GLENDALE ADVENTIST MEDICAL CENTER: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- GLENDALE ADVENTIST MEDICAL CENTER (EIN 95-1816017)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-15
- IRS object ID
- 201843199349320324
- Schema version
- 2017v2.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-15T19:17:18-08:00 | ReturnTs |
| Tax Period End | 2017-12-31 | 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 | 330 N BRAND BLVD STE 200 | AddressLine1Txt |
| City | GLENDALE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 912032361 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | 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 |
| 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 | Kreuger Eric | PersonNm |
| Person Title | Financial Officer | PersonTitleTxt |
| Signature | 2018-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Issai Alice | PrincipalOfficerNm |
| Gross Receipts | $453,538,483 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| 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 | The hospital mission is to provide our community with physical, mental, and spiritual healing in a way that reflects God's love for all. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 2881 | TotalEmployeeCnt |
| Total Volunteers | 896 | TotalVolunteersCnt |
| Total Gross UBI | $1,702,920 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $256,548 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,617,339 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,101,645 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $459,227,965 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $447,493,539 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,602,367 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,365,957 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,153,262 | PYOtherRevenueAmt |
| CY Other Revenue | $2,574,513 | CYOtherRevenueAmt |
| PY Total Revenue | $463,600,933 | PYTotalRevenueAmt |
| CY Total Revenue | $453,535,654 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | -$241,757 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $27,500 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $196,145,553 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $200,433,280 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,327,707 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $259,258,105 | PYOtherExpensesAmt |
| CY Other Expenses | $259,758,621 | CYOtherExpensesAmt |
| PY Total Expenses | $455,161,901 | PYTotalExpensesAmt |
| CY Total Expenses | $460,219,401 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,439,032 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$6,683,747 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $381,520,459 | TotalAssetsBOYAmt |
| Total Assets EOY | $375,928,464 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $235,584,295 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $247,077,849 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $145,936,164 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $128,850,615 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Living Gods love by inspiring health, wholeness and hope. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $386,326,567 | ExpenseAmt |
| Grant | $27,500 | GrantAmt |
| Revenue | $447,998,037 | RevenueAmt |
| Desc | Adventist Health Glendale (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 of AHGL the organization recognizes that not all individuals possess the ability to pay for essential medical services. Adventist Health's vision is to enhance the health of the communities where we live and serve, by engaging our communities and our patients in a new definition of and partnership for personal community health. In keeping with this commitment to serve all members of the community, the following will be considered when individuals who need health care cannot pay: Providing free care and/or subsidized care Providing care to persons covered by governmental programs at below cost Providing health/wellness activities and community education programsNot only does AHGL provide low-cost care to individuals covered by government programs and those unable to afford health care, but it also helps patients find and access private and governmental resources for health care benefits. AAHGL 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 2017 was $56,477,079.Inpatient services in 2017 were provided to 20,973 patients. These services included: 2,109 Babies delivered 3,344 Surgeries performed 49,366 Radiology procedures performed 33,501 Cardiac catheterizations and other procedures 544,009 Laboratory tests performed 550 Rehabilitation patients 1,093 Mental health patientsOutpatient services in 2017 were provided to 276,521 patients. These services included: 59,864 Emergency room visits 2,885 Outpatient surgeries performed 72,573 Radiology procedures performed 23,635 Cardiac catheterizations and other procedures 385,998 Laboratory tests performedAHGL recognizes it has an obligation to provide human services above and beyond its role as a healing facility. The following community benefits demonstrate the tangible ways in which the organization is fulfilling its mission:Children's Health Outreach InitiativeCenter to Increase Community OrganizationCommunity support groupsCommunity health education classesHQ Newsletter for health promotionParamedic base stationTobacco Control ProgramCancer Survivor DayBeyond Loss Bereavement ProgramMental health support groupsBreast Cancer Awareness MonthCancer screeningsCancer Fitness ProgramAHGLs mission anchors everything we do, extending out to the community in many ways. Collaborative efforts between AHGL, local organizations and donors has created critical programs needed to address the specific health care needs of the residents living throughout our service area. Together we are changing the outcome of the community's health.AHGL is accredited as a Chest Pain Center and has been designated as a STEMI receiving center (SRC) by the Los Angeles County Emergency Services. When emergency medical personnel confirm a heart attack/STEMI diagnosis, they bring a patient directly to the GAMC emergency department for treatment. STEMI is a medical term that means heart attack (ST Evaluation MI).During 2017, AHGL was recognized by the County as a Top Performer and a leading program in Los Angeles County for its exceptional treatment times and mortality rate, well under the benchmark goal of being under 10%. AHGL was identified as having the lowest door-to-balloon time out of 34 Los Angeles County hospitals designated as STEMI receiving centers. Door-to-balloon time is the amount of time between the heart attack patient arriving at the doors of the emergency department and the opening of the clogged cardiac artery in the cardiac catheterization lab. The more quickly the artery is opened, the more quickly blood flow and oxygen can be delivered to the heart muscle. Quicker time means heart muscle is saved.Strokes are another area the hospital has received high recognition. Stroke patients who receive tPA (tissue plasminogen activator) intravenously within the first three hours after the start of stroke symptoms show a significant reversal of the effect of a stroke and it reduces permanent disability. The Neuroscience Institute at AHGL is home to one of the few Advanced Primary Stroke Centers in Los Angeles County and became the first hospital in California to receive Comprehensive Stroke Center accreditation from DNV-GL Healthcare USA, the highest certification that a hospital can receive.AHGL is the only hospital in our market area to be certified as both a Stroke and Chest Pain Center. Both of these designations come about with close cooperation with the local emergency medical system and the physicians who perform the medical procedures and follow up with the patients after their discharge from the hospital. This emphasis on Stroke and Chest Pain along with the focus of all departments in the hospital has enabled it to reduce deaths significantly. AHGL was ranked #5 in the nation as having the 5th lowest risk-adjusted mortality rate according to the Centers for Medicare & Medicaid Services based on deaths occurring within 30 days following discharge based on the 2009-2012 time period.The Centers for Medicare & Medicaid Services (CMS) recently released its Star rating with thousands of hospitals across America rated on a one-to-five star scale. AHGL received an impressive four out of five stars, which was given to only ten hospitals out of 57 rated hospitals within a 25 mile radius of AHGL. The score, four out of five stars, places GAMC in the top 20 percent of hospitals in our region.AHGL has been given 8 consecutive "A" grades for safest hospital by The Leapfrog Group. Our physicians, nurses and associates make patient care, safety and outcomes a priority. AHGL was rated as a high performing medical center by U.S. News & World Report in the areas of COPD, geriatrics, heart failure, neurology and orthopedics. Our Comprehensive Community Cancer Program, AHGL Cancer Services is a proud recipient of the Outstanding Achievement Award by the American College of Surgeons for excellence in cancer care. The Cancer Center was also named a Pink Ribbon Facility for providing excellence in breast health paired with exceptional support.AHGL has been voted as the Best Hospital and having the best nurses in the Glendale area for several years by the readers of a local newspaper and more than 100 of the AHGL physicians were nominated by the medical community for Pasadena Magazine's Top Docs.A significant portion of the mission-driven assistance AHGL provides its community is intangible or otherwise difficult to quantify. The following story illustrates this:As an infant, Aren began to show signs of disabilities. His parents knew something wasnt right. Into his second year, their son was not developing like other children his age. Aren seemed unaware of his surroundings. His mom and dad struggled to get his attention and to connect with him. He was not beginning to walk or babble. Unable to chew his food or even drink through a straw, it seemed his brain and his body were somehow disconnected. Desperately needing help coping with these challenges, Arens parents were referred to AHGLs Play to Learn Center, widely recognized for its success with developmentally disabled children. Aren was diagnosed with autism, apraxia of speech and dyspraxia, which limits speech ability and impairs fine and/or gross motor coordination. The centers uniquely skilled physical and occupational therapists, and speech and language pathologists, began working with Aren. Marie Elena Barth was a member of that team. As a former elementary school teacher, she formed a special bond with Aren and his parents. Mom says Marie was Arens guardian angel. After just two sessions, Marie found that music and singing nursery rhymes were keys to gaining Arens attention and encouraging him to communicatebut she didnt stop there. Eager to find another way for Aren to make his needs and wants known, Marie experimented with using an iPad application. At the time, using the iPad for generating speech was revolutionaryand it would change the course of Arens life. Over time, thanks to intensive intervention provided by occupational therapist Steven Bates, Arens fine motor skills improved and he became proficient using picture icons and the iPad keyboard to express thoughts and wishes. He was finally able to say to his parents (I)love you.All the while, other outstanding therapists on the centers team were working with Aren. At times, progress was agonizingly slow, but with patience and tenacity, amazing results occurred.When Aren was 7, his parents made an incredible discovery. He could add, subtract, multiply, and divide. He was reading and typing words and sentences, understanding English, Armenian and other languages.Beneath Arens outer challenges and initial isolation from not being able to speak, hi | Desc |
| Total Program Service Expenses | $386,326,567 | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| 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 | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | 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 |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| 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 | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 254 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2881 | 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 |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | 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 | false | 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 | Eric Krueger CFO | PersonNm |
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Banks David | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $1,553 | $0 | ||||
| Cherry Robert | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $11,550 | $0 | ||||
| Davis Andrew | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $10,600 | $0 | ||||
| Freedman John | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $1,133 | $0 | ||||
| Gabriel Melody | ||||||||||
| Director | 0.00 | 50.00 | Yes (X) | $0 | $1,203 | $0 | ||||
| Graham Ricardo | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $2,074 | $0 | ||||
| Heinrich Kerry | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $15,866 | $0 | ||||
| Innocent Larry | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $17,608 | $0 | ||||
| Pedersen James | ||||||||||
| Director | 0.00 | 50.00 | Yes (X) | $0 | $2,101 | $0 | ||||
| Reiner Richard | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $19,819 | $0 | ||||
| Rippey Wesley | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $118,116 | $0 | ||||
| Roberts Kevin | ||||||||||
| President & CEO | 0.00 | 50.00 | Yes (X) | $0 | $897,962 | $43,753 | Yes (X) | |||
| Salazar Velino | ||||||||||
| Dir/V Chair | 0.00 | 0.00 | Yes (X) | $0 | $1,928 | $0 | ||||
| Reiner Scott | ||||||||||
| Dir/Chair | 0.00 | 50.00 | $0 | $1,982,804 | $53,885 | Yes (X) | ||||
| Tetz Warren | ||||||||||
| Asst Sec/Sr VP/ | 0.00 | 50.00 | $0 | $528,750 | $48,749 | Yes (X) | ||||
| Wagner Jack | ||||||||||
| Asst Sec | 0.00 | 50.00 | $0 | $1,083,258 | $37,117 | Yes (X) | ||||
| Wing Bill | ||||||||||
| Dir/V Chair/Ass | 0.00 | 50.00 | $0 | $1,460,244 | $52,693 | Yes (X) | ||||
| Krueger Eric | ||||||||||
| Finance | 0.00 | 50.00 | $0 | $58,524 | $7,518 | Yes (X) | ||||
| Brandt-Mayo Karen | ||||||||||
| Patient Care Executive | 0.00 | 50.00 | $0 | $334,485 | $56,472 | Yes (X) | ||||
| Correa Sharon | ||||||||||
| Information Officer | 0.00 | 50.00 | $0 | $389,500 | $42,349 | Yes (X) | ||||
| Fargo Roland | ||||||||||
| Reg Physician Ops Officer | 0.00 | 50.00 | $0 | $563,956 | $44,025 | Yes (X) | ||||
| Markarian Ramella | ||||||||||
| Bus Dev/Phys Rel Officer | 0.00 | 50.00 | $0 | $289,013 | $53,838 | Yes (X) | ||||
| Nahapetian Arby | ||||||||||
| Medical Officer SCR | 0.00 | 50.00 | $0 | $880,809 | $58,321 | Yes (X) | ||||
| Zachary Beth | ||||||||||
| Reg President & CEO | 0.00 | 50.00 | $0 | $3,531,840 | $49,519 | Yes (X) | ||||
| Bourdon Irene | ||||||||||
| President, Healthcare Fnd | 0.00 | 50.00 | $0 | $345,916 | $47,573 | Yes (X) | ||||
| Kayichian Despina | ||||||||||
| Med Affairs/Quality Officer | 0.00 | 50.00 | $0 | $431,758 | $49,739 | Yes (X) | ||||
| Wehtje Ronald | ||||||||||
| CFO SCR | 0.00 | 50.00 | $0 | $698,178 | $36,965 | Yes (X) | ||||
| Milatovich Natasha | ||||||||||
| Human Resource Officer SCR | 0.00 | 50.00 | $0 | $379,255 | $53,855 | Yes (X) | ||||
| Eskandarian Romic | ||||||||||
| Pharmacy Director | 55.00 | 0.00 | $245,239 | $0 | $38,206 | Yes (X) | ||||
| Brown Robert | ||||||||||
| Registered Nurse | 50.00 | 0.00 | $242,715 | $0 | $24,511 | Yes (X) | ||||
| Sustituido Roberose | ||||||||||
| Registered Nurse | 50.00 | 0.00 | $195,642 | $0 | $44,739 | Yes (X) | ||||
| Watson Marion | ||||||||||
| Director, RN | 50.00 | 0.00 | $198,599 | $0 | $41,034 | Yes (X) | ||||
| Kanne Claudia | ||||||||||
| Reg Dir Compliance | 50.00 | 0.00 | $195,332 | $0 | $41,886 | Yes (X) | ||||
| Giese Jonathan | ||||||||||
| Former Treas | 0.00 | 0.00 | $0 | $280,659 | $28,610 | Yes (X) | ||||
| Rebok Douglas | ||||||||||
| Former Asst Sec | 0.00 | 0.00 | $0 | $120,028 | $6,244 | Yes (X) | ||||
| Wehtje Rodney | ||||||||||
| Former Asst Treas | 0.00 | 0.00 | $0 | $249,427 | $23,299 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,077,527 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $14,709,917 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $984,900 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 449 | 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 | CompensationCompensationAmt | ServicesServicesDesc |
|---|---|---|---|---|---|
| Family Practice of Glendale Glendale Med Gp | |||||
| 801 S Chevy Chase 201 | Glendale | CA | 91205 | $3,244,352 | |
| Adventist Health Physicians | |||||
| 2100 Douglas Blvd | Roseville | CA | 95661 | Medical Services | |
| Sound Physicians | |||||
| PO Box 742936 | Los Angeles | CA | 90074 | $1,880,536 | Medical Services |
| Faculty Physicians & Surgeon | |||||
| 11175 Campus St 11120 | Loma Linda | CA | 92350 | $1,791,889 | Medical Services |
| ShiftwiseOrigin | |||||
| PO Box 7080 | St Paul | MN | 55170 | $1,183,965 | Nurse Staffing |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 37 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $272,740 | RelatedOrganizationsAmt |
| Government Grants | $1,200,912 | GovernmentGrantsAmt |
| All Other Contributions | $627,993 | AllOtherContributionsAmt |
| Total Contributions | $2,101,645 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Dependent Care | 624410 | $699,943 | $699,943 | |
| Dietary | 722210 | $1,799,900 | $1,787,900 | $12,000 |
| Other Prog Serv Rev | 900099 | $1,912,380 | $1,912,380 | |
| Patient Svc Revenue | 621110 | $440,649,625 | $438,967,284 | $1,682,341 |
| Rental Income - Prog | 531120 | $2,064,596 | $2,064,596 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $367,095 | TotalRevenueColumnAmt |
| Exclusion | $367,095 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $447,493,539 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,357,121 | TotalRevenueColumnAmt |
| Exclusion | $1,357,121 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,830 | TotalRevenueColumnAmt |
| Exclusion | $5,830 | ExclusionAmt |
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 | $5,835 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,829 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,006 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,006 | TotalRevenueColumnAmt |
| Exclusion | $3,006 | ExclusionAmt |
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 |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Chg In Fdtn/JV Net Asset | 900099 | $994,626 | $994,626 |
| Net Assets Rel from Rest | 900099 | $798,840 | $798,840 |
| Other Non-Operating Inc | 900099 | $760,047 | $760,047 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,000 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,421 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $8,579 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,574,513 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $453,535,654 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $447,998,037 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,702,920 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,733,052 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,500 | TotalAmt |
| Program Services | $27,500 | 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 | $159,975,438 | TotalAmt |
| Program Services | $149,840,449 | ProgramServicesAmt |
| Management And General | $9,149,483 | ManagementAndGeneralAmt |
| Fundraising | $985,506 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,301,077 | TotalAmt |
| Program Services | $6,245,542 | ProgramServicesAmt |
| Management And General | $55,535 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,773,639 | TotalAmt |
| Program Services | $21,298,642 | ProgramServicesAmt |
| Management And General | $1,308,822 | ManagementAndGeneralAmt |
| Fundraising | $166,175 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,383,126 | TotalAmt |
| Program Services | $10,877,662 | ProgramServicesAmt |
| Management And General | $505,464 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,007,736 | TotalAmt |
| Program Services | $223,220 | ProgramServicesAmt |
| Management And General | $1,608,490 | ManagementAndGeneralAmt |
| Fundraising | $176,026 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $884,442 | TotalAmt |
| Program Services | $85,632 | ProgramServicesAmt |
| Management And General | $798,810 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $17,928,038 | TotalAmt |
| Program Services | $17,471,301 | ProgramServicesAmt |
| Management And General | $456,737 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $924,835 | TotalAmt |
| Program Services | $5,523 | ProgramServicesAmt |
| Management And General | $919,312 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,745,042 | TotalAmt |
| Program Services | $1,406,776 | ProgramServicesAmt |
| Management And General | $338,266 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $654,639 | TotalAmt |
| Program Services | $584,537 | ProgramServicesAmt |
| Management And General | $70,102 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,980,017 | TotalAmt |
| Program Services | $13,460,534 | ProgramServicesAmt |
| Management And General | $1,519,483 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $372,538 | TotalAmt |
| Program Services | $162,823 | ProgramServicesAmt |
| Management And General | $209,715 | ManagementAndGeneralAmt |
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 | $190,591 | TotalAmt |
| Program Services | $147,522 | ProgramServicesAmt |
| Management And General | $43,069 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,833,702 | TotalAmt |
| Program Services | $4,833,702 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,665,845 | TotalAmt |
| Program Services | $17,597,487 | ProgramServicesAmt |
| Management And General | $68,358 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $344,650 | TotalAmt |
| Program Services | $344,650 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Purchased Services | $77,087,937 | $22,999,448 | $54,088,489 |
| Pt Care Supplies | $58,106,184 | $58,036,743 | $69,441 |
| Qual Assur Hosp Fee | $57,463,222 | $57,463,222 | |
| Other Expenses | $4,569,203 | $3,213,652 | $1,355,551 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $460,219,401 | TotalAmt |
| Program Services | $386,326,567 | ProgramServicesAmt |
| Management And General | $72,565,127 | ManagementAndGeneralAmt |
| Fundraising | $1,327,707 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,718 | BOYAmt |
| EOY | -$177,050 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,330,723 | BOYAmt |
| EOY | $63,631,016 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $467,428 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,921,634 | BOYAmt |
| EOY | $58,058,170 | 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 | $5,390,430 | BOYAmt |
| EOY | $5,598,650 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,305,690 | BOYAmt |
| EOY | $1,181,886 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $474,644,863 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $278,960,767 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $206,186,679 | BOYAmt |
| EOY | $195,684,096 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,239,950 | BOYAmt |
| EOY | $4,100,279 | 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 | $6,549,969 | BOYAmt |
| EOY | $6,196,542 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,540,666 | BOYAmt |
| EOY | $41,187,447 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $381,520,459 | BOYAmt |
| EOY | $375,928,464 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,764,795 | BOYAmt |
| EOY | $35,817,821 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,611,637 | BOYAmt |
| EOY | $29,386,935 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,207,863 | BOYAmt |
| EOY | $181,873,093 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $235,584,295 | BOYAmt |
| EOY | $247,077,849 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,974,504 | BOYAmt |
| EOY | $120,565,466 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,648,463 | BOYAmt |
| EOY | $8,004,290 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $313,197 | BOYAmt |
| EOY | $280,859 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,936,164 | BOYAmt |
| EOY | $128,850,615 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $381,520,459 | BOYAmt |
| EOY | $375,928,464 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$6,683,747 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$10,401,802 | 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 | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Church | Yes (X) | ChurchInd |
Schedule B IRS990ScheduleB
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 | $4,261 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,261 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1i - Other Activities Description | FormAndLineReferenceDesc |
| Explanation | Allocation of dues paid to industry and professional organizations. | ExplanationTxt |
Schedule D IRS990ScheduleD
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 | $375,072,078 | OtherCostOrOtherBasisAmt |
| Depreciation | $208,494,646 | DepreciationAmt |
| Book Value | $166,577,432 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,279,111 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,269,653 | DepreciationAmt |
| Book Value | $3,009,458 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $79,495,228 | OtherCostOrOtherBasisAmt |
| Depreciation | $64,966,422 | DepreciationAmt |
| Book Value | $14,528,806 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,072,331 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,230,046 | DepreciationAmt |
| Book Value | $7,842,285 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $195,684,096 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Assets | $5,881,052 |
| Other Receivables | $4,320,084 |
| Receivables from Related Organizations | $14,102,423 |
| Receivables from Third-Party Payors | $16,883,888 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $41,187,447 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Other Liabilities | $23,701 |
| Payables to Related Organizations | $172,349,586 |
| Workers Compensation Liability | $9,499,806 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $181,873,093 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Line 4: Intended uses of the endowment fund. | FormAndLineReferenceDesc |
| Explanation | Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended. | ExplanationTxt |
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 | Russio-Armenia | RegionTxt |
| Purpose Of Grant | Mission Trip | PurposeOfGrantTxt |
| Non Cash Assistance | $163,010 | 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 |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 450.000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | 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 | $1,980,467 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,980,467 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $165,185,474 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $120,444,945 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $44,740,529 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09720 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $167,165,941 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $120,444,945 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $46,720,996 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10150 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,498,447 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,800 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,493,647 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00540 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,647,308 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,121,386 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,525,922 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01420 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,051,977 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,412,906 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,639,071 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01660 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $169,594 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $169,594 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,367,326 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,539,092 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,828,234 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03660 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $187,533,267 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $123,984,037 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $63,549,230 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13810 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,397 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,397 | NetCommunityBenefitExpnsAmt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,508 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,508 | NetCommunityBenefitExpnsAmt |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,385,456 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $284,990 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,100,466 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,421,361 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $284,990 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,136,371 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,699,960 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $874,120 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $139,369,875 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $140,612,767 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,242,892 | 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 | 16 | 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 |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | See webb address in 7 d above | StrategyWebsiteURLTxt |
| Strategy Attached | Yes (true) | 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 | 300.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 450.0000 | FPGFamilyIncmLmtDscntCarePct |
| 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 |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| 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 (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 5 - Account Input from Persons Who Represent the Community | Focus GroupsMeetings with Community LeadersDiscussions with Area Hospitals |
| Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment | Glendale Memorial Hospital & Health CenterVerdugo Hills Hospital |
| Part V, Line 7d - Description of Making Needs Assessment Widely Available | The Community Benefit Plan for Adventist Health Glendale can be found at https://www.adventisthealth.org/pages/about-us/community-health-needs-assessments.aspx |
| Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why | The CHNA seeks to identify every health need in the community. We have prioritized those needs and matched them up with service lines that we have and developed strategies around those. The primary areas we are focused on are cardiovascular disease, stroke care and prevention, diabetes, and cancer. In other areas that were identified we do not have the resources or expertise to address those needs, so are rely on other partners in the community with expertise in those areas. |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GAMC Alcohol & Drug Rehab | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 335 Mission Road | AddressLine1Txt |
| City | Glendale | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | Alcohol & Drug Rehabilitation Services | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 described for Part I, Line 7 is multiplied times the hospital's bad debt expense as reported in the system-wide combined audited financial statements. The resulting figure has been reported as bad debts at cost on Part III, Line 2.The portion of the bad debts attributed to charity care as reported on Part III, Line 3 was calculated by an independent third-party consulting firm. 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.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. Since the 1997 Balanced Budget Act, Medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that Medicare payments to many U.S. hospitals are well below the cost of providing care. These unreimbursed costs are a community benefit for seniors and others in the community as these individuals are continuing to receive care without which many would become dependent on other governmental resources such as Medicaid. The benefit to the community for healthier Medicare recipients is no different than those benefits the community realizes for uninsured and underinsured patients who are eligible for partial and full charity care. Medicare is a safety net for seniors and others. Without Medicare coverage, many individuals would undoubtedly qualify for charity care.In addition to the mismatch between Medicare payment increases and healthcare cost inflation, the highly complex Medicare payment systems and formulas produce disparate payment levels from one hospital to another for the same service. These disparate payment levels create disparate results within groups of hospitals.Reconciliation of Medicare Revenue from the hospital's Medicare Cost Report to GL: Revenue Rec. *Medicare Cost Report Revenue $139,369,875 Prior Year Settlements 1,981,166 Cost Report Reimbursable Bad Debts 750,355 Less Amts included in Part 1, lines g & f (1,854,291) Non-Cost Report Revenue 8,913,499 Estimates and Accrual Variances 66,955 Other 8,407,228 ___________ Subtotal - Amount reported in Pt III, line 5 157,634,786 Amount included in Part 1, lines g and f 1,854,291 ___________ Total Medicare Revenue $159,489,077*Note: The Medicare Cost Report revenue does not include the bad debt reimbursement. The Cost Report revenue does include the patient co-pay and deductible amounts. Adding the bad debt reimbursement would have duplicated the revenue already accounted for in the co-pay and deductible amounts. |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | When a patient has requested screening for charity care, the hospital must immediately cease collection activity and place the account in a charity pending status. If 100% charity is approved, the entire account balance is written off to charity care. If the patient has a sliding scale liability based on the federal poverty guidelines, they are billed only for that liability. If the patient fails to pay their after-charity liability, they are assigned to a collection agency with an identifier that indicates to the agency that the patient is "low income" and the following criteria must be followed by the agency:1. They may not report the patient to a credit bureau2. They may not file a lawsuit to recover the outstanding liability3. They may not charge interest |
| Part VI, Line 2 - Needs Assessment | For the 2016 CHNA, three Glendale hospitalsAHGL, Glendale Memorial Hospital and Health Center, and Verdugo Hills Hospitalcollaborated, as they have in the past, to work with the Center for Nonprofit Management consulting team in conducting the CHNA. During the initial phase of the CHNA process, community input was collected during a focus group with key stakeholders, including health care professionals, government officials, social service providers, community residents, leaders, and other relevant individuals. Previous CHNAs were reviewed to identify trends. Participants completed an online questionnaire about health needs, drivers, and resources, and ranked each health need according to several criteria including severity, change over time, resources available to address the need or driver. |
| Part VI, Line 3 - Patient Education of Eligibility for Assistance | For scheduled cases, hospital staff run patients eligibility and informs patients of their benefits and financial responsibility. If a patient is insured under a government program, staff informs them about any financial responsibility they have, and ask whether the patient has further questions about their government benefits. If a patient is uninsured, staff provides education about government programs that may be available, and including appointment-setting with the on-site state Medi-Cal worker. If a patient is uninsured and unable to meet any portion of their financial responsibility, staff connects them with government programs, and if appropriate, helps them apply for AHGLs hospital assistance program. AHGL communicates to the public through the website, application form and plain language, the FAP, application form and plain language summary (PLS) are available free of charge in registration areas. Notices about financial assistance are posted in high traffic registration areas. |
| Part VI, Line 4 - Community Information | AHGL serves greater Glendale and Northeast Los Angeles including Highland Park, Glassell Park, and Eagle Rock. The area includes an medically underserved area as well as a health profession shortage area. Based on the Community Health Needs Assessment prepared in 2016, the population served (about 325,000) is 35.5% Latino, 44.7% Caucasian (including the largest population of Armenians outside of Russia/Armenia), 15.5% Asian (Korean and Filipino), 1.6% African-American, and 2.7% Other. AHGL serves a large immigrant, low-income and uninsured population whose ability to access health services is impacted by barriers such as immigration status, educational attainment, employment status and level of poverty. Overall, 54% of residents are foreign born. Approximately 21% of the households were estimated to earn below the Federal Poverty Level (FPL) which was identified as $23,850 in 2014 for a family of four and $11,670 for a family of one and almost half of the households live below an amount equal to twice the FPL. Part VI Promotion of community health. GAMC has a civic advisory board that meets quarterly to establish or maintain a dialogue with the community. The hospitals mission expresses itself as caring for the whole community by initiating many community collaborative projects, including the development of the Glendale Healthier Community Coalition (GHCC) and Glendale Healthy Kids, obtaining the California Healthy City designation for Glendale. GHCC is the vehicle GAMC uses to coordinate its efforts with the community, including Care Transition, Consortium of Safety Net Providers, and We Own the Health of Our Community. |
| Part VI, Line 4 - Community Building Activities | Our hospital is involved in numerous community building activities which promote the health of the communities it serves. Numerous community concerns are addressed, including health improvement, education, poverty, workforce development and access to care. We also encourage our employees to serve on community collaboration boards, health advocacy programs, and physical improvement projects to promote the health of the communities we serve. And, 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 | The hospital has an operating board composed of community members who advise the president/CEO regarding the needs of the community. Based on their advice, the hospital has developed outpatient and home care programs focused on rendering care in the most effective and efficient manner. The hospital's key medical services include cardiac, neuro, spine, cancer, emergency, outpatient services, minimally invasive surgery (robotics and no scar surgery), ortho, behavioral medicine, and rehabilitative medicine, as well as a family medicine residency program. The hospital cooperates with area physicians to offer both family medicine and obstetrics clinics. AHGL has also established a Department of Clinical Research to help our communities gain access to cutting edge clinical advancements. |
| 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 are able to provide support through remote services such as telepharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk 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 communites served. |
| Part VI, Line 7 - States Filing of Community Benefit Report | CA |
| Part V - Explanation of Number of Facility Type | The hospital provides outpatient services in multiple locations within its service area. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| Armenian Apostolic Church | ||||||||
| 6252 Honolulu Ave | La Cresenta | CA | 91214 | 952852633 | 501(c)(3) | $7,500 | $0 | Sponsorship |
| Armenian Bone Marrow Donor Re | ||||||||
| 1851 Tyburn St347 W Stocker | Glendale | CA | 91202 | 050573780 | 501(c)(3) | $10,000 | $0 | Sponsorship |
| Asencia | ||||||||
| 1851 Tyburn St | Glendale | CA | 91204 | 204233822 | 501(c)(3) | $7,150 | $0 | Sponsorship |
| GAMC Foundation | ||||||||
| 1509 Wilson Terrace | Glendale | CA | 91206 | 953899682 | 501(c)(3) | $16,600 | $0 | Sponsorship |
| Glendale Adventist Academy | ||||||||
| 700 Kimlin Drive | Glendale | CA | 91206 | 951816016 | 501(c)(3) | $6,200 | $0 | Sponsorship |
| Glendale Comm College Fdtn | ||||||||
| 1500 N Verdugo Road | Glendale | CA | 91208 | 953876072 | 501(c)(3) | $10,000 | $0 | Sponsorship |
| Glendale Latino Association | ||||||||
| PO Box 806 | Verdugo City | CA | 91046 | 954306673 | 501(c)(3) | $6,625 | $0 | Sponsorship |
| Simi Valley Hospital Fdtn | ||||||||
| 2975 N Sycamore Dr | Simi Valley | CA | 93065 | 912135595 | 501(c)(3) | $5,450 | $0 | Sponsorship |
| Wstrn Diocese of the Armenian | ||||||||
| 3325 N Glenoaks Blvd | Burbank | CA | 91504 | 956081942 | 501(c)(3) | $10,000 | $0 | Sponsorship |
| YMCA of Glendale | ||||||||
| 140 N Louise St | Glendale | CA | 91206 | 951661118 | 501(c)(3) | $6,000 | $0 | Sponsorship |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 6 | Total501c3OrgCnt |
| Total Other Org | 4 | 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) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | 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 |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Bourdon Irene | |||||||||||||
| President, Healthcare Fnd | $256,675 | $51,623 | $37,618 | $16,356 | $31,217 | $393,489 | |||||||
| Brandt-Mayo Karen | |||||||||||||
| Patient Care Executive | $247,480 | $51,492 | $35,513 | $16,356 | $40,116 | $390,957 | |||||||
| Brown Robert | |||||||||||||
| Registered Nurse | $240,526 | $2,125 | $64 | $14,535 | $9,976 | $267,226 | |||||||
| Correa Sharon | |||||||||||||
| Information Officer | $297,217 | $54,875 | $37,408 | $16,416 | $25,933 | $431,849 | |||||||
| Eskandarian Romic | |||||||||||||
| Pharmacy Director | $224,471 | $18,549 | $2,219 | $14,952 | $23,254 | $283,445 | |||||||
| Fargo Roland | |||||||||||||
| Reg Physician Ops Officer | $360,074 | $76,840 | $127,042 | $10,956 | $33,069 | $607,981 | $42,716 | ||||||
| Giese Jonathan | |||||||||||||
| Former Treas | $250,457 | $30,202 | $16,536 | $12,074 | $309,269 | ||||||||
| Kanne Claudia | |||||||||||||
| Reg Dir Compliance | $176,784 | $15,893 | $2,655 | $11,776 | $30,110 | $237,218 | |||||||
| Kayichian Despina | |||||||||||||
| Med Affairs/Quality Officer | $341,365 | $44,138 | $46,255 | $16,356 | $33,383 | $481,497 | |||||||
| Markarian Ramella | |||||||||||||
| Bus Dev/Phys Rel Officer | $215,973 | $43,063 | $29,977 | $16,356 | $37,482 | $342,851 | |||||||
| Milatovich Natasha | |||||||||||||
| Human Resource Officer SCR | $274,992 | $59,594 | $44,669 | $16,356 | $37,499 | $433,110 | |||||||
| Nahapetian Arby | |||||||||||||
| Medical Officer SCR | $535,805 | $114,043 | $230,961 | $16,356 | $41,965 | $939,130 | $81,073 | ||||||
| Rebok Douglas | |||||||||||||
| Former Asst Sec | $120,028 | $6,244 | $126,272 | $120,028 | |||||||||
| Reiner Scott | |||||||||||||
| Dir/Chair | $1,184,750 | $324,119 | $473,935 | $16,356 | $37,529 | $2,036,689 | $406,467 | ||||||
| Roberts Kevin | |||||||||||||
| President & CEO | $523,489 | $148,039 | $226,434 | $16,356 | $27,397 | $941,715 | $89,586 | ||||||
| Sustituido Roberose | |||||||||||||
| Registered Nurse | $194,642 | $1,000 | $11,164 | $33,575 | $240,381 | ||||||||
| Tetz Warren | |||||||||||||
| Asst Sec/Sr VP/ | $328,740 | $83,023 | $116,987 | $16,572 | $32,177 | $577,499 | $92,977 | ||||||
| Wagner Jack | |||||||||||||
| Asst Sec | $768,843 | $221,735 | $92,680 | $11,160 | $25,957 | $1,120,375 | |||||||
| Watson Marion | |||||||||||||
| Director, RN | $184,250 | $11,440 | $2,909 | $11,841 | $29,193 | $239,633 | |||||||
| Wehtje Rodney | |||||||||||||
| Former Asst Treas | $158,863 | $90,564 | $213 | $23,086 | $272,726 | $79,970 | |||||||
| Wehtje Ronald | |||||||||||||
| CFO SCR | $490,826 | $90,579 | $116,773 | $11,008 | $25,957 | $735,143 | |||||||
| Wing Bill | |||||||||||||
| Dir/V Chair/Ass | $953,512 | $273,121 | $233,611 | $16,356 | $36,337 | $1,512,937 | |||||||
| Zachary Beth | |||||||||||||
| Reg President & CEO | $768,341 | $221,735 | $2,541,764 | $16,426 | $33,093 | $3,581,359 | $143,418 | ||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 1a: Relevant information in regards to selections on 1a. | FormAndLineReferenceDesc |
| Explanation | Part I, Line 1BAny items checked on this line are reported as taxable income to the employee, except first class or charter travel, which is only approved for business purposes on an exception basis. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Kevin Roberts | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Brother | RelationshipDescriptionTxt |
| Transaction | $161,046 | TransactionAmt |
| Transaction | Employment | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | The hospital is organized as a not-for-profit religious corporation. The sole corporate member is Adventist Health System/West, a California not-for-profit religious corporation. The hospital bylaws define its board of directors to be the same individuals who are members of 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 | The completed Form 990 is shared with members of the corporation's board of directors by electronic communication for their review prior to filing. A special board meeting is scheduled to answer questions and receive input from the board 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 CEO immediately. The Corporate General Counsel distributes, collects, and reviews for signatures the COIs for all applicable Corporate employees and the board. In addition, the hospitals administration is responsible for keeping record to ensure all hospital-based individuals with director and above positions have submitted their COIs. The Corporate General Counsel reviews all the disclosures on the board and Corporate employees COIs. Corporate General Counsel retains the COIs for the board members. The officers and key employees COIs are kept in their personnel files.During the year-end audit process, the auditors review all board member COIs and a sample of the Corporate officers, key employees, and hospital CEOs COIs. If a conflict is reported on a COI, the auditors will bring it to the attention of the AVP, Audit Services for follow-up.Further inquiries on any potential significant conflicts are made as needed. Conflicts were documented and reviewed with the Board, which in turn determined the conflicts were not inappropriate for the situations identified and that the terms of the arrangements would likely not be better for the organization. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | See explanation of process for setting CEO compensation below on Form 990, Part VI, Line 15b explanation. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | The hospital board of directors has established a Compensation Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, including salary ranges for hospital CEOs and CFOs, that would be indicated by the data; evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data.The board-approved executive compensation philosophy specifies that salary ranges will be established for hospital CEOs and executives, with midpoints aligned with the 50th percentile of comparable system hospital data, and having a 24 percent spread from minimum to maximum (industry norm is approximately a 50 percent spread). A hospital CEO has a maximum potential incentive of 30 percent of base salary. (This incentive potential is less than the industry norm.) Other hospital executives have a maximum potential incentive of 20 percent of base salary. |
| Form 990, Part VI, Line 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 Increases | Change in Value of Split-Interest Agreements = $20122 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Net Assets Released fr Restrictions 502,621 = -$1301461 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Net Assets Released from Restr-Cap Addtn = $0 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Net Realized gains/losses on Perm Restr investments = $0 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Restricted Gifts & Grants = $951711 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Transfers to Affliated Organizations = -$10072174 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Adventist Health SystemWest | |||||||||||
| 2100 Douglas Blvd | Roseville | CA | 95661 | 953484589 | Support and Manage System-Wide Activities | CA | 501(c)(3) | 1 | N/A | Yes (true) | |
| Adventist Health Clearlake Hospital Inc | |||||||||||
| Avenue 18 at Highway 53 | Clearlake | CA | 95422 | 680395149 | Hospital | CA | 501(c)(3) | 3 | false | Adventist Health SystemWest | |
| Adventist Hlth Medical Ctr Tehachapi | |||||||||||
| 115 W E St | Techapi | CA | 93561 | 812240617 | Hospital | CA | 501(c)(3) | 11b,II | false | Adventist Health SystemWest | |
| Adventist Health Physicians Ntwk | |||||||||||
| 2100 Douglas Blvd | Roseville | CA | 95661 | 680357690 | Hospital | CA | 501(c)(3) | 1 | false | Adventist Health SystemWest | |
| Castle Medical Center | |||||||||||
| 640 Ulukahiki Street | Kailua | CA | 96734 | 990107330 | Hospital | HI | 501(c)(3) | 1 | false | Adventist Health SystemWest | |
| Feather River Hospital | |||||||||||
| 5974 Pentz Road | Paradise | CA | 95969 | 941101228 | Hospital | CA | 501(c)(3) | 1 | false | Adventist Health SystemWest | |
| Glendale Adventist Medical Center Fdtn | |||||||||||
| 1509 Wilson Terrace | Glendale | CA | 91206 | 953899682 | Fundraising for Hospital | CA | 501(c)(3) | 11, Type 1 | false | Adventist Health SystemWest | |
| Hanford Community Hospital | |||||||||||
| 450 Greenfield Avenue | Hanford | CA | 93230 | 940535360 | Hospital | CA | 501(c)(3) | 1 | false | Adventist Health SystemWest | |
| Lodi Memorial Hospital Association Inc | |||||||||||
| 975 Fairmount Ave | Lodi | CA | 95240 | 941044474 | Hospital | CA | 501(c)(3) | 1 | false | Adventist Health SystemWest | |
| Northwest Medical Fdtn of Tillamook | |||||||||||
| 1000 Third Street | Tillamook | OR | 97141 | 930622075 | Hospital | OR | 501(c)(3) | 1 | false | Adventist Health SystemWest | |
| Paradise Valley Hospital | |||||||||||
| 2100 Douglas Blvd | Roseville | CA | 95661 | 951816034 | Wind Down After Sale of Hospital Facilit | CA | 501(c)(3) | 1 | false | Adventist Health SystemWest | |
| Portland Adventist Medical Center | |||||||||||
| 10123 SE Market Street | Portland | OR | 97216 | 930429015 | Hospital | OR | 501(c)(3) | 1 | false | Adventist Health SystemWest | |
| Reedley Community Hospital | |||||||||||
| 372 W Cypress Avenue | Reedley | CA | 93654 | 453220509 | Hospital | CA | 501(c)(3) | 1 | false | Adventist Health SystemWest | |
| St Helena Hospital | |||||||||||
| 10 Woodland Road | St Helena | CA | 94574 | 941279779 | Hospital | CA | 501(c)(3) | 1 | false | Adventist Health SystemWest | |
| San Joaquin Community Hospital | |||||||||||
| 2615 Chester Avenue | Bakersfield | CA | 93301 | 952294234 | Hospital | CA | 501(c)(3) | 1 | false | Adventist Health SystemWest | |
| Simi Valley Hospital & Health Care Svcs | |||||||||||
| 2975 N Sycamore Drive | Bakersfield | CA | 93065 | 956064971 | Hospital | CA | 501(c)(3) | 1 | false | Adventist Health SystemWest | |
| Sonora Community Hospital | |||||||||||
| 1000 Greenley Road | Sonora | CA | 95370 | 941415069 | Hospital | CA | 501(c)(3) | 1 | false | Adventist Health SystemWest | |
| Stone Point Health | |||||||||||
| 2100 Douglas Blvd | Roseville | CA | 95661 | 823763347 | Support & Manage Hosp & Health Entities | CA | 501(c)(3) | 1 | false | Adventist Health SystemWest | |
| Ukiah Adventist Hospital | |||||||||||
| 275 Hospital Drive | Ukiah | CA | 95482 | 941639901 | Hospital | CA | 501(c)(3) | 1 | false | Adventist Health SystemWest | |
| Walla Walla General Hospital | |||||||||||
| 1025 S Second Ave | Walla Walla | WA | 99362 | 910617726 | Hospital | WA | 501(c)(3) | 1 | false | Adventist Health SystemWest | |
| White Memorial Medical Center | |||||||||||
| 1720 Cesar E Chavez Avenue | Los Angeles | CA | 90033 | CA | 501(c)(3) | 1 | false | Adventist Health SystemWest | |||
| Willits Hospital Inc | |||||||||||
| 1 Marcela Dr | Willits | CA | 95490 | 680108919 | Hospital | CA | 501(c)(3) | 1 | false | Adventist Health SystemWest | |
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 | 2100 Douglas Blvd | 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 | C-Corp | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Yes (true) | 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 | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | 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 |
|---|---|---|
| Glendale Adventist Medical Center Fdtn | ||
| l | $176,026 | Cost |
| Glendale Adventist Medical Center Fdtn | ||
| n | $23,556 | Cost |
| Glendale Adventist Medical Center Fdtn | ||
| o | $1,151,681 | Cost |
| Glendale Adventist Medical Center Fdtn | ||
| s | $272,740 | Fund Transfers |