ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI (EIN 81-2240617)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-12
IRS object ID: 202503169349309810
Schema version: 2024v5.2
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-12T20:16:16-08:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt
Disaster Relief	Los Angeles Wildfires and Windstorms	DisasterReliefTxt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 N BRAND BLVD STE 1930	AddressLine1Txt
City	GLENDALE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91203	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	812240617	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Adventist Health Medical Ctr Tehachapi	BusinessNameLine1Txt
Business Name Line2	dba Adventist Health Tehachapi Valley	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	ADVE	BusinessNameControlTxt
Phone	6618233000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1100 Magellan Dr	AddressLine1Txt
City	Tehachapi	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93561	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Thordarson Heidar	PersonNm
Person Title	Treasurer	PersonTitleTxt
Signature	2025-11-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Wells Jason eff 123	PrincipalOfficerNm
Gross Receipts	$76,781,553	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	1071	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.adventisthealth.org/tehachapi-valley	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2016	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	Living Gods love by inspiring health, wholeness and hope.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	400	TotalEmployeeCnt
Total Volunteers	15	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$3,421,247	PYContributionsGrantsAmt
CY Contributions Grants	$4,212,272	CYContributionsGrantsAmt
PY Program Service Revenue	$59,736,971	PYProgramServiceRevenueAmt
CY Program Service Revenue	$71,042,425	CYProgramServiceRevenueAmt
PY Investment Income	$1,766,000	PYInvestmentIncomeAmt
CY Investment Income	$1,526,856	CYInvestmentIncomeAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$64,924,218	PYTotalRevenueAmt
CY Total Revenue	$76,781,553	CYTotalRevenueAmt
CY Grants And Similar Paid	$208,242	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$27,077,256	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$33,649,453	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$3,260	CYTotalFundraisingExpenseAmt
PY Other Expenses	$30,851,449	PYOtherExpensesAmt
CY Other Expenses	$35,549,582	CYOtherExpensesAmt
PY Total Expenses	$57,928,705	PYTotalExpensesAmt
CY Total Expenses	$69,407,277	CYTotalExpensesAmt
PY Revenues Less Expenses	$6,995,513	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,374,276	CYRevenuesLessExpensesAmt
Total Assets BOY	$77,336,920	TotalAssetsBOYAmt
Total Assets EOY	$86,538,032	TotalAssetsEOYAmt
Total Liabilities BOY	$69,883,218	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$72,686,440	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$7,453,702	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$13,851,592	NetAssetsOrFundBalancesEOYAmt
Mission	Living Gods love by inspiring health, wholeness and hope.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$54,070,537	ExpenseAmt
Grant	$208,242	GrantAmt
Revenue	$76,781,554	RevenueAmt
Desc	Adventist Health Medical Ctr Tehachapi, dba Adventist Health Tehachapi Valley (AHTV), provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. AHTV is part of the Adventist Health Central California Network, a non-profit, faith-based organization operating eight hospitals including Bakersfield, Specialty Bakersfield, Delano, Hanford, Selma, Reedley, Tehachapi and Tulare with over 130 clinics throughout the Central Valley. Although, reimbursement for services rendered is critical to the operation and stability of Adventist Health Medical Ctr Tehachapi, the organization recognizes that not all individuals possess the ability to pay for essential medical services.Adventist Healths vision is to enhance the health of the communities where we live and serve by engaging our communities and our patients in a new definition of and partnership for personal community health. In keeping with this commitment to serve all members of the community, the following coverage will be considered when individuals who need health care cannot afford to pay: Free care and/or subsidized care Care to persons covered by governmental programs at/or below cost Health/wellness activities and community education programsNot only does Adventist Health Medical Ctr Tehachapi provide low-cost care to individuals covered by government programs, and those unable to afford healthcare, it also helps patients find and access private and governmental resources for healthcare benefits.AHTV recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed cost of providing care to these patients in 2024 was $1,344,360.The following Inpatient services were provided to all our patients:60 surgeries performed3,998 patient days The following Outpatient services were provided to all our patients:23,730 emergency department visits139 outpatient surgeries performed27,100 outpatient visits 18,948 clinic visitsAHTV recognizes it has an obligation to provide human services above and beyond its role as a healing facility. Schedule H provides more details on the tangible ways in which the organization is fulfilling its mission. The total unreimbursed cost of these community benefits in 2024 was $2,748,572.AHTVs quality and performance awards include: American Heart Association Get WithThe Guidelines - Stroke Silver Award, Healthgrades Outstanding Patient Experience Award, 5-Star performance in hospital cleanliness by the Centers for Medicareand Medicaid Services,and 5-Star performance in patient recommendation by the Centers for Medicare and Medicaid Services.Adventist Healths mission statement of living Gods love by inspiring health, wholeness and hope is coupled with a vision to transform the health experience of our communities through collaborative programs, community investments and community outreach. We are inspired by the healing ministry, as represented by the life of Jesus Christ, and believe we are called to live out our mission intentionally in the communities we serve. In the small towns, suburbs, and inner cities we serve, we continue our journey to provide quality healthcare until every person made in Gods image has experienced the best health today, hope for tomorrow, and Gods love that endures forever.As part of Adventist Healths long-term commitment to expanding access and improving care in rural communities, a major step forward is underway in Tehachapi. In November 2022, voters approved Measure X, which extended Adventist Healths lease agreement in exchange for the development of a new Outpatient Pavilion. This new facility will expand access to outpatient services and provide space for a broader range of medical care, reinforcing our mission to serve the community with compassion and innovation. On June 5, 2024, Adventist Health announced another major milestone: the expansion of our Graduate Medical Education (GME) program to include Tehachapi. This will bring new physicians to the region as part of a three-year rural family medicine residency program. Jason Wells, President of Adventist Healths Central California Network, shared the vision behind this expansion: Doctors who come to Tehachapi for their residency will get to do so much more than they would in a big-city hospital. They'll become part of the communityand we believe theyll fall in love with it and want to stay. Our goal is for these residents to become the next generation of physicians serving this region. Also speaking at the announcement was Dr. Raul Ayala, who is leading the networks primary care and residency program expansion. He emphasized that the future of healthcare is not just about treating illness, but promoting preventative, community-based wellness. Its about embedding ourselves into communities like Tehachapi, Dr. Ayala said. We want to take the best of the hospital and clinic systems and build a strong healthcare workforce from within.Drawing on his own small-town roots in South Texas, Dr. Ayala painted a powerful vision for the future:These hospitals and clinics will be filled with white coatsdoctors engaged in patient care, research, and innovation. Thats the future of healthcare: compassionate, patient-centered, and community-driven.Adventist Health is proud to partner with the Tehachapi community to grow local talent, improve care access, and invest in a stronger, healthier future.The following story illustrates how Adventist Health Hanford provides quality care for our community in a caring manner:Shirley Kirby inspired our team.When she came to Adventist Health Tehachapi Valley, Kirby was feeling nauseated and running a fever. She was in septic shock , a potentially fatal condition that occurs when organ injury leads to low blood pressure. Caregivers placed her on a respirator and transferred her into Adventist Health Tehachapi Valleys new Intensive Care Unit.Family members wondered whether she would survive. She had sustained multiple organ injuries and was on multiple drips with heavy duty meds to keep up her blood pressure.It was like she was on her death bed, Kirbys son, Brian Henry, recalled.After four days in the ICU, nurses prepared to take her off the respirator. Its a frightening moment. Its when they remove the breathing tube and pray for their patient to breathe on their own. Sink or swim. Life or death.ICU Manager Alida Lorenz remembered the moment vividly when the tube came out. Kirby gasped for air, then began breathing normally. It was inspiring.It reminded me of the reason why I became a nurse to care for the critically ill, Lorenz said. This is what were doing for this community. This is why were here.Registered Nurse BreAnne Patterson called it a blessing to care for Kirby.I have never felt more loved in my job than I did by Ms. Kirby and her family, Patterson said. It was a wonderful experience that continues to remind me that we have a deep impact on peoples lives. These moments are why we do what we do.A couple of days later, Kirby was released from the hospital and sent home.Im very grateful. What happened to me was very serious. They didnt know if I was going to make it, Kirby said. But God was with me.Kirbys son added that it was the high level of care immediately available in his mothers community through Adventist Health Tehachapi Valley that kept her alive.Its a blessing. If she wasnt here, we might have lost her, Henry said, adding that he had never contemplated the value of a hospital until that moment. I wish there were a hospital like this in every rural community. Im so grateful.Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/	Desc
Total Program Service Expenses	$54,070,537	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	400	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	John Beaman	PersonNm
Phone	9164061092	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
Heinrich Kerry
Director/CEO	0.00	50.50	Yes (X)	Yes (X)	$0	$3,974,195	$57,975
Hofheins Todd
COO/Vice Chair	0.00	50.50	Yes (X)	Yes (X)	$0	$2,407,675	$65,992
Beaman John
CFO/Asst Secty	0.00	50.50		Yes (X)	$0	$1,980,861	$79,808
Stevens Eric eff 724
President	0.00	50.50		Yes (X)	$0	$1,886,146	$57,975
Nahapetian Arby
Former Care Div Med Off thru 02/22	0.00	50.00			$0	$1,759,258	$79,808
Wells Jason
President, CCN	10.00	40.00		Yes (X)	$0	$1,543,056	$79,808
Jobe Meredith
Secretary	0.00	50.50		Yes (X)	$0	$1,221,104	$57,975
Jamaleddine Ghassan
Medical Officer	8.30	41.70			$0	$882,388	$79,808
Ayala Raul
Ambulatory Medical Officer, CVN	8.30	41.70			$0	$820,554	$36,137
HaydockTimothy eff 724
Ops Exec, CCN	8.30	41.70		Yes (X)	$0	$727,318	$79,808
Cox Shane
Fin Ops Exec	16.70	33.30		Yes (X)	$0	$739,632	$56,832
Wolcott Daniel
Frmr Pres, AHDL Kern Cnty thru 1/23	16.70	33.33			$0	$704,271	$65,778
Jahn Andrew
Former Care Div Pres thru 02/22	0.00	50.00			$0	$736,769	$17,097
Lavers Jennifer
Operations Executive	16.60	33.40			$0	$614,658	$79,808
Reyna Sonja
Ambulatory Executive	8.30	41.70			$0	$628,786	$40,807
Van Housen Heather
Patient Care Executive	40.00	0.00			$0	$589,725	$63,003
Tomono Olga
Business Dev Exec eff 11/24/24	8.30	41.70			$0	$521,544	$14,186
Tomono Christopher
Partnership Executive	8.30	41.70			$0	$448,461	$79,636
Wing Bill
Former Dir/Asst Sec/VChair thru1/22	0.00	0.00			$0	$273,263	$0
Patterson BreAnne
RN Director	40.00	0.00			$212,326	$0	$42,299
Ramirez Rudy
Physician Asst	40.00	0.00			$193,871	$0	$42,137
Nwigwe Gloria
RN Director	40.00	0.00			$196,103	$0	$24,933
Harwick Donald
Physician Asst	40.00	0.00			$199,589	$0	$1,328
Pelzer Michael
RN Manager	40.00	0.00			$192,862	$0	$900
Freedman John
Director/Chair	0.00	4.00	Yes (X)		$0	$27,203	$0
Newton Bradford
Dir/Vice Chair	0.00	4.00	Yes (X)		$0	$26,939	$0
Cherry Robert
Director	0.00	4.00	Yes (X)		$0	$26,611	$0
Davis Andrew
Director	0.00	4.00	Yes (X)		$0	$26,611	$0
Innocent Larry
Director	0.00	4.00	Yes (X)		$0	$26,611	$0
Reiner Richard
Director	0.00	4.00	Yes (X)		$0	$26,611	$0
Wagner Jack
Director	0.00	4.00	Yes (X)		$0	$21,611	$0
Woodson Marc
Director	0.00	4.00	Yes (X)		$0	$21,611	$0
SalazarVelino thru924
Director	0.00	4.00	Yes (X)		$0	$21,181	$0
Fehr Joy
Director	0.00	4.00	Yes (X)		$0	$18,680	$0
Beckett Ann
Director	0.00	4.00	Yes (X)	Yes (X)	$0	$17,930	$0
Daggett Jonathan
Director	0.00	4.00	Yes (X)		$0	$16,180	$0
Jutsy Kenneth
Director	0.00	4.00	Yes (X)		$0	$16,180	$0
Cress John eff 1024
Director	0.00	4.00	Yes (X)		$0	$430	$0
Thordarson Heidar Eff 1625
Treasurer	0.00	0.00		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$994,751	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$22,754,053	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,203,838	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	85	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PT Solutions Holdings LLC
PO Box 724557	Atlanta	GA	31139	Medical Services	$1,910,871
Comfort Anesthesia Associates Inc
2635 G St Ste 101	Bakersfield	CA	93301	Medical services	$1,201,752
Crothall Healthcare Inc
13028 Collections Center Dr	Chicago	IL	60693	Patient transport	$867,817
Advanced Building Maintenance Inc
1804 Tribute Rd Ste K	Sacramento	CA	95815	Building maintenance	$866,923
Los Angeles Radiology Medical Associates Inc
PO Box 509015 Dept 296	San Diego	CA	92150	Medical Services	$817,279

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	23	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,482,014	GovernmentGrantsAmt
All Other Contributions	$2,730,258	AllOtherContributionsAmt
Total Contributions	$4,212,272	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	BusinessBusinessCd
Dietary/Cafeteria Revenue	$169,228	$169,228
Other Program Services	$2,635,592	$2,635,592
Patient Care Services	$68,123,310	$68,123,310	900099
Pharmacy Revenue	$44,228	$44,228
Rental Income	$64,892	$64,892	722514

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,175	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,175	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$71,042,425	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,526,856	TotalRevenueColumnAmt
Exclusion	$1,526,856	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$76,781,553	TotalRevenueColumnAmt
Related Or Exempt Func Income	$71,042,425	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,526,856	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$208,242	TotalAmt
Program Services	$208,242	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

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

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$26,711,842	TotalAmt
Program Services	$22,116,617	ProgramServicesAmt
Management And General	$4,595,225	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$875,617	TotalAmt
Program Services	$724,985	ProgramServicesAmt
Management And General	$150,632	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,204,975	TotalAmt
Program Services	$2,858,847	ProgramServicesAmt
Management And General	$1,346,128	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,857,019	TotalAmt
Program Services	$1,625,972	ProgramServicesAmt
Management And General	$231,047	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,861,235	TotalAmt
Program Services	$2,264	ProgramServicesAmt
Management And General	$4,858,971	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$500,928	TotalAmt
Management And General	$500,928	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

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

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$12,429,026	TotalAmt
Program Services	$10,661,889	ProgramServicesAmt
Management And General	$1,767,137	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$60,889	TotalAmt
Management And General	$60,889	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$387,752	TotalAmt
Program Services	$237,305	ProgramServicesAmt
Management And General	$148,585	ManagementAndGeneralAmt
Fundraising	$1,862	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,020,703	TotalAmt
Program Services	$670,987	ProgramServicesAmt
Management And General	$1,349,716	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,483,175	TotalAmt
Program Services	$2,458,075	ProgramServicesAmt
Management And General	$25,100	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$249,624	TotalAmt
Program Services	$137,470	ProgramServicesAmt
Management And General	$112,154	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$3,965	TotalAmt
Program Services	$3,965	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,811,907	TotalAmt
Program Services	$2,811,907	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,401,472	TotalAmt
Program Services	$2,329,696	ProgramServicesAmt
Management And General	$71,776	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$570,724	TotalAmt
Program Services	$570,724	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Patient Care Supplies	$6,074,858	$6,069,622	$5,236
Quality Assurance	$376,998	$376,998
Other Expenses	$164,600	$53,847	$109,355	$1,398
Equipment Rentals	$151,726	$151,125	$601

All Other Expenses AllOtherExpensesGrp

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

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$69,407,277	TotalAmt
Program Services	$54,070,537	ProgramServicesAmt
Management And General	$15,333,480	ManagementAndGeneralAmt
Fundraising	$3,260	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$16,812,619	BOYAmt
EOY	$23,930,184	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$325	BOYAmt
EOY	$1,448,000	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,803,951	BOYAmt
EOY	$9,286,804	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,386,607	BOYAmt
EOY	$1,197,097	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$112,302	BOYAmt
EOY	$68,277	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$50,348,414	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$13,343,367	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$38,950,383	BOYAmt
EOY	$37,005,047	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$79,050	BOYAmt
EOY	$62,657	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$11,191,683	BOYAmt
EOY	$13,539,966	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$77,336,920	BOYAmt
EOY	$86,538,032	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,278,168	BOYAmt
EOY	$5,650,132	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$43,449	BOYAmt
EOY	$14,845	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$65,561,601	BOYAmt
EOY	$67,021,463	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$69,883,218	BOYAmt
EOY	$72,686,440	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,958,565	BOYAmt
EOY	$10,760,276	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$495,137	BOYAmt
EOY	$3,091,316	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,453,702	BOYAmt
EOY	$13,851,592	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$77,336,920	BOYAmt
EOY	$86,538,032	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$7,374,276	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$976,386	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$6,575	OtherActivitiesAmt
Total Lobbying Expenditures	$6,575	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part II-B, Line 1i - Other Activities Description	The organization belongs to industry and professional associations for which a portion of the membership dues is used for lobbying activities.
Part IV - Additional Information

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$495,136	BeginningYearBalanceAmt
Contributions	$2,674,210	ContributionsAmt
Other Expenditures	$78,030	OtherExpendituresAmt
End Year Balance	$3,091,316	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,189,391	BeginningYearBalanceAmt
Contributions	$258,072	ContributionsAmt
Other Expenditures	$1,952,327	OtherExpendituresAmt
End Year Balance	$495,136	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,066,923	BeginningYearBalanceAmt
Contributions	$1,892,057	ContributionsAmt
Investment Earnings Or Losses	-$3,675	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,765,914	OtherExpendituresAmt
End Year Balance	$2,189,391	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,505,161	BeginningYearBalanceAmt
Contributions	$1,536,692	ContributionsAmt
Investment Earnings Or Losses	$5,118	InvestmentEarningsOrLossesAmt
Other Expenditures	$980,048	OtherExpendituresAmt
End Year Balance	$2,066,923	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$850,442	BeginningYearBalanceAmt
Contributions	$724,919	ContributionsAmt
Grants Or Scholarships	$16,851	GrantsOrScholarshipsAmt
Other Expenditures	$53,349	OtherExpendituresAmt
End Year Balance	$1,505,161	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$114,300	OtherCostOrOtherBasisAmt
Book Value	$114,300	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,578,754	OtherCostOrOtherBasisAmt
Depreciation	$8,412,784	DepreciationAmt
Book Value	$33,165,970	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$213,793	OtherCostOrOtherBasisAmt
Book Value	$213,793	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,441,567	OtherCostOrOtherBasisAmt
Depreciation	$4,930,583	DepreciationAmt
Book Value	$3,510,984	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$37,005,047	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Other Assets	$41,660
Other Receivables	$1,667,203
Receivables from related organizations	$1,310,655
Receivables from Third Parties	$10,520,448

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$13,539,966	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Other Liabilities	$423,120
Payables to 3rd Parties Medicare	$1,551,063
Payables to Related Organizations	$65,047,280

Field	Value	IRS element (for citing)
Total Liability	$67,021,463	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 4: Intended uses of the endowment fund.

Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended.

Part X : FIN48 Footnote

The System recognizes tax benefits from any uncertain tax positions only if it is more-likely-than-not the tax position will be sustained, based solely on its technical merits, with the taxing authority having full knowledge of all relevant information. The System records a liability for unrecognized tax benefits from uncertain tax positions as discrete tax adjustments in the first interim period the more-likely-than-not threshold is not met. The System recognizes deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of its assets and liabilities along with net operating loss and tax credit carryovers only for tax positions that meet the more-likely-than-not recognition criteria. At December 31, 2024 and 2023, no such assets or liabilities were recorded.The System currently files Form 990 (informational return of organizations exempt from income taxes) and form 990-T (business income tax return for an exempt organization) in the U.S. federal jurisdiction and the state of California. The System is not subject to income tax examinations prior to 2021 in major tax jurisdictions.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$235,488	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$235,488	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,922,539	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,813,667	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,108,872	NetCommunityBenefitExpnsAmt
Total Expense	0.01600	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,158,027	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,813,667	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,344,360	NetCommunityBenefitExpnsAmt
Total Expense	0.01940	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$117,699	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$117,699	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,857,012	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,247,640	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,609,372	NetCommunityBenefitExpnsAmt
Total Expense	0.03760	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,996,211	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,247,640	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,748,571	NetCommunityBenefitExpnsAmt
Total Expense	0.03960	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,154,238	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,061,307	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,092,931	NetCommunityBenefitExpnsAmt
Total Expense	0.05900	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,500	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,500	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$544,272	BadDebtExpenseAmt
Bad Debt Expense Attributable	$94,718	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$16,318,541	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$15,798,057	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$520,484	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Adv Hlth Med Ctr Tehachapi	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1100 Magellan Dr	AddressLine1Txt
City	Tehachapi	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93561	ZIPCd

Field	Value	IRS element (for citing)
Website Address	See Form 990 Question J	WebsiteAddressTxt
State License	120000188	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Sch H Part VI - Needs Assessment	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	See Sch H Part VI - Needs Assessment	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Sch H Part VI - Needs Assessment	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Sch H Part VI - Patient Education	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Sch H Part VI - Patient Education	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Sch H Part VI - Patient Education	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Facility: - Part V, Section B, Line 5	The 2022 CHNA Steering Committee identified vulnerable populations and worked with local organizations to coordinate focus groups and key informant interviews to ensure that minority populationsthe voices of those with chronic disease, low incomes, and the underservedwere heard.This CHNA involved interviews with behavioral health, childhood development, city council, city government, domestic violence, education, family and community based organizations, farm workers, formerly incarcerated, grape growers, healthcare, health and human services, higher education, Hispanic Chamber of Commerce, those experiencing homelessness, indigenous populations, food banks, formerly incarcerated, law enforcement, managed care, NAACP, Public Health, senior community-based organizations, students and a transportation agency. A total of 12 focus groups with 78 participants and 16 key informant interviews provided rich primary data for this report. Represented race/ethnicities were American Indian, Asian, Black, Hispanic, Multi-Race and White. The 2022 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 local service providers and service recipients and individual key informant interviews with local leaders. These were conducted in-person and virtually. Direct quotes were taken from a transcription of key informant interviews and are intended to be 100% accurate but could not be verified in all situations. This information was collected by the Adventist Health Community Well-Being team 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 Survey data was gathered from the Central Valley region (region name defined by survey administrator, UC Berkeley IGS).
Facility: - Part V, Section B, Line 6a	San Joaquin Community Hospital DBA Adventist Health Bakersfield and Adventist Health Delano participated in the 2022 CHNA process.
Facility: - Part V, Section B, Line 11	Tax year 2024 was Year Two of the Implementation Strategy for the 2022 Community Health Needs Assessment (CHNA). Programs and activities provided to the community were in response to the priority health needs identified in the 2022 CHNA. Our 2022 CHNA identified three areas of significant need: Access to Care; Health Conditions and Health Risk Behaviors. Priority Need One- Access to Care. The goal is to collaborate with community partners to provide access to care to underserved populations through the utilization of mobile health units in eastern Kern County. Adventist Health Medical Center Tehachapi Valley continued efforts to expand access to care via a mobile rural health clinic, providing healthcare services in the communities of Tehachapi and Kern County, removing barriers for local families. In addition, our hospital, in partnership with First 5 of California, expanded access to year-round immunizations such as the flu vaccine and additional seasonal immunization needs. Our hospital also continued their partnership with Parallon and Elevate to assist community members in the enrollment and approval process for individual or family medical insurance coverage. The mobile health team attended several community-based events, providing health information and seasonal immunizations for underserved communities in Eastern Kern County. These events expanded access to community members with limited means of transportation and resources. The goal of the events was to connect the community to primary care services for ongoing preventative wellness. Once services were received, community members were encouraged to continue with preventative services and annual visits with health care providers. Information was provided upon request. Through community partnerships, including a partnership with Kern Family Healthcare, Adventist Health Medical Center Tehachapi Valley and affiliated clinics participated in numerous community-wide initiatives providing education, resources, and support, connecting the community to local medical services. Priority Need Two- Health Conditions. The goal is to reduce chronic health conditions by providing education and support services in the community through partnerships with Kern County Public Health and other community partner. These partnerships will offer opportunities for resources and support services to reduce common health conditions related to social determinants of health. In 2024, Adventist Health Medical Center Tehachapi Valley sponsored and participated in six monthly community farmers markets with the goal of connecting with residents and sharing wellness information related to chronic diseases and preventive care. In total, over 15,000 residents receive information and materials at the local farmers' markets. Specific disease and management and education focused on diabetes, cardiovascular disease and stroke prevention. Education and awareness are valuable tools for community members and lead to better health outcomes. Our hospital maintained a partnership with Kern County Public Health and the Community Action Partnership of Kern to expand the reach of wellness lifestyles and healthy eating through social determinants of health screenings and referrals. Through outreach and referrals, we were able to refer over 200 families to local organizations and resources to support family health needs in the community. Priority Need Three-Health Risk Behaviors. The goal is to partner with local organizations on education and resources contributing to health risk behaviors by expanding partnerships with local community gardens to provide a platform on health education and resources. In 2024, Adventist Health Medical Center Tehachapi Valley continued the support of local community gardens in Tehachapi, California City, and Mojave. These partnerships expand access to local fresh fruits, vegetables, and healthier food alternatives to community members. Also, due to the community gardens, AHTV was able to collaborate with local community resources such as Community Action Partnership of Kern and local school districts to provide access and referrals for additional wrap-around services in addition to food access. Through partnerships with local community resource centers, our hospital connected local patients and community members to food access points and education on the importance of nutritional meals. For example, AHTV partnered with the Cal Fresh Healthy Living to support nutrition education at the Tehachapi Senior Center, serving over 300 local seniors. Seniors health is complicated and delicate, so having access to nutritional information to benefit one's health at such an age is very important.
Facility: - Part V, Section B, Line 13h	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.

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Adventist Health Outpatient Physical Therapy
116 W F St	Tehachapi	CA	93561	Outpatient Physical Therapy
Adventist Health Community Care-California City
9350 North Loop Blvd	California City	CA	93505	Rural Health Clinic
Adventist Health Community Care-Tehachapi
105 West E Street	Tehachapi	CA	93561	Rural Health Clinic
Adventist Health Community Care-Mojave
2041 Belshaw Street	Mojave	CA	93501	Rural Health Clinic
Adventist Health Tehachapi Mobile Services
1100 Magellan Dr	Tehachapi	CA	93561	Rural Health Clinic

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7 - Explanation of Costing Methodology	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 chargesAdventist Health Tehachapi is located in a medically underserved area and participates in a quality assurance fee program with the State of California to fund certain Medi-Cal coverage expansions. The state redistributes funds to hospitals that provide patient care to a higher proportion of indigent and medically underprivileged patients, who otherwise would most likely not have access to physicians and other medical services. The community benefit analysis includes receipts from this redistribution that are used to assist in partially offsetting the significant costs associated with providing patient care to this population group. The program may or may not continue in the future based on the State of California's regulations and policies and the approval of the federal government.
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	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.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit	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.
Part III, Line 4 - Bad Debt Expense	The system-wide combined audited financial statements do not contain a footnote describing bad debt expense.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	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.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	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
Part VI, Line 2 - Needs Assessment	Adventist Health Medical Center Tehachapi Valley promotes access to their 2022 Community Health Needs Assessment (CHNA), the 2023 Community Health Implementation Strategy (CHIS) approved in fiscal year 2023, and the Year Two Update, FY 2024 for the Community Health Implementation Strategy by posting their reports on the Hospital's website at: https://www.adventisthealth.org/tehachapi-valley/about-us/community-benefit/The two most recent Community Health Needs Assessments, the two most recent Implementation Strategy reports and the 2022, 2023 and 2024 Community Health Plan Updates are also available on the Adventist Health Corporate website at https://www.adventisthealth.org/about-us/community-benefit/.The Community Health Needs Assessment (CHNA) includes both the activity and product of identifying and prioritizing a community's health needs, accomplished through the collection and development of a community health plan. The second component of the CHNA, the community health plan, includes strategies and plans to address prioritized needs, with the goal of contributing to improvements in the community's health. Qualitative and quantitative data sources were used in conducting the CHNA. To accomplish the many important systemic goals that are underway in our community, Adventist Health supports local partners to augment our own efforts, and to promote a healthier community. Partnership is not used as a legal term, but a description of the relationships of connectivity that are necessary to collectively improve the health of our region. One of our objectives is to partner with other nonprofit and faith-based organizations that share our values and priorities to improve the health status and quality of life of the community we serve. This is an intentional effort to avoid duplication and leverage the successful work already in existence in the community. In addition to the CHNA, the 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.
Part VI, Line 3 - Patient Education of Eligibility for Assistance	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.
Part VI, Line 4 - Community Information	Nestled in the Tehachapi Valley, the city of Tehachapi is surrounded by mountains and scenery on all sides, with a significant and meaningful history of Native American tribes. Its high elevation, desert landscape, and nearby popular Pacific Crest Trail attract the ultimate adventurer. Our geographically distinctive Tehachapi Valley service area consists of a population of 122,230. Of those, about 54% are non-Hispanic. Part of what makes the community of Tehachapi Valley unique is the diverse age group of its residents, with 12.3% of people being over 65 and 36.7% being young than 35. Of this population, 31.2% of children live in poverty and 4.24% of students are unhoused, compared to the state average of 4.25% and national average of 2.77%. This small, rural community is known for being family-friendly and unique for living outside regular suburbia conventions. Residents spend 57.68% of their income on housing and transportation. DEMOGRAPHIC PROFILE The following zip codes represent Adventist Health Medical Center Tehachapi Valleys 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 Adventist Health Medical Center Tehachapi Valley CHNA market has a total population of 122,230 (based on the 2020 Decennial Census). The largest city in the service area is Arvin, with a population of 19,304. The service area is based on the following zip codes: 93528, 93558, 93501, 93519, 93518, 93516, 93531, 93554, 93241, 93560, 93561, 93203, 93505, 93523, 93527, 93524. 63.06% of the population owns their home and 36.94% of the population rents their home. Total Population by Age Groups, Total Adventist Health Tehachapi Valley Age 0-4: 7.7%, Age 5-17: 20.1%, Age 18-24: 8.9%, Age 25-34: 15.4%, Age 35-44: 13.2%, Age 45-54: 10.7%, Age 55-64: 11.7%, Age 65+: 12.3%.Only 1.69% of the population in Tehachapi Valley lives within a mile of a hospital with an emergency room. This is well below the states rate of 8.71% and the United States at 7.68%. There are also fewer ICU beds in Tehachapi Valley than in California and the US, further complicating the availability of care. With only 17.57% of the population living within a half mile of public transportation, traveling long distances to see a small pool of providers paints a dire picture for people needing a doctor. By comparison, 63% of Californians and 35% of all Americans have easier access to public transportation so this represents a major problem for this community. Additionally, 28.11% of the population older than 25 have no high school diploma. Currently, 17.79% of adults in Tehachapi Valley smoke tobacco, which is a full 6% greater than the state average. Additionally, 17.46% of adults binge drink which is a higher than national average. When specifically looking at Medicare beneficiaries in the Tehachapi Valley, 2.5% have an alcohol use disorder, and 5.1% have a substance use disorder. The alcohol use numbers are consistent with state and local figures, but the substance use disorder rates are more than 1% higher. Along with that, 6.2% of local Medicare beneficiary drug claims are for opioids, which is 2 percentage points higher than the state and countrywide averages. Additionally, 13.6% of all live births were of infants born with low birthweight. Thirty-five percent of the adult population in the Tehachapi Valley are obese, which is higher than state and national averages.
Part VI, Line 4 - Community Building Activities	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.
Part VI, Line 5 - Promotion of Community Health	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.
Part VI, Line 6 - Affilated Health Care System	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 are able to provide support through remote services such as tele pharmacy 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.
Part VI, Line 7 - States Filing of Community Benefit Report	CA
Part VI - Additional Information	Listing of Organizations that Particpated in the Hospital's CHNA - Organizations that participated in the 2022 CHNA included: Alliance Against Family Violence, American Indian Health Project, Bakersfield College, Bakersfield Homeless Shelter, Bakersfield Police Department, Bakersfield Womens Homeless Shelter, City of Tehachapi, City Serve, Community Action Partnership of Kern, Delano Union School District, First Five Kern, Garden Pathways, Kern Behavioral Health & Recovery Services, Kern County Childrens Dental Health Network, Kern County Department of Public Health, Kern County Hispanic Chamber of Commerce, Kern County Housing Authority, Kern County Network for Children, Kern Family Health Care, Kern Medical, National Association for the Advancement of Colored People, Transitional Youth Mobilizing for Change, and United Farm Workers Foundation Kern County. Identified Needs from CHNA, Not Addressed and Why -No hospital can address all the health needs identified in its community. Adventist Health Medical Center Tehachapi Valley 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, financial stability, mental health, food security, environment & infrastructure, inclusion & 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.Other Items:Inspiring health, wholeness and hope in the communities we serve requires that we provide services that allow everyone to reach their optimal health. Ensuring that everyone in our communities has that opportunity is the definition of health equity. Adventist Health is committing the time and effort to ensuring health equity in all of our markets. A Health Equity Committee has been formed with champions from every market. We are especially sensitive to addressing health equity gaps for the underserved, frail, elderly, and minority populations, says Raul Ayala, MD, MHCM, Adventist Health Ambulatory Medical Officer, Central Valley Network family practitioner, and leader of our Health Equity Committee. We are assessing the gaps in care for these populations and finding ways to close those gaps. The Health Equity Committee is looking at the programs we currently have that successfully meet the needs of underserved groups and are figuring out how we can duplicate these efforts in other markets. Programs such as our technological language support, mobile clinics, ACO nurse navigators, Community Connect, community health workers, and our substance abuse navigators. We know we must also create more access to care and enhance the patient/customer experience. In 2024, screenings for social determinants of health at our hospital reached 87.8 % which included screenings for housing instability, food insecurity, utility difficulties and transportation needs. This robust data enabled our hospital to identify key areas of concern and strategically develop and refine programs to better support our communitys health. 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

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CA Hlth Fund & Trust	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1215 K St Ste 800	AddressLine1Txt
City	Sacramento	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95814	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	941498697	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$208,242	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Valuation Method Used	Funds Transfer	ValuationMethodUsedDesc
Purpose Of Grant	Uninsured/Underinsured Patients	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	0	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Additional Supplemental Information	FormAndLineReferenceDesc
Explanation	Grants are donations made to US tax exempt organizations, Government Entities and Civic organizations who are community partners, known to us, and present a valid purpose for their donation request. It is anticipated that no further monitoring is required.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt
Ayala Raul
Ambulatory Medical Officer, CVN	$602,279	$159,029	$59,246	$13,296	$22,841	$856,691
Beaman John
CFO/Asst Secty	$1,261,000	$698,818	$21,043	$13,296	$66,512	$2,060,669
Cox Shane
Fin Ops Exec	$517,317	$150,937	$71,378	$13,296	$43,536	$796,464
Harwick Donald
Physician Asst							$192,031	$4,382	$3,176	$1,328	$200,917
HaydockTimothy eff 724
Ops Exec, CCN	$492,108	$178,559	$56,651	$13,296	$66,512	$807,126
Heinrich Kerry
Director/CEO	$2,342,000	$1,586,113	$46,082	$13,296	$44,679	$4,032,170
Hofheins Todd
COO/Vice Chair	$1,474,000	$888,115	$45,560	$13,296	$52,696	$2,473,667
Jahn Andrew
Former Care Div Pres thru 02/22	$281,190	$407,001	$48,578	$13,296	$3,801	$753,866
Jamaleddine Ghassan
Medical Officer	$632,373	$184,644	$65,371	$13,296	$66,512	$962,196
Jobe Meredith
Secretary	$796,100	$281,132	$143,872	$13,296	$44,679	$1,279,079
Lavers Jennifer
Operations Executive	$463,068	$102,341	$49,249	$13,296	$66,512	$694,466
Nahapetian Arby
Former Care Div Med Off thru 02/22	$1,111,000	$458,435	$189,823	$13,296	$66,512	$1,839,066
Nwigwe Gloria
RN Director							$171,778	$24,325		$24,933	$221,036
Patterson BreAnne
RN Director							$193,810	$18,516		$32,402	$254,625	$9,897
Pelzer Michael
RN Manager							$192,140	$600	$122	$900	$193,762
Ramirez Rudy
Physician Asst							$159,031	$34,840		$33,874	$236,008	$8,263
Reyna Sonja
Ambulatory Executive	$287,169	$176,766	$164,851	$13,296	$27,511	$669,593
Stevens Eric eff 724
President	$1,196,000	$495,682	$194,464	$13,296	$44,679	$1,944,121
Tomono Christopher
Partnership Executive	$323,323	$88,917	$36,221	$13,296	$66,340	$528,097
Tomono Olga
Business Dev Exec eff 11/24/24	$395,901	$93,831	$31,812	$13,296	$890	$535,730
Van Housen Heather
Patient Care Executive	$429,414	$113,214	$47,097	$13,296	$49,707	$652,728
Wells Jason
President, CCN	$968,000	$423,321	$151,735	$13,296	$66,512	$1,622,864
Wing Bill
Former Dir/Asst Sec/VChair thru1/22			$273,263			$273,263
Wolcott Daniel
Frmr Pres, AHDL Kern Cnty thru 1/23			$704,271		$65,778	$770,049

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, Line 6	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.
Form 990, Part VI, Section A, Line 7a	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.
Form 990, Part VI, Section A, Line 7b	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.
Form 990, Part VI, Section B, Line 11b	This Form 990 including all supporting schedules was prepared by a public accounting firm, reviewed by the Corporate Finance Officer and Market Financial Officer, and shared by electronic communication with the Corporation's Board of Directors prior to filing.
Form 990, Part VI, Section B, Line 12c	During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, 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.
Form 990, Part VI, Section B, Line 15a	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.
Form 990, Part VI, Section B, Line 15b	See Line 15a explanation.
Form 990, Part VI, Section C, Line 19	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.
Form 990, Part XI, Line 9	Transfer to Related Entities = -$976386

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Adventist Health Clearlake Hospital Inc
15630 18th Avenue	Clearlake	CA	95422	680395149	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Adventist Health Delano
1401 Garces Hwy	Delano	CA	93215	770258013	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Adventist Health Foundation
1 Adventist Health Way	Roseville	CA	95661	680002188	Charitable foundation	CA	501(c)(3)	7	Adventist Health SystemWest	false
Adventist Health Mendocino Coast
700 River Drive	Fort Bragg	CA	95437	845174585	Hospital	CA	501(c)(3)	3	Stone Point Health	false
Adventist Health Physicians Network
1 Adventist Health Way	Roseville	CA	95661	680357690	Medical Foundation	CA	501(c)(3)	12b2	Adventist Health SystemWest	false
Adventist Health SystemWest
1 Adventist Health Way	Roseville	CA	95661	953484589	Integrated Health System	CA	501(c)(3)	10	NA	false
Adventist Health Tulare
869 North Cherry Street	Tulare	CA	93274	832351753	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Castle Medical Center
640 Ulukahiki Street	Kailua	HI	96734	990107330	Hospital	HI	501(c)(3)	3	Adventist Health SystemWest	false
Feather River Hospital
1 Adventist Health Way	Roseville	CA	95661	941101228	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Glendale Adventist Medical Center
1509 Wilson Terrace	Glendale	CA	91206	951816017	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Hanford Community Hospital
115 Mall Drive	Hanford	CA	93230	940535360	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Lodi Memorial Hospital Association Inc
975 S Fairmont Avenue	Lodi	CA	95240	941044474	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Mid-Columbia Medical Center
1700 E 19th Street	The Dalles	OR	97058	930386936	Hospital	OR	501(c)(3)	3	Stone Point Health	false
Northwest Medical Fdtn of Tillamook
1000 Third Street	Tillamook	OR	97141	930622075	Hospital	OR	501(c)(3)	3	Adventist Health SystemWest	false
Portland Adventist Medical Center
10123 SE Market Street	Portland	OR	97216	930429015	Hospital	OR	501(c)(3)	3	Adventist Health SystemWest	false
Reedley Community Hospital
372 Cypress Avenue	Reedley	CA	93654	453220509	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Rideout Memorial Hospital
726 Fourth Street	Marysville	CA	95901	941387866	Hospital	CA	501(c)(3)	3	Stone Point Health	false
St Helena Hospital
10 Woodland Road	St Helena	CA	94574	941279779	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
San Joaquin Community Hospital
2615 Chester Avenue	Bakersfield	CA	93301	952294234	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Sierra Vista Hospital Inc
1010 Murray Avenue	San Luis Obispo	CA	93405	952588614	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Simi Valley Hospital and Health Care Svc
2975 N Sycamore Drive	Simi Valley	CA	93065	956064971	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Sonora Community Hospital
1000 Greenley Road	Sonora	CA	95370	941415069	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Stone Point Health
1 Adventist Health Way	Roseville	CA	95661	823763347	Supporting Organization	CA	501(c)(3)	12b2	Adventist Health SystemWest	false
Twin Cities Community Hospital Inc
1100 Las Tablas Road	Templeton	CA	93465	752918765	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Ukiah Adventist Hospital
275 Hospital Drive	Ukiah	CA	95482	941639901	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
United Com-Serve
726 Fourth Street	Marysville	CA	95901	943015356	Skilled Nursing/Asstd Living/Home Health	CA	501(c)(3)	12b2	Stone Point Health	false
Western Health Resources
1 Adventist Health Way	Roseville	CA	95661	953867863	Home Care	CA	501(c)(3)	10	Adventist Health SystemWest	false
White Memorial Medical Center
1720 E Cesar E Chavez Avenue	Los Angeles	CA	90033	952282647	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Willits Hospital Inc
1 Marcela Drive	Willits	CA	95490	680108919	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
Blue Legacy Ventures LLC
1010 NE 2nd Avenue	Miami	FL	33132	871254649	Real Property Rental	FL	AHSWest	false	false
Blue Zones LLC
200 Southdale Center	Edina	MN	55435	271603327	Education	MN	AHSWest	false	false
PAR LLC dba CherryWood Village
8440 SE Sunnybrook Blvd Suite 100	Clackamas	OR	97015	931262371	Senior Housing	OR	AHSWest	false	false
PVHR LLC dba Paradise Village
8440 SE Sunnybrook Blvd Suite 100	Clackamas	OR	97015	260622555	Senior Housing	OR	AHSWest	false	false
PVHR2 LLC dba Parkview Memory Care
8440 SE Sunnybrook Blvd Suite 100	Clackamas	OR	97015	473300170	Senior Housing	OR	AHSWest	false	false
WWGHR LLC dba Wheatland Village
8440 SE Sunnybrook Blvd Suite 100	Clackamas	OR	97015	810591221	Senior Housing	OR	AHSWest	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
Adventist Health Plan Inc
1 Adventist Health Way	Roseville	CA	95661	463833261	Health Insurance	CA	AHSWest	C-Corp	false
Thrive Productions Inc
200 Southdale Center	Edina	MN	55435	453369049	Production Company	MN	AHSWest	C-Corp	false
AdHealth Limited
					Pure Captive Insurance		AHSWest	C-Corp	false	PO Box HM 2062	Hamilton	BD	HM HX	BD

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

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Adventist Health SystemWest
e	$65,047,280	Notes Payable
Adventist Health SystemWest
m	$6,208,687	Operating Exp
Adventist Health SystemWest
o	$645,921	Compensation
Adventist Health SystemWest
r	$7,117,565	Cash Mgt Funds