ADVENTIST HEALTH SYSTEM-WEST: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: ADVENTIST HEALTH SYSTEM-WEST (EIN 95-3484589)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-17
IRS object ID: 201403219349312635
Schema version: 2013v3.1
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 C
Schedule D
Schedule F
Schedule I
Schedule J
Schedule K
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-17T18:36:59-08:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	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	BusinessNameLine1
Business Name Line2	DBA Adventist Health	BusinessNameLine2

Field	Value	IRS element (for citing)
Business Name Control	ADVE	BusinessNameControlTxt
Phone	9167812000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 Douglas Blvd	AddressLine1
City	Roseville	City
State	CA	State
ZIP Code	95661	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Jack W Wagner	PersonNm
Person Title	Sr VP/CFO/Treas	PersonTitleTxt
Signature	2014-11-17	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Scott Reiner	PrincipalOfficerNm
Gross Receipts	$296,500,295	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
All Affiliates Included	false	AllAffiliatesIncludedInd
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	To share God's love by providing physical, mental and spiritual healing.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	1311	TotalEmployeeCnt
Total Gross UBI	$1,749,238	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$113,341	NetUnrelatedBusTxblIncmAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$170,379,447	PYProgramServiceRevenueAmt
CY Program Service Revenue	$232,829,373	CYProgramServiceRevenueAmt
PY Investment Income	$51,866,833	PYInvestmentIncomeAmt
CY Investment Income	$46,358,808	CYInvestmentIncomeAmt
PY Other Revenue	$438,855	PYOtherRevenueAmt
CY Other Revenue	$1,925,398	CYOtherRevenueAmt
PY Total Revenue	$222,685,135	PYTotalRevenueAmt
CY Total Revenue	$281,113,579	CYTotalRevenueAmt
PY Grants And Similar Paid	$383,970	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$524,575	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$128,060,311	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$145,066,208	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$115,332,499	PYOtherExpensesAmt
CY Other Expenses	$190,775,000	CYOtherExpensesAmt
PY Total Expenses	$243,776,780	PYTotalExpensesAmt
CY Total Expenses	$336,365,783	CYTotalExpensesAmt
PY Revenues Less Expenses	-$21,091,645	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$55,252,204	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,415,903,800	TotalAssetsBOYAmt
Total Assets EOY	$1,537,220,164	TotalAssetsEOYAmt
Total Liabilities BOY	$1,350,386,593	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,526,955,161	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$65,517,207	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$10,265,003	NetAssetsOrFundBalancesEOYAmt
Mission	To share God's love by providing physical, mental and spiritual healing.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$331,534,180	ExpenseAmt
Grant	$686,625	GrantAmt
Revenue	$233,112,132	RevenueAmt
Desc	Adventist Health is a faith-based, not-for-profit integrated health care delivery system serving communities in California, Hawaii, Oregon and Washington. Our workforce of 28,900 includes more than 20,500 employees; 4,500 medical staff physicians; and 3,600 volunteers. Founded on Seventh-day Adventist health values, Adventist Health provides compassionate care in 19 hospitals, more than 220 clinics (hospital-based, rural health and physician clinics), 14 home care agencies, seven hospice agencies and four joint-venture retirement centers.Adventist Health's vision is to be a recognized leader in mission focus, quality care and fiscal strength. Our facilities do this by engaging their respective communities and patients in a partnership for personal and community health. Mission-drivenOur mission, to share God's love by providing physical, mental and spiritual healing, compels us to provide quality health care regardless of age, sex, national origin, handicap or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of our system both now and in the future, not everyone is able to pay for the essential medical services provided by our facilities. Instead of turning these people away, Adventist Health provides low or no cost services and a variety of programs to minister to their needs.Adventist Health has combined its mission and vision with strong organizational structure and leadership. Our facilities enjoy benefits by belonging to a larger system that continually seeks to enhance its ability to serve: pooled services, a centralized cash management program, economies of scale and purchasing power to name a few.The corporate office champions and directs a number of programs that are aimed at improving the organization as a whole. A selection of our significant endeavors include strategic planning, delivery of care and care transformation, information technology, risk management, materiel management and financial analytical support. Each of these functions benefits every facility in some way.From time to time, extraordinary needs arise that require specialized attention and support. Fortunately, pooling resources and expertise at the corporate level makes this possible and easily accessible. Community Health DevelopmentWords like prevention, wellness and partnerships are more than the latest buzzwords at Adventist Health. Since St. Helena Sanitarium opened its doors 136 years ago in Californias picturesque Napa Valley, the heritage of the Seventh-day Adventist Church has been about wholeperson health. Adventist Health not only strives to promote individual health as well as healthy families and communities a natural fit in todays population health environment. With health care reform in full-swing, Adventist Health has dedicated a team to develop and deploy our Mission Model: The Adventist Health Way. The Mission Model embodies the three core care elements contained in Adventist Healths mission - sharing Gods love through physical, mental and spiritual healing and seeks to empower our populations to live healthier lives.In 2013, each of our hospitals completed a comprehensive triennial community health needs assessment. Through the analysis of these results, each hospital has chosen priority areas unique to the communities they serve. Adventist Health believes where and how we live is vital to our health. Building healthy communities requires working together with a common purpose and belief. Communities, schools, work places and health care systems working together makes healthy choices the easy choice.Adventist Health partnered with 30 community churches across the system to integrate population health programs in their congregations, with the intent for these congregations to be recognized as wellness centers in their communities.Population HealthPopulation health is a whole-person, outcomes-based approach that works to improve the health of entire communities. It requires collaboration among researchers, providers, public health entities and policy makers. Population health aligns with Adventist Healths philosophy of care and, as overall health declines in North America, provides unprecedented opportunities.Adventist Health believes that improving the health status of entire populations begins at home. In 2013, Adventist Health introduced two health plans for employees and their families: Engaged! and Base. Both plans offer wellness-focused programs and tools, including a wellness website, fitness activities, nutrition guidance, smoking cessation workshops, and more. As an incentive for employees and their families to take a more active role in their wellbeing, the Engaged! Plan offers lower contributions and deductibles. Participants complete a biometric screening and wellness assessment. And those with high-risk conditions take part in a free care-management program that provides support and education. Nearly 97 percent of employees signed up for the Engaged! Plan.The health plans empower employees, their families and, by extension, the larger community to take an active role in managing their health so they may live vibrant and productive lives.In addition to the two health plans, Adventist Health launched a population health initiative and create a core of seven projects for first five-year focus. An interdisciplinary care team was established which included a medical director, care managers, a registered dietician, clinical pharmacist and other support personnel, to focus on specific population health metrics and improvement of care.Care TransformationCare Transformation in Adventist Health reflects our promise to deliver and continually improve care and patient experience while extending our mission across all care settings. The vision created by the Adventist Health Care Model focuses our transformation efforts by effectively blending people, processes, and technology. It includes consistent design, delivery and evaluation of care performance.Our caregivers are working hard every day to exceed top quartile regulatory and quality performance requirements. In 2013, our hospitals as well as the hospital-based home care agencies and clinics were once again accredited through The Joint Commission to ensure the safest, highest quality health care we can provide.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Desc	QualityAdventist Health focuses not only on quality patient care, but also provides a quality work environment for its employees. Maintaining a culture of teamwork and safety among its clinicians and staff is a crucial component to the Care Transformation Model. For the past five years, we have participated in the "Safety Attitude Questionnaire." The survey provides Adventist Health with insight into focused areas where actions can be taken to improve the safety and teamwork climate in clinical departments.This past year, Adventist Health presented its culture results at the Institute for Health Care Improvements annual conference. A key piece to the culture results is the strong and continued increase in the spirituality culture which is consistent with our faith-based mission.Physician AlignmentAmbulatory care clinics throughout Adventist Health provide general medical care as well as specialized care for patients of all ages in an outpatient setting. Adventist Health PhysicianServices (AHPS) operates within a variety of clinic models, including direct employment, hospital-based clinics, rural health clinics and a medical foundation.Adventist Health Physician Services provides comprehensive management services for all physician models operated across our four-state system. The AHPS management team provides key leadership and business functions such as administrative, operational, financial and clinical services, recruitment, acquisitions, and information and application technology.Our physician practices are characterized by clinical excellence and have a reputation for quality service; high physician satisfaction with the working environment; high patient satisfaction; and a physician-driven culture that continually works on improvements and is accountable for results.Active partnerships with our physicians are critical for building clinically integrated networks that can meet the demands of health care reform. By developing new partnerships, we can reach beyond the doors of our clinics to maintain a healthier population in our communities. Our delivery of highly coordinated care and involvement of patients and their families with healthcare decisions is integral to our goal of providing whole person care, the core of our mission and values.Rural Health Clinics As an extension of our mission, high quality services are provided to small communities where access to care is often significantly less available than more urbanized areas. People living in rural or underserved communities are often at a disadvantage when accessing health care. The Rural Health Services Department provides consultation and support services to Rural Health Clinics (RHCs) affiliated with Adventist Health hospitals. At the end of 2013, we had more than 50 clinics providing health care to underserved populations throughout Northern and Central California, Oregon and Washington. Our system of rural health continue to be the largest network of clinics in the state of California (more than 10 percent of the RHCs in the state are part of Adventist Health). Our RHC network is also one of the largest, representing almost one percent of the nations RHCs.Services of this corporate department include financial monitoring, program audits, operational support, professional development, advocacy and education regarding new regulations. But the real evidences of success are the patients served858,500 visits in 2013 (50,000 more than in 2012). Thanks to the RHCs, many of the communitys most disenfranchised now have access to primary care, dentistry, womens and childrens services and health education. A variety of specialty care is also available at many RHC locations, including four behavioral health programs.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Desc	Home Care ServicesAdventist Health/Home Care Services offers advanced, quality health care in an at-home setting by operating 14 home health agencies and seven hospices. In 2013, care, compassion and quality services were provided with 234,688 home health visits and 80,386 hospice days. Many of the agencies provide specialized programs and treatment plans, such as pediatric, diabetes and palliative care. Through home care, Adventist Health offers personal care in 13 counties throughout the network, which helps patients stay at home and maintain as much independence as possible. To further assist with the needs of our patients four home medical equipment agencies supply oxygen, mobility aids, respiratory service and even Lifeline.In 2013, Home Care Services acquired a hospice license bringing quality Christian end of life care to the Southern California Region. Hospice also implemented a new medication management program reducing costs while ensuring patient comfort.Continued programs are also being developed to meet the nations priorities to reduce re-hospitalization and to improve the health of those with chronic conditions.Developing a TeleHealth Network The Adventist Health TeleHealth Network allows health care professionals to evaluate, diagnose and treat patients in both remote and urban locations using telecommunications technology. Telehealth is the umbrella term for the group of services and functions that include Telemedicine, Telepharmacy, TeleICU, Teleradiology, and Telepathology, but which also includes and can support regional health information sharing, patient education and provider networking. In 2013, Adventist Health began a collaboration with Blue Shield of California to bring needed specialty care to rural communities throughout Central and Northern California through the use of Telemedicine. The TeleHealth Network installed interactive video technology in nine rural health clinics and expects to expand to more than 25 rural communities by the end of 2014. Telemedicine 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 Healths mission of bringing high quality health and healing to the communities it serves, and is consistent with the organizations focus on innovation, strategic growth, and population health. Building for Tomorrow Through strategic planning and oversight of capital allocation as well as financing, the Adventist Health board has authorized major building projects and campus improvements to enhance the delivery of care in the communities we serve. These improvements range from retrofitting existing structures to new patient towers, establishing convenient clinics and enlarging emergency departments outfitted with the latest technology and equipment. Adventist Health is also building a new facility to replace the existing Frank R. Howard Memorial Hospital in Willits, Calif., which will increase beds and improve community care, while meeting all seismic safety requirements.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$331,534,180	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	7576	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1311	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Excess Business Holdings	false	ExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Org Filed In Lieu Of Form1041	false	OrgFiledInLieuOfForm1041Ind
Licensed More Than One State	false	LicensedMoreThanOneStateInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Jack Wagner	PersonNm
Phone	9167812000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 Douglas Blvd	AddressLine1
City	Roseville	City
State	CA	State
ZIP Code	95661	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionAGrp (49 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Caviness Larry
Director	2.00	0.00	Yes (X)	$2,263	$0	$0
Dickinson Charles
Director	2.00	0.00	Yes (X)	$5,021	$0	$0
Fike Ruthita
Director	2.00	0.00	Yes (X)	$576	$0	$0
Friestad Christine
Director	2.00	0.00	Yes (X)	$1,783	$0	$0
Gabriel Melody
Director	2.00	0.00	Yes (X)	$1,443	$0	$0
Graham Ricardo
Dir/Chair	2.00	0.00	Yes (X)	$3,020	$0	$0	Yes (X)
Innocent Larry
Director	2.00	0.00	Yes (X)	$1,410	$0	$0
Jones Helmuth
Director	2.00	0.00	Yes (X)	$2,260	$83,200	$0
Reimche Allan
Director	2.00	0.00	Yes (X)	$2,070	$0	$0
Rippey Wesley
Director	2.00	0.00	Yes (X)	$1,559	$95,370	$0
Torkelsen Max
Dir/V Chair	2.00	0.00	Yes (X)	$2,799	$0	$0	Yes (X)
Carmen Robert
Dir/Pres/CEO	50.00	0.00	Yes (X)	$1,469,005	$0	$44,835	Yes (X)
Reiner Scott
Dir/Sec/ExecVP	50.00	0.00	Yes (X)	$1,075,867	$0	$198,380	Yes (X)
Rebok Douglas
AsstSec/CFO/SVP	50.00	0.00		$787,365	$0	$162,365	Yes (X)
Wehtje Rodney
AsstSec/VP	50.00	0.00		$508,359	$0	$105,863	Yes (X)
Wing Bill
AsstSec/Sr VP	50.00	0.00		$782,125	$0	$172,894	Yes (X)
Ashlock Mark
Sr VP Physician Strategy	50.00	0.00		$776,511	$0	$159,345		Yes (X)
Bancarz Gloria
VP/CNO	50.00	0.00		$414,512	$0	$77,583		Yes (X)
Beaman John
VP Finance/SFO	50.00	0.00		$427,954	$0	$100,256		Yes (X)
Berry Stanley
VP	50.00	0.00		$401,855	$0	$32,307		Yes (X)
Church Lowell
VP Materiel Mgmt	50.00	0.00		$331,100	$0	$75,774		Yes (X)
Conklin Jeffrey
VP/Pres Managed Care	50.00	0.00		$503,386	$0	$133,203		Yes (X)
Doram Keith MD
VP Clin Effectiveness/CMO	50.00	0.00		$718,306	$0	$151,233		Yes (X)
Ferch Wayne
VP/Pres CVN	50.00	0.00		$509,883	$0	$126,744		Yes (X)
Jakobsen Dag
VP	50.00	0.00		$398,720	$0	$85,245		Yes (X)
Jobe Meredith Esq
VP/General Counsel	50.00	0.00		$353,214	$0	$82,389		Yes (X)
Marchuk Robert
VP Ancillary Svcs	50.00	0.00		$337,488	$0	$75,028		Yes (X)
McKague Kirby
VP	50.00	0.00		$415,754	$0	$92,592		Yes (X)
Nakamura Peggy Esq
VP Risk Mgmt	50.00	0.00		$375,130	$0	$74,834		Yes (X)
Newmyer Terrance
VP/Pres NCN	50.00	0.00		$638,878	$0	$133,420		Yes (X)
Olson JoAline
Sr VP/CHRO/Innovation	50.00	0.00		$1,520,944	$0	$102,047		Yes (X)
Ormerod David MD
VP	50.00	0.00		$426,280	$0	$92,174		Yes (X)
Rhodes Daniel
VP Phys/Home Hlth Cont	50.00	0.00		$225,490	$0	$32,574		Yes (X)
Soderblom Alan
VP/CIO	50.00	0.00		$554,855	$0	$122,633		Yes (X)
Zachary Beth
VP/Pres SCN	50.00	0.00		$807,928	$0	$120,824		Yes (X)
Beehler Robert
VP Mkt Dev, M&A	50.00	0.00		$946,718	$0	$112,452		Yes (X)
Gordon Daniel
VP Rev Mgmt	50.00	0.00		$344,976	$0	$76,803		Yes (X)
Gustin John
VP Facilities	50.00	0.00		$199,240	$0	$23,366		Yes (X)
Leyba Susan
VP Managed Care	50.00	0.00		$234,650	$0	$77,210		Yes (X)
Patterson Leeanne
VP Risk Mgmt	50.00	0.00		$63,305	$0	$5,608		Yes (X)
Wilson Kathleen
VP Benefits Admin	50.00	0.00		$262,690	$0	$41,345		Yes (X)
Heiser Pamela
VP PAMC	50.00	0.00		$1,013,764	$0	$61,240			Yes (X)
Eller Jeff
President SCH	50.00	0.00		$554,429	$0	$112,292			Yes (X)
Roberts Kevin
President GAMC	50.00	0.00		$529,976	$0	$123,629			Yes (X)
Russell Thomas
President PAMC	50.00	0.00		$510,895	$0	$120,714			Yes (X)
Raethel Kathryn
President CMC	50.00	0.00		$453,426	$0	$97,028			Yes (X)
Dodds Larry
Former Dir/V Chair/Sec	0.00	0.00		$216,120	$0	$3,969				Yes (X)
Brewster James
Former VP Finance	0.00	0.00		$111,973	$0	$4,330				Yes (X)
Janke Harry
Former Asst CIO/Asst VP	0.00	0.00		$664,207	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$20,891,482	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$178,570	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,414,528	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	339	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
Cerner Corporation
2800 Rockcreek Parkway	Kansas City	MO	64117	IT Solutions Mgmt	$54,497,887
Huron Consulting Group Inc
12230 El Camino Real	San Diego	CA	92130	Hlthcare. Consulting	$35,644,524
Morgan Hunter Healthcare
7600 W 110th St	Overland Pk	KS	66210	IT Consulting	$4,108,099
GE Healthcare
3000 N Grandview Blvd	Wawkesha	WI	53188	Hlthcare. Consulting	$4,334,783
Envision Pharmaceutical Serv
2181 E Aurora Rd	Twinsburg	OH	44087	Pharmacy Benefit Mgt	$1,896,875

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	86	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Management Fees	900099	$198,383,644	$198,383,644
Prtnrshp Inc Rltd Prgm Sr	541900	$18,136,894	$17,739,058	$397,836
Insurance Trust Reimburse	900099	$14,669,074	$14,669,074
Other Program Service Rev	900099	$1,536,450	$1,536,450
Admin Fees - Health/Flex	561000	$103,311	$103,311

Field	Value	IRS element (for citing)
Total Program Service Revenue	$232,829,373	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$42,623,204	TotalRevenueColumnAmt
Unrelated Business Revenue	$43,265	UnrelatedBusinessRevenueAmt
Exclusion	$42,579,939	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,002,136	TotalRevenueColumnAmt
Exclusion	$2,002,136	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$72,500	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$72,500	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$72,500	TotalRevenueColumnAmt
Exclusion	$72,500	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$16,379,979	SecuritiesAmt
Other	$740,205	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$14,578,117	SecuritiesAmt
Other	$808,599	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,801,862	SecuritiesAmt
Other	-$68,394	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,733,468	TotalRevenueColumnAmt
Exclusion	$1,733,468	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
Clinical Engineering	811000	$1,308,137	$1,308,137
Other Misc Revenue	900099	$282,759		$282,759
Gain on Debt Refinancing	900099	$262,002			$262,002

Field	Value	IRS element (for citing)
Other Revenue Total	$1,852,898	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$281,113,579	TotalRevenueColumnAmt
Related Or Exempt Func Income	$232,714,296	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,749,238	UnrelatedBusinessRevenueAmt
Exclusion	$46,650,045	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	$519,575	TotalAmt
Program Services	$519,575	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$5,000	TotalAmt
Program Services	$5,000	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

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

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$109,811,119	TotalAmt
Program Services	$109,296,358	ProgramServicesAmt
Management And General	$514,761	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,708,133	TotalAmt
Program Services	$7,708,133	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$20,162,712	TotalAmt
Program Services	$20,034,234	ProgramServicesAmt
Management And General	$128,478	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,384,244	TotalAmt
Program Services	$7,384,244	ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,832,137	TotalAmt
Management And General	$2,832,137	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,046,800	TotalAmt
Management And General	$1,046,800	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$52,624,737	TotalAmt
Program Services	$52,590,959	ProgramServicesAmt
Management And General	$33,778	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$194,620	TotalAmt
Program Services	$194,620	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	-$518,670	TotalAmt
Program Services	-$543,706	ProgramServicesAmt
Management And General	$25,036	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$36,720,748	TotalAmt
Program Services	$36,712,644	ProgramServicesAmt
Management And General	$8,104	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,329,593	TotalAmt
Program Services	$4,329,593	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,727,987	TotalAmt
Program Services	$3,704,916	ProgramServicesAmt
Management And General	$23,071	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$590,301	TotalAmt
Program Services	$590,301	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$48,902,811	TotalAmt
Program Services	$48,902,811	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$18,088,965	TotalAmt
Program Services	$18,078,702	ProgramServicesAmt
Management And General	$10,263	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$137,983	TotalAmt
Program Services	$137,983	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Purchased Services	$17,105,948	$16,896,773	$209,175
CHCI Legislative Initative	$3,020,143	$3,020,143
Year End Expense Accrual	$898,017	$898,017
Incentive/Innovation Prg	$468,475	$468,475

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$604,405	TotalAmt
Program Services	$604,405	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$336,365,783	TotalAmt
Program Services	$331,534,180	ProgramServicesAmt
Management And General	$4,831,603	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$21,700	BOYAmt
EOY	$21,700	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$164,934,784	BOYAmt
EOY	$205,733,299	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,263,719	BOYAmt
EOY	$11,605,025	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$1,746,922	BOYAmt
EOY	$2,094,848	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$15,213,850	BOYAmt
EOY	$16,077,800	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$20,463,985	BOYAmt
EOY	$19,345,150	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$238,996,092	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$99,740,624	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$120,944,679	BOYAmt
EOY	$139,255,468	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$141,605,772	BOYAmt
EOY	$158,399,025	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,356,000	BOYAmt
EOY	$9,559,377	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$14,171,244	BOYAmt
EOY	$3,110,977	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$934,181,145	BOYAmt
EOY	$972,017,495	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,415,903,800	BOYAmt
EOY	$1,537,220,164	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$58,977,893	BOYAmt
EOY	$102,946,975	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$26,548	BOYAmt
EOY	$7,353	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$962,530,000	BOYAmt
EOY	$1,009,570,000	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$42,548,295	BOYAmt
EOY	$97,262,119	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$286,303,857	BOYAmt
EOY	$317,168,714	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,350,386,593	BOYAmt
EOY	$1,526,955,161	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$65,517,207	BOYAmt
EOY	$10,265,003	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$65,517,207	BOYAmt
EOY	$10,265,003	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,415,903,800	BOYAmt
EOY	$1,537,220,164	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$55,252,204	ReconcilationRevenueExpnssAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$10,156	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$1,808,763	OtherActivitiesAmt
Total Lobbying Expenditures	$1,818,919	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,116,920	BeginningYearBalanceAmt
Investment Earnings Or Losses	$28,777	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$42,615	GrantsOrScholarshipsAmt
End Year Balance	$1,103,082	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,119,409	BeginningYearBalanceAmt
Investment Earnings Or Losses	$40,580	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$43,069	GrantsOrScholarshipsAmt
End Year Balance	$1,116,920	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,140,318	BeginningYearBalanceAmt
Investment Earnings Or Losses	$37,987	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$58,896	GrantsOrScholarshipsAmt
End Year Balance	$1,119,409	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,132,335	BeginningYearBalanceAmt
Investment Earnings Or Losses	$49,092	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$41,109	GrantsOrScholarshipsAmt
End Year Balance	$1,140,318	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,143,266	BeginningYearBalanceAmt
Investment Earnings Or Losses	$42,727	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$53,658	GrantsOrScholarshipsAmt
End Year Balance	$1,132,335	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	1.00000	BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	false	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,567,459	OtherCostOrOtherBasisAmt
Book Value	$6,567,459	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$593,400	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$7,148,627	OtherCostOrOtherBasisAmt
Depreciation	$6,133,777	DepreciationAmt
Book Value	$1,608,250	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,206,944	OtherCostOrOtherBasisAmt
Depreciation	$1,077,759	DepreciationAmt
Book Value	$129,185	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$198,632,130	OtherCostOrOtherBasisAmt
Depreciation	$92,529,088	DepreciationAmt
Book Value	$106,103,042	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,847,532	OtherCostOrOtherBasisAmt
Book Value	$24,847,532	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$139,255,468	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Adhealth, Ltd	$150,000	C
AmHS Heritage LLC	$4,082	C
The Equitable	$1,087,785	F
Aurora Policies (Split Dollar Life Ins)	$214,510	C
Granite Bay Golf Club	$54,600	C
Adventist Plan Health, Inc.	$1,600,000	C

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Receivables from Related Organizations	$855,538,538
Malpractice Trust Funds	$105,494,746
Other Receivables	$3,067,439
Deferred Financing Costs	$7,916,772

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$972,017,495	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Payables to Related Organizations	$141,739,841
Professional Liability	$104,801,193
Due to Trust Funds	$35,757,389
Deferred Compensation Payable	$18,169,753
Bond Interest Payable	$13,925,738
Other Liabilities	$97,257
Workers Compensation Liability	$2,677,543

Field	Value	IRS element (for citing)
Total Liability	$317,168,714	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Line 4: Intended uses of the endowment fund.	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central Amer & Caribbean	Passive Investments	Progr rel investment	$150,000
Central Amer & Caribbean	Program Service	Reinsurance	$1,407,900
Central Amer & Caribbean	Program Service	Meetings	$4,000
Central Amer & Caribbean	Program Service	Admin Fees	$82,000

Field	Value	IRS element (for citing)
Subtotal Spent	$1,643,900	SubtotalSpentAmt
Total Spent	$1,643,900	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
ADRA
12501 Old Columbia Pike	Silver Spring	MD	20904	521314847	501(c)(3)	$10,000	$0	Typhoon Haiyan
Maranatha Volunteers Intntl
990 Reserve Drive	Roseville	CA	95678	381945104	501(c)(3)	$85,000	$0	School building project
Orangevale SDA School
5810 Pecan Avenue	Orangevale	CA	95662	680178156	501(c)(3)	$10,000	$0	Education related
Pacific Union College
1 Angwin Avenue	Angwin	CA	94508	941279798	501(c)(3)	$85,000	$0	Nursing education
Pine Hills Adventist Academy
13500 Richards Lane	Auburn	CA	95603	680260457	501(c)(3)	$20,000	$0	Building project
Sacramento Adventist Academy
5601 Winding Way	Carmichael	CA	95608	941431179	501(c)(3)	$10,000	$0	Improvements
St Helena Hosp Foundation
10 Woodland Road	St Helena	CA	94574	201384250	501(c)(3)	$200,000	$0	Hospital improvements
Walla Walla University
204 S College Avenue	College Place	WA	99324	910617727	501(c)(3)	$58,000	$0	Education - Health Care Related

Field	Value	IRS element (for citing)
Total501c3 Org	8	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Grantmaker's Description of How Grants are Used	FormAndLineReferenceDesc
Explanation	The scholarships are paid directly to the colleges the recipients are attending, and are applied directly to the students' tuition. 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)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd
Rebuttable Presumption Proc	false	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (37 entries)

TitleTitleTxt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount
Dodds Larry
Former Dir/V Chair/Sec	$216,120	$3,969	$220,089	$216,120
Brewster James
Former VP Finance	$72,598	$4,330	$116,303	$72,562	$39,375
Janke Harry
Former Asst CIO/Asst VP	$664,207		$664,207	$664,207
Heiser Pamela
VP PAMC	$811,850	$22,292	$1,075,004	$799,214	$201,914	$38,948
Eller Jeff
President SCH	$109,030	$26,286	$666,721	$67,790	$377,598	$86,006	$67,801
Roberts Kevin
President GAMC	$92,570	$22,109	$653,605	$73,977	$437,406	$101,520
Russell Thomas
President PAMC	$91,172	$25,250	$631,609	$73,850	$419,723	$95,464
Raethel Kathryn
President CMC	$74,290	$26,240	$550,454	$26,629	$314,136	$70,788	$65,000
Carmen Robert
Dir/Pres/CEO	$352,983	$27,048	$1,513,840		$989,976	$17,787	$126,046
Reiner Scott
Dir/Sec/ExecVP	$302,585	$28,391	$1,274,247	$277,913	$688,994	$169,989	$84,288
Rebok Douglas
AsstSec/CFO/SVP	$142,757	$24,601	$949,730	$121,472	$572,416	$137,764	$72,192
Wehtje Rodney
AsstSec/VP	$101,441	$22,183	$614,222	$65,921	$369,816	$83,680	$37,102
Wing Bill
AsstSec/Sr VP	$116,785	$28,699	$955,019	$63,725	$593,788	$144,195	$71,552
Ashlock Mark
Sr VP Physician Strategy	$158,935	$22,109	$935,856	$110,960	$551,656	$137,236	$65,920
Bancarz Gloria
VP/CNO	$86,419	$12,922	$492,095	$42,411	$301,114	$64,661	$26,979
Beaman John
VP Finance/SFO	$70,463	$34,933	$528,210	$35,860	$326,432	$65,323	$31,059
Berry Stanley
VP	$144,106	$16,508	$434,162	$124,621	$251,864	$15,799	$5,885
Church Lowell
VP Materiel Mgmt	$42,696	$21,755	$406,874	$34,924	$263,567	$54,019	$24,837
Conklin Jeffrey
VP/Pres Managed Care	$41,679	$35,032	$636,589		$419,122	$98,171	$42,585
Doram Keith MD
VP Clin Effectiveness/CMO	$155,620	$28,811	$869,539	$105,542	$511,074	$122,422	$51,612
Ferch Wayne
VP/Pres CVN	$87,189	$28,391	$636,627	$71,433	$422,694	$98,353
Jakobsen Dag
VP	$34,697	$13,358	$483,965		$328,194	$71,887	$35,829
Jobe Meredith Esq
VP/General Counsel	$12,313	$19,065	$435,603		$313,832	$63,324	$27,069
Marchuk Robert
VP Ancillary Svcs	$55,310	$28,714	$412,516	$29,794	$232,178	$46,314	$50,000
McKague Kirby
VP	$65,042	$22,169	$508,346	$45,285	$320,801	$70,423	$29,911
Nakamura Peggy Esq
VP Risk Mgmt	$55,783	$12,604	$449,964	$46,588	$290,175	$62,230	$29,172
Newmyer Terrance
VP/Pres NCN	$179,998	$25,670	$772,298	$82,326	$458,880	$107,750
Olson JoAline
Sr VP/CHRO/Innovation	$1,112,106	$25,229	$1,622,991	$1,073,661	$373,877	$76,818	$34,961
Ormerod David MD
VP	$44,420	$15,026	$518,454		$347,104	$77,148	$34,756
Rhodes Daniel
VP Phys/Home Hlth Cont	$9,059	$19,265	$258,064		$201,532	$13,309	$14,899
Soderblom Alan
VP/CIO	$108,047	$28,510	$677,488	$71,856	$406,824	$94,123	$39,984
Zachary Beth
VP/Pres SCN	$245,287	$16,121	$928,752	$200,158	$449,508	$104,703	$113,133
Beehler Robert
VP Mkt Dev, M&A	$566,521	$22,517	$1,059,170	$545,407	$380,197	$89,935
Gordon Daniel
VP Rev Mgmt	$64,581	$22,227	$421,779	$29,534	$254,160	$54,576	$26,235
Gustin John
VP Facilities	$12,998	$13,576	$222,606		$171,242	$9,790	$15,000
Leyba Susan
VP Managed Care	$7,313	$33,779	$311,860		$210,821	$43,431	$16,516
Wilson Kathleen
VP Benefits Admin	$24,553	$12,870	$304,035		$223,353	$28,475	$14,784

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 1a: Relevant information in regards to selections on 1a.	FormAndLineReferenceDesc
Explanation	All items checked on this line are reported as taxable income to the employee, except first class or charter travel, which is only approved for business purposes on an exception basis.	ExplanationTxt

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
California Statewide Communities Development Authority
A	680164610	130911V49	2005-10-18	$178,288,037	See Schedule O	false	false	false
California Statewide Communities Development Authority
B	680164610	130795UF2	2007-05-08	$115,000,000	See Schedule O	false	false	false
California Health Facilities Financing Authority Series A
C	521643828	13033LBE6	2009-05-20	$89,352,000	See Schedule O	false	false	false
California Health Facilities Financing Authority Series B
D	521643828	13033LBCO	2009-05-20	$30,000,000	See Schedule O	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Credit EnhancementCreditEnhancementAmt
A	$178,288,037	$16,378,303	$1,336,913	$161,506,002	2007	false	false	Yes (true)	Yes (true)
B	$115,000,000	$9,803,503	$912,500	$101,933,233	2010	false	false	Yes (true)	Yes (true)	$2,818,355
C	$89,352,000	$9,000,000	$899,751	$79,452,375	2012	false	false	Yes (true)	Yes (true)
D	$30,000,000		$299,917	$29,699,958	2009	false	false	Yes (true)	Yes (true)

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	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	false	false	0.00020	0.00020	false	false	Yes (true)
B	false	false	false	false			false	false	Yes (true)
C	false	false	false	false			false	false	Yes (true)
D	false	false	false	false			false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	No Rebate DueNoRebateDueInd	Rebate Not Due YetRebateNotDueYetInd
A	Yes (true)	false	false	false	Yes (true)
B	false	false	false	false	Yes (true)	Yes (true)
C	false	false	false	false	Yes (true)		Yes (true)
D	false	false	false	false	Yes (true)		Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part VI	FormAndLineReferenceDesc
Explanation	Part IV,2(c)-Bond issued on 5/08/2007 - rebate calculation performed on July 9,2012.	ExplanationTxt

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
California Health Facilities Financing Authority Series C
A	521643828	13033F8B9	2009-05-20	$56,309,648	See Schedule O	false	false	false
The Hospital Facilities Authority of Multnomah County OR
B	931266280	62551PBS5	2009-09-30	$66,147,216	See Schedule O	false	false	false
California Health Facilit
C	521643828		2011-06-09	$130,000,000	See Schedule O	false	false	false
California Health Facilit
D	521643828	13033LS65	2013-02-14	$208,420,907	See Schedule O	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt
A	$56,309,648	$5,815,653	$559,042	$50,119,642	2009	Yes (true)	false	Yes (true)	Yes (true)
B	$66,147,216	$6,161,391	$886,660	$59,011,989	2009	Yes (true)	false	Yes (true)	Yes (true)
C	$130,000,000		$478,200			false	false	false	Yes (true)	$100,177,331	$29,778,154
D	$208,420,907		$990,810	$207,415,417		Yes (true)	false	false	Yes (true)

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	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct
A	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	Yes (true)
D	false	false	false	false	false	false	Yes (true)	0.00022	0.00022

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	false	false	Yes (true)
B	false	Yes (true)	false	false	false	Yes (true)
C	false	Yes (true)	false	false	false	Yes (true)
D	false	Yes (true)	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

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	California Health Facilit	BusinessNameLine1

Field	Value	IRS element (for citing)
Bond Issuer EIN	521643828	BondIssuerEIN
CUSIP	13033LS50	CUSIPNum
Bond Issued	2013-02-14	BondIssuedDt
Issue Price	$100,741,934	IssuePriceAmt
Purpose	See Schedule O	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$100,741,934	TotalProceedsAmt
Issuance Costs From Proceeds	$731,101	IssuanceCostsFromProceedsAmt
Capital Expenditures	$52,465,849	CapitalExpendituresAmt
Unspent	$64,156,716	UnspentAmt
Current Refunding	false	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (19 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
ReinerS
Officer	Relocate	Yes (X)	$139,500	$129,000	false	Yes (true)	Yes (true)
SoderblomA
Key Emp	Relocate	Yes (X)	$100,000	$81,400	false	Yes (true)	Yes (true)
DoramK
Key Emp	Relocate	Yes (X)	$100,000	$79,800	false	Yes (true)	Yes (true)
AshlockM
Key Emp	Relocate	Yes (X)	$150,000	$140,400	false	Yes (true)	Yes (true)
OlsonJ
Key Emp	Relocate	Yes (X)	$150,000	$94,500	false	Yes (true)	Yes (true)
OlsonJ
Key Emp	Relocate	Yes (X)	$50,000	$35,000	false	Yes (true)	Yes (true)
ConklinJ
Key Emp	Relocate	Yes (X)	$125,000	$99,692	false	Yes (true)	Yes (true)
BeamanJ
Key Emp	Relocate	Yes (X)	$125,000	$119,800	false	Yes (true)	Yes (true)
BeamanJ
Key Emp	Relocate	Yes (X)	$35,500	$32,000	false	Yes (true)	Yes (true)
BeamanJ
Key Emp	Relocate	Yes (X)	$11,300	$6,106	false	Yes (true)	Yes (true)
McKagueK
Key Emp	Relocate	Yes (X)	$100,000	$95,400	false	Yes (true)	Yes (true)
EllerJ
HPdEmp	Relocate	Yes (X)	$150,000	$141,000	false	Yes (true)	Yes (true)
RobertsK
HPdEmp	Relocate	Yes (X)	$400,000	$397,000	false	Yes (true)	Yes (true)
FerchW
Key Emp	Relocate	Yes (X)	$150,000	$147,300	false	Yes (true)	Yes (true)
GordonD
Key Emp	Relocate	Yes (X)	$100,000	$99,300	false	Yes (true)	Yes (true)
WingB
Officer	Relocate	Yes (X)	$150,000	$149,800	false	Yes (true)	Yes (true)
BeehlerB
Key Emp	Relocate	Yes (X)	$100,000	$99,800	false	Yes (true)	Yes (true)
MarchukR
Key Emp	Relocate	Yes (X)	$100,000	$99,500	false	Yes (true)	Yes (true)
RaethelK
HPdEmp	Relocate	Yes (X)	$100,000	$48,050	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$2,094,848	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
WGW-CA LLC
Gabriel JV	$11,550,000	LLC JV Loan	false
Sim Darran
WehtjeSonLaw	$57,427	Employment	false
Mantz Lynne
Rebok Sister	$115,185	Employment	false
Ashlock Ryan
Ashlock Son	$100,954	Employment	false
Wehtje-Sim Cambria
WehtjeDaught	$59,818	Employment	false
Wing Jennifer
Wing Sister	$269,490	Indep Contractor	false
Eller Eric
Eller Son	$44,016	Employment	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part V Supplemental Information	FormAndLineReferenceDesc
Explanation	Melody Gabriel, an AH director, and her husband are owners and officers of businesses that engage in joint ventures with AH and member hospitals. Other family members with ownership and officer positions in these businesses include her parents, her brother and his wife, and trusts established on behalf of her children. The ventures are organized as LLCs. At the end of 2013, AH had provided $11.55M in the form of secured and unsecured market rate interest bearing loans to PVHR, LLC, which is 50% controlled by another LLC of which Ms. Gabriel and her family have a controlling interest. Interest is accruing on these loans and at the end of 2013 was about $2.1M. In addition, AH had an outstanding loan of $2.75M to another LLC in which Ms. Gabriel and her family have a 90% interest.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	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.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	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, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	Board appointments are approved by the membership.
Form 990, Part VI, Line 11b: Form 990 Review Process	The completed Form 990 is shared with members of the corporation's board of directors by electronic communication for their review prior to filing. A special board meeting is scheduled to answer questions and receive input from the board after their review but prior to filing.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, 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 internal audit staff reviews these questionnaires and disclosures each year during the audit process.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	See explanation of process for setting CEO compensation on the below Form 990, Part VI, Line 15b explanation.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	The Adventist Health System/West board of directors has established a Compensation Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation that would be indicated by the data, including salary ranges for the organization's CEO and CFO; evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data.The board-approved executive compensation philosophy specifies that salary ranges will be established for executives with midpoints aligned with the 50th percentile of comparable system hospital data and having a 24 percent spread from minimum to maximum (industry norm is an approximately 50 percent spread). The CEO and Sr Vice Presidents have a maximum potential incentive of 30 percent of base salary. (This incentive potential is less than the industry norm.) Other executives have a maximum potential incentive of 25 percent of base salary.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	The corporation does not make its governing documents publicly available beyond required filings of articles of incorporation with the secretary of state. The corporation does not make its conflict of interest policy available upon request.
Schedule K, Part 1, Column (f), Line A	Construct, equip and remodel the following health care facilities:Glendale Adventist Medical Center, Glendale, CASan Joaquin Community Hospital, Bakersfield, CASimi Valley Hospital and Health Care Services, Simi Valley, CAWhite Memorial Medical Center, Los Angeles, CAAcquire and install a clinical information system:Adventist Health System/West, Roseville, CA
Schedule K, Part 1, Column (f), Line B	Construct, equip and remodel the following health care facilities:Feather River Hospital, Paradise, CAHanford Community Hospital, Hanford, CASimi Valley Hospital and Health Care Services, Simi Valley, CA
Schedule K, Part 1, Column (f), Line C	Acquire, construct and equip the following health care facilities:Adventist Health Clearlake Hospital Inc, Clearlake, CAFeather River Hospital, Paradise, CAGlendale Adventist Medical Center, Glendale, CAHanford Community Hospital, Hanford, CASt. Helena Hospital, St. Helena, CASimi Valley Hospital and Health Care Services, Simi Valley, CA
Schedule K, Part 1, Column(f), Line D	Acquire, construct and equip the following health care facilities:Adventist Health Clearlake Hospital Inc, Clearlake, CAFeather River Hospital, Paradise, CAGlendale Adventist Medical Center, Glendale, CAHanford Community Hospital, Hanford, CASt. Helena Hospital, St. Helena, CASimi Valley Hospital and Health Care Services, Simi Valley, CA
Sch K (2nd), Part 1, Column (f), Line A	Refund outstanding balance of the following bond issues:1991 California Health Facilities Financing Authority (AHS/West Series A) bonds issued July 23, 19911991 California Health Facilities Financing Authority (AHS/West Series B) bonds issued September 25, 19911991 City of Glendale (AHS/West Series A) bonds issued July 23, 1991
Sch K (2nd), Part 1, Column (f), Line B	Refinance a bank loan used to construct, equip and improve:Adventist Medical Center - Portland, Portland, OR
Sch K (2nd), Part 1, Column (f), Line C	Acquire, construct and equip the following health care facilities:Adventist Health Clearlake Hospital Inc, Clearlake, CAFeather River Hospital, Paradise, CAGlendale Adventist Medical Center, Glendale, CASt. Helena Hospital, St. Helena, CASimi Valley Hospital and Health Care Services, Simi Valley, CAAcquire and install a clinical information system:Adventist Health System/West, Roseville, CA
Schedule K (2nd), Part 1, Column (f), Line D	Refund outstanding balance of the following bond issues:2002 California Health Facilities Financing Authority (AHS/West Series A) bonds issued March 20, 20022002 California Health Facilities Financing Authority (AHS/West Series B) bonds issued March 20, 20022003 California Health Facilities Financing Authority (AHS/West Series A) bonds issued July 1, 2003
Schedule K (3rd), Part 1, Column (f), Line A	Acquire, construct, and equip the following health care facilities:Central Valley General Hospital, Hanford, CAFeather River Hospital, Paradise, CAWillits Hospital, Inc, Willits, CAHanford Community Hospital, Hanford, CASan Joaquin Community Hospital, Bakersfield, CAUkiah Valley Hospital, Ukiah, CAAcquire and install a clinical information system:Adventist Health System/West, Roseville, CA

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
Adventist Health Clearlake Hospital Inc
15630 18th Ave	Clearlake	CA	95422	680395149	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Castle Medical Center
640 Ulukahiki St	Kailua	HI	96734	990107330	Hospital	HI	501(c)(3)	1	Adventist Health SystemWest	false
Central Valley General Hospital
1025 N Douty St	Hanford	CA	93230	770324630	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Feather River Hospital
5974 Pentz Rd	Paradise	CA	95969	941101228	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Glendale Adventist Medical Center
1509 Wilson Ter	Glendale	CA	91206	951816017	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Hanford Community Hospital
115 Mall Dr	Hanford	CA	93230	940535360	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Northwest Med Fnd of Tillamook
1000 Third St	Tillamook	OR	97141	930622075	Hospital	OR	501(c)(3)	1	Adventist Health SystemWest	false
Paradise Valley Hospital
2100 Douglas Blvd	Roseville	CA	95661	951816034	Discontinued Operations	CA	501(c)(3)	1	Adventist Health SystemWest	false
Portland Adventist Medical Center
10123 SE Market St	Portland	OR	97216	930429015	Hospital	OR	501(c)(3)	1	Adventist Health SystemWest	false
St Helena Hospital
10 Woodland Rd	St Helena	CA	94574	941279779	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Simi Valley Hospital & Health Care Serv
2975 N Sycamore Dr	Simi Valley	CA	93065	956064971	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Sonora Community Hospital
1000 Greenley Rd	Sonora	CA	95370	941415069	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Ukiah Adventist Hospital
275 Hospital Dr	Ukiah	CA	95482	941639901	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Walla Walla General Hospital
1025 S Second Ave	Walla Walla	WA	99362	910617726	Hospital	WA	501(c)(3)	1	Adventist Health SystemWest	false
White Memorial Medical Center
1720 Cesar E Chavez Ave	Los Angeles	CA	90033	952282647	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Willits Hospital Inc
1 Madrone St	Willits	CA	95490	680108919	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Adventist Health Physicians Network
2100 Douglas Blvd	Roseville	CA	95661	680357690	Medical Foundation	CA	501(c)(3)	11b, II	Adventist Health SystemWest	false
Adv Hlth So California Med Fnd
2100 Douglas Blvd	Roseville	CA	95661	954424391	Discontinued Operations	CA	501(c)(3)	11c, III-FI	Adventist Health SystemWest	false
San Joaquin Community Hospital
2615 Chester Avenue	Bakersfield	CA	93301	952294234	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Reedley Community Hospital
372 W Cypress Ave	Reedley	CA	93654	453220509	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
South Coast Medical Center
2100 Douglas Blvd	Roseville	CA	95661	952037291	Wind down after sale of hospital	CA	N/A	C corp	false
Adventist Health Plan Inc
2100 Douglas Blvd	Roseville	CA	95661	463833261	Medicare Advantage HMO	CA		C corp	Yes (true)	AHSW	$1,000	$1,601,000	1.00000

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