2025-11-06T18:01:56-06:00 2024-12-31 390859910 Baker Tilly Advisory Group LP 2882 Prospect Park Dr Ste 300 Rancho Cordova CA 95670 990 2024-01-01 953484589 Adventist Health SystemWest ADVE 9164060000 1 Adventist Health Way Roseville CA 95661 John Beaman Chief Financial Officer 9164060000 2025-11-06 1 0 Lauren A Haverlock P00545829 9165038100 2025-10-26 2024 2025-03-06 01:10:19Z Adventist Health Kerry Heinrich 1 Adventist Health Way Roseville CA 95661 890277866 0 1071 X www.adventisthealth.org/ X 1980 CA Living God's love by inspiring health, wholeness and hope. 14 13 5304 0 22755271 2012405 170500603 1353068 596912945 705881770 78310806 100244370 78803935 82798658 924528289 890277866 1989125 799687 0 0 349916939 384355455 0 0 2455052 584411616 583564207 936317680 968719349 -11789391 -78441483 3556726200 5013873665 3292390962 4717444360 264335238 296429305 X Living God's love by inspiring health, wholeness and hope. 0 0 367632321 799687 701979797 See Schedule O 367632321 1 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 1 0 0 1 1 0 0 0 0 0 1 0 1 1 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 3064 0 1 5304 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 14 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CA X John Beaman CFO 9164060000 1 Adventist Health Way Roseville CA 95661 X Heinrich Kerry Director/CEO 50.00 0.00 X X 3974195 0 57975 Freedman John Dir/Chair 4.00 0.00 X X 27203 0 0 Newton Bradford Dir/Vice Chair 4.00 0.00 X X 26939 0 0 Cherry Robert Director 4.00 0.00 X 26611 0 0 Davis Andrew Director 4.00 0.00 X 26611 0 0 Innocent Larry Director 4.00 0.00 X 26611 0 0 Reiner Richard Director 4.00 0.00 X 26611 0 0 Wagner Jack Director 4.00 0.00 X 21611 0 0 Woodson Marc Director 4.00 0.00 X 21611 0 0 Salazar Velino Director thru 09/24 4.00 0.00 X 21181 0 0 Fehr Joy Director 4.00 0.00 X 18680 0 0 Beckett Ann Director as of 01/24 4.00 0.00 X 17930 0 0 Daggett Jonathan Director as of 01/24 4.00 0.00 X 16180 0 0 Jutzy Kenneth Director as of 01/24 4.00 0.00 X 16180 0 0 Cress John Director as of 10/24 4.00 0.00 X 430 0 0 Hofheins Todd COO/Assistant Secretary 50.00 0.50 X 2407675 0 65992 Beaman John Chief Financial Officer 50.00 0.50 X 1980861 0 79808 Jobe Meredith Secretary 50.00 0.50 X 1221104 0 57975 Stevens Eric - Pres N CA Net Pres, N Coast Svc Area as of 07/24 0.00 50.50 X 1886146 0 57975 Nahapetian Arby Chief Clinical Officer 30.00 20.00 X 1759258 0 79808 Wells Jason President, Central CA Network 0.00 50.00 X 1543056 0 79808 Newmyer Joyce - Pres OR State Ntwrk thru 04/24/Chief People Officer 20.00 30.00 X 1338907 0 61374 Issai Alice President, AHGL 0.00 50.00 X 1153017 0 57975 Ashlock Ryan - Pres Central Coast Service Area as of 06/24 0.00 50.00 X 1092176 0 74790 Kofl Andrea Network President thru 04/24 0.00 50.00 X 1085827 0 54194 Raffoul John President, AHWM 0.00 50.00 X 1076425 0 57975 Seibold Brandon - Finance Strategy Growth and Dev Executive 50.00 0.00 X 1030012 0 52740 Stemmler Jennifer Chief Information Officer 50.00 0.00 X 1009131 0 62479 Takahashi Patrick System Chief Medical Officer, AHWM 0.00 50.00 X 1024296 0 29424 Liebowitz Jacalyn System Chief Nursing Officer 50.00 0.50 X 987297 0 65573 Burke James System Chief Medical Officer, PNMG 0.00 50.00 X 938276 0 79808 Champlin Christopher President, AHRO 0.00 48.00 X 938333 0 57975 Jamaleddine Ghassan Medical Officer, AHBD 0.00 50.00 X 882388 0 79808 King Kyle - President Service Area as of 04/24 0.00 50.00 X 863249 0 57996 Howe Judson - President North Coast Network thru 07/24 0.00 50.00 X 830097 0 79497 Settelmayer Daniel Deputy General Counsel 50.00 0.00 X 858057 0 40140 Kim Edward - Chief Admin Officer, Physician Enterprise 0.00 50.00 X 809710 0 57637 Ayala Raul - Ambulatory Medical Officer, Central CA Network 0.00 50.00 X 820554 0 36137 Ho Kingman Chief Medical Officer, AHGL 0.00 50.00 X 747119 0 122225 Knox Dennis President & CEO, AHCG thru 04/24 0.00 40.00 X 809238 0 33547 Herber Steven President, AHSH 0.00 50.00 X 783802 0 57975 Rippey Wesley Area Medical Officer, AHPL 0.00 50.00 X 796263 0 37321 Swenson Jennifer President, AHSV 0.00 50.00 X 749771 0 79582 Wing Bill - Former Dir/Vice Chair/Asst Secr thru 01/22 0.00 0.00 X 273263 0 0 Wolcott Daniel - Former Pres Kern Cty Ntwk/Pres, AHBD thru 01/23 0.00 0.00 X 704271 0 65778 Larsen David - Former Senior Finance Officer thru 04/23 0.00 0.00 X 573565 0 59142 Whetstine Tyler - Former Chief Information Officer thru 08/22 0.00 0.00 X 206085 0 16941 37447813 0 1957374 1228 1 1 1 Huron Managed Services LLC 550 W Van Buren St Ste 1700 Chicago IL 60607 Software & coding services 30865198 Oracle America Inc PO Box 884471 Los Angeles CA 90088 Patient billing 18462297 Brown Parker & DeMarinis Advertising 5100 Town Center Cir Ste 300 Boca Raton FL 33486 Staffing placement 18392551 HRMG 3075 E Imperial Hwy Ste 200 Brea CA 92821 Revenue cycle services 4924705 Conifer Revenue Cycle Solutions LLC PO Box 655025 Dallas TX 75265 Revenue cycle services 4471794 127 870615 482453 1353068 Management fees 541610 673029801 669127828 3901973 Other program service revenue 621990 32851969 32851969 705881770 100244370 100244370 1768946 0 1768946 1768946 1768946 Health plan liability adj 561000 32360406 32360406 Settlement proceeds 900099 20000000 20000000 Vendor rebates 621990 15407689 9494015 5913674 13261617 9359283 3902334 81029712 890277866 701979797 22755271 164189730 X 775757 775757 23930 23930 34123209 34123209 2433943 534897 1899046 268778683 61236817 206483753 1058113 20340948 4234506 16033586 72856 37247311 7936494 29173555 137262 21431361 5707481 15650307 73573 9904036 9904036 4847442 4847442 4512084 4512084 128513982 25699492 102690479 124011 27962157 27962157 8961611 623700 8290690 47221 198716812 183009255 14798676 908881 2781212 2602651 177598 963 3280109 866003 2386559 27547 328132 58480 267197 2455 44914856 44850489 64367 12820772 6057333 6763439 371490 371490 Interest paid to market 57347443 57347443 Loss on debt refinancin 30300000 30300000 Patient care supplies 19350837 19348667 2170 Income taxes 1290007 1200007 90000 27361225 2494872 24866353 968719349 367632321 598631976 2455052 28448280 102364577 0 122136 692474 0 62516224 71705553 10114342 1851248 50121480 60785170 668815646 349257078 249409035 319558568 1511266062 1854242904 537788397 524860561 234845616 291985864 871524290 1786397084 3556726200 5013873665 379311420 379572439 88889 14952246 2527572068 3595116869 199698875 114864513 185719710 612938293 3292390962 4717444360 X 257904047 289833286 6431191 6596019 264335238 296429305 3556726200 5013873665 X -78441483 29288288 55949000 25298262 X 0 1 X 1 1 1 X 656685 5429366 2110989 170500603 1353068 180050711 691252418 835563627 915627406 600413029 757928797 3800785277 691909103 840992993 917738395 770913632 759281865 3980835988 14672358 17499877 17712338 12996927 15518628 78400128 0 14672358 17499877 17712338 12996927 15518628 78400128 3902435860 4347721 6697052 23283234 80290408 102013316 216631731 4347721 6697052 23283234 80290408 102013316 216631731 61655228 34557743 6919716 78163639 44176414 225472740 757912052 882247788 947941345 929367679 905471595 4422940459 0.88230 0.90300 0.04900 0.02980 X Schedule A, Part III, Line 12, Explanation of Other Income: Miscellaneous revenue RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7539056 2012511 1847682 7703885 3904740 5059275 1424959 7539056 2429911 1545289 70460 3904740 2383951 528802 482842 2429911 3418916 656685 1691650 2383951 0.14381 0.00000 0.85619 0 0 44941599 44941599 133726124 30953495 102772629 98250279 2192820 96057459 391897644 316110763 75786881 319558568 Hedge funds 273108035 F Partnership interests 251752526 F 524860561 Program related investments 189739258 F Investment in subsidiary - Blue Zones, LLC 102246606 F 291985864 Receivables from related organizations 1697472234 Other assets 57012042 Other receivables 30493475 Right-of-use assets 1419333 1786397084 Deferred lease 412366344 Malpractice liability 89384973 Workers' compensation liability 78930001 Payables to third-party payors 28571887 Other liabilities 3632161 Income tax payable 52927 612938293 X 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. 0 Central America and the Caribbean 0 0 Program services Administration, legal and accounting fees 72500 Central America and the Caribbean 0 0 Program services Reinsurance fees 3142354 Sub-Saharan Africa 0 0 Grants to recipients in region N/A 23930 Central America and the Caribbean 0 0 Investments in region N/A 357704611 Europe 0 0 Program services Program services 228864 Europe 0 0 Investments in region N/A 3238673 0 0 0 0 0 0 364410932 0 364410932 Sub-Saharan Africa Mission Support 23930 Wire transfer 0 1 0 1 0 1 1 1 0 Part I, line 3: Accrual method 1 Center for Youth Evangelism 4145 E Campus Circl Drive Suite S103 Berrien Springs MI 49104 273294817 501(C)(3) 10000 0 Donation/sponsorship NAAHHR 405 West Grand Avenue Dayton OH 45405 520643036 501(C)(6) 6000 0 Donation/sponsorship North Pacific Union Conference of Seventh-day Adventists 5709 N 20th Street Ridgefield WA 98642 936022695 501(C)(3) 15000 0 Donation - Gleaner subsidy Pine Hills Adventist Academy 13500 Richards Lane Auburn CA 95603 680260457 501(C)(3) 32500 0 Donation/sponsorship Sacramento Adventist Academy 5601 Winding Way Carmichael CA 95608 941431179 501(C)(3) 53000 0 Donation/sponsorship Walla Walla University 204 S College Avenue College Place WA 99324 910617727 501(C)(3) 473056 0 Support for Center for Humanitarian Engagement 5 1 Part I, Line 2: 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. X X 1 1 X X X X 1 1 0 0 0 0 0 0 0 Heinrich Kerry Director/CEO 2342000 0 1586113 0 46082 0 13296 0 44679 0 4032170 0 0 0 Hofheins Todd COO/Assistant Secretary 1474000 0 888115 0 45560 0 13296 0 52696 0 2473667 0 0 0 Beaman John Chief Financial Officer 1261000 0 698818 0 21043 0 13296 0 66512 0 2060669 0 0 0 Stevens Eric - Pres N CA Net Pres, N Coast Svc Area as of 07/24 1196000 0 495682 0 194464 0 13296 0 44679 0 1944121 0 0 0 Nahapetian Arby Chief Clinical Officer 1111000 0 458435 0 189823 0 13296 0 66512 0 1839066 0 0 0 Wells Jason President, Central CA Network 968000 0 423321 0 151735 0 13296 0 66512 0 1622864 0 0 0 Newmyer Joyce - Pres OR State Ntwrk thru 04/24/Chief People Office 934154 0 378860 0 25893 0 16695 0 44679 0 1400281 0 0 0 Jobe Meredith Secretary 796100 0 281132 0 143872 0 13296 0 44679 0 1279079 0 0 0 Issai Alice President, AHGL 733259 0 284820 0 134938 0 13296 0 44679 0 1210992 0 0 0 Ashlock Ryan - Pres Central Coast Service Area as of 06/24 634923 0 129977 0 327276 0 13296 0 61494 0 1166966 0 0 0 Kofl Andrea Network President thru 04/24 203715 0 284676 0 597436 0 10186 0 44008 0 1140021 0 0 0 Raffoul John President, AHWM 688000 0 233914 0 154511 0 13296 0 44679 0 1134400 0 0 0 Seibold Brandon - Finance Strategy Growth and Dev Executive 677968 0 247609 0 104435 0 13296 0 39444 0 1082752 0 0 0 Stemmler Jennifer Chief Information Officer 677476 0 229055 0 102600 0 13296 0 49183 0 1071610 0 0 0 Takahashi Patrick System Chief Medical Officer, AHWM 663916 0 258670 0 101710 0 13296 0 16128 0 1053720 0 0 0 Liebowitz Jacalyn System Chief Nursing Officer 619000 0 276071 0 92226 0 13296 0 52277 0 1052870 0 0 0 Burke James System Chief Medical Officer, PNMG 663916 0 183670 0 90690 0 13296 0 66512 0 1018084 0 0 0 Champlin Christopher President, AHRO 690000 0 155763 0 92570 0 13296 0 44679 0 996308 0 0 0 Jamaleddine Ghassan Medical Officer, AHBD 632373 0 184644 0 65371 0 13296 0 66512 0 962196 0 0 0 King Kyle - President Service Area as of 04/24 666769 0 131700 0 64780 0 13296 0 44700 0 921245 0 0 0 Howe Judson - President North Coast Network thru 07/24 326174 0 206444 0 297479 0 13296 0 66201 0 909594 0 0 0 Settelmayer Daniel Deputy General Counsel 635000 0 120725 0 102332 0 13296 0 26844 0 898197 0 0 0 Ho Kingman Chief Medical Officer, AHGL 356103 0 166064 0 224952 0 13296 0 108929 0 869344 0 0 0 Kim Edward - Chief Admin Officer, Physician Enterprise 286983 0 163890 0 358837 0 13296 0 44341 0 867347 0 0 0 Ayala Raul - Ambulatory Medical Officer, Central CA Network 602279 0 159029 0 59246 0 13296 0 22841 0 856691 0 0 0 Knox Dennis President & CEO, AHCG thru 04/24 231387 0 93323 0 484528 0 5272 0 28275 0 842785 0 0 0 Herber Steven President, AHSH 559000 0 121819 0 102983 0 13296 0 44679 0 841777 0 0 0 Rippey Wesley Area Medical Officer, AHPL 551182 0 131994 0 113087 0 13296 0 24025 0 833584 0 0 0 Swenson Jennifer President, AHSV 375231 0 130996 0 243544 0 13296 0 66286 0 829353 0 0 0 Wolcott Daniel - Former Pres Kern Cty Ntwk/Pres, AHBD thru 01/23 0 0 0 0 704271 0 0 0 65778 0 770049 0 0 0 Larsen David - Former Senior Finance Officer thru 04/23 0 0 0 0 573565 0 0 0 59142 0 632707 0 0 0 Wing Bill - Former Dir/Vice Chair/Asst Secr thru 01/22 0 0 0 0 273263 0 0 0 0 0 273263 0 0 0 Whetstine Tyler - Former Chief Information Officer thru 08/22 0 0 0 0 206085 0 0 0 16941 0 223026 0 0 0 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 A CSCDA Series A 2007 680164610 13080SYC2 2007-05-08 57500000 See Part VI 0 0 0 B CHFFA Series B 2009 521643828 13033LBC0 2009-05-20 30000000 See Part VI 0 0 0 C CHFFA Series A 2013 521643828 13033LS65 2013-02-14 208420907 See Part VI 0 0 0 D CHFFA Series A 2013 521643828 13033LS57 2013-02-14 100741934 See Part VI 0 0 0 A 21440000 57500000 643910 1409177 4480297 50966616 2010 0 0 1 1 B 30000000 216916 29783084 2009 0 0 1 1 C 67620000 208420907 979977 207440930 2016 1 0 1 1 D 9415000 100741934 741934 100000000 2016 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 1 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 1 0 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 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. A CSCDA Series A 2015 680164610 13080SJL9 2015-06-30 157990834 See Part VI 0 0 0 B CSCDA Series A 2015 680164610 13080SJM7 2015-06-30 42422999 See Part VI 0 0 0 C CHFFA Series A 2016 521643828 13032UGL6 2016-09-08 309720490 See Part VI 0 0 0 D CSCDA Series A 2018 680164610 13080SWK6 2018-09-27 272074615 See Part VI 0 0 0 A 23696400 157990834 1493445 9150 156488239 2015 1 0 1 1 B 6683600 42422999 420423 2576 42000000 2019 0 0 1 1 C 76880000 309720490 2280369 307440121 2016 1 1 1 1 D 6015000 272074615 2098459 242976156 27000000 2019 0 1 1 1 A 0 1 0 0 0.00000 0.00020 0.00020 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 A HFA Multnomah 2019 931266280 62551PCX3 2019-11-13 60886489 See Part VI 0 0 0 B CHFFA Series A 2022 521643828 13032UG93 2022-12-15 100322608 See Part VI 0 0 0 C CHFFA Series A 2023 521643828 13032UH50 2023-12-12 95000000 See Part VI 0 0 0 D CHFFA Series B 2023 521643828 13032UJ33 2023-12-21 77095000 See Part VI 0 0 0 A 60886489 493229 60393260 2019 1 0 1 1 B 100322608 321046 76016714 23985848 0 0 0 1 C 95000000 81927161 13072839 0 0 0 1 D 1990000 77095000 4030 77090970 2023 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 D 1 A CHFFA Series A 2024 521643828 13032UT40 2024-05-23 667634862 See Part VI 0 0 0 A 667634862 2629706 25409620 492496356 147099180 0 1 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 Ashlock R Key employee Relocation X 1050000 1038336 0 1 1 Beaman J Officer Relocation X 335000 271140 0 1 1 Beaman J Officer Supplemental retirement CASD X 6851349 7173359 0 1 1 Champlin C Key employee Relocation X 300000 288287 0 1 1 Heinrich K Officer Relocation X 1441922 1089552 0 1 1 Heinrich K Officer Supplemental retirement CASD X 17478824 18487282 0 1 1 Hofheins T Officer Relocation X 500000 488036 0 1 1 Hofheins T Officer Supplemental retirement CASD X 5618667 5906090 0 1 1 Howe J Key employee Relocation X 460500 448989 0 1 1 Jamaleddine G Key employee Relocation X 150000 144100 0 1 1 Jobe M Officer Relocation X 100000 43200 0 1 1 Larsen D Former key employee Relocation X 150000 136500 0 1 1 Liebowitz J Key employee Relocation X 150000 138600 0 1 1 Nahapetian A Key employee Relocation X 750000 633928 0 1 1 Newmyer J Key employee Relocation X 400000 393600 0 1 1 Newmyer J Key employee Supplemental retirement CASD X 5103831 5327513 0 1 1 Seibold B Key employee Relocation X 800000 666147 0 1 1 Stemmler J Key employee Relocation X 200000 193200 0 1 1 Stevens E Key employee Relocation X 200000 191600 0 1 1 Wagner J Director Supplemental retirement CASD X 6671634 6980529 0 1 1 Wells J Key employee Relocation X 1000000 956273 0 1 1 Wells J Key employee Supplemental retirement CASD X 2574282 2652151 0 1 1 Wing B Former officer Relocation X 200000 175050 0 1 1 Wing B Former officer Supplemental retirement CASD X 16975107 17882091 0 1 1 71705553 Newton Tyler Family member of director Bradford Newton 534897 Employment compensation 0 Part II, Supplemental Retirement Benefits: 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. 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. Adventist Health Outpatient Pharmacy Services LLC 1 Adventist Health Way Roseville CA 95661 882950026 Fortify Market holding CA 13411529 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 25000 7700872 Adventist Health SystemWest Paradise Skyway LLC 1 Adventist Health Way Roseville CA 95661 Real estate holdings CA 0 0 Adventist Health SystemWest Adventist Health Clearlake Hospital Inc 15630 18th Avenue Clearlake CA 95422 680395149 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Adventist Health Delano 1401 Garces Hwy Delano CA 93215 770258013 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Adventist Health Foundation 1 Adventist Health Way Roseville CA 95661 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