GLENDALE ADVENTIST MEDICAL CENTER: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- GLENDALE ADVENTIST MEDICAL CENTER (EIN 95-1816017)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-11
- IRS object ID
- 202203159349307340
- Schema version
- 2021v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-11T16:14:56-08:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 800519547 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ACCOUNTANCY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 N Brand Blvd Fl 20 | AddressLine1Txt |
| City | Glendale | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951816017 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Glendale Adventist Medical Center | BusinessNameLine1Txt |
| Business Name Line2 | dba Adventist Health Glendale | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GLEN | BusinessNameControlTxt |
| Phone | 8184098000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1509 Wilson Terrace | AddressLine1Txt |
| City | Glendale | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91206 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Bonner Robert | PersonNm |
| Person Title | Treas eff 10/21 | PersonTitleTxt |
| Signature | 2022-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Bonner | PersonFirstNm |
| Person Last | Robert | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | S Clement | PreparerPersonNm |
| PTIN | P01218012 | PTIN |
| Phone | 8185475701 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Issai Alice | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1509 Wilson Terrace | AddressLine1Txt |
| City | Glendale | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $508,158,272 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 1071 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.AdventistHealth.org/Glendale | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1905 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | Living Gods love by inspiring health, wholeness and hope. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 2875 | TotalEmployeeCnt |
| Total Volunteers | 1 | TotalVolunteersCnt |
| Total Gross UBI | $1,803,104 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $609,670 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,873,500 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,961,987 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $522,925,805 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $500,967,201 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,737,489 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,215,942 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,527,598 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $531,064,392 | PYTotalRevenueAmt |
| CY Total Revenue | $508,145,130 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $290,321 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $388,160 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $203,723,440 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $207,286,098 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,055,843 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $310,187,626 | PYOtherExpensesAmt |
| CY Other Expenses | $350,570,266 | CYOtherExpensesAmt |
| PY Total Expenses | $514,201,387 | PYTotalExpensesAmt |
| CY Total Expenses | $558,244,524 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $16,863,005 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$50,099,394 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $445,439,236 | TotalAssetsBOYAmt |
| Total Assets EOY | $350,995,280 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $292,800,774 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $299,197,083 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $152,638,462 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $51,798,197 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Living Gods love by inspiring health, wholeness and hope. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $447,617,998 | ExpenseAmt |
| Grant | $388,160 | GrantAmt |
| Revenue | $508,145,130 | RevenueAmt |
| Desc | Glendale Adventist Medical Center (AHGL) 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 Glendale Adventist Medical Center, the organization recognizes that not all individuals possess the ability to pay for essential medical services.Adventist Healths 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 careproviding care to persons covered by governmental programs at below costproviding health/wellness activities and community education programsNot only does Glendale Adventist Medical Center provide low cost care to individuals covered by government-programs and those unable to afford healthcare, it also helps patients find and access private and governmental resources for healthcare benefits.AHGL 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 2021 was $42,032,590.The following Inpatient services that were provided to all our patients. These services included:1,595 Babies delivered2,785 Surgeries performed91,885 Patient days The following Outpatient services that were provided to all our patients. These services included:47,398 Emergency department visits3,166 Outpatient Surgeries performed108,932 Outpatient visits 119,391 Clinic visitsAHGL 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. The total unreimbursed cost of these community benefits in 2021 was $19,625,152.Adventist Healths mission statement of Living Gods love by inspiring health, wholeness and hope is coupled with a vision to transform the health experience of our communities through collaborative programs, community investments and community outreach. We are inspired by the healing ministry as represented by the life of Jesus Christ and believe we are called to live out our mission intentionally in the communities we serve. In the small towns, suburbs and inner cities we serve, we continue our journey to provide quality healthcare until every person made in Gods image has experienced the best health today, hope for tomorrow, and Gods love that endures forever.The following story illustrates how Adventist Health Glendale is able to provide quality care for our community and why our Foundation has such a passion for raising funds to continue improving the care we can provide:Thirty-seven-year-old Rev. Michael Lehman, senior associate minister at the First Congregational Church of Los Angeles, was rock climbing when he fell and twisted his neck.When he arrived at Adventist Health Glendales emergency department, we determined that Michael suffered shear injuries to both vertebral arteries that supply blood to the back of the brain, the brain stem, which is considered the downtown of the brain, said Dr. Mikayel Grigoryan, interventional neurologist at Adventist Health Glendale. Basically, the arteries were torn and blocked and were not pumping blood to the brain stem adequately. The situation was critical as Michaels symptoms continued to worsen. Dr. Grigoryan was able to rebuild and place three stents in Michaels left vertebral artery, a complex procedure that ultimately saved him from profound disability. Today, Michael is doing great and has resumed his normal activities. Dr. Grigoryans decisive actions saved my life, Michael said. His expertise and skill are incredible.Additionally, both Michael and Dr. Grigoryan credit the amazing Adventist Health Glendale team that diagnosed, treated and cared for Michael during his stay at the medical center. The emergency department staff, nursing, imaging techs, Cath lab teams, chaplaincy, transport and rehab teams all deserve shoutouts for the wonderful care they provided for him.Please receive my sincerest gratitude for the tremendous work you do, the culture of holistic care you've nurtured there, and the wonderful people you are, Michael said. You are all the light of the world. Thank you for shining so brightly.Compassionate, high-quality patient care; life-saving and life-preserving medical and surgical services; advanced treatments in a community-based hospital; essential emergency services-these are the reasons we are in the Glendale community.Website for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/ | Desc |
| Total Program Service Expenses | $447,617,998 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | Yes (true) | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2875 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John Beaman | PersonNm |
| Phone | 9164060000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 619135 | AddressLine1Txt |
| City | Roseville | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95661 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| Reiner Scott | |||||||
| CEO thru 12/21 | 0.00 | 50.00 | Yes (X) | Yes (X) | $0 | $2,940,088 | $62,418 |
| Wing Bill | |||||||
| Dir/Asst Sec/VC | 0.00 | 50.00 | Yes (X) | Yes (X) | $0 | $2,459,079 | $76,222 |
| Jahn Andrew | |||||||
| President, Care Division | 2.00 | 48.00 | $0 | $1,848,683 | $72,937 | ||
| Hofheins Todd | |||||||
| CFO | 0.00 | 50.00 | Yes (X) | $0 | $1,319,147 | $59,910 | |
| Nahapetian Arby | |||||||
| Care Division Chief Medical Officer | 2.00 | 48.00 | $0 | $1,058,113 | $78,302 | ||
| Raffoul John | |||||||
| Finance Officer, SCR | 10.00 | 40.00 | $0 | $986,729 | $56,796 | ||
| Issai Alice | |||||||
| President | 50.00 | 0.00 | Yes (X) | $0 | $973,479 | $56,796 | |
| Jobe Meredith | |||||||
| Secretary | 0.00 | 50.00 | Yes (X) | $0 | $932,705 | $59,761 | |
| Stevens Eric | |||||||
| Care Division Operations Executive | 2.00 | 48.00 | $0 | $884,611 | $49,992 | ||
| Spenst Brett | |||||||
| Care Division Finance Officer | 2.00 | 48.00 | $0 | $786,101 | $45,300 | ||
| Burke James | |||||||
| Medical Officer, SCR | 10.00 | 40.00 | $0 | $620,023 | $73,327 | ||
| Cochran Elizabeth | |||||||
| Pres, Healthcare Fdtn Eff 6/21 | 10.00 | 40.00 | $0 | $575,663 | $66,960 | ||
| Milatovic Natasa | |||||||
| Reg HR Dir, SCR | 10.00 | 40.00 | $0 | $557,717 | $76,107 | ||
| Ho Kingman | |||||||
| Chief Medical Officer as of 01/21 | 50.00 | 0.00 | $0 | $549,021 | $61,294 | ||
| Nguyen Jinhee | |||||||
| Patient Care Executive | 50.00 | 0.00 | $0 | $420,943 | $83,604 | ||
| Markarian Ramella | |||||||
| Bus Dev Exec | 50.00 | 0.00 | $0 | $386,339 | $72,655 | ||
| Eskandarian Romic | |||||||
| Director, Pharmacy | 50.00 | 0.00 | $277,249 | $0 | $65,338 | ||
| Robertson Scott | |||||||
| Behavioral Hlth D | 50.00 | 0.00 | $289,956 | $0 | $44,907 | ||
| Acklin Marc | |||||||
| RN | 50.00 | 0.00 | $319,099 | $0 | $2,293 | ||
| Patana Suvanna | |||||||
| RN | 50.00 | 0.00 | $253,116 | $0 | $60,650 | ||
| Tetz Warren | |||||||
| Former Asst Secr/Sr VP | 50.00 | 0.00 | $0 | $271,991 | $40,640 | ||
| Apelian Zeron | |||||||
| Reg Adm Dir, Lab | 50.00 | 0.00 | $256,645 | $0 | $36,116 | ||
| Heinrich Kerry - Incoming CEO | |||||||
| Dir/CEO 1/22 | 0.00 | 50.00 | Yes (X) | Yes (X) | $0 | $282,697 | $2,627 |
| Bourdon Irene | |||||||
| President, Healthcare FND | 10.00 | 40.00 | $0 | $244,498 | $10,441 | ||
| Allen Chris | |||||||
| Treas thru 5/21 | 50.00 | 0.00 | Yes (X) | $0 | $202,543 | $13,400 | |
| Reppert Joseph | |||||||
| CFO/Asst Secr thru 8/19 | 0.00 | 0.00 | $0 | $179,119 | $11,442 | ||
| Bonner Robert | |||||||
| Treas Eff 10/21 | 50.00 | 0.00 | Yes (X) | $0 | $105,597 | $4,684 | |
| Freedman John | |||||||
| VC/Chair 8/21 | 0.00 | 4.00 | Yes (X) | Yes (X) | $0 | $26,435 | $0 |
| Banks David | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $26,159 | $0 | |
| Cherry Robert | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $26,159 | $0 | |
| Davis Andrew | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $26,159 | $0 | |
| Innocent Larry | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $26,159 | $0 | |
| Reiner Richard | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $26,159 | $0 | |
| Graham Ricardo | |||||||
| Chair thru 8/21 | 0.00 | 4.00 | Yes (X) | Yes (X) | $0 | $19,545 | $0 |
| Woodson Marc | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $15,909 | $0 | |
| Salazar Velino | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $6,058 | $0 | |
| Ocampo Lucy | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $159 | $0 | |
| Fehr Joy | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $114 | $0 | |
| Newton Bradford | |||||||
| Dir/VChair 8/21 | 0.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,396,065 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $18,783,901 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,344,919 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 601 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Shiftwise | |||||
| PO Box 70870 | St Paul | MN | 55170 | Nurse Staffing | $10,640,010 |
| Westways Staffing Services Inc | |||||
| 500 City Parkway W Ste 130 | Orange | CA | 92868 | Medical Services | $6,398,634 |
| Vituity Primary Care Glendale PC | |||||
| 2100 Powell St Suite 400 | Emeryville | CA | 94608 | Physician Services | $3,536,829 |
| Faculty Physicians and Surgeons | |||||
| 11175 Campus St 11120 | Loma Linda | CA | 92350 | Physician Services | $2,185,570 |
| Aya Healthcare Inc | |||||
| 5930 Cornerstone Court West Suite | San Diego | CA | 92121 | Medical Services | $2,142,363 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 62 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,508,197 | RelatedOrganizationsAmt |
| Government Grants | $1,991,881 | GovernmentGrantsAmt |
| All Other Contributions | $461,909 | AllOtherContributionsAmt |
| Noncash Contributions | $8,040 | NoncashContributionsAmt |
| Total Contributions | $3,961,987 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Dietary | 722514 | $1,606,909 | $1,606,909 | |
| Medical Office Rentals | 531120 | $2,744,062 | $2,744,062 | |
| Other Revenue | 900099 | $10,729,225 | $10,709,448 | $19,777 |
| Patient Care Services | 900099 | $484,974,702 | $484,103,678 | $871,024 |
| Retail Pharmacy | $705,565 | $705,565 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $206,738 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $206,738 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $500,967,201 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,202,800 | TotalRevenueColumnAmt |
| Exclusion | $3,202,800 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $26,284 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $13,142 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $13,142 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,142 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,142 | RelatedOrExemptFuncIncomeAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $508,145,130 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $499,177,239 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,803,104 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,202,800 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $388,160 | TotalAmt |
| Program Services | $388,160 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,102,117 | TotalAmt |
| Program Services | $152,358,313 | ProgramServicesAmt |
| Management And General | $18,335,205 | ManagementAndGeneralAmt |
| Fundraising | $408,599 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,108,365 | TotalAmt |
| Program Services | $6,356,913 | ProgramServicesAmt |
| Management And General | $735,258 | ManagementAndGeneralAmt |
| Fundraising | $16,194 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,524,456 | TotalAmt |
| Program Services | $15,956,879 | ProgramServicesAmt |
| Management And General | $1,528,762 | ManagementAndGeneralAmt |
| Fundraising | $38,815 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,551,160 | TotalAmt |
| Program Services | $10,572,835 | ProgramServicesAmt |
| Management And General | $949,073 | ManagementAndGeneralAmt |
| Fundraising | $29,252 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,980,990 | TotalAmt |
| Management And General | $61,980,990 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $632,604 | TotalAmt |
| Management And General | $632,604 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,000 | TotalAmt |
| Management And General | $5,000 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,822,243 | TotalAmt |
| Program Services | $78,140,269 | ProgramServicesAmt |
| Management And General | $6,202,317 | ManagementAndGeneralAmt |
| Fundraising | $479,657 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,515 | TotalAmt |
| Management And General | $114,515 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,991,782 | TotalAmt |
| Program Services | $1,467,375 | ProgramServicesAmt |
| Management And General | $471,845 | ManagementAndGeneralAmt |
| Fundraising | $52,562 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,713,178 | TotalAmt |
| Program Services | $3,881,616 | ProgramServicesAmt |
| Management And General | $12,831,117 | ManagementAndGeneralAmt |
| Fundraising | $445 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,764,262 | TotalAmt |
| Program Services | $16,319,361 | ProgramServicesAmt |
| Management And General | $444,901 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,292 | TotalAmt |
| Program Services | $92,812 | ProgramServicesAmt |
| Management And General | $56,740 | ManagementAndGeneralAmt |
| Fundraising | $740 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,752 | TotalAmt |
| Program Services | $42,157 | ProgramServicesAmt |
| Management And General | $33,574 | ManagementAndGeneralAmt |
| Fundraising | $21 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,353,765 | TotalAmt |
| Program Services | $5,353,271 | ProgramServicesAmt |
| Management And General | $494 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,490,874 | TotalAmt |
| Program Services | $18,017,554 | ProgramServicesAmt |
| Management And General | $473,320 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,703,288 | TotalAmt |
| Program Services | $2,690,079 | ProgramServicesAmt |
| Management And General | $13,209 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Patient Care Supplies | $81,800,407 | $81,563,188 | $223,454 | $13,765 |
| Quality Assurance | $40,799,192 | $40,799,192 | ||
| Other Expenses | $13,027,397 | $9,427,268 | $3,584,336 | $15,793 |
| Equipment Rental | $3,753,119 | $3,693,256 | $59,863 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,391,606 | TotalAmt |
| Program Services | $497,500 | ProgramServicesAmt |
| Management And General | $894,106 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $558,244,524 | TotalAmt |
| Program Services | $447,617,998 | ProgramServicesAmt |
| Management And General | $109,570,683 | ManagementAndGeneralAmt |
| Fundraising | $1,055,843 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,744,684 | BOYAmt |
| EOY | $31,276,828 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,018,922 | BOYAmt |
| EOY | $77,416,003 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,931,537 | BOYAmt |
| EOY | $8,124,561 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,903,627 | BOYAmt |
| EOY | $1,260,417 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $537,705,386 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $345,193,661 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $192,264,053 | BOYAmt |
| EOY | $192,511,725 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,274,212 | BOYAmt |
| EOY | $5,874,003 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,302,201 | BOYAmt |
| EOY | $34,531,743 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $445,439,236 | BOYAmt |
| EOY | $350,995,280 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,020,262 | BOYAmt |
| EOY | $45,622,093 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $977,600 | BOYAmt |
| EOY | $133,113 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $252,802,912 | BOYAmt |
| EOY | $253,441,877 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $292,800,774 | BOYAmt |
| EOY | $299,197,083 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,981,325 | BOYAmt |
| EOY | $42,913,641 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,657,137 | BOYAmt |
| EOY | $8,884,556 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,638,462 | BOYAmt |
| EOY | $51,798,197 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $445,439,236 | BOYAmt |
| EOY | $350,995,280 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$50,099,394 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$54,801,533 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $4,060,662 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $32,290 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $32,290 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part II-B, Line 1i - Other Activities Description | The organization belongs to industry and professional associations for which a portion of the membership dues is used for lobbying activities. Expenditures to Noteware were paid for the purpose of working with legislators and government officials relating to legislation affecting hospitals and healthcare. |
| Part IV - Additional Information |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,756,455 | BeginningYearBalanceAmt |
| Contributions | $3,324,388 | ContributionsAmt |
| Investment Earnings Or Losses | $558,006 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,696,456 | OtherExpendituresAmt |
| End Year Balance | $10,942,393 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,708,436 | BeginningYearBalanceAmt |
| Contributions | $3,767,406 | ContributionsAmt |
| Investment Earnings Or Losses | $286,376 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $985,865 | GrantsOrScholarshipsAmt |
| Other Expenditures | $2,019,898 | OtherExpendituresAmt |
| End Year Balance | $8,756,455 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,643,484 | BeginningYearBalanceAmt |
| Contributions | $1,502,393 | ContributionsAmt |
| Investment Earnings Or Losses | $308,184 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,044,256 | GrantsOrScholarshipsAmt |
| Other Expenditures | $3,701,369 | OtherExpendituresAmt |
| End Year Balance | $7,708,436 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,285,149 | BeginningYearBalanceAmt |
| Contributions | $6,733,712 | ContributionsAmt |
| Investment Earnings Or Losses | -$212,386 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,162,991 | OtherExpendituresAmt |
| End Year Balance | $10,643,484 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,961,660 | BeginningYearBalanceAmt |
| Contributions | $1,771,084 | ContributionsAmt |
| Investment Earnings Or Losses | $5,073 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,452,668 | OtherExpendituresAmt |
| End Year Balance | $8,285,149 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.18800 | BoardDesignatedBalanceEOYPct |
| Term Endowment Balance EOY | 0.81200 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,726,115 | OtherCostOrOtherBasisAmt |
| Book Value | $3,726,115 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $396,713,522 | OtherCostOrOtherBasisAmt |
| Depreciation | $255,545,799 | DepreciationAmt |
| Book Value | $141,167,723 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,352,572 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,357,069 | DepreciationAmt |
| Book Value | $1,995,503 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $124,690,356 | OtherCostOrOtherBasisAmt |
| Depreciation | $82,395,508 | DepreciationAmt |
| Book Value | $42,294,848 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,222,821 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,895,285 | DepreciationAmt |
| Book Value | $3,327,536 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $192,511,725 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Foundation/JV Net Assets | $10,260,527 |
| Other Assets | $134,687 |
| Other Receivables | $1,643,112 |
| Receivables from Related Organizations | $8,383,422 |
| Receivables from Third Parties | $14,109,995 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $34,531,743 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Income tax payable | $20,353 |
| Other Liabilities | $24,218,443 |
| Payables to Related Organizations | $203,524,473 |
| Payables to Third Parties - Net | $25,678,608 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $253,441,877 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| Part X : FIN48 Footnote | The System recognizes tax benefits from any uncertain tax positions only if it is more-likely-than-not the tax position will be sustained, based solely on its technical merits, with the taxing authority having full knowledge of all relevant information. The System records a liability for unrecognized tax benefits from uncertain tax positions as discrete tax adjustments in the first interim period the more-likely-than-not threshold is not met. The System recognizes deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of its assets and liabilities along with net operating loss and tax credit carryovers only for tax positions that meet the more-likely-than-not recognition criteria. At December 31, 2021 and 2020, no such assets or liabilities were recorded.The System currently files Form 990 (informational return of organizations exempt from income taxes) and form 990-T (business income tax return for an exempt organization) in the U.S. federal jurisdiction and the state of California. The System is not subject to income tax examinations prior to 2017 in major tax jurisdictions. |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants To Org Outside US GrantsToOrgOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Armenia | RegionTxt |
| Purpose Of Grant | Mission Trip | PurposeOfGrantTxt |
| Non Cash Assistance | $262,140 | NonCashAssistanceAmt |
| Description Of Non Cash Asst | Travel/Supplies | DescriptionOfNonCashAsstTxt |
| Valuation Method Used | Cost | ValuationMethodUsedDesc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Org | 1 | TotalOtherOrgCnt |
| Transfer To Foreign Corp | false | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | false | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,828,780 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,828,780 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $174,893,469 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $134,689,659 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $40,203,810 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07200 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $176,722,249 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $134,689,659 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $42,032,590 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07530 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,055,684 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $47,700 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,007,984 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,719,731 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,485,829 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,233,902 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00940 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,885,601 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,343,792 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,541,809 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03860 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,661,016 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,877,321 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,783,695 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04980 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $209,383,265 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $139,566,980 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $69,816,285 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12510 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,307,091 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $361,250 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $148,697,786 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $155,402,768 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,704,982 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Adventist Health Glendale | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1509 Wilson Terrace | AddressLine1Txt |
| City | Glendale | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | Acute Psychatric & Skilled Nursing | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Sch H Part VI - Needs Assessment | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | See Sch H Part VI - Needs Assessment | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Sch H Part VI - Needs Assessment | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Sch H Part VI-Patient Education | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Sch H Part VI-Patient Education | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Sch H Part VI-Patient Education | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Facility: - Part V, Section B, Line 5 | The 2019 CHNA data collection process can be summarized as follows: 1. review of prior CHNA reporting efforts; 2. collection of most recently available demographic, socioeconomic and health indicator data; 3. data gathering from community members. Leveraging its extensive network of community partners, the hospitals, in collaboration with the Glendale Healthier Community Coalition, held a community summit on October 25, 2018, with 95 stakeholders. In compliance with the ACA, participants represented a broad range of geographic, public health, and population interest including health care professionals, social service providers, city and public health officials, members from the local police department, and other community leaders. In addition, a total of 66 community stakeholders was convened April 4, 2019 for a Prioritization Forum with the goal of ranking the identified health needs. Many of the Forum participants had also attended the first coalition summit. After a large group discussion, participants were given the opportunity to provide input via voting and a survey.Secondary data collection included over 300 data indicators that helped illustrate the health states of the community. Secondary data were collected from a wide range of local, county, state and national sources to present demographics, mortality, morbidity, health behaviors, clinical care, social and economic factors, and physical environment. Data sources included US Census, County of LA Public Health Department, OSHPD, California Health Interview Survey, CDC, LA County Department of Health Services and the LA Homeless Services Authority. |
| Facility: - Part V, Section B, Line 6a | Adventist Health Glendale and Glendale Memorial Hospital and Health Center have partnered to conduct the CHNA. |
| Facility: - Part V, Section B, Line 11 | The COVID-19 global pandemic has caused extraordinary challenges for Adventist Health hospitals and health care systems across the world including keeping front line workers safe, shortages of protective equipment, limited ICU bed space and developing testing protocols. They have also focused on helping patients and families deal with the isolation needed to stop the spread of the virus, and more recently vaccine roll out efforts. Adventist Health, like other health care systems, had to pivot its focus to meet the most urgent healthcare needs of its community during the pandemic, as well as reassess the ability to continue with some community health strategies due public health guidelines for social distancing. Adjustments have been made to continue community health improvement efforts as possible, while ensuring the health and safety of those participating. Our 2019 CHNA identified six areas of significant need: Poverty & Homelessness including Mental Health & Substance Abuse, Access to Medical Care, Cardiovascular Diseases including Stroke, Preventive Wellness including Diabetes and Geriatric Support. Priority Need 1- Poverty & Homelessness including Mental Health & Substance Abuse- The goal is to prevent and reduce homelessness and Substance Use Disorder (SUD) for patients requiring complex care and follow up. Strategy 1- The AHGL Homeless Care Navigator will support behavioral medicine services for patients who are homeless and at-risk for homelessness, and patients with SUD. Activity 1.1- Assist individuals who are homeless and/or at-risk in connecting them with community resources. A total of 224 individuals were screened and consulted about participating in the program. Of those screened, 98 were elected into the program and 67 were placed into housing and/or prevented from experiencing homelessness. Additional activities included connecting individuals with Substance Use Disorder (SUD) to treatment services within the community. This program was delayed due to the pandemic and is expected to launch in early 2022. Priority Need 2- Access to Medical Care- The goal is to increase access to primary care for vulnerable populations. Strategy 1- Develop a team of physicians who become more knowledgeable of health care disparities and an increase in medical knowledge of problems that disproportionately affect the underserved. Activity 1.1- Family Residency Program- In 2021, the Family Residency Program continued to increase capacity for much needed services within the community. Rolling over from last year, there are currently 24 students annually that are enrolled at one given time. In 2021, a total of 8 new students completed their assignments. Priority Need 3- Cardiovascular Disease including Stroke- The goal is to increase awareness of health risks, symptoms, and resources for prevention and disease management for cardiovascular disease including stroke. Strategy 1- Reduce cardiovascular disease risk factors and improve health outcomes for adults ages 40+ by providing lifestyle education, support, and access to a network of related resources and services. Activity 1.1- Provide community education sessions and screenings- Although we worked to increase the number of community education and screenings sessions presented, due to COVID-19 all events are currently on hold and expected to relaunch in 2022. Activity 1.2 - Provide group lifestyle activities (nutrition, physical activity, stress reduction, etc.)- Due to COVID-19, this program remained on hold and is expected to launch in 2022. Activity 1.3- Connect individuals to a network of lifestyle resources and services in the community- Due to COVID-19, this program is remained on hold and is expected to launch in 2022. Priority Need 4- Preventive Wellness include Diabetes and Obesity- The goal is to educate children and families about the risks of tobacco and the health benefits of exercise and good nutrition. Strategy 1- Engage our community through preventive wellness classes and grassroots organizing around public health policy. Activity 1.1- Provide community education and screening sessions- In FY 2021, a total of 175 sessions were presented impacting 5,569 individuals. Activity 1.2- Provide lifestyle group activities (nutrition, physical activity, etc.)- In FY 2021, a total of 170 sessions were offered, impacting 6,616 individuals. Additional activities include a new partnership with the Glendale Unified School District and the American Heart Association to address mental health. Initial implementation involved education on mental health across the district and planning for two high school interventional programs that are expected to start in 2022. Priority Need 5- Geriatric (Senior) Support Services- The goal is to provide health education/promotion resources that improve health and well-being for seniors. Strategy 1- AHGL will provide geriatric support through educational, lifestyle, fitness and nutrition classes, and preventative clinic services. Activity 1.1- Educational Classes (Lifestyle, Finance and Clinical). Within FY 2021, 76 sessions were offered, and 2,583 participants were impacted. Activity 1.2- Clinical Supports (Vaccine Clinics, Medication Checks, Glucose Checks, etc.) - In FY 2021 a total of one session was offered, impacting a total of 203 community members. Activity 1.3- Group Lifestyle Activities (Exercise, Nutrition, Social Support). Within FY 2021, 184 sessions were offered, and the number of participants includes 4,641.Adventist Health Glendale used the pandemic period extending into 2021 in two main ways. The first was expanding opportunities provided by increased adoption of virtual tools across program strategies and demographics. The second was intentional planning and building resources that will be valuable for in-person programs to be launched as the pandemic slows down. |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Heart & Vascular Clinic | ||||
| 1500 Chevy Chase Dr | Glendale | CA | 91206 | Heart & Vascular Medicine |
| Spine & Ortho Clinic | ||||
| 1500 Chevy Chase Dr | Glendale | CA | 91206 | Spine & Orthopaedic Medicine |
| Eagle Rock Therapy & Wellness Center | ||||
| 2560 Colorado Blvd | Los Angeles | CA | 90041 | Physical Therapy |
| Occmed | ||||
| 600 604 South Glendale Ave | Glendale | CA | 91205 | Occupational Medicine |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7 - Explanation of Costing Methodology | The costs were determined by using a cost-to-charge ratio. The cost-to-charge computation is based on hospital specific data included in the system-wide audited combined financial statements. The formula used for computation equals financial statement data labeled as follows:Total expenses - (Provision for bad debts + Other revenue + Interest income)/Gross patient charges |
| Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense | Uncollected patient accounts are analyzed using written patient financial services policies that apply standard procedures for all patient accounts. The result of the analysis is what is recognized as bad debt expense. For example, all self-pay patients receive a discount. If the discounted account is unpaid after collection efforts, the unpaid balance is classified as bad debt. The cost-to-charge ratio is multiplied times the hospital's bad debt expense. The resulting figure has been reported as bad debts at cost on Part III, Line 2. |
| Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit | The portion of the bad debts attributed to charity care as reported on Part III, Line 3 was calculated by an independent third-party consulting firm. This is an estimate of additional charity care that would have been granted if patients had cooperated by furnishing family financial information. A statistically valid sampling of patient accounts written-off was evaluated. The evaluation used various factors to determine which patients would have been eligible for charity care. Had the hospital obtained sufficient information from all patients who qualified for financial assistance, these additional accounts would have been recorded as charity care instead of bad debt. |
| Part III, Line 4 - Bad Debt Expense | The system-wide combined audited financial statements do not contain a footnote describing bad debt expense. |
| Part III, Line 8 - Explanation Of Shortfall As Community Benefit | The Medicare cost report apportions the 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. Medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that Medicare payments too 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. For further information please refer to schedule H part III section B. |
| 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 incomeX and the following criteria must be followed by the agency:1. They may not report the patient to a credit bureau2. They may not file a lawsuit to recover the outstanding liability3. They may not charge interest |
| Part VI, Line 2 - Needs Assessment | The hospital's 2019 CHNA, the 2022 Community Health Plan (CHP) Update for fiscal year 2021, and the 2020 Implementation Strategy adopted in 2020 are posted on the hospital's website at Community Benefit | Roseville, California | Adventist Health. The two most recent Community Health Needs Assessment, two most recent Implementation Strategy reports and the most recent Community Health Plan Update are also available on the Adventist Health Corporate website at Community Benefit | Roseville, California | Adventist Health. The Community Health Needs Assessment (CHNA) includes both the activity and product of identifying and prioritizing a community's health needs, accomplished through the collection and development of a community health plan. The second component of the CHNA, the community health plan, includes strategies and plans to address prioritized needs, with the goal of contributing to improvements in the community's health. Qualitative and quantitative data sources were used in conducting the CHNA. To accomplish the many important systemic goals that are underway in our community, our hospitals support local partners to augment our own efforts, and to promote a healthier community. Partnership is not used as a legal term, but a description of the relationships of connectivity that are necessary to collectively improve the health of the regions we serve. One of our objectives is to partner with other nonprofit and faith-based organizations that share our values and priorities to improve the health status and quality of life of the community we serve. This is an intentional effort to avoid duplication and leverage the successful work already in existence in the community. |
| Part VI, Line 3 - Patient Education of Eligibility for Assistance | The plain language summary of the Financial Assistance Policy (FAP) is posted along with the complete FAP policy and FAP Application on the hospital's website at https://www.adventisthealth.org/documents/financial-assistance/ENG_PFS-112_Financial-Assistance-Policy.pdf. These documents are available in multiple languages.At the time of registration, patients who are uninsured and underinsured are provided information about government healthcare programs. Patients are also orally informed of their right to request charity assistance. Signs are displayed in the patient business office, patient registration areas and the emergency room in multiple languages informing patients of this right as well. The hospital also provides a brochure during the registration process that explains the hospital billing and collection procedures, and how to request financial assistance. In addition, every billing statement sent to patients contains information on how to request financial assistance. |
| Part VI, Line 4 - Community Information | The population in Los Angeles County has grown to 10,231,037, an increase of 4.2% in 8 years, which is lower than the overall proportional growth in California standing at 5.6%. With a state population of 39.5 million people, one in four Californians live in Los Angeles County. In 2018, the AHGL service area population was estimated at 329,014 residents. In particular, ZIP codes 91203Glendale (8.3%) and 91020Montrose (5.9%) experienced the highest percentage of growth.In 2018, residents in the AHGL service area were, on average, slightly older (42.0 years old) than the whole of Los Angeles County (38.2 years old). Overall, in the AHGL service area, a higher percentage of residents were represented in older age groups than the rest of Los Angeles County. In 2017, a majority of the population living in the AHGL service area was ethnically either White (51.2%) or Hispanic/Latino (28.2%). Los Angeles County had a higher percentage of Hispanic/Latino residents (48.4%) and a lower percentage of White residents (28.3%) than in the AHGL service area. The Black/African-American population in the AHGL service area (1.7%) was less than one quarter that of Los Angeles County (8.5%). The Asian population in the service area (15.9%) was slightly higher than in Los Angeles County (14.4%). The AHGL service area consists of geographically concentrated ethnic communities that contribute to the areas vibrancy and community-based assets. For example, among the approximate 200,000 residents in the City of Glendale, 72,000 have Armenian heritage. In particular, the foreign bornpopulation skews heavily towards people of Armenian (82.9%) or Persian (7.5%) ancestry. There is, however, a large Latino population (18.2%) primarily of Mexican heritage. 2017 data show a 79.6% high school graduation rate as opposed to an 83.3% rate in California. In 2018, a lower percentage of families in the AHGL service area lived below poverty (10.4%) than families in Los Angeles County (13.5%). Similarly, the percentage of families living below poverty with children (7.0%) was significantly lower than Los Angeles County (10.2%). The average household income of residents in the AHGL service area ($99,577) was higher than that of Los Angeles County ($96,019) by 3.7%. Household sizes in the AHGL service area ranged from 2.5 and 3.1. The AHGL service area had a slightly smaller average household size (2.7) than the average for L.A. County (3.0). The AHGL service area population varies in its income power. The median household income in the service area ranged between $114,010 in Glendale 91208 and 91205 ($61,682). |
| Part VI, Line 4 - Community Building Activities | The hospital is involved in numerous community building activities which promote the health of the community. Overwhelmingly, we see diseases of despair including suicide, substance abuse, mental health and chronic illnesses plaguing the communities in which we have a significant presence in. These community concerns are addressed through health improvement, education, poverty, workforce development and access to care. This is why we have focused our work around addressing behavior and the systems keeping the most vulnerable people in cycles of poverty and high utilization. In an effort to heal these communities, we have strategically invested in our communities by partnering with national leaders in community well-being. We believe the power of community transformation lies in the hands of the community. Our solution for transformation is to create a sustainable model of well-being that measurably impacts the well-being of people, well-being of place and equity. In 2020, Adventist Health acquired Blue Zones as the first step toward reaching our solution. By partnering with Blue Zones, we will be able to gain ground in shifting the balance from healthcare treating people once they are ill to transformative well-being changing the way communities live, work and play. In 2021, Adventist Health committed to launching six Blue Zone Projects within our community footprint, and as we enter 2022 these projects are active. Blue Zones widens our impact from only reaching our hospitals communities in four states to a global mission practice. 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. In addition, 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, Line 5 - Promotion of Community Health | Our hospitals mission is, Living Gods love by inspiring health, wholeness and hope. Our community benefit work is rooted deep within our mission and merely an extension of our mission and service. We have also incorporated our community benefit work to be an integral component of improving the Triple Aim. The Triple Aim concept broadly known and accepted within health care includes:1) Improve the experience of care for our residents.2) Improve the health of populations.3) Reduce the per capita costs of health care.Our strategic investments in our community are focused on a more planned, proactive approach to community health. The basic issue of good stewardship is making optimal use of limited charitable funds. Defaulting to charity care in our emergency rooms for the most vulnerable is not consistent with our mission. An upstream and more proactive and strategic allocation of resources enables us to help low income populations avoid preventable pain and suffering; in turn allowing the reallocation of funds to serve an increasing number of people experiencing health disparities.Hospitals and health systems are facing continuous challenges during this historic shift in our health system. Given todays state of health, where cost and heartache is soaring, now more than ever, we believe we can do something to change this. These challenges include a paradigm shift in how hospitals and health systems are positioning themselves and their strategies for success in a new payment environment. This will impact everyone in a community and will require shared responsibility among all stakeholders. As hospitals move toward population health management, community health interventions are a key element in achieving the overall goals of reducing the overall cost of health care, improving the health of the population, and improving access to affordable health services for the community both in outpatient and community settings. The key factor in improving quality and efficiency of the care hospitals provide is to include the larger community they serve as a part of their overall strategy. Population health is not just the overall health of a population, but also includes the distribution of health. Overall health could be quite high if the majority of the population is relatively healthyeven though a minority of the population is much less healthy. Ideally such differences would be eliminated or at least substantially reduced.Community health can serve as a strategic platform to improve the health outcomes of a defined group of people, concentrating on three correlated stages:1) The distribution of specific health statuses and outcomes within a population; 2) Factors that cause the present outcomes distribution; and 3) Interventions that may modify the factors to improve health outcomes.Improving population health requires effective initiatives to: 1) Increase the prevalence of evidence-based preventive health services and preventive health behaviors, 2) Improve care quality and patient safety, and 3) Advance care coordination across the health care continuum. We will work together with our community to ensure the community health improvements are identified and then targeted for programs to influence behaviors to obtain improved health within the whole community. |
| Part VI, Line 6 - Affilated Health Care System | The hospital is a member of Adventist Health, a health care system which provides healthcare services in diverse markets within the Western United States. A member hospital may share some services with other member hospitals in its geographic area, such as clinical, management and support services. Using today's technology, hospitals outside the geographic area can provide support through remote services such as telepharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk management, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate administrative support for hospital affiliated medical groups that engage physicians through employment or other contracts. This provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communities served by all member hospitals. |
| Part VI, Line 7 - States Filing of Community Benefit Report | CA |
| Part VI - Additional Information | Identified Needs from CHNA, Not Addressed and Why (Based on 2020 (FY 2019) CHP Update) - No hospital can address all the health needs identified in its community. Adventist Health Glendale is committed to serving the community by adhering to its mission, and using its skills, expertise and resources to provide a range of community benefit programs. The significant health need that will not be address will be dental health. Adventist Health Glendale does not have the resources to address this priority at this time. Other Items:In FY 2021, Adventist Health Glendale continued the following actions in response to the needs created or exacerbated by COVID-19: Continued virtual healthcare visits to keep community members safe and healthy; continued their online symptom tracker. Additional activities include partnering with the City of Glendale and Glendale Community College to implement a mass vaccination initiative for eligible community members; partnered with the American Heart Association and Glendale Unified School District on a 16-week fresh produce distribution event, which delivered over 16,000 pounds of food to over 700 families experiencing economic struggles; secured two grants to expand services for high priority health needs; began partnership with public school districts to support mental health and well-being for students, families, and teachers. Primary website address: See Form 990, Pg. 1, Item JNeeds Assessment website: See Sch H Part VI - Needs AssessmentFAP website: See Sch H Part VI-Patient Education |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|
| American Heart Association In | |||||||||
| 272 Greenville Ave | Dallas | TX | 72531 | 135613797 | 501(c)(3) | $150,000 | $0 | Funds Transfer | Sponsorship |
| Armenian Bone Marrow Donor Re | |||||||||
| 347 W Stocker Ste 208 | Glendale | CA | 91202 | 050573780 | 501(c)(3) | $10,000 | $0 | Funds Transfer | Sponsorship |
| CA Hlth Fund & Trust | |||||||||
| 1215 K St Ste 800 | Sacramento | CA | 95814 | 941498697 | 501(c)(3) | $170,299 | $0 | Funds Transfer | Hlth srvs un/underinsured pt |
| Cancer Support Community Pasa | |||||||||
| 1990 South Bundy Drive Ste 10 | Los Angeles | CA | 90025 | 954201985 | 501(c)(3) | $6,000 | $0 | Funds Transfer | Sponsorship |
| Glendale Police Foundation | |||||||||
| PO Box 10142 | Glendale | CA | 91209 | 956222730 | 501(c)(3) | $7,500 | $0 | Funds Transfer | Sponsorship |
| The McCourt Foundation Inc | |||||||||
| 871 Figueroa Terrace | Los Angeles | CA | 90012 | 941498702 | 501(c)(3) | $7,271 | $0 | Funds Transfer | Sponsorship |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 6 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Grantmaker's Description of How Grants are Used | FormAndLineReferenceDesc |
| Explanation | Grants are donations made to US tax exempt organizations, Government Entities and Civic organizations who are community partners, known to us, and present a valid purpose for their donation request. It is anticipated that no further monitoring is required. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Acklin Marc | ||||||||||||
| RN | $319,099 | $2,293 | $321,392 | |||||||||
| Allen Chris | ||||||||||||
| Treas thru 5/21 | $161,827 | $26,593 | $14,123 | $13,400 | $215,943 | |||||||
| Apelian Zeron | ||||||||||||
| Reg Adm Dir, Lab | $216,554 | $27,092 | $292,761 | $20,961 | $19,130 | $9,024 | ||||||
| Bourdon Irene | ||||||||||||
| President, Healthcare FND | $81,415 | $163,083 | $10,432 | $254,939 | $9 | |||||||
| Burke James | ||||||||||||
| Medical Officer, SCR | $461,501 | $76,438 | $82,084 | $61,683 | $693,350 | $11,644 | ||||||
| Cochran Elizabeth | ||||||||||||
| Pres, Healthcare Fdtn Eff 6/21 | $400,000 | $101,225 | $74,438 | $54,608 | $642,623 | $12,352 | ||||||
| Eskandarian Romic | ||||||||||||
| Director, Pharmacy | $246,394 | $52,312 | $342,587 | $19,880 | $10,975 | $13,026 | ||||||
| Heinrich Kerry - Incoming CEO | ||||||||||||
| Dir/CEO 1/22 | $138,538 | $123,000 | $21,159 | $285,324 | $2,627 | |||||||
| Ho Kingman | ||||||||||||
| Chief Medical Officer as of 01/21 | $446,250 | $40,000 | $62,771 | $46,650 | $610,315 | $14,644 | ||||||
| Hofheins Todd | ||||||||||||
| CFO | $999,600 | $116,549 | $202,998 | $48,266 | $1,379,057 | $11,644 | ||||||
| Issai Alice | ||||||||||||
| President | $606,722 | $251,048 | $115,709 | $45,152 | $1,030,275 | $11,644 | ||||||
| Jahn Andrew | ||||||||||||
| President, Care Division | $1,044,420 | $600,285 | $203,978 | $61,293 | $1,921,620 | $11,644 | ||||||
| Jobe Meredith | ||||||||||||
| Secretary | $616,324 | $169,142 | $147,239 | $45,152 | $992,466 | $14,609 | ||||||
| Markarian Ramella | ||||||||||||
| Bus Dev Exec | $284,964 | $71,130 | $30,245 | $61,011 | $458,994 | $11,644 | ||||||
| Milatovic Natasa | ||||||||||||
| Reg HR Dir, SCR | $405,008 | $103,859 | $48,850 | $64,272 | $633,824 | $11,835 | ||||||
| Nahapetian Arby | ||||||||||||
| Care Division Chief Medical Officer | $700,000 | $222,478 | $135,635 | $66,658 | $1,136,415 | $11,644 | ||||||
| Nguyen Jinhee | ||||||||||||
| Patient Care Executive | $309,811 | $76,562 | $34,570 | $68,048 | $504,547 | $15,556 | ||||||
| Patana Suvanna | ||||||||||||
| RN | $236,804 | $49,867 | $313,766 | $10,490 | $5,822 | $10,783 | ||||||
| Raffoul John | ||||||||||||
| Finance Officer, SCR | $598,791 | $254,842 | $133,096 | $45,152 | $1,043,525 | $11,644 | ||||||
| Reiner Scott | ||||||||||||
| CEO thru 12/21 | $1,801,000 | $1,112,062 | $27,026 | $50,774 | $3,002,506 | $11,644 | ||||||
| Reppert Joseph | ||||||||||||
| CFO/Asst Secr thru 8/19 | $179,119 | $11,442 | $190,561 | |||||||||
| Robertson Scott | ||||||||||||
| Behavioral Hlth D | $158,383 | $44,691 | $334,863 | $22,170 | $109,403 | $216 | ||||||
| Spenst Brett | ||||||||||||
| Care Division Finance Officer | $734,400 | $38,124 | $13,577 | $33,656 | $831,401 | $11,644 | ||||||
| Stevens Eric | ||||||||||||
| Care Division Operations Executive | $749,000 | $76 | $135,535 | $33,656 | $934,603 | $16,336 | ||||||
| Tetz Warren | ||||||||||||
| Former Asst Secr/Sr VP | $235,577 | $229 | $36,185 | $28,879 | $312,631 | $11,761 | ||||||
| Wing Bill | ||||||||||||
| Dir/Asst Sec/VC | $1,440,800 | $991,833 | $26,446 | $64,578 | $2,535,301 | $11,644 | ||||||
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | See Sch L p2 |
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | The Hospital is organized as a religious corporation and operates as a not-for-profit hospital. 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 7a: How Members or Shareholders Elect Governing Body | The Hospital Bylaws define its Board of Directors to be the same individuals who are members of the Adventist Health System/West Board of Directors. |
| Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders | The sole corporate member, Adventist Health System/West, must approve all changes to the articles of incorporation and bylaws. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | This Form 990, including all supporting schedules, was prepared by a public accounting firm, reviewed by the System Controller and market Finance Officer, and shared by electronic communication with the corporation's Board of Directors prior to filing. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital officers, key employees and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation, to illustrate examples of a conflict and to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the market president immediately.The System General Counsel distributes, collects, and reviews for signatures the COIs for all applicable Corporate employees, stakeholders and the board. In addition, the hospital's administration is responsible for keeping record to ensure all hospital-based individuals with director and above positions have submitted their COIs. The System General Counsel reviews all the disclosures on the board and Corporate employees' COIs. System General Counsel retains the COIs for all individuals. Copies for the officers and key employees' COIs are kept in their personnel files. Further inquiries on any potential significant conflicts are made as needed. Conflicts are documented and reviewed with the Board. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | The Organization's Board of Directors has established a Human Performance 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 presidents and finance officers 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 executives, with midpoints aligned with the 50th percentile of comparable system hospital data, and having a 50 percent spread from minimum to maximum. A hospital president has a maximum potential incentive of 30 or 35 percent of base salary based upon size and scope of hospital. (Incentive potential is industry norm) Other hospital executives have a maximum potential incentive of 25 to 30 percent of base salary. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | See Line 15a explanation. |
| 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. |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Donor Restricted Activity = -$23552 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Foundation Change in Net Assets = $1822312 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Joint Venture Change in Value Net of Distributions = $3539287 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Transfer to Related Entities = -$1277385 |
| Prior Period Adjustments | Prior Period adjustments were a result of cash balance correction and clean up of books due to prior period activities including debt service, capital expenditures, and other items. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Adventist Health SystemWest | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 953484589 | Integrated Health System | CA | 501(c)(3) | 10 | NA | false |
| Adventist Health Clearlake Hospital Inc | ||||||||||
| 15630 18th Avenue | Clearlake | CA | 95422 | 680395149 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Adventist Hlth Med Ctr Tehachapi | ||||||||||
| 1100 Magellan Drive | Tehachapi | CA | 93561 | 812240617 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Adventist Health Physicians Network | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 680357690 | Medical Foundation | CA | 501(c)(3) | 12b2 | Adventist Health SystemWest | false |
| Castle Medical Center | ||||||||||
| 640 Ulukahiki Street | Kailua | HI | 96734 | 990107330 | Hospital | HI | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Feather River Hospital | ||||||||||
| PO Box 619135 | Sacramento | CA | 95661 | 941101228 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Fremont- Rideout Health Group | ||||||||||
| 898 Plumas Street | Yuba City | CA | 95991 | 942917251 | Hospital | CA | 501(c)(3) | 12b2 | Stone Point Health | false |
| Glendale Adventist Medical Center Fdtn | ||||||||||
| 1509 Wilson Terrace | Glendale | CA | 91206 | 953899682 | Fundraising for Hospital | CA | 501(c)(3) | 3 | Western Health Resources | Yes (true) |
| Hanford Community Hospital | ||||||||||
| 115 Mall Drive | Hanford | CA | 93230 | 940535360 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Lodi Memorial Hospital Assn Inc | ||||||||||
| 975 So Fairmont Ave | Lodi | CA | 95240 | 941044474 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Northwest Medical Fdtn of Tillamook | ||||||||||
| 1000 Third Street | Tillamook | OR | 97141 | 930622075 | Hospital | OR | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Paradise Valley Hospital | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 951816034 | Discontinued Operations | CA | 501(c)(3) | 1 | Adventist Health SystemWest | false |
| Portland Adventist Medical Center | ||||||||||
| 10123 SE Market Street | Portland | OR | 97216 | 930429015 | Hospital | OR | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Reedley Community Hospital | ||||||||||
| 372 Cypress Ave | Reedley | CA | 95370 | 453220509 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Rideout Memorial Hospital | ||||||||||
| 989 Plumas Street | Yuba City | CA | 95991 | 941387866 | Hospital | CA | 501(c)(3) | 3 | Fremont Rideout Health Group | false |
| St Helena Hospital | ||||||||||
| 10 Woodland Road | St Helena | CA | 94574 | 941279779 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| San Joaquin Community Hospital | ||||||||||
| 2615 Chester Avenue | Bakersfield | CA | 93301 | 952294234 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Simi Valley Hospital & Health Care Svc | ||||||||||
| 2975 No Sycamore Drive | Simi Valley | CA | 93065 | 956064971 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Sonora Community Hospital | ||||||||||
| 1000 Greenley Road | Sonora | CA | 95370 | 941415069 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Stone Point Health | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 823763347 | Supporting Organization | CA | 501(c)(3) | 12b2 | Adventist Health SystemWest | false |
| Ukiah Adventist Hospital | ||||||||||
| 275 Hospital Drive | Yuba City | CA | 95482 | 941639901 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| United Com-Serve | ||||||||||
| 989 Plumas Street | Yuba City | CA | 95991 | 943015356 | Skilled Nursing/Assisted Living/Hm Care | CA | 501(c)(3) | 12b2 | Fremont Rideout Health Group | false |
| Walla Walla General Hospital | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 910617726 | Hospital | WA | 501(C)(3) | 3 | Adventist Health SystemWest | false |
| Western Health Resources | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 953867863 | Home Care | CA | 501(C)(3) | 10 | Adventist Health SystemWest | false |
| White Memorial Medical Center | ||||||||||
| 1720 Cesar E Chavez Avenue | Los Angeles | CA | 90033 | 952282647 | Hospital | CA | 501(C)(3) | 3 | Adventist Health SystemWest | false |
| Willits Hospital Inc | ||||||||||
| 1 Marcela Drive | Willits | CA | 95490 | 680108919 | Hospital | CA | 501(C)(3) | 3 | Adventist Health SystemWest | false |
| Adventist Health Delano | ||||||||||
| PO Box 460 | Delano | CA | 93216 | 770258013 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Adventist Health Tulare | ||||||||||
| 869 North Cherry Street | Tulare | CA | 93274 | 832351753 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Adventist Health Mendocino Coast | ||||||||||
| 700 River Drive | Fort Bragg | CA | 95437 | 845174585 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|
| Physician Medical Terrace LP | ||||||||||
| 1509 Wilson Terrace | Glendale | CA | 91206 | 954277400 | Med Ofc Bld | CA | N/A | false | Yes (true) | 0.63686 |
| Glendale Adventist Medical Building LP | ||||||||||
| 1509 Wilson Terrace | Glendale | CA | 91206 | 953752800 | Med Ofc Bld | CA | N/A | false | Yes (true) | 0.54613 |
| Physicians Surgery Center at GAMC | ||||||||||
| 1500 E Chevy Chase Dr Ste 101 | Glendale | CA | 91206 | 464085815 | Ambulatory Surgical Center | CA | N/A | false | Yes (true) | 0.58549 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | South Coast Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 619135 | AddressLine1Txt |
| City | Roseville | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95661 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952037291 | EIN |
| Primary Activities | Wind down after sale of hospital | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AHSWest | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C-Corp | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Adventist Health SystemWest | ||
| e | $203,524,473 | Note Payable |
| Adventist Health SystemWest | ||
| m | $75,198,683 | Operating Exp |
| Adventist Health SystemWest | ||
| o | $1,902,628 | Compensation |
| Adventist Health SystemWest | ||
| r | $31,276,828 | Cash Mgt Funds |