ADVENTIST HEALTH SYSTEM-WEST: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: ADVENTIST HEALTH SYSTEM-WEST (EIN 95-3484589)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-14
IRS object ID: 201923189349309692
Schema version: 2018v3.1
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	2019-11-14T14:49:09-06:00	ReturnTs
Tax Period End	2018-12-31	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	2018-01-01	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	Bill Wing	PersonNm
Person Title	Chief Financial Officer	PersonTitleTxt
Phone	9164060000	PhoneNum
Signature	2019-11-10	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	2019-11-10	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	12.129.4.210	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-10	IPDt
IP Tm	15:29:04	IPTm
IP Timezone	PS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	F565611BDA9E00D03FA055086BAA92DB14EC1355	AtSubmissionCreationDeviceId
At Submission Filing Device Id	2CA4604677747A1B8287DC7DD1B2F222DAF5CAE3	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-04-17 16:48:07Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd

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	$403,095,376	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	12	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	2002	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$6,626,269	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,461,897	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$96,561	PYContributionsGrantsAmt
CY Contributions Grants	$21,065,390	CYContributionsGrantsAmt
PY Program Service Revenue	$266,072,501	PYProgramServiceRevenueAmt
CY Program Service Revenue	$245,806,456	CYProgramServiceRevenueAmt
PY Investment Income	$37,623,779	PYInvestmentIncomeAmt
CY Investment Income	$16,485,256	CYInvestmentIncomeAmt
PY Other Revenue	$1,700,332	PYOtherRevenueAmt
CY Other Revenue	$1,387,050	CYOtherRevenueAmt
PY Total Revenue	$305,493,173	PYTotalRevenueAmt
CY Total Revenue	$284,744,152	CYTotalRevenueAmt
PY Grants And Similar Paid	$519,657	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$7,664,910	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$173,221,246	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$223,802,819	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$198,402,859	PYOtherExpensesAmt
CY Other Expenses	$144,152,789	CYOtherExpensesAmt
PY Total Expenses	$372,143,762	PYTotalExpensesAmt
CY Total Expenses	$375,620,518	CYTotalExpensesAmt
PY Revenues Less Expenses	-$66,650,589	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$90,876,366	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,097,917,902	TotalAssetsBOYAmt
Total Assets EOY	$1,914,161,010	TotalAssetsEOYAmt
Total Liabilities BOY	$2,146,305,706	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,091,389,972	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$48,387,804	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$177,228,962	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	$110,949,678	ExpenseAmt
Grant	$7,664,910	GrantAmt
Revenue	$245,806,456	RevenueAmt
Desc	See Schedule O	Desc
Total Program Service Expenses	$110,949,678	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
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	0	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 With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
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	2890	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2002	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	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	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	9167465932	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 (47 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Banks David
Director	4.00	0.00	Yes (X)	$27,620	$0	$0
Cherry Robert
Director	4.00	0.00	Yes (X)	$25,126	$0	$0
Davis Andrew
Director	4.00	0.00	Yes (X)	$24,002	$0	$0
Freedman John
Director/Vice Chair	4.00	0.00	Yes (X)	$718	$0	$0
Gabriel Melody
Director thru 12/2018	4.00	0.00	Yes (X)	$20,464	$0	$0
Graham Ricardo
Director/Chair	4.00	0.00	Yes (X)	$1,442	$0	$0
Heinrich Kerry
Director	4.00	0.00	Yes (X)	$20,485	$0	$0
Innocent Larry
Director	4.00	0.00	Yes (X)	$31,885	$0	$0
Pedersen James
Director thru 07/2018	4.00	0.00	Yes (X)	$3,625	$0	$0
Reiner Richard
Director	4.00	0.00	Yes (X)	$27,964	$0	$0
Reiner Scott
CEO	50.00	0.00	Yes (X)	$2,458,436	$0	$44,472	Yes (X)
Rippey Wesley
Director thru 05/2018	50.00	0.00	Yes (X)	$623,943	$0	$47,568
Salazar Velino
Director	4.00	0.00	Yes (X)	$1,542	$0	$0
Wing Bill
Director/President	50.00	0.00	Yes (X)	$1,875,311	$0	$49,315	Yes (X)
Jobe Meredith
Secretary	50.00	0.00		$666,615	$0	$38,328	Yes (X)
Reppert Joseph
CFO/Asst Secr	50.00	0.00		$953,615	$0	$46,846	Yes (X)
Wagner Jack
CFO/Asst Secr thru 03/2018	50.00	0.00		$1,332,908	$0	$34,076	Yes (X)
Ashlock Mark
SR VP Physician Strategy	50.00	0.00		$1,287,879	$0	$38,328		Yes (X)
Asmar Hoda
SR VP CCO	50.00	0.00		$966,689	$0	$202		Yes (X)
Bancarz Gloria
VP/CNO	50.00	0.00		$733,406	$0	$27,770		Yes (X)
Beaman John
VP Finance/SFO	50.00	0.00		$870,039	$0	$49,956		Yes (X)
Beehler Robert
VP Mkt Dev, M&A	50.00	0.00		$727,250	$0	$37,750		Yes (X)
Church Lowell
VP Material Management	50.00	0.00		$467,398	$0	$38,035		Yes (X)
Conklin Jeffrey
VP/Pres Managed Care	50.00	0.00		$855,173	$0	$51,458		Yes (X)
Dickinson Chip
VP Business Solutions	50.00	0.00		$610,348	$0	$41,645		Yes (X)
Eller Jeff
SR VP/Pres, NCR	0.00	50.00		$1,176,550	$0	$38,127		Yes (X)
Ferch Wayne
SR VP/Pres, CCR	0.00	50.00		$1,232,626	$0	$21,068		Yes (X)
Fink Matthew
CIO	50.00	0.00		$566,840	$0	$41,549		Yes (X)
Gordon Daniel
VP Financial SRVS	50.00	0.00		$523,670	$0	$1,102,151		Yes (X)
Gustin John
VP Facilities, Const, RE	50.00	0.00		$520,317	$0	$38,064		Yes (X)
Jakobsen Dag
VP/COO, AHPS	0.00	50.00		$726,260	$0	$27,595		Yes (X)
Marchuk Robert
VP Ancillary Services	50.00	0.00		$475,837	$0	$46,588		Yes (X)
Newmyer Joyce
SR VP/Pres, PNR	0.00	50.00		$1,166,598	$0	$42,409		Yes (X)
Olson JoAline
SR VP/CHPIO	50.00	0.00		$1,114,993	$0	$40,827		Yes (X)
Tetz Doris
VP Talent & Strategy	50.00	0.00		$509,317	$0	$37,629		Yes (X)
Wilson Kathleen
VP Benefits Admin	50.00	0.00		$523,329	$0	$27,477		Yes (X)
Zachary Beth
President, SCR thru 01/2018	0.00	50.00		$1,310,580	$0	$42,365		Yes (X)
Knittel Monty
President, AHFR thru 09/2018	0.00	50.00		$1,914,874	$0	$38,363			Yes (X)
Nahapetian Arby
Region Medical Officer, SCR	0.00	50.00		$966,535	$0	$51,169			Yes (X)
Raethel Kathryn
President, AHCS	0.00	50.00		$2,528,851	$0	$19,042			Yes (X)
Raffoul John
Former President, WMMC	0.00	50.00		$842,389	$0	$442,687			Yes (X)
Chilton Harold
Interim Pres, AHFR	0.00	50.00		$612,398	$0	$38,665			Yes (X)
Doram Keith
Former VP Clin Effectiveness	0.00	0.00		$247,279	$0	$10,334				Yes (X)
Erich Kevin
Former Interim Executive, AHHM	0.00	0.00		$1,799,057	$0	$0				Yes (X)
McKague Kirby
Former VP/CFO AHPN	0.00	0.00		$367,672	$0	$19,488				Yes (X)
Russell Thomas
Former VP POP Hlth Innov	0.00	0.00		$2,074,545	$0	$0				Yes (X)
Soderblom Alan
Former VP/CIO	0.00	0.00		$205,398	$0	$12,413				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$36,019,798	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,683,759	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	550	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	$60,943,933
Cerner Corporation
2800 Rockcreek Parkway	Kansas City	MO	64117	IT Solutions Management	$35,367,007
Deloitte Consulting LLP
980 9th Street Suite 1800	Sacramento	CA	95814	Healthcare Consulting	$8,397,241
Brown Parker & Damarinis
620 Newport Center Drive	Newport Beach	CA	92660	Healthcare Marketing	$4,450,891
Quest Media & Supplies Inc
5822 Roseville Road	Sacramento	CA	95842	Contract Labor	$3,270,252

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	120	CntrctRcvdGreaterThan100KCnt
Related Organizations	$13,753,838	RelatedOrganizationsAmt
All Other Contributions	$7,311,552	AllOtherContributionsAmt
Total Contributions	$21,065,390	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Management fees	900099	$224,526,158	$219,270,926	$5,255,232
Partnership income related progra	541900	$19,055,126	$18,440,620	$614,506
Other program service rev	900099	$2,225,172	$2,225,172

Field	Value	IRS element (for citing)
Total Program Service Revenue	$245,806,456	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,382,685	TotalRevenueColumnAmt
Exclusion	$2,382,685	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$246,772	TotalRevenueColumnAmt
Exclusion	$246,772	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$72,000	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	$72,000	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$72,000	TotalRevenueColumnAmt
Exclusion	$72,000	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$132,206,474	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$118,350,675	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$13,855,799	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,855,799	TotalRevenueColumnAmt
Exclusion	$13,855,799	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$5,000	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,000	TotalRevenueColumnAmt
Exclusion	$5,000	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$475	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$549	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$74	TotalRevenueColumnAmt
Exclusion	-$74	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Clinical engineering	811000	$756,531	$756,531
Miscellaneous revenue	900099	$553,593		$553,593

Field	Value	IRS element (for citing)
Other Revenue Total	$1,310,124	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$284,744,152	TotalRevenueColumnAmt
Related Or Exempt Func Income	$239,936,718	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,626,269	UnrelatedBusinessRevenueAmt
Exclusion	$17,115,775	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	$5,279,535	TotalAmt
Program Services	$5,279,535	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$2,385,375	TotalAmt
Program Services	$2,385,375	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$22,102,730	TotalAmt
Management And General	$22,102,730	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$827,704	TotalAmt
Program Services	$827,704	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$157,300,280	TotalAmt
Program Services	$35,284,297	ProgramServicesAmt
Management And General	$122,015,983	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$12,086,154	TotalAmt
Program Services	$5,406,153	ProgramServicesAmt
Management And General	$6,680,001	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$20,914,254	TotalAmt
Program Services	$5,395,705	ProgramServicesAmt
Management And General	$15,518,549	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,571,697	TotalAmt
Program Services	$2,140,283	ProgramServicesAmt
Management And General	$8,431,414	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$131,339	TotalAmt
Program Services	-$3,991	ProgramServicesAmt
Management And General	$135,330	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$6,681,475	TotalAmt
Management And General	$6,681,475	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$2,371,446	TotalAmt
Management And General	$2,371,446	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$100,763	TotalAmt
Program Services	$100,763	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$67,524,415	TotalAmt
Program Services	$15,731,574	ProgramServicesAmt
Management And General	$51,792,841	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,622,779	TotalAmt
Management And General	$1,622,779	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,043,847	TotalAmt
Program Services	$2,146,985	ProgramServicesAmt
Management And General	$4,896,862	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$19,552,968	TotalAmt
Program Services	$14,278,906	ProgramServicesAmt
Management And General	$5,274,062	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$15,616,520	TotalAmt
Program Services	$14,658,428	ProgramServicesAmt
Management And General	$958,092	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$5,918,403	TotalAmt
Program Services	$1,642,557	ProgramServicesAmt
Management And General	$4,275,846	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$891,714	TotalAmt
Program Services	$206,274	ProgramServicesAmt
Management And General	$685,440	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$13,372,772	TotalAmt
Program Services	$13,372,600	ProgramServicesAmt
Management And General	$172	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$24,681,034	TotalAmt
Program Services	$18,042,877	ProgramServicesAmt
Management And General	$6,638,157	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$323,964	TotalAmt
Program Services	$321,006	ProgramServicesAmt
Management And General	$2,958	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Rental/lease costs equi	$927,153	$322,251	$604,902
Income taxes	$692,878	$497,227	$195,651
Quality assurance fee	$516		$516
Patient care supplies	-$25,745,245	-$26,595,980	$850,735

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,444,048	TotalAmt
Program Services	-$490,851	ProgramServicesAmt
Management And General	$2,934,899	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$375,620,518	TotalAmt
Program Services	$110,949,678	ProgramServicesAmt
Management And General	$264,670,840	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,700	BOYAmt
EOY	$23,391	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$31,010,593	BOYAmt
EOY	$250,105,247	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$12,396,893	BOYAmt
EOY	$56,142	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$2,564,720	BOYAmt
EOY	$38,199,866	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$9,634,156	BOYAmt
EOY	$21,035,061	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$30,188,611	BOYAmt
EOY	$35,291,801	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$494,668,765	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$202,705,699	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$221,048,607	BOYAmt
EOY	$291,963,066	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$946,091,525	BOYAmt
EOY	$1,239,166,048	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$59,471,656	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$4,501,715	BOYAmt
EOY	$7,451,447	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$781,007,726	BOYAmt
EOY	$30,868,941	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,097,917,902	BOYAmt
EOY	$1,914,161,010	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$243,669,918	BOYAmt
EOY	$261,012,245	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$6,042	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,097,361,144	BOYAmt
EOY	$1,159,038,461	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$652,268,429	BOYAmt
EOY	$163,555,928	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$153,000,173	BOYAmt
EOY	$507,783,338	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,146,305,706	BOYAmt
EOY	$2,091,389,972	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$48,461,604	BOYAmt
EOY	-$182,485,199	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$73,800	BOYAmt
EOY	$5,256,237	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$48,387,804	BOYAmt
EOY	-$177,228,962	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,097,917,902	BOYAmt
EOY	$1,914,161,010	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$90,876,366	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$53,578,391	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$15,613,599	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$0	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	$49,080	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$100	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$50,000	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$96,561	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,311,552	CurrentTaxYearAmt
Total	$7,507,293	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$279,705,645	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$293,372,514	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$289,039,507	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$263,827,180	CurrentTaxYearMinus1YearAmt
Current Tax Year	$241,640,379	CurrentTaxYearAmt
Total	$1,367,585,225	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$279,754,725	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$293,372,614	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$289,089,507	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$263,923,741	CurrentTaxYearMinus1YearAmt
Current Tax Year	$248,951,931	CurrentTaxYearAmt
Total	$1,375,092,518	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	$6,349,290	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,259,278	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,178,041	CurrentTaxYearAmt
Total	$16,786,609	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 Minus2 Years	$6,349,290	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,259,278	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,178,041	CurrentTaxYearAmt
Total	$16,786,609	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$1,358,305,909	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$45,621,779	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$50,242,418	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$57,028,162	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$8,329,768	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,629,457	CurrentTaxYearAmt
Total	$163,851,584	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$45,621,779	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$50,242,418	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$57,028,162	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$8,329,768	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,629,457	CurrentTaxYearAmt
Total	$163,851,584	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$400,179	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$549,535	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$272,887	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$517,858	CurrentTaxYearMinus1YearAmt
Current Tax Year	$786,186	CurrentTaxYearAmt
Total	$2,526,645	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,100	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,650,159	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,997,795	CurrentTaxYearMinus2YearsAmt
Current Tax Year	$660,599	CurrentTaxYearAmt
Total	$4,310,653	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$325,778,783	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$345,814,726	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$348,388,351	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$272,771,367	CurrentTaxYearMinus1YearAmt
Current Tax Year	$253,028,173	CurrentTaxYearAmt
Total	$1,545,781,400	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.87870	PublicSupportCY509Pct
Investment Income CY	0.10600	InvestmentIncomeCYPct
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	$100,763	OtherActivitiesAmt
Total Lobbying Expenditures	$100,763	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,103,082	BeginningYearBalanceAmt
Contributions	$49,080	ContributionsAmt
Investment Earnings Or Losses	$28,237	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$39,883	GrantsOrScholarshipsAmt
End Year Balance	$1,140,516	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	1.00000	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	$34,937,638	OtherCostOrOtherBasisAmt
Book Value	$34,937,638	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,038,289	OtherCostOrOtherBasisAmt
Depreciation	$6,522,130	DepreciationAmt
Book Value	$1,516,159	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,920,816	OtherCostOrOtherBasisAmt
Depreciation	$3,162,646	DepreciationAmt
Book Value	-$241,830	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$316,642,834	OtherCostOrOtherBasisAmt
Depreciation	$193,020,923	DepreciationAmt
Book Value	$123,621,911	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$132,129,188	OtherCostOrOtherBasisAmt
Book Value	$132,129,188	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$291,963,066	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Payables to related organizations	$376,052,386
Other liabilities	$128,789,963
Workers' compensation liability	$2,702,033
Payables to third party - HMO/PPO	$238,956

Field	Value	IRS element (for citing)
Total Liability	$507,783,338	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Line 4:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
Central America and the Caribbean	Investments in region	$150,000
Central America and the Caribbean	Program services	$1,204,763	Reinsurance
Central America and the Caribbean	Investments in region	$61,900	Legal fees
Sub-Saharan Africa	Program services	$15,000	Mission trip

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	$1,431,663	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$1,431,663	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

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Adventist Health System (FL)
900 Hope Way	Altamonte	FL	32714	590724459	501(c)(3)	$24,890	Materials and labor for NAD healthcare wall
Affordable Housing Now
1787 Tribute Road Suite K	Sacramento	CA	95815	824179512	501(c)(4)	$50,000	General support
AH St Helena Hospital Foundation
10 Woodland Road	St Helena	CA	94574	201384250	501(c)(3)	$2,000,000	Capital matching
Auburn Renewal Center
12225 Rock Creek Road	Auburn	CA	95602	680260677	501(c)(3)	$35,000	Grant funds
Child Advocates of Placer County
3715 Atherton Road	Rocklin	CA	95765	770620948	501(c)(3)	$45,000	CASA grant funds
Loma Linda University School Of Religion Centennial Complex
24760 Stewart Street	Loma Linda	CA	92350	951816009	501(c)(3)	$13,000	Mission leadership scholarship fund
Maranatha Volunteers International Inc
990 Reserve Drive Suite 100	Roseville	CA	95678	381945104	501(c)(3)	$25,050	Project funding
National Hispanic Health Foundation
1920 L Street NW Suite 725	Washington	DC	20036	260051920	501(c)(3)	$10,000	National Hispanic Health Professional student scholarship
Pacific Union College
One Angwin Avenue	Angwin	CA	94508	770578450	501(c)(3)	$5,756	Education grant (nursing and health sciences) and student scholarship
Rideout Memorial Hospital
989 Plumas Street	Yuba City	CA	95991	941387866	501(c)(3)	$3,000,000	General support
Roseville Area Chamber of Commerce
650 Douglas Boulevard	Roseville	CA	95678	941079379	501(c)(6)	$7,789	2018 sponsorship
Roseville Joint Union High School District
1750 Cirby Way	Roseville	CA	95661		Gov't	$14,000	Community impact grant
Sacramento Adventist Academy
5601 Winding Way	Carmichael	CA	95608	941431179	501(c)(3)	$31,800	Education grant
Seniors First Inc
12183 Locksley Lane	Auburn	CA	95602	680430154	501(c)(3)	$7,200	Camp Fire relief grant
Yes for Healthcare (PAC)
PO Box 42307	Portland	OR	97242	503295185	527	$10,000	Educate the public on a ballot initiative to provide funding to Medicaid to expand health insurance coverage in Oregon

Field	Value	IRS element (for citing)
Total501c3 Org	12	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Camp Fire assistance	GrantTypeTxt
Recipient	519	RecipientCnt
Cash Grant	$2,385,375	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
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 (36 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Reiner Scott
CEO	$1,339,257	$0	$747,881	$0	$371,298	$0	$16,682	$0	$27,790	$0	$2,502,908	$0	$289,242	$0
Rippey Wesley
Director thru 05/2018	$565,539	$0	$0	$0	$58,404	$0	$20,249	$0	$27,319	$0	$671,511	$0	$0	$0
Wing Bill
Director/President	$1,015,353	$0	$603,273	$0	$256,685	$0	$16,682	$0	$32,633	$0	$1,924,626	$0	$191,758	$0
Jobe Meredith
Secretary	$419,684	$0	$111,013	$0	$135,918	$0	$16,682	$0	$21,646	$0	$704,943	$0	$59,224	$0
Reppert Joseph
CFO/Asst Secr	$686,470	$0	$152,446	$0	$114,699	$0	$16,682	$0	$30,164	$0	$1,000,461	$0	$0	$0
Wagner Jack
CFO/Asst Secr thru 03/2018	$180,671	$0	$414,342	$0	$737,895	$0	$11,182	$0	$22,894	$0	$1,366,984	$0	$0	$0
Ashlock Mark
SR VP Physician Strategy	$716,157	$0	$375,988	$0	$195,734	$0	$16,682	$0	$21,646	$0	$1,326,207	$0	$132,855	$0
Asmar Hoda
SR VP CCO	$543,617	$0	$132,022	$0	$291,050	$0	$0	$0	$202	$0	$966,891	$0	$0	$0
Bancarz Gloria
VP/CNO	$443,451	$0	$129,136	$0	$160,819	$0	$16,682	$0	$11,088	$0	$761,176	$0	$63,339	$0
Beaman John
VP Finance/SFO	$581,502	$0	$192,171	$0	$96,366	$0	$11,182	$0	$38,774	$0	$919,995	$0	$68,945	$0
Beehler Robert
VP Mkt Dev, M&A	$456,139	$0	$112,269	$0	$158,842	$0	$16,682	$0	$21,068	$0	$765,000	$0	$61,063	$0
Church Lowell
VP Material Management	$320,485	$0	$88,412	$0	$58,501	$0	$16,682	$0	$21,353	$0	$505,433	$0	$0	$0
Conklin Jeffrey
VP/Pres Managed Care	$498,012	$0	$152,446	$0	$204,715	$0	$16,682	$0	$34,776	$0	$906,631	$0	$78,186	$0
Dickinson Chip
VP Business Solutions	$415,021	$0	$111,058	$0	$84,269	$0	$18,296	$0	$23,349	$0	$651,993	$0	$32,341	$0
Eller Jeff
SR VP/Pres, NCR	$699,892	$0	$344,777	$0	$131,881	$0	$16,682	$0	$21,445	$0	$1,214,677	$0	$118,827	$0
Ferch Wayne
SR VP/Pres, CCR	$740,094	$0	$327,200	$0	$165,332	$0	$0	$0	$21,068	$0	$1,253,694	$0	$140,584	$0
Fink Matthew
CIO	$433,358	$0	$77,659	$0	$55,823	$0	$16,682	$0	$24,867	$0	$608,389	$0	$0	$0
Gordon Daniel
VP Financial SRVS	$64,099	$0	$86,363	$0	$373,208	$0	$1,098,599	$0	$3,552	$0	$1,625,821	$0	$39,298	$0
Gustin John
VP Facilities, Const, RE	$329,785	$0	$88,254	$0	$102,278	$0	$16,682	$0	$21,382	$0	$558,381	$0	$39,296	$0
Jakobsen Dag
VP/COO, AHPS	$416,068	$0	$116,093	$0	$194,099	$0	$16,682	$0	$10,913	$0	$753,855	$0	$84,066	$0
Marchuk Robert
VP Ancillary Services	$257,697	$0	$81,739	$0	$136,401	$0	$16,682	$0	$29,906	$0	$522,425	$0	$32,007	$0
Newmyer Joyce
SR VP/Pres, PNR	$657,199	$0	$294,310	$0	$215,089	$0	$16,682	$0	$25,727	$0	$1,209,007	$0	$115,201	$0
Olson JoAline
SR VP/CHPIO	$616,955	$0	$311,474	$0	$186,564	$0	$16,682	$0	$24,145	$0	$1,155,820	$0	$122,565	$0
Tetz Doris
VP Talent & Strategy	$308,080	$0	$81,030	$0	$120,207	$0	$16,682	$0	$20,947	$0	$546,946	$0	$42,519	$0
Wilson Kathleen
VP Benefits Admin	$307,220	$0	$84,753	$0	$131,356	$0	$16,682	$0	$10,795	$0	$550,806	$0	$54,511	$0
Zachary Beth
President, SCR thru 01/2018	$191,195	$0	$270,398	$0	$848,987	$0	$16,682	$0	$25,683	$0	$1,352,945	$0	$155,882	$0
Knittel Monty
President, AHFR thru 09/2018	$302,514	$0	$132,920	$0	$1,479,440	$0	$16,682	$0	$21,681	$0	$1,953,237	$0	$57,600	$0
Nahapetian Arby
Region Medical Officer, SCR	$557,553	$0	$165,709	$0	$243,273	$0	$16,682	$0	$34,487	$0	$1,017,704	$0	$108,840	$0
Raethel Kathryn
President, AHCS	$431,687	$0	$174,290	$0	$1,922,874	$0	$16,682	$0	$2,360	$0	$2,547,893	$0	$139,514	$0
Raffoul John
Former President, WMMC	$469,321	$0	$176,246	$0	$196,822	$0	$419,155	$0	$23,532	$0	$1,285,076	$0	$73,717	$0
Chilton Harold
Interim Pres, AHFR	$367,529	$0	$71,750	$0	$173,119	$0	$16,682	$0	$21,983	$0	$651,063	$0	$53,306	$0
Doram Keith
Former VP Clin Effectiveness	$47,046	$0	$0	$0	$200,233	$0	$0	$0	$10,334	$0	$257,613	$0	$0	$0
Erich Kevin
Former Interim Executive, AHHM	$0	$0	$0	$0	$1,799,057	$0	$0	$0	$0	$0	$1,799,057	$0	$56,592	$0
McKague Kirby
Former VP/CFO AHPN	$28,053	$0	$0	$0	$339,619	$0	$0	$0	$19,488	$0	$387,160	$0	$0	$0
Russell Thomas
Former VP POP Hlth Innov	$0	$0	$0	$0	$2,074,545	$0	$0	$0	$0	$0	$2,074,545	$0	$149,476	$0
Soderblom Alan
Former VP/CIO	$13,125	$0	$0	$0	$192,273	$0	$0	$0	$12,413	$0	$217,811	$0	$2,489	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I, Line 1a

All items checked on this line are reported as taxable income to the employee, except first class or charter travel, which is only approved for business purposes on an exception basis.

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. Doram, Keith - severance payment - $188,825 Gordon, Daniel - severance payment - $248,953 Knittel, Monty - severance payment - $92,646 Marchuk, Robert - severance payment - $47,750 McKague, Kirby - severance payment - $336,631 Soderblom, Alan - severance payment - $157,500 Wagner, Jack - severance payment - $598,810 Zachary, Beth - severance payment - $633,692 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. Erich, Kevin - Distribution - $1,742,465 Gordon, Dan - Distribution - $31,450 Gordon, Dan - Funding - $1,088,301 Knittel, Monty - Distribution - $1,257,714 Raethel, Kathryn - Distribution - $1,675,365 Raffoul, John - Funding - $402,473 Russell, Thomas - Distribution - $1,925,069 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. Ashlock, Mark - $132,855 Bancarz, Gloria - $63,339 Beaman, John - $68,945 Beehler, Robert - $61,063 Chilton, Harold - $53,306 Conklin, Jeffrey - $78,186 Dickinson, Charles - $32,341 Doram, Keith - $3,457 Eller, Jeff - $118,827 Erich, Kevin - $56,592 Ferch, Wayne - $140,584 Gordon, Daniel - $39,298 Gustin, John - $39,296 Jakobsen, Dag - $84,066 Jobe, Meredith - $59,224 Knittel, Monty - $57,600 Marchuk, Robert - $32,007 Nahapetian, Arby - $108,840 Newmyer, Joyce - $115,201 Olson, JoAline - $122,565 Raethel, Kathryn - $139,514 Raffoul, John - $73,717 Reiner, Scott - $289,242 Russell, Thomas - $149,476 Soderblom, Alan - $2,489 Tetz, Doris - $42,519 Wilson, Kathleen - $54,511 Wing, Bill - $191,758 Zachary, Beth - $155,882

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
HFA Multnomah 2009
D	931266280	62551PBS5	2009-09-30	$66,147,216	See Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt
A	$1,425,000	$57,140,625	$3,909,625	$643,910	$1,409,177	$50,966,616	2010	0	Yes (1)	Yes (1)
B		$30,000,000		$299,917		$29,699,958	2009	0	Yes (1)	Yes (1)
C	$50,495,000	$61,940,613	$1,212,236				2009	Yes (1)	Yes (1)	Yes (1)	$55,750,607
D		$66,147,216	$6,094,359	$886,660			2009	Yes (1)	Yes (1)	Yes (1)	$59,011,989

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	0
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 (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Date Rebate Computation Performed	Issuer Name: CHFFA Series B 2009 Date the Rebate Computation was Performed: 07/31/2014 Issuer Name: HFA Multnomah 2009 Date the Rebate Computation was Performed: 11/10/2014 Issuer Name: CHFFA Series C 2011 Date the Rebate Computation was Performed: 07/25/2016
Part I, Column (a) Issuer's Name:	CSCDA - California Statewide Communities Development Authority CHFFA - California Health Facilities Financing Authority HFA - The Hospital Facilities Authority of Multnomah County, Oregon
Entity 1, Part II, Line 7, Column A:	Bond issued on 5/08/2007, CUSIP#1307957C5 - cost of issuance greater than estimated at the time of filing 8038.
Schedule K, Part 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
Schedule K, Part 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
Schedule K, Part 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
Schedule K, Part 1, Column (f), Line D:	Refinance a bank loan used to construct, equip and improve: Adventist Medical Center - Portland, Portland, OR
Schedule K (2nd), Part 1, Column (f), Line A:	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 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
Schedule K (2nd), Part 1, Column (f), Line B:	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 20, 2002 2003 California Health Facilities Financing Authority (AHS/West Series A) bonds issued July 1, 2003
Schedule K (2nd), Part 1, Column (f), Line C:	Acquire, construct, and equip the following health care facilities: Central Valley General Hospital, Hanford, CA Feather River Hospital, Paradise, CA Hanford Community Hospital, Hanford, CA San Joaquin Community Hospital, Bakersfield, CA Ukiah Valley Hospital, Ukiah, CA Willits Hospital, Inc., Willits, CA Acquire and install a clinical information system: Adventist Health System/West, Roseville, CA
Schedule K (2nd), Part 1, Column (f), Line D:	Refund outstanding balance of the following bond issue: 2005 California Statewide Communities Development Authority (AHS/West Series A) bonds issued October 18, 2005
Schedule K (3rd), Part 1, Column (f), Line A:	Acquire, construct and equip the following health care facilities: Hanford Community Hospital, Hanford, CA St. Helena Hospital, St. Helena, CA
Schedule K (3rd), Part 1, Column (f), Line A:	1998 California Health Facilities Financing Authority (AHS/West Series A) bonds issued February 18, 1998 2007 California Statewide Communities Development Authority (AHS/West Series B) bonds issued May 8, 2007 2007 California Statewide Communities Development Authority (Lodi) bonds issued December 13, 2007 2009 California Health Facilities Financing Authority (AHS/West Series A) bonds issued May 20, 2009

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 C 2011
A	521643828	000000000	2011-06-09	$130,000,000	See Part VI	0	0	0
CHFFA Series A 2013
B	521643828	13033LS65	2013-02-14	$208,420,907	See Part VI	0	0	0
CHFFA Series A 2013
C	521643828	13033LS57	2013-02-14	$100,741,934	See Part VI	0	0	0
CSCDA Series A 2015
D	680164610	13080SJL9	2015-06-30	$157,990,834	See Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt
A	$14,535,000	$130,000,000	$478,200	$129,521,800	2015	0	Yes (1)	Yes (1)
B	$9,655,800	$208,420,907	$979,927		2016	Yes (1)	Yes (1)	Yes (1)	$207,440,930
C		$100,741,934	$741,934	$100,000,000	2016	Yes (1)	Yes (1)	Yes (1)
D	$5,526,300	$157,990,834	$1,493,445			Yes (1)	Yes (1)	Yes (1)	$156,488,239	$9,150

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	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	0	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 (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CSCDA Series A 2015
A	680164610	13080SJM7	2015-06-30	$42,422,999	See Part VI	0	0	0
CHFFA Series A 2016
B	521643828	13032UGL6	2016-09-08	$309,720,490	See Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr
A	$1,558,700	$42,422,999	$420,423	$2,576	$31,404,156	$10,595,844	0	0	0	0
B	$6,975,000	$309,720,490	$2,280,369				Yes (1)	Yes (1)	Yes (1)	Yes (1)	$307,440,121	2016

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (29 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	$116,000	0	Yes (1)	Yes (1)
Ashlock M
Key employee	Supplemental retirement CASD	Yes (X)	$3,469,990	$3,620,474	0	Yes (1)	Yes (1)
Asmar H
Key employee	Relocation	Yes (X)	$150,000	$148,300	0	Yes (1)	Yes (1)
Beaman J
Key employee	Relocation	Yes (X)	$125,000	$99,050	0	Yes (1)	Yes (1)
Beaman J
Key employee	Supplemental retirement CASD	Yes (X)	$699,888	$730,233	0	Yes (1)	Yes (1)
Beehler B
Key employee	Relocation	Yes (X)	$100,000	$87,300	0	Yes (1)	Yes (1)
Chilton H
Former key employee	Relocation	Yes (X)	$100,000	$92,100	0	Yes (1)	Yes (1)
Conklin J
Key employee	Relocation	Yes (X)	$125,000	$32,852	0	Yes (1)	Yes (1)
Dickinson C
Key employee	Relocation	Yes (X)	$99,900	$96,500	0	Yes (1)	Yes (1)
Eller J
Key employee	Relocation	Yes (X)	$300,000	$290,700	0	Yes (1)	Yes (1)
Eller J
Key employee	Supplemental retirement CASD	Yes (X)	$4,614,772	$4,814,901	0	Yes (1)	Yes (1)
Ferch W
Key employee	Relocation	Yes (X)	$150,000	$129,800	0	Yes (1)	Yes (1)
Ferch W
Key employee	Supplemental retirement CASD	Yes (X)	$650,795	$679,018	0	Yes (1)	Yes (1)
Fink M
Key employee	Relocation	Yes (X)	$100,000	$98,650	0	Yes (1)	Yes (1)
Gustin J
Key employee	Relocation	Yes (X)	$100,000	$98,800	0	Yes (1)	Yes (1)
Jobe M
Officer	Relocation	Yes (X)	$100,000	$89,800	0	Yes (1)	Yes (1)
Newmyer J
Key employee	Relocation	Yes (X)	$150,000	$142,600	0	Yes (1)	Yes (1)
Newmyer J
Key employee	Supplemental retirement CASD	Yes (X)	$4,170,066	$4,350,869	0	Yes (1)	Yes (1)
Olson J
Key employee	Relocation	Yes (X)	$200,000	$64,500	0	Yes (1)	Yes (1)
Olson J
Key employee	Supplemental retirement CASD	Yes (X)	$1,735,225	$1,810,476	0	Yes (1)	Yes (1)
Reiner S
Officer	Supplemental retirement CASD	Yes (X)	$5,989,288	$6,248,967	0	Yes (1)	Yes (1)
Reppert J
Officer	Relocation	Yes (X)	$150,000	$147,300	0	Yes (1)	Yes (1)
Reppert J
Officer	Relocation	Yes (X)	$50,000	$49,600	0	Yes (1)	Yes (1)
Tetz D
Key employee	Relocation	Yes (X)	$100,000	$93,600	0	Yes (1)	Yes (1)
Tetz W
Key employee	Relocation	Yes (X)	$100,000	$98,050	0	Yes (1)	Yes (1)
Wagner J
Officer	Supplemental retirement CASD	Yes (X)	$6,216,544	$6,486,130	0	Yes (1)	Yes (1)
Wing B
Officer	Relocation	Yes (X)	$200,000	$195,400	0	Yes (1)	Yes (1)
Wing B
Officer	Supplemental retirement CASD	Yes (X)	$5,096,748	$5,317,729	0	Yes (1)	Yes (1)
Zachary B
Key employee	Supplemental retirement CASD	Yes (X)	$1,888,277	$1,970,167	0	Yes (1)	Yes (1)

Field	Value	IRS element (for citing)
Total Balance Due	$38,199,866	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	$278,872	Employment	0
Bancarz Michelle
Family member of Key EE, G. Bancarz	$126,556	Employment	0
Bancarz Theodore
Family member of Key EE, G. Bancarz	$103,625	Employment	0
Eller Eric
Family member of Key EE, J. Eller	$62,193	Employment	0
Wagner Brent
Family member of Officer, J. Wagner	$82,281	Employment	0
Dickinson Brett
Family member of Key EE, C. Dickinson	$41,447	Employment	0
Ferch Josiah
Family member of Key EE, W. Ferch	$42,946	Employment	0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part II, Supplemental Retirement Benefits:

The organization provides supplemental retirement benefits through an alternative funding arrangement the IRS calls "collateral assignment split dollar" (CASD). Although the IRS requires reporting in the loan section of Schedule L, CASD is not an actual loanno 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 $86.67 million, to the organization to provide additional funding for the organization's charitable activities.Gift of excess proceeds (estimated):Mark Ashlock: $6,730,594. John Beaman: $4,458,001. Jeffrey Eller: $10,707,142. Wayne Ferch: $1,668,090. Joyce Newmyer: $7,742,500. JoAline Olson: $2,082,940. Scott Reiner: $16,495,703. Jack Wagner: $14,529,621. Bill Wing: $18,898,158. Beth Zachary: $3,359,341.

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 2018 PVHR, LLC had an outstanding balance of $4.2M 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 2018 was $92,392. Principal and interest payments are being made monthly.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 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 Medicine Outreach in Ukiah and Project Restoration in Lake County. In Southern California we partnered with local schools to implement programs aimed at reducing obesity and diabetes among school children through healthy lifestyle education. In our Central California Region, we focused on immunizations, screenings, support groups and outreach to support community health. Adventist Health Portland in the Pacific Northwest Region recognizes that stable housing is critical to the improvement of health outcomes. They joined other area hospitals and health systems to address Portland's health and housing needs through the Housing is Health Initiative. In 2018, Adventist Health improved its strategic goal to transform the health of its communities by engaging in local communities, investing in community wellness and serving the most vulnerable. Community Benefit Provided Amount Free and discounted care $45,189,009 Aid to the poor $98,568,219 Community health improvement $23,731,866 Education and research $29,080,520 Aid to the elderly $259,863,670 Subsidized community healthcare $88,528,206 Total $544,961,490 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 2018, Adventist Health entered its sixth 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, 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 2018. 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 clinicians and staff is foundational to Care Transformation. For the past eight 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 Care, Audiology to Vascular Surgery. Adventist Health also provides much-needed dental care in six of our rural communities, with plans to expand in the future. 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 three years we have provided more than 2 million patient visits, about 9,000 visits daily. 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. The success of our medical providers and associates generated 42 percent of the organization's net revenue.
Form 990, Part III, Line 4a	Rural Health Clinics (RHC) As an extension of our mission, high quality services are provided to small communities where access to care is often significantly less than more urbanized areas. People living in rural or underserved communities are often at a disadvantage when accessing health care. At the end of 2018, 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 patients served - 1,064,573 visits from 310,256 unique individuals in 2018. 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 19 behavioral health programs. One example of our excellent rural health care is our clinic located in the heart of Paradise, California - a town which was nearly wiped off the map during the wildfires in late 2018. Our three-story RHC was the first to re-open in Paradise after the fire and remains a comprehensive healthcare option for most people in a 10-mile radius, offering primary care, dental, women's and children's services to a population in dire need of resources. 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 2018, care, compassion and quality services were provided with 215,477 home health visits and 93,576 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. We are most proud of the following accomplishments in 2018: 1. Purchased hospice license for Bakersfield, CA 2. Reestablished home health and hospice in Yuba City, CA 3. Implemented new EMR (HomeCare HomeBase) in five agencies 4. Centralized OASIS reviews and HIS submissions 5. Feather River home health and hospice continued to see patients the days immediately following the devastating Camp fire. Operational hub was moved to Chico within 5 days. 6. First Hospice Medical Directors meeting Developing a Virtual Care Network The Adventist Health Virtual Care Network allows health care professionals to evaluate, diagnose and treat patients in both remote and urban locations 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. During 2018, Virtual Care services continued to develop and grow. Nine hospitals receive telehealth stroke services, six hospitals receive pediatric services, five sites receive infectious disease services and ten sites receive 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 29 sites in California and Oregon including three non-Adventist Health sites. Twenty-four specialties including behavioral health are available for outpatient facilities. Store and forward services for dermatology and diabetic retinopathy screenings were added in 2018, as well as peer-to-peer e-consults. Direct-to-Consumer services for employees under the Adventist Health Plan were implemented with plans to utilize the platform in 2019 for chronic care patients. 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 Coordination Center. Strategic Planning To strengthen our ability to deliver optimal health, Adventist Health deployed a robust and aggressive strategic plan in 2013 which continues to evolve and now looks at strategy through 2020 and beyond. Guided by our mission, this plan positions our organization as one of the most significant health systems on the West Coast. By the end of 2020, Adventist Health with our engaged physicians, workforce and community, will transform the health (including experience, outcomes and status) for our defined populations, especially the underserved. We will partner with a fully integrated, affordable value-based network of services to serve one million lives with the ability to manage and leverage information in a full-risk payment environment. Our presence in Western states, including rural markets, where we have an advantageous, competitive position, enables us to expand our mission and double the number of people served.
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 and president of the Organization, plus two additional representatives of the management of the Organization; (e) three representatives selected from the presidents of the hospitals affiliated with the Organization; three representatives from the physician members of medical staff of hospitals affiliated with the Organization; (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; (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 audit staff 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 prior to the 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 Compensation 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 CEOs and CFOs, 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 CEOs and 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 124,725. Management and general expenses 285,642. Fundraising expenses 0. Total expenses 410,367. Other medical professional fees : Program service expenses 10,940. Management and general expenses 3,565. Fundraising expenses 0. Total expenses 14,505. Consulting and other management fees: Program service expenses 2,627,718. Management and general expenses 22,268,196. Fundraising expenses 0. Total expenses 24,895,914. Other professional fees non-medical: Program service expenses 357,685. Management and general expenses 786,311. Fundraising expenses 0. Total expenses 1,143,996. Contract labor: Program service expenses 530,901. Management and general expenses 5,397,575. Fundraising expenses 0. Total expenses 5,928,476. Purchased medical services: Program service expenses 0. Management and general expenses 423,942. Fundraising expenses 0. Total expenses 423,942. Repairs and maintenance : Program service expenses 173,780. Management and general expenses 642,531. Fundraising expenses 0. Total expenses 816,311. All other purchased services: Program service expenses 13,027,647. Management and general expenses 19,427,594. Fundraising expenses 0. Total expenses 32,455,241. Revenue cycle fees: Program service expenses -1,121,822. Management and general expenses 2,557,485. Fundraising expenses 0. Total expenses 1,435,663.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 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 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)
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 3	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)
St Helena Hospital
10 Woodland Road	St Helena	CA	94574	941279779	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
San Joaquin Community Hospital
2615 Chester Avenue	Bakersfield	CA	93301	952294234	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Simi Valley Hospital & Health Care Services
2975 N Sycamore Drive	Simi Valley	CA	93065	956064971	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Sonora Community Hospital
1000 Greenley Road	Sonora	CA	95370	941415069	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Stone Point Health
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 Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
South Coast Medical Center
PO Box 619135	Roseville	CA	95661	952037291	Wind down after sale of hospital	CA	N/A	C	0
AdHealth Limited
					Pure captive insurance			C	Yes (1)	PO Box HM 2062	Hamilton	BD	HM HX	BD	Adventist Health SystemWest	$43,971	$1,241,523	0.50000

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

Transactions Related Org TransactionsRelatedOrgGrp (108 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Rideout Memorial Hospital
B	$3,000,000	Cash transfer amount
Walla Walla General Hospital
C	$13,753,838	Cash transfer amount
Adventist Health Clearlake Hospital Inc
L	$4,142,167	FMV
Adventist Health Medical Center Tehachapi
L	$526,926	FMV
Adventist Health Physicians Network
L	$1,981,073	FMV
Castle Medical Center
L	$5,262,809	FMV
Feather River Hospital
L	$7,318,258	FMV
Glendale Adventist Medical Center
L	$16,255,945	FMV
Hanford Community Hospital
L	$15,254,331	FMV
Lodi Memorial Hospital Association Inc
L	$2,063,190	FMV
Northwest Medical Foundation of Tillamook
L	$2,961,396	FMV
Portland Adventist Medical Center
L	$10,785,144	FMV
Reedley Community Hospital
L	$6,015,724	FMV
San Joaquin Community Hospital
L	$11,625,778	FMV
Simi Valley Hospital & Health Care Services
L	$4,155,180	FMV
Sonora Community Hospital
L	$9,902,663	FMV
St Helena Hospital
L	$9,201,582	FMV
Ukiah Adventist Hospital
L	$7,966,949	FMV
White Memorial Medical Center
L	$20,902,975	FMV
Willits Hospital Inc
L	$1,724,943	FMV
Adventist Health Clearlake Hospital Inc
O	$1,031,209	FMV
Adventist Health Medical Center Tehachapi
O	$1,035,645	FMV
Adventist Health Physicians Network
O	$95,488	FMV
Castle Medical Center
O	$3,133,321	FMV
Feather River Hospital
O	$1,516,359	FMV
Glendale Adventist Medical Center
O	$3,461,435	FMV
Hanford Community Hospital
O	$4,816,417	FMV
Lodi Memorial Hospital Association Inc
O	$2,151,006	FMV
Northwest Medical Foundation of Tillamook
O	$965,075	FMV
Portland Adventist Medical Center
O	$3,154,906	FMV
Reedley Community Hospital
O	$368,335	FMV
San Joaquin Community Hospital
O	$2,400,749	FMV
Simi Valley Hospital & Health Care Services
O	$2,108,669	FMV
Sonora Community Hospital
O	$1,698,339	FMV
St Helena Hospital
O	$1,613,396	FMV
Ukiah Adventist Hospital
O	$1,511,058	FMV
Walla Walla General Hospital
O	$254,130	FMV
Western Health Resources
O	$887,599	FMV
White Memorial Medical Center
O	$3,082,950	FMV
Willits Hospital Inc
O	$1,298,554	FMV
Adventist Health Clearlake Hospital Inc
Q	$262,889	FMV
Adventist Health Clearlake Hospital Inc
Q	$4,679,188	FMV
Adventist Health Medical Center Tehachapi
Q	$779,537	FMV
Adventist Health Medical Center Tehachapi
Q	$1,376,488	FMV
Adventist Health Physicians Network
Q	$61,283	FMV
Adventist Health Physicians Network
Q	$3,946,014	FMV
Castle Medical Center
Q	$272,502	FMV
Castle Medical Center
Q	$9,219,910	FMV
Feather River Hospital
Q	$935,702	FMV
Feather River Hospital
Q	$7,774,451	FMV
Glendale Adventist Medical Center
Q	$808,420	FMV
Glendale Adventist Medical Center
Q	$21,174,884	FMV
Hanford Community Hospital
Q	$823,884	FMV
Hanford Community Hospital
Q	$11,693,630	FMV
Lodi Memorial Hospital Association Inc
Q	$528,630	FMV
Lodi Memorial Hospital Association Inc
Q	$11,464,871	FMV
Northwest Medical Foundation of Tillamook
Q	$186,410	FMV
Northwest Medical Foundation of Tillamook
Q	$3,745,957	FMV
Portland Adventist Medical Center
Q	$694,845	FMV
Portland Adventist Medical Center
Q	$14,339,837	FMV
Reedley Community Hospital
Q	$187,603	FMV
Reedley Community Hospital
Q	$9,304,809	FMV
San Joaquin Community Hospital
Q	$743,076	FMV
San Joaquin Community Hospital
Q	$20,693,165	FMV
Simi Valley Hospital & Health Care Services
Q	$416,589	FMV
Simi Valley Hospital & Health Care Services
Q	$7,972,969	FMV
Sonora Community Hospital
Q	$379,290	FMV
Sonora Community Hospital
Q	$13,390,683	FMV
St Helena Hospital
Q	$322,699	FMV
St Helena Hospital
Q	$11,500,823	FMV
Ukiah Adventist Hospital
Q	$279,300	FMV
Ukiah Adventist Hospital
Q	$6,868,514	FMV
Western Health Resources
Q	$348,897	FMV
Western Health Resources
Q	$1,449,761	FMV
White Memorial Medical Center
Q	$456,022	FMV
White Memorial Medical Center
Q	$16,356,445	FMV
Willits Hospital Inc
Q	$175,072	FMV
Willits Hospital Inc
Q	$3,049,540	FMV
Adventist Health Clearlake Hospital Inc
S	$9,518,171	Cash transfer amount
Adventist Health Medical Center Tehachapi
S	$13,087,011	Cash transfer amount
Adventist Health Physicians Network
S	$12,339,039	Cash transfer amount
Adventist Health Plan
S	$4,718,336	Cash transfer amount
Castle Medical Center
S	$5,809,124	Cash transfer amount
Feather River Hospital
S	$38,364,579	Cash transfer amount
Fremont-Rideout Health Group
S	$11,670,649	Cash transfer amount
Glendale Adventist Medical Center
S	$5,285,235	Cash transfer amount
Hanford Community Hospital
S	$144,186,176	Cash transfer amount
Healthcare Resources Northwest LLC
S	$776,051	Cash transfer amount
Lodi Memorial Hospital Association Inc
S	$52,400,954	Cash transfer amount
Lodi Regional Health Systems Inc
S	$158,761	Cash transfer amount
Northwest Medical Foundation of Tillamook
S	$7,786,699	Cash transfer amount
Portland Adventist Medical Center
S	$12,724,851	Cash transfer amount
Reedley Community Hospital
S	$15,292,661	Cash transfer amount
Rideout Memorial Hospital
S	$47,320,884	Cash transfer amount
San Joaquin Community Hospital
S	$13,666,805	Cash transfer amount
Simi Valley Hospital & Health Care Services
S	$5,247,153	Cash transfer amount
Simi Valley Hospital Foundation
S	$492,094	Cash transfer amount
Sonora Community Hospital
S	$12,851,564	Cash transfer amount
South Coast Medical Center
S	$952,309	Cash transfer amount
St Helena Hospital
S	$123,470	Cash transfer amount
St Helena Hospital Foundation
S	$1,907,345	Cash transfer amount
Ukiah Adventist Hospital
S	$3,025,996	Cash transfer amount
United Com-Serve
S	$55,771,404	Cash transfer amount
Walla Walla General Hospital
S	$691,541	Cash transfer amount
Western Health Resources
S	$1,985,120	Cash transfer amount
White Memorial Medical Center
S	$22,035,129	Cash transfer amount
Willits Hospital Inc
S	$1,661,636	Cash transfer amount
AdHealth Limited
L	$61,900	FMV