REEDLEY COMMUNITY HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: REEDLEY COMMUNITY HOSPITAL (EIN 45-3220509)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-11
IRS object ID: 202233159349307343
Schema version: 2021v4.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-11T16:16:55-08:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 N Brand Blvd Fl 20	AddressLine1Txt
City	Glendale	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91203	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	453220509	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Timothy Haydock	PersonNm
Person Title	Treasurer	PersonTitleTxt
Signature	2022-11-11	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

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

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

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

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

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

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

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Andrea Kofl	PrincipalOfficerNm
Gross Receipts	$209,906,763	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	1071	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.adventisthealth.org/reedley	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2011	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	Living Gods love by inspiring health, wholeness and hope.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	1121	TotalEmployeeCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$588,386	PYContributionsGrantsAmt
CY Contributions Grants	$1,013,960	CYContributionsGrantsAmt
PY Program Service Revenue	$195,492,838	PYProgramServiceRevenueAmt
CY Program Service Revenue	$204,409,212	CYProgramServiceRevenueAmt
PY Investment Income	$2,241,088	PYInvestmentIncomeAmt
CY Investment Income	$4,483,591	CYInvestmentIncomeAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$198,322,312	PYTotalRevenueAmt
CY Total Revenue	$209,906,763	CYTotalRevenueAmt
PY Grants And Similar Paid	$411,999	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$259,572	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$66,219,308	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$69,335,276	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$85,362	CYTotalFundraisingExpenseAmt
PY Other Expenses	$103,040,859	PYOtherExpensesAmt
CY Other Expenses	$104,565,037	CYOtherExpensesAmt
PY Total Expenses	$169,672,166	PYTotalExpensesAmt
CY Total Expenses	$174,159,885	CYTotalExpensesAmt
PY Revenues Less Expenses	$28,650,146	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$35,746,878	CYRevenuesLessExpensesAmt
Total Assets BOY	$221,773,014	TotalAssetsBOYAmt
Total Assets EOY	$289,866,750	TotalAssetsEOYAmt
Total Liabilities BOY	$82,661,800	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$146,136,949	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$139,111,214	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$143,729,801	NetAssetsOrFundBalancesEOYAmt
Mission	Living Gods love by inspiring health, wholeness and hope.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$136,877,893	ExpenseAmt
Grant	$259,572	GrantAmt
Revenue	$209,906,763	RevenueAmt
Desc	Reedley Community Hospital (AHRD) provides quality medical health care 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 Reedley Community Hospital, the organization recognizes that not all individuals possess the ability to pay for essential medical services.Adventist Healths vision is to enhance the health of the communities where we live and serve, by engaging our communities and our patients in a new definition of and partnership for personal community health. In keeping with this commitment to serve all members of the community, the following will be considered when individuals who need health care cannot pay:Free care and/or subsidized careCare to persons covered by governmental programs at below costHealth/wellness activities and community education programsNot only does Reedley Community Hospital provide low cost care to individuals covered by government-programs and those unable to afford healthcare, it also helps patients find and access private and governmental resources for healthcare benefits.AHRD recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed cost of providing care to these patients in 2021 was $1,398,407.The following Inpatient services that were provided to all our patients: 1,195 Babies delivered43 Surgeries performed7,703 Patient days The following Outpatient services that were provided to all our patients:32,639 Emergency department visits231 Outpatient Surgeries performed37,328 Outpatient visits 492,520 Clinic visitsAHRD recognizes it has an obligation to provide human services above and beyond its role as a healing facility. The following community benefits demonstrate the tangible ways in which the organization is fulfilling its mission. The total unreimbursed cost of these community benefits in 2021 was $3,144,926.Adventist Healths mission statement of Living Gods love by inspiring health, wholeness and hope is coupled with a vision to transform the health experience of our communities through collaborative programs, community investments and community outreach. We are inspired by the healing ministry as represented by the life of Jesus Christ and believe we are called to live out our mission intentionally in the communities we serve. In the small towns, suburbs and inner cities we serve, we continue our journey to provide quality healthcare until every person made in Gods image has experienced the best health today, hope for tomorrow, and Gods love that endures forever.Website for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/	Desc
Total Program Service Expenses	$136,877,893	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1121	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (44 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
Reiner Scott
CEO thru 12/21	0.00	50.00	Yes (X)	Yes (X)	$0	$2,940,088	$62,418
Wing Bill
Dir/Asst Sec/VC	0.00	50.00	Yes (X)	Yes (X)	$0	$2,459,079	$76,222
Jahn Andrew
President, Care Division	2.00	48.00			$0	$1,848,683	$72,937
Hofheins Todd
CFO	0.00	50.00		Yes (X)	$0	$1,319,147	$59,910
Nahapetian Arby
Care Division Chief Medical Officer	2.00	48.00			$0	$1,058,113	$78,302
Kofl Andrea
President	10.00	40.00		Yes (X)	$0	$1,033,401	$56,796
Jobe Meredith
Secretary	0.00	50.00		Yes (X)	$0	$932,705	$59,761
Gavini Frank
Medical Officer, CVN	10.00	40.00			$0	$974,582	$0
Larsen David
Finance Officer, CCR thru 4/19	0.00	50.00			$0	$876,757	$67,250
Stevens Eric
Care Division Operations Executive	2.00	48.00			$0	$884,611	$49,992
Chen Steven
Former Finance Officer, CCR	0.00	50.00			$0	$779,689	$73,789
Spenst Brett
Care Division Finance Officer	2.00	48.00			$0	$786,101	$45,300
Haydock Timothy
Treas/ASec	10.00	40.00		Yes (X)	$0	$541,141	$72,905
Ferch Wayne
Former President, CCR thru 2/20	0.00	0.00			$0	$586,112	$18,351
Ayala Raul
Medical Officer, CVN Clinics	10.00	40.00			$0	$528,284	$26,925
Chapman Susan
PCE Reedley	50.00	0.00			$0	$437,702	$95,658
Kaur Gurvinder
Medical Officer, CVN	10.00	40.00			$0	$496,219	$29,566
Taggart Laurie
Patient Care Executive	10.00	40.00			$0	$429,070	$56,573
Reyna Sonja
Bus Dev Exec	10.00	40.00			$0	$439,126	$42,606
Ammon Edward
Foundation Executive	10.00	40.00			$0	$313,560	$55,547
Gruen Derrick
Physician & Ambulatory Srvcs Exec	0.00	0.00			$0	$332,051	$28,896
Pickering Christine
Communication Dir, CCR	10.00	40.00			$0	$313,948	$46,375
Thomas Cheryl
Nurse Practitioner	50.00	0.00			$260,551	$0	$59,547
McGowan John
Associate Patient Care Executive	10.00	40.00			$0	$246,050	$58,769
Dodd Randal
Former President	0.00	0.00			$0	$272,822	$28,416
Austin Katherine
Physician Assistan	50.00	0.00			$216,767	$0	$76,092
Ayers Richard
RN, House Supv	50.00	0.00			$214,242	$0	$72,067
Heinrich Kerry - Incoming CEO
Dir/CEO 1/22	0.00	50.00	Yes (X)	Yes (X)	$0	$282,697	$2,627
Castillo Alicia
Manager, Grants	50.00	0.00			$221,851	$0	$58,422
Plata Nina
Former Population Hlth Ex thru 6/20	0.00	0.00			$0	$229,909	$43,192
Willems Debra
RN	50.00	0.00			$229,171	$0	$43,014
Reppert Joseph
Former CFO/Asst Secr thru 8/19	0.00	0.00			$0	$179,119	$11,442
Freedman John
VC/Chair 8/21	0.00	4.00	Yes (X)	Yes (X)	$0	$26,435	$0
Banks David
Dir/Chair	0.00	4.00	Yes (X)		$0	$26,159	$0
Cherry Robert
Director	0.00	4.00	Yes (X)		$0	$26,159	$0
Davis Andrew
Director	0.00	4.00	Yes (X)		$0	$26,159	$0
Innocent Larry
Director	0.00	4.00	Yes (X)		$0	$26,159	$0
Reiner Richard
Director	0.00	4.00	Yes (X)		$0	$26,159	$0
Graham Ricardo
Chair thru 8/21	0.00	4.00	Yes (X)	Yes (X)	$0	$19,545	$0
Woodson Marc
Director	0.00	4.00	Yes (X)		$0	$15,909	$0
Salazar Velino
Director	0.00	4.00	Yes (X)		$0	$6,058	$0
Ocampo Lucy
Director	0.00	4.00	Yes (X)		$0	$159	$0
Fehr Joy
Director	0.00	4.00	Yes (X)		$0	$114	$0
Newton Bradford
Dir/VChair 8/21	0.00	4.00	Yes (X)	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,142,582	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$21,719,781	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,629,667	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	129	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Quiring General LLC
5118 E Clinton Way STE 201	Fresno	CA	93727	General Contracting	$4,718,623
Valley Childrens Med Grp
9300 Valley Childrens Pl	Madera	CA	93638	Physician Services	$2,794,723
Radiology Medical Group MAG VII
1720 East Cesar E Chavez Avenue	Los Angeles	CA	90033	Physician Services	$1,412,999
GL Bruno Associates Inc
855 M St 1010	Fresno	CA	93721	General Contracting	$1,283,886
Barton Associates Inc
300 Jubilee Drive	Peabody	MA	01960	Physician Services	$1,185,131

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	129	CntrctRcvdGreaterThan100KCnt
Government Grants	$648,602	GovernmentGrantsAmt
All Other Contributions	$365,358	AllOtherContributionsAmt
Total Contributions	$1,013,960	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CARES Act Income	900099	$16,652,090	$16,652,090
Incentive & Quality Rev	900099	$1,891,893	$1,891,893
Patient Care Services	900099	$175,234,004	$175,234,004
Pharmacy 340b Revenue	722514	$7,472,041	$7,472,041
Premium Revenue	900099	$1,946,444	$1,946,444

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,212,740	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,212,740	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$204,409,212	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,483,591	TotalRevenueColumnAmt
Exclusion	$4,483,591	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$209,906,763	TotalRevenueColumnAmt
Related Or Exempt Func Income	$204,409,212	RelatedOrExemptFuncIncomeAmt
Exclusion	$4,483,591	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	$259,572	TotalAmt
Program Services	$259,572	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

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

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$54,428,866	TotalAmt
Program Services	$50,840,641	ProgramServicesAmt
Management And General	$3,525,497	ManagementAndGeneralAmt
Fundraising	$62,728	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,311,899	TotalAmt
Program Services	$2,180,943	ProgramServicesAmt
Management And General	$130,956	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,931,729	TotalAmt
Program Services	$8,410,879	ProgramServicesAmt
Management And General	$520,850	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,662,782	TotalAmt
Program Services	$3,421,714	ProgramServicesAmt
Management And General	$236,269	ManagementAndGeneralAmt
Fundraising	$4,799	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$22,660,479	TotalAmt
Management And General	$22,660,479	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$109,124	TotalAmt
Management And General	$109,124	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$6,505	TotalAmt
Management And General	$6,505	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$40,435,272	TotalAmt
Program Services	$38,564,589	ProgramServicesAmt
Management And General	$1,853,134	ManagementAndGeneralAmt
Fundraising	$17,549	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,590	TotalAmt
Management And General	$4,590	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,592,791	TotalAmt
Program Services	$1,376,926	ProgramServicesAmt
Management And General	$215,865	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,995,256	TotalAmt
Program Services	$1,283,666	ProgramServicesAmt
Management And General	$4,711,590	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,763,462	TotalAmt
Program Services	$7,535,975	ProgramServicesAmt
Management And General	$1,227,487	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$221,373	TotalAmt
Program Services	$205,730	ProgramServicesAmt
Management And General	$15,435	ManagementAndGeneralAmt
Fundraising	$208	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$69,039	TotalAmt
Program Services	$63,997	ProgramServicesAmt
Management And General	$5,042	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,000,828	TotalAmt
Program Services	$1,000,828	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,189,143	TotalAmt
Program Services	$7,559,137	ProgramServicesAmt
Management And General	$630,006	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$623,910	TotalAmt
Program Services	$623,910	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Patient Care Supplies	$11,503,761	$11,318,109	$185,574	$78
Quality Assurance	$1,663,046	$1,663,046
Other Expenses	$1,297,087	$138,860	$1,158,227
Equipment Rentals	$429,371	$429,371

All Other Expenses AllOtherExpensesGrp

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

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$174,159,885	TotalAmt
Program Services	$136,877,893	ProgramServicesAmt
Management And General	$37,196,630	ManagementAndGeneralAmt
Fundraising	$85,362	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$86,049,298	BOYAmt
EOY	$169,660,954	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$26,001,628	BOYAmt
EOY	$28,346,288	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$564,620	BOYAmt
EOY	$727,687	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$200,326	BOYAmt
EOY	$205,006	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$111,671,295	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$37,658,291	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$74,467,702	BOYAmt
EOY	$74,013,004	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$24,545,377	BOYAmt
EOY	$6,969,748	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$221,773,014	BOYAmt
EOY	$289,866,750	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$17,672,508	BOYAmt
EOY	$47,661,362	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$120,354	BOYAmt
EOY	$4,071,095	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$64,868,938	BOYAmt
EOY	$94,404,492	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$82,661,800	BOYAmt
EOY	$146,136,949	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	$138,586,984	BOYAmt
EOY	$143,633,285	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$524,230	BOYAmt
EOY	$96,516	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$139,111,214	BOYAmt
EOY	$143,729,801	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$221,773,014	BOYAmt
EOY	$289,866,750	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$35,746,878	ReconcilationRevenueExpnssAmt
Prior Period Adjustments	-$31,128,291	PriorPeriodAdjustmentsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$8,369	OtherActivitiesAmt
Total Lobbying Expenditures	$8,369	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$40,953	BeginningYearBalanceAmt
Contributions	$30,683	ContributionsAmt
Other Expenditures	$21,506	OtherExpendituresAmt
End Year Balance	$50,130	EndYearBalanceAmt

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

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,977,869	OtherCostOrOtherBasisAmt
Depreciation	$7,088,808	DepreciationAmt
Book Value	$26,889,061	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,458,419	OtherCostOrOtherBasisAmt
Depreciation	$3,057,582	DepreciationAmt
Book Value	$3,400,837	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$66,919,672	OtherCostOrOtherBasisAmt
Depreciation	$27,511,901	DepreciationAmt
Book Value	$39,407,771	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$74,013,004	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Other Liabilities	$29,516,226
Payable to third Party Medicare	$2,819,915
Payables to related organizations	$62,068,351

Field	Value	IRS element (for citing)
Total Liability	$94,404,492	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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

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

Part X : FIN48 Footnote

The System recognizes tax benefits from any uncertain tax positions only if it is more-likely-than-not the tax position will be sustained, based solely on its technical merits, with the taxing authority having full knowledge of all relevant information. The System records a liability for unrecognized tax benefits from uncertain tax positions as discrete tax adjustments in the first interim period the more-likely-than-not threshold is not met. The System recognizes deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of its assets and liabilities along with net operating loss and tax credit carryovers only for tax positions that meet the more-likely-than-not recognition criteria. At December 31, 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 2017 in major tax jurisdictions.

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,398,407	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,398,407	NetCommunityBenefitExpnsAmt
Total Expense	0.00800	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,398,407	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,398,407	NetCommunityBenefitExpnsAmt
Total Expense	0.00800	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,334,379	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,334,379	NetCommunityBenefitExpnsAmt
Total Expense	0.00770	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,870,125	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$82,010	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,788,115	NetCommunityBenefitExpnsAmt
Total Expense	0.01030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$594,128	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$438,458	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$155,670	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,500	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,801,132	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$520,468	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,280,664	NetCommunityBenefitExpnsAmt
Total Expense	0.01890	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,199,539	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$520,468	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,679,071	NetCommunityBenefitExpnsAmt
Total Expense	0.02690	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$619	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$619	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$596	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$596	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$102,623	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$102,623	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$103,838	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$103,838	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,192,526	BadDebtExpenseAmt
Bad Debt Expense Attributable	$968,681	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$16,456,116	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$14,919,353	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,536,763	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Sch H Part VI - Needs Assessment	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	See Sch H Part VI - Needs Assessment	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Sch H Part VI - Needs Assessment	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Sch H Part VI-Patient Education	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Sch H Part VI-Patient Education	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Sch H Part VI-Patient Education	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Facility: - 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; 3. Data gathering from community members. Primary data was collected through key informant interviews, focus groups, and an online survey. Key informants and focus groups were purposefully chosen to represent medically underserved, low-income, or minority populations in our community. Their input provided insights on how to better direct our resources and form partnerships. Nearly 700 (680 total) people were surveyed to obtain input from the community in the form of 48 key informant interviews, 24 focus groups (with a total of 284 participants), and 348 online survey participants (including a Spanish option).Community Survey: The online survey was distributed to partner organizations that were not represented by key informants and advertised to the general public via a public service announcement hosted on Univision's Arriba Valle Central" show. Additionally, written comments on the previous CHNA were solicited on each hospital's website using a unique link. To date no written comments were received. Community Focus Groups: Focus group participants were end-users of programs and services provided by hospitals participating in this CHNA. Populations represented by focus group members included low-income (rural and urban) populations, homeless, seniors, youth, Hmong and Spanish speaking, LGBTQ+, and parents.Key Informant Interviews: Key informant interviews comprised key leaders in our community from an array of agencies, including those that serve children, homeless populations, LGBTQ+, veterans, seniors, tribal populations, African Americans, and Hmong and Spanish speaking populations. Other participating organizations represented public health agencies, law enforcement, health care organizations, funders, and school districts. Secondary data sources include publicly reported state and nationally recognized data sources such as Community Commons, California Department of Public Health, County Health Rankings & Roadmaps, and California Environmental Protection Agencys Office of Environmental Health Hazard Assessment. When feasible, health metrics have been further compared to averages for state or national benchmarks, such as Healthy People 2020 objectives.
Facility: - Part V, Section B, Line 6a	Beginning in 2011, the Hospital Council of Northern and Central California initiated a four-county (Fresno, Kings, Madera, and Tulare) community health needs assessment (CHNA) process, working collaboratively with 15 hospitals across the Central Valley region. Participating hospitals are: Adventist Health Hanford, Adventist Health Reedley, Adventist Health Selma, Clovis Community Medical Center, Coalinga Regional Medical Center (Closed), Community Regional Medical Center (includes Community Behavioral Health Center), Kaiser Permanente, Fresno Service Area, Kaweah Delta Health Care District, Madera Community Hospital, San Joaquin Valley Rehabilitation Hospital, Sierra View Medical Center, Saint Agnes Medical Center, Tulare Regional Medical Center, and Valley Childrens Healthcare.
Facility: - Part V, Section B, Line 11	The COVID-19 global pandemic has caused extraordinary challenges for Adventist Health hospitals and health care systems across the world including keeping front line workers safe, shortages of protective equipment, limited ICU bed space and developing testing protocols. They have also focused on helping patients and families deal with the isolation needed to stop the spread of the virus, and more recently vaccine roll out efforts. Adventist Health, like other health care systems, had to pivot its focus to meet the most urgent healthcare needs of its community during the pandemic, as well as reassess the ability to continue with some community health strategies due public health guidelines for social distancing. Adjustments have been made to continue community health improvement efforts as possible, while ensuring the health and safety of those participating. Our 2019 CHNA identified five areas of significant need: Access to Care, Obesity/Healthy Eating Active Living (HEAL)/Diabetes, Mental Health, Economic Security/Homelessness, and Maternal & Infant Health. Our overall goal is to improve the health and wellness of our communities through provisions of services, community collaboration and innovation. Priority Need 1- Access to Care- The goal is to improve the overall health and wellness of our communities through provisions of services, community collaboration and innovation. Strategy 1- Improving access to care through increased health awareness and access to needed services. Activity 1.1- Transportation to clinic appointments. Adventist Health contracts with transportation vendors to provide round trip transportation to our clinics for patients that do not have transportation and would otherwise not be able to attend their necessary medical appointments. The rides help prevent appointment no-shows and increase access to care for our patients. Number of Community Members Served: 8,114. Activity 1.2- Provider Recruitment. Access to care is limited in our region due to a shortage of healthcare providers, including physicians, nurse practitioners and physician assistants. Recruitment of providers and specialists is critical to meeting the healthcare needs of our patients and rural communities. Number of Providers Added: 44. Additional Resources included the Central Valley Networks Mobile Medical Unit, Pop-up Clinics, and Education Outreach. Due to COVID-19 all programs were limited and sourced to provide COVID-19 services to our community members.Priority Need 2- Obesity/ Healthy Eating Active Living (HEAL)/Diabetes- The goal is to create healthy communities through expansion of preventative programs and chronic disease support. Strategy 1- Through a focus on educational activities, work to empower communities to understand the importance of healthy eating and exercise to live a healthier life. Activity 1.1- Diabetes self-management classes. These classes consist of a five-week diabetes self-management education (DSME) curriculum that is available in English and Spanish from Scripps Whittier Diabetes Institute. This program is approved as a (DSME) Program by the American Diabetes Association and covers all diabetes self-management topics including understanding blood sugars, nutrition, physical activity, medication management, stress management, foot care, ongoing screening tests and exams, etc. Due to staffing shortages and COVID-19, all (DSME) classes we placed on hold indefinitely. Additional Activities included educational sessions and outreach events through partnerships with local community organizations. Due to COVID-19 all outreach and education events planned for 2021 are currently on hold. Priority Need 3- Mental Health- The goal is to increase access to behavioral health services for vulnerable populations. Strategy 1- to enhance provider and community partners knowledge of factors influencing behavioral health to support referrals to appropriate behavioral health resources. Activity 1.1- Provide mental health education to external Adventist Health partner organizations and community members. Due to COVID-19, all events planned for 2021 have been postponed indefinitely. It is our intention to restart education events in 2022. Priority Need 4- Economic Security/Homelessness- The goal is to address social needs and social determinants of health, to allow for a healthy foundation for communities to build a health life. Strategy 1- Partner with county and local programs to have a greater impact on creating access to shelter and housing. Activity 1.1- Respite Care and/or Recuperative Board and Care. Due to project Room Key, a California initiative developed to temporarily house homeless individuals to slow the spread of COVID-19, local organizations that we could partner with were already successfully housing people with this program. As we progress from Project Room Key to Project Home Key throughout California, we will continue to look for an appropriate partner for a recuperative room and board program in the Reedley area. Additional Activities included student externships & internships and Inspire Hope resource distributions. Student internships and externships opportunities continued within our network, and we were able to serve a total of 618 students. These students were able to complete their academic requirements and provide much needed support within departments across our network.Through our partnership with World Vision our Inspire Hope program continued to provide distributions as the need in our communities continued and increased due to the pandemic. Priority Need 5- Maternal and Infant Health- The goal is to increase overall health and wellness. Strategy 1- Provide educational materials and host educational sessions. Activity 1.1- Provide free car safety seat checks to the community. Although program participation was reduced or limited due to COVID-19, our hospital network was able to certify three associates and in return provided car seat education and car seat safety checks to families that needed them. Additional Activities include birthing and breastfeeding classes. These were initially offered virtually or in small cohorts due to the COVID surge. A total of 33 couples participated in classes throughout 2021. Both virtual and limited in-person sessions are expected to continue in 2022.

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (48 entries)

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

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7 - Explanation of Costing Methodology	The costs were determined by using a cost-to-charge ratio. The cost-to-charge computation is based on hospital specific data included in the system-wide audited combined financial statements. The formula used for computation equals financial statement data labeled as follows:Total expenses - (Provision for bad debts + Other revenue + Interest income) divided by Gross patient chargesThe hospital is located in a medically underserved area and participates in a quality assurance fee program with the State of California to fund certain Medi-Cal coverage expansions. The state redistributes funds to hospitals that provide patient care to a higher proportion of indigent and medically underprivileged patients, who otherwise would most likely not have access to physicians and other medical services. The community benefit analysis includes receipts from this redistribution that are used to assist in partially offsetting the significant costs associated with providing patient care to this population group. The program may or may not continue in the future based on the State of Californias regulations and policies and the approval of the federal government.
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	Uncollected patient accounts are analyzed using written patient financial services policies that apply standard procedures for all patient accounts. The result of the analysis is what is recognized as bad debt expense. For example, all self-pay patients receive a discount. If the discounted account is unpaid after collection efforts, the unpaid balance is classified as bad debt. The cost-to-charge ratio is multiplied times the hospital's bad debt expense. The resulting figure has been reported as bad debts at cost on Part III, Line 2.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit	The portion of the bad debts attributed to charity care as reported on Part III, Line 3 was calculated by an independent third-party consulting firm. 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 - Bad Debt Expense	The system-wide audited combined financial statements do not contain a footnote describing bad debt expense.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	The Medicare cost report apportions the hospitals costs on the basis of inpatient days and ancillary and outpatient charges to establish the costing methodology.Healthcare delivery by hospitals is a complex, highly regulated business in the United States. Healthcare unit cost inflation is driven by compliance with ever-expanding regulatory requirements, shortages of highly skilled labor and evolving medical and information technology. The health care market basket is unrelated to that of the average individual consumer. Medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that Medicare payments too many U.S. hospitals are well below the cost of providing care. These unreimbursed costs are a community benefit for seniors and others in the community as these individuals are continuing to receive care without which many would become dependent on other governmental resources such as Medicaid. The benefit to the community for healthier Medicare recipients is no different than those benefits the community realizes for uninsured and underinsured patients who are eligible for partial and full charity care. Medicare is a safety net for seniors and others. Without Medicare coverage, many individuals would undoubtedly qualify for charity care.In addition to the mismatch between Medicare payment increases and healthcare cost inflation, the highly complex Medicare payment systems and formulas produce disparate payment levels from one hospital to another for the same service. These disparate payment levels create disparate results within groups of hospitals. For further information please refer to schedule H part III section B.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	When a patient has requested screening for charity care, the hospital must immediately cease collection activity and place the account in a charity pending status. If 100% charity is approved, the entire account balance is written off to charity care. If the patient has a sliding scale liability based on the federal poverty guidelines, they are billed only for that liability. If the patient fails to pay their after-charity liability, they are assigned to a collection agency with an identifier that indicates to the agency that the patient is "low incomeX and the following criteria must be followed by the agency:1. They may not report the patient to a credit bureau2. They may not file a lawsuit to recover the outstanding liability3. They may not charge interest
Part VI, Line 2 - Needs Assessment	The hospital's 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 Community Benefit \| Roseville, California \| Adventist Health. The two most recent Community Health Needs Assessment, two most recent Implementation Strategy reports and the most recent Community Health Plan Update are also available on the Adventist Health Corporate website at Community Benefit \| Roseville, California \| Adventist Health. 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 - Patient Education of Eligibility for Assistance	The plain language summary of the Financial Assistance Policy (FAP) is posted along with the complete FAP policy and FAP Application on the hospital's website at https://www.adventisthealth.org/documents/financial-assistance/ENG_PFS-112_Financial-Assistance-Policy.pdf. These documents are available in multiple languages.At the time of registration, patients who are uninsured and underinsured are provided information about government healthcare programs. Patients are also orally informed of their right to request charity assistance. Signs are displayed in the patient business office, patient registration areas and the emergency room in multiple languages informing patients of this right as well. The hospital also provides a brochure during the registration process that explains the hospital billing and collection procedures, and how to request financial assistance. In addition, every billing statement sent to patients contains information on how to request financial assistance.
Part VI, Line 4 - Community Information	According to the U.S. Geological Survey, the Central Valley, also known as the Great Valley of California, covers about 20,000 square miles and is one of the more notable structural depressions in the world. Occupying a central position in California, it is bounded by the Cascade Range to the north, the Sierra Nevada to the east, the Tehachapi Mountains to the south, and the Coast Ranges and San Francisco Bay to the west. The Central Valley can be divided into two large parts: the northern one-third, known as the Sacramento valley and the southern two-thirds is called the San Joaquin Valley. The San Joaquin Valley can be split further into the San Joaquin Basin and the Tulare Basin. The hospitals participating in this assessment are nestled in the heart of Central Valley, within four contiguous countiesFresno, Kings, Madera, and Tulare. Using fewer than 1% of U.S. farmland, the Central Valley supplies 8% of U.S. agricultural output (by value) and produces 1/4 of the nation's food, including 40% of the nation's fruits, nuts, and other table foods. The Central Valley is also home to the raisin capital of the world, Selma, CA.In 2016, approximately 1,722,556 people lived in the four-county region. Fresno County comprised the largest portion. Of this population, the majority identify as Hispanic or Latino, in every county. Kings County has the largest population of veterans at 10%. The median household income ranges from $42,789 to $47,241 across the four counties.Tulare County has the largest percent of unemployed adults (8.7%) in the region and young people not in school and not working (10.7%). Comparatively, the averages for the state are 4.3% and 7.7%, respectively. Fresno County has the highest percentage of total population and children under age 18 living under the 100% of the federal poverty level, while Tulare County has the largest population that receives both SNAP benefits and public assistance income. Between 2014 and 2018, Fresno and Madera Counties experienced a 17% decrease in the total homeless population (from 2,592 to 2,144). In contrast, Visalia, Kings, and Tulare Counties experienced a 27% increase (from 763 to 967).
Part VI, Line 4 - 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 VI, Line 5 - Promotion of Community Health	Our hospitals mission is, Living Gods love by inspiring health, wholeness and hope. Our community benefit work is rooted deep within our mission and merely an extension of our mission and service. We have also incorporated our community benefit work to be an integral component of improving the Triple Aim. The Triple Aim concept broadly known and accepted within health care includes:1) Improve the experience of care for our residents.2) Improve the health of populations.3) Reduce the per capita costs of health care.Our strategic investments in our community are focused on a more planned, proactive approach to community health. The basic issue of good stewardship is making optimal use of limited charitable funds. Defaulting to charity care in our emergency rooms for the most vulnerable is not consistent with our mission. An upstream and more proactive and strategic allocation of resources enables us to help low income populations avoid preventable pain and suffering; in turn allowing the reallocation of funds to serve an increasing number of people experiencing health disparities.Hospitals and health systems are facing continuous challenges during this historic shift in our health system. Given todays state of health, where cost and heartache is soaring, now more than ever, we believe we can do something to change this. These challenges include a paradigm shift in how hospitals and health systems are positioning themselves and their strategies for success in a new payment environment. This will impact everyone in a community and will require shared responsibility among all stakeholders. As hospitals move toward population health management, community health interventions are a key element in achieving the overall goals of reducing the overall cost of health care, improving the health of the population, and improving access to affordable health services for the community both in outpatient and community settings. The key factor in improving quality and efficiency of the care hospitals provide is to include the larger community they serve as a part of their overall strategy. Population health is not just the overall health of a population, but also includes the distribution of health. Overall health could be quite high if the majority of the population is relatively healthyeven though a minority of the population is much less healthy. Ideally such differences would be eliminated or at least substantially reduced.Community health can serve as a strategic platform to improve the health outcomes of a defined group of people, concentrating on three correlated stages:1) The distribution of specific health statuses and outcomes within a population; 2) Factors that cause the present outcomes distribution; and 3) Interventions that may modify the factors to improve health outcomes.Improving population health requires effective initiatives to: 1) Increase the prevalence of evidence-based preventive health services and preventive health behaviors, 2) Improve care quality and patient safety, and 3) Advance care coordination across the health care continuum. We will work together with our community to ensure the community health improvements are identified and then targeted for programs to influence behaviors to obtain improved health within the whole community.
Part VI, Line 6 - Affilated Health Care System	The hospital is a member of Adventist Health System/West, a health care system which provides healthcare services in diverse markets within the Western United States. A member hospital may share some services with other member hospitals in its geographic area, such as clinical, management and support services. Using today's technology, hospitals outside the geographic area are able to provide support through remote services such as tele pharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk management, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate administrative support for hospital affiliated medical groups that engage physicians through employment or other contracts. This provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communities served by all member hospitals.
Part VI, Line 7 - States Filing of Community Benefit Report	CA
Part VI - Additional Information	Identified Needs from CHNA, Not Addressed and Why (Based on 2020 (FY 2019) CHP Update) -No hospital can address all the health needs identified in its community. Adventist Health Reedley is committed to serving the community by adhering to its mission, and using its skills, expertise, and resources to provide a range of community benefit programs. Climate Change: We feel that this is not our area of expertise and while we are willing to partner with organization who are engaging in activities to address Climate Change, this is not a top priority at this time. Substance Abuse/Tobacco- will be addressed through Mental Health, Access to Care, and Healthy Eating Active Living (HEAL). Oral Health- will be addressed through Access to Care. Asthma- will be addressed through Access to Care. CVD/Stroke- will be addressed through Access to Care and HEAL. HIV/AIDS/STIs- will be addressed through Access to Care and Maternal/Infant Health. Cancer- will be address through Access to Care and HEAL. Violence/Injury Prevention- will be address through Economic Security/Homelessness, Access to Care and Maternal/Infant Health. Other Items:In FY2021, Adventist Health Reedley continued to offer 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 and was part of a communitywide effort to vaccinate eligible community members. Primary website address: See Form 990, Pg. 1, Item JNeeds Assessment website: See Sch H Part VI - Needs AssessmentFAP website: See Sch H Part VI-Patient Education

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CA Hlth Fnd & Trust	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
Recipient EIN	941498697	RecipientEIN
Cash Grant	$259,572	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Valuation Method Used	Funds Transfer	ValuationMethodUsedDesc
Purpose Of Grant	Uninsured/Underinsured Patients	PurposeOfGrantTxt

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

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (32 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt
Ammon Edward
Foundation Executive	$232,542	$54,306	$26,712	$12,579	$42,968	$369,107
Austin Katherine
Physician Assistan							$216,692	$75	$8,274	$67,818	$292,859
Ayala Raul
Medical Officer, CVN Clinics	$421,397	$42,412	$64,475	$11,644	$15,281	$555,209
Ayers Richard
RN, House Supv							$211,699	$2,543	$8,148	$63,919	$286,309
Castillo Alicia
Manager, Grants							$219,751	$2,100	$8,867	$49,555	$280,273
Chapman Susan
PCE Reedley	$364,864	$63,342	$9,496	$16,069	$79,589	$533,360
Chen Steven
Former Finance Officer, CCR	$515,000	$183,275	$81,414	$11,644	$62,145	$853,478
Dodd Randal
Former President			$272,822		$28,416	$301,238
Ferch Wayne
Former President, CCR thru 2/20		$585,289	$823		$18,351	$604,463
Gavini Frank
Medical Officer, CVN			$974,582			$974,582
Gruen Derrick
Physician & Ambulatory Srvcs Exec			$332,051		$28,896	$360,947
Haydock Timothy
Treas/ASec	$395,000	$96,721	$49,420	$11,644	$61,261	$614,046
Heinrich Kerry - Incoming CEO
Dir/CEO 1/22	$138,538	$123,000	$21,159	$2,627		$285,324
Hofheins Todd
CFO	$999,600	$116,549	$202,998	$11,644	$48,266	$1,379,057
Jahn Andrew
President, Care Division	$1,044,420	$600,285	$203,978	$11,644	$61,293	$1,921,620
Jobe Meredith
Secretary	$616,324	$169,142	$147,239	$14,609	$45,152	$992,466
Kaur Gurvinder
Medical Officer, CVN	$433,461	$76	$62,682	$11,644	$17,922	$525,785
Kofl Andrea
President	$624,000	$263,477	$145,924	$11,644	$45,152	$1,090,197
Larsen David
Finance Officer, CCR thru 4/19	$567,118	$201,820	$107,819	$11,644	$55,606	$944,007
McGowan John
Associate Patient Care Executive	$203,940	$40,122	$1,988	$9,313	$49,456	$304,819
Nahapetian Arby
Care Division Chief Medical Officer	$700,000	$222,478	$135,635	$11,644	$66,658	$1,136,415
Pickering Christine
Communication Dir, CCR	$247,193	$28,551	$38,204	$11,227	$35,148	$360,323
Plata Nina
Former Population Hlth Ex thru 6/20			$229,909		$43,192	$273,101
Reiner Scott
CEO thru 12/21	$1,801,000	$1,112,062	$27,026	$11,644	$50,774	$3,002,506
Reppert Joseph
Former CFO/Asst Secr thru 8/19			$179,119		$11,442	$190,561
Reyna Sonja
Bus Dev Exec	$318,365	$76,477	$44,284	$11,644	$30,962	$481,732
Spenst Brett
Care Division Finance Officer	$734,400	$38,124	$13,577	$11,644	$33,656	$831,401
Stevens Eric
Care Division Operations Executive	$749,000	$76	$135,535	$16,336	$33,656	$934,603
Taggart Laurie
Patient Care Executive	$317,090	$73,605	$38,375	$11,644	$44,929	$485,643
Thomas Cheryl
Nurse Practitioner							$166,987	$93,564	$10,209	$49,338	$320,098
Willems Debra
RN							$227,096	$2,075	$8,679	$34,335	$272,185
Wing Bill
Dir/Asst Sec/VC	$1,440,800	$991,833	$26,446	$11,644	$64,578	$2,535,301

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Arnold Plata
Spouse of Key EE	$20,832	Employment	false
Susan Chapman
Key EE-Owner	$210,630	Contract-Wmns Hlth Cntr	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part V Supplemental Information	FormAndLineReferenceDesc
Explanation	Additional information regarding interested persons listed above:1. Arnold Plata is the husband of Former Key Employee, Nina Plata.2. Susan Chapman, a Key Employee is the Owner of Pali Women's Health Center which the hospital does business with.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	The Hospital is organized as a religious corporation and operates as a not-for-profit hospital. The sole corporate member is Adventist Health System/West, a California not-for-profit religious corporation. The Hospital operates as an affiliate of Adventist Health System/West.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	The Hospital Bylaws define its Board of Directors to be the same individuals who are members of the Adventist Health System/West Board of Directors.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	The sole corporate member, Adventist Health System/West, must approve all changes to the articles of incorporation and bylaws.
Form 990, Part VI, Line 11b: Form 990 Review Process	This Form 990, including all supporting schedules, was prepared by a public accounting firm, reviewed by the System Controller and market Finance Officer, and shared by electronic communication with the corporation's Board of Directors prior to filing.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital 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, Line 15a: Compensation Review & Approval Process - CEO, Top Management	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. (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, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	See Line 15a explanation.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	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.
Prior Period Adjustments	Prior Period adjustments were a result of cash balance correction and clean up of books due to prior period activities including debt service, capital expenditures, and other items.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Adventist Health SystemWest
PO Box 619135	Roseville	CA	95661	953484589	Integrated Health System	CA	501(c)(3)	10	NA	false
Adventist Health Clearlake Hospital Inc
15630 18th Avenue	Clearlake	CA	95422	680395149	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Adventist Health Medical Ctr Tehachapi
1100 Magellan Drive	Tehachapi	CA	93561	812240617	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Adventist Health Physicians Network
PO Box 619135	Roseville	CA	95661	680357690	Medical Foundation	CA	501(c)(3)	12b2	Adventist Health SystemWest	false
Castle Medical Center
640 Ulukahiki Street	Kailua	HI	96374	990107330	Hospital	HI	501(c)(3)	3	Adventist Health SystemWest	false
Feather River Hospital
PO Box 619135	Roseville	CA	95661	941101228	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Fremont- Rideout Health Group
898 Plumas Street	Yuba City	CA	95991	942917251	Hospital	CA	501(c)(3)	12b2	Stone Point Health	false
Glendale Adventist Medical Center
1509 Wilson Terrace	Glendale	CA	91206	951816017	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Hanford Community Hospital
115 Mall Drive	Hanford	CA	93230	940535360	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Lodi Memorial Hospital Assn Inc
975 So Fairmont Ave	Lodi	CA	95240	941044474	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Northwest Medical Fdtn of Tillamook
1000 Third Street	Tillamook	OR	97141	930622075	Hospital	OR	501(c)(3)	3	Adventist Health SystemWest	false
Paradise Valley Hospital
PO Box 619135	Roseville	CA	95661	951816034	Discontinued Operations	CA	501(c)(3)	1	Adventist Health SystemWest	false
Portland Adventist Medical Center
10123 SE Market Street	Portland	OR	97216	930429015	Hospital	OR	501(c)(3)	3	Adventist Health SystemWest	false
Rideout Memorial Hospital
989 Plumas Street	Yuba City	CA	95991	941387866	Hospital	CA	501(c)(3)	3	Fremont Rideout Health Group	false
St Helena Hospital
10 Woodland Road	St Helena	CA	94574	941279779	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
San Joaquin Community Hospital
2615 Chester Avenue	Bakersfield	CA	93301	952294234	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Simi Valley Hospital & Health Care Svc
2975 No Sycamore Drive	Simi Valley	CA	93065	956064971	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Sonora Community Hospital
1000 Greenley Road	Sonora	CA	95370	941415069	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Stone Point Health
PO Box 619135	Roseville	CA	93661	823763347	Supporting Organization	CA	501(c)(3)	12b2	Adventist Health SystemWest	false
Ukiah Adventist Hospital
275 Hospital Drive	Ukiah	CA	95482	941639901	Hospital	CA	501(C)(3)	3	Adventist Health SystemWest	false
United Com-Serve
989 Plumas Street	Yuba City	CA	95991	943015356	Skilled Nursing/Assisted Living/Hm Care	CA	501(c)(3)	12b2	Fremont Rideout Health Group	false
Walla Walla General Hospital
PO Box 619135	Roseville	CA	95661	910617726	Hospital	WA	501(c)(3)	3	Adventist Health SystemWest	false
Western Health Resources
PO Box 619135	Roseville	CA	95661	953867863	Home Care	CA	501(c)(3)	10	Adventist Health SystemWest	false
White Memorial Medical Center
1720 Cesar E Chavez Avenue	Los Angeles	CA	90033	952282647	Hospital	CA	501(C)(3)	3	Adventist Health SystemWest	false
Willits Hospital Inc
1 Marcela Drive	Willits	CA	95490	680108919	Hospital	CA	501(C)(3)	3	Adventist Health SystemWest	false
Adventist Health Delano
PO Box 460	Delano	CA	93216	770258013	Hospital	CA	501(C)(3)	3	Adventist Health SystemWest	false
Adventist Health Tulare
869 North Cherry Street	Tulare	CA	93274	832351753	Hospital	CA	501(C)(3)	3	Adventist Health SystemWest	false
Adventist Health Mendocino Coast
700 River Drive	Fort Bragg	CA	95437	845174585	Hospital	CA	501(C)(3)	3	Adventist Health SystemWest	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	South Coast Medical Center	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	952037291	EIN
Primary Activities	Wind down after sale of hospital	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C-Corp	EntityTypeTxt
Controlled Organization	false	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Adventist Health SystemWest
e	$62,068,351	Notes Payable
Adventist Health SystemWest
m	$27,631,643	Operating Exp
Adventist Health SystemWest
o	$978,950	Compensation
Adventist Health SystemWest
r	$169,658,686	Cash Mgt Funds