Civic Intelligence

Simi Valley Hosp and Hlth Care Services DBA Adventist Health Simi Valley

990 • Fiscal year 2017 • EIN 95-6064971

Jan 01, 2017 to Dec 31, 2017 • Filed on Dec 25, 2018

Refreshing map…

2975 N Sycamore DrSimi Valley, CA 93065

(805) 955-6000

Siviq Scores

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

Liabilities / Assets

82nd percentile

0.78x

Higher debt load relative to assets than 82% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Liabilities / Revenue

72nd percentile

1.00x

Higher debt load relative to revenue than 72% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Net Margin

21st percentile

-3.1%

Higher net margin than 21% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Top Officer Pay

97th percentile

$3,581,359

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 2.5% of source-year revenue.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Asset Growth

43rd percentile

4.3%

Faster asset growth than 43% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2016 to 2017

Revenue Growth

19th percentile

-5.1%

Faster revenue growth than 19% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2016 to 2017

Assets

Up

$183,950,616

Up $7,510,615 (+4.3%) from 2016

Net Assets

Up

$40,514,151

Up $84,577,228 (+192%) from 2016

Liabilities

Down

$143,436,465

Down $77,066,613 (-35%) from 2016

Revenue

Down

$143,399,608

Down $7,778,748 (-5.1%) from 2016

Expenses

Up

$147,774,705

Up $1,223,161 (+0.8%) from 2016

Net Income

Down

-$4,375,097

Down $9,001,909 (-195%) from 2016

Historical Trend

Balance Sheet Trend

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

$300M$200M$100M$0-$100MAssets 2010: $129,831,471Liabilities 2010: $178,591,775Net Assets 2010: -$48,760,3042010Assets 2012: $177,379,257Liabilities 2012: $224,219,897Net Assets 2012: -$46,840,6402012Assets 2014: $180,025,539Liabilities 2014: $227,421,907Net Assets 2014: -$47,396,3682014Assets 2016: $176,440,001Liabilities 2016: $220,503,078Net Assets 2016: -$44,063,0772016Assets 2017: $183,950,616Liabilities 2017: $143,436,465Net Assets 2017: $40,514,1512017Assets 2018: $177,558,588Liabilities 2018: $135,820,651Net Assets 2018: $41,737,9372018Assets 2019: $193,427,233Liabilities 2019: $147,733,714Net Assets 2019: $45,693,5192019Assets 2020: $192,924,737Liabilities 2020: $149,164,399Net Assets 2020: $43,760,3382020Assets 2021: $175,592,149Liabilities 2021: $156,192,407Net Assets 2021: $19,399,7422021Assets 2022: $174,224,266Liabilities 2022: $181,938,159Net Assets 2022: -$7,713,8932022Assets 2024: $176,375,580Liabilities 2024: $231,144,796Net Assets 2024: -$54,769,2162024

Highlighted filing

2017

Assets$183,950,616
Liabilities$143,436,465
Net Assets$40,514,151

Operations Trend

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

$300M$200M$100M$0-$100MExpenses 2010: $116,302,4682010Expenses 2012: $115,389,7952012Revenue 2014: $130,426,682Expenses 2014: $126,849,137Net Income 2014: $3,577,5452014Revenue 2016: $151,178,356Expenses 2016: $146,551,544Net Income 2016: $4,626,8122016Revenue 2017: $143,399,608Expenses 2017: $147,774,705Net Income 2017: -$4,375,0972017Revenue 2018: $154,637,132Expenses 2018: $152,724,413Net Income 2018: $1,912,7192018Revenue 2019: $163,134,361Expenses 2019: $160,035,869Net Income 2019: $3,098,4922019Revenue 2020: $174,980,327Expenses 2020: $176,521,972Net Income 2020: -$1,541,6452020Revenue 2021: $199,328,344Expenses 2021: $205,984,353Net Income 2021: -$6,656,0092021Revenue 2022: $202,047,624Expenses 2022: $224,356,491Net Income 2022: -$22,308,8672022Revenue 2024: $218,575,144Expenses 2024: $243,519,319Net Income 2024: -$24,944,1752024

Highlighted filing

2017

Revenue$143,399,608
Expenses$147,774,705
Net Income-$4,375,097
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Dec 25, 2018
Return Version
2017v2.2
Gross Receipts
$143,708,635
Mission and Program Overview

Mission

The mission of Simi Valley Hospital is to demonstrate God's love by providing exceptional service and quality care to meet the physical, mental and spiritual needs of our community.

Living Gods love by inspiring health, wholeness and hope.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$133,417,115$130,114,244▼ $3,302,871
Accounts Receivable$19,539,462$19,229,380▼ $310,082
Savings and Temporary Cash Investments$935,613$10,849,436▲ $9,913,823
Inventories for Sale or Use$2,416,627$2,297,752▼ $118,875
Investments Program Related$3,183,634$2,227,323▼ $956,311
Intangible Assets$2,210,459$2,210,459→ $0
Investments in Publicly Traded Securities$1,523,187$2,044,663▲ $521,476
Prepaid Expenses and Deferred Charges$821,132$661,841▼ $159,291
Cash and Non-Interest-Bearing Accounts$209,849$497,825▲ $287,976
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-
Total Assets$176,440,001$183,950,616▲ $7,510,615
Other Assets Total$12,182,923$13,817,693▲ $1,634,770
Liabilities
Other Liabilities$195,051,781$120,133,929▼ $74,917,852
Deferred Revenue$12,711,224$12,342,529▼ $368,695
Accounts Payable and Accrued Expenses$12,740,073$9,010,007▼ $3,730,066
Mortgage Notes Payable Secured by Investment Property-$1,950,000-
Total Liabilities$220,503,078$143,436,465▼ $77,066,613
Net Assets / Fund Balance
Unrestricted Net Assets$-45,860,034$39,579,326▲ $85,439,360
Temporarily Rstr Net Assets$1,796,957$934,825▼ $862,132
Total Net Assets Fund Balance$-44,063,077$40,514,151▲ $84,577,228
Total Liabilities and Net Assets / Fund Balance$176,440,001$183,950,616▲ $7,510,615

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$105,174,657$59,937,203$165,011,739
Equipment$10,432,223$26,573,807$37,006,030
Other Land Buildings$7,496,371$3,202,784$10,699,155
Land$6,378,565-$6,378,565
Leasehold Improvements$632,428$1,787,452$2,419,880
Investment Program Related Org$2,227,323--
Other Assets Org$8,339,011--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2017$1,796,958$1,327,885▼ $1,132,209$1,057,809$934,825
2016$3,471,458$2,049,302▼ $1,648,602$2,075,200$1,796,958
2015$3,178,248$54,691▲ $288,054$49,535$143,306
2014$2,829,912$88,226▲ $322,286$62,176$3,178,248
2013$2,635,714$136,310▲ $148,137$90,249$2,829,912
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Anderson BrianTreas/Asst SecFT$234,114$61,630$295,744
Crabtree SusanDirector HRFT$185,328$48,173$233,501
Deamer CarolDirector PharmacyFT$162,285$56,205$218,490
Bercier-Gorcey JoanDirector NursingFT$155,941$59,391$215,332
Dingilian JohnCMOFT$146,987$65,913$212,900
Rippey WesleyDirector--$118,116$118,116
Reiner RichardDirector--$19,819$19,819
Innocent LarryDirector--$17,608$17,608
Heinrich KerryDirector--$15,866$15,866
Cherry RobertDirector--$11,550$11,550
Davis AndrewDirector--$10,600$10,600
Pedersen JamesDirector--$2,101$2,101
Graham RicardoDirector--$2,074$2,074
Salazar VelinoDirector--$1,928$1,928
Banks DavidDirector--$1,553$1,553
Gabriel MelodyDirector--$1,203$1,203
Freedman JohnDirector--$1,133$1,133

Board Members and Trustees

NameTitle
Reiner ScottDir/Chair
Swenson JenniferPresident
Zachary BethPresident SCR
Nakamura BridgetDirector IT/CIS
Svolos Ann MarieDirector Risk Mgmt
Wagner JackAsst Secretary
Esparza CarolineCOO/CNO
Wing BillDir/VCh/AsstSec
Wehtje RonaldFinance Officer SCR
Rebok DouglasFormer Asst Sec
Wehtje RodneyFormer Asst Treasurer
Nahapetian ArbyReg CMO SCR
Jobe MeredithSecretary
Fargo RolandSVP Reg Phys Ops SCR
Werner WilliamVP Support Srvs

Highest Paid Contractors

ContractorServicesLocationCompensation
Intensive Care Medical IncMedical Services1177 Roadrunner Way, Simi Valley, CA 93065$769,927
Sodexo IncDietary Services9801 Washington Blvd, Gathersburg, MD 20878$465,105
Studer GroupConsulting Services350 W Cedar St Ste 300, Pensacola, FL 32502$374,825
CA Cardiovascular Thoracic SurgeonsMedical Services168 N Brent St, Ventura, CA 93003$368,450
Extracorporeal Stat LLCDialysis Services22637 La Quilla Drive, Chatsworth, CA 91311$311,831
Revenue and Support

Revenue Composition

Contributions and Grants
$1,696,580
Program Service Revenue
$141,651,097
Investment Income
$39,911
Other Revenue
$12,020
Change in Net Assets
$-4,375,097
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$77,577,089
Salaries, Compensation, and Employee Benefits$69,675,553
Grants and Similar Amounts Paid$522,063
Total Fundraising Expense$408,645
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$50,433,985$4,821,115$259,575$55,514,675
Other Employee Benefits$6,611,302$1,238,263$44,382$7,893,947
Depreciation Depletion$7,561,873$23,661-$7,585,534
Information Technology$7,458,895$57,184$13,170$7,529,249
Fees for Services Other$3,561,154$1,596,274$14,498$5,171,926
Occupancy$3,908,862$355,071$2,734$4,266,667
Interest$4,171,111--$4,171,111
Payroll Taxes$3,645,892$305,877$17,936$3,969,705
Pension Plan Contributions$2,297,226--$2,297,226
Other Expenses$1,088,084$432,517$3,786$1,524,387
Office Expenses$321,408$526,495$8,732$856,635
Grants to Domestic Orgs$522,063--$522,063
Advertising-$373,597-$373,597
Travel$178,299$92,569$3,982$274,850
Insurance$213,256--$213,256
Fees for Services Legal-$147,920-$147,920
Conferences and Meetings$31,309$54,842$244$86,395
Total Functional Expenses$122,616,631$24,749,429$408,645$147,774,705
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
CA Hlth Fnd & TrustSacramento, CA501(c)(3)Hlth srvs uninsured/underinsured pt$478,709
Simi Valley Educational FoundSimi Valley, CA501(c)(3)Donation$5,500
Simi Valley HighschoolSimi Valley, CA-Donation$5,079
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

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Denise AndersonOfficer SpouseEmploymentNo$30,000

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$111,677,466
Payables to third-party payors$5,238,594
Workers Comp Payable$2,195,453
Other Liabilities$917,922
Income Taxes Payable$104,494
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

Part VI, Line 7aThe hospital bylaws define its board of directors to be the same individuals who are members of the Adventist Health System/West board of directors.Part VI, Line 7bThe 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 Human Performance 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 executives with midpoints set at the median of the peer group and having a 50 percent spread (about 20% above and below midpoint) from minimum to maximum. The system CEO and Sr Vice Presidents (Executive Cabinet) have a maximum potential incentive of 30 percent of base salary. (This incentive potential is less than the industry norm.) Other executives have a maximum potential incentive of 25 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.

Filing and Contact Details

Filer

Filer Name
Simi Valley Hosp & Hlth Care Serv
EIN
95-6064971
Phone
8059556000
Address
2975 N Sycamore Dr, Simi Valley, CA 93065

Signing Officer

Name
Brian Anderson
Title
Treasurer
Signed
2018-12-25
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jennifer Swenson
Formed
1960
Legal Domicile
CA
Voting Board Members
14
Independent Board Members
10
Employees
1,066
Volunteers
256

Preparer

Firm
The Accountancy Llp
Address
330 N BRAND BLVD STE 200, GLENDALE, CA 91203-2361
Preparer
S Clement
Phone
8185475701
Supplemental Narrative

Additional Explanations

Other Changes In Net Assets Or Fund Balances - Other Decreases

Change in interest - Aspen Surgery Center = -$323365

Other Changes In Net Assets Or Fund Balances - Other Decreases

Change in interest - Foundation = -$965333

Other Changes In Net Assets Or Fund Balances - Other Increases

Other transfers = $138000

Other Changes In Net Assets Or Fund Balances - Other Increases

Transfers from related orgs = $90103023

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/Desc0In support of the hospital's mission statement, Simi Valley Hospital & Health Care Services (SVHHCS) 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 Simi Valley 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: 1.providing free care and/or subsidized care 2.providing care to persons covered by governmental programs at below cost 3.providing health/wellness activities and community education programsNot only does SVHHCS 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. SVHHCS 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 2017 was $34,099,644.The following statistics related to patient services are available for tax year 2017:Ancillary visits - 54,108General admissions - 6,999Emergency room visits - 36,336Emergency room admissions - 5,867Surgery cases (inpatient & outpatient) - 3,656Deliveries - 598Number of patient days - 26,769GMLOS (Geometric Mean Length of Stay) - 23,363Discharges - 6,999 SVHHCS 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: Simi Valley Free ClinicChild Birth ClassesBreastfeeding ClassesNewborn ClassesBreastfeeding Support GroupSiblings ClassesNutrition ClassesBreast Cancer EducationHeart Health EducationCommunity CPR ClassesProstate Cancer Screenings for Men in the CommunityLifeline ProgramCommunity Flu ClinicsGrief Recovery Support GroupLook Good Feel Better Support GroupStroke & Brain Injury Support GroupCOPE HealthStericycleVisit our website, at https://www.adventisthealth.org/simi-valley-hospital/pages/default.aspx, for more information about Simi Valley Hospital and Health Services.
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