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        <PersonNm>Milatovic Natasa</PersonNm>
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        <PersonNm>Nguyen Jinhee</PersonNm>
        <TitleTxt>Patient care Exec thru 07/19/24</TitleTxt>
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        <PersonNm>Eskandarian Romic</PersonNm>
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        <PersonNm>Apelian Zeron</PersonNm>
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        <PersonNm>Appiah Michael</PersonNm>
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        <PersonNm>Gaffney Yvonne</PersonNm>
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        <PersonNm>Cho Jangrae</PersonNm>
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        <PersonNm>Wing Bill</PersonNm>
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        <PersonNm>Freedman John</PersonNm>
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        <PersonNm>Newton Bradford</PersonNm>
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        <PersonNm>Cherry Robert</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <PersonNm>Davis Andrew</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Innocent Larry</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Reiner Richard</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Wagner Jack</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Woodson Marc</PersonNm>
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        <PersonNm>Salazar Velino thru924</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Fehr Joy</PersonNm>
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        <PersonNm>Beckett Ann</PersonNm>
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        <PersonNm>Jutsy Kenneth</PersonNm>
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        <PersonNm>Daggett Jonathan</PersonNm>
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        <PersonNm>Chou Anita</PersonNm>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>Vituity Primary Care Glendale PC</BusinessNameLine1Txt>
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      <ContractorCompensationGrp>
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          <BusinessName>
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      <BadDebtExpenseAttributableAmt>969619</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>189694908</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>185663310</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>4031598</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>Adventist Health Glendale</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1509 Wilson Terrace</AddressLine1Txt>
          <CityNm>Glendale</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>91206</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>See Form 990 Question J</WebsiteAddressTxt>
        <StateLicenseNum>930000059</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <OtherDesc>Acute Psychatric &amp; Skilled Nursing</OtherDesc>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>See Sch H Part VI - Needs Assessment</OwnWebsiteURLTxt>
        <OtherWebsiteInd>X</OtherWebsiteInd>
        <OtherWebsiteURLTxt>See Sch H Part VI - Needs Assessment</OtherWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>See Sch H Part VI - Needs Assessment</StrategyWebsiteURLTxt>
        <StrategyAttachedInd>false</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.0000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.0000</FPGFamilyIncmLmtDscntCarePct>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>See Sch H Part VI - Patient Education</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>See Sch H Part VI - Patient Education</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>See Sch H Part VI - Patient Education</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: - Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>The CHNA Steering Committee identified vulnerable populations and worked with local organizations to coordinate focus groups and key informant interviews to ensure that minority populations the voices of those with chronic disease, low incomes, and the underserved were heard. Civic government and community-based organizations focusing on children, education, faith, healthcare, higher education, law enforcement, LGBT community, low-income, medically underserved, mental health, minority populations, providers, and public health populations were included in the seven focus groups with participation from 61 individuals and 23 key informant interviews. The Community Health Needs Assessment was developed using four separate sources of primary and secondary data. This mixed methods approach is considered a preferred practice for needs assessments because it allows for the greatest understanding of community needs from the broadest range of perspectives. Primary data refers to data collected and analyzed specifically for this project, while secondary data refers to data compiled and analyzed by external groups and utilized here. Qualitative primary data collection involved focus group interviews with locals involved in the healthcare and public health system. These were conducted in-person and virtually. This information was collected by the Adventist Health Community Well-Being team, Biel Consulting, Inc., and evaluation consultants from the Center for Behavioral Health Integration. Secondary data was amassed and analyzed across 45 different data sets by the University of Missouri Extension Center for Applied Research and Engagement Systems (CARES). Finally, survey data sets of registered voters in the community were collected and analyzed by UC Berkeley Institute of Governmental Studies (IGS). In total, 7 focus groups were conducted with 61 participants, and 23 key informant interviews were held. Survey data was gathered from the Los Angeles County region (region name defined by survey administrator, UC Berkeley IGS).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: - Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>2024 tax year was Year Two of the Implementation Strategy for the 2022 Community Health Needs Assessment (CHNA). All programs and activities provided to the community were in response the priority health needs identified in the 2022 CHNA. Our 2022 CHNA identified three areas of significant need: Access to Care, Health Conditions and Mental Health. Priority Need One- Access to Care. The goal is to increase the number of primary care providers through recruitment, preparation, and placement of physician residents into family/primary care practice within the service area. Glendale Adventist Medical Center was proud to have nine residents graduate from our family medicine residency program in June 2024. Three residents will remain in the area to practice family medicine..Working locally to improve access to care, one to three residents attend and staff the Glendale Community Free Clinic along with an attending physician every other Tuesday evening for four to five hours in 2024. The Glendale Community Free Health Clinic is a nonprofit organization that serves low-income and uninsured patients only. They provide services for patients with cardiovascular disease, hypertension, high cholesterol, diabetes, and thyroid related disorders. The family medicine residency program residents also staff the Glendale Community College Student Health Clinic for two hours each week, and performed 70 sports physicals to Glendale Unified School District students.Other strategies to improve access to care include the promotion of health care careers for community youth through the participation in the Glendale Unified School District Career Fair. Sixty-five students attended the Roadmap to Becoming a Physician, Pharmacist or Psychologist presentation and over 450 students attended the fair. The hospital also provided four orthopedic physical therapy students to participate in a panel for high school and college students considering a profession in health care at the Adventist Church Health Career Fair. Additionally, the Hospital offered free health care services to reduce illness and increase access to care for the underserved community in 2024 by providing $10,841 worth of insulin to the Glendale Community Free Clinic for 12 persons; 204 charity prescriptions were dispensed by SMD (Satellite Medication Dispensing) totaling $14,148 and the pharmacy department partnered with seven universities and served 106 students obtain their required clinical hours for the licensing. Transportation support was provided as a means to increase access to health care services by providing over $97,240 in transportation and ambulance services for patients who could not afford transportation to obtain health care. The Cancer Center also covered transportation expenses for 35 patients. In partnership with the Armenian American Medical Society, the Hospital participated in the 12th Annual Glendale Health Festival. This annual event provides health care services to the uninsured or underinsured in the community. Approximately 100 people were served and over 500 community members attended. The Cancer Center had a prostrate cancer screening event in 2024 with approximately 35 people served and in coordination with the Vituity Care Foundation + Magic Johnson Wellness Fair over 500 underserved families were provided with medical screenings and vaccinations. Priority Need Two- Health Conditions. The goal is to reduce the rate of heart disease, related conditions, and risk factors by offering a range of education, screening, healthy lifestyles, condition management and preventative services in the area. Go Heart program expanded fitness events to Yosemite Park in 2024 offering twenty-nine free health and fitness events and the participation of 900 community members. Events included: monthly yoga in the park, sound baths, garden events, Zumba classes, and trail hikes. The monthly Go Heart newsletter was sent out to 405 community members. In addition to the monthly newsletter this year, Go Heart utilized Meetup, and Eventbrite platforms to publicize events to the community. The program focuses on heart health awareness, prevention of heart disease and related illnesses.Live Well Senior Program is a free comprehensive wellness program tailored to help those over age 60 maintain a healthy lifestyle. The program provides dynamic programming with fitness classes, educational webinars with physician speakers, virtual bingo classes, and support groups to promote an optimum level of vibrancy and connection. Weekly e-newsletters are sent out to provides an overview of what Live Well events are planned for the coming week. The e-newsletter has over a 65% open rate each week. Program has over 2,200 members and in 2024 membership increased with 199 new members. Other Live Well Senior Program activities included: 1). Five weekly fitness classes available to members. 302 classes offered in 2024 with over 7000 participants. 2). Dementia and Alzheimers Caretakers Support Group for 20 families meeting bimonthly. 3). Seven educational seminars presented by our physicians. Seven seminars hosted with 541 attendees. 4). Weekly email to over 2000 members with 65% email open rate. 5). Participation on the City of Glendale Community Services Committee. 6). Senior Street Fest booth participant for over 200 local senior community members and 7). Weekly Game Day 46 games hosted with 468 seniors participating. In addition, the Hospital provided the following health education events:In addition, the hospital provided the following preventative, education, and awareness Events in 2024: 1). Sidewalk CPR at the Americana. 200 people attended. ED, Glendale Fire, and Cardiology hosted the event. 2). Ongoing Diabetes Education. 3). Community health awareness events for Breast Cancer, Heart Health, and Lung Cancer were held at Glendale Adventist Medical Center. 4). Flu and Covid vaccinations provided to 200 community members. 5). Prenatal, parenting, and infant care classes open to the public. 150 community members participated in ongoing classes on breast feeding, baby care, infant safety and CPR, and childbirth preparation. 6). Cal Fresh community nutrition education and cooking demonstrations were held in both English and Spanish. 7). Glendale Adventist Medical Center participated in the Glendale Galleria Breast Cancer Awareness Event.Priority Need Three- Mental Health. The goal is to improve mental health awareness, access to resources, and outcomes for different populations and needs. This will be accomplished by enhancing student awareness and access by supporting school wellness centers, implementing a communications and engagement strategy, and connections to resources and servicesIn partnership with Glendale Unified School District, Glendale Adventist Medical Center provided funding to open wellness rooms at local high schools starting in 2023. Over 6,000 students have since utilized the wellness rooms since opening. The rooms provide tobacco and substance abuse educational resources, teacher support, conflict resolution, coaching, and emotional support.Other activities supporting housing needs in 2024 included: 1). 514 indigent and homeless patients were treated and 100% accepted treatment. Over 500 accepted placement plans with our community partners. 2). Behavioral Health Hospitalists program was implemented. Treatment plans were discussed with patients. The program is facilitating early discharges to our patients. 3). Seven staff members met weekly with Los Angeles County Department of Mental Health. 4). 44 case managers connected with Charlie Healths step-down mental health program for 1149-year-olds. Over 25 youths were referred to the program and four participated in the program. 5). Behavioral health staff collected shoes and books for people in need and coping with mental health issues. 6). $114,675 as a cash contribution was extended to National Health Foundation to provides care for the unhoused patients after discharge. 7). 50 staff members participated in an evidence-based music intervention program to address individuals mental health goals. 300 people participated over a 2-month period. 8). Staff attended monthly meetings with CA Association of Hospitals to discuss behavioral health care. 9). NAMI Walk and Mental Health Fair booth. 368 people attended the fair. Staff contributed 100 volunteer hours.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: - Part V, Section B, Line 13h</FormAndLineReferenceDesc>
        <ExplanationTxt>Patients who do not meet the income criteria, may be eligible for financial assistance based on essential living expenses and resources. The following two (2) qualifications must both apply:1. Essential living expenses: Exceed fifty percent (50%) of the household income; and2. Resources: The patient's excess medical expenses (the amount that allowable medical expenses are greater than 50% of annual household income) must be greater than available qualifying assets.</ExplanationTxt>
      </SupplementalInformationGrp>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Eagle Rock Therapy and Wellness center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2560 Colorado Blvd</AddressLine1Txt>
            <CityNm>Glendale</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>90041</ZIPCd>
          </USAddress>
          <FacilityTxt>Physicial therapy</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Spine &amp; Orthi Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1500 Chevy Chase Dr</AddressLine1Txt>
            <CityNm>Glendale</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>91206</ZIPCd>
          </USAddress>
          <FacilityTxt>Spine &amp; Orthopaedic Medicine</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Heart &amp; Vascular Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1500 Chevy Chase Dr</AddressLine1Txt>
            <CityNm>Glendale</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>91206</ZIPCd>
          </USAddress>
          <FacilityTxt>Heart &amp; Vascular Medicine</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Occmed</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>600 604 South Glendale Ave</AddressLine1Txt>
            <CityNm>Glendale</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>91205</ZIPCd>
          </USAddress>
          <FacilityTxt>Occupational medicine</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7 - Explanation of Costing Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>The costs were determined by using a cost-to-charge ratio. The cost-to-charge computation is based on hospital specific data included in the system-wide audited combined financial statements. The formula used for computation equals financial statement data labeled as follows:Total expenses - (Provision for bad debts + Other revenue + Interest income)/Gross patient charges</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>Uncollected patient accounts are analyzed using written patient financial services policies that apply standard procedures for all patient accounts. The result of the analysis is what is recognized as bad debt expense. For example, all self-pay patients receive a discount. If the discounted account is unpaid after collection efforts, the unpaid balance is classified as bad debt. The cost-to-charge ratio is multiplied times the hospital's bad debt expense. The resulting figure has been reported as bad debts at cost on Part III, Line 2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 3 - Methodology of Estimated Amount &amp; Rationale for Including in Community Benefit</FormAndLineReferenceDesc>
        <ExplanationTxt>The portion of the bad debts attributed to charity care as reported on Part III, Line 3 was calculated by an independent third-party consulting firm. A statistically valid sampling of patient accounts written-off was evaluated. The evaluation used various factors to determine which patients would have been eligible for charity care. Had the hospital obtained sufficient information from all patients who qualified for financial assistance, these additional accounts would have been recorded as charity care instead of bad debt.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4 - Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>The system-wide combined audited financial statements do not contain a footnote describing bad debt expense.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8 - Explanation Of Shortfall As Community Benefit</FormAndLineReferenceDesc>
        <ExplanationTxt>The Medicare cost report apportions the hospitals costs on the basis of inpatient days and ancillary and outpatient charges to establish the costing methodology.Healthcare delivery by hospitals is a complex, highly regulated business in the United States. Healthcare unit cost inflation is driven by compliance with ever-expanding regulatory requirements, shortages of highly skilled labor and evolving medical and information technology. The health care market basket is unrelated to that of the average individual consumer. Medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that Medicare payments too many U.S. hospitals are well below the cost of providing care. These unreimbursed costs are a community benefit for seniors and others in the community as these individuals are continuing to receive care without which many would become dependent on other governmental resources such as Medicaid. The benefit to the community for healthier Medicare recipients is no different than those benefits the community realizes for uninsured and underinsured patients who are eligible for partial and full charity care. Medicare is a safety net for seniors and others. Without Medicare coverage, many individuals would undoubtedly qualify for charity care.In addition to the mismatch between Medicare payment increases and healthcare cost inflation, the highly complex Medicare payment systems and formulas produce disparate payment levels from one hospital to another for the same service. These disparate payment levels create disparate results within groups of hospitals. For further information please refer to schedule H part III section B.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b - Provisions On Collection Practices For Qualified Patients</FormAndLineReferenceDesc>
        <ExplanationTxt>When a patient has requested screening for charity care, the hospital must immediately cease collection activity and place the account in a charity pending status. If 100% charity is approved, the entire account balance is written off to charity care. If the patient has a sliding scale liability based on the federal poverty guidelines, they are billed only for that liability. If the patient fails to pay their after-charity liability, they are assigned to a collection agency with an identifier that indicates to the agency that the patient is "low income and the following criteria must be followed by the agency:1. They may not report the patient to a credit bureau2. They may not file a lawsuit to recover the outstanding liability3. They may not charge interest</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2 - Needs Assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>Glendale Adventist Medical Center promotes access to their 2022 CHNA, the 2023 community health implementation strategy approved in FY 2023, and the 2024 Community Health Plan (CHP) Update for fiscal year 2024 are posted on the hospital's website at: https://www.adventisthealth.org/glendale/about-us/community-benefit/.The two most recent Community Health Needs Assessments, two most recent Implementation Strategy reports and the 2022, 2023 and the 2024 Community Health Plan Updates are also available on the Adventist Health Corporate website at https://www.adventisthealth.org/about-us/community-benefit/In addition to the CHNA, our hospital engages in a process of continuous quality improvement, focusing on questions such as: are our interventions making a difference in improving health outcomes; are we providing the appropriate resources in the appropriate locations; and how are we using technology to track our health improvements and provide relevant feedback at the local level? Building a healthy community requires multiple stakeholders working together with a common purpose. With that in mind, our hospital leadership serves on a variety of community boards and committees focused on addressing community-specific needs, allowing for ongoing responsiveness to the health care needs of the community and collaboration with local agencies and organizations, enabling maximum effectiveness through collective impact.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3 - Patient Education of Eligibility for Assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>The plain language summary of the Financial Assistance Policy (FAP) is posted along with the complete FAP policy and FAP Application on the hospitals website at: https://www.adventisthealth.org/patient-resources/bill-pay/financial-assistance/ The documents are available in multiple languages. The link to the hospitals Self-Pay Billing and Collection Policy is posted at: https://www.adventisthealth.org/documents/system/13863-self-pay-billing-and-collection-policy.pdfAt the time of registration, patients who are uninsured and underinsured are provided information about government healthcare programs. Patients are also orally informed of their right to request charity assistance. Signs are displayed in the patient business office, patient registration areas and the emergency room in multiple languages informing patients of this right as well. The Hospital also provides a brochure during the registration process that explains the hospital billing and collection procedures, and how to request financial assistance. In addition, every billing statement sent to patients contains information on how to request financial assistance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4 - Community Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Although largely known by its adjacent City of Angels neighborhood, Glendale is its own unique community with shops, family-owned businesses, scenic Forest Lawn Memorial Park treks, and endless varieties of culturally diverse restaurants. The Glendale Hospital community is home to 314,658 residents and reflects a diverse culture. Among this population, 16.74% of children live in poverty and 5.16% of students are unhoused, compared to the state average of 4.25% and national average of 2.77%.Glendale has a limited number of mental health care providers, and with 77.11 mental health providers per 100k people, it is significantly less than the rate in California (150.31) and in the US (132.27). The adult population in Glendale without a high school diploma is 14.85% and is above that of the US (11.47%). In addition, 28.57% of the population age five and older have limited English proficiency, creating barriers to healthcare access, provider communications, and health literacy/ education. This rate is significantly higher than that of California (17.41%) and the US (8.25%).The following zip codes represent Glendale Adventist Medical Centers primary service area (PSA), accounting for 75% of hospital discharges. Additionally, we took a collaborative approach and expanded our PSA by inviting Steering Committee members to include the zip codes of those they serve. The Glendale Adventist Medical Center CHNA market has a total population of 314,658 (based on the 2020 Decennial Census). The largest city in the service area is Glendale, with a population of 191,761. The service area is comprised of the following zip codes: 91020, 91201, 91206, 91203, 91205, 90065, 91207, 90041, 91204, 90042,91208, 91202.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4 - Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>The hospital is involved in numerous community building activities which promote the health of the community. Overwhelmingly, we see diseases of despair including suicide, substance abuse, mental health and chronic illnesses plaguing the communities in which we have a significant presence in. These community concerns are addressed through health improvement, education, poverty, workforce development and access to care. This is why we have focused our work around addressing behavior and the systems keeping the most vulnerable people in cycles of poverty and high utilization. In an effort to heal these communities, we have strategically invested in our communities by partnering with national leaders in community well-being. We believe the power of community transformation lies in the hands of the community. Our solution for transformation is to create a sustainable model of well-being that measurably impacts the well-being of people, well-being of place and equity. In 2020, Adventist Health acquired Blue Zones as the first step toward reaching our solution. By partnering with Blue Zones, we will be able to gain ground in shifting the balance from healthcare treating people once they are ill to transformative well-being changing the way communities live, work and play. In 2021, Adventist Health committed to launching six Blue Zone Projects within our community footprint. In 2022, these projects were active and growing. In 2023, we saw tremendous growth in several of our markets promoting walking moais, worksite wellness, Blue Zones Project school pledges to create an environment that instills healthy lifestyle choices for our children and Blue Zones Project restaurant pledges to provide healthy options. 2024 saw continued transformation of our six community Blue Zones Projects through policy initiatives around built environment, tobacco use and food. Blue Zones widens our impact from only reaching our hospitals communities in four states to a global mission practice. We also encourage our employees to serve on community collaboration boards, health advocacy programs, and physical improvement projects to promote the health of the communities we serve. In addition, we work with neighborhood programs, including schools, work sites and safety net providers to promote health and wellness and prevent disease.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5 - Promotion of Community Health</FormAndLineReferenceDesc>
        <ExplanationTxt>Our hospitals mission is, Living Gods love by inspiring health, wholeness and hope. Our community benefit work is rooted deep within our mission and merely an extension of our mission and service. We have also incorporated our community benefit work to be an integral component of improving the Triple Aim. The Triple Aim concept broadly known and accepted within health care includes:1) Improve the experience of care for our residents.2) Improve the health of populations.3) Reduce the per capita costs of health care.Our strategic investments in our community are focused on a more planned, proactive approach to community health. The basic issue of good stewardship is making optimal use of limited charitable funds. Defaulting to charity care in our emergency rooms for the most vulnerable is not consistent with our mission. An upstream and more proactive and strategic allocation of resources enables us to help low income populations avoid preventable pain and suffering; in turn allowing the reallocation of funds to serve an increasing number of people experiencing health disparities.Hospitals and health systems are facing continuous challenges during this historic shift in our health system. Given todays state of health, where cost and heartache is soaring, now more than ever, we believe we can do something to change this. These challenges include a paradigm shift in how hospitals and health systems are positioning themselves and their strategies for success in a new payment environment. This will impact everyone in a community and will require shared responsibility among all stakeholders. As hospitals move toward population health management, community health interventions are a key element in achieving the overall goals of reducing the overall cost of health care, improving the health of the population, and improving access to affordable health services for the community both in outpatient and community settings. The key factor in improving quality and efficiency of the care hospitals provide is to include the larger community they serve as a part of their overall strategy. Population health is not just the overall health of a population, but also includes the distribution of health. Overall health could be quite high if the majority of the population is relatively healthyeven though a minority of the population is much less healthy. Ideally such differences would be eliminated or at least substantially reduced.Community health can serve as a strategic platform to improve the health outcomes of a defined group of people, concentrating on three correlated stages:1) The distribution of specific health statuses and outcomes within a population; 2) Factors that cause the present outcomes distribution; and 3) Interventions that may modify the factors to improve health outcomes.Improving population health requires effective initiatives to: 1) Increase the prevalence of evidence-based preventive health services and preventive health behaviors, 2) Improve care quality and patient safety, and 3) Advance care coordination across the health care continuum. We will work together with our community to ensure the community health improvements are identified and then targeted for programs to influence behaviors to obtain improved health within the whole community.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 6 - Affilated Health Care System</FormAndLineReferenceDesc>
        <ExplanationTxt>The hospital is a member of Adventist Health, a health care system which provides healthcare services in diverse markets within the Western United States. A member hospital may share some services with other member hospitals in its geographic area, such as clinical, management and support services. Using today's technology, hospitals outside the geographic area can provide support through remote services such as telepharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk management, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate administrative support for hospital affiliated medical groups that engage physicians through employment or other contracts. This provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communities served by all member hospitals.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part VI, Line 7 - States Filing of Community Benefit Report</FormAndLineReferenceDesc>
        <ExplanationTxt>CA</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Additional Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Listing of Organizations that Particpated in the Hospital's CHNA -Organizations that participated in the 2022 CHNA included: Western Diocese of the Armenian Church, Armenian Society, Ascencia, Bold Law, City of Glendale, City of Glendale Community Services &amp; Parks Department, City of Glendale Fire Department, Dignity Health, Glendale City College District, Glendale City Seventh-day Adventist Church, Glendale Unified School District, Family Promise of the Verdugos, IPA Preferred, Kids Community Dental Clinic, Korean Americans Family Services, Los Angeles Department of Public Health, Los Angeles LGBT Center, National Alliance of Mental Illness Glendale, Police Department, State Senate, and YMCA Glendale &amp; PasadenaIdentified Needs from CHNA, Not Addressed and Why:No hospital can address all the health needs identified in its community. Glendale Adventist Medical Center is committed to serving the community by adhering to its mission, and using its skills, expertise, and resources to provide a range of community benefit programs. Significant health needs that will not be directly addressed but fulfilled by other community organizations include housing, health risk behaviors, mental health, food security, environment &amp; infrastructure, inclusion &amp; equity, COVID, education, community vitality and community safety. While these significant health needs are not address directly, they are likely to benefit from collective efforts of our community partnerships.Additional Information Regarding Community Benefit:Glendale Adventist Medical Center has demonstrated a strong commitment to community impact through its partnership with various nonprofit organizations. These collaborations align with the hospitals mission and priorities identified in the hospitals 2022 Community Need Assessment. In 2024, the Hospital collaborated with these organizations to offer programming, services, cash contributions or in-kind donations. These community partnerships help to protect or improve the health and safety of our community by promoting activities to strengthen the communitys capacity to promote the health and well-being of its residents. Some of our partners include: City of Glendale Fire Department, Armenian American Medical Society, Eagle Rock Seventh-day Adventist Church, NAMI Walk Greater Los Angeles County, Glendale Unified School District, Monrovia Seventh-day Adventist Church, City of Glendale Parks and Recreation, Southern California Alzheimers Association, Glendale Community College, Los Angeles County Emergency Medical Services Agency, Los Angeles Homeless Services Authority, Glendale Police Foundation, City of Los Angeles Parks and Recreation, Glendale Healthy Community Coalition, YMCA Glendale and Pasadena, Soroptimist International of Glendale Bras for a Cause and the On Our Sleeves/The Kids Mental Health Foundation. Staff donations at Adventist Health Glendale reflect a strong, tangible commitment to our Mission and embody a shared sense of purpose among our team. The following organizations were recipients of the donations in 2024: Home Again LA Thanksgiving Gift Basket Drive, Salvation Army Toy Drive and the Community Center of La Canada Thanksgiving Day Run and Food Drive. Adventist Health Glendale collaborates with numerous higher education institutions to provide a clinical learning environment for nursing students, supporting their path to graduation while addressing a critical community-wide workforce development need: Pasadena Community College (27 students, 480 hours), Glendale Community College (75 students, 1392 hours), Azusa Pacific University (38 students, 3095 hours) and Success Education Colleges (160 students, 2088 hours).The Hospital continued its partnership with COPE Health Scholars in 2024 to provide workforce development for local students to gain firsthand experience in clinical and administrative health care settings and become an integral part of the care delivery team. These students assist with basic care for patients alongside nurses, physicians and other members of the care delivery team and can earn volunteer hours for medical school, nursing school and other graduate programs and are well positioned for entry-level positions in healthcareOther Items:Primary website address: See Form 990, Pg 1, Item JNeeds Assessment website: See Sch H Part VI - Needs AssessmentFAP website: See Sch H Part VI-Patient Education</ExplanationTxt>
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        <TitleTxt>Reg HR Dir, SCR thru 04/01/23</TitleTxt>
        <OtherCompensationRltdOrgsAmt>423571</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>50574</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>474145</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nahapetian Arby</PersonNm>
        <TitleTxt>Former Care Divi Med thru 02/22</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>1111000</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>458435</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>189823</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>13296</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>66512</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1839066</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nguyen Jinhee</PersonNm>
        <TitleTxt>Patient care Exec thru 07/19/24</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>207981</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>114399</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>22835</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>13296</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>25302</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>383813</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Shepardson Dean eff 824</PersonNm>
        <TitleTxt>Asst Secretary</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>414258</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>116611</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>120353</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>63194</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>714416</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Stevens Eric</PersonNm>
        <TitleTxt>Former Care Div Ops Exec thru 02/22</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>1196000</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>495682</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>194464</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>13296</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>44679</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1944121</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Wing Bill</PersonNm>
        <TitleTxt>Former Dir/A Sec/V Chair thru01/22</TitleTxt>
        <OtherCompensationRltdOrgsAmt>273263</OtherCompensationRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>273263</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="24020490" softwareVersionNum="2024v5.2">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Annette Bedford</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Officer's Sister</RelationshipDescriptionTxt>
        <TransactionAmt>264214</TransactionAmt>
        <TransactionDesc>Employment</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Doris Tetz</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Dghter-Fmr Key E</RelationshipDescriptionTxt>
        <TransactionAmt>707121</TransactionAmt>
        <TransactionDesc>Employment</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule L, Part V Supplemental Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Additional information regarding interested persons listed above:1. Anette Bedford is the sister of AH Glendale President, Alice Issai.2. Doris Tetz is the daughter of former key employee, Warren Tetz.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020490" softwareVersionNum="2024v5.2">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>See Sch L p2</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital is organized as a religious corporation and operates as a not-for-profit hospital. The sole corporate member is Adventist Health System/West, a California not-for-profit religious corporation. The Hospital operates as an affiliate of Adventist Health System/West.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital Bylaws define its Board of Directors to be the same individuals who are members of the Adventist Health System/West Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors of the Hospital shall have sole authority to amend or repeal the Articles of Incorporation, subject to the additional approval of the Board of Directors of Adventist Health System/West. The Hospital does not have any Members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>This Form 990 including all supporting schedules was prepared by a public accounting firm, reviewed by the Corporate Finance Officer and Market Financial Officer, and shared by electronic communication with the Corporation's Board of Directors prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital 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 to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the market president or the System General Counsel immediately.The System General Counsel distributes, collects, and reviews for signatures the COIs for all applicable Corporate employees, stakeholders and the board. In addition, the hospital's administration is responsible for keeping record to ensure all hospital-based individuals with director and above positions have submitted their COIs. The System General Counsel reviews all the disclosures on the board and Corporate employees' COIs. System General Counsel retains the COIs for all individuals. Further inquiries on any potential significant conflicts are made as needed. Conflicts are documented and reviewed with the Board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital's Board of Directors has established a Human Resources 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 at least annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, including salary ranges for hospital presidents and finance officers that would be indicated by the data evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data. The board-approved executive compensation philosophy specifies that salary ranges will be established for hospital executives, with midpoints aligned with the 60th percentile of comparable system hospital data, and having a 50 percent spread from minimum to maximum.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>See Line 15a explanation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital does not make its governing documents publicly available, beyond required filings of Articles of Incorporation with the Secretary of State. The Hospital does not make its Conflict of Interest Policy available upon request, but does file monthly/quarterly summary financial reports with the state health-planning agency.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Foundation Net Assets = $1211090</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Joint Venture Net Assets = -$2516167</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfer to Related Entities = -$11507326</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfers from Other Funds = $226248</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Prior Period Adjustments</FormAndLineReferenceDesc>
        <ExplanationTxt>Prior Period adjustments were a result of cash balance correction and clean up of books due to prior period activities including debt service, capital expenditures, and other items.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Adventist Health Clearlake Hospital Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>15630 18th Avenue</AddressLine1Txt>
          <CityNm>Clearlake</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95422</ZIPCd>
        </USAddress>
        <EIN>680395149</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Adventist Health Delano</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1401 Garces Hwy</AddressLine1Txt>
          <CityNm>Delano</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93215</ZIPCd>
        </USAddress>
        <EIN>770258013</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Adventist Health Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 Adventist Health Way</AddressLine1Txt>
          <CityNm>Roseville</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95661</ZIPCd>
        </USAddress>
        <EIN>680002188</EIN>
        <PrimaryActivitiesTxt>Charitable Foundation</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Adventist Health Med Ctr Tehachapi</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1100 Magellan Drive</AddressLine1Txt>
          <CityNm>Tehachapi</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93561</ZIPCd>
        </USAddress>
        <EIN>812240617</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Adventist Health Mendocino Coast</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>700 River Drive</AddressLine1Txt>
          <CityNm>Fort Bragg</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95437</ZIPCd>
        </USAddress>
        <EIN>845174585</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Stone Point Health</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Adventist Health Physicians Network</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 Adventist Health Way</AddressLine1Txt>
          <CityNm>Roseville</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95661</ZIPCd>
        </USAddress>
        <EIN>680357690</EIN>
        <PrimaryActivitiesTxt>Medical Foundation</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12b2</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 Adventist Health Way</AddressLine1Txt>
          <CityNm>Roseville</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95661</ZIPCd>
        </USAddress>
        <EIN>953484589</EIN>
        <PrimaryActivitiesTxt>Integrated Health System</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Adventist Health Tulare</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>869 North Cherry Street</AddressLine1Txt>
          <CityNm>Tulare</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93274</ZIPCd>
        </USAddress>
        <EIN>832351753</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Castle Medical Center</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>640 Ulukahiki Street</AddressLine1Txt>
          <CityNm>Kailua</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96734</ZIPCd>
        </USAddress>
        <EIN>990107330</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>HI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Feather River Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 Adventist Health Way</AddressLine1Txt>
          <CityNm>Roseville</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95661</ZIPCd>
        </USAddress>
        <EIN>941101228</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Glendale Adventist Medical Center Fdtn</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1509 Wilson Terrace</AddressLine1Txt>
          <CityNm>Glendale</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>91206</ZIPCd>
        </USAddress>
        <EIN>953899682</EIN>
        <PrimaryActivitiesTxt>Charitable Foundation</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12a1</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Adventist Health Foundation</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Hanford Community Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>115 Mall Drive</AddressLine1Txt>
          <CityNm>Hanford</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93230</ZIPCd>
        </USAddress>
        <EIN>940535360</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Lodi Memorial Hospital Association Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>975 S Fairmont Avenue</AddressLine1Txt>
          <CityNm>Lodi</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95240</ZIPCd>
        </USAddress>
        <EIN>941044474</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Mid-Columbia Medical Center</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1700 E 19th Street</AddressLine1Txt>
          <CityNm>The Dalles</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97058</ZIPCd>
        </USAddress>
        <EIN>930386936</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Stone Point Health</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Northwest Medical Fdtn of Tillamook</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1000 Third Street</AddressLine1Txt>
          <CityNm>Tillamook</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97141</ZIPCd>
        </USAddress>
        <EIN>930622075</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Portland Adventist Medical Center</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>10123 SE Market Street</AddressLine1Txt>
          <CityNm>Portland</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97216</ZIPCd>
        </USAddress>
        <EIN>930429015</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OR</LegalDomicileStateCd>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Reedley Community Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>372 Cypress Avenue</AddressLine1Txt>
          <CityNm>Reedley</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93654</ZIPCd>
        </USAddress>
        <EIN>453220509</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Rideout Memorial Hospital</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>726 Fourth Street</AddressLine1Txt>
          <CityNm>Marysville</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95901</ZIPCd>
        </USAddress>
        <EIN>941387866</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Stone Point Health</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Helena Hospital</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>10 Woodland Road</AddressLine1Txt>
          <CityNm>St Helena</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94574</ZIPCd>
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        <EIN>941279779</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>San Joaquin Community Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2615 Chester Avenue</AddressLine1Txt>
          <CityNm>Bakersfield</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93301</ZIPCd>
        </USAddress>
        <EIN>952294234</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sierra Vista Hospital Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1010 Murray Avenue</AddressLine1Txt>
          <CityNm>San Luis Obispo</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93405</ZIPCd>
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        <EIN>952588614</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Simi Valley Hospital and Health Care Svc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2975 N Sycamore Drive</AddressLine1Txt>
          <CityNm>Simi Valley</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93065</ZIPCd>
        </USAddress>
        <EIN>956064971</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sonora Community Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1000 Greenley Road</AddressLine1Txt>
          <CityNm>Sonora</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95370</ZIPCd>
        </USAddress>
        <EIN>941415069</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Stone Point Health</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1 Adventist Health Way</AddressLine1Txt>
          <CityNm>Roseville</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95661</ZIPCd>
        </USAddress>
        <EIN>823763347</EIN>
        <PrimaryActivitiesTxt>Supporting Organization</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12b2</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Twin Cities Community Hospital Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1100 Las Tablas Road</AddressLine1Txt>
          <CityNm>Templeton</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93465</ZIPCd>
        </USAddress>
        <EIN>752918765</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Ukiah Adventist Hospital</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>275 Hospital Drive</AddressLine1Txt>
          <CityNm>Ukiah</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95482</ZIPCd>
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        <EIN>941639901</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>United Com-Serve</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>726 Fourth Street</AddressLine1Txt>
          <CityNm>Marysville</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95901</ZIPCd>
        </USAddress>
        <EIN>943015356</EIN>
        <PrimaryActivitiesTxt>Skilled Nursing/Asstd Living/Home Health</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>12b2</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>Stone Point Health</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Western Health Resources</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1 Adventist Health Way</AddressLine1Txt>
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          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95661</ZIPCd>
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        <EIN>953867863</EIN>
        <PrimaryActivitiesTxt>Home Care</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>White Memorial Medical Center</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1720 E Cesar E Chavez Avenue</AddressLine1Txt>
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          <ZIPCd>90033</ZIPCd>
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        <EIN>952282647</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>Willits Hospital Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>1 Marcela Drive</AddressLine1Txt>
          <CityNm>Willits</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95490</ZIPCd>
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        <EIN>680108919</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Physician Medical Terrace LP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>1505 Wilson Terrace</AddressLine1Txt>
          <CityNm>Glendale</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>91206</ZIPCd>
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        <EIN>954277400</EIN>
        <PrimaryActivitiesTxt>Med Ofc Bld</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
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          <BusinessNameLine1Txt>Glendale Adventist Medical Building LP</BusinessNameLine1Txt>
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          <CityNm>Glendale</CityNm>
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          <BusinessNameLine1Txt>Physicians Surgery Center at GAMC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1500 E Chevy Chase Dr Ste 101</AddressLine1Txt>
          <CityNm>Glendale</CityNm>
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        <PrimaryActivitiesTxt>Ambulatory Surgical Center</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>Blue Legacy Ventures LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1010 NE 2nd Avenue</AddressLine1Txt>
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        <PrimaryActivitiesTxt>Real Property Rental</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>AHSWest</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Blue Zones LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>200 Southdale Center</AddressLine1Txt>
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        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>AHSWest</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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          <BusinessNameLine1Txt>PAR LLC dba CherryWood Village</BusinessNameLine1Txt>
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          <AddressLine1Txt>8440 SE Sunnybrook Blvd Suite 100</AddressLine1Txt>
          <CityNm>Clackamas</CityNm>
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        <EIN>931262371</EIN>
        <PrimaryActivitiesTxt>Senior Housing</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OR</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>AHSWest</BusinessNameLine1Txt>
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        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PVHR LLC dba Paradise Village</BusinessNameLine1Txt>
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          <AddressLine1Txt>8440 SE Sunnybrook Blvd Suite 100</AddressLine1Txt>
          <CityNm>Clackamas</CityNm>
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          <ZIPCd>97015</ZIPCd>
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        <EIN>260622555</EIN>
        <PrimaryActivitiesTxt>Senior Housing</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>AHSWest</BusinessNameLine1Txt>
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        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
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          <BusinessNameLine1Txt>PVHR2 LLC dba Parkview Memory Care</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>8440 SE Sunnybrook Blvd Suite 100</AddressLine1Txt>
          <CityNm>Clackamas</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97015</ZIPCd>
        </USAddress>
        <EIN>473300170</EIN>
        <PrimaryActivitiesTxt>Senior Housing</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OR</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>AHSWest</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WWGHR LLC dba Wheatland Village</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>8440 SE Sunnybrook Blvd Suite 100</AddressLine1Txt>
          <CityNm>Clackamas</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97015</ZIPCd>
        </USAddress>
        <EIN>810591221</EIN>
        <PrimaryActivitiesTxt>Senior Housing</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OR</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>AHSWest</BusinessNameLine1Txt>
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        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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          <BusinessNameLine1Txt>Thrive Productions Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>200 Southdale Center</AddressLine1Txt>
          <CityNm>Edina</CityNm>
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          <ZIPCd>55435</ZIPCd>
        </USAddress>
        <EIN>453369049</EIN>
        <PrimaryActivitiesTxt>Production Company</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>AHSWest</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C-Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AdHealth Limited</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>PO Box HM 2062</AddressLine1Txt>
          <CityNm>Hamilton</CityNm>
          <CountryCd>BD</CountryCd>
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        <PrimaryActivitiesTxt>Pure Captive Insurance</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>AHSWest</BusinessNameLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Adventist Health Plan Inc</BusinessNameLine1Txt>
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        <ForeignAddress>
          <AddressLine1Txt>1 Adventist Health Way</AddressLine1Txt>
          <CityNm>Roseville</CityNm>
          <CountryCd>BD</CountryCd>
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        <PrimaryActivitiesTxt>Health Insurance</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>AHSWest</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>Notes Payable</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Adventist Health SystemWest</BusinessNameLine1Txt>
        </OtherOrganizationName>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
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      </TransactionsRelatedOrgGrp>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>