2014-11-17T18:36:59-08:00 2013-12-31 990 2013-01-01 953484589 Adventist Health SystemWest DBA Adventist Health ADVE 9167812000 2100 Douglas Blvd Roseville CA 95661 Jack W Wagner Sr VP/CFO/Treas 2014-11-17 false 2013 2015-11-30 17:44:51Z Scott Reiner 296500295 false false 1071 X www.adventisthealth.org X 1980 CA To share God's love by providing physical, mental and spiritual healing. 13 8 1311 1749238 -113341 0 170379447 232829373 51866833 46358808 438855 1925398 222685135 281113579 383970 524575 0 128060311 145066208 0 0 115332499 190775000 243776780 336365783 -21091645 -55252204 1415903800 1537220164 1350386593 1526955161 65517207 10265003 To share God's love by providing physical, mental and spiritual healing. false false 331534180 686625 233112132 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. 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. 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. 331534180 true false false true false false false false false true true false false true true false false true false false true false false false false false false true false true true false false false false false true false true true true false false false false false true true false false false true 7576 0 true 1311 true true false false false false false false 0 false false false false false false false false false false X 13 8 false false false false true true true true true false false true true true true true true true true true true X Jack Wagner 9167812000 2100 Douglas Blvd Roseville CA 95661 X Caviness Larry Director 2.00 0.00 X 2263 0 0 Dickinson Charles Director 2.00 0.00 X 5021 0 0 Fike Ruthita Director 2.00 0.00 X 576 0 0 Friestad Christine Director 2.00 0.00 X 1783 0 0 Gabriel Melody Director 2.00 0.00 X 1443 0 0 Graham Ricardo Dir/Chair 2.00 0.00 X X 3020 0 0 Innocent Larry Director 2.00 0.00 X 1410 0 0 Jones Helmuth Director 2.00 0.00 X 2260 83200 0 Reimche Allan Director 2.00 0.00 X 2070 0 0 Rippey Wesley Director 2.00 0.00 X 1559 95370 0 Torkelsen Max Dir/V Chair 2.00 0.00 X X 2799 0 0 Carmen Robert Dir/Pres/CEO 50.00 0.00 X X 1469005 0 44835 Reiner Scott Dir/Sec/ExecVP 50.00 0.00 X X 1075867 0 198380 Rebok Douglas AsstSec/CFO/SVP 50.00 0.00 X 787365 0 162365 Wehtje Rodney AsstSec/VP 50.00 0.00 X 508359 0 105863 Wing Bill AsstSec/Sr VP 50.00 0.00 X 782125 0 172894 Ashlock Mark Sr VP Physician Strategy 50.00 0.00 X 776511 0 159345 Bancarz Gloria VP/CNO 50.00 0.00 X 414512 0 77583 Beaman John VP Finance/SFO 50.00 0.00 X 427954 0 100256 Berry Stanley VP 50.00 0.00 X 401855 0 32307 Church Lowell VP Materiel Mgmt 50.00 0.00 X 331100 0 75774 Conklin Jeffrey VP/Pres Managed Care 50.00 0.00 X 503386 0 133203 Doram Keith MD VP Clin Effectiveness/CMO 50.00 0.00 X 718306 0 151233 Ferch Wayne VP/Pres CVN 50.00 0.00 X 509883 0 126744 Jakobsen Dag VP 50.00 0.00 X 398720 0 85245 Jobe Meredith Esq VP/General Counsel 50.00 0.00 X 353214 0 82389 Marchuk Robert VP Ancillary Svcs 50.00 0.00 X 337488 0 75028 McKague Kirby VP 50.00 0.00 X 415754 0 92592 Nakamura Peggy Esq VP Risk Mgmt 50.00 0.00 X 375130 0 74834 Newmyer Terrance VP/Pres NCN 50.00 0.00 X 638878 0 133420 Olson JoAline Sr VP/CHRO/Innovation 50.00 0.00 X 1520944 0 102047 Ormerod David MD VP 50.00 0.00 X 426280 0 92174 Rhodes Daniel VP Phys/Home Hlth Cont 50.00 0.00 X 225490 0 32574 Soderblom Alan VP/CIO 50.00 0.00 X 554855 0 122633 Zachary Beth VP/Pres SCN 50.00 0.00 X 807928 0 120824 Beehler Robert VP Mkt Dev, M&A 50.00 0.00 X 946718 0 112452 Gordon Daniel VP Rev Mgmt 50.00 0.00 X 344976 0 76803 Gustin John VP Facilities 50.00 0.00 X 199240 0 23366 Leyba Susan VP Managed Care 50.00 0.00 X 234650 0 77210 Patterson Leeanne VP Risk Mgmt 50.00 0.00 X 63305 0 5608 Wilson Kathleen VP Benefits Admin 50.00 0.00 X 262690 0 41345 Heiser Pamela VP PAMC 50.00 0.00 X 1013764 0 61240 Eller Jeff President SCH 50.00 0.00 X 554429 0 112292 Roberts Kevin President GAMC 50.00 0.00 X 529976 0 123629 Russell Thomas President PAMC 50.00 0.00 X 510895 0 120714 Raethel Kathryn President CMC 50.00 0.00 X 453426 0 97028 Dodds Larry Former Dir/V Chair/Sec 0.00 0.00 X 216120 0 3969 Brewster James Former VP Finance 0.00 0.00 X 111973 0 4330 Janke Harry Former Asst CIO/Asst VP 0.00 0.00 X 664207 0 0 20891482 178570 3414528 339 true true false Cerner Corporation 2800 Rockcreek Parkway Kansas City MO 64117 IT Solutions Mgmt 54497887 Huron Consulting Group Inc 12230 El Camino Real San Diego CA 92130 Hlthcare. Consulting 35644524 Morgan Hunter Healthcare 7600 W 110th St Overland Pk KS 66210 IT Consulting 4108099 GE Healthcare 3000 N Grandview Blvd Wawkesha WI 53188 Hlthcare. Consulting 4334783 Envision Pharmaceutical Serv 2181 E Aurora Rd Twinsburg OH 44087 Pharmacy Benefit Mgt 1896875 86 0 Management Fees 900099 198383644 198383644 Prtnrshp Inc Rltd Prgm Sr 541900 18136894 17739058 397836 Insurance Trust Reimburse 900099 14669074 14669074 Other Program Service Rev 900099 1536450 1536450 Admin Fees - Health/Flex 561000 103311 103311 232829373 42623204 43265 42579939 2002136 2002136 0 72500 72500 72500 72500 16379979 740205 14578117 808599 1801862 -68394 1733468 1733468 0 0 0 Clinical Engineering 811000 1308137 1308137 Other Misc Revenue 900099 282759 282759 Gain on Debt Refinancing 900099 262002 262002 1852898 281113579 232714296 1749238 46650045 X 519575 519575 5000 5000 0 0 0 0 109811119 109296358 514761 7708133 7708133 20162712 20034234 128478 7384244 7384244 0 2832137 2832137 1046800 1046800 0 0 0 52624737 52590959 33778 194620 194620 -518670 -543706 25036 36720748 36712644 8104 0 4329593 4329593 3727987 3704916 23071 0 590301 590301 48902811 48902811 0 18088965 18078702 10263 137983 137983 Purchased Services 17105948 16896773 209175 CHCI Legislative Initative 3020143 3020143 Year End Expense Accrual 898017 898017 Incentive/Innovation Prg 468475 468475 604405 604405 336365783 331534180 4831603 0 21700 21700 164934784 205733299 0 1263719 11605025 1746922 2094848 0 15213850 16077800 0 20463985 19345150 238996092 99740624 120944679 139255468 141605772 158399025 1356000 9559377 14171244 3110977 0 934181145 972017495 1415903800 1537220164 58977893 102946975 26548 7353 962530000 1009570000 42548295 97262119 286303857 317168714 1350386593 1526955161 X 65517207 10265003 65517207 10265003 1415903800 1537220164 -55252204 X false true X true false X false false false false false false false false true 10156 false true 1808763 1818919 false false Part II-B, Line 1i - Other Activities Description Adventist Health engages lobbyists and belongs to industry and professional associations for which a portion of the membership dues is used for lobbying activities. 1116920 28777 42615 1103082 1119409 40580 43069 1116920 1140318 37987 58896 1119409 1132335 49092 41109 1140318 1143266 42727 53658 1132335 1.00000 false false false 6567459 6567459 593400 7148627 6133777 1608250 1206944 1077759 129185 198632130 92529088 106103042 24847532 24847532 139255468 Adhealth, Ltd 150000 C AmHS Heritage LLC 4082 C The Equitable 1087785 F Aurora Policies (Split Dollar Life Ins) 214510 C Granite Bay Golf Club 54600 C Adventist Plan Health, Inc. 1600000 C Receivables from Related Organizations 855538538 Malpractice Trust Funds 105494746 Other Receivables 3067439 Deferred Financing Costs 7916772 972017495 Payables to Related Organizations 141739841 Professional Liability 104801193 Due to Trust Funds 35757389 Deferred Compensation Payable 18169753 Bond Interest Payable 13925738 Other Liabilities 97257 Workers Compensation Liability 2677543 317168714 Part V, Line 4: Intended uses of the endowment fund. 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. Central Amer & Caribbean 0 0 Passive Investments Progr rel investment 150000 Central Amer & Caribbean 0 0 Program Service Reinsurance 1407900 Central Amer & Caribbean 0 0 Program Service Meetings 4000 Central Amer & Caribbean 0 0 Program Service Admin Fees 82000 1643900 1643900 true false true true false false true ADRA 12501 Old Columbia Pike Silver Spring MD 20904 521314847 501(c)(3) 10000 0 Typhoon Haiyan Maranatha Volunteers Intntl 990 Reserve Drive Roseville CA 95678 381945104 501(c)(3) 85000 0 School building project Orangevale SDA School 5810 Pecan Avenue Orangevale CA 95662 680178156 501(c)(3) 10000 0 Education related Pacific Union College 1 Angwin Avenue Angwin CA 94508 941279798 501(c)(3) 85000 0 Nursing education Pine Hills Adventist Academy 13500 Richards Lane Auburn CA 95603 680260457 501(c)(3) 20000 0 Building project Sacramento Adventist Academy 5601 Winding Way Carmichael CA 95608 941431179 501(c)(3) 10000 0 Improvements St Helena Hosp Foundation 10 Woodland Road St Helena CA 94574 201384250 501(c)(3) 200000 0 Hospital improvements Walla Walla University 204 S College Avenue College Place WA 99324 910617727 501(c)(3) 58000 0 Education - Health Care Related 8 0 Grantmaker's Description of How Grants are Used 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. X X X X true true X X X X false true false false false false false false false false Dodds Larry Former Dir/V Chair/Sec 216120 3969 220089 216120 Brewster James Former VP Finance 39375 72598 4330 116303 72562 Janke Harry Former Asst CIO/Asst VP 664207 664207 664207 Heiser Pamela VP PAMC 201914 811850 38948 22292 1075004 799214 Eller Jeff President SCH 377598 67801 109030 86006 26286 666721 67790 Roberts Kevin President GAMC 437406 92570 101520 22109 653605 73977 Russell Thomas President PAMC 419723 91172 95464 25250 631609 73850 Raethel Kathryn President CMC 314136 65000 74290 70788 26240 550454 26629 Carmen Robert Dir/Pres/CEO 989976 126046 352983 17787 27048 1513840 Reiner Scott Dir/Sec/ExecVP 688994 84288 302585 169989 28391 1274247 277913 Rebok Douglas AsstSec/CFO/SVP 572416 72192 142757 137764 24601 949730 121472 Wehtje Rodney AsstSec/VP 369816 37102 101441 83680 22183 614222 65921 Wing Bill AsstSec/Sr VP 593788 71552 116785 144195 28699 955019 63725 Ashlock Mark Sr VP Physician Strategy 551656 65920 158935 137236 22109 935856 110960 Bancarz Gloria VP/CNO 301114 26979 86419 64661 12922 492095 42411 Beaman John VP Finance/SFO 326432 31059 70463 65323 34933 528210 35860 Berry Stanley VP 251864 5885 144106 15799 16508 434162 124621 Church Lowell VP Materiel Mgmt 263567 24837 42696 54019 21755 406874 34924 Conklin Jeffrey VP/Pres Managed Care 419122 42585 41679 98171 35032 636589 Doram Keith MD VP Clin Effectiveness/CMO 511074 51612 155620 122422 28811 869539 105542 Ferch Wayne VP/Pres CVN 422694 87189 98353 28391 636627 71433 Jakobsen Dag VP 328194 35829 34697 71887 13358 483965 Jobe Meredith Esq VP/General Counsel 313832 27069 12313 63324 19065 435603 Marchuk Robert VP Ancillary Svcs 232178 50000 55310 46314 28714 412516 29794 McKague Kirby VP 320801 29911 65042 70423 22169 508346 45285 Nakamura Peggy Esq VP Risk Mgmt 290175 29172 55783 62230 12604 449964 46588 Newmyer Terrance VP/Pres NCN 458880 179998 107750 25670 772298 82326 Olson JoAline Sr VP/CHRO/Innovation 373877 34961 1112106 76818 25229 1622991 1073661 Ormerod David MD VP 347104 34756 44420 77148 15026 518454 Rhodes Daniel VP Phys/Home Hlth Cont 201532 14899 9059 13309 19265 258064 Soderblom Alan VP/CIO 406824 39984 108047 94123 28510 677488 71856 Zachary Beth VP/Pres SCN 449508 113133 245287 104703 16121 928752 200158 Beehler Robert VP Mkt Dev, M&A 380197 566521 89935 22517 1059170 545407 Gordon Daniel VP Rev Mgmt 254160 26235 64581 54576 22227 421779 29534 Gustin John VP Facilities 171242 15000 12998 9790 13576 222606 Leyba Susan VP Managed Care 210821 16516 7313 43431 33779 311860 Wilson Kathleen VP Benefits Admin 223353 14784 24553 28475 12870 304035 Part I, Line 1a: Relevant information in regards to selections on 1a. 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. A California Statewide Communities Development Authority 680164610 130911V49 2005-10-18 178288037 See Schedule O false false false B California Statewide Communities Development Authority 680164610 130795UF2 2007-05-08 115000000 See Schedule O false false false C California Health Facilities Financing Authority Series A 521643828 13033LBE6 2009-05-20 89352000 See Schedule O false false false D California Health Facilities Financing Authority Series B 521643828 13033LBCO 2009-05-20 30000000 See Schedule O false false false A 178288037 16378303 1336913 161506002 2007 false false true true B 115000000 9803503 912500 2818355 101933233 2010 false false true true C 89352000 9000000 899751 79452375 2012 false false true true D 30000000 299917 29699958 2009 false false true true A false true false false 0.00020 0.00020 false false true B false false false false false false true C false false false false false false true D false false false false false false true A true false false false true B false true false false false true C false true false false false true D false true false false false true A true B true C true D true Part VI Part IV,2(c)-Bond issued on 5/08/2007 - rebate calculation performed on July 9,2012. A California Health Facilities Financing Authority Series C 521643828 13033F8B9 2009-05-20 56309648 See Schedule O false false false B The Hospital Facilities Authority of Multnomah County OR 931266280 62551PBS5 2009-09-30 66147216 See Schedule O false false false C California Health Facilit 521643828 2011-06-09 130000000 See Schedule O false false false D California Health Facilit 521643828 13033LS65 2013-02-14 208420907 See Schedule O false false false A 56309648 5815653 559042 50119642 2009 true false true true B 66147216 6161391 886660 59011989 2009 true false true true C 130000000 478200 100177331 29778154 false false false true D 208420907 990810 207415417 true false false true A false false false false false false true B false false false false false false true C false false false false false false true D false false false false 0.00022 0.00022 false false true A false true false false false true B false true false false false true C false true false false false true D false true false false false true A true B true C true D true A California Health Facilit 521643828 13033LS50 2013-02-14 100741934 See Schedule O false false false A 100741934 731101 52465849 64156716 false false false true A false false false false false false true A false true false false false true A true ReinerS Officer Relocate X 139500 129000 false true true SoderblomA Key Emp Relocate X 100000 81400 false true true DoramK Key Emp Relocate X 100000 79800 false true true AshlockM Key Emp Relocate X 150000 140400 false true true OlsonJ Key Emp Relocate X 150000 94500 false true true OlsonJ Key Emp Relocate X 50000 35000 false true true ConklinJ Key Emp Relocate X 125000 99692 false true true BeamanJ Key Emp Relocate X 125000 119800 false true true BeamanJ Key Emp Relocate X 35500 32000 false true true BeamanJ Key Emp Relocate X 11300 6106 false true true McKagueK Key Emp Relocate X 100000 95400 false true true EllerJ HPdEmp Relocate X 150000 141000 false true true RobertsK HPdEmp Relocate X 400000 397000 false true true FerchW Key Emp Relocate X 150000 147300 false true true GordonD Key Emp Relocate X 100000 99300 false true true WingB Officer Relocate X 150000 149800 false true true BeehlerB Key Emp Relocate X 100000 99800 false true true MarchukR Key Emp Relocate X 100000 99500 false true true RaethelK HPdEmp Relocate X 100000 48050 false true true 2094848 WGW-CA LLC Gabriel JV 11550000 LLC JV Loan false Sim Darran WehtjeSonLaw 57427 Employment false Mantz Lynne Rebok Sister 115185 Employment false Ashlock Ryan Ashlock Son 100954 Employment false Wehtje-Sim Cambria WehtjeDaught 59818 Employment false Wing Jennifer Wing Sister 269490 Indep Contractor false Eller Eric Eller Son 44016 Employment false Schedule L, Part V Supplemental Information 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. 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 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 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 AHSW C corp 1000 1601000 1.00000 true false true false true false false false false false false true true false false false true true true true