Civic Intelligence

Hanford Community Hospital DBA Adventist Health Hanford

990 • Fiscal year 2016 • EIN 94-0535360

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 16, 2017

Organization Profilewww.adventisthealth.org/central-valley
115 Mall DrHanford, CA 93230

(559) 582-9000

Siviq Scores

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

Liabilities / Assets

63rd percentile

0.46x

Higher debt load relative to assets than 63% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Liabilities / Revenue

62nd percentile

0.75x

Higher debt load relative to revenue than 62% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Net Margin

82nd percentile

17%

Higher net margin than 82% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Top Officer Pay

85th percentile

$1,997,807

Higher top officer pay than 85% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Asset Growth

84th percentile

12%

Faster asset growth than 84% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2015 to 2016

Revenue Growth

89th percentile

21%

Faster revenue growth than 89% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets63rd percentile

Assets

Up

$526,998,236

Up $54,425,411 (+12%) from 2015

Net Assets

Up

$286,832,324

Up $50,470,796 (+21%) from 2015

Liabilities

Up

$240,165,912

Up $3,954,615 (+1.7%) from 2015

Revenue And Expenses
Liabilities / Revenue62nd percentileNet Margin82nd percentile

Revenue

Up

$322,097,490

Up $55,745,972 (+21%) from 2015

Expenses

Up

$268,802,749

Up $47,128,880 (+21%) from 2015

Net Income

Up

$53,294,741

Up $8,617,092 (+19%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth84th percentile

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

$1.0B$500M$0Assets 2010: $215,979,165Liabilities 2010: $170,298,579Net Assets 2010: $45,680,5862010Assets 2011: $221,157,555Liabilities 2011: $175,043,754Net Assets 2011: $46,113,8012011Assets 2012: $226,650,136Liabilities 2012: $174,641,702Net Assets 2012: $52,008,4342012Assets 2013: $250,334,936Liabilities 2013: $183,135,114Net Assets 2013: $67,199,8222013Assets 2014: $258,620,725Liabilities 2014: $182,804,236Net Assets 2014: $75,816,4892014Assets 2015: $472,572,825Liabilities 2015: $236,211,297Net Assets 2015: $236,361,5282015Assets 2016: $526,998,236Liabilities 2016: $240,165,912Net Assets 2016: $286,832,3242016Assets 2017: $584,272,883Liabilities 2017: $282,611,042Net Assets 2017: $301,661,8412017Assets 2018: $609,397,483Liabilities 2018: $275,019,357Net Assets 2018: $334,378,1262018Assets 2019: $670,517,562Liabilities 2019: $284,998,049Net Assets 2019: $385,519,5132019Assets 2020: $693,605,130Liabilities 2020: $283,490,174Net Assets 2020: $410,114,9562020Assets 2021: $758,470,622Liabilities 2021: $318,364,838Net Assets 2021: $440,105,7842021Assets 2022: $722,212,194Liabilities 2022: $292,003,380Net Assets 2022: $430,208,8142022Assets 2023: $806,386,854Liabilities 2023: $320,715,861Net Assets 2023: $485,670,9932023Assets 2024: $876,893,879Liabilities 2024: $320,079,401Net Assets 2024: $556,814,4782024

Highlighted filing

2016

Assets$526,998,236
Liabilities$240,165,912
Net Assets$286,832,324
Open 2016 Filing

Operations Trend

Revenue Growth89th percentile

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

$600M$400M$200M$0-$200MExpenses 2010: $154,945,5912010Revenue 2011: $208,465,237Expenses 2011: $208,727,421Net Income 2011: -$262,1842011Expenses 2012: $212,275,7982012Revenue 2013: $222,643,875Expenses 2013: $208,333,525Net Income 2013: $14,310,3502013Revenue 2014: $230,468,180Expenses 2014: $215,866,949Net Income 2014: $14,601,2312014Revenue 2015: $266,351,518Expenses 2015: $221,673,869Net Income 2015: $44,677,6492015Revenue 2016: $322,097,490Expenses 2016: $268,802,749Net Income 2016: $53,294,7412016Revenue 2017: $332,504,432Expenses 2017: $272,393,957Net Income 2017: $60,110,4752017Revenue 2018: $318,647,078Expenses 2018: $285,987,368Net Income 2018: $32,659,7102018Revenue 2019: $344,281,263Expenses 2019: $293,131,507Net Income 2019: $51,149,7562019Revenue 2020: $357,433,006Expenses 2020: $331,570,051Net Income 2020: $25,862,9552020Revenue 2021: $434,720,508Expenses 2021: $356,684,768Net Income 2021: $78,035,7402021Revenue 2022: $369,353,548Expenses 2022: $370,572,290Net Income 2022: -$1,218,7422022Revenue 2023: $447,422,292Expenses 2023: $388,688,527Net Income 2023: $58,733,7652023Revenue 2024: $497,892,169Expenses 2024: $428,121,497Net Income 2024: $69,770,6722024

Highlighted filing

2016

Revenue$322,097,490
Expenses$268,802,749
Net Income$53,294,741
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 16, 2017
Return Version
2016v3.0
Gross Receipts
$322,812,155
Mission and Program Overview

Mission

Living Gods love by inspiring health, wholeness and hope.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$185,673,361$189,346,740▲ $3,673,379
Savings and Temporary Cash Investments$141,059,932$181,718,259▲ $40,658,327
Accounts Receivable$45,157,920$33,725,488▼ $11,432,432
Investments in Publicly Traded Securities$8,208,056$8,165,136▼ $42,920
Inventories for Sale or Use$4,360,540$4,523,983▲ $163,443
Investments Program Related$1,913,749$1,860,542▼ $53,207
Prepaid Expenses and Deferred Charges$804,749$984,982▲ $180,233
Cash and Non-Interest-Bearing Accounts$108,477$184,487▲ $76,010
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-
Intangible Assets-$0-
Total Assets$472,572,825$526,998,236▲ $54,425,411
Other Assets Total$85,286,041$106,488,619▲ $21,202,578
Liabilities
Other Liabilities$201,224,602$196,996,591▼ $4,228,011
Accounts Payable and Accrued Expenses$15,479,133$24,259,274▲ $8,780,141
Mortgage Notes Payable Secured by Investment Property$19,507,562$18,910,047▼ $597,515
Total Liabilities$236,211,297$240,165,912▲ $3,954,615
Net Assets / Fund Balance
Unrestricted Net Assets$234,106,518$285,489,048▲ $51,382,530
Temporarily Rstr Net Assets$2,255,010$1,343,276▼ $911,734
Total Net Assets Fund Balance$236,361,528$286,832,324▲ $50,470,796
Total Liabilities and Net Assets / Fund Balance$472,572,825$526,998,236▲ $54,425,411

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$147,065,023$80,642,279$227,707,302
Equipment$20,028,255$56,222,060$76,250,315
Other Land Buildings$13,691,976$2,356,770$16,048,746
Leasehold Improvements$-12,960$8,644,563$8,631,603
Land$8,574,446-$8,551,446
Investment Program Related Org$654,705--
Other Assets Org$26,718,091--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2016$2,255,010$1,353,508▼ $895,634$1,369,608$1,343,276
2015$2,038,571$359,048▲ $99,043$241,652$2,255,010
2014$2,187,976$619,232▼ $134,406$634,231$2,038,571
2013$1,302,491$168,486▲ $881,038$164,039$2,187,976
2012$1,716,305$611,896▼ $401,995$623,715$1,302,491
Compensation and Service Providers
Top Officer Pay85th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Abukhazneh AhmedPharmacist in CHGFT$278,220$41,890$310,806
Carmen RobertFormer Dir/Chair-$225,496$39,358$287,747
Barnes StevenVP FinanceFT$196,770$55,466$243,452
Chapman SusanVP PCE ReedleyFT$201,338$24,784$226,122
Ali AhmadRnFT$177,647$47,345$220,187
Huse RichardVP StrategyFT-$145,768$145,768
Rippey WesleyDirector--$129,770$129,770
Haydock TimothyVP FinanceFT-$108,173$108,173
Reimche AllanDirector--$4,407$4,407
Graham RicardoDirector--$4,246$4,246
Torkelsen MaxDirector--$4,102$4,102
Salazar VelinoDirector--$3,915$3,915
Gabriel MelodyDirector--$2,269$2,269
Innocent LarryDirector--$1,503$1,503
Friestad ChristineDirector--$968$968
Heinrich KerryDirector--$683$683
Freedman JohnDirector--$300$300

Board Members and Trustees

NameTitle
Reiner ScottDir/Chair
Ferch WaynePresident/CEO
Dickinson CharlesDirector
Mariano CarloDirector Diag Imaging
Wagner JackAsst Secretary
Larsen DavidCFO/AsstSec/SVP
Kofl AndreaCOO/SVP Pce
Wing BillDir/VCh/AsstSec
Wehtje RodneyFormer Asst Treasurer
Jobe MeredithSecretary
Ekins BrentStaff Pharmacist
Paek JooheeStaff Pharmacist
Fults KendallSVP Bus/Physician Dev
Dodd RandalVP Bus Development
Gruen DerrickVP Clinic Srvs
Taggart LaurieVP Experience
Gruzensky DentonVP Hr
Plata NinaVP PCE Selma
Hoyt GlendaVP Quality Pat Safety

Highest Paid Contractors

ContractorServicesLocationCompensation
Paramount Anesthesia AssocPhysician Services11704 Nantwick Ct, Bakersfield, CA 93311$5,451,228
Galen Inpatient Physicians IncPhysician Services2100 Powell St, Emeryville, CA 94608$2,487,575
Hanford Regional PhysiciansPhysician Services1524 W Lacey Blvd, Hanford, CA 93230$1,984,863
CA Emergency PhysiciansPhysician Services2100 Powell St 920, Emeryville, CA 94608$1,473,240
Dialysis System Mgmt LLCDialysis Services2475 N 11th Ave, Hanford, CA 93230$1,189,474
Revenue and Support

Revenue Composition

Contributions and Grants
$1,353,508
Program Service Revenue
$317,369,123
Investment Income
$3,320,716
Other Revenue
$54,143
All Other Contributions
$1,353,508
Change in Net Assets
$53,294,741
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$154,216,803
Salaries, Compensation, and Employee Benefits$114,515,236
Total Fundraising Expense$254,249
Grants and Similar Amounts Paid$70,710
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$80,867,435$8,923,634$160,942$89,952,011
Fees for Services Other$17,255,161$898,678$7,066$18,160,905
Other Employee Benefits$10,741,977$3,047,386$51,209$13,840,572
Depreciation Depletion$12,935,877$292,765-$13,228,642
Information Technology$10,571,394$279,621$14,832$10,865,847
Payroll Taxes$5,997,951$535,590$12,487$6,546,028
Occupancy$5,042,454$79,906-$5,122,360
Interest$4,993,906--$4,993,906
Other Expenses$4,871,831$73,023$22$4,871,831
Pension Plan Contributions$4,176,625--$4,176,625
Office Expenses$2,543,849$1,276,372$4,891$3,825,112
Fees for Services Legal-$1,312,468-$1,312,468
Insurance$1,150,749--$1,150,749
Advertising-$946,937-$946,937
Travel$249,029$500,057$37$749,123
All Other Expenses$585,037$15,726-$600,763
Conferences and Meetings$254,907$268,940$2,763$526,610
Grants to Domestic Orgs$70,710--$70,710
Fees for Services Accounting-$8,686-$8,686
Total Functional Expenses$228,752,579$39,795,921$254,249$268,802,749
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
CA Hlth Fnd & TrustSacramento, CA501(c)(3)Hlth srvs uninsured/underinsured pt$70,710
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-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Payables to related organizations$178,205,602
Worker's Comp Payable$10,921,256
Payables to third party payors$7,869,733
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
No
Compensation from other sources disclosed
No
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 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 corporation's board of directors by electronic communication for their review prior to filing. A special board meeting is scheduled to answer questions and receive input from the board prior to filing.”

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

“During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital officers, key employees and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation, to illustrate examples of a conflict and to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the CEO immediately. The corporate 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.”

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
Hanford Community Hospital
EIN
94-0535360
Phone
5595829000
Address
115 Mall Dr, Hanford, CA 93230

Signing Officer

Name
David L Larsen
Title
Sr VP Fin/Treas/CFO
Signed
2017-11-16

Organization Details

Principal Officer
Wayne Ferch
Formed
1956
Legal Domicile
CA
Voting Board Members
11
Independent Board Members
7
Employees
2,361
Volunteers
211
Supplemental Narrative

Additional Explanations

Other Changes In Net Assets Or Fund Balances - Other Decreases

“Change in interest - Foundation = -$895634”

Other Changes In Net Assets Or Fund Balances - Other Decreases

“Transfers to related organizations = -$1928311”

Form 990, Schedule H, Part V, Section A Hospital Facilities

“Primary Website Addresshttps://www.adventisthealth.org/central-valley/pages/central-valley-home.aspx”

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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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0Hanford Community 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 Hanford Community 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 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 careproviding care to persons covered by governmental programs at below costproviding health/wellness activities and community education programsNot only does Hanford Community 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. Hanford Community 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 2016 was $23,872,385.Inpatient services in 2016 were provided to 46,419 patients. These services included: Babies delivered - 2,377 Surgeries performed - 3,894 Cardiac catheterizations and other procedures - 866Outpatient services in 2016 were provided to 167,558 patients. These services included: Emergency room visits - 124,068 Outpatient surgeries performed - 5,617 Radiology procedures performed - 67,391 Laboratory tests performed - 425,806Hanford Community 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 screening at weekly farmer's market Provided clothing, food, toys, and gifts to needy families Provided Christmas gifts for Kings County foster children Partnered with Kings United Way for day of caring and project homeless connect Worked with Kings County Commission on Aging to provide meals for home bound seniors Performed physicals, immunizations, dental screenings and healthy family enrollments at back-to-school health fairs Educated individuals at diabetes support group meetings Taught children and parents about healthy living
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Document Assets

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Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$526,998,236
Liabilities
$240,165,912
Net assets
$286,832,324
Revenue
$322,097,490
Expenses
$268,802,749
Net income
$53,294,741
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$877$320$557$498$428$69.8
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$806$321$486$447$389$58.7
2022Detailed filing. Detailed filing data is available for this year.$722$292$430$369$371$1.22
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$758$318$440$435$357$78.0
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$694$283$410$357$332$25.9
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$671$285$386$344$293$51.1
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$609$275$334$319$286$32.7
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$584$283$302$333$272$60.1
2016Detailed filing. Detailed filing data is available for this year.$527$240$287$322$269$53.3
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$473$236$236$266$222$44.7
2014Detailed filing. Detailed filing data is available for this year.$259$183$75.8$230$216$14.6
2013XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$250$183$67.2$223$208$14.3
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$227$175$52.0$212
2011Summary only. Only limited summary data is available for this year.$221$175$46.1$208$209$0.26
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$216$170$45.7$155