ADVENTIST HEALTH SYSTEM-WEST: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: ADVENTIST HEALTH SYSTEM-WEST (EIN 95-3484589)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-05
IRS object ID: 202423109349303422
Schema version: 2023v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule I
Schedule J
Schedule K
Schedule K
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-05T15:09:26-06:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	910189318	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Moss Adams LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	3121 W March Ln Ste 200	AddressLine1Txt
City	Stockton	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	952192367	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	953484589	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Adventist Health SystemWest	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ADVE	BusinessNameControlTxt
Phone	9164060000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 Adventist Health Way	AddressLine1Txt
City	Roseville	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95661	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	John Beaman	PersonNm
Person Title	Chief Financial Officer	PersonTitleTxt
Phone	9164060000	PhoneNum
Signature	2024-11-01	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Tracy S Paglia	PreparerPersonNm
PTIN	P00366884	PTIN
Phone	2099556100	PhoneNum
Preparation	2024-11-01	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Adventist Health	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	Kerry Heinrich	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 Adventist Health Way	AddressLine1Txt
City	Roseville	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95661	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$924,528,289	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	1071	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.adventisthealth.org/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1980	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	Living God's love by inspiring health, wholeness and hope.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	5191	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$3,952,612	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$4,443,665	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,110,989	PYContributionsGrantsAmt
CY Contributions Grants	$170,500,603	CYContributionsGrantsAmt
PY Program Service Revenue	$767,473,713	PYProgramServiceRevenueAmt
CY Program Service Revenue	$596,912,945	CYProgramServiceRevenueAmt
PY Investment Income	$27,986,337	PYInvestmentIncomeAmt
CY Investment Income	$78,310,806	CYInvestmentIncomeAmt
PY Other Revenue	$7,495,301	PYOtherRevenueAmt
CY Other Revenue	$78,803,935	CYOtherRevenueAmt
PY Total Revenue	$805,066,340	PYTotalRevenueAmt
CY Total Revenue	$924,528,289	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,585,987	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,989,125	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$454,018,175	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$349,916,939	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,359,225	CYTotalFundraisingExpenseAmt
PY Other Expenses	$534,115,263	PYOtherExpensesAmt
CY Other Expenses	$584,411,616	CYOtherExpensesAmt
PY Total Expenses	$990,719,425	PYTotalExpensesAmt
CY Total Expenses	$936,317,680	CYTotalExpensesAmt
PY Revenues Less Expenses	-$185,653,085	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$11,789,391	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,164,459,975	TotalAssetsBOYAmt
Total Assets EOY	$3,556,726,200	TotalAssetsEOYAmt
Total Liabilities BOY	$3,051,482,993	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,292,390,962	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$112,976,982	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$264,335,238	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Living God's love by inspiring health, wholeness and hope.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$304,065,202	ExpenseAmt
Grant	$1,989,125	GrantAmt
Revenue	$591,621,027	RevenueAmt
Desc	See Schedule O	Desc
Total Program Service Expenses	$304,065,202	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	2764	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	5191	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	John Beaman CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9164060000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 Adventist Health Way	AddressLine1Txt
City	Roseville	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95661	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (47 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Heinrich Kerry
Director/CEO	50.00	0.50	Yes (X)	Yes (X)	$3,302,428	$0	$57,395
Hofheins Todd
COO/Assistant Secretary	50.00	0.50		Yes (X)	$2,272,592	$0	$76,141
Beaman John
Chief Financial Officer	50.00	0.50		Yes (X)	$1,680,553	$0	$73,355
Stevens Eric - President
Northern CA/HI State Network	0.00	50.50			$1,526,293	$0	$59,552	Yes (X)
Jahn Andrew
President, Southern CA Network	0.00	50.00			$1,465,906	$0	$103,785	Yes (X)
Nahapetian Arby
Chief Clinical Officer	30.00	20.00			$1,482,294	$0	$69,613	Yes (X)
Wells Jason - Chief Strat Off
thru 05/23/Pres Central CA Network	0.00	50.00			$1,470,582	$0	$37,177	Yes (X)
Wing Bill - Former
Dir/Vice Chair/Asst Secr thru 01/22	0.00	0.00			$1,438,460	$0	$40,073		Yes (X)
Day Teresa
Corporate Administration	50.00	0.00			$1,212,715	$0	$69,816	Yes (X)
Kofl Andrea - President
Central Valley Network thru 12/23	0.00	50.00			$1,173,342	$0	$71,074	Yes (X)
Newmyer Joyce - Chief People
Officer/Pres, OR State Network	20.00	30.00			$1,107,614	$0	$62,222	Yes (X)
Seibold Brandon - Finance
Strategy Growth and Dev Executive	50.00	0.00			$1,074,968	$0	$60,415	Yes (X)
Raffoul John
President, AHWM	0.00	50.00			$996,414	$0	$60,415	Yes (X)
Jobe Meredith
Secretary	50.00	0.50		Yes (X)	$959,488	$0	$59,410
Wolcott Daniel - Pres Kern
County Network/Pres, AHBD thru 01/23	0.00	50.00			$952,733	$0	$65,709	Yes (X)
Whetstine Tyler - Former
Chief Information Officer thru 08/22	0.00	0.00			$945,451	$0	$40,260		Yes (X)
Issai Alice
President, AHGL	0.00	50.00			$952,237	$0	$33,231	Yes (X)
Liebowitz Jacalyn
System Chief Nursing Officer	50.00	0.50			$847,685	$0	$76,439	Yes (X)
Champlin Christopher
President, AHRO	0.00	50.00			$854,712	$0	$52,508	Yes (X)
Stemmler Jennifer
Chief Information Officer	50.00	0.00			$853,646	$0	$46,742	Yes (X)
Larsen David
Senior Finance Officer thru 04/23	50.00	0.00			$805,493	$0	$58,193	Yes (X)
Takahashi Patrick
System Chief Medical Officer, AHWM	0.00	50.00			$823,232	$0	$36,106	Yes (X)
Burke James
System Chief Medical Officer, PNMG	0.00	50.00			$791,165	$0	$55,190	Yes (X)
Howe Judson - President
North Coast Network thru 03/23	0.00	50.00			$808,895	$0	$28,997	Yes (X)
Rippey Wesley
Area Medical Officer, AHPL	0.00	50.00			$755,844	$0	$73,012	Yes (X)
Welch Donald
Corporate Finance Officer	50.00	0.00			$773,750	$0	$41,012	Yes (X)
Herber Steven
President, AHSH	0.00	50.00			$737,596	$0	$54,766			Yes (X)
Kaur Gurvinder - Chief
Medical Officer, Central CA Network	0.00	50.00			$715,637	$0	$70,177			Yes (X)
Fuentes Michelle
President, AHSR	0.00	50.00			$725,699	$0	$60,022			Yes (X)
Jamaleddine Ghassan
Medical Officer, AHBD	0.00	50.00			$713,217	$0	$70,008			Yes (X)
Swenson Jennifer
President, AHSV	0.00	50.00			$728,760	$0	$34,471			Yes (X)
Hilmes George - Former Exec
Special Projects thru 09/22	0.00	0.00			$668,063	$0	$45,724		Yes (X)
Beehler Robert - Former
Mkt Dev, M&A Exec thru 12/21	0.00	0.00			$452,079	$0	$82,945		Yes (X)
Byrnes John - Former Health
Div Chief Medical Off thru 03/22	0.00	0.00			$263,659	$0	$34,955		Yes (X)
Bancarz Gloria - Former
System Chief Quality Off thru 06/21	0.00	0.00			$138,192	$0	$8,484		Yes (X)
Freedman John
Dir/Chair	4.00	0.00	Yes (X)	Yes (X)	$26,770	$0	$0
Cherry Robert
Director	4.00	0.00	Yes (X)		$26,611	$0	$0
Davis Andrew
Director	4.00	0.00	Yes (X)		$26,611	$0	$0
Innocent Larry
Director	4.00	0.00	Yes (X)		$26,611	$0	$0
Newton Bradford
Dir/Vice Chair	4.00	0.00	Yes (X)	Yes (X)	$26,611	$0	$0
Reiner Richard
Director	4.00	0.00	Yes (X)		$26,611	$0	$0
Salazar Velino
Director	4.00	0.00	Yes (X)		$26,611	$0	$0
Banks David
Director	4.00	0.00	Yes (X)		$26,181	$0	$0
Woodson Marc
Director	4.00	0.00	Yes (X)		$21,611	$0	$0
Wagner Jack
Director	4.00	0.00	Yes (X)		$16,180	$0	$0
Fehr Joy
Director	4.00	0.00	Yes (X)		$430	$0	$0
Ocampo Lucy
Director thru 08/23	4.00	0.00	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$36,722,232	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,969,394	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1054	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (1)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Jones Lang LaSalle Americas Inc
33845 Treasury Center Drive	Chicago	IL	60694	Property management	$8,013,100
Trizetto Provider Solutions
28125 Network Place	Chicago	IL	60673	Revenue cycle management	$3,341,095
Cerner Corporation
2800 Rockcreek Parkway	Kansas City	MO	64117	IT solutions management	$3,211,471
Pinnacle Healthcare Advisors Inc
5104 N 32nd Street No 234	Phoenix	AZ	85018	Advisory services	$2,550,333
Jones Day
555 S Flower Street 50th Floor	Los Angeles	CA	90071	Consulting services	$2,377,472

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	68	CntrctRcvdGreaterThan100KCnt
Related Organizations	$166,361,707	RelatedOrganizationsAmt
Government Grants	$3,813,874	GovernmentGrantsAmt
All Other Contributions	$325,022	AllOtherContributionsAmt
Total Contributions	$170,500,603	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Management fees	541610	$570,529,243	$565,237,325	$5,291,918
Other program service revenue	621990	$26,383,702	$26,383,702

Field	Value	IRS element (for citing)
Total Program Service Revenue	$596,912,945	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$78,310,806	TotalRevenueColumnAmt
Exclusion	$78,310,806	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,979,602	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,979,602	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,979,602	TotalRevenueColumnAmt
Exclusion	$1,979,602	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Settlement proceeds	900099	$34,160,000	$34,160,000
Insurance proceeds	900099	$19,595,389	$19,595,389
Vendor rebates	621990	$15,604,087	$10,991,414	$4,612,673

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,464,857	TotalRevenueColumnAmt
Unrelated Business Revenue	-$5,951,979	UnrelatedBusinessRevenueAmt
Exclusion	$13,416,836	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$76,824,333	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$924,528,289	TotalRevenueColumnAmt
Related Or Exempt Func Income	$591,621,027	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,952,612	UnrelatedBusinessRevenueAmt
Exclusion	$158,454,047	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,932,500	TotalAmt
Program Services	$1,932,500	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$5,320	TotalAmt
Program Services	$5,320	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$51,305	TotalAmt
Program Services	$51,305	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$31,584,760	TotalAmt
Management And General	$31,584,760	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$4,104,014	TotalAmt
Program Services	$828,929	ProgramServicesAmt
Management And General	$3,275,085	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$242,762,068	TotalAmt
Program Services	$62,333,936	ProgramServicesAmt
Management And General	$179,882,642	ManagementAndGeneralAmt
Fundraising	$545,490	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,838,651	TotalAmt
Program Services	$2,622,401	ProgramServicesAmt
Management And General	$6,193,740	ManagementAndGeneralAmt
Fundraising	$22,510	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$42,664,926	TotalAmt
Program Services	$7,394,402	ProgramServicesAmt
Management And General	$35,173,932	ManagementAndGeneralAmt
Fundraising	$96,592	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$19,962,520	TotalAmt
Program Services	$6,094,816	ProgramServicesAmt
Management And General	$13,823,814	ManagementAndGeneralAmt
Fundraising	$43,890	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$8,151,041	TotalAmt
Management And General	$8,151,041	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,213,731	TotalAmt
Management And General	$4,213,731	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$5,229,040	TotalAmt
Management And General	$5,229,040	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$115,400	TotalAmt
Program Services	$115,400	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$127,645,283	TotalAmt
Program Services	$18,533,107	ProgramServicesAmt
Management And General	$108,988,556	ManagementAndGeneralAmt
Fundraising	$123,620	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$20,247,631	TotalAmt
Management And General	$20,247,631	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,714,185	TotalAmt
Program Services	$466,528	ProgramServicesAmt
Management And General	$7,246,970	ManagementAndGeneralAmt
Fundraising	$687	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$165,499,329	TotalAmt
Program Services	$160,969,926	ProgramServicesAmt
Management And General	$4,012,936	ManagementAndGeneralAmt
Fundraising	$516,467	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,630,957	TotalAmt
Program Services	$2,357,882	ProgramServicesAmt
Management And General	$273,075	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,618,390	TotalAmt
Program Services	$841,818	ProgramServicesAmt
Management And General	$1,767,652	ManagementAndGeneralAmt
Fundraising	$8,920	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$212,420	TotalAmt
Program Services	$106,488	ProgramServicesAmt
Management And General	$104,883	ManagementAndGeneralAmt
Fundraising	$1,049	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$26,761,290	TotalAmt
Program Services	$26,761,290	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,004,996	TotalAmt
Program Services	$6,337,795	ProgramServicesAmt
Management And General	$6,667,201	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$817,989	TotalAmt
Program Services	$817,989	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
Interest paid to market	$183,298,004	$183,298,004
Patient care supplies	$4,149,244		$4,149,244
Income taxes	$1,103,730		$1,103,730
Rental/lease costs equi	$293,868	$83,660	$210,208

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,705,088	TotalAmt
Program Services	$30,188	ProgramServicesAmt
Management And General	$10,674,900	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$936,317,680	TotalAmt
Program Services	$304,065,202	ProgramServicesAmt
Management And General	$630,893,253	ManagementAndGeneralAmt
Fundraising	$1,359,225	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$35,437,844	BOYAmt
EOY	$28,448,280	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$68,440	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$91,259	BOYAmt
EOY	$692,474	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$78,463,561	BOYAmt
EOY	$62,516,224	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$11,130,344	BOYAmt
EOY	$10,114,342	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$56,547,460	BOYAmt
EOY	$50,121,480	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$565,413,829	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$316,004,794	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$272,709,827	BOYAmt
EOY	$249,409,035	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,369,538,812	BOYAmt
EOY	$1,511,266,062	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$446,294,194	BOYAmt
EOY	$537,788,397	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$203,788,888	BOYAmt
EOY	$234,845,616	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$690,389,346	BOYAmt
EOY	$871,524,290	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,164,459,975	BOYAmt
EOY	$3,556,726,200	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$468,522,572	BOYAmt
EOY	$379,311,420	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,361,853	BOYAmt
EOY	$88,889	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,393,700,560	BOYAmt
EOY	$2,527,572,068	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$199,698,875	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$186,898,008	BOYAmt
EOY	$185,719,710	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,051,482,993	BOYAmt
EOY	$3,292,390,962	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$110,221,949	BOYAmt
EOY	$257,904,047	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,755,033	BOYAmt
EOY	$6,431,191	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$112,976,982	BOYAmt
EOY	$264,335,238	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,164,459,975	BOYAmt
EOY	$3,556,726,200	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$11,789,391	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$160,304,423	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$8,792,002	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$5,948,778	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$795,492	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$656,685	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,429,366	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,110,989	CurrentTaxYearMinus1YearAmt
Current Tax Year	$170,500,603	CurrentTaxYearAmt
Total	$179,493,135	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$499,824,640	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$691,252,418	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$835,563,627	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$915,627,406	CurrentTaxYearMinus1YearAmt
Current Tax Year	$600,413,029	CurrentTaxYearAmt
Total	$3,542,681,120	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$500,620,132	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$691,909,103	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$840,992,993	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$917,738,395	CurrentTaxYearMinus1YearAmt
Current Tax Year	$770,913,632	CurrentTaxYearAmt
Total	$3,722,174,255	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$9,928,758	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$14,672,358	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$17,499,877	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$17,712,338	CurrentTaxYearMinus1YearAmt
Current Tax Year	$12,996,927	CurrentTaxYearAmt
Total	$72,810,258	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$9,928,758	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$14,672,358	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$17,499,877	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$17,712,338	CurrentTaxYearMinus1YearAmt
Current Tax Year	$12,996,927	CurrentTaxYearAmt
Total	$72,810,258	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$3,649,363,997	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,992,756	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,347,721	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$6,697,052	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$23,283,234	CurrentTaxYearMinus1YearAmt
Current Tax Year	$80,290,408	CurrentTaxYearAmt
Total	$120,611,171	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,992,756	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,347,721	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$6,697,052	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$23,283,234	CurrentTaxYearMinus1YearAmt
Current Tax Year	$80,290,408	CurrentTaxYearAmt
Total	$120,611,171	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$15,292,368	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$61,655,228	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$34,557,743	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,919,716	CurrentTaxYearMinus1YearAmt
Current Tax Year	$80,290,408	CurrentTaxYearAmt
Total	$198,715,463	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$521,905,256	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$757,912,052	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$882,247,788	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$947,941,345	CurrentTaxYearMinus1YearAmt
Current Tax Year	$931,494,448	CurrentTaxYearAmt
Total	$4,041,500,889	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.90300	PublicSupportCY509Pct
Public Support PY509	0.93360	PublicSupportPY509Pct
Investment Income CY	0.02980	InvestmentIncomeCYPct
Investment Income PY	0.01240	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule A, Part III, Line 12, Explanation of Other Income:	FormAndLineReferenceDesc
Explanation	Miscellaneous revenue	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$115,400	OtherActivitiesAmt
Total Lobbying Expenditures	$115,400	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	Adventist Health engages lobbyists and belongs to industry and professional associations for which a portion of the membership dues is used for lobbying activities.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,904,740	BeginningYearBalanceAmt
Contributions	$5,059,275	ContributionsAmt
Other Expenditures	$1,424,959	OtherExpendituresAmt
End Year Balance	$7,539,056	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,429,911	BeginningYearBalanceAmt
Contributions	$1,545,289	ContributionsAmt
Other Expenditures	$70,460	OtherExpendituresAmt
End Year Balance	$3,904,740	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,383,951	BeginningYearBalanceAmt
Contributions	$528,802	ContributionsAmt
Other Expenditures	$482,842	OtherExpendituresAmt
End Year Balance	$2,429,911	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,418,916	BeginningYearBalanceAmt
Contributions	$656,685	ContributionsAmt
Other Expenditures	$1,691,650	OtherExpendituresAmt
End Year Balance	$2,383,951	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,006,309	BeginningYearBalanceAmt
Contributions	$795,400	ContributionsAmt
Investment Earnings Or Losses	$3,399,636	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,782,429	OtherExpendituresAmt
End Year Balance	$3,418,916	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.14695	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.85305	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$44,941,599	OtherCostOrOtherBasisAmt
Book Value	$44,941,599	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$133,726,124	OtherCostOrOtherBasisAmt
Depreciation	$27,410,592	DepreciationAmt
Book Value	$106,315,532	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,920,648	OtherCostOrOtherBasisAmt
Depreciation	$2,178,677	DepreciationAmt
Book Value	$4,741,971	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$379,825,458	OtherCostOrOtherBasisAmt
Depreciation	$286,415,525	DepreciationAmt
Book Value	$93,409,933	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$249,409,035	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Hedge funds	$338,656,036	F
Partnership interests	$199,132,361	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$537,788,397	TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Program related investments	$143,059,794	F
Investment in subsidiary - Blue Zones, LLC	$91,785,822	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$234,845,616	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Receivables from related organizations	$829,591,927
Other receivables	$39,349,358
Right-of-use assets	$1,732,202
Other assets	$850,803

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$871,524,290	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Malpractice liability	$95,146,453
Workers' compensation liability	$69,744,858
Payables to third-party payors	$19,351,685
Other liabilities	$1,423,787
Income tax payable	$52,927

Field	Value	IRS element (for citing)
Total Liability	$185,719,710	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 4:

A $1M board-designated fund was established to honor a former AH president. The earnings are used to provide funding for paying college student interns and graduate student residents as they participate in tracks such as accounting/finance, human resources, communications and management with the goal of introducing the participants to career options in the integrated health care field. Individuals who participate in the program frequently become employed within the AH system upon completion of their academic studies.

Part X, Line 2:

The principal operations of the System are exempt from taxation pursuant to Internal Revenue Code Section 50l(c)(3) and related state provisions. The System recognizes tax benefits from any uncertain tax positions only if it is more-likely-than-not the tax position will be sustained, based solely on its technical merits, with the taxing authority having full knowledge of all relevant information. The System records a liability for unrecognized tax benefits from uncertain tax positions as discrete tax adjustments in the first interim period the more-likely-than-not threshold is not met. The System recognizes deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of its assets and liabilities, along with net operating loss and tax credit carryovers only for tax positions that meet the more-likely-than-not recognition criteria. At December 31, 2023 and 2022, no such assets or liabilities were recorded. The System currently files Form 990 (Informational Return of Organizations Exempt from Income Taxes) and Form 990-T (Business Income Tax Return for an Exempt Organization) in the U.S. federal jurisdiction and the state of California. The System is not subject to income tax examinations prior to 2020 in major tax jurisdictions.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	Program services	Administration, legal and accounting fees	$61,000
Central America and the Caribbean	Program services	Reinsurance fees	$2,531,000
Sub-Saharan Africa	Grants to recipients in region	N/A	$51,305
Central America and the Caribbean	Investments in region	N/A	$392,424,894

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$395,068,199	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$395,068,199	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Sub-Saharan Africa	RegionTxt
Purpose Of Grant	Mission Support - Outreach for developing women's health clinic	PurposeOfGrantTxt
Cash Grant	$51,305	CashGrantAmt
Manner Of Cash Disbursement	Wire transfer	MannerOfCashDisbursementTxt
Non Cash Assistance	$0	NonCashAssistanceAmt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, line 3:	FormAndLineReferenceDesc
Explanation	Accrual method	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
AltaMed Health Services Corporation
5211 Washington Boulevard Suite	2-186	Los Angeles	CA	90040	952810095	501(C)(3)	$50,000	$0	RHS - Scholarships
Pine Hills Adventist Academy
13500 Richards Lane		Auburn	CA	95603	680260457	501(C)(3)	$7,500	$0	Sponsorships - Playbill & Golf
Upper Columbia Conference
3715 S Grove Road		Spokane	WA	99224	910617725	501(C)(3)	$15,000	$0	Donation - Serve One More Initiative
Walla Walla University
204 S College Avenue		College Place	WA	99324	910617727	501(C)(3)	$1,860,000	$0	Community Wellbeing Implementation & Golf Classic

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Caring Connection	GrantTypeTxt
Recipient	5	RecipientCnt
Cash Grant	$5,320	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	Funding provided to other organizations is provided to recipients with the understanding that the funds are being used only for the designated purposes. No monitoring is conducted by AH.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (35 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Heinrich Kerry
Director/CEO	$2,017,000	$0	$1,208,880	$0	$76,548	$0	$13,296	$0	$44,099	$0	$3,359,823	$0	$0	$0
Hofheins Todd
COO/Assistant Secretary	$1,389,462	$0	$735,265	$0	$147,865	$0	$13,296	$0	$62,845	$0	$2,348,733	$0	$0	$0
Beaman John
Chief Financial Officer	$1,091,769	$0	$569,149	$0	$19,635	$0	$13,296	$0	$60,059	$0	$1,753,908	$0	$0	$0
Stevens Eric - President
Northern CA/HI State Network	$1,045,616	$0	$319,995	$0	$160,682	$0	$13,296	$0	$46,256	$0	$1,585,845	$0	$0	$0
Jahn Andrew
President, Southern CA Network	$1,044,420	$0	$406,990	$0	$14,496	$0	$53,160	$0	$50,625	$0	$1,569,691	$0	$0	$0
Nahapetian Arby
Chief Clinical Officer	$967,385	$0	$329,621	$0	$185,288	$0	$13,296	$0	$56,317	$0	$1,551,907	$0	$0	$0
Wells Jason - Chief Strat Off
thru 05/23/Pres Central CA Network	$892,808	$0	$337,640	$0	$240,134	$0	$13,296	$0	$23,881	$0	$1,507,759	$0	$0	$0
Wing Bill - Former
Dir/Vice Chair/Asst Secr thru 01/22	$0	$0	$0	$0	$1,438,460	$0	$13,296	$0	$26,777	$0	$1,478,533	$0	$0	$0
Day Teresa
Corporate Administration	$1,200,000	$0	$0	$0	$12,715	$0	$13,296	$0	$56,520	$0	$1,282,531	$0	$0	$0
Kofl Andrea - President
Central Valley Network thru 12/23	$746,000	$0	$254,602	$0	$172,740	$0	$13,296	$0	$57,778	$0	$1,244,416	$0	$0	$0
Newmyer Joyce - Chief People
Officer/Pres, OR State Network	$786,000	$0	$299,814	$0	$21,800	$0	$15,831	$0	$46,391	$0	$1,169,836	$0	$0	$0
Seibold Brandon - Finance
Strategy Growth and Dev Executive	$658,616	$0	$314,838	$0	$101,514	$0	$13,296	$0	$47,119	$0	$1,135,383	$0	$0	$0
Raffoul John
President, AHWM	$671,546	$0	$178,639	$0	$146,229	$0	$13,296	$0	$47,119	$0	$1,056,829	$0	$0	$0
Jobe Meredith
Secretary	$660,525	$0	$168,715	$0	$130,248	$0	$13,296	$0	$46,114	$0	$1,018,898	$0	$0	$0
Wolcott Daniel - Pres Kern
County Network/Pres, AHBD thru 01/23	$190,804	$0	$217,108	$0	$544,821	$0	$13,296	$0	$52,413	$0	$1,018,442	$0	$0	$0
Whetstine Tyler - Former
Chief Information Officer thru 08/22	$0	$0	$349,646	$0	$595,805	$0	$13,296	$0	$26,964	$0	$985,711	$0	$0	$0
Issai Alice
President, AHGL	$688,388	$0	$130,497	$0	$133,352	$0	$13,296	$0	$19,935	$0	$985,468	$0	$0	$0
Liebowitz Jacalyn
System Chief Nursing Officer	$581,346	$0	$194,915	$0	$71,424	$0	$13,296	$0	$63,143	$0	$924,124	$0	$0	$0
Champlin Christopher
President, AHRO	$594,895	$0	$170,695	$0	$89,122	$0	$13,296	$0	$39,212	$0	$907,220	$0	$0	$0
Stemmler Jennifer
Chief Information Officer	$655,921	$0	$119,463	$0	$78,262	$0	$13,296	$0	$33,446	$0	$900,388	$0	$0	$0
Larsen David
Senior Finance Officer thru 04/23	$174,498	$0	$152,018	$0	$478,977	$0	$13,296	$0	$44,897	$0	$863,686	$0	$0	$0
Takahashi Patrick
System Chief Medical Officer, AHWM	$625,000	$0	$136,982	$0	$61,250	$0	$13,296	$0	$22,810	$0	$859,338	$0	$0	$0
Burke James
System Chief Medical Officer, PNMG	$625,000	$0	$134,319	$0	$31,846	$0	$13,296	$0	$41,894	$0	$846,355	$0	$0	$0
Howe Judson - President
North Coast Network thru 03/23	$538,154	$0	$186,337	$0	$84,404	$0	$13,296	$0	$15,701	$0	$837,892	$0	$0	$0
Rippey Wesley
Area Medical Officer, AHPL	$539,595	$0	$105,940	$0	$110,309	$0	$13,296	$0	$59,716	$0	$828,856	$0	$0	$0
Welch Donald
Corporate Finance Officer	$455,949	$0	$115,770	$0	$202,031	$0	$13,296	$0	$27,716	$0	$814,762	$0	$0	$0
Herber Steven
President, AHSH	$524,908	$0	$111,643	$0	$101,045	$0	$13,296	$0	$41,470	$0	$792,362	$0	$0	$0
Kaur Gurvinder - Chief
Medical Officer, Central CA Network	$536,229	$0	$130,845	$0	$48,563	$0	$13,296	$0	$56,881	$0	$785,814	$0	$0	$0
Fuentes Michelle
President, AHSR	$555,270	$0	$87,515	$0	$82,914	$0	$13,296	$0	$46,726	$0	$785,721	$0	$0	$0
Jamaleddine Ghassan
Medical Officer, AHBD	$550,638	$0	$109,444	$0	$53,135	$0	$13,296	$0	$56,712	$0	$783,225	$0	$0	$0
Swenson Jennifer
President, AHSV	$517,093	$0	$113,990	$0	$97,677	$0	$13,296	$0	$21,175	$0	$763,231	$0	$0	$0
Hilmes George - Former Exec
Special Projects thru 09/22	$0	$0	$158,770	$0	$509,293	$0	$13,296	$0	$32,428	$0	$713,787	$0	$0	$0
Beehler Robert - Former
Mkt Dev, M&A Exec thru 12/21	$0	$0	$0	$0	$452,079	$0	$13,296	$0	$69,649	$0	$535,024	$0	$0	$0
Byrnes John - Former Health
Div Chief Medical Off thru 03/22	$0	$0	$0	$0	$263,659	$0	$13,183	$0	$21,772	$0	$298,614	$0	$0	$0
Bancarz Gloria - Former
System Chief Quality Off thru 06/21	$0	$0	$0	$0	$138,192	$0	$6,910	$0	$1,574	$0	$146,676	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I, Line 1a

Tax indemnification and gross-up payments are paid to 12 board of directors. These were included in taxable income. Social club dues were paid for two officers. This was not included in taxable compensation.

Part I, Lines 4a-b

Severance payments are made based upon agreements between certain qualifying employees and Adventist Health System/West. Details of the terms and conditions of the severance agreements are available to the IRS upon request. Bancarz, Gloria - severance payment - $137,752 Beehler, Robert - severance payment - $452,005 Byrnes, John - severance payment - $262,731 Hilmes, George - severance payment - $511,539 Larsen, David - severance payment - $392,620 Whetstine, Tyler - severance payment - $600,000 Wing, Bill - severance payment - $1,440,800 Wolcott, Daniel - severance payment - $517,896 The Supplemental Executive Retirement Plan (SERP) is a defined contribution plan designed to encourage the participants continued employment with Adventist Health and is subject to the participants satisfying specified substantial risks of forfeiture. The SERP benefit distribution occurs when the executive achieves 30 years of Adventist health care service, 20 of which are to be as an executive and at least 10 are to be with Adventist Health System/West, and reaches age 60. Until that time, the SERP benefit is at risk to the creditors of Adventist Health. The SERP benefit is designed to help the executive receive employer-provided retirement benefit income equal to 60% of pre-retirement income. The SERP plan was frozen for new participants in 2016. Larsen, David - participant, no activity in 2023 Raffoul, John - participant, no activity in 2023 Select executives agreed to participate in CAP-EX in place of a traditional SERP. See Schedule L, Part V, for a broader description. Split-Dollar life insurance participants are John Beaman, Kerry Heinrich, Todd Hofheins, Andrew Jahn, Joyce Newmyer, Jack Wagner, and Bill Wing. A flexible benefits plan (CAA) is offered to groups of highly-compensated employees meeting certain criteria. The participants are provided with an amount equivalent to 41 percent of their base compensation, less the value of their corporate provided benefits. The balance is set aside for nonvested deferred compensation that is subject to substantial risk of forfeiture and is at risk to the creditors of Adventist Health. Payouts occur according to the participants' payment elections after all substantial risks of forfeiture have lapsed. The plan was frozen for new non-vested contributions in 2016. Jahn, Andrew - participant, no activity in 2023 Newmyer, Joyce - participant, no activity in 2023

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CSCDA Series A 2007
A	680164610	1307957C5	2007-05-08	$57,500,000	See Part VI	0	0	0
CHFFA Series B 2009
B	521643828	13033LBC0	2009-05-20	$30,000,000	See Part VI	0	0	0
CHFFA Series A 2011
C	521643828	000000000	2011-06-09	$130,000,000	See Part VI	Yes (1)	0	0
CHFFA Series A 2013
D	521643828	13033LS65	2013-02-14	$208,420,907	See Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt
A	$21,440,000	$57,500,000	$643,910	$1,409,177	$4,480,297	$50,966,616	2010	0	Yes (1)	Yes (1)
B		$30,000,000	$216,916			$29,783,084	2009	0	Yes (1)	Yes (1)
C	$53,235,000	$130,000,000	$478,200			$129,521,800	2015	0	Yes (1)	Yes (1)
D	$60,035,000	$208,420,907	$979,977				2016	Yes (1)	Yes (1)	Yes (1)	$207,440,930

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	Yes (1)
B	0	Yes (1)
C	0	Yes (1)
D	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
A	Yes (1)	0	Yes (1)
B	0	Yes (1)	Yes (1)	0	0	Yes (1)
C	0	0	Yes (1)	0	0	Yes (1)
D	0	0	Yes (1)	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Date Rebate Computation Performed	Issuer Name: CHFFA Series B 2009 Date the Rebate Computation was Performed: 06/17/2019 Issuer Name: CHFFA Series A 2011 Date the Rebate Computation was Performed: 07/14/2021 Issuer Name: CHFFA Series A 2013 Date the Rebate Computation was Performed: 03/22/2023 Issuer Name: CHFFA Series A 2013 Date the Rebate Computation was Performed: 03/22/2023 Issuer Name: CSCDA Series A 2015 Date the Rebate Computation was Performed: 07/20/2020 Issuer Name: CSCDA Series A 2015 Date the Rebate Computation was Performed: 07/20/2020 Issuer Name: CHFFA Series A 2016 Date the Rebate Computation was Performed: 10/19/2021 Issuer Name: CSCDA Series A 2018 Date the Rebate Computation was Performed: 10/23/2023
Part I, Columns (A-D) Issuer's Name:	CSCDA - California Statewide Communities Development Authority CHFFA - California Health Facilities Financing Authority HFA - The Hospital Facilities Authority of Multnomah County, Oregon
Part I, Entity 1, Column (f), Line A:	Construct, equip and remodel the following health care facilities: Feather River Hospital, Paradise, CA Hanford Community Hospital, Hanford, CA Simi Valley Hospital and Health Care Services, Simi Valley, CA
Part I, Entity 1, Column (f), Line B:	Acquire, construct and equip the following health care facilities: Adventist Health Clearlake Hospital Inc., Clearlake, CA Feather River Hospital, Paradise, CA Glendale Adventist Medical Center, Glendale, CA Hanford Community Hospital, Hanford, CA St. Helena Hospital, St. Helena, CA Simi Valley Hospital and Health Care Services, Simi Valley, CA
Part I, Entity 1, Column (f), Line C:	Acquire, construct, and equip the following health care facilities: Adventist Health Clearlake Hospital, Inc., Clearlake, CA Feather River Hospital, Paradise, CA Glendale Adventist Medical Center, Glendale, CA St. Helena Hospital, St. Helena, CA Simi Valley Hospital and Health Care Services, Simi Valley, CA Acquire and install a clinical information system: Adventist Health System/West, Roseville, CA
Part I, Entity 1, Column (f), Line D:	Refund outstanding balance of the following bond issues: 2002 California Health Facilities Financing Authority (AHS/West Series A) bonds issued March 20, 2002 2002 California Health Facilities Financing Authority (AHS/West Series B) bonds issued March 20, 2002 2003 California Health Facilities Financing Authority (AHS/West Series A) bonds issued July 1, 2003
Part I, Entity 2, Column (f), Line A:	Acquire, construct, and equip the following health care facilities: Central Valley General Hospital, Hanford, CA Feather River Hospital Paradise, CA Hanford Community Hospital, Hanford, CA San Joaquin Community Hospital, Bakersfield, CA Ukiah Valley Hospital, Ukiah, CA Willits Hospital, Inc, Willits, CA Acquire and install a clinical information system: Adventist Health System/West, Roseville, CA
Part I, Entity 2, Column (f), Line B:	Refund outstanding balance of the following bond issue: 2005 California Statewide Communities Development Authority (AHS/West Series A) bonds issued on October 18, 2005
Part I, Entity 2, Column (f), Line C:	Acquire, construct, and equip the following health care facilities: Hanford Community Hospital, Hanford, CA St. Helena Hospital, St. Helena, CA
Part I, Entity 2, Column (f), Line D:	Advance refund outstanding balance of the following bond issues: 1998 California Health Facilities Financing Authority (AHS/West Series A) issued February 18, 1998 2007 California Statewide Communities Development Authority (AHS/West Series B) bonds issued May 8, 2007 2007 California Statewide Communities Development Authority (Lodi) bonds issued December 13, 2007 2009 California Health Facilities Financing Authority (AHS/West Series A) bonds issued May 20, 2009
Part I, Entity 3, Column (f), Line A:	Finance the new headquarters facility for the Corporation located in Roseville, CA and refinance the following bond issues: City of Marysville, CA Rideout Series 2011 Bonds acquired in the affiliation with The Fremont-Rideout Health Group and Rideout Memorial Hospital effective April 1, 2018
Part I, Entity 3, Column (f), Line B:	Refund the outstanding balance of the following bond issue: 2009 HFA - The Hospital Facilities Authority of Multnomah County, Oregon (AHS/West Series A) issued September 30, 2009
Part I, Entity 3, Column (f), Line C:	Acquire, construct, and equip the following health care facilities: Adventist Health System/West, Roseville, CA Adventist Health Clearlake Hospital Inc. Clearlake, CA Adventist Health Delano, Delano, CA Adventist Health Medical Center Tehachapi, Tehachapi, CA Adventist Health Mendocino Coast, Fort Bragg, CA Adventist Health Tulare, Tulare, CA Glendale Adventist Medical Center, Glendale, CA Hanford Community Hospital, Hanford, CA Lodi Memorial Hospital Association Inc, Lodi, CA Reedley Community Hospital, Reedley, CA Rideout Memorial Hospital, Marysville, CA San Joaquin Community Hospital, Bakersfield, CA Sonora Community Hospital, Sonora, CA Ukiah Adventist Hospital, Ukiah, CA White Memorial Medical Center, Los Angeles, CA Part I, Entity 3, Column (f), Line D: Acquire and equip the following health care facilities: Adventist Health Specialty Bakersfield, Bakersfield, CA Adventist Health White Memorial Montebello, Montebello, CA Part I, Entity 4, Column (f), Line A: Refund the outstanding balance of the following bond issue: 2011 CHFFA A California Health Facilities Financing Authority (AHS/West Series A) issued June 9, 2011.
Part II, Entity 1, Line 11, Column D:	The other spent proceeds are the refunding proceeds no longer in escrow.
Part II, Entity 2, Line 11, Columns B & D:	The other spent proceeds are the refunding proceeds no longer in escrow.
Part II, Entity 3, Line 11, Column A:	The other spent proceeds are the proceeds used to pay off the taxable line of credit which was used to finance initial costs of the project.
Part II, Entity 3, Line 11, Column B:	The other spent proceeds are the refunding proceeds no longer in escrow.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CHFFA Series A 2013
A	521643828	13033LS57	2013-02-14	$100,741,934	See Part VI	0	0	0
CSCDA Series A 2015
B	680164610	13080SJL9	2015-06-30	$157,990,834	See Part VI	0	0	0
CSCDA Series A 2015
C	680164610	13080SJM7	2015-06-30	$42,422,999	See Part VI	0	0	0
CHFFA Series A 2016
D	521643828	13032UGL6	2016-09-08	$309,720,490	See Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt
A	$7,690,000	$100,741,934	$741,934	$100,000,000	2016	0	0	Yes (1)	Yes (1)
B	$20,346,300	$157,990,834	$1,493,445		2015	Yes (1)	0	Yes (1)	Yes (1)	$9,150	$156,488,239
C	$5,738,700	$42,422,999	$420,423	$42,000,000	2019	0	0	Yes (1)	Yes (1)	$2,576
D	$69,190,000	$309,720,490	$2,280,369		2016	Yes (1)	Yes (1)	Yes (1)	Yes (1)		$307,440,121

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0.00000	0.00000	Yes (1)
B	Yes (1)	0.00020	0.00020	Yes (1)
C	0	0.00000	0.00000	Yes (1)
D	0	0.00000	0.00000	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	No Rebate DueNoRebateDueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CSCDA Series A 2018
A	680164610	13080SWK6	2018-09-27	$272,074,615	See Part VI	0	0	0
HFA Multnomah 2019
B	931266280	62551PCX3	2019-11-13	$60,886,489	See Part VI	0	0	0
CHFFA Series A 2022
C	521643828	13032UG93	2022-12-15	$100,322,608	See Part VI	0	0	0
CHFFA Series A 2023
D	521643828	13032UH50	2023-12-12	$95,000,000	See Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	UnspentUnspentAmt
A	$3,945,000	$272,074,615	$2,098,459	$242,976,156	$27,000,000	2019	0	Yes (1)	Yes (1)	Yes (1)
B		$60,886,489	$493,229		$60,393,260	2019	Yes (1)	0	Yes (1)	Yes (1)
C		$100,322,608	$321,046	$54,825,894			0	0	0	Yes (1)	$45,175,668
D		$95,000,000		$71,512,595			0	0	0	Yes (1)	$23,487,405

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
C	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
D	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	No Rebate DueNoRebateDueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	Yes (1)
B	Yes (1)	0	Yes (1)
C	Yes (1)	0	Yes (1)
D	Yes (1)	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CHFFA Series B 2023	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	521643828	BondIssuerEIN
CUSIP	13032UJ33	CUSIPNum
Bond Issued	2023-12-21	BondIssuedDt
Issue Price	$77,095,000	IssuePriceAmt
Purpose	See Part VI	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$77,095,000	TotalProceedsAmt
Refunding Escrow	$77,090,970	RefundingEscrowAmt
Issuance Costs From Proceeds	$4,030	IssuanceCostsFromProceedsAmt
Substantial Completion	2023	SubstantialCompletionYr
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (1)	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (26 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
Beaman J
Officer	Relocation	Yes (X)	$335,000	$280,150	0	Yes (1)	Yes (1)
Beaman J
Officer	Supplemental retirement CASD	Yes (X)	$4,683,349	$4,858,500	0	Yes (1)	Yes (1)
Beehler R
Former key employee	Relocation	Yes (X)	$100,000	$61,350	0	Yes (1)	Yes (1)
Byrnes J
Former key employee	Relocation	Yes (X)	$200,000	$188,750	0	Yes (1)	Yes (1)
Champlin C
Key employee	Relocation	Yes (X)	$300,000	$297,600	0	Yes (1)	Yes (1)
Heinrich K
Officer	Relocation	Yes (X)	$1,441,922	$1,303,095	0	Yes (1)	Yes (1)
Heinrich K
Officer	Supplemental retirement CASD	Yes (X)	$16,485,424	$17,108,555	0	Yes (1)	Yes (1)
Hofheins T
Officer	Relocation	Yes (X)	$637,987	$536,745	0	Yes (1)	Yes (1)
Hofheins T
Officer	Supplemental retirement CASD	Yes (X)	$3,469,667	$3,606,442	0	Yes (1)	Yes (1)
Jahn A
Key employee	Relocation	Yes (X)	$400,000	$385,550	0	Yes (1)	Yes (1)
Jahn A
Key employee	Supplemental retirement CASD	Yes (X)	$2,889,528	$2,999,975	0	Yes (1)	Yes (1)
Jobe M
Officer	Relocation	Yes (X)	$100,000	$65,200	0	Yes (1)	Yes (1)
Larsen D
Key employee	Relocation	Yes (X)	$150,000	$140,100	0	Yes (1)	Yes (1)
Liebowitz J
Key employee	Relocation	Yes (X)	$150,000	$142,100	0	Yes (1)	Yes (1)
Nahapetian A
Key employee	Relocation	Yes (X)	$750,000	$740,327	0	Yes (1)	Yes (1)
Newmyer J
Key employee	Relocation	Yes (X)	$400,000	$397,300	0	Yes (1)	Yes (1)
Newmyer J
Key employee	Supplemental retirement CASD	Yes (X)	$4,475,347	$4,635,638	0	Yes (1)	Yes (1)
Seibold B
Key employee	Relocation	Yes (X)	$800,000	$798,200	0	Yes (1)	Yes (1)
Stemmler J
Key employee	Relocation	Yes (X)	$200,000	$197,000	0	Yes (1)	Yes (1)
Stevens E
Key employee	Relocation	Yes (X)	$200,000	$194,600	0	Yes (1)	Yes (1)
Welch D
Key employee	Relocation	Yes (X)	$300,000	$297,600	0	Yes (1)	Yes (1)
Wells J
Key employee	Relocation	Yes (X)	$1,000,000	$992,800	0	Yes (1)	Yes (1)
Whetstine T
Key employee	Relocation	Yes (X)	$200,000	$125,667	0	Yes (1)	Yes (1)
Wing B
Former officer	Relocation	Yes (X)	$200,000	$179,800	0	Yes (1)	Yes (1)
Wing B
Former officer	Supplemental retirement CASD	Yes (X)	$14,529,107	$15,072,592	0	Yes (1)	Yes (1)
Wagner J
Director	Supplemental retirement CASD	Yes (X)	$6,671,634	$6,910,588	0	Yes (1)	Yes (1)

Field	Value	IRS element (for citing)
Total Balance Due	$62,516,224	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Bancarz Michelle
Family member of Former Key EE, G. Bancarz	$217,204	Employment	0
Bancarz Theodore
Family member of Former Key EE, G. Bancarz	$186,274	Employment	0
PVHR LLC
Greater than 35% owned by former Director, M. Gabriel and family members	$0	Interest	0
Newton Tyler
Family member of director Bradford Newton	$425,450	Employment	0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part II, Supplemental Retirement Benefits:

The organization provides supplemental retirement benefits through an alternative funding arrangement the IRS calls "collateral assignment split dollar" (CASD). Although the IRS requires reporting in the loan section of Schedule L, CASD is not an actual loan - no funds are transferred to the executive. Rather, the "loan" treatment applies because after the executive has received retirement benefits, the organization recovers all outlays plus interest.The recovery right is a key advantage of CASD for the organization. Rather than paying retirement benefits to the executive that would never be recovered, under CASD the organization recovers not only its outlays, but also consideration for the time value of money.CASD works as follows: The organization deposits funds into a cash value life insurance policy on the executive's life. During life, to the extent the executive fulfills service and vesting requirements, the executive can borrow against values in the policy to supplement retirement income. Policy performance is closely monitored. If policy performance lags, the executive's borrowing rights are reduced to protect the organization's recovery rights.At the executive's death, the policy death proceeds are first used to repay the organization its deposits plus compounded interest (at the IRS long-term applicable federal rate). The executive's beneficiary then receives any projected retirement borrowing the executive did not access during life. Any remaining death proceeds were available to be paid to the executive's beneficiary. However, the executives made a gift of the excess proceeds, estimated to total $130 million, to the organization to provide additional funding for the organization's charitable activities.Gift of excess proceeds (estimated):John Beaman $5,100,735; Kerry Heinrich $13,058,524; Todd Hofheins $6,001,825; Andrew Jahn $6,989,977; Joyce Newmyer $3,175,999; Jack Wagner $10,994,914; Bill Wing $10,442,655.

Schedule L, Part IV, Line 3:

Melody Gabriel, a former AH director, and her husband are owners and officers of businesses that engage in joint ventures with AH and member hospitals. Other family members with ownership and officer positions in these businesses include her parents, her brother and his wife, and trusts established on behalf of her children. The ventures are organized as LLCs. At the end of 2023, PVHR, LLC had an outstanding balance of $1,050,000 secured and unsecured market rate interest bearing loans. This LLC is 50% controlled by another LLC of which Ms. Gabriel and her family have a controlling interest. Interest is accrued on these loans, principal and interest at the end of 2023 was $202,912. Principal and interest payments are being made monthly. Total interest paid during 2023 was $200,000.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a:	Adventist Health is a faith-based, nonprofit integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 28 acute care facilities. Founded on Seventh-day Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care agencies, hospice agencies and joint-venture retirement centers in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes associates, medical staff physicians, allied health professionals and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope. Together, we are transforming the American healthcare experience with an innovative, yet timeless, whole person focus on physical, mental, spiritual and social healing. Mission-driven The healthcare industry continues to experience significant changes. From high and rising costs to regulatory initiatives, these issues are causing hospitals and health systems to re-think who they are and how they want to deliver care. At Adventist Health, we are thriving and growing in the face of this transition by building on our legacy and re-establishing ourselves as the leader in physical, mental, spiritual and social health. We remain committed to "living God's love by inspiring health, wholeness and hope." Our mission represents the heart of our people. It expresses that we know the love of God and consistently reflect that love in our actions, relationships and work. Mission is the reason our organization exists. Community Health Development Adventist Health's commitment to improve well-being not only grew out of our mission to live God's love, but also from the needs we see in communities across our system of 28 hospitals. While diseases of despair continue to escalate along with healthcare costs, we are presented with the opportunity to bring whole person care, philanthropy, public heath, human services, government, community members, and business owners together to change the well-being of people, places, and equity. Nonprofit health systems, community-based organizations and public health agencies across the country all share a similar calling to provide public service to help improve their community members' lives. One area of public service where these entities share responsibility is ensuring all community members have the opportunity to live a healthy life. One way to accomplish this is by assessing the health of our communities through the community health needs assessment. In 2022, Adventist Health took this federally mandated requirement one step further with the vision of designing a people centric community health needs assessment. The Adventist Health Community Solutions team standardized a step-by-step process to develop and create a Community Health Needs Assessment report that focused on best practice methods, a collaborative approach, asset mapping that allowed for matching resources with chosen priorities and the development of an actionable Community Health Implementation Strategy to ensure strategic investment and measurable impact across our Adventist Health markets. This approach ensured a measurable, sustainable community benefit investment in people, places, and equity. In 2022, the Adventist Health Community Solutions team produced 16 CHNA reports and reached out to over 800 participants through 90 focus groups and over 50 key informant interviews. Populations reached included people experiencing homelessness, domestic violence survivors, food security providers, higher education professionals, homeless service providers, law enforcement, medical providers, tribal health services, public health, students, farm workers and older adults. This provided rich qualitative data where we learned about our community members' current state of health and listened to their greatest concerns for their friends and families. This work continued in 2023, where the community impact team laid the foundation for the upcoming 2025 Community Health Needs Assessment period and was busy traveling to markets and facilitating focus groups and key informant interviews to hear the voices of our communities where they live and engaged in a collaborative and equitable primary data collection process. Each year the Roseville team supports the research, assessment, data collection and reporting process for the following systemwide community benefit workstreams: Community Health Needs Assessment (CHNA), Community Health Implementation Strategy (CHIS) and annual community benefit expense reporting. Additionally, operational tasks such as Community Benefit Inventory for Social Accountability (CBISA) entries and editing of 22 community health plan update reports were also insourced, to make our local hospital teams available to drive impactful programs. In partnership with local hospital leaders and community boards, our systemwide cadence of these activities fosters greater collaboration to collectively address the selected high priority health needs at each market. In 2021, Adventist Health committed to launching six Blue Zone Projects within our community footprint. In 2022, the six active projects launched in Adventist Health communities include Bakersfield, Lake County, Mendocino County, Tuolumne County, Upper Napa Valley, Walla Walla Valley and Yuba-Sutter. In addition to six Blue Zone Projects, Adventist Health also engaged in 14 Blue Zones Worksite Certifications at Adventist Health hospitals. Blue Zones Projects and Blue Zones Worksite Certifications have gained international recognition for their transformational impact on entire cities and communities. In 2023, we saw tremendous growth in several of our markets promoting walking moais, worksite wellness, Blue Zones Project school pledges to create an environment that instills healthy lifestyle choices for our children and Blue Zones Project restaurant pledges to provide healthy options. Blue Zones widens our impact from only reaching our hospitals' communities in four states to a global mission practice. To learn more about the work of Blue Zones, please visit www.bluezones.com. Together, these system-led support efforts and community specific projects facilitated the following impacts across our system in 2023: A total of $27,727,414 million was spent on free and discounted care, $356,724,497 million in aid to the underserved $316,461,186 million in aid to the elderly, $306,343,035 million in subsidized community healthcare, $35,717,190 million in community health improvement, and $27,686,879 million on education and research. These efforts totaled close to $1.070 billion in community benefit expenses.
Form 990, Part III, Line 4a (continued):	Care Transformation Care Transformation in Adventist Health reflects our promise to deliver top decile safety and quality performance and top quartile in clinical operations. The transformation focuses on initiatives such as Clinical Leadership Development, High Reliability Organization, Patient Experience, Care Redesign, Population Health and Clinical Workforce. All these efforts focus on effectively blending people, processes and technology, and include consistent design, delivery and evaluation of care performance. Our caregivers are working hard every day to achieve the clinical goals and continue to spread our mission. Patient Safety & Quality Adventist Health focuses not only on patient safety and quality patient care, but also provides a quality work environment for its associates. Maintaining a culture of teamwork and safety among clinicians and staff is foundational to Care Transformation. For the past nine years, Adventist Health has participated in the Culture of Safety survey, which provides insight into focused areas where actions can be taken to improve the safety and teamwork climate in clinical departments. Adventist Health hospitals received quality and safety awards from The Joint Commission, The LeapFrog Group, Healthgrades, CMS and Malcolm Baldrige. Physician Alignment Adventist Health operates 379 medical offices across the West Coast and Hawaii. These ambulatory care centers include Rural Health Clinics (RHC), hospital-based outpatient clinics (HBOC), employed physician models in Oregon and Hawaii, medical foundations in California, and community health clinics. These medical offices offer primary care and more than 50 different specialties in medical offices large and small. We have more than 500 primary care providers and about 700 specialists providing services ranging from Addiction Medicine to Wound Care - Audiology to Vascular Surgery. Adventist Health also provides much-needed dental care in 10 of our rural communities. The providers in these medical offices are committed to providing best practice, quality-driven care with excellent health outcomes and exceptional patient experience. We provide more than two million patient visits annually. In the initial months of the pandemic, we pivoted to offering virtual visits and continue to provide those to our most vulnerable populations and those patients who have found it to be a more convenient way to receive care. We have also launched online scheduling for all of our primary care providers to increase access to care for our communities. As an organization, we have had to prioritize continued pay for our providers and employees to minimize the loss of clinicians during the extended public health emergency. Throughout these challenges, our physicians and Advanced Practice Providers have continued to provide excellent patient satisfaction resulting in an overall Adventist Health clinic star rating of 4.7 out of 5 stars. Rural Health Clinics (RHC) As an extension of our mission, high-quality services are provided to rural communities where access to care is often significantly more challenging than in urban areas. We have 69 rural health clinics (RHCs) providing healthcare to underserved populations throughout Northern and Central California, Hawaii, and Oregon. Our system of rural health continues to be the largest network of clinics in the state of California (about 12% of the RHCs in the state are part of Adventist Health). Our RHC network also is one of the largest in the country, representing almost one percent of the nation's RHCs. Adventist Health provides oversight services for all our RHCs to include financial monitoring, program audits, operational support, professional development, advocacy, and education regarding new regulations. Thanks to the RHCs, many of these rural communities' most disenfranchised have access to primary care, dentistry, women's and children's services, and health education. Specialty care services are also available at many RHC locations, including 24 behavioral health programs. Home Care Services Adventist Health Home Care offers advanced, high quality health care in an at-home setting by operating 14 home health agencies and seven hospices. In 2021, care, compassion and high-quality services were provided with 210,225 home health visits and 74,069 hospice days. Many of the agencies provide specialized programs and treatment plans, such as, wound care, CHF and diabetes management. Our home health mission is to help patient's recover, regain independence and become as self-sufficient as possible in the comfort of their home. Our hospice mission is to provide whole-person care that envelopes the body, comforts the mind and nurtures the spirit. We are most proud of the following accomplishments in 2021: 1. Implemented telehealth/remote patient monitoring for CHF patients 2. Bakersfield Hospice cared for their first patient, earned their Medicare certification and CHAP accreditation 3. Mendocino Coast Home Health joined the AH family and became integrated into our EMR, operational processes and platforms 4. New devices were rolled out to all Adventist Health associates 5. Enhanced hospice ePrescribe platform was implemented to meet patient, MD and regulatory needs 6. Re-launched and expanded ExactCare pharmacy services to assist patients with medication management 7. Implemented a readmission task force to reduce hospital readmissions and improve hospital partnerships 8. Glendale Home Health and Hospice were accredited by CHAP 9. Received regulatory change of ownership approval for Rideout Home Health Developing a Virtual Care Network The Adventist Health Virtual Care Network allows healthcare professionals to evaluate, diagnose, and treat patients using video conferencing software technology. Virtual Care is the umbrella term for the group of services and functions that include telemedicine, telepharmacy, teleICU, telestroke, teledentistry, teleradiology, and telepathology, but which also includes and can support regional health information sharing, patient education and provider networking. Virtual Care provides patients with access to high-quality, affordable specialty care when and where they need it, aiding in rapid diagnosis, treatment, and improved patient outcomes. This collaboration supports Adventist Health's mission of bringing high-quality health and healing to the communities it serves, and is consistent with the organization's focus on innovation, strategic growth, and population health. Virtual Care services took a huge leap with the onset of the COVID-19 pandemic, and we continue to monitor virtual visit volumes and the Public Health Emergency regulations related to virtual care. We now have an integrated platform that enables providers to see patients in their own home more seamlessly through our patient portal and a direct text-to-video option. Our clinics have recently upgraded their telehealth equipment to provide specialty outpatient care in our rural communities in California and Oregon sites, including a small number of non-Adventist Health sites. We continue to offer store and forward services for dermatology and diabetic retinopathy screenings, as well as peer-to-peer e-consults, as well as a direct-to-consumer service, Adventist Health OnDemand, for consumers. Adventist Health is also a preferred provider for Virtual Care with the California Department of Corrections and Rehabilitation, serving multiple prison locations through the Virtual Care Coordination Center. In 2021, we piloted a virtual behavioral health counseling service to clinic patients in some of our rural communities and we continue to look at how we can duplicate the program across the rest of the communities we serve. Our Hawaii and our Mendocino Coast markets now have sites that have video conferencing software with state-of-the-art virtual stethoscope technology to ensure patients can be seen close to where they live. Inpatient virtual care continues to serve hundreds of patients. Thirteen hospitals use telehealth stroke services, seven hospitals use pediatric services, five sites use infectious disease services with ten sites using emergency psychiatry assessment services. We are looking forward to having a systemwide offering in the next few years in the areas of stroke, general neurology, and psych for all of our ICUs and ERs.
Form 990, Part III, Line 4a (continued):	Strategic Planning Adventist Health's mission of living God's love, inspiring health, wholeness and hope is our greatest calling as an organization. Our strategic planning builds on a vision to provide exceptional care at every stage of life, inspiring community transformation through health and well-being for all. To support this vision, we have shifted our structure to strategic networks of care, bringing local and system leadership closer together to organize our work around our patients, communities and key opportunities to serve all through a deeply integrated and collaborative network of care. We are engaging our strong, innovative teams to shape a thriving culture. We are expanding our networks creating community relevance and well-being. We are empowering exceptional teams to deliver unparalleled care. We are embedding disciplined stewardship to drive operational excellence.
Form 990, Part VI, Section A, line 6	Individuals who represent the Seventh-day Adventist Church and lay people who are in good standing with the Seventh-day Adventist Church serve as members of Adventist Health System/West (the Organization") including the following: (a) the president, treasurer, and one other representative from both the offices of the Pacific Union and the North Pacific Union; (b) one representative from each of the local conferences of the Church in which affiliated health care facilities are located; (c) four representatives, with one selected from among the colleges and universities affiliated with the Church and located in the Pacific Union or North Pacific Union; (d) the CEO of the Organization, plus three additional representatives of the management of the Organization; (e) three representatives selected from the presidents of the hospitals affiliated with the Organization; (f) three healthcare leaders; (g) up to 16 lay representatives who do not belong to any of the other categories set forth but who otherwise meet the qualifications for membership. Annually, the members meet for the purpose of conducting the business of the membership. Annually, the members meet for the purpose of conducting the business of the membership. Actions are taken as required to enable Adventist Health System/West to continue operating in concert with its Articles and Bylaws.
Form 990, Part VI, Section A, line 7a	The Organization's Board of Directors consists of the following: (a) The president of the Pacific Union and North Pacific Union of the Seventh-day Adventist Church; (b) two presidents selected from among the local conferences of the Church in which are located affiliated health care institutions; (c) The CEO of the Organization; (d) two professional health care providers who are practicing or serving in healthcare leadership; and (e) eight lay representatives as elected by the membership.
Form 990, Part VI, Section A, line 7b	Amendments to the Organization's Bylaws require approval by the membership.
Form 990, Part VI, Section B, line 11b	This Form 990 including all supporting schedules was prepared by a public accounting firm, reviewed by the Corporate Finance Officer and Market Financial Officer, and shared by electronic communication with the Corporation's Board of Directors prior to filing.
Form 990, Part VI, Section B, line 12c	During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, corporate officers, key employees, and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation to illustrate examples of a conflict and remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the CEO immediately. The statements for the Organization's Board of Directors are reviewed by the EY auditors as part of the annual financial statement audit. All conflicts are reviewed by the System General Counsel. For potential conflicts, the System General Counsel will determine and present all relevant facts to the governing body for decision. After addressing any questions asked by the governing body, the person with a declared conflict must leave the meeting during the discussion of the matter that involves a conflict and during any vote on the matter.
Form 990, Part VI, Section B, line 15	The Organization's Board of Directors has established a Human Resources Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets at least annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, including salary ranges for hospital presidents and finance officers that would be indicated by the data evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data. The board-approved executive compensation philosophy specifies that salary ranges will be established for hospital executives, with midpoints aligned with the 60th percentile of comparable system hospital data, and having a 50 percent spread from minimum to maximum.
Form 990, Part VI, Section C, line 19	The Organization does not make its governing documents publicly available beyond required filings of Articles of Incorporation with the Secretary of State. The Organization does not make its Conflict of Interest Policy available to the public.
Form 990, Part VII:	In recognition of the time commitment directors make to serve on the Adventist Health System/West boards and committees, directors have the option to receive compensation when their employment agreements with their employers allow such payments. In addition, amounts paid for taxable benefits are also reported.
Form 990, Part IX, line 11g	Other purchased services: Program service expenses 14,520,583. Management and general expenses 91,192,643. Fundraising expenses 123,620. Total expenses 105,836,846. Repairs & maintenance: Program service expenses 540,890. Management and general expenses 800,476. Fundraising expenses 0. Total expenses 1,341,366. Consulting and other management fees: Program service expenses 1,842,405. Management and general expenses 13,264,434. Fundraising expenses 0. Total expenses 15,106,839. Contract labor: Program service expenses 1,287,721. Management and general expenses 2,814,786. Fundraising expenses 0. Total expenses 4,102,507. Other professional fees non-medical: Program service expenses 112,874. Management and general expenses 413,129. Fundraising expenses 0. Total expenses 526,003. Purchased medical services: Program service expenses 0. Management and general expenses 179,773. Fundraising expenses 0. Total expenses 179,773. Physician professional fees: Program service expenses 228,634. Management and general expenses 323,047. Fundraising expenses 0. Total expenses 551,681. Other medical professional fees: Program service expenses 0. Management and general expenses 268. Fundraising expenses 0. Total expenses 268.
Form 990, Part XI, line 9:	Change in value of CAP-EX -11,455,710. UBI partnership loss reported on Sch K-1 5,951,979. Blue Zones reconciliation -445,047.
Form 990, Part XI, Line 8:	Prior period adjustments were a result of cash balance correction and clean up books due to prior period activities including debt service, capital expenditures, and other items for $8,792,002.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Adventist Health Outpatient Pharmacy Services LLC
1 Adventist Health Way	Roseville	CA	95661	882950026	Fortify Market holding	CA	$6,893,524	$0	Adventist Health SystemWest
Dwellcare LLC
1 Adventist Health Way	Roseville	CA	95661	871377097	Inactive	CA	$0	$0	Adventist Health SystemWest
Incentive Acute Care Network LLC
1 Adventist Health Way	Roseville	CA	95661	862987983	Acute care network	CA	$0	$0	Adventist Health SystemWest
Incentive Health LLC
1 Adventist Health Way	Roseville	CA	95661	862977338	MSO	CA	$146,632	$7,298,224	Adventist Health SystemWest
Paradise Skyway LLC
1 Adventist Health Way	Roseville	CA	95661		Real estate holdings	CA	$0	$0	Adventist Health SystemWest

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Adventist Health Clearlake Hospital Inc
15630 18th Avenue	Clearlake	CA	95422	680395149	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Adventist Health Delano
1401 Garces Hwy	Delano	CA	93215	770258013	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Adventist Health Foundation
1 Adventist Health Way	Roseville	CA	95661	680002188	Charitable foundation	CA	501(c)(3)	Line 7	Adventist Health SystemWest	Yes (1)
Adventist Health Medical Center Tehachapi
1100 Magellan Drive	Tehachapi	CA	93561	812240617	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Adventist Health Mendocino Coast
700 River Drive	Fort Bragg	CA	95437	845174585	Hospital	CA	501(c)(3)	Line 3	Stone Point Health	Yes (1)
Adventist Health Physicians Network
1 Adventist Health Way	Roseville	CA	95661	680357690	Medical foundation	CA	501(c)(3)	Line 12b, II	Adventist Health SystemWest	Yes (1)
Adventist Health Tulare
869 North Cherry Street	Tulare	CA	93274	832351753	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Castle Medical Center
640 Ulukahiki Street	Kailua	HI	96734	990107330	Hospital	HI	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Feather River Hospital
1 Adventist Health Way	Roseville	CA	95661	941101228	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Glendale Adventist Medical Center
1509 Wilson Terrace	Glendale	CA	91206	951816017	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Hanford Community Hospital
115 Mall Drive	Hanford	CA	93230	940535360	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Lodi Memorial Hospital Association Inc
975 S Fairmont Avenue	Lodi	CA	95240	941044474	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Mid-Columbia Medical Center
1700 E 19th Street	The Dalles	OR	97058	930386936	Hospital	OR	501(c)(3)	Line 3	Stone Point Health	Yes (1)
Northwest Medical Foundation of Tillamook
1000 Third Street	Tillamook	OR	97141	930622075	Hospital	OR	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Paradise Valley Hospital
1 Adventist Health Way	Roseville	CA	95661	951816034	Discontinued Operations	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Portland Adventist Medical Center
10123 SE Market Street	Portland	OR	97216	930429015	Hospital	OR	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Reedley Community Hospital
372 Cypress Avenue	Reedley	CA	93654	453220509	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Rideout Memorial Hospital
726 Fourth Street	Marysville	CA	95901	941387866	Acute care hospital	CA	501(c)(3)	Line 3	Stone Point Health	Yes (1)
St Helena Hospital
10 Woodland Road	St Helena	CA	94574	941279779	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
San Joaquin Community Hospital
2615 Chester Avenue	Bakersfield	CA	93301	952294234	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Simi Valley Hospital and Health Care Services
2975 N Sycamore Drive	Simi Valley	CA	93065	956064971	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Sonora Community Hospital
1000 Greenley Road	Sonora	CA	95370	941415069	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Stone Point Health
1 Adventist Health Way	Roseville	CA	95661	823763347	Supporting organization	CA	501(c)(3)	Line 12b, II	Adventist Health SystemWest	Yes (1)
Ukiah Adventist Hospital
275 Hospital Drive	Ukiah	CA	95482	941639901	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
United Com-Serve
726 Fourth Street	Marysville	CA	95901	943015356	Skilled nursing/assisted living/home health	CA	501(c)(3)	Line 12b, II	Stone Point Health	Yes (1)
Walla Walla General Hospital
1 Adventist Health Way	Roseville	CA	95661	910617726	Hospital - closed July 2017	WA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Western Health Resources
1 Adventist Health Way	Roseville	CA	95661	953867863	Home care	CA	501(c)(3)	Line 10	Adventist Health SystemWest	Yes (1)
White Memorial Medical Center
1720 E Cesar E Chavez Avenue	Los Angeles	CA	90033	952282647	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Willits Hospital Inc
1 Marcela Drive	Willits	CA	95490	680108919	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Blue Legacy Ventures LLC
1010 NE 2nd Avenue	Miami	FL	33132	871254649	Real property rental	FL	Adventist Health SystemWest	Excluded	-$1,240,682	$2,548,085	0	Yes (1)	0.50000
Blue Zones LLC
200 Southdale Center	Edina	MN	55435	271603327	Education	MN	Adventist Health SystemWest	Unrelated	$7,764,786	$32,935,520	0	0	1.00000
PAR LLC
8440 SE Sunnybrook Blvd Suite 100	Clackmas	OR	97015	931262371	Senior housing	OR	Adventist Health SystemWest	Unrelated	$588,023	$8,229,923	0	Yes (1)	0.50000
PVHR LLC DBA Paradise Village
8440 SE Sunnybrook Blvd Suite 100	Clackmas	OR	97015	260622555	Senior housing	OR	Adventist Health SystemWest	Unrelated	$123,739	$15,058,820	0	Yes (1)	0.50000
PVHR2 LLC DBA Parkview Memory Care at Paradise Village
8440 SE Sunnybrook Blvd Suite 100	Clackmas	OR	97015	473300170	Senior housing	OR	Adventist Health SystemWest	Unrelated	-$212,185	$3,427,627	0	Yes (1)	0.50000
WWGHR LLC
8440 SE Sunnybrook Blvd Suite 100	Clackmas	OR	97015	810591221	Rental	OR	Adventist Health SystemWest	Unrelated	-$168,215	$2,975,165	0	Yes (1)	0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
AdHealth Limited
PO Box HM 2062	Hamilton	BD	HM HX	Pure captive insurance	BD	Adventist Health SystemWest	C	$1,045,636	$3,160,685	0.50000	0
Adventist Health Plan Inc
				Health insurance		Adventist Health SystemWest	C	$51,609,604	$13,969,705	1.00000	Yes (1)	1 Adventist Health Way	Roseville	CA	95661	463833261	CA
South Coast Medical Center
				Wind down after sale of hospital		Adventist Health SystemWest	C			1.00000	Yes (1)	1 Adventist Health Way	Roseville	CA	95661	952037291	CA
Thrive Productions Inc
				Production company		Adventist Health SystemWest	C	$12,500	$3,319	1.00000	Yes (1)	200 Southdale Center	Edina	MN	55435	453369049	MN

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (97 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Feather River Hospital
C	$166,281,000	Cash transfer amount
Walla Walla General Hospital
C	$80,707	Cash transfer amount
Adventist Health Clearlake Hospital Inc
L	$20,784,554	FMV
Adventist Health Delano
L	$10,590,421	FMV
Adventist Health Medical Center Tehachapi
L	$6,760,078	FMV
Adventist Health Mendocino Coast
L	$9,101,927	FMV
Adventist Health Physicians Network
L	$13,121,775	FMV
Adventist Health Tulare
L	$8,002,436	FMV
Castle Medical Center
L	$26,268,934	FMV
Glendale Adventist Medical Center
L	$58,257,222	FMV
Hanford Community Hospital
L	$41,793,342	FMV
Lodi Memorial Hospital Association Inc
L	$30,690,161	FMV
Northwest Medical Foundation of Tillamook
L	$11,758,595	FMV
Portland Adventist Medical Center
L	$31,070,199	FMV
Reedley Community Hospital
L	$21,711,845	FMV
Rideout Memorial Hospital
L	$56,088,713	FMV
San Joaquin Community Hospital
L	$56,422,318	FMV
Simi Valley Hospital and Health Care Services
L	$23,590,524	FMV
Sonora Community Hospital
L	$34,695,999	FMV
St Helena Hospital
L	$33,098,529	FMV
Ukiah Adventist Hospital
L	$26,275,799	FMV
Western Health Resources
L	$3,058,064	FMV
White Memorial Medical Center
L	$56,947,399	FMV
Willits Hospital Inc
L	$9,729,784	FMV
Adventist Health Clearlake Hospital Inc
O	$1,423,487	FMV
Adventist Health Delano
O	$301,005	FMV
Adventist Health Medical Center Tehachapi
O	$299,657	FMV
Adventist Health Mendocino Coast
O	$2,624,020	FMV
Adventist Health Tulare
O	$117,849	FMV
Castle Medical Center
O	$2,121,989	FMV
Glendale Adventist Medical Center
O	$3,651,132	FMV
Hanford Community Hospital
O	$3,511,453	FMV
Lodi Memorial Hospital Association Inc
O	$2,451,421	FMV
Northwest Medical Foundation of Tillamook
O	$1,284,722	FMV
Portland Adventist Medical Center
O	$3,021,925	FMV
Reedley Community Hospital
O	$134,712	FMV
Rideout Memorial Hospital
O	$2,519,259	FMV
San Joaquin Community Hospital
O	$3,204,085	FMV
Simi Valley Hospital & Health Care Services
O	$1,987,160	FMV
Sonora Community Hospital
O	$1,988,130	FMV
St Helena Hospital
O	$1,939,468	FMV
Ukiah Adventist Hospital
O	$1,660,357	FMV
Western Health Resources
O	$528,317	FMV
White Memorial Medical Center
O	$3,999,670	FMV
Willits Hospital Inc
O	$1,000,350	FMV
Adventist Health Delano
R	$18,694,540	Cash transfer amount
Adventist Health Foundation
R	$339,456	Cash transfer amount
Adventist Health Medical Center Tehachapi
R	$1,487,119	Cash transfer amount
Adventist Health Mendocino Coast
R	$55,230,757	Cash transfer amount
Adventist Health Plan Inc
R	$4,797,674	Cash transfer amount
Adventist Health Tulare
R	$44,602,219	Cash transfer amount
Blue Zones LLC
R	$9,273,698	Cash transfer amount
Glendale Adventist Medical Center
R	$3,185,361	Cash transfer amount
Hanford Community Hospital
R	$47,062,218	Cash transfer amount
Northwest Medical Foundation of Tillamook
R	$14,094,677	Cash transfer amount
Rideout Memorial Hospital
R	$31,527,826	Cash transfer amount
Rideout Memorial Hospital
R	$31,527,826	Cash transfer amount
San Joaquin Community Hospital
R	$30,061,962	Cash transfer amount
Sonora Community Hospital
R	$23,134,573	Cash transfer amount
United Com-Serve
R	$754,772	Cash transfer amount
Willits Hospital Inc
R	$9,292,779	Cash transfer amount
Adventist Health Clearlake Hospital Inc
S	$292,000	Cash transfer amount
Adventist Health Clearlake Hospital Inc
S	$3,813,604	Cash transfer amount
Adventist Health Delano
S	$172,000	Cash transfer amount
Adventist Health Medical Center Tehachapi
S	$85,000	Cash transfer amount
Adventist Health Mendocino Coast
S	$31,000	Cash transfer amount
Adventist Health Physicians Network
S	$11,063,029	Cash transfer amount
Adventist Health Tulare
S	$135,000	Cash transfer amount
Castle Medical Center
S	$343,000	Cash transfer amount
Castle Medical Center
S	$19,995,037	Cash transfer amount
Feather River Hospital
S	$181,269,346	Cash transfer amount
Glendale Adventist Medical Center
S	$991,000	Cash transfer amount
Hanford Community Hospital
S	$651,000	Cash transfer amount
Lodi Memorial Hospital Association Inc
S	$476,000	Cash transfer amount
Lodi Memorial Hospital Association Inc
S	$26,014,795	Cash transfer amount
Northwest Medical Foundation of Tillamook
S	$172,000	Cash transfer amount
PAR LLC
S	$1,290,000	Cash transfer amount
Portland Adventist Medical Center
S	$524,000	Cash transfer amount
Portland Adventist Medical Center
S	$42,823,896	Cash transfer amount
Reedley Community Hospital
S	$357,000	Cash transfer amount
Reedley Community Hospital
S	$3,375,816	Cash transfer amount
San Joaquin Community Hospital
S	$832,000	Cash transfer amount
Simi Valley Hospital & Health Care Services
S	$356,000	Cash transfer amount
Simi Valley Hospital & Health Care Services
S	$18,243,460	Cash transfer amount
Sonora Community Hospital
S	$517,000	Cash transfer amount
South Coast Medical Center
S	$273,662	Cash transfer amount
St Helena Hospital
S	$465,000	Cash transfer amount
St Helena Hospital
S	$17,380,852	Cash transfer amount
Ukiah Adventist Hospital
S	$405,000	Cash transfer amount
Ukiah Adventist Hospital
S	$4,232,329	Cash transfer amount
Walla Walla General Hospital
S	$246,181	Cash transfer amount
Western Health Resources
S	$45,000	Cash transfer amount
Western Health Resources
S	$2,105,686	Cash transfer amount
White Memorial Medical Center
S	$913,000	Cash transfer amount
White Memorial Medical Center
S	$47,302,342	Cash transfer amount
Willits Hospital Inc
S	$152,000	Cash transfer amount
WWGHR LLC
S	$180,000	Cash transfer amount