GLENDALE ADVENTIST MEDICAL CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- GLENDALE ADVENTIST MEDICAL CENTER (EIN 95-1816017)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201333199349304033
- Schema version
- 2012v2.0
- 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) |
|---|---|---|
| Timestamp | 2013-11-15T08:47:05-08:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Clement & Associates CPA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2930 Honolulu Avenue Suite 200 | AddressLine1 |
| City | La Crescenta | City |
| State | CA | State |
| ZIP Code | 91214 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951816017 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Glendale Adventist Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GLEN | NameControl |
| Phone | 8184098000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1509 Wilson Terrace | AddressLine1 |
| City | Glendale | City |
| State | CA | State |
| ZIP Code | 91206 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kelly Turner | Name |
| Title | Treas/Sr VP Fin | Title |
| Date Signed | 2013-11-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | S Clement | Name |
| PTIN | P01218012 | PTIN |
| Phone | 8182491065 | Phone |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Kevin Roberts | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1509 Wilson Terrace | AddressLine1 |
| City | Glendale | City |
| State | CA | State |
| ZIP Code | 91206 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 383689057 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Group Exemption Number | 1071 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.glendaleadventist.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1905 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | The hospital mission is to provide our community with physical, mental, and spiritual healing in a way that reflects God's love for all. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2808 | TotalNbrEmployees |
| Total Nbr Volunteers | 724 | TotalNbrVolunteers |
| Total Gross UBI | 2772164 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 555950 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1627376 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1725213 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 341671081 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 378566388 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1957788 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2463404 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 824527 | OtherRevenuePriorYear |
| Other Revenue Current Year | 904643 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 346080772 | TotalRevenuePriorYear |
| Total Revenue Current Year | 383659648 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 184200 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 121685 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 168849836 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 182652546 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 1138674 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 170403979 | OtherExpensePriorYear |
| Other Expenses Current Year | 195397443 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 339438015 | TotalExpensesPriorYear |
| Total Expenses Current Year | 378171674 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 6642757 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5487974 | RevenuesLessExpensesCY |
| Total Assets BOY | 394424561 | TotalAssetsBOY |
| Total Assets EOY | 389611414 | TotalAssetsEOY |
| Total Liabilities BOY | 251986535 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 240764965 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 142438026 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 148846449 | NetAssetsOrFundBalancesEOY |
| Mission Description | To share God's love with our community by promoting healing and wellness for the whole person. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 307115723 | Expense |
| Grants | 121685 | Grants |
| Revenue | 378554250 | Revenue |
| Description | Glendale Adventist MedicalCenter 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 2012 was $35,497,291.Inpatient services in 2012 were provided to 19,761 patients. These services included: 2,468 Babies delivered 3,844 Surgeries performed 49,425 Radiology procedures performed 29,714 Cardiac catheterizations and other procedures 763,092 Laboratory tests performed 629 Rehabilitation patients 2,041 Mental health patientsOutpatient services in 2012 were provided to 282,700 patients. These services included: 46,146 Emergency room visits 3,904 Outpatient surgeries performed 58,928 Radiology procedures performed 2,631 Cardiac catheterizations and other procedures 396,857 Laboratory tests performedHome Care services in 2012 were provided to 19,727 patients. These services included: 12,863 RN visits 4,977 Physical Therapy visits 833 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.Recently, GAMC was selected as July's Fire Starter of the Month by Studer Group, an international outcomes-based healthcare consulting firm that works with hundreds of hospitals and healthcare organizations to improve clinical, service and operational outcomes.The Fire Starter of the Month is a prestigious award which Studer Group bestows upon hospitals that act as premier examples of quality healthcare. The award reflects an overall passion and commitment to creating a culture of excellence where patients feel confident about their care, physicians enjoy practicing medicine, and employees are proud to be part of the organization. Fire Starters ignite the flame of service and caring for others that guides and supports the organization and results in measurable positive outcomes.Our journey to world-class excellence, which we call "Performance at a Higher Level," began with the Studer Group in May 2012. With Studer's coaching and God's blessing, our leadership team has steadily been "hardwiring" best practices into the daily culture at Glendale Adventist.In the early part of 2012, the hospital's HCAHPS, ED and other patient experience scores were significantly behind state and national averages. In the 4th quarter of 2012, after the journey with Studer began, hospital scores skyrocketed into the 70th, 80th and even up to the 90th percentiles. The hospital has sustained, and improved upon, these amazing results through the first quarter of 2013.In the 13 year history of Studer Group, they had never seen a hospital achieve such rapid improvement of their HCAHPS patient experience results as what were seen at GAMC.The Studer Group's mission is to change the face of healthcare by creating a better place for employees to work, physicians to practice medicine, and patients to receive care. One of the primary goals is to build a culture that consistently delivers a great patient experience and the best quality outcomes over time.A significant portion of the mission-driven assistance GAMC provides its community is intangible or otherwise difficult to quantify. The following story illustrates this:One of the programs that GAMC provides is the Cancer Center. The Center provides free support programs and services for cancer patients and their families. There is a Positive Image Center called Ingeborgs Place Apart which offers wigs, skin care instruction, make-up classes and haircutsall free of charge. There are numerous support groups and therapeutic classes for cancer patients to help them get through their cancer journey. The impact of this Center is remarkable. There is no other such program operating free of charge in the nearby community. Patients come from everywhere seeking help.One patient Guadalupe M. was diagnosed with Stage 4 cancer. For 2 years, she was receiving treatment from another hospital in the community but came to Glendale Adventist Medical Centers Cancer Center to receive non-clinical services offered there. Guadalupe came to the Cancer Center once or twice a week to participate in support groups, special classes and other programs. She found more than education and support, she found a family she could rely on. We are all like sisters, not just friends. We are all going through the same thing and we understand each other.One day, Guadalupe was told by her physician that her cancer had gotten to a stage where further treatment would no longer be effective. She was devastated and went to the only place she knew she could find understanding and support, Glendale Adventist Medical Centers Cancer Center. The support staff there encouraged Guadalupe to see another physician for a second opinion. Dr. B. met with Guadalupe and reviewed her medical history. He told her that the care she received from the other hospital and physician was spot-on. The appropriate protocols were followed and he himself would have done the same exact thing for her treatment. He did, however, give Guadalupe another option. A new drug therapy that he warned her would be physically difficult and asked her if she was up for the challenge. She said, With my sisters at the Cancer Center, yes! I am up for it. Guadalupe got through the treatment. The Cancer Center was there for her every step of the way. She participated in support group meetings, dance classes, yoga classes, relaxation classes. These programs exemplify our mission and approach to healing the whole person, body, mind and spirit. Good nutrition, exercise, relaxation and emotional support all worked together to help Guadalupe cope with the grueling effects of the aggressive treatment. Today, 2 years after having received the disheartening prognosis from her prior doctor, Guadalupe is celebrating 2 years of survivorship. She has blossomed from a shy and reticent woman into a vocal champion and volunteer at the Cancer Center, helping other cancer patients on their journey by sharing her inspiring story of courage and perseverance. All of the services at the Cancer Center were provided free of charge and without a requirement to be a patient at Glendale Adventist Medical Center. Our donors and friends have given generously to the Cancer Center to make these kinds of miracles possible. It takes special people to create change, people with a passion for making a difference in the lives of others. Not just because it is the right thing to do, but because their passion to help those less fortunate is in their heart. Glendale Adventist Medical Center invites you to partner with us in building on our legacy of primary care and our unwavering pursuit of excellence in quality, innovation and service. For more information on the work that we do, visit us at www.glendaleadventist.com. | Description |
| Total Program Service Expense | 307115723 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | true | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 327 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2808 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Kelly Turner CFO | NamePerson |
| Telephone Number | 8184098000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1509 Wilson Terrace | AddressLine1 |
| City | Glendale | City |
| State | CA | State |
| ZIP Code | 91206 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (33 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| Scott Reiner | ||||||||||
| V Chair/Sec | 0.00 | 50.00 | X | X | 0 | 915400 | 183744 | |||
| Robert Carmen | ||||||||||
| Chairman | 0.00 | 50.00 | X | X | 0 | 1814442 | 38864 | |||
| Max Torkelsen | ||||||||||
| Director | 0.00 | 1.00 | X | 0 | 2233 | 0 | ||||
| Wes Rippey MD | ||||||||||
| Director | 0.00 | 1.00 | X | 0 | 100406 | 0 | ||||
| Al Reimche | ||||||||||
| Director | 0.00 | 1.00 | X | 0 | 2290 | 0 | ||||
| Helmuth Jones | ||||||||||
| Director | 0.00 | 1.00 | X | 0 | 1127 | 0 | ||||
| Meredith Jobe Esq | ||||||||||
| Director/GenCns | 1.00 | 50.00 | X | 0 | 318021 | 73755 | ||||
| Larry Innocent | ||||||||||
| Director | 0.00 | 1.00 | X | 0 | 1273 | 0 | ||||
| Ricardo Graham | ||||||||||
| Director | 0.00 | 1.00 | X | 0 | 2556 | 0 | ||||
| Melody Gabriel | ||||||||||
| Director | 0.00 | 1.00 | X | 0 | 300 | 0 | ||||
| Christine E Friestad Esq | ||||||||||
| Director | 0.00 | 1.00 | X | 0 | 2586 | 0 | ||||
| Ruthita Fike | ||||||||||
| Director | 0.00 | 1.00 | X | 0 | 695 | 0 | ||||
| Charles Dickinson | ||||||||||
| Director | 0.00 | 1.00 | X | 0 | 3085 | 0 | ||||
| Lynn Creitz | ||||||||||
| Director | 0.00 | 1.00 | X | 0 | 4052 | 0 | ||||
| Larry Caviness | ||||||||||
| Director | 0.00 | 1.00 | X | 0 | 3245 | 0 | ||||
| Warren Tetz | ||||||||||
| Asst Sec/SrVPOp | 50.00 | 0.00 | X | 0 | 392351 | 96355 | ||||
| Kelly Turner | ||||||||||
| Treas/AsstSec/S | 50.00 | 0.00 | X | 0 | 338201 | 207714 | ||||
| Kevin Roberts | ||||||||||
| President & CEO | 50.00 | 0.00 | X | 0 | 592983 | 107863 | ||||
| Bill Wing | ||||||||||
| Asst Sec | 0.00 | 50.00 | X | 0 | 665195 | 154613 | ||||
| Rodney Wehtje | ||||||||||
| Asst Treas | 0.00 | 50.00 | X | 0 | 534490 | 210115 | ||||
| Douglas Rebok | ||||||||||
| Asst Sec | 0.00 | 50.00 | X | 0 | 872315 | 159731 | ||||
| Arby Nahapetian | ||||||||||
| VP Med Affairs | 50.00 | 0.00 | 0 | 125727 | 31073 | X | ||||
| Kimberly Milstien | ||||||||||
| VP Bus Dev | 50.00 | 0.00 | 0 | 249578 | 38196 | X | ||||
| Robert Marchuk | ||||||||||
| VP Ancillary Svc | 50.00 | 0.00 | 0 | 217515 | 63176 | X | ||||
| Dennis deLeon | ||||||||||
| VP Med Affairs | 50.00 | 0.00 | 0 | 498512 | 56357 | X | ||||
| Judy Blair | ||||||||||
| Sr VP Pt Care/CNO | 50.00 | 0.00 | 0 | 228123 | 34553 | X | ||||
| Peter Baker | ||||||||||
| VP Bus Dev | 50.00 | 0.00 | 0 | 94876 | 4758 | X | ||||
| Suvanna Patana | ||||||||||
| RN | 60.00 | 0.00 | 190753 | 0 | 17195 | X | ||||
| Romic Eskandarian | ||||||||||
| Pharmacy Director | 50.00 | 0.00 | 187900 | 0 | 24792 | X | ||||
| Susan Crabtree | ||||||||||
| Director of HR | 50.00 | 0.00 | 182043 | 0 | 23213 | X | ||||
| Frederico Duran Jr | ||||||||||
| Cath Lab Manager | 60.00 | 0.00 | 181353 | 0 | 26093 | X | ||||
| Robert Brown | ||||||||||
| RN | 60.00 | 0.00 | 178056 | 0 | 16310 | X | ||||
| Larry Dodds | ||||||||||
| Former Dir/V Chair/Sec | 0.00 | 0.00 | 0 | 78842 | 18492 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 920105 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 8060419 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1586962 | TotalOtherCompensation |
| Number Individuals GT100 K | 234 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ShiftwiseOrigin Inc | |||||
| PO Box 70870 | St Paul | MN | 551709705 | Registry Staffing | 1188605 |
| Family Practice of Glendale Glendale Med Gp | |||||
| 801 S Chevy Chase 201 | Glendale | CA | 91205 | Residency Teaching | 3041969 |
| Consultants for Anesthesia & Mgmt of Pain | |||||
| 225 S Lake Ave 535 | Pasadena | CA | 91101 | Medical Services | 938100 |
| BAC LLC | |||||
| 1505 Wilson Terrace Suite 155 | La Canada | CA | 91206 | Dialysis Services | 1124095 |
| Albert C Mak MD Cyberknife | |||||
| 707 S Garfield Ave Ste B002 | Alhambra | CA | 91801 | Med Svcs-Surgical | 1610000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 50 | NumberOfContractorsGT100K |
| Related Organizations | 40000 | RelatedOrganizations |
| Government Grants | 1450399 | GovernmentGrants |
| All Other Contributions | 234814 | AllOtherContributions |
| Total Contributions | 1725213 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Rental Income - Prog | 531120 | 1402561 | 1400561 | 2000 | |
| Program Svc Revenue | 621110 | 1749981 | $1,749,981 | ||
| Patient Svc Revenue | 621110 | 368729583 | 365986541 | 2743042 | |
| Education | 611430 | 4727387 | 4727387 | ||
| Dependent Care | 624410 | 1159207 | 1159207 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 797669 | TotalRevenueColumn |
| Related Or Exempt Function Income | 653396 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 16612 | UnrelatedBusinessRevenue |
| Exclusion | $127,661 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 378566388 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2120248 | TotalRevenueColumn |
| Exclusion | $2,120,248 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 323083 | Securities |
| Other | 49482 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 29409 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 323083 | Securities |
| Other | 20073 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 343156 | TotalRevenueColumn |
| Related Or Exempt Function Income | 323083 | RelatedOrExemptFunctionIncome |
| Exclusion | $20,073 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Other Non-Operating Inc | 900099 | 818316 | 818316 | |
| Mgmt Fees - Related Org | 541900 | 41495 | 30985 | 10510 |
| Change Int Fdtn Net Asset | 900099 | 44832 | 44832 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 904643 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 383659648 | TotalRevenueColumn |
| Related Or Exempt Function Income | 375144308 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2772164 | UnrelatedBusinessRevenue |
| Exclusion | $4,017,963 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 121685 | Total |
| Program Services | 121685 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 136684437 | Total |
| Program Services | 124198487 | ProgramServices |
| Management And General | 11745799 | ManagementAndGeneral |
| Fundraising | 740151 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4804128 | Total |
| Program Services | 4328627 | ProgramServices |
| Management And General | 475501 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31031954 | Total |
| Program Services | 27468561 | ProgramServices |
| Management And General | 3563393 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10132027 | Total |
| Program Services | 9231490 | ProgramServices |
| Management And General | 900537 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1619390 | Total |
| Management And General | 1619390 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 321810 | Total |
| Management And General | 321810 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14466158 | Total |
| Program Services | 12260281 | ProgramServices |
| Management And General | 2176377 | ManagementAndGeneral |
| Fundraising | 29500 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1286294 | Total |
| Management And General | 1216969 | ManagementAndGeneral |
| Fundraising | 69325 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3821109 | Total |
| Program Services | 2776337 | ProgramServices |
| Management And General | 1008353 | ManagementAndGeneral |
| Fundraising | 36419 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10731248 | Total |
| Program Services | 10688632 | ProgramServices |
| Management And General | 42616 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9237375 | Total |
| Program Services | 9134063 | ProgramServices |
| Management And General | 14692 | ManagementAndGeneral |
| Fundraising | 88620 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 514819 | Total |
| Program Services | 314905 | ProgramServices |
| Management And General | 182032 | ManagementAndGeneral |
| Fundraising | 17882 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 185180 | Total |
| Program Services | 140622 | ProgramServices |
| Management And General | 44558 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6095583 | Total |
| Program Services | 6095583 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20288792 | Total |
| Program Services | 20288792 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1369854 | Total |
| Program Services | 1369854 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Rental/Lease Costs Equipment | 1924066 | 1912463 | 11603 | |
| Purchased Services | 33729679 | 22782786 | 10841646 | 105247 |
| Qual Assur & Other Expenses | 35803531 | 35752001 | 51530 | |
| Pt Care Supplies | 52620245 | 52620245 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1382310 | Total |
| Program Services | 1382310 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 378171674 | Total |
| Program Services | 307115723 | ProgramServices |
| Management And General | 69917277 | ManagementAndGeneral |
| Fundraising | 1138674 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 121391 | BOY |
| EOY | 35519 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44494835 | BOY |
| EOY | 39511724 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55422506 | BOY |
| EOY | 58191392 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6882979 | BOY |
| EOY | 6556917 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2479748 | BOY |
| EOY | 2419282 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 447800482 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 203278903 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 245209319 | BOY |
| EOY | 244521579 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1610586 | BOY |
| EOY | 1407683 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 6239551 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38203197 | BOY |
| EOY | 30727767 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 394424561 | BOY |
| EOY | 389611414 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33267744 | BOY |
| EOY | 27381935 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37083805 | BOY |
| EOY | 35760721 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1861565 | BOY |
| EOY | 530925 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 179773421 | BOY |
| EOY | 177091384 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 251986535 | BOY |
| EOY | 240764965 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 137528894 | BOY |
| EOY | 144291478 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4628274 | BOY |
| EOY | 4265767 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 280858 | BOY |
| EOY | 289204 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 142438026 | BOY |
| EOY | 148846449 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 394424561 | BOY |
| EOY | 389611414 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 5487974 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 920449 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Church170b1 Ai | X | Church170b1Ai |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | true | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $24,660 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 24660 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i | Identifier |
| Return Reference | Part II-B, Line 1i - Other Activities Description | ReturnReference |
| Explanation | Allocation of dues paid to industry and professional organizations. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4909132 | BeginningOfYearBalance |
| Contributions | 1730418 | Contributions |
| Investment Earnings Or Losses | 8346 | InvestmentEarningsOrLosses |
| Other Expenditures | 2092925 | OtherExpenditures |
| End Of Year Balance | 4554971 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5135086 | BeginningOfYearBalance |
| Contributions | 878394 | Contributions |
| Investment Earnings Or Losses | 7469 | InvestmentEarningsOrLosses |
| Other Expenditures | 1111817 | OtherExpenditures |
| End Of Year Balance | 4909132 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4842628 | BeginningOfYearBalance |
| Contributions | 1113528 | Contributions |
| Investment Earnings Or Losses | 25756 | InvestmentEarningsOrLosses |
| Other Expenditures | 846826 | OtherExpenditures |
| End Of Year Balance | 5135086 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6094608 | BeginningOfYearBalance |
| Contributions | 263886 | Contributions |
| Investment Earnings Or Losses | 58093 | InvestmentEarningsOrLosses |
| Other Expenditures | 1573959 | OtherExpenditures |
| End Of Year Balance | 4842628 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 8660152 | BeginningOfYearBalance |
| Contributions | 1806240 | Contributions |
| Investment Earnings Or Losses | -90718 | InvestmentEarningsOrLosses |
| Other Expenditures | 4281066 | OtherExpenditures |
| End Of Year Balance | 6094608 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3726115 | OtherCostOrOtherBasis |
| Book Value | 3726115 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 348415585 | OtherCostOrOtherBasis |
| Depreciation | 147007707 | Depreciation |
| Book Value | 201407878 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3513831 | OtherCostOrOtherBasis |
| Depreciation | 2160591 | Depreciation |
| Book Value | 1353240 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 78232646 | OtherCostOrOtherBasis |
| Depreciation | 52830342 | Depreciation |
| Book Value | 25402304 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13912305 | OtherCostOrOtherBasis |
| Depreciation | 1280263 | Depreciation |
| Book Value | 12632042 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 244521579 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Receivables from Third-Party Payors | 2329607 |
| Receivables from Related Organizations | 22235483 |
| Other Receivables | 1937694 |
| Other Assets | 4224983 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 30727767 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Workers Compensation Liability | $6,686,997 |
| Tax Liability | $25,000 |
| Payables to Related Organizations | $170,347,047 |
| Other Liabilities | $32,340 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 177091384 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part V, Line 4 | Identifier |
| Return Reference | Part V, Line 4: Intended uses of the endowment fund. | ReturnReference |
| 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. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 300.000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 450.000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6678355 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6678355 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01770 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 88488595 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 85919615 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2568980 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00680 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 30804 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10191 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 20613 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 95197754 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 85929806 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9267948 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02460 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3915371 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 960243 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2955128 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00780 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 875612 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 875612 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 796890 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 565530 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 231360 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1153269 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1153269 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00300 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6741142 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1525773 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5215369 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01370 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 101938896 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 87455579 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14483317 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03830 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 175150 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 175150 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1804756 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1804756 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00480 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 11500 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 5000 | DirectOffsettingRevenue |
| Net Community Building Expense | 6500 | NetCommunityBuildingExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 231205 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 231205 | DirectOffsettingRevenue |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 537841 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 537841 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2760452 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 236205 | DirectOffsettingRevenue |
| Net Community Building Expense | 2524247 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00670 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $3,584,552 | BadDebtExpenseAmount |
| Amount Attributable To | 1792276 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 132393828 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 140937245 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -8543417 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Glendale Adventist Med Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1509 Wilson Terrace | AddressLine1 |
| City | Glendale | City |
| State | CA | State |
| ZIP Code | 91206 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
| Other | Acute, Psychiatric & Skilled Nursing | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 300.0000 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 450.0000 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 2 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| GAMC Alcohol & Drug Rehab | ||||
| 335 Mission Rd | Glendale | CA | 91206 | Alcohol & Drug Rehabilitation Services |
| GAMC Home Care Services | ||||
| 381 Harvey Dr | Glendale | CA | 91206 | Home Care Services |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part V - Explanation of Number of Facility Type | The hospital provides outpatient services in multiple locations within its service area. | |
| Part VI - States Where Community Benefit Report Filed | CA | |
| 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 - 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, rehabilitative medicine and home care services, 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 - 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 - 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 is seeking 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 - 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 - 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 V, Line 20d - Other Billing Determination of Individuals Without Insurance | The hospital's financial assistance policy has three income ranges for patients who received emergency medical care, which provides a discount based on Medicare rates. There are also three income ranges for patients who received non-emergency medical care; the two lower income ranges provide a discount based on Medicare rates. The higher income range provides a discount from the balance due after the uninsured discount, that is available to all uninsured patients without regard to income. Only five of the six income ranges are discounted based on Medicare rates. | Number of Hospital Faciltiy - 1 |
| 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 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 $133,765,652 Prior Year Settlements 2,695,776 Cost Report Reimbursable Bad Debts 2,850,545 Less Amts included in Part 1, lines g & f (1,876,518) Non-Cost Report Revenue (4,252,533) Estimates and Accrual Variances 117,520 Other (906,614) ___________ Subtotal - Amount reported in Pt III, line 5 132,393,828 Amount included in Part 1, lines g and f 1,876,518 Total Medicare Revenue $134,270,346*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 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. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|
| YWCA of Glendale | ||||||||
| 735 E Lexington Dr | Glendale | CA | 91206 | 951644057 | 501(c)(3) | 8400 | 0 | Event Sponsorship |
| Glendale Community College | ||||||||
| 1500 N Verdugo Rd | Glendale | CA | 91206 | 952668744 | Government Entity | 10000 | 0 | Fundraising |
| Glendale Com Free Hlth Clinic | ||||||||
| 134 N Kenwood St | Glendale | CA | 91206 | 870732681 | 501(c)(3) | 15000 | 0 | General Operations |
| Glendale College Foundation | ||||||||
| 1500 N Verdugo Rd | Glendale | CA | 91206 | 953876072 | 501(c)(3) | 16185 | 0 | Fundraising |
| Glendale Chamber of Commerce | ||||||||
| 701 N Brand Blvd 120 | Glendale | CA | 91203 | 950775310 | 501(c)(6) | 19500 | 0 | Fundraising |
| City of Glendale | ||||||||
| 141 N Glendale Avenue | Glendale | CA | 91206 | 956000714 | City Government | 7000 | 0 | Event Sponsorships |
| Armenian Bone Marrow Dnr Rgst | ||||||||
| 347 W Stocker St 208 | Glendale | CA | 91202 | 050573780 | 501(c)(3) | 10000 | 0 | General Operations |
| Armenian American Medical Soc | ||||||||
| PO Box 32 | Glendale | CA | 91209 | 954108352 | 501(c)(3) | 9100 | 0 | Event Sponsorships |
| Armenian American Chamber | ||||||||
| 225 E Broadway | Glendale | CA | 91205 | 914782459 | 501(c)(6) | 6500 | 0 | General Operations |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 55 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 3 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Grantmaker's Description of How Grants are Used | Identifier |
| Explanation | Grants are donations made to US tax exempt 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)
| TitleTitle | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Bonus Related OrgsBonusRelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Warren Tetz | |||||||||||||
| Asst Sec/SrVPOp | 299770 | 92581 | 75476 | 20879 | 488706 | 50949 | |||||||
| Suvanna Patana | |||||||||||||
| RN | 93746 | 218 | 96789 | 11147 | 6048 | 207948 | |||||||
| Susan Crabtree | |||||||||||||
| Director of HR | 156759 | 11479 | 13805 | 10541 | 12672 | 205256 | |||||||
| Scott Reiner | |||||||||||||
| V Chair/Sec | 654000 | 111866 | 160719 | 23025 | 1099144 | 42890 | 149534 | ||||||
| Romic Eskandarian | |||||||||||||
| Pharmacy Director | 167591 | 8195 | 12114 | 10656 | 14136 | 212692 | |||||||
| Rodney Wehtje | |||||||||||||
| Asst Treas | 362899 | 100009 | 191288 | 18827 | 744605 | 63809 | 71582 | ||||||
| Robert Marchuk | |||||||||||||
| VP Ancillary Svc | 203052 | 14463 | 40307 | 22869 | 280691 | ||||||||
| Robert Carmen | |||||||||||||
| Chairman | 982571 | 591191 | 15298 | 23566 | 1853306 | 472760 | 240680 | ||||||
| Robert Brown | |||||||||||||
| RN | 105010 | 4093 | 68953 | 10262 | 6048 | 194366 | |||||||
| Meredith Jobe Esq | |||||||||||||
| Director/GenCns | 262685 | 55336 | 56358 | 17397 | 391776 | ||||||||
| Larry Dodds | |||||||||||||
| Former Dir/V Chair/Sec | 562 | 3564 | 14928 | 97334 | 78280 | ||||||||
| Kimberly Milstien | |||||||||||||
| VP Bus Dev | 234888 | 14690 | 25662 | 12534 | 287774 | ||||||||
| Kevin Roberts | |||||||||||||
| President & CEO | 421270 | 127181 | 89014 | 18849 | 700846 | 64363 | 44532 | ||||||
| Kelly Turner | |||||||||||||
| Treas/AsstSec/S | 277000 | 61201 | 196307 | 11407 | 545915 | 44312 | |||||||
| Judy Blair | |||||||||||||
| Sr VP Pt Care/CNO | 204258 | 8121 | 13732 | 20821 | 262676 | 15744 | |||||||
| Frederico Duran Jr | |||||||||||||
| Cath Lab Manager | 113057 | 126 | 68170 | 10493 | 15600 | 207446 | |||||||
| Douglas Rebok | |||||||||||||
| Asst Sec | 561780 | 172912 | 138641 | 21090 | 1032046 | 116805 | 137623 | ||||||
| Dennis deLeon | |||||||||||||
| VP Med Affairs | 348090 | 150422 | 31272 | 25085 | 554869 | 108001 | |||||||
| Bill Wing | |||||||||||||
| Asst Sec | 554320 | 33678 | 131876 | 22737 | 819808 | 77197 | |||||||
| Arby Nahapetian | |||||||||||||
| VP Med Affairs | 123653 | 2074 | 20630 | 10443 | 156800 | ||||||||
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Sch J, Part I, Line 1a | Identifier |
| Return Reference | Part I, Line 1a: Relevant information in regards to selections on 1a. | ReturnReference |
| Explanation | 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. | Explanation |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Dro Abrahamian | NamePerson |
| Purpose Of Loan | Exec Hsg | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $25,000 | OriginalPrincipalAmount |
| Balance Due | 25000 | BalanceDue |
| Default | false | Default |
| Approved By Board | true | ApprovedByBoard |
| Written Agreement | true | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 25000 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part XI, Line 9 | Other Changes In Net Assets Or Fund Balances - Other Increases | Restricted Gifts & Grants = $1730418 |
| Form 990, Part XI, Line 9 | Other Changes In Net Assets Or Fund Balances - Other Increases | Net Realized gains/losses on Perm Restr investments = $8346 |
| Form 990, Part XI, Line 9 | Other Changes In Net Assets Or Fund Balances - Other Increases | Net Assets Released from Restr-Cap Addtn = $1274610 |
| Form 990, Part XI, Line 9 | Other Changes In Net Assets Or Fund Balances - Other Decreases | Change in Value of Split Int Agmts = -$2092925 |
| Form 990, Part VI, Line 19 | 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, Part VI, Line 15b | 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 15a | 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 12c | 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 11b | 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 7b | 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 6 | 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (20 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Willits Hospital Inc | |||||||||||
| 1 Madrone St | Willits | CA | 95490 | 680108919 | Hospital | CA | 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 | |
| Walla Walla General Hospital | |||||||||||
| 1025 S Second Ave | Walla Walla | WA | 99362 | 910617726 | Hospital | WA | 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 | |
| Sonora Community Hospital | |||||||||||
| 1000 Greenley Rd | Sonora | CA | 95370 | 941415069 | 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 | |
| San Joaquin Community Hospital | |||||||||||
| 2615 Chester Ave | Bakersfield | CA | 93301 | 952294234 | 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 | |
| Reedley Community Hospital | |||||||||||
| 372 W Cypress Ave | Reedley | CA | 93654 | 453220509 | Hospital | 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 | |
| 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 | |
| Northwest Medical Fdtn of Tillamook | |||||||||||
| 1000 Third St | Tillamook | OR | 97141 | 930622075 | Hospital | OR | 501(c)(3) | 1 | Adventist Health SystemWest | false | |
| Hanford Community Hospital | |||||||||||
| 450 Greenfield Ave | Hanford | CA | 93230 | 940535360 | Hospital | CA | 501(c)(3) | 1 | Adventist Health SystemWest | false | |
| 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 | |
| Feather River Hospital | |||||||||||
| 5974 Pentz Rd | Paradise | CA | 95969 | 941101228 | Hospital | CA | 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 | |
| Castle Medical Center | |||||||||||
| 640 Ulukahiki St | Kailua | HI | 96734 | 990107330 | Hospital | HI | 501(c)(3) | 1 | 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 | |
| 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 SystemWest | |||||||||||
| 2100 Douglas Blvd | Roseville | CA | 95661 | 953484589 | Support and Manage System-Wide Activities | CA | 501(c)(3) | 1 | false | N/A | |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Glendale Adventist Medical Building LP | ||||||||||||
| 1509 Wilson Terrace | Glendale | CA | 91206 | 953752800 | Med Ofc Bld | CA | N/A | 335623 | 2261277 | false | true | 0.54614 |
| Physician Medical Terrace LP | ||||||||||||
| 1509 Wilson Terrace | Glendale | CA | 91206 | 954277400 | Med Ofc Bld | CA | N/A | -3092 | 4141651 | false | true | 0.56596 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | South Coast Medical Center | BusinessNameLine1 |
Address US AddressUS
| 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 Activity | Wind down after sale of hospital | PrimaryActivity |
| Legal Domicile State | CA | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | C-Corp | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
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