2022-11-11T10:23:31-06:00 2021-12-31 910189318 Moss Adams LLP 3121 W March Ln Ste 200 Stockton CA 952192367 990 2021-01-01 941387866 Rideout Memorial Hospital RIDE 9164060000 726 Fourth Street Marysville CA 95901 Heidar Thordarson Treasurer 9164060000 2022-10-26 1 Heidar Thordarson 999009999 Tracy S Paglia P00366884 2099556100 2022-10-26 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z X Adventist Health and Rideout Chris Champlin 726 Fourth Street Marysville CA 95901 453739870 0 X www.adventisthealth.org/rideout/ X 1955 CA Living God's love by inspiring health, wholeness, and hope. 3 2 2188 254 2087843 7161 288655 783871 440383894 452070637 1302695 885362 2870545 0 444845789 453739870 134648 182659 0 0 185854102 183108331 0 0 423456 301192224 347392091 487180974 530683081 -42335185 -76943211 477359112 442983359 230451873 310814897 246907239 132168462 X Living God's love by inspiring health, wholeness, and hope. 0 0 435043785 182659 452070637 See Schedule O 435043785 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 2188 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 3 2 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X John Beaman CFO 9164060000 1 Adventist Health Way Roseville CA 95661 X Reiner Scott CEO thru 12/21 0.00 50.00 X 0 2940088 62418 Wing Bill Director/Chair 0.00 50.00 X X 0 2459079 76222 Jahn Andrew Care Division President 2.00 48.00 X 0 1848683 72937 Nahapetian Arby Care Division Chief Medical Officer 2.00 48.00 X 0 1058113 78302 Eller Jeff President, NCR 0.00 50.00 X 0 1100138 22996 Jobe Meredith Secretary 0.00 50.00 X 0 932705 59761 Byrnes John - Former Medical Officer, NCR thru 02/20 0.00 50.00 X 0 906436 56796 Stevens Eric Care Division Operations Executive 2.00 48.00 X 0 884611 49992 Rawson Richard President thru 10/21 9.00 41.00 X 0 790001 41954 Spenst Brett Care Division Finance Officer 2.00 48.00 X 0 786101 45300 Sheikh Azad Medical Officer 0.00 40.00 X 0 598149 28218 Gordon Cyndy Patient Care Executive 50.00 0.00 X 0 477850 56680 Chibaya Daniel Operations Manager 0.00 40.00 X 0 445526 72782 Gonzalez Eduardo Treasurer/Asst Secr 9.00 41.00 X 0 439078 75136 Lonto Robert Former Reg HP Dir, NCR thru 02/20 0.00 50.00 X 0 415896 72696 Arrowsmith Monica Business Development Leader 40.00 0.00 X 0 384013 45565 Mensch Deborah - Former Patient Care Executive thru 08/20 0.00 50.00 X 0 374293 49293 Sarson Linda RN 40.00 0.00 X 339099 0 29691 Erickson Nathan RN 40.00 0.00 X 301053 0 52674 Huiras Christopher RN 40.00 0.00 X 259426 0 37700 Garcia Julie RN 40.00 0.00 X 260277 0 28391 Goods Shannon RN 40.00 0.00 X 247592 0 38830 Innocent Larry Director 0.00 4.00 X 0 26159 0 Reiner Richard Director 0.00 4.00 X 0 26159 0 Champlin Christopher President as of 12/21 9.00 41.00 X 0 0 0 1407447 16893078 1154334 632 1 1 0 ProLink Healthcare LLC 4600 Montgomery Rd Suite 300 Cincinnati OH 45212 Contract labor services 8469559 Fastaff LLC 5700 South Quebec St Suite 300 Greenwood Village CO 80111 Contract labor services 5587369 Acute Care Surgery Medical Group Inc 2450 Del Paso Rd Suite 250 Sacramento CA 95834 Physician services 4982162 PT Solutions Holdings LLC PO Box 724557 Atlanta GA 31139 Contract labor services 4532185 Aya Healthcare Inc 5930 Cornerstone Ct Suite 300 San Diego CA 92121 Contract labor services 4365549 45 198130 345388 240353 198130 783871 Patient service revenue 621400 442040969 439953126 2087843 Revenue/subsidy from related org 621990 3804337 3804337 CARES Act revenue 621990 1107220 1107220 340B Pharmacy revenue 621400 920955 920955 Related rental revenue 621400 595284 595284 3601872 3601872 452070637 885362 885362 453739870 449982794 2087843 885362 X 182659 182659 145602157 131366770 13916693 318694 5494126 4938389 543603 12134 21860737 19797919 2025440 37378 10151311 9256123 876860 18328 56949124 4904415 52044709 435016 435016 51907 51907 19504 19504 103058922 99299331 3753535 6056 33548 33548 1766632 1136134 606645 23853 17911249 5825797 12085452 7391397 6876616 514241 540 130103 92479 37595 29 12091 5737 6354 4846690 4753404 93286 19669202 19458282 210920 1251391 1247736 3655 Patient care supplies 79156776 79156776 Quality assurance fee 25181131 25181131 Leased equipment expens 1991072 1934546 56526 UBI taxes 151419 151409 10 27384917 19458628 7923500 2789 530683081 435043785 95215840 423456 36440607 0 0 165025 59691211 65660080 6145874 6890585 1634331 3938015 581805177 261661400 325101187 320143777 48345902 46185877 477359112 442983359 36580902 50511219 118361 225249 1379345 42346138 192373265 217732291 230451873 310814897 X 246830773 132093071 76466 75391 246907239 132168462 477359112 442983359 X -76943211 -37795566 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 19504 19504 0 Part II-B, Line 1: The Hospital is a member of industry associations. A portion of the membership dues is used for lobbying purposes. Expenditures to NL Short Public Affairs were paid for the purpose of working with legislators and government officials relating to legislation affecting hospitals and healthcare. 75169 505354 506428 74095 70704 267654 263189 75169 135652 128479 45013 148414 70704 135652 135652 0.00000 0.00000 1.00000 0 0 14289927 14289927 393542783 124356158 269186625 18876018 7047777 11828241 155096449 130257465 24838984 320143777 Receivables from third-party payors 33946752 Receivables from related organizations 6479456 Other assets 5415453 Other receivables 344216 46185877 Payables to related organizations 170070560 Payables to third parties 33583933 Workers' compensation liability 4753347 Lease controller liability 3725385 Long-term malpractice liability 3566164 Other liabilities 2032902 217732291 X Part V, Line 4: Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended. Part X, Line 2: The principal operations of the System are exempt from taxation pursuant to Internal Revenue Code Section 501(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. 1 1 X 1 X 1 X 1 1 1 0 1 1 4841598 4841598 0.00910 185603715 129237482 56366233 0.10620 190445313 129237482 61207831 0.11530 1989515 10000 1979515 0.00370 764156 764156 0.00140 44149038 16522222 27626816 0.05210 7000 7000 0.00000 46909709 16532222 30377487 0.05720 237355022 145769704 91585318 0.17250 677218 677218 0.00130 2299 2299 0.00000 1381 1381 0.00000 942056 942056 0.00180 1622954 1622954 0.00310 1 5089922 1619705 132332719 161931620 -29598901 X 1 1 1 1 Adventist Health and Rideout 726 Fourth Street Marysville CA 95901 https://www.adventisthealth.org/rideou 230000126 X X X Adventist Health and Rideout 0 0 1 X X X X X X X X X 19 1 1 0 1 X See Sch H Part VI - Needs Assesment X See Sch H Part VI - Needs Assesment X 1 19 1 See Sch H Part VI - Needs Assesment 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X Sch H Part VI-Patient Educ X Sch H Part VI-Patient Educ X Sch H Part VI-Patient Educ X X X X X X 1 X 0 X X X X 1 X 0 0 Adventist Health and Rideout Part V, Section B, Line 5: The 2019 CHNA data collection process can be summarized as follows: 1. Review of prior CHNA reporting efforts;2. Collection of most recently available demographic, socioeconomic and health indicator data; and3. Data gathering from community members. Community input was provided by a broad range of community members using key informant interviews and focus groups. Individuals with the knowledge, information, and expertise relevant to the health needs of the community were consulted. These individuals included representatives from local governmental and public health agencies as well as leaders, representatives, or members of underserved, low-income, and minority populations. Primary data included 13 interviews with 35 community health experts as well as four focus groups conducted with a total of 53 community residents that included seniors, people experiencing homelessness, Hmong community members and Latino community members.Focusing on social determinants of health to identify and organize secondary data, datasets included measures to describe mortality and morbidity and social and economic factors such as income, educational attainment, and employment. Further, the measures also included indicators to describe health behaviors, clinical care (both quality and access), and the physical environment. Data sources include but are not limited to the California Department of Public Health, US Census Bureau, American Community Survey, Robert Wood Johnson Foundation County Health and Roadmaps and the Community Health Vulnerability Index which is a healthcare disparity index based largely on the Community Need Index developed by Barsi and Roth. Adventist Health and Rideout Part V, Section B, Line 6a: Hospitals that participated in the 2019 CHNA process included Sutter Surgical Hospital North Valley. Adventist Health and Rideout Part V, Section B, Line 11: The COVID-19 global pandemic has caused extraordinary challenges for Adventist Health hospitals and health care systems across the world including keeping front line workers safe, shortages of protective equipment, limited ICU bed space and developing testing protocols. They have also focused on helping patients and families deal with the isolation needed to stop the spread of the virus, and more recently vaccine roll out efforts. Adventist Health, like other health care systems, had to pivot its focus to meet the most urgent healthcare needs of its community during the pandemic, as well as reassess the ability to continue with some community health strategies due to public health guidelines for social distancing. Adjustments have been made to continue community health improvement efforts as possible, while ensuring the health and safety of those participating. Our 2019 CHNA identified three areas of significant need: access to mental/behavioral/substance abuse services, access to basic needs such as housing, jobs and food, and access to quality primary care health services. Priority Need 1 - Access to Mental/Behavioral/Substance Abuse Services - The goal is to raise awareness and improve access to substance use and mental health services in the emergency department. Strategy 1 - Expand Emergency Department substance use disorders and behavioral health initiatives. Activity 1.1 - Continue Behavioral Health Collaborative in Rideout ER - Although the program has components that are covered by grants, community benefit expenses include parts of the tele-psychiatry services and the Community Well-Being staff time. In 2021, the volume of behavioral health patients in the Adventist Health and Rideout Emergency Department has steadily increased in recent years due to the lack of funding for behavioral health services and lack of facilities/providers in our rural area. In order to deliver the highest quality of care for behavioral health patients in the Emergency Department, Adventist Health and Rideout partnered with county resources to embed county-paid crisis counselors in the Emergency Department 24 hours a day. In 2021, Adventist Health and Rideout's Emergency Department saw 2,341 patients with behavioral health complaints. Using tele-psychiatry services and clear clinical pathways, the team worked together to see 100 percent of the patients with a behavioral health diagnosis. Medications were started or resumed, safety plans designed, and follow up appointments were arranged by the team. As a team, the county and hospital have created a process to provide high quality care to the psychiatric patients in the ED. Activity 1.2 - Implement ED Bridge Program - Adventist Health and Rideout applied and was awarded grant money to start the California Bridge Program. Additional funds were awarded in the middle of the year. Although most program costs were covered by the grant, community benefit expenses include staff time in securing, processing, and coordinating program requirements. These grants have afforded the program the opportunity to hire a Substance Use Navigator, provide ED staff training, and provide 32 ED physician X-waiver credentialing to build the MAT Program. The Substance Use Navigator works to identify people with opioid use disorder in the emergency room. Patients are then able to immediately receive treatment for their withdrawal symptoms with the medication Buprenorphine (Suboxone) and are linked from the ED into continued outpatient treatment in the community clinics. In 2021, although no additional grant funding was not received, the program continues to support 32 ED providers and a substance use navigator. In 2021, the program provided services to 179 individuals. Additional activities include our Meds-to-Beds program. Adventist Health and Rideout is among many hospitals nationwide that has a "Meds-to-Beds" program, in which prescription drugs are given directly to patients just before they are sent home from the hospital or emergency room. This program serves as more than just a convenience; for some patients, this is the only way they will obtain necessary medications for chronic medical conditions and other required treatments. Adventist Health and Rideout is not allowed to bill for medications that will be used at home; these drugs must come from an outpatient pharmacy. In order to bridge this gap, Adventist Health and Rideout partnered with the Sutter Pharmacy for both discharge counseling and dispensing of medications. In situations where the patient is unable to pay for the critical medications, Adventist Health and Rideout will pay for the medications at no cost to the patient. Number of Community Members Served: 140.Priority Need 2 - Expand screening and partner with community organizations to increase access to food resources - The goal is to improve access to food resources in the community. Strategy 1 - Expand screening with community organizations to increase food resources. Activity 1 - Expand Food Security Program - To address this need, Adventist Health and Rideout initiated a food security program, which begins with a screening process for all patients that are seen by Adventist Health and Rideout. If a patient is identified as food insecure, a referral is submitted to the Patient Care Coordinator who then follows up with the patient and provides person specific community resources, a connection to a local food pantry, and food upon discharge. In 2021, Adventist Health and Rideout identified 280 admitted patients as food insecure. This number includes the patient population at The Rideout Cancer Center. Of these individuals, 54% were considered homeless, 15% of the individuals who were identified as food insecure are 55 years of age or older and 20% are 65 years of age or older. All individuals served in the Food Security program are vulnerable, lack the resources necessary to obtain food or proper nutrition, and are underserved. In collaboration with the Yuba-Sutter Food Bank and Yuba-Sutter Behavioral Health, Adventist Health and Rideout delivered 282 meals to patients 65 and over. A total of 524 non-perishable food bags were provided to individuals experiencing homelessness through outreach from our Street Medicine Team. In March - May 2021, as part of the response to the Coronavirus, Adventist Health and Rideout partnered with the UDSA - Farmers to Families Program and distributed 1,825 food boxes to families throughout the Yuba-Sutter area. In 2021, The Food Security Program was awarded a grant in the amount of $20,000. This funding has provided the ability to purchase food for the most vulnerable patients and has helped serve families directly associated with our partner agencies. The partnership between the Food Security Program and The Yuba-Sutter Food Bank has increased the number of individuals served and has added more resources to the Yuba-Sutter community. In 2021, a grant in the amount of $80,000 was awarded to hire a Registered Dietitian to help expand the Food Secure Program and assist in providing medically tailored meals as well as develop an on-site food pantry. This program is expected to roll out in 2022. Although the program has components that are covered by grants, community benefit expenses include Community Well-Being staff time and coordination. Additional activities include our bariatric support group. Bariatric support groups were offered, in person, until March of 2020 due to COVID-19. Adventist Health and Rideout developed a way to still deliver these support groups virtually and is still in use as of 2021. Our bariatric surgery support group is offered at no charge to people who have had or plan to have bariatric surgery. The group is a way for patients to gain knowledge and network with each other and support one another in the community. Number of Community Members Served: 17.Priority Need 3 - Access to Quality Primary Care Health Services - The goal is to improve access to primary care services for the community. Strategy 1 - Street Nursing Program Part V, Section B, Line 11, continuation: Activity 1.1 - Establish and expand street nursing program - Adventist Health and Rideout initiated a street nursing program in response to the growing population experiencing homelessness. In 2021, The Adventist Health Street Nurse Team saw 381 new patients out in the field. The team conducted 2,561 follow up visits, meaning each patient experienced several encounters with our team due to the trust and relationship that was built. The Street Medicine Team reaches out to individuals experiencing homelessness where they are and provides items such as hygiene products and non-perishable food. The Street Medicine Team had 533 outreach visits, which is when the team is out providing supplies and connecting with individuals. The total encounters for the Street Medicine Team in 2021 including new patients, follow up visits, and outreach, was 3,477. In 2021, the program showed significant growth, in staff, in days per week, and in outreach locations made possible by several different awarded grant dollars. The Street Nurse team does outreach with several partner agencies in the streets and river bottoms of the Yuba Sutter Communities. Other outreach locations include Hands of Hope, The Life Building Center, Better Ways, Harmony Village and Prosperity Village. Program Outcomes to note for 2021: 56 clients established care with a primary care doctor; The nurse attended 35 PCP appointments to assist in a warm hand off and help alleviate fear; 140 prescriptions were paid through our 340B program; 157 individuals moved from homelessness and entered into temporary housing such as a shelter; 43 individuals were moved from homelessness and were entered into permanent housing; 314 individuals were seen by the telemedicine doctor out in the field; and 37 were referred to the Substance Use Navigator for resources and referrals to substance use treatment and recovery. Although the program has components that are covered by grants, community benefit expenses include Community Well-Being staff time and coordination. Additional activities include our homeless discharge planning program. In addition to the action already being taken to combat homelessness and assist this vulnerable population, SB 1152 requires hospitals to include plans for coordination of services to shelters, medical care, and behavioral health care in their homeless patient discharge policy. Specifically, hospitals must discharge homeless patients to a social service agency, a nonprofit social services provider, or a governmental service provider. Hospitals must also ensure that these agencies are prepared to accept the patient and the patient has agreed to the placement. Patients experiencing homelessness may also be discharged to their "residence" (the principal dwelling place of the patient) or an alternative destination. Under SB 1152, hospitals must ensure and document the following before discharging any homeless patient: The patient must have food and water unless there is a medical reason, they must have weather-appropriate clothing, have a source of follow up care, have a supply of medications, they must have necessary medical durable equipment, they must be offered screening for infectious diseases, must have been offered vaccination, the patient must be alert and oriented to person, place, and time, they must be assisted to enroll in eligible, affordable health insurance coverage, and the patient must have transportation to the discharge destination. The hospital must also maintain a log of homeless patients discharged and locations to which they were discharged. Number of Community Members Served: 904.Other community benefit priority work includes the following programs and program impact: Smoking Cessation Education: Adventist Health and Rideout provides a free smoking cessation program for the community. This program teaches the "Freedom from Smoking Course" from the American Lung Association. The class will offer participants a step-by-step plan for quitting smoking and will help assist smokers gain control over their behavior. Number of Community Members Served: 52.Cancer Support Group: Adventist Health and Rideout offers multiple programs for cancer patients and survivors. In addition to treating the body when a patient has cancer, Adventist Health looks for ways to help the emotional healing of our patients as well. Adventist Health and Rideout offers cancer support groups to help play a role in supporting our patients and their loved ones. Unfortunately, due to COVID-19, these support groups were placed on hold. AHRO also offered a "Chemotherapy and You" weekly class, prior to COVID-19. This class was designed to help prepare patients and caregivers for treatment. This class also educates on side effects, management, and central line access. AHRO offers a peer navigation program and a wig bank program, which connects patients who lose their hair with wigs through the American Cancer Society. Number of wigs provided: 18.Transportation after Discharge: Adventist Health and Rideout contracts with SP+ to provide transportation services to patients upon hospital discharge, transportation to and from primary care, and to and from oncology appointments. This service is provided at no cost to the patients. In addition to the contract with SP+, the Adventist Health and Rideout Foundation assists cancer center patients, senior care and other patients with transportation needs and more by providing provisions such as gas cards, bus passes and food cards to help low-income patients with their travel needs. A new passenger van was donated to Adventist Health and Rideout by the Geweke Caring for Women Foundation. The van offers patients free transportation to and from the hospital and the cancer center. Number of Community Members Served: 4,724.Community Education Fairs and Events: Adventist Health and Rideout regularly participates in a number of community events where staff volunteers to provide education to the community. However, due to COVID-19, these events were limited. In 2021, Adventist Health and Rideout participated in the BEFAST campaign event where two Stroke RN's participated in two community events handing out flyers on stroke education and prevention. Community Members Served: 157.Community Sponsorship Donations: Adventist Health and Rideout is a nonprofit health system with a long-standing history of providing philanthropic support for projects and programs offered within the communities we serve. As a part of the Adventist Health and Rideout mission, community benefit sponsorships are designed to support community-based programs, activities or events that align with the mission and address community needs. Inspire Hope/World Vision: The Inspire Hope Program is a community-based initiative designed to respond to the growing financial, housing and economic needs within our community. Throughout 2021, our local Inspire Hope program met people where they are at and provided support. Some of the smallest donations are making a huge impact to those we are serving. There is a sense of gratitude with the ability to bring dignity to those who may be at their lowest. Over 2021, we had an average of at least 43 partners that worked collectively to get resources out to our community members with at least 500 people served.Priority needs not addressed:No hospital can address all the health needs identified in its community. Adventist Health and Rideout is committed to serving the community by adhering to its mission, and using its skills, expertise and resources to provide a range of community benefit programs. Significant health needs that will not be directly addressed include the following: Prevention of Disease and Injury through Knowledge, Action, and Access to Resources; Adventist Health and Rideout focuses on wellness and prevention through health education classes and programs. AHRO will continue providing classes and programs to the community. Access and Functional Needs: Access to transportation services is a large need in the primary service area. AHRO currently addresses this need by offering free transportation to and from the hospital, Cancer Center and clinics. In addition to this transportation service, we also provided bus passes, gas cards and food cards to low-income patients to help with travel needs. Access to Specialty and Extended Care: Adventist Health and Rideout is consistently recruiting specialty providers to increase access for the community. We plan to continue these efforts. Active Living and Healthy Eating: Adventist Health and Rideout currently offers free classes on diabetes and other health issues in addition to encouraging healthy lifestyles. Part V, Section B, Line 11, continuation: Safe and Violence-Free Environment: Adventist Health and Rideout agrees that this is a huge need throughout the community, but at this time, we feel addressing this need will require dedicated effort from many other community organizations. We cannot tackle this community need on our own. At this time, we believe we can focus efforts and resources on the other prioritized health needs to make a larger impact. Part V, Section B, Line 13h: Patients who do not meet the income criteria, may be eligible for financial assistance based on essential living expenses and resources. The following two (2) qualifications must both apply:1. Essential living expenses: Exceed fifty percent (50%) of the household income; and2. Resources: The patient's excess medical expenses (the amount that allowable medical expenses are greater than 50% of annual household income) must be greater than available qualifying assets 3 1 - Rideout Women's Imaging Center 945 Shasta Street Yuba City CA 95991 Radiology 2 - AHPN Yuba City - Occupational Medicine 1531 Plumas Court B Yuba City CA 95991 Occupational medicine 3 - Rideout Drug Testing Services 1531 Plumas Street Yuba City CA 95991 Drug testing services Part I, Line 7: The costs were determined by using a cost-to-charge ratio. The cost-to-charge computation is based on Hospital specific data included in the system-wide combined audited financial statements. The formula used for computation equals financial statement data as follows:Total expenses - (Provision for bad debts + Other revenue + Interest income)/Gross patient chargesThe Hospital is located in a medically underserved area and participates in a quality assurance fee program with the State of California to fund certain Medi-Cal coverage expansions. The state redistributes funds to hospitals that provide patient care to a higher proportion of indigent and medically underprivileged patients, who otherwise would most likely not have access to physicians and other medical services. The community benefit analysis includes receipts from this redistribution that are used to assist in partially offsetting the significant costs associated with providing patient care to this population group. The program may or may not continue in the future based on the State of California's regulations and policies and the approval of the federal government. Part II, Community Building Activities: The Hospital is involved in numerous community building activities which promote the health of the community. Overwhelmingly, we see diseases of despair including suicide, substance abuse, mental health and chronic illnesses plaguing the communities in which we have a significant presence in. These community concerns are addressed through health improvement, education, poverty, workforce development and access to care. This is why we have focused our work around addressing behavior and the systems keeping the most vulnerable people in cycles of poverty and high utilization. In an effort to heal these communities, we have strategically invested in our communities by partnering with national leaders in community well-being. We believe the power of community transformation lies in the hands of the community. Our solution for transformation is to create a sustainable model of well-being that measurably impacts the well-being of people, well-being of place and equity. In 2020, Adventist Health acquired Blue Zones as the first step toward reaching our solution. By partnering with Blue Zones, we will be able to gain ground in shifting the balance from healthcare - treating people once they are ill - to transformative well-being - changing the way communities live, work and play. In 2021, Adventist Health committed to launching six Blue Zone Projects within our community footprint, and as we enter 2022 these projects are active. Blue Zones widens our impact from only reaching our hospitals' communities in four states to a global mission practice. We also encourage our employees to serve on community collaboration boards, health advocacy programs, and physical improvement projects to promote the health of the communities we serve. In addition, we work with neighborhood programs, including schools, work sites and safety net providers to promote health and wellness and prevent disease. These activities are not included elsewhere on Schedule H. Part III, Line 2: Uncollected patient accounts are analyzed using written patient financial services policies that apply standard procedures for all patient accounts. The result of the analysis is what is recognized as bad debt expense. For example, all self-pay patients receive a discount. If the discounted account is unpaid after collection efforts, the unpaid balance is classified as bad debt. The cost-to-charge ratio described for Part I, Line 7 is multiplied times the Hospital's bad debt expense. The resulting figure has been reported as bad debts at cost on Part III, Line 2. Part III, Line 3: The portion of the bad debts attributed to charity care as reported on Part III, Line 3 was calculated by an independent third-party consulting firm. This is an estimate of additional charity care that would have been granted if patients had cooperated by furnishing family financial information. A statistically valid sampling of patient accounts written-off was evaluated. The evaluation used various factors to determine which patients would have been eligible for charity care. Had the Hospital obtained sufficient information from all patients who qualified for financial assistance, these additional accounts would have been recorded as charity care instead of bad debt. Part III, Line 4: The system-wide audited combined financial statements do not contain a footnote describing bad debt expense. Part III, Line 8: The Medicare Cost Report apportions the Hospital's costs on the basis of inpatient days and ancillary and outpatient charges to establish the costing methodology. Healthcare delivery by hospitals is a complex, highly regulated business in the United States. Healthcare unit cost inflation is driven by compliance with ever expanding regulatory requirements, shortages of highly skilled labor and involving medical and information technology. The health care "market basket" is unrelated to that of the average individual consumer. Medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that Medicare payments to many U.S. hospitals are well below the cost of providing care. These unreimbursed costs are a community benefit for seniors and others in the community as these individuals are continuing to receive care without which many would become dependent on other governmental resources such as Medicaid. The benefit to the community for healthier Medicare recipients is no different than those benefits the community realizes for uninsured and underinsured patients who are eligible for partial and full charity care. Medicare is a safety net for seniors and others. Without Medicare coverage, many individuals would undoubtedly qualify for charity care. In addition to the mismatch between Medicare payment increases and healthcare cost inflation, the highly complex Medicare payment systems and formulas produce disparate payment levels from one hospital to another for the same service. These disparate payment levels create disparate results within groups of hospitals. For further information, please refer to Schedule H, Part III, Section B. Part III, Line 9b: When a patient has requested screening for charity care, the Hospital must immediately cease collection activity and place the account in a charity pending status. If 100% charity is approved, the entire account balance is written off to charity care. If the patient has a sliding scale liability based on the federal poverty guidelines, they are billed only for that liability. If the patient fails to pay their after-charity liability, they are assigned to a collection agency with an identifier that indicates to the agency that the patient is "low income and the following criteria must be followed by the agency:1. They may not report the patient to a credit bureau2. They may not file a lawsuit to recover the outstanding liability3. They may not charge interest Part VI, Line 2: The Hospital's 2019 CHNA, the 2022 Community Health Plan (CHP) Update for fiscal year 2021, and the 2020 Implementation Strategy adopted in 2020 are posted on the Hospital's website at:https://www.adventisthealth.org/about-us/community-benefit/ The most recent Community Health Needs Assessment, most recent Implementation Strategy report, and the most recent Community Health Plan Updates are also available on the Adventist Health Corporate website at:https://www.adventisthealth.org/about-us/community-benefit/The Community Health Needs Assessment (CHNA) includes both the activity and product of identifying and prioritizing a community's health needs, accomplished through the collection and development of a community health plan. The second component of the CHNA, the community health plan, includes strategies and plans to address prioritized needs with the goal of contributing to improvements in the community's health. Qualitative and quantitative data sources were used in conducting the CHNA. To accomplish the many important systemic goals that are underway in our community, our hospitals support local partners to augment our own efforts and to promote a healthier community. Partnership is not used as a legal term, but a description of the relationships of connectivity that are necessary to collectively improve the health of the regions we serve. One of our objectives is to partner with other nonprofit and faith-based organizations that share our values and priorities to improve the health status and quality of life of the community we serve. This is an intentional effort to avoid duplication and leverage the successful work already in existence in the community. Part VI, Line 3: The plain language summary of the Financial Assistance Policy (FAP) is posted along with the complete FAP policy and FAP Application on the Hospital's website at:https://www.adventisthealth.org/documents/financial-assistance/ENG_PFS-112_Financial-Assistance-Policy.pdfThese documents are available in multiple languages.At the time of registration, patients who are uninsured and underinsured are provided information about government healthcare programs. Patients are also orally informed of their right to request charity assistance. Signs are displayed in the patient business office, patient registration areas and the emergency room in multiple languages informing patients of this right as well. The Hospital also provides a brochure during the registration process that explains the hospital billing and collection procedures, and how to request financial assistance. In addition, every billing statement sent to patients contains information on how to request financial assistance. Part VI, Line 4: The definition of the community served was the primary service area jointly shared by Adventist Health and Rideout and Sutter Surgical Hosptal North Valley (SSHNV). This area was defined by five ZIP Codes: 95901, 95953, 95961, 95991, and 95993. This service area was designated because the majority of patients served by both RMH and SSHNV resided in these ZIP Codes. Adventist Health and Rideout is located in Marysville, CA, and SSHNV is located in Yuba City, CA. Separated by the Feather River, these cities are located adjacent to one another and are part of the Yuba City Metropolitan Statistical Area as designated by the US Office of Management and Budget. The service area is home to over 147,000 community residents, and encompassed portions of both Sutter and Yuba Counties. The rural community is rich in diversity along a number of dimensions.Population characteristics for Sutter County include a median age of 35.6, a poverty rate of 17.5%, a 13.2% uninsured rate, a 52.0% minority rate, a 13.5% disability rate and 37% of residents living with high housing costs. Sutter County has a median income of $52,943.Population characteristics for Yuba County include a median age of 32.2, a poverty rate of 20.8%, a 12.2% uninsured rate, a 43.0% minority rate, a 16.9% disability rate and 41% of residents living with high housing costs. Yuba County has a median income of $48,739. Part VI, Line 5: Our Hospital's mission is, "Living God's love by inspiring health, wholeness and hope." Our community benefit work is rooted deep within our mission and merely an extension of our mission and service. We have also incorporated our community benefit work to be an integral component of improving the "triple aim." The "Triple Aim" concept broadly known and accepted within health care includes:1. Improve the experience of care for our residents.2. Improve the health of populations.3. Reduce the per capita costs of health care.Our strategic investments in our community are focused on a more planned, proactive approach to community health. The basic issue of good stewardship is making optimal use of limited charitable funds. Defaulting to charity care in our emergency rooms for the most vulnerable is not consistent with our mission. An upstream and more proactive and strategic allocation of resources enables us to help low income populations avoid preventable pain and suffering; in turn allowing the reallocation of funds to serve an increasing number of people experiencing health disparities.Hospitals and health systems are facing continuous challenges during this historic shift in our health system. Given today's state of health, where cost and heartache is soaring, now more than ever, we believe we can do something to change this. These challenges include a paradigm shift in how hospitals and health systems are positioning themselves and their strategies for success in a new payment environment. This will impact everyone in a community and will require shared responsibility among all stakeholders. As hospitals move toward population health management, community health interventions are a key element in achieving the overall goals of reducing the overall cost of health care, improving the health of the population, and improving access to affordable health services for the community both in outpatient and community settings. The key factor in improving quality and efficiency of the care hospitals provide is to include the larger community they serve as a part of their overall strategy. Population health is not just the overall health of a population, but also includes the distribution of health. Overall health could be quite high if the majority of the population is relatively healthy even though a minority of the population is much less healthy. Ideally such differences would be eliminated or at least substantially reduced.Community health can serve as a strategic platform to improve the health outcomes of a defined group of people, concentrating on three correlated stages:1. The distribution of specific health statuses and outcomes within a population; 2. Factors that cause the present outcomes distribution; and 3. Interventions that may modify the factors to improve health outcomes.Improving population health requires effective initiatives to: 1. Increase the prevalence of evidence-based preventive health services and preventive health behaviors, 2. Improve care quality and patient safety, and 3. Advance care coordination across the health care continuum. We will work together with our community to ensure the community health improvements are identified and then targeted for programs to influence behaviors to obtain improved health within the whole community. Part VI, Line 6: The Hospital is a member of Adventist Health, a health care system which provides healthcare services in diverse markets within the Western United States. A member hospital may share some services with other member hospitals in its geographic area, such as clinical, management and support services. Using today's technology, hospitals outside the geographic area can provide support through remote services such as telepharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk management, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate administrative support for hospital affiliated medical groups that engage physicians through employment or other contracts. This provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communities served by all member hospitals. Part VI, Line 7, Reports Filed With States CA Part VI, Other Information: In 2021, Adventist Health and Rideout continued to take the following actions in response to the needs created or exacerbated by COVID-19: Continued virtual healthcare visits to keep community members safe and healthy; continued their online symptom tracker; participated in a communitywide effort to vaccinate eligible community members. 1 CA Health Trust & Fund 1215 K Street Suite 800 Sacramento CA 95814 941498697 501(c)(3) 128459 0 Hlth srvs un/underinsured pt Yuba Sutter Chamber Of Commerce 1300 Franklin Road Yuba City CA 95993 941731239 501(c)(6) 12000 0 Champions Circle Lodi Pink October 871 E Onstott Road Yuba City CA 95991 201530007 501(c)(3) 10000 0 Race for Awareness and Scramble for A Cure Sponsorship 2 1 Part I, Line 2: Grantees are provided support based on the program for which they are soliciting funds. Our expectation is that the monies will be used accordingly, and reporting from the recipient is not required. X X X X 1 1 0 0 0 0 0 0 0 Reiner Scott CEO thru 12/21 0 1801000 0 1112062 0 27026 0 11644 0 50774 0 3002506 0 0 Wing Bill Director/Chair 0 1440800 0 991833 0 26446 0 11644 0 64578 0 2535301 0 0 Jahn Andrew Care Division President 0 1044420 0 600285 0 203978 0 11644 0 61293 0 1921620 0 0 Nahapetian Arby Care Division Chief Medical Officer 0 700000 0 222478 0 135635 0 11644 0 66658 0 1136415 0 0 Eller Jeff President, NCR 0 531828 0 547897 0 20413 0 0 0 22996 0 1123134 0 0 Jobe Meredith Secretary 0 616324 0 169142 0 147239 0 14609 0 45152 0 992466 0 0 Byrnes John - Former Medical Officer, NCR thru 02/20 0 622962 0 172647 0 110827 0 11644 0 45152 0 963232 0 0 Stevens Eric Care Division Operations Executive 0 749000 0 76 0 135535 0 16336 0 33656 0 934603 0 0 Rawson Richard President thru 10/21 0 507813 0 190684 0 91504 0 0 0 41954 0 831955 0 0 Spenst Brett Care Division Finance Officer 0 734400 0 38124 0 13577 0 11644 0 33656 0 831401 0 0 Sheikh Azad Medical Officer 0 303251 0 87484 0 207414 0 11644 0 16574 0 626367 0 0 Gordon Cyndy Patient Care Executive 0 350795 0 68974 0 58081 0 11644 0 45036 0 534530 0 0 Chibaya Daniel Operations Manager 0 340478 0 59130 0 45918 0 11644 0 61138 0 518308 0 0 Gonzalez Eduardo Treasurer/Asst Secr 0 337144 0 57222 0 44712 0 11644 0 63492 0 514214 0 0 Lonto Robert Former Reg HP Dir, NCR thru 02/20 0 291699 0 86172 0 38025 0 11661 0 61035 0 488592 0 0 Arrowsmith Monica Business Development Leader 0 283977 0 55853 0 44183 0 12187 0 33378 0 429578 0 0 Mensch Deborah - Former Patient Care Executive thru 08/20 0 265800 0 20221 0 88272 0 13540 0 35753 0 423586 0 0 Sarson Linda RN 339042 0 57 0 0 0 13171 0 16520 0 368790 0 0 0 Erickson Nathan RN 297948 0 0 0 3105 0 13779 0 38895 0 353727 0 0 0 Huiras Christopher RN 206696 0 8505 0 44225 0 0 0 37700 0 297126 0 0 0 Garcia Julie RN 258678 0 1599 0 0 0 11163 0 17228 0 288668 0 0 0 Goods Shannon RN 239628 0 3022 0 4942 0 9543 0 29287 0 286422 0 0 0 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. Sheikh, Azad - $142,203 Select executives agreed to participate in CAP-EX in place of a traditional insurance SERP. See Schedule L, Part V of Adventist Health System/West, for a broader description. Split-Dollar life participants are Jeff Eller, Andrew Jahn, 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. Jahn, Andrew - participant, no activity in 2021 X Net book value fixed assets 1 198130 Net book value 0 0 0 0 Part I, Column (b): The number of contributors is reported in column (b). Form 990, Part III, Line 4a: Rideout Memorial Hospital (AHRO) provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of AHRO, the organization recognizes that not all individuals possess the ability to pay for essential medical services. Adventist Health's vision is to enhance the health of the communities where we live and serve by engaging our communities and our patients in a new definition of and partnership for personal community health. In keeping with this commitment to serve all members of the community, the following coverage will be considered when individuals who need health care cannot afford to pay: - Free care and/or subsidized care - Care to persons covered by governmental programs at/or below cost - Health/wellness activities and community education programs Not only does AHRO provide low-cost care to individuals covered by government programs, and those unable to afford healthcare, it also helps patients find and access private and governmental resources for healthcare benefits. AHRO recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed cost of providing care to these patients in 2021 was $61,207,830. The following Inpatient services were provided to all our patients: - 1,797 babies delivered - 1,698 surgeries performed - 112,867 patient days The following Outpatient services were provided to all our patients: - 64,207 emergency department visits - 2,160 outpatient surgeries performed - 111,692 outpatient visits - 150,345 clinic visits AHRO recognizes it has an obligation to provide human services above and beyond its role as a healing facility. Schedule H provides more details on the tangible ways in which the organization is fulfilling its mission. The total unreimbursed cost of these community benefits in 2021 was $30,377,488. Adventist Health's mission statement of living God's love by inspiring health, wholeness and hope is coupled with a vision to transform the health experience of our communities through collaborative programs, community investments and community outreach. We are inspired by the healing ministry, as represented by the life of Jesus Christ, and believe we are called to live out our mission intentionally in the communities we serve. In the small towns, suburbs, and inner cities we serve, we continue our journey to provide quality healthcare until every person made in God's image has experienced the best health today, hope for tomorrow, and God's love that endures forever. Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/ Form 990, Part VI, Section A, line 6 The Hospital is organized as a public benefit corporation and operates as a not-for-profit hospital. The sole corporate member is Stone Point Health, a California not-for-profit public benefit corporation. The Hospital operates as an affiliate of Stone Point Health which has a management services agreement with Adventist Health System/West. Form 990, Part VI, Section A, line 7a The Hospital Bylaws define its Board of Directors to be the same individuals who are members of the Stone Point Health Board of Directors. Form 990, Part VI, Section A, line 7b The sole corporate member, Stone Point Health, must approve all changes to the Articles of Incorporation and Bylaws. Form 990, Part VI, Section B, line 11b This Form 990 including all supporting schedules was prepared by a public accounting firm, reviewed by the System Senior Finance Officer and Market Finance Officer, and shared by electronic communication with the corporation's Board of Directors prior to filing. Form 990, Part VI, Section B, line 12c During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital corporate officers, key employees and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation to illustrate examples of a conflict and to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the market president immediately. The System General Counsel distributes, collects, and reviews for signatures the COIs for all applicable Corporate employees, stakeholders and the board. In addition, the Hospital's administration is responsible for keeping record to ensure all hospital-based individuals with director and above positions have submitted their COIs. The System General Counsel reviews all the disclosures on the board and Corporate employees' COIs. System General Counsel retains the COIs for all individuals. Copies for the officers and key employees' COIs are kept in their personnel files. Further inquiries on any potential significant conflicts are made as needed. Conflicts are documented and reviewed with the Board. Form 990, Part VI, Section B, line 15 The Hospital'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. (Incentive 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 Hospital does not make its governing documents publicly available, beyond required filings of Articles of Incorporation with the Secretary of State. The Hospital does not make its Conflict of Interest Policy available upon request, but does file monthly/quarterly summary financial reports with the state health-planning agency. Form 990, Part VII: Board compensation is for Adventist Health System/West Board of Directors only - not Hospital Board of Directors. Form 990, Part IX, line 11g Physician fees: Program service expenses 40,743,101. Management and general expenses 774,040. Fundraising expenses 0. Total expenses 41,517,141. Consulting fees: Program service expenses 735,811. Management and general expenses 1,001,351. Fundraising expenses 0. Total expenses 1,737,162. Contract labor: Program service expenses 31,174,894. Management and general expenses 366,155. Fundraising expenses 0. Total expenses 31,541,049. Repairs and maintenance: Program service expenses 711,444. Management and general expenses 130,326. Fundraising expenses 0. Total expenses 841,770. Purchased medical services: Program service expenses 8,858,842. Management and general expenses 668,100. Fundraising expenses 0. Total expenses 9,526,942. Other medical professional fees: Program service expenses 18,620. Management and general expenses 0. Fundraising expenses 0. Total expenses 18,620. Other non-medical professional fees: Program service expenses 67,875. Management and general expenses 102,300. Fundraising expenses 0. Total expenses 170,175. Other purchased services: Program service expenses 16,988,744. Management and general expenses 711,263. Fundraising expenses 6,056. Total expenses 17,706,063. 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. Adventist Health Clearlake Hospital Inc 15630 18th Avenue Clearlake CA 95422 680395149 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Adventist Health Delano 1401 Garces Highway Delano CA 93215 770258013 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Adventist Health Medical Center Tehachapi 1100 Magellan Drive Tehachapi CA 93561 812240617 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Adventist Health Mendocino Coast 700 River Drive Fort Bragg CA 95437 845174585 Hospital CA 501(c)(3) Line 3 Stone Point Health 0 Adventist Health Physicians Network 1 Adventist Health Way Roseville CA 95661 680357690 Medical foundation CA 501(c)(3) Line 12b, II Adventist Health SystemWest 0 Adventist Health SystemWest 1 Adventist Health Way Roseville CA 95661 953484589 Integrated health system CA 501(c)(3) Line 10 N/A 0 Adventist Health Tulare 869 North Cherry Street Tulare CA 93274 832351753 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Castle Medical Center 640 Ulukahiki Street Kailua HI 96734 990107330 Hospital HI 501(c)(3) Line 3 Adventist Health SystemWest 0 Feather River Hospital 1 Adventist Health Way Roseville CA 95661 941101228 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Glendale Adventist Medical Center 1509 Wilson Terrace Glendale CA 91206 951816017 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Hanford Community Hospital 115 Mall Drive Hanford CA 93230 940535360 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Lodi Memorial Hospital Association Inc 975 S Fairmont Avenue Lodi CA 95240 941044474 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Northwest Medical Foundation of Tillamook 1000 Third Street Tillamook OR 97141 930622075 Hospital OR 501(c)(3) Line 3 Adventist Health SystemWest 0 Paradise Valley Hospital 1 Adventist Health Way Roseville CA 95661 951816034 Discontinued Operations CA 501(c)(3) Line 1 Adventist Health SystemWest 0 Portland Adventist Medical Center 10123 SE Market Street Portland OR 97216 930429015 Hospital OR 501(c)(3) Line 3 Adventist Health SystemWest 0 Reedley Community Hospital 372 Cypress Avenue Reedley CA 93654 453220509 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 San Joaquin Community Hospital 2615 Chester Avenue Bakersfield CA 93301 952294234 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 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 0 Sonora Community Hospital 1000 Greenley Road Sonora CA 95370 941415069 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 St Helena Hospital 10 Woodland Road St Helena CA 94574 941279779 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Stone Point Health 1 Adventist Health Way Roseville CA 95661 823763347 Supporting organization CA 501(c)(3) Line 12b, II Adventist Health SystemWest 0 Ukiah Adventist Hospital 275 Hospital Drive Ukiah CA 95482 941639901 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 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 0 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 0 Western Health Resources 1 Adventist Health Way Roseville CA 95661 953867863 Home care CA 501(c)(3) Line 10 Adventist Health SystemWest 0 White Memorial Medical Center 1720 Cesar E Chavez Avenue Los Angeles CA 90033 952282647 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Willits Hospital Inc 1 Marcela Drive Willits CA 95490 680108919 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 FRD Management Company LLC PO Box 2128 Marysville CA 95901 943335136 Operation of cancer center CA Rideout Memorial Hospital RELATED -286155 17428289 0 1 0.51000 Blue Legacy Ventures LLC 1010 NE 2nd Avenue Miami FL 33132 871254649 Real property rental FL N/A 0 0 Blue Zones LLC 200 Southdale Center Edina MN 55435 271603327 Education MN N/A 0 0 PAR LLC 8440 SE Sunnybrook Blvd Suite 100 Clackmas OR 97015 931262371 Real property rental OR N/A 0 0 PVHR LLC dba Paradise Village 8440 SE Sunnybrook Blvd Suite 100 Clackmas OR 97015 260622555 Real property rental OR N/A 0 0 PVHR2 LLC dba Parkview at Paradise Village 8440 SE Sunnybrook Blvd Suite 100 Clackmas OR 97015 473300170 Real property rental OR N/A 0 0 WWGHR LLC 8440 SE Sunnybrook Blvd Suite 100 Clackmas OR 97015 810591221 Rental OR N/A 0 0 Fremont-Rideout Management Services Organization Inc 726 Fourth Street Marysville CA 95901 271350379 DME sales CA Rideout Memorial Hospital C 1.00000 1 AdHealth Limited PO Box HM 2062 Hamilton BD HM HX Pure captive insurance BD N/A C 0 Adventist Health Plan Inc 1 Adventist Health Way Roseville CA 95661 463833261 Health insurance CA N/A C 0 South Coast Medical Center 1 Adventist Health Way Roseville CA 95661 952037291 Wind down after sale of hospital CA N/A C 0 Thrive Productions Inc 200 Southdale Center Edina MN 55435 453369049 Production company MN N/A C 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1 1 FRD Management Company LLC K 781515 FMV