Marshall Medical Center
Nonprofit profile at a glance
- EIN
- 941450151
- IRS 990 coverage
- 2009–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Placerville, CA, United States
- Phone
- 530-626-2618
- Rating
- 79
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $367,540,480
- Expenses
- $372,065,716
- Assets
- $346,756,890
- Liabilities
- $149,159,959
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
28 people listed
Executive titles in this filing
- SIRI NELSON (PRESIDENT/CEO)
- MINDY DANOVARO (EXECUTIVE DIRECTOR OF PHILANTHROPY)
Highest reported compensation
- SIRI NELSON (PRESIDENT/CEO): $854,532 total reported compensation
- MARTIN ENTWISTLE - ASSOCIATE (CHIEF MEDICAL OFFICER/VP OF POP.): $460,911 total reported compensation
- LAURIE ELDRIDGE (CHIEF FINANCIAL OFFICER (THRU 10/24)): $426,449 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Our mission is to improve the health of our community and offer health services of superior value and quality, centered on the goals and needs of our patients. We strive to deliver service that exceeds our patients’ expectations. As a locally focused non-profit healthcare institution, our paramount mission is the well-being of our neighbors. We don't just treat patients; we build tailored care solutions around each individual, ensuring their needs are met not just in the moment, but well into the future. Our commitment to elevating community health extends beyond the walls of our facilities. Through strategic partnerships with community-based organizations, we ensure that resources and support are readily accessible to all. Whether it's pioneering cancer care through our esteemed partnership with UC Davis or spearheading initiatives to support the county's most vulnerable, we're...
What it reported doing in 2024
See schedule oin keeping with the commitment to improve the health of our community and offer health services of superior value and quality, the following will be considered when individuals who need health care cannot pay:- providing free care and/or subsidized care;- providing care to persons covered by governmental programs at below cost; and- providing health/wellness activities and community education programs.not only does marshall medical center provide low-cost care to individuals covered by government programs and those unable to afford health care, but it also helps patients find and access private and governmental resources for health care benefits. Marshall medical center recognizes below-cost reimbursements as charity and uncompensated care in meeting its mission to the entire community.inpatient servicesin tax year 2024, inpatient services were provided to 5,067 patients. Examples of inpatient services included:- 355 babies delivered- 11 special procedures performed- 168 cardiac catheterizations- 134,372 laboratory tests performed- 5,671 ct scans- 10,468 radiology procedures performedoutpatient servicesin tax year 2024, outpatient services were provided to 216,583 patients. Examples of outpatient services included:- 32,158 emergency room visits- 2,117 outpatient special procedures performed- 77,941 radiology procedures performed- 495 cardiac catheterizations- 406,537 laboratory tests performed- 18,131 ct scans- 5,938 rural health clinic visits- 23,528 cardiology clinic visits- 4,684 pulmonology clinic visits- 5,960 oncology clinic visits- 6,465 outpatient infusion clinic visits- 2,405 rheumatology clinic visits- 16,801 pediatric clinic visits- 9,460 ob clinic visits- 10,671 cancer program cases- 57,382 family practice clinic visits- 7,491 gastroenterology clinic visits- 2,129 ent clinic visits- 3,491 hearing clinic visits- 13,535 orthopedic clinic visits- 6,242 surgery clinic visits- 6,290 urology clinic visits- 3,972 podiatry clinic visits- 4,187 hbo and wound care clinic visits- 24,772 hospitalist visits- 6,244 cares clinic visits- 1,593 specialty services visitsmarshall medical center recognizes it has an obligation to provide services above and beyond its role as a healing facility. The following community benefits demonstrate the tangible ways in which the organization is fulfilling its mission: community benefits- blood pressure clinics;- flu clinics;- volunteer program;- for your health community magazine;- cancer resource center;- palliative care program;- holiday food drive for various food banks;- sexual assault response team (sart) program;- community health library;- childbirth classes;- congestive heart active telephone treatment program;- scholarships;- pharmaceutical trials;- use of hospital conference rooms for community-based organizations;- seminars and support groups;- free training for pharmacy students, nursing students, lvn students, and other health care professionals;- smoking cessation program;- volunteer service to community organizations, including chambers of commerce;- low-cost mammography program;- numerous community health education classes;- marshall medical center's chaplain provided 1,167 patient visits, 114 patient counseling visits, and conducted three memorial services;- accel program (local project coordinating the safety network for el dorado county);- electronic health information exchange;- free transportation for patients unable to afford transportation;- meeting space provided at no charge for numerous support groups, including mental health first aid, stroke education and support, and others;- community sponsorships, including but not limited to the center for violence-free relationships, soroptimist international, hands4hope, and the rotary club of el dorado hills; and- encouragement of employee participation in community-building organizations, including but not limited to the el dorado county economic development corporation, leadership el dorado, the el dorado union
Operating model
- Revenue model
- Earned-program. 97% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
- Includes noncash contributions: Reported contributions include donated property or goods.
The verdict
SUPPORTED - The filed numbers largely add up and a large share of available resources goes toward mission work. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.
Rating breakdown
- Financial Efficiency: 64
- Transparency & Controls: 92
- Accountability: 95
- Sustainability: 33
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 72.3%; rating input score 72
- Program expense ratio: 72%; rating input score 72
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: 4 of 6 controls in place; rating input score 67
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 91.7%; rating input score 92; 40th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -1.2%; rating input score 21; 21st percentile among comparable filings
- Total-asset coverage ratio: 0.93; rating input score 37; 37th percentile among comparable filings
- Liabilities to assets ratio: 0.43; rating input score 42; 42nd percentile among comparable filings
- Officer compensation ratio: 1.4%; rating input score 66; 66th percentile among comparable filings
Growth
- Program expense growth: 3.7% per year; rating input score 100; 28th percentile among comparable filings
- Revenue growth: 4.1% per year; rating input score 100; 33rd percentile among comparable filings
- Asset growth: 4.7% per year; rating input score 100; 34th percentile among comparable filings
Details
- What they do: 3 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 72.3% of revenue deployed · 72% of spending went to programs
- Governance: 11 of 12 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $268M in reported program spending
- Leadership: top reported pay $855K · 28 people listed · 4 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $53.2M reported
- Consistency: 38 of 38 current checks pass
- Schedules: 10 filed schedules · includes major donors, grants, executive pay, and related organizations
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 16 filed money-flow records
- Related organizations: 3 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Sustainability: Operating margin scored 21/100.
- Moderate — Sustainability: Total-asset coverage ratio scored 37/100.
- Moderate — Sustainability: Liabilities to assets ratio scored 42/100.