ADVENTIST HEALTH SYSTEM-WEST: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: ADVENTIST HEALTH SYSTEM-WEST (EIN 95-3484589)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-10
IRS object ID: 202023159349304542
Schema version: 2019v5.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-10T16:11:45-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	953484589	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Todd Hofheins	PersonNm
Person Title	Chief Financial Officer	PersonTitleTxt
Phone	9164060000	PhoneNum
Signature	2020-10-29	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Tracy S Paglia	PreparerPersonNm
PTIN	P00366884	PTIN
Phone	2099556100	PhoneNum
Preparation	2020-10-29	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	172.9.161.112	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-10-29	IPDt
IP Tm	16:08:40	IPTm
IP Timezone	PD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	2CA4604677747A1B8287DC7DD1B2F222DAF5CAE3	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	Scott Reiner	PrincipalOfficerNm

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)
Gross Receipts	$418,436,021	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	1071	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.adventisthealth.org/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1980	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	Living God's love by inspiring health, wholeness and hope.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	3310	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$5,368,897	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$979,721	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$21,065,390	PYContributionsGrantsAmt
CY Contributions Grants	$795,492	CYContributionsGrantsAmt
PY Program Service Revenue	$245,806,456	PYProgramServiceRevenueAmt
CY Program Service Revenue	$344,940,537	CYProgramServiceRevenueAmt
PY Investment Income	$16,485,256	PYInvestmentIncomeAmt
CY Investment Income	$13,808,361	CYInvestmentIncomeAmt
PY Other Revenue	$1,387,050	PYOtherRevenueAmt
CY Other Revenue	$15,364,321	CYOtherRevenueAmt
PY Total Revenue	$284,744,152	PYTotalRevenueAmt
CY Total Revenue	$374,908,711	CYTotalRevenueAmt
PY Grants And Similar Paid	$7,664,910	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$4,770,896	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$223,802,819	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$260,843,076	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$8,477	CYTotalFundraisingExpenseAmt
PY Other Expenses	$144,152,789	PYOtherExpensesAmt
CY Other Expenses	$258,399,416	CYOtherExpensesAmt
PY Total Expenses	$375,620,518	PYTotalExpensesAmt
CY Total Expenses	$524,013,388	CYTotalExpensesAmt
PY Revenues Less Expenses	-$90,876,366	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$149,104,677	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,914,161,010	TotalAssetsBOYAmt
Total Assets EOY	$2,329,560,827	TotalAssetsEOYAmt
Total Liabilities BOY	$2,091,389,972	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,597,540,161	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$177,228,962	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$267,979,334	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Living God's love by inspiring health, wholeness and hope.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$195,901,228	ExpenseAmt
Grant	$4,770,896	GrantAmt
Revenue	$344,940,537	RevenueAmt
Desc	See Schedule O	Desc
Total Program Service Expenses	$195,901,228	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	3079	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3310	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Jay Lipps VP System Controller	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9164061092	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	Key EmployeeKeyEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Ferch Wayne
President, CCR	50.00	0.00	Yes (X)	$4,448,122	$0	$47,838
Raffoul John
FO, SCR/President	50.00	0.00		$2,777,039	$0	$228,271	Yes (X)
Reiner Scott
CEO	50.00	0.00		$1,995,696	$0	$53,734		Yes (X)	Yes (X)
Wing Bill
Dir/CFO/Asst Secretary	50.00	0.00		$1,572,254	$0	$46,583		Yes (X)	Yes (X)
Russell David
Physician, AHLM thru 05/19	50.00	0.00		$1,500,614	$0	$44,751	Yes (X)
Jahn Andrew
President, SCR	50.00	0.00	Yes (X)	$1,254,944	$0	$59,912
Reppert Joseph
CFO/Asst Secr thru 08/2019	50.00	0.00		$1,209,069	$0	$57,565			Yes (X)
Conklin Jeffrey
Payer Strategy Exec thru 07/19	50.00	0.00	Yes (X)	$1,170,941	$0	$57,626
Eller Jeff
President, NCR	50.00	0.00	Yes (X)	$1,172,082	$0	$40,197
El-Asmar Hoda
Chief Clinical Officer	50.00	0.00	Yes (X)	$1,158,336	$0	$38,695
Larsen David
Sr Finance Officer	50.00	0.00	Yes (X)	$777,379	$0	$316,645
Ashlock Mark
Ambulatory/Post-Acute President	50.00	0.00	Yes (X)	$993,924	$0	$45,909
Olson Joaline
Chief Human Performance Officer, AHRS thru 08/19	50.00	0.00	Yes (X)	$915,650	$0	$48,741
Newmyer Joyce
President, PNR	50.00	0.00	Yes (X)	$871,962	$0	$53,734
Nahapetian Arby
Medical Officer, SCR	50.00	0.00	Yes (X)	$841,794	$0	$58,842
Zachary Beth
Former President, SCR thru 01/18	0.00	0.00		$840,555	$0	$47,667				Yes (X)
Beaman John
Chief Business Officer	50.00	0.00	Yes (X)	$823,889	$0	$43,310
Church Lowell
VP Material Management thru 03/19	50.00	0.00	Yes (X)	$812,713	$0	$44,802
Wagner Jack
Former CFO/Asst Secr thru 03/18	0.00	0.00		$778,475	$0	$29,189				Yes (X)
Issai Alice
President, AHGL	50.00	0.00	Yes (X)	$768,942	$0	$29,127
Wolcott Daniel
President, AHLM	50.00	0.00	Yes (X)	$722,077	$0	$59,517
Jobe Meredith
Secretary	50.00	0.00		$730,385	$0	$45,909			Yes (X)
Rawson Richard
President, AHRO	50.00	0.00	Yes (X)	$740,386	$0	$28,958
Beehler Robert
Mkt Dev, M&A Exec	50.00	0.00	Yes (X)	$716,790	$0	$45,909
Briggs Sharlet
President, AHBD	50.00	0.00	Yes (X)	$711,824	$0	$41,433
Raethel Kathryn
President, AHCS	50.00	0.00	Yes (X)	$702,284	$0	$48,558
Byrnes John
Medical Officer, NCR	50.00	0.00	Yes (X)	$718,300	$0	$29,813
Bancarz Gloria
System Chief Quality Officer	50.00	0.00	Yes (X)	$713,985	$0	$31,591
Chen Steven
Finance Officer, CCR	50.00	0.00		$671,517	$0	$59,363	Yes (X)
Fink Matthew
Chief Information Officer	50.00	0.00		$671,660	$0	$55,032	Yes (X)
Kofl Andrea
President, AHHF	50.00	0.00		$673,752	$0	$48,741	Yes (X)
Knittel Monty
Former President, AHFR thru 08/18	0.00	0.00		$452,036	$0	$29,203				Yes (X)
Reiner Richard
Director	4.00	0.00		$28,588	$0	$0		Yes (X)
Davis Andrew
Director	4.00	0.00		$28,246	$0	$0		Yes (X)
Cherry Robert
Director	4.00	0.00		$26,315	$0	$0		Yes (X)
Heinrich Kerry
Director	4.00	0.00		$20,102	$0	$0		Yes (X)
Innocent Larry
Director	4.00	0.00		$18,852	$0	$0		Yes (X)
Woodson Marc
Director	4.00	0.00		$15,000	$0	$0		Yes (X)
Graham Ricardo
Director/Chair	4.00	0.00		$8,848	$0	$0		Yes (X)	Yes (X)
Banks David
Director	4.00	0.00		$6,382	$0	$0		Yes (X)
Freedman John
Director/Vice Chair	4.00	0.00		$2,367	$0	$0		Yes (X)	Yes (X)
Salazar Velino
Director	4.00	0.00		$553	$0	$0		Yes (X)
Ocampo Lucy
Director	4.00	0.00		$0	$0	$0		Yes (X)
Philip Celeste
Director	4.00	0.00		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$35,064,629	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,917,165	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	586	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Swinerton Builders
15 Business Park Way Suite 101	Sacramento	CA	95828	Construction	$29,854,195
Cerner Corporation
2800 Rockcreek Parkway	Kansas City	MO	64117	IT Solutions Management	$7,794,126
Systems Source Inc
4685 MacArthur Court Suite 100	Newport Beach	CA	92660	Workspace Management	$5,690,739
Signtech Electrical Advertising Inc
4444 Federal Boulevard	San Diego	CA	92102	Advertising	$4,472,038
Huron Consulting Group Inc
3005 Momentum Place	Chicago	IL	60689	Operations Managment	$3,750,000

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	104	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$795,492	AllOtherContributionsAmt
Total Contributions	$795,492	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Management fees	900099	$321,149,877	$316,677,059	$4,472,818
Partnership income related progra	541900	$19,415,304	$18,519,225	$896,079
Other program service rev	900099	$4,375,356	$4,375,356

Field	Value	IRS element (for citing)
Total Program Service Revenue	$344,940,537	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,248,229	TotalRevenueColumnAmt
Exclusion	$5,248,229	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$672,027	TotalRevenueColumnAmt
Exclusion	$672,027	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$72,500	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$72,500	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$72,500	TotalRevenueColumnAmt
Exclusion	$72,500	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$37,032,891	SecuritiesAmt
Other	$14,381,977	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$38,186,740	SecuritiesAmt
Other	$5,340,023	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$1,153,849	SecuritiesAmt
Other	$9,041,954	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,888,105	TotalRevenueColumnAmt
Exclusion	$7,888,105	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$6,630	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$547	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,083	TotalRevenueColumnAmt
Exclusion	$6,083	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
Vendor rebates	900099	$20,433,537	$20,433,537
Loss on debt refinancing	900099	-$5,147,799	-$5,147,799

Field	Value	IRS element (for citing)
Other Revenue Total	$15,285,738	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$374,908,711	TotalRevenueColumnAmt
Related Or Exempt Func Income	$339,571,640	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,368,897	UnrelatedBusinessRevenueAmt
Exclusion	$29,172,682	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,584,025	TotalAmt
Program Services	$1,584,025	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$3,186,871	TotalAmt
Program Services	$3,186,871	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$28,239,159	TotalAmt
Management And General	$28,239,159	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$2,177,125	TotalAmt
Program Services	$2,177,125	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$181,219,718	TotalAmt
Program Services	$39,631,184	ProgramServicesAmt
Management And General	$141,581,773	ManagementAndGeneralAmt
Fundraising	$6,761	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,478,701	TotalAmt
Program Services	$4,352,360	ProgramServicesAmt
Management And General	$3,126,341	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$28,263,219	TotalAmt
Program Services	$7,204,969	ProgramServicesAmt
Management And General	$21,056,560	ManagementAndGeneralAmt
Fundraising	$1,690	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,465,154	TotalAmt
Program Services	$2,921,878	ProgramServicesAmt
Management And General	$10,543,276	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$151,989	TotalAmt
Program Services	$5,675	ProgramServicesAmt
Management And General	$146,314	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$8,530,559	TotalAmt
Program Services	$215,087	ProgramServicesAmt
Management And General	$8,315,472	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,887,059	TotalAmt
Management And General	$1,887,059	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$210,561	TotalAmt
Program Services	$210,561	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$150,377,275	TotalAmt
Program Services	$64,846,007	ProgramServicesAmt
Management And General	$85,531,268	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,513,222	TotalAmt
Program Services	$2,111,674	ProgramServicesAmt
Management And General	$1,401,548	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,846,916	TotalAmt
Program Services	$3,267,596	ProgramServicesAmt
Management And General	$3,579,294	ManagementAndGeneralAmt
Fundraising	$26	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,223,054	TotalAmt
Program Services	$5,603,451	ProgramServicesAmt
Management And General	$4,619,603	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,407,030	TotalAmt
Program Services	$13,610,190	ProgramServicesAmt
Management And General	$796,840	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$5,699,448	TotalAmt
Program Services	$1,763,309	ProgramServicesAmt
Management And General	$3,936,139	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$739,104	TotalAmt
Program Services	$104,883	ProgramServicesAmt
Management And General	$634,221	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$17,543,920	TotalAmt
Program Services	$17,543,849	ProgramServicesAmt
Management And General	$71	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$25,322,313	TotalAmt
Program Services	$22,186,432	ProgramServicesAmt
Management And General	$3,135,881	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$266,767	TotalAmt
Program Services	$228,624	ProgramServicesAmt
Management And General	$38,143	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Patient care supplies	$1,535,316	$1,181,473	$353,843
Income taxes	$798,515	$798,515
Rental/lease costs equi	$734,881	$378,832	$356,049

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,611,487	TotalAmt
Program Services	$786,658	ProgramServicesAmt
Management And General	$8,824,829	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$524,013,388	TotalAmt
Program Services	$195,901,228	ProgramServicesAmt
Management And General	$328,103,683	ManagementAndGeneralAmt
Fundraising	$8,477	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$23,391	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$250,105,247	BOYAmt
EOY	$284,018,550	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$27,871	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$56,142	BOYAmt
EOY	$17,058	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$38,199,866	BOYAmt
EOY	$54,227,593	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$21,035,061	BOYAmt
EOY	$6,812,192	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$35,291,801	BOYAmt
EOY	$42,824,285	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$530,356,960	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$199,888,968	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$291,963,066	BOYAmt
EOY	$330,467,992	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,239,166,048	BOYAmt
EOY	$1,532,854,443	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$7,451,447	BOYAmt
EOY	$11,609,673	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$30,868,941	BOYAmt
EOY	$66,701,170	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,914,161,010	BOYAmt
EOY	$2,329,560,827	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$261,012,245	BOYAmt
EOY	$219,704,780	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,159,038,461	BOYAmt
EOY	$2,141,149,922	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$163,555,928	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$507,783,338	BOYAmt
EOY	$236,685,459	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,091,389,972	BOYAmt
EOY	$2,597,540,161	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	-$182,485,199	BOYAmt
EOY	-$270,248,542	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,256,237	BOYAmt
EOY	$2,269,208	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$177,228,962	BOYAmt
EOY	-$267,979,334	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,914,161,010	BOYAmt
EOY	$2,329,560,827	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$149,104,677	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$59,814,924	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,460,619	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$100	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$50,000	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$96,561	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$7,311,552	CurrentTaxYearMinus1YearAmt
Current Tax Year	$795,492	CurrentTaxYearAmt
Total	$8,253,705	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$293,372,514	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$289,039,507	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$263,827,180	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$241,640,379	CurrentTaxYearMinus1YearAmt
Current Tax Year	$339,571,640	CurrentTaxYearAmt
Total	$1,427,451,220	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$293,372,614	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$289,089,507	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$263,923,741	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$248,951,931	CurrentTaxYearMinus1YearAmt
Current Tax Year	$340,367,132	CurrentTaxYearAmt
Total	$1,435,704,925	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	$6,349,290	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,259,278	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,178,041	CurrentTaxYearMinus1YearAmt
Current Tax Year	$8,120,494	CurrentTaxYearAmt
Total	$24,907,103	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

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

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	$6,349,290	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,259,278	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,178,041	CurrentTaxYearMinus1YearAmt
Current Tax Year	$8,120,494	CurrentTaxYearAmt
Total	$24,907,103	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$1,410,797,822	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$50,242,418	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$57,028,162	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$8,329,768	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,629,457	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,992,756	CurrentTaxYearAmt
Total	$124,222,561	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$50,242,418	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$57,028,162	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$8,329,768	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,629,457	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,992,756	CurrentTaxYearAmt
Total	$124,222,561	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$549,535	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$272,887	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$517,858	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$573,287	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$1,913,567	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,650,159	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,997,795	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year	$660,599	CurrentTaxYearMinus1YearAmt
Current Tax Year	$15,292,368	CurrentTaxYearAmt
Total	$19,600,921	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$345,814,726	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$348,388,351	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$272,771,367	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$252,815,274	CurrentTaxYearMinus1YearAmt
Current Tax Year	$361,652,256	CurrentTaxYearAmt
Total	$1,581,441,974	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.89210	PublicSupportCY509Pct
Public Support PY509	0.87870	PublicSupportPY509Pct
Investment Income CY	0.07860	InvestmentIncomeCYPct
Investment Income PY	0.10600	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$210,561	OtherActivitiesAmt
Total Lobbying Expenditures	$210,561	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	Adventist Health engages lobbyists and belongs to industry and professional associations for which a portion of the membership dues is used for lobbying activities. Expenditures to Noteware were paid for the purpose of working with legislators and government officials relating to legislation affecting hospitals and healthcare.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,114,944	BeginningYearBalanceAmt
Contributions	$50,000	ContributionsAmt
Investment Earnings Or Losses	$21,830	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$55,539	GrantsOrScholarshipsAmt
End Year Balance	$1,131,235	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,140,516	BeginningYearBalanceAmt
Contributions	$100	ContributionsAmt
Investment Earnings Or Losses	$26,705	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$52,377	GrantsOrScholarshipsAmt
End Year Balance	$1,114,944	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.33630	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.66370	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$32,721,523	OtherCostOrOtherBasisAmt
Book Value	$32,721,523	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$119,983,855	OtherCostOrOtherBasisAmt
Depreciation	$2,346,971	DepreciationAmt
Book Value	$117,636,884	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,449,971	OtherCostOrOtherBasisAmt
Depreciation	$475,899	DepreciationAmt
Book Value	$974,072	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$347,724,913	OtherCostOrOtherBasisAmt
Depreciation	$197,066,098	DepreciationAmt
Book Value	$150,658,815	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$28,476,698	OtherCostOrOtherBasisAmt
Book Value	$28,476,698	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$330,467,992	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Malpractice liability	$101,966,461
Workers' compensation liability	$63,487,984
Payables to related organizations	$60,133,539
Other liabilities	$11,097,475

Field	Value	IRS element (for citing)
Total Liability	$236,685,459	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 4:

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

Part X, Line 2:

The principal operations of the System is exempt from taxation pursuant to Internal Revenue Code Section 501(c)(3) and related state provisions. The System recognizes tax benefits from any uncertain tax positions only if it is more-likely-than-not the tax position will be sustained, based solely on its technical merits, with the taxing authority having full knowledge of all relevant information. The System records a liability for unrecognized tax benefits from uncertain tax positions as discrete tax adjustments in the first interim period the more-likely-than-not threshold is not met. The System recognizes deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of its assets and liabilities along with net operating loss and tax credit carryovers only for tax positions that meet the more-likely-than-not recognition criteria. At December 31, 2019 and 2018, 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 2015 in major tax jurisdictions.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	Program services	Mission Trip	$41,020
Central America and the Caribbean	Program services	Administration, legal and accounting fees	$57,500
Central America and the Caribbean	Program services	Reinsurance fees	$1,214,763
Central America and the Caribbean	Investments in region	N/A	$47,294,145

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$48,607,428	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$48,607,428	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
African Mission Services of USA
PO Box 906	Chattanooga	CA	37401	260334267	501(c)(3)	$10,000	General Support
AltaMed Health Services Corporation
2040 Camfield Avenue	Los Angeles	CA	90040	952810095	501(c)(3)	$10,000	General Support
California Health Foundation & Trust
1215 K Street Suite 800	Sacramento	CA	95814	941498697	501(c)(3)	$137,199	General Support
Enloe Medical Center
1531 Esplanade	Chico	CA	95926	941603784	501(c)(3)	$32,130	2018 Camp Fire Relief Fund
Eureka Schools Foundation
PO Box 2444	Granite Bay	CA	95746	680280171	501(c)(3)	$10,000	General Support
Extreme Productions LLC
1001 Enterprise Way Suite 200	Roseville	CA	95678			$59,702	2018 Camp Fire Relief Fund
Fremont Rideout Foundation
414 G Street	Marysville	CA	95901	237366330	501(c)(3)	$10,000	General Support
Lodi Memorial Hospital Foundation Inc
845 S Fairmont Avenue Suite 3	Lodi	CA	95240	942719880	501(c)(3)	$10,000	General Support
Loma Linda Univ Childrens Hospital Foundation Inc
PO Box 926	Loma Linda	CA	92354	330565591	501(c)(3)	$10,000	General Support
Make A Wish Northeastern and Central California and Northern Nevada
2800 Club Center Drive	Sacramento	CA	95835	680027351	501(c)(3)	$10,000	General Support
NAAAHHR
PO Box 311395	Atlanta	GA	31131	522122803	501(c)(3)	$12,000	General Support
Newbury Park Adventist Academy
180 Academy Drive	Newbury Park	CA	91320	951816063	501(c)(3)	$10,000	General Support
Outfront Media Sports Inc
PO Box 33074	Newark	NJ	07188	770141025		$45,000	General Support
Paradise Adventist Church
5720 Academy Drive	Paradise	CA	95969	941702441	501(c)(3)	$62,000	2018 Camp Fire Relief Fund
Saint Johns Program for Real Change
2443 Fair Oaks Boulevard 369	Sacramento	CA	95825	680132934	501(c)(3)	$10,000	General Support
SonBridge Community Center
1200 SE 12th Street Suite 1	College Place	WA	99324	202958334		$150,000	Community Outreach
Southeastern California Conference Of Seventh Day Adventists
11330 Pierce Street	Riverside	CA	92505	951816050	501(c)(3)	$10,000	General Support
The Celebration
12005 Meridian Rd	Chico	CA	95973			$10,000	2018 Camp Fire Relief Fund
The Ebeling Group Inc
628 California Ave	Venice	CA	90291	400001837		$20,000	General Support
The One Project
1312 17th Street Suite 753	Denver	CO	80202	475638974	501(c)(3)	$10,000	General Support
Walla Walla University
204 S College Avenue	College Place	WA	99324	910617727	501(c)(3)	$100,000	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	16	Total501c3OrgCnt
Total Other Org	5	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Camp Fire Assistance	GrantTypeTxt
Recipient	450	RecipientCnt
Cash Grant	$3,186,871	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (32 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Ferch Wayne
President, CCR	$932,651	$0	$191,401	$0	$3,324,070	$0	$16,782	$0	$31,056	$0	$4,495,960	$0	$3,180,848	$0
Raffoul John
FO, SCR/President	$545,731	$0	$198,623	$0	$2,032,685	$0	$197,015	$0	$31,256	$0	$3,005,310	$0	$1,893,381	$0
Reiner Scott
CEO	$1,510,024	$0	$420,315	$0	$65,357	$0	$16,782	$0	$36,952	$0	$2,049,430	$0	$0	$0
Wing Bill
Dir/CFO/Asst Secretary	$1,200,390	$0	$318,717	$0	$53,147	$0	$16,782	$0	$29,801	$0	$1,618,837	$0	$0	$0
Russell David
Physician, AHLM thru 05/19	$190,852	$0	$32,065	$0	$1,277,697	$0	$16,528	$0	$28,223	$0	$1,545,365	$0	$943,452	$0
Jahn Andrew
President, SCR	$811,125	$0	$201,952	$0	$241,867	$0	$16,782	$0	$43,130	$0	$1,314,856	$0	$0	$0
Reppert Joseph
CFO/Asst Secr thru 08/2019	$581,409	$0	$187,572	$0	$440,088	$0	$16,782	$0	$40,783	$0	$1,266,634	$0	$0	$0
Conklin Jeffrey
Payer Strategy Exec thru 07/19	$632,424	$0	$121,586	$0	$416,931	$0	$16,782	$0	$40,844	$0	$1,228,567	$0	$0	$0
Eller Jeff
President, NCR	$868,316	$0	$193,574	$0	$110,192	$0	$16,782	$0	$23,415	$0	$1,212,279	$0	$0	$0
El-Asmar Hoda
Chief Clinical Officer	$790,010	$0	$191,190	$0	$177,136	$0	$16,782	$0	$21,913	$0	$1,197,031	$0	$0	$0
Larsen David
Sr Finance Officer	$536,325	$0	$110,451	$0	$130,603	$0	$276,207	$0	$40,438	$0	$1,094,024	$0	$0	$0
Ashlock Mark
Ambulatory/Post-Acute President	$741,578	$0	$199,787	$0	$52,559	$0	$16,782	$0	$29,127	$0	$1,039,833	$0	$0	$0
Olson Joaline
Chief Human Performance Officer, AHR	$492,487	$0	$174,923	$0	$248,240	$0	$16,782	$0	$31,959	$0	$964,391	$0	$0	$0
Newmyer Joyce
President, PNR	$706,207	$0	$125,111	$0	$40,644	$0	$16,782	$0	$36,952	$0	$925,696	$0	$0	$0
Nahapetian Arby
Medical Officer, SCR	$556,818	$0	$153,586	$0	$131,390	$0	$16,782	$0	$42,060	$0	$900,636	$0	$0	$0
Zachary Beth
Former President, SCR thru 01/18	$0	$0	$0	$0	$840,555	$0	$11,540	$0	$36,127	$0	$888,222	$0	$0	$0
Beaman John
Chief Business Officer	$630,899	$0	$156,479	$0	$36,511	$0	$0	$0	$43,310	$0	$867,199	$0	$0	$0
Church Lowell
VP Material Management thru 03/19	$83,416	$0	$50,035	$0	$679,262	$0	$14,313	$0	$30,489	$0	$857,515	$0	$372,708	$0
Wagner Jack
Former CFO/Asst Secr thru 03/18	$0	$0	$0	$0	$778,475	$0	$0	$0	$29,189	$0	$807,664	$0	$0	$0
Issai Alice
President, AHGL	$576,442	$0	$77,330	$0	$115,170	$0	$0	$0	$29,127	$0	$798,069	$0	$0	$0
Wolcott Daniel
President, AHLM	$469,178	$0	$109,652	$0	$143,247	$0	$16,782	$0	$42,735	$0	$781,594	$0	$0	$0
Jobe Meredith
Secretary	$524,870	$0	$65,461	$0	$140,054	$0	$16,782	$0	$29,127	$0	$776,294	$0	$0	$0
Rawson Richard
President, AHRO	$546,538	$0	$90,538	$0	$103,310	$0	$0	$0	$28,958	$0	$769,344	$0	$0	$0
Beehler Robert
Mkt Dev, M&A Exec	$492,464	$0	$105,286	$0	$119,040	$0	$16,782	$0	$29,127	$0	$762,699	$0	$0	$0
Briggs Sharlet
President, AHBD	$473,191	$0	$107,747	$0	$130,886	$0	$16,782	$0	$24,651	$0	$753,257	$0	$0	$0
Raethel Kathryn
President, AHCS	$462,272	$0	$59,396	$0	$180,616	$0	$16,782	$0	$31,776	$0	$750,842	$0	$0	$0
Byrnes John
Medical Officer, NCR	$493,269	$0	$77,663	$0	$147,368	$0	$1,523	$0	$28,290	$0	$748,113	$0	$0	$0
Bancarz Gloria
System Chief Quality Officer	$476,605	$0	$119,417	$0	$117,963	$0	$16,782	$0	$14,809	$0	$745,576	$0	$0	$0
Chen Steven
Finance Officer, CCR	$472,282	$0	$90,908	$0	$108,327	$0	$16,782	$0	$42,581	$0	$730,880	$0	$0	$0
Fink Matthew
Chief Information Officer	$465,674	$0	$105,782	$0	$100,204	$0	$16,782	$0	$38,250	$0	$726,692	$0	$0	$0
Kofl Andrea
President, AHHF	$475,048	$0	$75,240	$0	$123,464	$0	$16,782	$0	$31,959	$0	$722,493	$0	$0	$0
Knittel Monty
Former President, AHFR thru 08/18	$0	$0	$36,632	$0	$415,404	$0	$0	$0	$29,203	$0	$481,239	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I, Line 1a

Travel for companions - received by six directors Tax indemnification and gross-up payments - received by 10 directors All items checked on this line are reported as taxable income to the employee or director receiving the benefit.

Part I, Lines 4a-b

Severance payments are made based upon agreements between certain qualifying employees and Adventist Health Services/West. Details of the terms and conditions of the severance agreements are available to the IRS upon request. Church, Lowell - severance payment - $252,094 Conklin, Jeffrey - severance payment - $224,802 Knittel, Monty - severance payment - $401,466 Olson, JoAline - severance payment - $200,732 Reppert, Joseph - severance payment - $194,953 Russell, David - severance payment - $223,716 Wagner, Jack - severance payment - $778,453 Zachary, Beth - severance payment - $823,800 The Supplemental Executive Retirement Plan (SERP) is a defined contribution plan designed to encourage the participants continued employment with Adventist Health and is subject to the participants satisfying specified substantial risks of forfeiture. The SERP benefit distribution occurs when the executive achieves 30 years of Adventist health care service, 20 of which are to be as an executive and at least 10 are to be with Adventist Health System/West, and reaches age 60. Until that time, the SERP benefit is at risk to the creditors of Adventist Health. The SERP benefit is designed to help the executive receive employer-provided retirement benefit income equal to 60% of pre-retirement income. The SERP plan was frozen for new participants in 2016. Church, Lowell - distribution - $372,708 Ferch, Wayne - distribution - $3,180,848 Larsen, David - funding - $259,425 Raffoul, John - distribution - $1,893,381 Raffoul, John - funding - $180,233 Russell, David - distribution - $943,452 Select executives agreed to participate in CAP-EX in place of a traditional SERP. See Schedule L, Part V, for a broader description. Split-Dollar life insurance participants are Mark Ashlock, John Beaman, Jeffrey Eller, Alan Ferch, Joyce Newmyer, JoAline Olson, Brian Reiner, Jack Wagner, Billy Wing, and Beth Zachary. A flexible benefits plan (CAA) is offered to groups of highly-compensated employees meeting certain criteria. The participants are provided with an amount equivalent to 41 percent of their base compensation, less the value of their corporate provided benefits. The balance is set aside for nonvested deferred compensation that is subject to substantial risk of forfeiture and is at risk to the creditors of Adventist Health. Payouts occur according to the participants' payment elections after all substantial risks of forfeiture have lapsed. The plan was frozen for new non-vested contributions in 2016. Conklin, Jeffrey - $69,187

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CSCDA Series A 2007
A	680164610	1307957C5	2007-05-08	$57,500,000	See Part VI	0	0	0
CHFFA Series B 2009
B	521643828	13033LBC0	2009-05-20	$30,000,000	See Part VI	0	0	0
CHFFA Series C 2009
C	521643828	13033F8B9	2009-05-20	$56,309,648	See Part VI	0	0	0
CHFFA Series C 2011
D	521643828	000000000	2011-06-09	$130,000,000	See Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	In Reserve FundInReserveFundAmt	Other Spent ProceedsOtherSpentProceedsAmt
A	$15,445,000	$57,500,000	$643,910	$1,409,177	$4,480,297	$50,966,616	2010	0	Yes (1)	Yes (1)
B		$30,000,000	$216,916			$29,783,084	2009	0	Yes (1)	Yes (1)
C	$52,495,000	$56,309,648	$559,042				2009	Yes (1)	Yes (1)	Yes (1)	$1,173,608	$55,750,607
D	$30,200,000	$130,000,000	$478,200			$129,521,800	2015	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Date Rebate Computation Performed	Issuer Name: CHFFA Series B 2009 Date the Rebate Computation was Performed: 06/17/2019 Issuer Name: CHFFA Series C 2009 Date the Rebate Computation was Performed: 06/17/2019 Issuer Name: CHFFA Series C 2011 Date the Rebate Computation was Performed: 07/25/2016 Issuer Name: CHFFA Series A 2013 Date the Rebate Computation was Performed: 04/06/2018 Issuer Name: CHFFA Series A 2013 Date the Rebate Computation was Performed: 04/06/2018
Part I, Column (A-D) Issuer's Name:	CSCDA - California Statewide Communities Development Authority CHFFA - California Health Facilities Financing Authority HFA - The Hospital Facilities Authority of Multnomah County, Oregon
Part I, Entity 1, Column (f), Line A:	Construct, equip and remodel the following health care facilities: Feather River Hospital, Paradise, CA Hanford Community Hospital, Hanford, CA Simi Valley Hospital and Health Care Services, Simi Valley, CA
Part I, Entity 1, Column (f), Line B:	Acquire, construct and equip the following health care facilities: Adventist Health Clearlake Hospital Inc., Clearlake, CA Feather River Hospital, Paradise, CA Glendale Adventist Medical Center, Glendale, CA Hanford Community Hospital, Hanford, CA St. Helena Hospital, St. Helena, CA Simi Valley Hospital and Health Care Services, Simi Valley, CA
Part I, Entity 1, Column (f), Line C:	Refund outstanding balance of the following bond issues: 1991 California Health Facilities Financing Authority (AHS/West Series A) bonds issued July 23, 1991 1991 California Health Facilities Financing Authority (AHS/West Series B) bonds issued September 25, 1991 1991 City of Glendale (AHS/West Series A) bonds issued July 23, 1991
Part I, Entity 1, Column (f), Line D:	Refinance a bank loan used to construct, equip the following health care facilities: Adventist Health Clearlake Hospital, Inc., Clearlake, CA Feather River Hospital, Paradise, CA Glendale Adventist Medical Center, Glendale, CA St. Helena Hospital, St. Helena, CA Simi Valley Hospital and Health Care Services, Simi Valley, CA Acquire and install a clinical information system: Adventist Health System/West, Roseville, CA
Part I, Entity 2, Column (f), Line A:	Refund outstanding balance of the following bond issues: 2002 California Health Facilities Financing Authority(AHS/West Series A) bonds issued March 20, 2002 2002 California Health Facilities Financing Authority (AHS/West Series B) bonds issued March 2002 2003 California Health Facilities Financing Authority (AHS/Series A) bonds issued July 1, 2003
Part I, Entity 2, Column (f), Line B:	Refund outstanding balance of the following bond issues: Acquire, construct, and equip the following health care facilities: Central Valley General Hospital, Hanford, CA Feather River Hospital Paradise, CA Willits Hospital, Inc, Willits, CA Hanford Community Hospital, Hanford, CA San Joaquin Community Hospital, Bakersfield, CA Ukiah Valley Hospital, Ukiah, CA Acquire and install a clinical information system: Adventist Health System/West, Roseville, CA
Part I, Entity 2, Column (f), Line C:	Refund outstanding balance of the following bond issue: 2005 California Statewide Communities Development Authority (AHS/West Series A) bonds issued on October 18, 2005
Part I, Entity 2, Column (f), Line D:	Acquire, construct, and equip the following health care facilities: Hanford Community Hospital, Hanford, CA St. Helena Hospital, St. Helena, CA
Part I, Entity 3, Column (f), Line A:	Advance refund outstanding balance of the following bond issues: 1998 California Health Facilities Financing Authority(AHS/West Series A) issued February 18, 1998 2007 California Statewide Communities Development Authority (AHS/West Series B) bonds issued May 8, 2007 2007 California Statewide Communities Development Authority (Lodi) bonds issue December 13, 2007 2009 California Health Facilities Financing Authority (AHS/West Series A) bonds issued May 20, 2009
Part I, Entity 3, Column (f), Line B:	Finance the new headquarters facility for the Corporation located in Roseville, CA and refinance the following bond issues: City of Marysville, CA Rideout Series 2011 Bonds acquired in the affiliation with The Fremont-Rideout Health Group and Rideout Memorial Hospital effective April 1, 2018
Part I, Entity 3, Column (f), Line C:	Refund the outstanding balance of the following bond issue: 2009 HFA - The Hospital Facilities Authority of Multnomah County, Oregon (AHS/West Series A) issued September 30, 2009
Part II, Entity 1, Line 11, Column C:	The other spent proceeds are the refunding proceeds of the issue that are no longer in escrow.
Part II, Entity 3, Line 11, Columns A & C:	The other spent proceeds are the refunding proceeds of the issue that are no longer in escrow.
Part II, Entity 3, Line 11, Column B:	The other spent proceeds are the proceeds used to pay off the taxable line of credit which was used to finance initial costs of the project.
Part IV, Entity 2, Line 11, Columns A & C:	The other spent proceeds are the refunding proceeds no longer in escrow.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CHFFA Series A 2013
A	521643828	13033LS65	2013-02-14	$208,420,907	See Part VI	0	0	0
CHFFA Series A 2013
B	521643828	13033LS57	2013-02-14	$100,741,934	See Part VI	0	0	0
CSCDA Series A 2015
C	680164610	13080SJL9	2015-06-30	$157,990,834	See Part VI	0	0	0
CSCDA Series A 2015
D	680164610	13080SJM7	2015-06-30	$42,422,999	See Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt
A	$16,252,500	$208,420,907	$979,977	$207,440,930	2016	Yes (1)	Yes (1)	Yes (1)
B	$8,372,500	$100,741,934	$741,934		2016	Yes (1)	Yes (1)	Yes (1)	$100,000,000
C	$11,142,300	$157,990,834	$1,493,445	$156,488,239		Yes (1)	Yes (1)	Yes (1)		$9,150
D	$3,142,700	$42,422,999	$420,423		2019	Yes (1)	Yes (1)	Yes (1)	$42,000,000	$2,576

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CHFFA Series A 2016
A	521643828	13032UGL6	2016-09-08	$309,720,490	See Part VI	0	0	0
CSCDA Series A 2018
B	680164610	13080SWK6	2018-09-27	$272,074,615	See Part VI	0	0	0
HFA Multnomah 2019
C	931266280	62551PCX3	2019-11-13	$60,886,489	See Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$21,020,000	$309,720,490	$2,280,369	$307,440,121	2016	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	$115,000	$272,074,615	$2,098,459	$27,000,000	2019	0	Yes (1)	Yes (1)	Yes (1)	$242,976,156
C		$60,886,489	$493,229	$60,393,260	2019	Yes (1)	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (32 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
Ashlock M
Key employee	Relocation	Yes (X)	$118,000	$110,000	0	Yes (1)	Yes (1)
Ashlock M
Key employee	Supplemental retirement CASD	Yes (X)	$3,469,990	$3,689,239	0	Yes (1)	Yes (1)
Asmar H
Key employee	Relocation	Yes (X)	$150,000	$146,400	0	Yes (1)	Yes (1)
Beaman J
Key employee	Relocation	Yes (X)	$125,000	$93,650	0	Yes (1)	Yes (1)
Beaman J
Key employee	Supplemental retirement CASD	Yes (X)	$2,288,953	$2,336,019	0	Yes (1)	Yes (1)
Beehler B
Key employee	Relocation	Yes (X)	$100,000	$83,000	0	Yes (1)	Yes (1)
Eller J
Key employee	Relocation	Yes (X)	$300,000	$287,100	0	Yes (1)	Yes (1)
Eller J
Key employee	Supplemental retirement CASD	Yes (X)	$7,585,055	$7,881,954	0	Yes (1)	Yes (1)
Ferch W
Key employee	Relocation	Yes (X)	$150,000	$124,500	0	Yes (1)	Yes (1)
Ferch W
Key employee	Supplemental retirement CASD	Yes (X)	$6,470,450	$6,521,989	0	Yes (1)	Yes (1)
Fink M
Key employee	Relocation	Yes (X)	$100,000	$96,800	0	Yes (1)	Yes (1)
Jobe M
Officer	Relocation	Yes (X)	$100,000	$86,200	0	Yes (1)	Yes (1)
Newmyer J
Key employee	Relocation	Yes (X)	$150,000	$139,200	0	Yes (1)	Yes (1)
Newmyer J
Key employee	Supplemental retirement CASD	Yes (X)	$4,170,066	$4,433,539	0	Yes (1)	Yes (1)
Olson J
Key employee	Relocation	Yes (X)	$200,000	$58,500	0	Yes (1)	Yes (1)
Olson J
Key employee	Supplemental retirement CASD	Yes (X)	$1,735,225	$1,844,864	0	Yes (1)	Yes (1)
Reiner S
Officer	Supplemental retirement CASD	Yes (X)	$8,219,555	$8,601,963	0	Yes (1)	Yes (1)
Reppert J
Officer	Relocation	Yes (X)	$150,000	$145,000	0	Yes (1)	Yes (1)
Reppert J
Officer	Relocation	Yes (X)	$50,000	$48,200	0	Yes (1)	Yes (1)
Wagner J
Officer	Supplemental retirement CASD	Yes (X)	$6,216,544	$6,609,331	0	Yes (1)	Yes (1)
Wing B
Officer	Relocation	Yes (X)	$200,000	$192,600	0	Yes (1)	Yes (1)
Wing B
Officer	Supplemental retirement CASD	Yes (X)	$6,798,539	$7,123,608	0	Yes (1)	Yes (1)
Zachary B
Key employee	Supplemental retirement CASD	Yes (X)	$1,888,277	$2,007,587	0	Yes (1)	Yes (1)
Jahn A
Key employee	Relocation	Yes (X)	$400,000	$397,750	0	Yes (1)	0
Larsen D
Key employee	Relocation	Yes (X)	$150,000	$149,500	0	Yes (1)	Yes (1)
Larsen D
Key employee	Relocation	Yes (X)	$225,000	$225,000	0	Yes (1)	Yes (1)
Raethel K
Former key employee	Relocation	Yes (X)	$61,050	$12,050	0	Yes (1)	Yes (1)
Rawson R
Key employee	Relocation	Yes (X)	$100,000	$98,050	0	Yes (1)	Yes (1)
Wolcott D
Key employee	Relocation	Yes (X)	$200,000	$190,400	0	Yes (1)	Yes (1)
Byrnes J
Key employee	Relocation	Yes (X)	$200,000	$198,200	0	Yes (1)	Yes (1)
Chen S
Key employee	Relocation	Yes (X)	$150,000	$150,000	0	Yes (1)	Yes (1)
Briggs S
Key employee	Relocation	Yes (X)	$150,000	$145,400	0	Yes (1)	Yes (1)

Field	Value	IRS element (for citing)
Total Balance Due	$54,227,593	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Beehler Matthew
Family member of Key EE, B. Beehler	$303,947	Employment	0
Bancarz Michelle
Family member of Key EE, G. Bancarz	$130,613	Employment	0
Bancarz Theodore
Family member of Key EE, G. Bancarz	$106,225	Employment	0
Eller Eric
Family member of Key EE, J. Eller	$70,834	Employment	0
Dickinson Brett
Family member of Key EE, C. Dickinson	$86,386	Employment	0
Ferch Josiah
Family member of Key EE, W. Ferch	$62,021	Employment	0
PVHR LLC
Greater than 35% owned by former Director, M. Gabriel and family members	$158,293	Interest	0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part II, Supplemental Retirement Benefits:

The organization provides supplemental retirement benefits through an alternative funding arrangement the IRS calls "collateral assignment split dollar" (CASD). Although the IRS requires reporting in the loan section of Schedule L, CASD is not an actual loan - no funds are transferred to the executive. Rather, the "loan" treatment applies because after the executive has received retirement benefits, the organization recovers all outlays plus interest.The recovery right is a key advantage of CASD for the organization. Rather than paying retirement benefits to the executive that would never be recovered, under CASD the organization recovers not only its outlays, but also consideration for the time value of money.CASD works as follows. The organization deposits funds into a cash value life insurance policy on the executive's life. During life, to the extent the executive fulfills service and vesting requirements, the executive can borrow against values in the policy to supplement retirement income. Policy performance is closely monitored. If policy performance lags, the executive's borrowing rights are reduced to protect the organization's recovery rights.At the executive's death, the policy death proceeds are first used to repay the organization its deposits plus compounded interest (at the IRS long-term applicable federal rate). The executive's beneficiary then receives any projected retirement borrowing the executive did not access during life. Any remaining death proceeds were available to be paid to the executive's beneficiary. However, the executives made a gift of the excess proceeds, estimated to total $139 million, to the organization to provide additional funding for the organization's charitable activities.Gift of excess proceeds (estimated):Mark Ashlock: $8,809,716: John Beaman: $14,147,412; Jeffrey Eller: $18,946,707; Alan Ferch: $12,443,025; Joyce Newmyer: $9,814,151; JoAline Olson: $2,843,268; Scott Reiner: $23,998,417; Jack Wagner: $17,598,276; Bill Wing: $25,813,802; Beth Zachary: $4,457,185.

Part IV, Page 1, Line 1:

Melody Gabriel, an AH director, and her husband are owners and officers of businesses that engage in joint ventures with AH and member hospitals. Other family members with ownership and officer positions in these businesses include her parents, her brother and his wife, and trusts established on behalf of her children. The ventures are organized as LLCs. At the end of 2019 PVHR, LLC had an outstanding balance of $2.2M secured and unsecured market rate interest bearing loans. This LLC is 50% controlled by another LLC of which Ms. Gabriel and her family have a controlling interest. Interest is accrued on these loans, principal and interest at the end of 2019 was $168,340. Principal and interest payments are being made monthly. Total interest paid during 2019 was $158,293.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a:	Adventist Health is a faith-based, nonprofit integrated health system serving more than 80 communities on the West Coast and Hawaii. Founded on Seventh-day Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care agencies, hospice agencies and joint-venture retirement centers in both rural and urban communities. Our compassionate and talented team of 35,000 includes associates, medical staff physicians, allied health professionals and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope. Together, we are transforming the American healthcare experience with an innovative, yet timeless, whole-person focus on physical, mental, spiritual and social healing. Mission-driven The healthcare industry continues to experience significant changes. From high and rising costs to regulatory initiatives, these issues are causing hospitals and health systems to re-think who they are and how they want to deliver care. At Adventist Health, we are thriving and growing in the face of this transition by building on our legacy and reestablishing ourselves as the leader in physical, mental, spiritual and social health. We remain committed to "living God's love by inspiring health, wholeness and hope." Our mission represents the heart of our people. It expresses that we know the love of God and consistently reflect that love in our actions, relationships and work. Mission is the reason our organization exists. Community Health Development Words like prevention, wellness and partnerships are more than the latest buzzwords at Adventist Health. Since St. Helena Sanitarium opened its doors in 1878 in California's picturesque Napa Valley, the heritage of the Seventh-day Adventist Church has focused on whole-person health and well-being. Adventist Health not only strives to promote individual health and well-being but also the well-being of healthy families and communities a natural fit in today's population health environment. Adventist Health's mission is coupled with a vision to transform the health experience of our community by improving health and well-being, enhancing interactions and making care more accessible. Building healthy communities requires multiple stakeholders working together with a common purpose. Adventist Health has partnered with over 50 community churches and hundreds of organizations across the system to integrate community benefit programs in their communities. In Northern California, we are reaching out into our communities through the Street Nursing Program in Yuba City at Rideout Memorial and Project Restoration in Lake County. In Southern California we partnered with Showers of Hope to implement initiatives that increase access to care for homeless and vulnerable populations. In our Central California Region, we partnered with Kaiser Permanente Kern County to launch a mobile kitchen education program, Edible Schoolyard Kern County, to bring hands-on lessons and education to remote and rural locations. Adventist Health Portland in the Pacific Northwest Region recognizes that stable housing and food security is critical to the improvement of health outcomes. One population that is especially affected by the this are refugees. Adventist Health Portland provided 51 refugee families and four American families a community garden with a total of 42,000 square feet of growing space In 2019, Adventist Health improved its strategic goal to transform the health of its communities by engaging in local communities, investing in community well-being and serving the most vulnerable. Population Health Population health is a whole-person, outcomes-based approach that works to improve the health of entire communities. It requires collaboration among researchers, providers, public health entities and policy makers. Population health aligns with Adventist Health's philosophy of care and, as overall health declines in North America, provides unprecedented opportunities. Adventist Health believes that improving the health status of entire populations begins at home. In 2019, Adventist Health entered its seventh year of offering two health plans for employees and their families: the Engaged! Plan and Base Plan. Both plans offer wellness-focused programs and tools, including a wellness website, free health coaching services, fitness activities, nutrition guidance, smoking cessation workshops and more. Participants in the Engaged! Premier program (the voluntary wellness component of the Engaged! Plan) complete a free biometric screening and wellness assessment, and those with high-risk conditions take part in a free care management program that provides support and education. Nearly 94 percent of employees signed up for the Engaged! Premier Program! In 2019 and 4,778 members completed a biometric screening. Whole-person health involves mind, body and spirit. The health plans empower employees, their families and, by extension, the larger community to take an active role in managing their health so they may live vibrant and productive lives. Care Transformation Care Transformation in Adventist Health reflects our promise to deliver top decile safety and quality performance and top quartile in clinical operations. The transformation focuses on initiatives such as Clinical Leadership Development, High Reliability Organization, Patient Experience, Care Redesign, Population Health and Clinical Workforce. All these efforts focus on effectively blending people, processes and technology, and include consistent design, delivery and evaluation of care performance. Our caregivers are working hard every day to achieve the clinical goals and continue to spread our mission. Patient Safety & Quality Adventist Health focuses not only on patient safety and quality patient care, but also provides a quality work environment for its associates. Maintaining a culture of teamwork and safety among physicians, clinicians and associates is foundational to Care Transformation. For the past 10 years, Adventist Health has participated in the Culture of Safety survey, which provides insight into focused areas where actions can be taken to improve the safety and teamwork climate in clinical departments. Adventist Health hospitals received quality and safety awards from The Joint Commission, The LeapFrog Group, Healthgrades and Malcolm Baldrige. Physician Alignment Adventist Health operates 280 medical offices across the West Coast and Hawaii. These ambulatory care centers include Rural Health Clinics (RHC), hospital-based outpatient clinics (HBOC), employed physician models in Oregon and Hawaii, medical foundation in California and community health clinics. These medical offices offer primary care and more than 50 different specialties in medical offices large and small. We have more than 500 primary care providers and nearly 700 specialists providing services ranging from Addiction Medicine to Wound CareAudiology to Vascular Surgery. Adventist Health also provides much-needed dental care in nine of our rural communities. The providers in these medical offices are committed to providing best practice, quality-driven care with excellent health outcomes and exceptional patient experience. In each of the past four years we have provided more than two million patient visits in 2020 many of those visits shifted to virtual care to safely continue delivering care in the midst of the COVID-19 pandemic. Patient satisfaction scores skyrocketed as the communities we serve recognized how our physicians and associates were working diligently to get them the medical care they needed. The excellent experience our physicians and Advanced Practice Providers offer patients results in a patient satisfaction Star Rating of 4.6 out of 5 stars.
Form 990, Part III, Line 4a (continued):	Rural Health Clinics (RHC) As an extension of our mission, high quality services are provided to rural communities where access to care is often significantly more challenging than urban areas. At the end of 2019, we had 65 clinics providing health care to underserved populations throughout Northern and Central California, Hawaii and Oregon. Our system of rural health continues to be the largest network of clinics in the state of California (more than 10 percent of the RHCs in the state are part of Adventist Health). Our RHC network also is one of the largest in the country, representing almost one percent of the nation's RHCs. Adventist Health provides oversight services for all our RHCs to include financial monitoring, program audits, operational support, professional development, advocacy and education regarding new regulations. But the real evidence of success is the care provided, that includes 999,255 visits and 305,091 patients served in 2019. Thanks to the RHCs, many of these rural communities' most disenfranchised now have access to primary care, dentistry, women's and children's services and health education. Specialty care services are also available at many RHC locations, including 24 behavioral health programs. Home Care Services Adventist Health/Home Care Services offers advanced, quality health care in an at-home setting by operating 14 home health agencies and nine hospices. In 2019, care, compassion and quality services were provided with 207,578 home health visits and 74,767 hospice days. Many of the agencies provide specialized programs and treatment plans, such as pediatric, CHF, diabetes and palliative care. In addition to providing treatment or care management, we strive to improve overall quality of life, hasten recovery and positively influence the emotional, physical and spiritual well-being of our home care patients. Developing a Virtual Care Network The Adventist Health Virtual Care Network allows health care professionals to evaluate, diagnose and treat patients using telecommunications technology. Virtual Care is the umbrella term for the group of services and functions that include telemedicine, telepharmacy, teleICU, teleradiology, and telepathology, but which also includes and can support regional health information sharing, patient education and provider networking. Virtual Care provides patients with access to high-quality, affordable specialty care when and where they need it, aiding in rapid diagnosis, treatment and improved patient outcomes. This collaboration supports Adventist Health's mission of bringing high-quality health and healing to the communities it serves, and is consistent with the organization's focus on innovation, strategic growth and population health. Virtual Care services continued to grow in 2019 and took a huge leap in 2020 with the onset of the COVID-19 pandemic. Our clinics implemented virtual visits using Microsoft Teams as a means to safely continue caring for patients with primary care or chronic health needs. Our traditional telehealth visits combined with Teams visits totaled 45,791 in April and 36,295 in May. Inpatient virtual care continues to serve hundreds of patients. Thirteen hospitals use telehealth stroke services, seven hospitals use pediatric services, five sites use infectious disease services and ten sites use emergency psychiatry assessment services. Under an initiative with Blue Shield of California, funds from a USDA grant and hospital investment, telehealth equipment was provided for medical specialty outpatient care and deployed to 28 sites in California and Oregon including three non-Adventist Health sites. We are also positioned to grow in 2020 with six more sites being added, including in Hawaii. We continue to offer store and forward services for dermatology and diabetic retinopathy screenings, as well as peer-to-peer e-consults. A direct-to-consumer service we offer to Adventist Health employees, Adventist Health OnDemand, was expanded to consumers as well and communicated to our markets as an additional health care resource available amidst the pandemic. Adventist Health is a preferred provider for Virtual Care with the California Department of Corrections and Rehabilitation, serving multiple prison locations through the Virtual Care Care Coordination Center. Strategic Planning In 2020 Adventist Health adopted a 10-year strategic plan which continues our transition from hospital company to health company. Called by our mission of living God's love by inspiring health, wholeness, and hope, and fueled by our people, by 2030, Adventist Health will extend the breadth and depth of our reach, and disrupt the market with impactful and sustainable business models that enable us to grow to touch 10M lives and generate $10B in annual revenue at a 10% margin by: -Empowering individuals to realize their health goals by knowing their needs and delivering consumer-centric solutions - Enabling caregivers to lead disruption of care models to practice effectively and meet individuals' health needs - Leading transformational community movements to bring health and well-being within reach for everyone
Form 990, Part VI, Section A, line 4	The Organization's Bylaws were amended to consolidate execution of signature authority for the hospitals within the Adventist Health System/West service areas and to remove the President as an ex-officio member of the Board of Directors.
Form 990, Part VI, Section A, line 6	Individuals who represent the Seventh-day Adventist Church and lay people who are in good standing with the Seventh-day Adventist Church serve as members of Adventist Health System/West (the Organization") including the following: (a) the president, treasurer, and other other representative from both the offices of the Pacific Union and the North Pacific Union; (b) one representative from each of the local conferences of the Church in which affiliated health care facilities are located; (c) two representatives selected from among the colleges and universities affiliated with the Church and located in the Pacific Union or North Pacific Union; (d) the CEO of the Organization, plus three additional representatives of the management of the Organization; (e) three representatives selected from the presidents of the hospitals affiliated with the Organization; three healthcare leaders; (g) up to 16 lay representatives who do not belong to any of the other categories set forth but who otherwise meet the qualifications for membership. Annually, the members meet for the purpose of conducting the business of the membership. Actions are taken as required to enable Adventist Health System/West to continue operating in concert with its Articles and Bylaws.
Form 990, Part VI, Section A, line 7a	The Organization's Board of Directors consists of the following: (a) The president of the Pacific Union and North Pacific Union of the Seventh-day Adventist Church; (b) two presidents selected from among the local conferences of the Church in which are located affiliated health care institutions; (c) The CEO of the Organization; (d) the president of the Organization, if there is no president, such other persons as the memebership shall appoint; (e) two professional health care providers; and (f) seven lay representatives as elected by the membership.
Form 990, Part VI, Section A, line 7b	Amendments to the Organization's Bylaws require approval by the membership.
Form 990, Part VI, Section B, line 11b	This Form 990 including all supporting schedules was prepared by a public accounting firm, reviewed by the System Controller and Market Finance Officer, and shared by electronic communication with the Organization's Board of Directors prior to filing.
Form 990, Part VI, Section B, line 12c	During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, corporate officers, key employees, and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation to illustrate examples of a conflict and remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the CEO immediately. The statements are reviewed by the internal general counsel as part of the annual financial statement audit. For potential conflicts, the CEO or a designee will determine and present all relevant facts to the governing body for decision. After addressing any questions asked by the governing body, the responsible person must leave the meeting during the discussion of the matter that involves a conflict and during any vote on the matter.
Form 990, Part VI, Section B, line 15	The Organization's Board of Directors has established a Human Performance Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, including salary ranges for hospital presidents and finance officers that would be indicated by the data; evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data. The board-approved executive compensation philosophy specifies that salary ranges will be established for hospital executives, with midpoints aligned with the 50th percentile of comparable system hospital data, and having a 50 percent spread from minimum to maximum. A hospital CEO has a maximum potential incentive of 30 or 35 percent of base salary based upon size and scope of hospital (incentive potential is industry norm). Other hospital executives have a maximum potential incentive of 25 to 30 percent of base salary.
Form 990, Part VI, Section C, line 19	The Organization does not make its governing documents publicly available beyond required filings of Articles of Incorporation with the Secretary of State. The Organization does not make its Conflict of Interest Policy available to the public.
Form 990, Part VII:	In recognition of the time commitment directors make to serve on the Adventist Health System/West boards and committees, directors receive compensation when their employment agreements with their employers allow such payments. For those whose employers do not allow accepting compensation for board service, the funds are directly distributed to charitable organizations as mandated by their employment agreements. In addition, amounts paid for taxable benefits are also reported.
Form 990, Part IX, line 11g	Physician professional fees: Program service expenses 0. Management and general expenses 1,246,936. Fundraising expenses 0. Total expenses 1,246,936. Other medical professional fees: Program service expenses 0. Management and general expenses 29,825. Fundraising expenses 0. Total expenses 29,825. Consulting and other management fees: Program service expenses 718,988. Management and general expenses 18,536,243. Fundraising expenses 0. Total expenses 19,255,231. Other professional fees non-medical: Program service expenses 330,796. Management and general expenses 4,549,250. Fundraising expenses 0. Total expenses 4,880,046. Contract labor: Program service expenses 0. Management and general expenses 10,430,048. Fundraising expenses 0. Total expenses 10,430,048. Revenue cycle fees: Program service expenses 0. Management and general expenses 6,619,695. Fundraising expenses 0. Total expenses 6,619,695. Repairs & Maintenance: Program service expenses 71,517. Management and general expenses 643,657. Fundraising expenses 0. Total expenses 715,174. Cerner Management: Program service expenses 0. Management and general expenses 14,473,778. Fundraising expenses 0. Total expenses 14,473,778. Clinical Engineering: Program service expenses 34,376,045. Management and general expenses 0. Fundraising expenses 0. Total expenses 34,376,045. Communication and marketing: Program service expenses 16,157,140. Management and general expenses 8,504,754. Fundraising expenses 0. Total expenses 24,661,894. Human performance: Program service expenses 0. Management and general expenses 6,245,042. Fundraising expenses 0. Total expenses 6,245,042. Revenue Integrity: Program service expenses 0. Management and general expenses 3,734,799. Fundraising expenses 0. Total expenses 3,734,799. Health plan administration: Program service expenses 0. Management and general expenses 3,282,747. Fundraising expenses 0. Total expenses 3,282,747. Other purchased services: Program service expenses 13,191,521. Management and general expenses 7,234,494. Fundraising expenses 0. Total expenses 20,426,015.
Form 990, Part XI, line 9:	Net assets of Incentive Health, LLC -1,460,619.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Incentive Health LLC
PO Box 619135	Roseville	CA	95661	MSO	CA	$0	$3,976,777	Adventist Health SystemWest
Incentive Acute Care Network LLC
PO Box 619135	Roseville	CA	95661	Acute care network	CA	$0	$0	Adventist Health SystemWest

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Adventist Health Clearlake Hospital Inc
15630 18th Avenue	Clearlake	CA	95422	680395149	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Adventist Health Delano
PO Box 460	Delano	CA	93216	770258013	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Adventist Health Medical Center Tehachapi
1100 Magellan Drive	Tehachapi	CA	93561	812240617	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Adventist Health Physicians Network
PO Box 619135	Roseville	CA	95661	680357690	Medical foundation	CA	501(c)(3)	Line 12b, II	Adventist Health SystemWest	Yes (1)
Adventist Health Tulare
869 North Cherry Street	Tulare	CA	93274	832351753	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Castle Medical Center
640 Ulukahiki Street	Kailua	HI	96734	990107330	Hospital	HI	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Feather River Hospital
PO Box 619135	Roseville	CA	95661	941101228	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Fremont-Rideout Health Group
989 Plumas Street	Yuba City	CA	95991	942917251	Acute care hospital	CA	501(c)(3)	Line 12b, II	Stone Point Health	Yes (1)
Glendale Adventist Medical Center
1509 Wilson Terrace	Glendale	CA	91206	951816017	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Hanford Community Hospital
115 Mall Drive	Hanford	CA	93230	940535360	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Lodi Memorial Hospital Association Inc
975 S Fairmont Avenue	Lodi	CA	95240	941044474	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Northwest Medical Foundation of Tillamook
1000 Third Street	Tillamook	OR	97141	930622075	Hospital	OR	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Paradise Valley Hospital
PO Box 619135	Roseville	CA	95661	951816034	Discontinued Operations	CA	501(c)(3)	Line 1	Adventist Health SystemWest	Yes (1)
Portland Adventist Medical Center
10123 SE Market Street	Portland	OR	97216	930429015	Hospital	OR	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Reedley Community Hospital
372 Cypress Avenue	Reedley	CA	93654	453220509	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Rideout Memorial Hospital
989 Plumas Street	Yuba City	CA	95991	941387866	Acute care hospital	CA	501(c)(3)	Line 3	Fremont-Rideout Health Group	Yes (1)
San Joaquin Community Hospital
2615 Chester Avenue	Bakersfield	CA	93301	952294234	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Simi Valley Hospital and Health Care Services
2975 N Sycamore Drive	Simi Valley	CA	93065	956064971	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Sonora Community Hospital
1000 Greenley Road	Sonora	CA	95370	941415069	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
St Helena Hospital
10 Woodland Road	St Helena	CA	94574	941279779	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Stone Point Health
PO Box 619135	Roseville	CA	95661	823763347	Supporting organization	CA	501(c)(3)	Line 12b, II	Adventist Health SystemWest	Yes (1)
Ukiah Adventist Hospital
275 Hospital Drive	Ukiah	CA	95482	941639901	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
United Com-Serve
989 Plumas Street	Yuba City	CA	95991	943015356	Skilled nursing/assisted living/home health	CA	501(c)(3)	Line 12b, II	Fremont-Rideout Health Group	Yes (1)
Walla Walla General Hospital
PO Box 619135	Roseville	CA	95661	910617726	Hospital - closed July 2017	WA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Western Health Resources
PO Box 619135	Roseville	CA	95661	953867863	Home care	CA	501(c)(3)	Line 10	Adventist Health SystemWest	Yes (1)
White Memorial Medical Center
1720 Cesar E Chavez Avenue	Los Angeles	CA	90033	952282647	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Willits Hospital Inc
1 Marcela Drive	Willits	CA	95490	680108919	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
PVHR LLC dba Paradise Village
8440 SE Sunnybrook Blvd Suite 100	Clackmas	OR	97015	260622555	Real property rental	OR	Adventist Health SystemWest	Unrelated	$94,749	$27,234,446	0	$94,334	Yes (1)	0.50000
PVHR2 LLC dba Parkview at Paradise Village
8440 SE Sunnybrook Blvd Suite 100	Clackmas	OR	97015	473300170	Real property rental	OR	Adventist Health SystemWest	Unrelated	-$81,820	$4,200,102	0	-$81,345	Yes (1)	0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt
South Coast Medical Center
PO Box 619135	Roseville	CA	95661	952037291	Wind down after sale of hospital	CA	Adventist Health SystemWest	C	1.00000	0
AdHealth Limited
					Pure captive insurance		Adventist Health SystemWest	C	0.50000	Yes (1)	PO Box HM 2062	Hamilton	BD	HM HX	BD	$583,173	$1,370,051

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

Transactions Related Org TransactionsRelatedOrgGrp (83 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Adventist Health Clearlake Hospital Inc
L	$11,518,751	FMV
Adventist Health Medical Center Tehachapi
L	$3,366,193	FMV
Adventist Health Physicians Network
L	$7,435,930	FMV
Castle Medical Center
L	$18,580,923	FMV
Feather River Hospital
L	$4,161,919	FMV
Glendale Adventist Medical Center
L	$48,948,265	FMV
Hanford Community Hospital
L	$35,286,285	FMV
Lodi Memorial Hospital Association Inc
L	$26,298,653	FMV
Northwest Medical Foundation of Tillamook
L	$8,508,228	FMV
Portland Adventist Medical Center
L	$36,046,566	FMV
Reedley Community Hospital
L	$18,925,405	FMV
Rideout Memorial Hospital
L	$16,313,679	FMV
San Joaquin Community Hospital
L	$42,617,585	FMV
Simi Valley Hospital & Health Care Services
L	$15,731,038	FMV
Sonora Community Hospital
L	$29,148,370	FMV
St Helena Hospital
L	$28,912,679	FMV
Ukiah Adventist Hospital
L	$19,209,828	FMV
Western Health Resources
L	$1,973,312	FMV
White Memorial Medical Center
L	$45,241,204	FMV
Willits Hospital Inc
L	$7,351,516	FMV
Adventist Health Clearlake Hospital Inc
O	$1,108,697	FMV
Adventist Health Medical Center Tehachapi
O	$405,564	FMV
Adventist Health Tulare
O	$180,934	FMV
Castle Medical Center
O	$1,411,462	FMV
Feather River Hospital
O	$106,723	FMV
Glendale Adventist Medical Center
O	$3,399,525	FMV
Hanford Community Hospital
O	$2,259,354	FMV
Lodi Memorial Hospital Association Inc
O	$1,706,478	FMV
Northwest Medical Foundation of Tillamook
O	$718,520	FMV
Portland Adventist Medical Center
O	$3,353,940	FMV
Reedley Community Hospital
O	$377,247	FMV
San Joaquin Community Hospital
O	$2,348,903	FMV
Simi Valley Hospital & Health Care Services
O	$1,851,655	FMV
Sonora Community Hospital
O	$1,441,659	FMV
St Helena Hospital
O	$1,174,570	FMV
Ukiah Adventist Hospital
O	$1,054,073	FMV
Walla Walla General Hospital
O	$66,685	FMV
Western Health Resources
O	$1,150,864	FMV
White Memorial Medical Center
O	$5,156,501	FMV
Willits Hospital Inc
O	$715,863	FMV
Adventist Health Clearlake Hospital Inc
Q	$217,957	FMV
Castle Medical Center
Q	$137,042	FMV
Glendale Adventist Medical Center
Q	$430,225	FMV
Hanford Community Hospital
Q	$363,604	FMV
Lodi Memorial Hospital Association Inc
Q	$207,697	FMV
Northwest Medical Foundation of Tillamook
Q	$114,683	FMV
Portland Adventist Medical Center
Q	$531,264	FMV
Reedley Community Hospital
Q	$142,639	FMV
San Joaquin Community Hospital
Q	$258,447	FMV
Simi Valley Hospital & Health Care Services
Q	$219,994	FMV
Sonora Community Hospital
Q	$257,216	FMV
St Helena Hospital
Q	$176,127	FMV
Ukiah Adventist Hospital
Q	$213,586	FMV
Western Health Resources
Q	$263,525	FMV
White Memorial Medical Center
Q	$111,492	FMV
Willits Hospital Inc
Q	$70,036	FMV
AdHealth Limited
L	$1,214,763	FMV
Adventist Health Medical Center Tehachapi
R	$16,920,105	Cash transfer amount
Adventist Health Physicians Network
R	$11,420,845	Cash transfer amount
Castle Medical Center
R	$16,087,689	Cash transfer amount
Hanford Community Hospital
R	$47,714,622	Cash transfer amount
Northwest Medical Foundation of Tillamook
R	$10,675,399	Cash transfer amount
Portland Adventist Medical Center
R	$12,984,570	Cash transfer amount
Reedley Community Hospital
R	$23,516,677	Cash transfer amount
San Joaquin Community Hospital
R	$13,393,216	Cash transfer amount
Simi Valley Hospital & Health Care Services
R	$1,305,132	Cash transfer amount
Sonora Community Hospital
R	$25,107,956	Cash transfer amount
Ukiah Adventist Hospital
R	$10,052,018	Cash transfer amount
Walla Walla General Hospital
R	$301,770	Cash transfer amount
White Memorial Medical Center
R	$155,647,057	Cash transfer amount
Willits Hospital Inc
R	$3,377,609	Cash transfer amount
Adventist Health Clearlake Hospital Inc
S	$2,831,038	Cash transfer amount
Adventist Health Plan
S	$3,060,251	Cash transfer amount
Adventist Health Tulare
S	$32,717,189	Cash transfer amount
Feather River Hospital
S	$18,880,382	Cash transfer amount
Fremont-Rideout Health Group
S	$11,670,649	Cash transfer amount
Glendale Adventist Medical Center
S	$10,780,495	Cash transfer amount
Lodi Memorial Hospital Association Inc
S	$50,043,904	Cash transfer amount
Rideout Memorial Hospital
S	$45,133,709	Cash transfer amount
South Coast Medical Center
S	$601,992	Cash transfer amount
St Helena Hospital
S	$6,214,337	Cash transfer amount
United Com-Serve
S	$55,771,404	Cash transfer amount
Western Health Resources
S	$11,429,423	Cash transfer amount