Adventist Health Tulare

What it reported doing in 2024

Adventist Health Tulare (AHTR) provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. AHTR is part of the Adventist Health Central California Network, a non-profit, faith-based organization operating eight hospitals - including Bakersfield, Specialty Bakersfield, Delano, Hanford, Selma, Reedley, Tehachapi and Tulare - and over 130 clinics throughout the Central Valley.Although reimbursement for services rendered is critical to the operation and stability of Adventist Health Tulare, the organization recognizes that not all individuals possess the ability to pay for essential medical services.Adventist Healths 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 programsNot only does Adventist Health Tulare 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.AHTR 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 $22,713,007.The following Inpatient services were provided to all our patients:36 babies delivered306 surgeries performed7,330 patient days The following Outpatient services were provided to all our patients:34,666 emergency department visits2,549 outpatient surgeries performed18,447 outpatient visits 118 clinic visitsAHTR 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 $3,069,051.AHTRs quality and performance awards include: "A" in patient safety by The Leapfrog Group, Stroke Silver Plus Award by the American Heart Association Get with the Guidelines, Primary Stroke Center accredited by The Joint Commission, and Geriatric Emergency Department accredited by the American College of Emergency Physicians.Adventist Healths 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.As part of Adventist Healths ongoing mission to care for underserved communities and address pressing public health challenges, our Tulare Family Medicine Residency Program is leading the way in providing compassionate care for individuals affected by substance use disorders in Californias Central Valley. The rise in opioid-related emergency room visits and overdoses across California has become a serious public health challengeand the situation is especially urgent in the states Central Valley. At Adventist Health, we are committed to addressing this crisis by expanding access to whole-person care for vulnerable and underserved populations. One key initiative driving this effort is the Tulare Family Medicine Residency Program, whic

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 83.5%; rating input score 84
• Fundraising efficiency: $714.2 raised per $1 spent on fundraising; rating input score 95; 95th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 86.7%; rating input score 87; 33rd percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -25.6%; rating input score 3; 3rd percentile among comparable filings
• Total-asset coverage ratio: 0.58; rating input score 22; 22nd percentile among comparable filings
• Liabilities to assets ratio: 3.34; rating input score 1; 1st percentile among comparable filings
• Officer compensation ratio: 2.5%; rating input score 45; 45th percentile among comparable filings

Growth

• Program expense growth: 12.9% per year; rating input score 100; 83rd percentile among comparable filings
• Revenue growth: 10.6% per year; rating input score 100; 79th percentile among comparable filings
• Asset growth: -1.9% per year; rating input score 0; 4th percentile among comparable filings