REEDLEY COMMUNITY HOSPITAL: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- REEDLEY COMMUNITY HOSPITAL (EIN 45-3220509)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-14
- IRS object ID
- 201913189349313806
- Schema version
- 2018v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-14T15:24:46-08:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 800519547 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ACCOUNTANCY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 330 N BRAND BLVD STE 200 | AddressLine1Txt |
| City | GLENDALE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 912032361 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 453220509 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Reedley Community Hospital | BusinessNameLine1Txt |
| Business Name Line2 | dba Adventist Health Reedley | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | REED | BusinessNameControlTxt |
| Phone | 5596388155 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 372 W Cypress Ave | AddressLine1Txt |
| City | Reedley | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93654 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Timothy Haydock | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Signature | 2019-11-14 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | S Clement | PreparerPersonNm |
| PTIN | P01218012 | PTIN |
| Phone | 8185475701 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Wayne Ferch | PrincipalOfficerNm |
| Gross Receipts | $182,193,294 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Group Exemption | 1071 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.adventisthealth.org/reedley | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2011 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | Living Gods love by inspiring health, wholeness and hope. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 299 | TotalEmployeeCnt |
| Total Volunteers | 68 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $30,683 | PYContributionsGrantsAmt |
| CY Contributions Grants | $38,096 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $196,865,784 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $181,126,377 | CYProgramServiceRevenueAmt |
| PY Investment Income | $140,611 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,028,821 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $197,037,078 | PYTotalRevenueAmt |
| CY Total Revenue | $182,193,294 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $21,635 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $87,995 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $67,277,388 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $67,495,219 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $114,394 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $86,005,429 | PYOtherExpensesAmt |
| CY Other Expenses | $93,666,221 | CYOtherExpensesAmt |
| PY Total Expenses | $153,304,452 | PYTotalExpensesAmt |
| CY Total Expenses | $161,249,435 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $43,732,626 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $20,943,859 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $100,490,778 | TotalAssetsBOYAmt |
| Total Assets EOY | $109,797,921 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $37,658,798 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $26,040,846 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $62,831,980 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $83,757,075 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Living Gods love by inspiring health, wholeness and hope. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $130,239,440 | ExpenseAmt |
| Grant | $87,995 | GrantAmt |
| Revenue | $181,126,377 | RevenueAmt |
| Desc | Reedley Community Hospital (AHRD) 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 Reedley 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 Reedley 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.AHRD 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 2018 was $1,843,049.The following Inpatient services that were provided to all our patients. These services included:1,260 Babies delivered38 Surgeries performed4,475 Patient days The following Outpatient services that were provided to all our patients. These services included:38,516 Emergency department visits311 Outpatient Surgeries performed33,951 Outpatient visits 529,479 Clinic visitsAHRD 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 2018 was $3,335,404.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.Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/ | Desc |
| Total Program Service Expenses | $130,239,440 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 299 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jay Lipps | PersonNm |
| Phone | 9164061092 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 619135 | AddressLine1Txt |
| City | Roseville | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95661 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Banks David | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $27,620 | $0 | ||||
| Cherry Robert | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $25,126 | $0 | ||||
| Davis Andrew | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $24,002 | $0 | ||||
| Freedman John | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $718 | $0 | ||||
| Gabriel Melody | ||||||||||
| Dir Thru 12/18 | 0.00 | 4.00 | Yes (X) | $0 | $20,464 | $0 | ||||
| Graham Ricardo | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $1,442 | $0 | ||||
| Heinrich Kerry | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $20,485 | $0 | ||||
| Innocent Larry | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $31,885 | $0 | ||||
| Pedersen James | ||||||||||
| Dir Thru 7/18 | 0.00 | 4.00 | Yes (X) | $0 | $3,625 | $0 | ||||
| Reiner Richard | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $27,964 | $0 | ||||
| Rippey Wesley | ||||||||||
| Dir Thru 5/18 | 0.00 | 50.00 | Yes (X) | $0 | $623,943 | $47,568 | ||||
| Salazar Velino | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $1,542 | $0 | ||||
| Reiner Scott | ||||||||||
| Dir/Chair | 0.00 | 50.00 | Yes (X) | $0 | $2,458,436 | $38,193 | Yes (X) | |||
| Wing Bill | ||||||||||
| Dir/VCh/AsstSec | 0.00 | 50.00 | Yes (X) | $0 | $1,875,310 | $40,406 | Yes (X) | |||
| Jobe Meredith | ||||||||||
| Secretary | 0.00 | 50.00 | $0 | $666,615 | $38,328 | Yes (X) | ||||
| Kofl Andrea | ||||||||||
| President | 25.00 | 25.00 | $0 | $710,357 | $38,806 | Yes (X) | ||||
| Haydock Timothy | ||||||||||
| Treasurer | 25.00 | 25.00 | $0 | $321,432 | $55,132 | Yes (X) | ||||
| Wagner Jack | ||||||||||
| A Sec Thru 3/18 | 0.00 | 50.00 | $0 | $1,332,907 | $34,076 | Yes (X) | ||||
| Reppert Joseph | ||||||||||
| CFO | 0.00 | 50.00 | $0 | $953,615 | $46,846 | Yes (X) | ||||
| Ferch Wayne | ||||||||||
| President | 8.33 | 41.67 | $0 | $1,232,626 | $16,445 | Yes (X) | ||||
| Larsen David | ||||||||||
| FO/Asst Sec/SVP | 8.33 | 41.67 | $0 | $667,033 | $351,055 | Yes (X) | ||||
| Adalberto Renteria | ||||||||||
| Medical Officer, CCR | 8.33 | 41.67 | $0 | $445,200 | $35,040 | Yes (X) | ||||
| Ayala Raul | ||||||||||
| CVN Clinics | 25.00 | 25.00 | $0 | $482,798 | $0 | Yes (X) | ||||
| Hoyt Glenda | ||||||||||
| VP Quality Patient Safety | 50.00 | 0.00 | $0 | $314,371 | $37,841 | Yes (X) | ||||
| Chapman Susan | ||||||||||
| VP PCE | 25.00 | 25.00 | $0 | $250,549 | $38,680 | Yes (X) | ||||
| Plata Nina | ||||||||||
| VP CPE | 25.00 | 25.00 | $0 | $264,451 | $48,624 | Yes (X) | ||||
| Taggart Laurie | ||||||||||
| CP Experience | 25.00 | 25.00 | $0 | $277,151 | $39,432 | Yes (X) | ||||
| Thomas Cheryl | ||||||||||
| Nurse Practitioner | 50.00 | 0.00 | $278,593 | $0 | $23,844 | Yes (X) | ||||
| Dhaliwal Simerjit | ||||||||||
| Physician Asst | 50.00 | 0.00 | $272,640 | $0 | $40,860 | Yes (X) | ||||
| Chakerian Vagan | ||||||||||
| Nurse Practitioner | 50.00 | 0.00 | $216,513 | $0 | $19,408 | Yes (X) | ||||
| Brown Stanton | ||||||||||
| Physician Asst | 50.00 | 0.00 | $208,231 | $0 | $27 | Yes (X) | ||||
| Ayers Richard | ||||||||||
| RN-Supervisor | 50.00 | 0.00 | $206,306 | $0 | $44,720 | Yes (X) | ||||
| Gruen Derrick | ||||||||||
| Former VP Clinic Svcs | 0.00 | 0.00 | $0 | $341,823 | $46,403 | Yes (X) | ||||
| Gruzensky Denton | ||||||||||
| Former VP HR | 0.00 | 0.00 | $0 | $268,078 | $36,220 | Yes (X) | ||||
| Combs Linda | ||||||||||
| Former Nurse Practioner | 0.00 | 0.00 | $0 | $180,315 | $32,823 | Yes (X) | ||||
| Fults Kendall | ||||||||||
| Former SVP Bus/Physician Dev | 0.00 | 0.00 | $0 | $13,419 | $663 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,182,283 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $13,865,302 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,151,440 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LTB Inc | |||||
| 600 N Piedra Rd | Sanger | CA | 93657 | Construction | $1,176,603 |
| Vituity | |||||
| 2100 Powell St Ste 920 | Emeryville | CA | 94608 | Physician Services | $1,182,516 |
| CCFMG | |||||
| 2625 E DIVISADERO ST | FRESNO | CA | 93721 | Physician Services | $1,327,193 |
| CENTRAL VALLEY HEALTH TRANSPORT | |||||
| PO BOX 1189 | Hanford | CA | 93230 | PURCHASED SERVICES | $1,289,045 |
| Valley Childrens Med Grp | |||||
| 9300 Valley Childrens Pl | Madera | CA | 93638 | Physician Services | $1,691,852 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 56 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $38,096 | AllOtherContributionsAmt |
| Total Contributions | $38,096 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Dietary | 900099 | $86,007 | $86,007 |
| MOB rentals | 531120 | $33,333 | $33,333 |
| Other revenue | 900099 | $97,121 | $97,121 |
| Patient service revenue | 900099 | $180,909,916 | $180,909,916 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $181,126,377 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,019,363 | TotalRevenueColumnAmt |
| Exclusion | $1,019,363 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,458 | TotalRevenueColumnAmt |
| Exclusion | $9,458 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $182,193,294 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $181,126,377 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,028,821 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,995 | TotalAmt |
| Program Services | $87,995 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,046,700 | TotalAmt |
| Program Services | $49,444,714 | ProgramServicesAmt |
| Management And General | $2,509,423 | ManagementAndGeneralAmt |
| Fundraising | $92,563 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,846,330 | TotalAmt |
| Program Services | $1,777,877 | ProgramServicesAmt |
| Management And General | $67,114 | ManagementAndGeneralAmt |
| Fundraising | $1,339 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,887,408 | TotalAmt |
| Program Services | $9,761,392 | ProgramServicesAmt |
| Management And General | $126,016 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,714,781 | TotalAmt |
| Program Services | $3,508,358 | ProgramServicesAmt |
| Management And General | $197,084 | ManagementAndGeneralAmt |
| Fundraising | $9,339 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,487,334 | TotalAmt |
| Program Services | $3,989,306 | ProgramServicesAmt |
| Management And General | $7,498,028 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,664 | TotalAmt |
| Management And General | $213,664 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,194 | TotalAmt |
| Management And General | $5,194 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,909,873 | TotalAmt |
| Program Services | $33,606,987 | ProgramServicesAmt |
| Management And General | $302,886 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $241,339 | TotalAmt |
| Management And General | $241,339 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,873,618 | TotalAmt |
| Program Services | $1,687,338 | ProgramServicesAmt |
| Management And General | $186,280 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,042,930 | TotalAmt |
| Program Services | $1,868,146 | ProgramServicesAmt |
| Management And General | $7,174,784 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,696,870 | TotalAmt |
| Program Services | $6,095,129 | ProgramServicesAmt |
| Management And General | $1,601,741 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $555,386 | TotalAmt |
| Program Services | $400,633 | ProgramServicesAmt |
| Management And General | $151,393 | ManagementAndGeneralAmt |
| Fundraising | $3,360 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,323 | TotalAmt |
| Program Services | $111,902 | ProgramServicesAmt |
| Management And General | $421 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $477,209 | TotalAmt |
| Program Services | $477,209 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,618,230 | TotalAmt |
| Program Services | $2,581,214 | ProgramServicesAmt |
| Management And General | $37,016 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,952 | TotalAmt |
| Program Services | $28,952 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Patient care supplies | $9,889,337 | $9,594,311 | $292,186 | $2,840 |
| Revenue Cycle Fees | $9,590,739 | -$34,009 | $9,624,748 | |
| Other purchased services | $4,180,646 | $3,611,918 | $563,775 | $4,953 |
| Purchased Medical Services | $668,965 | $668,965 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,073,612 | TotalAmt |
| Program Services | $971,103 | ProgramServicesAmt |
| Management And General | $102,509 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,249,435 | TotalAmt |
| Program Services | $130,239,440 | ProgramServicesAmt |
| Management And General | $30,895,601 | ManagementAndGeneralAmt |
| Fundraising | $114,394 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$69,167 | BOYAmt |
| EOY | $1,363 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,714,378 | BOYAmt |
| EOY | $41,010,401 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,439,641 | BOYAmt |
| EOY | $18,450,202 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500,776 | BOYAmt |
| EOY | $476,576 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $139,676 | BOYAmt |
| EOY | $159,966 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $38,165,820 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,080,997 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,892,477 | BOYAmt |
| EOY | $21,084,823 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $224,355 | BOYAmt |
| EOY | $166,233 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,948,813 | BOYAmt |
| EOY | $9,967,146 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,699,829 | BOYAmt |
| EOY | $18,481,211 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,490,778 | BOYAmt |
| EOY | $109,797,921 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,681,638 | BOYAmt |
| EOY | $9,575,462 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,269,951 | BOYAmt |
| EOY | $12,084,963 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,707,209 | BOYAmt |
| EOY | $4,380,421 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,658,798 | BOYAmt |
| EOY | $26,040,846 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,781,850 | BOYAmt |
| EOY | $83,721,667 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,130 | BOYAmt |
| EOY | $35,408 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,831,980 | BOYAmt |
| EOY | $83,757,075 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,490,778 | BOYAmt |
| EOY | $109,797,921 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $20,943,859 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$18,764 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $11,249 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $11,249 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1i - Other Activities Description | FormAndLineReferenceDesc |
| Explanation | The 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $50,130 | BeginningYearBalanceAmt |
| Contributions | $28,332 | ContributionsAmt |
| Other Expenditures | $43,054 | OtherExpendituresAmt |
| End Year Balance | $35,408 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $40,953 | BeginningYearBalanceAmt |
| Contributions | $30,683 | ContributionsAmt |
| Other Expenditures | $21,506 | OtherExpendituresAmt |
| End Year Balance | $50,130 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,000 | BeginningYearBalanceAmt |
| Contributions | $79,363 | ContributionsAmt |
| Other Expenditures | $39,410 | OtherExpendituresAmt |
| End Year Balance | $40,953 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,000 | BeginningYearBalanceAmt |
| Contributions | $1,876 | ContributionsAmt |
| Other Expenditures | $1,876 | OtherExpendituresAmt |
| End Year Balance | $1,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,000 | BeginningYearBalanceAmt |
| Contributions | $18,763 | ContributionsAmt |
| Other Expenditures | $18,763 | OtherExpendituresAmt |
| End Year Balance | $1,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,568,068 | OtherCostOrOtherBasisAmt |
| Book Value | $1,568,068 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,560,277 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,213,590 | DepreciationAmt |
| Book Value | $8,346,687 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,182,255 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,226,168 | DepreciationAmt |
| Book Value | $4,956,087 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,855,220 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,641,239 | DepreciationAmt |
| Book Value | $6,213,981 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $21,084,823 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due from third-party payors | $17,168,104 |
| OTHER ASSETS | $58,469 |
| Other receivables | $1,254,638 |
| Receivable from related orgs |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $18,481,211 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Payables to related organizations | $3,084,987 |
| Workers comp. liability | $1,295,434 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,380,421 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Line 4: Intended uses of the endowment fund. | FormAndLineReferenceDesc |
| Explanation | Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,843,049 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,843,049 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01140 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,843,049 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,843,049 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01140 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,274,094 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,274,094 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00790 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,823,612 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,454 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,782,158 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01110 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $584,464 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $305,312 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $279,152 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,682,170 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $346,766 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,335,404 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02070 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,525,219 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $346,766 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,178,453 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03210 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,248 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,248 | NetCommunityBenefitExpnsAmt |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,604 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,604 | NetCommunityBenefitExpnsAmt |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,951 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,951 | NetCommunityBenefitExpnsAmt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,041 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,041 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,844 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,844 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $920,954 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $495,750 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $18,052,766 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $21,524,949 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,472,183 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Reedley Community Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 372 W CYPRESS AVE | AddressLine1Txt |
| City | REEDLEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93654 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | See Form 990, Pg 1, Item J | WebsiteAddressTxt |
| State License | 040000149 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Sch H Part VI - Needs Assessment | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | See Sch H Part VI - Needs Assessment | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Sch H Part VI - Needs Assessment | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Sch H Part VI-Patient Education | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Sch H Part VI-Patient Education | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Sch H Part VI-Patient Education | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Facility: - Part V, Section B, Line 5 | The 2016 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.Data gathering was accomplished by using a widely-distributed community survey, engaging with community focus groups and conducting key stakeholder interviews.Community Survey: designed by the Healthy Madera Coalition with the County Public Health Department staff. Thirty-six questions centered on key health concerns and factors that influence the health of the community. Provided to residents of Fresno, Kings, Madera, and Tulare Counties by placing it on Survey Monkey, an online web platform, in both Spanish and English.Community Focus Groups: A total of 15 focus groups were conducted ranging in size from 4 to 24 participants. They were attended by hospital and facility staff, community leaders from nonprofit and faith-based organization and elected officials and residents. These sessions were conducted primarily in English. Focus groups comprised of primarily residents, including mothers and youth were conducted in English and Spanish. Key Stakeholder Interviews: The workgroup identified approximately 95 individuals considered to be key stakeholders in the region that would be important to interview. Consultants contacted each stakeholder offering to conduct phone or in-person interviews. Thirty-five stakeholder interviews were conducted between July 20 and September 10. The format for these was identical to the focus group process. Participants in this effort included the following stakeholders in all four counties: County Public Health Directors, hospital executives and nonprofit leaders who serve the community with social, health, or educational support services. These key stakeholders were selected by the workgroup because they would provide a unique perspective on the health of the community, health care delivery systems in place and overall conditions that influence health behaviors. In addition, as per IRS guidelines the CHNA community outreach also involved the Tule River Nation Elders and Tribal Council Members in Tulare County. |
| Facility: - Part V, Section B, Line 6a | This report is the result of a unique collaboration among 15 different hospitals committed to serve the nearly 1.7 million diverse residents in the Central California counties of Fresno, Kings, Madera and Tulare. These hospitals are:1. Adventist Medical Center Hanford2. Adventist Medical Center Reedley3. Adventist Medical Center Selma4. Clovis Community Medical Center5. Coalinga Regional Medical Center6. Community Regional Medical Center7. Fresno Heart & Surgical Hospital8. Kaiser Permanente Fresno Medical Center9. Kaweah Delta Health Care District10. Madera Community Hospital11. Saint Agnes Medical Center12. San Joaquin Valley Rehabilitation Hospital13. Sierra View Medical Center14. Tulare Regional Medical Center15. Valley Childrens Healthcare |
| Facility: - Part V, Section B, Line 11 | Our 2016 CHNA identified five areas of significant needs: access to health care, diabetes, obesity, respiratory illnesses, and mental health & substance abuse. 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 - Improve the overall health of the community through increased health awareness and access to needed services. Interventions:1.Central Valley Transport Services provides round trip transportation to our clinics for patients that do not have transportation to their appointments. Services are provided to the following Adventist Health Medical Offices: Hanford, Healthy Beginnings, Hanford Residency, Hanford Specialty, Hanford Dentistry, Hanford Behavioral Health, Home Garden, Lemoore, Dinuba, Dinuba Plaza, Dinuba West, Orosi, Reedley, Reedley Childrens, Reedley Cypress, Reedley Jefferson, Reedley Womens Selma Campus and Selma Central. Number of Community Members Served: 13,9092. Our Hanford Medicine Residency clinic offered clinical assessment services at free diabetes pop up clinics and a Project Homeless Connect event in Kings County. Our residency clinic not only offered these free services to those in need, but by providing training and residency opportunities to medical students, we hope to increase the number of medical providers practicing in the Central Valley. Number of Community Members Served: 3003. A big barrier to care in the Central Valley is an overall lack of providers. Physician and provider recruitment including nurse practitioners and physician assistants is critical to meeting the healthcare needs of our communities. 43 providers were added in 2018. Priority Need 2 Diabetes - Decrease glycosylated hemoglobin levels (HgbA1c) and all-cause readmission rates for those with a diagnosis of diabetes to improve health outcomes. Adventist Health was able to improve the number of patients with HgbA1c greater or equal to 8% from 38.7% in 2017 to 45.3% in 2018 through the HEDIS measure. Interventions: 1.Diabetes Among Friends, a five-week diabetes self-management education curriculum in English and Spanish from Scripps University, debuted in our rural health clinics in July 2017. This program is approved by the American Diabetes Association and covers all diabetes self-management topics including understanding blood sugars, nutrition, physical activity, medication management, stress management, foot care, ongoing screening tests and exam. Number of community members served- 1022.Diabetes Case Management - Certified Diabetes Educators work as case managers for high risk rural health clinic patients with diabetes. High risk is defined as HgA1c greater than 9.0, LDL greater than 100 and blood pressure greater than 140/90. Educators work to help patients manage their diabetes including education and support with medications and clinic appointments. Number of community members served 623. Diabetes Pop-Up Clinics in Hanford and Lemoore provided free diabetes and pre diabetes screening, blood pressure and blood glucose checks, education on nutrition, lifestyles and physical activity a well as connections with residency clinic, clinic schedulers, Covered California agent and Anthem and CalViva for management medical plan information. Number of community members served 100Priority Need 3 Obesity - Decrease body mass index across community populations by providing education and resources to increase physical activity and promote healthy eating behaviors. 2018 data from the Centers for Disease Control are not available to measure obesity rates in Fresno and Kings County. Interventions:1.Creation Health teach women how to incorporate healthy lifestyle habits like nutrition, physical activity, rest, faith and even financial planning to improve overall health and wellness for families in our Reedley community. Number of community members served 142Priority Need 4 - Breathing Problems, Asthma - Decrease adult smoking rates and avoidable admissions from lung related diseases like asthma and COPD. Asthma admissions decreased from 61 in 2017 to 48 in 2018. COPD admissions decreased from 92 in 2017 to 73 in 2018. Interventions:1.Respiratory Warriors Support Group a monthly support group for those living with chronic lung diseases including asthma, COPD, pulmonary fibrosis, sleep apnea, allergies and any other lung health issue. Each month provides an opportunity for members to connect and catch up with each other while learning about resources and health topics that will help them lead healthier lives. Number of Community Members Served: 1202.Respiratory Therapy Educator who works with patients from the inpatient setting through outpatient and home visits. This educator has been able to provide educational support through the continuum of care for some of our sickest patients to ensure that they receive the medications they need and know how to use them to help them achieve their health goals as well as decrease readmission rates.3.In cooperation with the Kings County Asthma Coalition, Adventist Health hosted a community open house for clinic providers and the public to learn about asthma interventions. Topics included updates on current asthma medications, administration and inhaler use, air quality education, asthma triggers and abatement ideas and resources. Number of Community Members and Providers Served: 304. Bubble Fun Run in Kings County increased awareness for community members about asthma and available resources. This free family activity raised awareness of asthma and community resources available to support families and community members dealing with asthma. Number of Community Members Served: 135 Priority Need 5 Mental Health and Substance Abuse Interventions:1.Specialty behavioral health clinics are located in Kings and Fresno counties for our patients. Partnership with Dr. Marc Lasher to provide addiction medicine services to patients in Kings County in the hospitals and clinics. 2. Point in Time Survey participation to identify and county all homeless individuals in Kings and Tulare Counties. This annual event provides services for the homeless including medical care, hygiene, dog vaccinations, bike repair, haircuts, state ID and social services, etc. Number of community members served 2783. Adventist Health partners with Kings United Way for promoting 2-1-1 and the 2-1-1 Intelliful mobile app in our clinics and patient care areas. 2-1-1 connects people in need to resources in the community available to them including mental health, substance abuse and homelessness resources. Anybody can access 2-1-1 by phone, email and in Kings and Tulare counties, through the phone app. 4. Respite care for our homeless or inadequately housed inpatients provided for safe discharge. In 2018, we switched partners from Champions Recovery Alternative Programs Inc., which was a 30 day program in a substance use treatment facility to a 90-day board and care program with Kings Gospel Mission. Since the switch occurred in fourth quarter 2018, we have seen an increase in the number of homeless patients asking for and utilizing the respite care. Patients who are homeless and have substance abuse or mental health issues, receive wrap-around care while residing at the Kings Gospel Mission.Priority Areas Not Addressed:One need identified in the CHNA, but not addressed in this plan is poverty. Our network has not specifically addressed this prioritized health need as part of this Community Health Plan due to limited resources and the need to allocate significant resources to the other priority health needs identified above. Even though we didnt directly address poverty in our current year CHP, our network attempts to link patients to resources that can assist in their needs. Part V Other Community Benefits: Adventist Health Reedley is committed to not only improving the health of our community through identified health priorities but looks to improve the overall wellbeing of our community through other interventions. 1.Inspire Hope, a partnership with World Vision, allows us to distribute new-returned merchandise from Costco to community-based organizations that can utilize the items to improve the health and lives of those who live in our communities. Each month, a semi-truck delivers goods to the hospital storage area and items delivered are distributed to community partner agencies as appropriate. Items include everything from diapers, food, furniture, clothing, appliances, and more. Number of Community Members Served: 1,5952.Car safety seat checks are conducted by our certified car safety seat technicians in the Security department. These safety seat checks make sure that the car seat is current and appropriate for the child. They also check to make sure the safety seat is properly installed in the vehicle. These checks are provided at no cost at our hospitals and clinics. Number of Community Members Served: 243 |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (42 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| AHCC-Reedley Cypress | ||||
| 372 W Cypress Ave | Reedley | CA | 93654 | Rural Health Clinic |
| AHCC-Reedley Childrens Health | ||||
| 1433 N Acacia | Reedley | CA | 93654 | Rural Health Clinic - Children's |
| AHCC-Parlier Newmark | ||||
| 155 S Newmark | Parlier | CA | 93648 | Rural Health Clinic |
| AHCC-Orange Cove | ||||
| 1455 Park Blvd | Orange Cove | CA | 93646 | Rural Health Clinic |
| AHCC-Dinuba West | ||||
| 250 W El Monte Way | Dinuba | CA | 93618 | Rural Health Clinic |
| AHCC-Cutler | ||||
| 40657 Road 128 | Cutler | CA | 93615 | Rural Health Clinic |
| AHCC-Avenal West | ||||
| 337 Kings Street | Avenal | CA | 93204 | Rural Health Clinic |
| AHCC-Caruthers East | ||||
| 2357 W Tahoe | Caruthers | CA | 93609 | Rural Health Clinic |
| AHCC-Corcoran East | ||||
| 1310 Hanna Avenue | Corcoran | CA | 93212 | Rural Health Clinic |
| AHCC-Kerman Central | ||||
| 275 S Madera Ave Ste 201 | Kerman | CA | 93630 | Rural Health Clinic |
| AHCC-Riverdale | ||||
| 3567 Mt Whitney Ave | Riverdale | CA | 93656 | Rural Health Clinic |
| AHCC-Reedley Jefferson | ||||
| 1150 E Washington Ave | Reedley | CA | 93654 | Rural Health Clinic |
| AHCC-Orosi | ||||
| 41696 Road 128 | Orosi | CA | 93647 | Rural Health Clinic |
| AHCC-Dinuba Plaza | ||||
| 444 W El Monte Way | Dinuba | CA | 93618 | Rural Health Clinic |
| AHCC-Oakhurst | ||||
| 48677 Victoria Lane | Oakhurst | CA | 93644 | Rural Health Clinic |
| AHCC-Reedley Womens Health | ||||
| 550 W Cypress Ave | Reedley | CA | 93654 | Rural Health Clinic |
| AHCC-Oakhurst East | ||||
| 49063 Road 426 Ste CD | Oakhurst | CA | 93644 | Rural Health Clinic |
| AHCC-Madera Ranchos | ||||
| 11976 Road 37 | Madera | CA | 93636 | Rural Health Clinic |
| Hanford Family Practice Residency Clinic | ||||
| 1025 N Douty St | Hanford | CA | 93230 | Outpatient teaching clinic - family practice residents |
| AHCC - Hanford Dental | ||||
| 1025 N Douty St | Hanford | CA | 93230 | Dental clinic - general dentistry for all ages |
| AHCC - Huron | ||||
| 16916 5th St | Huron | CA | 93234 | Rural health clinic |
| AHCC - Coalinga | ||||
| 155 S 5th St | Coalinga | CA | 93210 | Rural health clinic |
| AHCC - Behavioral Health Srvs | ||||
| 1025 N Douty St | Hanford | CA | 93230 | Outpatient mental health services |
| AHCC - Hanford | ||||
| 1025 N Douty St | Hanford | CA | 93230 | Rural health clinic - primary care services |
| AHCC - Healthy Beginnings | ||||
| 1025 N Douty St | Hanford | CA | 93230 | Outpatient clinic - prenatal, family PACT, and well women services |
| AHCC - Corcoran | ||||
| 1212 Hanna Ave | Corcoran | CA | 93212 | Rural health clinic |
| AHCC - Lemoore East | ||||
| 810 E D St | Lemoore | CA | 93245 | Rural health clinic |
| AHCC - Hanford Specialty Services | ||||
| 1025 N Douty St | Hanford | CA | 93230 | Outpatient clinic - specialists |
| AHCC - Selma | ||||
| 1041 Rose Ave | Selma | CA | 93662 | Rural health clinic |
| AHCC - Dinuba | ||||
| 1451 E El Monte Way | Dinuba | CA | 93618 | Rural health clinic |
| AHCC - Caruthers | ||||
| 2440 W Tahoe Ave | Caruthers | CA | 93609 | Rural health clinic |
| AHCC - Fowler | ||||
| 119 S 6th St | Fowler | CA | 93625 | Rural health clinic |
| AHCC - Kerman | ||||
| 1000 S Madera Ave | Kerman | CA | 93630 | Rural health clinic |
| AHCC - Selma Central | ||||
| 2141 High St | Selma | CA | 93662 | Rural health clinic |
| AHCC - Home Garden | ||||
| 11899 Shaw Pl | Hanford | CA | 93230 | Rural health clinic |
| AHCC - Sanger | ||||
| 1939 Academy Ave | Sanger | CA | 93657 | Rural health clinic |
| AHCC - Reedley | ||||
| 811 E 11th St | Reedley | CA | 93654 | Rural health clinic |
| AHCC - Kingsburg | ||||
| 1251 Draper St | Kingsburg | CA | 93631 | Rural health clinic |
| AHCC - Taft | ||||
| 501 6th St | Taft | CA | 93268 | Rural Health Clinic |
| AHCC - Avenal | ||||
| 213 Fresno St | Avenal | CA | 93204 | Rural health clinic |
| AHCC - Wasco | ||||
| 1040 7th St | Wasco | CA | 93280 | Rural health clinic-Family Practice |
| AHCC - Shafter | ||||
| 406 James St | Shafter | CA | 93263 | Rural health clinic-Family Practice |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7 - Explanation of Costing Methodology | The costs were determined by using a cost-to-charge ratio. The cost-to-charge computation is based on hospital specific data included in the system-wide audited combined financial statements. The formula used for computation equals financial statement data labeled as follows:Total expenses - (Provision for bad debts + Other revenue + Interest income) divided by Gross patient chargesThe hospital is located in a medically underserved area and participates in a quality assurance fee program with the State of California to fund certain Medi-Cal coverage expansions. The state redistributes funds to hospitals that provide patient care to a higher proportion of indigent and medically underprivileged patients, who otherwise would most likely not have access to physicians and other medical services. The community benefit analysis includes receipts from this redistribution that are used to assist in partially offsetting the significant costs associated with providing patient care to this population group. The program may or may not continue in the future based on the State of Californias regulations and policies and the approval of the federal government. |
| Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense | Uncollected 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 described for Part I, Line 7 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 Benefit | The 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 Expense | The system-wide audited combined financial statements do not contain a footnote describing bad debt expense. |
| Part III, Line 8 - Explanation Of Shortfall As Community Benefit | The Medicare cost report apportions the hospitals costs based on 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 healthcare 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.Our mission is to promote health in the community regardless of a person's ability to pay. We provide care to those with Medicare coverage who present themselves to our facility without consideration that the costs may or may not be fully reimbursed. The Medicare shortfall is a community benefit because care is provided to Medicare beneficiaries who are primarily elderly and disabled individuals on fixed incomes and who usually have no other resources with which to obtain medical care. We are thus relieving a local and federal government burden by caring for these people. *Medicare Cost Report Revenue 18,052,766Prior Year Settlements 1,433,892Cost Report Reimbursable Bad Debts 225,235Non-Cost Report Revenue 7,187,028Estimates and Accrual Variances 937,055Other (1,294,509) __________Total Medicare Revenue 26,541,467*Note: The Medicare Cost Report Revenue includes the patient co-pay and deductible amounts, but not the bad-debt reimbursement. Adding the bad-debt reimbursement would have duplicated the revenue and deductible amounts. |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | When 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 Assessment | The hospital's 2016 CHNA, the 2019 Community Health Plan (CHP) Update for fiscal year 2018, the 2018 Community Health Plan (CHP) Update for fiscal year 2017, and the 2016 Implementation Strategy (adopted in May 2017) which includes the 2017 CHP , are posted on the hospital's website at https://www.adventisthealth.org/about-us/community-benefit/The CHNA, Implementation Strategy and the CHPs are also available on the Adventist Health Corporate website at https://www.adventisthealth.org/about-us/community-benefit/The Community Health Needs Assessment (CHNA) includes both the activity and product of identifying and prioritizing a community's health needs, accomplished through the collection and development of a community health plan. The second component of the CHNA, the community health plan, includes strategies and plans to address prioritized needs, with the goal of contributing to improvements in the community's health. Qualitative and quantitative data sources were used in conducting the CHNA. Quantitative data was gathered through Kaiser Permanentes CHNA Data Platform and local county and national data. We also look at the needs of our patients by looking at trends in our admissions rates. For our CHNA, a total of 15 focus groups were conducted, ranging in size from 4 to 24 participants. In addition, interviews were conducted by phone or in person with 95 individuals considered to be key stakeholders in all four counties: County Public Health Directors, hospital executives and nonprofit leaders who serve the community with social, health, or educational support services. These key stakeholders were selected by the workgroup because they would provide a unique perspective on the health of the community, health care delivery systems in place and overall conditions that influence health behaviors. An online survey was also developed from the focus group questions. |
| Part VI, Line 3 - Patient Education of Eligibility for Assistance | The 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/patient-resources/financial-assistance/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 Information | The Adventist Health Central Valley Network operates more than 60 sites in Kings, Tulare, Kern, Madera and southern Fresno counties. It includes some of the poorest congressional districts with some of the worst health disparities in California. Many of the communities served are rural and do not have the infrastructure that supports active lifestyles. The area largely depends on agriculture, government employment, hospitals and educational institutions for jobs.The population we serve is largely made up of Hispanic/Latino and White, non-Hispanic residents representing almost 90% of the entire population. The next largest ethnic group is Asian, estimated at 5%, African-Americans followed with 4%, American Indian, multiracial population and Pacific Islander complete the other 2%. Depending on the community the percentage ranges between the make-up of racial groups, but in our rural communities the Hispanic/Latino population often is more than 70% of the population many of whom are Spanish language speakers. |
| Part VI, Line 4 - Community Building Activities | The 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 Health | Our 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 is 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 System | The hospital is a member of Adventist Health System/West, 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 tele pharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk management, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate administrative support for hospital affiliated medical groups that engage physicians through employment or other contracts. This provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communities served by all member hospitals. |
| Part VI, Line 7 - States Filing of Community Benefit Report | CA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CA Hlth Fnd & Trust | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1215 K St Ste 800 | AddressLine1Txt |
| City | Sacramento | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95814 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 941498697 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $325,844 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | Hlth srvs uninsured/underinsured pt | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Grantmaker's Description of How Grants are Used | FormAndLineReferenceDesc |
| Explanation | Grants 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Adalberto Renteria | ||||||||||||
| Medical Officer, CCR | $400,000 | $45,200 | $25,500 | $9,540 | $480,240 | |||||||
| Ayala Raul | ||||||||||||
| CVN Clinics | $482,798 | $482,798 | ||||||||||
| Ayers Richard | ||||||||||||
| RN-Supervisor | $203,815 | $2,491 | $12,275 | $32,445 | $251,026 | |||||||
| Brown Stanton | ||||||||||||
| Physician Asst | $191,622 | $27 | $208,258 | $16,609 | ||||||||
| Chakerian Vagan | ||||||||||||
| Nurse Practitioner | $211,588 | $10,568 | $8,840 | $235,921 | $4,925 | |||||||
| Chapman Susan | ||||||||||||
| VP PCE | $185,841 | $36,191 | $13,464 | $25,216 | $289,229 | $28,517 | ||||||
| Combs Linda | ||||||||||||
| Former Nurse Practioner | $156,918 | $300 | $10,351 | $22,472 | $213,138 | $23,097 | ||||||
| Dhaliwal Simerjit | ||||||||||||
| Physician Asst | $248,709 | $16,481 | $24,379 | $313,500 | $23,931 | |||||||
| Ferch Wayne | ||||||||||||
| President | $740,094 | $327,200 | $16,445 | $1,249,071 | $165,332 | |||||||
| Fults Kendall | ||||||||||||
| Former SVP Bus/Physician Dev | $12,036 | $663 | $14,082 | $1,383 | ||||||||
| Gruen Derrick | ||||||||||||
| Former VP Clinic Svcs | $253,704 | $49,407 | $16,682 | $29,721 | $388,226 | $38,712 | ||||||
| Gruzensky Denton | ||||||||||||
| Former VP HR | $216,118 | $42,087 | $15,491 | $20,729 | $304,298 | $9,873 | ||||||
| Haydock Timothy | ||||||||||||
| Treasurer | $240,275 | $38,762 | $16,601 | $38,531 | $376,564 | $42,395 | ||||||
| Hoyt Glenda | ||||||||||||
| VP Quality Patient Safety | $223,427 | $43,510 | $16,207 | $21,634 | $352,212 | $47,434 | ||||||
| Jobe Meredith | ||||||||||||
| Secretary | $419,684 | $111,013 | $16,682 | $21,646 | $704,943 | $135,918 | ||||||
| Kofl Andrea | ||||||||||||
| President | $391,671 | $103,328 | $16,682 | $22,124 | $749,164 | $215,359 | ||||||
| Larsen David | ||||||||||||
| FO/Asst Sec/SVP | $427,072 | $107,292 | $320,716 | $30,339 | $1,018,088 | $132,669 | ||||||
| Plata Nina | ||||||||||||
| VP CPE | $204,614 | $38,737 | $14,474 | $34,150 | $313,075 | $21,100 | ||||||
| Reiner Scott | ||||||||||||
| Dir/Chair | $1,339,257 | $747,881 | $16,682 | $21,511 | $2,496,629 | $371,298 | ||||||
| Reppert Joseph | ||||||||||||
| CFO | $686,470 | $152,446 | $16,682 | $30,164 | $1,000,461 | $114,699 | ||||||
| Rippey Wesley | ||||||||||||
| Dir Thru 5/18 | $565,539 | $20,249 | $27,319 | $671,511 | $58,404 | |||||||
| Taggart Laurie | ||||||||||||
| CP Experience | $207,796 | $39,203 | $15,267 | $24,165 | $316,583 | $30,152 | ||||||
| Thomas Cheryl | ||||||||||||
| Nurse Practitioner | $162,226 | $91,016 | $14,986 | $8,858 | $302,437 | $25,351 | ||||||
| Wagner Jack | ||||||||||||
| A Sec Thru 3/18 | $180,671 | $414,342 | $11,182 | $22,894 | $1,366,983 | $737,894 | ||||||
| Wing Bill | ||||||||||||
| Dir/VCh/AsstSec | $1,015,353 | $603,273 | $16,682 | $23,724 | $1,915,717 | $256,685 | ||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 1a: Relevant information in regards to selections on 1a. | FormAndLineReferenceDesc |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Arnold Plata | |||
| Spouse of Key EE | $51,159 | Employment | false |
| Susan Chapman | |||
| Key EE-Owner | $265,215 | Contract-Wmns Hlth Cntr | false |
| Linda Henry | |||
| Key EE Sister | $59,434 | Employment | false |
| Brent Wagner | |||
| Son of Officer | $82,281 | Employment | false |
| Cambria Wehtje-Sim | |||
| Dghtr-Fmr Ofcr | $89,784 | Employment | false |
| Ferch Josiah | |||
| Key EE Son | $42,946 | Employment | false |
| Carol Jobe | |||
| Officer's Spouse | $4,429 | Employment | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part V Supplemental Information | FormAndLineReferenceDesc |
| Explanation | Additional information regarding interested persons listed above:1. Arnold Plata is the husband of Key Employee, Nina Plata.2. Susan Chapman, a Key Employee is the Owner of Pali Women's Health Center which the hospital does business with.3. Linda Henry is the daughter of Adventist Health board member, Wesley Rippey.4. Brent Wagner is the son of former Adventist Health CFO, Jack Wagner.5. Cambria Wehtje-Sim is the daughter of former officer Rodney Wehtje.6. Doris Tetz is the daughter of former key employee, Warrent Tetz.7. Josiah Ferch is the son of Key Employee Wayne Ferch. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | The hospital is organized as a not-for-profit hospital. The sole corporate member is Adventist Health System/West, a California not-for-profit public charity. The hospital bylaws define its board of directors to be the same individuals who are members of Adventist Health System/West board of directors. |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | The hospital bylaws define its board of directors to be the same individuals who are members of the Adventist Health System/West board of directors. Adventist Health System/West, a California not-for-profit religious corporation, is the sole corporate member of the hospital. |
| Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders | The 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 Process | This 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 Conflicts | During the first quarter of each year, the annual conflict of interest questionnaireis sent to board members 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 theCOIs for all board members. In addition, the foundations administration is responsible for keeping record to ensure all board members have submitted their COIs.Further inquiries on any potential significant conflicts are made as needed.Conflicts are documented and reviewed with the Board member. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | See explanation of process for setting CEO compensation below on Form 990, Part VI, Line 15b explanation. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | The 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 19: Other Organization Documents Publicly Available | The 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 publicly available. The hospital files monthly/quarterly summary financial reports with the state health planning agency. |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Investment Losses-Restricted Assets = -$18764 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Adventist Health SystemWest | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 953484589 | Integrated Health System | CA | 501(c)(3) | 10 | NA | false |
| Adventist Health Clearlake Hospital Inc | ||||||||||
| 15630 16th Avenue | Clearlake | CA | 95422 | 680395149 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Adventist Health Medical Ctr Tehachapi | ||||||||||
| 1100 Magellan Drive | Tehachapi | CA | 93561 | 812240617 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Adventist Health Physicians Network | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 680357690 | Medical Foundation | CA | 501(c)(3) | 12b2 | Adventist Health SystemWest | false |
| Adventist Health So CA Medical Fdtn | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 954424391 | Discontinued Operations | CA | 501(c)(3) | 12b2 | Adventist Health SystemWest | false |
| Castle Medical Center | ||||||||||
| 640 Ulukahiki Street | Kailua | HI | 96374 | 990107330 | Hospital | HI | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Feather River Hospital | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 941101228 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Fremont- Rideout Health Group | ||||||||||
| 898 Plumas Street | Yuba City | CA | 95991 | 942917251 | Acute Care Hospital | CA | 501(c)(3) | 12b2 | Adventist Health SystemWest | false |
| Glendale Adventist Medical Center | ||||||||||
| 1509 Wilson Terrace | Glendale | CA | 91206 | 951816017 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Hanford Community Hospital | ||||||||||
| 115 Mall Drive | Hanford | CA | 93230 | 940535360 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Lodi Memorial Hospital Assn Inc | ||||||||||
| 975 So Fairmont Ave | Lodi | CA | 95240 | 941044474 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Northwest Medical Fdtn of Tillamook | ||||||||||
| 1000 Third Street | Tillamook | OR | 97141 | 930622075 | Foundation | OR | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Paradise Valley Hospital | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 951816034 | Discontinued Operations | CA | 501(c)(3) | 1 | Adventist Health SystemWest | false |
| Portland Adventist Medical Center | ||||||||||
| 10123 SE Market Street | Portland | OR | 97216 | 930429015 | Hospital | OR | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Rideout Memorial Hospital | ||||||||||
| 989 Plumas Street | Yuba City | CA | 95991 | 941387866 | Acute Care Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| St Helena Hospital | ||||||||||
| 10 Woodland Road | St Helena | CA | 94574 | 941279779 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| San Joaquin Community Hospital | ||||||||||
| 2615 Chester Avenue | Bakersfield | CA | 93301 | 952294234 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Simi Valley Hospital & Health Care Svc | ||||||||||
| 2975 No Sycamore Drive | Simi Valley | CA | 93065 | 956064971 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Sonora Community Hospital | ||||||||||
| 1000 Greenley Road | Sonora | CA | 95370 | 941415069 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Stone Point Health | ||||||||||
| PO Box 619135 | Roseville | CA | 93661 | 823763347 | Supporting Organization | CA | 501(C)(3) | 12b2 | Adventist Health SystemWest | false |
| Ukiah Adventist Hospital | ||||||||||
| 275 Hospital Drive | Ukiah | CA | 95482 | 941639901 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| United Com-Serve | ||||||||||
| 989 Plumas Street | Yuba City | CA | 95991 | 943015356 | Skilled Nursing/Assisted Living/Hm Care | CA | 501(c)(3) | 12b2 | Fremont Rideout Health Group | false |
| Walla Walla General Hospital | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 910617726 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Western Health Resources | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 953867863 | Home Care | CA | 501(C)(3) | 10 | Adventist Health SystemWest | false |
| White Memorial Medical Center | ||||||||||
| 1720 Cesar E Chavez Avenue | Los Angeles | CA | 90033 | 952282647 | Hospital | CA | 501(C)(3) | 3 | Adventist Health SystemWest | false |
| Willits Hospital Inc | ||||||||||
| 1 Marcela Drive | Willits | CA | 95490 | 680108919 | Hospital | CA | 501(C)(3) | 3 | Adventist Health SystemWest | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | South Coast Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 DOUGLAS BLVD | AddressLine1Txt |
| City | Roseville | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95661 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952037291 | EIN |
| Primary Activities | Wind down after sale of hospital | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C Corp | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Comments