SAN JOAQUIN COMMUNITY HOSPITAL: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- SAN JOAQUIN COMMUNITY HOSPITAL (EIN 95-2294234)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-12
- IRS object ID
- 201933169349303613
- 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 | 2019-11-12T10:54:09-08:00 | 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 | 952294234 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | San Joaquin Community Hospital | BusinessNameLine1Txt |
| Business Name Line2 | dba Adventist Health Bakersfield | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SANJ | BusinessNameControlTxt |
| Phone | 6613953000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2615 Chester Ave | AddressLine1Txt |
| City | Bakersfield | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Chen Steven | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Signature | 2019-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
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 | Sharlet Briggs | PrincipalOfficerNm |
| Gross Receipts | $411,529,911 | 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/bakersfield | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1964 | 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 | 2418 | TotalEmployeeCnt |
| Total Volunteers | 275 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $245,967 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $670,310 | PYContributionsGrantsAmt |
| CY Contributions Grants | $171,909 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $413,641,361 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $407,629,248 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,110,107 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,120,423 | CYInvestmentIncomeAmt |
| PY Other Revenue | $959,079 | PYOtherRevenueAmt |
| CY Other Revenue | $175,026 | CYOtherRevenueAmt |
| PY Total Revenue | $417,380,857 | PYTotalRevenueAmt |
| CY Total Revenue | $411,096,606 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,450,610 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $313,140 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $164,495,209 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $159,031,581 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $286,659 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $223,026,995 | PYOtherExpensesAmt |
| CY Other Expenses | $234,199,361 | CYOtherExpensesAmt |
| PY Total Expenses | $388,972,814 | PYTotalExpensesAmt |
| CY Total Expenses | $393,544,082 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $28,408,043 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $17,552,524 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $351,216,815 | TotalAssetsBOYAmt |
| Total Assets EOY | $358,713,896 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $155,527,999 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $144,385,779 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $195,688,816 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $214,328,117 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Living Gods love by inspiring health, wholeness and hope. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $323,428,350 | ExpenseAmt |
| Grant | $313,140 | GrantAmt |
| Revenue | $407,804,274 | RevenueAmt |
| Desc | San Joaquin Community Hospital (AHBD) provides quality medical health care regardless of race, creed, sex, national origin, handicap, age, or ability to pay.Although reimbursement for services rendered is critical to the operation and stability San Joaquin Community Hospital, the organization recognizes that not all individuals possess the ability to pay for essential medical services.Adventist Healths vision is to enhance the health of the communities where we live and serve, by engaging our communities and our patients in a new definition of and partnership for personal community health. In keeping with this commitment to serve all members of the community, the following will be considered when individuals who need health care cannot pay:providing free care and/or subsidized careproviding care to persons covered by governmental programs at below costproviding health/wellness activities and community education programsNot only does San Joaquin Community Hospital provide low cost care to individuals covered by government-programs and those unable to afford healthcare, it also helps patients find and access private and governmental resources for healthcare benefits.AHBD recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed cost of providing care to these patients in 2018 was $6,176,829.The following Inpatient services that were provided to all our patients. These services included:3,004 Babies delivered4,094 Surgeries performed65,002 Patient days The following Outpatient services that were provided to all our patients. These services included:72,468 Emergency department visits9,825 Outpatient Surgeries performed135,238 Outpatient visits 51,461 Clinic visitsAHBD recognizes it has an obligation to provide human services above and beyond its role as a healing facility. The following community benefits demonstrate the tangible ways in which the organization is fulfilling its mission. The total unreimbursed cost of these community benefits in 2018 was $12,969,728.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 | $323,428,350 | 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 | Yes (true) | 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 | 2418 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | 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 (41 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 | $44,472 | Yes (X) | |||
| Wing Bill | ||||||||||
| Dir/VCH/Asst Se | 0.00 | 50.00 | Yes (X) | $0 | $1,875,310 | $49,315 | Yes (X) | |||
| Jobe Meredith | ||||||||||
| Secretary | 0.00 | 50.00 | $0 | $666,615 | $38,328 | Yes (X) | ||||
| Briggs Sharlet | ||||||||||
| President | 37.50 | 12.50 | $0 | $595,551 | $27,623 | Yes (X) | ||||
| Chen Steven | ||||||||||
| Treasurer | 37.50 | 12.50 | $0 | $432,417 | $59,921 | 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, CCR | 8.33 | 41.67 | $0 | $1,232,626 | $21,068 | Yes (X) | ||||
| Larsen David | ||||||||||
| Finance Officer CCR | 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) | ||||
| Itani Mohamad | ||||||||||
| VP Ambulatory Services | 50.00 | 0.00 | $0 | $386,180 | $46,452 | Yes (X) | ||||
| Tomano Christopher | ||||||||||
| Partnership Executive | 50.00 | 0.00 | $152,963 | $0 | $26,544 | Yes (X) | ||||
| Van Housen Heather | ||||||||||
| VP/CNO | 50.00 | 0.00 | $0 | $309,781 | $66 | Yes (X) | ||||
| Herman Susan | ||||||||||
| VP/CNO | 50.00 | 0.00 | $0 | $253,530 | $25,928 | Yes (X) | ||||
| Newmyer Mark | ||||||||||
| VP Business Dev | 50.00 | 0.00 | $0 | $317,103 | $45,849 | Yes (X) | ||||
| Cornforth Donald | ||||||||||
| Medical Officer | 50.00 | 0.00 | $0 | $285,631 | $402 | Yes (X) | ||||
| Reynoso Ronald | ||||||||||
| Medical Officer | 50.00 | 0.00 | $0 | $201,328 | $13,592 | Yes (X) | ||||
| Tetz Warren | ||||||||||
| Construction Executive | 50.00 | 0.00 | $0 | $464,679 | $67,964 | Yes (X) | ||||
| Navarro Rafael | ||||||||||
| RN/1st Asst | 50.00 | 0.00 | $396,518 | $0 | $45,465 | Yes (X) | ||||
| Chupa Barry | ||||||||||
| RN/1st Asst | 50.00 | 0.00 | $360,362 | $0 | $45,474 | Yes (X) | ||||
| Gil Rey | ||||||||||
| RN/1st Asst | 50.00 | 0.00 | $290,637 | $0 | $38,073 | Yes (X) | ||||
| Morata Ana Lisa | ||||||||||
| RN | 50.00 | 0.00 | $252,856 | $0 | $44,427 | Yes (X) | ||||
| Oriente Marilyn | ||||||||||
| RN | 50.00 | 0.00 | $238,433 | $0 | $15,606 | Yes (X) | ||||
| Wehtje Ronald | ||||||||||
| Former Finance Officer SCR | 0.00 | 50.00 | $0 | $833,628 | $37,770 | Yes (X) | ||||
| Fargo Roland | ||||||||||
| Former VP Reg Physician OPS | 0.00 | 50.00 | $0 | $597,899 | $32,932 | Yes (X) | ||||
| Nahapetian Arby | ||||||||||
| Former Reg CMO SCR | 0.00 | 50.00 | $0 | $966,535 | $51,169 | Yes (X) | ||||
| Zachary Beth | ||||||||||
| Former President/SCR | 0.00 | 50.00 | $0 | $1,310,581 | $42,365 | Yes (X) | ||||
| Duffiled Douglas | ||||||||||
| Former President | 0.00 | 50.00 | $0 | $171,938 | $5,834 | Yes (X) | ||||
| Gonzales Adrian | ||||||||||
| Former Pharmacy Director | 0.00 | 50.00 | $0 | $269,138 | $42,589 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,691,769 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $17,836,477 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,383,813 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 336 | 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 |
|---|---|---|---|---|---|
| Quest Imaging | |||||
| PO Box 21178 | Bakersfield | CA | 93390 | Medical Services | $6,102,968 |
| Sound Physicians Of Calif III | |||||
| PO Box 742936 | Los Angeles | CA | 90074 | Medical Services | $4,797,635 |
| Valley Anesthesia Associates | |||||
| 11704 Nantwick Ct | Bakersfield | CA | 93311 | Medical Services | $2,232,436 |
| Crothall Healthcare | |||||
| 13028 Collections Center Dr | Chicago | IL | 60693 | Medical Services | $1,748,767 |
| Michael Walters Advertising Inc | |||||
| 444 N Wabash Ave Ste 4W | Chicago | IL | 60611 | Advertising | $1,546,311 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $10,000 | RelatedOrganizationsAmt |
| All Other Contributions | $161,909 | AllOtherContributionsAmt |
| Total Contributions | $171,909 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| BusinessBusinessCd | DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| 900099 | |||
| 722320 | Dietary Services | $1,100,834 | $1,100,834 |
| 531120 | Other Program Services | $979,161 | $979,161 |
| 621110 | Patient Service Revenue | $404,588,721 | $404,588,721 |
| 722513 | Rental | $960,532 | $960,532 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $407,629,248 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,119,505 | TotalRevenueColumnAmt |
| Exclusion | $3,119,505 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $918 | TotalRevenueColumnAmt |
| Exclusion | $918 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $608,331 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $433,305 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $175,026 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $175,026 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $411,096,606 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $407,804,274 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $3,120,423 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $313,140 | TotalAmt |
| Program Services | $313,140 | 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 | $124,749,887 | TotalAmt |
| Program Services | $118,668,395 | ProgramServicesAmt |
| Management And General | $5,925,754 | ManagementAndGeneralAmt |
| Fundraising | $155,738 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,652,744 | TotalAmt |
| Program Services | $4,389,906 | ProgramServicesAmt |
| Management And General | $260,257 | ManagementAndGeneralAmt |
| Fundraising | $2,581 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,642,651 | TotalAmt |
| Program Services | $19,871,794 | ProgramServicesAmt |
| Management And General | $747,673 | ManagementAndGeneralAmt |
| Fundraising | $23,184 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,986,299 | TotalAmt |
| Program Services | $8,581,993 | ProgramServicesAmt |
| Management And General | $393,019 | ManagementAndGeneralAmt |
| Fundraising | $11,287 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,985,798 | TotalAmt |
| Program Services | $423,361 | ProgramServicesAmt |
| Management And General | $18,562,437 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,315 | TotalAmt |
| Management And General | $178,315 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $25,358,171 | TotalAmt |
| Program Services | $19,325,064 | ProgramServicesAmt |
| Management And General | $6,002,019 | ManagementAndGeneralAmt |
| Fundraising | $31,088 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,642,550 | TotalAmt |
| Management And General | $1,642,550 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,154,775 | TotalAmt |
| Program Services | $1,018,842 | ProgramServicesAmt |
| Management And General | $131,973 | ManagementAndGeneralAmt |
| Fundraising | $3,960 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,247,587 | TotalAmt |
| Program Services | $2,670,409 | ProgramServicesAmt |
| Management And General | $12,577,044 | ManagementAndGeneralAmt |
| Fundraising | $134 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,202,688 | TotalAmt |
| Program Services | $8,716,351 | ProgramServicesAmt |
| Management And General | $1,486,337 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $372,217 | TotalAmt |
| Program Services | $106,317 | ProgramServicesAmt |
| Management And General | $255,087 | ManagementAndGeneralAmt |
| Fundraising | $10,813 | 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 | $138,865 | TotalAmt |
| Program Services | $125,852 | ProgramServicesAmt |
| Management And General | $12,922 | ManagementAndGeneralAmt |
| Fundraising | $91 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,637,935 | TotalAmt |
| Program Services | $2,637,935 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,323,417 | TotalAmt |
| Program Services | $13,307,154 | ProgramServicesAmt |
| Management And General | $16,263 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$16,898 | TotalAmt |
| Program Services | -$16,898 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| pt care supplies | $71,231,945 | $71,122,935 | $106,152 | $2,858 |
| Quality Assurance | $31,990,384 | $31,990,384 | ||
| Revenue Cycle Fees | $19,270,724 | $19,270,724 | ||
| Other Purchases | $11,692,896 | $10,545,513 | $1,147,383 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,787,992 | TotalAmt |
| Program Services | $9,629,903 | ProgramServicesAmt |
| Management And General | $1,113,164 | ManagementAndGeneralAmt |
| Fundraising | $44,925 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $393,544,082 | TotalAmt |
| Program Services | $323,428,350 | ProgramServicesAmt |
| Management And General | $69,829,073 | ManagementAndGeneralAmt |
| Fundraising | $286,659 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,875 | BOYAmt |
| EOY | $127,021 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,362,682 | BOYAmt |
| EOY | $130,073,488 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $536,667 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,670,516 | BOYAmt |
| EOY | $48,666,732 | 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 | $5,899,272 | BOYAmt |
| EOY | $6,364,278 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $909,513 | BOYAmt |
| EOY | $720,682 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $290,090,050 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $158,317,764 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,223,161 | BOYAmt |
| EOY | $131,772,286 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,610,024 | 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 | $287,182 | BOYAmt |
| EOY | $287,182 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,315,947 | BOYAmt |
| EOY | $39,092,203 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $351,216,815 | BOYAmt |
| EOY | $358,713,896 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,903,066 | BOYAmt |
| EOY | $38,833,625 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $5,765 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,337,918 | BOYAmt |
| EOY | $3,903,770 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,287,015 | BOYAmt |
| EOY | $101,642,619 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,527,999 | BOYAmt |
| EOY | $144,385,779 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $191,605,778 | BOYAmt |
| EOY | $210,460,712 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,083,038 | BOYAmt |
| EOY | $3,867,405 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $195,688,816 | BOYAmt |
| EOY | $214,328,117 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $351,216,815 | BOYAmt |
| EOY | $358,713,896 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $17,552,524 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $1,086,777 | 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 | $50,891 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $50,891 | 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 and Mark Nobili 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 | $4,083,038 | BeginningYearBalanceAmt |
| Contributions | $181,294 | ContributionsAmt |
| Other Expenditures | $380,514 | OtherExpendituresAmt |
| End Year Balance | $3,883,818 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,834,434 | BeginningYearBalanceAmt |
| Contributions | $630,310 | ContributionsAmt |
| Other Expenditures | $431,706 | OtherExpendituresAmt |
| End Year Balance | $4,083,038 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,273,805 | BeginningYearBalanceAmt |
| Contributions | $2,068,213 | ContributionsAmt |
| Other Expenditures | $507,584 | OtherExpendituresAmt |
| End Year Balance | $3,834,434 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,386,299 | BeginningYearBalanceAmt |
| Contributions | $1,144,377 | ContributionsAmt |
| Other Expenditures | $1,256,095 | OtherExpendituresAmt |
| End Year Balance | $2,273,805 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,817,017 | BeginningYearBalanceAmt |
| Contributions | $1,063,377 | ContributionsAmt |
| Other Expenditures | $689,756 | OtherExpendituresAmt |
| End Year Balance | $2,386,299 | 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 | $9,126,357 | OtherCostOrOtherBasisAmt |
| Book Value | $9,126,357 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $169,062,818 | OtherCostOrOtherBasisAmt |
| Depreciation | $76,184,653 | DepreciationAmt |
| Book Value | $92,878,165 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,621,859 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,672,366 | DepreciationAmt |
| Book Value | $11,949,493 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $97,279,016 | OtherCostOrOtherBasisAmt |
| Depreciation | $79,460,745 | DepreciationAmt |
| Book Value | $17,818,271 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $131,772,286 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER ASSETS | $55 |
| OTHER RECEIVABLES | $587,673 |
| Receivable from 3rd Parties | $15,958,576 |
| Receivables from Related Organizations | $22,545,899 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $39,092,203 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Payables to Related Organizations | $96,467,158 |
| Worker's Comp Payable | $5,175,461 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $101,642,619 | TotalLiabilityAmt |
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 | Yes (true) | 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 | $1,153,982 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,153,982 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $122,893,745 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $117,870,898 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,022,847 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01280 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $124,047,727 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $117,870,898 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,176,829 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01570 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $927,120 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $311,200 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $615,920 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,340,663 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,340,663 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00850 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,026,041 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,276,201 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,749,840 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02220 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $263,305 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $263,305 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,557,129 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,587,401 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,969,728 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03300 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $146,604,856 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $127,458,299 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,146,557 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04870 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $64,100 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $64,100 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,790 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,790 | NetCommunityBenefitExpnsAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $107,874 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $107,874 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $177,764 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $177,764 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,179,127 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $493,111 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $78,911,063 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $74,457,146 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $4,453,917 | 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 | San Joaquin Community Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2615 Chester Ave | AddressLine1Txt |
| City | Bakersfield | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.adventisthealth.org/bakers | WebsiteAddressTxt |
| State License | 120000187 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | San Joaquin Community Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 Form 990, Pg 1, Item J | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | See Sch H Part VI - Needs Assessment | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| 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 |
| 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 |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| 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 Translated | Yes (X) | FAPTranslatedInd |
| 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 (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Facility: San Joaquin Community Hospital - 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: The Kern County Community Benefit Collaborative hospital representatives developed a plan for distribution of a survey to engage community residents. The survey was available in an electronic format through a Survey Monkey link, and in a paper copy format in English and Spanish. The hospitals distributed the surveys to their clients, in hospital waiting rooms and service sites, and through social media, including posting the survey link on hospital Facebook pages. The survey was also distributed to community partners who made them available to their clients. A written introduction to the survey questions explained the purpose of the survey and assured participants the survey was voluntary, and that they would remain anonymous. For community members who were illiterate, an agency staff member read the survey introduction and questions to the client in his/her preferred language and marked his/her responses on the survey.Targeted Interviews: Thirty-three interviews were completed during September through November 2015, with people who represent the broad interests of the community served by the hospital. Interviewees included individuals who are leaders and representatives of medically underserved, low-income, and minority populations, or regional, state or local health or other departments or agencies that have current data or other information relevant to the health needs of the community served by the hospital facility. Given shared service areas, AHBD partnered with the Kern County Community Benefit Collaborative hospitals to conduct the interviews.The Kern County Community Benefit Collaborative hosted a community forum on January 19, 2016 in Bakersfield to prioritize the identified health needs. The forum engaged 38 community leaders in public health, government agencies, schools, and nonprofit organizations that serve the medically underserved, low- income, and minority populations in the community. These individuals have current data or other information relevant to the health needs of the community served by the hospital facilities. A review of the significant health needs was presented at the community forum. |
| Facility: San Joaquin Community Hospital - Part V, Section B, Line 6a | Kern County Community Benefit Collaborative worked together to prepare a community-wide CHNA. The Collaborative is comprised of Delano Regional Medical Center; Mercy Hospital Downtown, Mercy Hospital Southwest and Bakersfield Memorial Hospital, all members of Dignity Health; Adventist Health Bakersfield; and Kaiser Permanente, which provides hospitalization services for its members through contract with Adventist Health Bakersfield. |
| Facility: San Joaquin Community Hospital - Part V, Section B, Line 7d | The Community Benefit plan of Adventist Health Bakersfield can be found at https://www.adventisthealth.org/pages/about-us/community-health-needs-assessments.aspx |
| Facility: San Joaquin Community Hospital - Part V, Section B, Line 11 | Our 2016 CHNA identified two areas of significant needs: access to health care and cancer. The main goal was to improve the overall health and wellness of our communities through provision of services, community collaboration and innovation. Priority Need 1-Access to Health Care Access to comprehensive, quality health care is important for the achievement of health equity and for increasing the quality of life for everyone. Access means many things to communities but most often revolves around the topics of availability, cost and levels of coverage for health care. Employment, poverty, education, transportation, cultural identity, communication and language barriers, age, mental health, and a host of social indicators emerge within the topic of health care access. Access to health care is a priority need with the goal to decrease chronic disease rates in our community by offering educational programs and interventions that empower and equip community members to eliminate risk factors that often lead to such diseases. Where disease does exist, we will work with partners to provide affordable, high quality care to those in need. To achieve our goal interventions were implemented. 1.AH Bakersfield partnered with the Sikh Womens Association to perform biometric screenings (blood pressure and glucose), clinics breast cancer exams, childhood immunizations, flu shots and cervical cancer exams at south Bakersfield gurdwaras. The event included providers from the AIS Cancer Center, dieticians from the Wellness Center, staff with the Childhood Mobile Immunizations program and a physician and medical assistants from Adventist Health Physicians Network primary care clinics. 40 women received clinical breast exams, 14 women were screened for cervical cancer, 300 received biometric screenings and 50 flu shots were administered. 2. Adventist Health Bakersfield and Adventist Health Physicians Network partnered with St. Johns Lutheran Church to provide fee biometric screenings (blood pressure, blood glucose) targeted at men attending Sunday services. Number of community members served: 503. The AHBD Children's Mobile Immunization Program began in 1996 as a hospital-based effort to immunize Kern County children. The program expanded exponentially in 2000 when AHBD received a Proposition 10 Grant from First 5 Kern (Kern County Children and Families Commission/KCCFC). With the help of this grant, the AHBD Childrens Mobile Immunization Program provides free services through a mobile unit that includes immunizations, information and education, and referral and linkage services. The mobile unit travels to all reaches of Kern County also offering free hemoglobin testing, a key requirement of the WIC food program. There were 164 clinics in 2018 with 182 women & children receiving pre/postnatal care. 315 flu vaccines were given through the drive-through flu clinic. 1,852 children were given vaccinations throughout 2018.4. Adventist Health Bakersfield Farmers Market was launched in Fall 2018. The event is open to the public and hospital staff. Staff dieticians provided nutritional education. The Chest Pain team provided hands-only CPR and heart health education. Bike Bakersfield provided information about alternative transportation while encouraging physical activity. Bakersfield College attended and provided information about academic program opportunities. Number of community members served: 1,000Priority Need 2 - Cancer The goal is to provide cancer education, screenings and free programs that help our community prevent cancer, receive early diagnosis and treatment centered on caring for the whole person through the following interventions. 1. Adventist Health Bakersfield partnered with 23 ABC Bakersfield to produce a Facebook Live segment center on breast cancer. The event was streamed to users digital devices and viewers could ask questions of a panel of two breast surgeons. Number of community members served: 4,2002. Partnered with the Cirugia Sin Fronteras Foundation to provide education at a health fair targeted to the uninsured, underinsured and Hispanic populations. Provided cancer education on a variety of topics and an interactive cancer quiz. Number of community members served: 1,0003. Adventist Health participated in the Zero Prostate Cancer Walk/Run, an inaugural event in Bakersfield in 2018. Staff provided onsite education regarding prostate cancer. Event speakers included an AIS Cancer Center oncologist, who talked about the importance of screening and early intervention. Number of community members served: 2504. VIPink Breast Cancer event hosted at the AIS Cancer Center raised awareness around breast cancer and the importance of early screening and detection. Physicians and survivors were highlighted. Reduced-price 3D mammograms were offered. Number of Community Members Served: 8005. Bakersfield Relay for Life provides funding for cancer research and offers an opportunity to raise awareness around the numerous forms of the disease. AIS Cancer Center physicians held a question and answer seminar during the event, and staff provided information about prevention from our assigned booth space. Number of community members served: 8006. Campout against Cancer event honors survivors, remembers loved ones who have lost the battle and raises money to improve the quality of life for local cancer patients and their families. AIS Cancer Center staff provided information and screening information at our assigned booth. Number of community members served: 500The following needs are not directly addressed in the 2017 Community Health Plan. Please note, that they may be indirectly addressed. Asthma Being addressed by other community organizations Cardiovascular disease: Preventing heart disease is included as a priority under the access to care section. Diabetes: Preventing diabetes is included as a priority under the access to care section. Environmental health (air quality and water safety) The hospital does not have the knowledge or resources to address this need. Mental health The infrastructure and expertise to provide adequate mental health services is not currently available in Kern County. We are continuing to work with other health care organizations and non-profits in the area to address this issue. Sexually Transmitted Infections This need is being addressed by other community organizations that have opportunities to interface with this population in a nonemergent environment. Substance abuse The hospital does not have resources to address this identified need; being addressed by other community organizations. |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| SJCH dba Community Diagnostic Center | ||||
| 2615 Chester Aven | Bakersfield | CA | 93301 | MRI / CT Scan |
| SJCH Bariatric Solutions | ||||
| 2819 H Street Suite A | Bakersfield | CA | 93301 | Hospital Department |
| SJCH Buck Owens Wellness Ctr | ||||
| 1524 27th Street Suite 101 | Bakersfield | CA | 93301 | Hospital Department |
| SJCH The Burn Center | ||||
| 2819 Chester Avenue Suite A | Bakersfield | CA | 93301 | Hospital Department |
| SJCH Imaging Ctr-Quest Imaging | ||||
| 9602 Stockdale Highway | Bakersfield | CA | 93309 | Hospital Department |
| Incentive Health LLC | ||||
| 2615 Chester Avenue | Bakersfield | CA | 93301 | SJCH Sole Member |
| Quest Imaging - Adventist Health | ||||
| 1150 E Lerdo Highway Suite A | Shafter | CA | 93301 | Radiology and Diagnostic Imaging Services |
| SJCH The AIS Cancer Center | ||||
| 2620 Chester Avenue | Bakersfield | CA | 93301 | Hospital Department |
| SJCH The Wellness Center | ||||
| 1524 27th Street | Bakersfield | CA | 93301 | Hospital Department |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 combined audited 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 on the basis of inpatient days and ancillary and outpatient charges to establish the costing methodology.Healthcare delivery by hospitals is a complex, highly regulated business in the United States. Healthcare unit cost inflation is driven by compliance with ever-expanding regulatory requirements, shortages of highly skilled labor and evolving medical and information technology. The health care market basket is unrelated to that of the average individual consumer. Since the 1997 Balanced Budget Act, Medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that Medicare payments to many U.S. hospitals are well below the cost of providing care. These unreimbursed costs are a community benefit for seniors and others in the community as these individuals are continuing to receive care without which many would become dependent on other governmental resources such as Medicaid. The benefit to the community for healthier Medicare recipients is no different than those benefits the community realizes for uninsured and underinsured patients who are eligible for partial and full charity care. Medicare is a safety net for seniors and others. Without Medicare coverage, many individuals would undoubtedly qualify for charity care.In addition to the mismatch between Medicare payment increases and healthcare cost inflation, the highly complex Medicare payment systems and formulas produce disparate payment levels from one hospital to another for the same service. These disparate payment levels create disparate results within groups of hospitals.Reconciliation of Medicare Revenue from the hospital's Medicare Cost Report to GL Revenue Rec. *Medicare Cost Report Revenue $78,911,063 Prior Year Settlements 185,581 Cost Report Reimbursable Bad Debts 1,430,773 Estimates and Accrual Variances (132,197) Other 4,506,097 ___________ Total Medicare Revenue $84,901,317*Note: The Medicare Cost Report revenue does not include the bad debt reimbursement. The Cost Report revenue does include the patient co-pay and deductible amounts. Adding the bad debt reimbursement would have duplicated the revenue already accounted for in the co-pay and deductible amounts. |
| Part III, Line 9b - Provisions On Collection Practices For Qualified 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 2018 Community Health Plan (CHP) Update for fiscal year 2017, and the 2016 Implementation Strategy (adopted in May 2017), that includes the 2016 CHP, are posted on the hospital's website at https://www.adventisthealth.org/bakersfield/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/Pages/About-Us/Community-Health-Needs-Assessments.aspx .The Community Health Needs Assessment (CHNA) includes both the activity and product of identifying and prioritizing a community's health needs, accomplished through the collection and development of a community health plan. The second component of the CHNA, the community health plan, includes strategies and plans to address prioritized needs, with the goal of contributing to improvements in the community's health. Qualitative and quantitative data sources were used in conducting the CHNA. To accomplish the many important systemic goals that are underway in our community, San Joaquin Community Hospital supports local partners to augment our own efforts, and to promote a healthier community. Partnership is not used as a legal term, but a description of the relationships of connectivity that are necessary to collectively improve the health of our region. One of our objectives is to partner with other nonprofit and faith-based organizations that share our values and priorities to improve the health status and quality of life of the community we serve. This is an intentional effort to avoid duplication and leverage the successful work already in existence in the community. Some of our partners are: American Cancer Society, American Heart Association, American Red Cross, Bakersfield Firefighters Burn Foundation, CASA, Global Family, Greater Bakersfield Chamber of Commerce, Houchin Blood Bank, Kern County Cancer Fund, Kern County Community Benefit Collaborative, Kern Economic Development Corporation, and the list goes on. San Joaquin Community Hospital knows that only working together we can achieve the necessary health improvements to create the communities that allow each member to have safe and healthy places to live, learn, work, play, and pray. |
| 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/bakersfield/patient-resources/financial-services/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 hospital is one of the largest healthcare systems in the area serving Kern County and surrounding areas. The service area includes a small city and surrounding suburbs, small towns and rural agricultural areas. The diverse population includes Caucasian (34.1%) and a large minority population, both Hispanic (53.9%), Asian (4.3%), and African-American (5.1%).Adventist Health Bakersfield (AHBD) 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 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 are soaring, now more than ever, we believe we can do something to change this. These challenges include a paradigm shift in how hospitals and health systems are positioning themselves and their strategies for success in a new payment environment. This will impact everyone in a community and will require shared responsibility among all stakeholders. As hospitals move toward population health management, community health interventions are a key element in achieving the overall goals of reducing the overall cost of health care, improving the health of the population, and improving access to affordable health services for the community both in outpatient and community settings. The key factor in improving quality and efficiency of the care hospitals provide is to include the larger community they serve as a part of their overall strategy. Population health is not just the overall health of a population, but also includes the distribution of health. Overall health could be quite high if the majority of the population is relatively healthyeven though a minority of the population is much less healthy. Ideally such differences would be eliminated or at least substantially reduced.Community health can serve as a strategic platform to improve the health outcomes of a defined group of people, concentrating on three correlated stages:1) The distribution of specific health statuses and outcomes within a population; 2) Factors that cause the present outcomes distribution; and 3) Interventions that may modify the factors to improve health outcomes.Improving population health requires effective initiatives to: 1) Increase the prevalence of evidence-based preventive health services and preventive health behaviors, 2) Improve care quality and patient safety, and 3) Advance care coordination across the health care continuum. We will work together with our community to ensure the community health improvements are identified and then targeted for programs to influence behaviors to obtain improved health within the whole community. |
| Part VI, Line 6 - Affilated Health Care 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 telepharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk management, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate administrative support for hospital affiliated medical groups that engage physicians through employment or other contracts. This provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communities served by all member hospitals. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt |
|---|---|---|---|---|---|---|---|
| Alliance Against Family Viole | |||||||
| 1600 E Truxtun Ave | Bakersfield | CA | 93305 | 953604240 | 501(c)(3) | $7,500 | $0 |
| American Heart Association | |||||||
| 7272 Greenville Ave | Dallas | TX | 75231 | 135613797 | 501(c)(3) | $50,000 | $0 |
| Art Council of Kern | |||||||
| 1330 Truxtun Ave Suite B | Bakersfield | CA | 93301 | 953098602 | 501(c)(3) | $16,000 | $0 |
| Bakersfield Adventist Academy | |||||||
| 3333 Bernard St | Bakersfield | CA | 93306 | 952545140 | 501(c)(3) | $7,500 | $0 |
| Bakersfield Foundation | |||||||
| 1600 Truxtun Ave 3rd Flr | Bakersfield | CA | 93301 | 911885891 | 501(c)(3) | $10,000 | $0 |
| Bakersfield Symphony Orchestr | |||||||
| 1328 34th Street | Bakersfield | CA | 93301 | 956001765 | 501(c)(3) | $15,000 | $0 |
| Bakersfield Womens Conference | |||||||
| PO Box 10049 | Bakersfield | CA | 93389 | 274473875 | 501(c)(3) | $7,500 | $0 |
| CA Hlth Fund & Trust | |||||||
| 1215 K St Ste 800 | Sacramento | CA | 95814 | 941498697 | 501(c)(3) | $171,021 | $0 |
| Casa Of Kern County | |||||||
| 2000 24th 130 | Bakersfield | CA | 93301 | 770344298 | 501(c)(3) | $17,000 | $0 |
| Christian Youth Film Society | |||||||
| P O Box 1474 | Bakersfield | CA | 93302 | 462691974 | 501(c)(3) | $10,000 | $0 |
| Csu Bksfld Roadrunner Sports | |||||||
| PO Box 843038 | Kansas | MO | 64184 | 320291662 | 501(c)(3) | $55,000 | $0 |
| Garden Pathways Inc | |||||||
| 1616 29th St | Bakersfield | CA | 93301 | 770442212 | 501(c)(3) | $6,250 | $0 |
| Greater Bakersfield Chamber | |||||||
| 1725 Eye Street | Bakersfield | CA | 93301 | 950521125 | 501(c)(3) | $15,588 | $0 |
| Jj S Legacy | |||||||
| P O Box 12793 | Bakersfield CA | CA | 93389 | 273546375 | 501(c)(3) | $25,000 | $0 |
| Kegley Institute of Ethics | |||||||
| 9001 Stockdale Hwy | Bakersfield | CA | 93301 | 952643086 | 501(c)(3) | $10,000 | $0 |
| Kern County Cancer Fund | |||||||
| 6401 Truxtun Ave Suite 280 | Bakersfield | CA | 93309 | 770491071 | 501(c)(3) | $7,500 | $0 |
| Kern County Hispanic Chamber | |||||||
| 1601 H Street Ste 201A | Bakersfield | CA | 93301 | 272663378 | 501(c)(3) | $12,500 | $0 |
| Kern Economic Developmt Corp | |||||||
| 2700 M Street Suite 200 | Bakersfield | CA | 93301 | 770151886 | 501(c)(3) | $25,600 | $0 |
| Links For Life | |||||||
| 1706 Chester Ave | Bakersfield | CA | 93301 | 931088003 | 501(c)(3) | $10,000 | $0 |
| St Johns Lutheran Church | |||||||
| 4500 Buena Vista Road | Bakersfield | CA | 93311 | 430658188 | 501(c)(3) | $30,000 | $0 |
| Vh Families Foundation | |||||||
| 16500 Brimhall Rd | Bakersfield | CA | 93314 | 472830482 | 501(c)(3) | $5,550 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 19 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Additional Supplemental Information | 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 (30 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Adalberto Renteria | ||||||||||||
| Medical Officer CCR | $400,000 | $45,200 | $25,500 | $9,540 | $480,240 | |||||||
| Briggs Sharlet | ||||||||||||
| President | $407,049 | $116,869 | $16,682 | $10,941 | $623,175 | $71,634 | ||||||
| Chen Steven | ||||||||||||
| Treasurer | $334,561 | $54,259 | $16,682 | $43,239 | $492,338 | $43,597 | ||||||
| Chupa Barry | ||||||||||||
| RN/1st Asst | $282,860 | $55,381 | $22,121 | $16,682 | $28,792 | $405,836 | ||||||
| Cornforth Donald | ||||||||||||
| Medical Officer | $285,631 | $402 | $286,033 | |||||||||
| Duffiled Douglas | ||||||||||||
| Former President | $8,769 | $5,834 | $177,772 | $163,169 | ||||||||
| Fargo Roland | ||||||||||||
| Former VP Reg Physician OPS | $175,272 | $95,874 | $10,964 | $21,968 | $630,831 | $326,753 | ||||||
| Ferch Wayne | ||||||||||||
| President, CCR | $740,094 | $327,200 | $21,068 | $1,253,694 | $165,332 | |||||||
| Gil Rey | ||||||||||||
| RN/1st Asst | $275,347 | $2,006 | $13,284 | $16,682 | $21,391 | $328,710 | ||||||
| Gonzales Adrian | ||||||||||||
| Former Pharmacy Director | $96,121 | $14,724 | $27,865 | $311,727 | $173,017 | |||||||
| Herman Susan | ||||||||||||
| VP/CNO | $133,895 | $56,328 | $13,406 | $12,522 | $279,458 | $63,307 | ||||||
| Itani Mohamad | ||||||||||||
| VP Ambulatory Services | $259,772 | $55,249 | $16,682 | $29,770 | $432,632 | $71,159 | ||||||
| Jobe Meredith | ||||||||||||
| Secretary | $419,684 | $111,013 | $16,682 | $21,646 | $704,943 | $135,918 | ||||||
| Larsen David | ||||||||||||
| Finance Officer CCR | $427,072 | $107,292 | $320,716 | $30,339 | $1,018,088 | $132,669 | ||||||
| Morata Ana Lisa | ||||||||||||
| RN | $247,545 | $1,405 | $3,906 | $15,471 | $28,956 | $297,283 | ||||||
| Nahapetian Arby | ||||||||||||
| Former Reg CMO SCR | $557,553 | $165,709 | $16,682 | $34,487 | $1,017,704 | $243,273 | ||||||
| Navarro Rafael | ||||||||||||
| RN/1st Asst | $281,676 | $80,306 | $34,536 | $16,682 | $28,783 | $441,983 | ||||||
| Newmyer Mark | ||||||||||||
| VP Business Dev | $157,018 | $50,336 | $12,639 | $33,210 | $362,952 | $109,749 | ||||||
| Oriente Marilyn | ||||||||||||
| RN | $235,272 | $1,405 | $1,756 | $14,255 | $1,351 | $254,039 | ||||||
| Reiner Scott | ||||||||||||
| Dir/Chair | $1,339,257 | $747,881 | $16,682 | $27,790 | $2,502,908 | $371,298 | ||||||
| Reppert Joseph | ||||||||||||
| CFO | $686,470 | $152,446 | $16,682 | $30,164 | $1,000,461 | $114,699 | ||||||
| Reynoso Ronald | ||||||||||||
| Medical Officer | $182,125 | $13,592 | $214,920 | $19,203 | ||||||||
| Rippey Wesley | ||||||||||||
| Dir Thru 5/18 | $565,539 | $20,249 | $27,319 | $671,511 | $58,404 | |||||||
| Tetz Warren | ||||||||||||
| Construction Executive | $277,933 | $75,073 | $16,682 | $51,282 | $532,643 | $111,673 | ||||||
| Tomano Christopher | ||||||||||||
| Partnership Executive | $143,691 | $9,272 | $8,047 | $18,497 | $179,507 | |||||||
| Van Housen Heather | ||||||||||||
| VP/CNO | $221,606 | $44,090 | $66 | $309,847 | $44,085 | |||||||
| Wagner Jack | ||||||||||||
| A Sec Thru 3/18 | $180,671 | $414,342 | $11,182 | $22,894 | $1,366,983 | $737,894 | ||||||
| Wehtje Ronald | ||||||||||||
| Former Finance Officer SCR | $525,772 | $154,336 | $16,682 | $21,088 | $871,398 | $153,520 | ||||||
| Wing Bill | ||||||||||||
| Dir/VCH/Asst Se | $1,015,353 | $603,273 | $16,682 | $32,633 | $1,924,626 | $256,685 | ||||||
| Zachary Beth | ||||||||||||
| Former President/SCR | $191,196 | $270,398 | $16,682 | $25,683 | $1,352,946 | $848,987 | ||||||
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 |
|---|---|---|---|
| Donald Cornforth | |||
| Key Employee | $60,000 | Business Contract | 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 |
| Doris Tetz | |||
| Dghtr-Key EE | $464,679 | Employment | false |
| Josiah Ferch | |||
| Son - Key EE | $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. Donald Cornforth, a key employee, is the owner of a medical office building the hospital rents.2. Linda Henry is the daughter of Adventist Health board member, Wesley Rippey.3. Brent Wagner is the son of former Adventist Health CFO, Jack Wagner.4. Cambria Wehtje-Sim is the daughter of former officer Rodney Wehtje.5. Doris Tetz is the daughter of former key employee, Warrent Tetz.6. Josiah Ferch is the son of Key Employee Wayne Ferch.7. Carol Jobe is the wife of Meredith Jobe, an officer of Adventist Health. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 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, hospital officers, key employees and department directorsfor completion and signature. The questionnaire is accompanied by a letter ofexplanation, to illustrate examples of a conflict and to remind the recipient thatif any perceived conflict should arise before the next annual questionnaire, he/sheis to notify the CEO immediately.The Corporate General Counsel distributes, collects, and reviews for signatures theCOIs for all applicable Corporate employees and the board. In addition, thehospitals administration is responsible for keeping record to ensure allhospital-based individuals with director and above positions have submitted theirCOIs. The Corporate General Counsel reviews all the disclosures on the board andCorporate employees COIs. Corporate General Counsel retains the COIs for the boardmembers. The officers and key employees COIs are kept in their personnel files.Further inquiries on any potential significant conflicts are made as needed.Conflicts are documented and reviewed with the Board. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top 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 available upon request, but does file monthly/quarterly summary financial reports with the state health-planning agency. |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Increase in MSO Net Assets = $1095024 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Paid in Capital Ajustment = -$8247 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Premier MSO LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2615 Chester Ave | AddressLine1Txt |
| City | Bakersfield | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 271977963 | EIN |
| Primary Activities | Billiing and scheduling for Premier IPA | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Total Income | $365,586 | TotalIncomeAmt |
| End Of Year Assets | $3,982,874 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | San Joaquin Community Hospital | BusinessNameLine1Txt |
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 18th Ave | Clearlake | CA | 95422 | 680395149 | Hospital | CA | 501(c)(3) | 3 | Advenstist Health System West | false |
| Adventist Health Medical Ctr Tehachapi | ||||||||||
| 1100 Magellan Dr | Tehachapi | CA | 93561 | 812240617 | Hospital | CA | 501(C)(3) | 3 | Advenstist Health System West | false |
| Adventist Health Physicians Network | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 680357690 | Medical Foundation | CA | 501(C)(3) | 12b2 | Advenstist Health System West | false |
| Adventist Health So CA Medical Fdtn | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 954424391 | Discontinued Operations | CA | 501(C)(3) | 12b2 | Advenstist Health System West | false |
| Castle Medical Center | ||||||||||
| 640 Ulukahiki Street | Kailua | HI | 96734 | 990107330 | Hospital | HI | 501(c)(3) | 3 | Advenstist Health System West | false |
| Feather River Hospital | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 941101228 | Hospital | CA | 501(c)(3) | 3 | Advenstist Health System West | false |
| Fremont- Rideout Health Group | ||||||||||
| 898 Plumas Street | Yuba City | CA | 95991 | 942917251 | Acute Care Hospital | CA | 501(C)(3) | 12b2 | Advenstist Health System West | false |
| Glendale Adventist Medical Center | ||||||||||
| 1509 Wilson Terrace | Glendale | CA | 91206 | 951816017 | Hospital | CA | 501(c)(3) | 3 | Advenstist Health System West | false |
| Hanford Community Hospital | ||||||||||
| 115 Mall Drive | Hanford | CA | 93230 | 940535360 | Hospitals | CA | 501(c)(3) | 3 | Advenstist Health System West | false |
| Lodi Memorial Hospital Assn Inc | ||||||||||
| 975 So Fairmont Ave | Lodi | CA | 95240 | 941044474 | Hospitals | CA | 501(c)(3) | 3 | Advenstist Health System West | false |
| Northwest Medical Fdtn of Tillamook | ||||||||||
| 1000 Third Street | Tillamook | OR | 97141 | 930622075 | Foundation | OR | 501(c)(3) | 3 | Advenstist Health System West | false |
| Paradise Valley Hospital | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 951816034 | Discontinued Operations | CA | 501(c)(3) | 1 | Advenstist Health System West | false |
| Portland Adventist Medical Center | ||||||||||
| 10123 SE Market Street | Portland | OR | 97216 | 930429015 | Hospital | OR | 501(c)(3) | 3 | Advenstist Health System West | false |
| Reedley Community Hospital | ||||||||||
| 372 Cypress Ave | Reedley | CA | 95370 | 453220509 | Hospital | CA | 501(c)(3) | 3 | Advenstist Health System West | false |
| Rideout Memorial Hospital | ||||||||||
| 989 Plumas Street | Yuba City | CA | 95991 | 941387866 | Acute Care Hospital | CA | 501(c)(3) | 3 | Advenstist Health System West | false |
| St Helena Hospital | ||||||||||
| 10 Woodland Road | St Helena | CA | 94574 | 941279779 | Hospital | CA | 501(c)(3) | 3 | Advenstist Health System West | false |
| Simi Valley Hospital & Health Care Svc | ||||||||||
| 2975 No Sycamore Drive | Simi Valley | CA | 93065 | 956064971 | Hospital | CA | 501(c)(3) | 3 | Advenstist Health System West | false |
| Sonora Community Hospital | ||||||||||
| 1000 Greenley Road | Sonora | CA | 95370 | 941415069 | Hospital | CA | 501(c)(3) | 3 | Advenstist Health System West | false |
| Stone Point Health | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 823763347 | Supporting Organization | CA | 501(c)(3) | 12b2 | Advenstist Health System West | false |
| Ukiah Adventist HospitalAdventist Health | ||||||||||
| 275 Hospital Drive | Ukiah | CA | 95482 | 941639901 | Hospital | CA | 501(c)(3) | 3 | Advenstist Health System West | 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 | WA | 501(c)(3) | 3 | Advenstist Health System West | 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 | 95430 | 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 | PO Box 61935 | 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 Hosp | 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 | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | 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 |
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