2025-11-07T09:54:52-06:00 2024-12-31 390859910 Baker Tilly Advisory Group LP 2882 Prospect Park Dr Ste 300 Rancho Cordova CA 95670 990 2024-01-01 943015356 United Com-Serve UNIT 9164060000 726 Fourth Street Marysville CA 95901 Greg Jackson Treasurer 9164060000 2025-11-07 1 1 Lauren A Haverlock P00545829 9165038100 2025-10-25 2024 2025-03-06 01:10:19Z Chris Champlin 726 Fourth Street Marysville CA 95901 30279789 0 X www.adventisthealth.org/rideout/ X 1985 CA Living God's love by inspiring health, wholeness, and hope. 3 2 261 0 0 0 26563 0 25475609 25548702 5478568 4730039 2040 1048 30982780 30279789 0 0 0 0 15184810 16469956 0 0 0 15786088 15781389 30970898 32251345 11882 -1971556 76313365 74126457 24849845 24634493 51463520 49491964 Living God's love by inspiring health, wholeness, and hope. 0 0 21453286 0 21460910 The Fountains is a 145-bed skilled nursing facility and serves as a continuing care provider for patients requiring rehabilitation services subsequent to acute care hospital stay and as a long-term care provider. 2553963 0 2554870 The Courtyard is a 54-bed assisted living community for seniors who require assistance to maintain their highest level of independence. 1532377 0 1532922 The Gardens is a 44-bed assisted living community providing Alzheimer's and dementia residents with a safe and nurturing home environment with personal attention from professional caregivers. 25539626 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 261 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 2 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X John Beaman CFO 9164060000 1 Adventist Health Way Roseville CA 95661 X Heinrich Kerry Dir/Chair/CEO 0.00 50.00 X X 0 3974195 57975 Hofheins Todd Dir/Vice Chair/COO 0.00 50.50 X X 0 2407675 65992 Innocent Larry Director 0.00 4.00 X 0 26611 0 Reiner Richard Director 0.00 4.00 X 0 26611 0 Beaman John CFO/Assistant Secretary 0.00 50.50 X 0 1980861 79808 Jobe Meredith Secretary 0.00 50.50 X 0 1221104 57975 Champlin Christopher President 9.00 39.00 X 0 938333 57975 Thordarson Heidar Treasurer 9.00 39.00 X 0 550840 57975 Stevens Eric - President N Coast Service Area as of 07/24 0.00 50.50 X 0 1886146 57975 Heard Alexander Medical Officer thru 04/24 2.00 48.00 X 0 678715 79808 Spencer Lindsey Operations Executive 2.00 48.00 X 0 603528 79808 Gordon Cyndy Patient Care Executive 0.00 50.00 X 0 499057 47724 Oliver Robin Business Development Executive 2.00 48.00 X 0 409380 79617 Pannu Devinder Director, RN, Extended Care 40.00 0.00 X 206577 0 36534 Miceli Joseph - Administrator Skilled Nursing Facility 40.00 0.00 X 210609 0 31874 Bottger Ofelia RN 40.00 0.00 X 195224 0 31738 Kaur Paramjit RN 40.00 0.00 X 180874 0 42149 Gill Narjeet RN 40.00 0.00 X 158157 0 41170 Wing Bill Former Dir/Chair thru 01/22 0.00 0.00 X 0 273263 0 Nahapetian Arby - Former Care Division Medical Officer thru 02/22 0.00 50.00 X 0 1759258 79808 Jahn Andrew - Former Care Division President thru 02/22 0.00 50.00 X 0 693217 59411 951441 17928794 1045316 21 1 1 0 Sodexo Inc and Affiliates PO Box 360170 Pittsburgh PA 152516170 Staffing 2378076 Intergro Rehab Services Inc PO Box 69268 Baltimore MD 212649268 Medical services 1158683 California Emergency Physicians Medical 2100 Powell St Ste 400 Emeryville CA 94608 Medical services 250986 Mission Linen Supply 1340 W 7th Street Chico CA 95928 Linen services 121572 4 Patient service revenue 623000 25512276 25512276 Dietary service revenue 621400 8065 8065 28361 28361 25548702 4730039 4730039 1048 0 1048 1048 1048 30279789 25548702 0 4731087 X 12239417 10213976 2025441 536284 447537 88747 2794993 2242888 552105 899262 736754 162508 3031525 3031525 5721216 5668995 52221 126460 73088 53372 764653 101319 663334 831520 828326 3194 3791 288 3503 4457 409 4048 934755 934755 958668 958668 175969 175969 Patient care supplies 2051593 2032305 19288 Leased equipment expens 60975 49757 11218 1115807 1074592 41215 32251345 25539626 6711719 0 62523234 61613888 3061695 2735530 141025 128204 34179565 25162532 9975702 9017033 611709 631802 76313365 74126457 2241091 2247522 3300 0 22605454 22386971 24849845 24634493 X 51463520 49491964 51463520 49491964 76313365 74126457 -1971556 0 X 0 1 X 1 1 1 X X 1 Rideout Memorial Hospital 941387866 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1111122 1111122 29911841 22096208 7815633 1432465 1432465 0 1724137 1633859 90278 9017033 Payables to related organizations 22122856 Other liabilities 264115 22386971 X Part X, Line 2: The principal operations of the System are exempt from taxation pursuant to Internal Revenue Code Section 501(c)(3) and related state provisions. The System recognizes tax benefits from any uncertain tax positions only if it is more-likely-than-not the tax position will be sustained, based solely on its technical merits, with the taxing authority having full knowledge of all relevant information. The System records a liability for unrecognized tax benefits from uncertain tax positions as discrete tax adjustments in the first interim period the more-likely-than-not threshold is not met. The System recognizes deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of its assets and liabilities, along with net operating loss and tax credit carryovers only for tax positions that meet the more-likely-than-not recognition criteria. At December 31, 2024 and 2023, no such assets or liabilities were recorded. The System currently files Form 990 (Informational Return of Organizations Exempt From Income Taxes) and Form 990-T (Exempt Organization Business Income Tax Return) in the U.S. federal jurisdiction and the state of California. The System is not subject to income tax examinations prior to 2021 in major tax jurisdictions. 1 1 0 0 0 0 0 0 0 Heinrich Kerry Dir/Chair/CEO 0 2342000 0 1586113 0 46082 0 13296 0 44679 0 4032170 0 0 Hofheins Todd Dir/Vice Chair/COO 0 1474000 0 888115 0 45560 0 13296 0 52696 0 2473667 0 0 Beaman John CFO/Assistant Secretary 0 1261000 0 698818 0 21043 0 13296 0 66512 0 2060669 0 0 Stevens Eric - President N Coast Service Area as of 07/24 0 1196000 0 495682 0 194464 0 13296 0 44679 0 1944121 0 0 Nahapetian Arby - Former Care Division Medical Officer thru 02/22 0 1111000 0 458435 0 189823 0 13296 0 66512 0 1839066 0 0 Jobe Meredith Secretary 0 796100 0 281132 0 143872 0 13296 0 44679 0 1279079 0 0 Champlin Christopher President 0 690000 0 155763 0 92570 0 13296 0 44679 0 996308 0 0 Heard Alexander Medical Officer thru 04/24 0 508587 0 97870 0 72258 0 13296 0 66512 0 758523 0 0 Jahn Andrew - Former Care Division President thru 02/22 0 281190 0 407001 0 5026 0 55610 0 3801 0 752628 0 0 Spencer Lindsey Operations Executive 0 459988 0 88601 0 54939 0 13296 0 66512 0 683336 0 0 Thordarson Heidar Treasurer 0 425591 0 77747 0 47502 0 13296 0 44679 0 608815 0 0 Gordon Cyndy Patient Care Executive 0 365054 0 71266 0 62737 0 13296 0 34428 0 546781 0 0 Oliver Robin Business Development Executive 0 315240 0 61074 0 33066 0 13296 0 66321 0 488997 0 0 Wing Bill Former Dir/Chair thru 01/22 0 0 0 0 0 273263 0 0 0 0 0 273263 0 0 Pannu Devinder Director, RN, Extended Care 191740 0 12365 0 2472 0 9587 0 26947 0 243111 0 0 0 Miceli Joseph - Administrator Skilled Nursing Facility 195574 0 13613 0 1422 0 9779 0 22095 0 242483 0 0 0 Bottger Ofelia RN 191807 0 3417 0 0 0 9673 0 22065 0 226962 0 0 0 Kaur Paramjit RN 177522 0 3352 0 0 0 9044 0 33105 0 223023 0 0 0 Gill Narjeet RN 158073 0 84 0 0 0 8071 0 33099 0 199327 0 0 0 Part I, Line 3 The filing organization did not compensate its top management official, any officers or key employees during the tax year. Compensation was determined and paid by a related organization using one or more methods reported in Line 3. Part I, Lines 4a-b Severance payments are made based upon agreements between certain qualifying employees and Adventist Health System/West. Details of the terms and conditions of the severance agreements are available to the IRS upon request. Jahn, Andrew - $15,065 Wing, Bill - severance payment - $271,535 Select executives agreed to participate in CAP-EX in place of a traditional insurance SERP. See Schedule L, Part V of Adventist Health System/West, for a broader description. Split-Dollar life participants are John Beaman, Kerry Heinrich, Todd Hofheins, Andrew Jahn, and Bill Wing. A flexible benefits plan (CAA) is offered to groups of highly-compensated employees meeting certain criteria. The participants are provided with an amount equivalent to 41 percent of their base compensation, less the value of their corporate provided benefits. The balance is set aside for nonvested deferred compensation that is subject to substantial risk of forfeiture and is at risk to the creditors of Adventist Health. Payouts occur according to the participants' payment elections after all substantial risks of forfeiture have lapsed. The plan was frozen for new non-vested contributions in 2016. Jahn, Andrew - participant, no activity in 2024 Form 990, Part VI, Section A, line 6 The sole member of the Organization is Rideout Memorial Hospital, a California nonprofit public benefit corporation. Form 990, Part VI, Section A, line 7a Each individual who is a director of the board of Stone Point Health shall automatically be a director of United Com-Serve, and shall serve as a director of United Com-Serve until such time as that person is no longer a director of Stone Point Health. Form 990, Part VI, Section A, line 7b The sole corporate member, Rideout Memorial Hospital, must approve all changes to the Articles of Incorporation and Bylaws. Form 990, Part VI, Section B, line 11b This Form 990 including all supporting schedules was prepared by a public accounting firm, reviewed by the Corporate Finance Officer and Market Financial Officer, and shared by electronic communication with the Corporation's Board of Directors prior to filing. Form 990, Part VI, Section B, line 12c During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital corporate officers, key employees and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation to illustrate examples of a conflict and to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the market president or the System Chief Legal Officer/General Counsel immediately. The System Chief Legal Officer/General Counsel distributes, collects, and reviews for signatures the COIs for all applicable Corporate employees, stakeholders and the board. In addition, the hospital's administration is responsible for keeping record to ensure all hospital-based individuals with director and above positions have submitted their COIs. The System Chief Legal Officer/General Counsel reviews all the disclosures on the board and Corporate employees' COIs. System Chief Legal Officer/General Counsel retains the COIs for all individuals. Further inquiries on any potential significant conflicts are made as needed. Conflicts are documented and reviewed with the Board. Form 990, Part VI, Section C, line 19 The Organization does not make its governing documents, conflict of interest policy, or financial statements available to the public. Form 990, Part VII, Section A: Board compensation is for Adventist Health System/West Board of Directors only - not the Organization's Board of Directors. Form 990, Part IX, line 11g Other medical professional fees: Program service expenses 1,497,490. Management and general expenses 7,350. Fundraising expenses 0. Total expenses 1,504,840. Consulting and other management fees: Program service expenses 50,582. Management and general expenses 26,501. Fundraising expenses 0. Total expenses 77,083. Physician professional fees: Program service expenses 336,586. Management and general expenses 0. Fundraising expenses 0. Total expenses 336,586. Contract labor: Program service expenses 199,695. Management and general expenses 0. Fundraising expenses 0. Total expenses 199,695. Purchased medical services: Program service expenses 3,291,911. Management and general expenses 1,663. Fundraising expenses 0. Total expenses 3,293,574. Repairs and maintenance: Program service expenses 122,886. Management and general expenses 10,289. Fundraising expenses 0. Total expenses 133,175. Other professional fees Non-medical: Program service expenses 4,590. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,590. All other purchased services: Program service expenses 165,255. Management and general expenses 6,418. Fundraising expenses 0. Total expenses 171,673. Adventist Health Clearlake Hospital Inc 15630 18th Avenue Clearlake CA 95422 680395149 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Adventist Health Delano 1401 Garces Hwy Delano CA 93215 770258013 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Adventist Health Foundation 1 Adventist Health Way Roseville CA 95661 680002188 Charitable foundation CA 501(c)(3) Line 7 Adventist Health SystemWest 0 Adventist Health Medical Center Tehachapi 1100 Magellan Drive Tehachapi CA 93561 812240617 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Adventist Health Mendocino Coast 700 River Drive Fort Bragg CA 95437 845174585 Hospital CA 501(c)(3) Line 3 Stone Point Health 0 Adventist Health Physicians Network 1 Adventist Health Way Roseville CA 95661 680357690 Medical foundation CA 501(c)(3) Line 12b, II Adventist Health SystemWest 0 Adventist Health SystemWest 1 Adventist Health Way Roseville CA 95661 953484589 Integrated health system CA 501(c)(3) Line 10 N/A 0 Adventist Health Tulare 869 North Cherry Street Tulare CA 93274 832351753 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Castle Medical Center 640 Ulukahiki Street Kailua HI 96734 990107330 Hospital HI 501(c)(3) Line 3 Adventist Health SystemWest 0 Feather River Hospital 1 Adventist Health Way Roseville CA 95661 941101228 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Glendale Adventist Medical Center 1509 Wilson Terrace Glendale CA 91206 951816017 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Hanford Community Hospital 115 Mall Drive Hanford CA 93230 940535360 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Lodi Memorial Hospital Association Inc 975 S Fairmont Avenue Lodi CA 95240 941044474 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Mid-Columbia Medical Center 1700 E 19th Street The Dalles OR 97058 930386936 Hospital OR 501(c)(3) Line 3 Stone Point Health 0 Mid-Columbia Health Foundation 1700 E 19th Street The Dalles OR 97058 930854433 Charitable foundation OR 501(c)(3) Line 7 Mid-Columbia Medical Center 0 Northwest Medical Foundation of Tillamook 1000 Third Street Tillamook OR 97141 930622075 Hospital OR 501(c)(3) Line 3 Adventist Health SystemWest 0 Portland Adventist Medical Center 10123 SE Market Street Portland OR 97216 930429015 Hospital OR 501(c)(3) Line 3 Adventist Health SystemWest 0 Reedley Community Hospital 372 Cypress Avenue Reedley CA 93654 453220509 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Rideout Memorial Hospital 726 Fourth Street Marysville CA 95901 941387866 Hospital CA 501(c)(3) Line 3 Stone Point Health 0 St Helena Hospital 10 Woodland Road St Helena CA 94574 941279779 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 San Joaquin Community Hospital 2615 Chester Avenue Bakersfield CA 93301 952294234 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Sierra Vista Hospital Inc 1010 Murray Avenue San Luis Obispo CA 93405 952588614 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Simi Valley Hospital and Health Care Services 2975 N Sycamore Drive Simi Valley CA 93065 956064971 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Sonora Community Hospital 1000 Greenley Road Sonora CA 95370 941415069 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Stone Point Health 1 Adventist Health Way Roseville CA 95661 823763347 Supporting organization CA 501(c)(3) Line 12b, II Adventist Health SystemWest 0 Twin Cities Community Hospital Inc 1100 Las Tablas Road Templeton CA 93465 752918765 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Ukiah Adventist Hospital 275 Hospital Drive Ukiah CA 95482 941639901 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Western Health Resources 1 Adventist Health Way Roseville CA 95661 953867863 Home care CA 501(c)(3) Line 10 Adventist Health SystemWest 0 White Memorial Medical Center 1720 E Cesar E Chavez Avenue Los Angeles CA 90033 952282647 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Willits Hospital Inc 1 Marcela Drive Willits CA 95490 680108919 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 FRD Management Company LLC PO Box 2128 Marysville CA 95901 943335136 Operation of cancer center CA N/A 0 0 Blue Legacy Ventures LLC 1010 NE 2nd Avenue Miami FL 33132 871254649 Real property rental FL N/A 0 0 Blue Zones LLC 200 Southdale Center Edina MN 55435 271603327 Education MN N/A 0 0 PAR LLC DBA CherryWood Village 8440 SE Sunnybrook Blvd Suite 100 Clackmas OR 97015 931262371 Senior housing OR N/A 0 0 PVHR LLC DBA Paradise Village 8440 SE Sunnybrook Blvd Suite 100 Clackmas OR 97015 260622555 Senior housing OR N/A 0 0 PVHR2 LLC DBA Parkview Memory Care at Paradise Village 8440 SE Sunnybrook Blvd Suite 100 Clackmas OR 97015 473300170 Senior housing OR N/A 0 0 WWGHR LLC DBA Wheatland Village 8440 SE Sunnybrook Blvd Suite 100 Clackmas OR 97015 810591221 Senior housing OR N/A 0 0 AdHealth Limited PO Box HM 2062 Hamilton BD HM HX Pure captive insurance BD N/A C 0 Adventist Health Plan Inc 1 Adventist Health Way Roseville CA 95661 463833261 Health insurance CA N/A C 0 South Coast Medical Center 1 Adventist Health Way Roseville CA 95661 952037291 Wind down after sale of hospital CA N/A C 0 Thrive Productions Inc 200 Southdale Center Edina MN 55435 453369049 Production company MN N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1