SAN JOAQUIN COMMUNITY HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
SAN JOAQUIN COMMUNITY HOSPITAL (EIN 95-2294234)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-13
IRS object ID
202003189349312345
Schema version
2019v5.0
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)
Return2020-11-13T16:39:42-08:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

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 Fl 20AddressLine1Txt
CityGlendaleCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91203ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

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)
PersonShane CoxPersonNm
Person TitleFinance OfficerPersonTitleTxt
Signature2020-11-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonS ClementPreparerPersonNm
PTINP01218012PTIN
Phone8185475701PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSharlet BriggsPrincipalOfficerNm
Gross Receipts$430,638,603GrossReceiptsAmt
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 Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee2253TotalEmployeeCnt
Total Volunteers359TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$233,178NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$171,909PYContributionsGrantsAmt
CY Contributions Grants$325,084CYContributionsGrantsAmt
PY Program Service Revenue$407,629,248PYProgramServiceRevenueAmt
CY Program Service Revenue$423,938,506CYProgramServiceRevenueAmt
PY Investment Income$3,120,423PYInvestmentIncomeAmt
CY Investment Income$6,116,851CYInvestmentIncomeAmt
PY Other Revenue$175,026PYOtherRevenueAmt
CY Other Revenue-$100,089CYOtherRevenueAmt
PY Total Revenue$411,096,606PYTotalRevenueAmt
CY Total Revenue$430,280,352CYTotalRevenueAmt
PY Grants And Similar Paid$313,140PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$15,715CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$159,031,581PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$158,778,339CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$664,542CYTotalFundraisingExpenseAmt
PY Other Expenses$234,199,361PYOtherExpensesAmt
CY Other Expenses$244,608,906CYOtherExpensesAmt
PY Total Expenses$393,544,082PYTotalExpensesAmt
CY Total Expenses$403,402,960CYTotalExpensesAmt
PY Revenues Less Expenses$17,552,524PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$26,877,392CYRevenuesLessExpensesAmt
Total Assets BOY$358,713,896TotalAssetsBOYAmt
Total Assets EOY$407,871,835TotalAssetsEOYAmt
Total Liabilities BOY$144,385,779TotalLiabilitiesBOYAmt
Total Liabilities EOY$166,681,433TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$214,328,117NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$241,190,402NetAssetsOrFundBalancesEOYAmt
MissionLiving Gods love by inspiring health, wholeness and hope.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$325,060,937ExpenseAmt
Grant$15,715GrantAmt
Revenue$423,843,780RevenueAmt
DescSan Joaquin Community Hospital (AHBD) provides quality medical health care 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 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 will be considered when individuals who need health care cannot pay:providing free care and/or subsidized careproviding care to persons covered by governmental programs at below costproviding 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 2019 was $6,256,392.The following Inpatient services that were provided to all our patients. These services included:2,636 Babies delivered3,866 Surgeries performed60,860 Patient days The following Outpatient services that were provided to all our patients. These services included:74,996 Emergency department visits8,233 Outpatient Surgeries performed144,502 Outpatient visits 61,732 Clinic visitsAHBD recognizes it has an obligation to provide human services above and beyond its role as a healing facility. The following community benefits demonstrate the tangible ways in which the organization is fulfilling its mission. The total unreimbursed cost of these community benefits in 2019 was $10,947,709.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.Adventist Health Bakersfield cares for patients facing health crisis (serving over 225,000 patients each year) through a whole-person approach, meeting people where they are often serving people who are economically vulnerable.Our world class health care is complimented by the work of social workers, case managers, care coordinators, and patient navigators work with patients in tandem with physician care. Access to care, healthy food, and a healthy environment aid in a patients healing. The implications that a health crisis can have on a household is significant. Mr. B (name changed) is an example of this. He began the battle for his life when he was diagnosed with prostate cancer and needed 40 radiation treatment sessions. He lived alone in a rural community 45 miles from Adventist Health Bakersfield, with a monthly income below $900. Mr. B faced the health crisis of his life, financial toxicity, and no money for transportation to and from treatment. Like so many others, he also faced hunger having to choose between groceries or medication. Without the help of care coordination staff Mr. B would not have been able to access treatment nor have the support he needed for fuel costs and groceries. Today, Mr. B is well on the road to recovery. Over 1,800 support services were provided in the past year including transportation, clothing, and food. Another example is a patient who was discharged from the hospital after undergoing a major surgery. Mrs. Ms case manager (name changed) contacted her following her operation. Like many people, especially the elderly, she was hesitant disclose her need. Mrs. M finally disclosed that she had no groceries, no transportation to the store, and not enough physical strength to go grocery shopping or prepare her own meals. The team immediately provided a food basket and connected Mrs. M to longer term meal support services. Today Mrs. M has recovered and participates in ongoing wellness programs.Together with physicians, care coordination staff live our mission. Adventist Health Bakersfield is dedicated to inspiring health, wholeness and hope.Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/Desc
Total Program Service Expenses$325,060,937TotalProgramServiceExpensesAmt
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 MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
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
Employee2253EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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)
PersonJay LippsPersonNm
Phone9164061092PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 619135AddressLine1Txt
CityRosevilleCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95661ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
Ferch Wayne
President, CCR10.0040.00$0$4,448,122$47,838
Reiner Scott
Dir/Chair0.0050.00$0$1,995,696$53,734Yes (X)Yes (X)
Wing Bill
Dir/A Sec/CFO0.0050.00$0$1,572,254$46,583Yes (X)Yes (X)
Reppert Joseph
A/Sec thru 8/190.0050.00$0$1,209,069$57,565Yes (X)
Larsen David
Finance Officer, CCR thru 4/28/201910.0040.00$0$777,379$57,220
Wagner Jack
Former Asst Secr0.0050.00$0$778,475$29,189
Jobe Meredith
Secretary0.0050.00$0$730,385$45,909Yes (X)
Briggs Sharlet
President0.0050.00$0$711,824$41,433Yes (X)
Chen Steven
Treasurer/Asst Sec/FO CCR10.0040.00$0$671,517$59,363
Adalberto Renteria
Medical Officer CCR10.0040.00$0$481,385$43,990
Fargo Roland
Former VP Reg Phy Op0.0050.00$0$475,946$39,167
Itani Mohamad
Operations Executive0.0050.00$0$434,387$58,532
Reynoso Ronald
Medical Officer50.000.00$0$432,224$48,271
Navarro Rafael
RN/1st Asst50.000.00$387,403$0$48,926
Chupa Barry
RN/1st Asst50.000.00$376,556$0$48,860
Van Housen Heather
Patient Care Executive50.000.00$0$369,042$46,449
Tetz Warren
Construction Executive0.0050.00$0$314,377$49,270
Gil Rey
RN/1st Asst50.000.00$308,610$0$39,190
Morata Ana Lisa
RN50.000.00$276,482$0$49,354
Capawa Paul
RN50.000.00$257,614$0$33,214
Wehtje Ronald
Former Finance Officer, SCR0.000.00$0$265,160$8,290
Christopher Tomono Kiyoshi Tomono
Partnership Executive50.000.00$0$222,400$44,197
Newmyer Mark
Former VP Bus Dec50.000.00$0$170,724$28,761
Reiner Richard
Director0.004.00$0$28,588$0Yes (X)
Davis Andrew
Director0.004.00$0$28,246$0Yes (X)
Cherry Robert
Director0.004.00$0$26,315$0Yes (X)
Heinrich Kerry
Director0.004.00$0$20,102$0Yes (X)
Innocent Larry
Director0.004.00$0$18,852$0Yes (X)
Woodson Marc
Director0.004.00$0$15,000$0Yes (X)
Graham Ricardo
Director0.004.00$0$8,848$0Yes (X)
Banks David
Director0.004.00$0$6,382$0Yes (X)
Freedman John
Director0.004.00$0$2,367$0Yes (X)
Salazar Velino
Director0.004.00$0$553$0Yes (X)
Philip Celeste
Director0.004.00$0$0$0Yes (X)
Ocampo Lucy
Director0.004.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,606,665TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$16,215,619TotReportableCompRltdOrgAmt
Total Other Compensation$1,025,305TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K373IndivRcvdGreaterThan100KCnt
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
DPR Construction A General Partnership
4665 MacAuthur Ct Ste 100Newport BeachCA92660Construction$11,260,791
Quest Imaging
PO Box 21178BakersfieldCA93390Medical$6,698,458
Sound Physicians Of Calif III
PO Box 742936Los AngelesCA90074Medical$5,593,645
Valley Anesthesia Associates
11704 Nantwick CtBakersfieldCA93311Medical$4,378,919
Crothall Healthcare
13028 Collections Center DrChicagoIL60693Medical$2,872,379
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K57CntrctRcvdGreaterThan100KCnt
All Other Contributions$325,084AllOtherContributionsAmt
Total Contributions$325,084TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

BusinessBusinessCdDescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
900099
722514Dietary$1,520,703$1,520,703
531120Medical Office Rentals$1,019,138$1,019,138
900099Other Revenue$860,268$860,268
900099Patient Care Services$420,538,397$420,538,397
FieldValueIRS element (for citing)
Total Program Service Revenue$423,938,506TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,109,941TotalRevenueColumnAmt
Exclusion$6,109,941ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,547TotalRevenueColumnAmt
Exclusion$1,547ExclusionAmt

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)
Other$5,363OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$5,363OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,363TotalRevenueColumnAmt
Related Or Exempt Func Income$5,363RelatedOrExemptFuncIncomeAmt

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$258,162GrossSalesOfInventoryAmt
Cost Of Goods Sold$358,251CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$100,089TotalRevenueColumnAmt
Related Or Exempt Func Income-$100,089RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$430,280,352TotalRevenueColumnAmt
Related Or Exempt Func Income$423,843,780RelatedOrExemptFuncIncomeAmt
Exclusion$6,111,488ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$15,715TotalAmt
Program Services$15,715ProgramServicesAmt

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$124,453,687TotalAmt
Program Services$118,335,339ProgramServicesAmt
Management And General$5,777,432ManagementAndGeneralAmt
Fundraising$340,916FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,352,636TotalAmt
Program Services$5,209,049ProgramServicesAmt
Management And General$128,578ManagementAndGeneralAmt
Fundraising$15,009FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$20,140,937TotalAmt
Program Services$19,132,476ProgramServicesAmt
Management And General$939,448ManagementAndGeneralAmt
Fundraising$69,013FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,831,079TotalAmt
Program Services$8,516,494ProgramServicesAmt
Management And General$290,826ManagementAndGeneralAmt
Fundraising$23,759FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$580,492TotalAmt
Program Services$200,092ProgramServicesAmt
Management And General$380,400ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$552,037TotalAmt
Program Services$258,624ProgramServicesAmt
Management And General$293,413ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$30,945,229TotalAmt
Program Services$24,864,719ProgramServicesAmt
Management And General$6,080,510ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$228,816TotalAmt
Program Services$140,331ProgramServicesAmt
Management And General$81,539ManagementAndGeneralAmt
Fundraising$6,946FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,516,659TotalAmt
Program Services$1,069,825ProgramServicesAmt
Management And General$424,760ManagementAndGeneralAmt
Fundraising$22,074FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,867,930TotalAmt
Program Services$2,853,645ProgramServicesAmt
Management And General$14,261ManagementAndGeneralAmt
Fundraising$24FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,380,720TotalAmt
Program Services$8,740,639ProgramServicesAmt
Management And General$1,640,081ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$194,949TotalAmt
Program Services$158,555ProgramServicesAmt
Management And General$1,280ManagementAndGeneralAmt
Fundraising$35,114FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$215,696TotalAmt
Program Services$171,874ProgramServicesAmt
Management And General$39,233ManagementAndGeneralAmt
Fundraising$4,589FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,384,448TotalAmt
Program Services$2,384,448ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,797,929TotalAmt
Program Services$12,760,309ProgramServicesAmt
Management And General$37,620ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$628,120TotalAmt
Program Services$628,120ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Purchased Services$76,658,093$18,202,970$58,378,680$76,443
Paitient Care Supplies$70,561,616$70,558,985$2,631
Quality Assurance$28,877,994$28,877,994
Revenue Cycle Fees$2,810,476$2,810,476

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,407,702TotalAmt
Program Services$1,980,734ProgramServicesAmt
Management And General$358,944ManagementAndGeneralAmt
Fundraising$68,024FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$403,402,960TotalAmt
Program Services$325,060,937ProgramServicesAmt
Management And General$77,677,481ManagementAndGeneralAmt
Fundraising$664,542FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$127,021BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$130,073,488BOYAmt
EOY$143,807,602EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$3,089EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$48,666,732BOYAmt
EOY$54,806,787EOYAmt

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$6,364,278BOYAmt
EOY$7,388,239EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$720,682BOYAmt
EOY$1,303,818EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$317,084,006LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$173,613,337LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$131,772,286BOYAmt
EOY$143,470,669EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,610,024BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$39,092,203BOYAmt
EOY$56,804,449EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$358,713,896BOYAmt
EOY$407,871,835EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$38,833,625BOYAmt
EOY$36,951,440EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,765BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,903,770BOYAmt
EOY$3,442,595EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$101,642,619BOYAmt
EOY$126,287,398EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$144,385,779BOYAmt
EOY$166,681,433EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$210,460,712BOYAmt
EOY$237,510,993EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,867,405BOYAmt
EOY$3,679,409EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$214,328,117BOYAmt
EOY$241,190,402EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$358,713,896BOYAmt
EOY$407,871,835EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$26,877,392ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$15,107OtherChangesInNetAssetsAmt
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 RequiredfalseFederalGrantAuditRequiredInd

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$39,477OtherActivitiesAmt
Total Lobbying Expenditures$39,477TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
ExplanationThe organization belongs to industry and professional associations for which a portion of the membership dues is used for lobbying activities. Expenditures to Noteware were paid for the purpose of working with legislators and government officials relating to legislation affecting hospitals and healthcare.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,083,038BeginningYearBalanceAmt
Contributions$181,294ContributionsAmt
Other Expenditures$380,514OtherExpendituresAmt
End Year Balance$3,883,818EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,834,434BeginningYearBalanceAmt
Contributions$630,310ContributionsAmt
Other Expenditures$431,706OtherExpendituresAmt
End Year Balance$4,033,038EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,273,805BeginningYearBalanceAmt
Contributions$2,068,213ContributionsAmt
Other Expenditures$507,584OtherExpendituresAmt
End Year Balance$3,834,434EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,386,299BeginningYearBalanceAmt
Contributions$1,144,377ContributionsAmt
Other Expenditures$1,256,095OtherExpendituresAmt
End Year Balance$2,274,581EndYearBalanceAmt
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$9,126,357OtherCostOrOtherBasisAmt
Book Value$9,126,357BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$172,295,088OtherCostOrOtherBasisAmt
Depreciation$82,853,880DepreciationAmt
Book Value$89,441,208BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,122,853OtherCostOrOtherBasisAmt
Depreciation$3,008,858DepreciationAmt
Book Value$23,113,995BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$109,539,708OtherCostOrOtherBasisAmt
Depreciation$87,750,599DepreciationAmt
Book Value$21,789,109BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$143,470,669TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Other Assets
Other Receivables$314,829
Receivables from Related Organizations$20,558,389
Receivables from Third Parties$35,931,231
FieldValueIRS element (for citing)
Total Book Value Other Assets$56,804,449TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Other Liabilities$3,531,811
Payables to Related Organizations$103,610,336
Payables to Third Parties$19,145,251
FieldValueIRS element (for citing)
Total Liability$126,287,398TotalLiabilityAmt
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, 2019 and 2018, 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 2015 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$506,675TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$506,675NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$119,356,457TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$113,606,740DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,749,717NetCommunityBenefitExpnsAmt
Total Expense0.01430TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$119,863,132TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$113,606,740DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,256,392NetCommunityBenefitExpnsAmt
Total Expense0.01560TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,247,887TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$298,958DirectOffsettingRevenueAmt
Net Community Benefit Expns$948,929NetCommunityBenefitExpnsAmt
Total Expense0.00240TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$580,311TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$580,311NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,524,873TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,541,835DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,983,038NetCommunityBenefitExpnsAmt
Total Expense0.02230TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$435,431TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$435,431NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,788,502TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,840,793DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,947,709NetCommunityBenefitExpnsAmt
Total Expense0.02720TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$134,651,634TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$117,447,533DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,204,101NetCommunityBenefitExpnsAmt
Total Expense0.04280TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,059TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,059NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,119TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,119NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$162,419TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$162,419NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$171,597TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$171,597NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$3,573,995BadDebtExpenseAmt
Bad Debt Expense Attributable$1,406,123BadDebtExpenseAttributableAmt
Reimbursed By Medicare$72,629,885ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$71,587,485CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$1,042,400MedicareSurplusOrShortfallAmt

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)
Website Addresswww.adventisthealth.org/bakersWebsiteAddressTxt
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 Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Form 990, Pg 1, Item JOwnWebsiteURLTxt
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 Adpt19ImplementationStrategyAdptYr
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
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
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 URLSee Sch H Part VI-Patient EducationFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Sch H Part VI-Patient EducationFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Sch 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 MedicareYes (X)LookBackMedicareInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Facility: - Part V, Section B, Line 5The 2019 CHNA data collection process can be summarized as follows: 1. review of prior CHNA reporting efforts; 2. collection of most recently available demographic, socioeconomic and health indicator data. 3. Data gathering was accomplished by using a widely-distributed community survey, engaging with community focus groups and conducting key stakeholder interviews.Community Survey: The Kern County Community Benefit Collaborative hospital representatives developed a plan for distribution of a survey to engage community residents. The survey was available in an electronic format through a Survey Monkey link, and in a paper copy format. The electronic and paper surveys were available in English and Spanish. The surveys were available from November 2018 to January 2019 and during this time, 1,114 usable surveys were collected. The hospitals distributed the surveys to their clients, in hospital waiting rooms and service sites, and through social media, including posting the survey link on hospital Facebook pages. The survey was also distributed to community partners who made them available to their clients. A written introduction to the survey questions explained the purpose of the survey and assured participants the survey was voluntary, and that they would remain anonymous. For community members who were illiterate, an agency staff member read the survey introduction and questions to the client in his/her preferred language and marked his/her responses on the survey. The survey included the following: demographics, biggest health issues in the community, greatest needs facing children and families, where residents and their families receive routine health care services, problems faced accessing health care, mental health care, dental care or supportive services, what would make it easier to obtain care, types of support or services needed in the community, and safety concerns in the community.Targeted Interviews: Interviews were used to gather information and opinions, by phone, from persons who represent the community served by the hospital. Interview participants were asked to share their perspectives on a number of topics related to the identified preliminary health needs in the community area. Given shared community areas, the Kern County Community Benefit Adventist Health Bakersfield 14 Collaborative hospitals worked together to conduct the interviews. Forty-one (41) interviews were completed from October 2018 through March 2019. Secondary data were collected from a variety of local, county and state sources to present a community profile, social determinants of health, health care access, birth indicators, leading causes of death, acuteand chronic disease, health behaviors, mental health, substance use and misuse, and preventive practices. When available, data sets are presented in the context of Kern County and California to helpframe the scope of an issue, as it relates to the broader community. Sources of data include: the U.S. Census American Community Survey, California Department of Public Health, California Health Interview Survey, Kern County Public Health Department, Healthy Kern County, County Health Rankings, California Department of Education, California Office of Statewide Health Planning and Development and California Department of Justice, among others.
Facility: - Part V, Section B, Line 6aThe Kern County Community Benefit Collaborative convened area hospitals and included these partners:Adventist Health Bakersfield and Adventist Health Tehachapi Valley Hospitals, Delano Regional Medical Center, Dignity Health Bakersfield, Mercy and Memorial Hospitals, Kaiser Permanente Kern County, Kern Medical, and Valley Childrens Healthcare.
Facility: - Part V, Section B, Line 11Our 2016 CHNA identified two areas of significant needs: access to health care and cancer. The main goal was to improve the overall health and wellness of our communities through provision of services, community collaboration and innovation. Priority Need 1- Access to Care the goal is to increase the percentage of kids who are vaccinated at area schools to 96%. Interventions: 1. Childrens Mobile Immunization Program: Since 1996, Adventist Health Bakersfield has been providing free immunizations to Kern County children as part of our commitment to community health. Today, were the only health care system in the area that offers a mobile immunization clinic. Each year we provide about 16,500 vaccinations to local children under age 18. The program is funded through a grant from First 5 Kern. Number of Community Members Served: 2,418Priority Need 2 Preventative Practice including cancer the goal is to increase awareness and preventative screenings around cancer, and provide screening for cholesterol, blood glucose, BMI, and blood pressure at various health fairs. Interventions: 1. AIS Cancer Center Screenings/Outreach: Adventist Health AIS Cancer Center values a broad range of partnerships with community organizations to provide effective cancer awareness outreach and screenings. Throughout 2019, the AIS Cancer Center hosted scores of events through the community to provide awareness and access. AIS hosts an annual event called VIPink, which focuses on breast cancer awareness. Event includes informative dialogue with clinicians, health professionals, cancer survivors, caregivers, and advocates. Also in 2019, the AIS Cancer Center held its inaugural Shave the Date event around mens health. The event brought awareness to prostate cancer, testicular cancer, mental health and suicide prevention in addition to general wellness. Number of Community Members Served: 6,7722. American Heart Association Community Block Party: In November 2019, Adventist Health Bakersfield introduced its inaugural Community Block Party in Oildale in partnership with the American Heart Association Kern County. The event included exercise lessons, healthy recipe demonstrations, a produce giveaway and health screenings. The event was free and open to the public. Number of Community Members Served: 300Other: Housing and Homelessness The goal is to increase housing supply, serve vulnerable families in crisis, and support homeless students in continuing their education and securing employment. Interventions:1. Financial/Volunteer Support of the Homeless Point in Time Count: Since January 2017, Kern Countys homeless population has grown by 95%, largely driven by a dramatic 273% increase in unsheltered people. The Bakersfield Kern Regional Homeless Collaborative attributes these successive annual increases in homelessness to rising housing costs that have exceeded growth in wages, and to a critical shortage of affordable housing that reached a tipping point several years ago, both in Kern County and most other areas of California. The PIT Count has become an enormous management challenge, in terms of financial, logistical, technical, volunteer recruitment, training, and public relations aspects. This is even more challenging in an 8,000-square-mile county with a large urban area, 10 small cities, and more than 30 unique rural communities. Number of Community Members Served: 1,580 homeless individuals counted.2. California Landlords Summit on Homelessness: Adventist Health Bakersfield partnered with the California Landlords Summit on Homelessness, an innovative landlord outreach program. Low housing supply has consistently been identified as a driver of homelessness. Kern Countys own tight rental housing market makes it difficult to place voucher holders in permanent housing. As a result, many landlords have never considered participating in housing voucher programs. This situation was specifically identified as a major barrier facing Kern Countys 10 year plan to end homelessness. It is a problem commonly encountered across California. Additionally, The United States Interagency Council on Homelessness has identified landlord engagement as a crucial element in COVID-19 response. Given Kern Countys serious shortage of affordable housing units and persistently low rental vacancy rates, strong landlord relationships are now more important than ever for the continuum of care. CLSH helps to overcome this last mile barrier to housing by educating landlords and property managers on the business and community benefits of renting to tenants currently experiencing homelessness. This opens up a supply of units that would otherwise not have been available to voucher holders. Number of Community Members Served: 94 people housed, 84 rental housing units pledged.3. City Serve Support Services: Adventist Health Bakersfield partnered with CityServe, a collaborative network of community organizations and churches connected to enable transformation in our city. CityServe resources local churches with tangible goods and capacity building, so they can reach the most vulnerable in our neighborhoods. When needs are met, relationships can be built that lead to transformation. In just two years, CityServe efforts are making a difference in the lives of families, women, veterans, and children. In 2019, they sent 210 truckloads of surplus goods from major retailers and distributed them to 109 churches in Kern County of all denominations to meet real, felt needs. Number of Community Members Served: 20,000 Kern County households impacted4. Project HireUp-Homeless Workforce Initiative: Adventist Health Bakersfield, in partnership with Bakersfield College and City Serve, helped launch Cohort 1 of the Homeless HireUp Project Pilot. During the six-month pilot operational period, 24 student participants completed a series of steps including orientation, instruction, internship, training and transition to employment. Six of these students were hired on a temporary basis at Adventist Health Bakersfield for on-the-job training experience. Number of Community Members Served: 6 homeless individuals trained and hired.Overweight and Obesity The goal is to change attitudes about healthy foods and less waste. Interventions: 1. Mobile Kitchen Project (Edible Schoolyard Kern County): The Edible Schoolyard Kern County provides hands-on learning experiences in garden and kitchen classrooms, to introduce and reinforce a healthy lifestyle for students in Kern County. In 2019, in partnership with Adventist Health Bakersfield and Kaiser Permanente Kern County, the Edible Schoolyard Kern County launched a mobile kitchen education platform, to bring the same hands-on lessons to remote and rural locations. The goal was to provide a unique experience to 800 students at 8 locations during the first year with opportunities in year 2 to expand outreach to other Boys and Girls Club sites. The program addresses diabetes and adolescent obesity by transferring preventative knowledge and providing farm-to-table experiences that increase student familiarity, recognition, and tasting of fruits and vegetables. Number of Community Members Served: 6002. Waste Hunger Not Food Kern County: Every day, 116,000 people in Kern County do not know where their next meal is coming from. 40% of all food produced in America is wasted, and wasted food consumes 21% of all freshwater, 18% of all cropland, and 21% of all landfill volume. Led by Kern County Department of Public Health Services, Waste Hunger Not Food Kern County rescues surplus, edible food from hospitals, restaurants, schools, and markets that might otherwise have been wasted and distributes it to those in need. Adventist Health Bakersfield was the first hospital to partner with the program, starting distribution in October 2019. Kern County Public Health oversees and coordinates the transport of donated surplus food to local distribution sites where the food is made available to residents in need. Participants in Kern County Homeless Shelters job development program drive the refrigerated vehicles transporting the surplus food from donating food facilities and deliver it to Kern County donation sites. As food safety is of utmost importance, each driver is trained by the Kern County Environmental Health Division on proper food handling and transport. Number of Community Members Served: 6,170 lbs. of food donated by AH Bakersfield.The following needs are not directly addressed in the 2017 Community Health Plan. Please note, that they may be indirectly addressed. Asthma Being addressed by other community organizations Cardiovascular disease: Preventing heart disease is included as a priority under the access to care section. Diabetes: Preventing diabetes is included as a priority under the access to care section. Environmental health (air quality and water safety) The hospital does not have the knowledge or resources to address this need. Mental health The infrastructure and expertise to

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Quest Imaging - Adventist Health
2700 Chester AveBakersfieldCA93301Radiology and Diagnostic Imaging Services
SJCH dba Bariatric Solutions
1524 27th St 101BakersfieldCA93301Bariatric Services
SJCH The Wellness Ctr
1524 27th Street SuiteBakersfieldCA93301Clinic
SJCH Transitional Care
2819 Chester Avenue Suite ABakersfieldCA93301Transitional Care
SJCH Imaging Ctr-Quest Imaging Cntr
9602 Stockdale HighwayBakersfieldCA93309Radiology and Diagnostic Imaging Services
Incentive Health LLC
2615 Chester AvenueBakersfieldCA93301Health Plan - SJCH Sole Member
Quest Imaging - Adventist Health
1150 E Lerdo Highway Suite AShafterCA93301Radiology and Diagnostic Imaging Services
SJCH The AIS Cancer Center
2620 Chester AvenueBakersfieldCA93301Cancer Center

Supplemental Information Detail SupplementalInformationDetail (11 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. This is an estimate of additional charity care that would have been granted if patients had cooperated by furnishing family financial information. 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. Since the 1997 Balanced Budget Act, Medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that Medicare payments to 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.Reconciliation of Medicare Revenue from the hospital's Medicare Cost Report to GL Revenue Rec. *Medicare Cost Report Revenue $72,629,885 Prior Year Settlements 265,872 Cost Report Reimbursable Bad Debts 2,406,457 Estimates and Accrual Variances 464,682 Other 3,090,634 ___________ Total Medicare Revenue $78,857,530*Note: The Medicare Cost Report revenue does not include the bad debt reimbursement. The Cost Report revenue does include the patient co-pay and deductible amounts. Adding the bad debt reimbursement would have duplicated the revenue already accounted for in the co-pay and deductible amounts.
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 AssessmentThe hospital's 2019 CHNA, the 2020 Community Health Plan (CHP) Update for fiscal year 2019, and the 2020 Implementation Strategy adopted in 2020 are posted on the hospital's website at https://www.adventisthealth.org/bakersfield/about-us/community-benefit.The two most recent Community Health Needs Assessment, two most recent Implementation Strategy reports and the most recent Community Health Plan Update are also available on the Adventist Health Corporate website at https://www.adventisthealth.org/Pages/About-Us/Community-Health-Needs-Assessments.aspx.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.
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 hospital's website at https://www.adventisthealth.org/documents/financial-assistance/ENG_PFS-112_Financial-Assistance-Policy.pdf. These documents are available in multiple languages.At 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 hospital is one of the largest healthcare systems in the area serving Kern County and surrounding areas. The service area includes a small city and surrounding suburbs, small towns and rural agricultural areas. The diverse population includes Caucasian (31.5%) and a large minority populationHispanic (56.2%), Asian (4.9%), and African-American (5.0%). Of the area population, 50.8% are male and 49.2% are female. Children and youth, ages 0-17, make up 30.5% of the population, 60.6% are adults, ages 18-64, and 8.9% of the population are seniors, 65 and over. The service area has a higher percentage of children, ages 0-17, and adults, ages 18-44, than the county. Seniors living alone may be isolated and lack adequate support systems. In the service area, rates of seniors living alone range from 8.8% in Bakersfield 93314, to 31.7% in Bakersfield 93301. Among county residents, 5.2% are veterans. About 48.2% of residents in Kern County speak a non-English language, and 21.9% of the population is foreign-born. Of the foreign-born, 67.4% are not citizens.For 2016 (the most recent Adventist Health Bakersfield year that the American Community Survey poverty data were available when this report was prepared), the federal poverty level (FPL) was set at an annual income of $11,880 for one person and $24,300 for a family of four. Among residents in the service area, 23.7% are at or below 100% of the federal poverty level (FPL) and 48.8% are low-income (200% of FPL or below). Of these residents, 32.6% of children under 18 years of age are living in poverty. In Bakersfield 93305, more than half (58.6%) of children are living in poverty.The U.S. Department of Agriculture (USDA) defines food insecurity as limited or uncertain availability of nutritionally adequate foods or uncertain ability to acquire these foods in socially-acceptable ways.Among the population in Kern County, 13.6% experienced food insecurity during the past year. Among children in Kern County, 25% lived in households that experienced food insecurity at some point in the year. The rate of food insecurity is higher in Kern County than in the state.
Part VI, Line 4 - Community Building ActivitiesThe hospital is involved in numerous community building activities which promote the health of the communities it serves. Numerous community concerns are addressed, including health improvement, education, poverty, workforce development and access to care. 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. These activities are not included elsewhere on Schedule H.
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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDesc
ACNL
5055 California Ave Ste 240BakersfieldCA93389942910850501(c)(3)$6,100$0Funds Transfer
Alliance Against Family Viole
1600 E Truxtun AveBakersfieldCA93305953604240501(c)(3)$7,500$0Funds Transfer
American Heart Association
7272 Greenville AveDallasTX75231135613797501(c)(3)$50,000$0Funds Transfer
Bakersfield Christian HS
12775 StockdaleBakersfieldCA93314770121197501(c)(3)$12,500$0Funds Transfer
Bakersfield College
Attn Financial AidBakersfieldCA93305510151490501(c)(3)$7,500$0Funds Transfer
Bakersfield Condors
Po Box 1806BakersfieldCA93306464807221501(c)(3)$21,000$0Funds Transfer
Bakersfield Foundation
1600 Truxtun Ave 3rd FlrBakersfieldCA93301911885891501(c)(3)$10,000$0Funds Transfer
Bakersfield Symphony Orchestr
1328 34th StreetBakersfieldCA93301956001765501(c)(3)$15,000$0Funds Transfer
Bakersfield Womens Conference
PO Box 10049BakersfieldCA93389274473875501(c)(3)$26,460$0Funds Transfer
CA Council For Excellence
17595 Harvard Ste C No 150IrvineCA92614330542335501(c)(3)$5,950$0Funds Transfer
Casa Of Kern County
2000 24th 130BakersfieldCA93301770344298501(c)(3)$20,000$0Funds Transfer
Central CA Conference SDAs
PO Box 770ClovisCA93613941279782501(c)(3)$12,500$0Funds Transfer
Greater Bakersfield Chamber
1725 Eye StreetBakersfieldCA93301950521125501(c)(6)$14,523$0Funds Transfer
Hillcrest Seventh Day Adv
2600 Kenwood RoadBakersfieldCA93306941279782501(c)(3)$20,000$0Funds Transfer
JJs Legacy
P O Box 12793Bakersfield CACA93389273546375501(c)(3)$50,000$0Funds Transfer
Kern County Farm Bureau
801 S Mt VernonBakersfieldCA93307951711972501(c)(5)$15,000$0Funds Transfer
Kern County Hispanic Chamber
1601 H Street Ste 201ABakersfieldCA93301272663378501(c)(6)$10,860$0Funds Transfer
Kern Economic Developmt Corp
2700 M Street Suite 200BakersfieldCA93301770151886501(c)(6)$12,300$0Funds Transfer
Links For Life
1706 Chester AveBakersfieldCA93301931088003501(c)(3)$10,510$0Funds Transfer
OvercomHer Corporation
10207 Finchley DrBakersfieldCA93311842736492501(c)(3)$6,301$0Funds Transfer
United Way
5405 Stockdale Hwyste 200BakersfieldCA93309952274560501(c)(3)$20,000$0Funds Transfer
FieldValueIRS element (for citing)
Total501c3 Org18Total501c3OrgCnt
Total Other Org3TotalOtherOrgCnt

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 (23 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Adalberto Renteria
Medical Officer CCR$481,385$16,352$27,638$525,375
Briggs Sharlet
President$473,191$16,782$24,651$753,257$107,747$130,886
Capawa Paul
RN$248,886$7,431$1,297$12,579$20,635$290,828
Chen Steven
Treasurer/Asst Sec/FO CCR$472,282$16,782$42,581$730,880$90,908$108,327
Christopher Tomono Kiyoshi Tomono
Partnership Executive$191,995$7,774$36,423$266,597$9,117$21,288
Chupa Barry
RN/1st Asst$285,375$91,181$16,782$32,078$425,416
Fargo Roland
Former VP Reg Phy Op$58,258$39,167$515,113$417,688
Ferch Wayne
President, CCR$932,651$16,782$31,056$4,495,960$191,401$3,324,070$3,180,848
Gil Rey
RN/1st Asst$307,059$1,551$16,782$22,408$347,800
Itani Mohamad
Operations Executive$318,697$16,782$41,750$492,919$58,861$56,829
Jobe Meredith
Secretary$524,870$16,782$29,127$776,294$65,461$140,054
Larsen David
Finance Officer, CCR thru 4/28/2019$536,325$16,782$40,438$834,599$110,451$130,603
Morata Ana Lisa
RN$273,251$3,231$14,192$35,162$325,836
Navarro Rafael
RN/1st Asst$275,097$112,306$16,782$32,144$436,329
Newmyer Mark
Former VP Bus Dec$8,507$20,254$199,485$170,724
Reiner Scott
Dir/Chair$1,510,024$16,782$36,952$2,049,430$420,315$65,357
Reppert Joseph
A/Sec thru 8/19$581,409$16,782$40,783$1,266,634$187,572$440,088
Reynoso Ronald
Medical Officer$348,750$11,438$36,833$480,495$31,858$51,616
Tetz Warren
Construction Executive$11,994$37,276$363,647$22,618$291,759
Van Housen Heather
Patient Care Executive$269,712$16,284$30,165$415,491$38,105$61,225
Wagner Jack
Former Asst Secr$29,189$807,664$778,475
Wehtje Ronald
Former Finance Officer, SCR$209,145$8,290$273,450$300$55,715
Wing Bill
Dir/A Sec/CFO$1,200,390$16,782$29,801$1,618,837$318,717$53,147

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Donald Cornforth
Former Key Empl$600,000Building Leasefalse
Edna Cornforth
Spouse-Fmr K Emp$60,000Business Contractfalse
Linda Henry
Key EE Sister$65,157Employmentfalse
Doris Tetz
Fmr Key EE Dghtr$468,788Employmentfalse
Josiah Ferch
Son - Key EE$62,021Employmentfalse

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.2. Edna Cornforth is the wife of Donald Cornforth, a Former Key Employee3. Linda Henry is the sister of Former Adventist Health board member and current Key Employee, Wesley Rippey.4. Doris Tetz is the daughter of former key employee, Warrent Tetz.5. Josiah Ferch is the son of Key Employee Wayne Ferch.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe 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 public benefit corporation that operates as a public charity. The Hospital operates as an affiliate of Adventist Health System/West.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe 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, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersThe sole corporate member, Adventist Health System/West, must approve all changes to the articles of incorporation and bylaws.
Form 990, Part VI, Line 11b: Form 990 Review ProcessThis Form 990, including all supporting schedules, was prepared by a public accounting firm, reviewed by the System Controller and market Finance Officer, and shared by electronic communication with the corporation's Board of Directors prior to filing.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsDuring the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital 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 CEO immediately.The Corporate General Counsel distributes, collects, and reviews for signatures the COIs for all applicable Corporate employees 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 Corporate General Counsel reviews all the disclosures on the board and Corporate employees' COIs. Corporate General Counsel retains the COIs for the board members. The officers and key employees' COIs are kept in their personnel files. Further inquiries on any potential significant conflicts are made as needed. Conflicts are documented and reviewed with the Board.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementThe hospital board of directors has established a Compensation Committee to overseethe executive compensation program. This committee is composed of independentdirectors with no conflicts of interest. The committee performs the followingfunctions: recommends a total compensation philosophy to the board; assurescompliance with the board-approved philosophy; meets annually to reviewcomparability data from outside consultants; recommends any adjustments to currentexecutive compensation, including salary ranges for hospital CEOs and CFOs, that would be indicated by the data; evaluates executive performance against annualgoals; recommends appropriate incentive awards to the board for approval; follows adiligent process that meets regulatory requirements for a rebuttable presumption ofreasonableness; records committee deliberations and decisions in timely minutes;selects, engages and supervises any consultant hired to advise and providecomparability data.The board-approved executive compensation philosophy specifies that salary ranges will be established for hospital CEOs and executives, with midpoints aligned with the 50th percentile of comparable system hospital data, and having a 50 percent spread from minimum to maximum. A hospital CEO has a maximum potential incentive of 30 or 35 percent of base salary based upon size and scope of hospital. (Incentive potential is industry norm) Other hospital executives have a maximum potential incentive of 25 to 30 percent of base salary.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesSee Line 15b explanation.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe 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.
Other Changes In Net Assets Or Fund Balances - Other DecreasesNet asset released for operation = -$1151
Other Changes In Net Assets Or Fund Balances - Other DecreasesTransfer to related entity = -$13956

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Adventist Health SystemWest
PO Box 619135RosevilleCA95661953484589Integrated Health SystemCA501(c)(3)10NAfalse
Adventist Health Clearlake Hospital Inc
15630 18th AveClearlakeCA95422680395149HospitalCA501(c)(3)3Adventist Health System Westfalse
Adventist Health Medical Ctr Tehachapi
1100 Magellan DrTehachapiCA93561812240617HospitalCA501(C)(3)3Adventist Health System Westfalse
Adventist Health Physicians Network
PO Box 619135RosevilleCA95661680357690Medical FoundationCA501(C)(3)12b2Adventist Health System Westfalse
Adventist Health So CA Medical Fdtn
PO Box 619135RosevilleCA95661954424391Discontinued OperationsCA501(C)(3)12b2Adventist Health System Westfalse
Castle Medical Center
640 Ulukahiki StreetKailuaHI96734990107330HospitalHI501(c)(3)3Adventist Health System Westfalse
Feather River Hospital
PO Box 619135RosevilleCA95661941101228HospitalCA501(c)(3)3Adventist Health System Westfalse
Fremont- Rideout Health Group
898 Plumas StreetYuba CityCA95991942917251Acute Care HospitalCA501(C)(3)12b2Adventist Health System Westfalse
Glendale Adventist Medical Center
1509 Wilson TerraceGlendaleCA91206951816017HospitalCA501(c)(3)3Adventist Health System Westfalse
Hanford Community Hospital
115 Mall DriveHanfordCA93230940535360HospitalsCA501(c)(3)3Adventist Health System Westfalse
Lodi Memorial Hospital Assn Inc
975 So Fairmont AveLodiCA95240941044474HospitalsCA501(c)(3)3Adventist Health System Westfalse
Northwest Medical Fdtn of Tillamook
1000 Third StreetTillamookOR97141930622075HospitalOR501(c)(3)3Adventist Health System Westfalse
Paradise Valley Hospital
PO Box 619135RosevilleCA95661951816034Discontinued OperationsCA501(c)(3)1Adventist Health System Westfalse
Portland Adventist Medical Center
10123 SE Market StreetPortlandOR97216930429015HospitalOR501(c)(3)3Adventist Health System Westfalse
Reedley Community Hospital
372 Cypress AveReedleyCA95370453220509HospitalCA501(c)(3)3Adventist Health System Westfalse
Rideout Memorial Hospital
989 Plumas StreetYuba CityCA95991941387866Acute Care HospitalCA501(c)(3)3Adventist Health System Westfalse
St Helena Hospital
10 Woodland RoadSt HelenaCA94574941279779HospitalCA501(c)(3)3Adventist Health System Westfalse
Simi Valley Hospital & Health Care Svc
2975 No Sycamore DriveSimi ValleyCA93065956064971HospitalCA501(c)(3)3Adventist Health System Westfalse
Sonora Community Hospital
1000 Greenley RoadSonoraCA95370941415069HospitalCA501(c)(3)3Adventist Health System Westfalse
Stone Point Health
PO Box 619135RosevilleCA95661823763347Supporting OrganizationCA501(c)(3)12b2Adventist Health System Westfalse
Ukiah Adventist HospitalAdventist Health
275 Hospital DriveUkiahCA95482941639901HospitalCA501(c)(3)3Adventist Health System Westfalse
United Com-Serve
989 Plumas StreetYuba CityCA95991943015356Skilled Nursing/Assisted Living/Hm CareCA501(C)(3)12b2Adventist Health System Westfalse
Walla Walla General Hospital
PO Box 619135RosevilleCA95661910617726HospitalWA501(c)(3)3Adventist Health System Westfalse
Western Health Resources
PO Box 619135RosevilleCA95661953867863Home CareCA501(C)(3)10Adventist Health SystemWestfalse
White Memorial Medical Center
1720 Cesar E Chavez AvenueLos AngelesCA90033952282647HospitalCA501(C)(3)3Adventist Health SystemWestfalse
Willits Hospital Inc
1 Marcela DriveWillitsCA95430680108919HospitalCA501(C)(3)3Adventist Health SystemWestfalse
Adventist Health Delano
PO Box 460DelanoCA93216770258013HospitalCA501(c)(3)3Adventist Health SystemWestfalse
Adventist Health Tulare
869 North Cherry StreetTulareCA93274832351753HospitalCA501(c)(3)3Adventist Health SystemWestfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1South Coast Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 619135AddressLine1Txt
CityRosevilleCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95661ZIPCd
FieldValueIRS element (for citing)
EIN952037291EIN
Primary ActivitiesWind down after sale of hospitalPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1AHSWestBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC-CorpEntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
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 OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
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$103,610,336Loan Balance
Adventist Health SystemWest
o$2,348,903Compensation
Adventist Health SystemWest
p$59,901,346Operating Exp
Adventist Health SystemWest
s$13,393,215Cash Mgt Funds

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