$88.2M in expenses

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, which plays a vital role in extending healthcare to communities that often go without it. We have a large population of medically underserved people in the Central Valley, says Dr. Muhammad Nausherwan Khan, director of the Tulare Family Medicine Residency. Being a good family doctor means we need to be able to provide whole-person care. That includes excellent primary care for patients with substance use disorders. With support from the California Residency Program Collaborative (CRPC), Adventist Healths Tulare and Hanford residency programs have received grant funding to train residents in substance use disorder (SUD) care. This training is now a core part of the residency curriculum, ensuring future physicians are well-equipped to provide nonjudgmental, high-quality care for patients affected by addiction.Last summer, residents, faculty, and staff underwent comprehensive education and partnered with addiction specialists to build stronger referral networks. In January, the Tulare residency clinic began accepting referrals from local emergency departments for patients presenting with symptoms of substance useextending a continuum of care where its needed most. This effort aligns closely with CA Bridge, a statewide initiative adopted by 19 Adventist Health hospitals. CA Bridge uses substance use navigators to engage patients in the emergency room and, if desired, connect them with further care. Thanks to their specialized training, Tulare residents can now serve as primary care providers for these patientsmany of whom would otherwise go without ongoing support. The impact goes beyond immediate care. Residents also serve on a mobile clinic van, bringing primary care directly to rural communities with little or no healthcare accessanother example of Adventist Healths mission in action.This work not only fulfills the training requirements of the ACGME [Accreditation Council for Graduate Medical Education], Dr. Khan explains, but it fulfills our mission to care for those who need us most. Through training, innovation, and heart, Adventist Health is building a stronger future for rural healthcareone where no patient is left behind.The following story illustrates how Adventist Health Hanford provides quality care for our community in a caring manner:As a retired surgical tech in the operating department of a local hospital, Ray Moreno knew plenty of doctors and thought he knew all the options when it came time to choosing where he would have his own surgical procedure performed.Until his wife, Merideth, made a suggestion he hadnt considered: Why not try Tulare?A nurse, Merideth had previously worked at the Tulare hospital before it became part of the Adventist Health family and knew many of the people there. She told him he would be in good hands. He decided to take her recommendation.He asked Dr. Tu-Hi Hong to schedule his procedure at the Tulare hospital.Dr. Hong was familiar with both of us, Ray said, and I had cared for his patients. I knew his work.When it was all over, Ray said his wife could not have been more correct.From the time I walked in the front door for my pre-op work ? including registration, labs, the EKG everyone was very welcoming, he said. They were just really on the ball. I think I was done within an hour.Not only that, when he left the hospital after the surgery, he said he felt great, like he hadnt been through surgery at all. Which, to him, meant the anesthesia had been administered expertly.I couldnt believe how good I felt! he said. And, the outcome was good, with everything going according to plan.He said he appreciated the one-on-one-connections with the staff who he said took such good care of him while he was there.Im just thankful this hospital was open because I had such a good experience.Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/