2021-07-10T14:36:13-07:00 2020-08-31 990 2019-09-01 951647809 Barlow Respiratory Hospital BARL 2132026881 2000 Stadium Way Los Angeles CA 90026 Amit Mohan CEO 2021-07-10 2019 2022-09-23 18:48:47Z Amit Mohan 2000 Stadium Way Los Angeles CA 90026 61370598 false X www.barlowhospital.org X 1902 CA A not-for-profit, long-term acute care specialty healthcare organization is to improve the quality of life for patients with respiratory and other diseases that may require prolonged acute hospitalization of specialized treatment. 11 9 401 9 0 35660 31700 66689439 60795693 328399 280080 1254477 263125 68307975 61370598 0 0 38703631 39252658 0 0 24655379 25517183 63359010 64769841 4948965 -3399243 48406087 66043260 7694088 27011444 40711999 39031816 X A not-for-profit, long-term acute care specialty healthcare organization is to improve the quality of life for patients with respiratory and other diseases that may require prolonged acute hospitalization of specialized treatment. false false 34295854 32438006 Hospital provides patient care days of 14,480 days for a total of 363 admissions at Main Campus location. Patient population includes patients unable to wean off ventilators at short-term acute hospitals and patients with other respiratory diagnoses and critically complex cases. 10532154 17180688 Hospital provides patient care days of 8,076 days for a total of 212 admissions at Van Nuys Campus location. Patient population includes patients unable to wean off ventilators at short-term acute hospitals and patients with other respiratory diagnoses and critically complex cases. 6987867 11176999 Hospital provides patient care days of 5,390 days for a total of 159 admissions at Whittier Campus location. Patient population includes patients unable to wean off ventilators at short-term acute hospitals and patients with other respiratory diagnoses and critically complex cases. 51815875 true true false true false false false false false false true true false true true true true true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 137 0 true 401 true false false false false false false false 0 false false false false false false false X 11 9 false false false false true true true true true false false true true true true true true true true false X Ed Engesser 2132026881 2000 Stadium Way Los Angeles CA 90026 X Amit Mohan President & CEO 40.00 5.00 X X 433449 0 26063 David Nelson MD Medical Dir. 24.00 3.00 X 254773 0 0 Kirk Watson VP, Business Development 40.00 0.00 245808 0 7403 Gladys D'Souza CNO 40.00 0.00 X 214977 0 24364 Anna Urling Case Mgr Admitting 40.00 0.00 213174 0 7898 Barbara Allen Case Mgr Admitting 40.00 0.00 207478 0 10319 Marita Gutierrez Clinical Liaison 40.00 0.00 190291 0 2954 Maria Morales-Stewart Case Mgr Admitting 40.00 0.00 165915 0 23236 Sandra Harlan Sr. Dir of Finance 40.00 0.00 168962 0 17944 Ed Engesser CFO 24.00 5.00 X 158479 0 5345 Michael D Berger Chair 2.00 1.00 X X 0 0 0 Diane Naegele Vice Chair 2.00 1.00 X X 0 0 0 Jason Zayon Secretary 1.00 0.00 X X 0 0 0 Bradford M Bolger Board Director 1.00 0.00 X 0 0 0 Earl E Gales Jr Board Director 1.00 0.00 X 0 0 0 Richard F Seiden Board Director 1.00 0.00 X 0 0 0 Eric Kleerup MD Board Director 1.00 0.00 X 0 0 0 John Van Dyke MD Board Director 1.00 0.00 X 0 0 0 Daniel Weinstein Board Director 1.00 0.00 X 0 0 0 2253306 125526 95 false true false Valley Presbyterian Hospital 15107 Vanowen Street Van Nuys CA 91409 Medical Services 4636915 Snyder Langston LLC 17962 Cowan Irvine CA 92614 Hospital Retrofit 2719650 Presbyterian Intercommunity Hsp 12401WashingtonBl Whittier CA 90602 Medical Services 2502992 Kaiser Foundation Health Plan P O Box 80204 Los Angeles CA 90080 Medical Services 2130510 Comprehensive Pharmacy Services P O Box 638316 Cincinnati OH 45263 Pharmacy Services 1310594 21 31700 31700 Managemnt service rev 561000 40992 40992 Patient service rev 623000 60754701 60754701 60795693 280080 280080 0 0 21600 21600 21600 21600 0 0 0 0 Cafeteria 722210 92074 92074 Miscellaneous revenue 900099 45970 45970 Refund from vendors 900099 103481 103481 241525 61370598 60795693 543205 0 0 0 0 1334217 1067374 266843 0 23288106 18630485 4657621 835845 668676 167169 11141521 8913217 2228304 2652969 2122375 530594 428537 342830 85707 156685 125348 31337 115477 92382 23095 46553 37242 9311 0 0 1583535 1266828 316707 0 6140647 4912518 1228129 342414 273931 68483 0 3520806 2816645 704161 14675 11740 2935 0 18357 14686 3671 0 0 589957 471966 117991 0 Purchased services 11577060 9261648 2315412 General & Administrative 744612 595690 148922 All other expenses 237868 190294 47574 0 64769841 51815875 12953966 0 3448 2053 82636 5754452 0 14958652 14951067 0 0 0 607785 634930 965969 1086076 39813977 23085368 11347777 16728609 0 1500493 7002268 0 0 18939327 19883805 48406087 66043260 6485263 8453754 3056641 1208825 15501049 7694088 27011444 X 28393892 24994649 12318107 14037167 40711999 39031816 48406087 66043260 X -3399243 969060 750000 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 46553 false false false 46553 false false Part II-B, Line 1i - Other Activities Description The organization pays membership dues to the Hospital Assocation of Southern California (HASC) and National Assocation of Long Term Hospital (NALTH). A portion of the dues paid are used for lobbying activites by HASC and NALTH on behalf of their members. The organization also pays consulting fee to Dunn Consulting for amend potential legislation for its expansion of services.Hospital Association of Southern California 7,014National Association of Long Term Hospitals 1,539Dunn Consulting 38,000 ------- Total 46,553 ======= 24721 24721 7859887 7457903 401984 236918 235386 1532 17657540 15392079 2265461 14034911 14034911 16728609 7002268 Due from Affiliates 5679200 Insurance receivable 42218 Investment in net assets of affiliates 14041867 Misc. receivable 120520 19883805 Due to third-party payors 1303003 Medicare Advance Payments 6850000 Paycheck Protection Program Loan 6682500 Professional liability 665546 15501049 X 63089658 969060 750000 1719060 61370598 61370598 64769841 64769841 64769841 Part X : FIN48 Footnote The Hospital accounts for uncertain tax positions in accordance with the provisions of Financial Accounting Standards Board ("FASB") Accounting Standards Codification ("ASC") Topic 740-10, "Income Taxes". The Hospital had no material unrecognized tax benefits that would require an adjustment as of August 31, 2020 or 2019. The Hospital files Federal and California exempt organization returns. Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 Other changes in net assets-Contribution $750000 true true X true X true X true true false false true true 184242 184242 0.00280 3805284 975103 2830181 0.04370 2809780 2354823 454957 0.00700 6799306 3329926 3469380 0.05350 60841 60841 0.00090 15579 15579 0.00020 14500 14500 0.00020 90920 90920 0.00130 6890226 3329926 3560300 0.05480 2715 2715 2715 2715 true 724440 40464492 38395726 2068766 X true true 1 1 Barlow Respiratory Hospital 2000 Stadium Way Los Angeles CA 90026 www.barlowhospital.org 930000011 X Barlow Respiratory Hospital 1 false false true X X X X X X X X 19 true false false true X www.barlowhospital.org X true 19 true www.barlowhospital.org true false true X 200.0000 350.0000 true true X X X true X www.barlowhospital.org X www.barlowhospital.org X www.barlowhospital.org X X X X X true X false X X X X true X false false Facility: Barlow Respiratory Hospital - Part V, Section B, Line 5 The hospital conducted interviews with members of the Board of Directors, members of the Medical Staff, referring physicians, public health officials, and administrative staff of hospitals in the greater Los Angeles area.Part V, Line 14 - Amounts Charged to PatientsFacility : Barlow Respiratory HospitalThe basis for calculating amounts charged to patients is the amount that Medicare would pay if the patients services were covered by Medicare. Facility: Barlow Respiratory Hospital - Part V, Section B, Line 11 The hospital CHNA included a review of data available for the community served as well as input from organizations and individuals who represent the community served. The following health needs were targeted to be addressed: Access to careBarlow will continue efforts to bring its expertise in ventilator weaning and treatment of the chronically critically ill to other communities by expanding its service delivery system. We will accomplish this by actively seeking opportunities to open sites to offer our specialized services throughout Los Angeles County. Barlow has a financial assistance policy that supports access to long-term care for uninsured and underinsured patients who do not have the resources to pay for their care. Chronic disease conditionsBarlow will offer support groups for those dealing with multiple chronic health conditions. Support groups are offered free of charge and are open to the community. With a focus on prevention of chronic diseases, Barlow Respiratory Hospital will offer community health fairs that include health education and preventive screenings.Barlow is a regional referral center and our primary service area is defined as the entirety of Los Angeles County. Because of the vast size of this service area, the identified community health needs in the region are many and far reaching. They include:Access to Care - including diagnostic testing and well care (most vitally in response to the COVID-19 pandemic) Chronic Disease ConditionsHomelessnessMental HealthNutrition and Physical ActivityDue to the enormity of the issues identified in the CHNA, and the relatively modest resources of our organization, we are not able to address all community needs. Rather, we have chosen to address a subset of the prioritized needs that we selected utilizing the following criteria:-Existing organizational infrastructure and capacity - whether the hospital has the programs, systems, staff and support resources in place to address the issue. -Established relationships whether there are established relationships with community partners to address the issue.-Ongoing investment whether existing resources are committed to the issue. Staff time and financial resources for this issue are counted as part of our community benefit effort.- Focus area whether the hospital has acknowledged competencies and expertise to address the issue and the issue fits the organizational mission. Part I, Line 6a - Related Organization Community Benefit Report The hospital filed a community benefit report with the California Office of Statewide Health Planning and Development. It is available to the public through that organization and is available upon request from the Hospital.Part I, Line 7 - Financial Assistance and Certain Other Community Benefits at CostThe cost /charge ratio, derived from Worksheet 2, was used to determine costs on line 7 column (f) and column (c).Part II - Community Building ActivitiesThe hospital makes its meeting rooms available at no charge to community based non profit and government organizations ( e.g. police departments and as a polling place for federal, state and local elections) for their meetings and educational sessions, and hosted a breath mobile operated by LAC+USC Medical Center. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense Bad debt expense includes actual charges written off as uncollectible and an estimate of uncollectible bad debt amounts in open accounts at fiscal year end. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit No bad debt expense is reported as a community benefit. Part III, Line 4 - Bad Debt Expense Provision for doubtful accounts The Hospital provides for an allowance against patient accounts receivable for amounts that could become uncollectible whereby such receivables are reduced to their estimated net realizable value. The Hospital estimates this allowance based on the aging of their accounts receivable, historical collection experience by payer, and other relevant factors. There are various factors that can impact the collection trends, such as changes in the economy, which in turn have an impact on unemployment rates and the number of uninsured, and under-insured patients, the increased burden of co-payments to be made by patients with insurance, and business practices related to collection efforts. These factors continuously change and can have an impact on collection trends and the Hospitals estimation process. The Hospitals policy is to attempt to collect amounts due from patients, including co-payments and deductibles due from patients with insurance, at the time of service while complying with all federal and state laws and regulations. Part III, Line 8 - Explanation Of Shortfall As Community Benefit The Medicare Cost Report cost finding methodology was used to determine the cost of services to Medicare covered patients. Approximately 70 % of the Medicare patients that receive care at the hospital are dually eligible for both Medicare and Medi-Cal so they are low income seniors that meet Medi-Cal eligibility criteria and would be have Medi-Cal coverage as their primary coverage if they were less than 65 years of age. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Collection activity by the Hospital will cease when the patient is declared eligible for charity care and will be suspended during the period that the patient is attempting to qualify under the Hospitals Financial Assistance Policy. Part VI, Line 2 - Needs Assessment Barlow Respiratory Hospital (BRH) is a long term acute hospital that offers a limited range of services to post-ICU chronically critically ill adult patients with complex respiratory conditions. The hospital specializes in pulmonary medicine, critical care medicine and internal medicine and primarily serves patients who are dependent on a ventilator. Services are provided from three locations-the main campus in downtown Los Angeles and from satellite location in Van Nuys and Whittier and primarily serves patients from the greater Los Angeles area as well as surrounding counties. BRH provides inpatient services only to patients transferred from approximately 100 intensive care units in acute hospitals in the Los Angeles metropolitan and surrounding areas. The hospitals medical staff consist of approximately 300 physicians across the three campus and its needs assessment and ongoing services provided are based on input from its referring hospitals, their referring physicians, and the BRH medical staff. Part VI, Line 3 - Patient Education of Eligibility for Assistance All BRH patients are provided with an admission packet that provides information regarding the availability of financial assistance. The hospitals social work staff meet regularly with patients and their families to assist with social needs and provide financial information assistance included referral and coordination with local Medi-Cal enrollment contacts as needed.During the claims adjudication process, if a patient has a personal financial responsibility- the first billing statement sent to a patient includes a copy of the Financial Assistance Policy and a copy of the Financial Assistance Application along with completion instructions and hospital contact information for questions. Part VI, Line 4 - Community Information The hospital serves patients hospitalized in ICU settings in acute hospitals in the approximately 100 hospitals in the greater Los Angeles and surrounding area. The hospital maintains a comprehensive website [www.barlowhsopital.org] that provides detailed information regarding services provided, clinical outcomes, patient testimonies regarding experiences at BRH, Financial Assistance Policy and admission criterial and a patient referral application. Potential patients, patient families and their attending physicians receive information from the five BRH case managers who meet with potentially eligible patients during their acute hospital ICU admission. Part VI, Line 5 - Promotion of Community Health BRH provides inpatient services to adult ICU patients transferred from acute hospital ICUs in the greater Los Angeles area. BRH primarily serves patents covered by the Medicare (85% with primary or secondary coverage) and Medi-Cal programs (60% with primary or secondary coverage). The hospital has an open medical staff with approximately 300 physicians for its three locations and is governed by a volunteer Board of Directors comprised of physicians and nonphysician community leaders. At the main hospital campus, the hospital is currently in the middle of a renovation project to comply with seismic requirements as well as to upgrade its physical plant that largely dates to 1927. Part VI, Line 6 - Affilated Health Care System BRH is not a part of an affiliated health care system. Part VI - Additional Information Line 7 Community benefit reportBRH annually files a Community Benefit Report with the State of California. X X X false false false false false false false true false Amit Mohan President & CEO 348354 85095 8312 17751 459512 Anna Urling Case Mgr Admitting 125174 88000 1264 6634 221072 Barbara Allen Case Mgr Admitting 121408 86070 3685 6634 217797 David Nelson MD Medical Dir. 243191 11582 254773 Ed Engesser CFO 151136 7343 4598 747 163824 Gladys D'Souza CNO 204846 10131 6211 18153 239341 Kirk Watson VP, Business Development 234535 11273 7025 378 253211 Maria Morales-Stewart Case Mgr Admitting 95865 70050 3062 20174 189151 Marita Gutierrez Clinical Liaison 97291 93000 2201 753 193245 Sandra Harlan Sr. Dir of Finance 151275 17687 4709 13235 186906 Part I, Line 7: Non-Fixed payments not listed above The bonus was determined by the compensation committee of the Board of Directors. Client Note 1 Client Note 1 - Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The Barlow Group, a California nonprofit public benefit corporation is the only member. The Barlow Group serves as the member of the Barlow Foundation which is the fund raising arm for Barlow Respiratory Hospital. The Barlow Group also serves as the member of the Barlow Ventures which provides skilled nursing care as well as rehab services to discharged patient's from Barlow Respiratory Hospital and other acute and skilled nursing facilities and other patients referred by physicians for services. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body There are two categories of directors- Designated directors and Selected directors.Designated Directors of which there shall be no more than five (5), shall be the individuals serving in the positions enumerated below:(a)President of Barlow Group;(b)President of the corporation;(c)Medical Director of the Hospital;(d)Chief of the medical staff of the Hospital (the Medical Staff) (duly elected by the Medical Staff).(e)Chairperson of the Board of Barlow Foundation, or another member of the Board of Barlow Foundation as designated by the Barlow Foundation and approved by the Board of Barlow Group.Each Designated Director shall serve on the Board so long as he or she holds at least one of the positions enumerated above.All directors other than the Designated Directors shall be Selected Directors. Pursuant to Section 5220(d) of the California Nonprofit Public Benefit Corporation Law, all Selected Directors shall be designated by the Member and shall serve at the pleasure of the Member. All directors of the corporation shall be individuals also serving on the Members Board of Directors. Selected Directors shall serve for the same term as the Selected Director serves on the Members Board of Directors.Notwithstanding any other provision of these Bylaws, at no time shall the Board include in the aggregate more than forty-nine percent (49%) interested persons as defined by Section 5227 of the California Nonprofit Public Benefit Corporation Law. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders Each of the following powers may be executed only with the prior written approval of the Member:(a)To retain an attorney or firm of attorneys to provide legal services for the corporation and to fix the amount of compensation for such services, except in such a case where the retention of an attorney or firm of attorneys concerns a non-routine situation, such as, by way of example only, the existence of a conflict of interest that requires the use of an attorney or firm of attorneys not previously consented to;(b)To retain an accountant or firm of accountants to provide accounting and auditing services for the corporation and to fix the amount of compensation for such services;(c) To authorize any unbudgeted expenditure in excess of $100,000 for capital improvements to the properties owned or leased by the corporation and not approved by a budget procedure;(d)To establish any programs with respect to marketing and/or public relations, which relate to strategic planning on a system-wide basis for the Barlow Group and its affiliates and to retain any consultants at a cost in excess of $250,000 with respect thereto;(e)To incur or guarantee indebtedness, as so defined in accordance with Generally Accepted Accounting Principles;(f)To mortgage, pledge or otherwise encumber any real property of the corporation, and to mortgage, pledge or otherwise encumber property or assets, other than real property, of the corporation with a value in excess of $50,000;(g)To sell, lease, assign or otherwise transfer any real property of the corporation, and to sell, lease, assign or otherwise transfer property or assets, other than real property, of the corporation with a value in excess of $50,000;(h)To adopt or modify an annual budget and an annual business plan for this corporation;(i)To form a subsidiary or enter into an agreement to act as a general partner;(j)To remove the President, the Chief Financial Officer or the Medical Director from office; and(k)To amend or repeal the Bylaws. Form 990, Part VI, Line 11b: Form 990 Review Process The Chief Financial Officer and the Finance Department staff will prepare and file the returns. When it is deemed appropriate, consultative support and /or review will be solicited from an external public accounting firm. Prior to filing, the return for each of the Barlow Organizations will be distributed to the Barlow Group Board of Directors for their review. The Chief Executive Officer performs a final review and approves the Annual Information Returns before filing. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The hospital has a Board of Director Conflict of Interest Policy that all Board members sign at least every two (2) years. The policy requires every director to complete the Director and Officer Questionnaire and identify all known actual or potential conflicts of interest in which they or one or more of their family members may be involved. In addition during deliberations or discussions at any Board of Directors meeting, an individual Board member shall identify any actual or potential conflict of interest, and having so disclosed the actual or potential conflict of interest and the material facts thereof, shall not participate in discussion on that agenda item and shall not vote on the issue. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The Personnel/Compensation Committee (Committee) of the Board of Directors is charged with the responsibility of establishing and recommending changes to the compensation of the CEO,CFO and Medical Director. The Committee utilizes the Hospital Association of Southern California's Health Executive Compensation Report to benchmark BRH compensation to the marketplace. Specifically the 'Single Facility Southern California Salary Range' amounts for minimum-midpoint-maximum compensation serve as the benchmarks for determining comparative marketplace compensation. The CEO and CFO are eligible to participate in the same paid time off and employee insurance benefits as all Hospital management level employees. The Medical Director and CEO have written contracts which document their compensation and benefits. The committee reviews the experience level of the individual in each position, the individual accomplishments of officer, and the overall accomplishments of the hospital in recommending compensation and/or changes to compensation for these three positions. The Committee's recommendations are then submitted to the full Board of Directors for discussion and approval. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The audited financial statements, governing/organizing documents, and conflict of interest policy are all available upon request. Other Changes In Net Assets Or Fund Balances - Other Increases Other changes in net assets-Contributions = $750000 Barlow Foundation 2000 Stadium Way Los Angeles CA 90026 954560787 Fundraising CA 501(c)(3) 7 Barlow Group false Barlow Group 2000 Stadium Way Los Angeles CA 90026 953771980 Promote public health CA 501(c)(3) III-FI NA false Barlow Ventures 2000 Stadium Way Los Angeles CA 90026 822403049 Provide medical home services CA 501(c)(3) 3 Barlow Group false false false false false false false false false false false false false false false true false false true true