Civic Intelligence

Central Valley General Hospital

990 • Fiscal year 2015 • EIN 77-0324630

Jan 01, 2015 to Dec 31, 2015 • Filed on Nov 16, 2016

1025 N Douty StHanford, CA 93230

(559) 582-9000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2015

Liabilities / Revenue

2nd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2015

Net Margin

77th percentile

16%

Higher net margin than 77% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2015

Top Officer Pay

91st percentile

$1,787,699

Higher top officer pay than 91% of similar nonprofits.

Top officer pay equals 1.5% of source-year revenue.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2015

Asset Growth

1st percentile

-100%

Faster asset growth than 1% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2014 to 2015

Revenue Growth

66th percentile

8.7%

Faster revenue growth than 66% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2014 to 2015

Assets

Down

$0

Down $122,647,818 (-100%) from 2014

Net Assets

Down

$0

Down $107,460,602 (-100%) from 2014

Liabilities

Down

$0

Down $15,187,216 (-100%) from 2014

Revenue

Up

$118,529,798

Up $9,451,351 (+8.7%) from 2014

Expenses

Down

$99,139,213

Down $261,208 (-0.3%) from 2014

Net Income

Up

$19,390,585

Up $9,712,559 (+100%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$150M$100M$50M$0Assets 2010: $71,089,726Liabilities 2010: $21,067,759Net Assets 2010: $50,021,9672010Assets 2011: $81,954,767Liabilities 2011: $11,461,454Net Assets 2011: $70,493,3132011Assets 2012: $100,430,842Liabilities 2012: $13,393,492Net Assets 2012: $87,037,3502012Assets 2013: $112,977,658Liabilities 2013: $12,740,047Net Assets 2013: $100,237,6112013Assets 2014: $122,647,818Liabilities 2014: $15,187,216Net Assets 2014: $107,460,6022014Assets 2015: $0Liabilities 2015: $0Net Assets 2015: $02015

Highlighted filing

2015

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$150M$100M$50M$0Expenses 2010: $113,772,3152010Expenses 2011: $87,679,8632011Expenses 2012: $92,439,9882012Revenue 2013: $97,682,459Expenses 2013: $84,482,198Net Income 2013: $13,200,2612013Revenue 2014: $109,078,447Expenses 2014: $99,400,421Net Income 2014: $9,678,0262014Revenue 2015: $118,529,798Expenses 2015: $99,139,213Net Income 2015: $19,390,5852015

Highlighted filing

2015

Revenue$118,529,798
Expenses$99,139,213
Net Income$19,390,585
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 16, 2016
Return Version
2015v2.0
Gross Receipts
$118,529,798
Mission and Program Overview

Mission

To share God's love by providing physical, mental and spiritual healing.

The hospital mission is to provide our community with physical, mental, and spiritual healing in a way that reflects God's love for all.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$58,413,988$0▼ $58,413,988
Land, Buildings, and Equipment, Net$15,685,199$0▼ $15,685,199
Accounts Receivable$14,228,207$0▼ $14,228,207
Intangible Assets$1,359,700$0▼ $1,359,700
Investments in Publicly Traded Securities$1,253,742$0▼ $1,253,742
Prepaid Expenses and Deferred Charges$285,751$0▼ $285,751
Inventories for Sale or Use$198,085$0▼ $198,085
Cash and Non-Interest-Bearing Accounts$9,381$0▼ $9,381
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Total Assets$122,647,818$0▼ $122,647,818
Other Assets Total$31,213,765$0▼ $31,213,765
Liabilities
Other Liabilities$9,749,653--
Accounts Payable and Accrued Expenses$5,404,454--
Mortgage Notes Payable Secured by Investment Property$33,109--
Total Liabilities$15,187,216$0▼ $15,187,216
Net Assets / Fund Balance
Unrestricted Net Assets$107,369,232--
Temporarily Rstr Net Assets$91,370--
Total Net Assets Fund Balance$107,460,602$0▼ $107,460,602
Total Liabilities and Net Assets / Fund Balance$122,647,818$0▼ $122,647,818

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$91,370$-2,946-$88,424-
2014$160,341$9,160-$78,131$91,370
2013$2,474$211,000-$53,133$160,341
2012$4,474$21,669-$23,669$2,474
2011$9,321$37,125-$41,972$4,474
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Combs LindaNurse PractitionerPT$330,000$26,881$353,763
Carmen RobertFormer Dir/Chair-$196,006$63,577$259,583
Rebok DouglasFormer Asst Secretary-$186,062$44,458$230,520
Thomas CherylNurse PractitionerPT$160,379$50,661$210,774
Ekins BrentStaff PharmacistFT$148,396$44,604$186,503
Dhaliwal SimerjitPhysician AsstPT$130,309$69,681$182,990
Rippey WesleyDirector--$126,608$126,608
Jones HelmuthDirector--$84,278$84,278
Caviness LarryDirector--$6,749$6,749
Dickinson CharlesDirector--$5,456$5,456
Graham RicardoDirector--$4,132$4,132
Torkelsen MaxDirector--$2,801$2,801
Reimche AllanDirector--$2,734$2,734
Gabriel MelodyDirector--$2,333$2,333
Innocent LarryDirector--$2,045$2,045
Friestad ChristineDirector--$1,752$1,752
Salazar VelinoDirector--$1,416$1,416
Heinrich KerryDirector--$528$528

Board Members and Trustees

NameTitle
Reiner ScottDir/Chair
Wing BillDir/VChair/ASec
Ferch WaynePresident/CEO
Duyst JenniferService Director
Wagner JackAsst Secretary
Wehtje RodneyAsst Treasurer
Zweifler JohnCMO Community Care
Jobe MeredithSecretary
Fults KendallSr VP Bus & Phys Dev
Kofl AndreaSr VP Pt Care Serv/Hosp O
Larsen DavidTreas/Asst Sec
Chapman SusanVP Amc-r
Plata NinaVP Amc-s
Belsan TracyVP Comm Care
Taggart LaurieVP Experience
Barnes StevenVP Financial Serv
Tetz DorisVP HR/Org Dev
Gruzensky DentonVP Human Resources
Gruen DerrickVP Physician & Ambulatory Srvs
Hoyt DianeVP Quality/Pt Safety
Dodd RandalVP Reg Business Dev

Highest Paid Contractors

ContractorServicesLocationCompensation
LTB IncPhysician Services600 N Piedra Road, Sanger, CA 93657$2,015,252
Hanford Reg Physicians GroupPhysician Services1524 W Lacey Blvd, Hanford, CA 93230$1,956,311
Kings Comprehensive WomensPhysician Services460 N Greenfield Ave, Hanford, CA 93230$1,847,593
Kings Medical Group PCPhysician Services1524 W Lacey Blvd, Hanford, CA 93230$1,208,449
West Hills Medical Group IncPhysician ServicesPO Box 784, Coalinga, CA 93210$949,427
Revenue and Support

Revenue Composition

Contributions and Grants
$85,580
Program Service Revenue
$116,998,924
Investment Income
$1,445,294
Other Revenue
$0
All Other Contributions
$85,580
Change in Net Assets
$19,390,585
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$56,065,560
Salaries, Compensation, and Employee Benefits$42,860,458
Grants and Similar Amounts Paid$213,195
Total Fundraising Expense$61,296
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$27,989,864$3,470,715$34,417$31,494,996
Fees for Services Other$17,503,524$613,818-$18,117,342
Other Employee Benefits$6,467,698$894,080$17,012$7,378,790
Other Expenses$4,371,920$3,923,432$5,112$4,371,920
Information Technology$3,154,617$79,358-$3,233,975
Payroll Taxes$2,011,821$261,818$2,246$2,275,885
Occupancy$2,089,260$152,368-$2,241,628
Depreciation Depletion$1,193,124$181,961-$1,375,085
Pension Plan Contributions$1,357,024--$1,357,024
Office Expenses$789,962$324,490$451$1,114,903
Insurance$816,242--$816,242
Advertising-$413,955-$413,955
Travel$187,745$205,870$2,058$395,673
Current Officers, Directors, Trustees, and Key Employees$353,763--$353,763
Grants to Domestic Orgs$213,195--$213,195
Conferences and Meetings$108,260$84,680-$192,940
Fees for Services Legal-$173,250-$173,250
All Other Expenses$170,108$271-$170,379
Fees for Services Accounting-$119,618-$119,618
Total Functional Expenses$88,009,949$11,067,968$61,296$99,139,213
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
CA Hlth Fnd & TrustSacramento, CA501(c)(3)Hlth srvs uninsured/underinsured pt$213,195
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
Yes
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents

New Bylaws adopted 11/02/2015.

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 operates as an affiliate of Adventist Health System/West.

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 review 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 publicly available. The hospital files monthly/quarterly summary financial reports with the state health planning agency.

Form 990, Part VI, Line 7A - Appointment of Governing Body

The hospital bylaws define its board of directors to be the same individuals who are members of the Adventist Health System/West board of directors. Adventist Health System/West, a California not-for-profit religious corporation, is the sole corporate member of the hospital.

Filing and Contact Details

Filer

Filer Name
Central Valley General Hospital
EIN
77-0324630
Phone
5595829000
Address
1025 N Douty St, Hanford, CA 93230

Signing Officer

Name
David L Larsen
Title
Sr VP Fin/Treas/CFO
Signed
2016-11-16

Organization Details

Principal Officer
Wayne Ferch
Formed
1992
Legal Domicile
CA
Voting Board Members
12
Independent Board Members
7
Employees
951
Volunteers
60
Supplemental Narrative

Additional Explanations

Other Changes In Net Assets Or Fund Balances - Other Decreases

Transfer to AMC-Hanford due to merger = -$XXX-XX-XXXX

Financial Statement Notes

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.

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IRS990/Desc0Central Valley General Hospital 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 Central Valley General Hospital, 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 community and our patients in a new definition of a partnership for personal community health. In keeping with this commitment to serve all members of the community, the following will be considered when individuals who need health care cannot pay:providing free care and/or subsidized careproviding care to persons covered by governmental programs at below costproviding health/welness activities and community education programsNot only does Central Valley General Hospital 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. Central Valley General Hospital recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed value of providing care to these patients in 2015 was $11,194,751. Inpatient services in 2015 were provided to 5,103 patients. These services included: Babies delivered - 2,416 Surgeries performed - 939 Radiology procedures performed - 4,531 Laboratory tests performed - 103,346Outpatient services in 2015 were provided to 415,567 patients. These services included: Medical clinic visits - 358,320Central Valley General Hospital 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: Free health education and screenings at farmer's market
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