Adventist Health

What it reported doing in 2024

Reedley Community Hospital, dba Adventist Health Reedley (AHRD), provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. AHRD serves the communities of southern Fresno County andnorthern Tulare County, providing emergency services, inpatient and outpatientsurgery, wound care and birthing services, including a 24- hour neonatologist andpediatricians in partnership with Valley Children's Hospital. Adventist Health Reedley 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 Reedley Community Hospital, 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 Reedley Community Hospital 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.AHRD 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 $1,395,591.The following Inpatient services were provided to all our patients:1,106 babies delivered37 surgeries performed5,414 patient days The following Outpatient services were provided to all our patients:38,894 emergency department visits324 outpatient surgeries performed42,937 outpatient visits 525,813 clinic visitsAHRD 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 $16,094,680.AHRDs quality and performance awards include: Baby-Friendly Designation by Baby-Friendly USA.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.Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/

Financial Efficiency

• Mission deployment rate: 78.7%; rating input score 79
• Program expense ratio: 85.8%; rating input score 86
• Fundraising efficiency: Limited

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: 9.6%; rating input score 72; 72nd percentile among comparable filings
• Total-asset coverage ratio: 1.43; rating input score 52; 52nd percentile among comparable filings
• Liabilities to assets ratio: 0.32; rating input score 54; 54th percentile among comparable filings
• Officer compensation ratio: 1.2%; rating input score 71; 71st percentile among comparable filings

Growth

• Program expense growth: 9.7% per year; rating input score 100; 73rd percentile among comparable filings
• Revenue growth: 11.5% per year; rating input score 100; 82nd percentile among comparable filings
• Asset growth: 17% per year; rating input score 100; 89th percentile among comparable filings