SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES (EIN 95-6064971)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-16
IRS object ID: 202143209349302219
Schema version: 2020v4.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-16T11:53:20-08:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	800519547	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	THE ACCOUNTANCY LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 N Brand Blvd Fl 20	AddressLine1Txt
City	Glendale	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91203	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	956064971	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Simi Valley Hosp and Hlth Care Services	BusinessNameLine1Txt
Business Name Line2	dba Adventist Health Simi Valley	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	SIMI	BusinessNameControlTxt
Phone	8059556000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2975 N Sycamore Dr	AddressLine1Txt
City	Simi Valley	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93065	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Francis Owens	PersonNm
Person Title	Finance Officer	PersonTitleTxt
Signature	2021-11-16	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Francis	PersonFirstNm
Person Last	Owens	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	S Clement	PreparerPersonNm
PTIN	P01218012	PTIN
Phone	8185475701	PhoneNum
Self Employed	Yes (X)	SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd
Federated Assurance Level	FAL1	FederatedAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Jennifer Swenson	PrincipalOfficerNm
Gross Receipts	$174,985,333	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	1071	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.adventisthealth.org/simi-valley	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1960	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	Living Gods love by inspiring health, wholeness and hope.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	1099	TotalEmployeeCnt
Total Volunteers	44	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,235,213	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$120,338	PYContributionsGrantsAmt
CY Contributions Grants	$3,443,643	CYContributionsGrantsAmt
PY Program Service Revenue	$162,441,558	PYProgramServiceRevenueAmt
CY Program Service Revenue	$170,380,394	CYProgramServiceRevenueAmt
PY Investment Income	$520,541	PYInvestmentIncomeAmt
CY Investment Income	$1,151,788	CYInvestmentIncomeAmt
PY Other Revenue	$51,924	PYOtherRevenueAmt
CY Other Revenue	$4,502	CYOtherRevenueAmt
PY Total Revenue	$163,134,361	PYTotalRevenueAmt
CY Total Revenue	$174,980,327	CYTotalRevenueAmt
PY Grants And Similar Paid	$131,283	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$106,573	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$68,586,178	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$70,368,514	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$137,979	CYTotalFundraisingExpenseAmt
PY Other Expenses	$91,318,408	PYOtherExpensesAmt
CY Other Expenses	$106,046,885	CYOtherExpensesAmt
PY Total Expenses	$160,035,869	PYTotalExpensesAmt
CY Total Expenses	$176,521,972	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,098,492	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,541,645	CYRevenuesLessExpensesAmt
Total Assets BOY	$193,427,233	TotalAssetsBOYAmt
Total Assets EOY	$192,924,737	TotalAssetsEOYAmt
Total Liabilities BOY	$147,733,714	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$149,164,399	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$45,693,519	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$43,760,338	NetAssetsOrFundBalancesEOYAmt
Mission	Living Gods love by inspiring health, wholeness and hope.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$138,500,075	ExpenseAmt
Grant	$106,573	GrantAmt
Revenue	$171,021,779	RevenueAmt
Desc	Simi Valley Hosp & Hlth Care Serv dba Adventist Health Simi Valley (AHSV) provides quality medical health care 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 Adventist Health Simi Valley, the organization recognizes that not all individuals possess the ability to pay for essential medical services.Adventist Healths 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 will be considered when individuals who need health care cannot pay:providing free care and/or subsidized careproviding care to persons covered by governmental programs at below costproviding health/wellness activities and community education programsNot only does Adventist Health Simi Valley 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.AHSV 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 2020 was $13,691,330.The following Inpatient services that were provided to all our patients. These services included:439 Babies delivered1,021 Surgeries performed29,128 Patient days The following Outpatient services that were provided to all our patients. These services included:30,654 Emergency department visits2,204 Outpatient Surgeries performed42,400 Outpatient visits 40,517 Clinic visitsAHSV recognizes it has an obligation to provide human services above and beyond its role as a healing facility. The following community benefits demonstrate the tangible ways in which the organization is fulfilling its mission. The total unreimbursed cost of these community benefits in 2019 was $7,382,470.Adventist Healths mission statement of Living Gods 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 Gods image has experienced the best health today, hope for tomorrow, and Gods love that endures forever.The following story illustrates how Adventist Health Simi Valley works to provide quality care for our community and why our Foundation has such a passion for raising funds to continue improving the care we can provide:One of our community members brought their daughter recently to the hospital with chronic knee pain. She was 10 years old, full of life, spunky, thoughtful and a wonderfully gifted soccer player. We transferred her to Childrens hospital where she was diagnosed with Osteosarcoma, a rare form of bone cancer. Diseases like this should not happen to children, but they do, and it causes their family no end of sorrow and pain. This young lady who has a huge heart and so much to give has become very special to us. Her journey, which is still in process, may include chemotherapy, radiation, surgery or a combination of these. Despite knowing what she has to go through she in incredibly funny and can bring a smile to anyones face. This young ladys mother is a hard working single mother of three. Since the diagnosis, she has struggled with work keeping her from her daughters side. As her mother needs to be with her daughter during her treatments, we are supporting them through the Foundation with cancer grants that will help mom to be able to stay with her daughter and to cover travel expenses during the treatment and hospital stay.Compassionate, high-quality patient care; life-saving and life-preserving medical and surgical services in a community-based hospital; essential emergency servicesthese are the reasons we are in the Simi Valley community.Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/	Desc
Total Program Service Expenses	$138,500,075	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1099	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Todd Hofheins	PersonNm
Phone	9164061092	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 619135	AddressLine1Txt
City	Roseville	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95661	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
Reiner Scott
Director/CEO	0.00	50.00	Yes (X)	Yes (X)	$0	$2,358,378	$54,819
Wing Bill
Dir/Pres/A Sec	0.00	50.00	Yes (X)	Yes (X)	$0	$1,760,327	$59,054
Jahn Andrew
President, Care Division	2.00	48.00			$0	$1,365,841	$59,307
Nahapetian Arby
Care Division Chief Medical Officer	2.00	48.00			$0	$868,206	$54,711
Raffoul John
Finance Officer, SCR	10.00	40.00			$0	$817,586	$49,411
Reppert Joseph
Former CFO/Asst Secr thru 8/19	0.00	50.00			$0	$813,425	$41,111
Jobe Meredith
Secretary	0.00	50.00		Yes (X)	$0	$769,985	$43,868
Swenson Jennifer
President	50.00	0.00		Yes (X)	$0	$618,554	$59,157
Milatovic Natasa
Reg HR Dir, SCR	0.00	50.00			$0	$458,147	$59,155
Dingilian John
Medical Officer	10.00	40.00			$0	$425,125	$57,904
Hofheins Todd
CFO as of 8/20	0.00	50.00		Yes (X)	$0	$469,107	$13,281
Burke James
Medical Officer, SCR	10.00	40.00			$0	$391,001	$44,846
Owens Chip
FO/Treas/A Sec	50.00	0.00		Yes (X)	$0	$356,141	$78,004
Gaffney Esparza Caroline
COO/CNO	10.00	40.00			$0	$378,620	$54,375
Werner William
Former VP Support Services	0.00	50.00			$0	$287,178	$54,373
Deamer Carol
Director, Pharmacy	50.00	0.00			$245,246	$0	$45,771
Percival Kathleen
Admin Dir, Org Per	50.00	0.00			$247,236	$0	$36,303
Wagner Jack
Former Asst Secr thru 3/18	0.00	50.00			$0	$269,387	$13,558
Fernandes Shalini
RN	50.00	0.00			$216,886	$0	$65,144
Mallari Christopher
RN	50.00	0.00			$212,163	$0	$58,836
Ferrier Corbett
Bus Dev Exec	10.00	40.00			$0	$239,865	$14,487
Reyes Racher
RN	50.00	0.00			$211,605	$0	$42,013
Davis Whitney
Comm Director, SCR	0.00	50.00			$0	$133,052	$27,192
Anderson Brian
Former Trea/Asst Secr	0.00	50.00			$0	$106,361	$15,728
Zachary Beth
Former President SCR	0.00	50.00			$0	$110,666	$11,291
Freedman John
Vice Chair	0.00	4.00	Yes (X)		$0	$27,216	$0
Davis Andrew
Director	0.00	4.00	Yes (X)		$0	$26,971	$0
Reiner Richard
Director	0.00	4.00	Yes (X)		$0	$26,764	$0
Cherry Robert
Director	0.00	4.00	Yes (X)		$0	$26,160	$0
Innocent Larry
Director	0.00	4.00	Yes (X)		$0	$25,608	$0
Graham Ricardo
Chair	0.00	4.00	Yes (X)		$0	$23,359	$0
Heinrich Kerry
Director	0.00	4.00	Yes (X)		$0	$20,608	$0
Woodson Marc
Director	0.00	4.00	Yes (X)		$0	$20,608	$0
Ocampo Lucy
Director	0.00	4.00	Yes (X)		$0	$20,358	$0
Banks David
Director	0.00	4.00	Yes (X)		$0	$15,441	$0
Salazar Velino
Director	0.00	4.00	Yes (X)		$0	$6,651	$0
Fehr Joy
Director	0.00	4.00	Yes (X)		$0	$108	$0
Philip Celeste
Director	0.00	0.00	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,133,136	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$13,236,804	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,113,699	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	200	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Jonathan Nasseri MD
2975 N Sycamore Dr	Simi Valley	CA	93065	Physician Services	$1,079,397
Sodexo Inc and Affiliates
9801 Washington Blvd	Gathersburg	MD	20878	Dietary Services	$976,247
Jr Abbott Construction Inc
25 E California Blvd	Pasadena	CA	91105	Construction	$947,764
Intensive Care Medical Specialists Inc
1177 Roadrunner Way	Simi Valley	CA	93065	Physician Services	$800,251
Medical Solutions LLC
1010 N 102nd Street Suite 300	Omaha	NE	68114	Construction Services	$650,965

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	33	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$3,443,643	AllOtherContributionsAmt
Total Contributions	$3,443,643	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CARES Act Income	900099	$9,723,297	$9,723,297
Incentive/Quality Assur		$259,504	$259,504
Medical Office Rentals	531120	$1,420,732	$1,420,732
Other Program Services		$256,988	$256,988
Patient Care Services	900099	$158,633,100	$158,633,100

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$86,773	TotalRevenueColumnAmt
Related Or Exempt Func Income	$86,773	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$170,380,394	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$515,787	TotalRevenueColumnAmt
Exclusion	$515,787	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$636,001	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$636,001	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$636,001	TotalRevenueColumnAmt
Related Or Exempt Func Income	$636,001	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Fundraising Direct Expenses	$882	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$882	TotalRevenueColumnAmt
Exclusion	-$882	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$9,508	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$4,124	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,384	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,384	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$174,980,327	TotalRevenueColumnAmt
Related Or Exempt Func Income	$171,021,779	RelatedOrExemptFuncIncomeAmt
Exclusion	$514,905	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$106,573	TotalAmt
Program Services	$106,573	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$56,956,874	TotalAmt
Program Services	$52,293,309	ProgramServicesAmt
Management And General	$4,555,906	ManagementAndGeneralAmt
Fundraising	$107,659	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,095,767	TotalAmt
Program Services	$2,045,926	ProgramServicesAmt
Management And General	$46,922	ManagementAndGeneralAmt
Fundraising	$2,919	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,256,902	TotalAmt
Program Services	$6,756,957	ProgramServicesAmt
Management And General	$488,920	ManagementAndGeneralAmt
Fundraising	$11,025	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,058,971	TotalAmt
Program Services	$3,880,989	ProgramServicesAmt
Management And General	$171,022	ManagementAndGeneralAmt
Fundraising	$6,960	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$15,206,544	TotalAmt
Program Services	$200,326	ProgramServicesAmt
Management And General	$15,006,218	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$617,809	TotalAmt
Management And General	$617,809	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$858	TotalAmt
Management And General	$858	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$25,085,733	TotalAmt
Program Services	$14,623,674	ProgramServicesAmt
Management And General	$10,458,875	ManagementAndGeneralAmt
Fundraising	$3,184	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$23,497	TotalAmt
Management And General	$23,497	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$819,633	TotalAmt
Program Services	$539,151	ProgramServicesAmt
Management And General	$278,194	ManagementAndGeneralAmt
Fundraising	$2,288	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,779,932	TotalAmt
Program Services	$2,196,122	ProgramServicesAmt
Management And General	$4,583,810	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,966,630	TotalAmt
Program Services	$4,005,579	ProgramServicesAmt
Management And General	$949,286	ManagementAndGeneralAmt
Fundraising	$11,765	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$49,851	TotalAmt
Program Services	$19,150	ProgramServicesAmt
Management And General	$28,625	ManagementAndGeneralAmt
Fundraising	$2,076	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$10,455	TotalAmt
Program Services	$5,957	ProgramServicesAmt
Management And General	$4,498	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,336,586	TotalAmt
Program Services	$3,336,552	ProgramServicesAmt
Management And General	$34	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,265,360	TotalAmt
Program Services	$9,238,737	ProgramServicesAmt
Management And General	$26,623	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$622,708	TotalAmt
Program Services	$622,708	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Patient Care Supplies	$22,847,818	$22,742,024	$105,787	$7
Quality Assurance	$10,080,168	$10,080,168
Other Expenses	$5,227,059	$4,713,277	$513,486	$296
Equipment Rentals	$791,018	$767,896	$23,122

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$315,226	TotalAmt
Program Services	$325,000	ProgramServicesAmt
Management And General	$426	ManagementAndGeneralAmt
Fundraising	-$10,200	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$176,521,972	TotalAmt
Program Services	$138,500,075	ProgramServicesAmt
Management And General	$37,883,918	ManagementAndGeneralAmt
Fundraising	$137,979	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,913,033	BOYAmt
EOY	$10,997,452	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$24,514,027	BOYAmt
EOY	$27,574,481	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,922,436	BOYAmt
EOY	$3,314,954	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$644,528	BOYAmt
EOY	$824,273	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$250,568,074	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$118,167,709	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$134,011,684	BOYAmt
EOY	$132,400,365	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$100,121	BOYAmt
EOY	$100,121	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,227,323	BOYAmt
EOY	$2,227,323	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,210,459	BOYAmt
EOY	$2,210,459	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$19,883,622	BOYAmt
EOY	$13,275,309	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$193,427,233	BOYAmt
EOY	$192,924,737	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$16,352,095	BOYAmt
EOY	$13,972,324	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$14,490	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$131,381,619	BOYAmt
EOY	$135,177,585	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$147,733,714	BOYAmt
EOY	$149,164,399	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$44,996,201	BOYAmt
EOY	$43,071,585	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$697,318	BOYAmt
EOY	$688,753	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$45,693,519	BOYAmt
EOY	$43,760,338	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$193,427,233	BOYAmt
EOY	$192,924,737	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$1,541,645	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$391,536	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$18,374	OtherActivitiesAmt
Total Lobbying Expenditures	$18,374	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1i - Other Activities Description	FormAndLineReferenceDesc
Explanation	The organization belongs to industry and professional associations for which a portion of the membership dues is used for lobbying activities. Expenditures to Noteware were paid for the purpose of working with legislators and government officials relating to legislation affecting hospitals and healthcare.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$760,455	BeginningYearBalanceAmt
Contributions	$302,549	ContributionsAmt
Grants Or Scholarships	$70,000	GrantsOrScholarshipsAmt
Other Expenditures	$230,818	OtherExpendituresAmt
End Year Balance	$762,186	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$815,425	BeginningYearBalanceAmt
Contributions	$229,369	ContributionsAmt
Grants Or Scholarships	$35,000	GrantsOrScholarshipsAmt
Other Expenditures	$249,339	OtherExpendituresAmt
End Year Balance	$760,455	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$934,825	BeginningYearBalanceAmt
Contributions	$216,897	ContributionsAmt
Investment Earnings Or Losses	-$6,401	InvestmentEarningsOrLossesAmt
Other Expenditures	$329,896	OtherExpendituresAmt
End Year Balance	$815,425	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,796,958	BeginningYearBalanceAmt
Contributions	$1,327,885	ContributionsAmt
Investment Earnings Or Losses	-$1,132,209	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,057,809	OtherExpendituresAmt
End Year Balance	$934,825	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,471,458	BeginningYearBalanceAmt
Contributions	$2,049,302	ContributionsAmt
Investment Earnings Or Losses	-$1,648,602	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,075,200	OtherExpendituresAmt
End Year Balance	$1,796,958	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.09635	BoardDesignatedBalanceEOYPct
Term Endowment Balance EOY	0.90365	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,893,945	OtherCostOrOtherBasisAmt
Book Value	$9,893,945	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$176,529,088	OtherCostOrOtherBasisAmt
Depreciation	$76,204,398	DepreciationAmt
Book Value	$100,324,690	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,052,478	OtherCostOrOtherBasisAmt
Depreciation	$2,020,111	DepreciationAmt
Book Value	$32,367	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$55,632,653	OtherCostOrOtherBasisAmt
Depreciation	$35,687,261	DepreciationAmt
Book Value	$19,945,392	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,459,910	OtherCostOrOtherBasisAmt
Depreciation	$4,255,939	DepreciationAmt
Book Value	$2,203,971	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$132,400,365	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	Sycamore, Aspen, Oncure	Desc
Book Value	$2,099,934	BookValueAmt
Method Valuation	C	MethodValuationCd

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
Investment in ASV	$2,099,934
Investment in Fdtn	$1,668,031
Other Receivables	$288,637
Receivables from Related Organizations	$9,218,707
Receivables from Third Parties

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$13,275,309	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Other Liabilities	$17,998,362
Payable Third Party	$7,023,445
Payables to Related Organizations	$110,044,778
Tax Liabilities	$111,000

Field	Value	IRS element (for citing)
Total Liability	$135,177,585	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 4: Intended uses of the endowment fund.

Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended.

Part X : FIN48 Footnote

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, 2020 and 2019, 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 2016 in major tax jurisdictions.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$454,693	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$454,693	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,925,255	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,688,618	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,236,637	NetCommunityBenefitExpnsAmt
Total Expense	0.07500	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,379,948	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,688,618	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,691,330	NetCommunityBenefitExpnsAmt
Total Expense	0.07760	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,200,896	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,200,896	NetCommunityBenefitExpnsAmt
Total Expense	0.00680	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$264,759	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$264,759	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,050,441	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$351,976	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,698,465	NetCommunityBenefitExpnsAmt
Total Expense	0.03230	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$218,351	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$218,350	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,734,447	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$351,977	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,382,470	NetCommunityBenefitExpnsAmt
Total Expense	0.04180	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,114,395	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,040,595	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,073,800	NetCommunityBenefitExpnsAmt
Total Expense	0.11940	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,173	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,173	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,278	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,278	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,446	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,446	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,897	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$60,897	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,597,046	BadDebtExpenseAmt
Bad Debt Expense Attributable	$56,514	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$38,700,016	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$44,177,111	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,477,095	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	Aspen Surgery Venture LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	Ambulatory surgery center	PrimaryActivitiesTxt
Org Profit Or Ownership	0.72500	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.27500	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Simi Valley Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2975 N Sycamore Dr	AddressLine1Txt
City	Simi Valley	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93065	ZIPCd

Field	Value	IRS element (for citing)
Website Address	See Form 990, Pg 1, Item J	WebsiteAddressTxt
State License	050000216	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Form 990, Pg 1, Item J	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	See Sch H Part VI - Needs Assessment	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	20	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Sch H Part VI - Needs Assessment	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Sch H Part VI-Patient Education	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Sch H Part VI-Patient Education	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Sch H Part VI-Patient Education	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Facility: - Part V, Section B, Line 5	The 2019 CHNA data collection process can be summarized as follows: 1. review of prior CHNA reporting efforts; 2. collection of most recently available demographic, socioeconomic and health indicator data; 3. Data gathering from community members. The CHNA findings result from the extensive analysis of primary and secondary data sources; over 241 indicators from national and state data sources were included in the secondary analysis and primary data was collected from community leaders, non-health professionals, community-based organizations, community members and populations with unmet health needs and/or populations experiencing health disparities. The main source for the secondary data, or data that has been previously collected by the government and other health agencies to inform health planning, is the Health Matters in Ventura County platform, a publicly available data platform.Community Survey: The Community Health Assessment Survey (2019) was designed and disseminated by the Ventura County Community Health Needs Assessment Collaborative. A total of 2,722 responses were collected. The sample size met the conditions of 95% confidence interval and had a margin of error of 1.88%. This was a convenience sample, which means results may be vulnerable to selection bias. The results are generalizable to the population of Ventura County.Of the total survey participants, 84.6% (N = 2303) completed the survey in English and 15.4% (N=419) completed the survey in Spanish.Key Informant and Focus Group Discussion Findings: Key informant interviews and focus group discussions help to develop a deeper understanding for the reasons behind the health data seen in the previous sections. It also served to identify the high priorities among VCCHNAC members and stakeholders. In the case of the key informants, the interviews touched upon many issues that were specific to their area of work, especially with vulnerable populations, whereas the focus group discussions with community members focused on age, race and/or gender issues related to accessing healthcare and barriers to access.
Facility: - Part V, Section B, Line 6a	The Ventura County CHNA Collaborative (VCCHNAC) is a formal, charter-bound partnership of seven health agencies that came together in June 2018 to participate in the development of a joint CHNA exercise and report. The agencies that constitute the VCCHNAC are: Adventist Health Simi Valley, Camarillo Health Care District, Clinicas Del Camino Real, Inc., Community Memorial Hospital, Ojai Valley Community Hospital, St. Johns Regional Medical Center, Dignity Health, St. Johns Pleasant Valley Hospital and Dignity Health.
Facility: - Part V, Section B, Line 11	The COVID-19 global pandemic has caused extraordinary challenges for Adventist Health hospitals and health care systems across the world including keeping front line workers safe, shortages of protective equipment, limited ICU bed space and developing testing protocols. They have also focused on helping patients and families deal with the isolation needed to stop the spread of the virus, and more recently vaccine roll out efforts. Adventist Health, like other health care systems, had to pivot its focus to meet the most urgent healthcare needs of its community during the pandemic, as well as reassess the ability to continue with some community health strategies due to public health guidelines for social distancing. Adjustments have been made to continue community health improvement efforts as possible, while ensuring the health and safety of those participating. Our 2019 CHNA in conjunction with the Ventura County Community Health Improvement Collaborative (VCCHIC) identified four areas of significant need: Aligning Cross-Sectoral Partnerships for Population Health Impact, Improve Access to Health Services, Address Social Needs through Food Access Interventions, and Improve the Health and Wellbeing of Older Adults. Priority Need 1- Aligning Cross-Sectoral Partnership for Population Health Impact. The goal is to develop a sustainable collaborative structure of hospital and community partnerships for long term implementation of chosen community health and population health strategies. Strategy 1- Build Governance Structure. Activity 1.1- Develop common priorities and objectives, Activity 1.2- Coordinate overarching goals and efforts, Activity 1.3- Define stakeholders, roles and responsibilities, and Activity 1.4- Formalize project scope and structure. Due to COVID-19, the VCCHIC had a 10-month interruption in the cadence of monthly group meetings and bi-monthly sub-committee meetings. Ventura County of Public Health (VCPH) and each hospital organization had to redirect staff and resources to address the impact of the pandemic on our local communities. Despite the interruption accomplishments include the following: completed and signed charter, development of a current roster of partner organizations, committees for each priority area, and sub-committee for in-depth project work. Strategy 2- Cross Sector Prevention Model. Activity 2.1- Combined Community Health Needs Assessments. Accomplishments include the following: CHNA 2019 adoption and promotion that included printed copies distributed to internal and external stakeholders, presentation to the Simi Valley City Council and CBO partners. Additionally, stakeholder asset mapping was completed. Strategy 3- Develop Financial Plan. Activity 3.1- Identify initial capital and innovative long-term funding streams. Accomplishments include the following: Completed application for the Robert Wood Johnson Foundation (RWJF) grant, backbone organization exploratory meetings, and collaboration work with the Hospital Association of Southern California (HASC) and Communities Lifting Communities (CLC) for backbone development. Strategy 4- Explore Data Sharing Strategy. Activity 4.1- Consider data availability and explore methods for Health Information Exchange (HIE). Despite the significant impact of COVID-19, accomplishments include getting Manifest MedEx selected as our HIE provider. Gold Coast Health Plan, Venture County Public Health and Adventist Health all signed the agreement and are working independently to get their interoperability functionality established. We anticipate the functionality of the HIE to improve how health care providers, including clinics and physician offices can better manger their care of shared patients. Strategy 5- Develop Performance Management Evaluation. Activity 5.1- Create performance feedback loops. Due to COVID-19 this activity is currently delayed. Priority Need 2- Improve Access to Health Services. The goal is to improve access to health services by addressing social needs of high risk/high need clients to reduce presentable emergency room and hospital utilization. Strategy 1- From 2019 to 2022, VCCHIC will build a Community Information Exchange (CIE) which can be adopted by participating hospitals and other community-based organizations to increase intra- and inter-agency referrals and tracking of high risk/high need clients. Activities 1.1- Identify non-traditional partners through asset mapping exercises, Activity 1.2 Identification of appropriate SDoH screening tool, Activity 1.3- SDoH Screen Tool Deployment, Activity 1.4- Workflow modifications as needed per provider practices and CBOs needs, Activity 1.5- Staff training on screening and service referrals, Activity 1.6- Facilitate Community Information Exchange (CIE). Accomplishments include the following: The facilitation of multiple CIE meetings, identification of non-traditional partners, SDoH tool selection and Adventist Health Physicians Network utilization of SDoH screening questions. Priority Need 3- Address Social Needs through a Food Access Intervention- the goal is to address food insecurity and reduce hospitalizations and health care costs in medically complex populations by increasing access to appropriate nutrition. Strategy 1- From 2019 to 2022, the VCCHIC will reduce food insecurity by 2% from baseline (pre-COVID-19 data) by screening for food insecurity at provider practices and hospitals and referring high need/high risk clients to food and nutrition access programs, resources and professionals. Activity 1.1- Select uniform screening tool for providers, practices and hospitals, Activity 1.2- Business agreement template for screening partnerships, Activity 1.3- Client referral program, Activity 1.4- Clinical dietary counseling referrals for chronic disease and prevention, Activity 1.5- Clinical care plan template for tailored care plans, Activity 1.6- Connect screening and referrals to federal and state food assistance programs, CBO resources. Although most of the activities selected were placed on hold due to COVID-19, Hunger Vital Signs screening tool was selected. Additionally, food distribution organizations were selected and produced the schedule of COVID-19 drive through pantries. Priority Need 4- Improve the health and wellbeing of older adults. The goal is to implement a multi-hospital-based intervention with the assistance of CBOS that will establish a continuum of care and reduce readmissions for high-risk Medicare beneficiaries. Strategy 1- From 2019 to 2022, VCCHIC will implement a Community Based Care Transition Program per Section 3026 of the Affordable Care Act to support medically fragile 65+ year old adults and their caregivers after an acute care hospitalization to reduce hospital readmissions and improve the provision of value-based services. Activity 1.1- Caregiver Assessments and Care Planning, Activity 1.2- Community Partner Identification, Activity 1.3- Education for Caregivers, Activity 1.4- Integration into Health Systems. Due to COVID-19, programs were significantly impacted. Our hospital restricted all visitation and eliminated any non-clinically necessary in person visits with care management and care navigators. This has caused a delay in our program and a new workplan for 2021 is currently being developed and will include adjusted metrics based on the impact of the pandemic. Accomplishments included AHSV to be the recipient of the VCCF Caregiver Support Program grant and launched the support program. Additionally, AHSV participated in collaborative committee meetings, funded Powerful Tools for Caregivers within the collaborative, and secured California State University Channel Islands to provide academic evaluation of outcomes.

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Aspen Outpatient Center
2750 N Sycamore Dr	Simi Valley	CA	93065	Outpatient Imaging & Surgery
Child Development Center
1900 E Los Angeles Ave	Simi Valley	CA	93065	Outpatient Pediatric Therapy
Nancy Reagan Breast Center
2750 N Sycamore Dr	Simi Valley	CA	93065	Outpatient Women's Imaging

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7 - Explanation of Costing Methodology	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 III, Line 2 - Methodology Used To Estimate Bad Debt Expense	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 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 - Methodology of Estimated Amount & Rationale for Including in Community Benefit	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 - Bad Debt Expense	The system-wide audited combined financial statements do not contain a footnote describing bad debt expense.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	The Medicare cost report apportions the hospitals 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 evolving medical and information technology. The health care market basket is unrelated to that of the average individual consumer. Since the 1997 Balanced Budget Act, Medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that Medicare payments too 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.Reconciliation of Medicare Revenue from the hospital's Medicare Cost Report to GL: Revenue Rec. Medicare Cost Report Revenue $ 38,700,016 Cost Report Reimbursable Bad Debts 384,142 Estimates and Accrual Variances (182,199)Other (323,488) __________Total Medicare Revenue $ 38,578,471 Note: The Medicare Cost Report Revenue includes the patient co-pay and deductible amounts, but not the bad-debt reimbursement. Adding the bad-debt reimbursement would have duplicated the revenue and deductible amounts.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	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 incomeX 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 - Needs Assessment	The hospital's 2019 CHNA, the 2021 Community Health Plan (CHP) Update for fiscal year 2020, and the 2020 Implementation Strategy adopted in 2020 are posted on the hospital's website at Community Benefit \| Roseville, California \| Adventist Health. The two most recent Community Health Needs Assessment, two most recent Implementation Strategy reports and the most recent Community Health Plan Updates are also available on the Adventist Health Corporate website at Community Benefit \| Roseville, California \| Adventist Health. 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, Adventist Health Simi Valley 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.
Part VI, Line 3 - Patient Education of Eligibility for Assistance	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/documents/financial-assistance/ENG_PFS-112_Financial-Assistance-Policy.pdf. These documents are available in multiple languages.At 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 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 - Community Information	Located in southern California, Ventura County has a land area of 1,843.1 square miles, which encompasses 10 cities, 13 census-designated places, and 15 other unincorporated communities. According to 2019 Claritas Pop-Facts, Ventura County has a population of 859,967. The most populated zip codes are 93033 (Oxnard), 93065 (Simi Valley), 93030 (Oxnard), and 93063 (Simi Valley) with population totals of 83,972, 74,815, 62,482, and 56,653. The majority of the population is comprised of Hispanics with 42.9% of the population and White (Non-Hispanic), with 41.4% of the population. The Asian population accounts for 7.8% of the population, followed by two or more races with 3.5% of the population, Black or African American with 2.3% of the population, American Indian and Alaska Native with 1.9% of the population, and lastly Native Hawaiian and Other Pacific Islander with 0.3% of the population.In 2018, Ventura Countys population had a median age of 37.5 and a median household income of $81,972. In Ventura County, 50.5% of the population is female, 6.0% are below 5 years of age, 23.2% are below 18 years and 15.0% are 65 years and above. Among county residents, 42,012 have veteran status and 22.5% are foreign born. 38.6% of the people in Ventura County speak a non-English language, and 22.5% are foreign born. The median property value in Ventura County is $520,300 and the homeownership rate is 63.2%. The percent of households with a computer is 90.9% and with a broadband internet subscription is 85.1% (United States Census Bureau, 2018).Oxnard (93030, 93033 and 93036), Santa Paula (93060), Fillmore (93015), and Port Hueneme (93041) are the areas within the county that have the highest socioeconomic needs. In general, the areas of the county with higher socioeconomic needs (highlighted above) have a lower average life expectancy than the average of 82.0 years for Ventura County residents. Conversely, those areas with lower socioeconomic needs such as Oak Park (93777) and Thousand Oaks/Westlake (91361 and 91362) both have life expectancies of 85+ years. Barriers and disparities had the greatest impact among Black and African American populations, with disparities in 19 secondary data health indicators. The White population follows this with disparities in 16 indicators, and the Hispanic or Latino population, with disparities in 11 indicators.
Part VI, Line 4 - 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 that 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 completed the acquisition of Blue Zones as the first step toward reaching this goal. By partnering with Blue Zones, we are 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. 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. These activities are not included elsewhere on Schedule H.
Part VI, Line 5 - Promotion of Community Health	Our hospitals mission is, Living Gods 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 todays 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 healthyeven 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; and 3) 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, and 3) 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 - Affilated Health Care System	The hospital is a member of Adventist Health System/West, 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 - States Filing of Community Benefit Report	CA
Part VI - Additional Information	Identified Needs from CHNA, Not Addressed and Why (Based on 2020 (FY 2019) CHP Update) - No hospital can address all the health needs identified in its community. Adventist Health Simi Valley 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. The following significant health needs that will not be addressed include the following: reduce the impact of behavioral health issues and reduce the burden of chronic disease. Our Adventist Health Simi Valley and the Ventura County Community Health Improvement Collaborative (VCCHIC) has identified other community stakeholders who actively lead programs to address these needs. Other Items In FY2020, Adventist Health as a system took the following actions in response to the needs created or exacerbated by COVID-19: Adventist Health as a system directed Community Strength Fund grants to each hospital to support community partners immediate response to COVID-19; Adventist Health as a system directed Community Integration Catalyst funds to each hospital to support internal new or expanded community well-being programming and innovation as an immediate response to COVID-19; began offering more virtual health care visits to keep community members safe and healthy; developed an online symptom tracker to help community members determine if they may have COVID-19 or some other flu type illness and what steps to take; partnered with MaskUp, a collaboration of 100 leading health systems representing thousands of hospitals across the U.S. joining to create messages for the betterment of the communities they serve.Additionally, Adventist Health Simi Valley took these additional actions: Provided PPE, hand sanitizers and food items for Simi Valley Post Office and Moorpark, Provided PPE for The Free Clinic of Simi Valley, Provided Rapid Response Funding to Foster Youth programs and Senior/Caregiver Support programs, Provided PPE and supplies for clients, staff and volunteers with Senior Center of Simi Valley, Set up donation center to facilitate donations from the public, and distributed excess donations to community partners. Primary website address: See Form 990, Pg. 1, Item JNeeds Assessment website: See Sch H Part VI - Needs AssessmentFAP website: See Sch H Part VI-Patient Education

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt
Boys & Girls Club of Simi Vly
2850 Lemon Dr Simi Valley C	Simi Valley	CA	93063	952811018	501(c)(3)	$11,000	$0	Funds Transfer	Donation
CA Hlth Fnd & Trust
1215 K St Ste 800	Sacramento	CA	95814	941498697	501(c)(3)	$16,018	$0	Funds Transfer	Uninsured/Underinsured Patients
RaisingHOPE Inc
1107 Whitecliff Road	Thousand Oaks	CA	91360	471788053	501(c)(3)	$14,000	$0	Funds Transfer	Donation
Simi Valley Council On Aging
3900 Avenida Simi	Simi Valley	CA	93063	952626170	501(c)(3)	$10,000	$0	Funds Transfer	Donation

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Additional Supplemental Information	FormAndLineReferenceDesc
Explanation	Grants are donations made to US tax exempt organizations, Government Entities and Civic organizations who are community partners, known to us, and present a valid purpose for their donation request. It is anticipated that no further monitoring is required.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt
Anderson Brian
Former Trea/Asst Secr	$106,361	$15,728	$122,089
Burke James
Medical Officer, SCR	$2,728	$41,615	$435,847	$388,273	$3,231
Davis Whitney
Comm Director, SCR	$62,684	$20,919	$160,244	$70,368	$6,273
Deamer Carol
Director, Pharmacy						$218,353	$20,995	$5,898	$11,959	$33,812	$291,017
Dingilian John
Medical Officer	$39,364	$40,862	$483,029	$334,942	$17,042							$50,819
Fernandes Shalini
RN						$214,402	$2,484		$11,087	$54,057	$282,030
Ferrier Corbett
Bus Dev Exec	$18,998	$14,487	$254,352	$190,144								$30,723
Gaffney Esparza Caroline
COO/CNO	$48,720	$37,347	$432,995	$284,330	$17,028							$45,570
Hofheins Todd
CFO as of 8/20	$171,285	$13,281	$482,388	$297,756								$66
Jahn Andrew
President, Care Division	$162,471	$42,265	$1,425,148	$992,796	$17,042							$210,574
Jobe Meredith
Secretary	$113,221	$30,858	$813,853	$575,127	$13,010							$81,637
Mallari Christopher
RN						$209,679	$2,484		$10,703	$48,133	$270,999
Milatovic Natasa
Reg HR Dir, SCR	$36,985	$42,113	$517,302	$342,733	$17,042							$78,429
Nahapetian Arby
Care Division Chief Medical Officer	$112,858	$42,262	$922,917	$648,088	$12,449							$107,260
Owens Chip
FO/Treas/A Sec	$49,894	$61,955	$434,145	$277,269	$16,049							$28,978
Percival Kathleen
Admin Dir, Org Per						$117,022	$19,691	$110,523	$8,457	$27,846	$283,539
Raffoul John
Finance Officer, SCR	$129,503	$32,369	$866,997	$606,284	$17,042							$81,799
Reiner Scott
Director/CEO	$374,424	$37,777	$2,413,197	$1,631,895	$17,042							$352,059
Reppert Joseph
Former CFO/Asst Secr thru 8/19	$810,646	$41,111	$854,536	$2,779
Reyes Racher
RN						$211,534		$71	$8,780	$33,233	$253,618
Swenson Jennifer
President	$96,812	$42,115	$677,711	$438,759	$17,042							$82,983
Wagner Jack
Former Asst Secr thru 3/18	$269,387	$13,558	$282,945
Werner William
Former VP Support Services	$140,508	$41,619	$341,551	$109,514	$12,754							$37,156
Wing Bill
Dir/Pres/A Sec	$22,116	$42,012	$1,819,381	$1,458,328	$17,042							$279,883
Zachary Beth
Former President SCR	$110,666	$11,291	$121,957

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Denise Anderson
Officer Spouse	$10,288	Employment	false
Henry Linda
Key EE Sister	$45,395	Employment	false
Grant Swenson
Officer Spouse	$108,201	Employment	false
Sandra Werner
Key EE Spouse	$295,541	Employment	false
Joyce Newmyer
Key EE-Sister	$933,247	Employment	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part V Supplemental Information	FormAndLineReferenceDesc
Explanation	Additional information regarding interested persons listed above:1. Denise Anderson is the wife of Brian Anderson, an officer of the board.2. Linda Henry is the sister of Former Adventist Health board member and current Key Employee, Wesley Rippey.3. Grant Swenson is the husband of Jennifer Swenson, President of AH Simi Valley.4. Sandra Werner is the wife of William Werner, a Key Employee.5. Joyce Newmeyer, a Key Employee of Adventist Health, is the sister of William Werner, a Key Employee of AH Simi Valley.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	The Hospital is organized as a religious corporation and operates as a not-for-profit hospital. The sole corporate member is Adventist Health System/West, a California not-for-profit religious corporation. The Hospital operates as an affiliate of Adventist Health System/West.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	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, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	The sole corporate member, Adventist Health System/West, must approve all changes to the articles of incorporation and bylaws.
Form 990, Part VI, Line 11b: Form 990 Review Process	This Form 990, including all supporting schedules, was prepared by a public accounting firm, reviewed by the System Controller and market Finance Officer, and shared by electronic communication with the corporation's Board of Directors prior to filing.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital 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 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. Copies for the officers and key employees' COIs are kept in their personnel files. Further inquiries on any potential significant conflicts are made as needed. Conflicts are documented and reviewed with the Board.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	The Organization's Board of Directors has established a Human Performance Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, 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 50th percentile of comparable system hospital data, and having a 50 percent spread from minimum to maximum. A hospital president has a maximum potential incentive of 30 or 35 percent of base salary based upon size and scope of hospital. (Incentive potential is industry norm) Other hospital executives have a maximum potential incentive of 25 to 30 percent of base salary.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	See Line 15a explanation.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	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.
Other Changes In Net Assets Or Fund Balances - Other Increases	Change in interest-Foundation = $99345
Other Changes In Net Assets Or Fund Balances - Other Increases	Change in interest-Joint Venture = $69000
Other Changes In Net Assets Or Fund Balances - Other Decreases	Minority interest Distributions - Aspen Surgery Cntr = -$15500
Other Changes In Net Assets Or Fund Balances - Other Decreases	Transfer to related entity = -$614821
Other Changes In Net Assets Or Fund Balances - Other Increases	Transfers fr Other Funds = $70440

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Adventist Health SystemWest
PO Box 619135	Roseville	CA	95661	953484589	Integrated Health System	CA	501(c)(3)	10	NA	false
Adventist Health Clearlake Hospital Inc
15630 18th Avenue	Clearlake	CA	95422	680395149	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Adventist Health Medical Ctr Tehachapi
1100 Magellan Dr	Tehachapi	CA	93561	812240617	Hospoital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Adventist Health Physicians Network
PO Box 619135	Roseville	CA	95661	680357690	Medical Foundation	CA	501(c)(3)	12b2	Adventist Health SystemWest	false
Adventist Health So CA Medical Fdtn
PO Box 619135	Roseville	CA	95661	954424391	Discontinued Operations	CA	501(c)(3)	12b2	Adventist Health SystemWest	false
Castle Medical Center
640 Ulukahiki Street	Kailua	HI	96734	990107330	Hospital	HI	501(c)(3)	3	Adventist Health SystemWest	false
Feather River Hospital
PO Box 619135	Roseville	CA	95661	941101228	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Fremont- Rideout Health Group
898 Plumas Street	Yuba City	CA	95991	942917251	Acute Care Hospital	CA	501(C)(3)	12b2	Stone Point Health	false
Glendale Adventist Medical Center
1509 Wilson Terrace	Glendale	CA	91206	951816017	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Hanford Community Hospital
115 Mall Drive	Hanford	CA	93230	940535360	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Lodi Memorial Hospital Assn Inc
975 So Fairmont Ave	Lodi	CA	95240	941044474	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Northwest Medical Fdtn of Tillamook
1000 Third Street	Tillamook	OR	97141	930622075	Hospital	OR	501(c)(3)	3	Adventist Health SystemWest	false
Paradise Valley Hospital
PO Box 619135	Roseville	CA	95661	951816034	Discontinued Operations	CA	501(c)(3)	1	Adventist Health SystemWest	false
Portland Adventist Medical Center
10123 SE Market Street	Portland	OR	97216	930429015	Hospital	OR	501(c)(3)	3	Adventist Health SystemWest	false
Reedley Community Hospital
372 Cypress Ave	Reedley	CA	95370	453220509	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Rideout Memorial Hospital
989 Plumas Street	Yuba City	CA	95991	941387866	Acute Care Hospital	CA	501(c)(3)	3	Freemont Rideout Health Group	false
St Helena Hospital
10 Woodland Road	St Helena	CA	94574	941279779	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
San Joaquin Community Hospital
2615 Chester Avenue	Bakersfield	CA	93301	952294234	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Sonora Community Hospital
1000 Greenley Road	Sonora	CA	95370	941415069	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Stone Point Health
PO Box 619135	Roseville	CA	95661	823763347	Supporting Organization	CA	501(C)(3)	12b2	Adventist Health SystemWest	false
Ukiah Adventist Hospital
275 Hospital Drive	Ukiah	CA	95482	941639901	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
United Com-Serve
989 Plumas Street	Yuba City	CA	95991	943015356	Skilled Nursing/Assisted Living/Hm Care	CA	501(c)(3)	12b2	Fremont Rideout Health Group	false
Walla Walla General Hospital
PO Box 619135	Roseville	CA	95661	910617726	Hospital	WA	501(c)(3)	3	Advenstist Health System West	false
Western Health Resources
PO Box 61935	Roseville	CA	95661	953867863	Home Care	CA	501(C)(3)	10	Adventist Health SystemWest	false
White Memorial Medical Center
1720 Cesar E Chavez Avenue	Los Angeles	CA	90033	952282647	Hospital	CA	501(C)(3)	3	Adventist Health SystemWest	false
Willits Hospital Inc
1 Marcela Drive	Willits	CA	95490	680108919	Hospital	CA	501(C)(3)	3	Adventist Health SystemWest	false
Adventist Health Delano
P O Box 460	Delano	CA	93216	770258013	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Adventist Health Tulare
869 North Cherry Street	Tulare	CA	93274	832351753	HOSPITAL	CA	501(c)(3)	3	Adventist Health System West	false
Simi Valley Hospital Foundation
2975 N Sycamore Dr	Simi Valley	CA	93065	912135595	Fundraising for Hospital	CA	501(c)(3)	3	Western Health Resources	Yes (true)
Adventist Health Mendocino Coast
700 River Drive	Fort Bragg	CA	95437	845174585	Hospital	CA	501(C)(3)	3	Adventist Health SystemWest	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ASPEN SURGERY VENTURE LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2975 SYCAMORE DRIVE	AddressLine1Txt
City	SIMI VALLEY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93065	ZIPCd

Field	Value	IRS element (for citing)
EIN	263913327	EIN
Primary Activities	SURGERY CENTER	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SIMI VALLEY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.69000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	South Coast Medical Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 619135	AddressLine1Txt
City	Roseville	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95661	ZIPCd

Field	Value	IRS element (for citing)
EIN	952037291	EIN
Primary Activities	Wind down after sale of hospital	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	AHSWest	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C-Corp	EntityTypeTxt
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Adventist Health SystemWest
e	$110,044,778	Notes Payable
Adventist Health SystemWest
m	$26,212,974	Operating Exp
Adventist Health SystemWest
o	$1,785,465	Compensation
Adventist Health SystemWest
r	$1,305,132	Cash Mgt Funds
Simi Valley Hospital Foundation
o	$144,798	Compensation
Simi Valley Hospital Foundation
s	$145,089	Funds Transfer