GLENDALE ADVENTIST MEDICAL CENTER: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- GLENDALE ADVENTIST MEDICAL CENTER (EIN 95-1816017)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201133199349310258
- Schema version
- 2010v3.2
- 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 | 2011-11-15T17:17:00-08:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | 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 | 2010-01-01 | 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 | 2011-11-15 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | S CLEMENT | Name |
| Phone | 8182491065 | Phone |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 357758081 | 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 | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2607 | TotalNbrEmployees |
| Total Nbr Volunteers | 646 | TotalNbrVolunteers |
| Total Gross UBI | 3256032 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 543409 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1467010 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2578991 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 303742403 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 352546335 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1799073 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2326033 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 818350 | OtherRevenuePriorYear |
| Other Revenue Current Year | 302538 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 307826836 | TotalRevenuePriorYear |
| Total Revenue Current Year | 357753897 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 216080 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 114520 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 148310447 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 157806304 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 739603 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 146611492 | OtherExpensePriorYear |
| Other Expenses Current Year | 181953102 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 295138019 | TotalExpensesPriorYear |
| Total Expenses Current Year | 339873926 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 12688817 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 17879971 | RevenuesLessExpensesCY |
| Total Assets BOY | 335453000 | TotalAssetsBOY |
| Total Assets EOY | 363028605 | TotalAssetsEOY |
| Total Liabilities BOY | 217800528 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 227473337 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 117652472 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 135555268 | 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 | 283587372 | Expense |
| Grants | 114520 | Grants |
| Revenue | 347874727 | 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 2010 was $39,887,323.Inpatient services in 2010 were provided to 19,159 patients. These services included: 2,473 Babies delivered 3,774 Surgeries performed 58,824 Radiology procedures performed 35,740 Cardiac catheterizations and other procedures 731,360 Laboratory tests performed 547 Rehabilitation patients 1,702 Mental health patientsOutpatient services in 2010 were provided to 258,760 patients. These services included: 39,863 Emergency room visits 4,492 Outpatient surgeries performed 63,676 Radiology procedures performed 10,579 Cardiac catheterizations and other procedures 396,313 Laboratory tests performedHome Care services in 2010 were provided to 20,419 patients. These services included: 13,017 RN visits 5,724 Physical Therapy visits 844 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 Program | Description |
| Total Program Service Expense | 283587372 | 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 | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 283 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2607 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Quid Pro Quo Disclosure | false | QuidProQuoDisclosure |
| 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 |
| Form720 Filed | false | Form720Filed |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | 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 |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| 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 |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | Key EmployeeKeyEmployee |
|---|---|---|---|---|---|---|---|---|
| Wes Rippey MD | ||||||||
| Director | 1.00 | X | 0 | 144704 | 74 | |||
| Warren Tetz | ||||||||
| Asst Sec/SrVPOp | 50.00 | 0 | 390154 | 76567 | X | |||
| Susan Crabtree | ||||||||
| HR Director | 50.00 | 189091 | 0 | 18423 | X | |||
| Steven C Herber MD | ||||||||
| Director | 1.00 | X | 0 | 146754 | 74 | |||
| Scott Reiner | ||||||||
| Asst Secretary | 50.00 | 0 | 706956 | 142451 | X | |||
| Ruthita Fike | ||||||||
| Director | 1.00 | X | 0 | 405 | 74 | |||
| Romic Eskandarian | ||||||||
| Pharmacy Director | 0.00 | 187222 | 0 | 18777 | X | |||
| Rodney Wehtje | ||||||||
| Asst Treasurer | 50.00 | 0 | 484703 | 160891 | X | |||
| Robert Marchuk | ||||||||
| VP Ancillary Sv | 50.00 | 0 | 223579 | 34064 | X | |||
| Robert Carmen | ||||||||
| Chairman | 50.00 | X | 0 | 1485849 | 256139 | X | ||
| Robert Bradshaw DDS | ||||||||
| Director | 1.00 | X | 0 | 1321 | 74 | |||
| Ricardo Graham | ||||||||
| Director | 1.00 | X | 0 | 2309 | 74 | |||
| Morre Dean | ||||||||
| President/CEO | 50.00 | 0 | 616821 | 115405 | X | |||
| Meredith Jobe Esq | ||||||||
| Director | 1.00 | X | 0 | 16246 | 74 | |||
| Mei Rosado | ||||||||
| House Supv Nsg | 60.00 | 228735 | 0 | 18993 | X | |||
| Max Torkelsen | ||||||||
| Director | 1.00 | X | 0 | 1854 | 74 | |||
| Lynn Creitz | ||||||||
| Director | 1.00 | X | 0 | 2123 | 74 | |||
| Lynn Campbell | ||||||||
| VP Nursing | 50.00 | 0 | 182950 | 24015 | X | |||
| Larry Dodds | ||||||||
| V Chair/Sec | 50.00 | X | 0 | 789424 | 159012 | X | ||
| Larry Caviness | ||||||||
| Director | 1.00 | X | 0 | 2505 | 74 | |||
| Kimberley Milstien | ||||||||
| VP Bus Dvlpmt | 50.00 | 0 | 210365 | 24620 | X | |||
| Kelly Turner | ||||||||
| Treas/Sr VPFin | 50.00 | 0 | 342805 | 65327 | X | |||
| Ji Lee | ||||||||
| RN T3 | 60.00 | 188829 | 0 | 14990 | X | |||
| Gwen Matthews | ||||||||
| Sr VP Clinc Ser | 50.00 | 0 | 324243 | 68027 | X | |||
| Federico Duran Jr | ||||||||
| Cath Lab Manager | 60.00 | 226089 | 0 | 21981 | X | |||
| Douglas Rebok | ||||||||
| Asst Secretary | 50.00 | 0 | 701547 | 140807 | X | |||
| Dennis de Leon | ||||||||
| VP Med Affairs | 50.00 | 0 | 406209 | 61344 | X | |||
| Christine E Friestad Esq | ||||||||
| Director | 1.00 | X | 0 | 1311 | 74 | |||
| Al Reimche | ||||||||
| Director | 1.00 | X | 0 | 1440 | 74 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1019966 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 7186577 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1422647 | TotalOtherCompensation |
| Number Individuals GT100 K | 220 | NumberIndividualsGT100K |
| Formers Listed | false | 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 | 55170 | Registry Staffing | 1720970 |
| Family Practice of Glendale Glendale Med Gp | |||||
| 801 S Chevy Chase 201 | Glendale | CA | 91205 | Residency Teaching | 3172237 |
| Consultants for Anesthesia & Mgmt of Pain | |||||
| 5134 Earl Drive | La Canada | CA | 91011 | Medical services | 1046250 |
| BAC LLC | |||||
| 1505 Wilson Terrace Ste 155 | Glendale | CA | 91206 | Med Service-Dialysis | 957605 |
| Albert C Mak MD Cyberknife | |||||
| 707 S Garfield Ave Ste B002 | Alhambra | CA | 91801 | Med Svcs-Radiation | 1802500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 42 | NumberOfContractorsGT100K |
| Government Grants | 1343214 | GovernmentGrants |
| All Other Contributions | 1235777 | AllOtherContributions |
| Total Contributions | 2578991 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|---|
| Rental Income - Prog | 531120 | 1406134 | 1406134 | ||
| Program Svc Revenue | 621110 | 1644405 | $1,644,405 | ||
| Patient Svc Revenue | 621110 | 347364643 | 344166864 | 3197779 | |
| Other Prog Serv Rev | 900099 | 490969 | 490969 | ||
| Dependent Care | 624410 | 1162770 | 1162770 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 477414 | TotalRevenueColumn |
| Related Or Exempt Function Income | 403705 | RelatedOrExemptFunctionIncome |
| Exclusion | $73,709 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 352546335 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2326033 | TotalRevenueColumn |
| Exclusion | $2,326,033 | 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 |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 26622 | GrossSalesOfInventory |
| Cost Of Goods Sold | 4184 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22438 | TotalRevenueColumn |
| Unrelated Business Revenue | 22438 | UnrelatedBusinessRevenue |
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 | 141976 | 141976 | |
| Mgmt Fees - Related Org | 541900 | 46140 | 10325 | 35815 |
| Change Int Fdtn Net Asset | 900099 | 91984 | 91984 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 280100 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 357753897 | TotalRevenueColumn |
| Related Or Exempt Function Income | 347874727 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 3256032 | UnrelatedBusinessRevenue |
| Exclusion | $4,044,147 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114520 | Total |
| Program Services | 114520 | 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 | 125754229 | Total |
| Program Services | 118488973 | ProgramServices |
| Management And General | 6908816 | ManagementAndGeneral |
| Fundraising | 356440 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4437286 | Total |
| Program Services | 4193321 | ProgramServices |
| Management And General | 243965 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18477115 | Total |
| Program Services | 16910809 | ProgramServices |
| Management And General | 1482825 | ManagementAndGeneral |
| Fundraising | 83481 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9137674 | Total |
| Program Services | 8652919 | ProgramServices |
| Management And General | 484755 | 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 | 710660 | Total |
| Management And General | 710660 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 266270 | Total |
| Management And General | 251270 | ManagementAndGeneral |
| Fundraising | 15000 | Fundraising |
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 | 12369599 | Total |
| Program Services | 11250497 | ProgramServices |
| Management And General | 1066602 | ManagementAndGeneral |
| Fundraising | 52500 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1364456 | Total |
| Management And General | 1339450 | ManagementAndGeneral |
| Fundraising | 25006 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3580713 | Total |
| Program Services | 2708489 | ProgramServices |
| Management And General | 856220 | ManagementAndGeneral |
| Fundraising | 16004 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8797059 | Total |
| Program Services | 8797019 | ProgramServices |
| Management And General | 40 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9172737 | Total |
| Program Services | 9073559 | ProgramServices |
| Management And General | 10558 | ManagementAndGeneral |
| Fundraising | 88620 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 499564 | Total |
| Program Services | 322942 | ProgramServices |
| Management And General | 161249 | ManagementAndGeneral |
| Fundraising | 15373 | 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 | 206216 | Total |
| Program Services | 140700 | ProgramServices |
| Management And General | 65516 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4398471 | Total |
| Program Services | 4398471 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15775098 | Total |
| Program Services | 15775098 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3611590 | Total |
| Program Services | 3611590 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Rental/Lease Costs Equipment | 3145251 | 3137431 | 7820 | |
| Purchased Services | 34168186 | 24487235 | 9616579 | 64372 |
| Pt Care Supplies | 50631427 | 50631427 | ||
| Other Expenses | 33255805 | 892372 | 32340626 | 22807 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 339873926 | Total |
| Program Services | 283587372 | ProgramServices |
| Management And General | 55546951 | ManagementAndGeneral |
| Fundraising | 739603 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 133931 | BOY |
| EOY | 116487 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28908871 | BOY |
| EOY | 27898869 | 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 | 51252313 | BOY |
| EOY | 58451914 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 750000 | BOY |
| EOY | 750000 | 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 | 5589021 | BOY |
| EOY | 6714979 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2312036 | BOY |
| EOY | 2796497 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 393572181 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 167933403 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 200600394 | BOY |
| EOY | 225638778 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 652244 | BOY |
| EOY | 371265 | 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 | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45254190 | BOY |
| EOY | 40289816 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 335453000 | BOY |
| EOY | 363028605 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24997641 | BOY |
| EOY | 26692188 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35382943 | BOY |
| EOY | 38610082 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2724061 | BOY |
| EOY | 2228246 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 3324979 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 154695883 | BOY |
| EOY | 156617842 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 217800528 | BOY |
| EOY | 227473337 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112809843 | BOY |
| EOY | 130420182 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4592065 | BOY |
| EOY | 4861696 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 250564 | BOY |
| EOY | 273390 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 117652472 | BOY |
| EOY | 135555268 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 335453000 | BOY |
| EOY | 363028605 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 17879971 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 22825 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
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 | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $21,425 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 21425 | 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 | 4842628 | BeginningOfYearBalance |
| Contributions | 1113528 | Contributions |
| Investment Earnings Or Losses | 25756 | InvestmentEarningsOrLosses |
| Other Expenditures | 846826 | OtherExpenditures |
| End Of Year Balance | 5135086 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| 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 Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 8660153 | BeginningOfYearBalance |
| Contributions | 2863421 | Contributions |
| Investment Earnings Or Losses | -90718 | InvestmentEarningsOrLosses |
| Other Expenditures | 5338248 | OtherExpenditures |
| End Of Year Balance | 6094608 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.69400 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.05300 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.25200 | TermEndowmentEOYBalance |
| 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 | 259100299 | OtherCostOrOtherBasis |
| Depreciation | 122428004 | Depreciation |
| Book Value | 136672295 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2399092 | OtherCostOrOtherBasis |
| Depreciation | 1756121 | Depreciation |
| Book Value | 642971 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 59656692 | OtherCostOrOtherBasis |
| Depreciation | 42733145 | Depreciation |
| Book Value | 16923547 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 68689983 | OtherCostOrOtherBasis |
| Depreciation | 1016133 | Depreciation |
| Book Value | 67673850 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 225638778 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Worker's Comp-Trustee Held Funds | 3288407 |
| Receivables from Third-Party Payors | 7175059 |
| Receivables from Related Organizations | 17603322 |
| Other Receivables | 7689728 |
| Other Assets | 4533300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 40289816 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Workers Compensation Liability | $5,712,625 |
| Settlements - Medicare, Pay to 3rd Party | $4,342,350 |
| Payables to Related Organizations | $146,329,677 |
| Other Liabilities | $31,712 |
| Income Tax Liability-UBI | $201,478 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 156617842 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part XI, Line 8 | Part XI, Line 8: Other Changes in Net Assets or Fund Balances | Restricted donations $0 Net Assets Released from Restr-Cap Addtn $0 Net Realized gains/losses on investments $22825 Change in Value - Restricted Net Assets $ -0 Net Assets Released from Restr-Operating $ -0 Transfer to Affiliates $ -0 |
| Part V, Line 4 | Part V, Line 4: Intended uses of the endowment fund. | Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended. |
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 | 7721269 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 7721269 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02270 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 82357960 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 80415155 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1942805 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00570 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 41355 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 29221 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12134 | NetCommunityBenefitExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 90120584 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 80444376 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9676208 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02840 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1713668 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1713668 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00500 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5839854 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1980894 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3858960 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01140 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1642919 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1642919 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00480 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9196441 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1980894 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7215547 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02120 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 99317025 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 82425270 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16891755 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04960 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $2,572,111 | BadDebtExpenseAmount |
| Amount Attributable To | 1234613 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 140800575 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 137541776 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 3258799 | 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 | false | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 0 | 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
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Glendale Adventist Med Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | false | CHNAConducted |
| Eligibility Criteria Explained | false | EligibilityCriteriaExplained |
| Uses FPG Free | false | UsesFPGFree |
| Uses FPG Discounted | false | UsesFPGDiscounted |
| Explains Basis | false | ExplainsBasis |
| Explains Application Method | false | ExplainsApplicationMethod |
| Includes Publicity Measures | false | IncludesPublicityMeasures |
| Actions On Nonpayment | false | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| 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 | 91205 | Alcohol & Drug Rehabilitation Services |
| GAMC Home Care Services | ||||
| 281 Harvey Dr | Glendale | CA | 91206 | Home Care Services |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part VI - Additional Information | Part V, Section BSchedule H, Part V, Section B is optional for the reporting organization as the tax year began prior to March 23, 2010. Further, IRS Announcement 2011-37 states the entire Part V, Section B is optional for the 2010 Form 990. 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 V - Explanation of Number of Facility Type | The hospital has a governing board composed of community members who advise the president/CEO regarding the healthcare needs of the community. At the direction of the governing board, 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 - States Where Community Benefit Report Filed | CA |
| Part VI - Affilated Health Care System Roles and Promotion | The hospital is a member of the Adventist Health System which owns and operates 17 hospitals in the states of California, Oregon, Washington and Hawaii. Adventist Health provides management and support services for the hospital. |
| 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 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 do not possess third party coverage are counseled on how to apply for assistance via government programs. In many Adventist Health facilities, outside vendors are hired to assist in this area. Patients are also informed of their right to request charity assistance at the time of registration and via signs and other communiques posted and displayed throughout the hospital. Brochures are also provided at the time of registration that explain 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. With the debut of online bill pay, the hospital has included additional information and forms online for people who need more information about financial assistance. |
| 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 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 Revenue Rec. *Medicare Cost Report Revenue $133,751,437 Prior Year Settlements 442,377 Cost Report Reimbursable Bad Debts 2,811,463 Estimates and Accrual Variances 156,287 Other 3,639,011 ___________ Subtotal - Amount reported in Pt III line 5 $140,800,575 Amount included in Part 1, lines g and f 1,980,894 ___________ Total Medicare Revenue $142,781,469*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 4 - Bad Debt Expense | Uncollected patient accounts are analyzed using written patient financial services policies that apply standard procedures for all patient accounts. The result of the analysis is what is recognized as bad debt expense. For example, all self-pay patients receive a discount. If the discounted account is unpaid after collection efforts, the unpaid balance is classified as bad debt. The cost-to-charge ratio described for Part I, Line 7 is multiplied times the hospital's bad debt expense as reported in the system-wide audited combined financial statements. The resulting figure has been reported as bad debts at cost on Part III, Line 2.The portion of the bad debts attributed to charity care as reported on Part III, Line 3 was calculated by an independent third-party consulting firm. 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, those accounts would have been reclassified from bad debt expense to charity care.The system-wide audited combined 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 (3 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 |
|---|---|---|---|---|---|---|---|---|
| WMMC Foundation | ||||||||
| 1720 Cesar Chavez Ave | Los Angeles | CA | 90033 | 953760201 | 501(c)(3) | 8000 | 0 | General Operations |
| Business Life | ||||||||
| PO Box 2065 | Glendale | CA | 91209 | 954285354 | 12500 | 0 | Community Recognition | |
| Armenian Bone Marrow Registry | ||||||||
| 347 W Stocker St 208 | Glendale | CA | 91202 | 050573780 | 501(c)(3) | 7500 | 0 | General Operations |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 42 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 6 | 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 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 | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | true | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)
| Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | 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 | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Warren Tetz | ||||||||||||
| 281280 | 52834 | 56040 | 60529 | 16038 | 466721 | 29905 | ||||||
| Susan Crabtree | ||||||||||||
| 166549 | 22542 | 11100 | 7323 | 207514 | 184835 | |||||||
| Scott Reiner | ||||||||||||
| 510580 | 135332 | 61044 | 122323 | 20128 | 849407 | |||||||
| Romic Eskandarian | ||||||||||||
| 163859 | 23363 | 10489 | 8288 | 205999 | 171026 | |||||||
| Rodney Wehtje | ||||||||||||
| 324430 | 71576 | 88697 | 144827 | 16064 | 645594 | 54524 | ||||||
| Robert Marchuk | ||||||||||||
| 173230 | 31069 | 19280 | 14930 | 19134 | 257643 | |||||||
| Robert Carmen | ||||||||||||
| 920840 | 235922 | 329087 | 235392 | 20747 | 1741988 | 211163 | ||||||
| Morre Dean | ||||||||||||
| 409080 | 112532 | 95209 | 95277 | 20128 | 732226 | 72053 | ||||||
| Mei Rosado | ||||||||||||
| 228735 | 13876 | 5117 | 247728 | 190611 | ||||||||
| Lynn Campbell | ||||||||||||
| 120270 | 31069 | 31611 | 10485 | 13530 | 206965 | |||||||
| Larry Dodds | ||||||||||||
| 588930 | 152891 | 47603 | 142912 | 16100 | 948436 | |||||||
| Kimberley Milstien | ||||||||||||
| 164027 | 31069 | 15269 | 12761 | 11859 | 234985 | |||||||
| Kelly Turner | ||||||||||||
| 263000 | 48974 | 30831 | 54941 | 10386 | 408132 | 8270 | ||||||
| Ji Lee | ||||||||||||
| 188829 | 11082 | 3908 | 203819 | 156352 | ||||||||
| Gwen Matthews | ||||||||||||
| 229580 | 43570 | 51093 | 47987 | 20040 | 392270 | 31694 | ||||||
| Federico Duran Jr | ||||||||||||
| 226089 | 13068 | 8913 | 248070 | 200464 | ||||||||
| Douglas Rebok | ||||||||||||
| 512780 | 137782 | 50985 | 122488 | 18319 | 842354 | |||||||
| Dennis de Leon | ||||||||||||
| 329710 | 60505 | 15994 | 39227 | 22117 | 467553 | |||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Sch J, Part I, Line 6b | Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or | An incentive plan is included as part of the board-approved compensation plan for hospital executives. The hospital has a similar plan for department directors. The purpose of these plans is to provide incentives to hospital management to accomplish the financial, operational, quality, and mission objectives of the hospital during each fiscal year. Each member of the management team is evaluated against pre-determined objectives to arrive at the incentive amount, if any, for the fiscal year. See Schedule O for additional detail. |
| Sch J, Part I, Line 1a | Part I, Line 1a: Relevant information in regards to selections on 1a. | Part I, Line 1aAny 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.Part I, Line 3The Board Compensation Committee establishes the compensation and benefits of the hospital CEO, using all of the methods indicated on Line 3 except "Form 990 of other organizations" and "written employment contract." |
Schedule L IRS990ScheduleL
Loan Table LoanTable (2 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| Dro Abrahamian | ||||||
| Executive Housing Ln | X | $25,000 | 24500 | false | false | false |
| Morre Dean | ||||||
| Executive Housing Ln | X | $750,000 | 750000 | false | true | true |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 774500 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 follows. Steven Herber, MD is the Chief Medical Officer (CMO) for St. Helena Hospital. The hospital paid Dr. Herber $144,001 for his services. The CMO services were provided under contract approved by the Board Compliance Committee.Jobe & Stoterau, a law practice with which Meredith Jobe is affiliated, provided legal services regarding real estate matters to White Memorial Medical Center in the amount of $13,791. Wesley Rippey, MD is the Chief Medical Officer for Portland Adventist Medical Center. The hospital paid Dr. Rippey $57,600 for his CMO services. Additionally, Dr. Rippey provides vascular study interpretations and on call coverage for patients of the hospital. The hospital paid $85,818 for these professional services. These services were provided under contract approved by the Board Compliance Committee. | |
| 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 19 |
| 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 15b |
| 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 12c |
| 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 11 |
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | The hospital is organized as a not-for-profit religious corporation. The sole corporate member is Adventist Health System/West, a California not-for-profit religious corporation. The hospital operates as an affiliate of Adventist Health System/West. | Form 990, Part VI, Line 6 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (21 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Willits Hospital Inc | ||||||||||
| 1 Madrone St | Willits | CA | 95490 | 680108919 | Hospital | CA | 501(c)(3) | 1 | N/A | false |
| White Memorial Medical Center | ||||||||||
| 1720 Cesar E Chavez Ave | Los Angeles | CA | 90033 | 952282647 | Hospital | CA | 501(c)(3) | 1 | N/A | false |
| Western Adventist Health Services | ||||||||||
| 1509 Wilson Terrace | Glendale | CA | 91206 | 953953995 | Health Care Svcs and Education in Support of Hospital | CA | 501(c)(3) | 11, Type 1 | N/A | false |
| Walla Walla General Hospital | ||||||||||
| 1025 S Second Ave | Walla Walla | WA | 99362 | 910617726 | Hospital | WA | 501(c)(3) | 1 | N/A | false |
| Ukiah Adventist Hospital | ||||||||||
| 275 Hospital Dr | Ukiah | CA | 95482 | 941639901 | Hospital | CA | 501(c)(3) | 1 | N/A | false |
| South Coast Medical Center | ||||||||||
| 2100 Douglas Blvd | Roseville | CA | 95661 | 952037291 | Hospital | CA | 501(c)(3) | 3 | N/A | false |
| Sonora Community Hospital | ||||||||||
| 1000 Greenley Rd | Sonora | CA | 95370 | 941415069 | Hospital | CA | 501(c)(3) | 1 | N/A | false |
| Simi Valley Hospital & Health Care Svcs | ||||||||||
| 2975 N Sycamore Dr | Simi Valley | CA | 93065 | 956064971 | Hospital | CA | 501(c)(3) | 11 Type 3 Integrated | N/A | false |
| Selma Community Hospital Inc | ||||||||||
| 1141 Rose Ave | Selma | CA | 93662 | 770509133 | Hospital | CA | 501(c)(3) | 1 | N/A | false |
| San Joaquin Community Hospital | ||||||||||
| 2615 Chester Ave | Bakersfield | CA | 93301 | 952294234 | Hospital | CA | 501(c)(3) | 1 | N/A | false |
| St Helena Hospital | ||||||||||
| 10 Woodland Rd | St Helena | CA | 94574 | 941279779 | Hospital | CA | 501(c)(3) | 1 | N/A | false |
| Portland Adventist Medical Center | ||||||||||
| 10123 SE Market St | Portland | OR | 97216 | 930429015 | Hospital | OR | 501(c)(3) | 1 | N/A | false |
| Paradise Valley Hospital | ||||||||||
| 2100 Douglas Blvd | Roseville | CA | 95661 | 951816034 | Wind Down After Sale of Hospital Facilities | CA | 501(c)(3) | 1 | N/A | false |
| Northwest Medical Fdtn of Tillamook | ||||||||||
| 1000 Third St | Tillamook | OR | 97141 | 930622075 | Hospital | OR | 501(c)(3) | 1 | N/A | false |
| Hanford Community Hospital | ||||||||||
| 450 Greenfield Ave | Hanford | CA | 93230 | 940535360 | Hospital | CA | 501(c)(3) | 1 | N/A | false |
| Glendale Adventist Medical Center Fdtn | ||||||||||
| 1509 Wilson Terrace | Glendale | CA | 91206 | 953899682 | Fundraising for Hospital | CA | 501(c)(3) | 11, Type 1 | N/A | false |
| Feather River Hospital | ||||||||||
| 5974 Pentz Rd | Paradise | CA | 95969 | 941101228 | Hospital | CA | 501(c)(3) | 1 | N/A | false |
| Central Valley General Hospital | ||||||||||
| 1025 N Douty St | Hanford | CA | 93230 | 770324630 | Hospital | CA | 501(c)(3) | 1 | N/A | false |
| Castle Medical Center | ||||||||||
| 640 Ulukahiki St | Kailua | HI | 96734 | 990107330 | Hospital | HI | 501(c)(3) | 1 | N/A | false |
| Adventist Health Clearlake Hospital Inc | ||||||||||
| Ave 18 at Hwy 53 | Clearlake | CA | 95422 | 680395149 | Hospital | CA | 501(c)(3) | 3 | N/A | false |
| Adventist Health SystemWest | ||||||||||
| 2100 Douglas Blvd | Roseville | CA | 95661 | 953484589 | Support and Manage System-Wide Activities | CA | 501(c)(3) | 1 | N/A | false |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Glendale Adventist Medical Building LP | |||||||||||
| 1509 Wilson Terrace | Glendale | CA | 91206 | 953752800 | Med Ofc Bld | CA | N/A | 144154 | 2176027 | false | true |
| Physician Medical Terrace LP | |||||||||||
| 1509 Wilson Terrace | Glendale | CA | 91206 | 954277400 | Med Ofc Bld | CA | N/A | -33710 | 4328785 | false | true |
| 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 | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| 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 | false | 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 | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Glendale Adventist Medical Building LP | |
| k | 1379464 |
| Glendale Adventist Medical Building LP | |
| i | 82960 |
| Glendale Adventist Medical Building LP | |
| d | 207011 |
| Physician Medical Terrace LP | |
| k | 2407101 |
| Physician Medical Terrace LP | |
| i | 175830 |
| Physician Medical Terrace LP | |
| d | 3692524 |
Comments