DSH050359BLindsay Health Care CenterDSHLindsay, CANo

Associated locations

TULARE LOCAL HEALTHCARE DISTRICT DBA TULARE REGIONAL MEDICAL CENTER869 N Cherry St.TULARE CA 93274

How this page is built

What is counted
One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
As of
October 5, 2026 — the date of the register file this record was last listed in.
Contract-pharmacy arrangements
Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.

Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.

Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261005_121310.xlsx, stamped by its publisher October 5, 2026. This record has been read here since September 6, 2026.

How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261005_121310.xlsx, read October 5, 2026.

The full report for TULARE LOCAL HEALTHCARE DISTRICT DBA TULARE REGIONAL MEDICAL CENTER

Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.

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