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      <Description>San Joaquin Community Hospital provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of San Joaquin Community Hospital, the organization recognizes that not all individuals possess the ability to pay for essential medical services.San Joaquin Community Hospital's vision is that our service will set the standard for customer-centered, quality care. We will 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. Our mission is to carry on the healing ministry of Jesus Christ by providing quality patient care, maintaining a competent, caring, professional staff and responding to community needs. In keeping with this commitment to serve all members of the community, the following will be considered when individuals who need healthcare cannot pay: - Providing free care and/or subsidized care - Providing care to persons covered by governmental programs at below cost - Providing health/wellness activities and community education programsNot only does San Joaquin Community Hospital provide low-cost care to individuals covered by government programs and those unable to afford healthcare, but it also helps patients find and access private and governmental resources for healthcare benefits. San Joaquin Community Hospital recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed value of providing care to these patients in 2012 was $24,537,064.Inpatient services in 2012 were provided to 19,658 patients. These services included: - Acute care services for medical/surgical, pediatric, obstetric and critical care patients. - Baby deliveries totaling 2,802. - Surgery cases performed totaling 3,511, of which open-heart surgeries totaled 87. We also perform neurosurgery, ophthalmology, oral and maxillofacial surgery, otolaryngology, cosmetic surgery, thoracic and vascular surgery, urology, dental surgery and orthopedic surgery. - Radiology procedures performed - Cardiac catheterizations and other procedures - Laboratory tests performed - TCU/Intermediate care - Rehabilitation servicesOutpatient services in 2012 were provided to 79,685 patients. These services included: - Emergency room visits totaling 70,344 - Outpatient surgery cases performed totaled 5,979 - Radiology procedures performed - Cardiac catherizations and other procedures - Laboratory tests performed - OB ClinicsHome Health Care services in 2012 were provided to 1,215 unduplicated patients. These services included: - Home health - Private duty - Home medical equipment - Home infusion therapySan Joaquin Community Hospital 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: - Business Health Network - This program meets the healthcare needs of the local industry. The program features workers' compensation case management, substance abuse screening, physicals, and wellness and educational programs. - Immunization Program - This program educates the community about childhood immunizations and makes vaccines both accessible and affordable to children in Kern County. It offers immunization clinics throughout the city for children two years of age and under. - Buck Owens Wellness Resource Center - This program provides a well-trained culturally competent staff to promote early detection, diabetes education, screening, and referral and follow up services in Bakersfield and the outlying communities.</Description>
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      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form4720Filed4912Tax>false</Form4720Filed4912Tax>
      <Form990ScheduleCPartIV>
        <Identifier>Part II-B, Line 1i</Identifier>
        <ReturnReference>Part II-B, Line 1i - Other Activities Description</ReturnReference>
        <Explanation>Lobbying expenses are an allocated portion of industry association membership dues as defined by the association.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="12000229" softwareVersion="2012v2.0">
      <CurrentYear>
        <BeginningOfYearBalance>2674007</BeginningOfYearBalance>
        <Contributions>3997323</Contributions>
        <OtherExpenditures>3575185</OtherExpenditures>
        <EndOfYearBalance>3096145</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>1023350</BeginningOfYearBalance>
        <Contributions>2608593</Contributions>
        <OtherExpenditures>957936</OtherExpenditures>
        <EndOfYearBalance>2674007</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>1319672</BeginningOfYearBalance>
        <Contributions>1354738</Contributions>
        <OtherExpenditures>1651060</OtherExpenditures>
        <EndOfYearBalance>1023350</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>1540538</BeginningOfYearBalance>
        <Contributions>879972</Contributions>
        <OtherExpenditures>1100838</OtherExpenditures>
        <EndOfYearBalance>1319672</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <CurrentYearMinus4Years>
        <BeginningOfYearBalance>1104223</BeginningOfYearBalance>
        <Contributions>991946</Contributions>
        <OtherExpenditures>555631</OtherExpenditures>
        <EndOfYearBalance>1540538</EndOfYearBalance>
      </CurrentYearMinus4Years>
      <TermEndowmentEOYBalance>1.00000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <Land>
        <OtherCostOrOtherBasis>7201575</OtherCostOrOtherBasis>
        <BookValue>7201575</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>152641818</OtherCostOrOtherBasis>
        <Depreciation>39251699</Depreciation>
        <BookValue>113390119</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>506570</OtherCostOrOtherBasis>
        <Depreciation>313407</Depreciation>
        <BookValue>193163</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>65353486</OtherCostOrOtherBasis>
        <Depreciation>40211129</Depreciation>
        <BookValue>25142357</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>145927214</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Workers' Compensation</Description>
        <BookValue>173687</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Receivables from third-party payors</Description>
        <BookValue>6732418</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Other Receivables</Description>
        <BookValue>2974308</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Intra-System Financing Receivables</Description>
        <BookValue>10403282</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>20283695</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Workers Comp Payable</Description>
        <Amount>2724023</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Payables to Third Party Payors</Description>
        <Amount>11840996</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Payables to Related Organizations</Description>
        <Amount>3040598</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>17605617</TotalOfAmounts>
      <Form990ScheduleDPartXIII>
        <Identifier>Part V, Line 4</Identifier>
        <ReturnReference>Part V, Line 4: Intended uses of the endowment fund.</ReturnReference>
        <Explanation>Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH" softwareId="12000229" softwareVersion="2012v2.0">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>false</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>false</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>4066034</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>259118</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>3806915</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01230</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>49585637</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>59844178</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>-10258541</NetCommunityBenefitExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>1252707</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>119004</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1133702</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00370</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>54904378</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>60222300</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>-5317924</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01600</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>1430296</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1430296</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00460</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>180083</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>180083</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00060</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>1304859</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>837234</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>467626</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00150</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>679851</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>679851</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00220</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>3595089</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>837234</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2757856</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00890</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>58499467</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>61059534</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>-2560068</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02490</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <PhysicalImprovementsAndHousing>
        <TotalCommunityBuildingExpense>6348</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>6348</NetCommunityBuildingExpense>
      </PhysicalImprovementsAndHousing>
      <Total>
        <TotalCommunityBuildingExpense>6348</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>6348</NetCommunityBuildingExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>4146008</BadDebtExpenseAmount>
      <AmountAttributableTo>2321764</AmountAttributableTo>
      <AmountReimbursedByMedicare>69397567</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>71198825</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-1801258</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>San Joaquin Community Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2615 Chester Avenue</AddressLine1>
          <City>Bakersfield</City>
          <State>CA</State>
          <ZIPCode>93301</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>San Joaquin Community Hospital</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>200.0000</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>400.0000</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AttachedToInvoices>X</AttachedToInvoices>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <MedicareRate>X</MedicareRate>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>10</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Itani Investments LLC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2615 Chester Avenue</AddressLine1>
            <City>Bakersfield</City>
            <State>CA</State>
            <ZIPCode>93301</ZIPCode>
          </Address>
          <FacilityType>SJCH is the sole member</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Premier MSO LLC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2615 Chester Avenue</AddressLine1>
            <City>Bakersfield</City>
            <State>CA</State>
            <ZIPCode>93301</ZIPCode>
          </Address>
          <FacilityType>SJCH is the sole member.</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>San Joaquin Community Hospital Medical Building Assn</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2615 Chester Avenue</AddressLine1>
            <City>Bakersfield</City>
            <State>CA</State>
            <ZIPCode>93301</ZIPCode>
          </Address>
          <FacilityType>100% owned by SJCH, not operational as of 3/94 but still registered with the State of California.</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>San Joaquin Physical Therapy Center Partnership</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2615 Chester Avenue</AddressLine1>
            <City>Bakersfield</City>
            <State>CA</State>
            <ZIPCode>93301</ZIPCode>
          </Address>
          <FacilityType>Ceased operations 7/31/92. SJCH was the 95% general partner.</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SJCH dba Imaging Center DBA Quest Imaging Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>9602 Stockdale Highway</AddressLine1>
            <City>Bakersfield</City>
            <State>CA</State>
            <ZIPCode>93309</ZIPCode>
          </Address>
          <FacilityType>Hospital Department</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SJCh dba Grossman Burn Center dba Area Clinic</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2819 Chester Avenue Suite A</AddressLine1>
            <City>Bakersfield</City>
            <State>CA</State>
            <ZIPCode>93301</ZIPCode>
          </Address>
          <FacilityType>Hospital Department managed by Grossman Burn Center, LLC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SJCH dba Buck Owens Wellness Resource Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1524 27th Street 101</AddressLine1>
            <City>Bakersfield</City>
            <State>CA</State>
            <ZIPCode>93301</ZIPCode>
          </Address>
          <FacilityType>Hospital Department</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SJCH dba Bariatric Solutions</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2819 H Street Suite B</AddressLine1>
            <City>Bakersfield</City>
            <State>CA</State>
            <ZIPCode>93301</ZIPCode>
          </Address>
          <FacilityType>Hospital Department</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SJCH dba Community Diagnostic Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2615 Chester Avenue</AddressLine1>
            <City>Bakersfield</City>
            <State>CA</State>
            <ZIPCode>93301</ZIPCode>
          </Address>
          <FacilityType>MCI / CT Scan</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SJCH dba Adventist Health Home Care Svcs</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2800 K Street</AddressLine1>
            <City>Bakersfield</City>
            <State>CA</State>
            <ZIPCode>93301</ZIPCode>
          </Address>
          <FacilityType>Home Health</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - States Where Community Benefit Report Filed</ReturnReference>
        <Explanation>CA</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Affilated Health Care System Roles and Promotion</ReturnReference>
        <Explanation>The hospital is a member of Adventist Health, a health care system which provides healthcare services with other member hospitals in its geographic area, such as clinical, management, and support services. using today's technology, hospitals outside the geographic area are able to provide support through remote services such as telepharmacy and robotics surgery. The corporate office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk managment, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate adminstrative support for hospital affiliated 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 by all member hospitals.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Community Building Activities</ReturnReference>
        <Explanation>Our 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. Furthermore, 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Community Information</ReturnReference>
        <Explanation>The hospital is one of the largest healthcare systems in the area serving Kern County and surrounding areas. The service area includes a small city and surrounding suburbs, small towns and rural agricultural areas. The diverse population includes Caucasian and a large minority population, both Hispanic and African-American.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Patient Education of Eligibility for Assistance</ReturnReference>
        <Explanation>At the time of registration, patients who are uninsured and underinsured are provided information about government healthcare programs. Patients also are 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. The hospital charity assistance policy is posted on the hospital website.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Needs Assessment</ReturnReference>
        <Explanation>The health system retains outside research firms to assess changes in the market and community perception. Data is collected through a variety of vehicles, including phone surveys, paper surveys, and focus groups. Questions were added to the survey to help assess the impact of our community benefit activities and residents' barriers to access for health care services as well as unmet community needs.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 1</Identifier>
        <ReturnReference>Part V, Line 20d - Other Billing Determination of Individuals Without Insurance</ReturnReference>
        <Explanation>The hospital's financial assistance policy has three income ranges for patients who received emergency medical care, which provides a discount based on Medicare rates. there are also three income ranges for patients who recieved non-emergency medical care; the two lower income ranges provide a discount based on medicare rates. the higher income range provides a discount from the balance due after the uninsured discount, that is available to all uninsured patients withouit regard to income. only five of the six income ranges are discounted based on medicare rates.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 9b - Provisions On Collection Practices For Qualified Patients</ReturnReference>
        <Explanation>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</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 8 - Explanation Of Shortfall As Community Benefit</ReturnReference>
        <Explanation>the medicare cost report apportions the hospital's costs on the basis of inpatient days and ancillary and outpatient charges to establish the costing methodology.healthcare delivery by hospitals is a complex, highly regulated business in the united states. healthcare unit cost inflation is driven by compliance with ever-expanding regulatory requirements, shortages of highly skilled labor, and evolving medical and information technology. The health care "market basket" is unrelated to that of the average individual consumer.since the 1997 balanced budget act, medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that medicare payments 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 general ledger revenue received* medicare cost report revenue 68,794,527prior year settlements 743,606cost report reimbursable bad debts 1,334,782estimates and accrual variances (2,306,266)Other 830,918total medicare revenue 69,397,567 * Note: the medicare cost report revenue does not include the bad debt reimbursement. The cost report revenue does include the patient co-pay and deductible amounts. Adding the bad debt reimbursement would have duplicated the revenue already accounted for in the co-pay and deductible amounts.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 4 - Bad Debt Expense</ReturnReference>
        <Explanation>The system-wide combined audited financial statements do not contain a footnote describing bad debt expense.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part I, Line 7 - Explanation of Costing Methodology</ReturnReference>
        <Explanation>The 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.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="12000229" softwareVersion="2012v2.0">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Vision Corps Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1254 Silas Ct</AddressLine1>
          <City>Salem</City>
          <State>OR</State>
          <ZIPCode>97304</ZIPCode>
        </AddressUS>
        <EINOfRecipient>454565258</EINOfRecipient>
        <AmountOfCashGrant>12500</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>United Way of Kern County</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>5405 Stockdale Hwy Ste 200</AddressLine1>
          <City>Bakersfield</City>
          <State>CA</State>
          <ZIPCode>93309</ZIPCode>
        </AddressUS>
        <EINOfRecipient>952274560</EINOfRecipient>
        <AmountOfCashGrant>6000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>March of Dimes</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>4201 W Shaw Ave Ste 105</AddressLine1>
          <City>Fresno</City>
          <State>CA</State>
          <ZIPCode>93722</ZIPCode>
        </AddressUS>
        <EINOfRecipient>131846366</EINOfRecipient>
        <AmountOfCashGrant>12000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Make A Wish Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3801 Chester Ave</AddressLine1>
          <City>Bakersfield</City>
          <State>CA</State>
          <ZIPCode>93301</ZIPCode>
        </AddressUS>
        <AmountOfCashGrant>12500</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Links for Life</BusinessNameLine1>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Bill Wing</NamePerson>
        <Title>Asst Sec</Title>
        <CompBasedOnRelatedOrgs>554320</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>77197</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>33678</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>131876</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>22737</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>819808</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Adrian Gonzales</NamePerson>
        <Title>Dir Pharmacy</Title>
        <BaseCompensationFilingOrg>220374</BaseCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>54381</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>274755</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="12000229" softwareVersion="2012v2.0">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Ghina Itani</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Wife -Itani</Relationship>
        <AmountOfTransaction>124114</AmountOfTransaction>
        <DescriptionOfTransaction>Interior Design</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="12000229" softwareVersion="2012v2.0">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>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.</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, including salary ranges for hospital CEOs and CFOs, that would be indicated by the data; evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data.The board-approved executive compensation philosophy specifies that salary ranges will be established for hospital CEOs and 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 approximately a 50 percent spread). A hospital CEO has a maximum potential incentive of 30 percent of base salary. (This incentive potential is less than the industry norm.) Other hospital executives have a maximum potential incentive of 20 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 below on 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, 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 internal audit staff review these questionnaires and disclose 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 hospital'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>Form 990, Part VI, Line 7aThe hospital bylaws define its board of directors to be the same individuals who are members of the Adventist Health System/West board of directors. Adventist Health System/West, a California not-for-profit religious corporation, is the sole corporate member of the hospital.Form 990, Part VI, Line 7bThe sole corporate member, Adventist Health System/West, must approve all changes to the articles of incorporation 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>The hospital is organized as a not-for-profit religious corporation. The sole corporate member is Adventist Health System/West, a California not-for-profit religious corporation. The hospital operates as an affiliate of Adventist Health System/West.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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      <Form990ScheduleRPartI>
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          <BusinessNameLine1>Itani Investments LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2615 Chester Ave</AddressLine1>
          <City>Bakersfield</City>
          <State>CA</State>
          <ZIPCode>93301</ZIPCode>
        </AddressUS>
        <EIN>800531044</EIN>
        <PrimaryActivities>Property Acquisitions</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Premier MSO LLC</BusinessNameLine1>
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          <AddressLine1>2615 Chester Ave</AddressLine1>
          <City>Bakersfield</City>
          <State>CA</State>
          <ZIPCode>93301</ZIPCode>
        </AddressUS>
        <EIN>271977963</EIN>
        <PrimaryActivities>BILLING AND SCHEDULING FOR PREMIER IPA</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <TotalIncome>335121</TotalIncome>
        <EOYAssets>2475308</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAN JOAQUIN COMMUNITY HOSPITAL</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Adventist Health Physicians Network</BusinessNameLine1>
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          <AddressLine1>2100 Douglas Boulevard</AddressLine1>
          <City>Roseville</City>
          <State>CA</State>
          <ZIPCode>95661</ZIPCode>
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        <PrimaryActivities>Medical Foundation</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
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          <AddressLine1>1 Madrone Street</AddressLine1>
          <City>Willits</City>
          <State>CA</State>
          <ZIPCode>95490</ZIPCode>
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          <BusinessNameLine1>White Memorial Medical Center</BusinessNameLine1>
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          <City>Los Angeles</City>
          <State>CA</State>
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          <City>Ukiah</City>
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          <State>CA</State>
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        <EIN>941279779</EIN>
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          <City>Sonora</City>
          <State>CA</State>
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          <City>Reedley</City>
          <State>CA</State>
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        <EIN>453220509</EIN>
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        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Adventist Health System West</BusinessNameLine1>
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          <BusinessNameLine1>Portland Adventist Medical Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>10123 SE Market Street</AddressLine1>
          <City>Portland</City>
          <State>OR</State>
          <ZIPCode>97216</ZIPCode>
        </AddressUS>
        <EIN>930429015</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Adventist Health System West</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Paradise Valley Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>2100 Douglas Blvd</AddressLine1>
          <City>Roseville</City>
          <State>CA</State>
          <ZIPCode>95661</ZIPCode>
        </AddressUS>
        <EIN>951816034</EIN>
        <PrimaryActivities>Wind Down After Sale of Hospital Facilities</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Adventist Health System West</BusinessNameLine1>
        </DirectControllingEntityName>
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          <BusinessNameLine1>Northwest Medical Foundation Tillamook</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>1000 Third Street</AddressLine1>
          <City>Tillamook</City>
          <State>OR</State>
          <ZIPCode>97141</ZIPCode>
        </AddressUS>
        <EIN>930622075</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
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          <BusinessNameLine1>Adventist Health System West</BusinessNameLine1>
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          <BusinessNameLine1>Hanford Community Hospital</BusinessNameLine1>
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          <City>Hanford</City>
          <State>CA</State>
          <ZIPCode>93230</ZIPCode>
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        <EIN>940535360</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
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        <DirectControllingEntityName>
          <BusinessNameLine1>Adventist Health System West</BusinessNameLine1>
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          <BusinessNameLine1>Glendale Adventist Medical Center</BusinessNameLine1>
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          <AddressLine1>1509 Wilson Terrace</AddressLine1>
          <City>Glendale</City>
          <State>CA</State>
          <ZIPCode>91206</ZIPCode>
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          <City>Hanford</City>
          <State>CA</State>
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        <EIN>953484589</EIN>
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