ADVENTIST HEALTH SYSTEM-WEST: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: ADVENTIST HEALTH SYSTEM-WEST (EIN 95-3484589)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-06
IRS object ID: 202513109349304336
Schema version: 2024v5.2
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule I
Schedule J
Schedule K
Schedule K
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-06T18:01:56-06:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390859910	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Baker Tilly Advisory Group LP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2882 Prospect Park Dr Ste 300	AddressLine1Txt
City	Rancho Cordova	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95670	ZIPCd

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

Filer Filer

Field	Value	IRS element (for citing)
EIN	953484589	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Adventist Health SystemWest	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ADVE	BusinessNameControlTxt
Phone	9164060000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 Adventist Health Way	AddressLine1Txt
City	Roseville	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95661	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	John Beaman	PersonNm
Person Title	Chief Financial Officer	PersonTitleTxt
Phone	9164060000	PhoneNum
Signature	2025-11-06	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Lauren A Haverlock	PreparerPersonNm
PTIN	P00545829	PTIN
Phone	9165038100	PhoneNum
Preparation	2025-10-26	PreparationDt

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

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Adventist Health	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	Kerry Heinrich	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 Adventist Health Way	AddressLine1Txt
City	Roseville	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95661	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$890,277,866	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	1071	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.adventisthealth.org/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1980	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	Living God's love by inspiring health, wholeness and hope.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	5304	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$22,755,271	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,012,405	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$170,500,603	PYContributionsGrantsAmt
CY Contributions Grants	$1,353,068	CYContributionsGrantsAmt
PY Program Service Revenue	$596,912,945	PYProgramServiceRevenueAmt
CY Program Service Revenue	$705,881,770	CYProgramServiceRevenueAmt
PY Investment Income	$78,310,806	PYInvestmentIncomeAmt
CY Investment Income	$100,244,370	CYInvestmentIncomeAmt
PY Other Revenue	$78,803,935	PYOtherRevenueAmt
CY Other Revenue	$82,798,658	CYOtherRevenueAmt
PY Total Revenue	$924,528,289	PYTotalRevenueAmt
CY Total Revenue	$890,277,866	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,989,125	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$799,687	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$349,916,939	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$384,355,455	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,455,052	CYTotalFundraisingExpenseAmt
PY Other Expenses	$584,411,616	PYOtherExpensesAmt
CY Other Expenses	$583,564,207	CYOtherExpensesAmt
PY Total Expenses	$936,317,680	PYTotalExpensesAmt
CY Total Expenses	$968,719,349	CYTotalExpensesAmt
PY Revenues Less Expenses	-$11,789,391	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$78,441,483	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,556,726,200	TotalAssetsBOYAmt
Total Assets EOY	$5,013,873,665	TotalAssetsEOYAmt
Total Liabilities BOY	$3,292,390,962	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,717,444,360	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$264,335,238	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$296,429,305	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Living God's love by inspiring health, wholeness and hope.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$367,632,321	ExpenseAmt
Grant	$799,687	GrantAmt
Revenue	$701,979,797	RevenueAmt
Desc	See Schedule O	Desc
Total Program Service Expenses	$367,632,321	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	3064	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	5304	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	John Beaman CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9164060000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 Adventist Health Way	AddressLine1Txt
City	Roseville	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95661	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (47 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Heinrich Kerry
Director/CEO	50.00	0.00	Yes (X)	Yes (X)	$3,974,195	$0	$57,975
Freedman John
Dir/Chair	4.00	0.00	Yes (X)	Yes (X)	$27,203	$0	$0
Newton Bradford
Dir/Vice Chair	4.00	0.00	Yes (X)	Yes (X)	$26,939	$0	$0
Cherry Robert
Director	4.00	0.00	Yes (X)		$26,611	$0	$0
Davis Andrew
Director	4.00	0.00	Yes (X)		$26,611	$0	$0
Innocent Larry
Director	4.00	0.00	Yes (X)		$26,611	$0	$0
Reiner Richard
Director	4.00	0.00	Yes (X)		$26,611	$0	$0
Wagner Jack
Director	4.00	0.00	Yes (X)		$21,611	$0	$0
Woodson Marc
Director	4.00	0.00	Yes (X)		$21,611	$0	$0
Salazar Velino
Director thru 09/24	4.00	0.00	Yes (X)		$21,181	$0	$0
Fehr Joy
Director	4.00	0.00	Yes (X)		$18,680	$0	$0
Beckett Ann
Director as of 01/24	4.00	0.00	Yes (X)		$17,930	$0	$0
Daggett Jonathan
Director as of 01/24	4.00	0.00	Yes (X)		$16,180	$0	$0
Jutzy Kenneth
Director as of 01/24	4.00	0.00	Yes (X)		$16,180	$0	$0
Cress John
Director as of 10/24	4.00	0.00	Yes (X)		$430	$0	$0
Hofheins Todd
COO/Assistant Secretary	50.00	0.50		Yes (X)	$2,407,675	$0	$65,992
Beaman John
Chief Financial Officer	50.00	0.50		Yes (X)	$1,980,861	$0	$79,808
Jobe Meredith
Secretary	50.00	0.50		Yes (X)	$1,221,104	$0	$57,975
Stevens Eric - Pres N CA Net
Pres, N Coast Svc Area as of 07/24	0.00	50.50			$1,886,146	$0	$57,975	Yes (X)
Nahapetian Arby
Chief Clinical Officer	30.00	20.00			$1,759,258	$0	$79,808	Yes (X)
Wells Jason
President, Central CA Network	0.00	50.00			$1,543,056	$0	$79,808	Yes (X)
Newmyer Joyce - Pres OR State
Ntwrk thru 04/24/Chief People Officer	20.00	30.00			$1,338,907	$0	$61,374	Yes (X)
Issai Alice
President, AHGL	0.00	50.00			$1,153,017	$0	$57,975	Yes (X)
Ashlock Ryan - Pres Central
Coast Service Area as of 06/24	0.00	50.00			$1,092,176	$0	$74,790	Yes (X)
Kofl Andrea
Network President thru 04/24	0.00	50.00			$1,085,827	$0	$54,194	Yes (X)
Raffoul John
President, AHWM	0.00	50.00			$1,076,425	$0	$57,975	Yes (X)
Seibold Brandon - Finance
Strategy Growth and Dev Executive	50.00	0.00			$1,030,012	$0	$52,740	Yes (X)
Stemmler Jennifer
Chief Information Officer	50.00	0.00			$1,009,131	$0	$62,479	Yes (X)
Takahashi Patrick
System Chief Medical Officer, AHWM	0.00	50.00			$1,024,296	$0	$29,424	Yes (X)
Liebowitz Jacalyn
System Chief Nursing Officer	50.00	0.50			$987,297	$0	$65,573	Yes (X)
Burke James
System Chief Medical Officer, PNMG	0.00	50.00			$938,276	$0	$79,808	Yes (X)
Champlin Christopher
President, AHRO	0.00	48.00			$938,333	$0	$57,975	Yes (X)
Jamaleddine Ghassan
Medical Officer, AHBD	0.00	50.00			$882,388	$0	$79,808	Yes (X)
King Kyle - President
Service Area as of 04/24	0.00	50.00			$863,249	$0	$57,996	Yes (X)
Howe Judson - President
North Coast Network thru 07/24	0.00	50.00			$830,097	$0	$79,497	Yes (X)
Settelmayer Daniel
Deputy General Counsel	50.00	0.00			$858,057	$0	$40,140	Yes (X)
Kim Edward - Chief Admin
Officer, Physician Enterprise	0.00	50.00			$809,710	$0	$57,637	Yes (X)
Ayala Raul - Ambulatory
Medical Officer, Central CA Network	0.00	50.00			$820,554	$0	$36,137	Yes (X)
Ho Kingman
Chief Medical Officer, AHGL	0.00	50.00			$747,119	$0	$122,225		Yes (X)
Knox Dennis
President & CEO, AHCG thru 04/24	0.00	40.00			$809,238	$0	$33,547		Yes (X)
Herber Steven
President, AHSH	0.00	50.00			$783,802	$0	$57,975		Yes (X)
Rippey Wesley
Area Medical Officer, AHPL	0.00	50.00			$796,263	$0	$37,321		Yes (X)
Swenson Jennifer
President, AHSV	0.00	50.00			$749,771	$0	$79,582		Yes (X)
Wing Bill - Former
Dir/Vice Chair/Asst Secr thru 01/22	0.00	0.00			$273,263	$0	$0			Yes (X)
Wolcott Daniel - Former Pres
Kern Cty Ntwk/Pres, AHBD thru 01/23	0.00	0.00			$704,271	$0	$65,778			Yes (X)
Larsen David - Former
Senior Finance Officer thru 04/23	0.00	0.00			$573,565	$0	$59,142			Yes (X)
Whetstine Tyler - Former
Chief Information Officer thru 08/22	0.00	0.00			$206,085	$0	$16,941			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$37,447,813	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,957,374	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1228	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (1)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Huron Managed Services LLC
550 W Van Buren St Ste 1700	Chicago	IL	60607	Software & coding services	$30,865,198
Oracle America Inc
PO Box 884471	Los Angeles	CA	90088	Patient billing	$18,462,297
Brown Parker & DeMarinis Advertising
5100 Town Center Cir Ste 300	Boca Raton	FL	33486	Staffing placement	$18,392,551
HRMG
3075 E Imperial Hwy Ste 200	Brea	CA	92821	Revenue cycle services	$4,924,705
Conifer Revenue Cycle Solutions LLC
PO Box 655025	Dallas	TX	75265	Revenue cycle services	$4,471,794

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	127	CntrctRcvdGreaterThan100KCnt
Government Grants	$870,615	GovernmentGrantsAmt
All Other Contributions	$482,453	AllOtherContributionsAmt
Total Contributions	$1,353,068	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Management fees	541610	$673,029,801	$669,127,828	$3,901,973
Other program service revenue	621990	$32,851,969	$32,851,969

Field	Value	IRS element (for citing)
Total Program Service Revenue	$705,881,770	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$100,244,370	TotalRevenueColumnAmt
Exclusion	$100,244,370	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,768,946	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,768,946	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,768,946	TotalRevenueColumnAmt
Exclusion	$1,768,946	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Health plan liability adj	561000	$32,360,406	$32,360,406
Settlement proceeds	900099	$20,000,000	$20,000,000
Vendor rebates	621990	$15,407,689	$5,913,674	$9,494,015

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,261,617	TotalRevenueColumnAmt
Unrelated Business Revenue	$9,359,283	UnrelatedBusinessRevenueAmt
Exclusion	$3,902,334	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$81,029,712	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$890,277,866	TotalRevenueColumnAmt
Related Or Exempt Func Income	$701,979,797	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$22,755,271	UnrelatedBusinessRevenueAmt
Exclusion	$164,189,730	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$775,757	TotalAmt
Program Services	$775,757	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$23,930	TotalAmt
Program Services	$23,930	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$34,123,209	TotalAmt
Management And General	$34,123,209	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$2,433,943	TotalAmt
Program Services	$534,897	ProgramServicesAmt
Management And General	$1,899,046	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$268,778,683	TotalAmt
Program Services	$61,236,817	ProgramServicesAmt
Management And General	$206,483,753	ManagementAndGeneralAmt
Fundraising	$1,058,113	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$20,340,948	TotalAmt
Program Services	$4,234,506	ProgramServicesAmt
Management And General	$16,033,586	ManagementAndGeneralAmt
Fundraising	$72,856	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$37,247,311	TotalAmt
Program Services	$7,936,494	ProgramServicesAmt
Management And General	$29,173,555	ManagementAndGeneralAmt
Fundraising	$137,262	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$21,431,361	TotalAmt
Program Services	$5,707,481	ProgramServicesAmt
Management And General	$15,650,307	ManagementAndGeneralAmt
Fundraising	$73,573	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$9,904,036	TotalAmt
Management And General	$9,904,036	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,847,442	TotalAmt
Management And General	$4,847,442	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$4,512,084	TotalAmt
Management And General	$4,512,084	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$128,513,982	TotalAmt
Program Services	$25,699,492	ProgramServicesAmt
Management And General	$102,690,479	ManagementAndGeneralAmt
Fundraising	$124,011	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$27,962,157	TotalAmt
Management And General	$27,962,157	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,961,611	TotalAmt
Program Services	$623,700	ProgramServicesAmt
Management And General	$8,290,690	ManagementAndGeneralAmt
Fundraising	$47,221	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$198,716,812	TotalAmt
Program Services	$183,009,255	ProgramServicesAmt
Management And General	$14,798,676	ManagementAndGeneralAmt
Fundraising	$908,881	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,781,212	TotalAmt
Program Services	$2,602,651	ProgramServicesAmt
Management And General	$177,598	ManagementAndGeneralAmt
Fundraising	$963	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,280,109	TotalAmt
Program Services	$866,003	ProgramServicesAmt
Management And General	$2,386,559	ManagementAndGeneralAmt
Fundraising	$27,547	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$328,132	TotalAmt
Program Services	$58,480	ProgramServicesAmt
Management And General	$267,197	ManagementAndGeneralAmt
Fundraising	$2,455	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$44,914,856	TotalAmt
Program Services	$44,850,489	ProgramServicesAmt
Management And General	$64,367	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,820,772	TotalAmt
Program Services	$6,057,333	ProgramServicesAmt
Management And General	$6,763,439	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$371,490	TotalAmt
Program Services	$371,490	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt
Interest paid to market	$57,347,443	$57,347,443
Loss on debt refinancin	$30,300,000	$30,300,000
Patient care supplies	$19,350,837		$19,348,667	$2,170
Income taxes	$1,290,007	$90,000	$1,200,007

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$27,361,225	TotalAmt
Program Services	$2,494,872	ProgramServicesAmt
Management And General	$24,866,353	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$968,719,349	TotalAmt
Program Services	$367,632,321	ProgramServicesAmt
Management And General	$598,631,976	ManagementAndGeneralAmt
Fundraising	$2,455,052	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$28,448,280	BOYAmt
EOY	$102,364,577	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$122,136	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$692,474	BOYAmt
EOY	$0	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$62,516,224	BOYAmt
EOY	$71,705,553	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$10,114,342	BOYAmt
EOY	$1,851,248	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$50,121,480	BOYAmt
EOY	$60,785,170	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$668,815,646	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$349,257,078	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$249,409,035	BOYAmt
EOY	$319,558,568	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,511,266,062	BOYAmt
EOY	$1,854,242,904	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$537,788,397	BOYAmt
EOY	$524,860,561	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$234,845,616	BOYAmt
EOY	$291,985,864	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$871,524,290	BOYAmt
EOY	$1,786,397,084	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,556,726,200	BOYAmt
EOY	$5,013,873,665	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$379,311,420	BOYAmt
EOY	$379,572,439	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$88,889	BOYAmt
EOY	$14,952,246	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,527,572,068	BOYAmt
EOY	$3,595,116,869	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$199,698,875	BOYAmt
EOY	$114,864,513	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$185,719,710	BOYAmt
EOY	$612,938,293	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,292,390,962	BOYAmt
EOY	$4,717,444,360	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$257,904,047	BOYAmt
EOY	$289,833,286	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,431,191	BOYAmt
EOY	$6,596,019	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$264,335,238	BOYAmt
EOY	$296,429,305	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,556,726,200	BOYAmt
EOY	$5,013,873,665	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$78,441,483	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$29,288,288	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$55,949,000	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$25,298,262	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$656,685	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,429,366	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,110,989	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$170,500,603	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,353,068	CurrentTaxYearAmt
Total	$180,050,711	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$691,252,418	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$835,563,627	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$915,627,406	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$600,413,029	CurrentTaxYearMinus1YearAmt
Current Tax Year	$757,928,797	CurrentTaxYearAmt
Total	$3,800,785,277	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$691,909,103	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$840,992,993	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$917,738,395	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$770,913,632	CurrentTaxYearMinus1YearAmt
Current Tax Year	$759,281,865	CurrentTaxYearAmt
Total	$3,980,835,988	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$14,672,358	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$17,499,877	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$17,712,338	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$12,996,927	CurrentTaxYearMinus1YearAmt
Current Tax Year	$15,518,628	CurrentTaxYearAmt
Total	$78,400,128	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

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

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$14,672,358	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$17,499,877	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$17,712,338	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$12,996,927	CurrentTaxYearMinus1YearAmt
Current Tax Year	$15,518,628	CurrentTaxYearAmt
Total	$78,400,128	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$3,902,435,860	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,347,721	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,697,052	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$23,283,234	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$80,290,408	CurrentTaxYearMinus1YearAmt
Current Tax Year	$102,013,316	CurrentTaxYearAmt
Total	$216,631,731	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,347,721	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,697,052	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$23,283,234	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$80,290,408	CurrentTaxYearMinus1YearAmt
Current Tax Year	$102,013,316	CurrentTaxYearAmt
Total	$216,631,731	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$61,655,228	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$34,557,743	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$6,919,716	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$78,163,639	CurrentTaxYearMinus1YearAmt
Current Tax Year	$44,176,414	CurrentTaxYearAmt
Total	$225,472,740	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$757,912,052	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$882,247,788	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$947,941,345	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$929,367,679	CurrentTaxYearMinus1YearAmt
Current Tax Year	$905,471,595	CurrentTaxYearAmt
Total	$4,422,940,459	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.88230	PublicSupportCY509Pct
Public Support PY509	0.90300	PublicSupportPY509Pct
Investment Income CY	0.04900	InvestmentIncomeCYPct
Investment Income PY	0.02980	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule A, Part III, Line 12, Explanation of Other Income:	FormAndLineReferenceDesc
Explanation	Miscellaneous revenue	ExplanationTxt

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 D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,539,056	BeginningYearBalanceAmt
Contributions	$2,012,511	ContributionsAmt
Other Expenditures	$1,847,682	OtherExpendituresAmt
End Year Balance	$7,703,885	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,904,740	BeginningYearBalanceAmt
Contributions	$5,059,275	ContributionsAmt
Other Expenditures	$1,424,959	OtherExpendituresAmt
End Year Balance	$7,539,056	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,429,911	BeginningYearBalanceAmt
Contributions	$1,545,289	ContributionsAmt
Other Expenditures	$70,460	OtherExpendituresAmt
End Year Balance	$3,904,740	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,383,951	BeginningYearBalanceAmt
Contributions	$528,802	ContributionsAmt
Other Expenditures	$482,842	OtherExpendituresAmt
End Year Balance	$2,429,911	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,418,916	BeginningYearBalanceAmt
Contributions	$656,685	ContributionsAmt
Other Expenditures	$1,691,650	OtherExpendituresAmt
End Year Balance	$2,383,951	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.14381	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.85619	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$44,941,599	OtherCostOrOtherBasisAmt
Book Value	$44,941,599	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$133,726,124	OtherCostOrOtherBasisAmt
Depreciation	$30,953,495	DepreciationAmt
Book Value	$102,772,629	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$98,250,279	OtherCostOrOtherBasisAmt
Depreciation	$2,192,820	DepreciationAmt
Book Value	$96,057,459	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$391,897,644	OtherCostOrOtherBasisAmt
Depreciation	$316,110,763	DepreciationAmt
Book Value	$75,786,881	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$319,558,568	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Hedge funds	$273,108,035	F
Partnership interests	$251,752,526	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$524,860,561	TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Program related investments	$189,739,258	F
Investment in subsidiary - Blue Zones, LLC	$102,246,606	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$291,985,864	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Receivables from related organizations	$1,697,472,234
Other assets	$57,012,042
Other receivables	$30,493,475
Right-of-use assets	$1,419,333

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,786,397,084	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
Deferred lease	$412,366,344
Malpractice liability	$89,384,973
Workers' compensation liability	$78,930,001
Payables to third-party payors	$28,571,887
Other liabilities	$3,632,161
Income tax payable	$52,927

Field	Value	IRS element (for citing)
Total Liability	$612,938,293	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 4:

A $1M board-designated fund was established to honor a former AH president. The earnings are used to provide funding for paying college student interns and graduate student residents as they participate in tracks such as accounting/finance, human resources, communications and management with the goal of introducing the participants to career options in the integrated health care field. Individuals who participate in the program frequently become employed within the AH system upon completion of their academic studies.

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 (Business Income Tax Return for an Exempt Organization) in the U.S. federal jurisdiction and the state of California. The System is not subject to income tax examinations prior to 2021 in major tax jurisdictions.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (6 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	Program services	Administration, legal and accounting fees	$72,500
Central America and the Caribbean	Program services	Reinsurance fees	$3,142,354
Sub-Saharan Africa	Grants to recipients in region	N/A	$23,930
Central America and the Caribbean	Investments in region	N/A	$357,704,611
Europe	Program services	Program services	$228,864
Europe	Investments in region	N/A	$3,238,673

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$364,410,932	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$364,410,932	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Sub-Saharan Africa	RegionTxt
Purpose Of Grant	Mission Support	PurposeOfGrantTxt
Cash Grant	$23,930	CashGrantAmt
Manner Of Cash Disbursement	Wire transfer	MannerOfCashDisbursementTxt
Non Cash Assistance	$0	NonCashAssistanceAmt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, line 3:	FormAndLineReferenceDesc
Explanation	Accrual method	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
Center for Youth Evangelism
4145 E Campus Circl Drive Suite	S103	Berrien Springs	MI	49104	273294817	501(C)(3)	$10,000	$0	Donation/sponsorship
NAAHHR
405 West Grand Avenue		Dayton	OH	45405	520643036	501(C)(6)	$6,000	$0	Donation/sponsorship
North Pacific Union Conference of Seventh-day Adventists
5709 N 20th Street		Ridgefield	WA	98642	936022695	501(C)(3)	$15,000	$0	Donation - Gleaner subsidy
Pine Hills Adventist Academy
13500 Richards Lane		Auburn	CA	95603	680260457	501(C)(3)	$32,500	$0	Donation/sponsorship
Sacramento Adventist Academy
5601 Winding Way		Carmichael	CA	95608	941431179	501(C)(3)	$53,000	$0	Donation/sponsorship
Walla Walla University
204 S College Avenue		College Place	WA	99324	910617727	501(C)(3)	$473,056	$0	Support for Center for Humanitarian Engagement

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	Funding provided to other organizations is provided to recipients with the understanding that the funds are being used only for the designated purposes. No monitoring is conducted by AH.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	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 (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (33 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Heinrich Kerry
Director/CEO	$2,342,000	$0	$1,586,113	$0	$46,082	$0	$13,296	$0	$44,679	$0	$4,032,170	$0	$0	$0
Hofheins Todd
COO/Assistant Secretary	$1,474,000	$0	$888,115	$0	$45,560	$0	$13,296	$0	$52,696	$0	$2,473,667	$0	$0	$0
Beaman John
Chief Financial Officer	$1,261,000	$0	$698,818	$0	$21,043	$0	$13,296	$0	$66,512	$0	$2,060,669	$0	$0	$0
Stevens Eric - Pres N CA Net
Pres, N Coast Svc Area as of 07/24	$1,196,000	$0	$495,682	$0	$194,464	$0	$13,296	$0	$44,679	$0	$1,944,121	$0	$0	$0
Nahapetian Arby
Chief Clinical Officer	$1,111,000	$0	$458,435	$0	$189,823	$0	$13,296	$0	$66,512	$0	$1,839,066	$0	$0	$0
Wells Jason
President, Central CA Network	$968,000	$0	$423,321	$0	$151,735	$0	$13,296	$0	$66,512	$0	$1,622,864	$0	$0	$0
Newmyer Joyce - Pres OR State
Ntwrk thru 04/24/Chief People Office	$934,154	$0	$378,860	$0	$25,893	$0	$16,695	$0	$44,679	$0	$1,400,281	$0	$0	$0
Jobe Meredith
Secretary	$796,100	$0	$281,132	$0	$143,872	$0	$13,296	$0	$44,679	$0	$1,279,079	$0	$0	$0
Issai Alice
President, AHGL	$733,259	$0	$284,820	$0	$134,938	$0	$13,296	$0	$44,679	$0	$1,210,992	$0	$0	$0
Ashlock Ryan - Pres Central
Coast Service Area as of 06/24	$634,923	$0	$129,977	$0	$327,276	$0	$13,296	$0	$61,494	$0	$1,166,966	$0	$0	$0
Kofl Andrea
Network President thru 04/24	$203,715	$0	$284,676	$0	$597,436	$0	$10,186	$0	$44,008	$0	$1,140,021	$0	$0	$0
Raffoul John
President, AHWM	$688,000	$0	$233,914	$0	$154,511	$0	$13,296	$0	$44,679	$0	$1,134,400	$0	$0	$0
Seibold Brandon - Finance
Strategy Growth and Dev Executive	$677,968	$0	$247,609	$0	$104,435	$0	$13,296	$0	$39,444	$0	$1,082,752	$0	$0	$0
Stemmler Jennifer
Chief Information Officer	$677,476	$0	$229,055	$0	$102,600	$0	$13,296	$0	$49,183	$0	$1,071,610	$0	$0	$0
Takahashi Patrick
System Chief Medical Officer, AHWM	$663,916	$0	$258,670	$0	$101,710	$0	$13,296	$0	$16,128	$0	$1,053,720	$0	$0	$0
Liebowitz Jacalyn
System Chief Nursing Officer	$619,000	$0	$276,071	$0	$92,226	$0	$13,296	$0	$52,277	$0	$1,052,870	$0	$0	$0
Burke James
System Chief Medical Officer, PNMG	$663,916	$0	$183,670	$0	$90,690	$0	$13,296	$0	$66,512	$0	$1,018,084	$0	$0	$0
Champlin Christopher
President, AHRO	$690,000	$0	$155,763	$0	$92,570	$0	$13,296	$0	$44,679	$0	$996,308	$0	$0	$0
Jamaleddine Ghassan
Medical Officer, AHBD	$632,373	$0	$184,644	$0	$65,371	$0	$13,296	$0	$66,512	$0	$962,196	$0	$0	$0
King Kyle - President
Service Area as of 04/24	$666,769	$0	$131,700	$0	$64,780	$0	$13,296	$0	$44,700	$0	$921,245	$0	$0	$0
Howe Judson - President
North Coast Network thru 07/24	$326,174	$0	$206,444	$0	$297,479	$0	$13,296	$0	$66,201	$0	$909,594	$0	$0	$0
Settelmayer Daniel
Deputy General Counsel	$635,000	$0	$120,725	$0	$102,332	$0	$13,296	$0	$26,844	$0	$898,197	$0	$0	$0
Ho Kingman
Chief Medical Officer, AHGL	$356,103	$0	$166,064	$0	$224,952	$0	$13,296	$0	$108,929	$0	$869,344	$0	$0	$0
Kim Edward - Chief Admin
Officer, Physician Enterprise	$286,983	$0	$163,890	$0	$358,837	$0	$13,296	$0	$44,341	$0	$867,347	$0	$0	$0
Ayala Raul - Ambulatory
Medical Officer, Central CA Network	$602,279	$0	$159,029	$0	$59,246	$0	$13,296	$0	$22,841	$0	$856,691	$0	$0	$0
Knox Dennis
President & CEO, AHCG thru 04/24	$231,387	$0	$93,323	$0	$484,528	$0	$5,272	$0	$28,275	$0	$842,785	$0	$0	$0
Herber Steven
President, AHSH	$559,000	$0	$121,819	$0	$102,983	$0	$13,296	$0	$44,679	$0	$841,777	$0	$0	$0
Rippey Wesley
Area Medical Officer, AHPL	$551,182	$0	$131,994	$0	$113,087	$0	$13,296	$0	$24,025	$0	$833,584	$0	$0	$0
Swenson Jennifer
President, AHSV	$375,231	$0	$130,996	$0	$243,544	$0	$13,296	$0	$66,286	$0	$829,353	$0	$0	$0
Wolcott Daniel - Former Pres
Kern Cty Ntwk/Pres, AHBD thru 01/23	$0	$0	$0	$0	$704,271	$0	$0	$0	$65,778	$0	$770,049	$0	$0	$0
Larsen David - Former
Senior Finance Officer thru 04/23	$0	$0	$0	$0	$573,565	$0	$0	$0	$59,142	$0	$632,707	$0	$0	$0
Wing Bill - Former
Dir/Vice Chair/Asst Secr thru 01/22	$0	$0	$0	$0	$273,263	$0	$0	$0	$0	$0	$273,263	$0	$0	$0
Whetstine Tyler - Former
Chief Information Officer thru 08/22	$0	$0	$0	$0	$206,085	$0	$0	$0	$16,941	$0	$223,026	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I, Line 1a

Tax indemnification and gross-up payments are paid to 13 board of directors. These were included in taxable income. Social club dues were paid for two officers. This was not included in taxable compensation.

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. Ho, Kingman - severance payment - $174,050 Howe, Judson - severance payment - $258.685 Kim, Edward - severance payment - $248,308 Knox, Dennis - severance payment - $307,346 Kofl, Andrea - severance payment - $542,284 Larsen, David - severance payment - $567,118 Swenson, Jennifer - severance payment - $166,769 Wing, Bill - severance payment - $271,535 Wolcott, Daniel - severance payment - $708,700 The Supplemental Executive Retirement Plan (SERP) is a defined contribution plan designed to encourage the participants continued employment with Adventist Health and is subject to the participants satisfying specified substantial risks of forfeiture. The SERP benefit distribution occurs when the executive achieves 30 years of Adventist health care service, 20 of which are to be as an executive and at least 10 are to be with Adventist Health System/West, and reaches age 60. Until that time, the SERP benefit is at risk to the creditors of Adventist Health. The SERP benefit is designed to help the executive receive employer-provided retirement benefit income equal to 60% of pre-retirement income. The SERP plan was frozen for new participants in 2016. Larsen, David - participant, no activity in 2024 Raffoul, John - participant, no activity in 2024 Select executives agreed to participate in CAP-EX in place of a traditional SERP. See Schedule L, Part V, for a broader description. Split-Dollar life insurance participants include John Beaman, Kerry Heinrich, Todd Hofheins, Joyce Newmyer, Jack Wagner, Jason Wells, 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. Newmyer, Joyce - participant, no activity in 2024

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CSCDA Series A 2007
A	680164610	13080SYC2	2007-05-08	$57,500,000	See Part VI	0	0	0
CHFFA Series B 2009
B	521643828	13033LBC0	2009-05-20	$30,000,000	See Part VI	0	0	0
CHFFA Series A 2013
C	521643828	13033LS65	2013-02-14	$208,420,907	See Part VI	0	0	0
CHFFA Series A 2013
D	521643828	13033LS57	2013-02-14	$100,741,934	See Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt
A	$21,440,000	$57,500,000	$643,910	$1,409,177	$4,480,297	$50,966,616	2010	0	Yes (1)	Yes (1)
B		$30,000,000	$216,916			$29,783,084	2009	0	Yes (1)	Yes (1)
C	$67,620,000	$208,420,907	$979,977				2016	Yes (1)	Yes (1)	Yes (1)	$207,440,930
D	$9,415,000	$100,741,934	$741,934			$100,000,000	2016	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	Yes (1)
B	0	Yes (1)
C	Yes (1)	Yes (1)
D	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
A	Yes (1)	0	Yes (1)
B	0	Yes (1)	Yes (1)	0	0	Yes (1)
C	0	0	Yes (1)	0	0	Yes (1)
D	0	0	Yes (1)	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Date Rebate Computation Performed	Issuer Name: CHFFA Series B 2009 Date the Rebate Computation was Performed: 06/13/2024 Issuer Name: CHFFA Series A 2013 Date the Rebate Computation was Performed: 03/22/2023 Issuer Name: CHFFA Series A 2013 Date the Rebate Computation was Performed: 03/22/2023 Issuer Name: CSCDA Series A 2015 Date the Rebate Computation was Performed: 07/20/2020 Issuer Name: CSCDA Series A 2015 Date the Rebate Computation was Performed: 07/20/2020 Issuer Name: CHFFA Series A 2016 Date the Rebate Computation was Performed: 10/19/2021 Issuer Name: CSCDA Series A 2018 Date the Rebate Computation was Performed: 10/23/2023
Part I, Columns (A-D) Issuer's Name:	CSCDA - California Statewide Communities Development Authority CHFFA - California Health Facilities Financing Authority HFA - The Hospital Facilities Authority of Multnomah County, Oregon
Part I, Entity 1, Column (f), Line A:	Construct, equip and remodel the following health care facilities: Feather River Hospital, Paradise, CA Hanford Community Hospital, Hanford, CA Simi Valley Hospital and Health Care Services, Simi Valley, CA
Part I, Entity 1, Column (f), Line B:	Acquire, construct and equip the following health care facilities: Adventist Health Clearlake Hospital Inc., Clearlake, CA Feather River Hospital, Paradise, CA Glendale Adventist Medical Center, Glendale, CA Hanford Community Hospital, Hanford, CA Simi Valley Hospital and Health Care Services, Simi Valley, CA St. Helena Hospital, St. Helena, CA
Part I, Entity 1, Column (f), Line C:	Refund outstanding balance of the following bond issues: 2002 California Health Facilities Financing Authority (AHS/West Series A) bonds issued March 20, 2002 2002 California Health Facilities Financing Authority (AHS/West Series B) bonds issued March 20, 2002 2003 California Health Facilities Financing Authority (AHS/West Series A) bonds issued July 1, 2003
Part I, Entity 1, Column (f), Line D:	Acquire, construct, and equip the following health care facilities: Central Valley General Hospital, Hanford, CA Feather River Hospital Paradise, CA Hanford Community Hospital, Hanford, CA San Joaquin Community Hospital, Bakersfield, CA Ukiah Valley Hospital, Ukiah, CA Willits Hospital, Inc, Willits, CA Acquire and install a clinical information system: Adventist Health System/West, Roseville, CA
Part I, Entity 2, Column (f), Line A:	Refund outstanding balance of the following bond issue: 2005 California Statewide Communities Development Authority (AHS/West Series A) bonds issued on October 18, 2005
Part I, Entity 2, Column (f), Line B:	Acquire, construct, and equip the following health care facilities: Hanford Community Hospital, Hanford, CA St. Helena Hospital, St. Helena, CA
Part I, Entity 2, Column (f), Line C:	Advance refund outstanding balance of the following bond issues: 1998 California Health Facilities Financing Authority (AHS/West Series A) issued February 18, 1998 2007 California Statewide Communities Development Authority (AHS/West Series B) bonds issued May 8, 2007 2007 California Statewide Communities Development Authority (Lodi) bonds issued December 13, 2007 2009 California Health Facilities Financing Authority (AHS/West Series A) bonds issued May 20, 2009
Part I, Entity 2, Column (f), Line D:	Finance the new headquarters facility for the Corporation located in Roseville, CA and refinance the following bond issues: City of Marysville, CA Rideout Series 2011 Bonds acquired in the affiliation with The Fremont-Rideout Health Group and Rideout Memorial Hospital effective April 1, 2018
Part I, Entity 3, Column (f), Line A:	Refund the outstanding balance of the following bond issue: 2009 HFA - The Hospital Facilities Authority of Multnomah County, Oregon (AHS/West Series A) issued September 30, 2009
Part I, Entity 3, Column (f), Line B:	Acquire, construct, and equip the following health care facilities: Adventist Health System/West, Roseville, CA Adventist Health Clearlake Hospital Inc. Clearlake, CA Adventist Health Delano, Delano, CA Adventist Health Medical Center Tehachapi, Tehachapi, CA Adventist Health Mendocino Coast, Fort Bragg, CA Adventist Health Tulare, Tulare, CA Glendale Adventist Medical Center, Glendale, CA Hanford Community Hospital, Hanford, CA Lodi Memorial Hospital Association Inc, Lodi, CA Reedley Community Hospital, Reedley, CA Rideout Memorial Hospital, Marysville, CA San Joaquin Community Hospital, Bakersfield, CA Sonora Community Hospital, Sonora, CA Ukiah Adventist Hospital, Ukiah, CA White Memorial Medical Center, Los Angeles, CA
Part I, Entity 3, Column (f), Line C:	Acquire and equip the following health care facilities: Adventist Health Specialty Bakersfield, Bakersfield, CA Adventist Health White Memorial Montebello, Montebello, CA Part I, Entity 3 Column (f), Line D: Refund the outstanding balance of the following bond issue: 2011 CHFFA A California Health Facilities Financing Authority (AHS/West Series A) issued June 9, 2011 Part I, Entity 4, Column (f), Line A: Refund a short-term bank loan used to acquire and equip the following health care facilities: Adventist Health Sierra Vista, San Luis Obispo, CA Adventist Health Twin Cities, Templeton, CA Construct, equip and remodel the following health care facilities: Adventist Health System/West, Roseville, CA Adventist Health Clearlake Hospital Inc. Clearlake, CA Adventist Health Delano, Delano, CA Adventist Health Medical Center Tehachapi, Tehachapi, CA Adventist Health Mendocino Coast, Fort Bragg, CA Adventist Health Tulare, Tulare, CA Glendale Adventist Medical Center, Glendale, CA Hanford Community Hospital, Hanford, CA Lodi Memorial Hospital Association Inc, Lodi, CA Reedley Community Hospital, Reedley, CA Rideout Memorial Hospital, Marysville, CA San Joaquin Community Hospital, Bakersfield, CA Simi Valley Hospital and Health Care Services, Simi Valley, CA Sonora Community Hospital, Sonora, CA St. Helena Hospital, St. Helena, CA Ukiah Adventist Hospital, Ukiah, CA White Memorial Medical Center, Los Angeles, CA Willits Hospital, Inc, Willits, CA
Part II, Entity 1, Line 11, Column C:	The other spent proceeds are the refunding proceeds no longer in escrow.
Part II, Entity 2, Line 11, Columns A, C, & D:	The other spent proceeds are the refunding proceeds no longer in escrow.
Part II, Entity 3, Line 11, Column A & D:	The other spent proceeds are the refunding proceeds no longer in escrow.
Part II, Entity 4, Line 11, Column A:	The other spent proceeds are the proceeds used to pay off the short-term bank loan which was used to finance initial costs of the project.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CSCDA Series A 2015
A	680164610	13080SJL9	2015-06-30	$157,990,834	See Part VI	0	0	0
CSCDA Series A 2015
B	680164610	13080SJM7	2015-06-30	$42,422,999	See Part VI	0	0	0
CHFFA Series A 2016
C	521643828	13032UGL6	2016-09-08	$309,720,490	See Part VI	0	0	0
CSCDA Series A 2018
D	680164610	13080SWK6	2018-09-27	$272,074,615	See Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$23,696,400	$157,990,834	$1,493,445	$9,150	$156,488,239	2015	Yes (1)	0	Yes (1)	Yes (1)
B	$6,683,600	$42,422,999	$420,423	$2,576		2019	0	0	Yes (1)	Yes (1)	$42,000,000
C	$76,880,000	$309,720,490	$2,280,369		$307,440,121	2016	Yes (1)	Yes (1)	Yes (1)	Yes (1)
D	$6,015,000	$272,074,615	$2,098,459		$27,000,000	2019	0	Yes (1)	Yes (1)	Yes (1)	$242,976,156

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	0.00020	0.00020	Yes (1)
B	0	0.00000	0.00000	Yes (1)
C	0	0.00000	0.00000	Yes (1)
D	0	0.00000	0.00000	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	No Rebate DueNoRebateDueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HFA Multnomah 2019
A	931266280	62551PCX3	2019-11-13	$60,886,489	See Part VI	0	0	0
CHFFA Series A 2022
B	521643828	13032UG93	2022-12-15	$100,322,608	See Part VI	0	0	0
CHFFA Series A 2023
C	521643828	13032UH50	2023-12-12	$95,000,000	See Part VI	0	0	0
CHFFA Series B 2023
D	521643828	13032UJ33	2023-12-21	$77,095,000	See Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt	RetiredRetiredAmt
A	$60,886,489	$493,229	$60,393,260	2019	Yes (1)	0	Yes (1)	Yes (1)
B	$100,322,608	$321,046			0	0	0	Yes (1)	$76,016,714	$23,985,848
C	$95,000,000				0	0	0	Yes (1)	$81,927,161	$13,072,839
D	$77,095,000	$4,030	$77,090,970	2023	0	Yes (1)	Yes (1)	Yes (1)			$1,990,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
C	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
D	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	0	Yes (1)
B	Yes (1)	0	Yes (1)
C	Yes (1)	0	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CHFFA Series A 2024	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	521643828	BondIssuerEIN
CUSIP	13032UT40	CUSIPNum
Bond Issued	2024-05-23	BondIssuedDt
Issue Price	$667,634,862	IssuePriceAmt
Purpose	See Part VI	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$667,634,862	TotalProceedsAmt
Issuance Costs From Proceeds	$2,629,706	IssuanceCostsFromProceedsAmt
Capital Expenditures	$25,409,620	CapitalExpendituresAmt
Other Spent Proceeds	$492,496,356	OtherSpentProceedsAmt
Unspent	$147,099,180	UnspentAmt
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (1)	RefundingTaxableBondsInd
Final Allocation Made	0	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (24 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
Ashlock R
Key employee	Relocation	Yes (X)	$1,050,000	$1,038,336	0	Yes (1)	Yes (1)
Beaman J
Officer	Relocation	Yes (X)	$335,000	$271,140	0	Yes (1)	Yes (1)
Beaman J
Officer	Supplemental retirement CASD	Yes (X)	$6,851,349	$7,173,359	0	Yes (1)	Yes (1)
Champlin C
Key employee	Relocation	Yes (X)	$300,000	$288,287	0	Yes (1)	Yes (1)
Heinrich K
Officer	Relocation	Yes (X)	$1,441,922	$1,089,552	0	Yes (1)	Yes (1)
Heinrich K
Officer	Supplemental retirement CASD	Yes (X)	$17,478,824	$18,487,282	0	Yes (1)	Yes (1)
Hofheins T
Officer	Relocation	Yes (X)	$500,000	$488,036	0	Yes (1)	Yes (1)
Hofheins T
Officer	Supplemental retirement CASD	Yes (X)	$5,618,667	$5,906,090	0	Yes (1)	Yes (1)
Howe J
Key employee	Relocation	Yes (X)	$460,500	$448,989	0	Yes (1)	Yes (1)
Jamaleddine G
Key employee	Relocation	Yes (X)	$150,000	$144,100	0	Yes (1)	Yes (1)
Jobe M
Officer	Relocation	Yes (X)	$100,000	$43,200	0	Yes (1)	Yes (1)
Larsen D
Former key employee	Relocation	Yes (X)	$150,000	$136,500	0	Yes (1)	Yes (1)
Liebowitz J
Key employee	Relocation	Yes (X)	$150,000	$138,600	0	Yes (1)	Yes (1)
Nahapetian A
Key employee	Relocation	Yes (X)	$750,000	$633,928	0	Yes (1)	Yes (1)
Newmyer J
Key employee	Relocation	Yes (X)	$400,000	$393,600	0	Yes (1)	Yes (1)
Newmyer J
Key employee	Supplemental retirement CASD	Yes (X)	$5,103,831	$5,327,513	0	Yes (1)	Yes (1)
Seibold B
Key employee	Relocation	Yes (X)	$800,000	$666,147	0	Yes (1)	Yes (1)
Stemmler J
Key employee	Relocation	Yes (X)	$200,000	$193,200	0	Yes (1)	Yes (1)
Stevens E
Key employee	Relocation	Yes (X)	$200,000	$191,600	0	Yes (1)	Yes (1)
Wagner J
Director	Supplemental retirement CASD	Yes (X)	$6,671,634	$6,980,529	0	Yes (1)	Yes (1)
Wells J
Key employee	Relocation	Yes (X)	$1,000,000	$956,273	0	Yes (1)	Yes (1)
Wells J
Key employee	Supplemental retirement CASD	Yes (X)	$2,574,282	$2,652,151	0	Yes (1)	Yes (1)
Wing B
Former officer	Relocation	Yes (X)	$200,000	$175,050	0	Yes (1)	Yes (1)
Wing B
Former officer	Supplemental retirement CASD	Yes (X)	$16,975,107	$17,882,091	0	Yes (1)	Yes (1)

Field	Value	IRS element (for citing)
Total Balance Due	$71,705,553	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Newton Tyler	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Family member of director Bradford Newton	RelationshipDescriptionTxt
Transaction	$534,897	TransactionAmt
Transaction	Employment compensation	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II, Supplemental Retirement Benefits:	FormAndLineReferenceDesc
Explanation	The organization provides supplemental retirement benefits through an alternative funding arrangement the IRS calls "collateral assignment split dollar" (CASD). Although the IRS requires reporting in the loan section of Schedule L, CASD is not an actual loan because no funds are transferred to the executive. Rather, the "loan" treatment applies because after the executive has received retirement benefits, the organization recovers all of its outlays plus interest.The recovery right is a key advantage of CASD for the organization. Rather than paying retirement benefits to the executive that would never be recovered, under CASD the organization recovers not only its outlays, but also consideration for the time value of money.CASD works as follows: The organization deposits funds into a cash value life insurance policy on the executive's life. During life, to the extent the executive fulfills service and vesting requirements, the executive can borrow against the cash surrender value to supplement retirement income. Policy performance is closely monitored. If policy performance lags, the executive's borrowing rights are reduced to protect the organization's recovery rights.At the executive's death, the policy death proceeds are first used to repay the organization its deposits plus compounded interest (at the IRS long-term applicable federal rate). The executive's beneficiary then receives any projected retirement borrowing the executive did not access during life. Any remaining death proceeds: - are available to be paid to the executive's beneficiary - are divided between the organization and the executive's beneficiary - were available to be paid to the executive's beneficiary. However, the Executive decided to make a gift of the excess proceeds to the organization to provide additional funding to the organization's charitable activitiesGift of excess proceeds (estimated):John Beaman $12,118,430; Kerry Heinrich $14,170,788; Todd Hofheins $7,257,749; Joyce Newmyer $5,608,796; Jack Wagner $308,895; Jason Wells $7,859,753; Bill Wing $16,633,934.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a:	Adventist Health is a faith-based, nonprofit integrated health system serving more than 100 communities on the West Coast and Hawaii with over 470 sites of care. Founded on Seventh-day Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care agencies, hospice agencies and joint-venture retirement centers in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes associates, medical staff physicians, allied health professionals and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope. Together, we are transforming the American healthcare experience with an innovative, yet timeless, whole person focus on physical, mental, spiritual and social healing. Mission-driven The healthcare industry continues to experience significant changes. From high and rising costs to regulatory initiatives, these issues are causing hospitals and health systems to re-think who they are and how they want to deliver care. At Adventist Health, we are thriving and growing in the face of this transition by building on our legacy and re-establishing ourselves as the leader in physical, mental, spiritual and social health. We remain committed to "living God's love by inspiring health, wholeness and hope." Our mission represents the heart of our people. It expresses that we know the love of God and consistently reflect that love in our actions, relationships and work. Mission is the reason our organization exists. Community Health Development Adventist Health's commitment to improve well-being not only grew out of our mission to live God's love, but also from the needs we see in communities across our system of 27 hospitals. While diseases of despair continue to escalate along with healthcare costs, we are presented with the opportunity to bring whole person care, philanthropy, public heath, human services, government, community members, and business owners together to change the well-being of people, places, and equity. Nonprofit health systems, community-based organizations and public health agencies across the country all share a similar calling to provide public service to help improve their community members' lives. One area of public service where these entities share responsibility is ensuring all community members have the opportunity to live a healthy life. One way to accomplish this is by assessing the health of our communities through the community health needs assessment. In 2022, Adventist Health took this federally mandated requirement one step further with the vision of designing a people centric community health needs assessment. The Adventist Health Community Solutions team standardized a step-by-step process to develop and create a Community Health Needs Assessment report that focused on best practice methods, a collaborative approach, asset mapping that allowed for matching resources with chosen priorities and the development of an actionable Community Health Implementation Strategy to ensure strategic investment and measurable impact across our Adventist Health markets. This approach ensured a measurable, sustainable community benefit investment in people, places, and equity. In 2022, the Adventist Health Community Solutions team produced 16 CHNA reports and reached out to over 800 participants through 90 focus groups and over 50 key informant interviews. Populations reached included people experiencing homelessness, domestic violence survivors, food security providers, higher education professionals, homeless service providers, law enforcement, medical providers, tribal health services, public health, students, farm workers and older adults. This provided rich qualitative data where we learned about our community members' current state of health and listened to their greatest concerns for their friends and families. This work continued in 2024, where the community impact team laid the foundation for the upcoming 2025 Community Health Needs Assessment period and was busy traveling to markets and facilitating focus groups and key informant interviews to hear the voices of our communities where they live and engaged in a collaborative and equitable primary data collection process. Priority sessions were also facilitated and steering committee members for the community health needs assessment chose priority health needs for their communities. Each year the Roseville team supports the research, assessment, data collection and reporting process for the following systemwide community benefit workstreams: Community Health Needs Assessment (CHNA), Community Health Implementation Strategy (CHIS) and annual community benefit expense reporting. Additionally, operational tasks such as Community Benefit Inventory for Social Accountability (CBISA) entries and supporting the preparation of 20 community health plan update reports were also insourced, to make our local hospital teams available to drive impactful programs. In partnership with local hospital leaders and community boards, our systemwide cadence of these activities fosters greater collaboration to collectively address the selected high priority health needs at each market. In 2021, Adventist Health committed to launching six Blue Zone Projects within our community footprint. In 2022, the six active projects launched in Adventist Health communities include Bakersfield, Lake County, Mendocino County, Tuolumne County, Upper Napa Valley, and Yuba-Sutter. In addition to six Blue Zone Projects, Adventist Health also engaged in 14 Blue Zones Worksite Certifications at Adventist Health hospitals. Blue Zones Projects and Blue Zones Worksite Certifications have gained international recognition for their transformational impact on entire cities and communities. In 2024, we saw continued transformation of our six community Blue Zones Projects through policy initiatives around built environment, tobacco use, and food. We also encourage our employees to serve on community collaboration boards, health advocacy programs, and physical improvement projects to promote the health of the communities we serve. In addition, we work with neighborhood programs, including schools, work sites and safety net providers to promote health and wellness and prevent disease. To learn more about the work of Blue Zones, please visit www.bluezones.com. Together, these system-led support efforts and community specific projects facilitated the following impacts across our system in 2024: A total of $36.5 million was spent on free and discounted care, $407.8 million in aid to the underserved, $331.1 million in aid to the elderly, $314.1 million in subsidized community healthcare, $39.2 million in community health improvement, and $32.5 million on education and research. These efforts totaled $1.161 billion in community benefit expenses.
Form 990, Part III, Line 4a (continued):	Care Transformation Care Transformation in Adventist Health reflects our promise to deliver top decile safety and quality performance and top quartile in clinical operations. The transformation focuses on initiatives such as Clinical Leadership Development, High Reliability Organization, Patient Experience, Care Redesign, Population Health and Clinical Workforce. All these efforts focus on effectively blending people, processes and technology, and include consistent design, delivery and evaluation of care performance. Our caregivers are working hard every day to achieve the clinical goals and continue to spread our mission. Patient Safety & Quality Adventist Health focuses not only on patient safety and quality patient care but also provides a quality work environment for its associates. Maintaining a culture of teamwork and safety among clinicians and staff is foundational to Care Transformation. For the past nine years, Adventist Health has participated in the Culture of Safety survey, which provides insight into focused areas where actions can be taken to improve the safety and teamwork climate in clinical departments. Adventist Health hospitals received quality and safety awards from The Joint Commission, The LeapFrog Group, Healthgrades, CMS and Malcolm Baldrige. Physician Alignment Adventist Health operates 440 medical office suites across the West Coast and Hawaii. These ambulatory care centers include Rural Health Clinics (RHC), hospital-based outpatient clinics (HBOC), employed physician models in Oregon and Hawaii, medical foundations in California, and community health clinics. These medical offices offer primary care and more than 50 different specialties in medical offices large and small. We have more than 700 primary care providers and about 850 specialists providing services ranging from Addiction Medicine to Wound Care - Audiology to Vascular Surgery. Adventist Health also provides much-needed dental care in 12 of our rural communities. The providers in these medical offices are committed to providing best practice, quality-driven care with excellent health outcomes and exceptional patient experience. We provide more than three million patient visits annually. In the initial months of the pandemic, we pivoted to offering virtual visits and continue to provide those to our most vulnerable populations and those patients who have found it to be a more convenient way to receive care. We have also launched online scheduling for all of our primary care providers to increase access to care for our communities. As an organization, we have had to prioritize continued pay for our providers and employees to minimize the loss of clinicians during the extended public health emergency. Throughout these challenges, our physicians and Advanced Practice Providers have continued to provide excellent patient satisfaction resulting in an overall Adventist Health clinic star rating of 4.5 out of 5 stars. Rural Health Clinics (RHC) As an extension of our mission, high-quality services are provided to rural communities where access to care is often significantly more challenging than in urban areas. We have 69 rural health clinics (RHCs) with 172 medical office suites providing healthcare to underserved populations throughout Northern and Central California, Hawaii, and Oregon. Our system of rural health continues to be the largest network of clinics in the state of California (about 12% of the RHCs in the state are part of Adventist Health). Our RHC network also is one of the largest in the country, representing almost one percent of the nation's RHCs. Adventist Health provides oversight services for all our RHCs to include financial monitoring, program audits, operational support, professional development, advocacy, and education regarding new regulations. Thanks to the RHCs, we provide more than 1.2 million visits annually in the rural communities' most disenfranchised areas to have access to primary care, dentistry, women's and children's services, and health education. Specialty care services are also available at many RHC locations, including 27 behavioral health programs. Home Care Services Adventist Health Home Care offers advanced, high quality health care in an at-home setting by operating 14 home health agencies and seven hospices. In 2024, care, compassion, and high-quality services were provided with 234,372 home health visits and 92,768 hospice days. Many of the agencies provide specialized programs and treatment plans such as, wound care, CHF, and diabetes management. Our home health mission is to help patients recover, regain independence, and become as self-sufficient as possible in the comfort of their home. Our hospice mission is to provide whole-person care that envelopes the body, comforts the mind, and nurtures the spirit. We are most proud of the following accomplishments in 2024: 1. Implemented Medline to streamline patient and clinician supply management. 2. Launched the Press Ganey High Reliability Platform to support quality and safety initiatives. 3. Adopted Medbridge to enhance clinician education and patient engagement. 4. Welcomed Columbia Gorge Home Health into the Adventist Health family, successfully integrating the agency into our EMR, operational processes, and platforms. 5. Transitioned clinicians from smartphones to tablets to improve efficiency and documentation in the field. 6. Achieved CHAP reaccreditation for Bakersfield Hospice and Southern California Home Health & Hospice. 7. Expanded clinical services to include IV Therapy in the home setting, enhancing care options for patients. 8. Improved comprehensive chart reviews through innovation and extended partnerships. Developing a Virtual Care Network The Adventist Health Virtual Care Network allows healthcare professionals to evaluate, diagnose, and treat patients using video conferencing software technology. Virtual Care is the umbrella term for the group of services and functions that include telemedicine, telepharmacy, teleICU, telestroke, teledentistry, teleradiology, and telepathology, but which also includes and can support regional health information sharing, patient education and provider networking. Virtual Care provides patients with access to high-quality, affordable specialty care when and where they need it, aiding in rapid diagnosis, treatment, and improved patient outcomes. This collaboration supports Adventist Health's mission of bringing high-quality health and healing to the communities it serves, and is consistent with the organization's focus on innovation, strategic growth, and population health. Virtual Care services took a huge leap with the onset of the COVID-19 pandemic, and we continue to monitor virtual visit volumes and the Public Health Emergency regulations related to virtual care. We now have an integrated platform that enables providers to see patients in their own home more seamlessly through our patient portal and a direct text-to-video option. Our clinics have recently upgraded their telehealth equipment to provide specialty outpatient care in our rural communities in California and Oregon sites, including a small number of non-Adventist Health sites. We continue to offer store and forward services for dermatology and diabetic retinopathy screenings, as well as peer-to-peer e-consults, as well as a direct-to-consumer service, Adventist Health OnDemand, for consumers. Adventist Health is also a preferred provider for Virtual Care with the California Department of Corrections and Rehabilitation, serving multiple prison locations through the Virtual Care Coordination Center. In 2021, we piloted a virtual behavioral health counseling service to clinic patients in some of our rural communities and we continue to look at how we can duplicate the program across the rest of the communities we serve. Our Hawaii and our Mendocino Coast markets now have sites that have video conferencing software with state-of-the-art virtual stethoscope technology to ensure patients can be seen close to where they live. Inpatient virtual care continues to serve hundreds of patients. Thirteen hospitals use telehealth stroke services, seven hospitals use pediatric services, five sites use infectious disease services with ten sites using emergency psychiatry assessment services. We are looking forward to having a systemwide offering in the next few years in the areas of stroke, general neurology, and psych for all of our ICUs and ERs.
Form 990, Part III, Line 4a (continued):	Strategic Planning Adventist Health's mission of living God's love, inspiring health, wholeness and hope is our greatest calling as an organization. Our strategic planning builds on a vision to provide exceptional care at every stage of life, inspiring community transformation through health and well-being for all. To support this vision, we have shifted our structure to strategic networks of care, bringing local and system leadership closer together to organize our work around our patients, communities and key opportunities to serve all through a deeply integrated and collaborative network of care. We are engaging our strong, innovative teams to shape a thriving culture. We are expanding our networks creating community relevance and well-being. We are empowering exceptional teams to deliver unparalleled care. We are embedding disciplined stewardship to drive operational excellence.
Form 990, Part VI, Section A, line 6	Individuals who represent the Seventh-day Adventist Church and lay people who are in good standing with the Seventh-day Adventist Church serve as Members of Adventist Health System/West (the Organization") including the following: (a) the president, treasurer, and one other representative from both the offices of the Pacific Union and the North Pacific Union Conferences; (b) one representative from each of the local conferences of the Church in which affiliated health care facilities are located; (c) four representatives, with one selected from among the colleges and universities affiliated with the Church and located in the Pacific Union or North Pacific Union; (d) the CEO of the Organization, plus three additional representatives of the management of the Organization; (e) three representatives selected from the presidents of the hospitals affiliated with the Organization; (f) three representatives selected from among physician members of the medical staffs of hospital corporations affiliated with the Corporation; (g) up to 16 lay representatives who do not belong to any of the other categories set forth but who otherwise meet the qualifications for membership. Annually, the Members meet for the purpose of conducting the business of the Membership. Actions are taken as required to enable Adventist Health System/West to continue operating in concert with its Articles and Bylaws.
Form 990, Part VI, Section A, line 7a	The Organization's Board of Directors consists of the following: (a) The president of the Pacific Union and North Pacific Union Conferences of the Seventh-day Adventist Church; (b) two presidents selected from among the local conferences of the Church in which are located affiliated health care institutions; (c) The CEO of the Organization; (d) two professional health care providers who are practicing or serving in healthcare leadership; and (e) eight lay representatives with business backgrounds and perspectives who do not belong to any of the other categories.
Form 990, Part VI, Section A, line 7b	Amendments to the Organization's Bylaws and appointment of the Organization's Board of Directors require approval by the Membership.
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, 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 remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the CEO immediately. The statements for the Organization's Board of Directors are reviewed by the KPMG auditors as part of the annual financial statement audit. All conflicts are reviewed by the System Chief Legal Officer/General Counsel. For potential conflicts, the System Chief Legal Officer/General Counsel will determine and present all relevant facts to the governing body for decision. After addressing any questions asked by the governing body, the person with a declared conflict must leave the meeting during the discussion of the matter that involves a conflict and during any vote on the matter.
Form 990, Part VI, Section B, line 15	The Organization's Board of Directors has established a Executive 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 at least annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data. The board-approved executive compensation philosophy specifies that salary ranges will be established for executives, with midpoints aligned with the 60th percentile of comparable system hospital data, and having a 40 percent spread from minimum to maximum.
Form 990, Part VI, Section C, line 19	The Organization does not make its governing documents publicly available beyond required filings of Articles of Incorporation with the Secretary of State. The Organization does not make its Conflict of Interest Policy available to the public.
Form 990, Part VII:	In recognition of the time commitment directors make to serve on the Adventist Health System/West boards and committees, directors have the option to receive compensation when their employment agreements with their employers allow such payments. In addition, amounts paid for taxable benefits are also reported.
Form 990, Part IX, line 11g	Other purchased services: Program service expenses 22,345,594. Management and general expenses 58,267,624. Fundraising expenses 51,011. Total expenses 80,664,229. Repairs & maintenance: Program service expenses 1,049,302. Management and general expenses 1,480,138. Fundraising expenses 0. Total expenses 2,529,440. Consulting and other management fees: Program service expenses 1,650,631. Management and general expenses 25,861,608. Fundraising expenses 73,000. Total expenses 27,585,239. Contract labor: Program service expenses 106,917. Management and general expenses 1,559,711. Fundraising expenses 0. Total expenses 1,666,628. Other professional fees non-medical: Program service expenses 130,690. Management and general expenses 498,448. Fundraising expenses 0. Total expenses 629,138. Purchased medical services: Program service expenses 414,558. Management and general expenses 15,018,282. Fundraising expenses 0. Total expenses 15,432,840. Physician professional fees: Program service expenses 1,800. Management and general expenses 859. Fundraising expenses 0. Total expenses 2,659. Other medical professional fees: Program service expenses 0. Management and general expenses 3,809. Fundraising expenses 0. Total expenses 3,809.
Form 990, Part XI, line 9:	Change in value of CAP-EX 24,196,762. UBI partnership loss reported on Sch K-1 1,101,500.
Form 990, Part XI, Line 8:	Prior period adjustments were a result of cash balance correction and clean up books due to prior period activities including debt service, capital expenditures, and other items for $55,949,000.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Adventist Health Outpatient Pharmacy Services LLC
1 Adventist Health Way	Roseville	CA	95661	882950026	Fortify Market holding	CA	$13,411,529	$0	Adventist Health SystemWest
Dwellcare LLC
1 Adventist Health Way	Roseville	CA	95661	871377097	Inactive	CA	$0	$0	Adventist Health SystemWest
Incentive Acute Care Network LLC
1 Adventist Health Way	Roseville	CA	95661	862987983	Acute care network	CA	$0	$0	Adventist Health SystemWest
Incentive Health LLC
1 Adventist Health Way	Roseville	CA	95661	862977338	MSO	CA	$25,000	$7,700,872	Adventist Health SystemWest
Paradise Skyway LLC
1 Adventist Health Way	Roseville	CA	95661		Real estate holdings	CA	$0	$0	Adventist Health SystemWest

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Adventist Health Clearlake Hospital Inc
15630 18th Avenue	Clearlake	CA	95422	680395149	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Adventist Health Delano
1401 Garces Hwy	Delano	CA	93215	770258013	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Adventist Health Foundation
1 Adventist Health Way	Roseville	CA	95661	680002188	Charitable foundation	CA	501(c)(3)	Line 7	Adventist Health SystemWest	Yes (1)
Adventist Health Medical Center Tehachapi
1100 Magellan Drive	Tehachapi	CA	93561	812240617	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Adventist Health Mendocino Coast
700 River Drive	Fort Bragg	CA	95437	845174585	Hospital	CA	501(c)(3)	Line 3	Stone Point Health	Yes (1)
Adventist Health Physicians Network
1 Adventist Health Way	Roseville	CA	95661	680357690	Medical foundation	CA	501(c)(3)	Line 12b, II	Adventist Health SystemWest	Yes (1)
Adventist Health Tulare
869 North Cherry Street	Tulare	CA	93274	832351753	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Castle Medical Center
640 Ulukahiki Street	Kailua	HI	96734	990107330	Hospital	HI	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Feather River Hospital
1 Adventist Health Way	Roseville	CA	95661	941101228	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Glendale Adventist Medical Center
1509 Wilson Terrace	Glendale	CA	91206	951816017	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Hanford Community Hospital
115 Mall Drive	Hanford	CA	93230	940535360	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Lodi Memorial Hospital Association Inc
975 S Fairmont Avenue	Lodi	CA	95240	941044474	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Mid-Columbia Medical Center
1700 E 19th Street	The Dalles	OR	97058	930386936	Hospital	OR	501(c)(3)	Line 3	Stone Point Health	Yes (1)
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	Yes (1)
Northwest Medical Foundation of Tillamook
1000 Third Street	Tillamook	OR	97141	930622075	Hospital	OR	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Portland Adventist Medical Center
10123 SE Market Street	Portland	OR	97216	930429015	Hospital	OR	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Reedley Community Hospital
372 Cypress Avenue	Reedley	CA	93654	453220509	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Rideout Memorial Hospital
726 Fourth Street	Marysville	CA	95901	941387866	Hospital	CA	501(c)(3)	Line 3	Stone Point Health	Yes (1)
St Helena Hospital
10 Woodland Road	St Helena	CA	94574	941279779	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
San Joaquin Community Hospital
2615 Chester Avenue	Bakersfield	CA	93301	952294234	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Sierra Vista Hospital Inc
1010 Murray Avenue	San Luis Obispo	CA	93405	952588614	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
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	Yes (1)
Sonora Community Hospital
1000 Greenley Road	Sonora	CA	95370	941415069	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Stone Point Health
1 Adventist Health Way	Roseville	CA	95661	823763347	Supporting organization	CA	501(c)(3)	Line 12b, II	Adventist Health SystemWest	Yes (1)
Twin Cities Community Hospital Inc
1100 Las Tablas Road	Templeton	CA	93465	752918765	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
Ukiah Adventist Hospital
275 Hospital Drive	Ukiah	CA	95482	941639901	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)
United Com-Serve
726 Fourth Street	Marysville	CA	95901	943015356	Skilled nursing/assisted living/home health	CA	501(c)(3)	Line 12b, II	Stone Point Health	Yes (1)
Western Health Resources
1 Adventist Health Way	Roseville	CA	95661	953867863	Home care	CA	501(c)(3)	Line 10	Adventist Health SystemWest	Yes (1)
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	Yes (1)
Willits Hospital Inc
1 Marcela Drive	Willits	CA	95490	680108919	Hospital	CA	501(c)(3)	Line 3	Adventist Health SystemWest	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	UBI Code VUBICodeVAmt
Blue Legacy Ventures LLC
1010 NE 2nd Avenue	Miami	FL	33132	871254649	Real property rental	FL	Adventist Health SystemWest	Excluded	-$406,064	$2,292,049	0	Yes (1)	0.50000
Blue Zones LLC
200 Southdale Center	Edina	MN	55435	271603327	Education	MN	Adventist Health SystemWest	Unrelated	$11,343,014	$47,482,336	0	0	1.00000	-$3,200,327
PAR LLC
8440 SE Sunnybrook Blvd Suite 100	Clackmas	OR	97015	931262371	Senior housing	OR	Adventist Health SystemWest	Unrelated	$950,101	$7,943,734	0	Yes (1)	0.50000	$959,868
PVHR LLC DBA Paradise Village
8440 SE Sunnybrook Blvd Suite 100	Clackmas	OR	97015	260622555	Senior housing	OR	Adventist Health SystemWest	Unrelated	$943,784	$14,312,845	0	Yes (1)	0.50000	$943,784
PVHR2 LLC DBA Parkview Memory Care at Paradise Village
8440 SE Sunnybrook Blvd Suite 100	Clackmas	OR	97015	473300170	Senior housing	OR	Adventist Health SystemWest	Unrelated	-$354,132	$2,988,243	0	Yes (1)	0.50000	-$354,132
WWGHR LLC
8440 SE Sunnybrook Blvd Suite 100	Clackmas	OR	97015	810591221	Rental	OR	Adventist Health SystemWest	Unrelated	$460,159	$3,922,225	0	Yes (1)	0.50000	$460,159

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
AdHealth Limited
PO Box HM 2062	Hamilton	BD	HM HX	Pure captive insurance	BD	Adventist Health SystemWest	C	$109,401	$2,882,536	0.50000	0
Adventist Health Plan Inc
				Health insurance		Adventist Health SystemWest	C	$58,152,429	$17,667,382	1.00000	Yes (1)	1 Adventist Health Way	Roseville	CA	95661	463833261	CA
South Coast Medical Center
				Wind down after sale of hospital		Adventist Health SystemWest	C			1.00000	Yes (1)	1 Adventist Health Way	Roseville	CA	95661	952037291	CA
Thrive Productions Inc
				Production company		Adventist Health SystemWest	C	$19,257		1.00000	Yes (1)	200 Southdale Center	Edina	MN	55435	453369049	MN

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (84 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Adventist Health Clearlake Hospital Inc
L	$19,924,841	FMV
Adventist Health Delano
L	$11,649,206	FMV
Adventist Health Medical Center Tehachapi
L	$6,385,576	FMV
Adventist Health Mendocino Coast
L	$9,646,153	FMV
Adventist Health Physicians Network
L	$19,259,733	FMV
Adventist Health Plan Inc
L	$1,681,437	FMV
Adventist Health Tulare
L	$10,431,474	FMV
Castle Medical Center
L	$25,418,815	FMV
Feather River Hospital
L	$233,553	FMV
Glendale Adventist Medical Center
L	$64,519,145	FMV
Hanford Community Hospital
L	$46,846,964	FMV
Lodi Memorial Hospital Association Inc
L	$32,651,931	FMV
Mid-Columbia Medical Center
L	$10,869,929	FMV
Northwest Medical Foundation of Tillamook
L	$14,503,865	FMV
Portland Adventist Medical Center
L	$39,337,332	FMV
Reedley Community Hospital
L	$22,489,268	FMV
Rideout Memorial Hospital
L	$57,085,937	FMV
San Joaquin Community Hospital
L	$72,825,027	FMV
Sierra Vista Hospital Inc
L	$9,120,801	FMV
Simi Valley Hospital and Health Care Services
L	$24,001,691	FMV
Sonora Community Hospital
L	$34,276,664	FMV
St Helena Hospital
L	$33,910,984	FMV
Twin Cities Community Hospital Inc
L	$5,701,515	FMV
Ukiah Adventist Hospital
L	$27,018,086	FMV
Western Health Resources
L	$5,927,744	FMV
White Memorial Medical Center
L	$71,784,174	FMV
Willits Hospital Inc
L	$9,920,025	FMV
Adventist Health Clearlake Hospital Inc
O	$1,796,212	FMV
Adventist Health Delano
O	$1,644,014	FMV
Adventist Health Medical Center Tehachapi
O	$1,673,229	FMV
Adventist Health Mendocino Coast
O	$2,216,280	FMV
Adventist Health Physicians Network
O	$3,156,668	FMV
Adventist Health Tulare
O	$1,529,001	FMV
Castle Medical Center
O	$4,513,520	FMV
Glendale Adventist Medical Center
O	$8,894,691	FMV
Hanford Community Hospital
O	$7,062,428	FMV
Lodi Memorial Hospital Association Inc
O	$4,633,676	FMV
Mid-Columbia Medical Center
O	$2,389,760	FMV
Northwest Medical Foundation of Tillamook
O	$3,711,370	FMV
Portland Adventist Medical Center
O	$7,419,920	FMV
Reedley Community Hospital
O	$1,993,708	FMV
Rideout Memorial Hospital
O	$7,174,683	FMV
San Joaquin Community Hospital
O	$7,508,967	FMV
Sierra Vista Hospital Inc
O	$2,845,648	FMV
Simi Valley Hospital & Health Care Services
O	$4,466,854	FMV
Sonora Community Hospital
O	$5,018,988	FMV
St Helena Hospital
O	$3,708,997	FMV
Twin Cities Community Hospital Inc
O	$1,294,460	FMV
Ukiah Adventist Hospital
O	$2,803,633	FMV
Western Health Resources
O	$659,712	FMV
White Memorial Medical Center
O	$8,792,388	FMV
Willits Hospital Inc
O	$2,089,447	FMV
Adventist Health Clearlake Hospital Inc
R	$17,851,321	Cash transfer amount
Adventist Health Delano
R	$3,685,782	Cash transfer amount
Adventist Health Foundation
R	$305,284	Cash transfer amount
Adventist Health Medical Center Tehachapi
R	$7,117,565	Cash transfer amount
Adventist Health Plan Inc
R	$792,064	Cash transfer amount
Castle Medical Center
R	$24,957,766	Cash transfer amount
Blue Zones LLC
R	$12,326,224	Cash transfer amount
Blue Legacy Ventures LLC
R	$400,000	Cash transfer amount
Hanford Community Hospital
R	$35,851,743	Cash transfer amount
Lodi Memorial Hospital Association Inc
R	$15,809,742	Cash transfer amount
Northwest Medical Foundation of Tillamook
R	$4,860,771	Cash transfer amount
Reedley Community Hospital
R	$8,447,370	Cash transfer amount
San Joaquin Community Hospital
R	$22,000,298	Cash transfer amount
Sonora Community Hospital
R	$21,826,896	Cash transfer amount
Twin Cities Community Hospital Inc
R	$13,432,927	Cash transfer amount
White Memorial Medical Center
R	$20,164,704	Cash transfer amount
Adventist Health Mendocino Coast
S	$5,442,417	Cash transfer amount
Adventist Health Physicians Network
S	$9,805,815	Cash transfer amount
Adventist Health Tulare
S	$30,432,325	Cash transfer amount
Feather River Hospital
S	$1,360,567	Cash transfer amount
Glendale Adventist Medical Center
S	$64,399,319	Cash transfer amount
PAR LLC
S	$1,190,000	Cash transfer amount
Portland Adventist Medical Center
S	$49,953,665	Cash transfer amount
Rideout Memorial Hospital
S	$59,214,558	Cash transfer amount
Sierra Vista Hospital Inc
S	$1,390,462	Cash transfer amount
Simi Valley Hospital & Health Care Services
S	$38,567,482	Cash transfer amount
South Coast Medical Center
S	$642,520	Cash transfer amount
St Helena Hospital
S	$43,843,478	Cash transfer amount
Ukiah Adventist Hospital
S	$3,606,369	Cash transfer amount
United Com-Serve
S	$908,730	Cash transfer amount
Western Health Resources
S	$3,401,877	Cash transfer amount
AdHealth Limited
R	$3,142,354	Cash transfer amount