Ukiah Adventist Hospital

“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.”

“The Board of Directors of the Hospital shall have sole authority to amend or repeal the Articles of Incorporation, subject to the additional approval of the Board of Directors of Adventist Health System/West. The Hospital does not have any Members.”

“This Form 990 including all supporting schedules was prepared by a public accounting firm, reviewed by the Corporate Finance Officer and Market Financial Officer, and shared by electronic communication with the Corporation's Board of Directors prior to filing.”

“During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital corporate 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 market president or the System Chief Legal Officer/General Counsel immediately. The System Chief Legal Officer/General Counsel distributes, collects, and reviews for signatures the COIs for all applicable Corporate employees, stakeholders and the board. In addition, the hospital's administration is responsible for keeping record to ensure all hospital-based individuals with director and above positions have submitted their COIs. The System Chief Legal Officer/General Counsel reviews all the disclosures on the board and Corporate employees' COIs. System Chief Legal Officer/General Counsel retains the COIs for all individuals. Further inquiries on any potential significant conflicts are made as needed. Conflicts are documented and reviewed with the Board.”

“The Adventist Health Board of Directors has established a Executive 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 at least annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation; 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 executives, with midpoints aligned with the 60th percentile of comparable system hospital data, and having a 40 percent spread from minimum to maximum.”

“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.”

“Board compensation is for Adventist Health System/West Board of Directors only - not Hospital Board of Directors.”

“Ukiah Adventist Hospital, DBA Adventist Health Ukiah Valley (AHUV), provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. AHUV is a faith-based, not-for-profit health and wellbeing organization located in the county seat of Mendocino County. It is operated as a 68-bed hospital with 642 associates, 513 medical staff members, and 17 affiliated clinics offering both specialty and primary care services to Mendocino County and surrounding Lake County communities. Although reimbursement for services rendered is critical to the operation and stability of AHUV, 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 coverage will be considered when individuals who need health care cannot afford to pay: - Free care and/or subsidized care - Care to persons covered by governmental programs at/or below cost - Health/wellness activities and community education programs Not only does AHUV provide low-cost care to individuals covered by government programs, and those unable to afford healthcare, it also helps patients find and access private and governmental resources for healthcare benefits. AHUV 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 2024 was $853,506. The following services were provided to all our patients: - 126,909 clinic visits - 714 deliveries - 3,194 discharges - 31,530 emergency room visits - 462 inpatient surgeries - 99,734 outpatient hospital visits - 3,542 outpatient surgeries - 11,500 patient days AHUV recognizes it has an obligation to provide human services above and beyond its role as a healing facility. Schedule H provides more details on the tangible ways in which the organization is fulfilling its mission. The total unreimbursed cost of these community benefits in 2024 was $13,673,685. AHUV's quality and performance awards include: Five-star rating from Centers for Medicare/Medicaid Services 2024, Leapfrog "Grade A" Spring 2024 and Fall 2024 Hospital Safety Score, Opioid Care Honor Roll by Cal Hospital Compare, Get with the Guidelines Rural Stroke - Bronze, and Gold Plus Quality Achievement Award, Geriatric Emergency Department accreditation, Primary Stroke Center accreditation from Joint Commission, Ranked #4 in the nation for social responsibility and #1 in California from Lown Institute for 2024. Adventist Health's mission statement of living God's love by inspiring health, wholeness and hope is coupled with a vision to transform the health experience of our communities through collaborative programs, community investments and community outreach. We are inspired by the healing ministry, as represented by the life of Jesus Christ, and believe we are called to live out our mission intentionally in the communities we serve. In the small towns, suburbs, and inner cities we serve, we continue our journey to provide quality healthcare until every person made in God's image has experienced the best health today, hope for tomorrow, and God's love that endures forever. Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/”

“Physician professional fees: Program service expenses 37,649,176. Management and general expenses 268,020. Fundraising expenses 0. Total expenses 37,917,196. Purchased medical services: Program service expenses 25,844,084. Management and general expenses 42,734. Fundraising expenses 0. Total expenses 25,886,818. All other purchased services: Program service expenses 1,291,497. Management and general expenses 714,392. Fundraising expenses 6,710. Total expenses 2,012,599. Contract labor: Program service expenses 4,107,688. Management and general expenses 148,929. Fundraising expenses 0. Total expenses 4,256,617. Consulting and other management fees: Program service expenses 297,127. Management and general expenses 443,598. Fundraising expenses 0. Total expenses 740,725. Repair and maintenance: Program service expenses 1,799,845. Management and general expenses 527,225. Fundraising expenses 0. Total expenses 2,327,070. Other professional fees non-medical: Program service expenses 9,588. Management and general expenses 356,623. Fundraising expenses 0. Total expenses 366,211. Other professional fees medical: Program service expenses 221,168. Management and general expenses 2,500. Fundraising expenses 0. Total expenses 223,668.”

“Prior period adjustments were a result of cash balance correction and clean up books due to prior period activities including debt service, capital expenditures, and other items.”