2020-11-10T13:50:58-06:00 2019-12-31 910189318 Moss Adams LLP 3121 W March Ln Ste 200 Stockton CA 952192367 990 2019-01-01 941279779 St Helena Hospital STHE 9164060000 10 Woodland Road St Helena CA 94574 Elisa Blethen Treasurer/Asst Secretary 9164060000 2020-10-29 1 Tracy S Paglia P00366884 2099556100 2020-10-29 172.9.161.112 2020-10-29 19:13:08 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 2CA4604677747A1B8287DC7DD1B2F222DAF5CAE3 2019 2021-01-29 14:40:06Z Adventist Health St Helena Steven Herber 10 Woodland Road St Helena CA 94574 239511048 0 1071 X www.adventisthealth.org/st-helena/ X 1898 CA Living God's love by inspiring health, wholeness and hope. 14 12 1384 78 1444759 0 5821270 3930353 242718082 234262512 654474 1318183 74114 0 249267940 239511048 141337 6316458 0 0 92476556 90992485 0 0 1095033 163788332 170347469 256406225 267656412 -7138285 -28145364 207231740 195818524 94388581 110887504 112843159 84931020 X Living God's love by inspiring health, wholeness and hope. 0 0 214623430 6316458 234262512 See Schedule O 214623430 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1384 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 12 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CA X Jay Lipps VP System Controller 9164061092 PO Box 619135 Roseville CA 95661 X Reiner Scott Dir/Chair 0.00 50.00 X X 0 1995696 53734 Wing Bill Dir/Asst Secretary/CFO 0.00 50.00 X X 0 1572254 46583 Reppert Joseph CFO/Asst Secr thru 08/2019 0.00 50.00 X 0 1209069 57565 Eller Jeff President, NCR 10.00 40.00 X 0 1172082 40197 McDonald Edward Former Treas/Asst Secr thru 07/2017 0.00 0.00 X 0 1034618 13010 Lang Kevin Finance Officer, NCR 10.00 40.00 X 0 1038744 0 Wagner Jack Former Asst Secr 0.00 0.00 X 0 778475 29189 Jobe Meredith Secretary 0.00 50.00 X 0 730385 45909 Byrnes John Medical Officer, NCR 10.00 40.00 X 0 718300 29813 Herber Steven President 50.00 0.00 X 0 615116 53734 Lonto Robert Reg HP Dir, NCR 10.00 40.00 X 0 388199 58409 Lendaris Antonia Patient Care Executive thru 05/2019 0.00 50.00 X 0 336159 31622 Kares Tim Finance Officer thru 08/2019 50.00 0.00 X 0 354494 745 Hasso Ruth RN 50.00 0.00 X 255538 0 30984 Olaiz Amphone RN 50.00 0.00 X 253999 0 28970 Barnes Geoffrey Manager, Cardiovascular 50.00 0.00 X 246642 0 35027 Madrid Daniel Dir, Acctg & Fin thru 09/19 25.00 25.00 X 242614 0 28499 Dickinson Elizabeth Patient Care Executive as of 06/2019 50.00 0.00 X 0 242292 23604 Butcher Sara RN 50.00 0.00 X 239418 0 13103 Blethen Elisa - Interim Finance Officer as of 08/2019 10.00 40.00 X 0 191538 34717 Chilton Harold Former COO thru 09/2017 0.00 50.00 X 0 201212 16002 Lyons Timothy Medical Officer 10.00 40.00 X 0 208230 0 Kinney Jill Admin Dir Marketing & Comm, NCR 10.00 40.00 X 0 181700 21349 Reiner Richard Director 0.00 4.00 X 0 28588 0 Davis Andrew Director 0.00 4.00 X 0 28246 0 Cherry Robert Director 0.00 4.00 X 0 26315 0 Heinrich Kerry Director 0.00 4.00 X 0 20102 0 Innocent Larry Director 0.00 4.00 X 0 18852 0 Woodson Marc Director 0.00 4.00 X 0 15000 0 Graham Ricardo Director 0.00 4.00 X 0 8848 0 Banks David Director 0.00 4.00 X 0 6382 0 Freedman John Director 0.00 4.00 X 0 2367 0 Salazar Velino Director 0.00 4.00 X 0 553 0 Ocampo Lucy Director 0.00 4.00 X 0 0 0 Philip Celeste Director 0.00 4.00 X 0 0 0 1238211 13123816 692765 276 1 1 1 Adventist Health CMG Inc 821 South St Helena Hwy Suite 208 St Helena CA 94574 Physician services 6092684 Acute Medical Providers Inc PO Box 94760 Oklahoma City OK 73143 Physician services 3520328 Healthcare Design and Construction LLC 200 Montgomery Dr Santa Rosa CA 95404 Design and construction 3095466 Sound Inpatient Physicians Inc PO Box 74936 Los Angeles CA 90074 Physician services 1543654 Patient Access Medical Group 10 Woodland Rd St Helena CA 94574 Physician services 1091000 54 3881387 48966 3930353 Patient service revenue 621110 231321485 229876726 1444759 Rental income 531120 1404837 1404837 Dietary 722210 931178 931178 Other revenue 900099 605012 605012 234262512 1199930 1199930 118253 0 118253 118253 118253 239511048 232817753 1444759 1318183 X 6316458 6316458 72903495 64296478 7915970 691047 2611948 2365451 212192 34305 10293236 8984486 1213141 95609 5183806 4652238 476322 55246 21663454 2166345 19480148 16961 685263 71242 614021 98121 86230 11891 28715 28715 60925357 49564991 11284927 75439 113086 87368 25718 960269 599642 338895 21732 10369548 2451716 7892375 25457 8799194 7474241 1323737 1216 239763 112329 108359 19075 49781 33971 12873 2937 1461864 1461864 8012206 7956345 55861 207483 87483 120000 Patient care supplies 44461524 44460255 1269 Quality assurance fees 10942440 10942099 341 Rental/lease costs 602270 597081 4807 382 Income Taxes 31 31 727100 710382 16718 267656412 214623430 51937949 1095033 71219 3109801 29686706 23428826 24003471 21231701 5317398 5418090 1044188 1568651 252200495 162849241 87960890 89351254 5362721 9617361 53785147 42092840 207231740 195818524 19563963 23249421 74824618 87638083 94388581 110887504 X 84902554 65171501 27940605 19759519 112843159 84931020 207231740 195818524 X -28145364 233225 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 28715 28715 0 Part II-B, Line 1: The Hospital 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. 29940604 1550642 1795537 127557 11399708 21759518 31423779 3296920 -455682 4324413 29940604 12255343 1049443 30008379 15379 11874007 31423779 11794102 3901050 18350 3458159 12255343 10554992 5424873 -228210 3957553 11794102 0.09190 0.00000 0.90810 0 1 1 425124 425124 153518674 91859560 61659114 20008428 12847294 7161134 68108225 58142387 9965838 10140044 10140044 89351254 Interest in Foundation 29394361 Receivables from third-party payors 11355890 Other receivables 1342589 42092840 Payables to related organizations 63134304 Payables to third-party payors 11349992 Other liabilities 6899856 Lease liability 6253931 87638083 X Part V, Line 4: 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, Line 2: The principal operations of the System is exempt from taxation pursuant to Internal Revenue Code Section 501(c)(3) and related state provisions. The System recognizes tax benefits from any uncertain tax positions only if it is more-likely-than-not the tax position will be sustained, based solely on its technical merits, with the taxing authority having full knowledge of all relevant information. The System records a liability for unrecognized tax benefits from uncertain tax positions as discrete tax adjustments in the first interim period the more-likely-than-not threshold is not met. The System recognizes deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of its assets and liabilities along with net operating loss and tax credit carryovers only for tax positions that meet the more-likely-than-not recognition criteria. At December 31, 2019 and 2018, 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 2015 in major tax jurisdictions. 1 1 X 1 X 1 X 1 1 1 0 1 1 2800721 2800721 0.01050 2800721 2800721 0.01050 461309 461309 0.00170 418020 418020 0.00160 11107515 11107515 0.04150 177916 177916 0.00070 133500 79000 54500 0.00020 12298260 79000 12219260 0.04570 15098981 79000 15019981 0.05620 250 250 0.00000 3104 3104 0.00000 3354 3354 0.00000 1 411764 57429 82998993 93645052 -10646059 X 1 1 2 1 St Helena Hospital 10 Woodland Road St Helena CA 94574 www.adventisthealth.org/sthelena 110000073 X X X A 2 SHH Center for Behavioral Health 525 Oregon Street Vallejo CA 94590 www.adventisthealth.org/sthelena 110000042 X Acute Psychiatric Hospital A Facility Reporting Group - A 0 0 1 X X X X X X X X X 19 1 0 1 1 X See Sch H Part VI - Needs Assesment X See Sch H Part VI - Needs Assesment X 1 19 1 See Sch H Part VI - Needs Assesment 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X Sch H Part VI-Patient Educ X Sch H Part VI-Patient Educ X Sch H Part VI-Patient Educ X X X X X X 1 X 0 X X X X 1 X 0 0 Part V, Section B Facility Reporting Group A Facility Reporting Group A consists of: - Facility 1: St. Helena Hospital, - Facility 2: SHH Center for Behavioral Health Facility Reporting Group - A 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; and3. Data gathering from community members. Data gathering was accomplished by engaging with community focus groups and conducting key stakeholder interviews. Focus group participants were end-users of programs and services provided by AHSH. Populations represented by focus group members included Promotoras, seniors, low-income, homeless/at-risk and representatives from the education sector. The majority of focus group participants live in Napa County, specifically in Santa Rosa, Yountville, St. Helena, and Calistoga. Key informant interviews consisted of key leaders in our community from an array of agencies, including those that serve children, homeless populations, seniors and community at large populations. Additionally, key informant interviews were conducted with representatives from the non-profit, educational, homeless, law enforcement, and faith-based sectors. The majority of the people interviewed serve residents in Napa County, specifically in in Santa Rosa, Yountville, St. Helena, and Calistoga. Additional localities identified for the service areas were Rutherford, Ronald Park, Deer Park and Hope Valley. Most key informants hold titles such as Executive Directors or Presidents, Superintendent, Mayor, and Head Pastor.A significant portion of secondary data for this assessment was collected through reports generated through CARES Engagement Network CHNA (https://engagementnetwork.org/assessment/). Other sources include California Department of Public Health, County Health Rankings & Road maps, and California Environmental Protection Agency's Office of Environmental Health Hazard Assessment. When feasible, health metrics have been further compared to estimates for the state or national benchmarks, such as the Healthy People 2020 objectives. Facility Reporting Group - A Part V, Section B, line 6b: St. Helena Hospital partnered with Abode Services, Napa Valley Unified School District-St. Helena School District, Rianda House and Up Valley Center to prepare the 2019 Community Health Needs Assessment. Facility Reporting Group - A Part V, Section B, line 11: Our 2016 CHNA identified five areas of significant needs: mental health, obesity & diabetes, access to primary health & dental care, cancers, and access to shelter for the homeless. The main goal was to improve the overall health and wellness of our communities through provision of services, community collaboration and innovation. Priority Need 1 - Mental Health - the main goals: to increase access to mental health services and to increase awareness and interventions for youth.Interventions:1. In an effort to expand access and increase awareness of mental health disorders, Adventist Health St. Helena proudly partnered with Mentis, a community partner that focuses on providing bilingual professional mental health services to people throughout the county of every age, stage and income level. Through our partnership, we have been able to implement Teens Caf, a group peer and professional support program, serving over 245 teens on the St. Helena High School campus. As of January 2019, Teens Caf expanded to include middle school aged students at Robert Louis Stephenson Middle School. Mentis' School-Based Program works closely with the Napa, Calistoga, Howell Mountain and St. Helena school districts to provide counseling to children and teens in elementary, middle and high schools struggling with depression, violence, and family conflicts that are causing emotional, behavioral and academic problems. Mentis' therapists work closely with the student and their families to address and resolve problems that are having a significant impact on high risk youth in Napa County. 2. Increased outpatient mental health services by expanding available appointments and hours: Transitioned Dr. Haycraft from part-time inpatient hospital and part-time outpatient clinic setting to full-time clinic setting allowing for additional appointments in clinic and increasing access to immediate mental health resources. Community members served: 309/senior community members served: 175.Priority Need 2 - Obesity & Diabetes - the main goals: increase accessibility to healthy, affordable foods, increase opportunities for physical activity, and increase education about healthy eating and active living. Interventions:1. Partnered with and participated in Wellness Fair for St. Helena Unified School District: Adventist Health St. Helena worked together with Robert Louis Stevenson Middle School to put together a wellness curriculum that teaches students about mind, body and spirit health. The day's events included education on healthy snacks, sleep, exercise interventions, prevention of tobacco use and the importance of hydration. The day was attended by more than 285 students and was very successful in teaching children how to make healthy choices for their long-term health. 2. Utilize physicians, integrative medicine specialists, and nutritionists to educate community on health-related topics: Adventist Health St. Helena proudly sponsored a series of educational events that helped to educate the public on variety of health topics taught by physicians and dietitians. We proudly sponsor a monthly senior health education series in Calistoga that highlights different health-related and self-care topics presented by specialists in each field. 3. Safe Walk & Roll to School Days: Adventist Health St. Helena participated in the Safe Walk & Roll to School days promoting exercise and getting outdoors to students throughout St. Helena.4. Enhance diabetes education program to accommodate more of the community: Adventist Health St. Helena provided residents in our community with access to a free four-week diabetes education class in St. Helena. The free class series helps participants learn how simple lifestyle choices can make all the difference. Plus, participants have an opportunity to meet one on one with a registered dietitian where they work together to tailor a plan around the participant's health and lifestyle. Community members served: 70.5. Provide free community exercise programs to encourage physical fitness and weight management: Together with the City of St. Helena Parks and Recreation department, we were able to provide two free exercise classes where more than 30 community members gathered on a weekly basis, encouraging community members to get outside, get moving and take control of their health. Additionally, we participated in the Park Rx coalition to promote physical activity in open spaces and parks to people to reduce stress, improve blood pressure and reduce glucose. Priority Need 3 - Access to Primary Health & Dental Care - the main goals: to expand accessibility and increase awareness of resources.Interventions:1. Dare to C.A.R.E program providing free heart and vascular screening: Adventist Heart & Vascular Institute continued the Dare to C.A.R.E program, a free screening for those who qualify to detect carotid artery disease, abdominal aortic aneurysm, renal artery disease and extremity artery disease. This ultrasound screening provides the public with education about the unrecognized risks of vascular disease. Countless lives can be saved by teaching people about vascular disease and options they have for pre-emptive treatment. In 2019, 256 patients were screened, and two large aortic aneurysms were detected, preventing a rupture. One in three participants screened are found to have disease, thus far. This program is currently run out of our clinic in Calistoga and also in Lake County.2. Operation Access - Provide specialty care and surgical services to low-income, uninsured patients: Adventist Health St. Helena is a proud partner of Operation Access. Together with other community partners we are able to provide quality specialty care for low-income, uninsured patients. This work improves individual lives as well as the community as a whole. In 2019, six surgeons/ specialists provided sixty services at AHSH, in the specialties of Gastroenterology, General Surgery, Gynecology, Plastics, and Vascular Surgery. Additionally, the anesthesia, pathology, radiology, and physician groups (Adventist Health Physicians Network, Affiliated Pathology Medical Group, Lyons Huber Anesthesia, and Valley Radiological Associates Medical Group) have agreed to waive any charges associated with Operation Access services. In 2019, Adventist Health has increased service volume from 36 to 60, an increase of 67% from the prior year.3. Senior Lyft Pilot Program: Transportation is a major barrier to healthcare access for many seniors. A recent survey by HAPI (Healthy Aging Population Initiative) indicated that transportation challenges are the leading concern from patients in this population. As a note: 24% of the population of St. Helena is senior, and 22% of Calistoga. In partnership with Rianda House and Molly's Angels, Adventist Health St. Helena sponsored a pilot with on-demand ride service Lyft for seniors facing transportation challenges getting to and from their appointments at the hospital. The program was very successful and was able to provide approximately 41 rides for seniors. Part V, Section B, Line 11 (continuation): Priority Need 4 - Cancers - the main goals: to increase access to cancer detection services and related support services and to increase awareness and interventions to prevent cancer. Interventions: 1. Partnered with ZERO Prostate Cancer to promote education and awareness of prostate cancer prevention and treatment: Adventist Health St. Helena's Martin O'Neil Cancer Center is a proud sponsor of the Zero Prostate Cancer Napa Valley, where a team of staff members, physicians and community members participate in a 5k or 10k walk/run to raise awareness and promote prostate cancer screening. All proceeds provide research for new treatments, free prostate cancer testing, and education for men and families about prostate cancer. Over 150 walkers and runners participated in the 2019 event.2. Intervention: Turkey Trot to promote the importance of early hereditary cancer screening and educate the community on the AHEAD (Adventist Health Early All Around Detection) Program for early detection and treatment of genetic cancers. Founded by Dr. Candace Westgate, an obstetrician and gynecologist, our AHEAD program sponsored the second annual Turkey Trot in St. Helena promoting health, community and the importance of early hereditary cancer screening for genetic cancers. Over 150 participants attended the event. 3. Intervention: Communitywide education through the support and education series: The Martin-O'Neil Cancer Center communitywide education and support programs throughout 2019 that focused on topics like skin cancer prevention and the importance of genetic screening. A total of 190 individuals participated in the services. During the genetic cancer discussion, the participants also had genetic screenings if indicated. In 2019, there were 1,414 mammograms completed with eight referrals to a cancer specialist. A total of 365 low dose CT screening were completed in 2019. Genetic screenings found 713 at high risk eligible patients/clients with 418 actually tested. Breakdown of those tested saw 294 with results, 82 with negative high risk and 42 with pathogenic mutations. Priority Need 5 - Access to Shelter for the Homeless Catholic Charities Nightingale House: Adventist Health St. Helena is proud to support and be a part of Catholic Charities Shelter and Housing Department's initiative to operate the Nightingale Center, a medical respite center for patients from Queen of the Valley and Adventist Health St. Helena Hospital. The center is designed to help patients who have no place to go to continue with their recovery. The Nightingale House will help patients to be released to a safe and stable environment to minimize recidivism. This facility will have 11 beds to provide temporary on-site residential medical care.Priority Areas Not Addressed:Taking existing hospital and community resources into consideration, St. Helena Hospital Napa Valley will not directly address the remaining health needs identified in the CHNA including: education, economic and housing insecurity, and substance use. The hospital cannot address all the health needs present in the community, therefore, it will focus efforts on the health needs that can most effectively be addressed given the organization's areas of focus and expertise. St. Helena Hospital Napa Valley will look for partnership opportunities that address needs not selected where it can appropriately contribute to address those needs, or where those needs align with current strategy and priorities. 30 1 - AHSH - Cardiology 999 Adams Street Suite 106 St Helena CA 94574 Outpatient clinic 2 - AHSH - Coon Joint Replacement In 6 Woodland Road Suite 202 St Helena CA 94574 Outpatient clinic 3 - AHSH - Lifestyle Medicine 10 Woodland Road St Helena CA 94574 Lifestyle medicine 4 - AHSH - Martin ONeil Cancer Center 10 Woodland Road St Helena CA 94574 Oncology 5 - AHPN - CBO 10 Woodland Road St Helena CA 94574 Lifestyle medicine 6 - AHPN Calistoga 913 Washington Street Calistoga CA 94515 Outpatient clinic 7 - AHPN Calistoga - Behavioral Health 821 South St Helena Highway Suite 2 St Helena CA 94574 Behavioral health 8 - AHPN Hidden Valley Lake - Oncology 18990 Coyote Valley Road Suite 5 Hidden Valley Lake CA 95467 Oncology 9 - AHPN Napa 1100 Trancas Street Suite 250 Napa CA 94558 Outpatient clinic 10 - AHPN Napa - OBGYN 935 Trancas Street Suite 4B Napa CA 94558 OBGYN 11 - AHPN St Helena - Gastroenterology 6 Woodland Road Suite 303 St Helena CA 94574 Gastroenterology 12 - AHPN St Helena - Heart and Vascular Insti 6 Woodland Road Suite 304 St Helena CA 94574 Cardiology 13 - AHPN St Helena - Lifestyle Medicine 6 Woodland Road Suite 101 St Helena CA 94574 Lifestyle medicine 14 - AHPN St Helena - Multi Specialty 821 South St Helena Highway Suite 2 St Helena CA 94574 Specialty clinic 15 - AHPN St Helena - Neurology 821 South St Helena Highway Suite 2 St Helena CA 94574 Neurology 16 - AHPN St Helena - OBGYN 821 South St Helena Highway Suite 1 St Helena CA 94574 OBGYN 17 - AHPN St Helena - Orthopedics 1530 Railroad Avenue St Helena CA 94574 Orthopedics 18 - AHPN St Helena - Plastic Surgery 6 Woodland Road Suite 302 St Helena CA 94574 Plastic surgery 19 - AHPN St Helena - Pulmonology 6 Woodland Road Suite 303 St Helena CA 94574 Pulmonology 20 - AHPN St Helena - Surgical Specialties 6 Woodland Road Suite 205 St Helena CA 94574 Surgery 21 - AHPN St Helena - Urology 6 Woodland Road Suite 104 St Helena CA 94574 Urology 22 - AHPN Vallejo 1460 North Camino Alto Suite 111 Vallejo CA 94589 Outpatient clinic 23 - Hidden Valley - Internal Med 10 Woodland Road St Helena CA 94574 Internal medicine 24 - Lifestyle Med-Peters 10 Woodland Road St Helena CA 94574 Lifestyle medicine 25 - Mental Health 913 Washington Street Calistoga CA 94515 Mental health 26 - Physical Therapy Center HVL 10 Woodland Road St Helena CA 94574 Physical therapy 27 - St Helena Hospital Center for Health 10 Woodland Road St Helena CA 94574 Outpatient clinic 28 - St Helena Hospital Job Care 600 South Glendale Avenue Glendale CA 91205 Outpatient clinic 29 - St Helena Recovery Center 10 Woodland Road Suite 502 St Helena CA 94574 Outpatient clinic 30 - Woodland Plastic Surgery P 6 Woodland Road Suite 302 St Helena CA 94574 Plastic surgery Part I, Line 7: The costs were determined by using a cost-to-charge ratio. The cost-to-charge computation is based on Hospital specific data included in the system-wide combined audited financial statements. The formula used for computation equals financial statement data as follows:Total expenses - (Provision for bad debts + Other revenue + Interest income)/Gross patient chargesThe Hospital is located in a medically underserved area and participates in a quality assurance fee program with the State of California to fund certain Medi-Cal coverage expansions. The state redistributes funds to hospitals that provide patient care to a higher proportion of indigent and medically underprivileged patients, who otherwise would most likely not have access to physicians and other medical services. The community benefit analysis includes receipts from this redistribution that are used to assist in partially offsetting the significant costs associated with providing patient care to this population group. The program may or may not continue in the future based on the State of California's regulations and policies and the approval of the federal government. Part II, Community Building Activities: The hospital is involved in numerous community building activities which promote the health of the communities it serves. Numerous community concerns are addressed, including health improvement, education, poverty, workforce development and access to care. 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 III, Line 2: Uncollected patient accounts are analyzed using written patient financial services policies that apply standard procedures for all patient accounts. The result of the analysis is what is recognized as bad debt expense. For example, all self-pay patients receive a discount. If the discounted account is unpaid after collection efforts, the unpaid balance is classified as bad debt. The cost-to-charge ratio described for Part I, Line 7 is multiplied times the Hospital's bad debt expense. The resulting figure has been reported as bad debts at cost on Part III, Line 2. Part III, Line 3: The portion of the bad debts attributed to charity care as reported on Part III, Line 3 was calculated by an independent third-party consulting firm. This is an estimate of additional charity care that would have been granted if patients had cooperated by furnishing family financial information. A statistically valid sampling of patient accounts written-off was evaluated. The evaluation used various factors to determine which patients would have been eligible for charity care. Had the Hospital obtained sufficient information from all patients who qualified for financial assistance, these additional accounts would have been recorded as charity care instead of bad debt. Part III, Line 4: The system-wide audited combined financial statements do not contain a footnote describing bad debt expense. Part III, Line 8: The Medicare cost report apportions the Hospital's costs on the basis of inpatient days and ancillary and outpatient charges to establish the costing methodology. Healthcare delivery by hospitals is a complex, highly regulated business in the United States. Healthcare unit cost inflation is driven by compliance with ever-expanding regulatory requirements, shortages of highly skilled labor and 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 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:*Medicare Cost Report Revenue 82,998,993Prior Year Settlements 624,725Cost Report Reimbursable Bad Debts 574,945Estimates and Accrual Variances (52,861)Other 8,600,343Total Medicare Revenue 92,746,145*Note: The Medicare Cost Report revenue does not include the bad debt reimbursement. The Cost Report revenue does include the patient co-pay and deductible amounts. Adding the bad debt reimbursement would have duplicated the revenue already accounted for in the co-pay and deductible amounts. Part III, Line 9b: When a patient has requested screening for charity care, the hospital must immediately cease collection activity and place the account in a charity pending status. If 100% charity is approved, the entire account balance is written off to charity care. If the patient has a sliding scale liability based on the federal poverty guidelines, they are billed only for that liability. If the patient fails to pay their after-charity liability, they are assigned to a collection agency with an identifier that indicates to the agency that the patient is "low income and the following criteria must be followed by the agency:1. They may not report the patient to a credit bureau2. They may not file a lawsuit to recover the outstanding liability3. They may not charge interest Part VI, Line 2: The hospital's 2019 CHNA, the 2020 Community Health Plan (CHP) Update for fiscal year 2019, and the 2020 Implementation Strategy (adopted in May 2020) are posted on the hospital's website at:https://www.adventisthealth.org/st-helena/about-us/community-benefit/The two most recent Community Health Needs Assessments, two most recent Implementation Strategy reports and the and the most recent Community Health Plan Updates are also available on the Adventist Health Corporate website at:https://www.adventisthealth.org/about-us/community-benefit/In addition to the CHNA, our hospital engages in a process of continuous quality improvement, focusing on questions such as: are our interventions making a difference in improving health outcomes; are we providing the appropriate resources in the appropriate locations; and how are we using technology to track our health improvements and provide relevant feedback at the local level? Building a healthy community requires multiple stakeholders working together with a common purpose. With that in mind, our hospital leadership serves on a variety of community boards and committees focused on addressing community-specific needs, allowing for ongoing responsiveness to the health care needs of the community and collaboration with local agencies and organizations, enabling maximum effectiveness through collective impact. Part VI, Line 3: The plain language summary of the Financial Assistance Policy (FAP) is posted along with the complete FAP policy and FAP Application on the hospital's website at:https://www.adventisthealth.org/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: St. Helena Hospital Napa Valley service area is comprised primarily of communities in Napa and Solano counties. The major communities are the upper valley cities of St. Helena and Calistoga. The demographics of the communities we serve are wide scope, including urban, suburban, and rural, and from all income levels. Although we primarily serve those in the Napa and Solano counties, our destination services also bring us patients from larger and further demographics including Lake County. Napa County has a population of 140,314 with a median household income of $88,457. At the end of the 2017 school year, testing for fourth graders found that far more students scored not proficient or worse on standardized reading testing, than 'proficient or better in Lake County (76.4%), this average was higher than AHSH PSA (72.6%) and Napa County (59.1%). Across the two-county region, Napa County has a lower percentage of populations receiving Public Assistance Income at 1.7% and SNAP benefits at 5.1% as compared to Lake County and the state estimate of 3.6% and 11.2%, respectively. Napa County demonstrated a higher proportion of woman receiving prenatal care and adequate care at 79.7% in comparison to Lake County at 68.5%. Notably, Napa County estimates meet the Healthy People 2020 performance target of 77.9% and 77.6%, respectively. AHSH PSA Medicare population has the lowest rates of depression (16.4%) and heart disease (24.4%) as compared to Lake County (16.6% and 25.8%, respectively). AHSH PSA had higher rates of diabetes as compared to Lake and Napa County (21.6% and 22.2%, respectively). Food insecurity averages in Lake County for the overall population (15.6%) and children (23.2%) are higher than reported averages for the state (11% and 18.1%, respectively). These averages are higher than Napa County. Part VI, Line 5: Our hospital's mission is, "Living God's love by inspiring health, wholeness and hope." Our community benefit work is rooted deep within our mission and merely an extension of our mission and service. We have also incorporated our community benefit work to be an integral component of improving the "triple aim." The "Triple Aim" concept broadly known and accepted within health care includes:1) Improve the experience of care for our residents.2) Improve the health of populations.3) Reduce the per capita costs of health care.Our strategic investments in our community are focused on a more planned, proactive approach to community health. The basic issue of good stewardship is making optimal use of limited charitable funds. Defaulting to charity care in our emergency rooms for the most vulnerable is not consistent with our mission. An upstream and more proactive and strategic allocation of resources enables us to help low income populations avoid preventable pain and suffering; in turn allowing the reallocation of funds to serve an increasing number of people experiencing health disparities.Hospitals and health systems are facing continuous challenges during this historic shift in our health system. Given today's state of health, where cost and heartache is soaring, now more than ever, we believe we can do something to change this. These challenges include a paradigm shift in how hospitals and health systems are positioning themselves and their strategies for success in a new payment environment. This will impact everyone in a community and will require shared responsibility among all stakeholders. As hospitals move toward population health management, community health interventions are a key element in achieving the overall goals of reducing the overall cost of health care, improving the health of the population, and improving access to affordable health services for the community both in outpatient and community settings. The key factor in improving quality and efficiency of the care hospitals provide is to include the larger community they serve as a part of their overall strategy. Population health is not just the overall health of a population, but also includes the distribution of health. Overall health could be quite high if the majority of the population is relatively healthy even though a minority of the population is much less healthy. Ideally such differences would be eliminated or at least substantially reduced.Community health can serve as a strategic platform to improve the health outcomes of a defined group of people, concentrating on three correlated stages:1) The distribution of specific health statuses and outcomes within a population; 2) Factors that cause the present outcomes distribution; 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: The hospital is a member of Adventist Health, a health care system which provides healthcare services in diverse markets within the Western United States. A member hospital may share some services with other member hospitals in its geographic area, such as clinical, management and support services. Using today's technology, hospitals outside the geographic area are able to provide support through remote services such as telepharmacy 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.aintain and improve health within the communities served by all member hospitals. Part VI, Line 7, Reports Filed With States CA 1 Saint Helena Hospital Foundation 10 Woodland Road St Helena CA 94574 201384250 501(c)(3) 6311458 General support 1 0 Part I, Line 2: A grant was made to Saint Helena Hospital Foundation, a public charity that supports St. Helena Hospital. No formal monitoring of the grants is completed. X X X X 1 1 0 0 0 0 0 0 0 Reiner Scott Dir/Chair 0 1510024 0 420315 0 65357 0 16782 0 36952 0 2049430 0 0 Wing Bill Dir/Asst Secretary/CFO 0 1200390 0 318717 0 53147 0 16782 0 29801 0 1618837 0 0 Reppert Joseph CFO/Asst Secr thru 08/2019 0 581409 0 187572 0 440088 0 16782 0 40783 0 1266634 0 0 Eller Jeff President, NCR 0 868316 0 193574 0 110192 0 16782 0 23415 0 1212279 0 0 McDonald Edward Former Treas/Asst Secr thru 07/2017 0 0 0 0 0 1034618 0 0 0 13010 0 1047628 0 861740 Lang Kevin Finance Officer, NCR 0 0 0 0 0 1038744 0 0 0 0 0 1038744 0 0 Wagner Jack Former Asst Secr 0 0 0 0 0 778475 0 0 0 29189 0 807664 0 0 Jobe Meredith Secretary 0 524870 0 65461 0 140054 0 16782 0 29127 0 776294 0 0 Byrnes John Medical Officer, NCR 0 493269 0 77663 0 147368 0 1523 0 28290 0 748113 0 0 Herber Steven President 0 437117 0 49292 0 128707 0 16782 0 36952 0 668850 0 0 Lonto Robert Reg HP Dir, NCR 0 273824 0 52858 0 61517 0 16764 0 41645 0 446608 0 0 Lendaris Antonia Patient Care Executive thru 05/2019 0 123429 0 21240 0 191490 0 14482 0 17140 0 367781 0 0 Kares Tim Finance Officer thru 08/2019 0 196865 0 14998 0 142631 0 0 0 745 0 355239 0 0 Hasso Ruth RN 251315 0 3594 0 629 0 15083 0 15901 0 286522 0 0 0 Olaiz Amphone RN 253999 0 0 0 0 0 10108 0 18862 0 282969 0 0 0 Barnes Geoffrey Manager, Cardiovascular 244561 0 2081 0 0 0 16136 0 18891 0 281669 0 0 0 Madrid Daniel Dir, Acctg & Fin thru 09/19 116682 0 12025 0 113907 0 8369 0 20130 0 271113 0 0 0 Dickinson Elizabeth Patient Care Executive as of 06/2019 0 237538 0 2234 0 2520 0 11597 0 12007 0 265896 0 0 Butcher Sara RN 235793 0 0 0 3625 0 13084 0 19 0 252521 0 0 0 Blethen Elisa - Interim Finance Officer as of 08/2019 0 183241 0 7540 0 757 0 8057 0 26660 0 226255 0 0 Chilton Harold Former COO thru 09/2017 0 66211 0 0 0 135001 0 13066 0 2936 0 217214 0 0 Lyons Timothy Medical Officer 0 0 0 0 0 208230 0 0 0 0 0 208230 0 0 Kinney Jill Admin Dir Marketing & Comm, NCR 0 161220 0 12898 0 7582 0 8890 0 12459 0 203049 0 0 Part I, Lines 4a-b Severance payments are made based upon agreements between certain qualifying employees and Adventist Health Services/West. Details of the terms and conditions of the severance agreements are available to the IRS upon request. Lendaris, Antonia - severance payment - $140,267 Madrid, Daniel - severance payment - $87,199 McDonald, Edward - severance payment - $125,962 Reppert, Joseph - severance payment - $194,953 Wagner, Jack - severance payment - $778,453 The Supplemental Executive Retirement Plan (SERP) is a defined contribution plan designed to encourage the participants continued employment with Adventist Health and is subject to the participants satisfying specified substantial risks of forfeiture. The SERP benefit distribution occurs when the executive achieves 30 years of Adventist health care service, 20 of which are to be as an executive and at least 10 are to be with Adventist Health System/West, and reaches age 60. Until that time, the SERP benefit is at risk to the creditors of Adventist Health. The SERP benefit is designed to help the executive receive employer-provided retirement benefit income equal to 60% of pre-retirement income. McDonald, Edward - $861,740 A flexible benefits plan (CAA) is offered to groups of highly-compensated employees meeting certain criteria. The participants are provided with an amount equivalent to 41 percent of their base compensation, less the value of their corporate provided benefits. The balance is set aside for nonvested deferred compensation that is subject to substantial risk of forfeiture and is at risk to the creditors of Adventist Health. Payouts occur according to the participants' payment elections after all substantial risks of forfeiture have lapsed. Chilton, Harold - $89,904 McDonald, Edward - $47,940 Part II: Kevin Lang, Finance Officer, NCR was paid through an unrelated organization KJL, Inc. that was reported on Form 1099. Compensation paid is reported in Form 990, Part VII, Section A and Schedule J, Part II. Herber Timothy Family member of Officer, S. Herber 65321 Employment compensation 0 Form 990, Part III, Line 4a: St. Helena Hospital dba Adventist Health St. Helena (AHSH) 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 St. Helena Hospital dba Adventist Health St. Helena, the organization recognizes that not all individuals possess the ability to pay for essential medical services. Adventist Health's vision is to enhance the health of the communities where we live and serve, by engaging our communities and our patients in a new definition of and partnership for personal community health. In keeping with this commitment to serve all members of the community, the following will be considered when individuals who need health care cannot pay: - providing free care and/or subsidized care - providing care to persons covered by governmental programs at below cost - providing health/wellness activities and community education programs Not only does St. Helena Hospital dba Adventist Health St Helena 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. AHSH 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 2019 was $2,800,721. The following Inpatient services that were provided to all our patients. These services included: - 198 Babies delivered - 1,897 Surgeries performed - 44,538 Patient days The following Outpatient services that were provided to all our patients. These services included: - 7,577 Emergency department visits - 3,569 Outpatient Surgeries performed - 44,080 Outpatient visits - 58,918 Clinic visits AHSH 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 $12,219,260. Adventist Health's mission statement of Living God's love by inspiring health, wholeness and hope is coupled with a vision to transform the health experience of our communities through collaborative programs, community investments and community outreach. We are inspired by the healing ministry as represented by the life of Jesus Christ and believe we are called to live out our mission intentionally in the communities we serve. In the small towns, suburbs and inner cities we serve, we continue our journey to provide quality healthcare until every person made in God's image has experienced the best health today, hope for tomorrow, and God's love that endures forever. Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/ Form 990, Part VI, Section A, line 4 The Hospital made changes to their Article 8.1, Execution of Legal Documents, to include more signature authority. Form 990, Part VI, Section A, line 6 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 that operates as a public charity. The Hospital operates as an affiliate of Adventist Health System/West. Form 990, Part VI, Section A, line 7a The Hospital's Bylaws define its Board of Directors to be the same individuals who are members of the Adventist Health System/West Board of Directors. Form 990, Part VI, Section A, line 7b The sole corporate member, Adventist Health System/West, must approve all changes to the Articles of Incorporation and Bylaws. Form 990, Part VI, Section B, line 11b This Form 990 including all supporting schedules was prepared by a public accounting firm, reviewed by the System Controller and Market Finance Officer, and shared by electronic communication with the Hospital's Board of Directors prior to filing. Form 990, Part VI, Section B, line 12c During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital 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 CEO immediately. The Corporate General Counsel distributes, collects, and reviews for signatures the COIs for all applicable Corporate employees 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 Corporate General Counsel reviews all the disclosures on the board and Corporate employees' COIs. Corporate General Counsel retains the COIs for the board members. 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, Section B, line 15 The Hospital'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 CEO 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, Section C, line 19 The Hospital does not make its governing documents publicly available, beyond required filings of Articles of Incorporation with the Secretary of State. The Hospital does not make its Conflict of Interest Policy available upon request, but does file monthly/quarterly summary financial reports with the state health-planning agency. Form 990, Part VII: In recognition of the time commitment directors make to serve on the Adventist Health System/West boards and committees, directors receive compensation when their employment agreements with their employers allow such payments. For those whose employers do not allow accepting compensation for board service, the funds are directly distributed to charitable organizations as mandated by their employment agreements. In addition, amounts paid for taxable benefits are also reported. Form 990, Part IX, line 11g Physician professional fees: Program service expenses 21,317,886. Management and general expenses 0. Fundraising expenses 0. Total expenses 21,317,886. Consulting and other management fees: Program service expenses 227,955. Management and general expenses 149,394. Fundraising expenses 0. Total expenses 377,349. Other professional fees non-medical: Program service expenses 262,576. Management and general expenses 119,031. Fundraising expenses 0. Total expenses 381,607. Purchased medical services: Program service expenses 24,320,201. Management and general expenses 0. Fundraising expenses 0. Total expenses 24,320,201. Repairs and maintenance: Program service expenses 2,699,377. Management and general expenses 3,522. Fundraising expenses 0. Total expenses 2,702,899. All other purchased services: Program service expenses 736,996. Management and general expenses 1,190,573. Fundraising expenses 75,439. Total expenses 2,003,008. Revenue cycle fees: Program service expenses 0. Management and general expenses 9,822,407. Fundraising expenses 0. Total expenses 9,822,407. Form 990, Part XI, line 9: Change in interest in Foundation -162,340. Split-interest agreements - change in value 395,565. Adventist Health Clearlake Hospital Inc 15630 18th Avenue Clearlake CA 95422 680395149 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Adventist Health Delano PO Box 460 Delano CA 93216 770258013 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Adventist Health Medical Center Tehachapi 1100 Magellan Drive Tehachapi CA 93561 812240617 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Adventist Health Physicians Network PO Box 619135 Roseville CA 95661 680357690 Medical foundation CA 501(c)(3) Line 12b, II Adventist Health SystemWest 0 Adventist Health SystemWest PO Box 619135 Roseville CA 95661 953484589 Integrated health system CA 501(c)(3) Line 10 N/A 0 Adventist Health Tulare 869 North Cherry Street Tulare CA 93274 832351753 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Castle Medical Center 640 Ulukahiki Street Kailua HI 96734 990107330 Hospital HI 501(c)(3) Line 3 Adventist Health SystemWest 0 Feather River Hospital PO Box 619135 Roseville CA 95661 941101228 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Fremont-Rideout Health Group 989 Plumas Street Yuba City CA 95991 942917251 Acute care hospital CA 501(c)(3) Line 12b, II Stone Point Health 0 Glendale Adventist Medical Center 1509 Wilson Terrace Glendale CA 91206 951816017 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Hanford Community Hospital 115 Mall Drive Hanford CA 93230 940535360 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Lodi Memorial Hospital Association Inc 975 S Fairmont Avenue Lodi CA 95240 941044474 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Northwest Medical Foundation of Tillamook 1000 Third Street Tillamook OR 97141 930622075 Hospital OR 501(c)(3) Line 3 Adventist Health SystemWest 0 Paradise Valley Hospital PO Box 619135 Roseville CA 95661 951816034 Discontinued operations CA 501(c)(3) Line 1 Adventist Health SystemWest 0 Portland Adventist Medical Center 10123 SE Market Street Portland OR 97216 930429015 Hospital OR 501(c)(3) Line 3 Adventist Health SystemWest 0 Reedley Community Hospital 372 Cypress Avenue Reedley CA 93654 453220509 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Rideout Memorial Hospital 989 Plumas Street Yuba City CA 95991 941387866 Acute care hospital CA 501(c)(3) Line 3 Fremont-Rideout Health Group 0 Saint Helena Hospital Foundation 10 Woodland Road St Helena CA 94574 201384250 Fundraising and investment management CA 501(c)(3) Line 12a, I N/A 0 San Joaquin Community Hospital 2615 Chester Avenue Bakersfield CA 93301 952294234 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Simi Valley Hospital & Health Care Services 2975 N Sycamore Drive Simi Valley CA 93065 956064971 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Sonora Community Hospital 1000 Greenley Road Sonora CA 95370 941415069 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Stone Point Health PO Box 619135 Roseville CA 95661 823763347 Supporting organization CA 501(c)(3) Line 12b, II Adventist Health SystemWest 0 Ukiah Adventist Hospital 275 Hospital Drive Ukiah CA 95482 941639901 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 United Com-Serve 989 Plumas Street Yuba City CA 95991 943015356 Skilled nursing/assisted living/home health CA 501(c)(3) Line 12b, II Fremont-Rideout Health Group 0 Walla Walla General Hospital PO Box 619135 Roseville CA 95661 910617726 Hospital - closed July 2017 WA 501(c)(3) Line 3 Adventist Health SystemWest 0 Western Health Resources PO Box 619135 Roseville CA 95661 953867863 Home care CA 501(c)(3) Line 10 Adventist Health SystemWest 0 White Memorial Medical Center 1720 Cesar E Chavez Avenue Los Angeles CA 90033 952282647 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 Willits Hospital Inc 1 Marcela Drive Willits CA 95490 680108919 Hospital CA 501(c)(3) Line 3 Adventist Health SystemWest 0 TakeTEN LLC 1461 Main Street Suite 302 St Helena CA 94574 814929050 Outpatient health services CA St Helena Hospital Related -5834 0 1 0.50000 South Coast Medical PO Box 619135 Roseville CA 95661 952037291 Wind down after sale of hospital CA N/A C 0 0 1 1 1 1 0 1 0 1 1 1 1 1 1 1 1 1 0 0