2014-11-17T20:00:16-08:00 2013-12-31 990 2013-01-01 941279779 St Helena Hospital DBA St Helena Hospital Napa Valley STHE 7079633611 10 Woodland Rd St Helena CA 94574 Edward McDonald Asst Sec/Sr VP Fin 2014-11-17 2013 2015-11-30 17:44:51Z Steven Herber MD 195787857 false false 1071 X www.adventisthealth.org/napa-valley X 1898 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. 13 8 1501 187 175501 40967 4848688 4468889 192218714 187875775 245740 151347 1219882 804902 198533024 193300913 36250 29800 0 90206038 81592183 0 1339897 102440304 110206362 192682592 191828345 5850432 1472568 174476650 170147015 119258992 113692726 55217658 56454289 To share God's love by providing physical, mental, and spiritual healing. false false 157462252 29800 188194682 St. Helena Hospital 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 St. Helena Hospital, 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:a) Providing free care and/or subsidized careb) Providing care to persons covered by governmental programs at below costc) Providing health/wellness activities and community education programsNot only does St. Helena Hospital 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. St. Helena Hospital recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed value of providing care to these patients in 2013 was $38,501,596.Inpatient services in 2013 were provided to 7,766 patients. These services included:Babies delivered - 226Surgeries performed - 2,109Radiology procedures performed - 63,330Cardiac catheterization and other procedures - 7,814Laboratory tests performed - 137,556Rehabilitation Units - 1Outpatient services in 2013 were provided to 84,253 patients. These services included:Emergency Room visits - 7,573Surgeries performed - 3,510Radiology procedures performed - 98,634Cardiac catheterization procedures - 7,814Laboratory tests performed - 107,464Medical clinics - 26In addition, home care services were also provided in 2013. These services included:Home health visits - 7,363St. Helena Hospital 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:Early Intervention ProgramHealthy Beginnings ProgramHealthvan One, Project HopeSafe Sitter classesChildren's Activity CenterHealthy Families Program Teddy Bear FairsPediatric S.A.R.T. (Sexual Assault Response Team) ProgramLearning-For-Life CentersSensory Integration Summer CampAsthma CampPhoneFriendGirls Today, Women TomorrowPASS (Parents for Alternate Support Solutions)Partners for PreventionParish NursingHealth FairsBlood Pressure Clinics 157462252 true true false true false false false false false true true false false true true false false true false false false false false false false false true true false true true false false false false false false false false false false false false false false false false true false false false false true 300 0 true 1501 true true false false false false false false 0 false false false false false false false false false false X 13 8 false false false false true false true true true false false true true true true true true true true false X Edward McDonald 7075712888 10 Woodland Rd St Helena CA 94574 X McDonald Edward Trs/CFO/AsstSec 50.00 0.00 0 319210 85507 Caviness Larry Director 2.00 0.00 X 0 2263 0 Dickinson Charles Director 2.00 0.00 X 0 5021 0 Fike Ruthita Director 2.00 0.00 X 0 576 0 Friestad Christine Director 2.00 0.00 X 0 1783 0 Gabriel Melody Director 2.00 0.00 X 0 1443 0 Graham Ricardo Director 2.00 0.00 X 0 3020 0 Innocent Larry Director 2.00 0.00 X 0 1410 0 Jones Helmuth Director 2.00 0.00 X 0 85460 0 Reimche Allan Director 2.00 0.00 X 0 2070 0 Rippey Wesley Director 2.00 0.00 X 0 96929 0 Torkelsen Max Director 2.00 0.00 X 0 2799 0 Carmen Robert Dir/Chair 0.00 50.00 X X 0 1469005 44835 Reiner Scott Dir/V Chair/Sec 0.00 50.00 X X 0 1075867 198380 Rebok Douglas Asst Secretary 0.00 50.00 X 0 787365 162365 Wehtje Rodney Asst Treasurer 0.00 50.00 X 0 508359 105863 Wing Bill Asst Secretary 0.00 50.00 X 0 782125 172894 Newmyer Terrance President 50.00 0.00 X 0 638878 133420 Herber Steven Int CEO/EVP/CMO 50.00 0.00 X 0 336328 83683 Jacobson Carlton VP Finance 50.00 0.00 X 0 249101 68441 Cowan Joshua VP Marketing 50.00 0.00 X 0 192475 37195 Fillman Orvin Reg VP Behav Med 50.00 0.00 X 0 84795 13141 Lendaris Antonia VP Pt Care Svcs 50.00 0.00 X 0 195297 27415 Olson David VP Physician Svcs/CMG 50.00 0.00 X 0 224125 36128 Selivanoff Paul VP Fin Revenue Mngt 50.00 0.00 X 0 213634 41564 Williams Patricia VP Business Dev 50.00 0.00 X 0 234799 62854 Matthews Gwen Sr VP Operations 50.00 0.00 X 0 367410 91224 Bockmann Rick VP Administrative 50.00 0.00 X 0 256647 108326 Mackay Cristal VP Human Dev/Perform 50.00 0.00 X 0 197399 31801 Jacobson Carlton VP Finance 50.00 0.00 X 0 0 0 Mann Jeremy CMO Ambulatory Care 50.00 0.00 X 180428 16000 30489 Coon Thomas Medical Director 40.00 0.00 X 300000 0 147 Lundin Stephen Chief Dev. Officer 40.00 0.00 X 261573 0 36347 Kirk Richard Nurse Practitioner 40.00 0.00 X 250980 0 29321 Nelson Barry CV Lab Supervisor 40.00 0.00 X 228649 0 32337 Thanhtong Ton Pharmacy Director 40.00 0.00 X 197578 0 50679 Dodds Larry Former V Chair/Sec 0.00 0.00 X 0 216120 3969 1419208 8567713 1688325 130 true true false Allen Creative Group 22 West St Ste 1 Millbury MA 01527 Marketing/Design 1080362 Patient Access Medical Group PO Box 742528 Dallas TX 75374 Physician Services 1080000 Universal Protection Service PO Box 101034 Pasadena CA 91189 Security Services 552287 Latham & Watkins LLP PO Box 894284 Los Angeles CA 90189 Legal Services 348979 Scott Johnson PO Box 911 Angwin CA 94508 CRNA Services 312557 36 4293137 2700 173052 4468889 Patient Service Revenue 621110 183750575 183750575 EMR Incentives 621110 1699795 1699795 Rental Income 531120 1217209 1172805 44404 Dietary 722210 774258 774258 Other Revenue 900099 433938 433938 187875775 150447 150447 0 0 0 900 900 900 900 0 0 2971151 2486944 484207 173713 310494 Chg in interest in fnd 900099 185130 185130 Community services 221000 133777 133777 Spa services 812900 1788 1788 320695 193300913 188150278 175501 506245 0 29800 29800 0 0 210917 210917 0 62085011 54949335 6532547 603129 2086317 2086317 12861598 10504512 2190199 166887 4348340 3857653 447423 43264 0 1297248 1289884 7364 1106123 1106123 0 0 0 10511451 8403344 2011487 96620 2947100 2863490 83610 2222676 1480608 720636 21432 7952593 7880161 56551 15881 0 3143669 2789108 354283 278 308724 125444 177678 5602 0 39580 26354 2644 10582 2526413 2526413 0 8393950 8356160 37484 306 1161058 1161058 Patient Care Supplies 29586977 29586977 Other 19288151 11196196 8070345 21610 Purchased Services 18428302 11232009 6936661 259632 Rentals/Leases 1271318 1249774 17844 3700 21029 21029 191828345 157462252 33026196 1339897 3255110 908670 3394328 -1387225 0 32088446 32818990 0 0 0 3348898 3603796 1301117 1285335 196286566 110095216 85685961 86191350 3462830 2668629 0 0 0 41939960 44057470 174476650 170147015 13283821 11349493 37130 1477833 1201780 104460208 101141453 119258992 113692726 X 28790874 30819844 24036606 23270010 2390178 2364435 55217658 56454289 174476650 170147015 X 1472568 -235937 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 12796 12796 false false Part II-B, Line 1i - Other Activities Description Portion of dues paid to membership organizations allocable to political lobbying activities. 9434793 4304601 373738 5046216 9066916 7606949 4272247 -559442 1881883 3078 9434793 5742337 4197230 817479 3147811 2286 7606949 6577529 4780055 221919 5835218 1948 5742337 5242348 7782272 209056 6654542 1605 6577529 0.32000 0.14000 0.54000 true false false 426637 426637 115634151 61571949 54062202 55392308 41887468 13504840 24833470 6635799 18197671 86191350 Receivables from Related Organization 22296545 Interest in Consolidated Org 20185217 Other Receivables 1575708 44057470 Payables to Related Organizations 94608256 Workers Comp Liability 3286956 Payables to 3rd Party Payors 2533964 Other Liabilities 712277 101141453 Part V, Line 4: Intended uses of the endowment fund. Board-designated, temporarily, and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended. true true X true X true X true true false false true true 1534079 1116579 417500 0.00220 22496570 26455737 -3959167 10380442 8678312 1702130 0.00890 34411091 36250628 -1839537 0.01110 200870 65592 135278 0.00070 9489 9489 9858953 5161637 4697316 0.02450 297312 53083 244229 0.00130 120590 120590 0.00060 10487214 5280312 5206902 0.02710 44898305 41530940 3367365 0.03820 2124 2124 132762 132762 0.00070 134886 134886 0.00070 true 1030477 195791 68821421 75306683 -6485262 X true true 2 1 St Helena Hospital 10 Woodland Rd St Helena CA 94574 X X X 1 2 SHH Ctr for Behavioral Health 525 Oregon St Vallejo CA 94590 X Acute Psychiatric Hospital 1 St Helena Hospital 1 true X X X X X X X X 13 true true true X See Sch H Part VI-Supplemental Info X See Sch H Part VI-Supplemental Info X X X X false false false true true 200.0000 true 400.0000 true X X X X X true true X X X X X X true false true X false false Part V, Line 3 - Account Input from Person Who Represent the Community To validate the data for the Live Healthy Napa County (LHNC) CHNA, and to ensure a broad representation of the community, qualitative data was collected from a variety of sources:Brainstorming - the Forces of Change Brainstorming Session, held in November 2012 as part of the LHNC Steering Committee's second meeting, set out to identify the political, cultural, environmental, and social factors that affect health and quality of life in Napa County. It was designed to create a comprehensive but focused understanding of key factors.Surveys - the LHNC Core Support Team worked with community partners across the County to conduct a survey of residents, service providers, and other stakeholders. The survey was a tool to gather data on how participants perceive health in Napa County, what the critical issues are, and how community members are currently accessing services.Workshops - residents and other stakeholders had an opportunity to participate in the community health assessment process through a series of workshops facilitated by volunteers from community organizations and agencies in the fall of 2012. Over 300 residents participated in 28 workshops in October and November 2012.Interviews - In the months of November and December 2012, a total of 16 stakeholder interviews were conducted with key leaders throughout Napa County. Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment Live Healthy Napa County (LHNC) is a public-private partnership bringing together representatives not just from health and healthcare organizations, but also from business, public safety, education,government and the general public to develop a shared understanding and vision of a healthier Napa County. The LHNC CHNA was a collaborative effort of:Kaiser PermanenteNapa County Health & Human Services AgencyNapa Valley Coalition of Nonprofit AgenciesSt. Joseph Health Queen of the Valley (SJHQOV) and St. Helena Hospital. Part V, Line 7 - Explanation of Needs Not Addressed and Reasons Why The following areas of need were not addressed in our hospital's Community Health Improvement Plan: Develop approaches to address disparities identified throughout our needs assessment. Increase access to fresh, healthy foods, especially in schools.St. Helena Hospital Napa Valley set community benefit goals to address areas of need that could best benefit from our capabilities and resources. We are working with the LHNC collaborative to develop a countywide Community Health Improvement Plan that will address all identified priority areas of need. This plan will be completed in early 2014. 4 St Helena Coon Joint Replacement Institute 6 Woodland Rd Ste 202 St Helena CA 94574 Outpatient Clinic St Helena Medical Specialties OBGYN 935 Trancas St Ste 4B Napa CA 94558 Outpatient Clinic St Helena Medical Specialties Internal Medicine 18990 Coyote Valley Rd Stes 9 10 Hidden Valley Lake CA 95467 Outpatient Clinic St Helena Physical Therapy 1030 Main Street Ste 100 St Helena CA 94574 Outpatient Clinic Part I, Line 7 - Explanation of Costing Methodology The costs were determined by using a cost-to-charge ratio. The cost-to-charge computation is based on hospital specific data included in the system-wide combined audited financial statements. The formula used for computation equals financial statement data as follows:Total expenses - (Provision for bad debts + Other revenue + Interest income/Gross patient chargesThe hospital is located in a medically underserved area and participates in a quality assurance fee program with the State of California to fund certain Medi-Cal coverage expansions. The state redistributes funds to hospitals that provide patient care to a higher proportion of indigent and medically underprivileged patients, who otherwise would most likely not have access to physicians and other medical services. The community benefit analysis includes receipts from this redistribution that are used to assist in partially offsetting the significant costs associated with providing patient care to this population group. The program may or may not continue in the future based on the State of Californias regulations and policies and the approval of the federal government. Part III, Line 4 - 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 audited combined 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 audited combined financial statements do not contain a footnote describing bad debt expense. Part III, Line 8 - Explanation Of Shortfall As Community Benefit The Medicare cost report apportions the hospitals costs 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 too 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*Medicare Cost Report Revenue $66,358,667Prior Year Settlements (25,821)Cost Report Reimbursable Bad Debts 957,023Estimates and Accrual Variances (668,112)Other 2,199,664Subtotal - Amount reported in Pt. III, line 5 $68,821 421Amounts included in Part 1, lines g and f -Total Medicare Revenue $68,821,421*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 The health system retains outside research firms to assess changes in the market and community perception. Data is collected through a variety of vehicles, including phone surveys, paper surveys, and focus groups. Questions were added to the survey to help assess the impact of our community benefit activities and residents' barriers to access for health care services as well as unmet community needs.A copy of the hospital's 2013 CHNA study is posted on the hospital's website, https://www.adventisthealth.org/napa-valley/pages/about-us/community.aspx, as well as on the Adventist Health Corporate website, https://www.adventisthealth.org/Pages/About-Us/Community-Health-Needs-Assessments.aspx Part VI - Patient Education of Eligibility for Assistance At the time of registration, patients who are uninsured and underinsured are provided information about government healthcare programs. Patients also are orally informed of their right to request charity assistance. Signs and other communiques are posted and displayed throughout the hospital 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. The hospital charity assistance policy is posted on the hospital website. Part VI - Community Information The hospital primarily serves the people of Napa, Lake, and Solano counties in California. Additionally, the hospital attracts patients from outside our geographic area with specialized destination medicine programs. 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 We do not wait until a community member needs our services through our clinics or our Emergency Department. We are active in the community we serve. By involving ourselves in various activities, groups, and outreaches, we communicate our willingness to serve our community and our commitment to our mission. Our community health needs assessment keeps us current with changes in the health of our community. By working with other groups and agencies we are better able to assess the needs of the community then if we relied only on our own resources. Part VI - Affilated Health Care System Roles and Promotion The hospital is a member of a larger health care system, which provides services in diversified areas of the Western United States. The hospital shares some services with other hospitals in its geographic area. Using today's technology, hospitals outside the geographic area are able to support the hospital by providing remote services such as telepharmacy and robotics surgery. The Corporate Office provides support for the rural health clinics, quality of care, and other clinical needs. Part VI - States Where Community Benefit Report Filed CA true 0 0 Psych Intern Stipends 5 29800 Grantmaker's Description of How Grants are Used Grants are made to student interns working alongside licensed psychiatric clinicians at our mental health facility. The grant funds are given to help defray general living costs while the students are actively working in the facility and are only given during the the period of their internship. X X X X true true false false false false false false false false Dodds Larry Former V Chair/Sec 216120 3969 220089 216120 Coon Thomas Medical Director 300000 147 300147 Lundin Stephen Chief Dev. Officer 229062 32511 15576 20771 297920 Kirk Richard Nurse Practitioner 239059 11921 11704 17617 280301 Nelson Barry CV Lab Supervisor 228649 14078 18259 260986 Thanhtong Ton Pharmacy Director 183133 14445 12071 38608 248257 Carmen Robert Dir/Chair 989976 126046 352983 17787 27048 1513840 Reiner Scott Dir/V Chair/Sec 688994 84288 302585 169989 28391 1274247 277913 Rebok Douglas Asst Secretary 572416 72192 142757 137764 24601 949730 121472 Wehtje Rodney Asst Treasurer 369816 37102 101441 83680 22183 614222 65921 Wing Bill Asst Secretary 593788 71552 116785 144195 28699 955019 63725 Newmyer Terrance President 458880 179998 107750 25670 772298 82326 Herber Steven Int CEO/EVP/CMO 261694 25000 49634 55372 28311 420011 28402 McDonald Edward Trs/CFO/AsstSec 267884 51326 57132 28375 404717 35381 Jacobson Carlton VP Finance 213444 35657 40013 28428 317542 20402 Cowan Joshua VP Marketing 184704 7771 8690 28505 229670 Lendaris Antonia VP Pt Care Svcs 181388 13909 11304 16111 222712 Olson David VP Physician Svcs/CMG 171962 52163 12459 23669 260253 Selivanoff Paul VP Fin Revenue Mngt 198136 15498 12329 29235 255198 Williams Patricia VP Business Dev 197444 37355 34582 28272 297653 24950 Matthews Gwen Sr VP Operations 289944 20000 57466 62896 28328 458634 37042 Bockmann Rick VP Administrative 240906 15741 86310 22016 364973 Mackay Cristal VP Human Dev/Perform 184518 6545 6336 11371 20430 229200 Mann Jeremy CMO Ambulatory Care 180428 16000 10130 20359 210917 16000 Gregory Williams Officer Spouse 40328 Consulting Services false Maria Lendaris Officer Child 48144 Employment false Cambria Wehtje-Sim Officer Child 33301 Employment false Tammy McDonald Officer Wife 1182 Indep Contractor 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 operates as an affiliate of Adventist Health System/West. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders 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.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 special board meeting is scheduled to answer questions and receive input from the board after their review but 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 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 review 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 publicly available. The hospital files monthly/quarterly summary financial reports with the state health planning agency. Other Changes In Net Assets Or Fund Balances - Other Increases Change in value of split interest agreements = $77268 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to related organization = -$1243 Other Changes In Net Assets Or Fund Balances - Other Decreases Change in interest in foundation = -$184762 Other Changes In Net Assets Or Fund Balances - Other Decreases Released from restrictions difference = -$127200 Adventist Health SystemWest 2100 Douglas Blvd Roseville CA 95661 953484589 Support and manage system-wide activities CA 501(c)(3) 1 NA false St Helena Hospital Foundation 10 Woodland Rd St Helena CA 94574 201384250 Fundraising and Investment Management CA 501(c)(3) 11a, I NA false Castle Medical Center 640 Ulukahiki St Kailua HI 96734 990107330 Hospital HI 501(c)(3) 1 Adventist Health SystemWest false Central Valley General Hospital 1025 N Douty St Hanford CA 93230 770324630 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Feather River Hospital 5974 Pentz Rd Paradise CA 95969 941101228 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Glendale Adventist Medical Center 1509 Wilson Ter Glendale CA 91206 951816017 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Hanford Community Hospital 450 Greenfield Ave Hanford CA 93230 940535360 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false NW Medical Foundation of Tillamook 1000 Third St 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 facilities CA 501(c)(3) 1 Adventist Health SystemWest false Portland Adventist Medical Center 10123 SE Market St Portland OR 97216 930429015 Hospital OR 501(c)(3) 1 Adventist Health SystemWest false Adventist Health Clearlake Hospital Inc Ave 18 at Hwy 53 Clearlake CA 95422 680395149 Hospital CA 501(c)(3) 3 Adventist Health SystemWest false San Joaquin Community Hospital 2615 Chester Ave Bakersfield CA 93301 952294234 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Simi Valley Hospital & Health Care Svcs 2975 N Sycamore Dr Simi Valley CA 93065 956064971 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Sonora Community Hospital 1000 Greenley Rd Sonora CA 95370 941415069 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Ukiah Adventist Hospital 275 Hospital Dr 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 Cesare E Chavez Ave Los Angeles CA 90033 952282647 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Willits Hospital Inc 1 Madrone St Willits CA 95490 680108919 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Adventist Health Physicians Network 2100 Douglas Blvd Roseville CA 95661 680357690 Medical Foundation CA 501(c)(3) 11b, II Adventist Health SystemWest false Reedley Community Hospital 372 W Cypress Ave Reedley CA 93654 453220509 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false South Coast Medical Center 2100 Douglas Blvd Roseville CA 95661 952037291 Wind down after sale of hospital CA N/A C Corp false false false false true true false false false true true true true false true true true true false false