ADVENTIST HEALTH SYSTEM-WEST: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ADVENTIST HEALTH SYSTEM-WEST (EIN 95-3484589)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201233209349307538
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule F
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T18:22:30-08:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953484589 | EIN |
Name Name
| 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) |
|---|---|---|
| Name Control | ADVE | NameControl |
| Phone | 9167812000 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Douglas E Rebok | Name |
| Title | Asst Sec/CFO | Title |
| Date Signed | 2012-11-15 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Robert Carmen | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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) |
|---|---|---|
| Gross Receipts | 216284670 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Group Exemption Number | 1071 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.adventisthealth.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1980 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | To share God's love by providing physical, mental and spiritual healing. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1009 | TotalNbrEmployees |
| Total Gross UBI | 586750 | TotalGrossUBI |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 144715178 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 152942195 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 45370386 | InvestmentIncomePriorYear |
| Investment Income Current Year | 48775832 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 416928 | OtherRevenuePriorYear |
| Other Revenue Current Year | 504233 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 190502492 | TotalRevenuePriorYear |
| Total Revenue Current Year | 202222260 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 737591 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 382875 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 106280154 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 115609621 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 90027655 | OtherExpensePriorYear |
| Other Expenses Current Year | 95085251 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 197045400 | TotalExpensesPriorYear |
| Total Expenses Current Year | 211077747 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -6542908 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -8855487 | RevenuesLessExpensesCY |
| Total Assets BOY | 1228152236 | TotalAssetsBOY |
| Total Assets EOY | 1411714648 | TotalAssetsEOY |
| Total Liabilities BOY | 1158278401 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1340126578 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 69873835 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 71588070 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | To share God's love by providing physical, mental and spiritual healing. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 208251360 | Expense |
| Grants | 382875 | Grants |
| Revenue | 152847375 | Revenue |
| Description | Adventist Health is a faith-based, not-for-profit integrated health care delivery system with more than 20,000 employees serving communities in California, Hawaii, Oregon and Washington. Founded on Seventh-day Adventist health values, Adventist Health provides compassionate care in 19 hospitals, more than 130 clinics (rural health and physician clinics), 14 home care agencies, 6 hospice agencies and 4 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 medical 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 few of our main endeavors include delivery of care, 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. Project IntelliCareTo further the ongoing pursuit of clinical quality improvement and operational efficiency to benefit our community hospitals, Adventist Health purchased the Cerner Millennium clinical information system. Named Project IntelliCare, this is Adventist Health's single largest initiative in terms of dollars spent and lives touched. At any one time, nearly 4,000 physicians and employees are using this technology to deliver patient care.One goal of Project IntelliCare is to seamlessly manage the entire patient experience electronically by giving clinicians access to patient records, lab results, pharmacy support and more. Of equal importance is the transformation of patient care processes to achieve the highest quality care. Phases II and III expanded the use of the system to include electronic documentation for clinicians and applications for the emergency department and laboratory. Phase IV and beyond adds surgical and radiological imaging applications and extends our ability to deliver results to physicians' offices using an electronic portal. (Continued on next section) | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Adventist Health successfully implemented Computerized Provider Order Entry (CPOE) in 10 hospitals in 2011 - showing 75 percent or more of all physician orders entered electronically. The remaining hospitals are scheduled to go live with CPOE throughout 2012. With the goal of enhancing information systems, physician input has been directed by the Chief Medical Information Officer. The expected outcome is improved patient safety, quality of care and operational performance across the clinical continuum.This technology is enhancing the health care experience for both patients and caregivers. First and foremost, Project IntelliCare is designed to improve patient safety. By automating multiple steps in the patient care process, it enhances documentation, decreases medical errors, improves detection of adverse events and associated interventions, and provides guidelines, prompts and alerts based on best practices.The patient experience is also positively impacted. At the heart of Project IntelliCare is a single, secure database that is available to everyone involved in a patient's care. As a result, patients only give their medical history once and changes can be easily noted. Delays are reduced by making lab, radiology and emergency department results available online. Armed with this information clinicians can make better, faster decisions.Part of Project IntelliCare is Mpages--a quick, easy to digest view of patient charts which offer real-time, dynamic clinical data to Project IntelliCare users. The new page view offers a comprehensive summary of each patient's clinical profile. Specifically, caregivers can access information on patient problems, diagnoses, vital signs, intake and output, microbiology, diagnostic tests and more, all from the same page. Mpages seamlessly incorporates data with other Project IntelliCare applications such as PharmNet, PathNet and clinical documentation. At Adventist Health, the Project IntelliCare Physician Advisory Group (PAG) was instrumental in setting up the current look and feel of our specific Mpages and piloting its use so that users have the data in an organized, easy to understand format.Project IntelliCare standardizes and streamlines care, helping Adventist Health realize savings and efficiencies, reduce duplication of tasks and meet a growing number of national, state and regulatory requirements. QualityAdventist Health has an unwavering committment to quality and patient safety which stems from a deep passion and belief in our mission.In mid-2011, all Adventist Health hospitals implemented a new Cerner software tool to assist with Center for Medicare and Medicaid Services meaningful use core measure tracking and compliance. Providers are able to ensure, in real-time, that the appropriate care for the patient has been given.Based on 2011 data through October, Adventist Health achieved system-wide performance in the top 20 percent of hospitals nationally for heart failure, pneumonia and surgical improvement quality measures. Additionally, perceived quality of teamwork and patient safety in hospital units continued to be above national average in 2011. Compared to 2009, 72 percent and 78 percent of the units either sustained at the desired high scores or improved significantly in teamwork and safety respectively.In addition, two specific committees serve to ensure our patients have positive experiences while in our care. Initiated in 2011, the Care Transitions Collaborative strives to ensure that discharged patients get appropriate follow-up care, such as home health, ambulatory care clinic, skilled nursing facility or telehealth. The Patient Experience Council has representatives from each hospital who meet monthly to share tactics and best practices for improving patients' hospital experience and raised the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores five percentage points. A sub-group has redesigned the Emergency Department experience in five of our hospitals as well.The Physician Clinical Content Committee is focusing on physician documentation, quality of care and ICD-10 implementation. Adventist Health also established a Clinical Decision Support committee to focus on improving medication management and improving physician orders workflow. In addition, all Adventist Health hospitals are accredited and certified by the Joint Commission. (Continued on next section) | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Home Care ServicesAdventist Health/Home Care Services offers advanced, quality health care in an in-home setting by operating 14 Home Care agencies and 6 Hospice agencies. In 2011, caring, compassionate and quality services were provided during 226,637 home care visits and 86,528 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 14 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, 4 home medical equipment agencies supply oxygen, mobility aids, respiratory service and even Lifeline. Home Care also made significant strides to enhance patient care and safety by implementing Cerner BeyondNow Homecare Solutions throughout all Adventist Health agencies. Along with better, safer care the software will enhance communication between caregivers, improve patient information security and allow clinicians access to records and information at any time from any location utilizing iPad technology.Rural Health Clinics People living in rural or underserved communities are often at a disadvantage when accessing health care. The Clinic Services department provides consultation and support services to Rural Health Clinics (RHCs) affiliated with Adventist Health hospitals. We currently have more than 35 clinics providing health care to underserved populations throughout Northern and Central California, Oregon and Washington. Our system of rural health is 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 nation's 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 served-more than 800,000 visits in 2011 (more than doubling the visits of only five years ago). Thanks to the RHCs, many of the community's most disenfranchised now have access to primary care, dentistry, women's and children's services and health education. A variety of specialty care is also available at many RHC locations, including four behavioral health programs.TelepharmacyAdventist Health's Telepharmacy West was designed to fill the gap created when small rural hospitals' in-patient pharmacies close each day. This enables Adventist Health to provide 24/7 year-round pharmacy services to both system and non-system hospitals in need of support to enhance patient medication safety.Innovations CouncilFor long term sustainability, Adventist Health is finding new ways of solving old problems. The Innovation Council is comprised of 18 members from inside and outside the system who, among other things, are tasked with overseeing the Innovation initiatve, developing process steps for the organization and facilitating an innovations exchange program.Health Care ReformAdventist Health leaders are defining what health care reform will mean to our organization, our patients and the communities we serve. Our system continues to carefully examine issues such as meaningful use, accountable care organizations and population health management as we work toward complying with the government's rulings while providing quality, mission-focused care to our communities. (Continued on next section) | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 208251360 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | true | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | true | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 7280 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | false | ComplianceWithBackupWitholding |
| Number Of Employees | 1009 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | BD | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Quid Pro Quo Disclosure | false | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Form720 Filed | false | Form720Filed |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Douglas E Rebok | NamePerson |
| Telephone Number | 9167812000 | TelephoneNumber |
Address US AddressUS
| 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 | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (40 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Scott Reiner | |||||||||
| Dir/Sec/EVP/COO | 50.00 | X | X | 907841 | 0 | 160287 | |||
| Larry Dodds | |||||||||
| Dir/Sec/EVP/COO | 50.00 | X | X | 685344 | 0 | 96060 | |||
| Robert Carmen | |||||||||
| President | 50.00 | X | X | 1749297 | 0 | 39804 | |||
| Max Torkelson | |||||||||
| Dir/Vice Chair | 1.00 | X | X | 2381 | 0 | 0 | |||
| Wesley Rippey MD | |||||||||
| Director | 1.00 | X | 2248 | 96255 | 0 | ||||
| Al Reimche | |||||||||
| Director | 1.00 | X | 1637 | 0 | 0 | ||||
| Helmuth Jones | |||||||||
| Director | 1.00 | X | 350 | 0 | 0 | ||||
| Meredith Jobe Esq | |||||||||
| Director | 1.00 | X | 42329 | 12288 | 0 | ||||
| Larry Innocent | |||||||||
| Director | 1.00 | X | 350 | 0 | 0 | ||||
| Steven Herber MD | |||||||||
| Director | 1.00 | X | 167911 | 52000 | 41678 | ||||
| Ricardo Graham | |||||||||
| Dir/Chair | 1.00 | X | X | 2652 | 0 | 0 | |||
| Christine Friestad Esq | |||||||||
| Director | 1.00 | X | 2927 | 0 | 0 | ||||
| Ruthita Fike | |||||||||
| Director | 1.00 | X | 635 | 0 | 0 | ||||
| Lynn Creitz | |||||||||
| Director | 1.00 | X | 3123 | 0 | 0 | ||||
| Larry Caviness | |||||||||
| Director | 1.00 | X | 2666 | 0 | 0 | ||||
| Robert Bradshaw DDS | |||||||||
| Director | 1.00 | X | 4652 | 0 | 0 | ||||
| Bill Wing | |||||||||
| AsstSec/Sr VP | 50.00 | X | 321581 | 0 | 89967 | ||||
| Rodney Wehtje | |||||||||
| AsstSec/VPTreas | 50.00 | X | 506336 | 0 | 95494 | ||||
| Douglas Rebok | |||||||||
| AsstSec/CFO/SVP | 50.00 | X | 857414 | 0 | 147299 | ||||
| Beth Zachary | |||||||||
| VP/Pres SCN | 50.00 | 751685 | 0 | 117923 | X | ||||
| Alan Soderblom | |||||||||
| VP/CIO | 50.00 | 534191 | 0 | 103312 | X | ||||
| Richard Rawson | |||||||||
| VP CVN | 50.00 | 582814 | 0 | 111802 | X | ||||
| JoAline Olson | |||||||||
| VP Clinical Innovation | 50.00 | 537545 | 0 | 96637 | X | ||||
| Terrance Newmyer | |||||||||
| VP/Pres NCN | 50.00 | 686327 | 0 | 110783 | X | ||||
| Peggy Nakamura Esq | |||||||||
| VP Risk Mgmt | 50.00 | 362581 | 0 | 67210 | X | ||||
| Keith Doram MD | |||||||||
| VP Clin Effectiveness/CMO | 50.00 | 722880 | 0 | 134629 | X | ||||
| Jeffrey Conklin | |||||||||
| VP/Pres Managed Care | 50.00 | 553348 | 0 | 117696 | X | ||||
| Lowell Church | |||||||||
| VP Materiel Mgmt | 50.00 | 295594 | 0 | 31883 | X | ||||
| James Brewster | |||||||||
| VP Finance | 50.00 | 258739 | 0 | 22364 | X | ||||
| John Beaman | |||||||||
| VP Finance | 50.00 | 275213 | 0 | 66665 | X | ||||
| Gloria Bancarz | |||||||||
| VP/CNO | 50.00 | 383477 | 0 | 63407 | X | ||||
| Mark Ashlock | |||||||||
| Sr VP Physician Strategy | 50.00 | 670295 | 0 | 137396 | X | ||||
| Stanley Adams | |||||||||
| VP Hospital Finance | 50.00 | 439149 | 0 | 82563 | X | ||||
| Donna Bechtold | |||||||||
| VP Pt Care TCGH | 50.00 | 774767 | 0 | 16815 | X | ||||
| Wayne Ferch | |||||||||
| President CVN | 50.00 | 548314 | 0 | 102679 | X | ||||
| Robert Beehler | |||||||||
| President SJCH | 50.00 | 547069 | 0 | 102979 | X | ||||
| Kevin Roberts | |||||||||
| President CMC/GAMC | 50.00 | 512841 | 0 | 92795 | X | ||||
| Jeff Eller | |||||||||
| President SCH | 50.00 | 490158 | 0 | 99507 | X | ||||
| Alan Rice | |||||||||
| Former Sr VP | 0.00 | 262692 | 0 | 34681 | X | ||||
| Deryl Jones | |||||||||
| Former President PAMC | 0.00 | 1782626 | 0 | 8650 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 17233979 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 160543 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 2392965 | TotalOtherCompensation |
| Number Individuals GT100 K | 267 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Ernst & Young US LLP | |||||
| 2901 Douglas Blvd Suite 300 | Roseville | CA | 95661 | Audit/Tax Consulting | 1010138 |
| Latham & Watkins LLP | |||||
| 505 Montgomery St Suite 2000 | San Francisco | CA | 941116538 | Legal | 1764399 |
| Manatt Phelps & Phillips LLP | |||||
| 11355 W Olympic Blvd | Los Angeles | CA | 900641614 | Legal | 2307280 |
| Blue Shield | |||||
| 50 Beale St 23rd Floor | San Francisco | CA | 94105 | Health Claims Admin | 2698602 |
| Cerner Corporation | |||||
| 2800 Rockcreek Parkway | Kansas City | MO | 64117 | Software Consulting | 4527640 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 62 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|---|
| Other Program Service Rev | 900099 | 1293233 | 1220733 | $72,500 | |
| Insurance Trust Reimburse | 900099 | 3261893 | 3261893 | ||
| Admin Fees - Health/Flex | 561000 | 3972209 | 3972209 | ||
| Prtnrshp Inc Rltd Prgm Sr | 541900 | 10763253 | 10740933 | 22320 | |
| Management Fees | 900099 | 133651607 | 133651607 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 152942195 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 41186004 | TotalRevenueColumn |
| Unrelated Business Revenue | 64947 | UnrelatedBusinessRevenue |
| Exclusion | $41,121,057 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2882818 | TotalRevenueColumn |
| Exclusion | $2,882,818 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 4750 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 4750 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4750 | TotalRevenueColumn |
| Exclusion | $4,750 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 17098540 | Securities |
| Other | 1670880 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 12069476 | Securities |
| Other | 1992934 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5029064 | Securities |
| Other | -322054 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4707010 | TotalRevenueColumn |
| Exclusion | $4,707,010 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Clinical Engineering | Description |
| Business Code | 811000 | BusinessCode |
| Total Revenue Column | 499483 | TotalRevenueColumn |
| Unrelated Business Revenue | 499483 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 499483 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 202222260 | TotalRevenueColumn |
| Related Or Exempt Function Income | 152847375 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 586750 | UnrelatedBusinessRevenue |
| Exclusion | $48,788,135 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 379875 | Total |
| Program Services | 379875 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3000 | Total |
| Program Services | 3000 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14339921 | Total |
| Program Services | 14339921 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69479967 | Total |
| Program Services | 69479967 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6129813 | Total |
| Program Services | 6129813 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19967724 | Total |
| Program Services | 19967724 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5692196 | Total |
| Program Services | 5692196 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1862611 | Total |
| Management And General | 1862611 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 963776 | Total |
| Management And General | 963776 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3564314 | Total |
| Program Services | 3564314 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92027 | Total |
| Program Services | 92027 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3383494 | Total |
| Program Services | 3383494 | ProgramServices |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18595508 | Total |
| Program Services | 18595508 | ProgramServices |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2956669 | Total |
| Program Services | 2956669 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2863716 | Total |
| Program Services | 2863716 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 215912 | Total |
| Program Services | 215912 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44485222 | Total |
| Program Services | 44485222 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12786006 | Total |
| Program Services | 12786006 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 168694 | Total |
| Program Services | 168694 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| Year End Expense Accrual | 178395 | 178395 |
| Miscellaneous Expenses | 224697 | 224697 |
| Clinical Innovation Awards | 264000 | 264000 |
| Incentive Criteria Rebate Prg | 272367 | 272367 |
| Purchased Services | 1710146 | 1710146 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 497697 | Total |
| Program Services | 497697 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 211077747 | Total |
| Program Services | 208251360 | ProgramServices |
| Management And General | 2826387 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21700 | BOY |
| EOY | 77572 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 192020038 | BOY |
| EOY | 177826162 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11336447 | BOY |
| EOY | 2462491 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 769700 | BOY |
| EOY | 1545500 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16922308 | BOY |
| EOY | 14038108 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3942925 | BOY |
| EOY | 4725451 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 184256963 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 77499881 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93313318 | BOY |
| EOY | 106757082 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 98496713 | BOY |
| EOY | 174091838 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1194000 | BOY |
| EOY | 1301000 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13510756 | BOY |
| EOY | 14381636 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 796624331 | BOY |
| EOY | 914507808 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1228152236 | BOY |
| EOY | 1411714648 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49028609 | BOY |
| EOY | 50996768 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6042 | BOY |
| EOY | 7109 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 859515000 | BOY |
| EOY | 977175000 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24357041 | BOY |
| EOY | 11228264 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 225371709 | BOY |
| EOY | 300719437 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1158278401 | BOY |
| EOY | 1340126578 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69873835 | BOY |
| EOY | 71588070 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69873835 | BOY |
| EOY | 71588070 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1228152236 | BOY |
| EOY | 1411714648 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -8855487 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 10569722 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
| Federal Grant Audit Performed | false | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Church170b1 Ai | X | Church170b1Ai |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $8,923 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $362,591 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 371514 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i | Identifier |
| Return Reference | Part II-B, Line 1i - Other Activities Description | ReturnReference |
| 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. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1140318 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 37987 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | -58896 | GrantsOrScholarships |
| End Of Year Balance | 1119409 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1132335 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 49092 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | -41109 | GrantsOrScholarships |
| End Of Year Balance | 1140318 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1143266 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 42727 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | -53658 | GrantsOrScholarships |
| End Of Year Balance | 1132335 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 1.00000 | BoardDesignatedEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1724595 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 6567459 | OtherCostOrOtherBasis |
| Book Value | 8292054 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 703000 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 6806889 | OtherCostOrOtherBasis |
| Depreciation | 5870840 | Depreciation |
| Book Value | 1639049 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1075860 | OtherCostOrOtherBasis |
| Depreciation | 1052382 | Depreciation |
| Book Value | 23478 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 146266280 | OtherCostOrOtherBasis |
| Depreciation | 70576659 | Depreciation |
| Book Value | 75689621 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 21112880 | OtherCostOrOtherBasis |
| Book Value | 21112880 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 106757082 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Deferred Financing Costs | 7373288 |
| Other Receivables | 2678756 |
| Malpractice Trust Funds | 72586343 |
| Receivables from Related Organizations | 831869421 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 914507808 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Workers Compensation Liability | $443,564 |
| Other Liabilities | $157,240 |
| Bond Interest Payable | $12,436,490 |
| Deferred Compensation Payable | $20,241,731 |
| Due to Trust Funds | $30,637,508 |
| Professional Liability | $82,313,168 |
| Payables to Related Organizations | $154,489,736 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 300719437 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part XI, Line 8 | Part XI, Line 8: Other Changes in Net Assets or Fund Balances | Transfers from/to related orgs $10568128 Transfers to related organizations $ -0 |
| Part V, Line 4 | Part V, Line 4: Intended uses of the endowment fund. | A board designated fund of $1.000.000 was established and interest earnings are used to sponsor college students in summer internships throughout the hospital system. |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central Amer & Caribbean | Region |
| Number Of Offices | 0 | NumberOfOffices |
| Number Of Employees | 0 | NumberOfEmployees |
| Type Of Activities Conducted | Passive Investments | TypeOfActivitiesConducted |
| Total Expenditures | 0 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Recipient Over5 K | X | NoRecipientOver5K |
| Transfer To Foreign Corp | true | TransferToForeignCorp |
| Interest In Foreign Trust | false | InterestInForeignTrust |
| Own Foreign Corp | true | OwnForeignCorp |
| Passive Foreign Invest Co | false | PassiveForeignInvestCo |
| Foreign Partnership | false | ForeignPartnership |
| Boycott Countries | false | BoycottCountries |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|
| Walla Walla University | ||||||||
| 204 S College Ave | College Place | WA | 99324 | 910617727 | 501(c)(3) | 58000 | 0 | Education - Health Care Related |
| Pacific Union College | ||||||||
| 1 Angwin Ave | Angwin | CA | 94508 | 941279798 | 501(c)(3) | 85000 | 0 | Education - Health Care Related |
| North American Div of SDAs | ||||||||
| 12501 Old Columbia Pike | Silver Spring | MD | 20904 | 203164300 | 501(c)(3) | 10000 | 0 | Childhood Obesity Prevention |
| Maranatha Volunteers Intl | ||||||||
| 990 Reserve Drive Suite 100 | Roseville | CA | 95678 | 381945104 | 501(c)(3) | 20000 | 0 | Church/Comm Service Complex-Capital |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 4 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | Scholarship | TypeOfGrant |
| Number Of Recipients | 3 | NumberOfRecipients |
| Amount Of Cash Grant | 3000 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Grantmaker's Description of How Grants are Used | Identifier |
| Explanation | Annual assistance is provided with no reporting required by recipient. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Travel For Companions | X | TravelForCompanions |
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (28 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|---|---|---|---|---|
| Beth Zachary | ||||||||
| 422760 | 96345 | 232580 | 98684 | 19239 | 869608 | 191120 | ||
| Alan Soderblom | ||||||||
| 358630 | 82042 | 93519 | 81827 | 21485 | 637503 | 54080 | ||
| Richard Rawson | ||||||||
| 410020 | 70221 | 102573 | 94833 | 16969 | 694616 | 65887 | ||
| JoAline Olson | ||||||||
| 333500 | 81559 | 122486 | 75167 | 21470 | 634182 | 80814 | ||
| Terrance Newmyer | ||||||||
| 413446 | 98800 | 174081 | 91550 | 19233 | 797110 | 76183 | ||
| Peggy Nakamura Esq | ||||||||
| 275000 | 38860 | 48721 | 58318 | 8892 | 429791 | 40608 | ||
| Keith Doram MD | ||||||||
| 475330 | 111360 | 136190 | 113122 | 21507 | 857509 | 88023 | ||
| Jeffrey Conklin | ||||||||
| 381938 | 65754 | 105656 | 79830 | 37866 | 671044 | 55147 | ||
| Lowell Church | ||||||||
| 228520 | 32045 | 35029 | 15014 | 16869 | 327477 | 27808 | ||
| James Brewster | ||||||||
| 87553 | 78784 | 92402 | 11062 | 11302 | 281103 | 60508 | ||
| John Beaman | ||||||||
| 240248 | 34965 | 42710 | 23955 | 341878 | ||||
| Gloria Bancarz | ||||||||
| 260500 | 58153 | 64824 | 54524 | 8883 | 446884 | 30912 | ||
| Mark Ashlock | ||||||||
| 477510 | 133604 | 59181 | 118157 | 19239 | 807691 | |||
| Stanley Adams | ||||||||
| 300020 | 70942 | 68187 | 65651 | 16912 | 521712 | 51798 | ||
| Bill Wing | ||||||||
| 305801 | 15780 | 74419 | 15548 | 411548 | ||||
| Rodney Wehtje | ||||||||
| 340430 | 78784 | 87122 | 78557 | 16937 | 601830 | 52751 | ||
| Douglas Rebok | ||||||||
| 533280 | 149092 | 175042 | 128096 | 19203 | 1004713 | 123894 | ||
| Scott Reiner | ||||||||
| 577345 | 149092 | 181404 | 138780 | 21507 | 1068128 | 119583 | ||
| Larry Dodds | ||||||||
| 303557 | 171094 | 210693 | 79089 | 16971 | 781404 | 120139 | ||
| Robert Carmen | ||||||||
| 934340 | 267209 | 547748 | 18150 | 21654 | 1789101 | 424494 | ||
| Steven Herber MD | ||||||||
| 160461 | 7450 | 27400 | 14278 | 209589 | 52000 | 52000 | ||
| Jeff Eller | ||||||||
| 344500 | 42143 | 103515 | 78031 | 21476 | 589665 | 38095 | ||
| Kevin Roberts | ||||||||
| 340675 | 74482 | 97684 | 76432 | 16363 | 605636 | 58469 | ||
| Robert Beehler | ||||||||
| 376600 | 95310 | 75159 | 86022 | 16957 | 650048 | 58045 | ||
| Wayne Ferch | ||||||||
| 364462 | 82497 | 101355 | 81193 | 21486 | 650993 | 53916 | ||
| Donna Bechtold | ||||||||
| 57562 | 27664 | 689541 | 9806 | 7009 | 791582 | 674652 | ||
| Alan Rice | ||||||||
| 229815 | 32877 | 17510 | 17171 | 297373 | 32877 | |||
| Deryl Jones | ||||||||
| 1782626 | 60 | 8590 | 1791276 | 1782626 | ||||
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Sch J, Part I, Line 1a | Identifier |
| Return Reference | Part I, Line 1a: Relevant information in regards to selections on 1a. | ReturnReference |
| 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. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing | CUSIP NumberCUSIPNumber |
|---|---|---|---|---|---|---|---|
| California Health Facilit | |||||||
| 521643828 | 2011-06-09 | 130000000 | See Schedule O | false | false | false | |
| The Hospital Facilities Authority of Multnomah County OR | |||||||
| 931266280 | 2009-09-30 | 66147216 | See Schedule O | true | false | false | 62551PBS5 |
| California Health Facilities Financing Authority Series C | |||||||
| 521643828 | 2009-05-20 | 56309648 | See Schedule O | true | false | false | 13033F8B9 |
| California Health Facilities Financing Authority Series B | |||||||
| 521643828 | 2009-05-20 | 30000000 | See Schedule O | false | false | false | 13033LBCO |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount In Reserve FundAmountInReserveFund | Other Spent ProceedsOtherSpentProceeds | Amount RetiredAmountRetired |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 130000000 | 478200 | 41228598 | 88350860 | 2013 | false | false | true | true | |||
| 66147216 | 886660 | 2009 | true | false | true | true | 6190954 | 59011989 | |||
| 56309648 | 559042 | 2009 | true | false | true | true | 5793706 | 50119642 | 17655000 | ||
| 30000000 | 299917 | 29699958 | 2009 | false | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs | Engage Bond Counsel ResearchEngageBondCounselResearch |
|---|---|---|---|---|---|---|
| false | false | false | true | false | true | |
| false | false | false | false | true | true | |
| false | false | false | false | true | true | |
| false | false | false | false | true | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested |
|---|---|---|---|---|
| false | true | false | false | false |
| false | false | false | false | false |
| false | false | false | false | false |
| false | true | false | false | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| California Health Facilities Financing Authority Series A | |||||||
| 521643828 | 13033LBCO | 2009-05-20 | 89352000 | See Schedule O | false | false | false |
| California Statewide Communities Development Authority | |||||||
| 680164610 | 130795EJ2 | 2007-05-08 | 115000000 | See Schedule O | false | false | false |
| California Statewide Communities Development Authority | |||||||
| 680164610 | 130911V49 | 2005-10-18 | 178288037 | See Schedule O | false | false | false |
| California Health Facilities Financing Authority | |||||||
| 521643828 | 13033FNA4 | 2003-07-01 | 170181205 | See Schedule O | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Credit EnhancementCreditEnhancement |
|---|---|---|---|---|---|---|---|---|---|---|
| 89352000 | 9000000 | 899751 | 77784918 | 1888712 | 2011 | false | false | true | true | |
| 115000000 | 9823380 | 912500 | 101933233 | 2010 | false | false | true | true | 2818355 | |
| 178288037 | 16315618 | 1336913 | 161506002 | 2007 | false | false | true | true | ||
| 170181205 | 15828982 | 1321320 | 152728375 | 2006 | false | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Engage Bond Counsel ResearchEngageBondCounselResearch | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Total Private Business UseTotalPrivateBusinessUse | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI |
|---|---|---|---|---|---|---|---|---|
| false | false | false | false | true | true | |||
| false | false | false | false | true | true | |||
| false | false | false | false | true | true | 0.00020 | 0.00020 | |
| false | false | false | false | true | true | 0.00650 | 0.00690 | 0.00040 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested |
|---|---|---|---|---|
| false | false | false | false | false |
| false | true | false | false | false |
| false | false | false | false | false |
| false | false | false | false | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Schedule L IRS990ScheduleL
Loan Table LoanTable (13 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| Kevin Roberts | ||||||
| Relocation Assistance | X | $400,000 | 400000 | false | true | true |
| Jeff Eller | ||||||
| Relocation Assistance | X | $150,000 | 146600 | false | true | true |
| Kirby McKague | ||||||
| Relocation Assistance | X | $100,000 | 99200 | false | true | true |
| John Beaman | ||||||
| Relocation Assistance | X | $11,300 | 10500 | false | true | true |
| John Beaman | ||||||
| Relocation Assistance | X | $35,500 | 34400 | false | true | true |
| John Beaman | ||||||
| Relocation Assistance | X | $125,000 | 123900 | false | true | true |
| Jeff Conklin | ||||||
| Relocation Assistance | X | $125,000 | 124400 | false | true | true |
| JoAline Olson | ||||||
| Relocation Assistance | X | $50,000 | 37400 | false | true | true |
| JoAline Olson | ||||||
| Relocation Assistance | X | $150,000 | 106500 | false | true | true |
| Mark Ashlock | ||||||
| Relocation Assistance | X | $150,000 | 146200 | false | true | true |
| Keith Doram | ||||||
| Relocation Assistance | X | $100,000 | 88600 | false | true | true |
| Alan Soderblom | ||||||
| Relocation Assistance | X | $100,000 | 89800 | false | true | true |
| Scott Reiner | ||||||
| Relocation Assistance | X | $139,500 | 138000 | false | true | true |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 1545500 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (17 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part IX, Line 24 | Due to software limitations, 2011 income tax expense of $4,000 is unable to be disclosed separately on lines 24(a) - 24(d).The miscellaneous expenses amount is made up of a variety of expenses dissimilar enough in nature that aggregation for disclosure on lines 24(a) - 24(d) is not possible. | |
| Sch K (2nd), 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, 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 | |
| Sch K (2nd), Part 1, Column (f), Line C | Refinance a bank loan used to construct, equip and improve:Adventist Medical Center - Portland, Portland, OR | |
| Sch K (2nd), Part 1, Column (f), Line B | 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 | |
| Schedule K (2nd), Part 1, Column(f), Line A | 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 | |
| Schedule K, Part 1, Column (f), Line C | 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 B | 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 A | Construct, equip and remodel 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, CASan Joaquin Community Hospital, Bakersfield, CASimi Valley Hospital and Health Care Services, Simi Valley, CAUkiah Valley Hospital, Ukiah, CAWhite Memorial Medical Center, Los Angeles, CAAcquire and install a clinical information system:Adventist Health System/West, Roseville, CARefinance a bank loan used to acquire equipment and facilities:Selma Community Hospital, Selma, CARefund a portion of the following bond issue:1993 City of Bakersfield (AHS/West Series A) bonds issued June 3, 1993 | |
| 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. | Form 990, Part VI, Line 19 |
| 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 has 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 20 percent of base salary. | Form 990, Part VI, Line 15b |
| 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 12c |
| Form 990, Part VI, Line 11: 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 11 |
| 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 7b |
| 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 7a |
| 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 6 |
| Form 990, Part III, Line 4d : Other Program Services Description | OTHER PROGRAM SERVICES 4: Adventist Health joined the Premier health care alliance's Accountable Care Organization (ACO) Readiness Collaborative, which includes more than 40 health systems nationwide. They work together to test, measure and share best practices for creating ACOs and improving overall health and wellness in their communities. In joining this effort, our system has begun the work necessary to implement essential health care reforms that deliver high-quality, patient-centered care. As part of this collaborative, Adventist Health expects to work toward creating ACOs in its markets, accepting accountability for the care delivered to patients by improving care coordination, efficiency, quality and patient satisfaction. 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, CA, which will increase beds and improve community care while meeting all seismic safety requirements. | Form 990, Part III, Line 4d |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (20 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Reedley Community Hospital | ||||||||||
| 372 W Cypress Ave | Reedley | CA | 93654 | 453220509 | Hospital | CA | 501(c)(3) | 1 | 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 |
| Adv Hlth So California Med Fnd | ||||||||||
| 3602 Inland Empire Blvd Suite C-11 | Ontario | CA | 91764 | 954424391 | Discontinued Operations | CA | 501(c)(3) | 11c, III-FI | 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 |
| Willits Hospital Inc | ||||||||||
| 1 Madrone St | Willits | CA | 95490 | 680108919 | Hospital | CA | 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 |
| Walla Walla General Hospital | ||||||||||
| 1025 S Second Ave | Walla Walla | WA | 99362 | 910617726 | Hospital | WA | 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 |
| Sonora Community Hospital | ||||||||||
| 1000 Greenley Rd | Sonora | CA | 95370 | 941415069 | 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 |
| St Helena Hospital | ||||||||||
| 10 Woodland Rd | St Helena | CA | 94574 | 941279779 | Hospital | 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 |
| Paradise Valley Hospital | ||||||||||
| 2100 Douglas Blvd | Roseville | CA | 95661 | 951816034 | Discontinued Operations | 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 |
| Hanford Community Hospital | ||||||||||
| 115 Mall Dr | Hanford | CA | 93230 | 940535360 | 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 |
| Feather River Hospital | ||||||||||
| 5974 Pentz Rd | Paradise | CA | 95969 | 941101228 | Hospital | CA | 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 |
| Castle Medical Center | ||||||||||
| 640 Ulukahiki St | Kailua | HI | 96734 | 990107330 | Hospital | HI | 501(c)(3) | 1 | Adventist Health SystemWest | false |
| Adventist Health Clearlake Hospital Inc | ||||||||||
| 15630 18th Ave | Clearlake | CA | 95422 | 680395149 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | South Coast Medical Center | BusinessNameLine1 |
Address US AddressUS
| 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) |
|---|---|---|
| EIN | 952037291 | EIN |
| Primary Activity | Wind down after sale of hospital | PrimaryActivity |
| Legal Domicile State | CA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C Corp | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |