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      <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 17 hospitals, more than 130 clinics (rural health and physician clinics), 14 home care 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 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 capital finance 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. Adventist Health is in the process of implementing Computerized Provider Order Entry (CPOE) throughout its system. One hospital was live at the end of 2010, with the rest scheduled through 2012. The expected outcome is improved patient safety, quality of care and operational performance across the clinical continuum. (Continued on next section)</Description>
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        <Description>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 is committed to providing quality, the basis of all good health care. In 2010, aggregate system scores rose to the top 30 percent of hospitals nationally for evidence-based care (core measures) in the areas of acute myocardial infarction, heart failure, pneumonia and surgical improvement quality measures. A much lower overall mortality rate was achieved when compared to a national comparison group with similar patient characteristics. Fall rates were decreased by 40 percent when compared to national rates.During 2010, Adventist Health launched a systemwide process improvement program, The Emergency Department Collaborative. The goal of the project is to have superior Emergency Departments with exceptional results for patient throughput, quality and service. More specifically, the collaborative focuses on putting processes in place which will improve patient flow (wait times, door-to-admit times, processes, etc.), patient satisfaction and the quality of patient care. The goal of Adventist Health's systemwide initiative, The Pressure Ulcer Campaign, is to facilitate an interdisciplinary approach to maintaining skin integrity and managing skin breakdown and improve clinical outcomes in this area. To date, the system has made significant progress toward identifying best practices and reducing hospital-acquired pressure ulcers.The Culture of Teamwork and Safety Improvement Program has demonstrated significant improvement systemwide, confirmed by the Safety Attitude Questionnaires administered to hospital staff on all units every 18 months. In addition, many hospitals received numerous awards for quality, including national and state recognition through the Premier/CMS Hospital Quality Incentive Demonstration (HQID) project and the California Hospital Assessment and Reporting Taskforce (CHART). Central Valley Network earned the Silver Eureka Award for Performance Excellence from the California Council for Excellence. Feather River Hospital earned the Gold Award for Performance from this organization and also the prestigious Governor's Award for Excellence. (Continued on next section)</Description>
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        <Description>All Adventist Health hospitals are accredited and certified by The Joint Commission.Home Care ServicesAdventist Health/Home Care Services offers advanced, quality health care in an in-home setting by operating 14 Home Care agencies which, in 2010, made 211,195 home care visits. Many of the agencies provide specialized programs and treatment plans such as pediatric care. Home Care also made significant strides to enhance patient care and safety by implementing Cerner BeyondNow Homecare Solutions throughout all 14 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. Seven Adventist Health Home Care agencies were named to the 2010 HomeCare Elite list compiled by Outcome Concept Systems, Inc., a Seattle-based company providing data products and benchmark services for home health, hospice and private duty agencies. The listing of the top tier U.S. home health care agencies honors those that rank in the top 25 percent in their region based upon quality of care, quality improvement and financial performance.Through Home Care, Adventist Health offers Personal Care which helps patients stay at home and maintain as much independence as possible. Services include: personal care and grooming, bathing, grocery shopping, meal preparation, light housekeeping, laundry, prescribed exercises or short walks and babysitting.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 30 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 and one of the largest in the United States.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 760,000 visits in 2010. 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.Always mindful of providing the best care possible, the RHCs also participate in various quality initiatives, such as the Healthcare Effectiveness Data and Information Set, to track and benchmark outpatient health indicators.Patient Financial Services (PFS)Assisting patients in finding the best way to get their health care costs paid is a principal job function of PFS. With corporate oversight, financial counselors assist patients who do not have insurance coverage find appropriate financial assistance. If the patient does not qualify for third-party assistance, Adventist Health works with patients to arrange low monthly payments that are interest free. By systemwide policy, all uninsured patients automatically receive a minimum 25 percent discount off the standard charge master price for all services. For those who are not able to share in the cost of their care, the system informs the patient that charity care may be available after the patient undergoes financial screening. Adventist Health Physicians NetworkAdventist Health Physicians Network enables the system to attain greater physician alignment while successfully operating in the environment of health care reform. It also provides a vehicle for financial and clinical integration while consolidating managed care contracts so that our physicians are represented in applicable payer markets. (Continued on next section)</Description>
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      <GeneralExplanation>
        <ReturnReference>Sch K (2nd), Part 1, Column (f), Line B</ReturnReference>
        <Explanation>Refinance a bank loan used to construct, equip and improve:Adventist Medical Center - Portland, Portland, OR</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Sch K (2nd), Part 1, Column (f), Line A</ReturnReference>
        <Explanation>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</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Schedule K, Part 1, Column(f), Line E</ReturnReference>
        <Explanation>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</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Schedule K, Part 1, Column (f), Line D</ReturnReference>
        <Explanation>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</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Schedule K, Part 1, Column (f), Line C</ReturnReference>
        <Explanation>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</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Schedule K, Part 1, Column (f), Line B</ReturnReference>
        <Explanation>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</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Schedule K, Part 1, Column (f), Line A</ReturnReference>
        <Explanation>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</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part III, Line 4d</Identifier>
        <ReturnReference>Form 990, Part III, Line 4d : Other Program Services Description</ReturnReference>
        <Explanation>OTHER PROGRAM SERVICES 4: At present, AHPN has 43 physicians in 11 specialties.Healthcare 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 while continuing to provide quality, mission-focused care to our communities.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 modifying existing structures to new patient towers, establishing convenient clinics and enlarging emergency departments outfitted with the latest technology and equipment. Adventist Medical Center - Hanford opened in December 2010 and the newly-built hospital meets or exceeds seismic safety standards. 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.</Explanation>
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          <AddressLine1>2615 Chester Avenue</AddressLine1>
          <City>Bakersfield</City>
          <State>CA</State>
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          <City>Ontario</City>
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          <State>CA</State>
          <ZIPCode>90033</ZIPCode>
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        <LegalDomicileState>CA</LegalDomicileState>
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          <BusinessNameLine1>Walla Walla General Hospital</BusinessNameLine1>
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          <AddressLine1>1025 S Second Ave</AddressLine1>
          <City>Walla Walla</City>
          <State>WA</State>
          <ZIPCode>99362</ZIPCode>
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        <EIN>910617726</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>WA</LegalDomicileState>
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          <AddressLine1>275 Hospital Dr</AddressLine1>
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          <State>CA</State>
          <ZIPCode>95482</ZIPCode>
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        <EIN>941639901</EIN>
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        <LegalDomicileState>CA</LegalDomicileState>
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          <BusinessNameLine1>South Coast Medical Center</BusinessNameLine1>
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          <City>Roseville</City>
          <State>CA</State>
          <ZIPCode>95661</ZIPCode>
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        <EIN>952037291</EIN>
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        <LegalDomicileState>CA</LegalDomicileState>
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          <BusinessNameLine1>Sonora Community Hospital</BusinessNameLine1>
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          <City>Sonora</City>
          <State>CA</State>
          <ZIPCode>95370</ZIPCode>
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        <EIN>941415069</EIN>
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          <BusinessNameLine1>Simi Valley Hospital &amp; Health Care Serv</BusinessNameLine1>
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          <AddressLine1>2975 N Sycamore Dr</AddressLine1>
          <City>Simi Valley</City>
          <State>CA</State>
          <ZIPCode>93065</ZIPCode>
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        <EIN>956064971</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
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          <BusinessNameLine1>St Helena Hospital</BusinessNameLine1>
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          <AddressLine1>10 Woodland Rd</AddressLine1>
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          <State>CA</State>
          <ZIPCode>94574</ZIPCode>
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        <EIN>941279779</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
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          <BusinessNameLine1>Portland Adventist Medical Center</BusinessNameLine1>
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          <AddressLine1>10123 SE Market St</AddressLine1>
          <City>Portland</City>
          <State>OR</State>
          <ZIPCode>97216</ZIPCode>
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        <EIN>930429015</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
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        <PublicCharityStatus>1</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <BusinessNameLine1>Paradise Valley Hospital</BusinessNameLine1>
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          <AddressLine1>2100 Douglas Blvd</AddressLine1>
          <City>Roseville</City>
          <State>CA</State>
          <ZIPCode>95661</ZIPCode>
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        <EIN>951816034</EIN>
        <PrimaryActivities>Discontinued Operations</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
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          <BusinessNameLine1>Northwest Med Fnd of Tillamook</BusinessNameLine1>
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          <AddressLine1>1000 Third St</AddressLine1>
          <City>Tillamook</City>
          <State>OR</State>
          <ZIPCode>97141</ZIPCode>
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        <EIN>930622075</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
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        <PublicCharityStatus>1</PublicCharityStatus>
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          <BusinessNameLine1>Hanford Community Hospital</BusinessNameLine1>
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          <AddressLine1>115 Mall Dr</AddressLine1>
          <City>Hanford</City>
          <State>CA</State>
          <ZIPCode>93230</ZIPCode>
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        <EIN>940535360</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
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          <BusinessNameLine1>Glendale Adventist Medical Center</BusinessNameLine1>
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          <AddressLine1>1509 Wilson Ter</AddressLine1>
          <City>Glendale</City>
          <State>CA</State>
          <ZIPCode>91206</ZIPCode>
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        <EIN>951816017</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
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          <BusinessNameLine1>Feather River Hospital</BusinessNameLine1>
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          <AddressLine1>5974 Pentz Rd</AddressLine1>
          <City>Paradise</City>
          <State>CA</State>
          <ZIPCode>95969</ZIPCode>
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        <EIN>941101228</EIN>
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        <LegalDomicileState>CA</LegalDomicileState>
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          <BusinessNameLine1>Central Valley General Hospital</BusinessNameLine1>
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          <AddressLine1>1025 N Douty St</AddressLine1>
          <City>Hanford</City>
          <State>CA</State>
          <ZIPCode>93230</ZIPCode>
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        <EIN>770324630</EIN>
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        <LegalDomicileState>CA</LegalDomicileState>
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          <BusinessNameLine1>Castle Medical Center</BusinessNameLine1>
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          <AddressLine1>640 Ulukahiki St</AddressLine1>
          <City>Kailua</City>
          <State>HI</State>
          <ZIPCode>96734</ZIPCode>
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        <EIN>990107330</EIN>
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        <LegalDomicileState>HI</LegalDomicileState>
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          <BusinessNameLine1>Adventist Health Clearlake Hospital Inc</BusinessNameLine1>
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          <City>Clearlake</City>
          <State>CA</State>
          <ZIPCode>95422</ZIPCode>
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      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
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</Return>