2019-07-05T13:50:45-07:00 2018-08-31 990 2017-09-01 951647809 Barlow Respiratory Hospital BARL 2132026881 2000 Stadium Way Los Angeles CA 90026 Ed Engesser CFO 2019-07-05 2017 2019-02-21 02:37:17Z 67151762 false false X www.barlowhospital.org X 1902 CA A not-for-profit, long-term acute care specialty healthcare organization is to improve the quality of life for patients with respiratory and other diseases that may require prolonged acute hospitalization of specialized treatment. 11 9 398 9 0 39000 36660 66817678 66600291 221662 259736 205332 255075 67283672 67151762 0 0 36271313 38646940 0 0 33832895 29753203 70104208 68400143 -2820536 -1248381 44100527 44586734 7835348 9148977 36265179 35437757 A not-for-profit, long-term acute care specialty healthcare organization is to improve the quality of life for patients with respiratory and other diseases that may require prolonged acute hospitalization of specialized treatment. false false 36087987 36105167 Hospital provides patient care days of 14,169 days for a total of 391 admissions at Main Campus location. Patient population includes patients unable to wean off ventilators at short-term acute hospitals and patients with other respiratory diagnoses and critically complex cases. 11566301 19739344 Hospital provides patient care days of 8,587 days for a total of 276 admissions at Van Nuys Campus location. Patient population includes patients unable to wean off ventilators at short-term acute hospitals and patients with other respiratory diagnoses and critically complex cases. 7065827 10755780 Hospital provides patient care days of 5,132 days for a total of 194 admissions at Whittier Campus location. Patient population includes patients unable to wean off ventilators at short-term acute hospitals and patients with other respiratory diagnoses and critically complex cases. 54720115 true true false true false false false false false false true false false true true true true true false false false false false false false false true true false false true false false false false false false false false false false false false false false false false true false false false true 129 0 true 398 true false false false false false false false false 0 false false false false false false false false false false X 11 9 false false false false true true true true true false false true true true true true true true true false X Ed Engesser 2132504200 2000 Stadium Way Los Angeles CA 90026 X Michael D Berger Chair 2.00 1.00 X X 0 0 0 Diane Naegele Vice Chair 2.00 1.00 X X 0 0 0 Jason Zayon Secretary 1.00 0.00 X X 0 0 0 Bradford M Bolger Board Director 1.00 0.00 X 0 0 0 Earl E Gales Jr Board Director 1.00 0.00 X 0 0 0 Richard F Seidenstart 62018 Board Director 1.00 0.00 X 0 0 0 Eric Kleerup MD Board Director 1.00 0.00 X 0 0 0 John Van Dyke MD Board Director 1.00 0.00 X 0 0 0 Daniel Weinstein Board Director 1.00 0.00 X 0 0 0 David Nelson MD Medical Dir. 24.00 3.00 X 242153 0 0 Amit Mohan President & CEO 40.00 5.00 X X 329198 0 24279 Azmy Ghaly MDend 122017 Board Director 1.00 0.00 X 0 0 0 Ed Engesser CFO 24.00 5.00 X 179912 0 5951 Gladys D'Souza CNO 40.00 0.00 X 214617 0 22737 Kirk Watson VP, Business Development 40.00 0.00 X 235971 0 6243 Haydee Dator Charge Nurse 42.00 0.00 X 181136 0 17224 Teresita Pecina Nursing Supervisor 40.00 0.00 X 166793 0 17987 Maria Silverio Charge Nurse, ICU 42.00 0.00 X 168833 0 0 Sandra Harlan Sr Dir of Finance 40.00 0.00 X 155960 0 16534 Angelina Games RN, ICU 36.00 0.00 X 162515 0 10070 2037088 121025 102 false true false Valley Presbyterian Hospital 15107 Vanowen Street Van Nuys CA 91409 Medical Services 3744579 Presbyterian Intercommunity Hsp 12401WashingtonBl Whittier CA 90602 Medical Services 2306688 Kaiser Foundation Health Plan PO Box 80204 Los Angeles CA 90080 Medical Services 1847778 Shiftwise 1800 SW Ist Ave Suite 510 Portland OR 97201 Registry 469057 Southland Medical Dialysis 102 S Ardmore Ave Los Angeles CA 90004 Medical Services 366710 16 36660 36660 Managemnt services rev 561000 41000 41000 Patient services rev 623000 66559291 66559291 66600291 259736 259736 0 0 25700 25700 25700 25700 0 0 0 0 Cafeteria 722210 99342 99342 Miscellaneous revenue 900099 103030 103030 Refund from vendors 900099 27003 27003 229375 67151762 66600291 514811 X 0 0 0 0 1297722 1038178 259544 0 27058264 21646611 5411653 521171 416937 104234 7338837 5871070 1467767 2430946 1944757 486189 411066 328853 82213 161359 129087 32272 86063 68850 17213 15087 12070 3017 0 0 1479209 1183367 295842 0 5997474 4797979 1199495 370302 296242 74060 0 3119588 2495670 623918 54248 43398 10850 0 87001 69601 17400 0 0 878528 702822 175706 0 Purchased services 10049846 8039877 2009969 Impairment Loss on ppty&equip 5901460 4721168 1180292 General & Administrative 869397 695518 173879 All other expenses 272575 218060 54515 0 68400143 54720115 13680028 0 4464 4506 690130 1007463 0 12308646 18229136 0 0 0 558813 736563 824947 969185 28427776 22617434 10404830 5810342 0 78780 663 0 0 19229917 17828876 44100527 44586734 7084311 7088650 751037 2060327 7835348 9148977 X 21850045 22508944 6664830 4393355 7750304 8535458 36265179 35437757 44100527 44586734 X -1248381 420959 X false true X true false X false false false false false false false true 15087 false false false 15087 false false Part II-B, Line 1i - Other Activities Description The organization pays membership dues to the Hospital Assocation of Southern California (HASC) and National Assocation of Long Term Hospital (NALTH). A portion of the dues paid are used for lobbying activites by HASC and NALTH on behalf of their members. The organization also pays consulting fee to Dunn Consulting for amend potential legislation for its expansion of services. 24721 24721 7666902 7363984 302918 236918 232946 3972 17333204 15020504 2312700 3166031 3166031 5810342 Due from Affiliates 4868877 Insurance receivable 17605 Investment in net assets of affiliates 12928813 Misc. receivable 13581 17828876 Due to third-party payors 350581 Line of credit 1250000 Professional liability 459746 2060327 X 67151762 67151762 67151762 68400143 68400143 68400143 Part X : FIN48 Footnote The Hospital accounts for uncertain tax positions in accordance with the provisions of Financial Accounting Standards Board ("FASB") Accounting Standards Codification ("ASC") Topic 740-10, "Income Taxes". The Hospital had no unrecognized tax benefits which would require an adjustment at August 31, 2018 or 2017. The Hospital files Federal and California exempt organization returns. true true X true X true X true true false false true true 176495 176495 0.00260 4959597 3632290 1327307 0.01940 4352654 2236520 2116134 0.03090 9488746 5868810 3619936 0.05290 66313 66313 0.00100 184376 184376 0.00270 250689 250689 0.00370 9739435 5868810 3870625 0.05660 41470 41470 0.00060 24843 24843 0.00040 66313 66313 0.00100 true 1556918 37420558 38895735 -1475177 X true true 1 1 Barlow Respiratory Hospital X false false true X X X X X X X X 16 true false false true X www.barlowhospital.org X true 16 true www.barlowhospital.org true false true X 200.0000 350.0000 true true X true X www.barlowhospital.org X www.barlowhospital.org X www.barlowhospital.org X X X X X true X false true X false false Part V, Line 5 - Account Input from Persons Who Represent the Community The hospital conducted interviews with members of the Board of Directors, members of the Medical Staff, referring physicians, public health officials, and administrative staff of hospitals in the greater Los Angeles area.Part V, Line 14 - Amounts Charged to PatientsFacility : Barlow Respiratory HospitalThe basis for calculating amounts charged to patients is the amount that Medicare would pay if the patients services were covered by Medicare. Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why Part V, Section B, line 7 Barlow completed a Community Health Needs Assessment (CHNA) and adopted an Implementation Strategy in October, 2013.Barlow is a regional referral center and our primary service area is defined as the entirety of Los Angeles County. Because of the vast size of this service area, the identified community health needs in the region are many and far reaching. They include:Access to careChronic disease conditionsHomelessnessMental healthNutrition and physical activityOverweight and obesityPreventive practices (vaccines, screenings)SmokingDue to the enormity of the issues identified in the CHNA, and the relatively modest resources of our organization, we are not able to address all community needs. Rather, we have chosen to address a subset of prioritized needs that we selected utilizing the following criteria:Existing organizational infrastructure and capacity whether the hospital has programs, systems, staff and support resources in place to address the issue.Established relationships whether there are established relationships with community partners to address the issue.Ongoing investment whether existing resources are committed to the issue. Staff time and financial resources for this issue are counted as part of our community benefit effort.Focus area whether the hospital has acknowledged competencies and expertise to address the issue and the issue fits with the organizational mission.Application of the criteria resulted in the following prioritized list of community health needs:Priority Health Needs Access to care - ranking high Chronic disease conditions - ranking high Smoking - ranking high Homelessness - ranking low Mental health - ranking low Nutrition/physical activity - ranking low Overweight/obesity - ranking low Preventive practices - ranking low Barlow has begun an implementation program to address these prioritized needs. Part V, Line 22d - Other Billing Determination of Individuals Without Insurance The hospital facility used the Medicare DRG based payment system to determine payment. Part I, Line 6a - Related Organization Community Benefit Report The hospital filed a community benefit report with the California Office of Statewide Health Planning and Development. It is available to the public through that organization and is available upon request from the Hospital.Part I, Line 7 - Financial Assistance and Certain Other Community Benefits at CostThe cost /charge ratio, derived from Worksheet 2, was used to determine costs on line 7 column (f) and column (c).Part II - Community Building ActivitiesThe hospital makes its meeting rooms available at no charge to community based non profit and government organizations ( e.g. police departments and as a polling place for federal, state and local elections) for their meetings and educational sessions, and hosted a breath mobile operated by LAC+USC Medical Center. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense Bad debt expense includes actual charges written off as uncollectible and an estimate of uncollectible bad debt amounts in open accounts at fiscal year end. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit No bad debt expense is reported as a community benefit. Part III, Line 4 - Bad Debt Expense Barlow Respiratory Hospital Notes to audited Financial Statements for the years ended August 31, 2018 and 2017 - page 8, Note 2Provision for doubtful accounts The Hospital provides for an allowance against patient accounts receivable for amounts that could become uncollectible whereby such receivables are reduced to their estimated net realizable value. The Hospital estimates this allowance based on the aging of their accounts receivable, historical collection experience by payer, and other relevant factors. There are various factors that can impact the collection trends, such as changes in the economy, which in turn have an impact on unemployment rates and the number of uninsured, and under-insured patients, the increased burden of co-payments to be made by patients with insurance, and business practices related to collection efforts. These factors continuously change and can have an impact on collection trends and the Hospitals estimation process. The Hospitals policy is to attempt to collect amounts due from patients, including co-payments and deductibles due from patients with insurance, at the time of service while complying with all federal and state laws and regulations. Part III, Line 8 - Explanation Of Shortfall As Community Benefit The Medicare Cost Report cost finding methodology was used to determine the cost of services to Medicare covered patients. Approximately 70 % of the Medicare patients that receive care at the hospital are dually eligible for both Medicare and Medi-Cal so they are low income seniors that meet Medi-Cal eligibility criteria and would be have Medi-Cal coverage as their primary coverage if they were less than 65 years of age. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Collection activity by the Hospital will cease when the patient is declared eligible for charity care and will be suspended during the period that the patient is attempting to qualify under the Hospitals Financial Assistance Policy. X X X false false false false false false false true false false Amit Mohan President & CEO 275198 54000 8023 16256 353477 Angelina Games RN, ICU 157859 4656 3634 6436 172585 David Nelson MD Medical Dir. 232153 10000 242153 Ed Engesser CFO 169912 10000 5176 775 185863 Gladys D'Souza CNO 192836 21781 5972 16765 237354 Haydee Dator Charge Nurse 176923 4213 5381 11843 198360 Kirk Watson VP, Business Development 221880 14091 5865 378 242214 Maria Silverio Charge Nurse, ICU 165064 3769 168833 Sandra Harlan Sr Dir of Finance 139434 16526 4560 11974 172494 Teresita Pecina Nursing Supervisor 162524 4269 5046 12941 184780 Part I, Line 7: Non-Fixed payments not listed above The bonus was determined by the compensation committee of the Board of Directors. Client Note 1 Client Note 1 - Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The Barlow Group, a California nonprofit public benefit corporation is the only member. The Barlow Groups also serves as the only member of the Barlow Foundation which is the fund raising arm for Barlow Respiratory Hospital. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body There are two categories of directors- Designated directors and Selected directors.Designated Directors of which there shall be no more than five (5), shall be the individuals serving in the positions enumerated below:(a)President of Barlow Group;(b)President of the corporation;(c)Medical Director of the Hospital;(d)Chief of the medical staff of the Hospital (the Medical Staff) (duly elected by the Medical Staff).(e)Chairperson of the Board of Barlow Foundation, or another member of the Board of Barlow Foundation as designated by the Barlow Foundation and approved by the Board of Barlow Group.Each Designated Director shall serve on the Board so long as he or she holds at least one of the positions enumerated above.All directors other than the Designated Directors shall be Selected Directors. Pursuant to Section 5220(d) of the California Nonprofit Public Benefit Corporation Law, all Selected Directors shall be designated by the Member and shall serve at the pleasure of the Member. All directors of the corporation shall be individuals also serving on the Members Board of Directors. Selected Directors shall serve for the same term as the Selected Director serves on the Members Board of Directors.Notwithstanding any other provision of these Bylaws, at no time shall the Board include in the aggregate more than forty-nine percent (49%) interested persons as defined by Section 5227 of the California Nonprofit Public Benefit Corporation Law. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders Each of the following powers may be executed only with the prior written approval of the Member:(a)To retain an attorney or firm of attorneys to provide legal services for the corporation and to fix the amount of compensation for such services, except in such a case where the retention of an attorney or firm of attorneys concerns a non-routine situation, such as, by way of example only, the existence of a conflict of interest that requires the use of an attorney or firm of attorneys not previously consented to;(b)To retain an accountant or firm of accountants to provide accounting and auditing services for the corporation and to fix the amount of compensation for such services;(c) To authorize any unbudgeted expenditure in excess of $100,000 for capital improvements to the properties owned or leased by the corporation and not approved by a budget procedure;(d)To establish any programs with respect to marketing and/or public relations, which relate to strategic planning on a system-wide basis for the Barlow Group and its affiliates and to retain any consultants at a cost in excess of $250,000 with respect thereto;(e)To incur or guarantee indebtedness, as so defined in accordance with Generally Accepted Accounting Principles;(f)To mortgage, pledge or otherwise encumber any real property of the corporation, and to mortgage, pledge or otherwise encumber property or assets, other than real property, of the corporation with a value in excess of $50,000;(g)To sell, lease, assign or otherwise transfer any real property of the corporation, and to sell, lease, assign or otherwise transfer property or assets, other than real property, of the corporation with a value in excess of $50,000;(h)To adopt or modify an annual budget and an annual business plan for this corporation;(i)To form a subsidiary or enter into an agreement to act as a general partner;(j)To remove the President, the Chief Financial Officer or the Medical Director from office; and(k)To amend or repeal the Bylaws. Form 990, Part VI, Line 11b: Form 990 Review Process The Chief Financial Officer and the Finance Department staff will prepare and file the returns. When it is deemed appropriate, consultative support and /or review will be solicited from an external public accounting firm. Prior to filing, the return for each of the Barlow Organizations will be distributed to the Barlow Group Board of Directors for their review. The Chief Executive Officer performs a final review and approves the Annual Information Returns before filing. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The hospital has a Board of Director Conflict of Interest Policy that all Board members sign at least every two (2) years. The policy requires every director to complete the Director and Officer Questionnaire and identify all known actual or potential conflicts of interest in which they or one or more of their family members may be involved. In addition during deliberations or discussions at any Board of Directors meeting, an individual Board member shall identify any actual or potential conflict of interest, and having so disclosed the actual or potential conflict of interest and the material facts thereof, shall not participate in discussion on that agenda item and shall not vote on the issue. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The Personnel/Compensation Committee (Committee) of the Board of Directors is charged with the responsibility of establishing and recommending changes to the compensation of the CEO,CFO and Medical Director. The Committee utilizes the Hospital Association of Southern California's Health Executive Compensation Report to benchmark BRH compensation to the marketplace. Specifically the 'Single Facility Southern California Salary Range' amounts for minimum-midpoint-maximum compensation serve as the benchmarks for determining comparative marketplace compensation. The CEO and CFO are eligible to participate in the same paid time off and employee insurance benefits as all Hospital management level employees. The Medical Director and CEO have written contracts which document their compensation and benefits. The committee reviews the experience level of the individual in each position, the individual accomplishments of officer, and the overall accomplishments of the hospital in recommending compensation and/or changes to compensation for these three positions. The Committee's recommendations are then submitted to the full Board of Directors for discussion and approval. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The audited financial statements, governing/organizing documents, and conflict of interest policy are all available upon request. Other Changes In Net Assets Or Fund Balances - Other Increases Change in value of split-interest agreements = $457619 Other Changes In Net Assets Or Fund Balances - Other Decreases Government grants = -$36660 Form 990, Part IX, Line 24b - Impairment Loss on Property and Equipmen The Hospital recognized an impairment loss on long-lived assets in accordance with the provisions of Financial and Accounting Standards Board Accounting Standards Codification 360-10-35, Measurement of an Impairment Loss, totaling approximately $5,901,000 during the year ended August 31, 2018. The impairment loss relates to the costs associated with negotiating the sale of excess property as well as the work directed toward securing approval for the new Barlow Hospital and residential building sites on the Stadium Way property. Due to the hospital abandoning its plans to construct a new hospital and its current plan to retrofit and upgrade the current hospital building which is located on land covered by the East Side PSA, the existing PSAs are unworkable for both parties. Barlow Foundation 2000 Stadium Way Los Angeles CA 90026 954560787 Fundraising CA 501(c)(3) 7 Barlow Group false Barlow Group 2000 Stadium Way Los Angeles CA 90026 953771980 Promote public health CA 501(c)(3) III-FI NA false false false false false false false false false false false false false false false true false false true true