REEDLEY COMMUNITY HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: REEDLEY COMMUNITY HOSPITAL (EIN 45-3220509)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-08
IRS object ID: 202333129349305113
Schema version: 2022v5.0
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 H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-08T15:51:20-08:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	800519547	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	THE ACCOUNTANCY LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 N BRAND BLVD STE 1930	AddressLine1Txt
City	GLENDALE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91203	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	453220509	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Reedley Community Hospital	BusinessNameLine1Txt
Business Name Line2	dba Adventist Health Reedley	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	REED	BusinessNameControlTxt
Phone	5596388155	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	372 W Cypress Ave	AddressLine1Txt
City	Reedley	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93654	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Timothy Haydock	PersonNm
Person Title	Treasurer	PersonTitleTxt
Signature	2023-11-08	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Timothy	PersonFirstNm
Person Last	Haydock	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

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

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	S Clement	PreparerPersonNm
PTIN	P01218012	PTIN
Phone	8185475701	PhoneNum
Self Employed	Yes (X)	SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd
Federated Assurance Level	FAL1	FederatedAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Andrea Kofl	PrincipalOfficerNm
Gross Receipts	$244,025,174	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	1071	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.adventisthealth.org/reedley	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2011	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	Living Gods love by inspiring health, wholeness and hope.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	1152	TotalEmployeeCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$1,013,960	PYContributionsGrantsAmt
CY Contributions Grants	$6,936,563	CYContributionsGrantsAmt
PY Program Service Revenue	$204,409,212	PYProgramServiceRevenueAmt
CY Program Service Revenue	$226,440,519	CYProgramServiceRevenueAmt
PY Investment Income	$4,483,591	PYInvestmentIncomeAmt
CY Investment Income	-$3,539,199	CYInvestmentIncomeAmt
CY Other Revenue	-$233,000	CYOtherRevenueAmt
PY Total Revenue	$209,906,763	PYTotalRevenueAmt
CY Total Revenue	$229,604,883	CYTotalRevenueAmt
PY Grants And Similar Paid	$259,572	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$83,210	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$69,335,276	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$75,221,949	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$104,565,037	PYOtherExpensesAmt
CY Other Expenses	$115,778,310	CYOtherExpensesAmt
PY Total Expenses	$174,159,885	PYTotalExpensesAmt
CY Total Expenses	$191,083,469	CYTotalExpensesAmt
PY Revenues Less Expenses	$35,746,878	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$38,521,414	CYRevenuesLessExpensesAmt
Total Assets BOY	$289,866,750	TotalAssetsBOYAmt
Total Assets EOY	$285,822,169	TotalAssetsEOYAmt
Total Liabilities BOY	$146,136,949	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$108,950,217	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$143,729,801	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$176,871,952	NetAssetsOrFundBalancesEOYAmt
Mission	Living Gods love by inspiring health, wholeness and hope.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$138,375,629	ExpenseAmt
Grant	$83,210	GrantAmt
Revenue	$229,604,883	RevenueAmt
Desc	Reedley Community Hospital, dba Adventist Health Reedley (AHRD), provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay.Although, reimbursement for services rendered is critical to the operation and stability of Reedley Community Hospital, the organization recognizes that not all individuals possess the ability to pay for essential medical services.Adventist Healths vision is to enhance the health of the communities where we live and serve by engaging our communities and our patients in a new definition of and partnership for personal community health. In keeping with this commitment to serve all members of the community, the following coverage will be considered when individuals who need health care cannot afford to pay: Free care and/or subsidized care Care to persons covered by governmental programs at/or below cost Health/wellness activities and community education programsNot only does Reedley Community Hospital provide low-cost care to individuals covered by government programs, and those unable to afford healthcare, it also helps patients find and access private and governmental resources for healthcare benefits.AHRD recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed cost of providing care to these patients in 2022 was $1,834,717.The following Inpatient services were provided to all our patients:1,269 babies delivered38 surgeries performed7,176 patient days The following Outpatient services were provided to all our patients:39,089 emergency department visits243 outpatient surgeries performed34,759 outpatient visits 494,748 clinic visitsAHRD recognizes it has an obligation to provide human services above and beyond its role as a healing facility. Schedule H provides more details on the tangible ways in which the organization is fulfilling its mission. The total unreimbursed cost of these community benefits in 2022 was $16,582,572.Adventist Healths mission statement of living Gods love by inspiring health, wholeness and hope is coupled with a vision to transform the health experience of our communities through collaborative programs, community investments and community outreach. We are inspired by the healing ministry, as represented by the life of Jesus Christ, and believe we are called to live out our mission intentionally in the communities we serve. In the small towns, suburbs, and inner cities we serve, we continue our journey to provide quality healthcare until every person made in Gods image has experienced the best health today, hope for tomorrow, and Gods love that endures forever.The following story illustrates how Adventist Health Reedley is able to provide quality care for our community in an extraordinary way:Angela Gutierrez, a medical assistant on Adventist Healths mobile care unit, was putting materials away after an event when a woman approached. Excuse me, maam, would you be able to take my blood pressure? the woman asked. Im not feeling well. She was shaking and said she felt dizzy.Angela immediately grabbed her blood pressure cuff to check her and read the numbers out loud. 280 over 180. Thats within the range of having a stroke. Angela helped the patient get to the closest emergency department, where she was admitted and treated.That was a close one, Angela says. If we hadnt been there, Id hate to think what wouldve happened to her. Once she was discharged, the woman returned to the Mobile Care unit with hugs and snacks. She knew we had saved her life and was so grateful we were there. For many of our community members who face transportation barriers, getting to the doctors office isnt always easy. Our mobile unit allows us to meet our community where they are and provide care physically and mentally. This program is entirely funded by donors and grants, and we need your help to keep it rolling. Were taking the best of what we have in our hospitals and our clinics, and we have equipped this mobile unit to go out into the areas that have not been seen before, explains Raul Ayala, MD, Ambulatory Medical Officer at Adventist Health Central Valley Network . We have towns that are less than 500 people or 1,000 people, and the next healthcare provider is maybe 30, 50 or even 100 miles away . The mobile unit is one part of our vision to bring healthcare including a growing number of medical specialties to clinics and sites throughout the region. This vision also includes the family medicine residency program at Adventist Health in the Central Valley and clinic rotations for medical assistant, physician assistant and nurse practitioner students from over 50 schools.Dr. Joseph Maddela, a third-year resident at Adventist Health, is grateful for the opportunity to serve in the mobile clinic. Having grown up in a rural community, its been my dream to give back to the people who raised me. Dr. Maddela and his colleagues provide care at clinics throughout the area and on the mobile unit, which travels across a 200-mile area and is fully equipped with the exam rooms, equipment and technology needed to provide care. I enjoyed getting to know the patients, learning what gives them hope, what makes them happy, and seeing their improvement through our care, he says. The mobile clinic also has increased the number of experiences and opportunities for students to learn more about Adventist Health, to learn more about the community, to learn more about how they can make a difference, says Dr. Ayala.Our mobile care unit visits schools, farms, homeless shelters and churches. This will allow us to find those patients that are in need, who dont visit a doctor, dont have access to good health care. and we will be that bridge that brings them from the community, into a medical home, because I know we provide the best health care in this Valley. God has given us this calling, and we need the community's support, says Dr. Ayala. Our dream is to have a mobile unit traveling north, east, south and west, serving our hard-to-reach communities. We have one unit, and it is doing incredible things and we are planning to add more units as the funds allow.Compassionate, high-quality patient care; life-saving and life-preserving medical and surgical services; advanced treatments in a community-based hospital; essential emergency services-these are the reasons we are in our community.Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/	Desc
Total Program Service Expenses	$138,375,629	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1152	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	John Beaman	PersonNm
Phone	9164060000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 619135	AddressLine1Txt
City	Roseville	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95661	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (39 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
Wing Bill - Departed 122
Dir/VC/Asst Sec	0.00	50.00	Yes (X)	Yes (X)	$0	$2,511,347	$53,289
Heinrich Kerry
Director/CEO	0.00	50.00	Yes (X)	Yes (X)	$0	$2,131,444	$48,069
Hofheins Todd
COO Eff 1/22	0.00	50.00		Yes (X)	$0	$1,971,652	$55,964
Jahn Andrew-Care Div Pres thru 222
President, Southern CA Network	0.00	50.00			$0	$1,409,539	$60,092
Beaman John
CFO/Asst Secty	0.00	50.00		Yes (X)	$0	$1,361,096	$61,075
Nahapetian Arby-Care Div Med Off th
Chief Clinical Officer	0.00	50.00			$0	$1,334,111	$60,780
Spenst Brett-Care Div Fin Off thru
Sr. Finance Officer & CIO	0.00	50.00			$0	$1,322,824	$40,922
Stevens Eric-Care Div Ops Exec thru
President, No Cal/HI State Network	0.00	50.00			$0	$1,315,314	$46,881
Reiner Scott
Former Dir/Chair/CEO thru 12/21	0.00	0.00			$0	$1,222,073	$25,188
Kofl Andrea
Ctrl Vally Pres	10.00	40.00		Yes (X)	$0	$1,136,791	$47,967
Jobe Meredith
Secretary	0.00	50.00		Yes (X)	$0	$930,036	$49,067
Ayala Raul-CVN Clinics
Medical Officer	0.00	50.00		Yes (X)	$0	$756,718	$32,319
Kaur Gurvinder
Medical Officer, CVN	10.00	40.00			$0	$692,810	$32,124
Haydock Timothy
Treas/Asst Sec	10.00	40.00		Yes (X)	$0	$589,178	$60,824
Reyna Sonja
Operations Executive	20.00	30.00			$0	$504,348	$33,291
Taggart Laurie
Patient Care Executive	20.00	30.00			$0	$473,349	$48,172
Day Lauren
Foundation Executive	0.00	50.00			$0	$350,763	$57,016
Pickering Christine-Departed 422
Communication Dir, CCR	0.00	0.00			$0	$343,094	$39,906
Ammon Edward
Former Fdtn Exec thru 1/21	0.00	50.00			$0	$321,724	$47,612
Duyst Jennifer
Admin Dir, Clinics and Strategy	50.00	0.00			$0	$241,106	$54,420
Chapman Susan
Associate Patient Care Executive	20.00	30.00			$0	$256,788	$31,206
Ayers Richard
RN House Superviso	40.00	0.00			$223,830	$0	$61,871
Austin Katherine
Physician Asst	40.00	0.00			$217,652	$0	$60,251
Willems Debra
RN	40.00	0.00			$233,925	$0	$41,356
Torres Ramon
RN Nurse Lead	40.00	0.00			$220,991	$0	$48,601
Torres Evangelina
RN Nurse Lead	40.00	0.00			$226,899	$0	$37,243
Lemaster Deborah
Dir, Ambulatory Quality Integration	50.00	0.00			$0	$200,397	$27,698
Chen Steven -Departed 322
Fmr Finance Off	0.00	0.00		Yes (X)	$0	$127,975	$15,047
Freedman John
Dir/Chair	0.00	4.00	Yes (X)		$0	$26,858	$0
Woodson Marc
Director	0.00	4.00	Yes (X)		$0	$26,728	$0
Banks David
Director	0.00	4.00	Yes (X)		$0	$26,478	$0
Cherry Robert
Director	0.00	4.00	Yes (X)		$0	$26,478	$0
Davis Andrew
Director	0.00	4.00	Yes (X)		$0	$26,478	$0
Innocent Larry
Director	0.00	4.00	Yes (X)		$0	$26,478	$0
Reiner Richard
Director	0.00	4.00	Yes (X)		$0	$26,478	$0
Newton Bradford
Dir/Vice Chair	0.00	4.00	Yes (X)		$0	$25,180	$0
Salazar Velino
Director	0.00	4.00	Yes (X)		$0	$21,478	$0
Fehr Joy
Director	0.00	4.00	Yes (X)		$0	$430	$0
Ocampo Lucy
Director	0.00	4.00	Yes (X)		$0	$430	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,123,297	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$21,737,971	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,278,251	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	139	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Valley Childrens Medical Group
9300 Valley Childrens Place	Madera	CA	93638	Physician Services	$3,648,998
Rmg Medical Imaging Consultants
PO Box 86348	Los Angeles	CA	90086	Physician Services	$1,436,695
Comfort Anesthesia Associates Inc
11704 Nantwick Ct	Bakersfield	CA	93311	Physician Services	$1,129,413
CEP America California
2100 Powell Street Ste 900	Emeryville	CA	94608	Physician Services	$1,089,320
Barton Associates Inc
PO Box 417844	Boston	MA	022417844	Physician Services	$1,088,697

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	52	CntrctRcvdGreaterThan100KCnt
Government Grants	$5,580,036	GovernmentGrantsAmt
All Other Contributions	$1,356,527	AllOtherContributionsAmt
Total Contributions	$6,936,563	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CARES Act Income	900099	$32,655,827	$32,655,827
Incentive & Quality Rev	900099	$1,736,571	$1,736,571
Patient Care Services	900099	$187,051,235	$187,051,235
Pharmacy 340b Revenue	722514	$2,169,387	$2,169,387
Premium Revenue	900099	$2,451,783	$2,451,783

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$375,716	TotalRevenueColumnAmt
Related Or Exempt Func Income	$375,716	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$226,440,519	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,881,092	TotalRevenueColumnAmt
Exclusion	$10,881,092	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$14,384,812	SecuritiesAmt
Other	$35,479	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$14,384,812	SecuritiesAmt
Other	-$35,479	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$14,420,291	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$14,420,291	RelatedOrExemptFuncIncomeAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Other Nonoperating gains(loss)	Desc
Total Revenue Column	-$233,000	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$233,000	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	-$233,000	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$229,604,883	TotalRevenueColumnAmt
Related Or Exempt Func Income	$211,787,228	RelatedOrExemptFuncIncomeAmt
Exclusion	$10,881,092	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	$83,210	TotalAmt
Program Services	$83,210	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

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

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$58,459,661	TotalAmt
Program Services	$52,974,194	ProgramServicesAmt
Management And General	$5,485,467	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,257,659	TotalAmt
Program Services	$2,133,977	ProgramServicesAmt
Management And General	$123,682	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,334,170	TotalAmt
Program Services	$9,316,581	ProgramServicesAmt
Management And General	$1,017,589	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,170,459	TotalAmt
Program Services	$3,950,344	ProgramServicesAmt
Management And General	$220,115	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$22,239,293	TotalAmt
Management And General	$22,239,293	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,302	TotalAmt
Management And General	$3,302	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$8,744	TotalAmt
Management And General	$8,744	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$43,875,271	TotalAmt
Program Services	$38,337,532	ProgramServicesAmt
Management And General	$5,537,739	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$15,602	TotalAmt
Management And General	$15,602	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,881,597	TotalAmt
Program Services	$1,373,683	ProgramServicesAmt
Management And General	$507,914	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,225,525	TotalAmt
Program Services	$746,113	ProgramServicesAmt
Management And General	$5,479,412	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,021,734	TotalAmt
Program Services	$7,523,548	ProgramServicesAmt
Management And General	$1,498,186	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$246,148	TotalAmt
Program Services	$234,062	ProgramServicesAmt
Management And General	$12,086	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$65,748	TotalAmt
Program Services	$64,653	ProgramServicesAmt
Management And General	$1,095	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,676,836	TotalAmt
Program Services	$1,676,836	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,004,760	TotalAmt
Program Services	$6,540,726	ProgramServicesAmt
Management And General	$1,464,034	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,220,021	TotalAmt
Program Services	$1,193,796	ProgramServicesAmt
Management And General	$26,225	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Patient Care Supplies	$12,724,583	$11,213,981	$1,510,602
Other Expenses	$7,853,869	$297,116	$7,556,753
Equipment Rentals	$428,497	$428,497
Quality Assurance	$280,426	$280,426

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,354	TotalAmt
Program Services	$6,354	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$191,083,469	TotalAmt
Program Services	$138,375,629	ProgramServicesAmt
Management And General	$52,707,840	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$169,660,954	BOYAmt
EOY	$164,161,749	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$28,346,288	BOYAmt
EOY	$22,698,011	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$727,687	BOYAmt
EOY	$783,570	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$205,006	BOYAmt
EOY	$69,771	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$112,980,898	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$43,811,235	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$74,013,004	BOYAmt
EOY	$69,169,663	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,944,063	BOYAmt
EOY	$9,711,063	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,969,748	BOYAmt
EOY	$19,228,342	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$289,866,750	BOYAmt
EOY	$285,822,169	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$47,661,362	BOYAmt
EOY	$11,807,813	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$4,071,095	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$94,404,492	BOYAmt
EOY	$97,142,404	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$146,136,949	BOYAmt
EOY	$108,950,217	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	$143,633,285	BOYAmt
EOY	$175,793,465	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$96,516	BOYAmt
EOY	$1,078,487	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$143,729,801	BOYAmt
EOY	$176,871,952	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$289,866,750	BOYAmt
EOY	$285,822,169	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$38,521,414	ReconcilationRevenueExpnssAmt
Prior Period Adjustments	-$4,537,000	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$842,263	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

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)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$19,696	OtherActivitiesAmt
Total Lobbying Expenditures	$19,696	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part II-B, Line 1i - Other Activities Description	The organization belongs to industry and professional associations for which a portion of the membership dues is used for lobbying activities. Expenditures to Noteware were paid for the purpose of working with legislators and government officials relating to legislation affecting hospitals and healthcare.
Part IV - Additional Information

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,829,394	BeginningYearBalanceAmt
Contributions	$4,679,773	ContributionsAmt
Investment Earnings Or Losses	-$45,672	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,385,039	OtherExpendituresAmt
End Year Balance	$1,078,456	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,829,394	BeginningYearBalanceAmt
Contributions	$1,635,112	ContributionsAmt
Other Expenditures	$1,634,599	OtherExpendituresAmt
End Year Balance	$1,829,907	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$31,914	BeginningYearBalanceAmt
Contributions	$588,386	ContributionsAmt
Other Expenditures	$96,101	OtherExpendituresAmt
End Year Balance	$524,199	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$35,409	BeginningYearBalanceAmt
Contributions	$184,774	ContributionsAmt
Grants Or Scholarships	$182,938	GrantsOrScholarshipsAmt
Other Expenditures	$5,331	OtherExpendituresAmt
End Year Balance	$31,914	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$50,130	BeginningYearBalanceAmt
Contributions	$28,332	ContributionsAmt
Other Expenditures	$43,054	OtherExpendituresAmt
End Year Balance	$35,408	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,315,335	OtherCostOrOtherBasisAmt
Book Value	$4,315,335	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$34,138,616	OtherCostOrOtherBasisAmt
Depreciation	$8,786,067	DepreciationAmt
Book Value	$25,352,549	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,690,954	OtherCostOrOtherBasisAmt
Depreciation	$3,095,829	DepreciationAmt
Book Value	$3,595,125	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$67,835,993	OtherCostOrOtherBasisAmt
Depreciation	$31,929,339	DepreciationAmt
Book Value	$35,906,654	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$69,169,663	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Due from third-party payors	$17,849,436
Other Assets	$174,731
Other receivables	$251,456
Receivables from related organizations	$952,719

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$19,228,342	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Other Liabilities	$27,227,095
Payable to third Party Medicare	$1,808,907
Payables to related organizations	$68,106,402

Field	Value	IRS element (for citing)
Total Liability	$97,142,404	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 4: Intended uses of the endowment fund.

Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended.

Part X : FIN48 Footnote

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, 2022 and 2021, 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 2018 in major tax jurisdictions.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,834,717	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,834,717	NetCommunityBenefitExpnsAmt
Total Expense	0.00960	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,834,717	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,834,717	NetCommunityBenefitExpnsAmt
Total Expense	0.00960	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,124,378	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,124,378	NetCommunityBenefitExpnsAmt
Total Expense	0.00590	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,533,615	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$80,960	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,452,655	NetCommunityBenefitExpnsAmt
Total Expense	0.01280	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,691,131	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,685,592	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,005,539	NetCommunityBenefitExpnsAmt
Total Expense	0.06810	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,349,124	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,766,552	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,582,572	NetCommunityBenefitExpnsAmt
Total Expense	0.08680	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,183,841	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,766,552	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,417,289	NetCommunityBenefitExpnsAmt
Total Expense	0.09640	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,260	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,260	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,130	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,130	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,923	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$38,923	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,313	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$42,313	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,415,110	BadDebtExpenseAmt
Bad Debt Expense Attributable	$625,210	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$13,064,567	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$17,106,026	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,041,459	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Reedley Community Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	372 W Cypress Ave	AddressLine1Txt
City	Reedley	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93654	ZIPCd

Field	Value	IRS element (for citing)
Website Address	See Form 990, Pg 1, Item J	WebsiteAddressTxt
State License	040000149	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Sch H Part VI - Needs Assessment	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	See Sch H Part VI - Needs Assessment	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Sch H Part VI - Needs Assessment	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	Sch H Part VI - Patient Education	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	Sch H Part VI - Patient Education	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	Sch H Part VI - Patient Education	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Facility: - Part V, Section B, Line 5	The 2022 CHNA Steering Committee identified vulnerable populations and worked with local organizations to coordinate focus groups and key informant interviews to ensure that minority populations the voices of those with chronic disease, low incomes and the underserved were heardAging, civic government and leadership, community-based organizations focusing on healthcare consumer, law enforcement, low-income, medically underserved, minority populations, substance abuse, transportation and unhoused population participated in seven focus groups with fifty-two individuals participating as well as eight key informant interviews. Represented race/ethnicities were Black, Hispanic, Multi-Race and White. The 2022 Community Health Needs Assessment was developed using four separate sources of primary and secondary data. This mixed methods approach is considered a preferred practice for needs assessments because it allows for the greatest understanding of community needs from the broadest range of perspectives. Primary data refers to data collected and analyzed specifically for this project, while secondary data refers to data compiled and analyzed by external groups and utilized here. Qualitative primary data collection involved focus group interviews with local service providers and service recipients and individual key informant interviews with local leaders. These were conducted in-person and virtually. Direct quotes were taken from a transcription of key informant interviews and are intended to be 100% accurate but could not be verified in all situations. This information was collected by the Adventist Health Community Well-Being team and evaluation consultants from the Center for Behavioral Health Integration. Secondary data was amassed and analyzed across 45 different data sets by the University of Missouri Extension Center for Applied Research and Engagement Systems (CARES). Finally, survey data sets of registered voters in the community were collected and analyzed by UC Berkeley Institute of Governmental Studies (IGS Survey data was gathered from the Central Valley region (region name defined by survey administrator, UC Berkeley IGS).
Facility: - Part V, Section B, Line 6a	Adventist Health Central Valley network consisting of Adventist Health Hanford & Selma, Adventist Health Tulare and Reedley Community hospital participated in the 2022 CHNA process.
Facility: - Part V, Section B, Line 11	The COVID-19 global pandemic has caused extraordinary challenges for Adventist Health hospitals and health care systems across the world including keeping front line workers safe, shortages of protective equipment, limited ICU bed space and developing testing protocols. They have also focused on helping patients and families deal with the isolation needed to stop the spread of the virus, and more recently vaccine roll out efforts. Adventist Health, like other health care systems, had to pivot its focus to meet the most urgent healthcare needs of its community during the pandemic, as well as reassess the ability to continue with some community health strategies due public health guidelines for social distancing. Adjustments have been made to continue community health improvement efforts as possible, while ensuring the health and safety of those participating. Tax year 2022 was year three of the Implementation Strategy for the 2019 CHNA. All programs and activities provided to the community were in response to the priority health needs identified in the 2019 CHNA. Our 2019 CHNA identified five areas of significant need: Access to Care, Obesity/ Healthy Eating Active Living (HEAL)/ Diabetes, Mental Health, Economic Security/Homelessness, Maternal & Infant Health. Our overall goal is to improve the health and wellness of our communities through provision of services, community collaboration and innovation. Priority Need 1- Access to Care- The goal is to improve the overall health and wellness of our communities through provisions of services, community collaboration and innovation. Strategy 1- Improving access to care through increased health awareness and access to needed services. Activity 1.1- Transportation to clinic appointments. Adventist Health contracts with transportation vendors to provide round trip transportation to our clinics for patients that do not have transportation and would otherwise not be able to attend their necessary medical appointments. The rides help prevent appointment no-shows and increase access to care for our patients. Additionally, with the use of telehealth, patients were able to receive care in their own homes, and not worry about transportation. Number of Community Members Served: 625. Activity 1.2- Provider Recruitment. Access to care is limited in our region due to a shortage of healthcare providers, including physicians, nurse practitioners and physician assistants. Recruitment of providers and specialists is critical to meeting the healthcare needs of our patients and rural communities. Number of Providers Added: 27 physicians, nurse practitioners and physician assistants to the area. Additional Activities: 1. In July of 2022, an additional Mobile Care Clinic was obtained. The Mobile Care Clinics provide high-quality, primary care services for the entire family in low-income neighborhoods. In 2022, the Mobile Care Clinics recorded serving communities such as Laton, Alpaugh, Tulare, Hanford, Earlimart, Avenal, Five Points, Selma and Reedley, and provided care to over 300 patients. Overall, 1,567 COVID-19 vaccines, 420 flu vaccines, 180 sports physicals, and 764 point of care testings were completed in 2022. 2. Adventist Health provided free medical screenings and back to school immunizations to over 200 school aged children in Orange Cove, Tulare, and Reedley during Health & Wellness Fairs in 2022. We also provided health education about mental wellness and access to care at various locations and events throughout the community including school fairs, baseball games, and run/walk events which ultimately reached 5,000 community members across three counties.Priority Need 2- Obesity/ Healthy Eating Active Living (HEAL)/Diabetes- The goal is to create healthy communities through expansion of preventative programs and chronic disease support. Strategy 1- Through a focus on educational activities, work to empower communities to understand the importance of healthy eating and exercise to live a healthier life. Activity 1.1- Diabetes self-management classes. Due to staffing shortages and the continuation of COVID-19 fluctuations, all diabetes self-management education classes were placed on hold. However, we believed it was still necessary to provide community members with services and education surrounding diabetes management, healthy eating and active living. Mobile Care Clinics were able to provide A1C testing, educational materials, and support to very vulnerable populations. In October 2020, Adventist Health partnered with Nurtrible, a food program aimed at providing nutritional meals for patients who meet the requirements. This program has seen great success and we are looking at expanding the program to other clinics in 2023. Additional Activities: Adventist Health partnered with Hanford Joint High Schools and Tulare Joint High Schools to provide free school physicals. We were able to provide physicals to over 1,200 students over the course of two months. During these physicals students received counseling and educational materials about hydration and healthy eating, specifically while participating in sports.Priority Need 3- Mental Health- The goal is to increase access to behavioral health services for vulnerable populations. Strategy 1- to enhance provider and community partners knowledge of factors influencing behavioral health to support referrals to appropriate behavioral health resources. Activity 1.1- Provide mental health education to external Adventist Health partner organizations and community members. 1. Adventist Health partnered with the Tulare County Behavioral Health Department to create a behavioral health collaborative. The collaborative also includes Fresno and Kings County. Meetings are scheduled into 2023 and focus on developing strategies to address the mental health crisis all three counties are experiencing. 2. Virtual Mental Health visits were also made available in 2022. Patients were able to experience faster access to care and decreased wait times when using the virtual option. 3. In 2022, Adventist Health began employing community health workers with funding provided by a literacy grant. The community health workers are used to educate the community on available resources. Many of our community health workers are predominantly located in communities with language barriers. The community health workers act as a translator and connector to available services that individuals were unaware of due to the language barrierPriority Need 4- Economic Security/ Homelessness- The goal is to address social needs and social determinants of health, to allow for a healthy foundation for communities to build a healthy life. Strategy 1- Partner with county and local programs to have a greater impact on creating access to shelter and housing. Activity 1.1- Recuperative Board and Care (Kings Gospel Mission) In 2022, Adventist Health continued the work with Kings Gospel Mission to provide recuperative room and board to homeless individuals who present to emergency departments. Due to continued COVID-19 efforts California provided, like Project Room Key & Project Home Key, the number of homeless individuals looking for temporary housing declined. The total number of individuals who utilized Kings Gospel Mission services was 12. Additional Activities: 1. In 2022, Adventist Health joined the Kings County Homeless Collaborative, which aims to address and provide support and resources to the homeless community in Kings County, while also discussing and implementing resources to address the crisis. As part of the collaboration, Adventist Health used our Mobile Care Clinic to provide monthly medical screenings to the homeless in Kings County. The Individuals who had access to the monthly mobile care clinic decreased the need for emergency care, thus decreasing wait times and crowding in our emergency departments. Similarly, Adventist Health also partnered with the City of Tulare to provide medical care to the homeless population in the city. Care was provided twice a month with the intent to help rehabilitate and revive the encampments within the city. 2. In 2022, Adventist Health also provided support to individuals experiencing economic insecurity through the Inspire Hope Program. The Inspire Hope Program aims to provide needed items such as home goods, appliances, furniture, personal hygiene items, shelf stable foods, and more to community members in need. The program partners 250 non-profit organizations and allows for these organizations to identify families and the basic needs that are needed. The program was able to donate items to over 3,500 families in the hospital service area.Priority Need 5- Maternal and Infant Health- The goal is to increase overall health and wellness. Strategy 1- Provide educational materials and host educational sessions. Activity 1.1- Provide free car safety seat checks to the community. Although program participation was reduced or limited due to COVID-19, ou
Facility: - Part V, Section B, Line 13h	Patients who do not meet the income criteria, may be eligible for financial assistance based on essential living expenses and resources. The following two (2) qualifications must both apply:1. Essential living expenses: Exceed fifty percent (50%) of the household income; and2. Resources: The patient's excess medical expenses (the amount that allowable medical expenses are greater than 50% of annual household income) must be greater than available qualifying assets.

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (48 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
AHCC - Fowler
119 S 6th St	Fowler	CA	93625	Rural Health Clinic
AHCC - Hanford Specialty Services
1025 N Douty St	Hanford	CA	93230	Outpatient clinic - specialists
AHCC - Reedley
811 E 11th St	Reedley	CA	93654	Rural Health Clinic
AHCC - Selma Central
2141 High St	Selma	CA	93662	Rural Health Clinic
AHCC - Oakhurst
48677 Victoria Lane	Oakhurst	CA	93644	Rural Health Clinic
AHCC - Reedley Womens Health
550 W Cypress Ave	Reedley	CA	93654	Rural Health Clinic
AHCC - Hanford
1025 N Douty St	Hanford	CA	93230	Rural Health Clinic - primary care services
AH Tulare - RHC AHRD
2059 Hillman Street	Tulare	CA	93274	Rural Health Clinic
AHCC - Kerman
1000 S Madera Ave	Kerman	CA	93630	Rural Health Clinic
AHCC - Sanger
1939 Academy Ave	Sanger	CA	93657	Rural Health Clinic
AHCC - Healthy Beginnings
1025 N Douty St	Hanford	CA	93230	Outpatient clinic - prenatal, family PACT, and well women services
AHCC - Selma
1041 Rose Ave	Selma	CA	93662	Rural Health Clinic
AHCC - Home Garden
11899 Shaw Pl	Hanford	CA	93230	Rural Health Clinic
AHCC - Dinuba
1451 E El Monte Way	Dinuba	CA	93618	Rural Health Clinic
AHCC - Kingsburg
1251 Draper St	Kingsburg	CA	93631	Rural Health Clinic
AHCC - Lemoore East
810 E D St	Lemoore	CA	93245	Rural Health Clinic
AHCC - Behavioral Health Srvs
1025 N Douty St	Hanford	CA	93230	Outpatient mental health services
AH Hanford Same Day - RHC AHRD
1025 N Douty Street	Hanford	CA	93230	Rural Health Clinic
AHCC - Reedley Childrens Health
1433 N Acacia	Reedley	CA	93654	Rural Health Clinic - Children's Clinic
AHCC - Riverdale
3567 Mt Whitney Ave	Riverdale	CA	93656	Rural Health Clinic
AHCC - Corcoran East
1310 Hanna Ave	Corcoran	CA	93212	Rural Health Clinic
AHCC - Hanford Dental
1025 N Douty St	Hanford	CA	93230	Rural Health Clinic
Hanford Family Practice Residency Clinic
1025 N Douty St	Hanford	CA	93230	Outpatient Teaching Clinic - Family Practice Residents
AHCC-Dinuba Plaza
444 W El Monte Way	Dinuba	CA	93618	Rural Health Clinic
AHCC - Parlier Newmark
155 S Newmark	Fowler	CA	93648	Rural Health Clinic
AHCC - Orosi
41696 Road 128	Orosi	CA	93647	Rural Health Clinic
AHCC - Reedley Jefferson
1150 E Washington Ave	Reedley	CA	93654	Rural Health Clinic
AHCC - Dinuba West
250 W El Monte Way	Dinuba	CA	93618	Rural Health Clinic
AHCC - Caruthers
2440 W Tahoe Ave	Caruthers	CA	93609	Rural Health Clinic
AHCC - Reedley Cypress
372 W Cypress Ave	Reedley	CA	93654	Rural Health Clinic
AH Hanford Synchronous BH - RHC AHRD
372 W Cypress Avenue	Reedley	CA	93654	Rural Health Clinic
AHCC - Orange Cove
1455 Park Blvd	Orange Cove	CA	93646	Rural Health Clinic
AHCC - Madera Ranchos
11976 Road 37	Madera	CA	93636	Rural Health Clinic
AHCC-Caruthers East
2357 W Tahoe	Caruthers	CA	93609	Rural Health Clinic
AHCC - Corcoran
1212 Hanna Ave	Corcoran	CA	93212	Rural Health Clinic
AH Hanford Complex Care - RHC AHRD
1025 N Douty Street	Hanford	CA	93230	Rural Health Clinic
AHCC - Wasco
1040 7th St	Wasco	CA	93280	Rural Health Clinic - Family Practice
AHCC - Huron
16916 5th St	Huron	CA	93234	Rural Health Clinic
AHCC - Coalinga
155 S 5th St	Coalinga	CA	93210	Rural Health Clinic
AHCC - Shafter
406 James St	Shafter	CA	93263	Rural Health Clinic-Family Practice
AHCC - Avenal West
337 Kings Street	Avenal	CA	93204	Rural Health Clinic
AH Earlimart - RHC AHRD
389 S Church	Earlimart	CA	93219	Rural Health Clinic
AHCC - Avenal
216 Fresno St	Avenal	CA	93204	Rural Health Clinic
AHCC - Taft
501 6th St	Taft	CA	93268	Rural Health Clinic
AHCC-Cutler
40657 Road 128	Cutler	CA	93615	Rural Health Clinic
AHCC - Oakhurst East
49063 Road 426 Ste CD	Oakhurst	CA	93644	Rural Health Clinic
AHCC - Kerman Central
275 S Madera Ave Ste 201	Kerman	CA	93630	Rural Health Clinic
AHCC - Caruthers East
2357 W Tahoe	Caruthers	CA	93609	Rural Health Clinic

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7 - Explanation of Costing Methodology	The costs were determined by using a cost-to-charge ratio. The cost-to-charge computation is based on hospital specific data included in the system-wide audited combined financial statements. The formula used for computation equals financial statement data labeled as follows:Total expenses - (Provision for bad debts + Other revenue + Interest income) divided by Gross patient chargesThe hospital is located in a medically underserved area and participates in a quality assurance fee program with the State of California to fund certain Medi-Cal coverage expansions. The state redistributes funds to hospitals that provide patient care to a higher proportion of indigent and medically underprivileged patients, who otherwise would most likely not have access to physicians and other medical services. The community benefit analysis includes receipts from this redistribution that are used to assist in partially offsetting the significant costs associated with providing patient care to this population group. The program may or may not continue in the future based on the State of Californias regulations and policies and the approval of the federal government.
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	Uncollected patient accounts are analyzed using written patient financial services policies that apply standard procedures for all patient accounts. The result of the analysis is what is recognized as bad debt expense. For example, all self-pay patients receive a discount. If the discounted account is unpaid after collection efforts, the unpaid balance is classified as bad debt. The cost-to-charge ratio is multiplied times the hospital's bad debt expense. The resulting figure has been reported as bad debts at cost on Part III, Line 2.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit	The portion of the bad debts attributed to charity care as reported on Part III, Line 3 was calculated by an independent third-party consulting firm. A statistically valid sampling of patient accounts written-off was evaluated. The evaluation used various factors to determine which patients would have been eligible for charity care. Had the hospital obtained sufficient information from all patients who qualified for financial assistance, these additional accounts would have been recorded as charity care instead of bad debt.
Part III, Line 4 - Bad Debt Expense	The system-wide audited combined financial statements do not contain a footnote describing bad debt expense.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	The Medicare cost report apportions the hospitals costs on the basis of inpatient days and ancillary and outpatient charges to establish the costing methodology.Healthcare delivery by hospitals is a complex, highly regulated business in the United States. Healthcare unit cost inflation is driven by compliance with ever-expanding regulatory requirements, shortages of highly skilled labor and evolving medical and information technology. The health care market basket is unrelated to that of the average individual consumer. Medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that Medicare payments too many U.S. hospitals are well below the cost of providing care. These unreimbursed costs are a community benefit for seniors and others in the community as these individuals are continuing to receive care without which many would become dependent on other governmental resources such as Medicaid. The benefit to the community for healthier Medicare recipients is no different than those benefits the community realizes for uninsured and underinsured patients who are eligible for partial and full charity care. Medicare is a safety net for seniors and others. Without Medicare coverage, many individuals would undoubtedly qualify for charity care.In addition to the mismatch between Medicare payment increases and healthcare cost inflation, the highly complex Medicare payment systems and formulas produce disparate payment levels from one hospital to another for the same service. These disparate payment levels create disparate results within groups of hospitals. For further information please refer to schedule H part III section B.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	When a patient has requested screening for charity care, the hospital must immediately cease collection activity and place the account in a charity pending status. If 100% charity is approved, the entire account balance is written off to charity care. If the patient has a sliding scale liability based on the federal poverty guidelines, they are billed only for that liability. If the patient fails to pay their after-charity liability, they are assigned to a collection agency with an identifier that indicates to the agency that the patient is "low incomeX and the following criteria must be followed by the agency:1. They may not report the patient to a credit bureau2. They may not file a lawsuit to recover the outstanding liability3. They may not charge interest
Part VI, Line 2 - Needs Assessment	The hospital's 2022 CHNA, the 2023 community health implementation strategy approved in FY 2023, and the 2022 Community Health Plan (CHP) Update for fiscal year 2022 are posted on the hospital's website at https://www.adventisthealth.org/about-central-valley/community-benefit/The two most recent Community Health Needs Assessments, the two most recent Implementation Strategy reports and the 2020, 2021 and 2022 Community Health Plan Updates are also available on the Adventist Health Corporate website at https://www.adventisthealth.org/about-us/community-benefit/The Community Health Needs Assessment (CHNA) includes both the activity and product of identifying and prioritizing a community's health needs, accomplished through the collection and development of a community health plan. The second component of the CHNA, the community health plan, includes strategies and plans to address prioritized needs, with the goal of contributing to improvements in the community's health. Qualitative and quantitative data sources were used in conducting the CHNA. To accomplish the many important systemic goals that are underway in our community, Adventist Health supports local partners to augment our own efforts, and to promote a healthier community. Partnership is not used as a legal term, but a description of the relationships of connectivity that are necessary to collectively improve the health of our region. One of our objectives is to partner with other nonprofit and faith-based organizations that share our values and priorities to improve the health status and quality of life of the community we serve. This is an intentional effort to avoid duplication and leverage the successful work already in existence in the community.
Part VI, Line 3 - Patient Education of Eligibility for Assistance	The plain language summary of the Financial Assistance Policy (FAP) is posted along with the complete FAP policy and FAP Application on the hospital's website at:1.https://www.adventisthealth.org/patient-resources/bill-pay/financial-assistance/ 2.https://www.adventisthealth.org/documents/financial-assistance/13863-Self-Pay-Billing-and-Collection-Policy.pdfThese documents are available in multiple languages.At the time of registration, patients who are uninsured and underinsured are provided information about government healthcare programs. Patients are also orally informed of their right to request charity assistance. Signs are displayed in the patient business office, patient registration areas and the emergency room in multiple languages informing patients of this right as well. The hospital also provides a brochure during the registration process that explains the hospital billing and collection procedures, and how to request financial assistance. In addition, every billing statement sent to patients contains information on how to request financial assistance.
Part VI, Line 4 - Community Information	The Central Valley Network (CVN) is comprised of four cities: Hanford, Tulare, Reedley and Selma. The CVN is home to a total population of 530,375 residents with the majority age group being children (5-17), making up 22.2% of the population. Centrally located between northern and southern California, CVNs geographic region is one of its biggest assets benefiting farmland businesses as well as residents pursuing recreational activities such as a short road trip to Yosemite National Park or the cool coastlines of Monterey Bay and Big Sur. This young population is vibrant with festivals, events and small businesses. Of the population, 64.68% are Hispanic. The median household income is $60,367 of which 59.22% is spent on housing and transportation. Among this population, 27.23% of children live in poverty and 2.70% of students are unhoused, compared to the state average of 4.25% and national average of 2.77%. The following zip codes represent Adventist Health Central Valley Networks primary service area (PSA), accounting for 75% of hospital discharges. Additionally, we took a collaborative approach and expanded our PSA by inviting Steering Committee members to include the zip codes of those they serve. The Adventist Health Central Valley Network CHNA market has a total population of 537,932 (based on the 2020 Decennial Census). The largest city in the service area is Tulare, with population of 59,312. The service area is comprised of the following zip codes: 93219, 93648, 93625, 93646, 93609, 93647, 93631, 93657, 93245, 93234, 93239, 93654, 93204, 93618, 93230, 93615, 93662, 93212, 93630, 93619, 93210, 93656, 93274. 57.31% of the population own their home and 42.69% are renters. Currently 8.57% of the Central Valley population does not have health insurance. The labor force participation rate (57.62%) is lower than that of California (63.29%) and the United States (62.97%). The unemployment rate is at 8.42% and is higher than both the state and the nation. Unemployment creates financial instability and barriers to access including insurance coverage, health services and education, healthy food, and other necessities that impact health status. The rate is higher for people of multiple races (11.27%) and people who chose some other race (10.49%). The childhood poverty rate is extremely high at 27.23%, higher than that of California (16.8%) and US (17.48%). Racial disparity in childhood poverty is evident, with 67.13% of Native Hawaiian or Pacific Islander children aged 0-17, 26.76% of Black children, and 28.23% of Native American or Alaska Native children living in households with income below the federal poverty level. The median household income is $60,367, which is below both the California rate and that of the nation, and poses a significant problem given the exceedingly high cost of living and housing costs in the area. The percent of the Central Valley population living in poverty is extremely high (19.22%) and is considerably higher than the rate of poverty in California (12.58%) and in the US (12.84%). The percentage of students eligible for the free or reduced-price school food program represents 75.84% of public-school students, which is higher than the state average of 59.18% and the nations average of 42.16%. Access to mental health (MH) providers in the Central Valley is extremely limited. The rate of MH providers is 43.82 per 100k people, as compared to 150.31 in California and 132.27 in the United States. The percentage of adults with poor mental health is higher in the Central Valley (16.1%) than in California (12.5%) and in the US (13.6%). Deaths of despair, which include any deaths due to intentional self-harm, alcohol related disease, and drug overdose are at 43.4 per 100k people and are elevated than the rate in the rest of the state of California (37.1).
Part VI, Line 4 - Community Building Activities	The hospital is involved in numerous community building activities which promote the health of development and access to care. This is why we have focused our work around addressing behavior and the systems keeping the most vulnerable people in cycles of poverty and high utilization. In an effort to heal these communities, we have strategically invested in our communities by partnering with national leaders in community well-being. We believe the power of the community. Overwhelmingly, we see diseases of despair including suicide, substance abuse, mental health and chronic illnesses plaguing the communities in which we have a significant presence in. These community concerns are addressed through health improvement, education, poverty, workforce community transformation lies in the hands of the community. Our solution for transformation is to create a sustainable model of well-being that measurably impacts the well-being of people, well-being of place and equity. In 2020, Adventist Health acquired Blue Zones as the first step toward reaching our solution. By partnering with Blue Zones, we will be able to gain ground in shifting the balance from healthcare treating people once they are ill to transformative well-being changing the way communities live, work and play. In 2021, Adventist Health committed to launching six Blue Zone Projects within our community footprint, and as we enter 2022 these projects are active. Blue Zones widens our impact from only reaching our hospitals communities in four states to a global mission practice. We also encourage our employees to serve on community collaboration boards, health advocacy programs, and physical improvement projects to promote the health of the communities we serve. In addition, we work with neighborhood programs, including schools, work sites and safety net providers to promote health and wellness and prevent disease. These activities are not included elsewhere on Schedule H.
Part VI, Line 5 - Promotion of Community Health	Our hospitals mission is, Living Gods love by inspiring health, wholeness and hope. Our community benefit work is rooted deep within our mission and merely an extension of our mission and service. We have also incorporated our community benefit work to be an integral component of improving the Triple Aim. The Triple Aim concept broadly known and accepted within health care includes:1) Improve the experience of care for our residents.2) Improve the health of populations.3) Reduce the per capita costs of health care.Our strategic investments in our community are focused on a more planned, proactive approach to community health. The basic issue of good stewardship is making optimal use of limited charitable funds. Defaulting to charity care in our emergency rooms for the most vulnerable is not consistent with our mission. An upstream and more proactive and strategic allocation of resources enables us to help low income populations avoid preventable pain and suffering; in turn allowing the reallocation of funds to serve an increasing number of people experiencing health disparities.Hospitals and health systems are facing continuous challenges during this historic shift in our health system. Given todays state of health, where cost and heartache is soaring, now more than ever, we believe we can do something to change this. These challenges include a paradigm shift in how hospitals and health systems are positioning themselves and their strategies for success in a new payment environment. This will impact everyone in a community and will require shared responsibility among all stakeholders. As hospitals move toward population health management, community health interventions are a key element in achieving the overall goals of reducing the overall cost of health care, improving the health of the population, and improving access to affordable health services for the community both in outpatient and community settings. The key factor in improving quality and efficiency of the care hospitals provide is to include the larger community they serve as a part of their overall strategy. Population health is not just the overall health of a population, but also includes the distribution of health. Overall health could be quite high if the majority of the population is relatively healthyeven though a minority of the population is much less healthy. Ideally such differences would be eliminated or at least substantially reduced.Community health can serve as a strategic platform to improve the health outcomes of a defined group of people, concentrating on three correlated stages:1) The distribution of specific health statuses and outcomes within a population; 2) Factors that cause the present outcomes distribution; and 3) Interventions that may modify the factors to improve health outcomes.Improving population health requires effective initiatives to: 1) Increase the prevalence of evidence-based preventive health services and preventive health behaviors, 2) Improve care quality and patient safety, and 3) Advance care coordination across the health care continuum. We will work together with our community to ensure the community health improvements are identified and then targeted for programs to influence behaviors to obtain improved health within the whole community.
Part VI, Line 6 - Affilated Health Care System	The hospital is a member of Adventist Health System/West, a health care system which provides healthcare services in diverse markets within the Western United States. A member hospital may share some services with other member hospitals in its geographic area, such as clinical, management and support services. Using today's technology, hospitals outside the geographic area are able to provide support through remote services such as tele pharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk management, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate administrative support for hospital affiliated medical groups that engage physicians through employment or other contracts. This provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communities served by all member hospitals.
Part VI, Line 7 - States Filing of Community Benefit Report	CA
Part VI - Additional Information	Identified Needs from CHNA, Not Addressed and Why (Based on FY 2022) CHP Update) -No hospital can address all the health needs identified in its community. Reedley Community Hospital is committed to serving the community by adhering to its mission, and using its skills, expertise, and resources to provide a range of community benefit programs. Climate Change: We feel that this is not our area of expertise and while we are willing to partner with organization who are engaging in activities to address Climate Change, this is not a top priority at this time. Substance Abuse/Tobacco- will be addressed through Mental Health, Access to Care, and Healthy Eating Active Living (HEAL). Oral Health- will be addressed through Access to Care. Asthma- will be addressed through Access to Care. CVD/Stroke- will be addressed through Access to Care and HEAL. HIV/AIDS/STIs- will be addressed through Access to Care and Maternal/Infant Health. Cancer- will be address through Access to Care and HEAL. Violence/Injury Prevention- will be address through Economic Security/Homelessness, Access to Care and Maternal/Infant Health. Other Items:Primary website address: See Form 990, Pg 1, Item JNeeds Assessment website: See Sch H Part VI - Needs AssessmentFAP website: See Sch H Part VI-Patient Education

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CA Health Foundation & Trust	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1215 K St Ste 800	AddressLine1Txt
City	Sacramento	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95814	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	941498697	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$81,460	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Valuation Method Used	Funds Transfer	ValuationMethodUsedDesc
Purpose Of Grant	Uninsured/Underinsured Patients	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Grantmaker's Description of How Grants are Used	FormAndLineReferenceDesc
Explanation	Grants are donations made to US tax exempt organizations, Government Entities and Civic organizations who are community partners, known to us, and present a valid purpose for their donation request. It is anticipated that no further monitoring is required.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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 (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (27 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt
Ammon Edward
Former Fdtn Exec thru 1/21	$241,457	$52,220	$28,047	$11,970	$35,642	$369,336
Austin Katherine
Physician Asst							$217,577	$75	$11,149	$49,102	$277,903
Ayala Raul-CVN Clinics
Medical Officer	$499,610	$106,568	$150,540	$12,310	$20,009	$789,037
Ayers Richard
RN House Superviso							$221,188	$2,642	$11,051	$50,820	$285,701
Beaman John
CFO/Asst Secty	$1,047,636	$298,600	$14,860	$12,310	$48,765	$1,422,171
Chapman Susan
Associate Patient Care Executive	$209,549	$46,481	$758	$12,310	$18,896	$287,994
Day Lauren
Foundation Executive	$235,012	$76	$115,675	$11,738	$45,278	$407,779
Duyst Jennifer
Admin Dir, Clinics and Strategy	$215,557	$24,303	$1,246	$10,580	$43,840	$295,526
Haydock Timothy
Treas/Asst Sec	$426,006	$110,862	$52,310	$12,310	$48,514	$650,002
Heinrich Kerry
Director/CEO	$1,817,710	$76	$313,658	$12,310	$35,759	$2,179,513
Hofheins Todd
COO Eff 1/22	$1,358,421	$376,216	$237,015	$12,310	$43,654	$2,027,616
Jahn Andrew-Care Div Pres thru 222
President, Southern CA Network	$1,047,840	$349,414	$12,285	$12,310	$47,782	$1,469,631
Jobe Meredith
Secretary	$639,741	$154,687	$135,608	$12,310	$36,757	$979,103
Kaur Gurvinder
Medical Officer, CVN	$495,993	$121,649	$75,168	$12,310	$19,814	$724,934
Kofl Andrea
Ctrl Vally Pres	$761,722	$233,427	$141,642	$12,310	$35,657	$1,184,758
Lemaster Deborah
Dir, Ambulatory Quality Integration	$178,070	$20,141	$2,186	$8,903	$18,795	$228,095
Nahapetian Arby-Care Div Med Off th
Chief Clinical Officer	$927,049	$234,212	$172,850	$12,310	$48,470	$1,394,891
Pickering Christine-Departed 422
Communication Dir, CCR	$85,004	$74,747	$183,343	$3,766	$36,140	$383,000
Reiner Scott
Former Dir/Chair/CEO thru 12/21	$348,458	$870,709	$2,906	$12,310	$12,878	$1,247,261
Reyna Sonja
Operations Executive	$362,002	$89,368	$52,978	$12,310	$20,981	$537,639
Spenst Brett-Care Div Fin Off thru
Sr. Finance Officer & CIO	$817,612	$416,845	$88,367	$12,310	$28,612	$1,363,746
Stevens Eric-Care Div Ops Exec thru
President, No Cal/HI State Network	$896,507	$250,602	$168,205	$12,310	$34,571	$1,362,195
Taggart Laurie
Patient Care Executive	$344,509	$88,523	$40,317	$12,310	$35,862	$521,521
Torres Evangelina
RN Nurse Lead							$224,546	$2,353	$11,065	$26,178	$264,142
Torres Ramon
RN Nurse Lead							$218,638	$2,353	$11,099	$37,502	$269,592
Willems Debra
RN							$233,874	$51	$11,655	$29,701	$275,281
Wing Bill - Departed 122
Dir/VC/Asst Sec	$263,334	$662,638	$1,585,375	$12,310	$40,979	$2,564,636

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Susan Chapman	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Key EE-Owner	RelationshipDescriptionTxt
Transaction	$210,630	TransactionAmt
Transaction	Contract-Wmns Hlth Cntr	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part V Supplemental Information	FormAndLineReferenceDesc
Explanation	Additional information regarding interested persons listed above:1. Susan Chapman, a Key Employee is the Owner of Pali Women's Health Center which the hospital does business with.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, Line 6	The Hospital is organized as a religious corporation and operates as a not-for-profit hospital. The sole corporate member is Adventist Health System/West, a California not-for-profit religious corporation. The Hospital operates as an affiliate of Adventist Health System/West.
Form 990, Part VI, Section A, Line 7a	The Hospital Bylaws define its Board of Directors to be the same individuals who are members of the Adventist Health System/West Board of Directors.
Form 990, Part VI, Section A, Line 7b	The sole corporate member, Adventist Health System/West, must approve all changes to the articles of incorporation and bylaws.
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 System Controller and market Finance 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, hospital 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 to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the market president immediately.The System General Counsel distributes, collects, and reviews for signatures the COIs for all applicable Corporate employees, stakeholders and the board. In addition, the hospital's administration is responsible for keeping record to ensure all hospital-based individuals with director and above positions have submitted their COIs. The System General Counsel reviews all the disclosures on the board and Corporate employees' COIs. System General Counsel retains the COIs for all individuals. Copies for the officers and key employees' COIs are kept in their personnel files. Further inquiries on any potential significant conflicts are made as needed. Conflicts are documented and reviewed with the Board.
Form 990, Part VI, Section B, Line 15a	The Organization's Board of Directors has established a Human Performance 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 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 50th percentile of comparable system hospital data, and having a 50 percent spread from minimum to maximum.
Form 990, Part VI, Section B, Line 15b	See Line 15a explanation.
Form 990, Part VI, Section C, Line 19	The Hospital does not make its governing documents publicly available, beyond required filings of Articles of Incorporation with the Secretary of State. The Hospital does not make its Conflict of Interest Policy available upon request, but does file monthly/quarterly summary financial reports with the state health-planning agency.
Form 990, Part XI, Line 9	Transfer to Related Entities = -$842263
Prior Period Adjustments	Prior Period adjustments were a result of cash balance correction and clean up of books due to prior period activities including debt service, capital expenditures, and other items.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 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 SystemWest
PO Box 619135	Roseville	CA	95661	953484589	Integrated Health System	CA	501(c)(3)	10	NA	false
Adventist Health Clearlake Hospital Inc
15630 18th Avenue	Clearlake	CA	95422	680395149	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Adventist Health Medical Ctr Tehachapi
1100 Magellan Drive	Tehachapi	CA	93561	812240617	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Adventist Health Physicians Network
PO Box 619135	Roseville	CA	95661	680357690	Medical Foundation	CA	501(c)(3)	12b2	Adventist Health SystemWest	false
Castle Medical Center
640 Ulukahiki Street	Kailua	HI	96374	990107330	Hospital	HI	501(c)(3)	3	Adventist Health SystemWest	false
Feather River Hospital
PO Box 619135	Roseville	CA	95661	941101228	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Fremont- Rideout Health Group
898 Plumas Street	Yuba City	CA	95991	942917251	Hospital	CA	501(c)(3)	12b2	Stone Point Health	false
Glendale Adventist Medical Center
1509 Wilson Terrace	Glendale	CA	91206	951816017	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Hanford Community Hospital
115 Mall Drive	Hanford	CA	93230	940535360	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Lodi Memorial Hospital Assn Inc
975 So Fairmont Ave	Lodi	CA	95240	941044474	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Northwest Medical Fdtn of Tillamook
1000 Third Street	Tillamook	OR	97141	930622075	Hospital	OR	501(c)(3)	3	Adventist Health SystemWest	false
Paradise Valley Hospital
PO Box 619135	Roseville	CA	95661	951816034	Discontinued Operations	CA	501(c)(3)	3	Adventist Health SystemWest	false
Portland Adventist Medical Center
10123 SE Market Street	Portland	OR	97216	930429015	Hospital	OR	501(c)(3)	3	Adventist Health SystemWest	false
Rideout Memorial Hospital
989 Plumas Street	Yuba City	CA	95991	941387866	Hospital	CA	501(c)(3)	3	Fremont Rideout Health Group	false
St Helena Hospital
10 Woodland Road	St Helena	CA	94574	941279779	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
San Joaquin Community Hospital
2615 Chester Avenue	Bakersfield	CA	93301	952294234	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Simi Valley Hospital & Health Care Svc
2975 No Sycamore Drive	Simi Valley	CA	93065	956064971	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Sonora Community Hospital
1000 Greenley Road	Sonora	CA	95370	941415069	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Stone Point Health
PO Box 619135	Roseville	CA	93661	823763347	Supporting Organization	CA	501(c)(3)	12b2	Adventist Health SystemWest	false
Ukiah Adventist Hospital
275 Hospital Drive	Ukiah	CA	95482	941639901	Hospital	CA	501(C)(3)	3	Adventist Health SystemWest	false
United Com-Serve
989 Plumas Street	Yuba City	CA	95991	943015356	Skilled Nursing/Assisted Living/Hm Care	CA	501(c)(3)	12b2	Fremont Rideout Health Group	false
Walla Walla General Hospital
PO Box 619135	Roseville	CA	95661	910617726	Hospital	WA	501(c)(3)	3	Adventist Health SystemWest	false
Western Health Resources
PO Box 619135	Roseville	CA	95661	953867863	Home Care	CA	501(c)(3)	10	Adventist Health SystemWest	false
White Memorial Medical Center
1720 Cesar E Chavez Avenue	Los Angeles	CA	90033	952282647	Hospital	CA	501(C)(3)	3	Adventist Health SystemWest	false
Willits Hospital Inc
1 Marcela Drive	Willits	CA	95490	680108919	Hospital	CA	501(C)(3)	3	Adventist Health SystemWest	false
Adventist Health Delano
PO Box 460	Delano	CA	93216	770258013	Hospital	CA	501(C)(3)	3	Adventist Health SystemWest	false
Adventist Health Tulare
869 North Cherry Street	Tulare	CA	93274	832351753	Hospital	CA	501(C)(3)	3	Adventist Health SystemWest	false
Adventist Health Mendocino Coast
700 River Drive	Fort Bragg	CA	95437	845174585	Hospital	CA	501(C)(3)	3	Adventist Health SystemWest	false

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	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
Blue Legacy Ventures LLC
1010 NE 2nd Avenue	Miami	FL	33132	871254649	Real Property Rental	FL	AHSWest	false	false
Blue Zones LLC
200 Southdale Center	Edina	MN	55435	271603327	Education	MN	AHSWest	false	false
PAR LLC dba CherryWood Village
8440 SE Sunnybrook Blvd Suite 100	Clackamas	OR	97015	931262371	Senior Housing	OR	AHSWest	false	false
PVHR LLC dba Paradise Village
8440 SE Sunnybrook Blvd Suite 100	Clackamas	OR	97015	260622555	Senior Housing	OR	AHSWest	false	false
PVHR2 LLC dba Parkview Memory Care
8440 SE Sunnybrook Blvd Suite 100	Clackamas	OR	97015	473300170	Senior Housing	OR	AHSWest	false	false
WWGHR LLC dba Wheatland Village
8440 SE Sunnybrook Blvd Suite 100	Clackamas	OR	97015	810591221	Senior Housing	OR	AHSWest	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
South Coast Medical Center
PO Box 619135	Roseville	CA	95661	952037291	Wind down after sale of hospital	CA	AHSWest	C-Corp	false
Adventist Health Plan Inc
1 Adventist Health Way	Roseville	CA	95661	463833261	Health Insurance	CA	AHSWest	C-Corp	false
Thrive Productions Inc
200 Southdale Center	Edina	MN	55435	453369049	Production Company	MN	AHSWest	C-Corp	false
AdHealth Limited
					Pure Captive Insurance		AHSWest	C-Corp	false	PO Box HM 2062	Hamilton	BD	HM HX	BD

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

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Adventist Health SystemWest
e	$68,106,402	Notes Payable
Adventist Health SystemWest
m	$27,800,165	Operating Exp
Adventist Health SystemWest
r	$5,496,894	Cash Mgt Funds