SAN JOAQUIN COMMUNITY HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: SAN JOAQUIN COMMUNITY HOSPITAL (EIN 95-2294234)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-17
IRS object ID: 201443219349311884
Schema version: 2013v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-17T16:41:25-08:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BROWN ARMSTRONG ACCOUNTANCY CORPORATION	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4200 TRUXTUN AVE STE 300	AddressLine1
City	BAKERSFIELD	City
State	CA	State
ZIP Code	933090668	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	952294234	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	San Joaquin Community Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	SANJ	BusinessNameControlTxt
Phone	6613953000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2615 Chester Avenue	AddressLine1
City	Bakersfield	City
State	CA	State
ZIP Code	93301	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Michael Lukens	PersonNm
Person Title	CFO/Treasurer	PersonTitleTxt
Signature	2014-11-17	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Christina M Thornburgh	PreparerPersonNm
PTIN	P00544382	PTIN
Phone	6613244971	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Douglas Duffield	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2615 Chester Ave	AddressLine1
City	Bakersfield	City
State	CA	State
ZIP Code	93301	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$335,131,821	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
All Affiliates Included	false	AllAffiliatesIncludedInd
Group Exemption	1071	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.sjch.us	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1964	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	to share god's love with our community by providing physical, mental and spiritual healing.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	2527	TotalEmployeeCnt
Total Volunteers	443	TotalVolunteersCnt
Total Gross UBI	$188,427	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$215,128	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,997,322	PYContributionsGrantsAmt
CY Contributions Grants	$1,410,628	CYContributionsGrantsAmt
PY Program Service Revenue	$323,311,531	PYProgramServiceRevenueAmt
CY Program Service Revenue	$331,195,023	CYProgramServiceRevenueAmt
PY Investment Income	$3,162,506	PYInvestmentIncomeAmt
CY Investment Income	$1,508,742	CYInvestmentIncomeAmt
CY Other Revenue	$418,941	CYOtherRevenueAmt
PY Total Revenue	$330,471,359	PYTotalRevenueAmt
CY Total Revenue	$334,533,334	CYTotalRevenueAmt
PY Grants And Similar Paid	$431,041	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$245,500	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$159,346,051	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$160,451,468	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$759,829	CYTotalFundraisingExpenseAmt
PY Other Expenses	$150,586,916	PYOtherExpensesAmt
CY Other Expenses	$174,928,130	CYOtherExpensesAmt
PY Total Expenses	$310,364,008	PYTotalExpensesAmt
CY Total Expenses	$335,625,098	CYTotalExpensesAmt
PY Revenues Less Expenses	$20,107,351	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,091,764	CYRevenuesLessExpensesAmt
Total Assets BOY	$286,381,779	TotalAssetsBOYAmt
Total Assets EOY	$269,318,638	TotalAssetsEOYAmt
Total Liabilities BOY	$142,908,164	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$126,936,787	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$143,473,615	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$142,381,851	NetAssetsOrFundBalancesEOYAmt
Mission	to share god's love with our community by providing physical, mental and spiritual healing.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$280,103,684	ExpenseAmt
Grant	$245,500	GrantAmt
Revenue	$331,166,954	RevenueAmt
Desc	San Joaquin Community Hospital provides quality medical healthcare 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 San Joaquin Community Hospital, the organization recognizes that not all individuals possess the ability to pay for essential medical services.San Joaquin Community Hospital's vision is that our service will set the standard for customer-centered, quality care. We will 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. Our mission is to carry on the healing ministry of Jesus Christ by providing quality patient care, maintaining a competent, caring, professional staff and responding to community needs. In keeping with this commitment to serve all members of the community, the following will be considered when individuals who need healthcare 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 San Joaquin Community Hospital provide low-cost care to individuals covered by government programs and those unable to afford healthcare, but it also helps patients find and access private and governmental resources for healthcare benefits. San Joaquin Community 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 $30,482,333.Inpatient services in 2013 were provided to 18,078 patients. These services included: - Acute care services for medical/surgical, pediatric, obstetric and critical care patients. - Baby deliveries totaling 2,766. - Surgery cases performed totaling 9,095, of which open-heart surgeries totaled 126. We also perform neurosurgery, ophthalmology, oral and maxillofacial surgery, otolaryngology, cosmetic surgery, thoracic and vascular surgery, urology, dental surgery and orthopedic surgery. - Radiology procedures performed - Cardiac catheterizations and other procedures - Laboratory tests performed - TCU/Intermediate care - Rehabilitation servicesOutpatient services in 2013 were provided to 79,685 patients. These services included: - Emergency room visits totaling 91,372 - Outpatient surgery cases performed totaled 5,555 - Radiology procedures performed - Cardiac catherizations and other procedures - Laboratory tests performed - OB ClinicsHome Health Care services in 2013 were provided to 1,368 unduplicated patients. These services included: - Home health - Private duty - Home medical equipment - Home infusion therapySan Joaquin Community 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: - Business Health Network - This program meets the healthcare needs of the local industry. The program features workers' compensation case management, substance abuse screening, physicals, and wellness and educational programs. - Immunization Program - This program educates the community about childhood immunizations and makes vaccines both accessible and affordable to children in Kern County. It offers immunization clinics throughout the city for children two years of age and under. - Buck Owens Wellness Resource Center - This program provides a well-trained culturally competent staff to promote early detection, diabetes education, screening, and referral and follow up services in Bakersfield and the outlying communities.	Desc
Total Program Service Expenses	$280,103,684	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	288	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	false	BackupWthldComplianceInd
Employee	2527	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Excess Business Holdings	false	ExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Org Filed In Lieu Of Form1041	false	OrgFiledInLieuOfForm1041Ind
Licensed More Than One State	false	LicensedMoreThanOneStateInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Doug Duffield	PersonNm
Phone	6613953000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2615 Chester Avenue	AddressLine1
City	Bakersfield	City
State	CA	State
ZIP Code	93301	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Ruthita Fike
Director	0.00	2.00	Yes (X)	$0	$576	$0
Christine Friestad
Director	0.00	2.00	Yes (X)	$0	$1,783	$0
Melody Gabriel
Director	0.00	2.00	Yes (X)	$0	$1,443	$0
Ricardo Graham
Director	0.00	2.00	Yes (X)	$0	$3,020	$0
Larry Innocent
Director	0.00	2.00	Yes (X)	$0	$1,410	$0
Helmuth Jones
Director	0.00	2.00	Yes (X)	$0	$85,460	$0
Allan Reimche
Director	0.00	2.00	Yes (X)	$0	$2,070	$0
Wesley Rippey
Director	0.00	2.00	Yes (X)	$0	$96,929	$0
Max Torkelsen
Director	0.00	2.00	Yes (X)	$0	$2,799	$0
Robert Carmen
Director/Chair	0.00	50.00	Yes (X)	$0	$1,469,005	$44,835	Yes (X)
Scott Reiner
Vice Chairman	0.00	50.00	Yes (X)	$0	$1,075,867	$198,380	Yes (X)
Larry Caviness
Director	0.00	2.00	Yes (X)	$0	$2,263	$0
Charles Dickinson
Director	0.00	2.00	Yes (X)	$0	$5,021	$0
Douglas Duffield
President/CEO	0.00	50.00		$0	$197,166	$49,528	Yes (X)
Brent Soper
Treasurer	0.00	50.00		$0	$302,070	$63,060	Yes (X)
Robert Beehler
President/CEO	0.00	50.00		$0	$946,718	$112,452	Yes (X)
Douglas Rebok
Asst Sec	0.00	50.00		$0	$787,365	$162,365	Yes (X)
Rodney Wehtje
Asst Treas	0.00	50.00		$0	$508,359	$105,863	Yes (X)
Bill Wing
Asst Sec	0.00	50.00		$0	$782,125	$172,894	Yes (X)
Deborah Hankins
VP/CNO	0.00	50.00		$0	$309,828	$59,787		Yes (X)
Sharlet Briggs
VP Organizational Excellence	0.00	50.00		$0	$224,358	$24,829		Yes (X)
Sam Itani
VP Support Services	0.00	50.00		$0	$198,059	$39,635		Yes (X)
Harold Chilton
Chief Operating Officer	0.00	50.00		$0	$302,511	$43,022		Yes (X)
Martha Samora
VP Ancillary Services	0.00	50.00		$0	$289,702	$54,468		Yes (X)
Kurt Hoekendorf
VP Physical Development	50.00	0.00		$216,585	$0	$24,982		Yes (X)
Jarrod McNaughton
VP Marketing and Development	0.00	50.00		$0	$30,852	$3,714		Yes (X)
Donald Cornforth
CMO	21.00	0.00		$36,012	$0	$0		Yes (X)
Christina Frank
Interim VP Marketing & Development	50.00	0.00		$191,524	$0	$0		Yes (X)
Mario Savric
Interim CNO	50.00	0.00		$189,178	$0	$5,238		Yes (X)
Margaret White
VP/CNO	0.00	50.00		$0	$60,074	$4,015		Yes (X)
Xu Xueyu
Physical Therapist	42.00	0.00		$334,961	$0	$59,640			Yes (X)
Binh Nguyen
Pharmacist	39.00	0.00		$278,608	$0	$67,282			Yes (X)
Timothy Chow
Pharmacist	40.00	0.00		$267,664	$0	$64,639			Yes (X)
Rafael Navarro
RN First Assist	34.00	0.00		$233,831	$0	$36,700			Yes (X)
Adrian Gonzales
Dir Pharmacy	40.00	0.00		$214,308	$0	$51,754			Yes (X)
Larry Dodds
Former Director	0.00	0.00		$0	$216,120	$3,969				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,962,671	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,902,953	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,453,051	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	8	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
Swinerton Builders
2300 Clayton Road Suite 800	Concord	CA	94520	Construction	$15,071,413
Quest Imaging Medical Assoc
PO Box 2447	Bakersfield	CA	93303	Medical	$5,475,522
Crothal Srvc Group
955 Chesterbrook Blvd Ste 300	Wayne	PA	19087	Cleaning Service	$3,417,046
Sound Inpatient Physicians
PO Box 742936	Los Angeles	CA	90074	Medical	$2,782,067
Houchin Comm Bld Bank
11515 Bolthouse Drive	Bakersfield	CA	93311	Medical	$2,027,328

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	66	CntrctRcvdGreaterThan100KCnt
Government Grants	$411,109	GovernmentGrantsAmt
All Other Contributions	$999,519	AllOtherContributionsAmt
Total Contributions	$1,410,628	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
DIETARY	621110	$1,959,628	$1,959,628
MEDICAID EHR INCENTIVES	621500	$3,499,786	$3,499,786
NET PATIENT REVENUE	621110	$324,608,206	$324,608,206
OTHER SERVICES	621500	$154,206	$154,206
RENTAL - MEDICAL OFFICES	531120	$945,128	$945,128

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,069	TotalRevenueColumnAmt
Unrelated Business Revenue	$28,069	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$331,195,023	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,498,879	TotalRevenueColumnAmt
Exclusion	$1,498,879	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$9,863	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$9,863	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,863	TotalRevenueColumnAmt
Exclusion	$9,863	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$857,070	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$598,487	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$258,583	TotalRevenueColumnAmt
Exclusion	$258,583	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	PREMIER MSO-BILLING FEES	Desc
Total Revenue Column	$160,358	TotalRevenueColumnAmt
Unrelated Business Revenue	$160,358	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$160,358	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$334,533,334	TotalRevenueColumnAmt
Related Or Exempt Func Income	$331,166,954	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$188,427	UnrelatedBusinessRevenueAmt
Exclusion	$1,767,325	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$245,500	TotalAmt
Program Services	$245,500	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$663,519	TotalAmt
Management And General	$663,519	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$123,185,347	TotalAmt
Program Services	$115,068,330	ProgramServicesAmt
Management And General	$7,726,600	ManagementAndGeneralAmt
Fundraising	$390,417	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,422,498	TotalAmt
Program Services	$3,302,607	ProgramServicesAmt
Management And General	$119,891	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$24,358,859	TotalAmt
Program Services	$22,003,066	ProgramServicesAmt
Management And General	$2,278,776	ManagementAndGeneralAmt
Fundraising	$77,017	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,821,245	TotalAmt
Program Services	$8,292,262	ProgramServicesAmt
Management And General	$501,203	ManagementAndGeneralAmt
Fundraising	$27,780	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,150,637	TotalAmt
Management And General	$2,150,637	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$275,522	TotalAmt
Management And General	$275,522	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$24,293,401	TotalAmt
Program Services	$18,587,192	ProgramServicesAmt
Management And General	$5,666,334	ManagementAndGeneralAmt
Fundraising	$39,875	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$850,758	TotalAmt
Management And General	$846,062	ManagementAndGeneralAmt
Fundraising	$4,696	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,548,371	TotalAmt
Program Services	$2,855,094	ProgramServicesAmt
Management And General	$661,226	ManagementAndGeneralAmt
Fundraising	$32,051	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,573,348	TotalAmt
Program Services	$10,573,348	ProgramServicesAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,768,291	TotalAmt
Program Services	$4,721,799	ProgramServicesAmt
Management And General	$46,492	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,118,327	TotalAmt
Program Services	$735,267	ProgramServicesAmt
Management And General	$378,797	ManagementAndGeneralAmt
Fundraising	$4,263	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,000	TotalAmt
Program Services	$2,000	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,512,340	TotalAmt
Program Services	$2,512,340	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$15,461,971	TotalAmt
Program Services	$15,038,811	ProgramServicesAmt
Management And General	$417,397	ManagementAndGeneralAmt
Fundraising	$5,763	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,177,360	TotalAmt
Program Services	$2,177,360	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PT CARE SUPPLIES	$51,709,631	$51,709,631
PURCHASED SERVICES	$30,004,164	$18,424,139	$11,410,961	$169,064
QUALITY ASSURANCE MGMT FEES	$22,704,391		$22,704,391
RENTAL/LEASE COSTS EQUIP	$1,664,211	$1,651,262	$12,949

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,113,407	TotalAmt
Program Services	$2,203,676	ProgramServicesAmt
Management And General	-$1,099,172	ManagementAndGeneralAmt
Fundraising	$8,903	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$335,625,098	TotalAmt
Program Services	$280,103,684	ProgramServicesAmt
Management And General	$54,761,585	ManagementAndGeneralAmt
Fundraising	$759,829	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$269,456	BOYAmt
EOY	$248,640	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$65,142,605	BOYAmt
EOY	$40,172,030	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,213,125	BOYAmt
EOY	$1,144,200	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$39,523,377	BOYAmt
EOY	$46,671,247	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$150,000	BOYAmt
EOY	$150,000	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,250,499	BOYAmt
EOY	$7,006,336	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,188,183	BOYAmt
EOY	$968,227	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$250,037,758	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$92,384,048	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$145,927,214	BOYAmt
EOY	$157,653,710	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,433,625	BOYAmt
EOY	$3,738,737	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$20,283,695	BOYAmt
EOY	$11,565,511	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$286,381,779	BOYAmt
EOY	$269,318,638	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$42,876,075	BOYAmt
EOY	$25,887,092	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$82,426,472	BOYAmt
EOY	$79,482,571	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,605,617	BOYAmt
EOY	$21,567,124	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$142,908,164	BOYAmt
EOY	$126,936,787	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$140,377,470	BOYAmt
EOY	$138,564,834	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,096,145	BOYAmt
EOY	$3,817,017	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$143,473,615	BOYAmt
EOY	$142,381,851	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$286,381,779	BOYAmt
EOY	$269,318,638	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$1,091,764	ReconcilationRevenueExpnssAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Church	Yes (X)	ChurchInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$12,993	OtherActivitiesAmt
Total Lobbying Expenditures	$12,993	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1i - Other Activities Description	FormAndLineReferenceDesc
Explanation	Lobbying expenses are an allocated portion of industry association membership dues as defined by the association.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,096,145	BeginningYearBalanceAmt
Contributions	$1,410,628	ContributionsAmt
Other Expenditures	$689,756	OtherExpendituresAmt
End Year Balance	$3,817,017	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,674,007	BeginningYearBalanceAmt
Contributions	$3,997,323	ContributionsAmt
Other Expenditures	$3,575,185	OtherExpendituresAmt
End Year Balance	$3,096,145	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,023,350	BeginningYearBalanceAmt
Contributions	$2,608,593	ContributionsAmt
Other Expenditures	$957,936	OtherExpendituresAmt
End Year Balance	$2,674,007	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,319,672	BeginningYearBalanceAmt
Contributions	$1,354,738	ContributionsAmt
Other Expenditures	$1,651,060	OtherExpendituresAmt
End Year Balance	$1,023,350	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,540,538	BeginningYearBalanceAmt
Contributions	$879,972	ContributionsAmt
Other Expenditures	$1,100,838	OtherExpendituresAmt
End Year Balance	$1,319,672	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	false	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,958,711	OtherCostOrOtherBasisAmt
Book Value	$8,958,711	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$164,584,193	OtherCostOrOtherBasisAmt
Depreciation	$44,898,399	DepreciationAmt
Book Value	$119,685,794	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$506,570	OtherCostOrOtherBasisAmt
Depreciation	$379,350	DepreciationAmt
Book Value	$127,220	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$75,988,284	OtherCostOrOtherBasisAmt
Depreciation	$47,106,299	DepreciationAmt
Book Value	$28,881,985	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$157,653,710	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
PAYABLES TO RELATED ORGANIZATIONS	$6,111,584
PAYABLES TO THIRD PARTY PAYORS	$12,184,916
WORKERS COMPENSATION PAYABLE	$3,270,624

Field	Value	IRS element (for citing)
Total Liability	$21,567,124	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Line 4: Intended uses of the endowment fund.	FormAndLineReferenceDesc
Explanation	Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	false	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,856,224	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$456,383	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,399,841	NetCommunityBenefitExpnsAmt
Total Expense	0.01310	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,469,040	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$60,087,250	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$5,618,210	NetCommunityBenefitExpnsAmt

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,899,474	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$591,624	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,307,849	NetCommunityBenefitExpnsAmt
Total Expense	0.01280	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$64,224,738	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,135,257	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,089,480	NetCommunityBenefitExpnsAmt
Total Expense	0.02590	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$952,346	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$952,346	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$115,327	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$115,327	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,464,444	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,086,817	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,377,627	NetCommunityBenefitExpnsAmt
Total Expense	0.01010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$122,700	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$122,700	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,654,817	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,086,817	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,568,000	NetCommunityBenefitExpnsAmt
Total Expense	0.01360	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$79,879,555	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$72,222,074	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,657,480	NetCommunityBenefitExpnsAmt
Total Expense	0.03950	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,444,870	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,533,576	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$67,324,983	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$75,008,736	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,683,753	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	San Joaquin Community Hospital	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2615 Chester Avenue	AddressLine1
City	Bakersfield	City
State	CA	State
ZIP Code	93301	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Field	Value	IRS element (for citing)
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE O	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Form4720 Filed	false	Form4720FiledInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.0000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	400.0000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
State Regulation	Yes (X)	StateRegulationInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 3 - Account Input from Person Who Represent the Community	SURVEYS, LISTENING SESSIONS, ASSOCIATION WITH HEALTHY COLUMBIA WILLAMETTE COLABORATE
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	THE 2013 ASSESSMENT IS A COLLABORATIVE EFFORT OF THE KERN COUNTY COMMUNITY BENEFIT COLLABORATIVE THAT IS COMPRISED OF DELANO REGIONAL MEDICAL CENTER, DIGNITY HEALTH (MERCY AND MEMORIAL HOSPITALS), KAISER PERMANENTE AND SAN JOAQUIN COMMUNITY HOSPITAL.
Part V, Line 7 - Explanation of Needs Not Addressed and Reasons Why	Chronic Disease (Asthma, Obesity, Diabetes) and Infectious Disease (STDs): Although SJCH provides education and support services in these disease areas, the hospital has decided to center its outreach strategies on higher acuity illnesses that include heart disease, stroke and cancer. However, SJCH does have an American Diabetes Association-accredited education course available to insured patients. Overall, however, the hospital does not have a comprehensive community benefits program to reach the community in these areas. In some cases, i.e. sexually transmitted diseases, a hospital is not as equipped to impact change as other community organizations, such as the Public Health Department and highly focused non-profit organizations. Healthy Mothers, babies and children (low birth weight, infant mortality, pre-term birth): Over the past few years, SJCH has helped Kern County make significant leaps in this area, mostly through the opening of a new 9-bed Neonatal Intensive Care Unit which opened in 2009. In a community starved for NICU beds, SJCHs new facility continues to operate at a high capacity. Through work with the March of Dimes, the hospital also joined with other community health care facilities to implement a policy prohibiting elective birth prior to 39 weeks, which has been proven to alleviate many complications arising from premature birth. Moving forward, SJCH is working toward becoming a Baby Friendly Hospital. In part, this program places a strong emphasis on breast-feeding. Although progress is being made toward the accreditation, there is not a specific timeline for completion.

Field	Value	IRS element (for citing)
Facility	9	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
SJCH dba Adventist Health Home Care Svcs
2800 K Street	Bakersfield	CA	93301	Home Health
SJCH dba Community Diagnostic Center
2615 Chester Avenue	Bakersfield	CA	93301	MCI / CT Scan
SJCH dba Bariatric Solutions
2819 H Street Suite B	Bakersfield	CA	93301	Hospital Department
SJCH dba Buck Owens Wellness Resource Center
1524 27th Street 101	Bakersfield	CA	93301	Hospital Department
SJCH dba Grossman Burn Center dba Area Clinic
2819 Chester Avenue Suite A	Bakersfield	CA	93301	Hospital Department managed by Grossman Burn Center, LLC
SJCH dba Imaging Center DBA Quest Imaging Center
9602 Stockdale Highway	Bakersfield	CA	93309	Hospital Department
SJCH Medical Building Association
2615 Chester Avenue	Bakersfield	CA	93301	100% owned by SJCH, not operational as of 3/94 but still registered with the State of California.
Premier MSO LLC
2615 Chester Avenue	Bakersfield	CA	93301	SJCH is the sole member.
Itani Investments LLC
2615 Chester Avenue	Bakersfield	CA	93301	SJCH is the sole member. LLC was dissolved on 12/31/13.

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7 - Explanation of Costing Methodology	The 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	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 hospital's 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 general ledger Revenue ReceivedMedicare Cost Report Revenue* $ 65,188,424.Prior Year Settlements 3,317,697.Cost Report Reimbursable Bad Debts 1,330,092.Estimates and Accrual Variances ( 2,061,719.)Other ( 449,511.) ---------------Total Medicare Revenue $ 67,324,983. * 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	In Kern County, the not-for-profit hospitals have a long history of working together to actively engage in a number of practices that aim to improve the health of the community. A Community Health Needs Assessment was completed in order to gain insight into the current conditions and trends of various health indicators and to identify areas for improvement. As a companion to the report, an interactive website was created in 2010 that contains detailed information concerning the residents of Kern County. This site is located at healthykern.org. SJCH is working hard to listen to our community and identify needs and assets in our region. In an effort to accomplish this, the team employed both qualitative and quantitative data collection and analysis methods. The quantitative secondary data collection process included a comprehensive collection and review of health and quality of life data, collected and analyzed through the use of Healthy Communities Network System, a web-based community health data platform developed by Healthy Communities Institute. The system is hosted on the Healthy Kern website located at healthykern.org. It includes a comprehensive dashboard of approximately 140 community indicators from over 12 state and national public data sources, covering over 20 topics in the areas of health, determinants of health, and quality of life. In order to determine community needs, each of the approximately 140 available indicators was analyzed on the following criteria.1.Was Kern County in the worst performing half of all counties in the state or nation?2.Did Kern County fail to meet the national Healthy People 2020 goals?3.Was there an apparent health disparity?When over 80% of the indicators met at least one of these criteria, the highest priority needs were identified and included in the study. The primary data collection process in Kern County included two surveys with a total of 1,170 participants (200 in the Delano Community Alliance Needs Assessment Survey and 970 in the Community Survey). The Needs Assessment Survey was conducted by Strategy Solutions to support the CHNA process. To validate the data, and to ensure a broad representation of the community, qualitative data was collected through a total of 27 individual interviews with key stakeholders in the community. These interviews helped gather a personal perspective from those who have insight into the health of the community and region. The interviews were designed to gain insights from diverse community groups and underrepresented populations. These individuals also provided suggested activities from improving the health of the region.
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 one of the largest healthcare systems in the area serving Kern County and surrounding areas. The service area includes a small city and surrounding suburbs, small towns and rural agricultural areas. The diverse population includes Caucasian and a large minority population, both Hispanic and African-American.
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. Furthermore, 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 - Affilated Health Care System Roles and Promotion	The hospital is a member of Adventist Health, a health care system which provides healthcare 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 managment, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate adminstrative support for hospital affiliated groups that engage physicians through employment or other contracts. this provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communities by all member hospitals.
Part VI - States Where Community Benefit Report Filed	CA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (18 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
American Cancer Society
1831 Truxtun Ave Ste 150	Bakersfield	CA	93301	941170350	501(c)(3)	$10,000	$0	2013 MSABC FLAGSHIP SPONSORSHIP
American Heart Association
7272 Greenville Ave	Dallas	TX	75231	135613797	501(c)(3)	$26,200	$0	SAVINGS STROKES/HEART WALK EVENTS
Bakersfield Adventist Academy
333 Bernard St	Bakersfield	CA	93306	952545140	501(c)(3)	$8,850	$0	CONFERENCE/SPANISH CHURCH PROJ.
Bakersfield Cntrl SDA Church
4201 Wilson Road	Bakersfield	CA	93309	956005767	501(c)(3)	$5,500	$0	GUATEMALA MISSION TRIP
Bakersfield Museum of Art
1930 R Street	Bakersfield	CA	93301	770125694	501(c)(3)	$10,000	$0	SPONSOR VARIOUS EXHIBITS
Bakersfield Symphony Orchestr
1328 34th Street	Bakersfield	CA	93301	956001765	501(c)(3)	$11,750	$0	GALA/SPONSOR BSO CONCERTS
CASA of Kern County
2000 24th Street 130	Bakersfield	CA	93301	770344298	501(c)(3)	$20,000	$0	KICK OFF/CELEBRATIONS BOOKLET
Central California Conference
2820 Willow Avenue	Clovis	CA	93612	941279781	501(c)(3)	$34,000	$0	CAMP WAWONA MEDICAL BLDG
CSUB Foundation
19 AW 9001 Stockdale Hwy	Bakersfield	CA	93311	952643086	501(c)(3)	$7,700	$0	SCHOLARSHIPS/ALUMNI HALL OF FAME
First 5 Kern
2724 L Street	Bakersfield	CA	93301	770529128	501(c)(3)	$10,000	$0	MEDICALLY VULNERABLE CARE PROJ.
Global Family Care Network
8701 Swigert Ct	Bakersfield	CA	93311	208346599	501(c)(3)	$10,000	$0	PLEDGE
Global Medical Missions
11207 Draper Court	Bakersfield	CA	93311	460896120	501(c)(3)	$8,500	$0	PLEDGE
Greater Bksfld Chamber of Com
1725 Eye Street	Bakersfield	CA	93301	950521125	501(c)(3)	$22,000	$0	BUSINESS EXPOS/LEADERSHIP LUNCH
Hoffman Hospice
8501 Brimhall Road	Bakersfield	CA	93312	770386207	501(c)(3)	$10,000	$0	COMFORTS OF HOME CAMPAIGN
Jesus Shack Inc
1326 30th St B	Bakersfield	CA	93301	770496214	501(c)(3)	$16,000	$0	MOBILE MEDICAL CLINIC
JJs Legacy
PO BOX 12793	Bakersfield	CA	93389	273546375	501(c)(3)	$10,000	$0	PLATINUM SPONSOR
Kegley Institute of Ethics
9001 Stockdale Hwy	Bakersfield	CA	93311	952643086	501(c)(3)	$10,000	$0	ANNUAL FINANCIAL SPONSORHIP
Nelligan Sprts-CSUB Athletics
2400 Dallas Parkway Ste 500	Plano	TX	75093	223659064	501(c)(3)	$15,000	$0	CSUB ATHLETICS SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	17	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd
Rebuttable Presumption Proc	false	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt
Adrian Gonzales
Dir Pharmacy	$214,308	$51,754	$266,062
Bill Wing
Asst Sec				$593,788	$71,552	$116,785	$144,195	$28,699	$955,019	$63,725
Binh Nguyen
Pharmacist	$278,608	$67,282	$345,890
Brent Soper
Treasurer				$262,570		$39,500	$49,797	$13,263	$365,130	$26,807
Christina Frank
Interim VP Marketing & Development			$191,524								$191,524
Deborah Hankins
VP/CNO				$228,456		$81,372	$37,778	$22,009	$369,615	$63,372
Douglas Duffield
President/CEO				$181,243		$15,923	$35,753	$13,775	$246,694
Douglas Rebok
Asst Sec				$572,416	$72,192	$142,757	$137,764	$24,601	$949,730	$121,472
Harold Chilton
Chief Operating Officer				$288,005		$14,506	$15,576	$27,446	$345,533
Kurt Hoekendorf
VP Physical Development	$214,139	$24,982	$241,567								$2,446
Larry Dodds
Former Director				$216,120				$3,969	$220,089	$216,120
Mario Savric
Interim CNO	$187,437	$5,238	$194,416								$1,741
Martha Samora
VP Ancillary Services				$215,495		$74,207	$29,220	$25,248	$344,170	$62,436
Rafael Navarro
RN First Assist	$233,831	$36,700	$270,531
Robert Beehler
President/CEO				$380,197		$566,521	$89,935	$22,517	$1,059,170	$545,407
Robert Carmen
Director/Chair				$989,976	$126,046	$352,983	$17,787	$27,048	$1,513,840
Rodney Wehtje
Asst Treas				$369,816	$37,102	$101,441	$83,680	$22,183	$614,222	$65,921
Sam Itani
VP Support Services				$184,444		$13,615	$11,370	$28,265	$237,694
Scott Reiner
Vice Chairman				$688,994	$84,288	$302,585	$169,989	$28,391	$1,274,247	$277,913
Sharlet Briggs
VP Organizational Excellence				$206,556		$17,802	$11,965	$12,864	$249,187
Timothy Chow
Pharmacist	$267,664	$64,639	$332,303
Xu Xueyu
Physical Therapist	$334,961	$59,640	$394,601

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Ghina Itani
KE Wife	$141,902	Interior Design	false
Amanda Frank
KE Dgtr-law	$68,030	Employment	false
Edna Cornforth
KE Wife	$90,000	OP Radiology Manager	false
Jill Waters
KE Dgtr-Law	$1,237	Rev Cycle Support	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part V Supplemental Information	FormAndLineReferenceDesc
Explanation	DR. DONALD CORNFORTH, A KEY EMPLOYEE, OWNS 50% OF C&F PROPERTIES (NOW KNOWN AS CORNFITZ INVESTMENTS, LLC). SAN JOAQUIN COMMUNITY HOSPITAL RENTS MEDICAL OFFICE BUILDING AND PAID $600,000 IN 2013.DR. DONALD CORNFORTH, A KEY EMPLOYEE, OWNS 50% OF QUEST IMAGING MEDICAL ASSOCIATION. QUEST IMAGING MEDICAL ASSOCIATION PROVIDES RADIOLOGY PROFESSIONAL SERVICES TO HOSPITAL. TOTAL PAID IN 2013 WAS $4,099,571.DR. DONALD CORNFORTH, A KEY EMPLOYEE, OWNS 80% OF PREMIER PPA. PREMIER MSO, LLC, AN LLC OWNED SOLELY BY SAN JOAQUIN COMMUNITY HOSPITAL, PROVIDES BILLING SERVICES TO PREMIER PPA. PREMIER PPA'S OUTSTANDING PAYABLE AS OF 12/31/13 WAS $245,899.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	The hospital is organized as a not-for-profit 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	Form 990, Part VI, Line 7aThe hospital bylaws define its board of directors to be the same individuals who are members of the Adventist Health System/West board of directors. Adventist Health System/West, a California not-for-profit religious corporation, is the sole corporate member of the hospital.Form 990, Part VI, Line 7bThe 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 disclose 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 Adventist Health System/West 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.
Form 990, Schedule H, Part V, Section B, Line 5a - Hospital's Website	https://www.adventisthealth.org/Documents/Forms/DispForm.aspx?ID=12

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Premier MSO LLC
2615 Chester Ave	Bakersfield	CA	93301	271977963	BILLING AND SCHEDULING FOR PREMIER IPA	CA	-$85,486	$280,358	SAN JOAQUIN COMMUNITY HOSPITAL
Itani Investments LLC
2615 Chester Ave	Bakersfield	CA	93301	800531044	Property Acquisitions	CA			SAN JOAQUIN COMMUNITY HOSPITAL

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Adventist Health Systems West
2100 Douglas Boulevard	Roseville	CA	95661	953484589	Support and Manage System-Wide Activities	CA	501(c)(3)	1	N/A	false
Adventist Health Clearlake Hospital Inc
15630 18th Ave	Clearlake	CA	95422	680395149	Hospital	CA	501(c)(3)	3		false	Adventist Health System West
Castle Medical Center
640 Ulukahiki Street	Kailua	HI	96734	990107330	Hospital	HI	501(c)(3)	1		false	Adventist Health System West
Central Valley General Hopital
1025 N Douty Street	Hanford	CA	93230	770324630	Hospital	CA	501(c)(3)	1		false	Adventist Health System West
Feather River Hospital
5974 Pentz Road	Paradise	CA	95969	941101228	Hospital	CA	501(c)(3)	1		false	Adventist Health System West
Glendale Adventist Medical Center
1509 Wilson Terrace	Glendale	CA	91206	951816017	Hospital	CA	501(c)(3)	1		false	Adventist Health System West
Hanford Community Hospital
115 Mall Dr	Hanford	CA	93230	940535360	Hospital	CA	501(c)(3)	1		false	Adventist Health System West
Northwest Medical Foundation Tillamook
1000 Third Street	Tillamook	OR	97141	930622075	Hospital	OR	501(c)(3)	1		false	Adventist Health System West
Paradise Valley Hospital
2100 Douglas Blvd	Roseville	CA	95661	951816034	Wind Down After Sale of Hospital Facilities	CA	501(c)(3)	1		false	Adventist Health System West
Portland Adventist Medical Center
10123 SE Market Street	Portland	OR	97216	930429015	Hospital	OR	501(c)(3)	1		false	Adventist Health System West
Reedley Community Hospital
372 W Cypress Avenue	Reedley	CA	93654	453220509	Hospital	CA	501(c)(3)	1		false	Adventist Health System West
Simi Valley Hospital & Health Care Svcs
2975 North Sycamore Drive	Simi Valley	CA	93065	956064971	Hospital	CA	501(c)(3)	1		false	Adventist Health System West
Sonora Community Hospital
1000 Greenley Road	Sonora	CA	95370	941415069	Hospital	CA	501(c)(3)	1		false	Adventist Health System West
St Helena Hospital
10 Woodland Road	St Helena	CA	94574	941279779	Hospital	CA	501(c)(3)	1		false	Adventist Health System West
Ukiah Adventist Hospital
275 Hospital Drive	Ukiah	CA	95482	941639901	Hospital	CA	501(c)(3)	1		false	Adventist Health System West
Walla Walla General Hospital
1025 South Second Avenue	Walla Walla	WA	99362	910617726	Hospital	WA	501(c)(3)	1		false	Adventist Health System West
White Memorial Medical Center
1720 Cesar E Chavez Avenue	Los Angeles	CA	90033	952282647	Hospital	CA	501(c)(3)	1		false	Adventist Health System West
Willits Hospital Inc
1 Madrone Street	Willits	CA	95490	680108919	Hospital	CA	501(c)(3)	1		false	Adventist Health System West
Adventist Health Physicians Network
2100 Douglas Boulevard	Roseville	CA	95661	680357690	Medical Foundation	CA	501(c)(3)	11b, II		false	Adventist Health System West

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	South Coast Medical Center	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 Douglas Blvd	AddressLine1
City	Roseville	City
State	CA	State
ZIP Code	95661	ZIPCode

Field	Value	IRS element (for citing)
EIN	952037291	EIN
Primary Activities	wind down after sale of hospital	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C Corp	EntityTypeTxt
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd