2012-11-15T16:21:03-08:00 2011-12-31 BROWN ARMSTRONG ACCOUNTANCY CORPORATION 4200 TRUXTUN AVE STE 300 BAKERSFIELD CA 933090668 990 2011-01-01 952294234 San Joaquin Community Hospital SANJ 6613953000 2615 Chester Avenue Bakersfield CA 93301 Brent Soper 2012-11-15 true Christina M Thornburgh 6613244971 2011 2016-02-24 21:20:13Z 319552297 false false 1071 X www.sjch.us X 1964 CA to share god's love with our community by providing physical, mental and spiritual healing. 13 8 2308 272 12068 9886 1354738 2608593 265649177 310821431 3192516 2820152 2290181 1933418 272486612 318183594 0 0 123252602 154166930 0 1158722 121907870 132811574 245160472 286978504 27326140 31205090 238506359 260121378 131345185 136755114 107161174 123366264 to share god's love with our community by providing physical, mental and spiritual healing. false false 253679231 310821431 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 2011 was $16,230,106.Inpatient services in 2011 were provided to 20,815 patients. These services included: - Acute care services for medical/surgical, pediatric, obstetric and critical care patients. - Baby deliveries totaling 2,676. - Surgery cases performed totaling 5,183, of which open-heart surgeries totaled 104. 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 2011 were provided to 76,627 patients. These services included: - Emergency room visits totaling 62,708 - Outpatient surgery cases performed totaled 4,500 - Radiology procedures performed - Cardiac catherizations and other procedures - Laboratory tests performed - OB ClinicsHome Health Care services in 2011 were provided to 1,215 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. 253679231 true true false true false false false false false false true false false false true false false true false false false false false false false false true true false false true false false false false false false false false false false true false false false false true true false false false false true 332 0 false 2308 true true true false false false false false false false false false 0 false false false false false false false false false false false X 13 8 false false false false true false true true true false false false true true true true true true true true false false X Brent Soper 6613953000 2615 Chester Avenue Bakersfield CA 93301 X Helmuth Jones 1.00 X 0 350 0 Larry Innocent 1.00 X 0 350 0 Scott Reiner 50.00 X X 0 907841 160287 Larry Dodds 50.00 X X 0 685344 96060 Robert Carmen 50.00 X X 0 1749297 39804 Max Torkelsen 1.00 X 0 2381 0 Wes Rippey 1.00 X 0 98503 0 Al Reimche 1.00 X 0 1637 0 Meredith Jobe 1.00 X 0 54617 0 Steven Herber 1.00 X 0 219912 41678 Ricardo Graham 1.00 X 0 2652 0 Christine Friestad 1.00 X 0 2927 0 Ruthita Fike 1.00 X 0 635 0 Lynn Creitz 1.00 X 0 3123 0 Larry Caviness 1.00 X 0 2666 0 Robert Bradshaw 1.00 X 0 4652 0 Bill Wing 50.00 X 0 321581 89967 Brent Soper 50.00 X 0 280678 47471 Robert Beehler 50.00 X 0 547069 102979 Rodney Wehtje 50.00 X 0 506336 95494 Douglas Rebok 50.00 X 0 857415 147299 Martha Samora 50.00 X 0 248443 42430 Jarrod McNaughton 50.00 X 0 205536 28998 Sam Itani 50.00 X 0 214678 34366 Kurt Hoekendorf 50.00 X 246846 0 22525 Deborah Hankins 50.00 X 0 267140 45621 Binh Nguyen 37.00 X 238914 0 59445 Fe Tolosa 54.00 X 213534 0 66396 Xueyu Xu 37.00 X 204651 0 40252 Rafael Navaro 34.00 X 203197 0 32613 Barry Chupa 36.00 X 202854 0 32558 1309996 7185763 1226243 6 false true false Valley Anesthesia Associates PO Box 2029 Bakersfield CA 93303 Medical 5171900 Swinerton Builders 2300 Clayton Rd Suite 800 Concord CA 945202166 Construction 4311316 Quest Imaging Medical Association PO BOX 2447 Bakersfield CA 93309 Medical 10638067 Kaiser foundation hospitals 5055 California Avenue Bakersfield CA 93309 Medical 2506002 Highgrove Medical Center Inc 2701 Chester Ave Bakersfield CA 93301 Medical 2891145 64 627727 1980866 2608593 Rental-Medical Office 531120 1152516 1152516 Net Patient Revenue 621110 309656847 309656847 Lab Fees 621500 12068 12068 310821431 2825206 2825206 0 0 0 110 5164 -5054 -5054 -5054 0 0 1363539 1363539 0 Other Services 624200 418842 418842 Education 624100 59757 59757 Dietary 722210 1454819 1454819 1933418 318183594 312742781 12068 2820152 0 0 0 0 1563784 1294413 269371 0 116754002 108070729 8281868 401405 3115606 2815977 288677 10952 24783558 22528208 2170804 84546 7949980 7492603 429045 28332 0 722197 722197 74430 74430 36000 36000 0 0 18294813 13896372 4181371 217070 884052 880741 3311 3620195 2987209 603963 29023 6281701 6281701 0 4672454 4539523 132931 1135033 602593 519565 12875 0 0 3790290 3790290 0 12681351 12527657 148411 5283 1912143 1912143 Rental/Lease Costs Equip 1272952 1272952 Purchased Services 20574500 13612557 6603630 358313 Pt Care Supplies 47956837 47956837 Other Expenses 8902626 2097467 6797547 7612 0 286978504 253679231 32140551 1158722 343375 564081 73389254 83961346 48199 506521 34030861 41515052 0 0 565000 5826136 6761057 898730 529037 174816533 69545394 103528456 105271139 0 0 0 11062458 8749507 9378890 11698638 238506359 260121378 17217032 28237340 93503605 87464822 20624548 21052952 131345185 136755114 X 106137824 120692257 1023350 2674007 107161174 123366264 238506359 260121378 X 31205090 -15000000 X false true true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 36000 36000 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description Lobbying expenses are an allocated portion of industry association membership dues as defined by the association. The Hospital has also engaged a lobbyist to advocate on our behalf when legislation is proposed so that our ability to continue serving our community is enhanced, rather than impaired. 4804594 4804594 115645072 34509359 81135713 506570 247465 259105 53860297 34788570 19071727 105271139 Workers Comp Payable 2754782 Payables to Third Party Payors 16520310 Payables to Related Organizations 1777860 21052952 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Transfers to related organization $ -15000000 true true X true X true X true false false false true true 5004188 5004188 0.01740 43295559 44644745 -1349186 526436 108083 418353 0.00150 48826183 44752828 4073355 0.01890 948733 948733 0.00330 100343 100343 0.00030 1387809 1019690 368119 0.00130 706248 706248 0.00250 3143133 1019690 2123443 0.00740 51969316 45772518 6196798 0.02630 8836 8836 8836 8836 true 2857235 1600052 64958565 62735501 2223064 X true true 1 0 San Joaquin Community Hospital

2615 Chester Avenue Bakersfield CA 93301

X X X San Joaquin Community Hospital 1 false true true 200.0000 true 400.0000 true X X X X X X true true X true false true X X false false Part VI - Additional Information Schedule H, Part V, Section B, Lines 1 through 7 is optional for the reporting organization as the tax year began prior to March 23, 2012, according to the instructions for Schedule H. Lacerte software has not provided a tool for an organization to indicate that it is opting not to complete Part V, Section B. In addition, the software has been programmed so that it populates responses when the organization chooses to provide no data inputs. Part V, Section B should be blank as the reporting organization opts to not complete it. 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 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 - 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 - 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 - 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 health system retains outside research firms to assess changes in the market and community perception. Data is collected through a variety of vehicles, including phone surveys, paper surveys, and focus groups. Questions were added to the survey to help assess the impact of our community benefit activities and residents' barriers to access for health care services as well as unmet community needs. Number of Hospital Faciltiy - 0 Part V, Line 19d - 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 recieved 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 withouit regard to income. only five of the six income ranges are discounted based on medicare rates. 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 hospital's costs on the basis of inpatient days and ancilliary 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 infomration 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. wihtout 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 received* medicare cost report revenue 66,111,782prior year settlements (351,892)cost report reimburseable bad debts 1,267,982estimates and accrual variances (2,454,138)Other 384,831total medicare revenue 64,958,565 * 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 accoutned for in the co-pay and deductible amounts. Part III, Line 4 - Bad Debt Expense Uncollected patient accounts are analyzed using written patient financial services policies that apply standard procedures for all patient accounts. The result of the analysis is what is recognized as bad debt expense. For example, all self-pay patients recieve 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 1, Line 7 is mulitplied times the hospital's bad debt expense as reported in the system-wide combined audited financial statements. The resulting figure has been reproted 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-pary 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. X X X X false true false false false false false false false false Xueyu Xu 204651 40252 244903 Steven Herber 212462 7450 27400 14278 261590 Scott Reiner 577345 149092 181404 138780 21507 1068128 119583 Sam Itani 167750 29160 17768 12995 21371 249044 Rodney Wehtje 340430 78784 87122 78557 16937 601830 52751 Robert Carmen 934340 267209 547748 18150 21654 1789101 424494 Robert Beehler 376600 95310 75159 86022 16957 650048 58045 Rafael Navaro 203197 32613 235810 Martha Samora 197405 33570 17468 23310 19120 290873 Larry Dodds 303557 171094 210693 79089 16971 781404 120139 Kurt Hoekendorf 239812 7034 8355 14170 269371 Jarrod McNaughton 169970 29160 6406 12164 16834 234534 Fe Tolosa 213534 66396 279930 Douglas Rebok 533280 149093 175042 128096 19203 1004714 123894 Deborah Hankins 211020 35640 20480 28762 16859 312761 Brent Soper 229456 37890 13332 38606 8865 328149 Binh Nguyen 238914 59445 298359 Bill Wing 305801 15780 74419 15548 411548 Barry Chupa 202854 32558 235412 Itani Design Concepts Contractor 51081 Building Remodeling false Form 990, Part VII, Line 1a - Board Comp The directors serve on the Board without compensation. Amounts reported generally are for taxable benefits. Further explanation for those directors who receive compensation for services rendered in their professional capacity is discussed for each individual as applicable. 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 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 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 review these questionnaires and disclose each year during the audit process. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: 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 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 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 operates as an affiliate of Adventist Health System/West. Premier MSO LLC 2615 Chester Ave Bakersfield CA 93301 271977963 BILLING AND SCHEDULING FOR PREMIER IPA CA 446673 2298701 SAN JOAQUIN COMMUNITY HOSPITAL Itani Investments LLC 2615 Chester Ave Bakersfield CA 93301 800531044 PROPERTY ACQUISITIONS CA SAN JOAQUIN COMMUNITY HOSPITAL Adventist Health Physicians Network 2100 Douglas Boulevard Roseville CA 95661 680357690 Medical Foundation CA 501(c)(3) 11b, II Adventist Health System West false Willits Hospital Inc 1 Madrone Street Willits CA 95490 680108919 Hospital CA 501(c)(3) 1 Adventist Health System West false White Memorial Medical Center 1720 Cesar E Chavez Avenue Los Angeles CA 90033 952282647 Hospital CA 501(c)(3) 1 Adventist Health System West false Walla Walla General Hospital 1025 South Second Avenue Walla Walla WA 99362 910617726 Hospital WA 501(c)(3) 1 Adventist Health System West false Ukiah Adventist Hospital 275 Hospital Drive Ukiah CA 95482 941639901 Hospital CA 501(c)(3) 1 Adventist Health System West false St Helena Hospital 10 Woodland Road St Helena CA 94574 941279779 Hospital CA 501(c)(3) 1 Adventist Health System West false Sonora Community Hospital 1000 Greenley Road Sonora CA 95370 941415069 Hospital CA 501(c)(3) 1 Adventist Health System West false Simi Valley Hospital & Health Care Svcs 2975 North Sycamore Drive Simi Valley CA 93065 956064971 Hospital CA 501(c)(3) 1 Adventist Health System West false Reedley Community Hospital 372 W Cypress Avenue Reedley CA 93654 453220509 Hospital CA 501(c)(3) 1 Adventist Health System West false Portland Adventist Medical Center 10123 SE Market Street Portland OR 97216 930429015 Hospital OR 501(c)(3) 1 Adventist Health System West false Paradise Valley Hospital 2100 Douglas Blvd Roseville CA 95661 951816034 Wind Down After Sale of Hospital Facilities CA 501(c)(3) 1 Adventist Health System West false Northwest Medical Foundation - Tillamook 1000 Third Street Tillamook OR 97141 930622075 Hospital OR 501(c)(3) 1 Adventist Health System West false Hanford Community Hospital 115 Mall Dr Hanford CA 93230 940535360 Hospital CA 501(c)(3) 1 Adventist Health System West false Glendale Adventist Medical Center 1509 Wilson Terrace Glendale CA 91206 951816017 Hospital CA 501(c)(3) 1 Adventist Health System West false Feather River Hospital 5974 Pentz Road Paradise CA 95969 941101228 Hospital CA 501(c)(3) 1 Adventist Health System West false Central Valley General Hopital 1025 N Douty Street Hanford CA 93230 770324630 Hospital CA 501(c)(3) 1 Adventist Health System West false Castle Medical Center 640 Ulukahiki Street Kailua HI 96734 990107330 Hospital HI 501(c)(3) 1 Adventist Health System West false Adventist Health Clearlake Hospital Inc 15630 18th Ave Clearlake CA 95422 680395149 Hospital CA 501(c)(3) 3 Adventist Health System West false Adventist Health SystemsWest 2100 Douglas Boulevard Roseville CA 95661 953484589 Support and Manage System-Wide Activities CA 501(c)(3) 1 N/A false South Coast Medical Center 2100 douglas Blvd Roseville CA 95661 952037291 wind down after sale of hospital CA N/A c corp false false false false false false false false true false false false false false true true true false