SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES (EIN 95-6064971)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-16
IRS object ID: 201723209349300527
Schema version: 2016v3.0
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 J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-16T00:11:57-08:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	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

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	VP Fin/CFO	PersonTitleTxt
Signature	2017-11-16	SignatureDt

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Jennifer Swenson	PrincipalOfficerNm
Gross Receipts	$151,306,035	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
All Affiliates Included	false	AllAffiliatesIncludedInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.adventisthealth.org/simi-valley-hospital	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	11	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	1069	TotalEmployeeCnt
Total Volunteers	286	TotalVolunteersCnt
Total Gross UBI	$1,389,923	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$540,299	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$483,748	PYContributionsGrantsAmt
CY Contributions Grants	$2,452,935	CYContributionsGrantsAmt
PY Program Service Revenue	$136,563,974	PYProgramServiceRevenueAmt
CY Program Service Revenue	$147,181,681	CYProgramServiceRevenueAmt
PY Investment Income	$1,131,578	PYInvestmentIncomeAmt
CY Investment Income	$1,542,077	CYInvestmentIncomeAmt
PY Other Revenue	$3,169	PYOtherRevenueAmt
CY Other Revenue	$1,663	CYOtherRevenueAmt
PY Total Revenue	$138,182,469	PYTotalRevenueAmt
CY Total Revenue	$151,178,356	CYTotalRevenueAmt
PY Grants And Similar Paid	$21,688	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	-$1,156	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$69,774,786	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$68,530,429	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$363,546	CYTotalFundraisingExpenseAmt
PY Other Expenses	$65,468,410	PYOtherExpensesAmt
CY Other Expenses	$78,022,271	CYOtherExpensesAmt
PY Total Expenses	$135,264,884	PYTotalExpensesAmt
CY Total Expenses	$146,551,544	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,917,585	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,626,812	CYRevenuesLessExpensesAmt
Total Assets BOY	$177,621,305	TotalAssetsBOYAmt
Total Assets EOY	$176,440,001	TotalAssetsEOYAmt
Total Liabilities BOY	$222,937,057	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$220,503,078	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$45,315,752	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$44,063,077	NetAssetsOrFundBalancesEOYAmt
Mission	Living Gods love by inspiring health, wholeness and hope.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$123,852,756	ExpenseAmt
Grant	-$1,156	GrantAmt
Revenue	$146,645,435	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 2016 was $33,301,565.Inpatient services in 2016 were provided to 6,525 patients. These services included: Babies delivered - 549 Surgeries performed - 1,288 Radiology procedures performed - 12,583 Cardiac catheterization procedures - 964 Laboratory tests performed - 254,457Outpatient visits in 2016 were 85,455. These services included: Emergency room visits - 35,886 Surgeries performed - 2,820 Radiology procedures performed - 14,269 Cardiac catheterization procedures - 190 Laboratory tests performed - 163,276SVHHCS 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 Clinic Child Birth Classes Breastfeeding Classes Newborn Classes Breastfeeding Support Group Siblings Classes Nutrition Classes Breast Cancer Education Heart Health Education Community CPR Classes Prostate Cancer Screenings for Men in the Community Lifeline Program Community Flu Clinics Grief Recovery Support Group Look Good Feel Better Support Group Stroke & Brain Injury Support Group COPE Health Stericycle Visit 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	$123,852,756	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	false	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
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	186	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1069	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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	7	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 (31 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
Dickinson Charles
Director	0.00	4.00	Yes (X)	$0	$217,464	$54,172
Freedman John
Director	0.00	4.00	Yes (X)	$0	$300	$0
Friestad Christine
Director	0.00	4.00	Yes (X)	$0	$968	$0
Gabriel Melody
Director	0.00	4.00	Yes (X)	$0	$2,269	$0
Graham Ricardo
Director	0.00	4.00	Yes (X)	$0	$4,246	$0
Heinrich Kerry
Director	0.00	4.00	Yes (X)	$0	$683	$0
Innocent Larry
Director	0.00	4.00	Yes (X)	$0	$1,503	$0
Reimche Allan
Director	0.00	4.00	Yes (X)	$0	$4,407	$0
Rippey Wesley
Director	0.00	4.00	Yes (X)	$0	$129,770	$0
Salazar Velino
Director	0.00	4.00	Yes (X)	$0	$3,915	$0
Torkelsen Max
Director	0.00	4.00	Yes (X)	$0	$4,102	$0
Reiner Scott
Dir/Chair	0.00	50.00	Yes (X)	$0	$1,711,534	$286,273	Yes (X)
Wing Bill
Dir/VCh/AsstSec	0.00	50.00	Yes (X)	$0	$1,319,055	$238,355	Yes (X)
Jobe Meredith
Secretary	0.00	50.00		$0	$552,085	$99,823	Yes (X)
Wagner Jack
Asst Secretary	0.00	50.00		$0	$1,117,705	$41,826	Yes (X)
Swenson Jennifer
President	50.00	0.00		$0	$409,352	$140,442	Yes (X)
Anderson Brian
CFO/AsstSec/VP	50.00	0.00		$0	$229,086	$55,860	Yes (X)
Ruditsky Crystal
Interim CFO	50.00	0.00		$0	$58,733	$3,908	Yes (X)
Zachary Beth
President SCR	50.00	0.00		$0	$1,031,265	$201,025		Yes (X)
Wehtje Ronald
CFO SCR	50.00	0.00		$0	$501,328	$27,873		Yes (X)
Nahapetian Arby
Reg CMO SCR	50.00	0.00		$0	$631,536	$141,957		Yes (X)
Fargo Roland
SVP Reg Phys Ops SCR	50.00	0.00		$0	$456,293	$97,883		Yes (X)
Esparza Caroline
COO/CNO	50.00	0.00		$0	$294,993	$68,084		Yes (X)
Werner William
VP Support Srvs	50.00	0.00		$0	$237,579	$69,815		Yes (X)
Deamer Carol
Pharmacy Director	40.00	0.00		$224,803	$0	$13,648			Yes (X)
Nakamura Bridget
Dir of IT/CIS	40.00	0.00		$185,005	$0	$32,513			Yes (X)
Bercier-Gorcey Joan
Dir of Nursing	40.00	0.00		$189,192	$0	$25,528			Yes (X)
Percival Kathleen
Dir Org/Perf	40.00	0.00		$200,563	$0	$11,801			Yes (X)
Crabtree Susan
Dir HR	40.00	0.00		$174,599	$0	$35,005			Yes (X)
Carmen Robert
Former Dir/Chair	0.00	0.00		$0	$358,716	$7,952				Yes (X)
Wehtje Rodney
Former Asst Treasurer	0.00	0.00		$0	$388,431	$41,835				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$974,162	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,667,318	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,695,578	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
HFS Consultants
504 14th St 5th Floor	Oakland	CA	94612	Consulting Services	$557,780
Extracorporeal Stat LLC
50 Moreland Rd	Simi Valley	CA	93065	Dialysis Services	$424,262
WIPFLI LLP
PO Box 3160	Miwaukee	WI	53201	Consulting Services	$370,129
CA Cardiovascular Thoracic Surgeons
168 N Brent St	Ventura	CA	93003	Medical Services	$304,000
Studer Group
PO Box 71676	Chicago	IL	60694	Consulting Services	$299,472

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	11	CntrctRcvdGreaterThan100KCnt
Government Grants	$402,213	GovernmentGrantsAmt
All Other Contributions	$2,050,722	AllOtherContributionsAmt
Total Contributions	$2,452,935	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Dietary	722210	$460,121	$460,121
Other Program Services	900099	$116,098	$116,098
Patient Service Revenue	621110	$143,523,897	$143,127,483	$396,414
Rent	531120	$984,976	$869,887	$115,089
Services to ASC	561000	$2,318,722	$1,575,986	$742,736

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$222,133	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$222,133	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$147,181,681	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,130,018	TotalRevenueColumnAmt
Related Or Exempt Func Income	$717,993	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$135,684	UnrelatedBusinessRevenueAmt
Exclusion	$276,341	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	$412,059	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$412,059	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$412,059	TotalRevenueColumnAmt
Exclusion	$412,059	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$4,215	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$23,694	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$19,479	TotalRevenueColumnAmt
Exclusion	-$19,479	ExclusionAmt

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	$125,127	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$103,985	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,142	TotalRevenueColumnAmt
Exclusion	$21,142	ExclusionAmt

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

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$151,178,356	TotalRevenueColumnAmt
Related Or Exempt Func Income	$146,645,435	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,389,923	UnrelatedBusinessRevenueAmt
Exclusion	$690,063	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	-$1,156	TotalAmt
Program Services	-$1,156	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	$54,343,557	TotalAmt
Program Services	$50,891,596	ProgramServicesAmt
Management And General	$3,208,836	ManagementAndGeneralAmt
Fundraising	$243,125	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,251,769	TotalAmt
Program Services	$2,251,769	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,948,942	TotalAmt
Program Services	$6,992,233	ProgramServicesAmt
Management And General	$910,982	ManagementAndGeneralAmt
Fundraising	$45,727	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,986,161	TotalAmt
Program Services	$3,738,760	ProgramServicesAmt
Management And General	$230,433	ManagementAndGeneralAmt
Fundraising	$16,968	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	$371,567	TotalAmt
Management And General	$371,567	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	-$4,278	TotalAmt
Management And General	-$4,278	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,964,669	TotalAmt
Program Services	$2,997,051	ProgramServicesAmt
Management And General	$1,953,457	ManagementAndGeneralAmt
Fundraising	$14,161	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$306,534	TotalAmt
Management And General	$306,484	ManagementAndGeneralAmt
Fundraising	$50	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,997,150	TotalAmt
Program Services	$1,263,314	ProgramServicesAmt
Management And General	$724,055	ManagementAndGeneralAmt
Fundraising	$9,781	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,864,455	TotalAmt
Program Services	$5,852,486	ProgramServicesAmt
Management And General	$3,104	ManagementAndGeneralAmt
Fundraising	$8,865	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,267,161	TotalAmt
Program Services	$3,138,480	ProgramServicesAmt
Management And General	$128,681	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$272,276	TotalAmt
Program Services	$167,918	ProgramServicesAmt
Management And General	$99,449	ManagementAndGeneralAmt
Fundraising	$4,909	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	$47,230	TotalAmt
Program Services	$24,101	ProgramServicesAmt
Management And General	$23,129	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,570,261	TotalAmt
Program Services	$2,570,261	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,256,528	TotalAmt
Program Services	$7,238,114	ProgramServicesAmt
Management And General	$18,414	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$391,839	TotalAmt
Program Services	$391,839	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Purchased services	$21,153,207	$6,821,529	$14,311,733	$19,945
Pt care supplies	$14,635,940	$14,635,940
Quality Assurance/Hosp. Fees	$9,538,911	$9,538,911
Other Misc. Expenses	$4,071,431	$4,022,220	$49,196	$15

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,317,390	TotalAmt
Program Services	$1,317,390	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$146,551,544	TotalAmt
Program Services	$123,852,756	ProgramServicesAmt
Management And General	$22,335,242	ManagementAndGeneralAmt
Fundraising	$363,546	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$877,310	BOYAmt
EOY	$209,849	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$614,253	BOYAmt
EOY	$935,613	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	$21,753,212	BOYAmt
EOY	$19,539,462	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	$2,448,354	BOYAmt
EOY	$2,416,627	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$901,230	BOYAmt
EOY	$821,132	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$216,001,273	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$82,584,158	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$133,460,253	BOYAmt
EOY	$133,417,115	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,403,119	BOYAmt
EOY	$1,523,187	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	$3,755,106	BOYAmt
EOY	$3,183,634	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,755,459	BOYAmt
EOY	$2,210,459	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$10,653,009	BOYAmt
EOY	$12,182,923	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$177,621,305	BOYAmt
EOY	$176,440,001	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$10,553,894	BOYAmt
EOY	$12,740,073	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$13,109,836	BOYAmt
EOY	$12,711,224	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$199,273,327	BOYAmt
EOY	$195,051,781	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$222,937,057	BOYAmt
EOY	$220,503,078	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$48,787,210	BOYAmt
EOY	-$45,860,034	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,471,458	BOYAmt
EOY	$1,796,957	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$45,315,752	BOYAmt
EOY	-$44,063,077	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$177,621,305	BOYAmt
EOY	$176,440,001	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$4,626,812	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$3,374,137	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

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	$10,541	OtherActivitiesAmt
Total Lobbying Expenditures	$10,541	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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	$3,471,458	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,396,079	BeginningYearBalanceAmt
Contributions	$97,606	ContributionsAmt
Investment Earnings Or Losses	$210,223	InvestmentEarningsOrLossesAmt
Other Expenditures	$68,194	OtherExpendituresAmt
End Year Balance	$2,635,714	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)
Other Cost Or Other Basis	$162,096,417	OtherCostOrOtherBasisAmt
Depreciation	$54,986,464	DepreciationAmt
Book Value	$107,109,953	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,716,295	OtherCostOrOtherBasisAmt
Depreciation	$1,654,192	DepreciationAmt
Book Value	$62,103	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,368,099	OtherCostOrOtherBasisAmt
Depreciation	$22,980,262	DepreciationAmt
Book Value	$8,387,837	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,441,897	OtherCostOrOtherBasisAmt
Depreciation	$2,963,240	DepreciationAmt
Book Value	$11,478,657	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$133,417,115	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Sycamore Med Partners	$100,121	C
Aspen Surgery Venture, LLC	$856,190	C
Oncure	$2,227,323	C

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Interest in SVH Foundation	$2,423,534
Other Receivables	$211,388
Receivables from Related Organizations	$7,575,436
Receivables from Third-Party Payors	$1,972,565

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$12,182,923	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Income Taxes Payable	$68,996
Payables to Related Organizations	$190,507,855
Payables to third-party payors	$2,200,182
Workers Comp Payable	$2,274,748

Field	Value	IRS element (for citing)
Total Liability	$195,051,781	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	false	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	$324,843	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$324,843	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,394,620	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,066,964	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,327,656	NetCommunityBenefitExpnsAmt
Total Expense	0.09780	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,719,463	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,066,964	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,652,499	NetCommunityBenefitExpnsAmt
Total Expense	0.10000	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$599,212	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$62,861	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$536,351	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,103,918	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,103,918	NetCommunityBenefitExpnsAmt
Total Expense	0.00750	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,750,237	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,953,204	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,797,033	NetCommunityBenefitExpnsAmt
Total Expense	0.01230	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$104,901	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$104,901	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,558,268	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,016,065	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,542,203	NetCommunityBenefitExpnsAmt
Total Expense	0.02420	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,277,731	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,083,029	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,194,702	NetCommunityBenefitExpnsAmt
Total Expense	0.12420	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,538	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$40,538	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$58,371	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$58,371	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,827	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,827	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,647	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,647	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$107,383	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$107,383	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,405,651	BadDebtExpenseAmt
Reimbursed By Medicare	$38,373,211	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$45,380,558	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,007,347	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 Drive	AddressLine1Txt
City	Simi Valley	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93065	ZIPCd

Field	Value	IRS element (for citing)
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
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-Supplemental Info	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	See Sch H Part VI-Supplemental Info	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Sch H Part VI-Supplemental Info	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-Supplemental Info	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Sch H Part VI-Supplemental Info	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Sch H Part VI-Supplemental Info	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 Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
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 2013 CHNA includes collection and analyses of secondary and primary data:Secondary Data - The CHNA examines up-to-date data sources for the hospital service area to present community demographics, social and economic factors, health access, birth characteristics, leading causes of death, chronic disease, and health behaviors. When applicable, these data sets are presented in the context of Ventura County and compared to the Healthy People 2020 objectives.Primary Data - Simi Valley Hospital convened a community meeting with individuals who are leaders and representatives of medically underserved, low-income, minority and chronic disease 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. The participants reviewed the secondary data for the hospital service area and participated in a facilitated discussion that included their views of community needs that impacted the well-being of area residents. The information gathered in the community meeting served to validate the community health needs.

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
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
Aspen Outpatient Center
2750 N Sycamore Dr	Simi Valley	CA	93065	Outpatient Imaging & Surgery
Wood Ranch Imaging Center
124 Macaw Lane	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 GLMedicare Cost Report Revenue $38,464,064Prior Year Settlements (901,721)Cost Report Reimbursable Bad Debts 310,866Estimates and Accrual Variances 3,042,522Other (2,542,520)Subtotal - Amount reported in Pt. III, line 5 $38,373,211Amounts included in Part 1, lines g and f -Total Medicare Revenue $38,373,211Note: The Medicare Cost Report revenue does not include the bad debt reimbursement. The Cost Report revenue does include the patient co-pay and deductible amounts. Adding the bad debt reimbursement would have duplicated the revenue already accounted for in the co-pay 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 - Needs Assessment	In addition to the data that is available through various websites that track discharges, based on the health issues we know our community is dealing with, we focus on those issues that rise to the top. In this community, the need for emergency services has grown dramatically over the last 5 years leading to an expansion of our emergency department. In addition, we have convened community groups, including leaders of non-profit organizations, leaders from the public sector, city and county health officials, to add their insight and assistance for our strategies going forward.Copies of the hospital's 2016 CHNA study and the 2015 Community Health Plan Update are posted on the hospital's website, https://www.adventisthealth.org/simi-valley-hospital/pages/about-us/community-health-needs.aspx, as well as on the Adventist Health Corporate website, https://www.adventisthealth.org/Pages/About-Us/Community-Health-Needs-Assessments.aspx
Part VI - Patient Education of Eligibility for Assistance	Simi Valley Hospital is committed to keeping our community healthy and as a result an inability to pay will never stop anyone from seeking needed care. Every in-patient and out-patient that comes to Simi Valley Hospital is assessed and treated appropriately. After that that process is completed, a member of the team from Patient Financial Services meets with the patient and/or the individual responsible for them, to determine their financial needs and to provide information and direction regarding the assistance they may be eligible for. They will also assist them in completing the necessary applications. Our financial assistance policies state that: If you are uninsured, you may be eligible to receive a prompt payment discount if you pay for your services at the time of treatment. Our financial counselors will help patients find out if they qualify for a government program and assist with the application process. Financial counselors and applications are available in both English and Spanish. The Financial Assistance Policy (FAP) is being posted and summarized and the FAP Application is made widely available on the hospital's website, at: https://www.adventisthealth.org/simi-valley-hospital/pages/patients-and-visitors/financial-services/financial-assistance.aspx
Part VI - Community Information	Among the residents in the Simi Valley Hospital service area, 5.7% are at or below 100% of the federal poverty level (FPL) and 16.8% are at 200% of FPL or below. Simi Valley has higher rates of poverty among individuals (6.2%) than Moorpark (3.9%). Children tend to suffer at higher rates of poverty in the service area (7.1%). Among seniors, 7.3% in Moorpark and 6% in Simi Valley live in poverty. The median household income in the area ranges from $84,813 in Simi Valley 93063 to $103,214 in Moorpark. 21.6% of service area adults are high school graduates and 41.4% are college graduates. The Ventura County Homeless Count and Homeless Survey showed 5 homeless in Moorpark at the time of the 2012 survey and 284 homeless in Simi Valley. This was an increase in homeless from the 2010 count. In the hospital service area, 88.1% of the population is insured. Adults, ages 18-64, have the lowest rates of health insurance at 84.5%. Children have the highest insurance rates at 93.4%.The northern part of Simi Valley 93063 is designated as a Health Professionals Shortage Area (HPSA) for a population group. 94.4% of children in Ventura County have a usual source of care. 9.2% of children in Ventura County have never been to a dentist. This is lower than the state rate of 11.6%. 4% of children had not visited the dentist in the past year.
Part VI - Community Building Activities	Our 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. And, 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 - Explanation Of How Organization Furthers Its Exempt Purpose	At Simi Valley Hospital, each of our 30 plus hospital leaders is engaged with a non-profit community organization, including serving on their boards. In addition to providing medical services at our hospital, we take our focus, values and resources out into the community. We are working with them, serving with them and listening to them. Our partnership with the Free Clinic of Simi Valley is a prime example of how we provide services, volunteer staff and financial support to help meet the needs of people in this community. We have partnerships with a sports medicine medical group and local high schools to study and help minimize the incidence and impact of concussions. We also have a partnership with the local school district to provide drug testing for students. We are the designated education provider for the Simi Valley Senior Center.
Part VI - Affilated Health Care System Roles and Promotion	The hospital is a member of a larger health care system, which provides services in diversified areas of the Western United States. The hospital shares some services with other hospitals in its geographic area. Using today's technology, hospitals outside the geographic area are able to support the hospital by providing remote services such as telepharmacy and robotics surgery. The Corporate Office provides support for the rural health clinics, quality of care, and other clinical needs.
Part VI - States Where Community Benefit Report Filed	CA

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (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	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Anderson Brian
CFO/AsstSec/VP	$205,210	$17,251	$6,625	$30,162	$25,698	$284,946
Bercier-Gorcey Joan
Dir of Nursing							$174,768	$10,960	$3,464	$10,975	$14,553	$214,720
Carmen Robert
Former Dir/Chair			$358,716		$7,952	$366,668							$358,716
Crabtree Susan
Dir HR							$158,584	$8,986	$7,029	$9,975	$25,030	$209,604
Deamer Carol
Pharmacy Director							$194,231	$19,592	$10,980	$13,366	$282	$238,451
Dickinson Charles
Director	$184,932		$32,532	$37,740	$16,432	$271,636
Esparza Caroline
COO/CNO	$220,724	$52,583	$21,686	$43,633	$24,451	$363,077							$14,513
Fargo Roland
SVP Reg Phys Ops SCR	$332,464	$59,878	$63,951	$65,541	$32,342	$554,176							$35,798
Jobe Meredith
Secretary	$364,469	$95,028	$92,588	$74,172	$25,651	$651,908							$56,774
Nahapetian Arby
Reg CMO SCR	$495,897	$88,816	$46,823	$108,751	$33,206	$773,493							$39,400
Nakamura Bridget
Dir of IT/CIS							$161,594	$17,036	$6,375	$10,419	$22,094	$217,518
Percival Kathleen
Dir Org/Perf							$179,963	$11,367	$9,233	$11,669	$132	$212,364
Reiner Scott
Dir/Chair	$1,018,912	$299,575	$393,047	$249,575	$36,698	$1,997,807							$326,648
Swenson Jennifer
President	$342,407	$36,575	$30,370	$73,003	$67,439	$549,794
Wagner Jack
Asst Secretary	$698,200	$200,386	$219,119	$16,384	$25,442	$1,159,531
Wehtje Rodney
Former Asst Treasurer	$380,418		$8,013	$16,393	$25,442	$430,266
Wehtje Ronald
CFO SCR	$335,653	$80,000	$85,675	$10,880	$16,993	$529,201
Werner William
VP Support Srvs	$192,100	$39,729	$5,750	$34,550	$35,265	$307,394
Wing Bill
Dir/VCh/AsstSec	$855,884	$253,689	$209,482	$203,961	$34,394	$1,557,410							$155,912
Zachary Beth
President SCR	$696,556	$171,232	$163,477	$168,659	$32,366	$1,232,290							$113,672

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Brian Ruditsky	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	KEmpSpouse	RelationshipDescriptionTxt
Transaction	$153,523	TransactionAmt
Transaction	Employment	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 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. Adventist Health System/West, a California not-for-profit religious corporation, is the sole corporate member of the hospital.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 Compensation Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, including salary ranges for hospital CEOs and CFOs, that would be indicated by the data; evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data.The board-approved executive compensation philosophy specifies that salary ranges will be established for hospital CEOs and executives, with midpoints aligned with the 50th percentile of comparable system hospital data, and having a 24 percent spread from minimum to maximum (industry norm is approximately a 50 percent spread). A hospital CEO has a maximum potential incentive of 30 percent of base salary.(This incentive potential is less than the industry norm.) Other hospital executives have a maximum potential incentive of 20 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 - Foundation = -$1648602
Other Changes In Net Assets Or Fund Balances - Other Decreases	PY balance restatement = -$1010425
Other Changes In Net Assets Or Fund Balances - Other Decreases	Transfers to related organizations = -$715110

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)
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.72500	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	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd