SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES (EIN 95-6064971)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-12-25
IRS object ID: 201803609349300100
Schema version: 2017v2.2
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-12-25T23:52:26-08:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt
Disaster Relief	California Wildfires DR-4407 and IRS CA-2018-13	DisasterReliefTxt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	956064971	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Simi Valley Hosp & Hlth Care Serv	BusinessNameLine1Txt
Business Name Line2	dba Adventist Health Simi Valley	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	SIMI	BusinessNameControlTxt
Phone	8059556000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2975 N Sycamore Dr	AddressLine1Txt
City	Simi Valley	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93065	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Brian Anderson	PersonNm
Person Title	Treasurer	PersonTitleTxt
Signature	2018-12-25	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

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

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Jennifer Swenson	PrincipalOfficerNm
Gross Receipts	$143,708,635	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
All Affiliates Included	false	AllAffiliatesIncludedInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.adventisthealth.org/simi-valley	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1960	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	Living Gods love by inspiring health, wholeness and hope.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1066	TotalEmployeeCnt
Total Volunteers	256	TotalVolunteersCnt
Total Gross UBI	$1,405,790	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$620,462	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,452,935	PYContributionsGrantsAmt
CY Contributions Grants	$1,696,580	CYContributionsGrantsAmt
PY Program Service Revenue	$147,181,681	PYProgramServiceRevenueAmt
CY Program Service Revenue	$141,651,097	CYProgramServiceRevenueAmt
PY Investment Income	$1,542,077	PYInvestmentIncomeAmt
CY Investment Income	$39,911	CYInvestmentIncomeAmt
PY Other Revenue	$1,663	PYOtherRevenueAmt
CY Other Revenue	$12,020	CYOtherRevenueAmt
PY Total Revenue	$151,178,356	PYTotalRevenueAmt
CY Total Revenue	$143,399,608	CYTotalRevenueAmt
PY Grants And Similar Paid	-$1,156	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$522,063	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$68,530,429	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$69,675,553	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$408,645	CYTotalFundraisingExpenseAmt
PY Other Expenses	$78,022,271	PYOtherExpensesAmt
CY Other Expenses	$77,577,089	CYOtherExpensesAmt
PY Total Expenses	$146,551,544	PYTotalExpensesAmt
CY Total Expenses	$147,774,705	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,626,812	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$4,375,097	CYRevenuesLessExpensesAmt
Total Assets BOY	$176,440,001	TotalAssetsBOYAmt
Total Assets EOY	$183,950,616	TotalAssetsEOYAmt
Total Liabilities BOY	$220,503,078	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$143,436,465	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$44,063,077	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$40,514,151	NetAssetsOrFundBalancesEOYAmt
Mission	Living Gods love by inspiring health, wholeness and hope.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$122,616,631	ExpenseAmt
Grant	$522,063	GrantAmt
Revenue	$140,211,423	RevenueAmt
Desc	In support of the hospital's mission statement, Simi Valley Hospital & Health Care Services (SVHHCS) provides quality medical health care regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of Simi Valley Hospital, the organization recognizes that not all individuals possess the ability to pay for essential medical services. Adventist Health's vision is to enhance the health of the communities where we live and serve, by engaging our community and our patients in a new definition of a partnership for personal community health. In keeping with this commitment to serve all members of the community, the following will be considered when individuals who need health care cannot pay: 1.providing free care and/or subsidized care 2.providing care to persons covered by governmental programs at below cost 3.providing health/wellness activities and community education programsNot only does SVHHCS provide low-cost care to individuals covered by government programs and those unable to afford health care, but it also helps patients find and access private and governmental resources for health care benefits. SVHHCS recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed value of providing care to these patients in 2017 was $34,099,644.The following statistics related to patient services are available for tax year 2017:Ancillary visits - 54,108General admissions - 6,999Emergency room visits - 36,336Emergency room admissions - 5,867Surgery cases (inpatient & outpatient) - 3,656Deliveries - 598Number of patient days - 26,769GMLOS (Geometric Mean Length of Stay) - 23,363Discharges - 6,999 SVHHCS recognizes it has an obligation to provide human services above and beyond its role as a healing facility. The following community benefits demonstrate the tangible ways in which the organization is fulfilling its mission: Simi Valley Free ClinicChild Birth ClassesBreastfeeding ClassesNewborn ClassesBreastfeeding Support GroupSiblings ClassesNutrition ClassesBreast Cancer EducationHeart Health EducationCommunity CPR ClassesProstate Cancer Screenings for Men in the CommunityLifeline ProgramCommunity Flu ClinicsGrief Recovery Support GroupLook Good Feel Better Support GroupStroke & Brain Injury Support GroupCOPE HealthStericycleVisit our website, at https://www.adventisthealth.org/simi-valley-hospital/pages/default.aspx, for more information about Simi Valley Hospital and Health Services.	Desc
Total Program Service Expenses	$122,616,631	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	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
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	150	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1066	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Org Filed In Lieu Of Form1041	false	OrgFiledInLieuOfForm1041Ind
Licensed More Than One State	false	LicensedMoreThanOneStateInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Brian Anderson	PersonNm
Phone	8059556215	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2975 N Sycamore Dr	AddressLine1Txt
City	Simi Valley	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93065	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Banks David
Director	0.00	4.00	Yes (X)	$0	$1,553	$0
Cherry Robert
Director	0.00	4.00	Yes (X)	$0	$11,550	$0
Davis Andrew
Director	0.00	4.00	Yes (X)	$0	$10,600	$0
Freedman John
Director	0.00	4.00	Yes (X)	$0	$1,133	$0
Gabriel Melody
Director	0.00	4.00	Yes (X)	$0	$1,203	$0
Graham Ricardo
Director	0.00	4.00	Yes (X)	$0	$2,074	$0
Heinrich Kerry
Director	0.00	4.00	Yes (X)	$0	$15,866	$0
Innocent Larry
Director	0.00	4.00	Yes (X)	$0	$17,608	$0
Pedersen James
Director	0.00	4.00	Yes (X)	$0	$2,101	$0
Reiner Richard
Director	0.00	4.00	Yes (X)	$0	$19,819	$0
Rippey Wesley
Director	0.00	4.00	Yes (X)	$0	$118,116	$0
Salazar Velino
Director	0.00	4.00	Yes (X)	$0	$1,928	$0
Reiner Scott
Dir/Chair	0.00	50.00	Yes (X)	$0	$1,982,804	$53,885	Yes (X)
Wing Bill
Dir/VCh/AsstSec	0.00	50.00	Yes (X)	$0	$1,460,244	$52,693	Yes (X)
Jobe Meredith
Secretary	0.00	50.00		$0	$654,239	$42,313	Yes (X)
Wagner Jack
Asst Secretary	0.00	50.00		$0	$1,070,403	$37,117	Yes (X)
Swenson Jennifer
President	50.00	0.00		$0	$551,166	$58,260	Yes (X)
Anderson Brian
Treas/Asst Sec	50.00	0.00		$0	$321,447	$44,971	Yes (X)
Zachary Beth
President SCR	0.00	50.00		$0	$3,531,840	$49,519		Yes (X)
Wehtje Ronald
Finance Officer SCR	0.00	50.00		$0	$698,178	$36,965		Yes (X)
Nahapetian Arby
Reg CMO SCR	0.00	50.00		$0	$880,809	$58,321		Yes (X)
Fargo Roland
SVP Reg Phys Ops SCR	0.00	50.00		$0	$563,956	$44,025		Yes (X)
Esparza Caroline
COO/CNO	50.00	0.00		$0	$361,150	$49,389		Yes (X)
Werner William
VP Support Srvs	50.00	0.00		$0	$278,023	$57,402		Yes (X)
Dingilian John
CMO	50.00	0.00		$0	$300,818	$58,530		Yes (X)
Bercier-Gorcey Joan
Dir Nursing	40.00	0.00		$254,447	$0	$41,297			Yes (X)
Deamer Carol
Dir Pharmacy	40.00	0.00		$220,442	$0	$13,059			Yes (X)
Nakamura Bridget
Dir IT/CIS	40.00	0.00		$186,041	$0	$32,449			Yes (X)
Crabtree Susan
Dir HR	40.00	0.00		$179,517	$0	$35,815			Yes (X)
Svolos Ann Marie
Dir Risk Mgmt	40.00	0.00		$171,686	$0	$41,214			Yes (X)
Rebok Douglas
Former Asst Sec	0.00	0.00		$0	$120,028	$6,244				Yes (X)
Wehtje Rodney
Former Asst Treasurer	0.00	0.00		$0	$249,427	$23,299				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,012,133	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$13,228,083	TotReportableCompRltdOrgAmt
Total Other Compensation	$836,767	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	58	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
Intensive Care Medical Inc
1177 Roadrunner Way	Simi Valley	CA	93065	Medical Services	$769,927
Sodexo Inc
9801 Washington Blvd	Gathersburg	MD	20878	Dietary Services	$465,105
Studer Group
350 W Cedar St Ste 300	Pensacola	FL	32502	Consulting Services	$374,825
CA Cardiovascular Thoracic Surgeons
168 N Brent St	Ventura	CA	93003	Medical Services	$368,450
Extracorporeal Stat LLC
22637 La Quilla Drive	Chatsworth	CA	91311	Dialysis Services	$311,831

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	19	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,324,185	RelatedOrganizationsAmt
Government Grants	$372,395	GovernmentGrantsAmt
Total Contributions	$1,696,580	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Dietary	722210	$452,545	$418,661	$33,884
Management Fees	561000	$568,867			$568,867
Other Program Services	900099	$374,165	$374,165
Patient Service Revenue	621110	$139,761,257	$138,991,679		$769,578
Rent	531120	$494,263	$426,918		$67,345

Field	Value	IRS element (for citing)
Total Program Service Revenue	$141,651,097	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$73,583	TotalRevenueColumnAmt
Exclusion	$73,583	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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$188,942	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$222,614	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$33,672	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$33,672	TotalRevenueColumnAmt
Exclusion	-$33,672	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$98,433	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$86,413	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,020	TotalRevenueColumnAmt
Exclusion	$12,020	ExclusionAmt

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

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$143,399,608	TotalRevenueColumnAmt
Related Or Exempt Func Income	$140,211,423	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,405,790	UnrelatedBusinessRevenueAmt
Exclusion	$85,815	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$522,063	TotalAmt
Program Services	$522,063	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	$55,514,675	TotalAmt
Program Services	$50,433,985	ProgramServicesAmt
Management And General	$4,821,115	ManagementAndGeneralAmt
Fundraising	$259,575	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,297,226	TotalAmt
Program Services	$2,297,226	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,893,947	TotalAmt
Program Services	$6,611,302	ProgramServicesAmt
Management And General	$1,238,263	ManagementAndGeneralAmt
Fundraising	$44,382	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,969,705	TotalAmt
Program Services	$3,645,892	ProgramServicesAmt
Management And General	$305,877	ManagementAndGeneralAmt
Fundraising	$17,936	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$147,920	TotalAmt
Management And General	$147,920	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	$5,171,926	TotalAmt
Program Services	$3,561,154	ProgramServicesAmt
Management And General	$1,596,274	ManagementAndGeneralAmt
Fundraising	$14,498	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$373,597	TotalAmt
Management And General	$373,597	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$856,635	TotalAmt
Program Services	$321,408	ProgramServicesAmt
Management And General	$526,495	ManagementAndGeneralAmt
Fundraising	$8,732	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,529,249	TotalAmt
Program Services	$7,458,895	ProgramServicesAmt
Management And General	$57,184	ManagementAndGeneralAmt
Fundraising	$13,170	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,266,667	TotalAmt
Program Services	$3,908,862	ProgramServicesAmt
Management And General	$355,071	ManagementAndGeneralAmt
Fundraising	$2,734	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$274,850	TotalAmt
Program Services	$178,299	ProgramServicesAmt
Management And General	$92,569	ManagementAndGeneralAmt
Fundraising	$3,982	FundraisingAmt

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	$86,395	TotalAmt
Program Services	$31,309	ProgramServicesAmt
Management And General	$54,842	ManagementAndGeneralAmt
Fundraising	$244	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,171,111	TotalAmt
Program Services	$4,171,111	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,585,534	TotalAmt
Program Services	$7,561,873	ProgramServicesAmt
Management And General	$23,661	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$213,256	TotalAmt
Program Services	$213,256	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Pt care supplies	$16,293,153	$16,293,153
Purchased services	$14,964,377	$200,727	$14,724,044	$39,606
Qlty assurance (hospital) fee	$14,118,032	$14,118,032
Other expenses	$1,524,387	$1,088,084	$432,517	$3,786

All Other Expenses AllOtherExpensesGrp

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

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$147,774,705	TotalAmt
Program Services	$122,616,631	ProgramServicesAmt
Management And General	$24,749,429	ManagementAndGeneralAmt
Fundraising	$408,645	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$209,849	BOYAmt
EOY	$497,825	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$935,613	BOYAmt
EOY	$10,849,436	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$19,539,462	BOYAmt
EOY	$19,229,380	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	$2,416,627	BOYAmt
EOY	$2,297,752	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$821,132	BOYAmt
EOY	$661,841	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$221,615,490	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$91,501,246	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$133,417,115	BOYAmt
EOY	$130,114,244	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,523,187	BOYAmt
EOY	$2,044,663	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,183,634	BOYAmt
EOY	$2,227,323	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,210,459	BOYAmt
EOY	$2,210,459	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$12,182,923	BOYAmt
EOY	$13,817,693	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$176,440,001	BOYAmt
EOY	$183,950,616	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$12,740,073	BOYAmt
EOY	$9,010,007	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$12,711,224	BOYAmt
EOY	$12,342,529	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
EOY	$1,950,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$195,051,781	BOYAmt
EOY	$120,133,929	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$220,503,078	BOYAmt
EOY	$143,436,465	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$45,860,034	BOYAmt
EOY	$39,579,326	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,796,957	BOYAmt
EOY	$934,825	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$44,063,077	BOYAmt
EOY	$40,514,151	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$176,440,001	BOYAmt
EOY	$183,950,616	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$4,375,097	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$88,952,325	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)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$11,327	OtherActivitiesAmt
Total Lobbying Expenditures	$11,327	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1i - Other Activities Description	FormAndLineReferenceDesc
Explanation	The organization belongs to industry and professional associations for which a portion of the membership dues is used for lobbying activities.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,796,958	BeginningYearBalanceAmt
Contributions	$1,327,885	ContributionsAmt
Investment Earnings Or Losses	-$1,132,209	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,057,809	OtherExpendituresAmt
End Year Balance	$934,825	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,471,458	BeginningYearBalanceAmt
Contributions	$2,049,302	ContributionsAmt
Investment Earnings Or Losses	-$1,648,602	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,075,200	OtherExpendituresAmt
End Year Balance	$1,796,958	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,178,248	BeginningYearBalanceAmt
Contributions	$54,691	ContributionsAmt
Investment Earnings Or Losses	$288,054	InvestmentEarningsOrLossesAmt
Other Expenditures	$49,535	OtherExpendituresAmt
End Year Balance	$143,306	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,829,912	BeginningYearBalanceAmt
Contributions	$88,226	ContributionsAmt
Investment Earnings Or Losses	$322,286	InvestmentEarningsOrLossesAmt
Other Expenditures	$62,176	OtherExpendituresAmt
End Year Balance	$3,178,248	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,635,714	BeginningYearBalanceAmt
Contributions	$136,310	ContributionsAmt
Investment Earnings Or Losses	$148,137	InvestmentEarningsOrLossesAmt
Other Expenditures	$90,249	OtherExpendituresAmt
End Year Balance	$2,829,912	EndYearBalanceAmt

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,378,565	OtherCostOrOtherBasisAmt
Book Value	$6,378,565	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$100,121	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$165,011,739	OtherCostOrOtherBasisAmt
Depreciation	$59,937,203	DepreciationAmt
Book Value	$105,174,657	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,419,880	OtherCostOrOtherBasisAmt
Depreciation	$1,787,452	DepreciationAmt
Book Value	$632,428	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,006,030	OtherCostOrOtherBasisAmt
Depreciation	$26,573,807	DepreciationAmt
Book Value	$10,432,223	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,699,155	OtherCostOrOtherBasisAmt
Depreciation	$3,202,784	DepreciationAmt
Book Value	$7,496,371	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$130,114,244	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	Sycamore, Aspen, Oncure	Desc
Book Value	$2,227,323	BookValueAmt
Method Valuation	C	MethodValuationCd

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Interest in SVH Foundation	$4,638,530
Other Receivables	$840,152
Receivables from Related Organizations	$8,339,011
Receivables from Third-Party Payors

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$13,817,693	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Income Taxes Payable	$104,494
Other Liabilities	$917,922
Payables to Related Organizations	$111,677,466
Payables to third-party payors	$5,238,594
Workers Comp Payable	$2,195,453

Field	Value	IRS element (for citing)
Total Liability	$120,133,929	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Line 4: Intended uses of the endowment fund.	FormAndLineReferenceDesc
Explanation	Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended.	ExplanationTxt

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	$730,058	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$730,058	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,484,493	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,279,810	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,204,683	NetCommunityBenefitExpnsAmt
Total Expense	0.13000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,214,551	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,279,810	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,934,741	NetCommunityBenefitExpnsAmt
Total Expense	0.13490	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$552,412	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$69,171	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$483,241	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$167,217	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$167,217	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,096,035	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,958,622	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,137,413	NetCommunityBenefitExpnsAmt
Total Expense	0.00770	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$430,831	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$430,831	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,246,495	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,027,793	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,218,702	NetCommunityBenefitExpnsAmt
Total Expense	0.01500	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,461,046	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,307,603	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,153,443	NetCommunityBenefitExpnsAmt
Total Expense	0.14990	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,985	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,985	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$83,893	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$83,893	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$80,697	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$80,697	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,788	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,788	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,292	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,292	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$181,655	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$181,655	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$609,760	BadDebtExpenseAmt
Bad Debt Expense Attributable	$44,391	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$39,360,124	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$45,380,558	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,020,434	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	Aspen Surgery Venture LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	Ambulatory surgery center	PrimaryActivitiesTxt
Org Profit Or Ownership	0.72500	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.27500	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
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	Simi Valley Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2975 N Sycamore Dr	AddressLine1Txt
City	Simi Valley	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93065	ZIPCd

Field	Value	IRS element (for citing)
Website Address	See Form 990, Pg 1, Item J	WebsiteAddressTxt
State License	050000216	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Simi Valley Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	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	17	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
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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
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	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 5 - Account Input from Persons Who Represent the Community

The 2016 CHNA data collection process can be summarized as follows: 1. review of prior CHNA reporting efforts; 2. collection of most recently available demographic, socioeconomic and health indicator data.Data gathering was accomplished by using a community survey and conducting key stakeholder interviews.Community Survey: Each of the stakeholder interviewees was sent a link to an electronic survey (Survey Monkey) in advance of the interview. The stakeholders were asked to rank each identified health need. The percentage of responses were noted as those that identified the need as having severe or very severe impact on the community, had worsened over time, and had a shortage or absence of resources available in the community.Targeted Interviews: Fifteen interviews were completed during June and July 2016, with people who represent the broad interests of the community served by the hospital. Interviewees included individuals who are leaders and representatives of medically underserved, low-income, and minority populations, or regional, state or local health or other departments or agencies that have current data or other information relevant to the health needs of the community served by the hospital facility.

Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why

Simi Valley Hospital has chosen not to actively address some of the health needs identified in their Community Health Needs Assessment. These include: autism, Social Determinants of Health, tobacco use and transportation. Taking existing hospital and community resources into consideration, SVH will concentrate on those health needs that we can most effectively address given our areas of focus and expertise. Therefore, the hospitals charitable resources will be allocated to the selected priority health needs as defined in this document.

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Aspen Outpatient Center
2750 N Sycamore Dr	Simi Valley	CA	93065	Outpatient Imaging & Surgery
Child Development Center
1900 E Los Angeles Ave	Simi Valley	CA	93065	Outpatient Pediatric Therapy
Nancy Reagan Breast Center
2750 Sycamore Dr	Simi Valley	CA	93065	Outpatient Women's Imaging
Wood Ranch Imaging Center
124 Macaw Ln	Simi Valley	CA	93065	Outpatient Imaging

Supplemental Information Detail SupplementalInformationDetail (13 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 combined audited financial statements. The formula used for computation equals financial statement data as follows:Total expenses - (Provision for bad debts + Other revenue + Interest income)/Gross patient charges
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 described for Part I, Line 7 is multiplied times the hospital's bad debt expense as reported in the system-wide audited combined financial statements. 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. This is an estimate of additional charity care that would have been granted if patients had cooperated by furnishing family financial information. 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 audited combined 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. Since the 1997 Balanced Budget Act, 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.Reconciliation of Medicare Revenue from the hospital's Medicare Cost Report to GL:Medicare Cost Report Revenue 38,464,064Prior Year Settlements (638,412)Cost Report Reimbursable Bad Debts 343,770Estimates and Accrual Variances 116,482Other (202,603)Subtotal - Amount reported in Pt III, Line 5 39,360,124Amounts included in Part I, Lines f and g -Total Medicare Revenue 39,360,124Note: The Medicare Cost Report Revenue includes the patient co-pay and deductible amounts, but not the bad-debt reimbursement. Adding the bad-debt reimbursement would have duplicated the revenue and deductible amounts.
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	The hospital's 2016 CHNA, the 2017 Community Health Plan (CHP) Update/Annual Report, and the 2016 Implementation Strategy (adopted in May 2017), known as the 2017 Community Health Plan (Implementation Strategy) & 2016 Update/Annual Report, are posted on the hospital's website at https://www.adventisthealth.org/simi-valley/about-us/community-benefit/. The CHNA, Implementation Strategy, and the CHPs 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. In order to accomplish the many important systemic goals that are underway in our community, we have been in partnership with multiple not-for-profits to provide quality care to the underserved; some of our partners are: The Free Clinic of Simi Valley, Ventura County Healthcare Agency, Healthcare Foundation for Ventura County, County Social Services, Adult Protective Services, Ventura County Behavioral Health, Rotary Club of Simi Sunrise, Simi Valley Senior Center, Community Coalition United, Simi Valley YMCA, The Moorpark Education Foundation, The Moorpark Community College, and the list goes on. Simi Valley Hospital knows that only working together we can achieve the necessary health improvements to create the communities that allow each member to have safe and healthy places to live, learn, work, play, and pray.
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 hospital's website at https://www.adventisthealth.org/simi-valley/patient-resources/financial-services/financial-assistance/. These documents are available in multiple languages.At 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	Simi Valley Hospital is located in Simi Valley, CA. The hospital service area includes the cities of Simi Valley and Moorpark in Ventura County. Inpatient hospital acute admission data indicate that the majority of admissions come from Simi Valley and Moorpark. The population of the Simi Valley Hospital service area is approximately 165,000. In the service area, 23.8% of the population is children and youth, 64.9% are adults, and 11.3% are seniors. Whites make up 61.7% of the population, 25.4% are Hispanic or Latinos, 8.3% are Asians, and the remaining 4.6% are other ethnicities. Among area residents, 6.8% are at or below 100% of the federal poverty level (FPL) and 17.7% are at or below 200% of FPL (low-income). These poverty levels are less than county and state rates.
Part VI, Line 4 - Community Building Activities	The hospital is involved in numerous community building activities which promote the health of the communities it serves. Numerous community concerns are addressed, including health improvement, education, poverty, workforce development and access to care. 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. These activities are not included elsewhere on Schedule H.
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 telepharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk management, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate administrative support for hospital affiliated medical groups that engage physicians through employment or other contracts. This provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communities served by all member hospitals.
Part VI, Line 7 - States Filing of Community Benefit Report	CA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
CA Hlth Fnd & Trust
1215 K St Ste 800	Sacramento	CA	95814	941498697	501(c)(3)	$478,709	$0	Hlth srvs uninsured/underinsured pt
Simi Valley Educational Found
PO Box 1439	Simi Valley	CA	93062		501(c)(3)	$5,500	$0	Donation
Simi Valley Highschool
5400 Cochran St	Simi Valley	CA	93063			$5,079	$0	Donation

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

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
Rebuttable Presumption Proc	false	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 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	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt
Anderson Brian
Treas/Asst Sec	$235,548	$45,221	$40,678	$16,356	$28,615	$366,418	$11,832
Bercier-Gorcey Joan
Dir Nursing								$234,114	$16,107	$4,226	$15,620	$25,677	$295,744
Crabtree Susan
Dir HR								$155,941	$16,132	$7,444	$10,138	$25,677	$215,332
Deamer Carol
Dir Pharmacy								$185,328	$19,592	$15,522	$12,890	$169	$233,501
Dingilian John
CMO	$264,399		$36,419	$16,356	$42,174	$359,348
Esparza Caroline
COO/CNO	$239,891	$49,076	$72,183	$16,356	$33,033	$410,539	$30,210
Fargo Roland
SVP Reg Phys Ops SCR	$360,074	$76,840	$127,042	$10,956	$33,069	$607,981	$42,716
Jobe Meredith
Secretary	$395,752	$98,614	$159,873	$16,356	$25,957	$696,552	$60,017
Nahapetian Arby
Reg CMO SCR	$535,805	$114,043	$230,961	$16,356	$41,965	$939,130	$81,073
Nakamura Bridget
Dir IT/CIS								$162,285	$17,284	$6,472	$10,320	$22,129	$218,490
Rebok Douglas
Former Asst Sec			$120,028		$6,244	$126,272	$120,028
Reiner Scott
Dir/Chair	$1,184,750	$324,119	$473,935	$16,356	$37,529	$2,036,689	$406,467
Svolos Ann Marie
Dir Risk Mgmt								$146,987	$15,963	$8,736	$6,441	$34,773	$212,900
Swenson Jennifer
President	$370,487	$106,322	$74,357	$16,356	$41,904	$609,426
Wagner Jack
Asst Secretary	$755,988	$221,735	$92,680	$11,160	$25,957	$1,107,520
Wehtje Rodney
Former Asst Treasurer	$158,863		$90,564	$213	$23,086	$272,726	$79,970
Wehtje Ronald
Finance Officer SCR	$490,826	$90,579	$116,773	$11,008	$25,957	$735,143
Werner William
VP Support Srvs	$206,873	$43,289	$27,861	$15,487	$41,915	$335,425
Wing Bill
Dir/VCh/AsstSec	$953,512	$273,121	$233,611	$16,356	$36,337	$1,512,937	$172,851
Zachary Beth
President SCR	$768,341	$221,735	$2,541,764	$16,426	$33,093	$3,581,359	$2,479,514

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Denise Anderson	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Officer Spouse	RelationshipDescriptionTxt
Transaction	$30,000	TransactionAmt
Transaction	Employment	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	The hospital is organized as a not-for-profit religious corporation. 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, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	Part VI, Line 7aThe hospital bylaws define its board of directors to be the same individuals who are members of the Adventist Health System/West board of directors.Part VI, Line 7bThe sole corporate member, Adventist Health System/West, must approve all changes to the articles of incorporation and bylaws.
Form 990, Part VI, Line 11b: Form 990 Review Process	The completed Form 990 is shared with members of the corporation's board of directors by electronic communication for their review prior to filing. A special board meeting is scheduled to answer questions and receive input from the board prior to filing.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital 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 CEO immediately. The corporate internal audit staff review these questionnaires and disclosures each year during the audit process.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	See explanation of process for setting CEO compensation below on Form 990, Part VI, Line 15b explanation.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	The hospital board of directors has established a Human Performance Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, including salary ranges for hospital CEOs and CFOs, that would be indicated by the data; evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data.The board-approved executive compensation philosophy specifies that salary ranges will be established for executives with midpoints set at the median of the peer group and having a 50 percent spread (about 20% above and below midpoint) from minimum to maximum. The system CEO and Sr Vice Presidents (Executive Cabinet) have a maximum potential incentive of 30 percent of base salary. (This incentive potential is less than the industry norm.) Other executives have a maximum potential incentive of 25 percent of base salary.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	The 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.
Other Changes In Net Assets Or Fund Balances - Other Decreases	Change in interest - Aspen Surgery Center = -$323365
Other Changes In Net Assets Or Fund Balances - Other Decreases	Change in interest - Foundation = -$965333
Other Changes In Net Assets Or Fund Balances - Other Increases	Other transfers = $138000
Other Changes In Net Assets Or Fund Balances - Other Increases	Transfers from related orgs = $90103023

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 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 SYSTEMWEST
2100 Douglas Blvd	Roseville	CA	95661	953484589	SUPPORT AND MANAGE SYSTEM-WIDE ACTIVITIES	CA	501(c)(3)	1	NA	false
ADVENTIST HEALTH CLEARLAKE HOSPITAL INC
Ave 18 at Hwy 53	Clearlake	CA	95422	680395149	HOSPITAL	CA	501(c)(3)	3	Adventist Health SystemWest	false
CASTLE MEDICAL CENTER
640 Ulukahiki St	Kailua	HI	96734	990107330	HOSPITAL	HI	501(c)(3)	1	Adventist Health SystemWest	false
FEATHER RIVER HOSPITAL
5974 Pentz Rd	Paradise	CA	95969	941101228	HOSPITAL	CA	501(c)(3)	1	Adventist Health SystemWest	false
GLENDALE ADVENTIST MEDICAL CENTER
1509 Wilson Ter	Glendale	CA	91206	951816017	HOSPITAL	CA	501(c)(3)	1	Adventist Health SystemWest	false
HANFORD COMMUNITY HOSPITAL
450 Greenfield Ave	Hanford	CA	93230	940535360	HOSPITAL	CA	501(c)(3)	1	Adventist Health SystemWest	false
NORTHWEST MEDICAL FOUNDATION OF TILLAMOO
1000 Third St	Tillamook	OR	97141	930622075	HOSPITAL	OR	501(c)(3)	1	Adventist Health SystemWest	false
PARADISE VALLEY HOSPITAL
2100 Douglas Blvd	Roseville	CA	95661	951816034	WIND DOWN AFTER SALE OF HOSPITAL FACILITIES	CA	501(c)(3)	1	Adventist Health SystemWest	false
PORTLAND ADVENTIST MEDICAL CENTER
10123 SE Market St	Portland	OR	97216	930429015	HOSPITAL	OR	501(c)(3)	1	Adventist Health SystemWest	false
ST HELENA HOSPITAL
10 Woodland Rd	St Helena	CA	94574	941279779	HOSPITAL	CA	501(c)(3)	1	Adventist Health SystemWest	false
SAN JOAQUIN COMMUNITY HOSPITAL
2615 Chester Ave	Bakersfield	CA	93301	952294234	HOSPITAL	CA	501(c)(3)	1	Adventist Health SystemWest	false
Simi Valley Hospital Foundation
2975 N Sycamore Dr	Simi Valley	CA	93065	912135595	FUNDRAISING FOR HOSPITAL	CA	501(c)(3)	11a, I	Western Health Resources	false
SONORA COMMUNITY HOSPITAL
1000 Greenley Rd	Sonora	CA	95370	941415069	HOSPITAL	CA	501(c)(3)	1	Adventist Health SystemWest	false
UKIAH ADVENTIST HOSPITAL
275 Hospital Dr	Ukiah	CA	95482	941639901	HOSPITAL	CA	501(c)(3)	1	Adventist Health SystemWest	false
WALLA WALLA GENERAL HOSPITAL
1025 S Second Ave	Walla Walla	WA	99362	910617726	HOSPITAL	WA	501(c)(3)	1	Adventist Health SystemWest	false
WHITE MEMORIAL MEDICAL CENTER
1720 Cesar E Chavez Ave	Los Angeles	CA	90033	952282647	HOSPITAL	CA	501(c)(3)	1	Adventist Health SystemWest	false
WILLITS HOSPITAL INC
1 Marcela Dr	Willits	CA	95490	680108919	HOSPITAL	CA	501(c)(3)	1	Adventist Health SystemWest	false
Adventist Health Physicians Network
2100 Douglas Blvd	Roseville	CA	95661	680357690	Medical Foundation	CA	501(c)(3)	11b, II	Adventist Health SystemWest	false
Reedley Community Hospital
372 W Cypress Ave	Reedley	CA	93654	453220509	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Western Health Resources
2100 Douglas Blvd	Roseville	CA	95661	953867863	Home care	CA	501(c)(3)	1	Adventist Health SystemWest	false
Lodi Memorial Hospital Association Inc
975 S Fairmont Ave	Lodi	CA	95240	941044474	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Adventist Hlth Medical Ctr Tehachapi
115 W E St	Tehachapi	CA	93561	812240617	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ASPEN SURGERY VENTURE LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2975 SYCAMORE DRIVE	AddressLine1Txt
City	SIMI VALLEY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93065	ZIPCd

Field	Value	IRS element (for citing)
EIN	263913327	EIN
Primary Activities	SURGERY CENTER	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SIMI VALLEY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeTypeTxt
Share Of Total Income	-$139,624	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,632,805	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.69000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

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

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	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	Yes (true)	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	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Reasonable Cause Explanation ReasonableCauseExplanation

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