Adventist Health Tulare
Public records show a registered, tax-exempt organization in good standing.
Points to look into
- It owes more than it owns.
These come from the organization's own tax return. There may be a good explanation; ask the charity.
What it says it does
Living Gods love by inspiring health, wholeness and hope.
- Income
- $84.1 million
- Spending
- $105.6 million
- Spent on programs
- 84%
- Reserves
- -19.2 months of spending
- Largest source of income
- fees for its services, 94%
- Employees
- 521
- Volunteers
- 3
- Highest pay
- $4.0 million, director/ceo
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Weak: 30 out of 100.
Reserves
0 of 35Spendable reserves are negative: it owes or has committed more than it holds.
Debt
0 of 20It owes 334% of what it owns.
Living within its means
0 of 15Spending exceeded income by 26% of income.
Income trend
15 of 15Income rose 25% on the year before.
Spending floor
15 of 1584% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 100 out of 100.
Independent board
25 of 2513 of 15 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (1)
- $88.2 million spent. 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 wh
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.
Are donations tax-deductible? Worth knowing.
Not individually listed by the IRS as eligible, which is usual for churches. The master file records contributions to it as deductible.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Worth knowing.
The IRS does not require this organization to file annual returns.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since April 1947.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.