GLENDALE ADVENTIST MEDICAL CENTER: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- GLENDALE ADVENTIST MEDICAL CENTER (EIN 95-1816017)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-15
- IRS object ID
- 201603209349316780
- Schema version
- 2015v2.0
- 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 | 2016-11-15T16:05:46-08:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Clement & Associates CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2930 Honolulu Avenue Suite 200 | AddressLine1Txt |
| City | La Crescenta | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | 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 | Tetz Warren | PersonNm |
| Person Title | Asst Sec/Sr VP | PersonTitleTxt |
| Signature | 2016-11-15 | 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 | 8182491065 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Roberts Kevin | PrincipalOfficerNm |
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) |
|---|---|---|
| Gross Receipts | $404,378,298 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Group Exemption | 1071 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.glendaleadventist.com | 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 | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 2556 | TotalEmployeeCnt |
| Total Volunteers | 951 | TotalVolunteersCnt |
| Total Gross UBI | $1,444,023 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $530,367 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,075,815 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,579,802 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $394,680,878 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $400,425,088 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,536,799 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,725,798 | CYInvestmentIncomeAmt |
| PY Other Revenue | $478,276 | PYOtherRevenueAmt |
| CY Other Revenue | $647,610 | CYOtherRevenueAmt |
| PY Total Revenue | $400,771,768 | PYTotalRevenueAmt |
| CY Total Revenue | $404,378,298 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $662,138 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $580,071 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $181,578,599 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $192,076,977 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,338,355 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $218,956,845 | PYOtherExpensesAmt |
| CY Other Expenses | $223,514,534 | CYOtherExpensesAmt |
| PY Total Expenses | $401,197,582 | PYTotalExpensesAmt |
| CY Total Expenses | $416,171,582 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$425,814 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$11,793,284 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $380,794,660 | TotalAssetsBOYAmt |
| Total Assets EOY | $369,413,805 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $228,626,425 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $232,489,614 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $152,168,235 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $136,924,191 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To share God's love with our community by promoting healing and wellness for the whole person. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $371,456,153 | ExpenseAmt |
| Grant | $580,071 | GrantAmt |
| Revenue | $397,851,819 | RevenueAmt |
| Desc | Glendale Adventist Medical Center (GAMC) provides quality medical health care regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of Glendale Adventist Medical Center the organization recognizes that not all individuals possess the ability to pay for essential medical services. Adventist Health's vision is to enhance the health of the communities where we live and serve, by engaging our communities and our patients in a new definition of and partnership for personal community health. In keeping with this commitment to serve all members of the community, the following will be considered when individuals who need health care cannot pay: Providing free care and/or subsidized care Providing care to persons covered by governmental programs at below cost Providing health/wellness activities and community education programsNot only does Glendale Adventist MedicalCenter provide low-cost care to individuals covered by government programs and those unable to afford health care, but it also helps patients find and access private and governmental resources for health care benefits. Glendale Adventist MedicalCenter recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed cost of providing care to these patients in 2015 was $17,227,821.Inpatient services in 2015 were provided to 19,986 patients. These services included: 2,349 Babies delivered 4,064 Surgeries performed 45,611 Radiology procedures performed 28,287 Cardiac catheterizations and other procedures 566,823 Laboratory tests performed 626 Rehabilitation patients 1,560 Mental health patientsOutpatient services in 2015 were provided to 282,218 patients. These services included: 57,369 Emergency room visits 4,208 Outpatient surgeries performed 69,792 Radiology procedures performed 31,279 Cardiac catheterizations and other procedures 340,975 Laboratory tests performedGlendale Adventist MedicalCenter recognizes it has an obligation to provide human services above and beyond its role as a healing facility. The following community benefits demonstrate the tangible ways in which the organization is fulfilling its mission:Children's Health Outreach InitiativeCenter to Increase Community OrganizationCommunity support groupsCommunity health education classesHQ Newsletter for health promotionParamedic base stationTobacco Control ProgramCancer Survivor DayBeyond Loss Bereavement ProgramMental health support groupsBreast Cancer Awareness MonthCancer screeningsCancer Fitness ProgramGAMCs mission anchors everything we do, extending out to the community in many ways. Collaborative efforts between GAMC, local organizations and donors has created critical programs needed to address the specific health care needs of the more than residents living throughout our service area. Together we are changing the outcome of the community's health.Glendale Adventist Medical Center is accreditated 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 2015, GAMC 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%. GAMC 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 GAMC is home to one of the few Advanced Primary Stroke Centers in Los Angeles County and in 2015 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.Glendale Adventist Medical Center is the only hospital in Los Angeles County 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. GAMC 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. GAMC 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 GAMC. The score, four out of five stars, places GAMC in the top 20 percent of hospitals in our region.GAMC 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 GAMC physicians were nominated by the medical community for Pasadena Magazine's Top Docs.A significant portion of the mission-driven assistance GAMC provides its community is intangible or otherwise difficult to quantify. The following story illustrates this:One in eight women in the United State will be diagnosed with breast cancer in her lifetime and it is the second leading cause of death among women. A cancer diagnosis changes a persons life forever. It is frightening and stressful but no one needs to go through this journey alone. Thankfully, because of the advances in healthcare and quick response of talented physicians, Glendale Adventist Medical Center was able to help Elen Tahmasian become one of the over 2.8 million breast cancer survivors in the United States today. The GAMC Cancer Center provides free cancer support services to cancer patients and their familiesregardless of where they received treatment. Programs such as support groups, yoga classes, art classes, and positive image services are available because of the generous donations to the Healthcare Foundation and the tremendous fundraising efforts of the GAMC Cancer Care Guild.Like many other women who receive chemotherapy and radiation as a part of their treatment, Elen lost her hair and struggled with the emotional side effects of seeing what seemed like a different woman in the mirror. One of the support services the GAMC Cancer Center provides is the Positive Image Center which provided women with free wigs, hats, scarves and knitted caps. Elen was able to use the Positive Image Center which gave her a huge boost to her personal self worth and helped her through her treatment and recovery. Compassionate, high-quality patient care; life-saving and life-preserving medical and surgical services; advanced treatments in a community-based hospital; essential emergency services- these are the reasons our donors choose Glendale Adventist Medical Center as their charity of choice.For more information on the work that we do, visit us at www.glendaleadventist.com. | Desc |
| Total Program Service Expenses | $371,456,153 | 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 | Yes (true) | 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 | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | Yes (true) | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| 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 | 296 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2556 | 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | 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 | Jon Giese 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 (35 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Caviness Larry | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $6,749 | $0 | ||||
| Dickinson Charles | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $5,456 | $0 | ||||
| Friestad Christine | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $1,752 | $0 | ||||
| Gabriel Melody | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $2,333 | $0 | ||||
| Graham Ricardo | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $4,132 | $0 | ||||
| Heinrich Kerry | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $528 | $0 | ||||
| Innocent Larry | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $2,045 | $0 | ||||
| Jones Helmuth | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $84,278 | $0 | ||||
| Reimche Allan | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $2,734 | $0 | ||||
| Rippey Wesley | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $124,608 | $0 | ||||
| Salazar Velino | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $1,416 | $0 | ||||
| Torkelsen Max | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $2,801 | $0 | ||||
| Reiner Scott | ||||||||||
| Dir/Chair | 0.00 | 50.00 | Yes (X) | $0 | $1,526,040 | $261,659 | Yes (X) | |||
| Wing Bill | ||||||||||
| Dir/V Chair | 0.00 | 50.00 | Yes (X) | $0 | $1,245,488 | $228,400 | Yes (X) | |||
| Jobe Meredith | ||||||||||
| Secretary | 0.00 | 50.00 | $0 | $537,841 | $93,577 | Yes (X) | ||||
| Wagner Jack | ||||||||||
| Asst Treas | 0.00 | 50.00 | $0 | $1,056,525 | $41,424 | Yes (X) | ||||
| Wehtje Rodney | ||||||||||
| Asst Treas | 0.00 | 50.00 | $0 | $591,358 | $58,716 | Yes (X) | ||||
| Roberts Kevin | ||||||||||
| President & CEO | 0.00 | 50.00 | $0 | $731,071 | $125,864 | Yes (X) | ||||
| Giese Jonathan | ||||||||||
| Treas/Asst Sec | 0.00 | 50.00 | $0 | $343,145 | $27,747 | Yes (X) | ||||
| Tetz Warren | ||||||||||
| Asst Sec/Sr VP | 0.00 | 50.00 | $0 | $1,172,896 | $86,399 | Yes (X) | ||||
| Zachary Beth | ||||||||||
| Regional CEO | 0.00 | 50.00 | $0 | $1,013,175 | $439,403 | Yes (X) | ||||
| Brandt-Mayo Karen | ||||||||||
| VP Clin Svcs/CNO | 0.00 | 50.00 | $0 | $268,786 | $37,638 | Yes (X) | ||||
| Correa Sharon | ||||||||||
| VP/CIO | 0.00 | 50.00 | $0 | $256,087 | $39,507 | Yes (X) | ||||
| Fargo Roland | ||||||||||
| Sr VP Reg Physician Ops | 0.00 | 50.00 | $0 | $462,224 | $83,048 | Yes (X) | ||||
| Markarian Ramella | ||||||||||
| VP Bus Dev/Phys Rel | 0.00 | 50.00 | $0 | $231,676 | $48,012 | Yes (X) | ||||
| Nahapetian Arby | ||||||||||
| VP Med Affairs | 0.00 | 50.00 | $0 | $660,426 | $134,092 | Yes (X) | ||||
| Zachary Beth | ||||||||||
| Reg President & CEO | 0.00 | 50.00 | $0 | $1,013,175 | $439,403 | Yes (X) | ||||
| Marchuk Robert | ||||||||||
| Former VP Ancillary Svcs | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| Brown Robert | ||||||||||
| Registered Nurse | 55.00 | 0.00 | $230,894 | $0 | $19,200 | Yes (X) | ||||
| VanHouten Terri | ||||||||||
| AVP Nursing Ops | 50.00 | 0.00 | $230,261 | $0 | $20,573 | Yes (X) | ||||
| Eskandarian Romic | ||||||||||
| Pharmacy Director | 50.00 | 0.00 | $210,891 | $0 | $12,090 | Yes (X) | ||||
| Sanimtong Tassanee | ||||||||||
| Registered Nurse | 50.00 | 0.00 | $203,044 | $0 | $25,200 | Yes (X) | ||||
| Patana Suvanna | ||||||||||
| Registered Nurse | 55.00 | 0.00 | $196,182 | $0 | $24,852 | Yes (X) | ||||
| Carmen Robert | ||||||||||
| Former Dir/Chair | 0.00 | 0.00 | $0 | $227,056 | $6,362 | Yes (X) | ||||
| Rebok Douglas | ||||||||||
| Former Asst Sec | 0.00 | 0.00 | $0 | $597,483 | $29,043 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,071,272 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $12,173,284 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,282,209 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 351 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Family Practice of Glendale Glendale Med Gp | |||||
| 801 S Chevy Chase 201 | Glendale | CA | 91205 | Residency Teaching | $2,959,465 |
| Faculty Physicians & Surgeon | |||||
| 11175 Campus St 11120 | Loma Linda | CA | 92350 | Medical Services | $2,676,377 |
| Sound Physicians | |||||
| PO Box 742936 | Los Angeles | CA | 90074 | Physician Group | $2,138,590 |
| Mak Albert CMD Inc | |||||
| 707 S Garfield Ave Ste B002 | Alhambra | CA | 91801 | Physician | $1,505,000 |
| CHP Glendale Mob Owner LLC | |||||
| 30021 Tomas Rd 130 | Rancho Santa Marg | CA | 92688 | Medical Services | $1,341,904 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 40 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $10,226 | RelatedOrganizationsAmt |
| Government Grants | $1,271,803 | GovernmentGrantsAmt |
| All Other Contributions | $297,773 | AllOtherContributionsAmt |
| Total Contributions | $1,579,802 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Education | 611430 | $1,302,902 | $1,302,902 | ||
| Other Prog Serv Rev | 900099 | $1,544,122 | $1,544,122 | ||
| Patient Svc Revenue | 621110 | $393,095,293 | $391,671,055 | $1,424,238 | |
| Program Service Revenue | 621110 | $1,670,285 | $1,670,285 | ||
| Rental Income - Prog | 531120 | $1,348,595 | $1,348,595 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,463,891 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,357,320 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $106,571 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $400,425,088 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,725,798 | TotalRevenueColumnAmt |
| Exclusion | $1,725,798 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Change Int Fdtn Net Asset | 900099 | $492,126 | $492,126 | |
| Mgmt Fees-Unrelated Orgs | 541900 | $30,776 | $10,991 | $19,785 |
| Other Non-Operating Inc | 900099 | $124,708 | $124,708 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $647,610 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $404,378,298 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $397,851,819 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,444,023 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,502,654 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $580,071 | TotalAmt |
| Program Services | $580,071 | 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 | $149,389,509 | TotalAmt |
| Program Services | $135,429,175 | ProgramServicesAmt |
| Management And General | $12,964,709 | ManagementAndGeneralAmt |
| Fundraising | $995,625 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,542,343 | TotalAmt |
| Program Services | $5,542,343 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,158,891 | TotalAmt |
| Program Services | $22,135,028 | ProgramServicesAmt |
| Management And General | $4,023,863 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,986,234 | TotalAmt |
| Program Services | $9,958,045 | ProgramServicesAmt |
| Management And General | $1,028,189 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,902,238 | TotalAmt |
| Program Services | $16,280,784 | ProgramServicesAmt |
| Management And General | $2,621,454 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,879 | TotalAmt |
| Management And General | $142,879 | ManagementAndGeneralAmt |
| Fundraising | $15,000 | FundraisingAmt |
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 | $0 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,480,893 | TotalAmt |
| Management And General | $1,478,397 | ManagementAndGeneralAmt |
| Fundraising | $2,496 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,336,639 | TotalAmt |
| Program Services | $3,012,479 | ProgramServicesAmt |
| Management And General | $1,299,285 | ManagementAndGeneralAmt |
| Fundraising | $24,875 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,606,082 | TotalAmt |
| Program Services | $18,509,056 | ProgramServicesAmt |
| Management And General | $97,026 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,280,268 | TotalAmt |
| Program Services | $9,251,510 | ProgramServicesAmt |
| Management And General | $5,202 | ManagementAndGeneralAmt |
| Fundraising | $23,556 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $421,662 | TotalAmt |
| Program Services | $234,012 | ProgramServicesAmt |
| Management And General | $144,834 | ManagementAndGeneralAmt |
| Fundraising | $42,816 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,103 | TotalAmt |
| Program Services | $208,149 | ProgramServicesAmt |
| Management And General | $53,954 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,568,629 | TotalAmt |
| Program Services | $5,568,629 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,789,307 | TotalAmt |
| Program Services | $17,788,140 | ProgramServicesAmt |
| Management And General | $1,167 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,181,811 | TotalAmt |
| Program Services | $2,181,811 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Pt Care Supplies | $50,832,002 | $50,832,002 | ||
| Purchased Services | $44,295,669 | $25,026,377 | $19,118,325 | $150,967 |
| Qual Assur Hosp Fee | $39,223,114 | $39,223,114 | ||
| Other Expenses | $9,088,784 | $8,612,280 | $393,484 | $83,020 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,087,454 | TotalAmt |
| Program Services | $1,083,148 | ProgramServicesAmt |
| Management And General | $4,306 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $416,171,582 | TotalAmt |
| Program Services | $371,456,153 | ProgramServicesAmt |
| Management And General | $43,377,074 | ManagementAndGeneralAmt |
| Fundraising | $1,338,355 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $717,684 | BOYAmt |
| EOY | $88,496 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,805,298 | BOYAmt |
| EOY | $34,693,297 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,831,517 | BOYAmt |
| EOY | $79,985,389 | 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 | $5,268,682 | BOYAmt |
| EOY | $5,167,784 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,159,772 | BOYAmt |
| EOY | $2,605,137 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $475,128,720 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $259,101,261 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $224,646,056 | BOYAmt |
| EOY | $216,027,459 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $789,731 | BOYAmt |
| EOY | $1,123,298 | 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 | $6,564,490 | BOYAmt |
| EOY | $6,903,396 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,011,430 | BOYAmt |
| EOY | $22,819,549 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $380,794,660 | BOYAmt |
| EOY | $369,413,805 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,750,744 | BOYAmt |
| EOY | $32,739,376 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,024,046 | BOYAmt |
| EOY | $31,801,946 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $169,851,635 | BOYAmt |
| EOY | $167,948,292 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $228,626,425 | BOYAmt |
| EOY | $232,489,614 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,544,236 | BOYAmt |
| EOY | $132,361,765 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,322,277 | BOYAmt |
| EOY | $4,254,485 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $301,722 | BOYAmt |
| EOY | $307,941 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,168,235 | BOYAmt |
| EOY | $136,924,191 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $380,794,660 | BOYAmt |
| EOY | $369,413,805 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$11,793,284 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$3,450,760 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Church | Yes (X) | ChurchInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $30,405 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $30,405 | 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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,623,999 | BeginningYearBalanceAmt |
| Contributions | $1,170,607 | ContributionsAmt |
| Investment Earnings Or Losses | $6,219 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,238,399 | OtherExpendituresAmt |
| End Year Balance | $4,562,426 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,496,022 | BeginningYearBalanceAmt |
| Contributions | $1,682,931 | ContributionsAmt |
| Investment Earnings Or Losses | $6,334 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,561,288 | OtherExpendituresAmt |
| End Year Balance | $4,623,999 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,554,971 | BeginningYearBalanceAmt |
| Contributions | $2,490,107 | ContributionsAmt |
| Investment Earnings Or Losses | $6,184 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,555,239 | OtherExpendituresAmt |
| End Year Balance | $5,496,023 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,909,132 | BeginningYearBalanceAmt |
| Contributions | $1,730,418 | ContributionsAmt |
| Investment Earnings Or Losses | $8,346 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,092,925 | OtherExpendituresAmt |
| End Year Balance | $4,554,971 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,135,086 | BeginningYearBalanceAmt |
| Contributions | $878,394 | ContributionsAmt |
| Investment Earnings Or Losses | $7,469 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,111,817 | OtherExpendituresAmt |
| End Year Balance | $4,909,132 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,726,115 | OtherCostOrOtherBasisAmt |
| Book Value | $3,726,115 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $365,859,691 | OtherCostOrOtherBasisAmt |
| Depreciation | $187,427,939 | DepreciationAmt |
| Book Value | $178,431,752 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,405,253 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,755,723 | DepreciationAmt |
| Book Value | $2,649,530 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $87,141,690 | OtherCostOrOtherBasisAmt |
| Depreciation | $67,068,882 | DepreciationAmt |
| Book Value | $20,072,808 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,995,971 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,848,717 | DepreciationAmt |
| Book Value | $11,147,254 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $216,027,459 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Assets | $4,212,407 |
| Other Receivables | -$259,374 |
| Receivables from Related Organizations | $11,981,320 |
| Receivables from Third-Party Payors | $6,885,196 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $22,819,549 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Other Liabilities | $23,701 |
| Payables to Related Organizations | $153,586,193 |
| Payble to third-party payors | $4,780,315 |
| Workers Compensation Liability | $9,558,083 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $167,948,292 | 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 | Russia-Armenia | RegionTxt |
| Purpose Of Grant | Mission Trip | PurposeOfGrantTxt |
| Non Cash Assistance | $268,841 | 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 | $2,929,597 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,929,597 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00700 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $133,439,967 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $109,232,083 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,207,884 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05820 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,867 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $105,069 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $136,387,431 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $109,337,152 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,137,481 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06520 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,163,667 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $749,084 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,414,583 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01060 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,113,912 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,999,256 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,114,656 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01470 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,833,065 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,122,623 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,710,442 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01130 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $614,337 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $614,337 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,724,981 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,870,963 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,854,018 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03810 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $162,112,412 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $119,208,115 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $42,991,499 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10330 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,692,861 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,692,861 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00650 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,692,861 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,692,861 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00650 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,200,644 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,756,342 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $140,764,312 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $126,015,319 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $14,748,993 | 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 | Glendale Adventist Med Center | 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, Psychiatric & 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | 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 | 13 | 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 Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.adventisthealth.org/glendale | FAPSummaryOnWebsiteURLTxt |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| 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 Glendale Adventist Medical Center 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
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 $125,835,906 Prior Year Settlements 1,627,753 Cost Report Reimbursable Bad Debts 895,202 Less Amts included in Part 1, lines g & f (1,685,817) Non-Cost Report Revenue - Estimates and Accrual Variances (1,043,318) Other 15,134,586 ___________ Subtotal - Amount reported in Pt III, line 5 140,764,312 Amount included in Part 1, lines g and f 1,685,817 ___________ Total Medicare Revenue $142,450,129*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 - Needs Assessment | For the 2013 CHNA, three Glendale hospitalsGAMC, 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 - Patient Education of Eligibility for Assistance | For scheduled cases, PAS staff runs 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 GAMCs hospital assistance program. GAMC 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 - Community Information | GAMC serves greater Glendale and Northeast Los Angeles including Highland Park, Glassell Park, and Eagle Rock. The area includes an MUA as well as a health profession shortage area. The population served (about 300,000) is 36% Latino, 44% Caucasian (including the largest population of Armenians outside of Russia/Armenia), 16% Asian (Korean and Filipino), 2% African-American, and 2% Other. GAMC 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, 44.4% of residents are foreign born and 24% are not United States citizens. Forty-two percent of the households in the GAMC primary service area have an annual income of under $35,000. Furthermore, 27% of adults in Service Planning Area (SPA) 2 and 35.5% of adults in SPA 4 are uninsured; more than one-third of adults have difficulty accessing health care; and, almost 25% of residents over 18 have no a regular source of health care (65% higher than the general population).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, and the creation of the Center for Increasing Community Organization (CINCO) in Highland Park. 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 - 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 - Explanation Of How Organization Furthers Its Exempt Purpose | The hospital has an operating board composed of community members who advise the president/CEO regarding the needs of the community. Based on their advice, the hospital has developed outpatient and home care programs focused on rendering care in the most effective and efficient manner. The hospital's key medical services include cardiac, neuro, spine, cancer, emergency, outpatient services, minimally invasive surgery (robotics and no scar surgery), ortho, behavioral medicine, 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. Glendale Adventist has also established a Department of Clinical Research to help our communities gain access to cutting edge clinical advancements. |
| Part VI - Affilated Health Care System Roles and Promotion | 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 - States Where Community Benefit Report Filed | 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 (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| Armenian Bone Marrow Donor Re | ||||||||
| 347 W Stocker St 208 | Glendale | CA | 91202 | 050573780 | 501(c)(3) | $10,000 | $0 | Event Sponsorships |
| City of Glendale | ||||||||
| 613 E Broadway | Glendale | CA | 91206 | 956000714 | City Government | $15,000 | $0 | Event Sponsorships |
| Glendale Arts | ||||||||
| 116 W California Ave | Glendale | CA | 91203 | 954416336 | 501(c)(3) | $12,000 | $0 | Event Sponsorships |
| Glendale Chamber of Commerce | ||||||||
| 200 S Louise Street | Glendale | CA | 91208 | 950775310 | 501(c)(3) | $7,025 | $0 | Event Sponsorships |
| Glendale Kiwanis Foundation | ||||||||
| 180 E Ocean Blvd 9th Floor | Glendale | CA | 91209 | 956053551 | 501(c)(3) | $10,000 | $0 | General Operations |
| White Memorial Medical Center | ||||||||
| 1720 Cesar E Chavez Avenue | Los Angeles | CA | 90033 | 952282647 | 501(c)(3) | $7,000 | $0 | Event Sponsorships |
| YMCA of the Foothills | ||||||||
| 1930 Foothill Blvd | La Canada | CA | 91011 | 951976183 | 501(c)(3) | $17,500 | $0 | Event Sponsorships |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 7 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Grantmaker's Description of How Grants are Used | FormAndLineReferenceDesc |
| Explanation | Grants are donations made to US tax exempt organizations, Government Entities and Civic organizations who are community partners, known to us, and present a valid purpose for their donation request. It is anticipated that no further monitoring is required. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (22 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Brandt-Mayo Karen | |||||||||||||
| VP Clin Svcs/CNO | $216,290 | $44,043 | $8,453 | $16,180 | $21,458 | $306,424 | |||||||
| Brown Robert | |||||||||||||
| Registered Nurse | $124,176 | $6,521 | $100,197 | $18,000 | $1,200 | $250,094 | |||||||
| Carmen Robert | |||||||||||||
| Former Dir/Chair | $219,735 | $7,321 | $6,362 | $233,418 | |||||||||
| Correa Sharon | |||||||||||||
| VP/CIO | $203,342 | $45,300 | $7,445 | $15,513 | $23,994 | $295,594 | |||||||
| Eskandarian Romic | |||||||||||||
| Pharmacy Director | $191,347 | $19,544 | $7,524 | $4,566 | $222,981 | ||||||||
| Fargo Roland | |||||||||||||
| Sr VP Reg Physician Ops | $321,668 | $71,505 | $69,051 | $52,728 | $30,320 | $545,272 | $42,116 | ||||||
| Giese Jonathan | |||||||||||||
| Treas/Asst Sec | $273,208 | $49,664 | $20,273 | $16,180 | $11,567 | $370,892 | |||||||
| Jobe Meredith | |||||||||||||
| Secretary | $355,393 | $98,178 | $84,270 | $74,975 | $18,602 | $631,418 | $53,771 | ||||||
| Markarian Ramella | |||||||||||||
| VP Bus Dev/Phys Rel | $183,734 | $36,963 | $10,979 | $13,936 | $34,076 | $279,688 | |||||||
| Nahapetian Arby | |||||||||||||
| VP Med Affairs | $479,606 | $78,052 | $102,768 | $95,768 | $38,324 | $794,518 | $55,337 | ||||||
| Patana Suvanna | |||||||||||||
| Registered Nurse | $112,465 | $3,852 | $79,865 | $24,000 | $852 | $221,034 | |||||||
| Rebok Douglas | |||||||||||||
| Former Asst Sec | $206,161 | $198,734 | $192,588 | $16,180 | $12,863 | $626,526 | $150,311 | ||||||
| Reiner Scott | |||||||||||||
| Dir/Chair | $962,984 | $298,366 | $264,690 | $227,469 | $34,190 | $1,787,699 | $182,145 | ||||||
| Roberts Kevin | |||||||||||||
| President & CEO | $475,402 | $146,754 | $108,915 | $100,506 | $25,358 | $856,935 | $89,920 | ||||||
| Sanimtong Tassanee | |||||||||||||
| Registered Nurse | $112,466 | $8,937 | $81,641 | $24,000 | $1,200 | $228,244 | |||||||
| Tetz Warren | |||||||||||||
| Asst Sec/Sr VP | $324,078 | $72,492 | $776,326 | $58,311 | $28,088 | $1,259,295 | $753,478 | ||||||
| VanHouten Terri | |||||||||||||
| AVP Nursing Ops | $191,743 | $38,518 | $18,000 | $2,573 | $250,834 | ||||||||
| Wagner Jack | |||||||||||||
| Asst Treas | $775,339 | $146,404 | $134,782 | $16,384 | $25,040 | $1,097,949 | |||||||
| Wehtje Rodney | |||||||||||||
| Asst Treas | $380,562 | $109,398 | $101,398 | $34,588 | $24,128 | $650,074 | $60,093 | ||||||
| Wing Bill | |||||||||||||
| Dir/V Chair | $814,628 | $250,491 | $180,369 | $192,782 | $35,618 | $1,473,888 | $130,871 | ||||||
| Zachary Beth | |||||||||||||
| Reg President & CEO | $669,124 | $205,059 | $138,992 | $421,689 | $17,714 | $1,452,578 | $90,519 | ||||||
| Zachary Beth | |||||||||||||
| Regional CEO | $669,124 | $205,059 | $138,992 | $421,689 | $17,714 | $1,452,578 | $90,519 | ||||||
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 | $122,012 | TransactionAmt |
| Transaction | Employment | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 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 hospital's board of directors by electronic communication for their review prior to filing. A telephone board meeting is held to review the 990 highlights. Specific questions related to the filing organization may be asked by any board member prior to filing the return. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital officers, key employees and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation, to illustrate examples of a conflict and to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the CEO immediately. The corporate internal audit staff reviews these questionnaires and disclosures each year during the audit process. |
| Form 990, Part VI, Line 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 Decreases | Net Assets Released fr Restrictions = -$1238399 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Net Assets Released from Restr-Cap Addtn = $495640 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Net Realized gains/losses on Perm Restr investments = $6219 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Restricted Gifts & Grants = $1170606 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Transfers to Affliated Organizations = -$3884826 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 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 Health Physicians Ntwk | |||||||||||
| 2100 Douglas Blvd | Roseville | CA | 95661 | 680357690 | Hospital | CA | 501(c)(3) | 11b,II | false | Adventist Health SystemWest | |
| Castle Medical Center | |||||||||||
| 640 Ulukahiki Street | Kailua | HI | 96734 | 990107330 | Hospital | HI | 501(c)(3) | 1 | false | Adventist Health SystemWest | |
| Central Valley General Hospital | |||||||||||
| 1025 N Douty Street | Hanford | CA | 93230 | 770324630 | Hospital | CA | 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 | |
| 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 | 952282647 | Hospital | 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 | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Physician Medical Terrace LP | ||||||||||||
| 1509 Wilson Terrace | Glendale | CA | 91206 | 954277400 | Med Ofc Bld | CA | N/A | $40,240 | $4,281,969 | false | Yes (true) | 0.63686 |
| Glendale Adventist Medical Building LP | ||||||||||||
| 1509 Wilson Terrace | Glendale | CA | 91206 | 953752800 | Med Ofc Bld | CA | N/A | $424,992 | $2,790,941 | false | Yes (true) | 0.54614 |
| Physicians Surgery Center at GAMC | ||||||||||||
| 1500 E Chevy Chase Dr Ste 101 | Glendale | CA | 91206 | 464085815 | Ambulatory Surgical Center | CA | N/A | -$1,145,647 | $1,502,368 | false | Yes (true) | 0.58540 |
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 | Yes (true) | 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 | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (24 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Adventist Health SystemWest | ||
| d | $4,612,347 | |
| Adventist Health SystemWest | ||
| e | $204,223,019 | |
| Adventist Health SystemWest | ||
| l | $26,778 | |
| Adventist Health SystemWest | ||
| m | $30,377,898 | |
| Adventist Health SystemWest | ||
| o | $568,582 | |
| Adventist Health SystemWest | ||
| p | $447,630 | |
| Adventist Health Physicians Ntwk | ||
| m | $4,029,892 | Cost |
| Glendale Adventist Medical Center Fdtn | ||
| l | $577,750 | Cost |
| Glendale Adventist Medical Center Fdtn | ||
| o | $995,625 | Cost |
| Glendale Adventist Medical Center Fdtn | ||
| q | $76,229 | Cost |
| Glendale Adventist Medical Center Fdtn | ||
| s | $1,488,067 | Fund Transfers |
| San Joaquin Community Hospital | ||
| p | $33,918 | |
| San Joaquin Community Hospital | ||
| q | $29,458 | |
| Simi Valley Hospital & Health Care Svcs | ||
| l | $172,707 | |
| Simi Valley Hospital & Health Care Svcs | ||
| o | $396,445 | |
| Simi Valley Hospital & Health Care Svcs | ||
| q | $815,326 | |
| White Memorial Medical Center | ||
| l | $327,279 | Cost |
| White Memorial Medical Center | ||
| m | $409,540 | Cost |
| White Memorial Medical Center | ||
| o | $658,235 | |
| White Memorial Medical Center | ||
| p | $514,999 | Cost |
| Physician Medical Terrace LP | ||
| d | $2,856,652 | |
| Physician Medical Terrace LP | ||
| k | $28,425 | |
| Physician Medical Terrace LP | ||
| l | $18,000 | |
| Glendale Adventist Medical Building LP | ||
| k | $35,901 | |