2015-11-16T23:46:51-08:00 2014-12-31 Clement & Associates CPA 2930 Honolulu Avenue Suite 200 La Crescenta CA 91214 990 2014-01-01 951816017 Glendale Adventist Medical Center GLEN 8184098000 1509 Wilson Terrace Glendale CA 91206 Jon Giese Sr VP Finance 2015-11-16 true S Clement P01218012 8182491065 X 2014 2016-04-25 22:37:26Z Kevin Roberts 401848338 false false 1071 X www.glendaleadventist.com X 1905 CA The hospital mission is to provide our community with physical, mental, and spiritual healing in a way that reflects God's love for all. 13 8 2812 1485 2709193 797850 1799986 2075815 398115205 394680878 2739389 3536799 1049644 478276 403704224 400771768 122900 662138 0 176575956 181578599 0 1254928 214707980 218956845 391406836 401197582 12297388 -425814 396578614 380794660 234368000 228626425 162210614 152168235 To share God's love with our community by promoting healing and wellness for the whole person. false false 322034898 78146 391068556 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 2014 was $8,513,023.Inpatient services in 2014 were provided to 20,082 patients. These services included: 2,368 Babies delivered 7,514 Surgeries performed 48,275 Radiology procedures performed 29,906 Cardiac catheterizations and other procedures 601,279 Laboratory tests performed 575 Rehabilitation patients 1,785 Mental health patientsOutpatient services in 2014 were provided to 266,585 patients. These services included: 52,147 Emergency room visits 3,764 Outpatient surgeries performed 63,493 Radiology procedures performed 16,583 Cardiac catheterizations and other procedures 346,761 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 groupsGlendale Downtown DashBreast 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 accreditation 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 2014, 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.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:When Deborah got up on Wednesday morning something was not right. We will now paraphrase what Deborah said.I noticed that my legs felt really heavy and I was walking funny. I take my blood pressure in the morning and my top number, the systolic number, wasnt too high, but the bottom number was very high, which had never happened before. I didnt know what to do, so I just kept getting ready to leave. I felt dizzy and weak, but tried not to worry because in my mind I didnt have high blood pressure. I got my van ride to Glendale Adventist where I was having a meeting. As the meeting started I began to feel worse. I asked nurse Keli to help me. As soon as she saw what my blood pressure was, she immediately took me to the ER. We laughed and joked while on our way and I said theres no problem here. At least Im not having a stroke, you know. When I arrived in the ER they immediately called a stroke alert. My stroke progressed from my voice down to my arm. My leg got progressively weaker and then all of a sudden it was just gone a lump of clay that couldnt be moved at all. During this time the right side of my face totally drooped. The right side of my tongue got really numb, my jaw and my neck got numb. I could not stick out my tongue straight. When you are having a stroke, your tongue swervesyou cant make a straight tongueit goes crooked.The stroke symptoms progressed within 15 or so minutes. I was awake and alert the entire time. They decided to treat my stroke with the medicine that dissolves the clot called tPA. They started the tPA, and everybody departed but the nurse. He was typing on his computer constantly as he had to keep checking my neuro ability every so many minutes. He said to be patient as the medicine will work very quickly. Im thinking nothings going to help me. The first thing that came back was my speech! Evidently, the clot got kicked right out of the way in that part of the brain.I didnt have my arm or my leg, but I had my voice! And it was like sooo amazing. I smiled and the nurse smiled. He just kept saying, just wait, the rest will come. Gradually I was able to lift my hand. Soon I could lift my whole arm. I could wave my hand in the air. It was like half an hour into the medicine when I could move my leg like a tenth of an inch. Gradually it became an inch, and then I could wiggle my toes, and then move my leg a little bit. It just kept coming, but not really quick. The medicine was done in about an hour, and my leg was about 50 percent there. My arm was totally good; my voice was totally good. My droop was gone. My smile was backeverything! It wasnt to much longer that I had a full leg function again. By the time I got into my bed in the intensive care unit it was like I never had a stroke! I said I should just go home now! Im all better! I had to stay because I had tPA. I was told that my brain might bleed and they wanted me to lay still. Of course, I had to stay, but I felt sooo good. I cannot even begin to say how wonderful this hospital is. This is my third stroke. I had the other two strokes at two d 322034898 true true false true false false false false false true true false false true true false false true false false false false false false false false true true true false true false false false false false false false false false true false false false false false false true true false false false true 323 0 true 2812 true true true false false false false false false 0 false false false false false false false false false false X 13 8 false false false false true false true true true false false true true true true true true true true true true CA X Jon Giese CFO 8184098000 1509 Wilson Terrace Glendale CA 91206 X Caviness Larry Director 0.00 2.00 X 0 3081 0 Dickinson Charles Director 0.00 2.00 X 0 6340 0 Fike Ruthita Director 0.00 2.00 X 0 2050 0 Friestad Christine Director 0.00 2.00 X 0 2557 0 Gabriel Melody Director 0.00 2.00 X 0 2388 0 Graham Ricardo Director 0.00 2.00 X 0 7573 0 Heinrich Kerry Director 0.00 2.00 X 0 0 0 Innocent Larry Director 0.00 2.00 X 0 2388 0 Jones Helmuth Director 0.00 2.00 X 0 83882 0 Reimche Allan Director 0.00 2.00 X 0 3958 0 Rippey Wesley Director 0.00 2.00 X 0 116805 0 Torkelsen Max Director 0.00 50.00 X X 0 3731 0 Carmen Robert Dir/Chair 0.00 50.00 X X 0 440880 14928 Reiner Scott Dir/V Chair/Sec 0.00 50.00 X X 0 1256086 211057 Wing Bill Asst Treas 0.00 50.00 X X 0 903906 198325 Jobe Meredith Secretary 0.00 50.00 X 0 432115 83255 Rebok Douglas Asst Sec 0.00 50.00 X 0 770609 156007 Wagner Jack Asst Tre 0.00 50.00 X 0 535352 27472 Wehtje Rodney Asst Treas 0.00 50.00 X 0 1607163 97250 Roberts Kevin President & CEO 0.00 50.00 X 0 707034 118043 Turner Kelly Treas/Asst Sec 0.00 50.00 X 0 367010 61787 Giese Jonathan Treas/Asst Sec 0.00 50.00 X 0 228476 26167 Tetz Warren Asst Sec/Sr VP 0.00 50.00 X 0 435327 92545 Blair Judy Sr VP Pt Care Svcs 0.00 50.00 X 0 224673 32685 Brandt Karen VP Pt Care Svcs/CNO 0.00 50.00 X 0 215065 32338 Brandt Karen VP Ancillary Svcs 0.00 50.00 X 0 0 0 Correa Sharon VP Info Tech 0.00 50.00 X 0 219287 35232 Markarian Ramella VP Bus Dev/Phys Rel 50.00 50.00 X 117510 72178 35646 Nahapetian Arby VP Med Affairs 0.00 50.00 X 0 411461 82093 Marchuk Robert Former VP Ancillary Svcs 0.00 50.00 X 0 304760 65574 Brown Robert Registered Nurse 55.00 0.00 X 205676 0 19268 VanHouten Terri AVP Nursing Ops 50.00 0.00 X 200667 0 9285 Eskandarian Romic Pharmacy Director 50.00 0.00 X 191473 0 11217 Susan Crabtree Director of HR 50.00 0.00 X 185548 0 18904 David Maria Socorro Registered Nurse 55.00 0.00 X 179928 0 9888 1080802 9366135 1438966 233 false true false Family Practice of Glendale Glendale Med Gp 801 S Chevy Chase 201 Glendale CA 91205 Residency Teaching 2962361 BAC LLC 1505 Wilson Terrace Suite 155 Glendale CA 91206 Dialysis Services 1464320 Sound Physicians PO Box 742936 Los Angeles CA 90074 Physician Group 1352101 ShiftwiseOrigin Inc PO Box 70870 St Paul MN 551709705 Registry Staffing 1241264 Mak Albert C MD Inc 707 S Garfield Ave Ste B002 Alhambra CA 91801 Physician 1102500 49 13355 1538057 524403 2075815 Education 611430 1765257 1765257 Other Prog Serv Rev 900099 1979860 1979860 Patient Svc Revenue 621110 386401757 383702054 2699703 Program Service Revenue 621110 1478302 1478302 Rental Income - Prog 531120 1267792 1267792 1787910 1674132 113778 394680878 2303204 2303204 0 0 0 2310165 1076570 1233595 1233595 213250 1020345 0 0 0 Change Int Fdtn Net Asset 900099 -292688 -292688 Mgmt Fees - Unelated Orgs 541900 41686 32196 9490 Other Non-Operating Inc 900099 729278 726703 2575 478276 400771768 391068556 2709193 4918204 662138 662138 0 0 0 0 0 138020986 125022759 12180805 817422 5008253 4405944 602309 28406242 24930633 3475609 10143118 9228304 914814 0 1759676 1759676 96988 81988 15000 0 0 0 15414319 13957870 1299272 157177 1335056 1292440 42616 4247102 2782718 1445620 18764 18821963 18813901 8062 0 9897742 9853668 20518 23556 439472 195690 217359 26423 0 223566 172088 51478 5453885 5453885 0 18911696 18911696 4436219 4436219 Pt Care Supplies 50672435 50672435 Purchased Services 42262737 24224191 17940688 97858 Qual Assur Hosp Fee 36340052 36340052 Other Expenses 7605468 7288874 260482 56112 1038469 1021885 16584 401197582 322034898 77907756 1254928 690065 717684 64949970 34805298 0 50920222 75831517 0 0 0 5342675 5268682 2151938 2159772 465906205 241260149 233041932 224646056 710481 789731 0 0 6989250 6564490 31782081 30011430 396578614 380794660 22660670 25750744 34385338 33024046 436290 176885702 169851635 234368000 228626425 X 156714591 147544236 5200635 4322277 295388 301722 162210614 152168235 396578614 380794660 X -425814 -9616565 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 18894 18894 false false Part II-B, Line 1i - Other Activities Description Allocation of dues paid to industry and professional organizations. 5496022 1682931 6334 2561288 4623999 4554971 2490107 6184 1555239 5496023 4909132 1730418 8346 2092925 4554971 5135086 878394 7469 1111817 4909132 4842628 1113528 25756 846826 5135086 1.00000 false true true 3726114 3726114 360992742 175152987 185839755 5064840 2626965 2437875 83178795 61824990 21353805 12943714 1655207 11288507 224646056 Other Assets 3932892 Other Receivables 75192 Receivables from Related Organizations 17087429 Receivables from Third-Party Payors 8915917 30011430 Other Liabilities 29486 Payables to Related Organizations 160552503 Tax Liability 65792 Workers Compensation Liability 9203854 169851635 Part V, Line 4: Intended uses of the endowment fund. Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended. true true X true X 300.000000000 true X 450.000000000 true true false false true true 1732802 1732802 0.00430 125461097 91804966 33656131 0.08390 11621 19506 -7885 127205520 91824472 35381048 0.08820 3142136 3142136 0.00780 6135502 55916 6079586 0.01520 4029892 4029892 0.01000 1919595 177443 1742152 0.00430 15227125 233359 14993766 0.03730 142432645 92057831 50374814 0.12550 154307 154307 0.00040 92348 92348 0.00020 279445 279445 314926 942 313984 0.00080 841026 280387 560639 0.00140 true 2548577 1248803 140224366 145558958 -5334592 X true true 1 1 Glendale Adventist Med Center X X X X Acute, Psychiatric & Skilled Nursing Glendale Adventist Med Center 1 false false true X X X X X X X X X 13 true true false true X www.adventisthealth.org/glendale X X true 13 true See webb address in 7 d above true false true X 300.0000 450.0000 X X X true true X X X true X X X X true false X X X X true X false false 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. 2 GAMC Home Care Services 381 Harvey Drive Glendale CA 91206 Home Care Services GAMC Alcohol & Drug Rehab 335 Mission Road Glendale CA 91206 Alcohol & Drug Rehabilitation Services 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: *Medicare Cost Report Revenue $116,510,782 Prior Year Settlements 2,353,302 Cost Report Reimbursable Bad Debts 2,273,865 Less Amts included in Part 1, lines g & f (1,750,967) Non-Cost Report Revenue (4,252,533) Estimates and Accrual Variances (1,014,556) Other 26,104,473 ___________ Subtotal - Amount reported in Pt III, line 5 140,224,366 Amount included in Part 1, lines g and f 1,750,967 ___________ Total Medicare Revenue $141,975,333*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 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. true Armenian Bone Marrow Donor Re 347 W Stocker St 208 Glendale CA 91202 050573780 501(c)(3) 10000 0 Event Sponsorships CA Health Fund & Trust 1215 K St Ste 800 Sacramento CA 95814 941498697 501(c)(3) 583992 0 Commission on Status of Women 900 N Street Suite 390 Sacramento CA 95814 680285369 Government Entity 10000 0 Event Sponsorships Glendale Chamber of Commerce 200 S Louise Street Glendale CA 91208 950775310 501(c)(6) 6874 0 Event Sponsorships Glendale Free Clinic 134 N Kenwood Street Glendale CA 91206 870732681 501(c)(3) 40000 0 Event Sponsorships Glendale Healthy Kids 735 E Lexington Drive Glendale CA 91206 954487466 501(c)(3) 5500 0 Event Sponsorships Vallejo Drive Seventh-Day Adv 300 Vallejo Drive Glendale CA 91206 870801179 501(c)(3) 5773 0 General Operations 5 2 Grantmaker's Description of How Grants are Used 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. X true true X X X X false true false false false false false false false false Blair Judy Sr VP Pt Care Svcs 167358 38262 19053 13328 19357 257358 Brandt Karen VP Pt Care Svcs/CNO 188934 16806 9325 12542 19796 247403 Brown Robert Registered Nurse 118997 7853 78826 18140 1128 224944 Carmen Robert Dir/Chair 327030 113850 14928 455808 Correa Sharon VP Info Tech 194962 16507 7818 12925 22307 254519 David Maria Socorro Registered Nurse 107766 3425 68737 7800 2088 189816 Eskandarian Romic Pharmacy Director 175142 12008 4323 7209 4008 202690 Giese Jonathan Treas/Asst Sec 215251 13225 13316 12851 254643 Jobe Meredith Secretary 340482 91633 70330 12925 515370 46949 Marchuk Robert Former VP Ancillary Svcs 243304 11851 49605 36276 29298 370334 31118 Markarian Ramella VP Bus Dev/Phys Rel 92610 69254 9300 15600 2924 6127 19766 9753 143403 81931 Nahapetian Arby VP Med Affairs 331521 54515 25425 49265 32828 493554 21105 Rebok Douglas Asst Sec 558532 212077 131335 24672 926616 122223 Reiner Scott Dir/V Chair/Sec 880711 375375 181681 29376 1467143 273487 Roberts Kevin President & CEO 455519 111823 139692 95627 22416 825077 74951 Susan Crabtree Director of HR 158579 14145 12824 13000 5904 204452 Tetz Warren Asst Sec/Sr VP 312258 52610 70459 66686 25859 527872 51201 Turner Kelly Treas/Asst Sec 249321 47446 70243 51036 10751 428797 51319 VanHouten Terri AVP Nursing Ops 158579 12686 29402 7197 2088 209952 Wagner Jack Asst Tre 433694 101658 10660 16812 562824 Wehtje Rodney Asst Treas 376932 1230231 74835 22415 1704413 1192595 Wing Bill Asst Treas 740333 163573 168721 29604 1102231 118557 Part I, Line 1a: Relevant information in regards to selections on 1a. 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. Kevin Roberts Brother 31259 Employment false 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 special board meeting is scheduled to answer questions and receive input from the board after their review but prior to filing. Form 990, Part VI, Line 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 = -$2561288 Other Changes In Net Assets Or Fund Balances - Other Increases Net Assets Released from Restr-Cap Addtn = $1790832 Other Changes In Net Assets Or Fund Balances - Other Increases Net Realized gains/losses on Perm Restr investments = $6334 Other Changes In Net Assets Or Fund Balances - Other Increases Restricted Gifts & Grants = $1682930 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfers to Affliated Organizations = -$10535373 Adventist Health SystemWest 2100 Douglas Blvd Roseville CA 95661 953484589 Support and Manage System-Wide Activities CA 501(c)(3) 1 N/A true Adventist Health Clearlake Hospital Inc Avenue 18 at Highway 53 Clearlake CA 95422 680395149 Hospital CA 501(c)(3) 3 Adventist Health SystemWest false Adventist Health Physicians Network 2100 Douglas Blvd Roseville CA 95661 680357690 Hospital CA 501(c)(3) 11b,II Adventist Health SystemWest false Castle Medical Center 640 Ulukahiki Street Kailua HI 96734 990107330 Hospital HI 501(c)(3) 1 Adventist Health SystemWest false Central Valley General Hospital 1025 N Douty Street Hanford CA 93230 770324630 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Feather River Hospital 5974 Pentz Road Paradise CA 95969 941101228 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Glendale Adventist Medical Center Fdtn 1509 Wilson Terrace Glendale CA 91206 953899682 Fundraising for Hospital CA 501(c)(3) 11, Type 1 Adventist Health SystemWest false Hanford Community Hospital 450 Greenfield Avenue Hanford CA 93230 940535360 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Northwest Medical Fdtn of Tillamook 1000 Third Street Tillamook OR 97141 930622075 Hospital OR 501(c)(3) 1 Adventist Health SystemWest false Paradise Valley Hospital 2100 Douglas Blvd Roseville CA 95661 951816034 Wind Down After Sale of Hospital Facilit CA 501(c)(3) 1 Adventist Health SystemWest false Portland Adventist Medical Center 10123 SE Market Street Portland OR 97216 930429015 Hospital OR 501(c)(3) 1 Adventist Health SystemWest false Reedley Community Hospital 372 W Cypress Avenue Reedley CA 93654 453220509 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false St Helena Hospital 10 Woodland Road St Helena CA 94574 941279779 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false San Joaquin Community Hospital 2615 Chester Avenue Bakersfield CA 93301 952294234 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Simi Valley Hospital & Health Care Svcs 2975 N Sycamore Drive Simi Valley CA 93065 956064971 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Sonora Community Hospital 1000 Greenley Road Sonora CA 95370 941415069 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Ukiah Adventist Hospital 275 Hospital Drive Ukiah CA 95482 941639901 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Walla Walla General Hospital 1025 S Second Avenue Walla Walla WA 99362 910617726 Hospital WA 501(c)(3) 1 Adventist Health SystemWest false White Memorial Medical Center 1720 Cesar E Chavez Avenue Los Angeles CA 90033 952282647 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Willits Hospital Inc 1 Madrone Street Willits CA 95490 680108919 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false WHR N/A false Physician Medical Terrace LP 1509 Wilson Terrace Glendale CA 91206 954277400 Med Ofc Bld CA N/A false true 0.63686 Glendale Adventist Medical Building LP 1509 Wilson Terrace Glendale CA 91206 953752800 Med Ofc Bld CA N/A false true 0.54614 South Coast Medical Center 2100 Douglas Blvd Roseville CA 95661 952037291 Wind down after sale of hospital CA C-Corp false true false false true true false false false false true true true true false true true true false false Adventist Health SystemWest d 10008051 Adventist Health SystemWest e 159424928 Adventist Health SystemWest l 27354 Adventist Health SystemWest m 29287829 Adventist Health SystemWest o 401515 Adventist Health SystemWest p 145417 Adventist Health Physicians Network d 255180 Adventist Health Physicians Network e 908804 Adventist Health Physicians Network m 4106417 St Helena Hospital p 4219 San Joaquin Community Hospital o 7388 San Joaquin Community Hospital q 7388 Simi Valley Hospital & Health Care Svcs e 151294 Simi Valley Hospital & Health Care Svcs l 184309 Simi Valley Hospital & Health Care Svcs o 382491 Simi Valley Hospital & Health Care Svcs q 480205 White Memorial Medical Center d 186030 White Memorial Medical Center e 136648 White Memorial Medical Center l 239117 White Memorial Medical Center m 513906 White Memorial Medical Center o 560104 WHR d 226170 WHR e 235000 Physician Medical Terrace LP d 1699624 Physician Medical Terrace LP k 140431 Physician Medical Terrace LP p 1820253 Glendale Adventist Medical Building LP d 90874 Glendale Adventist Medical Building LP k 107294 Glendale Adventist Medical Building LP p 873803