2024-11-05T14:58:22-06:00 2023-12-31 910189318 Moss Adams LLP 3121 W March Ln Ste 200 Stockton CA 952192367 990 2023-01-01 930622075 Northwest Medical Foundation Tillamook NORT 9164060000 1000 Third Street Tillamook OR 97141 Micah Smith Treasurer 5038424444 2024-11-01 1 0 Tracy S Paglia P00366884 2099556100 2024-11-01 2023 2024-10-15 13:58:12Z Adventist Health Tillamook Eric Swanson 1000 Third Street Tillamook OR 97141 117886706 0 1071 X www.adventisthealth.org/tillamook/ X 1973 OR Living God's love by inspiring health, wholeness and hope. 13 11 506 33 0 0 1953039 1735344 108297333 114486757 3207998 1664605 0 0 113458370 117886706 3055 0 0 0 44505184 49080337 0 0 3904 58898587 57872381 103406826 106952718 10051544 10933988 84103995 100027255 20510816 21750337 63593179 78276918 X Living God's love by inspiring health, wholeness and hope. 0 0 88261337 0 114486757 See Schedule O 88261337 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 506 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 11 0 0 1 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X John Beaman CFO 9164060000 1 Adventist Health Way Roseville CA 95661 X Heinrich Kerry Dir/Chair/CEO 0.00 50.50 X X 0 3302428 57395 Hofheins Todd Dir/Vice Chair/COO 0.00 50.50 X X 0 2272592 76141 Beaman John CFO/Assistant Secretary 0.00 50.50 X 0 1680553 73355 Stevens Eric - Former Care Division Operations Exec thru 02/22 0.00 50.50 X 0 1526293 59552 Jahn Andrew - Former Care Division President thru 02/22 0.00 50.00 X 0 1465906 103785 Nahapetian Arby - Former Care Division Medical Officer thru 02/22 0.00 50.00 X 0 1482294 69613 Wing Bill - Former Dir/Asst Secr/Vice Chair thru 01/22 0.00 0.00 X 0 1438460 40073 Newmyer Joyce President, OR State Network 10.00 40.00 X 0 1107614 62222 Jobe Meredith Secretary 0.00 50.50 X 0 959488 59410 LaFleur Brett Physician 40.00 0.00 X 851759 0 65288 Welch Donald - Former Treas/Finance Officer PNR thru 02/20 0.00 50.00 X 0 773750 41012 Swanson Eric President 50.00 0.00 X 0 533690 60687 Spenst Brett - Former Care Division Finance Officer thru 02/22 0.00 50.00 X 0 520625 45847 Kaba David Physician 40.00 0.00 X 489214 0 58633 Leach Judy - Former Strategy & Comm Exec, PNR thru 02/20 0.00 50.00 X 0 481611 45072 Butler David Former President thru 08/19 0.00 0.00 X 0 445613 40438 Echelberger Amy Physician 40.00 0.00 X 388325 0 62595 Gerken Brittany Physician 40.00 0.00 X 350087 0 73667 Rippey Wesley - Former Reg Medical Officer, PNR thru 02/20 0.00 50.00 X 0 755844 73012 Seufert Regina Clinic and Physician Executive 0.00 50.00 X 0 312867 108437 Lee Adam - Former Dir Marketing & Comm, PNR thru 02/20 0.00 50.00 X 0 330361 49442 Smith Micah Care Div. Medical Officer thru 02/22 50.00 0.00 X 0 346440 27203 Klein Eric Physician 40.00 0.00 X 328692 0 44721 Thompson Heather Patient Care Executive 0.00 50.00 X 0 259393 60649 Voshell Shane Former Reg HR Dir, PNR thru 02/20 0.00 50.00 X 0 279016 37485 Freedman John Director 0.00 4.00 X 0 26770 0 Cherry Robert Director 0.00 4.00 X 0 26611 0 Davis Andrew Director 0.00 4.00 X 0 26611 0 Innocent Larry Director 0.00 4.00 X 0 26611 0 Newton Bradford Director 0.00 4.00 X 0 26611 0 Reiner Richard Director 0.00 4.00 X 0 26611 0 Salazar Velino Director 0.00 4.00 X 0 26611 0 Banks David Director 0.00 4.00 X 0 26181 0 Woodson Marc Director 0.00 4.00 X 0 21611 0 Wagner Jack Director 0.00 4.00 X 0 16180 0 Fehr Joy Director 0.00 4.00 X 0 430 0 Ocampo Lucy Director thru 08/23 0.00 4.00 X 0 0 0 2408077 20525676 1495734 127 1 1 0 Tillamook Emergency Services Inc 1000 Third Street Tillamook OR 97141 Professional fees 3477670 CHG Companies Inc PO Box 972651 Dallas TX 75397 Professional fees 2929835 Oxford Anesthesia Management LLC PO Box 69355 Baltimore MD 21264 Professional fees 2315013 Andrew F Nelson 6500 Cedar Spring Pl Tillamook OR 97141 Professional fees 992110 Stability Healthcare Inc PO Box 849358 Los Angeles CA 90084 Contract labor 749628 25 1384982 350362 6000 1735344 Patient service revenue 621110 111448142 111448142 CARES Act funding 621110 1858264 1858264 Dietary services 722514 361711 361711 340B Pharmacy revenue 456110 360238 360238 Related rental income 531120 71283 71283 387119 387119 114486757 1661605 1661605 3000 0 3000 3000 3000 117886706 114486757 0 1664605 X 39055969 34314402 4741567 1443524 1278077 165447 5896437 5263392 633045 2684407 2301256 383151 9397469 9397469 21121 21121 4166 4166 20497961 20057904 439557 500 51946 51946 1016530 715190 300345 995 2831307 469290 2362017 2209598 2209460 138 376650 269971 106679 56986 45818 11168 233101 233101 1791778 1736312 55466 1182167 1182167 Patient care supplies 12371009 12371000 9 Quality assurance fee 5218290 5218290 Rental/leases costs 102880 102880 509422 488661 18361 2400 106952718 88261337 18687477 3904 54694444 68789021 112348 7563 15649532 14936389 1686331 1740545 26591 28609 52589723 42216939 9242898 10372784 2691851 4152344 84103995 100027255 7237759 7290719 417820 529252 12855237 13930366 20510816 21750337 X 63369710 77959868 223469 317050 63593179 78276918 84103995 100027255 X 10933988 3921751 -172000 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4166 4166 0 Part II-B, Line 1: The Hospital belongs to industry and professional associations - such as the Oregon Association of Hospital and Health Systems - for which a portion of the membership dues is used for lobbying activities. 233469 675040 581459 327050 272800 1952471 -9864 1981938 233469 248899 1582574 13649 1572322 272800 151190 358438 260729 248899 123746 258531 67558 163529 151190 0.00000 0.00000 1.00000 0 0 1056181 1056181 29240224 24802013 4438211 286606 125750 160856 18726876 15776138 2950738 3279836 1513038 1766798 10372784 Payables to related organizations 10816086 Other liabilities 1584344 Payables to third-party payors 1529936 13930366 X Part V, Line 4: Board-designated, temporary and permanently restricted funds are for specified operating and capital projects. The funds are released as project costs are expended. Part X, Line 2: The principal operations of the System are exempt from taxation pursuant to Internal Revenue Code Section 501(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 (Exempt Organization Business Income Tax Return) 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 887122 887122 0.00830 25266436 28308634 0 0.00000 26153558 28308634 887122 0.00830 267885 73516 194369 0.00180 55186 53846 1340 0.00000 24440824 20188444 4252380 0.03980 581653 3203 578450 0.00540 25345548 20319009 5026539 0.04700 51499106 48627643 5913661 0.05530 95536 95536 200 200 0.00000 95736 95536 200 0.00000 1 1412131 330021 23811253 23888180 -76927 X 1 1 1 1 Adventist Health Tillamook 1000 Third Street Tillamook OR 97141 adventisthealth.org/Tillamook 14-1177 X X X X Adventist Health Tillamook 1 0 0 1 X X X X X X X X X 22 1 0 1 1 X See Sch H Part VI - Needs Assesment X See Sch H Part VI - Needs Assesment X 1 22 1 See Sch H Part VI - Needs Assesment 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X Sch H Part VI-Patient Educ X Sch H Part VI-Patient Educ X Sch H Part VI-Patient Educ X X X X X X 1 X 0 X X X X 1 X 0 0 Adventist Health Tillamook Part V, Section B, Line 5: The 2022 CHNA Steering Committee identified vulnerable populations and worked with local organizations to coordinate focus groups and key informant interviews to ensure that minority populations the voices of those with chronic disease, low incomes, and the underserved were heard.Community-based organizations focusing on education, higher education, low-income, medically underserved, minority populations, food insecure, providers and student populations participated in five focus groups with 81 participants and 13 individual interviews ensuring rich primary data. Represented race/ethnicities included Hispanic, Multi-race and White. The 2022 Community Health Needs Assessment was developed using four separate sources of primary and secondary data. This mixed methods approach is considered a preferred practice for needs assessments because it allows for the greatest understanding of community needs from the broadest range of perspectives. Primary data refers to data collected and analyzed specifically for this project, while secondary data refers to data compiled and analyzed by external groups and utilized here. Qualitative primary data collection involved focus group interviews with local service providers and service recipients and individual key informant interviews with local leaders. These were conducted in-person and virtually. Direct quotes were taken from a transcription of key informant interviews and are intended to be 100% accurate but could not be verified in all situations. This information was collected by the Adventist Health Community Well-Being team and evaluation consultants from the Center for Behavioral Health Integration. Secondary data was amassed and analyzed across 45 different data sets by the University of Missouri Extension Center for Applied Research and Engagement Systems (CARES). Finally, survey data sets of registered voters in the community were collected and analyzed by UC Berkeley Institute of Governmental Studies (IGS Survey data was gathered from the Central Valley region (region name defined by survey administrator, UC Berkeley IGS). Adventist Health Tillamook Part V, Section B, Line 6b: Organizations that participated in the 2022 CHNA included: Tillamook County Community Health Centers (TCCHC), Tillamook Family Counseling Center, Rinehart Clinic, Nehalem Bay Health Center & Pharmacy, Columbia Pacific CCO (serving the Oregon Health Plan), Consejo Hispano, Northwest Senior & Disability Services (a local intergovernmental agency), Oregon Food Bank, Oregon State University Extension Service, Pelican Brewing Company, Tides of Change, Tillamook Chamber of Commerce, Tillamook County, Tillamook County Family YMCA, Tillamook County Office of Education, Tillamook County Transportation District, Tillamook Bay Community College, Tillamook Seventh Day Adventist Church and West Business Development Center. Adventist Health Tillamook Part V, Section B, Line 11: Tax year 2023 was Year One of the Implementation Strategy for the 2022 Community Health Needs Assessment (CHNA). All programs and activities provided to the community were in response to the priority health needs identified in the 2022 CHNA. Our 2022 CHNA identified three areas of significant need: Access to Care, Financial Stability and Housing. Priority Need One - Access to Care. Goal is to provide more effective and meaningful care to target populations by improving access to verbal and written translation services. Adventist Health Tillamook (AHTM) has demonstrated a strong commitment to community impact through collective action in partnership with a broad cross section of local organizations working together to improve health outcomes; promote and support diversity, equity and inclusion; and identify, communicate, and increase current resources for language, interpretation and translation services. Activities in 2023 included: 1. Spanish Translation Services: Many providers in the area were lacking culturally and linguistically inclusive practices. In order to increase inclusivity, certified interpreters were identified as a need. Tillamook County Community Health Center (TCCHC) has four certified interpreters (CI). One of the interpreters is also a community health worker. They are currently working to fill five vacant CI positions. The Hospital has no certified bilingual staff and uses video translation service in all departments via iPads, including use in clinics, emergency room, and obstetrics. Nehalem Bay Health Center & Pharmacy (NBHCP) has no certified medical interpreters and two bilingual CHWs. There are no bilingual CI/CHWs at CARE, Inc. Tillamook Family Counseling Center (TFCC) has one CI, two bilingual behavioral health clinicians and one part-time bilingual psychiatric mental health nurse practitioner.2. Health Literacy: Tillamook County Wellness (TCW) Access to Care (A2C), via Tillamook County Community Health Center (TCCHC), applied for a Knight Cancer Institute grant to implement a Health Literacy campaign, which was awarded November 2023. A grant coordinator was hired who will work with the TCW A2C committee to identify priority topics and campaign schedule in early 2024.3. Connect Oregon Network: The Access to Care committee continues to meet monthly, during which updates are presented by Unite Us on the Connect Oregon Network, including the number of partners, programs, and utilization data. During 2023, the Hospital integrated the Unite Us platform into Cerner electronic medical record to streamline anticipated workflows.4. Diversity, Equity and Inclusion policies: The following policies were developed and or adopted by Tillamook County Community Health Center, Nehalem Bay Health Center, and AHTM in 2023. - Accessibility for People with Physical Disabilities - Accessibility for People with intellectual and Developmental Disabilities - Culturally and Linguistically Specific Services - Culturally and Linguistically Responsive Services - Gender Affirming and Responsive Care - LGBTQIA2S+ Affirming and Inclusive Services - Patient (Person) Centered and Non-Stigmatizing Services - Process and procedure for Data Collection - Services for Parents and Non-Traditional Parents with Minor Children - Services for Pregnant persons - Trauma Informed Engagement and Care - Youth FriendlyOther activities to address access to health care included: 1. Provided community programming such as childbirth classes, rehabilitation services, grief support and cancer support to 571 community members at no charge. 2. Conducted an early childhood screening event supporting 21 children. 3. Supported 1,617 community members with charitable prescriptions and respite day care. 4. Provided significant support for health insurance enrollment.Priority Need Two - Financial Stability. Goal is to increase income earning potential for local residents through enrollment in healthcare career education pathways by increasing nursing career pathways and workforce employment pipelines for skilled healthcare occupations. Other strategies include increasing labor work force participation rates by increasing childcare availability and affordability, improving financial stability for individuals and families by increasing awareness, knowledge and skills related to financial literacy and partnering with individuals in our community to provide resources, skills, and opportunities to return to the workforce. Activities in 2023 included: 1. Healthcare Education Pathways: June 2023 marked state approval for a two-year associate degree Nursing Program at Tillamook Bay Community College (TBCC). A Nursing Director was hired, and student enrollment began winter term with course options including nursing fundamentals, advanced care, pharmacology as well as NCLEX-RN exam prep courses. During 2023, design and planning continued a new healthcare education building to be added on the TBCC campus by Fall 2025. Opportunity to bridge high school health occupations enrollment from the current rate of 18%. Lack of childcare has been identified as a barrier to enrollment/program adherence. In response, a comprehensive analysis, funded by numerous area employers was conducted to examine specific childcare needs for Tillamook County. The analysis continues and a proposal for a multi-solution approach is expected in 2024. AHTM provided a cash contribution of $44,000 to the Tillamook Bay Community College Healthcare Education Building and Nursing program. The Hospital also provided nursing-instructor education valued at more than $50,000 to support eighteen nursing students and held multiple job fairs and an OT/PT career education class series for 50 students.2. Charitable Prescriptions: AHTM provides charitable prescription services at no cost to recipients. Such patients may be uninsured, underinsured, jailed (and thus uninsured by design), or simply require drugs that are too expensive for most households to afford. No-cost prescriptions may also be offered to patients with limited access to a retail pharmacy, such as on the evening of hospital discharge or on holidays. Finally, no-cost medications are provided for emergency supplies, such as EpiPens for fire departments, Naloxone for the police, or the Tsunami emergency medication stockpile in Manzanita. Much of the drug cost is offset by the 340B Drug Discount program which allows eligible facilities the Hospital to buy medication at "single payer" rates. As of Fall 2023, approximately half of our charitable prescriptions have been continued to fill the gap of service due to the loss of Tillamook Pharmacy. 3. Serving Up Hope meal program: Hot, nutritious meals are served at a local church by AHTM staff and subsidized by nutritional care services for all in the community including those facing food insecurity, unstable housing or needing a community connection. Priority Need Three - Housing. The Hospital is working with our community partners (Rural Healthcare Partner Network, Tillamook County Housing Commission, Tillamook Bay Community College and CARE, Inc.) to reduce housing costs burden and improve quality of life by increasing access to affordable and workforce housing, increase connectivity of resources and housing placement and provide low-barrier shelters to create safe sleeping locations. Collaboration with the community in 2023 included: 1. Housing Production Catalyst Funding: In 2023, a total of $750,000 was distributed to six housing development projects. Funding supported 87 new housing units from pre-construction to construction phases of development. The Tillamook County Housing Commission website and social media pages were enhanced with educational and community-focused content regarding housing needs and how increasing housing improves individual and community well-being as a social determinant of health. Lastly, one-page descriptions of each of the housing commission committees were developed, posted, and distributed. 2. Housing Repairs: During 2023, Habitat for Humanity completed five critical repair projects in Tillamook County, including three full roof replacements. No coordinated referrals were in place to facilitate connection to these services but that is a goal for 2024. One barrier identified is that the homeowner (listed on deed) must be the applicant for critical repairs eligibility. Habitat has some flex funding for repairs on affordable rentals. These require lead and radon testing which they contract out. They can also contract out for mold investigation. Community Action Team (CAT), based in Clatsop County, provides mold mitigation services in Tillamook County through Community Block Development Grant funding. CAT's Healthy Homes program is another community partner that is used as a referral resource for home repairs. Part V, Section B, Line 11, continuation: 3. Shelters: In 2023, property was identified and transferred with a $1/year lease from the County to CARE, Inc. for individual and communal shelters for the houseless population. Approval and funding ($266,000 via Measure 110) for the project were secured with plans for a 400 square foot, no-barrier shelter to be open 365 nights/year and six smaller shelters to allow clients to transition to permanent housing. All structures come from Pallet Shelter and can be assembled within hours. A second phase of this project is to have 14 additional shelters, a commercial kitchen, computer lab, laundry facilities and classroom/meeting spaces to expand housing transition services.Other activities and programs related to community impact but not included elsewhere include direct cash contributions to local non-profit agencies including $500,000 to the North County Recreation District swimming/therapy pool and $15,000 to the Community Childcare Project.Significant needs not met:No hospital can address all the health needs identified in its community. Adventist Health Tillamook is committed to serving the community by adhering to its mission, and using its skills, expertise and resources to provide a range of community benefit programs. Significant health needs that will not be directly addressed include mental health, health risk behaviors, health conditions, food security, environment & infrastructure, inclusion & equity, COVID, education, community vitality and community safety. While these significant health needs are not addressed directly, they are likely to benefit from collective efforts of our community partnerships. Part V, Section B, Line 13h: Patients who do not meet the income criteria, may be eligible for financial assistance based on essential living expenses and resources. The following two (2) qualifications must both apply:1. Essential living expenses: Exceed fifty percent (50%) of the household income; and2. Resources: The patient's excess medical expenses (the amount that allowable medical expenses are greater than 50% of annual household income) must be greater than available qualifying assets. 11 1 - AHTM Medical Group 1100 Third Street Tillamook OR 97141 Rural health clinic 2 - AHTM Women's and Family Health 1011 Third Street Tillamook OR 97141 Rural health clinic 3 - AHTM Bayshore Medical Lincoln City 1105 SE Jetty Avenue Suite C Lincoln City OR 97367 Rural health clinic 4 - AHTM Hoodland 24461 E Welches Road Welches OR 97067 Rural health clinic 5 - AHTM Medical Group Estacada 103 SW Hwy 224 Suite B Estacada OR 97023 Rural health clinic 6 - AHTM Vernonia 1005 Cougar Street Vernonia OR 97064 Rural health clinic 7 - AHTM Manzanita Primary & Specialty Care 10445 Neahkahnie Creek Road Manzanita CA 97130 Rural health clinic 8 - AHTM Bayshore Medical Pacific City 38505 Brooten Road Suite A Pacific City OR 97135 Rural health clinic 9 - AHTM Sheridan Office 222 SE Jefferson Street Sheridan OR 97378 Rural health clinic 10 - AHTM Occupational Medicine 980 Third Street Suite 100 Tillamook OR 97141 Occupational medicine 11 - AHTM Medical Group Banks 12350 NW Main Suite 112 Banks OR 97106 Rural health clinic Part I, Line 7: The costs were determined by using a cost-to-charge ratio. The cost-to-charge computation is based on Hospital specific data included in the system-wide combined audited financial statements. The formula used for computation equals financial statement data as follows:Total expenses - (provision for bad debts + other revenue + interest income)/gross patient charges Part II, Community Building Activities: The Hospital is involved in numerous community building activities which promote the health of the community. Overwhelmingly, we see diseases of despair including suicide, substance abuse, mental health and chronic illnesses plaguing the communities in which we have a significant presence in. These community concerns are addressed through health improvement, education, poverty, workforce development and access to care. This is why we have focused our work around addressing behavior and the systems keeping the most vulnerable people in cycles of poverty and high utilization. In an effort to heal these communities, we have strategically invested in our communities by partnering with national leaders in community well-being. We believe the power of community transformation lies in the hands of the community. Our solution for transformation is to create a sustainable model of well-being that measurably impacts the well-being of people, well-being of place and equity. In 2020, Adventist Health acquired Blue Zones as the first step toward reaching our solution. By partnering with Blue Zones, we will be able to gain ground in shifting the balance from healthcare treating people once they are ill to transformative well-being changing the way communities live, work and play. In 2021, Adventist Health committed to launching six Blue Zone Projects within our community footprint. In 2022, these projects were active and growing. 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. We also encourage our employees to serve on community collaboration boards, health advocacy programs, and physical improvement projects to promote the health of the communities we serve. In addition, we work with neighborhood programs, including schools, work sites and safety net providers to promote health and wellness and prevent disease. Part III, Line 2: Uncollected patient accounts are analyzed using written patient financial services policies that apply standard procedures for all patient accounts. The result of the analysis is what is recognized as bad debt expense. For example, all self-pay patients receive a discount. If the discounted account is unpaid after collection efforts, the unpaid balance is classified as bad debt. The cost-to-charge ratio described for Part I, Line 7 is multiplied times the Hospital's bad debt expense. The resulting figure has been reported as bad debts at cost on Part III, Line 2. Part III, Line 3: The portion of the bad debts attributed to charity care as reported on Part III, Line 3 was calculated by an independent third-party consulting firm. This is an estimate of additional charity care that would have been granted if patients had cooperated by furnishing family financial information. A statistically valid sampling of patient accounts written-off was evaluated. The evaluation used various factors to determine which patients would have been eligible for charity care. Had the Hospital obtained sufficient information from all patients who qualified for financial assistance, these additional accounts would have been recorded as charity care instead of bad debt. Part III, Line 4: The Adventist Health audited combined financial statements do not contain a footnote describing bad debt expense. Part III, Line 8: The Medicare Cost Report apportions the Hospital's costs on the basis of inpatient days and ancillary and outpatient charges to establish the costing methodology.Healthcare delivery by hospitals is a complex, highly regulated business in the United States. Healthcare unit cost inflation is driven by compliance with ever expanding regulatory requirements, shortages of highly skilled labor and involving medical and information technology. The health care "market basket" is unrelated to that of the average individual consumer.Medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that Medicare payments to many U.S. hospitals are well below the cost of providing care. These unreimbursed costs are a community benefit for seniors and others in the community as these individuals are continuing to receive care without which many would become dependent on other governmental resources such as Medicaid. The benefit to the community for healthier Medicare recipients is no different than those benefits the community realizes for uninsured and underinsured patients who are eligible for partial and full charity care. Medicare is a safety net for seniors and others. Without Medicare coverage, many individuals would undoubtedly qualify for charity care.In addition to the mismatch between Medicare payment increases and healthcare cost inflation, the highly complex Medicare payment systems and formulas produce disparate payment levels from one hospital to another for the same service. These disparate payment levels create disparate results within groups of hospitals. For further information, please refer to Schedule H, Part III, Section B. Part III, Line 9b: When a patient has requested screening for charity care, the Hospital must immediately cease collection activity and place the account in a charity pending status. If 100% charity is approved, the entire account balance is written off to charity care. If the patient has a sliding scale liability based on the federal poverty guidelines, they are billed only for that liability. If the patient fails to pay their after-charity liability, they are assigned to a collection agency with an identifier that indicates to the agency that the patient is "low income", and the following criteria must be followed by the agency:1. They may not report the patient to a credit bureau2. They may not file a lawsuit to recover the outstanding liability3. They may not charge interest Part VI, Line 2: Adventist Health Tillamook promotes access to their 2022 Community Health Needs Assessment (CHNA), the 2023 Community Health Implementation Strategy (CHIS) approved in fiscal year 2023, and the Year One Update, FY 2023 for the Community Health Implementation Strategy by posting their reports on the Hospital's website at:https://www.adventisthealth.org/tillamook/about-us/community-benefit/ The two most recent Community Health Needs Assessments, the two most recent Implementation Strategy reports and the 2021, 2022 and 2023 Community Health Plan Updates are also available on the Adventist Health Corporate website at:https://www.adventisthealth.org/about-us/community-benefit/ The Community Health Needs Assessment (CHNA) includes both the activity and product of identifying and prioritizing a community's health needs, accomplished through the collection and development of a community health plan. The second component of the CHNA, the community health plan, includes strategies and plans to address prioritized needs, with the goal of contributing to improvements in the community's health. Qualitative and quantitative data sources were used in conducting the CHNA. To accomplish the many important systemic goals that are underway in our community, the Hospital supports local partners to augment our own efforts, and to promote a healthier community. Partnership is not used as a legal term, but a description of the relationships of connectivity that are necessary to collectively improve the health of our region. One of our objectives is to partner with other nonprofit and faith-based organizations that share our values and priorities to improve the health status and quality of life of the community we serve. This is an intentional effort to avoid duplication and leverage the successful work already in existence in the community. In addition to the CHNA, our Hospital engages in a process of continuous quality improvement, focusing on questions such as: are our interventions making a difference in improving health outcomes; are we providing the appropriate resources in the appropriate locations; and how are we using technology to track our health improvements and provide relevant feedback at the local level. Building a healthy community requires multiple stakeholders working together with a common purpose. With that in mind, our hospital leadership serves on a variety of community boards and committees focused on addressing community-specific needs, allowing for ongoing responsiveness to the health care needs of the community and collaboration with local agencies and organizations, enabling maximum effectiveness through collective impact. Part VI, Line 3: The plain language summary of the Financial Assistance Policy (FAP) is posted along with the complete FAP policy and FAP Application on the Hospital's website at: https://www.adventisthealth.org/patient-resources/bill-pay/financial-assistance/ The documents are available in multiple languages. The link to the Hospital's Self-Pay Billing and Collection Policy is posted at: https://www.adventisthealth.org/documents/system/13863-self-pay-billing-and-collection-policy.pdfAt the time of registration, patients who are uninsured and underinsured are provided information about government healthcare programs. Patients are also orally informed of their right to request charity assistance. Signs are displayed in the patient business office, patient registration areas and the emergency room in multiple languages informing patients of this right as well. The Hospital also provides a brochure during the registration process that explains the Hospital's billing and collection procedures, and how to request financial assistance. In addition, every billing statement sent to patients contains information on how to request financial assistance. Part VI, Line 4: Tillamook County is nestled in the fertile Oregon Coast Range and recognized for its plentiful region of dairy farms. Tillamook, or "Land of Many Waters," is comprised of 75 miles of coastline, four bays, nine rivers, and is home to the Tillamook Cheese Factory, attracting many tourists. Tillamook City, the largest city in the county, has a population of 4,971 with a majority age group of older adults (65 and older) making up 25.3% of the population. The total population of the area included in this needs assessment is 27,216 people. The Tillamook County Fair, summer parades, rodeos, and unity of the community contribute to the smalltown rural feel of this community. Residents are 89.4% non-Hispanic, 10.6% Hispanic and have a median household income of $55,214 of which 62.83% is spent on housing and transportation. Among this population, 15.96% of children live in poverty and 4.81% of students are unhoused, compared to the state average of 3.99% and national average of 2.77%. The following zip codes represent Tillamook County's primary service area (PSA), accounting for 75% of hospital discharges. Additionally, we took a collaborative approach and expanded our PSA by inviting Steering Committee Members to include zip codes of those they serve. The Tillamook County CHNA has a total population of 27,216 (based on the Decennial Census). The largest city in the service area is Tillamook with a population of 4,971. The service area is comprised of the following zip codes: 97107, 97118, 97131, 97136, 97108, 97147, 97122, 97149, 97134, 97130, 97135, 97141, 97112. 69.82% of the population own their home and 30.18% are renters. The availability of primary care providers is extremely limited in Tillamook County, with 70.07 primary care providers per 100,000 population as compared with 130.37 in Oregon and 104.44 in the United States. A shortage of mental health providers as compared to Oregon is also seen, with 169.11 mental health care providers per 100k people in Tillamook County compared to 312.16 in Oregon. The number of intensive care unit hospital beds is also limited, with 14.95 beds per 100k people as compared to 20 in Oregon and 28.05 in the United States. Only 26% of the population lives within half a mile of public transportation. This is less than half of the rate of Oregon as a whole, which creates a substantial barrier for many. Sixteen percent of children under 18 years of age are living in poverty, as compared to 15% in Oregon. When examining poverty levels by race though the numbers tell a very different story, the rates are especially staggering for children who are Native American or Alaska Natives (87.9%) and Native Hawaiian or Pacific Islanders (80.6%). These groups are undoubtedly experiencing significantly greater health disparities than the overall population. The average household income and the median household income are both lower in Tillamook ($55,214) than in Oregon ($65,667) and the US ($64,994). Affordability and housing costs, by calculating the percentage of household income needed for housing and transportation costs comes up to a high rate of 62.8% as compared to 54.4% in Oregon and 54.3% nationally. One-hundred percent of African America residents in the area rent their homes, as compared to 29% of whites, 48% of Asians, 49% of Native Americans or Alaska Natives, and 46% of multi-race persons. Part VI, Line 5: Our Hospital's mission is, "Living God's love by inspiring health, wholeness and hope." Our community benefit work is rooted deep within our mission and merely an extension of our mission and service. We have also incorporated our community benefit work to be an integral component of improving the "Triple Aim." The "Triple Aim" concept broadly known and accepted within health care includes:1. Improve the experience of care for our residents.2. Improve the health of populations.3. Reduce the per capita costs of health care.Our strategic investments in our community are focused on a more planned, proactive approach to community health. The basic issue of good stewardship is making optimal use of limited charitable funds. Defaulting to charity care in our emergency rooms for the most vulnerable is not consistent with our mission. An upstream and more proactive and strategic allocation of resources enables us to help low-income populations avoid preventable pain and suffering; in turn allowing the reallocation of funds to serve an increasing number of people experiencing health disparities.Hospitals and health systems are facing continuous challenges during this historic shift in our health system. Given today's state of health, where cost and heartache is soaring, now more than ever, we believe we can do something to change this. These challenges include a paradigm shift in how hospitals and health systems are positioning themselves and their strategies for success in a new payment environment. This will impact everyone in a community and will require shared responsibility among all stakeholders.As hospitals move toward population health management, community health interventions are a key element in achieving the overall goals of reducing the overall cost of health care, improving the health of the population, and improving access to affordable health services for the community both in outpatient and community settings. The key factor in improving quality and efficiency of the care hospitals provide is to include the larger community they serve as a part of their overall strategy.Population health is not just the overall health of a population, but also includes the distribution of health. Overall health could be quite high if the majority of the population is relatively healthy - even though a minority of the population is much less healthy. Ideally such differences would be eliminated or at least substantially reduced.Community health can serve as a strategic platform to improve the health outcomes of a defined group of people, concentrating on three correlated stages:1. The distribution of specific health statuses and outcomes within a population, 2. Factors that cause the present outcomes distribution, and3. Interventions that may modify the factors to improve health outcomes.Improving population health requires effective initiatives to:1. Increase the prevalence of evidence-based preventive health services and preventive health behaviors,2. Improve care quality and patient safety, and3. Advance care coordination across the health care continuum.We will work together with our community to ensure the community health improvements are identified and then targeted for programs to influence behaviors to obtain improved health within the whole community. Part VI, Line 6: The Hospital is a member of Adventist Health, a health care system which provides healthcare services in diverse markets within the Western United States. A member hospital may share some services with other member hospitals in its geographic area, such as clinical, management and support services. Using today's technology, hospitals outside the geographic area are able to provide support through remote services such as tele-pharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk management, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate administrative support for hospital affiliated medical groups that engage physicians through employment or other contracts. This provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communities served by all member hospitals. Part VI, Line 7, Reports Filed With States OR X X X X 1 1 0 0 0 0 0 0 0 Heinrich Kerry Dir/Chair/CEO 0 2017000 0 1208880 0 76548 0 13296 0 44099 0 3359823 0 0 Hofheins Todd Dir/Vice Chair/COO 0 1389462 0 735265 0 147865 0 13296 0 62845 0 2348733 0 0 Beaman John CFO/Assistant Secretary 0 1091769 0 569149 0 19635 0 13296 0 60059 0 1753908 0 0 Stevens Eric - Former Care Division Operations Exec thru 02/22 0 1045616 0 319995 0 160682 0 13296 0 46256 0 1585845 0 0 Jahn Andrew - Former Care Division President thru 02/22 0 1044420 0 406990 0 14496 0 53160 0 50625 0 1569691 0 0 Nahapetian Arby - Former Care Division Medical Officer thru 02/22 0 967385 0 329621 0 185288 0 13296 0 56317 0 1551907 0 0 Wing Bill - Former Dir/Asst Secr/Vice Chair thru 01/22 0 0 0 0 0 1438460 0 13296 0 26777 0 1478533 0 0 Newmyer Joyce President, OR State Network 0 786000 0 299814 0 21800 0 15831 0 46391 0 1169836 0 0 Jobe Meredith Secretary 0 660525 0 168715 0 130248 0 13296 0 46114 0 1018898 0 0 LaFleur Brett Physician 837353 0 0 0 14406 0 11644 0 53644 0 917047 0 0 0 Welch Donald - Former Treas/Finance Officer PNR thru 02/20 0 455949 0 115770 0 202031 0 13296 0 27716 0 814762 0 0 Swanson Eric President 0 374383 0 109170 0 50137 0 13296 0 47391 0 594377 0 0 Spenst Brett - Former Care Division Finance Officer thru 02/22 0 259692 0 250809 0 10124 0 13296 0 32551 0 566472 0 0 Kaba David Physician 489214 0 0 0 0 0 13367 0 45266 0 547847 0 0 0 Leach Judy - Former Strategy & Comm Exec, PNR thru 02/20 0 375669 0 69490 0 36452 0 13296 0 31776 0 526683 0 0 Butler David Former President thru 08/19 0 0 0 0 0 445613 0 13296 0 27142 0 486051 0 0 Echelberger Amy Physician 388325 0 0 0 0 0 13028 0 49567 0 450920 0 0 0 Gerken Brittany Physician 350087 0 0 0 0 0 14514 0 59153 0 423754 0 0 0 Rippey Wesley - Former Reg Medical Officer, PNR thru 02/20 0 539595 0 105940 0 110309 0 13296 0 59716 0 828856 0 0 Seufert Regina Clinic and Physician Executive 0 232606 0 50944 0 29317 0 13296 0 95141 0 421304 0 0 Lee Adam - Former Dir Marketing & Comm, PNR thru 02/20 0 273178 0 36139 0 21044 0 13296 0 36146 0 379803 0 0 Smith Micah Care Div. Medical Officer thru 02/22 0 266295 0 57873 0 22272 0 13296 0 13907 0 373643 0 0 Klein Eric Physician 328692 0 0 0 0 0 13413 0 31308 0 373413 0 0 0 Thompson Heather Patient Care Executive 0 198519 0 44300 0 16574 0 12970 0 47679 0 320042 0 0 Voshell Shane Former Reg HR Dir, PNR thru 02/20 0 224937 0 36844 0 17235 0 13296 0 24189 0 316501 0 0 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. Wing, Bill - severance payment - $1,440,800 Select executives agreed to participate in CAP-EX in place of a traditional SERP. See Schedule L, Part V of Adventist Health System/West, for a broader description. Split-Dollar life insurance participants are John Beaman, Kerry Heinrich, Todd Hofheins, Andrew Jahn, Joyce Newmyer, Brett Spenst, 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 of their corporate provided benefits. The balance is set aside for forfeiture and is at risk to the creditors of Adventist Health. Payouts substantial risks of forfeiture have lapsed. The plan was frozen for new amount equivalent to 41 percent of their base compensation, less the value nonvested deferred compensation that is subject to substantial risk of occur according to the participants' payment elections after all non-vested contributions in 2016. Jahn, Andrew - participant, no activity in 2023 Newmyer, Joyce - participant, no activity 2023 Form 990, Part III, Line 4a: Northwest Medical Foundation Tillamook, DBA Adventist Health Tillamook (AHTM), provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of AHTM, the organization recognizes that not all individuals possess the ability to pay for essential medical services. Adventist Health's vision is to enhance the health of the communities where we live and serve by engaging our communities and our patients in a new definition of and partnership for personal community health. In keeping with this commitment to serve all members of the community, the following coverage will be considered when individuals who need health care cannot afford to pay: - Free care and/or subsidized care - Care to persons covered by governmental programs at/or below cost - Health/wellness activities and community education programs Not only does AHTM provide low-cost care to individuals covered by government programs, and those unable to afford healthcare, it also helps patients find and access private and governmental resources for healthcare benefits. AHTM recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed cost of providing care to these patients in 2023 was $887,122. The following Inpatient services were provided to all our patients: - 94 babies delivered - 191 surgeries performed - 3,454 patient days The following Outpatient services were provided to all our patients: - 10,429 emergency department visits - 948 outpatient surgeries performed - 65,254 outpatient visits - 88,306 clinic visits AHTM recognizes it has an obligation to provide human services above and beyond its role as a healing facility. Schedule H provides more details on the tangible ways in which the organization is fulfilling its mission. The total unreimbursed cost of these community benefits in 2023 was $5,026,540. Adventist Health's mission statement of living God's love by inspiring health, wholeness and hope is coupled with a vision to transform the health experience of our communities through collaborative programs, community investments and community outreach. We are inspired by the healing ministry, as represented by the life of Jesus Christ, and believe we are called to live out our mission intentionally in the communities we serve. In the small towns, suburbs, and inner cities we serve, we continue our journey to provide quality healthcare until every person made in God's image has experienced the best health today, hope for tomorrow, and God's love that endures forever. Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/ AHTM Sponsors North County Recreation District Therapy Pool AHTM, a leader in promoting health and well-being, is honored to announce a $500,000 community contribution in support of a therapy pool in the new North County Recreation District (NCRD) Aquatic Center. This significant investment underscores the importance of health and well-being for the residents of North Tillamook County, a community AHTM has been serving since the mid-80s with Emergency Medical Services and since 2012 with a rural health clinic in Manzanita. AHTM's commitment to enhancing local health services and facilities extends beyond this latest project. Their annual community benefit contributions, totaling approximately $200,000, support Tillamook High School Athletics, Tillamook Bay Community College clinical programs, the Tillamook YMCA, Habitat for Humanity, and many other local initiatives. This latest donation follows a precedent set by previous significant contributions, such as their support for the Tillamook YMCA's pool, demonstrating their ongoing dedication to community health. Eric Swanson, President of AHTM, expressed his enthusiasm about the partnership: "I couldn't be more excited for AHTM and our medical office in Manzanita to be part of this important community development. Our goal is to inspire health, wholeness, and hope in North Tillamook County through this investment." Mary Gallagher, Board Chair of NCRD adds, "Opening its doors in Spring 2025, the Aquatics Center will serve as a central hub for health, wellness, water safety and recreation, fostering physical activity, skill development and community bonding. A major milestone in this transformative project is the generous $500,000 donation from AHTM for a therapy pool within the center. This significant contribution not only showcases their commitment to our community's well-being but also underscores their dedication to a healthier lifestyle for all. The AHTM Therapy Pool stands as a testament to the collaborative spirit driving positive change. Our deepest gratitude goes to AHTM for their visionary leadership and unwavering support, leaving an enduring impact on countless lives benefiting from therapeutic services in the Aquatics Center." For more information about AHTM's community investment focus areas and priorities, please visit the Community Benefit section on their website: adventisthealth.org/tillamook/about-us/community-benefit/. Form 990, Part VI, Section A, line 4 The Hospital's Articles of Incorporation were amended for the following: 1. Article III was updated to allow for the Board of Directors of the Hospital to have sole authority to amend or repeal the Articles of Incorporation, subject to the additional approval of the Board of Directors of Adventist Health System/West. The Hospital has no members within the meaning of ORS Section 65.001. The Hospital's Bylaws were amended for the following: 1. Article 2 was removed and the Hospital has no members. All sections relating to the membership were removed. 2. Article 5 was revised to indicate that only directors may serve as the chair of the Board and that the vice chair of the Board is designated by the Chief Executive Officer of Adventist Health System/West. Form 990, Part VI, Section A, line 7a The Hospital Bylaws define its Board of Directors to be the same individuals who are members of the Adventist Health System/West Board of Directors. Form 990, Part VI, Section A, line 7b The Board of Directors of the Hospital shall have sole authority to amend or repeal the Articles of Incorporation, subject to the additional approval of the Board of Directors of Adventist Health System/West. The Hospital does not have any Members. 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, hospital 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 to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the market president or the System General Counsel immediately. The System General Counsel distributes, collects, and reviews for signatures the COIs for all applicable Corporate employees, stakeholders and the board. In addition, the hospital's administration is responsible for keeping record to ensure all hospital-based individuals with director and above positions have submitted their COIs. The System General Counsel reviews all the disclosures on the board and Corporate employees' COIs. System General Counsel retains the COIs for all individuals. Further inquiries on any potential significant conflicts are made as needed. Conflicts are documented and reviewed with the Board. Form 990, Part VI, Section B, line 15 The Hospital'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 Hospital does not make its governing documents publicly available, beyond required filings of Articles of Incorporation with the Secretary of State. The Hospital does not make its Conflict of Interest Policy available upon request, but does file monthly/quarterly summary financial reports with the state health-planning agency. Form 990, Part VII, Section A: Board compensation is for Adventist Health System/West Board of Directors only - not hospital Board of Directors. Form 990, Part IX, line 11g Physician professional fees: Program service expenses 12,398,688. Management and general expenses 0. Fundraising expenses 0. Total expenses 12,398,688. Consulting and other management fees: Program service expenses 211,417. Management and general expenses 103,933. Fundraising expenses 0. Total expenses 315,350. Repairs and maintenance: Program service expenses 1,216,213. Management and general expenses 13,785. Fundraising expenses 0. Total expenses 1,229,998. All other purchased services: Program service expenses 2,689,948. Management and general expenses 320,316. Fundraising expenses 500. Total expenses 3,010,764. Other professional nonmedical fees: Program service expenses 13,728. Management and general expenses 0. Fundraising expenses 0. Total expenses 13,728. Contract Labor: Program service expenses 3,184,265. Management and general expenses 1,523. Fundraising expenses 0. Total expenses 3,185,788. Purchased medical services: Program service expenses 343,645. Management and general expenses 0. Fundraising expenses 0. Total expenses 343,645. 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. Adventist Health Clearlake Hospital Inc 15630 18th Avenue Clearlake CA 95422 680395149 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Adventist Health Delano 1401 Garces Hwy Delano CA 93215 770258013 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Adventist Health Foundation 1 Adventist Health Way Roseville CA 95661 680002188 Charitable foundation CA 501(c)(3) Line 7 Adventist Health SystemWest 0 Adventist Health Medical Center Tehachapi 1100 Magellan Drive Tehachapi CA 93561 812240617 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Adventist Health Mendocino Coast 700 River Drive Fort Bragg CA 95437 845174585 Hospital CA 501(c)(3) Line 3 Stone Point Health 0 Adventist Health Physicians Network 1 Adventist Health Way Roseville CA 95661 680357690 Medical foundation CA 501(c)(3) Line 12b, II Adventist Health SystemWest 0 Adventist Health SystemWest 1 Adventist Health Way Roseville CA 95661 953484589 Integrated health system CA 501(c)(3) Line 10 N/A 0 Adventist Health Tulare 869 North Cherry Street Tulare CA 93274 832351753 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Castle Medical Center 640 Ulukahiki Street Kailua HI 96734 990107330 Hospital HI 501(c)(3) Line 3 Adventist Health SystemWest 0 Feather River Hospital 1 Adventist Health Way Roseville CA 95661 941101228 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Glendale Adventist Medical Center 1509 Wilson Terrace Glendale CA 91206 951816017 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Hanford Community Hospital 115 Mall Drive Hanford CA 93230 940535360 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Lodi Memorial Hospital Association Inc 975 S Fairmont Avenue Lodi CA 95240 941044474 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Mid-Columbia Medical Center 1700 E 19th Street The Dalles OR 97058 930386936 Hospital OR 501(c)(3) Line 3 Stone Point Health 0 Paradise Valley Hospital 1 Adventist Health Way Roseville CA 95661 951816034 Discontinued Operations CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Portland Adventist Medical Center 10123 SE Market Street Portland OR 97216 930429015 Hospital OR 501(c)(3) Line 3 Adventist Health SystemWest 0 Reedley Community Hospital 372 Cypress Avenue Reedley CA 93654 453220509 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Rideout Memorial Hospital 726 Fourth Street Marysville CA 95901 941387866 Acute care hospital CA 501(c)(3) Line 3 Stone Point Health 0 St Helena Hospital 10 Woodland Road St Helena CA 94574 941279779 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 San Joaquin Community Hospital 2615 Chester Avenue Bakersfield CA 93301 952294234 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 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 0 Sonora Community Hospital 1000 Greenley Road Sonora CA 95370 941415069 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Stone Point Health 1 Adventist Health Way Roseville CA 95661 823763347 Supporting organization CA 501(c)(3) Line 12b, II Adventist Health SystemWest 0 Ukiah Adventist Hospital 275 Hospital Drive Ukiah CA 95482 941639901 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 United Com-Serve 726 Fourth Street Marysville CA 95901 943015356 Skilled nursing/assisted living/home health CA 501(c)(3) Line 10 Stone Point Health 0 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 0 Western Health Resources 1 Adventist Health Way Roseville CA 95661 953867863 Home care CA 501(c)(3) Line 10 Adventist Health SystemWest 0 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 0 Willits Hospital Inc 1 Marcela Drive Willits CA 95490 680108919 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Blue Legacy Ventures LLC 1010 NE 2nd Avenue Miami FL 33132 871254649 Real property rental FL N/A 0 0 Blue Zones LLC 200 Southdale Center Edina MN 55435 271603327 Education MN N/A 0 0 PAR LLC DBA CherryWood Village 8440 SE Sunnybrook Blvd Suite 100 Clackmas OR 97015 931262371 Senior housing OR N/A 0 0 PVHR LLC DBA Paradise Village 8440 SE Sunnybrook Blvd Suite 100 Clackmas OR 97015 260622555 Senior housing OR N/A 0 0 PVHR2 LLC DBA Parkview Memory Care at Paradise Village 8440 SE Sunnybrook Blvd Suite 100 Clackmas OR 97015 473300170 Senior housing OR N/A 0 0 WWGHR LLC DBA Wheatland Village 8440 SE Sunnybrook Blvd Suite 100 Clackmas OR 97015 810591221 Senior housing OR N/A 0 0 AdHealth Limited PO Box HM 2062 Hamilton BD HM HX Pure captive insurance BD N/A C 0 Adventist Health Plan Inc 1 Adventist Health Way Roseville CA 95661 463833261 Health insurance CA N/A C 0 South Coast Medical Center 1 Adventist Health Way Roseville CA 95661 952037291 Wind down after sale of hospital CA N/A C 0 Thrive Productions Inc 200 Southdale Center Edina MN 55435 453369049 Production company MN N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1