2011-11-15T16:04:47-08:00 2010-12-31 BROWN ARMSTRONG ACCOUNTANCY CORPORATION 4200 TRUXTUN AVE STE 300 BAKERSFIELD CA 933090668 990 2010-01-01 952294234 San Joaquin Community Hospital SANJ 6613953000 2615 Chester Avenue Bakersfield CA 93301 Brent Soper 2011-11-15 Christina M Thornburgh 6613244971 2010 2016-02-24 21:20:13Z 273745011 false false 1071 X sanjoaquinhospital.org X 1964 CA To share God's love with our community by providing physical, mental, and spiritual healing. 13 8 2021 229 25165 22025 879972 1354738 217742393 265649177 926186 3192516 2028907 2290181 221577458 272486612 0 0 105899055 123252602 0 0 96785770 121907870 202684825 245160472 18892633 27326140 195634968 238506359 115799934 131345185 79835034 107161174 To share God's love with our community by providing physical, mental, and spiritual healing. false false 203725605 265649177 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 2010 was $.Inpatient services in 2010 were provided to 19,100 patients. These services included: - Acute care services for medical/surgical, pediatric, obstetric and critical care patients - Baby deliveries totaling 2,509 - Surgery cases performed totaling of which open-heart surgeries totaled 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 2010 were provided to 73,634 patients. These services included: - Emergency room visits totaling 49,879 - Outpatient surgery cases performed totaled 23,755 - Radiology procedures performed - Cardiac catherizations and other procedures - Laboratory tests performed - OB ClinicsHome Health Care services in 2010 were provided to 919 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. 203725605 true true false true false false false false false false true false false false true true false true false false false false false false true 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 312 0 false 2021 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 Wes Rippey 1.00 X 0 144707 74 Steven Herber 1.00 X 0 146754 74 Scott Reiner 50.00 X 0 706956 142451 Ruthita Fike 1.00 X 0 405 74 Rodney Wehtje 50.00 X 0 484703 160891 Robert Carmen 50.00 X X 0 1485848 256139 Robert Bradshaw 1.00 X 0 1321 74 Robert Beehler 50.00 X 0 450190 94996 Ricardo Graham 1.00 X 0 2309 74 Mohamad Itani 50.00 X 0 205179 32310 Meredith Jobe 1.00 X 0 16246 74 Max Torkelsen 1.00 X 0 1854 74 Martha Samora 50.00 X 0 230491 31749 Lynn Creitz 1.00 X 0 2123 74 Larry Dodds 50.00 X X 0 789424 159012 Larry Caviness 1.00 X 0 2505 74 Kurt Hoekendorf 50.00 X 249829 0 22397 Jeffrey Jackson 38.00 X 182498 0 42722 Jarrod McNaughton 50.00 X 0 195007 27440 Fe Tolosa 49.00 X 194823 0 54993 Douglas Rebok 50.00 X 0 701547 140807 Deborah Hankins 50.00 X 0 240140 30540 Christine Friestad 1.00 X 0 1311 74 Brent Soper 50.00 X 0 250412 21668 Berry Chupa 34.00 X 193907 0 28143 Al Reimche 1.00 X 0 1440 74 Agnes Faria 47.00 X 189880 0 50919 Aaron Gates 0.00 X 182233 0 42660 1193170 6060872 1340651 236 false true false Valley Anesthesia Associates PO Box 2029 Bakersfield CA 93303 Medical 5072567 Quest Imaging Medical Assoc PO Box 2447 Bakersfield CA 933032447 Medical 5014539 Kaiser Foundation Hospitals 5055 California Avenue Bakersfield CA 93309 Medical 9338457 Houchin Community Blood Bank 5901 Truxtun Avenue Bakersfield CA 93309 Medical 2253983 Crothall Service Group 13029 Collections Center Dr Chicago IL 60693 Maintenance 2243638 52 827246 527492 1354738 Rental-Medical Office 531120 563279 563279 Net Patient Revenue 621110 265060733 265060733 Lab Fees 621500 25165 25165 265649177 3211389 3211389 0 0 0 8300 27173 -18873 -18873 -18873 149649 100197 49452 49452 0 1131029 1131029 0 Other Services 624200 892821 892821 Education 624100 58990 58990 Dietary 722210 1288918 1288918 2240729 272486612 267864741 25165 3241968 0 0 0 0 1435007 1162779 272228 0 94692067 90305357 4386710 2529737 2351805 177932 17675974 16811544 864430 6919817 6638623 281194 0 521959 521959 112469 112469 78000 78000 0 0 9553953 5945800 3608153 1201227 1201227 2940722 2476242 464480 4928416 4928416 0 4232671 3679166 553505 1060819 704809 356010 0 0 3297765 3297765 0 8579512 8508920 70592 1820432 1820432 Rental/Lease Costs Equip 949071 947776 1295 Purchased Services 20164442 10778797 9385645 Pt Care Supplies 42909690 42909690 Other Expenses 19556722 457684 19099038 0 245160472 203725605 41434867 0 982762 343375 45407011 73389254 48199 42011255 34030861 0 0 0 3822468 5826136 208753 898730 163207658 59679202 93989524 103528456 0 0 0 11062458 9213195 9378890 195634968 238506359 15372288 17217032 20255 78497724 93503605 21909667 20624548 115799934 131345185 X 78515362 106137824 1319672 1023350 79835034 107161174 195634968 238506359 27326140 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 78000 78000 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. 3796968 3796968 109258663 29822164 79436499 481658 181938 299720 49670369 29675100 19995269 103528456 Workers Comp Payable 2027056 Payables to Third Party Payors 17284866 Payables to Related Organizations 1312626 20624548 Part X Part X : FIN48 Footnote The hospital, a member of a group that issues combined audited financial statements, does not have a FIN 48 disclosure in the combined audited financial statement. The combined audited financial statements report that there is no material effect for FIN 48 on the combined financial statements. false Grand Affair of the Heart 149649 149649 45027 23201 1150 30819 149649 149649 45027 23201 1150 30819 100197 49452 true true X true X false true false false false true true 3251628 18960 3232668 0.01320 34876376 24249161 10627215 0.04330 38128004 24268121 13859883 0.05650 464375 464375 0.00190 11305 11305 908507 332673 575834 0.00230 671378 671378 0.00270 2055565 332673 1722892 0.00690 40183569 24600794 15582775 0.06340 3908 3908 3908 3908 false 2541618 1550387 62782000 63587664 -805664 X true false 1 0 San Joaquin Community Hospital

2615 Chester Avenue Bakersfield CA 93301

X X X San Joaquin Community Hospital 1 false false false false false false false false false true false false Part VI - Additional Information Schedule 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 VI - Affilated Health Care System Roles and Promotion The hospital is a member of a larger health care system, which provides services in diversified areas of the Western United States. The hospital shares some services with other hospitals in its geographic area. Using today's technology, hospitals outside the geographic area are able to support the hospital by providing remote services such as telepharmacy and robotics surgery. The Corporate Office provides support for the rural health clinics, quality of care, and other clinical needs. 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 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 also are informed of their right to request charity assistance at the time of registration and via signs and other communiqus posted and displayed throughout the hospitals. System facilities also provide brochures 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. 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. 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 General Ledger Revenue Received* Medicare Cost Report Revenue 61,364,300 Prior Year Settlements -Cost Report Reimbursable Bad Debts 1,400,560 Estimated and Accrual Variances (4,186,047)Medicare Revenue Not on Cost Report 394,242 Other 3,808,945 Total Medicare Revenue 62,782,000* Note: The medicare Cost Report revenue does no 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 accounted for in the co-pay and deductible amounts. X X X X false true false false false true true false false false Scott Reiner 510580 135332 61044 122323 20128 849407 Rodney Wehtje 324430 71576 88697 144827 16064 645594 54524 Robert Carmen 920840 235921 329087 235392 20747 1741987 211163 Robert Beehler 350600 84678 14912 78916 16080 545186 Mohamad Itani 157580 29563 18036 12313 19997 237489 Martha Samora 183195 29216 18080 13753 17996 262240 Larry Dodds 588930 152891 47603 142912 16100 948436 Kurt Hoekendorf 247098 2731 8755 13642 272226 Jeffrey Jackson 182498 42722 225220 Jarrod McNaughton 159720 29563 5724 11475 15965 222447 Fe Tolosa 194823 54993 249816 Douglas Rebok 512780 137782 50985 122488 18319 842354 Deborah Hankins 196020 32208 11912 14553 15987 270680 Brent Soper 210206 35684 4522 11314 10354 272080 Berry Chupa 193907 28143 222050 Agnes Faria 189880 50919 240799 Aaron Gates 182233 42660 224893 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. The hospital must achieve a specific financial goal before any incentives can be earned. See Schedule O for additional detail. Itani Design Concepts Contractor 139230 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 follows. Steven Herber, MD is the Chief Medical Officer 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. Wes Rippey, MD is the Chief Medical Officer for Portland Adventist Medical Center. The hospital paid Dr. Rippey $57,600 for his services. Additionally, Healthcare Specialists NW, the medical group of which Dr. Rippey is a member, provides vascular study interpretations and on call coverage for patients of the hospital. The medical group received $85,818 for these professional services. These services were provided under contract approved by the Board Compliance Committee. 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 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 941823 1938543 SAN JOAQUIN COMMUNITY HOSPITAL Itani Investments LLC 2615 Chester Ave Bakersfield CA 93301 800531044 PROPERTY ACQUISITIONS CA 24250 172 SAN JOAQUIN COMMUNITY HOSPITAL Willits Hospital Inc 1 Madrone Street Willits CA 95490 680108919 Hospital CA 501(c)(3) 1 N/A false White Memorial Medical Center 1720 Cesar E Chavez Avenue Los Angeles CA 90033 952282647 Hospital CA 501(c)(3) 1 N/A false Walla Walla General Hospital 1025 South Second Avenue Walla Walla WA 99362 910617726 Hospital WA 501(c)(3) 1 N/A false Ukiah Adventist Hospital 275 Hospital Drive Ukiah CA 95482 941639901 Hospital CA 501(c)(3) 1 N/A false St Helena Hospital 10 Woodland Road St Helena CA 94574 941279779 Hospital 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 FACILITIES CA 501(c)(3) 3 N/A false Sonora Community Hospital 1000 Greenley Road Sonora CA 95370 941415069 Hospital CA 501(c)(3) 1 N/A false Simi Valley Hospital & Health Care Svcs 2975 North Sycamore Drive Simi Valley CA 93065 956064971 Hospital CA 501(c)(3) 1 N/A false Selma Community Hospital Inc 1141 Rose Avenue Selma CA 93662 770509133 Supporting Hanford Community Hospital CA 501(c)(3) 11c, Type 3 - F1 N/A false Portland Adventist Medical Center 10123 SE Market Street 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 Foundation - Tillamook 1000 Third Street Tillamook OR 97141 930622075 Hospital OR 501(c)(3) 1 N/A false Hanford Community Hospital 115 Mall Dr Hanford CA 93230 940535360 Hospital CA 501(c)(3) 1 N/A false Glendale Adventist Medical Center 1509 Wilson Terrace Glendale CA 91206 951816017 Hospital CA 501(c)(3) 1 N/A false Feather River Hospital 5974 Pentz Road Paradise CA 95969 941101228 Hospital CA 501(c)(3) 1 N/A false Central Valley General Hopital 1025 N Douty Street Hanford CA 93230 770324630 Hospital CA 501(c)(3) 1 N/A false Castle Medical Center 640 Ulukahiki Street Kailua HI 96734 990107330 Hospital HI 501(c)(3) 1 N/A false Adventist Health Clearlake Hospital Inc 15630 18th Ave Clearlake CA 95422 680395149 Hospital CA 501(c)(3) 3 N/A 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 false false false false false false false false false false false false false false false false false false