ADVENTIST HEALTH SYSTEM-WEST: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: ADVENTIST HEALTH SYSTEM-WEST (EIN 95-3484589)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2019-01-25
IRS object ID: 201910259349301006
Schema version: 2017v2.2
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
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-01-25T10:32:03-08:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt
Disaster Relief	California Wildfires DR-4407 and IRS CA-2018-13	DisasterReliefTxt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	330 N BRAND BLVD STE 200	AddressLine1Txt
City	GLENDALE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	912032361	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	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
Business Name Line2	DBA Adventist Health	BusinessNameLine2Txt

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	2100 Douglas Blvd	AddressLine1Txt
City	Roseville	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95661	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Joseph A Reppert	PersonNm
Person Title	EVP/CFO	PersonTitleTxt
Signature	2019-01-25	SignatureDt

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Scott Reiner	PrincipalOfficerNm
Gross Receipts	$305,493,173	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
All Affiliates Included	false	AllAffiliatesIncludedInd
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 Gods love by inspiring health, wholeness and hope.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1881	TotalEmployeeCnt
Total Gross UBI	$3,873,153	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$784,634	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$50,000	PYContributionsGrantsAmt
CY Contributions Grants	$96,561	CYContributionsGrantsAmt
PY Program Service Revenue	$488,352,873	PYProgramServiceRevenueAmt
CY Program Service Revenue	$266,072,501	CYProgramServiceRevenueAmt
PY Investment Income	$54,780,986	PYInvestmentIncomeAmt
CY Investment Income	$37,623,779	CYInvestmentIncomeAmt
PY Other Revenue	-$16,508,915	PYOtherRevenueAmt
CY Other Revenue	$1,700,332	CYOtherRevenueAmt
PY Total Revenue	$526,674,944	PYTotalRevenueAmt
CY Total Revenue	$305,493,173	CYTotalRevenueAmt
PY Grants And Similar Paid	$368,600	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$519,657	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$326,443,237	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$173,221,246	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$245,914,528	PYOtherExpensesAmt
CY Other Expenses	$198,402,859	CYOtherExpensesAmt
PY Total Expenses	$572,726,365	PYTotalExpensesAmt
CY Total Expenses	$372,143,762	CYTotalExpensesAmt
PY Revenues Less Expenses	-$46,051,421	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$66,650,589	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,070,778,666	TotalAssetsBOYAmt
Total Assets EOY	$2,097,917,902	TotalAssetsEOYAmt
Total Liabilities BOY	$2,007,273,866	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,146,305,706	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$63,504,800	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$48,387,804	NetAssetsOrFundBalancesEOYAmt
Mission	Living Gods love by inspiring health, wholeness and hope.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$367,713,670	ExpenseAmt
Grant	$519,657	GrantAmt
Revenue	$263,827,180	RevenueAmt
Desc	Form 990, Part III, Line 4a-d Corporate OfficeAdventist 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-drivenThe 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 Gods 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 DevelopmentWords like prevention, wellness and partnerships are more than the latest buzzwords at Adventist Health. Since St. Helena Sanitarium opened its doors in 1878 in Californias picturesque Napa Valley, the heritage of the Seventh-day Adventist Church has focused on whole-person health. Adventist Health not only strives to promote individual health, but also healthy families and communities a natural fit in todays population health environment.Adventist Healths mission is coupled with a vision to transform the health experience of our community by improving health, enhancing interactions and making care more accessible. Building healthy communities require 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 Clear Lake. 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 Portlands health and housing needs through the Housing is Health Initiative.2017 saw an improvement in our strategic goal to transform the health of our communities by engaging with our local communities, investing in community wellness and serving the most vulnerable and needy of our community. Population HealthPopulation 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 Healths 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 2017, Adventist Health entered its fifth year of offering two health plans for employees and their families: Engaged! and Base. Both plans offer wellness-focused programs and tools, including a wellness website, fitness activities, nutrition guidance, smoking cessation workshops and more. Participants 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 93 percent of employees signed up for the Engaged! Plan in 2017.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 TransformationCare Transformation in Adventist Health reflects our promise to deliver and continually improve care and the patient experience while extending our mission across all care settings. The vision created by the Adventist Health Care Model focuses our transformation efforts by effectively blending people, processes and technology. It includes consistent design, delivery and evaluation of care performance.Our caregivers are working hard every day to exceed top quartile regulatory and quality performance requirements. In 2016, our hospitals as well as our hospital-based home care agencies and clinics were once again accredited through The Joint Commission to ensure the safest, highest quality health care we can provide.QualityAdventist Health focuses not only on quality patient care, but also provides a quality work environment for its employees. Maintaining a culture of teamwork and safety among clinicians and staff is a crucial component to the Care Transformation Model. 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 and Healthgrades. Physician AlignmentAmbulatory care clinics throughout Adventist Health provide general medical care as well as specialized care for patients of all ages in an outpatient setting. Adventist Health Physician Services (AHPS) operates within a variety of clinic models, including direct employment, hospital-based clinics, rural health clinics and a medical foundation.The AHPS management team provides key leadership and business functions such as administrative, operational, financial and clinical services, recruitment, acquisitions, quality and patient satisfaction tracking and reporting, and information and application technology.Our physician practices are characterized by clinical excellence and have a reputation for quality service, high physician satisfaction with the working environment, high patient satisfaction and a physician-driven culture that continually works on improvements and is accountable for results.Active partnerships with our physicians are critical for building clinically integrated networks. By developing new partnerships, we can reach beyond the doors of our clinics to maintain a healthier population in our communities. Our delivery of highly coordinated care coupled with the involvement of patients and their families in health care decisions is integral to our goal of providing whole-person care, the core of our mission and values.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 available than more urbanized areas. People living in rural or underserved communities are often at a disadvantage when accessing health care. At the end of August 2018, we had 61 clinics providing health care to underserved populations throughout Northern and Central California, Oregon and Washington. 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 nations RHCs.Services for RHCs include financial monitoring, program audits, operational support, professional development, advocacy and education regarding new regulations. But the real evidence of success is the patients served1,124,645 visits in 2017. Thanks to the RHCs, many of the communitys most disenfranchised now have access to primary care, dentistry, womens and childrens services and health education. A variety of specialty care also is available at many RHC locations, including 19 behavioral health programs.One example of this is the Konocti Wellness Center, a rural health clinic located inside Lower Lake High School in Lower Lake, California. The center offers basic clinic services as well as dental care and nutrition education. The partnership is part of a long-term plan to improve the health and academic perf	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Desc	Home Care ServicesAdventist Health/Home Care Services offers advanced, quality health care in an at-home setting by operating 14 home health agencies and eight hospices. In 2017, care, compassion and quality services were provided with 226,530 home health and 60,444 hospice visits. Many of the agencies provide specialized programs and treatment plans, such as pediatric, diabetes and palliative care. Through home care, Adventist Health offers personal care in two locations throughout the network, which helps patients stay at home and maintain as much independence as possible. To further assist with the needs of our patients, three home medical equipment agencies supply oxygen, mobility aids, respiratory service and even Lifeline. In addition to providing treatment or care management, we strive to improve overall quality of life, hasten recovery and positively influence the emotional, physical and spiritual well-being of our home care patients.Developing a Virtual Care NetworkThe 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 Healths mission of bringing high-quality health and healing to the communities it serves, and is consistent with the organizations focus on innovation, strategic growth, and population health.During 2017, telehealth services continued to develop and grow. Seven hospitals receive telehealth stroke services, seven hospitals receive pediatric services, and three sites receive infectious disease 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. Sixteen specialties including behavioral health are available for outpatient facilities. Adventist Health is a preferred provider for Virtual Care with the California Department of Correction and Rehabilitation, serving multiple prison locations through the Virtual Care Care Coordination Center. Strategic PlanningTo 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.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$367,713,670	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	8165	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1881	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Org Filed In Lieu Of Form1041	false	OrgFiledInLieuOfForm1041Ind
Licensed More Than One State	false	LicensedMoreThanOneStateInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Joseph Reppert	PersonNm
Phone	9164060000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 Douglas Blvd	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 (49 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)	$1,553	$0	$0
Cherry Robert
Director	4.00	0.00	Yes (X)	$11,550	$0	$0
Davis Andrew
Director	4.00	0.00	Yes (X)	$10,600	$0	$0
Freedman John
Director/VChair	4.00	0.00	Yes (X)	$1,133	$0	$0	Yes (X)
Gabriel Melody
Director	4.00	0.00	Yes (X)	$1,203	$0	$0
Graham Ricardo
Director/Chair	4.00	0.00	Yes (X)	$2,074	$0	$0	Yes (X)
Heinrich Kerry
Director	4.00	0.00	Yes (X)	$15,866	$0	$0
Innocent Larry
Director	4.00	0.00	Yes (X)	$17,608	$0	$0
Pedersen James
Director	4.00	0.00	Yes (X)	$2,101	$0	$0
Reiner Richard
Director	4.00	0.00	Yes (X)	$19,819	$0	$0
Rippey Wesley
Director	4.00	9.00	Yes (X)	$17,516	$100,600	$0
Salazar Velino
Director	4.00	0.00	Yes (X)	$1,928	$0	$0
Reiner Scott
Dir/CEO	50.00	0.00	Yes (X)	$1,982,804	$0	$53,885	Yes (X)
Wing Bill
Dir/Pres	50.00	0.00	Yes (X)	$1,460,244	$0	$52,693	Yes (X)
Wagner Jack
AsstSec/CFO/SVP	50.00	0.00		$1,070,403	$0	$37,117	Yes (X)
Jobe Meredith
Sec/VP Gen Cnsl	50.00	0.00		$654,239	$0	$42,313	Yes (X)
Ashlock Mark
Sr VP Physician Strategy	50.00	0.00		$1,068,008	$0	$42,313		Yes (X)
Asmar Hoda
Sr VP/CCO	50.00	0.00		$526,870	$0	$26,397		Yes (X)
Bancarz Gloria
VP/CNO	50.00	0.00		$674,110	$0	$29,394		Yes (X)
Beaman John
VP Finance/SFO	50.00	0.00		$635,030	$0	$59,517		Yes (X)
Beehler Bob
VP Mkt Dev, M&A	50.00	0.00		$660,772	$0	$42,312		Yes (X)
Church Lowell
VP Materiel Mgmt	50.00	0.00		$499,255	$0	$43,784		Yes (X)
Conklin Jeffrey
VP/Pres Managed Care	50.00	0.00		$710,719	$0	$58,321		Yes (X)
Dickinson Chip
VP Business Solutions	50.00	0.00		$501,071	$0	$49,449		Yes (X)
Eller Jeff
Sr VP/Pres NCR	50.00	0.00		$1,037,468	$0	$45,013		Yes (X)
Ferch Wayne
Sr VP/Pres CCR	50.00	0.00		$957,186	$0	$45,065		Yes (X)
Gordon Daniel
VP Financial Srvs	50.00	0.00		$1,586,313	$0	$42,503		Yes (X)
Gustin John
VP Facilities, Const, RE	50.00	0.00		$506,586	$0	$42,421		Yes (X)
Jakobsen Dag
VP/COO AHPS	50.00	0.00		$624,300	$0	$31,933		Yes (X)
Marchuk Robert
VP Ancillary Srvs	50.00	0.00		$437,507	$0	$53,859		Yes (X)
Newmyer Joyce
Sr VP/Pres PNR	50.00	0.00		$759,222	$0	$49,449		Yes (X)
Olson JoAline
Sr VP/CHPIO	50.00	0.00		$915,027	$0	$49,524		Yes (X)
Patterson Leeanne
VP/CRO, Risk Mgmt	50.00	0.00		$447,273	$0	$42,434		Yes (X)
Tetz Doris
VP Talent & Strategy	50.00	0.00		$411,977	$0	$43,186		Yes (X)
Wilson Kathleen
VP Benefits Admin	50.00	0.00		$496,843	$0	$29,326		Yes (X)
Zachary Beth
Sr VP/Pres SCR	50.00	0.00		$3,531,840	$0	$49,519		Yes (X)
Longo Kevin
AVP Compliance	50.00	0.00		$1,442,337	$0	$53,851			Yes (X)
Roberts Kevin
President GAMC	50.00	0.00		$897,962	$0	$43,753			Yes (X)
Nahapetian Arby
Reg Med Off SCR	50.00	0.00		$880,809	$0	$58,321			Yes (X)
Raffoul John
President WMMC	50.00	0.00		$759,980	$0	$49,429			Yes (X)
Wehtje Ronald
Reg Fin Off SCR	50.00	0.00		$698,178	$0	$36,965			Yes (X)
Rebok Douglas
Former Asst Secretary	0.00	0.00		$120,028	$0	$6,244				Yes (X)
Wehtje Rodney
Former Asst Sec/VP Treasurer	0.00	0.00		$249,427	$0	$23,299				Yes (X)
Doram Keith MD
Former VP Clin Effectiveness/CMO	0.00	0.00		$539,962	$0	$53,109				Yes (X)
McKague Kirby
Former VP/CFO AHPN	0.00	0.00		$478,910	$0	$43,752				Yes (X)
Chilton Harold
Former VP Support Srvs	0.00	0.00		$538,222	$0	$42,304				Yes (X)
Soderblom Alan
Former VP/CIO	0.00	0.00		$447,917	$0	$53,927				Yes (X)
Russell Thomas
Former VP Pop Hlth Innov	0.00	0.00		$347,624	$0	$37,345				Yes (X)
Fults Kendall
Former COO CCR	0.00	0.00		$1,130,802	$0	$42,343				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$30,790,176	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$100,600	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,606,369	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	543	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Deloitte Consulting LLP
980 9th St Ste 1800	Sacramento	CA	95814	Hlthcare Consulting	$29,798,431
Cerner Corporation
2800 Rockcreek Parkway	Kansas City	MO	64117	IT Solutions Mgmt	$25,584,971
OPTUMRX
11000 Optum Cir	Eden Prairie	MN	55344	Pharm Ben Mngmnt	$13,928,476
Brown Parker & Demarinis
620 Newport Ctr Dr	Newport Beach	CA	92660	Hlthcare Marketing	$6,027,683
Quest Media & Supplies Inc
5822 Roseville Rd	Sacramento	CA	95842	Contr Labor Cons	$3,985,041

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	141	CntrctRcvdGreaterThan100KCnt
Government Grants	$94,211	GovernmentGrantsAmt
All Other Contributions	$2,350	AllOtherContributionsAmt
Total Contributions	$96,561	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Insurance Trust Reimburse	900099	$18,878,706	$18,878,706
Management Fees	900099	$230,987,250	$229,302,889	$1,684,361
Other Program Service Rev	900099	$2,647,101	$2,647,101
Prtnrshp Inc Rltd Prgm Sr	541900	$13,559,444	$12,998,484	$560,960

Field	Value	IRS element (for citing)
Total Program Service Revenue	$266,072,501	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,257,268	TotalRevenueColumnAmt
Exclusion	$8,257,268	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$29,244,225	SecuritiesAmt
Other	$122,286	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$29,244,225	SecuritiesAmt
Other	$122,286	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,366,511	TotalRevenueColumnAmt
Exclusion	$29,366,511	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Clinical Engineering	Desc
Business	811000	BusinessCd
Total Revenue Column	$1,627,832	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,627,832	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,627,832	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$305,493,173	TotalRevenueColumnAmt
Related Or Exempt Func Income	$263,827,180	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,873,153	UnrelatedBusinessRevenueAmt
Exclusion	$37,696,279	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$514,657	TotalAmt
Program Services	$514,657	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$5,000	TotalAmt
Program Services	$5,000	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$23,319,745	TotalAmt
Program Services	$23,319,745	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$110,229,043	TotalAmt
Program Services	$110,229,043	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,066,476	TotalAmt
Program Services	$7,066,476	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$24,238,163	TotalAmt
Program Services	$24,238,163	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,367,819	TotalAmt
Program Services	$8,367,819	ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,136,325	TotalAmt
Management And General	$3,136,325	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,293,767	TotalAmt
Management And General	$1,293,767	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$31,017,696	TotalAmt
Program Services	$31,017,696	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,218,067	TotalAmt
Program Services	$3,218,067	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	-$17,960,305	TotalAmt
Program Services	-$17,960,305	ProgramServicesAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$67,886,137	TotalAmt
Program Services	$67,886,137	ProgramServicesAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,417,732	TotalAmt
Program Services	$10,417,732	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,886,212	TotalAmt
Program Services	$4,886,212	ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$487,321	TotalAmt
Program Services	$487,321	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$16,251,973	TotalAmt
Program Services	$16,251,973	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$22,690,519	TotalAmt
Program Services	$22,690,519	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$268,416	TotalAmt
Program Services	$268,416	ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
Purchased services	$52,282,499	$52,282,499
Miscellaneous expenses	$2,399,547	$2,399,547
Income taxes	$126,953	$126,953

All Other Expenses AllOtherExpensesGrp

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

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$372,143,762	TotalAmt
Program Services	$367,713,670	ProgramServicesAmt
Management And General	$4,430,092	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$9,390,454	BOYAmt
EOY	$31,010,593	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,316,975	BOYAmt
EOY	$12,396,893	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$2,586,588	BOYAmt
EOY	$2,564,720	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$17,915,909	BOYAmt
EOY	$9,634,156	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$21,679,600	BOYAmt
EOY	$30,188,611	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$399,442,149	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$178,393,542	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$188,012,745	BOYAmt
EOY	$221,048,607	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$970,262,117	BOYAmt
EOY	$946,091,525	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$49,783,605	BOYAmt
EOY	$59,471,656	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,261,429	BOYAmt
EOY	$4,501,715	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$798,567,544	BOYAmt
EOY	$781,007,726	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,070,778,666	BOYAmt
EOY	$2,097,917,902	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$183,535,853	BOYAmt
EOY	$243,669,918	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$447,677	BOYAmt
EOY	$6,042	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,074,870,000	BOYAmt
EOY	$1,097,361,144	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$543,145,845	BOYAmt
EOY	$652,268,429	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$205,274,491	BOYAmt
EOY	$153,000,173	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,007,273,866	BOYAmt
EOY	$2,146,305,706	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$63,433,020	BOYAmt
EOY	-$48,461,604	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$71,780	BOYAmt
EOY	$73,800	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$63,504,800	BOYAmt
EOY	-$48,387,804	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,070,778,666	BOYAmt
EOY	$2,097,917,902	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$66,650,589	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$16,043,914	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$29,198,101	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Church	Yes (X)	ChurchInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$358,680	OtherActivitiesAmt
Total Lobbying Expenditures	$358,680	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1i - Other Activities Description	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	$1,131,235	BeginningYearBalanceAmt
Contributions	$96,561	ContributionsAmt
Investment Earnings Or Losses	$18,082	InvestmentEarningsOrLossesAmt
Other Expenditures	$94,541	OtherExpendituresAmt
End Year Balance	$1,151,337	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,116,920	BeginningYearBalanceAmt
Investment Earnings Or Losses	$28,777	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$42,615	GrantsOrScholarshipsAmt
End Year Balance	$1,103,082	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.93590	BoardDesignatedBalanceEOYPct
Term Endowment Balance EOY	0.06410	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	false	RelatedOrgListSchRInd

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	$8,064,022	OtherCostOrOtherBasisAmt
Depreciation	$6,225,050	DepreciationAmt
Book Value	$1,838,972	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,920,816	OtherCostOrOtherBasisAmt
Depreciation	$2,323,673	DepreciationAmt
Book Value	$597,143	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$271,708,516	OtherCostOrOtherBasisAmt
Depreciation	$169,844,819	DepreciationAmt
Book Value	$101,863,697	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$81,811,157	OtherCostOrOtherBasisAmt
Book Value	$81,811,157	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$221,048,607	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Adhealth, Ltd	$150,000	C
The Equitable	$81,100	F
Aurora Policies (Split Dollar Life Ins)	$170,377	C
Granite Bay Golf Club	$54,600	C
COPE Health Solutions	$1,378,613	C
Huntington Beach House	$425,500	C
Premier Inc	$2,241,525	C

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Collateral Assignment Split $ Policies	$29,722,793
Malpractice Trust Funds	$127,510,404
Other Receivables	$45,530,400
Receivables from Related Organizations	$578,244,129

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$781,007,726	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Other Liabilities	$20,544,748
Professional Liability	$129,924,756
Workers Compensation Liability	$2,530,669

Field	Value	IRS element (for citing)
Total Liability	$153,000,173	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Line 4: Intended uses of the endowment fund.	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 (3 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central Amer & Caribbean	Passive Investments	Progr rel investment	$150,000
Central Amer & Caribbean	Program Service	Reinsurance	$1,238,700
Central Amer & Caribbean	Passive Investments	Legal Fees	$110,700

Field	Value	IRS element (for citing)
Subtotal Spent	$1,499,400	SubtotalSpentAmt
Total Spent	$1,499,400	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
ADRA
12501 Old Columbia Pike	Silver Spring	MD	20904	521314847	501(c)(3)	$10,000	$0	Hurricane relief grant
AH Clearlake Hospital Inc
15630 18th Ave	Clearlake	CA	95422	680395149	501(c)(3)	$300,000	$0	Project Restoration
Loma Linda University
24760 Stewart St	Loma Linda	CA	92354	951816009	501(c)(3)	$13,000	$0	Education Grant-School of Religion
Northern CA Conference
401 Taylor Blvd	Pleasant Hill	CA	94523	951816050	501(c)(3)	$25,000	$0	Fire relief grant
Pacific Union College
1 Angwin Ave	Angwin	CA	94508	770578450	501(c)(3)	$15,000	$0	Health Services Grant
Sacramento Adventist Academy
5601 Winding Way	Sacramento	CA	95608	941431179	501(c)(3)	$30,000	$0	Education Grant & Building Project
St Helena Hospital
10 Woodland Rd	St Helena	CA	94574	941279779	501(c)(3)	$100,000	$0	Fire relief grant

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Grantmaker's Description of How Grants are Used	FormAndLineReferenceDesc
Explanation	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 (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	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 (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd
Rebuttable Presumption Proc	false	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (37 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
Ashlock Mark
Sr VP Physician Strategy	$685,678	$201,219	$181,111	$16,356	$25,957	$1,110,321	$124,021
Asmar Hoda
Sr VP/CCO	$338,932	$65,000	$122,938	$15,156	$11,241	$553,267
Bancarz Gloria
VP/CNO	$405,235	$97,748	$171,127	$16,433	$12,961	$703,504	$58,791
Beaman John
VP Finance/SFO	$438,642	$110,828	$85,560	$10,956	$48,561	$694,547	$51,354
Beehler Bob
VP Mkt Dev, M&A	$400,165	$100,500	$160,107	$16,356	$25,956	$703,084	$57,749
Chilton Harold
Former VP Support Srvs	$338,242	$79,367	$120,613	$16,356	$25,948	$580,526
Church Lowell
VP Materiel Mgmt	$314,453	$80,070	$104,732	$16,405	$27,379	$543,039	$34,760
Conklin Jeffrey
VP/Pres Managed Care	$471,870	$119,301	$119,548	$16,356	$41,965	$769,040
Dickinson Chip
VP Business Solutions	$394,630	$50,250	$56,191	$16,356	$33,093	$550,520
Doram Keith MD
Former VP Clin Effectiveness/CMO	$531,065		$8,897	$16,356	$36,753	$593,071
Eller Jeff
Sr VP/Pres NCR	$647,561	$183,480	$206,427	$16,356	$28,657	$1,082,481	$106,335
Ferch Wayne
Sr VP/Pres CCR	$642,426	$183,984	$130,776	$16,408	$28,657	$1,002,251	$104,580
Fults Kendall
Former COO CCR	$278,392	$64,578	$787,832	$16,415	$25,928	$1,173,145	$764,079
Gordon Daniel
VP Financial Srvs	$307,044	$79,060	$1,200,209	$16,567	$25,936	$1,628,816	$1,123,061
Gustin John
VP Facilities, Const, RE	$313,781	$78,998	$113,807	$16,483	$25,938	$549,007	$43,312
Jakobsen Dag
VP/COO AHPS	$416,644	$105,056	$102,600	$16,356	$15,577	$656,233
Jobe Meredith
Sec/VP Gen Cnsl	$395,752	$98,614	$159,873	$16,356	$25,957	$696,552	$60,017
Longo Kevin
AVP Compliance	$260,138	$44,268	$1,137,931	$16,356	$37,495	$1,496,188	$1,091,517
Marchuk Robert
VP Ancillary Srvs	$287,776	$73,174	$76,557	$16,356	$37,503	$491,366	$22,458
McKague Kirby
Former VP/CFO AHPN	$374,452		$104,458	$16,356	$27,396	$522,662	$52,506
Nahapetian Arby
Reg Med Off SCR	$535,805	$114,043	$230,961	$16,356	$41,965	$939,130	$81,073
Newmyer Joyce
Sr VP/Pres PNR	$603,848	$136,813	$18,561	$16,356	$33,093	$808,671
Olson JoAline
Sr VP/CHPIO	$566,128	$162,400	$186,499	$16,431	$33,093	$964,551	$89,381
Patterson Leeanne
VP/CRO, Risk Mgmt	$308,030	$79,328	$59,915	$16,497	$25,937	$489,707
Raffoul John
President WMMC	$436,686	$136,666	$186,628	$16,356	$33,073	$809,409	$59,512
Rebok Douglas
Former Asst Secretary			$120,028		$6,244	$126,272	$120,028
Reiner Scott
Dir/CEO	$1,184,750	$324,119	$473,935	$16,356	$37,529	$2,036,689	$406,467
Roberts Kevin
President GAMC	$523,489	$148,039	$226,434	$16,356	$27,397	$941,715	$89,586
Russell Thomas
Former VP Pop Hlth Innov	$339,510		$8,114	$16,537	$20,808	$384,969
Soderblom Alan
Former VP/CIO	$443,826		$4,091	$16,398	$37,529	$501,844
Tetz Doris
VP Talent & Strategy	$287,825	$70,979	$53,173	$16,356	$26,830	$455,163
Wagner Jack
AsstSec/CFO/SVP	$755,988	$221,735	$92,680	$11,160	$25,957	$1,107,520
Wehtje Rodney
Former Asst Sec/VP Treasurer	$158,863		$90,564	$213	$23,086	$272,726	$79,970
Wehtje Ronald
Reg Fin Off SCR	$490,826	$90,579	$116,773	$11,008	$25,957	$735,143
Wilson Kathleen
VP Benefits Admin	$304,014	$76,792	$116,037	$16,387	$12,939	$526,169	$38,159
Wing Bill
Dir/Pres	$953,512	$273,121	$233,611	$16,356	$36,337	$1,512,937	$172,851
Zachary Beth
Sr VP/Pres SCR	$768,341	$221,735	$2,541,764	$16,426	$33,093	$3,581,359	$2,479,514

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 1a: Relevant information in regards to selections on 1a.	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

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 Schedule O	false	false	false
CHFFA Series B 2009
B	521643828	13033LBC0	2009-05-20	$30,000,000	See Schedule O	false	false	false
CHFFA Series C 2009
C	521643828	13033F8B9	2009-05-20	$56,309,648	See Schedule O	false	false	false
HFA Multnomah 2009
D	931266280	62551PBS5	2009-09-30	$66,147,216	See Schedule O	false	false	false

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	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	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	false	false	Yes (true)	Yes (true)
B		$30,000,000		$299,917		$29,699,958	2009	false	false	Yes (true)	Yes (true)
C	$50,495,000	$61,940,613	$1,212,236	$559,042			2009	Yes (true)	false	Yes (true)	Yes (true)	$55,750,607
D		$66,147,216	$6,094,359	$886,660			2009	Yes (true)	false	Yes (true)	Yes (true)	$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	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	Yes (true)
D	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
A	Yes (true)	false	false	false	Yes (true)
B	false	false	false	false	Yes (true)	false	false	Yes (true)
C	false	false	false	false	Yes (true)	false	false	false
D	false	false	false	false	Yes (true)	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part VI	FormAndLineReferenceDesc
Explanation	NOTE - Multiple schedules are being filed.CSCDA - California Statewide Communities Development AuthorityCHFFA - California Health Facilities Financing AuthorityHFA - The Hospital Facilities Authority of Multnomah County, OregonSchedule 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 1, Part IV, Line 2(c), Column A - Bond issued on 5/08/2007, CUSIP#1307957C5 - rebate calculation performed on December 6, 2017.Schedule 1, Part IV, Line 2(c), Column B - Bond issued on 5/20/2009, CUSIP#13033LBC0 - rebate calculation performed on July 31,2014.Schedule 1, Part IV, Line 2(c), Column C - Bond issued on 5/20/2009, CUSIP#13033F8B9 - rebate calculation performed on July 31,2014.Schedule 1, Part IV, Line 2(c), Column D - Bond issued on 9/30/2009, CUSIP#62551PBS5 - rebate calculation performed on November 10,2014.Schedule 2, Part IV, Line 2(c), Column A - Bond issued on 6/09/2011 - rebate calculation performed on July 25, 2016.	ExplanationTxt

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 Schedule O	false	false	false
CHFFA Series A 2013
B	521643828	13033LS65	2013-02-14	$208,420,907	See Schedule O	false	false	false
CHFFA Series A 2013
C	521643828	13033LS57	2013-02-14	$100,741,934	See Schedule O	false	false	false
CSCDA Series A 2015
D	680164610	13080SJL9	2015-06-30	$157,990,834	See Schedule O	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	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	false	false	Yes (true)	Yes (true)
B	$9,655,800	$208,420,907	$979,927		2016	Yes (true)	false	Yes (true)	Yes (true)	$207,440,930
C	$4,974,200	$100,741,934	$741,934	$100,000,000	2016	Yes (true)	false	Yes (true)	Yes (true)
D	$5,526,300	$157,990,834	$1,493,445			Yes (true)	false	Yes (true)	Yes (true)	$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	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Private Bus Use By OthersPrivateBusUseByOthersPct
A	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	Yes (true)	0.00020	0.00020
C	false	false	false	false	false	false	Yes (true)
D	false	false	false	false	false	false	Yes (true)		0.00020	0.00020

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	Yes (true)	false	false	false	Yes (true)
B	false	Yes (true)	false	false	false	false	false	Yes (true)
C	false	Yes (true)	false	false	false	false	false	Yes (true)
D	false	Yes (true)	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

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 Schedule O	false	false	false
CHFFA Series A 2016
B	521643828	13032UGL6	2016-09-08	$309,720,490	See Schedule O	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

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

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	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (31 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
SoderblomA
Former Key Emp	Relocate	Yes (X)	$100,000	$58,600	false	Yes (true)	Yes (true)
DoramK
Former Key Emp	Relocate	Yes (X)	$100,000	$2,500	false	Yes (true)	Yes (true)
AshlockM
Key Emp	Relocate	Yes (X)	$150,000	$121,600	false	Yes (true)	Yes (true)
OlsonJ
Key Emp	Relocate	Yes (X)	$200,000	$70,500	false	Yes (true)	Yes (true)
ConklinJ
Key Emp	Relocate	Yes (X)	$125,000	$46,220	false	Yes (true)	Yes (true)
BeamanJ
Key Emp	Relocate	Yes (X)	$125,000	$104,400	false	Yes (true)	Yes (true)
RobertsK
H Pd EE	Relocate	Yes (X)	$400,000	$383,800	false	Yes (true)	Yes (true)
FerchW
Key Emp	Relocate	Yes (X)	$150,000	$134,500	false	Yes (true)	Yes (true)
GordonD
Key Emp	Relocate	Yes (X)	$100,000	$89,500	false	Yes (true)	Yes (true)
BeehlerB
Key Emp	Relocate	Yes (X)	$100,000	$91,000	false	Yes (true)	Yes (true)
EllerJ
Key Emp	Relocate	Yes (X)	$300,000	$293,850	false	Yes (true)	Yes (true)
WagnerJ
Officer	Relocate	Yes (X)	$200,000	$192,850	false	Yes (true)	Yes (true)
JobeM
Officer	Relocate	Yes (X)	$100,000	$93,100	false	Yes (true)	Yes (true)
NewmyerJ
Key Emp	Relocate	Yes (X)	$150,000	$145,400	false	Yes (true)	Yes (true)
Tetz D
Key Emp	Relocate	Yes (X)	$100,000	$96,200	false	Yes (true)	Yes (true)
DickinsonC
Key Emp	Relocate	Yes (X)	$99,900	$98,400	false	Yes (true)	Yes (true)
Wing B
Officer	Relocate	Yes (X)	$200,000	$197,600	false	Yes (true)	Yes (true)
Ashlock M
Key Emp	Suppl Retire CASD	Yes (X)	$3,469,990	$3,552,995	false	Yes (true)	Yes (true)
Beaman J
Key Emp	Suppl Retire CASD	Yes (X)	$699,888	$716,617	false	Yes (true)	Yes (true)
Eller J
Key Emp	Suppl Retire CASD	Yes (X)	$4,614,772	$4,725,154	false	Yes (true)	Yes (true)
Ferch W
Key Emp	Suppl Retire CASD	Yes (X)	$650,795	$666,359	false	Yes (true)	Yes (true)
Newmyer J
Key Emp	Suppl Retire CASD	Yes (X)	$4,170,066	$4,269,740	false	Yes (true)	Yes (true)
Olson J
Key Emp	Suppl Retire CASD	Yes (X)	$1,735,225	$1,776,728	false	Yes (true)	Yes (true)
Reiner S
Officer	Suppl Retire CASD	Yes (X)	$5,989,288	$6,132,445	false	Yes (true)	Yes (true)
Wagner J
Officer	Suppl Retire CASD	Yes (X)	$6,216,544	$6,365,227	false	Yes (true)	Yes (true)
Wing B
Officer	Suppl Retire CASD	Yes (X)	$5,096,748	$5,218,571	false	Yes (true)	Yes (true)
Zachary B
Key Emp	Suppl Retire CASD	Yes (X)	$1,888,277	$1,933,444	false	Yes (true)	Yes (true)
Chilton H
Former Key Emp	Relocation	Yes (X)	$100,000	$95,000	false	Yes (true)	Yes (true)
Asmar H
Key Emp	Relocation	Yes (X)	$150,000	$149,700	false	Yes (true)	Yes (true)
Gustin J
Key Emp	Relocation	Yes (X)	$100,000	$100,000	false	Yes (true)	Yes (true)
Tetz W
Employee	Relocation	Yes (X)	$100,000	$99,500	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$38,021,500	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (12 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SimDarran
FO Son-in-law	$74,688	Employment	false
Wehtje-SimCambria
FO Daughter	$95,467	Employment	false
EllerEric
Key EE Son	$64,221	Employment	false
WagnerBrent
Officer Son	$89,827	Employment	false
JobeCarol
Officer Wife	$26,938	Employment	false
Bancarz Theodore
Key EE Brother	$99,604	Employment	false
Bancarz Michelle
KeyEE Sis-inLaw	$118,030	Employment	false
Dickinson Brett
Key EE Son	$10,766	Employment	false
Ashlock Ryan
Key EE Son	$200,610	Employment	false
Tetz Warren
Key EE Father	$533,670	Employment	false
Ferch Josiah
Key EE Son	$27,605	Employment	false
WGW-CA LLC
Brd Memb JV	$5,138,106	LLC JV Loans	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part V Supplemental Information	FormAndLineReferenceDesc
Explanation	Part II, Supplemental Retirement BenefitsThe 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 executives 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 executives borrowing rights are reduced to protect the organizations recovery rights.At the executives 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 executives 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 executives 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 organizations 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 1Melody 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 2017 PVHR, LLC had an outstanding balance of $5.1M 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 and at the end of 2017 was about $15,000. Principal and interest payments are being made monthly.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	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.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	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, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	Board appointments are approved by the membership.
Form 990, Part VI, Line 11b: Form 990 Review Process	The completed Form 990 is shared with members of the corporation's board of directors by electronic communication for their review prior to filing. A special board meeting is scheduled to answer questions and receive input from the board prior to filing.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, 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 internal audit staff reviews these questionnaires and disclosures each year during the audit process.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	See explanation of process for setting CEO compensation on the below Form 990, Part VI, Line 15b explanation.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	The Adventist Health System/West board of directors has established a Human Performance (fka 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 that would be indicated by the data, including salary ranges for the organization's Executive Cabinet; 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 executives with midpoints set at the median of the peer group and having a 50 percent spread (about 20% above and below midpoint) from minimum to maximum. The CEO and Sr Vice Presidents (Executive Cabinet) have a maximum potential incentive of 30 percent of base salary. (This incentive potential is less than the industry norm.) Other executives have a maximum potential incentive of 25 percent of base salary.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	The corporation does not make its governing documents publicly available beyond required filings of articles of incorporation with the secretary of state. The corporation does not make its conflict of interest policy available upon request.
Other Changes In Net Assets Or Fund Balances - Other Decreases	Loss on discontinued operations = -$3269006
Other Changes In Net Assets Or Fund Balances - Other Decreases	Transfers to related organizations = -$25929095
Sch K (2nd), Part 1, Column (f), Line A	Acquire, construct and equip the following health care facilities:Adventist Health Clearlake Hospital Inc, Clearlake, CAFeather River Hospital, Paradise, CAGlendale Adventist Medical Center, Glendale, CASt. Helena Hospital, St. Helena, CASimi Valley Hospital and Health Care Services, Simi Valley, CAAcquire and install a clinical information system:Adventist Health System/West, Roseville, CA
Sch 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, 19911991 California Health Facilities Financing Authority (AHS/West Series B) bonds issued September 25, 19911991 City of Glendale (AHS/West Series A) bonds issued July 23, 1991
Sch 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 B	Refund outstanding balance of the following bond issues:2002 California Health Facilities Financing Authority (AHS/West Series A) bonds issued March 20, 20022002 California Health Facilities Financing Authority (AHS/West Series B) bonds issued March 20, 20022003 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, CAFeather River Hospital, Paradise, CAWillits Hospital, Inc, Willits, CAHanford Community Hospital, Hanford, CASan Joaquin Community Hospital, Bakersfield, CAUkiah Valley Hospital, Ukiah, CAAcquire 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, CASt. Helena Hospital, St. Helena, CA
Schedule K (3rd), Part 1, Column (f), Line A	Advanced refund outstanding balance of the following bond issues:1998 California Health Facilities Financing Authority (AHS/West Series A) bonds issued February 18, 19982007 California Statewide Communities Development Authority (AHS/West Series B) bonds issued May 8, 20072007 California Statewide Communities Development Authority (Lodi) bonds issued December 13, 20072009 California Health Facilities Financing Authority (AHS/West Series A) bonds issued May 20, 2009
Schedule K, Part 1, Column (f), Line A	Construct, equip and remodel the following health care facilities:Feather River Hospital, Paradise, CAHanford Community Hospital, Hanford, CASimi 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, CAFeather River Hospital, Paradise, CAGlendale Adventist Medical Center, Glendale, CAHanford Community Hospital, Hanford, CASt. Helena Hospital, St. Helena, CASimi Valley Hospital and Health Care Services, Simi Valley, CA

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (23 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 Hlth Clearlake Hosp Inc
15630 18th Ave	Clearlake	CA	95422	680395149	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	Yes (true)
Castle Medical Center
640 Ulukahiki St	Kailua	HI	96734	990107330	Hospital	HI	501(c)(3)	1	Adventist Health SystemWest	Yes (true)
Feather River Hospital
5974 Pentz Rd	Paradise	CA	95969	941101228	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	Yes (true)
Glendale Adventist Medical Center
1509 Wilson Ter	Glendale	CA	91206	951816017	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	Yes (true)
Hanford Community Hospital
115 Mall Dr	Hanford	CA	93230	940535360	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	Yes (true)
Northwest Med Fnd of Tillamook
1000 Third St	Tillamook	OR	97141	930622075	Hospital	OR	501(c)(3)	1	Adventist Health SystemWest	Yes (true)
Paradise Valley Hospital
2100 Douglas Blvd	Roseville	CA	95661	951816034	Discontinued Operations	CA	501(c)(3)	1	Adventist Health SystemWest	Yes (true)
Portland Adventist Medical Center
10123 SE Market St	Portland	OR	97216	930429015	Hospital	OR	501(c)(3)	1	Adventist Health SystemWest	Yes (true)
St Helena Hospital
10 Woodland Rd	St Helena	CA	94574	941279779	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	Yes (true)
Simi Valley Hosp & Hlth Care Srvs
2975 N Sycamore Dr	Simi Valley	CA	93065	956064971	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	Yes (true)
Sonora Community Hospital
1000 Greenley Rd	Sonora	CA	95370	941415069	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	Yes (true)
Ukiah Adventist Hospital
275 Hospital Dr	Ukiah	CA	95482	941639901	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	Yes (true)
Walla Walla General Hospital
1025 S Second Ave	Walla Walla	WA	99362	910617726	Hospital-closed July 2017	WA	501(c)(3)	1	Adventist Health SystemWest	Yes (true)
White Memorial Medical Center
1720 Cesar E Chavez Ave	Los Angeles	CA	90033	952282647	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	Yes (true)
Willits Hospital Inc
1 Marcela Dr	Willits	CA	95490	680108919	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	Yes (true)
Adventist Health Physicians Network
2100 Douglas Blvd	Roseville	CA	95661	680357690	Medical Foundation	CA	501(c)(3)	12b	Adventist Health SystemWest	Yes (true)
Adv Hlth So California Med Fnd
2100 Douglas Blvd	Roseville	CA	95661	954424391	Discontinued Operations	CA	501(c)(3)	12c	Adventist Health SystemWest	Yes (true)
San Joaquin Community Hospital
2615 Chester Avenue	Bakersfield	CA	93301	952294234	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	Yes (true)
Reedley Community Hospital
372 W Cypress Ave	Reedley	CA	93654	453220509	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	Yes (true)
Western Health Resources
2100 Douglas Blvd	Roseville	CA	95661	953867863	Home care	CA	501(c)(3)	1	Adventist Health SystemWest	Yes (true)
Lodi Memorial Hospital Assn Inc
975 S Fairmont Ave	Lodi	CA	95240	941044474	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	Yes (true)
Adventist Hlth Medical Ctr Tehachapi
115 W E St	Tehachapi	CA	93561	812240617	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	Yes (true)
Stone Point Health
2100 Douglas Blvd	Roseville	CA	95661	823763347	Support functions of hospitals	CA	501(c)(3)	12b	Adventist Health SystemWest	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 Douglas Blvd	AddressLine1Txt
City	Roseville	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95661	ZIPCd

Field	Value	IRS element (for citing)
EIN	952037291	EIN
Primary Activities	Wind down after sale of hospital	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C corp	EntityTypeTxt
Controlled Organization	false	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Adventist Hlth Clearlake Hosp Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	b	TransactionTypeTxt
Involved	$300,000	InvolvedAmt
Method Of Amount Determination	Cash	MethodOfAmountDeterminationTxt

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	The reporting organization is requesting abatement of late filing penalties due to extraordinary events occurring within the Adventist Health system caused by the Camp Fire in Butte County, California that erupted on November 8, 2018. On November 12, 2018, President Donald J Trump issued a Presidential Major Disaster Declaration. We request that the relief provided by the Internal Revenue Service in CA-2018-13 under IRC 7508A and Regulation 301.7508A-1 be applied to the reporting organization. The system experienced a catastrophic loss to the hospital in Paradise and multiple other buildings. Included in that loss was the building that housed critical information technology infrastructure. The morning following the start of the fire, the information technology area experienced system-wide loss of service over the following two weeks. The IT function had to make changes to accommodate the losses to infrastructure due to the fire. Tax software was not functional through November 30, 2018. During 2017 the system transitioned to an Enterprise Resource Planning cloud-based system and adopted a shared services model. This change resulted in the loss of personnel knowledgeable about the organizational structure, activities, and financial reporting of the entity. The ability to aggregate data consistent with prior years' reporting was challenging. More time was required to ensure reporting was in alignment with the tax format. Inquiry and reassignment of accounts was needed as we became aware of the constraints in the new ERP environment from within which we obtained the reporting data. Rebalancing of the income statement and net assets was critical and took extensive effort to complete.	ExplanationTxt