2020-11-10T16:11:45-06:00 2019-12-31 910189318 Moss Adams LLP 3121 W March Ln Ste 200 Stockton CA 952192367 990 2019-01-01 953484589 Adventist Health SystemWest ADVE 9164060000 PO Box 619135 Roseville CA 95661 Todd Hofheins Chief Financial Officer 9164060000 2020-10-29 1 Tracy S Paglia P00366884 2099556100 2020-10-29 172.9.161.112 2020-10-29 16:08:40 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 2CA4604677747A1B8287DC7DD1B2F222DAF5CAE3 2019 2021-01-29 14:40:06Z Adventist Health Scott Reiner PO Box 619135 Roseville CA 95661 418436021 0 1071 X www.adventisthealth.org/ X 1980 CA Living God's love by inspiring health, wholeness and hope. 14 12 3310 0 5368897 979721 21065390 795492 245806456 344940537 16485256 13808361 1387050 15364321 284744152 374908711 7664910 4770896 0 0 223802819 260843076 0 0 8477 144152789 258399416 375620518 524013388 -90876366 -149104677 1914161010 2329560827 2091389972 2597540161 -177228962 -267979334 X Living God's love by inspiring health, wholeness and hope. 0 0 195901228 4770896 344940537 See Schedule O 195901228 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 3079 0 1 3310 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 14 12 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CA X Jay Lipps VP System Controller 9164061092 PO Box 619135 Roseville CA 95661 X Ferch Wayne President, CCR 50.00 0.00 X 4448122 0 47838 Raffoul John FO, SCR/President 50.00 0.00 X 2777039 0 228271 Reiner Scott CEO 50.00 0.00 X X 1995696 0 53734 Wing Bill Dir/CFO/Asst Secretary 50.00 0.00 X X 1572254 0 46583 Russell David Physician, AHLM thru 05/19 50.00 0.00 X 1500614 0 44751 Jahn Andrew President, SCR 50.00 0.00 X 1254944 0 59912 Reppert Joseph CFO/Asst Secr thru 08/2019 50.00 0.00 X 1209069 0 57565 Conklin Jeffrey Payer Strategy Exec thru 07/19 50.00 0.00 X 1170941 0 57626 Eller Jeff President, NCR 50.00 0.00 X 1172082 0 40197 El-Asmar Hoda Chief Clinical Officer 50.00 0.00 X 1158336 0 38695 Larsen David Sr Finance Officer 50.00 0.00 X 777379 0 316645 Ashlock Mark Ambulatory/Post-Acute President 50.00 0.00 X 993924 0 45909 Olson Joaline Chief Human Performance Officer, AHRS thru 08/19 50.00 0.00 X 915650 0 48741 Newmyer Joyce President, PNR 50.00 0.00 X 871962 0 53734 Nahapetian Arby Medical Officer, SCR 50.00 0.00 X 841794 0 58842 Zachary Beth Former President, SCR thru 01/18 0.00 0.00 X 840555 0 47667 Beaman John Chief Business Officer 50.00 0.00 X 823889 0 43310 Church Lowell VP Material Management thru 03/19 50.00 0.00 X 812713 0 44802 Wagner Jack Former CFO/Asst Secr thru 03/18 0.00 0.00 X 778475 0 29189 Issai Alice President, AHGL 50.00 0.00 X 768942 0 29127 Wolcott Daniel President, AHLM 50.00 0.00 X 722077 0 59517 Jobe Meredith Secretary 50.00 0.00 X 730385 0 45909 Rawson Richard President, AHRO 50.00 0.00 X 740386 0 28958 Beehler Robert Mkt Dev, M&A Exec 50.00 0.00 X 716790 0 45909 Briggs Sharlet President, AHBD 50.00 0.00 X 711824 0 41433 Raethel Kathryn President, AHCS 50.00 0.00 X 702284 0 48558 Byrnes John Medical Officer, NCR 50.00 0.00 X 718300 0 29813 Bancarz Gloria System Chief Quality Officer 50.00 0.00 X 713985 0 31591 Chen Steven Finance Officer, CCR 50.00 0.00 X 671517 0 59363 Fink Matthew Chief Information Officer 50.00 0.00 X 671660 0 55032 Kofl Andrea President, AHHF 50.00 0.00 X 673752 0 48741 Knittel Monty Former President, AHFR thru 08/18 0.00 0.00 X 452036 0 29203 Reiner Richard Director 4.00 0.00 X 28588 0 0 Davis Andrew Director 4.00 0.00 X 28246 0 0 Cherry Robert Director 4.00 0.00 X 26315 0 0 Heinrich Kerry Director 4.00 0.00 X 20102 0 0 Innocent Larry Director 4.00 0.00 X 18852 0 0 Woodson Marc Director 4.00 0.00 X 15000 0 0 Graham Ricardo Director/Chair 4.00 0.00 X X 8848 0 0 Banks David Director 4.00 0.00 X 6382 0 0 Freedman John Director/Vice Chair 4.00 0.00 X X 2367 0 0 Salazar Velino Director 4.00 0.00 X 553 0 0 Ocampo Lucy Director 4.00 0.00 X 0 0 0 Philip Celeste Director 4.00 0.00 X 0 0 0 35064629 0 1917165 586 1 1 0 Swinerton Builders 15 Business Park Way Suite 101 Sacramento CA 95828 Construction 29854195 Cerner Corporation 2800 Rockcreek Parkway Kansas City MO 64117 IT Solutions Management 7794126 Systems Source Inc 4685 MacArthur Court Suite 100 Newport Beach CA 92660 Workspace Management 5690739 Signtech Electrical Advertising Inc 4444 Federal Boulevard San Diego CA 92102 Advertising 4472038 Huron Consulting Group Inc 3005 Momentum Place Chicago IL 60689 Operations Managment 3750000 104 795492 795492 Management fees 900099 321149877 316677059 4472818 Partnership income related progra 541900 19415304 18519225 896079 Other program service rev 900099 4375356 4375356 344940537 5248229 5248229 672027 672027 72500 0 72500 72500 72500 37032891 14381977 38186740 5340023 -1153849 9041954 7888105 7888105 6630 547 6083 6083 Vendor rebates 900099 20433537 20433537 Loss on debt refinancing 900099 -5147799 -5147799 15285738 374908711 339571640 5368897 29172682 X 1584025 1584025 3186871 3186871 28239159 28239159 2177125 2177125 181219718 39631184 141581773 6761 7478701 4352360 3126341 28263219 7204969 21056560 1690 13465154 2921878 10543276 151989 5675 146314 8530559 215087 8315472 1887059 1887059 210561 210561 150377275 64846007 85531268 3513222 2111674 1401548 6846916 3267596 3579294 26 10223054 5603451 4619603 14407030 13610190 796840 5699448 1763309 3936139 739104 104883 634221 17543920 17543849 71 25322313 22186432 3135881 266767 228624 38143 Patient care supplies 1535316 1181473 353843 Income taxes 798515 798515 Rental/lease costs equi 734881 378832 356049 9611487 786658 8824829 524013388 195901228 328103683 8477 23391 0 250105247 284018550 0 27871 56142 17058 38199866 54227593 21035061 6812192 35291801 42824285 530356960 199888968 291963066 330467992 1239166048 1532854443 7451447 11609673 30868941 66701170 1914161010 2329560827 261012245 219704780 1159038461 2141149922 163555928 0 507783338 236685459 2091389972 2597540161 X -182485199 -270248542 5256237 2269208 -177228962 -267979334 1914161010 2329560827 X -149104677 59814924 -1460619 X 0 1 X 1 0 X 100 50000 96561 7311552 795492 8253705 293372514 289039507 263827180 241640379 339571640 1427451220 293372614 289089507 263923741 248951931 340367132 1435704925 6349290 4259278 6178041 8120494 24907103 0 6349290 4259278 6178041 8120494 24907103 1410797822 50242418 57028162 8329768 2629457 5992756 124222561 50242418 57028162 8329768 2629457 5992756 124222561 549535 272887 517858 573287 0 1913567 1650159 1997795 660599 15292368 19600921 345814726 348388351 272771367 252815274 361652256 1581441974 0.89210 0.87870 0.07860 0.10600 X Schedule A, Part III, Line 12, Explanation of Other Income: Settlement proceeds Gain on debt refinancing Miscellaneous revenue RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 210561 210561 0 Part II-B, Line 1: 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. 3006309 795400 3399636 3782429 3418916 1146338 7277972 -3327136 2090865 3006309 1131235 96561 18082 94541 4999 1146338 1114944 50000 21830 55539 1131235 1140516 100 26705 52377 1114944 0.33630 0.00000 0.66370 0 0 32721523 32721523 119983855 2346971 117636884 1449971 475899 974072 347724913 197066098 150658815 28476698 28476698 330467992 Malpractice liability 101966461 Workers' compensation liability 63487984 Payables to related organizations 60133539 Other liabilities 11097475 236685459 X 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. Central America and the Caribbean 0 0 Program services Mission Trip 41020 Central America and the Caribbean 0 0 Program services Administration, legal and accounting fees 57500 Central America and the Caribbean 0 0 Program services Reinsurance fees 1214763 Central America and the Caribbean 0 0 Investments in region N/A 47294145 0 0 0 0 0 0 48607428 0 48607428 1 0 1 0 0 0 Part I, line 3: Accrual method Part III Accounting Method: 1 African Mission Services of USA PO Box 906 Chattanooga CA 37401 260334267 501(c)(3) 10000 General Support AltaMed Health Services Corporation 2040 Camfield Avenue Los Angeles CA 90040 952810095 501(c)(3) 10000 General Support California Health Foundation & Trust 1215 K Street Suite 800 Sacramento CA 95814 941498697 501(c)(3) 137199 General Support Enloe Medical Center 1531 Esplanade Chico CA 95926 941603784 501(c)(3) 32130 2018 Camp Fire Relief Fund Eureka Schools Foundation PO Box 2444 Granite Bay CA 95746 680280171 501(c)(3) 10000 General Support Extreme Productions LLC 1001 Enterprise Way Suite 200 Roseville CA 95678 59702 2018 Camp Fire Relief Fund Fremont Rideout Foundation 414 G Street Marysville CA 95901 237366330 501(c)(3) 10000 General Support Lodi Memorial Hospital Foundation Inc 845 S Fairmont Avenue Suite 3 Lodi CA 95240 942719880 501(c)(3) 10000 General Support Loma Linda Univ Childrens Hospital Foundation Inc PO Box 926 Loma Linda CA 92354 330565591 501(c)(3) 10000 General Support Make A Wish Northeastern and Central California and Northern Nevada 2800 Club Center Drive Sacramento CA 95835 680027351 501(c)(3) 10000 General Support NAAAHHR PO Box 311395 Atlanta GA 31131 522122803 501(c)(3) 12000 General Support Newbury Park Adventist Academy 180 Academy Drive Newbury Park CA 91320 951816063 501(c)(3) 10000 General Support Outfront Media Sports Inc PO Box 33074 Newark NJ 07188 770141025 45000 General Support Paradise Adventist Church 5720 Academy Drive Paradise CA 95969 941702441 501(c)(3) 62000 2018 Camp Fire Relief Fund Saint Johns Program for Real Change 2443 Fair Oaks Boulevard 369 Sacramento CA 95825 680132934 501(c)(3) 10000 General Support SonBridge Community Center 1200 SE 12th Street Suite 1 College Place WA 99324 202958334 150000 Community Outreach Southeastern California Conference Of Seventh Day Adventists 11330 Pierce Street Riverside CA 92505 951816050 501(c)(3) 10000 General Support The Celebration 12005 Meridian Rd Chico CA 95973 10000 2018 Camp Fire Relief Fund The Ebeling Group Inc 628 California Ave Venice CA 90291 400001837 20000 General Support The One Project 1312 17th Street Suite 753 Denver CO 80202 475638974 501(c)(3) 10000 General Support Walla Walla University 204 S College Avenue College Place WA 99324 910617727 501(c)(3) 100000 General Support 16 5 Camp Fire Assistance 450 3186871 Part I, Line 2: 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. X X 1 1 X X X X 1 1 0 0 0 0 0 0 0 Ferch Wayne President, CCR 932651 0 191401 0 3324070 0 16782 0 31056 0 4495960 0 3180848 0 Raffoul John FO, SCR/President 545731 0 198623 0 2032685 0 197015 0 31256 0 3005310 0 1893381 0 Reiner Scott CEO 1510024 0 420315 0 65357 0 16782 0 36952 0 2049430 0 0 0 Wing Bill Dir/CFO/Asst Secretary 1200390 0 318717 0 53147 0 16782 0 29801 0 1618837 0 0 0 Russell David Physician, AHLM thru 05/19 190852 0 32065 0 1277697 0 16528 0 28223 0 1545365 0 943452 0 Jahn Andrew President, SCR 811125 0 201952 0 241867 0 16782 0 43130 0 1314856 0 0 0 Reppert Joseph CFO/Asst Secr thru 08/2019 581409 0 187572 0 440088 0 16782 0 40783 0 1266634 0 0 0 Conklin Jeffrey Payer Strategy Exec thru 07/19 632424 0 121586 0 416931 0 16782 0 40844 0 1228567 0 0 0 Eller Jeff President, NCR 868316 0 193574 0 110192 0 16782 0 23415 0 1212279 0 0 0 El-Asmar Hoda Chief Clinical Officer 790010 0 191190 0 177136 0 16782 0 21913 0 1197031 0 0 0 Larsen David Sr Finance Officer 536325 0 110451 0 130603 0 276207 0 40438 0 1094024 0 0 0 Ashlock Mark Ambulatory/Post-Acute President 741578 0 199787 0 52559 0 16782 0 29127 0 1039833 0 0 0 Olson Joaline Chief Human Performance Officer, AHR 492487 0 174923 0 248240 0 16782 0 31959 0 964391 0 0 0 Newmyer Joyce President, PNR 706207 0 125111 0 40644 0 16782 0 36952 0 925696 0 0 0 Nahapetian Arby Medical Officer, SCR 556818 0 153586 0 131390 0 16782 0 42060 0 900636 0 0 0 Zachary Beth Former President, SCR thru 01/18 0 0 0 0 840555 0 11540 0 36127 0 888222 0 0 0 Beaman John Chief Business Officer 630899 0 156479 0 36511 0 0 0 43310 0 867199 0 0 0 Church Lowell VP Material Management thru 03/19 83416 0 50035 0 679262 0 14313 0 30489 0 857515 0 372708 0 Wagner Jack Former CFO/Asst Secr thru 03/18 0 0 0 0 778475 0 0 0 29189 0 807664 0 0 0 Issai Alice President, AHGL 576442 0 77330 0 115170 0 0 0 29127 0 798069 0 0 0 Wolcott Daniel President, AHLM 469178 0 109652 0 143247 0 16782 0 42735 0 781594 0 0 0 Jobe Meredith Secretary 524870 0 65461 0 140054 0 16782 0 29127 0 776294 0 0 0 Rawson Richard President, AHRO 546538 0 90538 0 103310 0 0 0 28958 0 769344 0 0 0 Beehler Robert Mkt Dev, M&A Exec 492464 0 105286 0 119040 0 16782 0 29127 0 762699 0 0 0 Briggs Sharlet President, AHBD 473191 0 107747 0 130886 0 16782 0 24651 0 753257 0 0 0 Raethel Kathryn President, AHCS 462272 0 59396 0 180616 0 16782 0 31776 0 750842 0 0 0 Byrnes John Medical Officer, NCR 493269 0 77663 0 147368 0 1523 0 28290 0 748113 0 0 0 Bancarz Gloria System Chief Quality Officer 476605 0 119417 0 117963 0 16782 0 14809 0 745576 0 0 0 Chen Steven Finance Officer, CCR 472282 0 90908 0 108327 0 16782 0 42581 0 730880 0 0 0 Fink Matthew Chief Information Officer 465674 0 105782 0 100204 0 16782 0 38250 0 726692 0 0 0 Kofl Andrea President, AHHF 475048 0 75240 0 123464 0 16782 0 31959 0 722493 0 0 0 Knittel Monty Former President, AHFR thru 08/18 0 0 36632 0 415404 0 0 0 29203 0 481239 0 0 0 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 A CSCDA Series A 2007 680164610 1307957C5 2007-05-08 57500000 See Part VI 0 0 0 B CHFFA Series B 2009 521643828 13033LBC0 2009-05-20 30000000 See Part VI 0 0 0 C CHFFA Series C 2009 521643828 13033F8B9 2009-05-20 56309648 See Part VI 0 0 0 D CHFFA Series C 2011 521643828 000000000 2011-06-09 130000000 See Part VI 0 0 0 A 15445000 57500000 643910 1409177 4480297 50966616 2010 0 0 1 1 B 30000000 216916 29783084 2009 0 0 1 1 C 52495000 56309648 1173608 559042 55750607 2009 1 0 1 1 D 30200000 130000000 478200 129521800 2015 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 1 1 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 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. A CHFFA Series A 2013 521643828 13033LS65 2013-02-14 208420907 See Part VI 0 0 0 B CHFFA Series A 2013 521643828 13033LS57 2013-02-14 100741934 See Part VI 0 0 0 C CSCDA Series A 2015 680164610 13080SJL9 2015-06-30 157990834 See Part VI 0 0 0 D CSCDA Series A 2015 680164610 13080SJM7 2015-06-30 42422999 See Part VI 0 0 0 A 16252500 208420907 979977 207440930 2016 1 0 1 1 B 8372500 100741934 741934 100000000 2016 1 0 1 1 C 11142300 157990834 1493445 9150 156488239 1 0 1 1 D 3142700 42422999 420423 2576 42000000 2019 1 0 1 1 A 0 1 0 0 0.00000 0.00020 0.00020 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 1 0 0 0.00000 0.00020 0.00020 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A CHFFA Series A 2016 521643828 13032UGL6 2016-09-08 309720490 See Part VI 0 0 0 B CSCDA Series A 2018 680164610 13080SWK6 2018-09-27 272074615 See Part VI 0 0 0 C HFA Multnomah 2019 931266280 62551PCX3 2019-11-13 60886489 See Part VI 0 0 0 A 21020000 309720490 2280369 307440121 2016 1 1 1 1 B 115000 272074615 2098459 242976156 27000000 2019 0 1 1 1 C 60886489 493229 60393260 2019 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 Ashlock M Key employee Relocation X 118000 110000 0 1 1 Ashlock M Key employee Supplemental retirement CASD X 3469990 3689239 0 1 1 Asmar H Key employee Relocation X 150000 146400 0 1 1 Beaman J Key employee Relocation X 125000 93650 0 1 1 Beaman J Key employee Supplemental retirement CASD X 2288953 2336019 0 1 1 Beehler B Key employee Relocation X 100000 83000 0 1 1 Eller J Key employee Relocation X 300000 287100 0 1 1 Eller J Key employee Supplemental retirement CASD X 7585055 7881954 0 1 1 Ferch W Key employee Relocation X 150000 124500 0 1 1 Ferch W Key employee Supplemental retirement CASD X 6470450 6521989 0 1 1 Fink M Key employee Relocation X 100000 96800 0 1 1 Jobe M Officer Relocation X 100000 86200 0 1 1 Newmyer J Key employee Relocation X 150000 139200 0 1 1 Newmyer J Key employee Supplemental retirement CASD X 4170066 4433539 0 1 1 Olson J Key employee Relocation X 200000 58500 0 1 1 Olson J Key employee Supplemental retirement CASD X 1735225 1844864 0 1 1 Reiner S Officer Supplemental retirement CASD X 8219555 8601963 0 1 1 Reppert J Officer Relocation X 150000 145000 0 1 1 Reppert J Officer Relocation X 50000 48200 0 1 1 Wagner J Officer Supplemental retirement CASD X 6216544 6609331 0 1 1 Wing B Officer Relocation X 200000 192600 0 1 1 Wing B Officer Supplemental retirement CASD X 6798539 7123608 0 1 1 Zachary B Key employee Supplemental retirement CASD X 1888277 2007587 0 1 1 Jahn A Key employee Relocation X 400000 397750 0 1 0 Larsen D Key employee Relocation X 150000 149500 0 1 1 Larsen D Key employee Relocation X 225000 225000 0 1 1 Raethel K Former key employee Relocation X 61050 12050 0 1 1 Rawson R Key employee Relocation X 100000 98050 0 1 1 Wolcott D Key employee Relocation X 200000 190400 0 1 1 Byrnes J Key employee Relocation X 200000 198200 0 1 1 Chen S Key employee Relocation X 150000 150000 0 1 1 Briggs S Key employee Relocation X 150000 145400 0 1 1 54227593 Beehler Matthew Family member of Key EE, B. Beehler 303947 Employment 0 Bancarz Michelle Family member of Key EE, G. Bancarz 130613 Employment 0 Bancarz Theodore Family member of Key EE, G. Bancarz 106225 Employment 0 Eller Eric Family member of Key EE, J. Eller 70834 Employment 0 Dickinson Brett Family member of Key EE, C. Dickinson 86386 Employment 0 Ferch Josiah Family member of Key EE, W. Ferch 62021 Employment 0 PVHR LLC Greater than 35% owned by former Director, M. Gabriel and family members 158293 Interest 0 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. 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. Incentive Health LLC PO Box 619135 Roseville CA 95661 MSO CA 0 3976777 Adventist Health SystemWest Incentive Acute Care Network LLC PO Box 619135 Roseville CA 95661 Acute care network CA 0 0 Adventist Health SystemWest Adventist Health Clearlake Hospital Inc 15630 18th Avenue Clearlake CA 95422 680395149 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Adventist Health Delano PO Box 460 Delano CA 93216 770258013 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Adventist Health Medical Center Tehachapi 1100 Magellan Drive Tehachapi CA 93561 812240617 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Adventist Health Physicians Network PO Box 619135 Roseville CA 95661 680357690 Medical foundation CA 501(c)(3) Line 12b, II Adventist Health SystemWest 1 Adventist Health Tulare 869 North Cherry Street Tulare CA 93274 832351753 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Castle Medical Center 640 Ulukahiki Street Kailua HI 96734 990107330 Hospital HI 501(c)(3) Line 3 Adventist Health SystemWest 1 Feather River Hospital PO Box 619135 Roseville CA 95661 941101228 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 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 1 Glendale Adventist Medical Center 1509 Wilson Terrace Glendale CA 91206 951816017 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Hanford Community Hospital 115 Mall Drive Hanford CA 93230 940535360 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Lodi Memorial Hospital Association Inc 975 S Fairmont Avenue Lodi CA 95240 941044474 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Northwest Medical Foundation of Tillamook 1000 Third Street Tillamook OR 97141 930622075 Hospital OR 501(c)(3) Line 3 Adventist Health SystemWest 1 Paradise Valley Hospital PO Box 619135 Roseville CA 95661 951816034 Discontinued Operations CA 501(c)(3) Line 1 Adventist Health SystemWest 1 Portland Adventist Medical Center 10123 SE Market Street Portland OR 97216 930429015 Hospital OR 501(c)(3) Line 3 Adventist Health SystemWest 1 Reedley Community Hospital 372 Cypress Avenue Reedley CA 93654 453220509 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 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 1 San Joaquin Community Hospital 2615 Chester Avenue Bakersfield CA 93301 952294234 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 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 1 Sonora Community Hospital 1000 Greenley Road Sonora CA 95370 941415069 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 St Helena Hospital 10 Woodland Road St Helena CA 94574 941279779 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Stone Point Health PO Box 619135 Roseville CA 95661 823763347 Supporting organization CA 501(c)(3) Line 12b, II Adventist Health SystemWest 1 Ukiah Adventist Hospital 275 Hospital Drive Ukiah CA 95482 941639901 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 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 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 1 Western Health Resources PO Box 619135 Roseville CA 95661 953867863 Home care CA 501(c)(3) Line 10 Adventist Health SystemWest 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 1 Willits Hospital Inc 1 Marcela Drive Willits CA 95490 680108919 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 PVHR LLC dba Paradise 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