San Joaquin Community Hospital Dba Adventist Health Bakersfield

What it reported doing in 2024

San Joaquin Community Hospital, DBA Adventist Health Bakersfield (AHBD), provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. AHBD is a nonprofit community-based system comprised of the AHBD acute care hospital; the Adventist Health AIS Cancer Center, outpatient clinics, and a wide range of ancillary services. Although, reimbursement for services rendered is critical to the operation and stability of San Joaquin 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 San Joaquin 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.AHBD 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 $33,623,828.The following Inpatient services were provided to all our patients:2,369 babies delivered3,244 surgeries performed65,488 patient days The following Outpatient services were provided to all our patients:66,193 emergency department visits5,939 outpatient surgeries performed210,787 outpatient visits 115,553 clinic visitsAHBD 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 $39,573,197.AHBD's quality and performance awards include: American Heart Association Get With The Guidelines - Stroke Gold Plus Award, Accreditation by the Commission onCancer - Comprehensive Community Cancer Program, Designation as a Blue Distinction Center Plus in Knee and Hip Replacement, Baby-Friendly Designation byBaby- Friendly USA, and Accreditation by the American College of Emergency Physicians as a Geriatric Emergency Department.Adventist Healths mission statement of living Gods 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 Gods image has experienced the best health today, hope for tomorrow, and Gods love that endures forever.As an example of AHBD's commitment to increase healthcare access in Central California, the hospital added a new mobile care unit to provide various services, including health screenings, preventive health visits, immunizations, and school and sports physicals. Our goal is to expand our fleet to meet the needs of community members in our area who experience homelessness, transportation barriers, food insecurity, and other social health issues. "Many would not have healthcare if it weren't for the commitment of this team and the support of so many community partners of taking healthcare across Central California," Jason Wells, president of Adventist Health's Cent

Financial Efficiency

• Mission deployment rate: 82.5%; rating input score 83
• Program expense ratio: 81.7%; rating input score 82
• Fundraising efficiency: $21.07 raised per $1 spent on fundraising; rating input score 59; 59th percentile among comparable filings

Transparency & Controls

• Consistency checks: 92.3%; rating input score 92; 12th 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: 92.2%; rating input score 92; 24th 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: -1.3%; rating input score 21; 21st percentile among comparable filings
• Total-asset coverage ratio: 0.98; rating input score 39; 39th percentile among comparable filings
• Liabilities to assets ratio: 0.77; rating input score 18; 18th percentile among comparable filings
• Officer compensation ratio: 0.5%; rating input score 85; 85th percentile among comparable filings

Growth

• Program expense growth: 6.2% per year; rating input score 100; 50th percentile among comparable filings
• Revenue growth: 5.9% per year; rating input score 100; 51st percentile among comparable filings
• Asset growth: 6.3% per year; rating input score 100; 46th percentile among comparable filings