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      <Description>Adventist Health is a faith-based, not-for-profit integrated health care delivery system serving communities in California, Hawaii, Oregon and Washington. Our workforce of 28,900 includes more than 21,200 employees; 4,500 medical staff physicians; and 3,200 volunteers. Founded on Seventh-day Adventist health values, Adventist Health provides compassionate care in 19 hospitals, more than 180 clinics (hospital-based, rural health and physician clinics), 14 home care agencies, seven hospice agencies and four joint-venture retirement centers.Adventist Health's vision is to be a recognized leader in mission focus, quality care and fiscal strength. Our facilities do this by engaging their respective communities and patients in a partnership for personal and community health. Mission-drivenOur mission, to share God's love by providing physical, mental and spiritual healing, compels us to provide quality health care regardless of age, sex, national origin, handicap or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of our system both now and in the future, not everyone is able to pay for the essential medical services provided by our facilities. Instead of turning these people away, Adventist Health provides low or no cost services and a variety of programs to minister to their needs.Adventist Health has combined its mission and vision with strong organizational structure and leadership. Our facilities enjoy benefits by belonging to a larger system that continually seeks to enhance its ability to serve: pooled services, a centralized cash management program, economies of scale and purchasing power to name a few.The corporate office champions and directs a number of programs that are aimed at improving the organization as a whole. A few of our main endeavors include delivery of care, information technology, risk management, materiel management and financial analytical support. Each of these functions benefits every facility in some way.From time to time, extraordinary needs arise that require specialized attention and support. Fortunately, pooling resources and expertise at the corporate level makes this possible and easily accessible. Project IntelliCareTo further the ongoing pursuit of clinical quality improvement and operational efficiency to benefit our community hospitals, Adventist Health purchased the Cerner Millennium clinical information system. Named Project IntelliCare, this is Adventist Healths single largest initiative in terms of dollars spent and lives touched. At any one time, nearly 4,000 physicians and employees are using this technology to deliver patient care.One goal of Project IntelliCare is to seamlessly manage the entire patient experience electronically by giving clinicians access to patient records, lab results, pharmacy support and more. Of equal importance is the transformation of patient care processes to achieve the highest quality care. Phases II and III expanded the use of the system to include electronic documentation for clinicians and applications for the emergency department and laboratory. Phase IV and beyond adds surgical and radiological imaging applications and extends our ability to deliver results to physicians offices using an electronic portal. Adventist Health successfully implemented Computerized Provider Order Entry (CPOE) in all hospitals in 2012showing 85 percent or more of all physician orders are entered electronically. Studies have shown that CPOE utilization rates above 75 percent can significantly reduce medication errors and adverse events as well as improve patient care. With the goal of enhancing information systems, physician input has been directed by the Chief Medical Information Officer. The expected outcome is improved patient safety, quality of care and operational performance across the clinical continuum. This technology is enhancing the health care experience for both patients and caregivers. First and foremost, Project IntelliCare is designed to improve patient safety. By automating multiple steps in the patient care process, it enhances documentation, decreases medical errors, improves detection of adverse events and associated interventions, and provides guidelines, prompts and alerts based on best practices.The patient experience is also positively impacted. At the heart of Project IntelliCare is a single, secure database that is available to everyone involved in a patients care. As a result, patients only give their medical history once and changes can be easily noted. Delays are reduced by making lab, radiology and emergency department results available online. Armed with this information, clinicians can make better, faster decisions.Optimization of documentation and consistency of care across the continuum has been the focus for Project IntelliCare for 2012. Nursing and ancillary services documentation has been streamlined for more efficient workflow. The effects of this change have led to improved handoff of care and more time at the patient bedside. This effort was led by the Chief Nursing Officer and the Chief Nursing Information Officer. An important initiative has begun by implementing the electronic health record in our outpatient clinics. This provides continuum of care, consistency of documentation and prescribing that increases our patient and physician satisfaction. Project IntelliCare facilitates standardization and streamlines care, helping Adventist Health reduce duplication of tasks and meet a growing number of national, state and regulatory requirements as well as improve efficiency and realize savings.</Description>
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        <Description>QualityAdventist Health has an unwavering commitment to quality and patient safety, which stems from a deep passion and belief in our mission.Nationally, the system was ranked in the top 25 percent of hospitals in its delivery of key quality measures for patients with heart attacks, heart failure, pneumonia and those receiving surgical care. Additionally, Adventist Health achieved a much lower mortality rate than expected for patients with heart attacks, heart failure, pneumonia and those receiving care within our facilities.Adventist Health partnered with the award-winning health care alliance organization, Premier, Inc. (and more than 450 hospitals nationwide) in its Partnership for Patients initiative, designed to reduce hospital acquired conditions by 40 percent and all cause readmissions by 20 percent.The system also achieved low hospital acquired infection (HAI) rates when compared to national benchmarks (which includes many sites not having had one HAI in 2012 and some not having had one in over two years).Adventist Health implemented Power Chart Ambulatory in four California clinics in the San Joaquin region, 11 clinics in the Central Valley region, one clinic in the Glendale region, and 11 clinics in the St. Helena region, for a total of 27 primary and specialty clinics with many more to come.The system continues its collaboration with Bryan Sexton, Ph.D., and Duke University in leading edge research and interventions designed to improve the culture of safety. Included in this research is determining how spirituality in the work place affects patient care outcomes. Results from the most recent safety assessment culture survey (completed in the fall of 2012) showed that Adventist Health had one of the highest culture of teamwork scores in the nation.A systemwide Advance Care Council was established with resources that will facilitate Adventist Healths efforts in helping and empowering patients and their families with end-of-life health care decisions.The Adventist Health Triple Aim focuses on promoting safety, wellness and the best affordable care. The system experienced a significant reduction in blood product utilization by using CPOE and clinical decision support which resulted in better care and lower costs.In addition, all Adventist Health hospitals are accredited and certified by The Joint Commission.</Description>
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        <Description>Home Care ServicesAdventist Health/Home Care Services offers advanced, quality health care in an in-home setting by operating 14 home health agencies and seven hospices. In 2012, care, compassion and quality services were provided with 227,662 home care visits and 90,780 hospice days. Many of the agencies provide specialized programs and treatment plans, such as pediatric, diabetes and palliative care. Through home care, Adventist Health offers personal care in 13 counties throughout the network, which helps patients stay at home and maintain as much independence as possible. To further assist with the needs of our patients four home medical equipment agencies supply oxygen, mobility aids, respiratory service and even Lifeline.Home Care also made significant strides to enhance patient care and safety by upgrading the system platform to the new Cerner Extended Care Software throughout all Adventist Health agencies. In addition, 600 new laptops were added to the home health team to allow integrated access to electronic medical records in the field and to improve patient quality care. Along with better, safer care the software will enhance communication between caregivers, improve patient information security and allow clinicians access to records and information at any time from any location utilizing iPad technology. Programs are also being developed to meet the nations priorities to reduce re-hospitalization and to improve the health of those with chronic conditions.Rural Health Clinics As an extension of our mission, high quality services are provided to small communities where access to care is often significantly less available than more urbanized areas. People living in rural or underserved communities are often at a disadvantage when accessing health care. The Rural Health Services Department provides consultation and support services to Rural Health Clinics (RHCs) affiliated with Adventist Health hospitals. At the end of 2012, we had more than 39 clinics providing health care to underserved populations throughout Northern and Central California, Oregon and Washington. Our system of rural health is the largest network of clinics in the state of California (more than 10 percent of the RHCs in the state are part of Adventist Health). Our RHC network is also one of the largest, representing almost one percent of the nations RHCs.Services of this corporate department include financial monitoring, program audits, operational support, professional development, advocacy and education regarding new regulations. But the real evidences of success are the patients servednearly 818,000 visits in 2012 (more than doubling the visits only five years ago). Thanks to the RHCs, many of the communitys most disenfranchised now have access to primary care, dentistry, womens and childrens services and health education. A variety of specialty care is also available at many RHC locations, including four behavioral health programs.TelepharmacyAdventist Healths TelepharmacyWest was designed to fill the gap created when small rural hospitals inpatient pharmacies close each day. This enables Adventist Health to provide 24/7 year-round pharmacy services to both system and non-system hospitals in need of support to enhance patient medication safety. Innovations CouncilFor long-term sustainability, Adventist Health is finding new ways of solving old problems. The Innovation Council is comprised of 18 members from inside and outside the system who are tasked with overseeing the innovation initiative, developing process steps for the organization and facilitating innovations exchange program, among others. In 2012, Adventist Health conducted the first systemwide innovation challenge, through utilization of idea generation software.Health Care ReformAdventist Health leaders are defining what health care reform will mean to our organization, our patients and our communities. Our system continues to carefully examine issues such as meaningful use, accountable care organizations and population health management. We also continue to focus on regulatory compliance while providing quality, mission-focused care to our communities.Adventist Health joined the Premier health care alliances Accountable Care Organization (ACO) Readiness Collaborative, which includes more than 40 health systems nationwide. They work together to test, measure and share best practices for creating ACOs and improving overall health and wellness in their communities. In joining this effort, our system has begun the work necessary to implement essential health care reforms that deliver high-quality, patient-centered care. As part of this collaborative, Adventist Health expects to work toward creating ACOs in its markets, accepting accountability for the care delivered to patients by improving care coordination, efficiency, quality and patient satisfaction. Building for Tomorrow Through strategic planning and oversight of capital allocation as well as financing, the Adventist Health board has authorized major building projects and campus improvements to enhance the delivery of care in the communities we serve. These improvements range from retrofitting existing structures to new patient towers, establishing convenient clinics and enlarging emergency departments outfitted with the latest technology and equipment. Adventist Health is also building a new facility to replace the existing Frank R. Howard Memorial Hospital in Willits, California, which will increase beds and improve community care, while meeting all seismic safety requirements.</Description>
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        <Description>Granite Bay Golf Club</Description>
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        <MethodOfValuation>C</MethodOfValuation>
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      <Form990ScheduleJPartII>
        <NamePerson>Alan Soderblom</NamePerson>
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        <NamePerson>Richard Rawson</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>David Ormerod MD</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>JoAline Olson</NamePerson>
        <Title>VP Clinical Innovation</Title>
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      <Form990ScheduleJPartII>
        <NamePerson>Terrance Newmyer</NamePerson>
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        <NamePerson>Peggy Nakamura Esq</NamePerson>
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        <NamePerson>Kirby McKague</NamePerson>
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        <NamePerson>Robert Marchuk</NamePerson>
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        <NamePerson>Meredith Jobe Esq</NamePerson>
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        <NamePerson>Dag Jakobsen</NamePerson>
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        <NamePerson>Wayne Ferch</NamePerson>
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        <NamePerson>Keith Doram MD</NamePerson>
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        <NamePerson>Jeffrey Conklin</NamePerson>
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        <NamePerson>Lowell Church</NamePerson>
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        <NamePerson>John Beaman</NamePerson>
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        <NamePerson>Mark Ashlock</NamePerson>
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        <NamePerson>Stanley Adams</NamePerson>
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        <Identifier>Sch J, Part I, Line 1a</Identifier>
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        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <EngageBondCounselResearch>true</EngageBondCounselResearch>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
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        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <EngageBondCounselResearch>true</EngageBondCounselResearch>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
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        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="IRS990ScheduleK.1" softwareId="12000229" softwareVersion="2012v2.0">
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        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>California Health Facilities Financing Authority Series A</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521643828</IssuerEIN>
        <CUSIPNumber>13033LBCO</CUSIPNumber>
        <DateIssued>2009-05-20</DateIssued>
        <IssuePrice>89352000</IssuePrice>
        <DescriptionOfPurpose>See Schedule O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>California Statewide Communities Development Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>680164610</IssuerEIN>
        <CUSIPNumber>130795EJ2</CUSIPNumber>
        <DateIssued>2007-05-08</DateIssued>
        <IssuePrice>115000000</IssuePrice>
        <DescriptionOfPurpose>See Schedule O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>California Statewide Communities Development Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>680164610</IssuerEIN>
        <CUSIPNumber>130911V49</CUSIPNumber>
        <DateIssued>2005-10-18</DateIssued>
        <IssuePrice>178288037</IssuePrice>
        <DescriptionOfPurpose>See Schedule O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>California Health Facilities Financing Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521643828</IssuerEIN>
        <CUSIPNumber>13033FNA4</CUSIPNumber>
        <DateIssued>2003-07-01</DateIssued>
        <IssuePrice>170181205</IssuePrice>
        <DescriptionOfPurpose>See Schedule O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
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        <BondReferenceCd>D</BondReferenceCd>
        <TotalProceeds>89352000</TotalProceeds>
        <AmountInReserveFund>9000000</AmountInReserveFund>
        <IssuanceCostsFromProceeds>899751</IssuanceCostsFromProceeds>
        <CapitalExpenditures>79452375</CapitalExpenditures>
        <AmountUnspent>1888712</AmountUnspent>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <BondReferenceCd>C</BondReferenceCd>
        <TotalProceeds>115000000</TotalProceeds>
        <AmountInReserveFund>9818644</AmountInReserveFund>
        <IssuanceCostsFromProceeds>912500</IssuanceCostsFromProceeds>
        <CreditEnhancement>2818355</CreditEnhancement>
        <CapitalExpenditures>101933233</CapitalExpenditures>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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      <Form990ScheduleKPartII>
        <BondReferenceCd>B</BondReferenceCd>
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        <AmountInReserveFund>15740114</AmountInReserveFund>
        <IssuanceCostsFromProceeds>1336913</IssuanceCostsFromProceeds>
        <CapitalExpenditures>161506002</CapitalExpenditures>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <BondReferenceCd>A</BondReferenceCd>
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        <CapitalExpenditures>152728375</CapitalExpenditures>
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        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <EngageBondCounselResearch>true</EngageBondCounselResearch>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
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        <BondReferenceCd>C</BondReferenceCd>
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        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <EngageBondCounselResearch>true</EngageBondCounselResearch>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
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        <BondReferenceCd>B</BondReferenceCd>
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        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <EngageBondCounselResearch>true</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00020</PrcntgePrvtBusinessUseByOthers>
        <TotalPrivateBusinessUse>0.00020</TotalPrivateBusinessUse>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
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        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <EngageBondCounselResearch>true</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00650</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00040</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00690</TotalPrivateBusinessUse>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
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        <Form8038TFiled>false</Form8038TFiled>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
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      <Form990ScheduleKPartIV>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
      </Form990ScheduleKPartIV>
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        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
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        <NamePerson>WingB</NamePerson>
        <RelationshipWithOrganization>Officer</RelationshipWithOrganization>
        <PurposeOfLoan>Relocate</PurposeOfLoan>
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        <BalanceDue>75000</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
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      <LoanTable>
        <NamePerson>BerryS</NamePerson>
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        <NamePerson>RobertsK</NamePerson>
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        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
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      <LoanTable>
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        <Default>false</Default>
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        <WrittenAgreement>true</WrittenAgreement>
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      <LoanTable>
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        <RelationshipWithOrganization>Key Emp</RelationshipWithOrganization>
        <PurposeOfLoan>Relocate</PurposeOfLoan>
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        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
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      <LoanTable>
        <NamePerson>AshlockM</NamePerson>
        <RelationshipWithOrganization>Key Emp</RelationshipWithOrganization>
        <PurposeOfLoan>Relocate</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>150000</OriginalPrincipalAmount>
        <BalanceDue>143600</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
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      <LoanTable>
        <NamePerson>DoramK</NamePerson>
        <RelationshipWithOrganization>Key Emp</RelationshipWithOrganization>
        <PurposeOfLoan>Relocate</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>100000</OriginalPrincipalAmount>
        <BalanceDue>84500</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <LoanTable>
        <NamePerson>SoderblomA</NamePerson>
        <RelationshipWithOrganization>Key Emp</RelationshipWithOrganization>
        <PurposeOfLoan>Relocate</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>100000</OriginalPrincipalAmount>
        <BalanceDue>85900</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <LoanTable>
        <NamePerson>ReinerS</NamePerson>
        <RelationshipWithOrganization>Officer</RelationshipWithOrganization>
        <PurposeOfLoan>Relocate</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>139500</OriginalPrincipalAmount>
        <BalanceDue>133800</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <TotalBalanceDue>1746922</TotalBalanceDue>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Ashlock Ryan</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Ashlock Son</Relationship>
        <AmountOfTransaction>80683</AmountOfTransaction>
        <DescriptionOfTransaction>Employment</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Mantz Lynne</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Rebok Sister</Relationship>
        <AmountOfTransaction>107707</AmountOfTransaction>
        <DescriptionOfTransaction>Employment</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Sim Darran</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>WehtjeSonLaw</Relationship>
        <AmountOfTransaction>55636</AmountOfTransaction>
        <DescriptionOfTransaction>Employment</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>WGW-CA LLC</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Gabriel JV</Relationship>
        <AmountOfTransaction>11000000</AmountOfTransaction>
        <DescriptionOfTransaction>LLC JV Loan</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Explanation>Melody Gabriel, an AH director, and her husband are owners and officers of businesses that engage in joint ventures with AH and member hospitals. Other family members with ownership and officer positions in these businesses include her parents, her brother and his wife, and trusts established on behalf of her children. The ventures are organized as LLCs. At the end of 2012, AH had provided $11M in the form of secured and unsecured market rate interest bearing loans to PVHR, LLC, which is 50% controlled by another LLC of which Ms. Gabriel and her family have a controlling interest. Interest is accruing on these loans and at the end of 2012 was about $1.5M. In addition, AH had an outstanding loan of $2.75M to another LLC in which Ms. Gabriel and her family have a 90% interest.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="12000229" softwareVersion="2012v2.0">
      <GeneralExplanation>
        <ReturnReference>Sch K (2nd), Part 1, Column (f), Line D</ReturnReference>
        <Explanation>Acquire, construct and equip the following health care facilities:Adventist Health Clearlake Hospital Inc, Clearlake, CAFeather River Hospital, Paradise, CAGlendale Adventist Medical Center, Glendale, CASt. Helena Hospital, St. Helena, CASimi Valley Hospital and Health Care Services, Simi Valley, CAAcquire and install a clinical information system:Adventist Health System/West, Roseville, CA</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Sch K (2nd), Part 1, Column (f), Line C</ReturnReference>
        <Explanation>Refinance a bank loan used to construct, equip and improve:Adventist Medical Center - Portland, Portland, OR</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Sch K (2nd), Part 1, Column (f), Line B</ReturnReference>
        <Explanation>Refund outstanding balance of the following bond issues:1991 California Health Facilities Financing Authority (AHS/West Series A) bonds issued July 23, 19911991 California Health Facilities Financing Authority (AHS/West Series B) bonds issued September 25, 19911991 City of Glendale (AHS/West Series A) bonds issued July 23, 1991</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Schedule K (2nd), Part 1, Column(f), Line A</ReturnReference>
        <Explanation>Acquire, construct and equip the following health care facilities:Adventist Health Clearlake Hospital Inc, Clearlake, CAFeather River Hospital, Paradise, CAGlendale Adventist Medical Center, Glendale, CAHanford Community Hospital, Hanford, CASt. Helena Hospital, St. Helena, CASimi Valley Hospital and Health Care Services, Simi Valley, CA</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Schedule K, Part 1, Column (f), Line D</ReturnReference>
        <Explanation>Acquire, construct and equip the following health care facilities:Adventist Health Clearlake Hospital Inc, Clearlake, CAFeather River Hospital, Paradise, CAGlendale Adventist Medical Center, Glendale, CAHanford Community Hospital, Hanford, CASt. Helena Hospital, St. Helena, CASimi Valley Hospital and Health Care Services, Simi Valley, CA</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Schedule K, Part 1, Column (f), Line C</ReturnReference>
        <Explanation>Construct, equip and remodel the following health care facilities:Feather River Hospital, Paradise, CAHanford Community Hospital, Hanford, CASimi Valley Hospital and Health Care Services, Simi Valley, CA</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Schedule K, Part 1, Column (f), Line B</ReturnReference>
        <Explanation>Construct, equip and remodel the following health care facilities:Glendale Adventist Medical Center, Glendale, CASan Joaquin Community Hospital, Bakersfield, CASimi Valley Hospital and Health Care Services, Simi Valley, CAWhite Memorial Medical Center, Los Angeles, CAAcquire and install a clinical information system:Adventist Health System/West, Roseville, CA</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Schedule K, Part 1, Column (f), Line A</ReturnReference>
        <Explanation>Construct, equip and remodel the following health care facilities:Adventist Health Clearlake Hospital Inc, Clearlake, CAFeather River Hospital, Paradise, CAGlendale Adventist Medical Center, Glendale, CAHanford Community Hospital, Hanford, CASt. Helena Hospital, St. Helena, CASan Joaquin Community Hospital, Bakersfield, CASimi Valley Hospital and Health Care Services, Simi Valley, CAUkiah Valley Hospital, Ukiah, CAWhite Memorial Medical Center, Los Angeles, CAAcquire and install a clinical information system:Adventist Health System/West, Roseville, CARefinance a bank loan used to acquire equipment and facilities:Selma Community Hospital, Selma, CARefund a portion of the following bond issue:1993 City of Bakersfield (AHS/West Series A) bonds issued June 3, 1993</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part XI, Line 9</Identifier>
        <ReturnReference>Other Changes In Net Assets Or Fund Balances - Other Increases</ReturnReference>
        <Explanation>Transfers to/from related organizations = $14995017</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>The corporation does not make its governing documents publicly available beyond required filings of articles of incorporation with the secretary of state. The corporation does not make its conflict of interest policy available upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>The Adventist Health System/West board of directors has established a Compensation Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation that would be indicated by the data, including salary ranges for the organization's CEO and CFO; evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data.The board-approved executive compensation philosophy specifies that salary ranges will be established for executives with midpoints aligned with the 50th percentile of comparable system hospital data and having a 24 percent spread from minimum to maximum (industry norm is an approximately 50 percent spread). The CEO and Sr Vice Presidents have a maximum potential incentive of 30 percent of base salary. (This incentive potential is less than the industry norm.) Other executives have a maximum potential incentive of 25 percent of base salary.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</ReturnReference>
        <Explanation>See explanation of process for setting CEO compensation on the below Form 990, Part VI, Line 15b explanation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, corporate officers, key employees, and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation to illustrate examples of a conflict and remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the CEO immediately. The internal audit staff reviews these questionnaires and disclosures each year during the audit process.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11b: Form 990 Review Process</ReturnReference>
        <Explanation>The completed Form 990 is shared with members of the corporation's board of directors by electronic communication for their review prior to filing. A special board meeting is scheduled to answer questions and receive input from the board after their review but prior to filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders</ReturnReference>
        <Explanation>Board appointments are approved by the membership.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</ReturnReference>
        <Explanation>Annually the members meet for the purpose of conducting the business of the membership. Actions are taken as required to enable Adventist Health System/West to continue operating in concert with its Articles and Bylaws.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>Individuals who represent the Seventh-day Adventist Church and lay people who are in good standing with the Seventh-day Adventist Church serve as members of Adventist Health System/West.</Explanation>
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