REEDLEY COMMUNITY HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: REEDLEY COMMUNITY HOSPITAL (EIN 45-3220509)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-13
IRS object ID: 202043189349313554
Schema version: 2019v5.0
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	2020-11-13T16:47:22-08:00	ReturnTs
Tax Period End	2019-12-31	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	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	453220509	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Reedley Community Hospital	BusinessNameLine1Txt
Business Name Line2	dba Adventist Health Reedley	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	REED	BusinessNameControlTxt
Phone	5596388155	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	372 W Cypress Ave	AddressLine1Txt
City	Reedley	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93654	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Timothy Haydock	PersonNm
Person Title	Treasurer	PersonTitleTxt
Signature	2020-11-13	SignatureDt

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

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Andrea Kofl	PrincipalOfficerNm
Gross Receipts	$189,374,622	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	1071	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.adventisthealth.org/reedley	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2011	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	1149	TotalEmployeeCnt
Total Volunteers	151	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$38,096	PYContributionsGrantsAmt
CY Contributions Grants	$184,774	CYContributionsGrantsAmt
PY Program Service Revenue	$181,126,377	PYProgramServiceRevenueAmt
CY Program Service Revenue	$186,611,168	CYProgramServiceRevenueAmt
PY Investment Income	$1,028,821	PYInvestmentIncomeAmt
CY Investment Income	$2,578,680	CYInvestmentIncomeAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$182,193,294	PYTotalRevenueAmt
CY Total Revenue	$189,374,622	CYTotalRevenueAmt
PY Grants And Similar Paid	$87,995	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$76,320	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$67,495,219	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$67,836,142	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$123,283	CYTotalFundraisingExpenseAmt
PY Other Expenses	$93,666,221	PYOtherExpensesAmt
CY Other Expenses	$94,116,794	CYOtherExpensesAmt
PY Total Expenses	$161,249,435	PYTotalExpensesAmt
CY Total Expenses	$162,029,256	CYTotalExpensesAmt
PY Revenues Less Expenses	$20,943,859	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$27,345,366	CYRevenuesLessExpensesAmt
Total Assets BOY	$109,797,921	TotalAssetsBOYAmt
Total Assets EOY	$189,710,925	TotalAssetsEOYAmt
Total Liabilities BOY	$26,040,846	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$78,535,362	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$83,757,075	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$111,175,563	NetAssetsOrFundBalancesEOYAmt
Mission	Living Gods love by inspiring health, wholeness and hope.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$130,999,341	ExpenseAmt
Grant	$76,320	GrantAmt
Revenue	$186,611,168	RevenueAmt
Desc	Reedley Community Hospital (AHRD) 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 Reedley Community Hospital, 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 Reedley Community Hospital 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.AHRD 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 $1,600,932.The following Inpatient services that were provided to all our patients. These services included:1,196 Babies delivered38 Surgeries performed4,318 Patient days The following Outpatient services that were provided to all our patients. These services included:40,264 Emergency department visits321 Outpatient Surgeries performed35,677 Outpatient visits 505,106 Clinic visitsAHRD 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 $3,174,464.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.Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/	Desc
Total Program Service Expenses	$130,999,341	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	false	RelatedOrganizationCtrlEntInd
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	1149	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
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	false	InvestmentInJointVentureInd
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	Jay Lipps	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	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd
Ferch Wayne
President CCR	10.00	40.00	$0	$4,448,122	$47,838
Reiner Scott
Dir/Chair	0.00	50.00	$0	$1,995,697	$53,734	Yes (X)	Yes (X)
Wing Bill
Dir/A Sec/CFO	0.00	50.00	$0	$1,572,253	$46,583	Yes (X)	Yes (X)
Reppert Joseph
A/Sec thru 8/19	0.00	50.00	$0	$1,209,070	$57,565		Yes (X)
Larsen David
Finance Officer, CCR thru 4/28/2019	10.00	40.00	$0	$777,379	$57,220
Wagner Jack
Former Asst Secr	0.00	50.00	$0	$778,475	$29,189
Jobe Meredith
Secretary	0.00	50.00	$0	$730,385	$45,909		Yes (X)
Chen Steven
CCR, Finance Officer	10.00	40.00	$0	$671,517	$59,363
Kofl Andrea
President	20.00	30.00	$0	$673,752	$48,741		Yes (X)
Gavini Frank
Medical Officer, CVN	20.00	30.00	$0	$545,796	$0
Renteria Adalberto
CCR, Medical Officer	10.00	40.00	$0	$481,385	$43,990
Gruen Derrick
Physician & Ambulatory Srvcs Exec,	20.00	30.00	$0	$442,110	$57,222
Ayala Raul
Medical Officer, CVN	20.00	30.00	$0	$490,379	$0
Haydock Timothy
Treasurer	20.00	30.00	$0	$401,337	$59,270		Yes (X)
Hoyt Glenda
Former VP Quality Patient Safety	50.00	0.00	$0	$373,113	$45,220
Taggart Laurie
Patient Care Executive	20.00	30.00	$0	$322,486	$46,711
Gruzensky Denton
Reg HP Dir, CCR	40.00	40.00	$0	$321,342	$45,976
Reyna Sonja
Bus Dev Exec	20.00	30.00	$0	$332,223	$34,291
Plata Nina
Population Health Exec	20.00	30.00	$0	$301,245	$58,405
Dhaliwal Simerjit
Physician Assistan	50.00	0.00	$289,841	$0	$43,917
Thomas Cheryl
Nurse Practitioner	50.00	0.00	$283,025	$0	$27,727
Chapman Susan
Patient Care Executive	20.00	30.00	$0	$257,164	$50,082
Austin Katherine
Physician Asst	50.00	0.00	$219,399	$0	$45,136
Combs Linda
Nurse Practitioner	50.00	0.00	$208,173	$0	$33,224
Brown Stanton
Physician Asst	50.00	0.00	$213,317	$0	$29
Pickering Christine
Communication Director, CCR	10.00	40.00	$0	$163,858	$30,977
Reiner Richard
Director	0.00	4.00	$0	$28,588	$0	Yes (X)
Davis Andrew
Director	0.00	4.00	$0	$28,246	$0	Yes (X)
Cherry Robert
Director	0.00	4.00	$0	$26,315	$0	Yes (X)
Heinrich Kerry
Director	0.00	4.00	$0	$20,102	$0	Yes (X)
Innocent Larry
Director	0.00	4.00	$0	$18,852	$0	Yes (X)
Woodson Marc
Director	0.00	4.00	$0	$15,000	$0	Yes (X)
Graham Ricardo
Director	0.00	4.00	$0	$8,848	$0	Yes (X)
Banks David
Director	0.00	4.00	$0	$6,382	$0	Yes (X)
Freedman John
Director	0.00	4.00	$0	$2,367	$0	Yes (X)
Salazar Velino
Director	0.00	4.00	$0	$553	$0	Yes (X)
Philip Celeste
Director	0.00	4.00	$0	$0	$0	Yes (X)
Ocampo Lucy
Director	0.00	4.00	$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,213,755	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$17,444,341	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,068,319	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	108	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
Valley Childrens Med Grp
9300 Valley Childrens Pl	Madera	CA	93638	Physician Services	$2,165,445
Vituity
2100 Powell St Ste 920	Emeryville	CA	94608	Physician Services	$1,207,344
Central Valley Health Transport
PO Box 1189	Hanford	CA	93230	Purchased Services	$1,178,381
West Hills Medical Group Inc
PO Box 784	Coalinga	CA	93210	Physician Services	$784,404
CCFMG
2625 E Divisadero St	Fresno	CA	93721	Physician Services	$769,833

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	62	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$184,774	AllOtherContributionsAmt
Total Contributions	$184,774	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Dietary	722514	$212,140	$212,140
Medical Office Rentals	531120	$34,356	$34,356
Other Revenue	900099	$10,624	$10,624
Patient Care Services	900099	$186,354,048	$186,354,048

Field	Value	IRS element (for citing)
Total Program Service Revenue	$186,611,168	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,556,130	TotalRevenueColumnAmt
Exclusion	$2,556,130	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,550	TotalRevenueColumnAmt
Exclusion	$22,550	ExclusionAmt

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

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

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

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$189,374,622	TotalRevenueColumnAmt
Related Or Exempt Func Income	$186,611,168	RelatedOrExemptFuncIncomeAmt
Exclusion	$2,578,680	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	$76,320	TotalAmt
Program Services	$76,320	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	$52,244,142	TotalAmt
Program Services	$49,205,636	ProgramServicesAmt
Management And General	$2,936,416	ManagementAndGeneralAmt
Fundraising	$102,090	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,904,884	TotalAmt
Program Services	$1,833,479	ProgramServicesAmt
Management And General	$70,622	ManagementAndGeneralAmt
Fundraising	$783	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,003,441	TotalAmt
Program Services	$9,606,758	ProgramServicesAmt
Management And General	$396,683	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,683,675	TotalAmt
Program Services	$3,495,649	ProgramServicesAmt
Management And General	$181,101	ManagementAndGeneralAmt
Fundraising	$6,925	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$85,222	TotalAmt
Program Services	$50,610	ProgramServicesAmt
Management And General	$34,612	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$238,051	TotalAmt
Program Services	$36,108	ProgramServicesAmt
Management And General	$201,943	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$5,286	TotalAmt
Program Services	$5,286	ProgramServicesAmt

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	$33,063,225	TotalAmt
Program Services	$33,003,236	ProgramServicesAmt
Management And General	$59,989	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,728	TotalAmt
Program Services	$5,728	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,238,857	TotalAmt
Program Services	$1,163,353	ProgramServicesAmt
Management And General	$75,504	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,792,288	TotalAmt
Program Services	$1,785,619	ProgramServicesAmt
Management And General	$6,669	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,237,558	TotalAmt
Program Services	$6,505,126	ProgramServicesAmt
Management And General	$1,732,432	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$505,073	TotalAmt
Program Services	$367,782	ProgramServicesAmt
Management And General	$132,522	ManagementAndGeneralAmt
Fundraising	$4,769	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	$63,254	TotalAmt
Program Services	$62,879	ProgramServicesAmt
Management And General	$375	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$524,274	TotalAmt
Program Services	$524,274	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,885,731	TotalAmt
Program Services	$2,847,219	ProgramServicesAmt
Management And General	$38,512	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$223,407	TotalAmt
Program Services	$223,407	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Purchased Services	$33,122,001	$8,237,568	$24,878,430	$6,003
Patient Care Supplies	$10,930,516	$10,814,015	$113,788	$2,713
Equipment Rentals	$641,298	$641,298
Quality Assurance	$425,054	$425,054

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$129,971	TotalAmt
Program Services	$82,937	ProgramServicesAmt
Management And General	$47,034	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$162,029,256	TotalAmt
Program Services	$130,999,341	ProgramServicesAmt
Management And General	$30,906,632	ManagementAndGeneralAmt
Fundraising	$123,283	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,363	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$41,010,401	BOYAmt
EOY	$64,619,779	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	$18,450,202	BOYAmt
EOY	$20,133,491	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	$476,576	BOYAmt
EOY	$684,331	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$159,966	BOYAmt
EOY	$179,300	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$85,867,382	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$23,394,585	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$21,084,823	BOYAmt
EOY	$62,472,797	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$166,233	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,967,146	BOYAmt
EOY	$9,944,813	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$18,481,211	BOYAmt
EOY	$31,676,414	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$109,797,921	BOYAmt
EOY	$189,710,925	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$9,575,462	BOYAmt
EOY	$11,832,413	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$12,084,963	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,380,421	BOYAmt
EOY	$66,702,949	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$26,040,846	BOYAmt
EOY	$78,535,362	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	$83,721,667	BOYAmt
EOY	$111,143,618	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$35,408	BOYAmt
EOY	$31,945	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$83,757,075	BOYAmt
EOY	$111,175,563	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$109,797,921	BOYAmt
EOY	$189,710,925	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$27,345,366	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$73,122	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	$8,738	OtherActivitiesAmt
Total Lobbying Expenditures	$8,738	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	$35,409	BeginningYearBalanceAmt
Contributions	$184,774	ContributionsAmt
Grants Or Scholarships	$182,938	GrantsOrScholarshipsAmt
Other Expenditures	$5,331	OtherExpendituresAmt
End Year Balance	$31,914	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$50,130	BeginningYearBalanceAmt
Contributions	$28,332	ContributionsAmt
Other Expenditures	$43,054	OtherExpendituresAmt
End Year Balance	$35,408	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$40,953	BeginningYearBalanceAmt
Contributions	$30,683	ContributionsAmt
Other Expenditures	$21,506	OtherExpendituresAmt
End Year Balance	$50,130	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,000	BeginningYearBalanceAmt
Contributions	$79,363	ContributionsAmt
Other Expenditures	$39,410	OtherExpendituresAmt
End Year Balance	$40,953	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,000	BeginningYearBalanceAmt
Contributions	$1,876	ContributionsAmt
Other Expenditures	$1,876	OtherExpendituresAmt
End Year Balance	$1,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Term Endowment Balance EOY	1.00000	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	$3,019,137	OtherCostOrOtherBasisAmt
Book Value	$3,019,137	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,044,430	OtherCostOrOtherBasisAmt
Depreciation	$5,061,153	DepreciationAmt
Book Value	$8,983,277	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,315,264	OtherCostOrOtherBasisAmt
Depreciation	$1,785,257	DepreciationAmt
Book Value	$6,530,007	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$60,488,551	OtherCostOrOtherBasisAmt
Depreciation	$16,548,175	DepreciationAmt
Book Value	$43,940,376	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$62,472,797	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Due from third-party payors	$18,294,876
Other Assets	$177,681
Other receivables	$2,296,977
Receivables from related organizations	$10,906,880

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$31,676,414	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Other Liabilities	$33,158,344
Payable to third Party	$1,597,482
Payables to related organizations	$31,947,123

Field	Value	IRS element (for citing)
Total Liability	$66,702,949	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, 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.

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	$1,600,932	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,600,932	NetCommunityBenefitExpnsAmt
Total Expense	0.00990	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,600,932	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,600,932	NetCommunityBenefitExpnsAmt
Total Expense	0.00990	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,224,529	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,224,529	NetCommunityBenefitExpnsAmt
Total Expense	0.00760	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,951,456	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,775	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,879,681	NetCommunityBenefitExpnsAmt
Total Expense	0.01160	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$388,603	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$318,349	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$70,254	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,564,588	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$390,124	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,174,464	NetCommunityBenefitExpnsAmt
Total Expense	0.01960	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,165,520	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$390,124	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,775,396	NetCommunityBenefitExpnsAmt
Total Expense	0.02950	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,171	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,171	NetCommunityBenefitExpnsAmt

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,650	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,650	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,137	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,137	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$198,935	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$198,935	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$206,893	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$206,893	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,609,439	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,355,030	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$18,743,946	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$21,145,506	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,401,560	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
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	Reedley Community Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	372 W Cypress Ave	AddressLine1Txt
City	Reedley	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93654	ZIPCd

Field	Value	IRS element (for citing)
Website Address	See Form 990, Pg 1, Item J	WebsiteAddressTxt
State License	040000149	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
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	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Sch H Part VI - Needs Assessment	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	19	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. Primary data was collected through key informant interviews, focus groups, and an online survey. Key informants and focus groups were purposefully chosen to represent medically underserved, low-income, or minority populations in our community. Their input provided insights on how to better direct our resources and form partnerships. Nearly 700 (680 total) people were surveyed to obtain input from the community in the form of 48 key informant interviews, 24 focus groups (with a total of 284 participants), and 348 online survey participants (including a Spanish option).Community Survey: The online survey was distributed to partner organizations that were not represented by key informants and advertised to the general public via a public service announcement hosted on Univision's Arriba Valle Central" show. Additionally, written comments on the previous CHNA were solicited on each hospital's website using a unique link. To date no written comments were received. Community Focus Groups: Focus group participants were end-users of programs and services provided by hospitals participating in this CHNA. Populations represented by focus group members included low-income (rural and urban) populations, homeless, seniors, youth, Hmong and Spanish speaking, LGBTQ+, and parents.Key Informant Interviews: Key informant interviews comprised key leaders in our community from an array of agencies, including those that serve children, homeless populations, LGBTQ+, veterans, seniors, tribal populations, African Americans, and Hmong and Spanish speaking populations. Other participating organizations represented public health agencies, law enforcement, health care organizations, funders, and school districts. Secondary data sources include publicly reported state and nationally recognized data sources such as Community Commons, California Department of Public Health, County Health Rankings & Roadmaps, and California Environmental Protection Agencys Office of Environmental Health Hazard Assessment. When feasible, health metrics have been further compared to averages for state or national benchmarks, such as Healthy People 2020 objectives.
Facility: - Part V, Section B, Line 6a	Beginning in 2011, the Hospital Council of Northern and Central California initiated a four-county (Fresno, Kings, Madera, and Tulare) community health needs assessment (CHNA) process, working collaboratively with 15 hospitals across the Central Valley region. Participating hospitals are: Adventist Health Hanford, Adventist Health Reedley, Adventist Health Selma, Clovis Community Medical Center, Coalinga Regional Medical Center (Closed), Community Regional Medical Center (includes Community Behavioral Health Center), Kaiser Permanente, Fresno Service Area, Kaweah Delta Health Care District, Madera Community Hospital, San Joaquin Valley Rehabilitation Hospital, Sierra View Medical Center, Saint Agnes Medical Center, Tulare Regional Medical Center, and Valley Childrens Healthcare.
Facility: - Part V, Section B, Line 11	Our 2016 CHNA identified five areas of significant needs: access to health care, diabetes, obesity, respiratory illnesses, and mental health & substance abuse. 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 - Access to Care - Improve perception of access to care for our patients. Interventions:1. Adventist Health contracts with transportation vendors to provide round trip transportation to our clinics for patients that do not have transportation and would otherwise not be able to attend their necessary medical appointments. These rides help prevent appointment no-shows and increase access to care for our patients. Services are provided to the following Adventist Health Medical Offices: Hanford, Healthy Beginning, Hanford Residency, Hanford Specialty, Hanford Dentistry, Hanford Behavioral Health, Home Garden, Lemoore, Dinuba, Dinuba Plaza, Dinuba West, Orosi, Reedley, Reedley Childrens, Reedley Cypress, Reedley Jefferson, Reedley Womens Selma Campus and Selma Central. Number of round trips provided in 2019: 13,5512. Access to care is limited in our region due to a shortage of healthcare providers, including physicians, nurse practitioners and physician assistants. Recruitment of providers and specialists is critical to meeting the healthcare needs of our patients and rural communities. Number of providers added in 2019: 283. Across our Central Valley Network, we partner with local junior colleges and universities to allow nursing students to come to our hospitals for their clinical rotations. These program partnerships allow LVN and RN nursing students to gain hands-on experience close to home, making it easier for many students to complete their education and become licensed providers. Number of nursing students in 2019: 162 Priority Need 2 Obesity/ Healthy Eating Active Living (HEAL)/ DiabetesDecreasing trend year-over-year of patients with HgbA1c = 9%. Interventions: 1. Diabetes Among Friends, a five-week diabetes self-management education (DSME) curriculum in English and Spanish from Scripps University, debuted in our rural health clinics in July 2017. This program is approved as a (DSME) Program by the American Diabetes Association and covers all diabetes self-management topics including understanding blood sugars, nutrition, physical activity, medication management, stress management, foot care, ongoing screening tests and exams, etc. Number of program graduates: 422. Adventist Health provides healthy eating and active living education at free public outreach events, often partnering with community organizations and school districts. The goal is to increase awareness of how to incorporate healthy eating and active living behaviors into daily life in an economical and practical way. Priority Need 3 Mental HealthInterventions: 1. Adventist Health partners with Kings United Way for promoting 2-1-1 and the 2-1-1 Intelliful mobile app in our Kings and Tulare County clinics and patient care areas. 2-1-1 connects people in need to resources in the community available to themincluding mental health, substance abuse and homelessness resources. Anybody can access 2-1-1 by phone in any of our service areas. In Kings and Tulare counties, the Intelliful app as well as text to chat options are available. 2. Hosting education sessions for providers and community partner agencies on topics including Adverse Childhood Experiences (ACEs) and on the dangers of social media to our youth to highlight potential risk factors that children and young adults are facing, as well as offer solutions to providers to intervene, provide appropriate support for victims and to prevent abuse. Priority Need 4 Economic Security/ HomelessnessInterventions:1. The homeless discharge planning process, as required by SB 1152, ensures that all homeless patients who come to the hospital for care are provided with and connected to any and all needed resources. This includes providing meals, clothing, and connections with local case management programs and shelters. Number of Community Members Served: 492. UCSF- Fresno Doctors Academy in collaboration with our hospital and clinic providers, offers opportunities for local and at-risk high school students to shadow a physician in the healthcare setting. The goal is to inspire these high school students to engage with STEM studies and focus towards a career in healthcare. Number of student participants: 43. Bringing Broken Neighborhoods Back to Life is a partnership with local Selma faith and community-based organizations. Monthly events include connection with local resources for addressing the social determinants of health, health education and food bank distributions. Number of Community Members Served: 1504. Partnering with Reedley Community College, we offered two events for students called A Day in The Life. This program allows local students from Reedley College to come into our Reedley campus facility and meet a variety of healthcare professionals including nurses, doctors, respiratory therapists, occupational therapists, nutritional services management, marketing managers and volunteer coordinators. Students could ask questions about the various educational pathways and learn how they can pursue these different healthcare careers. Number of Community Members Served: 605. As part of the annual Point in Time Survey to identify and count all homeless individuals, Kings and Tulare Counties host Project Homeless Connect. This annual event provides services for the homeless including medical care, hygiene, dog vaccinations, bike repair, haircuts, state ID and social services, food, resource tables etc. Our AH team provides medical services from our Residency clinic, supplies to the Kings County event. Number of Community Members Served: 171Priority Need 5 - Maternal and Infant Health Interventions: 1. Through a partnership with the California Healthcare Collaborative, our Comprehensive Perinatal Health Workers (CPHW), under the Comprehensive Perinatal Service Program (CPSP) are able to screen participants for perinatal and postpartum mood disorders and make referrals for free mental health care as appropriate.2. Champions Young Parent Program is a referral source for young transitional age youth parents who would benefit from support and education. Adventist Health partners with Champions and refers patients to this program in Kings County.Priority Areas Not Addressed:One need identified in the CHNA, but not addressed in this plan is poverty. Our network has not specifically addressed this prioritized health need as part of this Community Health Plan due to limited resources and the need to allocate significant resources to the other priority health needs identified above. Even though we dont directly address poverty in our current year CHP, our network attempts to link patients to resources that can assist in their needs.

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (44 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
AHCC-Reedley Jefferson
1150 E Washington Ave	Reedley	CA	93654	Rural Health Clinic
AHCC-Cutler
40657 Road 128	Cutler	CA	93615	Rural Health Clinic
AHCC - Wasco
1040 7th St	Wasco	CA	93280	Rural health clinic-Family Practice
AHCC - Shafter
406 James St	Shafter	CA	93263	Rural health clinic-Family Practice
AHCC - Corcoran
1212 Hanna Ave	Corcoran	CA	93212	Rural health clinic
AHCC - Taft
501 6th St	Taft	CA	93268	Rural Health Clinic
AHCC - Healthy Beginnings
1025 N Douty St	Hanford	CA	93230	Outpatient clinic - prenatal, family PACT, and well women services
AHCC-Reedley Cypress
372 W Cypress Ave	Reedley	CA	93654	Rural Health Clinic
AHCC - Selma Central
2141 High St	Selma	CA	93662	Rural health clinic
AHCC-Orange Cove
1455 Park Blvd	Orange Cove	CA	93646	Rural Health Clinic
AHCC - Reedley
811 E 11th St	Reedley	CA	93654	Rural health clinic
AHCC - Sanger
1939 Academy Ave	Sanger	CA	93657	Rural health clinic
AHCC-Dinuba West
250 W El Monte Way	Dinuba	CA	93618	Rural Health Clinic
AHCC-Orosi
41696 Road 128	Orosi	CA	93647	Rural Health Clinic
AHCC-Caruthers East
2357 W Tahoe	Caruthers	CA	93609	Rural Health Clinic
AHCC-Riverdale
3567 Mt Whitney Ave	Riverdale	CA	93656	Rural Health Clinic
AHCC - Hanford
1025 N Douty St	Hanford	CA	93230	Rural health clinic - primary care services
AH Hanford Same Day - RHC AHRD
1025 N Douty Street	Hanford	CA	93230	Rural health clinic
AHCC - Behavioral Health Srvs
1025 N Douty St	Hanford	CA	93230	Outpatient mental health services
AHCC-Oakhurst
48677 Victoria Lane	Oakhurst	CA	93644	Rural Health Clinic
AH Hanford Complex Care - RHC AHRD
1025 N Douty Street	Hanford	CA	93230	Rural health clinic
AHCC-Avenal West
337 Kings Street	Avenal	CA	93204	Rural Health Clinic
AHCC - Hanford Dental
1025 N Douty St	Hanford	CA	93230	Dental clinic - general dentistry for all ages
AHCC-Oakhurst East
49063 Road 426 Ste CD	Oakhurst	CA	93644	Rural Health Clinic
Hanford Family Practice Residency Clinic
1025 N Douty St	Hanford	CA	93230	Outpatient teaching clinic - family practice residents
AHCC-Kerman Central
275 S Madera Ave Ste 201	Kerman	CA	93630	Rural Health Clinic
AHCC-Corcoran East
1310 Hanna Avenue	Corcoran	CA	93212	Rural Health Clinic
AHCC - Coalinga
155 S 5th St	Coalinga	CA	93210	Rural health clinic
AHCC-Dinuba Plaza
444 W El Monte Way	Dinuba	CA	93618	Rural Health Clinic
AHCC - Selma
1041 Rose Ave	Selma	CA	93662	Rural health clinic
AHCC - Huron
16916 5th St	Huron	CA	93234	Rural health clinic
AHCC - Hanford Specialty Services
1025 N Douty St	Hanford	CA	93230	Outpatient clinic - specialists
AHCC - Lemoore East
810 E D St	Lemoore	CA	93245	Rural health clinic
AHCC - Kerman
1000 S Madera Ave	Kerman	CA	93630	Rural health clinic
AHCC - Caruthers
2440 W Tahoe Ave	Caruthers	CA	93609	Rural health clinic
AHCC - Dinuba
1451 E El Monte Way	Dinuba	CA	93618	Rural health clinic
AHCC-Madera Ranchos
11976 Road 37	Madera	CA	93636	Rural Health Clinic
AHCC-Reedley Womens Health
550 W Cypress Ave	Reedley	CA	93654	Rural Health Clinic
AHCC-Reedley Childrens Health
1433 N Acacia	Reedley	CA	93654	Rural Health Clinic - Children's
AHCC - Avenal
213 Fresno St	Avenal	CA	93204	Rural health clinic
AHCC - Home Garden
11899 Shaw Pl	Hanford	CA	93230	Rural health clinic
AHCC-Parlier Newmark
155 S Newmark	Parlier	CA	93648	Rural Health Clinic
AHCC - Kingsburg
1251 Draper St	Kingsburg	CA	93631	Rural health clinic
AHCC - Fowler
119 S 6th St	Fowler	CA	93625	Rural health clinic

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 audited combined financial statements. The formula used for computation equals financial statement data labeled as follows:Total expenses - (Provision for bad debts + Other revenue + Interest income) divided by 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 Californias regulations and policies and the approval of the federal government.
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 based on 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 healthcare 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 to many U.S. hospitals are well below the cost of providing care. These unreimbursed costs are a community benefit for seniors and others in the community as these individuals are continuing to receive care without which many would become dependent on other governmental resources such as Medicaid. The benefit to the community for healthier Medicare recipients is no different than those benefits the community realizes for uninsured and underinsured patients who are eligible for partial and full charity care. Medicare is a safety net for seniors and others. Without Medicare coverage, many individuals would undoubtedly qualify for charity care.In addition to the mismatch between Medicare payment increases and healthcare cost inflation, the highly complex Medicare payment systems and formulas produce disparate payment levels from one hospital to another for the same service. These disparate payment levels create disparate results within groups of hospitals. Reconciliation of Medicare Revenue from the hospital's Medicare Cost Report to GL:Medicare Cost Report Revenue $18,743,946Prior Year Settlements 436,880Cost Report Reimbursable Bad Debts 303,108Non-Cost Report Revenue 4,868,134Estimates and Accrual Variances (951,492)Other (607,401) __________Total Medicare Revenue $22,793,175Note: 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 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 - Needs Assessment	The hospital's 2019 CHNA, the 2020 Community Health Plan (CHP) update for fiscal year 2019, and the 2020 Implementation Strategy are posted on the hospital's website at https://www.adventisthealth.org/about-central-valley/community-benefit/The two most recent Community Health Needs Assessments, two most recent Implementation Strategy reports and the most recent Community Health Plan Updates are also available on the Adventist Health Corporate website athttps://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 - 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	According to the U.S. Geological Survey, the Central Valley, also known as the Great Valley of California, covers about 20,000 square miles and is one of the more notable structural depressions in the world. Occupying a central position in California, it is bounded by the Cascade Range to the north, the Sierra Nevada to the east, the Tehachapi Mountains to the south, and the Coast Ranges and San Francisco Bay to the west. The Central Valley can be divided into two large parts: the northern one-third, known as the Sacramento valley and the southern two-thirds is called the San Joaquin Valley. The San Joaquin Valley can be split further into the San Joaquin Basin and the Tulare Basin. The hospitals participating in this assessment are nestled in the heart of Central Valley, within four contiguous countiesFresno, Kings, Madera, and Tulare. Using fewer than 1% of U.S. farmland, the Central Valley supplies 8% of U.S. agricultural output (by value) and produces 1/4 of the nation's food, including 40% of the nation's fruits, nuts, and other table foods. The Central Valley is also home to the raisin capital of the world, Selma, CA.In 2016, approximately 1,722,556 people lived in the four-county region. Fresno County comprised the largest portion. Of this population, the majority identify as Hispanic or Latino, in every county. Kings County has the largest population of veterans at 10%. The median household income ranges from $42,789 to $47,241 across the four counties.Tulare County has the largest percent of unemployed adults (8.7%) in the region and young people not in school and not working (10.7%). Comparatively, the averages for the state are 4.3% and 7.7%, respectively. Fresno County has the highest percentage of total population and children under age 18 living under the 100% of the federal poverty level, while Tulare County has the largest population that receives both SNAP benefits and public assistance income. Between 2014 and 2018, Fresno and Madera Counties experienced a 17% decrease in the total homeless population (from 2,592 to 2,144). In contrast, Visalia, Kings, and Tulare Counties experienced a 27% increase (from 763 to 967).
Part VI, Line 4 - 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 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	Community Building Activities are an integral part of making a difference in the health of our community through numerous interventions.Interventions: 1. Inspire Hope, a partnership with World Vision, allows us to distribute new-returned merchandise from Costco to community-based organizations that can utilize the items to improve the health and lives of those who live in our communities. Each month, a semi-truck delivers goods to the hospital storage area and items delivered are distributed to community partner agencies as appropriate. Items include everything from diapers, food, furniture, clothing, appliances, and more. Items on the manifest of each delivery are a surprise, but our community partners are always happy to receive and distribute what we can share. Number of Community Members Served: 5,361

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CA Hlth Fnd & Trust	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1215 K St Ste 800	AddressLine1Txt
City	Sacramento	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95814	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	941498697	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$76,320	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Valuation Method Used	Funds Transfer	ValuationMethodUsedDesc
Purpose Of Grant	Hlth srvs uninsured/underinsured pt	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Grantmaker's Description of How Grants are Used	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 (26 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt
Austin Katherine
Physician Asst	$219,349	$50	$9,942	$35,194	$264,535
Ayala Raul
Medical Officer, CVN						$490,379	$490,379
Brown Stanton
Physician Asst	$213,267	$50		$29	$213,346
Chapman Susan
Patient Care Executive						$42,027	$307,246	$188,840	$26,297	$13,544	$36,538
Chen Steven
CCR, Finance Officer						$108,327	$730,880	$472,282	$90,908	$16,782	$42,581
Combs Linda
Nurse Practitioner	$187,504	$20,669	$10,795	$22,429	$241,397
Dhaliwal Simerjit
Physician Assistan	$264,191	$25,650	$16,638	$27,279	$333,758
Ferch Wayne
President CCR						$3,324,070	$4,495,960	$932,651	$191,401	$16,782	$31,056	$3,180,848
Gavini Frank
Medical Officer, CVN						$545,796	$545,796
Gruen Derrick
Physician & Ambulatory Srvcs Exec,						$80,559	$499,332	$312,333	$49,218	$16,782	$40,440
Gruzensky Denton
Reg HP Dir, CCR						$47,140	$367,318	$232,276	$41,926	$15,932	$30,044
Haydock Timothy
Treasurer						$58,984	$460,607	$295,749	$46,604	$16,782	$42,488
Hoyt Glenda
Former VP Quality Patient Safety						$83,095	$418,333	$253,229	$36,789	$16,443	$28,777
Jobe Meredith
Secretary						$140,054	$776,294	$524,870	$65,461	$16,782	$29,127
Kofl Andrea
President						$123,464	$722,493	$475,048	$75,240	$16,782	$31,959
Larsen David
Finance Officer, CCR thru 4/28/2019						$130,603	$834,599	$536,325	$110,451	$16,782	$40,438
Pickering Christine
Communication Director, CCR						$5,375	$194,835	$146,846	$11,637	$8,397	$22,580
Plata Nina
Population Health Exec						$35,611	$359,650	$231,939	$33,695	$13,697	$44,708
Reiner Scott
Dir/Chair						$65,357	$2,049,430	$1,510,024	$420,315	$16,782	$36,952
Renteria Adalberto
CCR, Medical Officer							$525,375	$481,385		$16,352	$27,638
Reppert Joseph
A/Sec thru 8/19						$440,088	$1,266,634	$581,409	$187,572	$16,782	$40,783
Reyna Sonja
Bus Dev Exec						$50,876	$366,514	$247,327	$34,020	$14,930	$19,361
Taggart Laurie
Patient Care Executive						$44,636	$369,197	$243,635	$34,215	$15,771	$30,940
Thomas Cheryl
Nurse Practitioner	$162,041	$120,530	$16,782	$10,945	$310,752								$454
Wagner Jack
Former Asst Secr						$778,475	$807,664				$29,189
Wing Bill
Dir/A Sec/CFO						$53,147	$1,618,837	$1,200,390	$318,717	$16,782	$29,801

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Arnold Plata
Spouse of Key EE	$70,638	Employment	false
Susan Chapman
Key EE-Owner	$265,215	Contract-Wmns Hlth Cntr	false
Linda Henry
Key EE Sister	$65,157	Employment	false
Ferch Josiah
Key EE Son	$62,021	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. Arnold Plata is the husband of Key Employee, Nina Plata.2. Susan Chapman, a Key Employee is the Owner of Pali Women's Health Center which the hospital does business with.3. Linda Henry is the sister of Former Adventist Health board member and current Key Employee, Wesley Rippey.4. Josiah Ferch is the son of Key Employee Wayne Ferch.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 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 public benefit corporation that operates as a public charity. 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 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, Line 15a: Compensation Review & Approval Process - CEO, Top Management	The hospital board of directors has established a Compensation Committee to overseethe executive compensation program. This committee is composed of independentdirectors with no conflicts of interest. The committee performs the followingfunctions: recommends a total compensation philosophy to the board; assurescompliance with the board-approved philosophy; meets annually to reviewcomparability data from outside consultants; recommends any adjustments to currentexecutive compensation, including salary ranges for hospital CEOs and CFOs, that would be indicated by the data; evaluates executive performance against annualgoals; recommends appropriate incentive awards to the board for approval; follows adiligent process that meets regulatory requirements for a rebuttable presumption ofreasonableness; records committee deliberations and decisions in timely minutes;selects, engages and supervises any consultant hired to advise and providecomparability data.The board-approved executive compensation philosophy specifies that salary ranges will be established for hospital CEOs and 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, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	See Line 15b 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	Net Asset Released for operation = $73122

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 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 Drive	Tehachapi	CA	93561	812240617	Hospital	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	96374	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	Accute Care Hospital	CA	501(c)(3)	12b2	Adventist Health SystemWest	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
Rideout Memorial Hospital
989 Plumas Street	Yuba City	CA	95991	941387866	Accute Care Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	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
Simi Valley Hospital & Health Care Svc
2975 No Sycamore Drive	Simi Valley	CA	93065	956064971	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	93661	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	Adventist Health SystemWest	false
Western Health Resources
PO Box 619135	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
PO 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 SystemWest	false

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	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	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	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Adventist Health SystemWest
e	$31,947,123	Loan Balance
Adventist Health SystemWest
o	$377,247	Compensation
Adventist Health SystemWest
p	$28,984,336	Operating Exp
Adventist Health SystemWest
s	$23,516,677	Cash Mgt Funds