2014-11-17T13:48:49-08:00 2013-12-31 Clement & Associates CPA 2930 Honolulu Avenue Suite 200 La Crescenta CA 91214 990 2013-01-01 951816017 Glendale Adventist Medical Center GLEN 8184098000 1509 Wilson Terrace Glendale CA 91206 Warren Tetz Asst Sec/Sr VP Ops 2014-11-17 true S Clement P01218012 8182491065 X 2013 2015-11-30 17:44:51Z Kevin Roberts 403864495 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. 13 8 2794 781 2623219 537644 1725213 1799986 378566388 398115205 2463404 2739389 904643 1049644 383659648 403704224 121685 122900 0 182652546 176575956 0 1070999 195397443 214707980 378171674 391406836 5487974 12297388 389611414 396578614 240764965 234368000 148846449 162210614 To share God's love with our community by promoting healing and wellness for the whole person. false false 310760676 122900 398115205 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 2013 was $25,128,3321.Inpatient services in 2013 were provided to 20,082 patients. These services included: 2,414 Babies delivered 3,918 Surgeries performed 49,828 Radiology procedures performed 29,110 Cardiac catheterizations and other procedures 722,817 Laboratory tests performed 606 Rehabilitation patients 1,944 Mental health patientsOutpatient services in 2013 were provided to 264,993 patients. These services included: 48,333 Emergency room visits 4,081 Outpatient surgeries performed 59,649 Radiology procedures performed 2,714 Cardiac catheterizations and other procedures 354,978 Laboratory tests performedHome Care services in 2013 were provided to 5,390 patients. These services included: 3,315 RN visits 1,467 Physical Therapy visits 239 Occupational Therapy visitsGlendale 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 groupsGlendale Downtown DashBreast 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 received accreditation as a Chest Pain Center in early 2014 and has been designated as a STEMI (Heart Attack) receiving center (SRC) by the Los Angeles County Emergency Services for over six years. When emergency medical personnel confirm a heart attack/STEMI diagnosis, they will bypass other non SRC hospitals and bring a patient directly to the GAMC emergency department for treatment. STEMI is a medical term that means heart attack (ST Evaluation MI).During 2013, 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.GAMC received the Target Stroke Honor Roll in 2013 for meeting stroke quality measures that reduce the time between hospital arrival and treatment with tPA. It also received the Gold Plus Quality Achievement Award for meeting specific quality achievement measures for the diagnosis and treatment of stroke patients at a set level for a designated period. Glendale Adventist Medical Center is the only hospital in Los Angeles County to be certified as 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 recently identified in a Modern Healthcare Survey as having the 5th lowest risk-adjusted mortality rate in the nation based on deaths occurring within 30 days following discharge based on the 2009-2012 time period.A significant portion of the mission-driven assistance GAMC provides its community is intangible or otherwise difficult to quantify. The following story illustrates this:GAMC was the recipient of a coveted grant that has uniquely positioned the hospital with the ability to implement the Los Angeles County Department of Public Health's Early Childhood Obesity Prevention Initiative program called Choose Health Los Angeles Kids (CHLAKids) program in the Glendale, La Canada, La Crescenta and Montrose areas.CHLAKids is a population health, early childhood diabetes and obesity prevention initiative. Funded through First Five LA, the program is designed to target children 0-5 years of age and their families. Its goal is to implement community based education, skills building, and environmental changes that promote physical activity and healthy eating. Marisol and her husband Rene, came to the United States from Mexico twenty years ago seeking to create a better life for both themselves, and their children. Like most hardworking parents, they strive to provide for their family, instill values, and teach the importance of a good work ethic. Neither Marisol nor her husband experienced employment challenges, and had been able to give their children a decent life, until fairly recently. One year ago, Marisols husband was let go from his place of employment. This reduction of income was a huge blow to the familys finances, and for the first time, both Marisol and her husband questioned whether or not they could pay rent or keep food on the table. In order to help make ends meet, Marisol took a job as a babysitter for a family with a one year old son. Despite having five children of her own, one of which being the same age as her charge, Marisol worked 12 hours a day, five days a week, for a very low wage. While the arrangement was not ideal, Marisol did not have the option, nor luxury of turning it down. It was during this time that she and her husband began attending the events conducted by the Glendale Adventist Medical Center chapter of the Choose Health LA Kids program. In finding out more about Marisol and her story, GAMC-CHLAKids staff learned that the $5.00 gift cards that she and Rene receive for participating in the store tours and other program activities, help feed their family. Since joining the program and taking the classes, Marisol has come to understand the importance of eating healthy, particularly as it relates to her children. Shes also learned that healthy foods dont have to be expensive and that it is possible to buy healthy produce on a restricted budget. Her new favorite go to store is Trader Joes- a GAMC-CHLAKids community partner. Not long ago, Marisol became a new employee of the Universal City Walk. While she and her family still struggle, she continues to participate in our program efforts. Even with her new job, she volunteered and became the chair of our thirty member parent collaborative thats working towards implementing a policy that will reduce unhealthy food marketing to children 0-5 years of age. Through this program, Marisol 310760676 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 true false true false false false false false false true false false false false false false false false false true true false false false true 302 0 true 2794 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 true true X Kelly Turner CFO 8184098000 1509 Wilson Terrace Glendale CA 91206 X Caviness Larry Director 0.00 2.00 X 0 2263 0 Dickinson Charles Director 0.00 2.00 X 0 5021 0 Fike Ruthita Director 0.00 2.00 X 0 576 0 Friestad Christine Director 0.00 2.00 X 0 1783 0 Gabriel Melody Director 0.00 2.00 X 0 1443 0 Graham Ricardo Director 0.00 2.00 X 0 3020 0 Innocent Larry Director 0.00 2.00 X 0 1410 0 Jones Helmuth Director 0.00 2.00 X 0 85460 0 Reimche Allan Director 0.00 2.00 X 0 2070 0 Rippey Wesley Director 0.00 2.00 X 0 96929 0 Torkelsen Max Director 0.00 2.00 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 Sec 0.00 50.00 X 0 787365 162365 Wehtje Rodney Asst Treas 0.00 50.00 X 0 508359 105863 Wing Bill Asst Treas 0.00 50.00 X 0 782125 172894 Roberts Kevin President & CEO 0.00 50.00 X 0 529976 123629 Turner Kelly Treas/AsstSec 0.00 50.00 X 0 347918 71743 Tetz Warren AsstSec/SrVPO 0.00 50.00 X 0 384827 92604 Backer Peter VP Bus Dev 0.00 50.00 X 0 204284 23652 Blair Judy Sr VP Pt Care Svcs 0.00 50.00 X 0 230117 39193 Brandt Karen VP Ancillary Svcs 0.00 50.00 X 65240 101336 25020 Correa Sharon VP Info Tech 0.00 50.00 X 0 191018 32881 Marchuk Robert VP Ancillary Svcs 0.00 50.00 X 0 337488 75028 Nahapetian Arby VP Med Affairs 50.00 50.00 X 0 319078 96634 Patana Suvanna RN 55.00 0.00 X 202312 0 9252 Eskandarian Romic Pharmacy Director 50.00 0.00 X 185855 0 28080 Gantman Sergey Registered Nurse 55.00 0.00 X 178262 0 21360 Susan Crabtree Director of HR 50.00 0.00 X 178128 0 24720 Sanimtong Tassanee Registered Nurse 55.00 0.00 X 177884 0 21360 Dodds Larry Former Dir/V Chair/Sec 0.00 0.00 X 0 216120 3969 Dean Morre Former President 0.00 0.00 X 0 133859 0 deLeon Dennis Former VP Med Affairs 0.00 0.00 X 0 103765 10155 987681 7925281 1383617 232 true true false Family Practice of Glendale Glendale Med Gp 801 S Chevy Chase 201 Glendale CA 91205 Residency Teaching 2669775 Albert C Mak MD Cyberknife 707 S Garfield Ave Ste B002 Alhambra CA 91801 Med Svcs-Surgical 1697500 BAC LLC 1505 Wilson Terrace Suite 155 Glendale CA 91206 Dialysis Services 1256990 ShiftwiseOrigin Inc PO Box 70870 St Paul MN 551709705 Registry Staffing 982842 Consultants for Anesthesia & Mgmt of Pain 225 S Lake Ave 535 Pasadena CA 91101 Medical Services 774415 43 1437119 362867 1799986 Dependent Care 624410 1106353 1106353 Education 611430 3210489 3210489 Patient Svc Revenue 621110 390371844 387754255 2617589 Program Svc Revenue 621110 1518542 1518542 Rental Income - Prog 531120 1243182 1243182 664795 551117 113678 398115205 2672410 364427 2307983 0 0 0 227250 160271 66979 66979 66979 0 0 0 Change Int Fdtn Net Asset 900099 97949 97949 Mgmt Fees - Related Org 541900 33198 27568 5630 Other Non-Operating Inc 900099 918497 918497 1049644 403704224 395273837 2623219 4007182 122900 122900 0 0 0 75386 75386 0 134328886 121833899 11788282 706705 4925378 4384125 541253 27311592 23556300 3755292 9934714 9022647 912067 0 1349809 1349809 265218 192229 72989 0 0 0 18819558 12613168 6206390 1244877 1194047 50830 4130294 2906263 1200308 23723 14087577 14054211 33366 0 9913051 9875291 14204 23556 403454 201399 190614 11441 0 247162 156475 90687 5543275 5543275 0 22866452 22866452 4016516 4016516 Pt Care Supplies 52977675 52977675 Other Expenses 43232636 4106219 39079247 47170 Purchased Services 34181159 21094594 12951980 134585 Rental/Lease Costs Equipment 1429267 1429267 0 391406836 310760676 79575161 1070999 35519 690065 39511724 64949970 0 58191392 50920222 0 0 0 6556917 5342675 2419282 2151938 459192726 226150794 244521579 233041932 1407683 710481 0 0 6239551 6989250 30727767 31782081 389611414 396578614 27381935 22660670 35760721 34385338 530925 436290 177091384 176885702 240764965 234368000 X 144291478 156714591 4265767 5200635 289204 295388 148846449 162210614 389611414 396578614 X 12297388 1066777 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 26090 26090 false false Part II-B, Line 1i - Other Activities Description Allocation of dues paid to industry and professional organizations. 4554971 2490107 6184 1555239 5496023 4909132 1730418 8346 2092925 4554971 5135086 878394 7469 1111817 4909132 4842628 1113528 25756 846826 5135086 6094608 263886 58093 1573959 4842628 false true true 3726115 3726115 354281847 162505536 191776311 3513830 2373380 1140450 82441190 59805716 22635474 15229744 1466162 13763582 233041932 Other Assets 4112132 Other Receivables 1416411 Receivables from Related Organizations 17461560 Receivables from Third-Party Payors 8791978 31782081 Other Liabilities 30894 Payables to Related Organizations 169274179 Tax Liability 41583 Workers Compensation Liability 7539046 176885702 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 true X true X 300.000000000 true X 450.000000000 true true false false true true 4732765 4732765 0.01210 92811020 92023603 787417 0.00200 -26047 10422 -36469 97517738 92034025 5483713 0.01410 3247074 1196753 2050321 0.00520 776191 776191 0.00200 2531494 2531494 0.00650 489313 317841 171472 0.00040 986380 986380 0.00250 8030452 1514594 6515858 0.01660 105548190 93548619 11999571 0.03070 157310 157310 0.00040 1615878 1615878 0.00410 69165 69165 203150 203150 401601 401601 0.00100 2447104 272315 2174789 0.00550 true 1299175 649587 139212477 152961776 -13749299 X true true 1 1 Glendale Adventist Med Center X X X X Acute, Psychiatric & Skilled Nursing Glendale Adventist Med Center 1 true X X X X X X X X X 13 true true true X www.adventisthealth.org/glendale X X X X X X X X X X false false false true true 300.0000 true 450.0000 true X 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 Focus GroupsMeetings with Community LeadersDiscussions with Area Hospitals Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment Glendale Memorial Hospital & Health CenterVerdugo Hills Hospital Part V, Line 5c - Description of Making Needs Assessment Widely Available The Health Needs Assessment or Glendale Adventist Medical Center can be found at https://www.adventisthealth.org/pages/about-us/community-health-needs-assessments.aspx Part V, Line 7 - 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. 2 GAMC Home Care Services 381 Harvey Dr Glendale CA 91206 Home Care Services GAMC Alcohol & Drug Rehab 335 Mission Rd 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: *Medicare Cost Report Revenue $134,829,826 Prior Year Settlements 2,695,776 Cost Report Reimbursable Bad Debts 2,710,901 Less Amts included in Part 1, lines g & f (1,892,729) Non-Cost Report Revenue (4,252,533) Estimates and Accrual Variances ( 290,336) Other 5,411,572 ___________ Subtotal - Amount reported in Pt III, line 5 139,212,477 Amount included in Part 1, lines g and f 1,892,729 ___________ Total Medicare Revenue $141,105,206*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 hospital 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 community 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. 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 are displayed in the patient business office, patient registration areas and the emergency room in multiple languages informing patients of this right as well. The hospital also provides a brochure during the registration process that explains the hospital billing and collection procedures, and how to request financial assistance. In addition, every billing statement sent to patients contains information on how to request financial assistance. The hospital charity assistance policy is posted on the hospital website. Part VI - Community Information The hospital is located in Los Angeles County, serving primarily the City of Glendale (including La Canada, La Crescenta and Montrose), the Northeast portion of the City of Los Angeles (Eagle Rock, Highland Park and Glassell Park) and the Northeast portion of the San Fernando Valley. Significant numbers of Armenian, Hispanic and Asian people live in the hospital service area with many having limited English language proficiency. Several zip codes in the hospital service area have been designated as Medically Underserved Areas and a significant number of children in these areas are uninsured and/or qualify for state or federal insurance. The hospital provides support for several community organizations that provide coverage for children in these areas.The community has recognized GAMC as the best hospital in Glendale for several years running, one of the top 10 best places to work in Los Angeles County and many of the physicians on staff have been honored as top doctors by the local media.The hospital is fully accredited and has been designated a Primary Stroke Center by The Joint Commission, a STEMI Receiving Center and an Approved Stroke Center by Los Angeles County. Glendale Adventist has also been named a Blue Cross Center of Distinction for cardiac care. Additionally, the hospital has received accreditation as a Chest Pain Center. This means that the hospital is specially equipped and staffed to provide rapid treatment and diagnosis of strokes, heart attacks and chest pain. GAMC is focused on finding ways to provide high quality service to our community in a cost effective manner. 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 American Medical Soc PO Box 32 Glendale CA 91209 954108352 501(c)(3) 15000 0 General Operations Commission on Status of Women 900 N Street Suite 390 Sacramento CA 95814 680285369 Government Entity 5260 0 Event Sponsorships Glendale Chamber of Commerce 200 S Louise St Glendale CA 91208 950775310 501(c)(6) 6500 0 Event Sponsorships Glendale College Foundation 1500 N Verdugo Road Glendale CA 91208 953876072 501(c)(3) 10000 0 General Operations Glendale Free Clinic 134 N Kenwood Street Glendale CA 91206 870732681 501(c)(3) 15000 0 Event Sponsorships Glendale Healthy Kids PO Box 201 Glendale CA 91209 954487466 501(c)(3) 5500 0 Event Sponsorships WMMC Foundation 1720 Cesar Chavez Ave Los Angeles CA 90033 953760201 501(c)(3) 10000 0 General Operations YWCA of Glendale 735 E Lexington Dr Glendale CA 91206 951644057 501(c)(3) 5200 0 General Operations 7 1 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 true true false false false false false false false false Backer Peter VP Bus Dev 187657 16627 11859 11793 227936 Blair Judy Sr VP Pt Care Svcs 220348 9769 13795 25398 269310 Brandt Karen VP Ancillary Svcs 61059 97316 4181 4020 3998 10146 10876 75386 116210 Carmen Robert Dir/Chair 989976 126046 352983 17787 27048 1513840 Correa Sharon VP Info Tech 182240 8778 10841 22040 223899 Dean Morre Former President 133859 133859 133859 deLeon Dennis Former VP Med Affairs 100717 3048 10155 113920 Dodds Larry Former Dir/V Chair/Sec 216120 3969 220089 216120 Eskandarian Romic Pharmacy Director 173451 7188 5216 28080 213935 Gantman Sergey Registered Nurse 102066 76196 21360 199622 Marchuk Robert VP Ancillary Svcs 232178 50000 55310 46314 28714 412516 29794 Nahapetian Arby VP Med Affairs 314794 4284 64856 31778 415712 Patana Suvanna RN 97293 105019 9252 211564 Rebok Douglas Asst Sec 572416 72192 142757 137764 24601 949730 121472 Reiner Scott Dir/V Chair/Sec 688994 84288 302585 169989 28391 1274247 277913 Roberts Kevin President & CEO 437406 92570 101520 22109 653605 73977 Sanimtong Tassanee Registered Nurse 100006 3478 74400 21360 199244 Susan Crabtree Director of HR 158579 9043 10506 24720 202848 Tetz Warren AsstSec/SrVPO 306310 78517 67168 25436 477431 51246 Turner Kelly Treas/AsstSec 279614 68304 58834 12909 419661 50985 Wehtje Rodney Asst Treas 369816 37102 101441 83680 22183 614222 65921 Wing Bill Asst Treas 593788 71552 116785 144195 28699 955019 63725 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. Dro Abrahamian Exec Hsg X 25000 false true true 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 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 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 Change in net unrealized loss on other than trading sec = -$511018 Other Changes In Net Assets Or Fund Balances - Other Decreases Change in Value of Split Int Agmts = -$0 Other Changes In Net Assets Or Fund Balances - Other Decreases H104 Loss on LT investment = -$0 Other Changes In Net Assets Or Fund Balances - Other Decreases Net Assets released fr restrictions = -$1555239 Other Changes In Net Assets Or Fund Balances - Other Increases Net Assets Released from Restr-Cap Addtn = $636743 Other Changes In Net Assets Or Fund Balances - Other Increases Net Realized gains/losses on Perm Restr investments = $6184 Other Changes In Net Assets Or Fund Balances - Other Increases Restricted Gifts & Grants = $2490107 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 Ave 18 at Hwy 53 Clearlake CA 95422 680395149 Hospital CA 501(c)(3) 3 Adventist Health SystemWest false Adventist Health Physicians Network 2100 Douglas Blvd Roseville CA 95661 680357690 Hospital CA 501(c)(3) 11b,II Adventist Health SystemWest 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 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 Ave Hanford CA 93230 940535360 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Northwest Medical Fdtn 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 Facilit 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 Reedley Community Hospital 372 W Cypress Ave Reedley CA 93654 453220509 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false St Helena Hospital 10 Woodland Rd St Helena CA 94574 941279779 Hospital CA 501(c)(3) 1 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 Cesar 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 Physician Medical Terrace LP 1509 Wilson Terrace Glendale CA 91206 954277400 Med Ofc Bld CA N/A Related 60722 4638465 false true 0.63686 Glendale Adventist Medical Building LP 1509 Wilson Terrace Glendale CA 91206 953752800 Med Ofc Bld CA N/A Related 350984 2248477 false true 0.54614 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 false true false true false false