ADVENTIST HEALTH SYSTEM-WEST: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: ADVENTIST HEALTH SYSTEM-WEST (EIN 95-3484589)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-11
IRS object ID: 202203159349302650
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-11T09:40:35-06:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	953484589	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	John Beaman	PersonNm
Person Title	Chief Financial Officer	PersonTitleTxt
Phone	9164060000	PhoneNum
Signature	2022-11-07	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	John	PersonFirstNm
Person Last	Beaman	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Tracy S Paglia	PreparerPersonNm
PTIN	P00366884	PTIN
Phone	2099556100	PhoneNum
Preparation	2022-11-07	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$789,421,387	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	1071	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.adventisthealth.org/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1980	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	Living God's love by inspiring health, wholeness and hope.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	4980	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	-$263,334	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,538,110	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$656,685	PYContributionsGrantsAmt
CY Contributions Grants	$5,429,366	CYContributionsGrantsAmt
PY Program Service Revenue	$594,258,703	PYProgramServiceRevenueAmt
CY Program Service Revenue	$727,224,459	CYProgramServiceRevenueAmt
PY Investment Income	$5,929,276	PYInvestmentIncomeAmt
CY Investment Income	$26,246,985	CYInvestmentIncomeAmt
PY Other Revenue	$57,591,236	PYOtherRevenueAmt
CY Other Revenue	$30,520,577	CYOtherRevenueAmt
PY Total Revenue	$658,435,900	PYTotalRevenueAmt
CY Total Revenue	$789,421,387	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,181,946	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,335,425	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$389,662,256	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$396,550,549	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,784,570	CYTotalFundraisingExpenseAmt
PY Other Expenses	$347,228,956	PYOtherExpensesAmt
CY Other Expenses	$508,629,879	CYOtherExpensesAmt
PY Total Expenses	$740,073,158	PYTotalExpensesAmt
CY Total Expenses	$908,515,853	CYTotalExpensesAmt
PY Revenues Less Expenses	-$81,637,258	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$119,094,466	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,118,796,040	TotalAssetsBOYAmt
Total Assets EOY	$3,327,906,475	TotalAssetsEOYAmt
Total Liabilities BOY	$3,317,448,358	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,061,460,820	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$198,652,318	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$266,445,655	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Living God's love by inspiring health, wholeness and hope.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$364,688,763	ExpenseAmt
Grant	$3,335,425	GrantAmt
Revenue	$727,224,459	RevenueAmt
Desc	See Schedule O	Desc
Total Program Service Expenses	$364,688,763	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	2675	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4980	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	9164060000	PhoneNum

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (49 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Reiner Scott
Chair/CEO thru 12/21	50.00	0.00	Yes (X)	Yes (X)	$2,940,088	$0	$62,418
Wing Bill
Dir/Asst Secr/Vice Chair	50.00	0.00	Yes (X)	Yes (X)	$2,459,079	$0	$76,222
Jahn Andrew
Care Division President	50.00	0.00			$1,848,683	$0	$72,937	Yes (X)
Beaman John
Chief Business Officer	50.00	0.00			$1,366,110	$0	$78,586	Yes (X)
Hofheins Todd
CFO	50.00	0.00		Yes (X)	$1,319,147	$0	$59,910
Newmyer Joyce
Chief Culture Officer	50.00	0.00			$1,305,176	$0	$68,696	Yes (X)
El-Asmar Hoda - Former
Chief Clinical Officer thru 10/20	0.00	0.00			$1,264,697	$0	$23,191		Yes (X)
Ashlock Mark - Former
Amb/Post-Acute President thru 06/20	0.00	0.00			$1,180,696	$0	$32,717		Yes (X)
Jacobson Carlton
Treasurer/Asst Secr AHCL	50.00	0.00			$1,138,512	$0	$60,316			Yes (X)
Nahapetian Arby
Care Division Chief Medical Officer	50.00	0.00			$1,058,113	$0	$78,302	Yes (X)
Eller Jeff
President, NCR	0.00	50.00			$1,100,138	$0	$22,996	Yes (X)
Kofl Andrea
President, AHHF	50.00	0.00			$1,033,401	$0	$56,796	Yes (X)
Wells Jason - Chief Strategy
Consumer & Innovation Officer	50.00	0.00			$981,858	$0	$72,937	Yes (X)
Raffoul John
President, AHWM	50.00	0.00			$986,729	$0	$56,796	Yes (X)
Issai Alice
President, AHGL	50.00	0.00			$973,479	$0	$56,796	Yes (X)
Wolcott Daniel
President, AHLM	50.00	0.00			$932,279	$0	$72,937	Yes (X)
Jobe Meredith
Secretary	50.00	0.00		Yes (X)	$932,705	$0	$59,761
Byrnes John - Health
Division Chief Medical Officer	50.00	0.00			$906,436	$0	$56,796	Yes (X)
Larsen David
Senior Finance Officer	50.00	0.00			$876,757	$0	$67,250	Yes (X)
Zazone Dana - Health
Informatics Officer thru 08/21	50.00	0.00			$915,848	$0	$25,812			Yes (X)
Stevens Eric
Care Division Operations Executive	50.00	0.00			$884,611	$0	$49,992	Yes (X)
Itani Mohamad
VP Ambulatory Services thru 04/21	50.00	0.00			$918,086	$0	$15,547			Yes (X)
Long Collier - Business
Development Executive thru 08/21	50.00	0.00			$853,660	$0	$18,660	Yes (X)
Beehler Robert
Mkt Dev, M&A Exec thru 12/21	50.00	0.00			$792,803	$0	$56,796	Yes (X)
Takahashi Patrick
Medical Officer, AHWM	50.00	0.00			$785,190	$0	$48,929			Yes (X)
Rawson Richard
President, AHRO thru 10/21	50.00	0.00			$790,001	$0	$41,954	Yes (X)
Spenst Brett
Care Division Finance Officer	50.00	0.00			$786,101	$0	$45,300	Yes (X)
Liebowitz Jacalyn
System Chief Nursing Officer	50.00	0.00			$750,899	$0	$67,250	Yes (X)
Cowan Joshua
Vice President, Strategy & Comm thru 02/21	50.00	0.00			$795,652	$0	$16,711			Yes (X)
Ferch Wayne
Former President, CCR thru 02/20	0.00	0.00			$586,112	$0	$18,351		Yes (X)
Raethel Kathryn
President, AHCS thru 08/21	50.00	0.00			$572,765	$0	$31,053	Yes (X)
Bancarz Gloria - System
Chief Quality Officer thru 06/21	50.00	0.00			$579,986	$0	$16,221	Yes (X)
Olson Joaline - Former
Chief Human Performance Officer, AHRS thru	0.00	0.00			$560,119	$0	$22,512		Yes (X)
Briggs Sharlet
Former President, AHBD thru 08/20	0.00	0.00			$548,135	$0	$32,738		Yes (X)
Heinrich Kerry
Dir/CEO Elect as of 11/21	50.00	0.00	Yes (X)		$282,697	$0	$2,627
Reppert Joseph
Former CFO/Asst Secr thru 08/19	0.00	0.00			$179,119	$0	$11,442		Yes (X)
Conklin Jeffrey - Former
Payer Strategy Exec thru 07/19	0.00	0.00			$166,324	$0	$16,799		Yes (X)
Freedman John
Dir/Vice Chair/Chair as of 08/21	4.00	0.00	Yes (X)	Yes (X)	$26,435	$0	$0
Banks David
Director	4.00	0.00	Yes (X)		$26,159	$0	$0
Cherry Robert
Director	4.00	0.00	Yes (X)		$26,159	$0	$0
Davis Andrew
Director	4.00	0.00	Yes (X)		$26,159	$0	$0
Innocent Larry
Director	4.00	0.00	Yes (X)		$26,159	$0	$0
Reiner Richard
Director	4.00	0.00	Yes (X)		$26,159	$0	$0
Graham Ricardo
Dir/Chair thru 08/21	4.00	0.00	Yes (X)	Yes (X)	$19,545	$0	$0
Woodson Marc
Director	4.00	0.00	Yes (X)		$15,909	$0	$0
Salazar Velino
Director	4.00	0.00	Yes (X)		$6,058	$0	$0
Ocampo Lucy
Director	4.00	0.00	Yes (X)		$159	$0	$0
Fehr Joy
Director	4.00	0.00	Yes (X)		$114	$0	$0
Newton Bradford
Dir/Vice Chair as of 08/21	4.00	0.00	Yes (X)	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$36,551,206	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,675,054	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	895	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Cerner Corporation
2800 Rockcreek Pkwy	Kansas City	MO	64117	IT solutions management	$6,216,763
Trizetto Provider Solutions LLC
28125 Network Pl	Chicago	IL	60673	Software solutions	$2,893,291
Deloitte and Touche LLP
PO Box 844708	Dallas	TX	75284	Consulting services	$2,722,433
Cope Healthcare Consulting Inc
1150 S Olive St Ste 1200	Los Angeles	CA	90015	Consulting services	$2,317,395
Latham and Watkins LLP
PO Box 894256	Los Angeles	CA	90189	Legal services	$1,985,782

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	88	CntrctRcvdGreaterThan100KCnt
Related Organizations	$4,900,564	RelatedOrganizationsAmt
All Other Contributions	$528,802	AllOtherContributionsAmt
Noncash Contributions	$4,900,564	NoncashContributionsAmt
Total Contributions	$5,429,366	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Management fees	541610	$706,746,506	$702,972,674	$3,773,832
Other program service rev	621990	$20,477,953	$20,477,953

Field	Value	IRS element (for citing)
Total Program Service Revenue	$727,224,459	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,697,052	TotalRevenueColumnAmt
Exclusion	$6,697,052	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$19,548,933	SecuritiesAmt
Other	$1,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$19,548,933	SecuritiesAmt
Other	$1,000	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,549,933	TotalRevenueColumnAmt
Exclusion	$19,549,933	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Health plan liability adj	561000	$26,351,268	$26,351,268
Vendor rebates	621990	$11,717,659	$7,109,419	$4,608,240
Other revenue	900099	$1,376,000	$1,376,000

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$8,924,350	TotalRevenueColumnAmt
Unrelated Business Revenue	-$8,645,406	UnrelatedBusinessRevenueAmt
Exclusion	-$278,944	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$30,520,577	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$789,421,387	TotalRevenueColumnAmt
Related Or Exempt Func Income	$723,450,627	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$263,334	UnrelatedBusinessRevenueAmt
Exclusion	$60,804,728	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	$3,319,850	TotalAmt
Program Services	$3,319,850	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$15,575	TotalAmt
Program Services	$15,575	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$28,862,704	TotalAmt
Management And General	$28,862,704	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$6,216,954	TotalAmt
Program Services	$1,574,002	ProgramServicesAmt
Management And General	$4,642,952	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$275,663,627	TotalAmt
Program Services	$79,037,492	ProgramServicesAmt
Management And General	$196,008,740	ManagementAndGeneralAmt
Fundraising	$617,395	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$17,532,092	TotalAmt
Program Services	$2,421,750	ProgramServicesAmt
Management And General	$15,090,260	ManagementAndGeneralAmt
Fundraising	$20,082	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$48,946,139	TotalAmt
Program Services	$11,905,213	ProgramServicesAmt
Management And General	$36,972,776	ManagementAndGeneralAmt
Fundraising	$68,150	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$19,329,033	TotalAmt
Program Services	$5,131,609	ProgramServicesAmt
Management And General	$14,153,231	ManagementAndGeneralAmt
Fundraising	$44,193	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,524,074	TotalAmt
Management And General	$2,524,074	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$8,659,440	TotalAmt
Management And General	$8,659,440	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$8,174,345	TotalAmt
Management And General	$8,174,345	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$984,049	TotalAmt
Program Services	$984,049	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$232,213,271	TotalAmt
Program Services	$67,268,354	ProgramServicesAmt
Management And General	$163,421,981	ManagementAndGeneralAmt
Fundraising	$1,522,936	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$24,371,258	TotalAmt
Management And General	$24,371,258	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,657,988	TotalAmt
Program Services	$882,413	ProgramServicesAmt
Management And General	$7,773,093	ManagementAndGeneralAmt
Fundraising	$2,482	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$167,435,767	TotalAmt
Program Services	$154,756,270	ProgramServicesAmt
Management And General	$12,175,004	ManagementAndGeneralAmt
Fundraising	$504,493	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,541,169	TotalAmt
Program Services	$5,318,258	ProgramServicesAmt
Management And General	$1,222,911	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,419,984	TotalAmt
Program Services	$427,309	ProgramServicesAmt
Management And General	$1,988,878	ManagementAndGeneralAmt
Fundraising	$3,797	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$75,803	TotalAmt
Program Services	$2,537	ProgramServicesAmt
Management And General	$72,224	ManagementAndGeneralAmt
Fundraising	$1,042	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$18,514,594	TotalAmt
Program Services	$18,514,594	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,905,721	TotalAmt
Program Services	$6,633,383	ProgramServicesAmt
Management And General	$8,272,338	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$428,126	TotalAmt
Program Services	$404,173	ProgramServicesAmt
Management And General	$23,953	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Income taxes	$2,054,137	$1,603,826	$450,311
Patient care supplies	$1,183,789	$1,183,789
Rental/lease costs equi	$194,889	$74,180	$120,709

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,291,475	TotalAmt
Program Services	$3,230,137	ProgramServicesAmt
Management And General	$6,061,338	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$908,515,853	TotalAmt
Program Services	$364,688,763	ProgramServicesAmt
Management And General	$541,042,520	ManagementAndGeneralAmt
Fundraising	$2,784,570	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$109,284,618	BOYAmt
EOY	$135,374,941	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$97,245	BOYAmt
EOY	$89,184	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$726	BOYAmt
EOY	$9,297	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$54,208,997	BOYAmt
EOY	$55,371,889	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$5,870,461	BOYAmt
EOY	$14,305,802	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$47,575,339	BOYAmt
EOY	$63,431,497	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$556,949,962	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$260,747,697	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$308,997,175	BOYAmt
EOY	$296,202,265	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,019,971,606	BOYAmt
EOY	$1,786,832,863	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$179,586,727	BOYAmt
EOY	$424,442,133	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$143,935,557	BOYAmt
EOY	$159,048,311	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$249,267,589	BOYAmt
EOY	$392,798,293	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,118,796,040	BOYAmt
EOY	$3,327,906,475	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$261,367,830	BOYAmt
EOY	$318,646,602	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$2,936,887	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,043,611,693	BOYAmt
EOY	$2,026,833,028	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$59,997,108	BOYAmt
EOY	$29,999,750	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$952,471,727	BOYAmt
EOY	$683,044,553	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,317,448,358	BOYAmt
EOY	$3,061,460,820	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	-$199,886,561	BOYAmt
EOY	$265,165,453	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,234,243	BOYAmt
EOY	$1,280,202	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$198,652,318	BOYAmt
EOY	$266,445,655	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,118,796,040	BOYAmt
EOY	$3,327,906,475	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$119,094,466	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$69,962,054	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$509,121,661	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$5,108,724	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$96,561	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$7,311,552	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$795,492	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$656,685	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,429,366	CurrentTaxYearAmt
Total	$14,289,656	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$336,953,180	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$336,205,379	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$499,824,640	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$691,252,418	CurrentTaxYearMinus1YearAmt
Current Tax Year	$723,450,627	CurrentTaxYearAmt
Total	$2,587,686,244	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$337,049,741	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$343,516,931	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$500,620,132	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$691,909,103	CurrentTaxYearMinus1YearAmt
Current Tax Year	$728,879,993	CurrentTaxYearAmt
Total	$2,601,975,900	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$310,029	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$7,240,793	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$9,928,758	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$14,696,260	CurrentTaxYearMinus1YearAmt
Current Tax Year	$16,936,877	CurrentTaxYearAmt
Total	$49,112,717	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

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

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$310,029	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$7,240,793	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$9,928,758	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$14,696,260	CurrentTaxYearMinus1YearAmt
Current Tax Year	$16,936,877	CurrentTaxYearAmt
Total	$49,112,717	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$2,552,863,183	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$8,329,768	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,629,457	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,992,756	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,347,721	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,697,052	CurrentTaxYearAmt
Total	$27,996,754	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$8,329,768	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,629,457	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,992,756	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,347,721	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,697,052	CurrentTaxYearAmt
Total	$27,996,754	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$517,858	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$573,287	CurrentTaxYearMinus3YearsAmt
Total	$1,091,145	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	$660,599	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$15,292,368	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$61,655,228	CurrentTaxYearMinus1YearAmt
Current Tax Year	$34,557,743	CurrentTaxYearAmt
Total	$112,165,938	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$345,897,367	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$347,380,274	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$521,905,256	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$757,912,052	CurrentTaxYearMinus1YearAmt
Current Tax Year	$770,134,788	CurrentTaxYearAmt
Total	$2,743,229,737	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.93060	PublicSupportCY509Pct
Public Support PY509	0.89490	PublicSupportPY509Pct
Investment Income CY	0.01020	InvestmentIncomeCYPct
Investment Income PY	0.04140	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$984,049	OtherActivitiesAmt
Total Lobbying Expenditures	$984,049	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,146,338	BeginningYearBalanceAmt
Contributions	$7,277,972	ContributionsAmt
Investment Earnings Or Losses	-$3,327,136	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,090,865	OtherExpendituresAmt
End Year Balance	$3,006,309	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,131,235	BeginningYearBalanceAmt
Contributions	$96,561	ContributionsAmt
Investment Earnings Or Losses	$18,082	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$94,541	GrantsOrScholarshipsAmt
Other Expenditures	$4,999	OtherExpendituresAmt
End Year Balance	$1,146,338	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.47000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.53000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$43,409,816	OtherCostOrOtherBasisAmt
Book Value	$43,409,816	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$133,709,230	OtherCostOrOtherBasisAmt
Depreciation	$20,013,213	DepreciationAmt
Book Value	$113,696,017	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,828,554	OtherCostOrOtherBasisAmt
Depreciation	$2,577,882	DepreciationAmt
Book Value	$10,250,672	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$367,002,362	OtherCostOrOtherBasisAmt
Depreciation	$238,156,602	DepreciationAmt
Book Value	$128,845,760	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$296,202,265	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Partnership interests	$100,120,152	F
Hedge funds	$324,321,981	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$424,442,133	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
Receivables from related organizations	$371,729,758
Other receivables	$15,532,605
Other assets	$5,535,930

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$392,798,293	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Payables to related organizations	$514,539,265
Malpractice liability	$90,561,289
Workers' compensation liability	$66,505,236
Payables to third-party payors	$8,085,193
Other liabilities	$3,353,570

Field	Value	IRS element (for citing)
Total Liability	$683,044,553	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 4:

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

Part X, Line 2:

The principal operations of the System are exempt from taxation pursuant to Internal Revenue Code Section 50l(c)(3) and related state provisions. The System recognizes tax benefits from any uncertain tax positions only if it is more-likely-than-not the tax position will be sustained, based solely on its technical merits, with the taxing authority having full knowledge of all relevant information. The System records a liability for unrecognized tax benefits from uncertain tax positions as discrete tax adjustments in the first interim period the more-likely-than-not threshold is not met. The System recognizes deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of its assets and liabilities, along with net operating loss and tax credit carryovers only for tax positions that meet the more-likely-than-not recognition criteria. At December 31, 2021 and 2020, 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 F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	Program services	Administration, legal and accounting fees	$61,750
Central America and the Caribbean	Program services	Reinsurance fees	$1,803,000
Central America and the Caribbean	Investments in region	N/A	$292,242,665
Europe	Investments in region	N/A	$37,130,599

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$331,238,014	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$331,238,014	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, line 3:	Accrual method
Part III Accounting Method:

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
Adventist Development & Relief Agency
12501 Old Columbia Pike	Silver Springs	MD	20904	521314847	501(c)(3)	$742,600	$0	COVID-19 Response $25,000 / Mission to Africa $717,600
Andrews University
4145 East Campus Circle Drive	Berrien Springs	MI	491041502	381627600	501(c)(3)	$6,250	$0	Urban Mission and Ministry Congress Sponsorship
Baldridge Foundation
1717 Pennsylvania Avenue NW Suite	Washington	DC	20006	592891462	501(c)(3)	$100,000	$0	Founding Membership	1025
Feather River Health Foundation
1 Adventist Health Way	Roseville	CA	95661	680002188	501(c)(3)	$420,000	$0	Forklift purchase and general support
General Conference of Seventh Day Adventist
12501 Old Columbia Pike	Silver Springs	MD	20904	520643036	501(c)(3)	$15,000	$0	Donation to Sanatorio Adventist/Clinica Belgrano
Gleanings for the Hungry
43029 Rd 104	Dinuba	CA	93618	770170546	501(c)(3)	$8,000	$0	Donation for Columbia Shipments
Inter-American Division Inc
PO Box 830518	Miami	FL	33283			$11,500	$0	Donation to Dental Clinic/Mexico
Northwest Medical Foundation Tillamook
1000 Third Street	Tillamook	OR	97141	930622075	501(c)(3)	$6,000	$0	NAAHHR Sponsorship
SonBridge Community Center
1200 SE 12th St Suite 1	College Place	WA	99324	202958334	501(c)(3)	$150,000	$0	Donation to run dental clinic
Walla Walla University
204 S College Ave	College Place	WA	99324	910617727	501(c)(3)	$1,855,000	$0	Community Wellbeing Implementation $1,850,000 / Donald Blake Center - Equity Conference $5,000

Field	Value	IRS element (for citing)
Total501c3 Org	9	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Caring Connection	GrantTypeTxt
Recipient	12	RecipientCnt
Cash Grant	$15,575	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (37 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Reiner Scott
Chair/CEO thru 12/21	$1,801,000	$0	$1,112,062	$0	$27,026	$0	$11,644	$0	$50,774	$0	$3,002,506	$0	$0	$0
Wing Bill
Dir/Asst Secr/Vice Chair	$1,440,800	$0	$991,833	$0	$26,446	$0	$11,644	$0	$64,578	$0	$2,535,301	$0	$0	$0
Jahn Andrew
Care Division President	$1,044,420	$0	$600,285	$0	$203,978	$0	$11,644	$0	$61,293	$0	$1,921,620	$0	$0	$0
Beaman John
Chief Business Officer	$892,500	$0	$455,303	$0	$18,307	$0	$11,644	$0	$66,942	$0	$1,444,696	$0	$0	$0
Hofheins Todd
CFO	$999,600	$0	$116,549	$0	$202,998	$0	$11,644	$0	$48,266	$0	$1,379,057	$0	$0	$0
Newmyer Joyce
Chief Culture Officer	$728,980	$0	$447,399	$0	$128,797	$0	$11,644	$0	$57,052	$0	$1,373,872	$0	$107,631	$0
El-Asmar Hoda - Former
Chief Clinical Officer thru 10/20	$0	$0	$407,203	$0	$857,494	$0	$0	$0	$23,191	$0	$1,287,888	$0	$0	$0
Ashlock Mark - Former
Amb/Post-Acute President thru 06/20	$0	$0	$426,536	$0	$754,160	$0	$0	$0	$32,717	$0	$1,213,413	$0	$0	$0
Jacobson Carlton
Treasurer/Asst Secr AHCL	$267,194	$0	$62,829	$0	$808,489	$0	$12,672	$0	$47,644	$0	$1,198,828	$0	$0	$0
Nahapetian Arby
Care Division Chief Medical Officer	$700,000	$0	$222,478	$0	$135,635	$0	$11,644	$0	$66,658	$0	$1,136,415	$0	$0	$0
Eller Jeff
President, NCR	$531,828	$0	$547,897	$0	$20,413	$0	$0	$0	$22,996	$0	$1,123,134	$0	$0	$0
Kofl Andrea
President, AHHF	$624,000	$0	$263,477	$0	$145,924	$0	$11,644	$0	$45,152	$0	$1,090,197	$0	$0	$0
Wells Jason - Chief Strategy
Consumer & Innovation Officer	$654,569	$0	$228,465	$0	$98,824	$0	$11,644	$0	$61,293	$0	$1,054,795	$0	$0	$0
Raffoul John
President, AHWM	$598,791	$0	$254,842	$0	$133,096	$0	$11,644	$0	$45,152	$0	$1,043,525	$0	$0	$0
Issai Alice
President, AHGL	$606,722	$0	$251,048	$0	$115,709	$0	$11,644	$0	$45,152	$0	$1,030,275	$0	$0	$0
Wolcott Daniel
President, AHLM	$601,280	$0	$226,669	$0	$104,330	$0	$11,644	$0	$61,293	$0	$1,005,216	$0	$0	$0
Jobe Meredith
Secretary	$616,324	$0	$169,142	$0	$147,239	$0	$14,609	$0	$45,152	$0	$992,466	$0	$0	$0
Byrnes John - Health
Division Chief Medical Officer	$622,962	$0	$172,647	$0	$110,827	$0	$11,644	$0	$45,152	$0	$963,232	$0	$0	$0
Larsen David
Senior Finance Officer	$567,118	$0	$201,820	$0	$107,819	$0	$11,644	$0	$55,606	$0	$944,007	$0	$0	$0
Zazone Dana - Health
Informatics Officer thru 08/21	$263,400	$0	$170,916	$0	$481,532	$0	$0	$0	$25,812	$0	$941,660	$0	$0	$0
Stevens Eric
Care Division Operations Executive	$749,000	$0	$76	$0	$135,535	$0	$16,336	$0	$33,656	$0	$934,603	$0	$0	$0
Itani Mohamad
VP Ambulatory Services thru 04/21	$110,757	$0	$102,064	$0	$705,265	$0	$14	$0	$15,533	$0	$933,633	$0	$0	$0
Long Collier - Business
Development Executive thru 08/21	$388,924	$0	$201,516	$0	$263,220	$0	$1,156	$0	$17,504	$0	$872,320	$0	$0	$0
Beehler Robert
Mkt Dev, M&A Exec thru 12/21	$510,962	$0	$150,206	$0	$131,635	$0	$11,644	$0	$45,152	$0	$849,599	$0	$0	$0
Takahashi Patrick
Medical Officer, AHWM	$495,519	$0	$177,452	$0	$112,219	$0	$11,644	$0	$37,285	$0	$834,119	$0	$0	$0
Rawson Richard
President, AHRO thru 10/21	$507,813	$0	$190,684	$0	$91,504	$0	$0	$0	$41,954	$0	$831,955	$0	$0	$0
Spenst Brett
Care Division Finance Officer	$734,400	$0	$38,124	$0	$13,577	$0	$11,644	$0	$33,656	$0	$831,401	$0	$0	$0
Liebowitz Jacalyn
System Chief Nursing Officer	$507,000	$0	$165,422	$0	$78,477	$0	$11,644	$0	$55,606	$0	$818,149	$0	$0	$0
Cowan Joshua
Vice President, Strategy & Comm thru	$54,806	$0	$108,880	$0	$631,966	$0	$14	$0	$16,697	$0	$812,363	$0	$0	$0
Ferch Wayne
Former President, CCR thru 02/20	$0	$0	$585,289	$0	$823	$0	$0	$0	$18,351	$0	$604,463	$0	$0	$0
Raethel Kathryn
President, AHCS thru 08/21	$281,445	$0	$198,882	$0	$92,438	$0	$11,644	$0	$19,409	$0	$603,818	$0	$0	$0
Bancarz Gloria - System
Chief Quality Officer thru 06/21	$269,028	$0	$0	$0	$310,958	$0	$0	$0	$16,221	$0	$596,207	$0	$0	$0
Olson Joaline - Former
Chief Human Performance Officer, AHR	$0	$0	$92,800	$0	$467,319	$0	$0	$0	$22,512	$0	$582,631	$0	$0	$0
Briggs Sharlet
Former President, AHBD thru 08/20	$0	$0	$0	$0	$548,135	$0	$0	$0	$32,738	$0	$580,873	$0	$0	$0
Heinrich Kerry
Dir/CEO Elect as of 11/21	$138,538	$0	$123,000	$0	$21,159	$0	$0	$0	$2,627	$0	$285,324	$0	$0	$0
Reppert Joseph
Former CFO/Asst Secr thru 08/19	$0	$0	$0	$0	$179,119	$0	$0	$0	$11,442	$0	$190,561	$0	$0	$0
Conklin Jeffrey - Former
Payer Strategy Exec thru 07/19	$0	$0	$0	$0	$166,324	$0	$0	$0	$16,799	$0	$183,123	$0	$8,402	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I, Line 1a

First-class or charter travel - board directors are reimbursed for travel in business class for flight segments of three hours or more. If business class is unavailable, first class is reimbursed. This policy was adopted to aid in the attendee being able to work during the flight(s). Key employees occasionally utilize charter travel when alternative transportation methods cannot accommodate schedules. This is not reported as taxable income. Tax indemnification and gross-up payments - received by 10 directors; reported as taxable income.

Part I, Lines 4a-b

Severance payments are made based upon agreements between certain qualifying employees and Adventist Health System/West. Details of the terms and conditions of the severance agreements are available to the IRS upon request. Ashlock, Mark - severance payment - $749,559 Bancarz, Gloria - severance payment - $249,922 Briggs, Sharlet - severance payment - $546,914 Conklin, Jeffrey - severance payment - $167,580 Cowan, Joshua - severance payment - $623,422 El-Asmar, Hoda - severance payment - $857,260 Itani, Mohamad - severance payment - $687,764 Long, Collier - severance payment - $188,906 Olson, Joaline - severance payment - $468,375 Reppert, Joseph - severance payment - $179,957 Zazone, Dana - severance payment - $440,689 The Supplemental Executive Retirement Plan (SERP) is a defined contribution plan designed to encourage the participants continued employment with Adventist Health and is subject to the participants satisfying specified substantial risks of forfeiture. The SERP benefit distribution occurs when the executive achieves 30 years of Adventist health care service, 20 of which are to be as an executive and at least 10 are to be with Adventist Health System/West, and reaches age 60. Until that time, the SERP benefit is at risk to the creditors of Adventist Health. The SERP benefit is designed to help the executive receive employer-provided retirement benefit income equal to 60% of pre-retirement income. The SERP plan was frozen for new participants in 2016. Jacobson, Carlton - contributed and distributed - $772,048 Larsen, David - contributed and distributed - $2,496 Raffoul, John - participant, no activity in 2021 Select executives agreed to participate in CAP-EX in place of a traditional SERP. See Schedule L, Part V, for a broader description. Split-Dollar life insurance participants are Mark Ashlock, John Beaman, Jeff Eller, Wayne Ferch, Todd Hofheins, Andrew Jahn, Joyce Newmyer, JoAline Olson, Scott Reiner, Brett Spenst and Bill Wing. A flexible benefits plan (CAA) is offered to groups of highly-compensated employees meeting certain criteria. The participants are provided with an amount equivalent to 41 percent of their base compensation, less the value of their corporate provided benefits. The balance is set aside for nonvested deferred compensation that is subject to substantial risk of forfeiture and is at risk to the creditors of Adventist Health. Payouts occur according to the participants' payment elections after all substantial risks of forfeiture have lapsed. The plan was frozen for new non-vested contributions in 2016. Conklin, Jeffrey - $8,402 Jahn, Andrew - participant, no activity in 2021 Newmyer, Joyce - $107,631

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt
A	$21,440,000	$57,500,000	$643,910	$1,409,177	$4,480,297	$50,966,616	2010	0	Yes (1)	Yes (1)
B		$30,000,000	$216,916			$29,783,084	2009	0	Yes (1)	Yes (1)
C	$49,490,000	$130,000,000	$478,200			$129,521,800	2015	0	Yes (1)	Yes (1)
D	$44,180,000	$208,420,907	$979,977				2016	Yes (1)	Yes (1)	Yes (1)	$207,440,930

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Date Rebate Computation Performed	Issuer Name: CHFFA Series B 2009 Date the Rebate Computation was Performed: 06/17/2019 Issuer Name: CHFFA Series C 2011 Date the Rebate Computation was Performed: 07/14/2021 Issuer Name: CHFFA Series A 2013 Date the Rebate Computation was Performed: 04/06/2018 Issuer Name: CHFFA Series A 2013 Date the Rebate Computation was Performed: 04/06/2018 Issuer Name: CSCDA Series A 2015 Date the Rebate Computation was Performed: 07/20/2020 Issuer Name: CSCDA Series A 2015 Date the Rebate Computation was Performed: 07/20/2020 Issuer Name: CHFFA Series A 2016 Date the Rebate Computation was Performed: 10/19/2021
Part I, Columns (A-D) Issuer's Name:	CSCDA - California Statewide Communities Development Authority CHFFA - California Health Facilities Financing Authority HFA - The Hospital Facilities Authority of Multnomah County, Oregon
Part I, Entity 1, Column (f), Line A:	Construct, equip and remodel the following health care facilities: Feather River Hospital, Paradise, CA Hanford Community Hospital, Hanford, CA Simi Valley Hospital and Health Care Services, Simi Valley, CA
Part I, Entity 1, Column (f), Line B:	Acquire, construct and equip the following health care facilities: Adventist Health Clearlake Hospital Inc., Clearlake, CA Feather River Hospital, Paradise, CA Glendale Adventist Medical Center, Glendale, CA Hanford Community Hospital, Hanford, CA St. Helena Hospital, St. Helena, CA Simi Valley Hospital and Health Care Services, Simi Valley, CA
Part I, Entity 1, Column (f), Line C:	Refinance a bank loan used to construct, equip the following health care facilities: Adventist Health Clearlake Hospital, Inc., Clearlake, CA Feather River Hospital, Paradise, CA Glendale Adventist Medical Center, Glendale, CA St. Helena Hospital, St. Helena, CA Simi Valley Hospital and Health Care Services, Simi Valley, CA Acquire and install a clinical information system: Adventist Health System/West, Roseville, CA
Part I, Entity 1, Column (f), Line D:	Refund outstanding balance of the following bond issues: 2002 California Health Facilities Financing Authority (AHS/West Series A) bonds issued March 20, 2002 2002 California Health Facilities Financing Authority (AHS/West Series B) bonds issued March 2002 2003 California Health Facilities Financing Authority (AHS/West Series A) bonds issued July 1, 2003
Part I, Entity 2, Column (f), Line A:	Acquire, construct, and equip the following health care facilities: Central Valley General Hospital, Hanford, CA Feather River Hospital Paradise, CA Willits Hospital, Inc, Willits, CA Hanford Community Hospital, Hanford, CA San Joaquin Community Hospital, Bakersfield, CA Ukiah Valley Hospital, Ukiah, CA Acquire and install a clinical information system: Adventist Health System/West, Roseville, CA
Part I, Entity 2, Column (f), Line B:	Refund outstanding balance of the following bond issue: 2005 California Statewide Communities Development Authority (AHS/West Series A) bonds issued on October 18, 2005
Part I, Entity 2, Column (f), Line C:	Acquire, construct, and equip the following health care facilities: Hanford Community Hospital, Hanford, CA St. Helena Hospital, St. Helena, CA
Part I, Entity 2, Column (f), Line D:	Advance refund outstanding balance of the following bond issues: 1998 California Health Facilities Financing Authority (AHS/West Series A) issued February 18, 1998 2007 California Statewide Communities Development Authority (AHS/West Series B) bonds issued May 8, 2007 2007 California Statewide Communities Development Authority (Lodi) bonds issued December 13, 2007 2009 California Health Facilities Financing Authority (AHS/West Series A) bonds issued May 20, 2009
Part I, Entity 3, Column (f), Line A:	Finance the new headquarters facility for the Corporation located in Roseville, CA and refinance the following bond issues: City of Marysville, CA Rideout Series 2011 Bonds acquired in the affiliation with The Fremont-Rideout Health Group and Rideout Memorial Hospital effective April 1, 2018
Part I, Entity 3, Column (f), Line B:	Refund the outstanding balance of the following bond issue: 2009 HFA - The Hospital Facilities Authority of Multnomah County, Oregon (AHS/West Series A) issued September 30, 2009
Part II, Entity 1, Line 11, Column D:	The other spent proceeds are the refunding proceeds of the issue that are no longer in escrow.
Part II, Entity 2, Line 11, Columns B & D:	The other spent proceeds are the refunding proceeds no longer in escrow.
Part II, Entity 3, Line 11, Column A:	The other spent proceeds are the proceeds used to pay off the taxable line of credit which was used to finance initial costs of the project.
Part II, Entity 3, Line 11, Column B:	The other spent proceeds are the refunding proceeds of the issue that are no longer in escrow.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt
A	$5,935,000	$100,741,934	$741,934	$100,000,000	2016	0	0	Yes (1)	Yes (1)
B	$14,118,000	$157,990,834	$1,493,445		2015	Yes (1)	0	Yes (1)	Yes (1)	$9,150	$156,488,239
C	$3,982,000	$42,422,999	$420,423	$42,000,000	2019	0	0	Yes (1)	Yes (1)	$2,576
D	$54,650,000	$309,720,490	$2,280,369		2016	Yes (1)	Yes (1)	Yes (1)	Yes (1)		$307,440,121

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CSCDA Series A 2018
A	680164610	13080SWK6	2018-09-27	$272,074,615	See Part VI	0	0	0
HFA Multnomah 2019
B	931266280	62551PCX3	2019-11-13	$60,886,489	See Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$950,000	$272,074,615	$2,098,459	$242,976,156	$27,000,000	2019	0	Yes (1)	Yes (1)	Yes (1)
B		$60,886,489	$493,229		$60,393,260	2019	Yes (1)	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0	0	0	0	0	0	Yes (1)
B	0	Yes (1)	0	0	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (22 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
Ashlock M
Former Key employee	Supplemental retirement CASD	Yes (X)	$3,724,014	$3,780,692	0	Yes (1)	Yes (1)
Beaman J
Key employee	Relocation	Yes (X)	$125,000	$292,150	0	Yes (1)	Yes (1)
Beaman J
Key employee	Supplemental retirement CASD	Yes (X)	$3,133,349	$3,176,405	0	Yes (1)	Yes (1)
Beehler R
Key employee	Relocation	Yes (X)	$100,000	$72,600	0	Yes (1)	Yes (1)
Byrnes J
Key employee	Relocation	Yes (X)	$200,000	$193,600	0	Yes (1)	Yes (1)
Eller J
Key employee	Supplemental retirement CASD	Yes (X)	$7,956,827	$8,077,927	0	Yes (1)	Yes (1)
Ferch W
Former Key employee	Supplemental retirement CASD	Yes (X)	$6,584,597	$6,684,812	0	Yes (1)	Yes (1)
Hofheins T
Officer	Supplemental retirement CASD	Yes (X)	$1,200,000	$1,211,081	0	Yes (1)	Yes (1)
Jahn A
Key employee	Relocation	Yes (X)	$400,000	$392,850	0	Yes (1)	Yes (1)
Jahn A
Key employee	Supplemental retirement CASD	Yes (X)	$963,176	$971,696	0	Yes (1)	Yes (1)
Jobe M
Officer	Relocation	Yes (X)	$100,000	$76,900	0	Yes (1)	Yes (1)
Larsen D
Key employee	Relocation	Yes (X)	$150,000	$146,000	0	Yes (1)	Yes (1)
Liebowitz J
Key employee	Relocation	Yes (X)	$150,000	$147,300	0	Yes (1)	Yes (1)
Newmyer J
Key employee	Supplemental retirement CASD	Yes (X)	$4,475,347	$4,543,460	0	Yes (1)	Yes (1)
Olson J
Former Key employee	Supplemental retirement CASD	Yes (X)	$1,862,254	$1,890,597	0	Yes (1)	Yes (1)
Rawson R
Key employee	Relocation	Yes (X)	$100,000	$93,600	0	Yes (1)	Yes (1)
Reiner S
Officer	Supplemental retirement CASD	Yes (X)	$12,103,504	$12,269,403	0	Yes (1)	Yes (1)
Spenst B
Key employee	Supplemental retirement CASD	Yes (X)	$990,000	$998,757	0	Yes (1)	Yes (1)
Stevens E
Key employee	Relocation	Yes (X)	$200,000	$198,800	0	Yes (1)	Yes (1)
Wing B
Officer	Relocation	Yes (X)	$200,000	$185,200	0	Yes (1)	Yes (1)
Wing B
Officer	Supplemental retirement CASD	Yes (X)	$9,637,107	$9,769,159	0	Yes (1)	Yes (1)
Wolcott D
Key employee	Relocation	Yes (X)	$200,000	$198,900	0	Yes (1)	Yes (1)

Field	Value	IRS element (for citing)
Total Balance Due	$55,371,889	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Beehler Matthew
Family member of Key EE, B. Beehler	$474,800	Employment	0
Bancarz Michelle
Family member of Key EE, G. Bancarz	$181,669	Employment	0
Bancarz Theodore
Family member of Key EE, G. Bancarz	$150,618	Employment	0
Eller Eric
Family member of Key EE, J. Eller	$109,296	Employment	0
Ferch Josiah
Family member of Former Key EE, W. Ferch	$121,378	Employment	0
PVHR LLC
Greater than 35% owned by former Director, M. Gabriel and family members		Interest	0
Ashlock Ryan
Family member of Former Key EE, M. Ashlock	$536,242	Employment	0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part II, Supplemental Retirement Benefits:

The organization provides supplemental retirement benefits through an alternative funding arrangement the IRS calls "collateral assignment split dollar" (CASD). Although the IRS requires reporting in the loan section of Schedule L, CASD is not an actual loan - no funds are transferred to the executive. Rather, the "loan" treatment applies because after the executive has received retirement benefits, the organization recovers all outlays plus interest.The recovery right is a key advantage of CASD for the organization. Rather than paying retirement benefits to the executive that would never be recovered, under CASD the organization recovers not only its outlays, but also consideration for the time value of money.CASD works as follows. The organization deposits funds into a cash value life insurance policy on the executive's life. During life, to the extent the executive fulfills service and vesting requirements, the executive can borrow against values in the policy to supplement retirement income. Policy performance is closely monitored. If policy performance lags, the executive's borrowing rights are reduced to protect the organization's recovery rights.At the executive's death, the policy death proceeds are first used to repay the organization its deposits plus compounded interest (at the IRS long-term applicable federal rate). The executive's beneficiary then receives any projected retirement borrowing the executive did not access during life. Any remaining death proceeds were available to be paid to the executive's beneficiary. However, the executives made a gift of the excess proceeds, estimated to total $118 million, to the organization to provide additional funding for the organization's charitable activities.Gift of excess proceeds (estimated):Mark Ashlock $6,524,818; John Beaman $8,065,764; Jeff Eller $14,691,335; Alan Ferch $10,168,008; Todd Hofheins $6,001,825; Andrew Jahn $9,547,699; Joyce Newmyer $5,794,901; JoAline Olson $1,753,593; Brian Reiner $19,715,436; Brett Spenst $2,526,693; Jack Wagner $13,041,026; Bill Wing $17,275,773; Beth Zachary $2,739,445.

Part IV, Page 1, Line 1:

Melody Gabriel, a former AH director, and her husband are owners and officers of businesses that engage in joint ventures with AH and member hospitals. Other family members with ownership and officer positions in these businesses include her parents, her brother and his wife, and trusts established on behalf of her children. The ventures are organized as LLCs. At the end of 2021, PVHR, LLC had an outstanding balance of $1,215,042 secured and unsecured market rate interest bearing loans. This LLC is 50% controlled by another LLC of which Ms. Gabriel and her family have a controlling interest. Interest is accrued on these loans, principal and interest at the end of 2021 was $307,026. Principal and interest payments are being made monthly. Total interest paid during 2021 was $21,722.

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	Fixed assets	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$4,900,564	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Net book value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Column (b):	FormAndLineReferenceDesc
Explanation	The number of contributors is reported in column (b).	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a:	Adventist Health is a faith-based, nonprofit integrated health system serving more than 80 communities on the West Coast and Hawaii. Founded on Seventh-day Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care agencies, hospice agencies and joint-venture retirement centers in both rural and urban communities. Our compassionate and talented team of 34,000 includes associates, medical staff physicians, allied health professionals and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope. Together, we are transforming the American healthcare experience with an innovative, yet timeless, whole person focus on physical, mental, spiritual and social healing. Mission-driven The healthcare industry continues to experience significant changes. From high and rising costs to regulatory initiatives, these issues are causing hospitals and health systems to re-think who they are and how they want to deliver care. At Adventist Health, we are thriving and growing in the face of this transition by building on our legacy and re-establishing ourselves as the leader in physical, mental, spiritual and social health. We remain committed to "living God's love by inspiring health, wholeness and hope." Our mission represents the heart of our people. It expresses that we know the love of God and consistently reflect that love in our actions, relationships and work. Mission is the reason our organization exists. Community Health Development Adventist Health's commitment to improve well-being not only grew out of our mission to live God's love, but also from the needs we see in communities across our system of 23 hospitals. While diseases of despair continue to escalate along with healthcare costs, we are presented with the opportunity to bring whole person care, philanthropy, public heath, human services, government, community members, and business owners together to change the well-being of people, places, and equity. A key step toward well-being transformation is the integration of well-being into our strategy, providing a foundation for impacting measurable and sustainable well-being improvement for individuals, organizations and communities. This strategy was further strengthened in 2020 after the Adventist Health acquisition of Blue Zones, a pioneer in taking a systemic and environmental approach to improving the health of entire cities and communities. Moving toward our vision to see a time when well-being is accessible to everyone, the Well-Being team works with Blue Zones to design, leverage and demonstrate evidence-informed solutions that measurably and sustainably improve well-being. In 2021, Adventist Health committed to launching six Blue Zone Projects within our community footprint and as we enter 2022 these projects are currently active, with many community members actively taking the pledge to live longer healthier lives. Complementing the broad population-wide impact of Blue Zones specific initiatives, the Well-Being team leads strategies for community health well-being improvement and clinical integration initiatives across the Adventist Health footprint (ex: ACEs, mobile health, transportation, recuperative care, etc.) across our markets that, like Blue Zones Projects, align and respond to overlapping needs identified in each hospital Community Health Needs Assessment (CHNA). The well-being strategies are broken down into three tiers; Tier One: Access to Care, Financial Stability, and Mental Health; Tier Two: Health Risk Behaviors and Health Conditions; Tier Three: Food Security, Housing and Homelessness. Behind the scenes work includes the production of performance management dashboards to achieve functionality and communicate impact, and the development of program-specific logic models. An example of a market meeting all Tier One strategies has been at Adventist Health Rideout, along with Yuba and Sutter Counties. Together, they developed a multi-sector care management program that transforms the care and outcomes of community members with a primary behavioral health diagnosis. This program alone has led to a 16% decline in inpatient visits, 36% drop in overall volume of Emergency Department (ED) visits, and a significant 97% decline in ED utilization. These intentionally targeted and strategically aligned initiatives not only alleviate a significant equity gap in our communities but have also proven to produce lasting, transformative change. Adventist Health has developed a substantiated capacity for vulnerable population community well-being solutions designed for replication-further establishing our commitment to ensuring an equity lens through access to well-being for all. Additionally, our Roseville team supports the research, assessment, data collection and reporting process for the following systemwide community benefit work streams: Community Health Needs Assessment (CHNA), Community Health Implementation Strategy (CHIS) and annual community benefit expense reporting. In 2021, our community benefit team insourced 16 CHNA reports, creating a more collaborative, engaging and equitable CHNA process that prioritized input from minority and underserved populations in our communities. Additionally, operational tasks such as Community Benefit Inventory for Social Accountability (CBISA) entries and editing of 22 community health plan update reports were also insourced, to make our local hospital teams available to drive impactful programs. These activities help ensure that we continue to drive community health improvement and foster collaboration to build stronger communities in which we serve. Together, these system-led support efforts facilitated the following impacts across our system in 2021: A total of $48.2 million was spent on free and discounted care, $206.9 million on public programs such as Medicare, $307.1 million aid to the elderly, $78.4 million in subsidized community healthcare, $26.3 million in community health improvement, and $24.9 million on education and research. These efforts totaled close to $754.9 million in community benefit expenses. Population Health Population health is a whole-person, outcomes-based approach that works to improve the health of entire communities. It requires collaboration among researchers, providers, public health entities, and policymakers. Population health aligns with Adventist Health's philosophy of care and provides unprecedented opportunities as overall health declines in North America. Adventist Health believes that employers have a significant opportunity and responsibility to support overall well-being and influence health status indicators of entire populations by providing access to resources and tools in the workplace, reducing gaps in care, and addressing determinants of health in the surrounding community. In 2021, Adventist Health offered one plan. The health plan worked alongside the associate well-being team to deliver wellness-focused programs for chronic conditions, mental health, physical activity, nutrition, offer a digital wellness platform, and more. Whole-person health involves mind, body, and spirit. The health plan empowers associates, their families, and, by extension, the larger community to take an active role in managing their health so they may live vibrant and productive lives. Care Transformation Care Transformation in Adventist Health reflects our promise to deliver top decile safety and quality performance and top quartile in clinical operations. The transformation focuses on initiatives such as Clinical Leadership Development, High Reliability Organization, Patient Experience, Care Redesign, Population Health and Clinical Workforce. All these efforts focus on effectively blending people, processes and technology, and include consistent design, delivery and evaluation of care performance. Our caregivers are working hard every day to achieve the clinical goals and continue to spread our mission. Patient Safety & Quality Adventist Health focuses not only on patient safety and quality patient care, but also provides a quality work environment for its associates. Maintaining a culture of teamwork and safety among clinicians and staff is foundational to Care Transformation. For the past nine years, Adventist Health has participated in the Culture of Safety survey, which provides insight into focused areas where actions can be taken to improve the safety and teamwork climate in clinical departments. Adventist Health hospitals received quality and safety awards from The Joint Commission, The LeapFrog Group, Healthgrades, CMS and Malcolm Baldrige.
Form 990, Part III, Line 4a (continued):	Physician Alignment Adventist Health operates 379 medical offices across the West Coast and Hawaii. These ambulatory care centers include Rural Health Clinics (RHC), hospital-based outpatient clinics (HBOC), employed physician models in Oregon and Hawaii, medical foundations in California, and community health clinics. These medical offices offer primary care and more than 50 different specialties in medical offices large and small. We have more than 500 primary care providers and about 700 specialists providing services ranging from Addiction Medicine to Wound Care; Audiology to Vascular Surgery. Adventist Health also provides much-needed dental care in 10 of our rural communities. The providers in these medical offices are committed to providing best practice, quality-driven care with excellent health outcomes and exceptional patient experience. We provide more than two million patient visits annually. In the initial months of the pandemic, we pivoted to offering virtual visits and continue to provide those to our most vulnerable populations and those patients who have found it to be a more convenient way to receive care. We have also launched online scheduling for all of our primary care providers to increase access to care for our communities. As an organization, we have had to prioritize continued pay for our providers and employees to minimize the loss of clinicians during the extended public health emergency. Throughout these challenges, our physicians and Advanced Practice Providers have continued to provide excellent patient satisfaction resulting in an overall Adventist Health clinic star rating of 4.7 out of 5 stars. Rural Health Clinics (RHC) As an extension of our mission, high-quality services are provided to rural communities where access to care is often significantly more challenging than in urban areas. We have 69 rural health clinics (RHCs) providing healthcare to underserved populations throughout Northern and Central California, Hawaii, and Oregon. Our system of rural health continues to be the largest network of clinics in the state of California (about 12% of the RHCs in the state are part of Adventist Health). Our RHC network also is one of the largest in the country, representing almost one percent of the nation's RHCs. Adventist Health provides oversight services for all our RHCs to include financial monitoring, program audits, operational support, professional development, advocacy, and education regarding new regulations. Thanks to the RHCs, many of these rural communities' most disenfranchised have access to primary care, dentistry, women's and children's services, and health education. Specialty care services are also available at many RHC locations, including 24 behavioral health programs. Home Care Services Adventist Health Home Care offers advanced, high quality health care in an at-home setting by operating 14 home health agencies and seven hospices. In 2021, care, compassion and high-quality services were provided with 210,225 home health visits and 74,069 hospice days. Many of the agencies provide specialized programs and treatment plans, such as, wound care, CHF and diabetes management. Our home health mission is to help patient's recover, regain independence and become as self-sufficient as possible in the comfort of their home. Our hospice mission is to provide whole-person care that envelopes the body, comforts the mind and nurtures the spirit. We are most proud of the following accomplishments in 2021: 1. Implemented telehealth/remote patient monitoring for CHF patients 2. Bakersfield Hospice cared for their first patient, earned their Medicare certification and CHAP accreditation 3. Mendocino Coast Home Health joined the AH family and became integrated into our EMR, operational processes and platforms 4. New devices were rolled out to all AH associates 5. Enhanced hospice ePrescribe platform was implemented to meet patient, MD and regulatory needs 6. Re-launched and expanded ExactCare pharmacy services to assist patients with medication management 7. Implemented a readmission task force to reduce hospital readmissions and improve hospital partnerships 8. Glendale Home Health and Hospice were accredited by CHAP 9. Received regulatory change of ownership approval for Rideout Home Health Developing a Virtual Care Network The Adventist Health Virtual Care Network allows healthcare professionals to evaluate, diagnose, and treat patients using video conferencing software technology. Virtual Care is the umbrella term for the group of services and functions that include telemedicine, telepharmacy, teleICU, telestroke, teledentistry, teleradiology, and telepathology, but which also includes and can support regional health information sharing, patient education and provider networking. Virtual Care provides patients with access to high-quality, affordable specialty care when and where they need it, aiding in rapid diagnosis, treatment, and improved patient outcomes. This collaboration supports Adventist Health's mission of bringing high-quality health and healing to the communities it serves, and is consistent with the organization's focus on innovation, strategic growth, and population health. Virtual Care services took a huge leap with the onset of the COVID-19 pandemic, and we continue to monitor virtual visit volumes and the Public Health Emergency regulations related to virtual care. We now have an integrated platform that enables providers to see patients in their own home more seamlessly through our patient portal and a direct text-to-video option. Our clinics have recently upgraded their telehealth equipment to provide specialty outpatient care in our rural communities in California and Oregon sites, including a small number of non-Adventist Health sites. We continue to offer store and forward services for dermatology and diabetic retinopathy screenings, as well as peer-to-peer e-consults, as well as a direct-to-consumer service, Adventist Health OnDemand, for consumers. Adventist Health is also a preferred provider for Virtual Care with the California Department of Corrections and Rehabilitation, serving multiple prison locations through the Virtual Care Coordination Center. In 2021, we piloted a virtual behavioral health counseling service to clinic patients in some of our rural communities and we continue to look at how we can duplicate the program across the rest of the communities we serve. Our Hawaii and our Mendocino Coast markets now have sites that have video conferencing software with state-of-the-art virtual stethoscope technology to ensure patients can be seen close to where they live. Inpatient virtual care continues to serve hundreds of patients. Thirteen hospitals use telehealth stroke services, seven hospitals use pediatric services, five sites use infectious disease services with ten sites using emergency psychiatry assessment services. We are looking forward to having a systemwide offering in the next few years in the areas of stroke, general neurology, and psych for all of our ICUs and ERs. Strategic Planning Adventist Health's mission of living God's love, inspiring health, wholeness and hope is our greatest calling as an organization. Our strategic planning builds on a vision to provide exceptional care at every stage of life, inspiring community transformation through health and well-being for all. To support this vision, we have shifted our structure to strategic networks of care, bringing local and system leadership closer together to organize our work around our patients, communities and key opportunities to serve all through a deeply integrated and collaborative network of care. We are engaging our strong, innovative teams to shape a thriving culture. We are expanding our networks creating community relevance and well-being. We are empowering exceptional teams to deliver unparalleled care. We are embedding disciplined stewardship to drive operational excellence.
Form 990, Part VI, Section A, line 4	During the year, the corporation's Bylaws were amended as follows: -Article 2, Members - updated that the CEO and three representatives of the corporation will be members. -Article 3, Board of Directors - updated the language to address who should be a board member when the corporation does not have a president. -Article 8, Legal Instruments, Section 1, Subsection (a) - updated the language to authorize CEO, president, treasurer, secretary or other person or officers to execute all legal instruments and not only real estate transactions. -Article 8, Legal Instrument, Section 1, Subsection (b) and (c) - these subsections were removed and consolidated in 8.1 for the execution of legal documents by the CEO, president, treasurer, or secretary, as authorized by the board. -Article 9, General Provision - Updated to include section 4, Emergency Power. This subsection lists out actions that board members can take during emergency events or circumstances.
Form 990, Part VI, Section A, line 6	Individuals who represent the Seventh-day Adventist Church and lay people who are in good standing with the Seventh-day Adventist Church serve as members of Adventist Health System/West (the Organization") including the following: (a) the president, treasurer, and one other representative from both the Pacific Union Conference and the North Pacific Union Conference; (b) one representative from each of the local conferences of the Church in which affiliated health care facilities are located; (c) two representatives selected from among the colleges and universities affiliated with the Church and located in the Pacific Union Conference or North Pacific Union Conference; (d) the CEO of the Organization, plus three additional representatives of the management of the Organization; (e) three representatives selected from the presidents of the hospitals affiliated with the Organization; (f) three healthcare leaders; (g) up to 16 lay representatives who do not belong to any of the other categories set forth but who otherwise meet the qualifications for membership. Annually, the members meet for the purpose of conducting the business of the membership. Actions are taken as required to enable Adventist Health System/West to continue operating in concert with its Articles and Bylaws.
Form 990, Part VI, Section A, line 7a	The Organization's Board of Directors consists of the following ex-officio members: (a) The president of the Pacific Union and North Pacific Union of the Seventh-day Adventist Church; (b) two presidents selected from among the local conferences of the Church in which are located affiliated health care institutions; (c) The CEO of the Organization; (d) the president of the Organization, if there is no president, such other person as the membership shall appoint; (e) two professional health care providers who are practicing or serving in healthcare leadership; and (f) seven lay representatives as elected by the membership. Ex-officio members are appointed to their positions pursuant to the governing instruments of those organizations.
Form 990, Part VI, Section A, line 7b	Amendments to the Organization's Bylaws require approval by the membership.
Form 990, Part VI, Section B, line 11b	This Form 990 including all supporting schedules was prepared by a public accounting firm, reviewed by the System Senior Finance Officer and System Chief Financial Officer, and shared by electronic communication with the corporation's Board of Directors prior to filing.
Form 990, Part VI, Section B, line 12c	During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, corporate officers, key employees, and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation to illustrate examples of a conflict and remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the CEO immediately. The statements for the AHSW Board of Directors are reviewed by the EY auditors as part of the annual financial statement audit. All conflicts are reviewed by the System General Counsel. For potential conflicts, the System General Counsel will determine and present all relevant facts to the governing body for decision. After addressing any questions asked by the governing body, the person with a declared conflict must leave the meeting during the discussion of the matter that involves a conflict and during any vote on the matter.
Form 990, Part VI, Section B, line 15	The Organization's Board of Directors has established a Human 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. A hospital president has a maximum potential incentive of 30 or 35 percent of base salary based upon size and scope of hospital (iIncentive potential is industry norm). Other hospital executives have a maximum potential incentive of 25 to 30 percent of base salary.
Form 990, Part VI, Section C, line 19	The Organization does not make its governing documents publicly available beyond required filings of Articles of Incorporation with the Secretary of State. The Organization does not make its Conflict of Interest Policy available to the public.
Form 990, Part VII:	In recognition of the time commitment directors make to serve on the Adventist Health System/West boards and committees, directors have the option to receive compensation when their employment agreements with their employers allow such payments. In addition, amounts paid for taxable benefits are also reported.
Form 990, Part IX, line 11g	Other purchased services: Program service expenses 12,797,911. Management and general expenses 110,152,099. Fundraising expenses 89,788. Total expenses 123,039,798. Repairs & maintenance: Program service expenses 46,384,846. Management and general expenses 205,939. Fundraising expenses 0. Total expenses 46,590,785. Consulting and other management fees: Program service expenses 1,760,758. Management and general expenses 37,693,818. Fundraising expenses 1,433,148. Total expenses 40,887,724. Contract labor: Program service expenses 6,132,933. Management and general expenses 4,872,297. Fundraising expenses 0. Total expenses 11,005,230. Other professional fees non-medical: Program service expenses 13,559. Management and general expenses 8,606,508. Fundraising expenses 0. Total expenses 8,620,067. Purchased medical services: Program service expenses 106,102. Management and general expenses 1,682,138. Fundraising expenses 0. Total expenses 1,788,240. Physician professional fees: Program service expenses 72,245. Management and general expenses 209,182. Fundraising expenses 0. Total expenses 281,427.
Form 990, Part XI, line 9:	Capital contribution to BlueLegacy 3,000,000. Change in net assets of BlueZones -1,669,560. Change in value of CAP-EX -4,867,122. Partnership loss reported on Sch K-1 8,645,406.
Form 990, Part XI, Line 8:	Prior period adjustments were a result of cash balance correction and clean up books due to prior period activities including debt service, capital expenditures, and other items for $509,121,661.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Adventist Health Outpatient Pharmacy Services LLC
1 Adventist Health Way	Roseville	CA	95661	Inactive	CA	$0	$0	Adventist Health SystemWest
Dwellcare LLC
1 Adventist Health Way	Roseville	CA	95661	Inactive	CA	$0	$0	Adventist Health SystemWest
Incentive Acute Care Network LLC
1 Adventist Health Way	Roseville	CA	95661	Acute care network	CA	$0	$0	Adventist Health SystemWest
Incentive Health LLC
1 Adventist Health Way	Roseville	CA	95661	MSO	CA	$1,337,608	$5,857,533	Adventist Health SystemWest
Paradise Skyway LLC
1 Adventist Health Way	Roseville	CA	95661	Inactive	CA	$0	$0	Adventist Health SystemWest

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)

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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	UBI Code VUBICodeVAmt
Blue Legacy Ventures LLC
1010 NE 2nd Avenue	Miami	FL	33132	871254649	Real property rental	FL	Adventist Health SystemWest	Excluded	-$251,084	$3,250,335	0	Yes (1)	0.50000
Blue Zones LLC
200 Southdale Center	Edina	MN	55435	271603327	Education	MN	Adventist Health SystemWest	Unrelated	$5,171,361	$17,328,204	0	0	1.00000	-$6,964,869
PAR LLC
8440 SE Sunnybrook Blvd Suite 100	Clackmas	OR	97015	931262371	Real property rental	OR	Adventist Health SystemWest	Unrelated	$253,229	-$1,994,688	0	Yes (1)	0.50000	$254,518
PVHR LLC dba Paradise Village
8440 SE Sunnybrook Blvd Suite 100	Clackmas	OR	97015	260622555	Real property rental	OR	Adventist Health SystemWest	Unrelated	-$311,296	$16,475,236	0	Yes (1)	0.50000	-$304,104
PVHR2 LLC dba Parkview at Paradise Village
8440 SE Sunnybrook Blvd Suite 100	Clackmas	OR	97015	473300170	Real property rental	OR	Adventist Health SystemWest	Unrelated	-$331,776	$3,471,190	0	Yes (1)	0.50000	-$331,776
WWGHR LLC
8440 SE Sunnybrook Blvd Suite 100	Clackmas	OR	97015	810591221	Rental	OR	Adventist Health SystemWest	Unrelated	-$86,241	$4,341,132	0	Yes (1)	0.50000	-$84,913

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
AdHealth Limited
PO Box HM 2062	Hamilton	BD	HM HX	Pure captive insurance	BD	Adventist Health SystemWest	C	$655,916	$2,111,677	0.50000	0
Adventist Health Plan Inc
				Health insurance		Adventist Health SystemWest	C	$36,274,058	$7,772,843	1.00000	Yes (1)	1 Adventist Health Way	Roseville	CA	95661	463833261	CA
South Coast Medical Center
				Wind down after sale of hospital		Adventist Health SystemWest	C			1.00000	Yes (1)	1 Adventist Health Way	Roseville	CA	95661	952037291	CA
Thrive Productions Inc
				Production company		Adventist Health SystemWest	C	$30,000	$44,964	1.00000	Yes (1)	200 Southdale Center	Edina	MN	55435	453369049	MN

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

Transactions Related Org TransactionsRelatedOrgGrp (113 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Feather River Hospital
C	$4,900,564	Net book value
Adventist Health Clearlake Hospital Inc
L	$22,109,724	FMV
Adventist Health Delano
L	$13,605,218	FMV
Adventist Health Medical Center Tehachapi
L	$6,660,761	FMV
Adventist Health Mendocino Coast
L	$1,980,735	FMV
Adventist Health Physicians Network
L	$17,475,979	FMV
Adventist Health Tulare
L	$10,360,091	FMV
Castle Medical Center
L	$26,526,108	FMV
Glendale Adventist Medical Center
L	$75,198,683	FMV
Hanford Community Hospital
L	$51,789,543	FMV
Lodi Memorial Hospital Association Inc
L	$36,812,610	FMV
Northwest Medical Foundation of Tillamook
L	$12,953,126	FMV
Portland Adventist Medical Center
L	$41,134,241	FMV
Reedley Community Hospital
L	$27,631,643	FMV
Rideout Memorial Hospital
L	$69,034,358	FMV
San Joaquin Community Hospital
L	$66,368,948	FMV
Simi Valley Hospital and Health Care Services
L	$28,908,427	FMV
Sonora Community Hospital
L	$40,075,108	FMV
St Helena Hospital
L	$35,257,813	FMV
Ukiah Adventist Hospital
L	$30,028,005	FMV
Western Health Resources
L	$3,430,725	FMV
White Memorial Medical Center
L	$70,819,255	FMV
Willits Hospital Inc
L	$12,207,156	FMV
Adventist Health Clearlake Hospital Inc
N	$529,299	FMV
Adventist Health Delano
N	$458,778	FMV
Adventist Health Medical Center Tehachapi
N	$56,423	FMV
Adventist Health Mendocino Coast
N	$786,051	FMV
Castle Medical Center
N	$973,548	FMV
Glendale Adventist Medical Center
N	$1,881,745	FMV
Hanford Community Hospital
N	$1,376,913	FMV
Lodi Memorial Hospital Association Inc
N	$850,121	FMV
Northwest Medical Foundation of Tillamook
N	$450,813	FMV
Portland Adventist Medical Center
N	$1,513,492	FMV
Rideout Memorial Hospital
N	$1,560,823	FMV
San Joaquin Community Hospital
N	$2,111,860	FMV
Simi Valley Hospital and Health Care Services
N	$950,409	FMV
Sonora Community Hospital
N	$954,153	FMV
St Helena Hospital
N	$979,920	FMV
Ukiah Adventist Hospital
N	$313,212	FMV
White Memorial Medical Center
N	$1,744,458	FMV
Willits Hospital Inc
N	$320,348	FMV
Adventist Health Clearlake Hospital Inc
Q	$801,540	FMV
Adventist Health Delano
Q	$95,140	FMV
Adventist Health Medical Center Tehachapi
Q	$2,009,434	FMV
Adventist Health Medical Center Tehachapi
Q	$130,213	FMV
Adventist Health Physicians Network
Q	$72,690	FMV
Adventist Health Tulare
Q	$183,481	FMV
Castle Medical Center
Q	$72,549	FMV
Glendale Adventist Medical Center
Q	$2,397,987	FMV
Hanford Community Hospital
Q	$1,617,603	FMV
Lodi Memorial Hospital Association Inc
Q	$1,000,884	FMV
Northwest Medical Foundation of Tillamook
Q	$533,721	FMV
Portland Adventist Medical Center
Q	$1,590,174	FMV
Reedley Community Hospital
Q	$838,740	FMV
Rideout Memorial Hospital
Q	$7,287,588	FMV
San Joaquin Community Hospital
Q	$1,829,325	FMV
Simi Valley Hospital and Health Care Services
Q	$812,247	FMV
Sonora Community Hospital
Q	$988,521	FMV
St Helena Hospital
Q	$579,466	FMV
Ukiah Adventist Hospital
Q	$833,190	FMV
United Com-Serve
Q	$728,696	FMV
Western Health Resources
Q	$275,308	FMV
White Memorial Medical Center
Q	$1,991,800	FMV
Willits Hospital Inc
Q	$311,675	FMV
Adventist Health Clearlake Hospital Inc
R	$3,910,804	Cash transfer amount
Adventist Health Delano
R	$7,572,491	Cash transfer amount
Adventist Health Medical Center Tehachapi
R	$8,174,876	Cash transfer amount
Adventist Health Mendocino Coast
R	$7,630,211	Cash transfer amount
Adventist Health Physicians Network
R	$13,057,513	Cash transfer amount
Adventist Health Tulare
R	$17,971,543	Cash transfer amount
Blue Legacy Ventures LLC
R	$3,500,000	Cash transfer amount
Blue Zones LLC
R	$9,975,812	Cash transfer amount
Feather River Hospital
R	$82,175,071	Cash transfer amount
Glendale Adventist Medical Center
R	$54,801,533	Cash transfer amount
Hanford Community Hospital
R	$63,056,525	Cash transfer amount
Lodi Memorial Hospital Association Inc
R	$25,800,278	Cash transfer amount
Northwest Medical Foundation of Tillamook
R	$99,227	Cash transfer amount
Portland Adventist Medical Center
R	$38,351,203	Cash transfer amount
Reedley Community Hospital
R	$83,608,841	Cash transfer amount
Rideout Memorial Hospital
R	$37,795,566	Cash transfer amount
San Joaquin Community Hospital
R	$50,646,327	Cash transfer amount
Simi Valley Hospital and Health Care Services
R	$16,834,155	Cash transfer amount
Sonora Community Hospital
R	$9,354,999	Cash transfer amount
St Helena Hospital
R	$29,565,433	Cash transfer amount
Ukiah Adventist Hospital
R	$15,256,094	Cash transfer amount
United Com-Serve
R	$1,005,419	Cash transfer amount
Walla Walla General Hospital
R	$54,245	Cash transfer amount
Western Health Resources
R	$7,303,251	Cash transfer amount
White Memorial Medical Center
R	$497,662	Cash transfer amount
Willits Hospital Inc
R	$9,573,497	Cash transfer amount
Adventist Health Clearlake Hospital Inc
S	$26,832,246	Cash transfer amount
Adventist Health Medical Center Tehachapi
S	$4,469,501	Cash transfer amount
Adventist Health Physicians Network
S	$3,222,609	Cash transfer amount
Castle Medical Center
S	$14,817,024	Cash transfer amount
Castle Medical Center
S	$21,320,471	Cash transfer amount
Feather River Hospital
S	$2,377,456	Cash transfer amount
Glendale Adventist Medical Center
S	$88,594,642	Cash transfer amount
Hanford Community Hospital
S	$48,080,868	Cash transfer amount
Lodi Memorial Hospital Association Inc
S	$6,636,043	Cash transfer amount
Northwest Medical Foundation of Tillamook
S	$12,084,442	Cash transfer amount
PAR LLC
S	$9,270,000	Cash transfer amount
Portland Adventist Medical Center
S	$21,228,331	Cash transfer amount
Reedley Community Hospital
S	$31,128,291	Cash transfer amount
Rideout Memorial Hospital
S	$76,041,811	Cash transfer amount
San Joaquin Community Hospital
S	$29,888,085	Cash transfer amount
Simi Valley Hospital and Health Care Services
S	$17,506,801	Cash transfer amount
Sonora Community Hospital
S	$34,479,058	Cash transfer amount
South Coast Medical Center
S	$675,584	Cash transfer amount
St Helena Hospital
S	$45,779,570	Cash transfer amount
Ukiah Adventist Hospital
S	$19,583,716	Cash transfer amount
Western Health Resources
S	$11,537,350	Cash transfer amount
White Memorial Medical Center
S	$56,739,998	Cash transfer amount
WWGHR LLC
S	$56,000	Cash transfer amount