2016-11-15T16:05:46-08:00 2015-12-31 Clement & Associates CPA 2930 Honolulu Avenue Suite 200 La Crescenta CA 91214 990 2015-01-01 951816017 Glendale Adventist Medical Center GLEN 8184098000 1509 Wilson Terrace Glendale CA 91206 Tetz Warren Asst Sec/Sr VP 2016-11-15 true S Clement P01218012 8182491065 X 2015 2017-02-10 21:41:12Z Roberts Kevin 2100 Douglas Blvd Roseville CA 95661 404378298 false false 1071 X www.glendaleadventist.com X 1905 CA The hospital mission is to provide our community with physical, mental, and spiritual healing in a way that reflects God's love for all. 12 7 2556 951 1444023 530367 2075815 1579802 394680878 400425088 3536799 1725798 478276 647610 400771768 404378298 662138 580071 0 181578599 192076977 0 1338355 218956845 223514534 401197582 416171582 -425814 -11793284 380794660 369413805 228626425 232489614 152168235 136924191 To share God's love with our community by promoting healing and wellness for the whole person. false false 371456153 580071 397851819 Glendale Adventist Medical Center (GAMC) 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 of Glendale Adventist Medical Center the organization recognizes that not all individuals possess the ability to pay for essential medical services. Adventist Health's 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 care Providing care to persons covered by governmental programs at below cost Providing health/wellness activities and community education programsNot only does Glendale Adventist MedicalCenter provide low-cost care to individuals covered by government programs and those unable to afford health care, but it also helps patients find and access private and governmental resources for health care benefits. Glendale Adventist MedicalCenter 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 2015 was $17,227,821.Inpatient services in 2015 were provided to 19,986 patients. These services included: 2,349 Babies delivered 4,064 Surgeries performed 45,611 Radiology procedures performed 28,287 Cardiac catheterizations and other procedures 566,823 Laboratory tests performed 626 Rehabilitation patients 1,560 Mental health patientsOutpatient services in 2015 were provided to 282,218 patients. These services included: 57,369 Emergency room visits 4,208 Outpatient surgeries performed 69,792 Radiology procedures performed 31,279 Cardiac catheterizations and other procedures 340,975 Laboratory tests performedGlendale Adventist MedicalCenter 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:Children's Health Outreach InitiativeCenter to Increase Community OrganizationCommunity support groupsCommunity health education classesHQ Newsletter for health promotionParamedic base stationTobacco Control ProgramCancer Survivor DayBeyond Loss Bereavement ProgramMental health support groupsBreast Cancer Awareness MonthCancer screeningsCancer Fitness ProgramGAMCs mission anchors everything we do, extending out to the community in many ways. Collaborative efforts between GAMC, local organizations and donors has created critical programs needed to address the specific health care needs of the more than residents living throughout our service area. Together we are changing the outcome of the community's health.Glendale Adventist Medical Center is accreditated as a Chest Pain Center and has been designated as a STEMI receiving center (SRC) by the Los Angeles County Emergency Services. When emergency medical personnel confirm a heart attack/STEMI diagnosis, they bring a patient directly to the GAMC emergency department for treatment. STEMI is a medical term that means heart attack (ST Evaluation MI).During 2015, GAMC was recognized by the County as a Top Performer and a leading program in Los Angeles County for its exceptional treatment times and mortality rate, well under the benchmark goal of being under 10%. GAMC was identified as having the lowest door-to-balloon time out of 34 Los Angeles County hospitals designated as STEMI receiving centers. Door-to-balloon time is the amount of time between the heart attack patient arriving at the doors of the emergency department and the opening of the clogged cardiac artery in the cardiac catheterization lab. The more quickly the artery is opened, the more quickly blood flow and oxygen can be delivered to the heart muscle. Quicker time means heart muscle is saved.Strokes are another area the hospital has received high recognition. Stroke patients who receive tPA (tissue plasminogen activator) intravenously within the first three hours after the start of stroke symptoms show a significant reversal of the effect of a stroke and it reduces permanent disability. The Neuroscience Institute at GAMC is home to one of the few Advanced Primary Stroke Centers in Los Angeles County and in 2015 became the first hospital in California to receive Comprehensive Stroke Center accreditation from DNV-GL Healthcare USA, the highest certification that a hospital can receive.Glendale Adventist Medical Center is the only hospital in Los Angeles County to be certified as both a Stroke and Chest Pain Center. Both of these designations come about with close cooperation with the local emergency medical system and the physicians who perform the medical procedures and follow up with the patients after their discharge from the hospital. This emphasis on Stroke and Chest Pain along with the focus of all departments in the hospital has enabled it to reduce deaths significantly. GAMC was ranked #5 in the nation as having the 5th lowest risk-adjusted mortality rate according to the Centers for Medicare & Medicaid Services based on deaths occurring within 30 days following discharge based on the 2009-2012 time period.The Centers for Medicare & Medicaid Services (CMS) recently released its Star rating with thousands of hospitals across America rated on a one-to-five star scale. GAMC received an impressive four out of five stars, which was given to only ten hospitals out of 57 rated hospitals within a 25 mile radius of GAMC. The score, four out of five stars, places GAMC in the top 20 percent of hospitals in our region.GAMC has been voted as the Best Hospital and having the best nurses in the Glendale area for several years by the readers of a local newspaper and more than 100 of the GAMC physicians were nominated by the medical community for Pasadena Magazine's Top Docs.A significant portion of the mission-driven assistance GAMC provides its community is intangible or otherwise difficult to quantify. The following story illustrates this:One in eight women in the United State will be diagnosed with breast cancer in her lifetime and it is the second leading cause of death among women. A cancer diagnosis changes a persons life forever. It is frightening and stressful but no one needs to go through this journey alone. Thankfully, because of the advances in healthcare and quick response of talented physicians, Glendale Adventist Medical Center was able to help Elen Tahmasian become one of the over 2.8 million breast cancer survivors in the United States today. The GAMC Cancer Center provides free cancer support services to cancer patients and their familiesregardless of where they received treatment. Programs such as support groups, yoga classes, art classes, and positive image services are available because of the generous donations to the Healthcare Foundation and the tremendous fundraising efforts of the GAMC Cancer Care Guild.Like many other women who receive chemotherapy and radiation as a part of their treatment, Elen lost her hair and struggled with the emotional side effects of seeing what seemed like a different woman in the mirror. One of the support services the GAMC Cancer Center provides is the Positive Image Center which provided women with free wigs, hats, scarves and knitted caps. Elen was able to use the Positive Image Center which gave her a huge boost to her personal self worth and helped her through her treatment and recovery. Compassionate, high-quality patient care; life-saving and life-preserving medical and surgical services; advanced treatments in a community-based hospital; essential emergency services- these are the reasons our donors choose Glendale Adventist Medical Center as their charity of choice.For more information on the work that we do, visit us at www.glendaleadventist.com. 371456153 true true false true false false false false false true true false false true true false false true false false false true false false false false true true true false true false false false false false false false false false true false false false false false false true true false false false true 296 0 true 2556 true true true false false false false false false 0 false false false false false false false false false false X 12 7 false false false false true false true true true false false true true true true true true true true true true CA X Jon Giese CFO 8184098000 1509 Wilson Terrace Glendale CA 91206 X Caviness Larry Director 0.00 4.00 X 0 6749 0 Dickinson Charles Director 0.00 4.00 X 0 5456 0 Friestad Christine Director 0.00 4.00 X 0 1752 0 Gabriel Melody Director 0.00 4.00 X 0 2333 0 Graham Ricardo Director 0.00 4.00 X 0 4132 0 Heinrich Kerry Director 0.00 4.00 X 0 528 0 Innocent Larry Director 0.00 4.00 X 0 2045 0 Jones Helmuth Director 0.00 4.00 X 0 84278 0 Reimche Allan Director 0.00 4.00 X 0 2734 0 Rippey Wesley Director 0.00 4.00 X 0 124608 0 Salazar Velino Director 0.00 4.00 X 0 1416 0 Torkelsen Max Director 0.00 4.00 X 0 2801 0 Reiner Scott Dir/Chair 0.00 50.00 X X 0 1526040 261659 Wing Bill Dir/V Chair 0.00 50.00 X X 0 1245488 228400 Jobe Meredith Secretary 0.00 50.00 X 0 537841 93577 Wagner Jack Asst Treas 0.00 50.00 X 0 1056525 41424 Wehtje Rodney Asst Treas 0.00 50.00 X 0 591358 58716 Roberts Kevin President & CEO 0.00 50.00 X 0 731071 125864 Giese Jonathan Treas/Asst Sec 0.00 50.00 X 0 343145 27747 Tetz Warren Asst Sec/Sr VP 0.00 50.00 X 0 1172896 86399 Zachary Beth Regional CEO 0.00 50.00 X 0 1013175 439403 Brandt-Mayo Karen VP Clin Svcs/CNO 0.00 50.00 X 0 268786 37638 Correa Sharon VP/CIO 0.00 50.00 X 0 256087 39507 Fargo Roland Sr VP Reg Physician Ops 0.00 50.00 X 0 462224 83048 Markarian Ramella VP Bus Dev/Phys Rel 0.00 50.00 X 0 231676 48012 Nahapetian Arby VP Med Affairs 0.00 50.00 X 0 660426 134092 Zachary Beth Reg President & CEO 0.00 50.00 X 0 1013175 439403 Marchuk Robert Former VP Ancillary Svcs 0.00 0.00 X 0 0 0 Brown Robert Registered Nurse 55.00 0.00 X 230894 0 19200 VanHouten Terri AVP Nursing Ops 50.00 0.00 X 230261 0 20573 Eskandarian Romic Pharmacy Director 50.00 0.00 X 210891 0 12090 Sanimtong Tassanee Registered Nurse 50.00 0.00 X 203044 0 25200 Patana Suvanna Registered Nurse 55.00 0.00 X 196182 0 24852 Carmen Robert Former Dir/Chair 0.00 0.00 X 0 227056 6362 Rebok Douglas Former Asst Sec 0.00 0.00 X 0 597483 29043 1071272 12173284 2282209 351 true true false Family Practice of Glendale Glendale Med Gp 801 S Chevy Chase 201 Glendale CA 91205 Residency Teaching 2959465 Faculty Physicians & Surgeon 11175 Campus St 11120 Loma Linda CA 92350 Medical Services 2676377 Sound Physicians PO Box 742936 Los Angeles CA 90074 Physician Group 2138590 Mak Albert CMD Inc 707 S Garfield Ave Ste B002 Alhambra CA 91801 Physician 1505000 CHP Glendale Mob Owner LLC 30021 Tomas Rd 130 Rancho Santa Marg CA 92688 Medical Services 1341904 40 10226 1271803 297773 1579802 Education 611430 1302902 1302902 Other Prog Serv Rev 900099 1544122 1544122 Patient Svc Revenue 621110 393095293 391671055 1424238 Program Service Revenue 621110 1670285 1670285 Rental Income - Prog 531120 1348595 1348595 1463891 1357320 106571 400425088 1725798 1725798 0 0 0 0 0 0 0 Change Int Fdtn Net Asset 900099 492126 492126 Mgmt Fees-Unrelated Orgs 541900 30776 10991 19785 Other Non-Operating Inc 900099 124708 124708 647610 404378298 397851819 1444023 3502654 580071 580071 0 0 0 0 0 149389509 135429175 12964709 995625 5542343 5542343 26158891 22135028 4023863 10986234 9958045 1028189 0 18902238 16280784 2621454 157879 142879 15000 0 0 0 0 1480893 1478397 2496 4336639 3012479 1299285 24875 18606082 18509056 97026 0 9280268 9251510 5202 23556 421662 234012 144834 42816 0 262103 208149 53954 5568629 5568629 0 17789307 17788140 1167 2181811 2181811 Pt Care Supplies 50832002 50832002 Purchased Services 44295669 25026377 19118325 150967 Qual Assur Hosp Fee 39223114 39223114 Other Expenses 9088784 8612280 393484 83020 1087454 1083148 4306 416171582 371456153 43377074 1338355 717684 88496 34805298 34693297 0 75831517 79985389 0 0 0 5268682 5167784 2159772 2605137 475128720 259101261 224646056 216027459 789731 1123298 0 0 6564490 6903396 30011430 22819549 380794660 369413805 25750744 32739376 33024046 31801946 169851635 167948292 228626425 232489614 X 147544236 132361765 4322277 4254485 301722 307941 152168235 136924191 380794660 369413805 X -11793284 -3450760 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 30405 30405 false false Part II-B, Line 1i - Other Activities Description Allocation of dues paid to industry and professional organizations. 4623999 1170607 6219 1238399 4562426 5496022 1682931 6334 2561288 4623999 4554971 2490107 6184 1555239 5496023 4909132 1730418 8346 2092925 4554971 5135086 878394 7469 1111817 4909132 1.00000 false true true 3726115 3726115 365859691 187427939 178431752 5405253 2755723 2649530 87141690 67068882 20072808 12995971 1848717 11147254 216027459 Other Assets 4212407 Other Receivables -259374 Receivables from Related Organizations 11981320 Receivables from Third-Party Payors 6885196 22819549 Other Liabilities 23701 Payables to Related Organizations 153586193 Payble to third-party payors 4780315 Workers Compensation Liability 9558083 167948292 Part V, Line 4: Intended uses of the endowment fund. Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended. true Russia-Armenia Mission Trip 268841 Travel/Supplies Cost 1 false false false false false false true true X true X 300.000000000 true X 450.000000000 true true false false true true 2929597 2929597 0.00700 133439967 109232083 24207884 0.05820 17867 105069 136387431 109337152 27137481 0.06520 5163667 749084 4414583 0.01060 8113912 1999256 6114656 0.01470 11833065 7122623 4710442 0.01130 614337 614337 0.00150 25724981 9870963 15854018 0.03810 162112412 119208115 42991499 0.10330 2692861 2692861 0.00650 2692861 2692861 0.00650 true 5200644 2756342 140764312 126015319 14748993 X true true 1 1 Glendale Adventist Med Center 1509 Wilson Terrace Glendale CA 91206 X X X X Acute, Psychiatric & Skilled Nursing false false true X X X X X X X X X 13 true true false true X X true 13 true See webb address in 7 d above true false true X 300.0000 450.0000 X X X true true X X X true X https://www.adventisthealth.org/glendale X X X true false X X X X true X false false Part V, Line 5 - Account Input from Persons Who Represent the Community Focus GroupsMeetings with Community LeadersDiscussions with Area Hospitals Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment Glendale Memorial Hospital & Health CenterVerdugo Hills Hospital Part V, Line 7d - Description of Making Needs Assessment Widely Available The Community Benefit Plan for Glendale Adventist Medical Center can be found at https://www.adventisthealth.org/pages/about-us/community-health-needs-assessments.aspx Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why The CHNA seeks to identify every health need in the community. We have prioritized those needs and matched them up with service lines that we have and developed strategies around those. The primary areas we are focused on are cardiovascular disease, stroke care and prevention, diabetes, and cancer. In other areas that were identified we do not have the resources or expertise to address those needs, so are rely on other partners in the community with expertise in those areas. 1 GAMC Alcohol & Drug Rehab 335 Mission Road Glendale CA 91206 Alcohol & Drug Rehabilitation Services 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 as reported in the system-wide combined audited financial statements. The resulting figure has been reported as bad debts at cost on Part III, Line 2.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.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 $125,835,906 Prior Year Settlements 1,627,753 Cost Report Reimbursable Bad Debts 895,202 Less Amts included in Part 1, lines g & f (1,685,817) Non-Cost Report Revenue - Estimates and Accrual Variances (1,043,318) Other 15,134,586 ___________ Subtotal - Amount reported in Pt III, line 5 140,764,312 Amount included in Part 1, lines g and f 1,685,817 ___________ Total Medicare Revenue $142,450,129*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 - Needs Assessment For the 2013 CHNA, three Glendale hospitalsGAMC, Glendale Memorial Hospital and Health Center, and Verdugo Hills Hospitalcollaborated, as they have in the past, to work with the Center for Nonprofit Management consulting team in conducting the CHNA. During the initial phase of the CHNA process, community input was collected during a focus group with key stakeholders, including health care professionals, government officials, social service providers, community residents, leaders, and other relevant individuals. Previous CHNAs were reviewed to identify trends. Participants completed an online questionnaire about health needs, drivers, and resources, and ranked each health need according to several criteria including severity, change over time, resources available to address the need or driver. Part VI - Patient Education of Eligibility for Assistance For scheduled cases, PAS staff runs patients eligibility and informs patients of their benefits and financial responsibility. If a patient is insured under a government program, staff informs them about any financial responsibility they have, and ask whether the patient has further questions about their government benefits. If a patient is uninsured, staff provides education about government programs that may be available, and including appointment-setting with the on-site state Medi-Cal worker. If a patient is uninsured and unable to meet any portion of their financial responsibility, staff connects them with government programs, and if appropriate, helps them apply for GAMCs hospital assistance program. GAMC communicates to the public through the website, application form and plain language, the FAP, application form and plain language summary (PLS) are available free of charge in registration areas. Notices about financial assistance are posted in high traffic registration areas. Part VI - Community Information GAMC serves greater Glendale and Northeast Los Angeles including Highland Park, Glassell Park, and Eagle Rock. The area includes an MUA as well as a health profession shortage area. The population served (about 300,000) is 36% Latino, 44% Caucasian (including the largest population of Armenians outside of Russia/Armenia), 16% Asian (Korean and Filipino), 2% African-American, and 2% Other. GAMC serves a large immigrant, low-income and uninsured population whose ability to access health services is impacted by barriers such as immigration status, educational attainment, employment status and level of poverty. Overall, 44.4% of residents are foreign born and 24% are not United States citizens. Forty-two percent of the households in the GAMC primary service area have an annual income of under $35,000. Furthermore, 27% of adults in Service Planning Area (SPA) 2 and 35.5% of adults in SPA 4 are uninsured; more than one-third of adults have difficulty accessing health care; and, almost 25% of residents over 18 have no a regular source of health care (65% higher than the general population).Part VI Promotion of community health. GAMC has a civic advisory board that meets quarterly to establish or maintain a dialogue with the community. The hospitals mission expresses itself as caring for the whole community by initiating many community collaborative projects, including the development of the Glendale Healthier Community Coalition (GHCC) and Glendale Healthy Kids, obtaining the California Healthy City designation for Glendale, and the creation of the Center for Increasing Community Organization (CINCO) in Highland Park. GHCC is the vehicle GAMC uses to coordinate its efforts with the community, including Care Transition, Consortium of Safety Net Providers, and We Own the Health of Our Community. Part VI - Community Building Activities Our 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. And, 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 - Explanation Of How Organization Furthers Its Exempt Purpose The hospital has an operating board composed of community members who advise the president/CEO regarding the needs of the community. Based on their advice, the hospital has developed outpatient and home care programs focused on rendering care in the most effective and efficient manner. The hospital's key medical services include cardiac, neuro, spine, cancer, emergency, outpatient services, minimally invasive surgery (robotics and no scar surgery), ortho, behavioral medicine, and rehabilitative medicine, as well as a family medicine residency program. The hospital cooperates with area physicians to offer both family medicine and obstetrics clinics. Glendale Adventist has also established a Department of Clinical Research to help our communities gain access to cutting edge clinical advancements. Part VI - Affilated Health Care System Roles and Promotion The hospital is a member of Adventist Health, a health care system which provides healthcare services in diverse markets within the Western United States. A member hospital may share some services with other member hospitals in its geographic area, such as clinical, management and support services. Using today's technology, hospitals outside the geographic area are able to provide support through remote services such as telepharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk management, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate administrative support for hospital affiliated medical groups that engage physicians through employment or other contracts. This provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communites served. Part VI - States Where Community Benefit Report Filed CA Part V - Explanation of Number of Facility Type The hospital provides outpatient services in multiple locations within its service area. true Armenian Bone Marrow Donor Re 347 W Stocker St 208 Glendale CA 91202 050573780 501(c)(3) 10000 0 Event Sponsorships City of Glendale 613 E Broadway Glendale CA 91206 956000714 City Government 15000 0 Event Sponsorships Glendale Arts 116 W California Ave Glendale CA 91203 954416336 501(c)(3) 12000 0 Event Sponsorships Glendale Chamber of Commerce 200 S Louise Street Glendale CA 91208 950775310 501(c)(3) 7025 0 Event Sponsorships Glendale Kiwanis Foundation 180 E Ocean Blvd 9th Floor Glendale CA 91209 956053551 501(c)(3) 10000 0 General Operations White Memorial Medical Center 1720 Cesar E Chavez Avenue Los Angeles CA 90033 952282647 501(c)(3) 7000 0 Event Sponsorships YMCA of the Foothills 1930 Foothill Blvd La Canada CA 91011 951976183 501(c)(3) 17500 0 Event Sponsorships 7 0 Grantmaker's Description of How Grants are Used 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. X true true X X X X false true false false false false false false false false Brandt-Mayo Karen VP Clin Svcs/CNO 216290 44043 8453 16180 21458 306424 Brown Robert Registered Nurse 124176 6521 100197 18000 1200 250094 Carmen Robert Former Dir/Chair 219735 7321 6362 233418 Correa Sharon VP/CIO 203342 45300 7445 15513 23994 295594 Eskandarian Romic Pharmacy Director 191347 19544 7524 4566 222981 Fargo Roland Sr VP Reg Physician Ops 321668 71505 69051 52728 30320 545272 42116 Giese Jonathan Treas/Asst Sec 273208 49664 20273 16180 11567 370892 Jobe Meredith Secretary 355393 98178 84270 74975 18602 631418 53771 Markarian Ramella VP Bus Dev/Phys Rel 183734 36963 10979 13936 34076 279688 Nahapetian Arby VP Med Affairs 479606 78052 102768 95768 38324 794518 55337 Patana Suvanna Registered Nurse 112465 3852 79865 24000 852 221034 Rebok Douglas Former Asst Sec 206161 198734 192588 16180 12863 626526 150311 Reiner Scott Dir/Chair 962984 298366 264690 227469 34190 1787699 182145 Roberts Kevin President & CEO 475402 146754 108915 100506 25358 856935 89920 Sanimtong Tassanee Registered Nurse 112466 8937 81641 24000 1200 228244 Tetz Warren Asst Sec/Sr VP 324078 72492 776326 58311 28088 1259295 753478 VanHouten Terri AVP Nursing Ops 191743 38518 18000 2573 250834 Wagner Jack Asst Treas 775339 146404 134782 16384 25040 1097949 Wehtje Rodney Asst Treas 380562 109398 101398 34588 24128 650074 60093 Wing Bill Dir/V Chair 814628 250491 180369 192782 35618 1473888 130871 Zachary Beth Reg President & CEO 669124 205059 138992 421689 17714 1452578 90519 Zachary Beth Regional CEO 669124 205059 138992 421689 17714 1452578 90519 Part I, Line 1a: Relevant information in regards to selections on 1a. Part I, Line 1BAny items checked on this line are reported as taxable income to the employee, except first class or charter travel, which is only approved for business purposes on an exception basis. Kevin Roberts Brother 122012 Employment false Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The hospital is organized as a not-for-profit religious corporation. The sole corporate member is Adventist Health System/West, a California not-for-profit religious corporation. 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 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 The completed Form 990 is shared with members of the hospital's board of directors by electronic communication for their review prior to filing. A telephone board meeting is held to review the 990 highlights. Specific questions related to the filing organization may be asked by any board member prior to filing the return. 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 questionnaire is sent to board members, hospital officers, key employees and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation, to illustrate examples of a conflict and to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the CEO immediately. The corporate internal audit staff reviews these questionnaires and disclosures each year during the audit process. 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 oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, including salary ranges for hospital CEOs and CFOs, that would be indicated by the data; evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data.The board-approved executive compensation philosophy specifies that salary ranges will be established for hospital CEOs and executives, with midpoints aligned with the 50th percentile of comparable system hospital data, and having a 24 percent spread from minimum to maximum (industry norm is approximately a 50 percent spread). A hospital CEO has a maximum potential incentive of 30 percent of base salary. (This incentive potential is less than the industry norm.) Other hospital executives have a maximum potential incentive of 20 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 Decreases Net Assets Released fr Restrictions = -$1238399 Other Changes In Net Assets Or Fund Balances - Other Increases Net Assets Released from Restr-Cap Addtn = $495640 Other Changes In Net Assets Or Fund Balances - Other Increases Net Realized gains/losses on Perm Restr investments = $6219 Other Changes In Net Assets Or Fund Balances - Other Increases Restricted Gifts & Grants = $1170606 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfers to Affliated Organizations = -$3884826 Adventist Health SystemWest 2100 Douglas Blvd Roseville CA 95661 953484589 Support and Manage System-Wide Activities CA 501(c)(3) 1 N/A true Adventist Health Clearlake Hospital Inc Avenue 18 at Highway 53 Clearlake CA 95422 680395149 Hospital CA 501(c)(3) 3 Adventist Health SystemWest false Adventist Health Physicians Ntwk 2100 Douglas Blvd Roseville CA 95661 680357690 Hospital CA 501(c)(3) 11b,II Adventist Health SystemWest false Castle Medical Center 640 Ulukahiki Street Kailua HI 96734 990107330 Hospital HI 501(c)(3) 1 Adventist Health SystemWest false Central Valley General Hospital 1025 N Douty Street Hanford CA 93230 770324630 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Feather River Hospital 5974 Pentz Road Paradise CA 95969 941101228 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Glendale Adventist Medical Center Fdtn 1509 Wilson Terrace Glendale CA 91206 953899682 Fundraising for Hospital CA 501(c)(3) 11, Type 1 Adventist Health SystemWest false Hanford Community Hospital 450 Greenfield Avenue Hanford CA 93230 940535360 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Lodi Memorial Hospital Association Inc 975 Fairmount Ave Lodi CA 95240 941044474 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Northwest Medical Fdtn of Tillamook 1000 Third Street Tillamook OR 97141 930622075 Hospital OR 501(c)(3) 1 Adventist Health SystemWest false Paradise Valley Hospital 2100 Douglas Blvd Roseville CA 95661 951816034 Wind Down After Sale of Hospital Facilit CA 501(c)(3) 1 Adventist Health SystemWest false Portland Adventist Medical Center 10123 SE Market Street Portland OR 97216 930429015 Hospital OR 501(c)(3) 1 Adventist Health SystemWest false Reedley Community Hospital 372 W Cypress Avenue Reedley CA 93654 453220509 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false St Helena Hospital 10 Woodland Road St Helena CA 94574 941279779 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false San Joaquin Community Hospital 2615 Chester Avenue Bakersfield CA 93301 952294234 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Simi Valley Hospital & Health Care Svcs 2975 N Sycamore Drive Bakersfield CA 93065 956064971 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Sonora Community Hospital 1000 Greenley Road Sonora CA 95370 941415069 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Ukiah Adventist Hospital 275 Hospital Drive Ukiah CA 95482 941639901 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Walla Walla General Hospital 1025 S Second Ave Walla Walla WA 99362 910617726 Hospital WA 501(c)(3) 1 Adventist Health SystemWest false White Memorial Medical Center 1720 Cesar E Chavez Avenue Los Angeles CA 90033 952282647 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Willits Hospital Inc 1 Marcela Dr Willits CA 95490 680108919 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Physician Medical Terrace LP 1509 Wilson Terrace Glendale CA 91206 954277400 Med Ofc Bld CA N/A 40240 4281969 false true 0.63686 Glendale Adventist Medical Building LP 1509 Wilson Terrace Glendale CA 91206 953752800 Med Ofc Bld CA N/A 424992 2790941 false true 0.54614 Physicians Surgery Center at GAMC 1500 E Chevy Chase Dr Ste 101 Glendale CA 91206 464085815 Ambulatory Surgical Center CA N/A -1145647 1502368 false true 0.58540 South Coast Medical Center 2100 Douglas Blvd Roseville CA 95661 952037291 Wind down after sale of hospital CA C-Corp false true false false true true false false false false true true true true true true true true false true Adventist Health SystemWest d 4612347 Adventist Health SystemWest e 204223019 Adventist Health SystemWest l 26778 Adventist Health SystemWest m 30377898 Adventist Health SystemWest o 568582 Adventist Health SystemWest p 447630 Adventist Health Physicians Ntwk m 4029892 Cost Glendale Adventist Medical Center Fdtn l 577750 Cost Glendale Adventist Medical Center Fdtn o 995625 Cost Glendale Adventist Medical Center Fdtn q 76229 Cost Glendale Adventist Medical Center Fdtn s 1488067 Fund Transfers San Joaquin Community Hospital p 33918 San Joaquin Community Hospital q 29458 Simi Valley Hospital & Health Care Svcs l 172707 Simi Valley Hospital & Health Care Svcs o 396445 Simi Valley Hospital & Health Care Svcs q 815326 White Memorial Medical Center l 327279 Cost White Memorial Medical Center m 409540 Cost White Memorial Medical Center o 658235 White Memorial Medical Center p 514999 Cost Physician Medical Terrace LP d 2856652 Physician Medical Terrace LP k 28425 Physician Medical Terrace LP l 18000 Glendale Adventist Medical Building LP k 35901