2024-11-05T15:09:26-06:00 2023-12-31 910189318 Moss Adams LLP 3121 W March Ln Ste 200 Stockton CA 952192367 990 2023-01-01 953484589 Adventist Health SystemWest ADVE 9164060000 1 Adventist Health Way Roseville CA 95661 John Beaman Chief Financial Officer 9164060000 2024-11-01 1 0 Tracy S Paglia P00366884 2099556100 2024-11-01 2023 2024-10-15 13:58:12Z Adventist Health Kerry Heinrich 1 Adventist Health Way Roseville CA 95661 924528289 0 1071 X www.adventisthealth.org/ X 1980 CA Living God's love by inspiring health, wholeness and hope. 12 10 5191 0 3952612 4443665 2110989 170500603 767473713 596912945 27986337 78310806 7495301 78803935 805066340 924528289 2585987 1989125 0 0 454018175 349916939 0 0 1359225 534115263 584411616 990719425 936317680 -185653085 -11789391 3164459975 3556726200 3051482993 3292390962 112976982 264335238 X Living God's love by inspiring health, wholeness and hope. 0 0 304065202 1989125 591621027 See Schedule O 304065202 1 1 0 1 0 0 0 0 0 1 1 1 1 1 1 1 0 1 0 0 1 1 0 0 0 0 0 1 1 1 1 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 2764 0 1 5191 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 12 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CA X John Beaman CFO 9164060000 1 Adventist Health Way Roseville CA 95661 X Heinrich Kerry Director/CEO 50.00 0.50 X X 3302428 0 57395 Hofheins Todd COO/Assistant Secretary 50.00 0.50 X 2272592 0 76141 Beaman John Chief Financial Officer 50.00 0.50 X 1680553 0 73355 Stevens Eric - President Northern CA/HI State Network 0.00 50.50 X 1526293 0 59552 Jahn Andrew President, Southern CA Network 0.00 50.00 X 1465906 0 103785 Nahapetian Arby Chief Clinical Officer 30.00 20.00 X 1482294 0 69613 Wells Jason - Chief Strat Off thru 05/23/Pres Central CA Network 0.00 50.00 X 1470582 0 37177 Wing Bill - Former Dir/Vice Chair/Asst Secr thru 01/22 0.00 0.00 X 1438460 0 40073 Day Teresa Corporate Administration 50.00 0.00 X 1212715 0 69816 Kofl Andrea - President Central Valley Network thru 12/23 0.00 50.00 X 1173342 0 71074 Newmyer Joyce - Chief People Officer/Pres, OR State Network 20.00 30.00 X 1107614 0 62222 Seibold Brandon - Finance Strategy Growth and Dev Executive 50.00 0.00 X 1074968 0 60415 Raffoul John President, AHWM 0.00 50.00 X 996414 0 60415 Jobe Meredith Secretary 50.00 0.50 X 959488 0 59410 Wolcott Daniel - Pres Kern County Network/Pres, AHBD thru 01/23 0.00 50.00 X 952733 0 65709 Whetstine Tyler - Former Chief Information Officer thru 08/22 0.00 0.00 X 945451 0 40260 Issai Alice President, AHGL 0.00 50.00 X 952237 0 33231 Liebowitz Jacalyn System Chief Nursing Officer 50.00 0.50 X 847685 0 76439 Champlin Christopher President, AHRO 0.00 50.00 X 854712 0 52508 Stemmler Jennifer Chief Information Officer 50.00 0.00 X 853646 0 46742 Larsen David Senior Finance Officer thru 04/23 50.00 0.00 X 805493 0 58193 Takahashi Patrick System Chief Medical Officer, AHWM 0.00 50.00 X 823232 0 36106 Burke James System Chief Medical Officer, PNMG 0.00 50.00 X 791165 0 55190 Howe Judson - President North Coast Network thru 03/23 0.00 50.00 X 808895 0 28997 Rippey Wesley Area Medical Officer, AHPL 0.00 50.00 X 755844 0 73012 Welch Donald Corporate Finance Officer 50.00 0.00 X 773750 0 41012 Herber Steven President, AHSH 0.00 50.00 X 737596 0 54766 Kaur Gurvinder - Chief Medical Officer, Central CA Network 0.00 50.00 X 715637 0 70177 Fuentes Michelle President, AHSR 0.00 50.00 X 725699 0 60022 Jamaleddine Ghassan Medical Officer, AHBD 0.00 50.00 X 713217 0 70008 Swenson Jennifer President, AHSV 0.00 50.00 X 728760 0 34471 Hilmes George - Former Exec Special Projects thru 09/22 0.00 0.00 X 668063 0 45724 Beehler Robert - Former Mkt Dev, M&A Exec thru 12/21 0.00 0.00 X 452079 0 82945 Byrnes John - Former Health Div Chief Medical Off thru 03/22 0.00 0.00 X 263659 0 34955 Bancarz Gloria - Former System Chief Quality Off thru 06/21 0.00 0.00 X 138192 0 8484 Freedman John Dir/Chair 4.00 0.00 X X 26770 0 0 Cherry Robert Director 4.00 0.00 X 26611 0 0 Davis Andrew Director 4.00 0.00 X 26611 0 0 Innocent Larry Director 4.00 0.00 X 26611 0 0 Newton Bradford Dir/Vice Chair 4.00 0.00 X X 26611 0 0 Reiner Richard Director 4.00 0.00 X 26611 0 0 Salazar Velino Director 4.00 0.00 X 26611 0 0 Banks David Director 4.00 0.00 X 26181 0 0 Woodson Marc Director 4.00 0.00 X 21611 0 0 Wagner Jack Director 4.00 0.00 X 16180 0 0 Fehr Joy Director 4.00 0.00 X 430 0 0 Ocampo Lucy Director thru 08/23 4.00 0.00 X 0 0 0 36722232 0 1969394 1054 1 1 1 Jones Lang LaSalle Americas Inc 33845 Treasury Center Drive Chicago IL 60694 Property management 8013100 Trizetto Provider Solutions 28125 Network Place Chicago IL 60673 Revenue cycle management 3341095 Cerner Corporation 2800 Rockcreek Parkway Kansas City MO 64117 IT solutions management 3211471 Pinnacle Healthcare Advisors Inc 5104 N 32nd Street No 234 Phoenix AZ 85018 Advisory services 2550333 Jones Day 555 S Flower Street 50th Floor Los Angeles CA 90071 Consulting services 2377472 68 166361707 3813874 325022 170500603 Management fees 541610 570529243 565237325 5291918 Other program service revenue 621990 26383702 26383702 596912945 78310806 78310806 1979602 0 1979602 1979602 1979602 Settlement proceeds 900099 34160000 34160000 Insurance proceeds 900099 19595389 19595389 Vendor rebates 621990 15604087 4612673 10991414 7464857 -5951979 13416836 76824333 924528289 591621027 3952612 158454047 X 1932500 1932500 5320 5320 51305 51305 31584760 31584760 4104014 828929 3275085 242762068 62333936 179882642 545490 8838651 2622401 6193740 22510 42664926 7394402 35173932 96592 19962520 6094816 13823814 43890 8151041 8151041 4213731 4213731 5229040 5229040 115400 115400 127645283 18533107 108988556 123620 20247631 20247631 7714185 466528 7246970 687 165499329 160969926 4012936 516467 2630957 2357882 273075 2618390 841818 1767652 8920 212420 106488 104883 1049 26761290 26761290 13004996 6337795 6667201 817989 817989 Interest paid to market 183298004 183298004 Patient care supplies 4149244 4149244 Income taxes 1103730 1103730 Rental/lease costs equi 293868 210208 83660 10705088 30188 10674900 936317680 304065202 630893253 1359225 35437844 28448280 68440 0 91259 692474 78463561 62516224 11130344 10114342 56547460 50121480 565413829 316004794 272709827 249409035 1369538812 1511266062 446294194 537788397 203788888 234845616 690389346 871524290 3164459975 3556726200 468522572 379311420 2361853 88889 2393700560 2527572068 0 199698875 186898008 185719710 3051482993 3292390962 X 110221949 257904047 2755033 6431191 112976982 264335238 3164459975 3556726200 X -11789391 160304423 8792002 -5948778 X 0 1 X 1 1 1 X 795492 656685 5429366 2110989 170500603 179493135 499824640 691252418 835563627 915627406 600413029 3542681120 500620132 691909103 840992993 917738395 770913632 3722174255 9928758 14672358 17499877 17712338 12996927 72810258 0 9928758 14672358 17499877 17712338 12996927 72810258 3649363997 5992756 4347721 6697052 23283234 80290408 120611171 5992756 4347721 6697052 23283234 80290408 120611171 15292368 61655228 34557743 6919716 80290408 198715463 521905256 757912052 882247788 947941345 931494448 4041500889 0.90300 0.93360 0.02980 0.01240 X Schedule A, Part III, Line 12, Explanation of Other Income: Miscellaneous revenue RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 115400 115400 0 Part II-B, Line 1: Adventist Health engages lobbyists and belongs to industry and professional associations for which a portion of the membership dues is used for lobbying activities. 3904740 5059275 1424959 7539056 2429911 1545289 70460 3904740 2383951 528802 482842 2429911 3418916 656685 1691650 2383951 3006309 795400 3399636 3782429 3418916 0.14695 0.00000 0.85305 0 0 44941599 44941599 133726124 27410592 106315532 6920648 2178677 4741971 379825458 286415525 93409933 249409035 Hedge funds 338656036 F Partnership interests 199132361 F 537788397 Program related investments 143059794 F Investment in subsidiary - Blue Zones, LLC 91785822 F 234845616 Receivables from related organizations 829591927 Other receivables 39349358 Right-of-use assets 1732202 Other assets 850803 871524290 Malpractice liability 95146453 Workers' compensation liability 69744858 Payables to third-party payors 19351685 Other liabilities 1423787 Income tax payable 52927 185719710 X Part V, Line 4: A $1M board-designated fund was established to honor a former AH president. The earnings are used to provide funding for paying college student interns and graduate student residents as they participate in tracks such as accounting/finance, human resources, communications and management with the goal of introducing the participants to career options in the integrated health care field. Individuals who participate in the program frequently become employed within the AH system upon completion of their academic studies. Part X, Line 2: The principal operations of the System are exempt from taxation pursuant to Internal Revenue Code Section 50l(c)(3) and related state provisions. The System recognizes tax benefits from any uncertain tax positions only if it is more-likely-than-not the tax position will be sustained, based solely on its technical merits, with the taxing authority having full knowledge of all relevant information. The System records a liability for unrecognized tax benefits from uncertain tax positions as discrete tax adjustments in the first interim period the more-likely-than-not threshold is not met. The System recognizes deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of its assets and liabilities, along with net operating loss and tax credit carryovers only for tax positions that meet the more-likely-than-not recognition criteria. At December 31, 2023 and 2022, no such assets or liabilities were recorded. The System currently files Form 990 (Informational Return of Organizations Exempt from Income Taxes) and Form 990-T (Business Income Tax Return for an Exempt Organization) in the U.S. federal jurisdiction and the state of California. The System is not subject to income tax examinations prior to 2020 in major tax jurisdictions. 0 Central America and the Caribbean 0 0 Program services Administration, legal and accounting fees 61000 Central America and the Caribbean 0 0 Program services Reinsurance fees 2531000 Sub-Saharan Africa 0 0 Grants to recipients in region N/A 51305 Central America and the Caribbean 0 0 Investments in region N/A 392424894 0 0 0 0 0 0 395068199 0 395068199 Sub-Saharan Africa Mission Support - Outreach for developing women's health clinic 51305 Wire transfer 0 1 0 1 0 1 1 1 0 Part I, line 3: Accrual method 1 AltaMed Health Services Corporation 5211 Washington Boulevard Suite 2-186 Los Angeles CA 90040 952810095 501(C)(3) 50000 0 RHS - Scholarships Pine Hills Adventist Academy 13500 Richards Lane Auburn CA 95603 680260457 501(C)(3) 7500 0 Sponsorships - Playbill & Golf Upper Columbia Conference 3715 S Grove Road Spokane WA 99224 910617725 501(C)(3) 15000 0 Donation - Serve One More Initiative Walla Walla University 204 S College Avenue College Place WA 99324 910617727 501(C)(3) 1860000 0 Community Wellbeing Implementation & Golf Classic 4 0 Caring Connection 5 5320 Part I, Line 2: Funding provided to other organizations is provided to recipients with the understanding that the funds are being used only for the designated purposes. No monitoring is conducted by AH. X X 1 1 X X X X 1 1 0 0 0 0 0 0 0 Heinrich Kerry Director/CEO 2017000 0 1208880 0 76548 0 13296 0 44099 0 3359823 0 0 0 Hofheins Todd COO/Assistant Secretary 1389462 0 735265 0 147865 0 13296 0 62845 0 2348733 0 0 0 Beaman John Chief Financial Officer 1091769 0 569149 0 19635 0 13296 0 60059 0 1753908 0 0 0 Stevens Eric - President Northern CA/HI State Network 1045616 0 319995 0 160682 0 13296 0 46256 0 1585845 0 0 0 Jahn Andrew President, Southern CA Network 1044420 0 406990 0 14496 0 53160 0 50625 0 1569691 0 0 0 Nahapetian Arby Chief Clinical Officer 967385 0 329621 0 185288 0 13296 0 56317 0 1551907 0 0 0 Wells Jason - Chief Strat Off thru 05/23/Pres Central CA Network 892808 0 337640 0 240134 0 13296 0 23881 0 1507759 0 0 0 Wing Bill - Former Dir/Vice Chair/Asst Secr thru 01/22 0 0 0 0 1438460 0 13296 0 26777 0 1478533 0 0 0 Day Teresa Corporate Administration 1200000 0 0 0 12715 0 13296 0 56520 0 1282531 0 0 0 Kofl Andrea - President Central Valley Network thru 12/23 746000 0 254602 0 172740 0 13296 0 57778 0 1244416 0 0 0 Newmyer Joyce - Chief People Officer/Pres, OR State Network 786000 0 299814 0 21800 0 15831 0 46391 0 1169836 0 0 0 Seibold Brandon - Finance Strategy Growth and Dev Executive 658616 0 314838 0 101514 0 13296 0 47119 0 1135383 0 0 0 Raffoul John President, AHWM 671546 0 178639 0 146229 0 13296 0 47119 0 1056829 0 0 0 Jobe Meredith Secretary 660525 0 168715 0 130248 0 13296 0 46114 0 1018898 0 0 0 Wolcott Daniel - Pres Kern County Network/Pres, AHBD thru 01/23 190804 0 217108 0 544821 0 13296 0 52413 0 1018442 0 0 0 Whetstine Tyler - Former Chief Information Officer thru 08/22 0 0 349646 0 595805 0 13296 0 26964 0 985711 0 0 0 Issai Alice President, AHGL 688388 0 130497 0 133352 0 13296 0 19935 0 985468 0 0 0 Liebowitz Jacalyn System Chief Nursing Officer 581346 0 194915 0 71424 0 13296 0 63143 0 924124 0 0 0 Champlin Christopher President, AHRO 594895 0 170695 0 89122 0 13296 0 39212 0 907220 0 0 0 Stemmler Jennifer Chief Information Officer 655921 0 119463 0 78262 0 13296 0 33446 0 900388 0 0 0 Larsen David Senior Finance Officer thru 04/23 174498 0 152018 0 478977 0 13296 0 44897 0 863686 0 0 0 Takahashi Patrick System Chief Medical Officer, AHWM 625000 0 136982 0 61250 0 13296 0 22810 0 859338 0 0 0 Burke James System Chief Medical Officer, PNMG 625000 0 134319 0 31846 0 13296 0 41894 0 846355 0 0 0 Howe Judson - President North Coast Network thru 03/23 538154 0 186337 0 84404 0 13296 0 15701 0 837892 0 0 0 Rippey Wesley Area Medical Officer, AHPL 539595 0 105940 0 110309 0 13296 0 59716 0 828856 0 0 0 Welch Donald Corporate Finance Officer 455949 0 115770 0 202031 0 13296 0 27716 0 814762 0 0 0 Herber Steven President, AHSH 524908 0 111643 0 101045 0 13296 0 41470 0 792362 0 0 0 Kaur Gurvinder - Chief Medical Officer, Central CA Network 536229 0 130845 0 48563 0 13296 0 56881 0 785814 0 0 0 Fuentes Michelle President, AHSR 555270 0 87515 0 82914 0 13296 0 46726 0 785721 0 0 0 Jamaleddine Ghassan Medical Officer, AHBD 550638 0 109444 0 53135 0 13296 0 56712 0 783225 0 0 0 Swenson Jennifer President, AHSV 517093 0 113990 0 97677 0 13296 0 21175 0 763231 0 0 0 Hilmes George - Former Exec Special Projects thru 09/22 0 0 158770 0 509293 0 13296 0 32428 0 713787 0 0 0 Beehler Robert - Former Mkt Dev, M&A Exec thru 12/21 0 0 0 0 452079 0 13296 0 69649 0 535024 0 0 0 Byrnes John - Former Health Div Chief Medical Off thru 03/22 0 0 0 0 263659 0 13183 0 21772 0 298614 0 0 0 Bancarz Gloria - Former System Chief Quality Off thru 06/21 0 0 0 0 138192 0 6910 0 1574 0 146676 0 0 0 Part I, Line 1a Tax indemnification and gross-up payments are paid to 12 board of directors. These were included in taxable income. Social club dues were paid for two officers. This was not included in taxable compensation. Part I, Lines 4a-b Severance payments are made based upon agreements between certain qualifying employees and Adventist Health System/West. Details of the terms and conditions of the severance agreements are available to the IRS upon request. Bancarz, Gloria - severance payment - $137,752 Beehler, Robert - severance payment - $452,005 Byrnes, John - severance payment - $262,731 Hilmes, George - severance payment - $511,539 Larsen, David - severance payment - $392,620 Whetstine, Tyler - severance payment - $600,000 Wing, Bill - severance payment - $1,440,800 Wolcott, Daniel - severance payment - $517,896 The Supplemental Executive Retirement Plan (SERP) is a defined contribution plan designed to encourage the participants continued employment with Adventist Health and is subject to the participants satisfying specified substantial risks of forfeiture. The SERP benefit distribution occurs when the executive achieves 30 years of Adventist health care service, 20 of which are to be as an executive and at least 10 are to be with Adventist Health System/West, and reaches age 60. Until that time, the SERP benefit is at risk to the creditors of Adventist Health. The SERP benefit is designed to help the executive receive employer-provided retirement benefit income equal to 60% of pre-retirement income. The SERP plan was frozen for new participants in 2016. Larsen, David - participant, no activity in 2023 Raffoul, John - participant, no activity in 2023 Select executives agreed to participate in CAP-EX in place of a traditional SERP. See Schedule L, Part V, for a broader description. Split-Dollar life insurance participants are John Beaman, Kerry Heinrich, Todd Hofheins, Andrew Jahn, Joyce Newmyer, Jack Wagner, and Bill Wing. A flexible benefits plan (CAA) is offered to groups of highly-compensated employees meeting certain criteria. The participants are provided with an amount equivalent to 41 percent of their base compensation, less the value of their corporate provided benefits. The balance is set aside for nonvested deferred compensation that is subject to substantial risk of forfeiture and is at risk to the creditors of Adventist Health. Payouts occur according to the participants' payment elections after all substantial risks of forfeiture have lapsed. The plan was frozen for new non-vested contributions in 2016. Jahn, Andrew - participant, no activity in 2023 Newmyer, Joyce - participant, no activity in 2023 A CSCDA Series A 2007 680164610 1307957C5 2007-05-08 57500000 See Part VI 0 0 0 B CHFFA Series B 2009 521643828 13033LBC0 2009-05-20 30000000 See Part VI 0 0 0 C CHFFA Series A 2011 521643828 000000000 2011-06-09 130000000 See Part VI 1 0 0 D CHFFA Series A 2013 521643828 13033LS65 2013-02-14 208420907 See Part VI 0 0 0 A 21440000 57500000 643910 1409177 4480297 50966616 2010 0 0 1 1 B 30000000 216916 29783084 2009 0 0 1 1 C 53235000 130000000 478200 129521800 2015 0 0 1 1 D 60035000 208420907 979977 207440930 2016 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 1 0 0 0.00000 0.00000 0.00000 0 0 1 A 1 0 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 Date Rebate Computation Performed Issuer Name: CHFFA Series B 2009 Date the Rebate Computation was Performed: 06/17/2019 Issuer Name: CHFFA Series A 2011 Date the Rebate Computation was Performed: 07/14/2021 Issuer Name: CHFFA Series A 2013 Date the Rebate Computation was Performed: 03/22/2023 Issuer Name: CHFFA Series A 2013 Date the Rebate Computation was Performed: 03/22/2023 Issuer Name: CSCDA Series A 2015 Date the Rebate Computation was Performed: 07/20/2020 Issuer Name: CSCDA Series A 2015 Date the Rebate Computation was Performed: 07/20/2020 Issuer Name: CHFFA Series A 2016 Date the Rebate Computation was Performed: 10/19/2021 Issuer Name: CSCDA Series A 2018 Date the Rebate Computation was Performed: 10/23/2023 Part I, Columns (A-D) Issuer's Name: CSCDA - California Statewide Communities Development Authority CHFFA - California Health Facilities Financing Authority HFA - The Hospital Facilities Authority of Multnomah County, Oregon Part I, Entity 1, Column (f), Line A: Construct, equip and remodel the following health care facilities: Feather River Hospital, Paradise, CA Hanford Community Hospital, Hanford, CA Simi Valley Hospital and Health Care Services, Simi Valley, CA Part I, Entity 1, Column (f), Line B: Acquire, construct and equip the following health care facilities: Adventist Health Clearlake Hospital Inc., Clearlake, CA Feather River Hospital, Paradise, CA Glendale Adventist Medical Center, Glendale, CA Hanford Community Hospital, Hanford, CA St. Helena Hospital, St. Helena, CA Simi Valley Hospital and Health Care Services, Simi Valley, CA Part I, Entity 1, Column (f), Line C: Acquire, construct, and equip the following health care facilities: Adventist Health Clearlake Hospital, Inc., Clearlake, CA Feather River Hospital, Paradise, CA Glendale Adventist Medical Center, Glendale, CA St. Helena Hospital, St. Helena, CA Simi Valley Hospital and Health Care Services, Simi Valley, CA Acquire and install a clinical information system: Adventist Health System/West, Roseville, CA Part I, Entity 1, Column (f), Line D: Refund outstanding balance of the following bond issues: 2002 California Health Facilities Financing Authority (AHS/West Series A) bonds issued March 20, 2002 2002 California Health Facilities Financing Authority (AHS/West Series B) bonds issued March 20, 2002 2003 California Health Facilities Financing Authority (AHS/West Series A) bonds issued July 1, 2003 Part I, Entity 2, Column (f), Line A: Acquire, construct, and equip the following health care facilities: Central Valley General Hospital, Hanford, CA Feather River Hospital Paradise, CA Hanford Community Hospital, Hanford, CA San Joaquin Community Hospital, Bakersfield, CA Ukiah Valley Hospital, Ukiah, CA Willits Hospital, Inc, Willits, CA Acquire and install a clinical information system: Adventist Health System/West, Roseville, CA Part I, Entity 2, Column (f), Line B: Refund outstanding balance of the following bond issue: 2005 California Statewide Communities Development Authority (AHS/West Series A) bonds issued on October 18, 2005 Part I, Entity 2, Column (f), Line C: Acquire, construct, and equip the following health care facilities: Hanford Community Hospital, Hanford, CA St. Helena Hospital, St. Helena, CA Part I, Entity 2, Column (f), Line D: Advance refund outstanding balance of the following bond issues: 1998 California Health Facilities Financing Authority (AHS/West Series A) issued February 18, 1998 2007 California Statewide Communities Development Authority (AHS/West Series B) bonds issued May 8, 2007 2007 California Statewide Communities Development Authority (Lodi) bonds issued December 13, 2007 2009 California Health Facilities Financing Authority (AHS/West Series A) bonds issued May 20, 2009 Part I, Entity 3, Column (f), Line A: Finance the new headquarters facility for the Corporation located in Roseville, CA and refinance the following bond issues: City of Marysville, CA Rideout Series 2011 Bonds acquired in the affiliation with The Fremont-Rideout Health Group and Rideout Memorial Hospital effective April 1, 2018 Part I, Entity 3, Column (f), Line B: Refund the outstanding balance of the following bond issue: 2009 HFA - The Hospital Facilities Authority of Multnomah County, Oregon (AHS/West Series A) issued September 30, 2009 Part I, Entity 3, Column (f), Line C: Acquire, construct, and equip the following health care facilities: Adventist Health System/West, Roseville, CA Adventist Health Clearlake Hospital Inc. Clearlake, CA Adventist Health Delano, Delano, CA Adventist Health Medical Center Tehachapi, Tehachapi, CA Adventist Health Mendocino Coast, Fort Bragg, CA Adventist Health Tulare, Tulare, CA Glendale Adventist Medical Center, Glendale, CA Hanford Community Hospital, Hanford, CA Lodi Memorial Hospital Association Inc, Lodi, CA Reedley Community Hospital, Reedley, CA Rideout Memorial Hospital, Marysville, CA San Joaquin Community Hospital, Bakersfield, CA Sonora Community Hospital, Sonora, CA Ukiah Adventist Hospital, Ukiah, CA White Memorial Medical Center, Los Angeles, CA Part I, Entity 3, Column (f), Line D: Acquire and equip the following health care facilities: Adventist Health Specialty Bakersfield, Bakersfield, CA Adventist Health White Memorial Montebello, Montebello, CA Part I, Entity 4, Column (f), Line A: Refund the outstanding balance of the following bond issue: 2011 CHFFA A California Health Facilities Financing Authority (AHS/West Series A) issued June 9, 2011. Part II, Entity 1, Line 11, Column D: The other spent proceeds are the refunding proceeds no longer in escrow. Part II, Entity 2, Line 11, Columns B & D: The other spent proceeds are the refunding proceeds no longer in escrow. Part II, Entity 3, Line 11, Column A: The other spent proceeds are the proceeds used to pay off the taxable line of credit which was used to finance initial costs of the project. Part II, Entity 3, Line 11, Column B: The other spent proceeds are the refunding proceeds no longer in escrow. A CHFFA Series A 2013 521643828 13033LS57 2013-02-14 100741934 See Part VI 0 0 0 B CSCDA Series A 2015 680164610 13080SJL9 2015-06-30 157990834 See Part VI 0 0 0 C CSCDA Series A 2015 680164610 13080SJM7 2015-06-30 42422999 See Part VI 0 0 0 D CHFFA Series A 2016 521643828 13032UGL6 2016-09-08 309720490 See Part VI 0 0 0 A 7690000 100741934 741934 100000000 2016 0 0 1 1 B 20346300 157990834 1493445 9150 156488239 2015 1 0 1 1 C 5738700 42422999 420423 2576 42000000 2019 0 0 1 1 D 69190000 309720490 2280369 307440121 2016 1 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 1 0 0 0.00000 0.00020 0.00020 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 A CSCDA Series A 2018 680164610 13080SWK6 2018-09-27 272074615 See Part VI 0 0 0 B HFA Multnomah 2019 931266280 62551PCX3 2019-11-13 60886489 See Part VI 0 0 0 C CHFFA Series A 2022 521643828 13032UG93 2022-12-15 100322608 See Part VI 0 0 0 D CHFFA Series A 2023 521643828 13032UH50 2023-12-12 95000000 See Part VI 0 0 0 A 3945000 272074615 2098459 242976156 27000000 2019 0 1 1 1 B 60886489 493229 60393260 2019 1 0 1 1 C 100322608 321046 54825894 45175668 0 0 0 1 D 95000000 71512595 23487405 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A CHFFA Series B 2023 521643828 13032UJ33 2023-12-21 77095000 See Part VI 0 0 0 A 77095000 77090970 4030 2023 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 Beaman J Officer Relocation X 335000 280150 0 1 1 Beaman J Officer Supplemental retirement CASD X 4683349 4858500 0 1 1 Beehler R Former key employee Relocation X 100000 61350 0 1 1 Byrnes J Former key employee Relocation X 200000 188750 0 1 1 Champlin C Key employee Relocation X 300000 297600 0 1 1 Heinrich K Officer Relocation X 1441922 1303095 0 1 1 Heinrich K Officer Supplemental retirement CASD X 16485424 17108555 0 1 1 Hofheins T Officer Relocation X 637987 536745 0 1 1 Hofheins T Officer Supplemental retirement CASD X 3469667 3606442 0 1 1 Jahn A Key employee Relocation X 400000 385550 0 1 1 Jahn A Key employee Supplemental retirement CASD X 2889528 2999975 0 1 1 Jobe M Officer Relocation X 100000 65200 0 1 1 Larsen D Key employee Relocation X 150000 140100 0 1 1 Liebowitz J Key employee Relocation X 150000 142100 0 1 1 Nahapetian A Key employee Relocation X 750000 740327 0 1 1 Newmyer J Key employee Relocation X 400000 397300 0 1 1 Newmyer J Key employee Supplemental retirement CASD X 4475347 4635638 0 1 1 Seibold B Key employee Relocation X 800000 798200 0 1 1 Stemmler J Key employee Relocation X 200000 197000 0 1 1 Stevens E Key employee Relocation X 200000 194600 0 1 1 Welch D Key employee Relocation X 300000 297600 0 1 1 Wells J Key employee Relocation X 1000000 992800 0 1 1 Whetstine T Key employee Relocation X 200000 125667 0 1 1 Wing B Former officer Relocation X 200000 179800 0 1 1 Wing B Former officer Supplemental retirement CASD X 14529107 15072592 0 1 1 Wagner J Director Supplemental retirement CASD X 6671634 6910588 0 1 1 62516224 Bancarz Michelle Family member of Former Key EE, G. Bancarz 217204 Employment 0 Bancarz Theodore Family member of Former Key EE, G. Bancarz 186274 Employment 0 PVHR LLC Greater than 35% owned by former Director, M. Gabriel and family members 0 Interest 0 Newton Tyler Family member of director Bradford Newton 425450 Employment 0 Part II, Supplemental Retirement Benefits: The organization provides supplemental retirement benefits through an alternative funding arrangement the IRS calls "collateral assignment split dollar" (CASD). Although the IRS requires reporting in the loan section of Schedule L, CASD is not an actual loan - no funds are transferred to the executive. Rather, the "loan" treatment applies because after the executive has received retirement benefits, the organization recovers all outlays plus interest.The recovery right is a key advantage of CASD for the organization. Rather than paying retirement benefits to the executive that would never be recovered, under CASD the organization recovers not only its outlays, but also consideration for the time value of money.CASD works as follows: The organization deposits funds into a cash value life insurance policy on the executive's life. During life, to the extent the executive fulfills service and vesting requirements, the executive can borrow against values in the policy to supplement retirement income. Policy performance is closely monitored. If policy performance lags, the executive's borrowing rights are reduced to protect the organization's recovery rights.At the executive's death, the policy death proceeds are first used to repay the organization its deposits plus compounded interest (at the IRS long-term applicable federal rate). The executive's beneficiary then receives any projected retirement borrowing the executive did not access during life. Any remaining death proceeds were available to be paid to the executive's beneficiary. However, the executives made a gift of the excess proceeds, estimated to total $130 million, to the organization to provide additional funding for the organization's charitable activities.Gift of excess proceeds (estimated):John Beaman $5,100,735; Kerry Heinrich $13,058,524; Todd Hofheins $6,001,825; Andrew Jahn $6,989,977; Joyce Newmyer $3,175,999; Jack Wagner $10,994,914; Bill Wing $10,442,655. Schedule L, Part IV, Line 3: Melody Gabriel, a former AH director, and her husband are owners and officers of businesses that engage in joint ventures with AH and member hospitals. Other family members with ownership and officer positions in these businesses include her parents, her brother and his wife, and trusts established on behalf of her children. The ventures are organized as LLCs. At the end of 2023, PVHR, LLC had an outstanding balance of $1,050,000 secured and unsecured market rate interest bearing loans. This LLC is 50% controlled by another LLC of which Ms. Gabriel and her family have a controlling interest. Interest is accrued on these loans, principal and interest at the end of 2023 was $202,912. Principal and interest payments are being made monthly. Total interest paid during 2023 was $200,000. Form 990, Part III, Line 4a: Adventist Health is a faith-based, nonprofit integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 28 acute care facilities. Founded on Seventh-day Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care agencies, hospice agencies and joint-venture retirement centers in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes associates, medical staff physicians, allied health professionals and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope. Together, we are transforming the American healthcare experience with an innovative, yet timeless, whole person focus on physical, mental, spiritual and social healing. Mission-driven The healthcare industry continues to experience significant changes. From high and rising costs to regulatory initiatives, these issues are causing hospitals and health systems to re-think who they are and how they want to deliver care. At Adventist Health, we are thriving and growing in the face of this transition by building on our legacy and re-establishing ourselves as the leader in physical, mental, spiritual and social health. We remain committed to "living God's love by inspiring health, wholeness and hope." Our mission represents the heart of our people. It expresses that we know the love of God and consistently reflect that love in our actions, relationships and work. Mission is the reason our organization exists. Community Health Development Adventist Health's commitment to improve well-being not only grew out of our mission to live God's love, but also from the needs we see in communities across our system of 28 hospitals. While diseases of despair continue to escalate along with healthcare costs, we are presented with the opportunity to bring whole person care, philanthropy, public heath, human services, government, community members, and business owners together to change the well-being of people, places, and equity. Nonprofit health systems, community-based organizations and public health agencies across the country all share a similar calling to provide public service to help improve their community members' lives. One area of public service where these entities share responsibility is ensuring all community members have the opportunity to live a healthy life. One way to accomplish this is by assessing the health of our communities through the community health needs assessment. In 2022, Adventist Health took this federally mandated requirement one step further with the vision of designing a people centric community health needs assessment. The Adventist Health Community Solutions team standardized a step-by-step process to develop and create a Community Health Needs Assessment report that focused on best practice methods, a collaborative approach, asset mapping that allowed for matching resources with chosen priorities and the development of an actionable Community Health Implementation Strategy to ensure strategic investment and measurable impact across our Adventist Health markets. This approach ensured a measurable, sustainable community benefit investment in people, places, and equity. In 2022, the Adventist Health Community Solutions team produced 16 CHNA reports and reached out to over 800 participants through 90 focus groups and over 50 key informant interviews. Populations reached included people experiencing homelessness, domestic violence survivors, food security providers, higher education professionals, homeless service providers, law enforcement, medical providers, tribal health services, public health, students, farm workers and older adults. This provided rich qualitative data where we learned about our community members' current state of health and listened to their greatest concerns for their friends and families. This work continued in 2023, where the community impact team laid the foundation for the upcoming 2025 Community Health Needs Assessment period and was busy traveling to markets and facilitating focus groups and key informant interviews to hear the voices of our communities where they live and engaged in a collaborative and equitable primary data collection process. Each year the Roseville team supports the research, assessment, data collection and reporting process for the following systemwide community benefit workstreams: Community Health Needs Assessment (CHNA), Community Health Implementation Strategy (CHIS) and annual community benefit expense reporting. Additionally, operational tasks such as Community Benefit Inventory for Social Accountability (CBISA) entries and editing of 22 community health plan update reports were also insourced, to make our local hospital teams available to drive impactful programs. In partnership with local hospital leaders and community boards, our systemwide cadence of these activities fosters greater collaboration to collectively address the selected high priority health needs at each market. In 2021, Adventist Health committed to launching six Blue Zone Projects within our community footprint. In 2022, the six active projects launched in Adventist Health communities include Bakersfield, Lake County, Mendocino County, Tuolumne County, Upper Napa Valley, Walla Walla Valley and Yuba-Sutter. In addition to six Blue Zone Projects, Adventist Health also engaged in 14 Blue Zones Worksite Certifications at Adventist Health hospitals. Blue Zones Projects and Blue Zones Worksite Certifications have gained international recognition for their transformational impact on entire cities and communities. In 2023, we saw tremendous growth in several of our markets promoting walking moais, worksite wellness, Blue Zones Project school pledges to create an environment that instills healthy lifestyle choices for our children and Blue Zones Project restaurant pledges to provide healthy options. Blue Zones widens our impact from only reaching our hospitals' communities in four states to a global mission practice. To learn more about the work of Blue Zones, please visit www.bluezones.com. Together, these system-led support efforts and community specific projects facilitated the following impacts across our system in 2023: A total of $27,727,414 million was spent on free and discounted care, $356,724,497 million in aid to the underserved $316,461,186 million in aid to the elderly, $306,343,035 million in subsidized community healthcare, $35,717,190 million in community health improvement, and $27,686,879 million on education and research. These efforts totaled close to $1.070 billion in community benefit expenses. Form 990, Part III, Line 4a (continued): Care Transformation Care Transformation in Adventist Health reflects our promise to deliver top decile safety and quality performance and top quartile in clinical operations. The transformation focuses on initiatives such as Clinical Leadership Development, High Reliability Organization, Patient Experience, Care Redesign, Population Health and Clinical Workforce. All these efforts focus on effectively blending people, processes and technology, and include consistent design, delivery and evaluation of care performance. Our caregivers are working hard every day to achieve the clinical goals and continue to spread our mission. Patient Safety & Quality Adventist Health focuses not only on patient safety and quality patient care, but also provides a quality work environment for its associates. Maintaining a culture of teamwork and safety among clinicians and staff is foundational to Care Transformation. For the past nine years, Adventist Health has participated in the Culture of Safety survey, which provides insight into focused areas where actions can be taken to improve the safety and teamwork climate in clinical departments. Adventist Health hospitals received quality and safety awards from The Joint Commission, The LeapFrog Group, Healthgrades, CMS and Malcolm Baldrige. Physician Alignment Adventist Health operates 379 medical offices across the West Coast and Hawaii. These ambulatory care centers include Rural Health Clinics (RHC), hospital-based outpatient clinics (HBOC), employed physician models in Oregon and Hawaii, medical foundations in California, and community health clinics. These medical offices offer primary care and more than 50 different specialties in medical offices large and small. We have more than 500 primary care providers and about 700 specialists providing services ranging from Addiction Medicine to Wound Care - Audiology to Vascular Surgery. Adventist Health also provides much-needed dental care in 10 of our rural communities. The providers in these medical offices are committed to providing best practice, quality-driven care with excellent health outcomes and exceptional patient experience. We provide more than two million patient visits annually. In the initial months of the pandemic, we pivoted to offering virtual visits and continue to provide those to our most vulnerable populations and those patients who have found it to be a more convenient way to receive care. We have also launched online scheduling for all of our primary care providers to increase access to care for our communities. As an organization, we have had to prioritize continued pay for our providers and employees to minimize the loss of clinicians during the extended public health emergency. Throughout these challenges, our physicians and Advanced Practice Providers have continued to provide excellent patient satisfaction resulting in an overall Adventist Health clinic star rating of 4.7 out of 5 stars. Rural Health Clinics (RHC) As an extension of our mission, high-quality services are provided to rural communities where access to care is often significantly more challenging than in urban areas. We have 69 rural health clinics (RHCs) providing healthcare to underserved populations throughout Northern and Central California, Hawaii, and Oregon. Our system of rural health continues to be the largest network of clinics in the state of California (about 12% of the RHCs in the state are part of Adventist Health). Our RHC network also is one of the largest in the country, representing almost one percent of the nation's RHCs. Adventist Health provides oversight services for all our RHCs to include financial monitoring, program audits, operational support, professional development, advocacy, and education regarding new regulations. Thanks to the RHCs, many of these rural communities' most disenfranchised have access to primary care, dentistry, women's and children's services, and health education. Specialty care services are also available at many RHC locations, including 24 behavioral health programs. Home Care Services Adventist Health Home Care offers advanced, high quality health care in an at-home setting by operating 14 home health agencies and seven hospices. In 2021, care, compassion and high-quality services were provided with 210,225 home health visits and 74,069 hospice days. Many of the agencies provide specialized programs and treatment plans, such as, wound care, CHF and diabetes management. Our home health mission is to help patient's recover, regain independence and become as self-sufficient as possible in the comfort of their home. Our hospice mission is to provide whole-person care that envelopes the body, comforts the mind and nurtures the spirit. We are most proud of the following accomplishments in 2021: 1. Implemented telehealth/remote patient monitoring for CHF patients 2. Bakersfield Hospice cared for their first patient, earned their Medicare certification and CHAP accreditation 3. Mendocino Coast Home Health joined the AH family and became integrated into our EMR, operational processes and platforms 4. New devices were rolled out to all Adventist Health associates 5. Enhanced hospice ePrescribe platform was implemented to meet patient, MD and regulatory needs 6. Re-launched and expanded ExactCare pharmacy services to assist patients with medication management 7. Implemented a readmission task force to reduce hospital readmissions and improve hospital partnerships 8. Glendale Home Health and Hospice were accredited by CHAP 9. Received regulatory change of ownership approval for Rideout Home Health Developing a Virtual Care Network The Adventist Health Virtual Care Network allows healthcare professionals to evaluate, diagnose, and treat patients using video conferencing software technology. Virtual Care is the umbrella term for the group of services and functions that include telemedicine, telepharmacy, teleICU, telestroke, teledentistry, teleradiology, and telepathology, but which also includes and can support regional health information sharing, patient education and provider networking. Virtual Care provides patients with access to high-quality, affordable specialty care when and where they need it, aiding in rapid diagnosis, treatment, and improved patient outcomes. This collaboration supports Adventist Health's mission of bringing high-quality health and healing to the communities it serves, and is consistent with the organization's focus on innovation, strategic growth, and population health. Virtual Care services took a huge leap with the onset of the COVID-19 pandemic, and we continue to monitor virtual visit volumes and the Public Health Emergency regulations related to virtual care. We now have an integrated platform that enables providers to see patients in their own home more seamlessly through our patient portal and a direct text-to-video option. Our clinics have recently upgraded their telehealth equipment to provide specialty outpatient care in our rural communities in California and Oregon sites, including a small number of non-Adventist Health sites. We continue to offer store and forward services for dermatology and diabetic retinopathy screenings, as well as peer-to-peer e-consults, as well as a direct-to-consumer service, Adventist Health OnDemand, for consumers. Adventist Health is also a preferred provider for Virtual Care with the California Department of Corrections and Rehabilitation, serving multiple prison locations through the Virtual Care Coordination Center. In 2021, we piloted a virtual behavioral health counseling service to clinic patients in some of our rural communities and we continue to look at how we can duplicate the program across the rest of the communities we serve. Our Hawaii and our Mendocino Coast markets now have sites that have video conferencing software with state-of-the-art virtual stethoscope technology to ensure patients can be seen close to where they live. Inpatient virtual care continues to serve hundreds of patients. Thirteen hospitals use telehealth stroke services, seven hospitals use pediatric services, five sites use infectious disease services with ten sites using emergency psychiatry assessment services. We are looking forward to having a systemwide offering in the next few years in the areas of stroke, general neurology, and psych for all of our ICUs and ERs. Form 990, Part III, Line 4a (continued): Strategic Planning Adventist Health's mission of living God's love, inspiring health, wholeness and hope is our greatest calling as an organization. Our strategic planning builds on a vision to provide exceptional care at every stage of life, inspiring community transformation through health and well-being for all. To support this vision, we have shifted our structure to strategic networks of care, bringing local and system leadership closer together to organize our work around our patients, communities and key opportunities to serve all through a deeply integrated and collaborative network of care. We are engaging our strong, innovative teams to shape a thriving culture. We are expanding our networks creating community relevance and well-being. We are empowering exceptional teams to deliver unparalleled care. We are embedding disciplined stewardship to drive operational excellence. Form 990, Part VI, Section A, line 6 Individuals who represent the Seventh-day Adventist Church and lay people who are in good standing with the Seventh-day Adventist Church serve as members of Adventist Health System/West (the Organization") including the following: (a) the president, treasurer, and one other representative from both the offices of the Pacific Union and the North Pacific Union; (b) one representative from each of the local conferences of the Church in which affiliated health care facilities are located; (c) four representatives, with one selected from among the colleges and universities affiliated with the Church and located in the Pacific Union or North Pacific Union; (d) the CEO of the Organization, plus three additional representatives of the management of the Organization; (e) three representatives selected from the presidents of the hospitals affiliated with the Organization; (f) three healthcare leaders; (g) up to 16 lay representatives who do not belong to any of the other categories set forth but who otherwise meet the qualifications for membership. Annually, the members meet for the purpose of conducting the business of the membership. Annually, the members meet for the purpose of conducting the business of the membership. Actions are taken as required to enable Adventist Health System/West to continue operating in concert with its Articles and Bylaws. Form 990, Part VI, Section A, line 7a The Organization's Board of Directors consists of the following: (a) The president of the Pacific Union and North Pacific Union of the Seventh-day Adventist Church; (b) two presidents selected from among the local conferences of the Church in which are located affiliated health care institutions; (c) The CEO of the Organization; (d) two professional health care providers who are practicing or serving in healthcare leadership; and (e) eight lay representatives as elected by the membership. Form 990, Part VI, Section A, line 7b Amendments to the Organization's Bylaws require approval by the membership. Form 990, Part VI, Section B, line 11b This Form 990 including all supporting schedules was prepared by a public accounting firm, reviewed by the Corporate Finance Officer and Market Financial Officer, and shared by electronic communication with the Corporation's Board of Directors prior to filing. Form 990, Part VI, Section B, line 12c During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, corporate officers, key employees, and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation to illustrate examples of a conflict and remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the CEO immediately. The statements for the Organization's Board of Directors are reviewed by the EY auditors as part of the annual financial statement audit. All conflicts are reviewed by the System General Counsel. For potential conflicts, the System General Counsel will determine and present all relevant facts to the governing body for decision. After addressing any questions asked by the governing body, the person with a declared conflict must leave the meeting during the discussion of the matter that involves a conflict and during any vote on the matter. Form 990, Part VI, Section B, line 15 The Organization's Board of Directors has established a Human Resources Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets at least annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, including salary ranges for hospital presidents and finance officers that would be indicated by the data 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 hospital executives, with midpoints aligned with the 60th percentile of comparable system hospital data, and having a 50 percent spread from minimum to maximum. Form 990, Part VI, Section C, line 19 The Organization does not make its governing documents publicly available beyond required filings of Articles of Incorporation with the Secretary of State. The Organization does not make its Conflict of Interest Policy available to the public. Form 990, Part VII: In recognition of the time commitment directors make to serve on the Adventist Health System/West boards and committees, directors have the option to receive compensation when their employment agreements with their employers allow such payments. In addition, amounts paid for taxable benefits are also reported. Form 990, Part IX, line 11g Other purchased services: Program service expenses 14,520,583. Management and general expenses 91,192,643. Fundraising expenses 123,620. Total expenses 105,836,846. Repairs & maintenance: Program service expenses 540,890. Management and general expenses 800,476. Fundraising expenses 0. Total expenses 1,341,366. Consulting and other management fees: Program service expenses 1,842,405. Management and general expenses 13,264,434. Fundraising expenses 0. Total expenses 15,106,839. Contract labor: Program service expenses 1,287,721. Management and general expenses 2,814,786. Fundraising expenses 0. Total expenses 4,102,507. Other professional fees non-medical: Program service expenses 112,874. Management and general expenses 413,129. Fundraising expenses 0. Total expenses 526,003. Purchased medical services: Program service expenses 0. Management and general expenses 179,773. Fundraising expenses 0. Total expenses 179,773. Physician professional fees: Program service expenses 228,634. Management and general expenses 323,047. Fundraising expenses 0. Total expenses 551,681. Other medical professional fees: Program service expenses 0. Management and general expenses 268. Fundraising expenses 0. Total expenses 268. Form 990, Part XI, line 9: Change in value of CAP-EX -11,455,710. UBI partnership loss reported on Sch K-1 5,951,979. Blue Zones reconciliation -445,047. Form 990, Part XI, Line 8: Prior period adjustments were a result of cash balance correction and clean up books due to prior period activities including debt service, capital expenditures, and other items for $8,792,002. Adventist Health Outpatient Pharmacy Services LLC 1 Adventist Health Way Roseville CA 95661 882950026 Fortify Market holding CA 6893524 0 Adventist Health SystemWest Dwellcare LLC 1 Adventist Health Way Roseville CA 95661 871377097 Inactive CA 0 0 Adventist Health SystemWest Incentive Acute Care Network LLC 1 Adventist Health Way Roseville CA 95661 862987983 Acute care network CA 0 0 Adventist Health SystemWest Incentive Health LLC 1 Adventist Health Way Roseville CA 95661 862977338 MSO CA 146632 7298224 Adventist Health SystemWest Paradise Skyway LLC 1 Adventist Health Way Roseville CA 95661 Real estate holdings CA 0 0 Adventist Health SystemWest Adventist Health Clearlake Hospital Inc 15630 18th Avenue Clearlake CA 95422 680395149 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Adventist Health Delano 1401 Garces Hwy Delano CA 93215 770258013 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Adventist Health Foundation 1 Adventist Health Way Roseville CA 95661 680002188 Charitable foundation CA 501(c)(3) Line 7 Adventist Health SystemWest 1 Adventist Health Medical Center Tehachapi 1100 Magellan Drive Tehachapi CA 93561 812240617 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Adventist Health Mendocino Coast 700 River Drive Fort Bragg CA 95437 845174585 Hospital CA 501(c)(3) Line 3 Stone Point Health 1 Adventist Health Physicians Network 1 Adventist Health Way Roseville CA 95661 680357690 Medical foundation CA 501(c)(3) Line 12b, II Adventist Health SystemWest 1 Adventist Health Tulare 869 North Cherry Street Tulare CA 93274 832351753 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Castle Medical Center 640 Ulukahiki Street Kailua HI 96734 990107330 Hospital HI 501(c)(3) Line 3 Adventist Health SystemWest 1 Feather River Hospital 1 Adventist Health Way Roseville CA 95661 941101228 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Glendale Adventist Medical Center 1509 Wilson Terrace Glendale CA 91206 951816017 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Hanford Community Hospital 115 Mall Drive Hanford CA 93230 940535360 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Lodi Memorial Hospital Association Inc 975 S Fairmont Avenue Lodi CA 95240 941044474 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Mid-Columbia Medical Center 1700 E 19th Street The Dalles OR 97058 930386936 Hospital OR 501(c)(3) Line 3 Stone Point Health 1 Northwest Medical Foundation of Tillamook 1000 Third Street Tillamook OR 97141 930622075 Hospital OR 501(c)(3) Line 3 Adventist Health SystemWest 1 Paradise Valley Hospital 1 Adventist Health Way Roseville CA 95661 951816034 Discontinued Operations CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Portland Adventist Medical Center 10123 SE Market Street Portland OR 97216 930429015 Hospital OR 501(c)(3) Line 3 Adventist Health SystemWest 1 Reedley Community Hospital 372 Cypress Avenue Reedley CA 93654 453220509 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Rideout Memorial Hospital 726 Fourth Street Marysville CA 95901 941387866 Acute care hospital CA 501(c)(3) Line 3 Stone Point Health 1 St Helena Hospital 10 Woodland Road St Helena CA 94574 941279779 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 San Joaquin Community Hospital 2615 Chester Avenue Bakersfield CA 93301 952294234 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Simi Valley Hospital and Health Care Services 2975 N Sycamore Drive Simi Valley CA 93065 956064971 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Sonora Community Hospital 1000 Greenley Road Sonora CA 95370 941415069 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Stone Point Health 1 Adventist Health Way Roseville CA 95661 823763347 Supporting organization CA 501(c)(3) Line 12b, II Adventist Health SystemWest 1 Ukiah Adventist Hospital 275 Hospital Drive Ukiah CA 95482 941639901 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 United Com-Serve 726 Fourth Street Marysville CA 95901 943015356 Skilled nursing/assisted living/home health CA 501(c)(3) Line 12b, II Stone Point Health 1 Walla Walla General Hospital 1 Adventist Health Way Roseville CA 95661 910617726 Hospital - closed July 2017 WA 501(c)(3) Line 3 Adventist Health SystemWest 1 Western Health Resources 1 Adventist Health Way Roseville CA 95661 953867863 Home care CA 501(c)(3) Line 10 Adventist Health SystemWest 1 White Memorial Medical Center 1720 E Cesar E Chavez Avenue Los Angeles CA 90033 952282647 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Willits Hospital Inc 1 Marcela Drive Willits CA 95490 680108919 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 1 Blue Legacy Ventures LLC 1010 NE 2nd Avenue Miami FL 33132 871254649 Real property rental FL Adventist Health SystemWest Excluded -1240682 2548085 0 1 0.50000 Blue Zones LLC 200 Southdale Center Edina MN 55435 271603327 Education MN Adventist Health SystemWest Unrelated 7764786 32935520 0 0 1.00000 PAR LLC 8440 SE Sunnybrook Blvd Suite 100 Clackmas OR 97015 931262371 Senior housing OR Adventist Health SystemWest Unrelated 588023 8229923 0 1 0.50000 PVHR LLC DBA Paradise Village 8440 SE Sunnybrook Blvd Suite 100 Clackmas OR 97015 260622555 Senior housing OR Adventist Health SystemWest Unrelated 123739 15058820 0 1 0.50000 PVHR2 LLC DBA Parkview Memory Care at Paradise Village 8440 SE Sunnybrook Blvd Suite 100 Clackmas OR 97015 473300170 Senior housing OR Adventist Health SystemWest Unrelated -212185 3427627 0 1 0.50000 WWGHR LLC 8440 SE Sunnybrook Blvd Suite 100 Clackmas OR 97015 810591221 Rental OR Adventist Health SystemWest Unrelated -168215 2975165 0 1 0.50000 AdHealth Limited PO Box HM 2062 Hamilton BD HM HX Pure captive insurance BD Adventist Health SystemWest C 1045636 3160685 0.50000 0 Adventist Health Plan Inc 1 Adventist Health Way Roseville CA 95661 463833261 Health insurance CA Adventist Health SystemWest C 51609604 13969705 1.00000 1 South Coast Medical Center 1 Adventist Health Way Roseville CA 95661 952037291 Wind down after sale of hospital CA Adventist Health SystemWest C 1.00000 1 Thrive Productions Inc 200 Southdale Center Edina MN 55435 453369049 Production company MN Adventist Health SystemWest C 12500 3319 1.00000 1 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 1 1 Feather River Hospital C 166281000 Cash transfer amount Walla Walla General Hospital C 80707 Cash transfer amount Adventist Health Clearlake Hospital Inc L 20784554 FMV Adventist Health Delano L 10590421 FMV Adventist Health Medical Center Tehachapi L 6760078 FMV Adventist Health Mendocino Coast L 9101927 FMV Adventist Health Physicians Network L 13121775 FMV Adventist Health Tulare L 8002436 FMV Castle Medical Center L 26268934 FMV Glendale Adventist Medical Center L 58257222 FMV Hanford Community Hospital L 41793342 FMV Lodi Memorial Hospital Association Inc L 30690161 FMV Northwest Medical Foundation of Tillamook L 11758595 FMV Portland Adventist Medical Center L 31070199 FMV Reedley Community Hospital L 21711845 FMV Rideout Memorial Hospital L 56088713 FMV San Joaquin Community Hospital L 56422318 FMV Simi Valley Hospital and Health Care Services L 23590524 FMV Sonora Community Hospital L 34695999 FMV St Helena Hospital L 33098529 FMV Ukiah Adventist Hospital L 26275799 FMV Western Health Resources L 3058064 FMV White Memorial Medical Center L 56947399 FMV Willits Hospital Inc L 9729784 FMV Adventist Health Clearlake Hospital Inc O 1423487 FMV Adventist Health Delano O 301005 FMV Adventist Health Medical Center Tehachapi O 299657 FMV Adventist Health Mendocino Coast O 2624020 FMV Adventist Health Tulare O 117849 FMV Castle Medical Center O 2121989 FMV Glendale Adventist Medical Center O 3651132 FMV Hanford Community Hospital O 3511453 FMV Lodi Memorial Hospital Association Inc O 2451421 FMV Northwest Medical Foundation of Tillamook O 1284722 FMV Portland Adventist Medical Center O 3021925 FMV Reedley Community Hospital O 134712 FMV Rideout Memorial Hospital O 2519259 FMV San Joaquin Community Hospital O 3204085 FMV Simi Valley Hospital & Health Care Services O 1987160 FMV Sonora Community Hospital O 1988130 FMV St Helena Hospital O 1939468 FMV Ukiah Adventist Hospital O 1660357 FMV Western Health Resources O 528317 FMV White Memorial Medical Center O 3999670 FMV Willits Hospital Inc O 1000350 FMV Adventist Health Delano R 18694540 Cash transfer amount Adventist Health Foundation R 339456 Cash transfer amount Adventist Health Medical Center Tehachapi R 1487119 Cash transfer amount Adventist Health Mendocino Coast R 55230757 Cash transfer amount Adventist Health Plan Inc R 4797674 Cash transfer amount Adventist Health Tulare R 44602219 Cash transfer amount Blue Zones LLC R 9273698 Cash transfer amount Glendale Adventist Medical Center R 3185361 Cash transfer amount Hanford Community Hospital R 47062218 Cash transfer amount Northwest Medical Foundation of Tillamook R 14094677 Cash transfer amount Rideout Memorial Hospital R 31527826 Cash transfer amount Rideout Memorial Hospital R 31527826 Cash transfer amount San Joaquin Community Hospital R 30061962 Cash transfer amount Sonora Community Hospital R 23134573 Cash transfer amount United Com-Serve R 754772 Cash transfer amount Willits Hospital Inc R 9292779 Cash transfer amount Adventist Health Clearlake Hospital Inc S 292000 Cash transfer amount Adventist Health Clearlake Hospital Inc S 3813604 Cash transfer amount Adventist Health Delano S 172000 Cash transfer amount Adventist Health Medical Center Tehachapi S 85000 Cash transfer amount Adventist Health Mendocino Coast S 31000 Cash transfer amount Adventist Health Physicians Network S 11063029 Cash transfer amount Adventist Health Tulare S 135000 Cash transfer amount Castle Medical Center S 343000 Cash transfer amount Castle Medical Center S 19995037 Cash transfer amount Feather River Hospital S 181269346 Cash transfer amount Glendale Adventist Medical Center S 991000 Cash transfer amount Hanford Community Hospital S 651000 Cash transfer amount Lodi Memorial Hospital Association Inc S 476000 Cash transfer amount Lodi Memorial Hospital Association Inc S 26014795 Cash transfer amount Northwest Medical Foundation of Tillamook S 172000 Cash transfer amount PAR LLC S 1290000 Cash transfer amount Portland Adventist Medical Center S 524000 Cash transfer amount Portland Adventist Medical Center S 42823896 Cash transfer amount Reedley Community Hospital S 357000 Cash transfer amount Reedley Community Hospital S 3375816 Cash transfer amount San Joaquin Community Hospital S 832000 Cash transfer amount Simi Valley Hospital & Health Care Services S 356000 Cash transfer amount Simi Valley Hospital & Health Care Services S 18243460 Cash transfer amount Sonora Community Hospital S 517000 Cash transfer amount South Coast Medical Center S 273662 Cash transfer amount St Helena Hospital S 465000 Cash transfer amount St Helena Hospital S 17380852 Cash transfer amount Ukiah Adventist Hospital S 405000 Cash transfer amount Ukiah Adventist Hospital S 4232329 Cash transfer amount Walla Walla General Hospital S 246181 Cash transfer amount Western Health Resources S 45000 Cash transfer amount Western Health Resources S 2105686 Cash transfer amount White Memorial Medical Center S 913000 Cash transfer amount White Memorial Medical Center S 47302342 Cash transfer amount Willits Hospital Inc S 152000 Cash transfer amount WWGHR LLC S 180000 Cash transfer amount