FURP.ORG / PUBLIC DATA EXPLORER

SAN JOAQUIN COMMUNITY HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
SAN JOAQUIN COMMUNITY HOSPITAL (EIN 95-2294234)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-01
IRS object ID
202423069349301692
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-01T10:39:06-07:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN800519547PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1THE ACCOUNTANCY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 N BRAND BLVD STE 1930AddressLine1Txt
CityGLENDALECityNm
State AbbreviationCAStateAbbreviationCd
ZIP91203ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN952294234EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1San Joaquin Community HospitalBusinessNameLine1Txt
Business Name Line2dba Adventist Health BakersfieldBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSANJBusinessNameControlTxt
Phone6613953000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12615 Chester AveAddressLine1Txt
CityBakersfieldCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93301ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonHaydockTimothy eff724PersonNm
Person TitleInterim TreasPersonTitleTxt
Signature2024-11-01SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSteve ClementPreparerPersonNm
PTINP01218012PTIN
Phone8185475701PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJason WellsPrincipalOfficerNm
Gross Receipts$621,434,922GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption1071GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.adventisthealth.org/bakersfieldWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1964FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionLiving Gods love by inspiring health, wholeness and hope.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee2774TotalEmployeeCnt
Total Volunteers154TotalVolunteersCnt
Total Gross UBI$53,858TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$24,472NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$13,039,786PYContributionsGrantsAmt
CY Contributions Grants$25,172,004CYContributionsGrantsAmt
PY Program Service Revenue$479,508,040PYProgramServiceRevenueAmt
CY Program Service Revenue$573,636,710CYProgramServiceRevenueAmt
PY Investment Income-$547,891PYInvestmentIncomeAmt
CY Investment Income$22,472,342CYInvestmentIncomeAmt
PY Other Revenue$68,240PYOtherRevenueAmt
CY Other Revenue-$24,781CYOtherRevenueAmt
PY Total Revenue$492,068,175PYTotalRevenueAmt
CY Total Revenue$621,256,275CYTotalRevenueAmt
PY Grants And Similar Paid$409,736PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$215,250CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$182,590,254PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$226,746,498CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$405,181CYTotalFundraisingExpenseAmt
PY Other Expenses$345,506,551PYOtherExpensesAmt
CY Other Expenses$365,949,430CYOtherExpensesAmt
PY Total Expenses$528,506,541PYTotalExpensesAmt
CY Total Expenses$592,911,178CYTotalExpensesAmt
PY Revenues Less Expenses-$36,438,366PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$28,345,097CYRevenuesLessExpensesAmt
Total Assets BOY$303,989,041TotalAssetsBOYAmt
Total Assets EOY$509,609,823TotalAssetsEOYAmt
Total Liabilities BOY$143,776,116TotalLiabilitiesBOYAmt
Total Liabilities EOY$325,248,071TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$160,212,925NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$184,361,752NetAssetsOrFundBalancesEOYAmt
MissionLiving Gods love by inspiring health, wholeness and hope.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$487,547,373ExpenseAmt
Grant$215,250GrantAmt
Revenue$621,256,275RevenueAmt
DescSan Joaquin Community Hospital, DBA Adventist Health Bakersfield (AHBD), provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay.Although, reimbursement for services rendered is critical to the operation and stability of San Joaquin Community Hospital, the organization recognizes that not all individuals possess the ability to pay for essential medical services.Adventist Healths vision is to enhance the health of the communities where we live and serve by engaging our communities and our patients in a new definition of and partnership for personal community health. In keeping with this commitment to serve all members of the community, the following coverage will be considered when individuals who need health care cannot afford to pay: Free care and/or subsidized care Care to persons covered by governmental programs at/or below cost Health/wellness activities and community education programsNot only does San Joaquin Community Hospital provide low-cost care to individuals covered by government programs, and those unable to afford healthcare, it also helps patients find and access private and governmental resources for healthcare benefits.AHBD recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed cost of providing care to these patients in 2023 was $72,488,875.The following Inpatient services were provided to all our patients:2,034 babies delivered3,410 surgeries performed68,335 patient days The following Outpatient services were provided to all our patients:70,697 emergency department visits6,248 outpatient surgeries performed189,679 outpatient visits 97,613 clinic visitsAHBD recognizes it has an obligation to provide human services above and beyond its role as a healing facility. Schedule H provides more details on the tangible ways in which the organization is fulfilling its mission. The total unreimbursed cost of these community benefits in 2023 was $36,255,451.Adventist Healths mission statement of living Gods love by inspiring health, wholeness and hope is coupled with a vision to transform the health experience of our communities through collaborative programs, community investments and community outreach. We are inspired by the healing ministry, as represented by the life of Jesus Christ, and believe we are called to live out our mission intentionally in the communities we serve. In the small towns, suburbs, and inner cities we serve, we continue our journey to provide quality healthcare until every person made in Gods image has experienced the best health today, hope for tomorrow, and Gods love that endures forever.To illustrate how we live our mission, let us share the following story:Language can be a barrier to healthcare for Sikh residents in Bakersfield. That's why the Sikh Women's Association is bringing both services and information directly to that community.Today we're holding a health screening. Also, we're educating the community on cancer care for men and women, Raji Brar, co-founder of the Sikh Women's Association said.On Sunday, a community health fair was held at Gurdwara Guru Dashmesh Darbar in Southwest Bakersfield in a partnership with Adventist Health.Brar said the Bakersfield Sikh Womens Association started holding these fairs every few months after they were brought to the attention of a community member who was dealing with cervical cancer, a form of cancer that is very preventable.We asked more questions and realized that a lot of women in our community weren't going in for certain cancer care. And a lot of that was due to cultural barriers, language barriers. When you have somebody who understands your language, it just puts you at ease and you're able to communicate with them more freely, Brar said.The fair provided free blood pressure tests and distributed information about cancer screenings and prevention with pamphlets written in Punjabi.We just started Kern county's first lung nodule and lung screening program where our goal is to catch lung cancer early, said Raymond Andreas, Nurse Navigator for Lung Oncology at the AIS Cancer Center. Andreas was at the fair, distributing information and encouraging people to take preventative measures.If you catch lung cancer between stages one and two, it's curable, you can beat it.Bakersfield residents who qualify for a non-invasive lung screening are those 50 to 80 years old, those who currently smoke or have quit smoking the past 15 years, and those who have a 20 pack-year smoking history.Now it's qualified and covered under insurance, just like it would be a mammogram. It's a preventative now and that's what we wanted, Andreas said.The fair provided information about cervical breast and prostate cancer as well.With hundreds of residents worshiping at the temple on Sundays, the reach was wide.We like to be able to go into where the community is. A trusted face, a trusted source. Its more comfortable when it's at your own place of worship at times, Brar said.Compassionate, high-quality patient care; life-saving and life-preserving medical and surgical services; advanced treatments in a community-based hospital; essential emergency services-these are the reasons we are in our community.Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/Desc
Total Program Service Expenses$487,547,373TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionYes (true)DeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2774EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJohn BeamanPersonNm
Phone9164060000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 619135AddressLine1Txt
CityRosevilleCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95661ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Heinrich Kerry
Director/CEO0.0050.00Yes (X)Yes (X)$0$3,302,428$55,743
Hofheins Todd
COO/Vice Chair0.0050.00Yes (X)$0$2,272,592$74,489
Beaman John
CFO/Asst Secty0.0050.00Yes (X)$0$1,680,553$71,703
Stevens Eric
Care Division Oper Exec thru 02/220.0050.00$0$1,526,293$57,900
Nahapetian Arby
Former Care Div Med Off thru 02/222.0048.00$0$1,482,294$67,961
JahnAndrew
Former Care Div Pres thru 02/220.0050.00$0$1,465,906$50,625
Wells Jason eff 12323
President CC12.5037.50Yes (X)$0$1,470,582$23,881
Wing Billy
Former Dir/A Sec/V Chair thru 01/220.0050.00$0$1,438,460$26,777
Jobe Meredith
Secretary0.0050.00Yes (X)$0$959,488$60,723
Wolcott Daniel-Departed 123
President, KCN37.5012.50Yes (X)$0$952,733$64,057
Jamaleddine Ghassan
Market Medical Officer50.000.00$0$713,217$68,356
Cox Shane
Treasurer/A Sec12.5037.50Yes (X)$0$637,644$58,218
Lavers Jennifer
Operations Executive50.000.00$0$438,388$141,987
SpenstBrett
Former Care Div Fin Off thru 02/220.0050.00$0$520,625$44,711
Van Housen Heather
Patient Care Executive48.002.00$0$478,454$70,013
Chupa Barry
RN/1st Asst40.000.00$473,051$0$63,892
Tomono Olga
Business Development Exec50.000.00$0$365,184$135,514
Tomono Christopher
Partnership Executive50.000.00$0$379,547$64,355
Navarro Rafael
RN/1st Asst40.000.00$385,700$0$11,048
Britz Justin
Physician Asst40.000.00$350,366$0$41,584
Morata Ana Lisa
RN II40.000.00$303,971$0$65,338
Capawa Paul
RN40.000.00$315,482$0$35,550
Freedman John
Dir/Chair0.004.00Yes (X)$0$26,770$0
Cherry Robert
Director0.004.00Yes (X)$0$26,611$0
Davis Andrew
Director0.004.00Yes (X)$0$26,611$0
Innocent Larry
Director0.004.00Yes (X)$0$26,611$0
Reiner Richard
Director0.004.00Yes (X)$0$26,611$0
Salazar Velino
Director0.004.00Yes (X)$0$26,611$0
Newton Bradford
Vice Chair0.004.00Yes (X)$0$26,611$0
Banks David
Director0.004.00Yes (X)$0$26,181$0
Woodson Marc
Director0.004.00Yes (X)$0$21,611$0
Wagner Jack
Director0.004.00Yes (X)$0$16,180$0
Fehr Joy
Director0.004.00Yes (X)$0$430$0
HaydockTimothy eff724
Interim Treas0.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,828,570TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$20,335,226TotReportableCompRltdOrgAmt
Total Other Compensation$1,354,425TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K604IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Sound Physicians of California III
PO Box 742936Los AngelesCA90074Medical Services$5,671,359
Comfort Anesthesia Associates Inc
11704 Nantwick CtBakersfieldCA93311Medical Services$5,506,286
Westways Staffing Services Inc
841 Mohawk St STE 240BakersfieldCA93309Medical Staffing$4,639,367
Quest Imaging Medical Associates Inc
PO Box 21178BakersfieldCA93390Medical Services$4,409,000
Total Renal Care Inc
PO Box 781607PhiladelphiaPA191781607Medical Services$3,152,994
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K81CntrctRcvdGreaterThan100KCnt
Government Grants$12,676,174GovernmentGrantsAmt
All Other Contributions$12,495,830AllOtherContributionsAmt
Noncash Contributions$256,345NoncashContributionsAmt
Total Contributions$25,172,004TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Dietary722514$2,347,386$2,347,386
Medical Office Rentals531120$1,915,258$1,915,258
Other Revenue900099$2,826,867$2,773,009$53,858
Patient Care Services900099$558,202,135$558,202,135
Pharmacy446110$7,892,751$7,892,751

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$452,313TotalRevenueColumnAmt
Related Or Exempt Func Income$452,313RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$573,636,710TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,557,851TotalRevenueColumnAmt
Exclusion$3,557,851ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$539,076SecuritiesAmt
Other$18,375,415OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$539,076SecuritiesAmt
Other$18,375,415OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,914,491TotalRevenueColumnAmt
Related Or Exempt Func Income$18,914,491RelatedOrExemptFuncIncomeAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$153,866GrossSalesOfInventoryAmt
Cost Of Goods Sold$178,647CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$24,781TotalRevenueColumnAmt
Related Or Exempt Func Income-$24,781RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$621,256,275TotalRevenueColumnAmt
Related Or Exempt Func Income$592,472,562RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$53,858UnrelatedBusinessRevenueAmt
Exclusion$3,557,851ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$215,250TotalAmt
Program Services$215,250ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$181,156,955TotalAmt
Program Services$159,917,965ProgramServicesAmt
Management And General$20,974,805ManagementAndGeneralAmt
Fundraising$264,185FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,166,539TotalAmt
Program Services$5,426,774ProgramServicesAmt
Management And General$727,044ManagementAndGeneralAmt
Fundraising$12,721FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$26,619,499TotalAmt
Program Services$23,399,970ProgramServicesAmt
Management And General$3,203,554ManagementAndGeneralAmt
Fundraising$15,975FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,803,505TotalAmt
Program Services$11,441,670ProgramServicesAmt
Management And General$1,335,940ManagementAndGeneralAmt
Fundraising$25,895FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$44,877,467TotalAmt
Program Services$71,184ProgramServicesAmt
Management And General$44,806,283ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,042,326TotalAmt
Management And General$1,042,326ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$22,333TotalAmt
Management And General$22,333ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$105,990,082TotalAmt
Program Services$88,830,816ProgramServicesAmt
Management And General$17,113,767ManagementAndGeneralAmt
Fundraising$45,499FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$836,200TotalAmt
Management And General$836,200ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,366,630TotalAmt
Program Services$1,392,189ProgramServicesAmt
Management And General$950,181ManagementAndGeneralAmt
Fundraising$24,260FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$15,491,009TotalAmt
Program Services$4,158,686ProgramServicesAmt
Management And General$11,332,323ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,035,153TotalAmt
Program Services$9,508,645ProgramServicesAmt
Management And General$526,508ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$696,053TotalAmt
Program Services$335,952ProgramServicesAmt
Management And General$347,612ManagementAndGeneralAmt
Fundraising$12,489FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$44,784TotalAmt
Program Services$35,091ProgramServicesAmt
Management And General$6,848ManagementAndGeneralAmt
Fundraising$2,845FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,034,077TotalAmt
Program Services$4,034,077ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,623,150TotalAmt
Program Services$16,201,623ProgramServicesAmt
Management And General$421,527ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,356,975TotalAmt
Program Services$3,356,975ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Patient Care Supplies$115,000,689$115,000,689
Quality Assurance$28,894,515$28,894,515
Other Expenses$13,012,001$11,873,282$1,137,407$1,312
Equipment Rentals$3,536,740$3,362,774$173,966

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$89,246TotalAmt
Program Services$89,246ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$592,911,178TotalAmt
Program Services$487,547,373ProgramServicesAmt
Management And General$104,958,624ManagementAndGeneralAmt
Fundraising$405,181FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$37,338,407BOYAmt
EOY$74,176,455EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,463,279BOYAmt
EOY$1,307,368EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$60,290,660BOYAmt
EOY$85,663,253EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,423,450BOYAmt
EOY$11,532,517EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$923,496BOYAmt
EOY$6,867,929EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$427,724,162LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$220,684,066LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$136,381,121BOYAmt
EOY$207,040,096EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,062,211BOYAmt
EOY$256,345EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$287,182BOYAmt
EOY$287,182EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$57,819,235BOYAmt
EOY$122,478,678EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$303,989,041BOYAmt
EOY$509,609,823EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$33,276,284BOYAmt
EOY$50,554,182EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$373,927BOYAmt
EOY$192,571EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,879,544BOYAmt
EOY$1,363,386EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$108,246,361BOYAmt
EOY$273,137,932EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$143,776,116BOYAmt
EOY$325,248,071EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$156,602,914BOYAmt
EOY$171,051,979EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,610,011BOYAmt
EOY$13,309,773EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$160,212,925BOYAmt
EOY$184,361,752EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$303,989,041BOYAmt
EOY$509,609,823EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$28,345,097ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$4,196,270OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$43,209OtherActivitiesAmt
Total Lobbying Expenditures$43,209TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part II-B, Line 1i - Other Activities DescriptionThe organization belongs to industry and professional associations for which a portion of the membership dues is used for lobbying activities. Expenditures to Note dues paid for the purpose of working with legislators and government officials relating to legislation affecting hospitals and healthcare.
Part IV - Additional Information

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,620,011BeginningYearBalanceAmt
Contributions$12,393,345ContributionsAmt
Other Expenditures$2,703,583OtherExpendituresAmt
End Year Balance$13,309,773EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,227,801BeginningYearBalanceAmt
Contributions$2,135,531ContributionsAmt
Other Expenditures$743,321OtherExpendituresAmt
End Year Balance$3,620,011EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,352,012BeginningYearBalanceAmt
Contributions$659,597ContributionsAmt
Other Expenditures$783,808OtherExpendituresAmt
End Year Balance$2,227,801EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,679,409BeginningYearBalanceAmt
Contributions$985,382ContributionsAmt
Grants Or Scholarships$347,856GrantsOrScholarshipsAmt
Other Expenditures$1,964,923OtherExpendituresAmt
End Year Balance$2,352,012EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,883,818BeginningYearBalanceAmt
Contributions$325,083ContributionsAmt
Grants Or Scholarships$129,237GrantsOrScholarshipsAmt
Other Expenditures$400,255OtherExpendituresAmt
End Year Balance$3,679,409EndYearBalanceAmt
FieldValueIRS element (for citing)
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,735,910OtherCostOrOtherBasisAmt
Book Value$25,735,910BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$246,207,463OtherCostOrOtherBasisAmt
Depreciation$111,722,020DepreciationAmt
Book Value$134,485,443BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,004,201OtherCostOrOtherBasisAmt
Depreciation$4,102,341DepreciationAmt
Book Value$4,901,860BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$146,776,588OtherCostOrOtherBasisAmt
Depreciation$104,859,705DepreciationAmt
Book Value$41,916,883BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$207,040,096TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescInvestmentsDesc
Book Value$256,345BookValueAmt
Method ValuationCMethodValuationCd

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Inv in Joint Venture$235,877
Other Receivables$8,073,095
Receivables from Related Organizations$67,303,741
Receivables from Third Parties$46,865,965
FieldValueIRS element (for citing)
Total Book Value Other Assets$122,478,678TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$31,795FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Other Liabilities$7,312,799
Payables to Related Organizations$290,281,127
Payables to Third Parties-$24,487,789
FieldValueIRS element (for citing)
Total Liability$273,137,932TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4: Intended uses of the endowment fund.Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended.
Part X : FIN48 FootnoteThe System recognizes tax benefits from any uncertain tax positions only if it is more-likely-than-not the tax position will be sustained, based solely on its technical merits, with the taxing authority having full knowledge of all relevant information. The System records a liability for unrecognized tax benefits from uncertain tax positions as discrete tax adjustments in the first interim period the more-likely-than-not threshold is not met. The System recognizes deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of its assets and liabilities along with net operating loss and tax credit carryovers only for tax positions that meet the more-likely-than-not recognition criteria. At December 31, 2023 and 2022, no such assets or liabilities were recorded.The System currently files Form 990 (informational return of organizations exempt from income taxes) and form 990-T (business income tax return for an exempt organization) in the U.S. federal jurisdiction and the state of California. The System is not subject to income tax examinations prior to 2020 in major tax jurisdictions.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$908,129TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$908,129NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$146,041,243TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$74,460,497DirectOffsettingRevenueAmt
Net Community Benefit Expns$71,580,746NetCommunityBenefitExpnsAmt
Total Expense0.12070TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$146,949,372TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$74,460,497DirectOffsettingRevenueAmt
Net Community Benefit Expns$72,488,875NetCommunityBenefitExpnsAmt
Total Expense0.12220TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,607,246TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,607,246NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,192,797TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,192,797NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$73,453,258TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$40,232,150DirectOffsettingRevenueAmt
Net Community Benefit Expns$33,221,108NetCommunityBenefitExpnsAmt
Total Expense0.05600TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$234,300TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$234,300NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$76,487,601TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$40,232,150DirectOffsettingRevenueAmt
Net Community Benefit Expns$36,255,451NetCommunityBenefitExpnsAmt
Total Expense0.06110TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$223,436,973TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$114,692,647DirectOffsettingRevenueAmt
Net Community Benefit Expns$108,744,326NetCommunityBenefitExpnsAmt
Total Expense0.18330TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,717,246TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,717,246NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$227,933TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$227,933NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,945,179TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,945,179NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$781,606BadDebtExpenseAmt
Bad Debt Expense Attributable$195,746BadDebtExpenseAttributableAmt
Reimbursed By Medicare$55,581,365ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$59,204,210CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,622,845MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1San Joaquin Community HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12615 Chester AveAddressLine1Txt
CityBakersfieldCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93301ZIPCd
FieldValueIRS element (for citing)
State License120000187StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Sch H Part VI - Needs AssessmentOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSee Sch H Part VI - Needs AssessmentOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSee Sch H Part VI - Needs AssessmentStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSch H Part VI - Patient EducationFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSch H Part VI - Patient EducationFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSch H Part VI - Patient EducationFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Facility: - Part V, Section B, Line 5The 2022 CHNA Steering Committee identified vulnerable populations and worked with local organizations to coordinate focus groups and key informant interviews to ensure that minority populations the voices of those with chronic disease, low incomes and the underserved were heard. Agricultural workers, civic government, community-based healthcare workers focusing on behavioral health, children, domestic abuse, early education, education, families, formerly incarcerated, higher education, law enforcement, low-income, medically underserved, men, minority populations, older adults, providers, public health, students, unhoused and women populations were represented in twelve (12) focus groups where 78 people participated and 16 individual key informant interviews. The 2022 Community Health Needs Assessment was developed using four separate sources of primary and secondary data. This mixed methods approach is considered a preferred practice for needs assessments because it allows for the greatest understanding of community needs from the broadest range of perspectives. Primary data refers to data collected and analyzed specifically for this project, while secondary data refers to data compiled and analyzed by external groups and utilized here. Qualitative primary data collection involved focus group interviews with local service providers and service recipients and individual key informant interviews with local leaders. These were conducted in-person and virtually. Direct quotes were taken from a transcription of key informant interviews and are intended to be 100% accurate but could not be verified in all situations. This information was collected by the Adventist Health Community Well-Being team and evaluation consultants from the Center for Behavioral Health Integration. Secondary data was amassed and analyzed across 45 different data sets by the University of Missouri Extension Center for Applied Research and Engagement Systems (CARES). Finally, survey data sets of registered voters in the community were collected and analyzed by UC Berkeley Institute of Governmental Studies (IGS Survey data was gathered from the Central Valley region (region name defined by survey administrator, UC Berkeley IGS).
Facility: - Part V, Section B, Line 6aAdventist Health Delano and Adventist Health Tehachapi Valley participated in the 2022 CHNA process.
Facility: - Part V, Section B, Line 11Tax year 2023 was Year One of the Implementation Strategy for the 2022 Community Health Needs Assessment (CHNA). All programs and activities provided to the community by San Joaquin Community Hospital (d.b.a. Adventist Health Bakersfield) were in response to the priority health needs identified in the 2022 CHNA. Our 2022 CHNA identified three areas of significant need: Access to Care; Financial Stability and Mental Health. Priority Need One: Access to Care. The goal is to collaborate with partners to connect community members with basic healthcare services through the use of the mobile van. In 2023, the Hospital partnered with local community community-based organizations to provide mobile health events. Partnering organizations include the Sikh Womens Association, Chevron Corporation, City of Bakersfield, among others to provide basic health screenings and education with the goal of connecting community members with healthcare services. In total, several hundred community members were served through local outreach events. In addition, the Hospital and First 5 of Kern County participated in over 120 mobile vaccine clinic initiatives, serving over 800 children with free infant and school-based immunizations. Clinics also provided access to school-based vaccines removing barriers to access to care for vulnerable populations in Kern County. In addition, access to care was improved through the provision of two free Adventist Health AIS Cancer Center breast cancer screening events open to the community. Through the free breast screening events, 35 women were provided with screenings. In addition, the Hospital partnered with the Arvin Union School District to provide free cervical Cancer Screenings to twenty uninsured women in the Arvin community. The AIS Cancer Center provided monthly Cancer Support Groups, providing resources to the local community for patients and families to receive support during or after cancer diagnoses and treatments. The monthly Cancer Support groups are free and open to the community.Another implementation strategy in response to access to care was to shift tobacco control activities and policies toward a Bakersfield tobacco retail licensing ordinance, increased education, awareness, and expanded youth leadership and involvement. Blue Zones Project (BZP) Bakersfield helped the city of Bakersfield adopt the Kern County Tobacco Retailers Permit ordinance in July 2023. The Tobacco Free Coalition of Kern County had been working to pass this policy for nearly 20 years. Through coalition building and partnership, this became a success. BZP Bakersfield hosted a social media training for Students Working Against Tobacco and the Tobacco Free Coalition of Kern County. The goal of the training was to educate?local students on how to leverage?social media skills to enact policy and educate the community.Priority Need Two: Financial Stability. The goal is to advocate for and collaborate with internal and external partners to connect community members to resources that improve financial literacy, lessen financial burden, and/or promote economic development. Strategies include a school-to-work pipeline for healthcare careers focusing on high school and college students; developing resources and pathways to access quality jobs and enhance the well-being of Bakersfields workforce by engaging employers in the Blue Zones Project approval process.In 2023, the Hospital partnered with local public and private educational institutions on providing clinical placements for local nursing and allied health students. By providing a local clinical location, students are able to advance their educational journey locally while removing barriers along the way. In 2023, the Hospital served as a local hub for students completing their degrees in health care and nursing careers. In addition, San Joaquin Community Hospital DBA Adventist Health Bakersfield has partnered with COPE Health Scholars to develop a school to work pipeline comprised of local high school and college students interested in a healthcare career. Students participated in the COPE Health Scholar program providing direct access to a hospital environment and career paths. The COPE Health Scholar partnership has provided a local platform to provide students access and experience to continue their healthcare career journey locally.Priority Need Three: Mental Health. The goal is to improve population-level mental health services as a quality-of-life measure through the provision of medically assisted treatment and patient navigation services together for individuals with opioid use disorders or overdose history and align school environments in our service area with setting-based well-being principles through the Blue Zones Project approval framework. In 2023, the Hospital supported the employment of substance use navigators (SUN) readily available through the emergency department to provide resources and support for community members experiencing drug or mental health issues. The SUN provided a critical connection to individuals needing a referral to additional substance use resources outside the walls of the hospital. In 2023, over 400 individuals were served through the SUN program providing resources to anyone in need.Blue Zones Project (BZP) Bakersfield powered by Adventist Health reached out to local schools as part of the implementation strategy pertaining to mental health. Ten schools became Blue Zones Project approved, with six in the pipeline in early 2024. McKinley Elementary and Mt. Vernon School launched Walking School Bus programs. A purpose workshop series was launched at North High School. BZP helped implement locally branded cafeteria poster campaigns in more than ten schools to increase student engagement in wellness activities. The team also helped develop Vineland School Districts Wellness Policy Plan and launch a food pantry at Standard Elementary to provide families with fresh produce and canned goods. At North High School, students took the initiative to develop their own Blue Zones Project Club and at McKinley Elementary, the school experienced an uptick in students earning 70% or higher in reading scores after receiving Blue Zones approval and earning a book vending machine. The BZP team also hosted more than ten smoothie bike demonstrations at local schools to encourage kids to eat more plants and move naturally. There has been an increase in parent, faculty, and partner organizations participating in school wellness initiatives via two school carnivals and three parent caf Blue Zones presentations.Any significant needs that the hospital has been unable to address and explain why - No hospital can address all the health needs identified in its community. San Joaquin Community Hospital DBA Adventist Health Bakersfield is committed to serving the community by adhering to its mission, and using its skills, expertise, and resources to provide a range of community benefit programs. Significant health needs that will not be directly addressed but fulfilled by other community organizations include housing, health risk behaviors, health conditions, food security, environment & infrastructure, inclusion & equity, COVID, education, community vitality and community safety. While these significant health needs are not address directly, they are likely to benefit from collective efforts of our community partnerships.
Facility: - Part V, Section B, Line 13hPatients who do not meet the income criteria, may be eligible for financial assistance based on essential living expenses and resources. The following two (2) qualifications must both apply:1. Essential living expenses: Exceed fifty percent (50%) of the household income; and2. Resources: The patient's excess medical expenses (the amount that allowable medical expenses are greater than 50% of annual household income) must be greater than available qualifying assets.

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
SJCH The AIS Cancer Center
2620 Chester AvenueBakersfieldCA93301Cancer Center
Quest Imaging - Adventist Health
2700 Chester AveBakersfieldCA93301Radiology and Diagnostic Imaging Services
SJCH Imaging Ctr-Quest Imaging Cntr
9602 Stockdale HighwayBakersfieldCA93309Radiology and Diagnostic Imaging Services
Wound Care Center
2603 H StreetBakersfieldCA93301Wound Care
SJCH The Wellness Center
1524 27th StreetBakersfieldCA93301Mental Health Support Center

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseUncollected patient accounts are analyzed using written patient financial services policies that apply standard procedures for all patient accounts. The result of the analysis is what is recognized as bad debt expense. For example, all self-pay patients receive a discount. If the discounted account is unpaid after collection efforts, the unpaid balance is classified as bad debt. The cost-to-charge ratio is multiplied times the hospital's bad debt expense. The resulting figure has been reported as bad debts at cost on Part III, Line 2.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community BenefitThe portion of the bad debts attributed to charity care as reported on Part III, Line 3 was calculated by an independent third-party consulting firm. A statistically valid sampling of patient accounts written-off was evaluated. The evaluation used various factors to determine which patients would have been eligible for charity care. Had the hospital obtained sufficient information from all patients who qualified for financial assistance, these additional accounts would have been recorded as charity care instead of bad debt.
Part III, Line 4 - Bad Debt ExpenseThe system-wide combined audited financial statements do not contain a footnote describing bad debt expense.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitThe Medicare cost report apportions the hospitals costs on the basis of inpatient days and ancillary and outpatient charges to establish the costing methodology.Healthcare delivery by hospitals is a complex, highly regulated business in the United States. Healthcare unit cost inflation is driven by compliance with ever-expanding regulatory requirements, shortages of highly skilled labor and evolving medical and information technology. The health care market basket is unrelated to that of the average individual consumer. Medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that Medicare payments too many U.S. hospitals are well below the cost of providing care. These unreimbursed costs are a community benefit for seniors and others in the community as these individuals are continuing to receive care without which many would become dependent on other governmental resources such as Medicaid. The benefit to the community for healthier Medicare recipients is no different than those benefits the community realizes for uninsured and underinsured patients who are eligible for partial and full charity care. Medicare is a safety net for seniors and others. Without Medicare coverage, many individuals would undoubtedly qualify for charity care.In addition to the mismatch between Medicare payment increases and healthcare cost inflation, the highly complex Medicare payment systems and formulas produce disparate payment levels from one hospital to another for the same service. These disparate payment levels create disparate results within groups of hospitals. For further information please refer to schedule H part III section B.
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsWhen a patient has requested screening for charity care, the hospital must immediately cease collection activity and place the account in a charity pending status. If 100% charity is approved, the entire account balance is written off to charity care. If the patient has a sliding scale liability based on the federal poverty guidelines, they are billed only for that liability. If the patient fails to pay their after-charity liability, they are assigned to a collection agency with an identifier that indicates to the agency that the patient is "low income and the following criteria must be followed by the agency:1. They may not report the patient to a credit bureau2. They may not file a lawsuit to recover the outstanding liability3. They may not charge interest
Part VI, Line 2 - Needs AssessmentSan Joaquin Community Hospital (d.b.a. Adventist Health Bakersfield) promotes access to their 2022 Community Health Needs Assessment (CHNA), the 2023 Community Health Implementation Strategy (CHIS) approved in fiscal year 2023, and the Year One Update, FY 2023 for the Community Health Implementation Strategy by posting their reports on the Hospital's website at: https://www.adventisthealth.org/bakersfield/about-us/community-benefit.The two most recent Community Health Needs Assessments, the two most recent Community Health Implementation Strategy reports and the 2021, 2022 and 2023 Community Health Plan Updates are also available on the Adventist Health Corporate website at https://www.adventisthealth.org/about-us/community-benefit/.The Community Health Needs Assessment (CHNA) includes both the activity and product of identifying and prioritizing a community's health needs, accomplished through the collection and development of a community health plan. The second component of the CHNA, the community health plan, includes strategies and plans to address prioritized needs, with the goal of contributing to improvements in the community's health. Qualitative and quantitative data sources were used in conducting the CHNA. To accomplish the many important systemic goals that are underway in our community, San Joaquin Community Hospital supports local partners to augment our own efforts, and to promote a healthier community. Partnership is not used as a legal term, but a description of the relationships of connectivity that are necessary to collectively improve the health of our region. One of our objectives is to partner with other nonprofit and faith-based organizations that share our values and priorities to improve the health status and quality of life of the community we serve. This is an intentional effort to avoid duplication and leverage the successful work already in existence in the community. In addition to the CHNA, the Hospital engages in a process of continuous quality improvement, focusing on questions such as: are our interventions making a difference in improving health outcomes; are we providing the appropriate resources in the appropriate locations; and how are we using technology to track our health improvements and provide relevant feedback at the local level. Building a healthy community requires multiple stakeholders working together with a common purpose. With that in mind, our hospital leadership serves on a variety of community boards and committees focused on addressing community-specific needs, allowing for ongoing responsiveness to the health care needs of the community and collaboration with local agencies and organizations, enabling maximum effectiveness through collective impact.
Part VI, Line 3 - Patient Education of Eligibility for AssistanceThe plain language summary of the Financial Assistance Policy (FAP) is posted along with the complete FAP policy and FAP Application on the hospitals website at: https://www.adventisthealth.org/patient-resources/bill-pay/financial-assistance/ The documents are available in multiple languages. The link to the hospitals Self-Pay Billing and Collection Policy is posted at: https://www.adventisthealth.org/documents/system/13863-self-pay-billing-and-collection-policy.pdfAt the time of registration, patients who are uninsured and underinsured are provided information about government healthcare programs. Patients are also orally informed of their right to request charity assistance. Signs are displayed in the patient business office, patient registration areas and the emergency room in multiple languages informing patients of this right as well. The Hospital also provides a brochure during the registration process that explains the hospital billing and collection procedures, and how to request financial assistance. In addition, every billing statement sent to patients contains information on how to request financial assistance.
Part VI, Line 4 - Community InformationThe city of Bakersfield in Kern County is recognized for its history of agricultural roots, its famous Bakersfield Sound, a sub-genre of country music and culture of old-fashioned warmth. The Bakersfield service area is geographically large, with a population of nearly 780,000 people. Of those, 57% are of Hispanic heritage. Part of what makes the Bakersfield service area unique is the age of its residents, with 68% of the population being younger than 44. Of this population, 27.58% of children live in poverty, and 2.48% of students are unhoused, compared to the state average of 4.25% and the national average of 2.77%. On average, households in Bakersfield service area spend 55.96% of their income on housing and transportation. Despite this challenge, the community still manages to cultivate a vibrant culture of music, movies in the park, walking, fishing, and tubing down Kern RiverThe following zip codes represent San Joaquin Community Hospital, DBA Adventist Health Bakersfield's, primary service area (PSA), accounting for 75% of hospital discharges. Additionally, we took a collaborative approach and expanded our PSA by inviting Steering Committee members to include the zip codes of those they serve. The San Joaquin Community Hospital, DBA Adventist Health Bakersfield, CHNA market has a total population of 779,739 (based on the 2020 Decennial Census). The largest city in the service area is Bakersfield, with a population of 347,609. The service area is comprised of the following zip codes: 93203, 93561, 93241, 93307, 93306, 93314, 93311, 93263, 93280, 93312, 93313, 93301, 93309, 93215, 93308, 93305, 93304, 93268.58.11% of the population own their home and 41.89% rent their home. People living in our Bakersfield service area face challenges in accessing healthcare due to provider-level, community, and individual barriers. This community has an enormous deficit of primary care providers compared to the rest of California and the Nation. This is also true throughout Kern County, with roughly 33% fewer primary care providers than expected at the state and national levels. Further illustrating this point is that more than one-third of the Bakersfield service area population lives in a Health Profession Shortage Area (HPSA), compared to only one in five individuals in California and the rest of the county. There are also fewer Intensive Care Unit beds in this area than in California and nationwide, with 17.84 beds per 100,000 people in Bakersfield compared to 22.04 in California and 28.05 in the US. Transportation also serves as a noteworthy obstacle, with Bakersfield lacking adequate public transportation. Compared to the state of California as a whole, Bakersfield has 11% fewer people living within one mile of public transportation, even though California and the Bakersfield area do much better than the rest of the country. In the Hospital service area, fewer residents are in the workforce, at 5% lower rates compared to state and national numbers. Proportions of youth aged 18 and younger living in poverty are elevated, with more than 1:4 living in poverty in Bakersfield service area, compared to less than 1:5 in California and across the country. These concerns are even greater amongst racial minority groups. Higher unemployment rates for all residents especially for racial minority groups show that challenges in earning a reliable income impact all racial groups. The median household income lags behind the rest of the state by around $23,000 a year, and the rest of the country by more than $8,000. This represents a major problem given the high cost of living in California. Bakersfield service area residents are more likely to have debt in collections than other Californians (34% compared to 23%) or other Americans (29%). They are also 8% more likely to spend more than 30% of their income on housing compared to the rest of the country, although these numbers align with the state average.Bakersfield service area residents face challenges obtaining adequate mental health services while experiencing considerable mental health risks and a substantial need for services. When looked at together, this constitutes a dire situation. There is a much lower availability of mental health care providers in the area, only 88 providers per 100,000, compared to 150 (CA) and 132 (US).
Part VI, Line 4 - Community Building ActivitiesThe hospital is involved in numerous community building activities which promote the health of the community. Overwhelmingly, we see diseases of despair including suicide, substance abuse, mental health and chronic illnesses plaguing the communities in which we have a significant presence in. These community concerns are addressed through health improvement, education, poverty, workforce development and access to care. This is why we have focused our work around addressing behavior and the systems keeping the most vulnerable people in cycles of poverty and high utilization. In an effort to heal these communities, we have strategically invested in our communities by partnering with national leaders in community well-being. We believe the power of community transformation lies in the hands of the community. Our solution for transformation is to create a sustainable model of well-being that measurably impacts the well-being of people, well-being of place and equity. In 2020, Adventist Health acquired Blue Zones as the first step toward reaching our solution. By partnering with Blue Zones, we will be able to gain ground in shifting the balance from healthcare treating people once they are ill to transformative well-being changing the way communities live, work and play. In 2021, Adventist Health committed to launching six Blue Zone Projects within our community footprint. In 2022, these projects were active and growing. In 2023, we saw tremendous growth in several of our markets promoting walking moais, worksite wellness, Blue Zones Project school pledges to create an environment that instills healthy lifestyle choices for our children and Blue Zones Project restaurant pledges to provide healthy options. Blue Zones widens our impact from only reaching our hospitals communities in four states to a global mission practice. We also encourage our employees to serve on community collaboration boards, health advocacy programs, and physical improvement projects to promote the health of the communities we serve. In addition, we work with neighborhood programs, including schools, work sites and safety net providers to promote health and wellness and prevent disease.
Part VI, Line 5 - Promotion of Community HealthOur hospitals mission is, Living Gods love by inspiring health, wholeness and hope. Our community benefit work is rooted deep within our mission and merely an extension of our mission and service. We have also incorporated our community benefit work to be an integral component of improving the triple aim. The Triple Aim concept broadly known and accepted within health care includes:1) Improve the experience of care for our residents.2) Improve the health of populations.3) Reduce the per capita costs of health care.Our strategic investments in our community are focused on a more planned, proactive approach to community health. The basic issue of good stewardship is making optimal use of limited charitable funds. Defaulting to charity care in our emergency rooms for the most vulnerable is not consistent with our mission. An upstream and more proactive and strategic allocation of resources enables us to help low-income populations avoid preventable pain and suffering; in turn allowing the reallocation of funds to serve an increasing number of people experiencing health disparities.Hospitals and health systems are facing continuous challenges during this historic shift in our health system. Given todays state of health, where cost and heartache are soaring, now more than ever, we believe we can do something to change this. These challenges include a paradigm shift in how hospitals and health systems are positioning themselves and their strategies for success in a new payment environment. This will impact everyone in a community and will require shared responsibility among all stakeholders. As hospitals move toward population health management, community health interventions are a key element in achieving the overall goals of reducing the overall cost of health care, improving the health of the population, and improving access to affordable health services for the community both in outpatient and community settings. The key factor in improving quality and efficiency of the care hospitals provide is to include the larger community they serve as a part of their overall strategy. Population health is not just the overall health of a population, but also includes the distribution of health. Overall health could be quite high if the majority of the population is relatively healthyeven though a minority of the population is much less healthy. Ideally such differences would be eliminated or at least substantially reduced.Community health can serve as a strategic platform to improve the health outcomes of a defined group of people, concentrating on three correlated stages:1) The distribution of specific health statuses and outcomes within a population; 2) Factors that cause the present outcomes distribution; and 3) Interventions that may modify the factors to improve health outcomes.Improving population health requires effective initiatives to: 1) Increase the prevalence of evidence-based preventive health services and preventive health behaviors, 2) Improve care quality and patient safety, and 3) Advance care coordination across the health care continuum. We will work together with our community to ensure the community health improvements are identified and then targeted for programs to influence behaviors to obtain improved health within the whole community.
Part VI, Line 6 - Affilated Health Care SystemThe hospital is a member of Adventist Health, a health care system which provides healthcare services in diverse markets within the Western United States. A member hospital may share some services with other member hospitals in its geographic area, such as clinical, management and support services. Using today's technology, hospitals outside the geographic area are able to provide support through remote services such as telepharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk management, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate administrative support for hospital affiliated medical groups that engage physicians through employment or other contracts. This provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communities served by all member hospitals.
Part VI, Line 7 - States Filing of Community Benefit ReportCA
Part VI - Additional InformationListing of Organizations that Particpated in the Hospital's CHNA -Organizations that participated in the 2022 CHNA included: Alliance Against Family Violence, American Indian Health Project, Bakersfield College, Bakersfield Homeless Shelter, Bakersfield Police Department, Bakersfield Womens Homeless Shelter, City of Tehachapi, City Serve, Community Action Partnership of Kern, Delano Union School District, First Five Kern, Garden Pathways, Kern Behavioral Health & Recovery Services, Kern County Childrens Dental Health Network, Kern County Department of Public Health, Kern County Hispanic Chamber of Commerce, Kern County Housing Authority, Kern County Network for Children, Kern Family Health Care, Kern Medical, National Association for the Advancement of Colored People, Transitional Youth Mobilizing for Change, and United Farm Workers Foundation Kern County.Other Items:In its first year, The Blue Zones Project (BZP) Bakersfield team ignited a grassroots community well-being initiative to transform the places where the community spends the most time to measurably improve resilience and economic vitality. The project engaged stakeholders and community members and hosted focus groups and policy summits to discover the communitys priorities. BZP Bakersfield convened sector committees in its core pillars of People, Places, and Policy. They assembled a steering committee, which included community leaders from various sectors, to help guide the work and open doors for the projects success. With the support of sponsors and partners, BZP made great strides to measurably impact community well-being with the goal of helping everyone in Bakersfield live better, longer.On April 27, 2023, the Blue Zones Project team hosted a Kickoff event at Yokuts Park in Bakersfield. More than 3,000 community members participated in Blue Zone Project activities, 68 volunteers supported the execution of the days events, and 31 community partner organizations had informational booths. The event was promoted on radio, television, print media, social media formats, resulting in the attendee count and four positive media stories and enhanced general brand awareness. In partnership with Adventist Health and KGET-TV 17 BZP Bakersfield put on Wellness Wednesday healthy cooking segments in both English and Spanish. These segments are viewed by more than 12,000 local households on a weekly basis.With respect to the place pillar, twenty restaurants became Blue Zones Project (BZP) approved in 2023. The BZP Bakersfield team was even able to approve a local steakhouse by adding a cauliflower steak to the menu. One restaurant announced a 25% increase in sales after its approval celebration. Another restaurant reported a 100% increase in vegan item sales a month after holding its approval celebration with the Blue Zones Project. Collectively, the approved restaurants serve 89 Blue Zones Inspired dishes. More than 78 % of approved restaurants completed more than 100% of the minimum required points.Two grocery stores were in the approval process by the end of 2023 and three more are in the pipeline. There has been communication made with multiple managers and owners to gauge interest in collaborating with Blue Zones Project, including with Sprouts. Blue Zones Project (BZP) Bakersfield reached out to local employers to participate in becoming certified. Five worksites were Blue Zones Project-approved, and twenty worksites are in the final stages of the approval process. In the meantime, over 1,804 employees participated in Blue Zones Project wellness activities and workshops. In Year One, more than 7,287 employees became aware of the Blue Zones Project. The team held fifteen cooking demonstrations, five Purpose Workshops, and established over 16 Walking Moais. In addition, these workplaces installed five employee walking routes with signage. 16 worksite ambassadors have been onboarded and three worksite wellness committees were established that volunteer in spreading knowledge about the Blue Zones Project. More than 2,200 workers have registered and taken the RealAge Test. The BZP worksite team was featured on a podcast at the Department of Health Services. The team also presented at Cal State University Bakersfield International Womens Day Celebration and delivered a Blue Zones presentation to more than 350 employees. An on-demand video was created that allowed hundreds of employees at Kern Health Systems to learn about Blue Zones Project, and that video is now used for new employee onboarding.The policy pillar of the Blue Zones Project (BZP) Bakersfield saw tremendous growth in built environment policy and capacity building by working with city of Bakersfield to pass a comprehensive Complete Streets Ordinance, with an eye on making our local roadways safer for all users to enjoy, including pedestrians and cyclists. In October 2023, BZP Bakersfield launched a social media pedestrian safety campaign to coincide with national pedestrian safety month. The campaign, All-Ways Safe, educated the community on what it can do to move safely throughout our community. Graphics and videos were posted on Facebook, Instagram, and LinkedIn. The campaign included safety tips as well and was informed by the built environment work that the BZP team conducted with walking audits and complete streets implementation. The campaign included a video with local community stakeholders in English, Spanish, and Punjabi that had over 22,000 views. In October 2023, BZP Bakersfield in partnership with the city of Bakersfield, hosted an active transportation summit and festival. Over 500 community members attended the event to engage in activities and education. BZP Bakersfield invited national transportation experts Dan Burden and Paul Zykofsky to lead a complete streets seminar. There were over 75 attendees which included city staff, county 11 staff, city council members, and advocates to learn how to implement complete streets best practices. BZP Bakersfield conducted a walking audit with city staff and national transportation experts to identify potential opportunities to make some of the more concerning corridors accessible and safer for all modes of active transportation.Throughout 2023 Blue Zones Project Bakersfield partnered with Community Action Partnership of Kern and United Way of Kern County to re-establish the Kern County Food Policy Council by creating a council structure, mission, values, and recruiting key stakeholder involvement and re-established the Kern County Food Policy Council. Primary website address: See Form 990, Pg 1, Item JNeeds Assessment website: See Sch H Part VI - Needs AssessmentFAP website: See Sch H Part VI-Patient Education

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxt
Assoc Of Calif Nurse Leaders
PO Box 13188BakersfieldCA93309942910850501(c)(3)$5,300$0Funds TransferCommunity Donation
Bakersfield College Foundatio
1801 Panorama DrBakersfieldCA93305500151490501(c)(3)$6,200$0Funds TransferCommunity Donation
Bakersfield Kern Regional Hom
1900 E Brundage LnBakersfieldCA93307611948977501(c)(3)$10,000$0Funds TransferCommunity Donation
Chambr Comm Greatr Bakersfiel
1725 Eye StBakersfieldCA93301950521125501(c)(6)$10,750$0Funds TransferCommunity Donation
City Serve Network
3201 F StreetBakersfieldCA93301824490879501(c)(3)$25,000$0Funds TransferCommunity Donation
Garden Pathways Inc
1616 29th StBakersfieldCA93301770442212501(c)(3)$7,500$0Funds TransferCommunity Donation
JJs Legacy
PO Box 12793BakersfieldCA93309273546375501(c)(3)$15,000$0Funds TransferCommunity Donation
Kern Community Foundation
5701 Truxton Avenue 110BakersfieldCA93309770555874501(c)(3)$25,000$0Funds TransferCommunity Donation
Kern County Hispanic Chamber
1601 H Street Ste 201ABakersfieldCA93301272663378501(c)(6)$10,000$0Funds TransferCommunity Donation
Kern County Taxpayers Educati
PO Box 1033BakersfieldCA93302263021614501(c)(3)$8,000$0Funds TransferCommunity Donation
Kern Economic Developmt Corp
2700 M St Ste 200BakersfieldCA93301770151886501(c)(6)$7,500$0Funds TransferCommunity Donation
Links for Life Inc
5301 Office Park Dr 370BakersfieldCA93309931088003501(c)(3)$30,000$0Funds TransferCommunity Donation
Mendiburu Magic Foundation
PO Box 20687BakersfieldCA93390311742956501(c)(3)$10,000$0Funds TransferCommunity Donation
Valley Center for the Blind
3417 W Shaw AveFresnoCA93711942255626501(c)(3)$10,000$0Funds TransferCommunity Donation
FieldValueIRS element (for citing)
Total501c3 Org13Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceAdditional Supplemental InformationFormAndLineReferenceDesc
ExplanationGrants are donations made to US tax exempt organizations, Government Entities and Civic organizations who are community partners, known to us, and present a valid purpose for their donation request. It is anticipated that no further monitoring is required.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Beaman John
CFO/Asst Secty$1,091,769$569,149$19,635$11,644$60,059$1,752,256
Britz Justin
Physician Asst$344,655$5,711$11,644$29,940$391,950
Capawa Paul
RN$313,172$2,310$13,060$22,490$351,032
Chupa Barry
RN/1st Asst$468,004$5,047$11,644$52,248$536,943
Cox Shane
Treasurer/A Sec$482,709$97,773$57,162$11,644$46,574$695,862
Heinrich Kerry
Director/CEO$2,017,000$1,208,880$76,548$11,644$44,099$3,358,171
Hofheins Todd
COO/Vice Chair$1,389,462$735,265$147,865$11,644$62,845$2,347,081
JahnAndrew
Former Care Div Pres thru 02/22$1,044,420$406,990$14,496$50,625$1,516,531
Jamaleddine Ghassan
Market Medical Officer$550,638$109,444$53,135$11,644$56,712$781,573
Jobe Meredith
Secretary$660,525$168,715$130,248$14,609$46,114$1,020,211
Lavers Jennifer
Operations Executive$347,167$31,954$59,267$25,402$116,585$580,375
Morata Ana Lisa
RN II$299,561$4,410$13,026$52,312$369,309
Nahapetian Arby
Former Care Div Med Off thru 02/22$967,385$329,621$185,288$11,644$56,317$1,550,255
Navarro Rafael
RN/1st Asst$379,053$6,647$11,048$396,748
SpenstBrett
Former Care Div Fin Off thru 02/22$259,692$250,809$10,124$12,160$32,551$565,336
Stevens Eric
Care Division Oper Exec thru 02/22$1,045,616$319,995$160,682$11,644$46,256$1,584,193
Tomono Christopher
Partnership Executive$285,084$70,497$23,966$13,475$50,880$443,902
Tomono Olga
Business Development Exec$273,670$43,399$48,115$23,288$112,226$500,698
Van Housen Heather
Patient Care Executive$361,260$70,116$47,078$11,644$58,369$548,467
Wells Jason eff 12323
President CC$892,808$337,640$240,134$23,881$1,494,463
Wing Billy
Former Dir/A Sec/V Chair thru 01/22$1,438,460$26,777$1,465,237
Wolcott Daniel-Departed 123
President, KCN$190,804$217,108$544,821$11,644$52,413$1,016,790

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Donald Cornforth
Former Key Empl$600,000Building Leasefalse
Edna Cornforth
Spouse-Fmr K Emp$65,000Business Contractfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part V Supplemental InformationFormAndLineReferenceDesc
ExplanationAdditional information regarding interested persons listed above:1. Donald Cornforth, a Former Key Employee, is the owner of a medical office building the hospital rents and owner of Incentive Health IPA which does business with the hospital.2. Edna Cornforth is the wife of Donald Cornforth, a Former Key Employee.ExplanationTxt

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$256,345NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received1Form8283ReceivedCnt
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 6The Hospital is organized as a religious corporation and operates as a not-for-profit hospital. The sole corporate member is Adventist Health System/West, a California not-for-profit religious corporation. The Hospital operates as an affiliate of Adventist Health System/West.
Form 990, Part VI, Section A, Line 7aThe Hospital Bylaws define its Board of Directors to be the same individuals who are members of the Adventist Health System/West Board of Directors.
Form 990, Part VI, Section A, Line 7bThe Board of Directors of the Hospital shall have sole authority to amend or repeal the Articles of Incorporation, subject to the additional approval of the Board of Directors of Adventist Health System/West. The Hospital does not have any Members.
Form 990, Part VI, Section B, Line 11bThis Form 990 including all supporting schedules was prepared by a public accounting firm, reviewed by the Corporate Finance Officer and Market Financial Officer, and shared by electronic communication with the Corporation's Board of Directors prior to filing.
Form 990, Part VI, Section B, Line 12cDuring the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital corporate officers, key employees and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation to illustrate examples of a conflict and to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the market president or the System General Counsel immediately.The System General Counsel distributes, collects, and reviews for signatures the COIs for all applicable Corporate employees, stakeholders and the board. In addition, the hospital's administration is responsible for keeping record to ensure all hospital-based individuals with director and above positions have submitted their COIs. The System General Counsel reviews all the disclosures on the board and Corporate employees' COIs. System General Counsel retains the COIs for all individuals. Further inquiries on any potential significant conflicts are made as needed. Conflicts are documented and reviewed with the Board.
Form 990, Part VI, Section B, Line 15aThe Hospital's Board of Directors has established a Human Resources Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets at least annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, including salary ranges for hospital presidents and finance officers that would be indicated by the data evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data. The board-approved executive compensation philosophy specifies that salary ranges will be established for hospital executives, with midpoints aligned with the 60th percentile of comparable system hospital data, and having a 50 percent spread from minimum to maximum.
Form 990, Part VI, Section B, Line 15bSee Line 15a explanation.
Form 990, Part VI, Section C, Line 19The Hospital does not make its governing documents publicly available, beyond required filings of Articles of Incorporation with the Secretary of State. The Hospital does not make its Conflict of Interest Policy available upon request, but does file monthly/quarterly summary financial reports with the state health-planning agency.
Form 990, Part XI, Line 9= -$50427
Form 990, Part XI, Line 9Change in Joint Venture Net Assets = -$2367228
Form 990, Part XI, Line 9Investment in Joint Venture = $2603105
Form 990, Part XI, Line 9Transfer to Other Funds = -$1938439
Form 990, Part XI, Line 9Transfer to Related Entities = -$2443281

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Adventist Health Clearlake Hospital Inc
15630 18th AvenueClearlakeCA95422680395149HospitalCA501(c)(3)3Adventist Health SystemWestfalse
Adventist Health Delano
1401 Garces HwyDelanoCA93215770258013HospitalCA501(c)(3)3Adventist Health SystemWestfalse
Adventist Health Foundation
1 Adventist Health WayRosevilleCA95661680002188Charitable foundationCA501(c)(3)7Adventist Health SystemWestfalse
Adventist Health Med Ctr Tehachapi
1100 Magellan DriveTehachapiCA93561812240617HospitalCA501(c)(3)3Adventist Health SystemWestfalse
Adventist Health Mendocino Coast
700 River DriveFort BraggCA95437845174585HospitalCA501(c)(3)3Stone Point Healthfalse
Adventist Health Physicians Network
1 Adventist Health WayRosevilleCA95661680357690Medical FoundationCA501(c)(3)12B2Adventist Health SystemWestfalse
Adventist Health SystemWest
1 Adventist Health WayRosevilleCA95661953484589Integrated health systemCA501(c)(3)10NAfalse
Adventist Health Tulare
869 North Cherry StreetTulareCA93274832351753HospitalCA501(c)(3)3Adventist Health SystemWestfalse
Castle Medical Center
640 Ulukahiki StreetKailuaHI96734990107330HospitalHI501(c)(3)3Adventist Health SystemWestfalse
Feather River Hospital
1 Adventist Health WayRosevilleCA95661941101228HospitalCA501(c)(3)3Adventist Health SystemWestfalse
Glendale Adventist Medical Center
1509 Wilson TerraceGlendaleCA91206951816017HospitalCA501(c)(3)3Adventist Health SystemWestfalse
Hanford Community Hospital
115 Mall DriveHanfordCA93230940535360HospitalCA501(c)(3)3Adventist Health SystemWestfalse
Lodi Memorial Hospital Association
975 S Fairmont AvenueLodiCA95240941044474HospitalCA501(c)(3)3Adventist Health SystemWestfalse
Mid-Columbia Medical Center
1700 E 19th StreetThe DallesOR97058930386936HospitalOR501(c)(3)3Stone Point Healthfalse
Northwest Medical Fdtn of Tillamook
1000 Third StreetTillamookOR97141930622075HospitalOR501(c)(3)3Adventist Health SystemWestfalse
Paradise Valley Hospital
1 Adventist Health WayRosevilleCA95661951816034Discontinued OperationsCA501(c)(3)3Adventist Health SystemWestfalse
Portland Adventist Medical Center
10123 SE Market StreetPortlandOR97216930429015HospitalOR501(c)(3)3Adventist Health SystemWestfalse
Reedley Community Hospital
372 Cypress AvenueReedleyCA93654453220509HospitalCA501(c)(3)3Adventist Health SystemWestfalse
Rideout Memorial Hospital
726 Fourth StreetMarysvilleCA95901941387866Acute care hospitalCA501(c)(3)3Stone Point Healthfalse
St Helena Hospital
10 Woodland RoadSt HelenaCA94574941279779HospitalCA501(c)(3)3Adventist Health SystemWestfalse
Simi Valley Hospital & Health Care Svc
2975 N Sycamore DriveSimi ValleyCA93065956064971HospitalCA501(c)(3)3Adventist Health SystemWestfalse
Sonora Community Hospital
1000 Greenley RoadSonoraCA95370941415069HospitalCA501(c)(3)3Adventist Health SystemWestfalse
Stone Point Health
1 Adventist Health WayRosevilleCA95661823763347Supporting OrganizationCA501(c)(3)12b2Adventist Health SystemWestfalse
Ukiah Adventist Hospital
275 Hospital DriveUkiahCA95482941639901HospitalCA501(c)(3)3Adventist Health SystemWestfalse
United Com-Serve
726 Fourth StreetMarysvilleCA95901943015356Skilled Nursing/Assisted Living/Hm CareCA501(c)(3)12b2Stone Point Healthfalse
Walla Walla General Hospital
1 Adventist Health WayRosevilleCA95661910617726Hospital - closed July 2017WA501(c)(3)3Adventist Health SystemWestfalse
Western Health Resources
1 Adventist Health WayRosevilleCA95661953867863Home careCA501(c)(3)10Adventist Health SystemWestfalse
White Memorial Medical Center
1720 E Cesar E Chavez AvenueLos AngelesCA90033952282647HospitalCA501(c)(3)3Adventist Health SystemWestfalse
Willits Hospital Inc
1 Marcela DriveWillitsCA95490680108919HospitalCA501(c)(3)3Adventist Health SystemWestfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Blue Legacy Ventures LLC
1010 NE 2nd AvenueMiamiFL33132871254649Real Property RentalFLAHSWestfalsefalse
Blue Zones LLC
200 Southdale CenterEdinaMN55435271603327EducationMNAHSWestfalsefalse
PAR LLC dba CherryWood Village
8440 SE Sunnybrook Blvd Suite 100ClackamasOR97015931262371Senior HousingORAHSWestfalsefalse
PVHR LLC dba Paradise Village
8440 SE Sunnybrook Blvd Suite 100ClackamasOR97015260622555Senior HousingORAHSWestfalsefalse
PVHR2 LLC dba Parkview Memory Care
8440 SE Sunnybrook Blvd Suite 100ClackamasOR97015473300170Senior HousingORAHSWestfalsefalse
WWGHR LLC dba Wheatland Village
8440 SE Sunnybrook Blvd Suite 100ClackamasOR97015810591221Senior HousingORAHSWestfalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
South Coast Medical Center
PO Box 619135RosevilleCA95661952037291Wind down after sale of hospitalCAAHSWestC-Corpfalse
Adventist Health Plan Inc
1 Adventist Health WayRosevilleCA95661463833261Health InsuranceCAAHSWestC-Corpfalse
Thrive Productions Inc
200 Southdale CenterEdinaMN55435453369049Production CompanyMNAHSWestC-Corpfalse
AdHealth Limited
Pure Captive InsuranceAHSWestC-CorpfalsePO Box HM 2062HamiltonBDHM HXBD
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Adventist Health SystemWest
e$198,203,505Notes Payable
Adventist Health SystemWest
m$56,422,318Operating Exp
Adventist Health SystemWest
o$3,049,014Compensation
Adventist Health SystemWest
s$30,061,962Cash Mgt Funds