GLENDALE ADVENTIST MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: GLENDALE ADVENTIST MEDICAL CENTER (EIN 95-1816017)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-16
IRS object ID: 201223219349300242
Schema version: 2011v1.2
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)
Timestamp	2012-11-16T09:38:34-08:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Clement & Associates CPA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2930 Honolulu Avenue Suite 200	AddressLine1
City	La Crescenta	City
State	CA	State
ZIP Code	91214	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	951816017	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Glendale Adventist Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	GLEN	NameControl
Phone	8184098000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1509 Wilson Terrace	AddressLine1
City	Glendale	City
State	CA	State
ZIP Code	91206	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Kelly Turner	Name
Title	Treas/Sr VP Fin	Title
Date Signed	2012-11-16	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	S Clement	Name
Phone	8182491065	Phone
Self Employed	X	SelfEmployed

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Kevin Roberts	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1509 Wilson Terrace	AddressLine1
City	Glendale	City
State	CA	State
ZIP Code	91206	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	346093406	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Group Exemption Number	1071	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.glendaleadventist.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1905	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	The hospital mission is to provide our community with physical, mental, and spiritual healing in a way that reflects God's love for all.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	2858	TotalNbrEmployees
Total Nbr Volunteers	719	TotalNbrVolunteers
Total Gross UBI	2819349	TotalGrossUBI
Net Unrelated Business Txbl Income	399970	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2578991	ContributionsGrantsPriorYear
Contributions Grants Current Year	1627376	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	352546335	ProgramServiceRevenuePriorYear
Program Service Revenue CY	341671081	ProgramServiceRevenueCY
Investment Income Prior Year	2326033	InvestmentIncomePriorYear
Investment Income Current Year	1957788	InvestmentIncomeCurrentYear
Other Revenue Prior Year	302538	OtherRevenuePriorYear
Other Revenue Current Year	824527	OtherRevenueCurrentYear
Total Revenue Prior Year	357753897	TotalRevenuePriorYear
Total Revenue Current Year	346080772	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	114520	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	184200	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	157806304	SalariesEtcPriorYear
Salaries Etc Current Year	168849836	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1146125	TotalFundrsngExpCurrentYear
Other Expense Prior Year	181953102	OtherExpensePriorYear
Other Expenses Current Year	170403979	OtherExpensesCurrentYear
Total Expenses Prior Year	339873926	TotalExpensesPriorYear
Total Expenses Current Year	339438015	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	17879971	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	6642757	RevenuesLessExpensesCY
Total Assets BOY	363028605	TotalAssetsBOY
Total Assets EOY	394424561	TotalAssetsEOY
Total Liabilities BOY	227473337	TotalLiabilitiesBOY
Total Liabilities EOY	251986535	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	135555268	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	142438026	NetAssetsOrFundBalancesEOY
Mission Description	To share God's love with our community by promoting healing and wellness for the whole person.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	295106692	Expense
Grants	184200	Grants
Revenue	341671081	Revenue
Description	Glendale Adventist MedicalCenter 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 of Glendale Adventist Medical Center the organization recognizes that not all individuals possess the ability to pay for essential medical services. Adventist Health's vision is to enhance the health of the communities where we live and serve, by engaging our communities and our patients in a new definition of and partnership for personal community health. In keeping with this commitment to serve all members of the community, the following will be considered when individuals who need health care cannot pay: providing free care and/or subsidized care providing care to persons covered by governmental programs at below cost providing health/wellness activities and community education programsNot only does Glendale Adventist MedicalCenter provide low-cost care to individuals covered by government programs and those unable to afford health care, but it also helps patients find and access private and governmental resources for health care benefits. Glendale Adventist MedicalCenter 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 2011 was $51,339,029.Inpatient services in 2011 were provided to 19,360 patients. These services included: 2,406 Babies delivered 3,898 Surgeries performed 58,840 Radiology procedures performed 30,966 Cardiac catheterizations and other procedures 802,968 Laboratory tests performed 568 Rehabilitation patients 1,722 Mental health patientsOutpatient services in 2011 were provided to 265,122 patients. These services included: 41,992 Emergency room visits 4,738 Outpatient surgeries performed 58,137 Radiology procedures performed 10,912 Cardiac catheterizations and other procedures 400,445 Laboratory tests performedHome Care services in 2011 were provided to 21,594 patients. These services included: 14,242 RN visits 5,512 Physical Therapy visits 861 Occupational Therapy visitsGlendale Adventist MedicalCenter 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:Children's Health Outreach InitiativeCenter to Increase Community OrganizationCommunity support groupsCommunity health education classesHQ Newsletter for health promotionParamedic base stationTobacco Control ProgramCancer Survivor DayBeyond Loss bereavement programMental health support groupsGlendale Downtown DashBreast Cancer Awareness MonthCancer screeningsCancer Fitness Program	Description
Total Program Service Expense	295106692	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	true	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	294	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2858	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Form8886 T Filed	false	Form8886TFiled
Non Deductible Contributions	false	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Quid Pro Quo Contributions	false	QuidProQuoContributions
Quid Pro Quo Disclosure	false	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Form720 Filed	false	Form720Filed
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Policies Reference Chapters	false	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Kelly Turner CFO	NamePerson
Telephone Number	8184098000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1509 Wilson Terrace	AddressLine1
City	Glendale	City
State	CA	State
ZIP Code	91206	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Scott Reiner
V Chair/AsstSec	50.00	X	X	0	907841	160287
Larry Dodds
V Chair/Sec	50.00	X	X	0	685344	96060
Robert Carmen
Chairman	50.00	X	X	0	1749297	39804
Max Torkelsen
Director	1.00	X		0	2381	0
Wes Rippey MD
Director	1.00	X		0	98503	0
Al Reimche
Director	1.00	X		0	1637	0
Helmuth Jones
Director	1.00	X		0	350	0
Meredith Jobe Esq
Director	1.00	X		0	54617	0
Larry Innocent
Director	1.00	X		0	350	0
Steven C Herber MD
Director	1.00	X		0	219911	41678
Ricardo Graham
Director	1.00	X		0	2652	0
Christine E Friestad Esq
Director	1.00	X		0	2927	0
Ruthita Fike
Director	1.00	X		0	635	0
Lynn Creitz
Director	1.00	X		0	3123	0
Larry Caviness
Director	1.00	X		0	2666	0
Robert Bradshaw DDS
Director	1.00	X		0	4652	0
Warren Tetz
Warren Tetz	50.00		X	0	396274	81574
Kelly Turner
Treas/Sr VPFin	50.00		X	0	367845	65876
Kevin Roberts
President/CEO	50.00		X	0	513141	92795
Morre Dean
President/CEO	50.00		X	0	472637	68812
Bill Wing
Asst Secretary	50.00		X	0	321581	89967
Rodney Wehtje
Asst Treasurer	50.00		X	0	506336	95494
Douglas Rebok
Asst Secretary	50.00		X	0	857414	147299
Kimberly Milstien
VP Bus Dev	50.00			0	234719	25023	X
Robert Marchuk
VP Ancillary Svc	50.00			0	220285	58616	X
Robert deLeon
VP Med Affairs	50.00			0	431633	100641	X
Judy Blair
Sr VP Pt Care/CNO	50.00			0	227321	31636	X
Gwen Matthews
Sr VP Clin Svc	50.00			0	331912	70860	X
Mei Rosado
House Supv Nsg	60.00			243909	0	21748		X
Suvanna Patana
RN	60.00			208073	0	16337		X
Frederico Duran Jr
Cath Lab Manager	60.00			201828	0	22696		X
Romic Eskandarian
Pharmacy Director	50.00			200077	0	21930		X
Sergey Gantman
Charge Nurse	60.00			193200	0	18198		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1047087	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	8617984	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1367331	TotalOtherCompensation
Number Individuals GT100 K	242	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ShiftwiseOrigin Inc
PO Box 70870	St Paul	MN	55170	Registry Staffing	3163214
Family Practice of Glendale Glendale Med Gp
801 S Chevy Chase 201	Glendale	CA	91205	Residency Teaching	3063604
Consultants for Anesthesia & Mgmt of Pain
5134 Earl Drive	La Canada	CA	91011	Medical services	980550
AllHealth Security Services
515 S Figueroa St Suite 1300	Los Angeles	CA	90071	Med Service-Dialysis	880071
Albert C Mak MD Cyberknife
707 S Garfield Ave Ste B002	Alhambra	CA	91801	Med Svcs-Radiation	2590000

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	53	NumberOfContractorsGT100K
Government Grants	1530298	GovernmentGrants
All Other Contributions	97078	AllOtherContributions
Total Contributions	1627376	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Rental Income - Prog	531120	1794750	1539029	6000	$249,721
Patient Svc Revenue	621110	336420639	333618778	2791808	$10,053
Other Prog Serv Rev	900099	511045	419968		$91,077
Dietary	722210	1741282	249258		$1,492,024
Dependent Care	624410	1182847	1182847

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	20518	TotalRevenueColumn
Related Or Exempt Function Income	20518	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	341671081	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1955122	TotalRevenueColumn
Exclusion	$1,955,122	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Net Rental Income Or Loss NetRentalIncomeOrLoss

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

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	15300	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	12634	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	2666	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2666	TotalRevenueColumn
Exclusion	$2,666	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Other Non-Operating Inc	900099	784390	784390
Mgmt Fees - Related Org	541900	49423	27882	21541
Change Int Fdtn Net Asset	900099	-9286	-9286

Field	Value	IRS element (for citing)
Total Other Revenue	824527	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	346080772	TotalRevenueColumn
Related Or Exempt Function Income	337833384	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2819349	UnrelatedBusinessRevenue
Exclusion	$3,800,663	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	184200	Total
Program Services	184200	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	0	Total

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	132871469	Total
Program Services	121957208	ProgramServices
Management And General	10263724	ManagementAndGeneral
Fundraising	650537	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4265526	Total
Program Services	3872184	ProgramServices
Management And General	393342	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	21439151	Total
Program Services	19197936	ProgramServices
Management And General	2241215	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	10273690	Total
Program Services	9510386	ProgramServices
Management And General	763304	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1434348	Total
Management And General	1434348	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	152050	Total
Management And General	152050	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	14376190	Total
Program Services	13267662	ProgramServices
Management And General	1069843	ManagementAndGeneral
Fundraising	38685	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	987576	Total
Program Services	16587	ProgramServices
Management And General	868657	ManagementAndGeneral
Fundraising	102332	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	8972068	Total
Program Services	3390882	ProgramServices
Management And General	5556516	ManagementAndGeneral
Fundraising	24670	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	9321381	Total
Program Services	9321250	ProgramServices
Management And General	131	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	9198197	Total
Program Services	9096631	ProgramServices
Management And General	12946	ManagementAndGeneral
Fundraising	88620	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	566130	Total
Program Services	353897	ProgramServices
Management And General	174062	ManagementAndGeneral
Fundraising	38171	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	245789	Total
Program Services	170828	ProgramServices
Management And General	74961	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	4508397	Total
Program Services	4508397	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	8000	Total
Program Services	8000	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	16460940	Total
Program Services	16460940	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3392338	Total
Program Services	3392338	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Rental/Lease Costs Equipment	2983815	2973046	10769
Purchased Services	35330498	25818281	9361224	150993
Pt Care Supplies	50713415	50713415
Other Expenses	11752847	892624	10808106	52117

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	339438015	Total
Program Services	295106692	ProgramServices
Management And General	43185198	ManagementAndGeneral
Fundraising	1146125	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	116487	BOY
EOY	121391	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	27898869	BOY
EOY	44494835	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	58451914	BOY
EOY	55422506	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	750000	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	6714979	BOY
EOY	6882979	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2796497	BOY
EOY	2479748	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	428581515	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	183372196	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	225638778	BOY
EOY	245209319	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	371265	BOY
EOY	1610586	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	40289816	BOY
EOY	38203197	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	363028605	BOY
EOY	394424561	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	26692188	BOY
EOY	33267744	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	38610082	BOY
EOY	37083805	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2228246	BOY
EOY	1861565	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	3324979	BOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	156617842	BOY
EOY	179773421	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	227473337	BOY
EOY	251986535	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	130420182	BOY
EOY	137528894	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4861696	BOY
EOY	4628274	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	273390	BOY
EOY	280858	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	135555268	BOY
EOY	142438026	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	363028605	BOY
EOY	394424561	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	6642757	ReconcilationRevenueExpenses
Reconcilation Other Changes	240001	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Church170b1 Ai	X	Church170b1Ai

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$22,663	OtherActivitiesAmount
Total Lobbying Expenditures IIB	22663	TotalLobbyingExpendituresIIB
Not Described In501c3	true	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i	Identifier
Return Reference	Part II-B, Line 1i - Other Activities Description	ReturnReference
Explanation	Allocation of dues paid to industry and professional organizations.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5135086	BeginningOfYearBalance
Contributions	878394	Contributions
Investment Earnings Or Losses	7469	InvestmentEarningsOrLosses
Other Expenditures	1111817	OtherExpenditures
End Of Year Balance	4909132	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4842628	BeginningOfYearBalance
Contributions	1113528	Contributions
Investment Earnings Or Losses	25756	InvestmentEarningsOrLosses
Other Expenditures	846826	OtherExpenditures
End Of Year Balance	5135086	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	6094608	BeginningOfYearBalance
Contributions	263886	Contributions
Investment Earnings Or Losses	58093	InvestmentEarningsOrLosses
Other Expenditures	1573959	OtherExpenditures
End Of Year Balance	4842628	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.05700	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.94300	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3726115	OtherCostOrOtherBasis
Book Value	3726115	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	1018730	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	328844833	OtherCostOrOtherBasis
Depreciation	133751182	Depreciation
Book Value	196112381	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3468330	OtherCostOrOtherBasis
Depreciation	1948055	Depreciation
Book Value	1520275	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	65971543	OtherCostOrOtherBasis
Depreciation	46562665	Depreciation
Book Value	19408878	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	25551964	OtherCostOrOtherBasis
Depreciation	1110294	Depreciation
Book Value	24441670	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	245209319	TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
Worker's Comp-Trustee Held Funds
Receivables from Third-Party Payors	3076399
Receivables from Related Organizations	28626454
Other Receivables	2471676
Other Assets	4028668

Field	Value	IRS element (for citing)
Total Book Value Other Assets	38203197	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
Workers Compensation Liability	$5,975,198
Tax Liability	$25,000
Payables to Related Organizations	$173,740,883
Other Liabilities	$32,340

Field	Value	IRS element (for citing)
Total Of Amounts	179773421	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part XI, Line 8	Part XI, Line 8: Other Changes in Net Assets or Fund Balances	Gifts & Grants-Restricted-Rpt on VII line 1 $878394 Net Assets Released from Restr-Cap Addtn $465954 Net Realized gains/losses on Perm Restr investments $7469 Temp Restr Net Assets Released from Rest $ -1111816
Part V, Line 4	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.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	300.000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	450.000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9289368	TotalCommunityBenefitExpense
Net Community Benefit Expense	9289368	NetCommunityBenefitExpense
Percent Of Total Expense	0.02740	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	79509251	TotalCommunityBenefitExpense
Direct Offsetting Revenue	60877044	DirectOffsettingRevenue
Net Community Benefit Expense	18632207	NetCommunityBenefitExpense
Percent Of Total Expense	0.05490	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	88798619	TotalCommunityBenefitExpense
Direct Offsetting Revenue	60877044	DirectOffsettingRevenue
Net Community Benefit Expense	27921575	NetCommunityBenefitExpense
Percent Of Total Expense	0.08230	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2029778	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2029778	DirectOffsettingRevenue

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	292629	TotalCommunityBenefitExpense
Net Community Benefit Expense	292629	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2322407	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2029778	DirectOffsettingRevenue
Net Community Benefit Expense	292629	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	91121026	TotalCommunityBenefitExpense
Direct Offsetting Revenue	62906822	DirectOffsettingRevenue
Net Community Benefit Expense	28214204	NetCommunityBenefitExpense
Percent Of Total Expense	0.08320	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	7264	TotalCommunityBuildingExpense
Direct Offsetting Revenue	7264	DirectOffsettingRevenue

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	198700	TotalCommunityBuildingExpense
Net Community Building Expense	198700	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	90724	TotalCommunityBuildingExpense
Net Community Building Expense	90724	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	226071	TotalCommunityBuildingExpense
Direct Offsetting Revenue	226071	DirectOffsettingRevenue

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	253475	TotalCommunityBuildingExpense
Direct Offsetting Revenue	253475	DirectOffsettingRevenue

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	252996	TotalCommunityBuildingExpense
Direct Offsetting Revenue	252996	DirectOffsettingRevenue

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	1029230	TotalCommunityBuildingExpense
Direct Offsetting Revenue	739806	DirectOffsettingRevenue
Net Community Building Expense	289424	NetCommunityBuildingExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$1,824,522	BadDebtExpenseAmount
Amount Attributable To	912261	AmountAttributableTo
Amount Reimbursed By Medicare	140274231	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	137690279	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	2583952	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	0	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Glendale Adventist Med Center	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1509 Wilson Terrace	AddressLine1
City	Glendale	City
State	CA	State
ZIP Code	91206	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours
Other	Acute, Psychiatric & Skilled Nursing	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Glendale Adventist Med Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	300.0000	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	450.0000	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Medicare Rate	X	MedicareRate
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	2	NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
GAMC Alcohol & Drug Rehab
335 Mission Rd	Glendale	CA	912053327	Alcohol & Drug Rehabilitation Services
GAMC Home Care Services
381 Harvey Dr	Glendale	CA	91206	Home Care Services

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part VI - Additional Information	Part V, Section BSchedule H, Part V, Section B, Lines 1 through 7 is optional for the reporting organization as the tax year began prior to March 23, 2012, according to the instructions for Schedule H. Lacerte software has not provided a tool for an organization to indicate that it is opting not to complete Part V, Section B. In addition, the software has been programmed so that it populates responses when the organization chooses to provide no data inputs. Part V, Section B should be blank as the reporting organization opts to not complete it.
Part V - Explanation of Number of Facility Type	The hospital has a governing board composed of community members who advise the president/CEO regarding the healthcare needs of the community. At the direction of the governing board, the hospital has developed outpatient and home care programs focused on rendering care in the most effective and efficient manner. The hospital's key medical services include cardiac, neuro, spine, cancer, emergency, outpatient services, minimally invasive surgery (robotics and no scar surgery), ortho, behavioral medicine, rehabilitative medicine and home care services, as well as a family medicine residency program. The hospital cooperates with area physicians to offer both family medicine and obstetrics clinics. Glendale Adventist has also established a Department of Clinical Research to help our communities gain access to cutting edge clinical advancements.
Part VI - States Where Community Benefit Report Filed	CA
Part VI - Affilated Health Care System Roles and Promotion	The hospital is a member of Adventist Health, a health care system which provides healthcare services in diverse markets within the Western United States. A member hospital may share some services with other member hospitals in its geographic area, such as clinical, management and support services. Using today's technology, hospitals outside the geographic area are able to provide support through remote services such as telepharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk management, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate administrative support for hospital affiliated medical groups that engage physicians through employment or other contracts. This provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communites served
Part VI - Explanation Of How Organization Furthers Its Exempt Purpose	The hospital has an operating board composed of community members who advise the president/CEO regarding the needs of the community. Based on their advice, the hospital has developed outpatient and home care programs focused on rendering care in the most effective and efficient manner. The hospital's key medical services include cardiac, neuro, spine, cancer, emergency, outpatient services, minimally invasive surgery (robotics and no scar surgery), ortho, behavioral medicine, rehabilitative medicine and home care services, as well as a family medicine residency program. The hospital cooperates with area physicians to offer both family medicine and obstetrics clinics. Glendale Adventist has also established a Department of Clinical Research to help our communities gain access to cutting edge clinical advancements.
Part VI - Community Building Activities	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. And, 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 - Community Information	The hospital is located in Los Angeles County, serving primarily the City of Glendale (including La Canada, La Crescenta and Montrose), the Northeast portion of the City of Los Angeles (Eagle Rock, Highland Park and Glassell Park) and the Northeast portion of the San Fernando Valley. Significant numbers of Armenian, Hispanic and Asian people live in the hospital service area with many having limited English language proficiency. Several zip codes in the hospital service area have been designated as Medically Underserved Areas and a significant number of children in these areas are uninsured and/or qualify for state or federal insurance. The hospital provides support for several community organizations that provide coverage for children in these areas.The community has recognized GAMC as the best hospital in Glendale for several years running, one of the top 10 best places to work in Los Angeles County and many of the physicians on staff have been honored as top doctors by the local media.The hospital is fully accredited and has been designated a Primary Stroke Center by The Joint Commission, a STEMI Receiving Center and an Approved Stroke Center by Los Angeles County. Glendale Adventist has also been named a Blue Cross Center of Distinction for cardiac care. Additionally, the hospital is seeking accreditation as a Chest Pain Center. This means that the hospital is specially equipped and staffed to provide rapid treatment and diagnosis of strokes, heart attacks and chest pain. GAMC is focused on finding ways to provide high quality service to our community in a cost effective manner.
Part VI - Patient Education of Eligibility for Assistance	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.
Part VI - Needs Assessment	The hospital 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 community 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.
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	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 received 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 without regard to income. Only five of the six income ranges are discounted based on Medicare rates.	Number of Hospital Faciltiy - 0
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 III, Line 8 - Explanation Of Shortfall As Community Benefit	The Medicare cost report apportions the hospitals costs on the basis of inpatient days and ancillary and outpatient charges to establish the costing methodology.Healthcare delivery by hospitals is a complex, highly regulated business in the United States. Healthcare unit cost inflation is driven by compliance with ever-expanding regulatory requirements, shortages of highly skilled labor and evolving medical and information technology. The health care market basket is unrelated to that of the average individual consumer. Since the 1997 Balanced Budget Act, Medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that Medicare payments 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 $137,097,001 Prior Year Settlements - Cost Report Reimbursable Bad Debts 3,362,134 Estimates and Accrual Variances (359,594) Other 174,690 ___________ Subtotal - Amount reported in Pt III, line 5 140,274,231 Amount included in Part 1, lines g and f 2,029,778 Total Medicare Revenue $142,304,009Note: The Medicare Cost Report revenue does not include the bad debt reimbursement. The Cost Report revenue does include the patient co-pay and deductible amounts. Adding the bad debt reimbursement would have duplicated the revenue already accounted for in the co-pay and deductible amounts.
Part III, Line 4 - 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 described for Part I, Line 7 is multiplied times the hospital's bad debt expense as reported in the system-wide combined audited financial statements. The resulting figure has been reported as bad debts at cost on Part III, Line 2.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.The system-wide combined audited financial statements do not contain a footnote describing bad debt expense.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (11 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Purpose Of GrantPurposeOfGrant
YWCA of Glendale
735 E Lexington Dr	Glendale	CA	91206	951644057	501(c)(3)	10000	0	Event Sponsorship
YMCA
140 N Louise St	Glendale	CA	91206	951661118	501(c)(3)	10500	0	General Operations
White Memorial Med Cntr Fdtn
1720 Cesar E Chavez Ave	Los Angeles	CA	90033	953760201	501(c)(3)	8000	0	Fundraising
Western Diocese-Armenian Ch
3325 N Glenoaks Blvd	Burbank	CA	91504	956081942	501(c)(3)	6500	0	Event Sponsorship
Salvation Army
180 E Ocean Blvd 9th Floor	Long Beach	CA	90802	954605502	501(c)(3)	10000	0	Partnership Proposal
Glendale Community Free Healt
134 N Kenwood St	Glendale	CA	91206	870732681	501(c)(3)	15000	0	General Operations
Glendale Arts
116 W California	Glendale	CA	91203	954416336	501(c)(3)	10000	0	Event Sponsorship
Glendale Adventist Academy
700 Kimlin Dr	Glendale	CA	91206	953928295	501(c)(3)	7000	0	Event Sponsorships
City of Glendale
613 E Broadway 200	Glendale	CA	91206	956000714	City Government	12500	0	Event Sponsorships
Armenian Bone Marrow Dnr Rgst
347 W Stocker St 208	Glendale	CA	91202	050573780	501(c)(3)	10000	0	General Operations
Armenian American Medical Soc
PO Box 32	Glendale	CA	91209	954108352	501(c)(3)	15600	0	Event Sponsorships

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	11	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Grantmaker's Description of How Grants are Used	Identifier
Explanation	Grants are donations made to US tax exempt 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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	true	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException
Rebuttable Presumption Procedure	false	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs	Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
Warren Tetz
287980	39690	68604	62778	18796	477848	44632
Suvanna Patana
							92269	250	115554	12429	3908	224410
Steven C Herber MD
212461		7450	27400	14278	261589
Sergey Gantman
							94340	250	98610	11388	6810	211398
Scott Reiner
577345	149092	181404	138780	21507	1068128	119583
Romic Eskandarian
							162277	24313	13487	11226	10704	222007
Rodney Wehtje
340430	78784	87122	78557	16937	601830	52751
Robert Marchuk
184690	24850	10745	37715	20901	278901
Robert deLeon
338840	46970	45823	76899	23742	532274
Robert Carmen
934340	267209	547748	18150	21654	1789101	424494
Morre Dean
251461	86835	134341	54474	14338	541449	80124
Mei Rosado
							116168	2318	125423	14938	6810	265657
Larry Dodds
303557	171094	210693	79089	16971	781404	120139
Kimberly Milstien
194850	24850	15019	13910	11113	259742
Kevin Roberts
340675	74482	97984	76432	16363	605936	58469
Kelly Turner
270000	36820	61025	56987	8889	433721	45522
Judy Blair
152642	40322	34357	12545	19091	258957
Gwen Matthews
242462	32760	56690	49444	21416	402772	32649
Frederico Duran Jr
							109949	351	91528	11992	10704	224524
Douglas Rebok
533280	149092	175042	128096	19203	1004713	123894
Bill Wing
305801		15780	74419	15548	411548

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Sch J, Part I, Line 1a	Identifier
Return Reference	Part I, Line 1a: Relevant information in regards to selections on 1a.	ReturnReference
Explanation	Part I, Line 1BAny items checked on this line are reported as taxable income to the employee, except first class or charter travel, which is only approved for business purposes on an exception basis.	Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
Dro Abrahamian
Executive Housing Ln	X	$25,000	25000	false	true	true
Morre Dean
Executive Housing Ln	X	$750,000		false	true	true

Field	Value	IRS element (for citing)
Total Balance Due	25000	TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	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.
Form 990, Part VI, Line 15b	Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	The hospital 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.
Form 990, Part VI, Line 12c	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 internal audit staff reviews these questionnaires and disclosures each year during the audit process.
Form 990, Part VI, Line 11	Form 990, Part VI, Line 11: Form 990 Review Process	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.
Form 990, Part VI, Line 7b	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 6	Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	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 bylaws define its board of directors to be the same individuals who are members of Adventist Health System/West board of directors.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (20 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
Willits Hospital Inc
1 Madrone St	Willits	CA	95490	680108919	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
White Memorial Medical Center
1720 Cesar E Chavez Ave	Los Angeles	CA	90033	952282647	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Walla Walla General Hospital
1025 S Second Ave	Walla Walla	WA	99362	910617726	Hospital	WA	501(c)(3)	1	Adventist Health SystemWest	false
Ukiah Adventist Hospital
275 Hospital Dr	Ukiah	CA	95482	941639901	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Sonora Community Hospital
1000 Greenley Rd	Sonora	CA	95370	941415069	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Simi Valley Hospital & Health Care Svcs
2975 N Sycamore Dr	Simi Valley	CA	93065	956064971	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
San Joaquin Community Hospital
2615 Chester Ave	Bakersfield	CA	93301	952294234	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
St Helena Hospital
10 Woodland Rd	St Helena	CA	94574	941279779	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Reedley Community Hospital
372 W Cypress Ave	Reedley	CA	93654	453220509	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Portland Adventist Medical Center
10123 SE Market St	Portland	OR	97216	930429015	Hospital	OR	501(c)(3)	1	Adventist Health SystemWest	false
Paradise Valley Hospital
2100 Douglas Blvd	Roseville	CA	95661	951816034	Wind Down After Sale of Hospital Facilit	CA	501(c)(3)	1	Adventist Health SystemWest	false
Northwest Medical Fdtn of Tillamook
1000 Third St	Tillamook	OR	97141	930622075	Hospital	OR	501(c)(3)	1	Adventist Health SystemWest	false
Hanford Community Hospital
450 Greenfield Ave	Hanford	CA	93230	940535360	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Glendale Adventist Medical Center Fdtn
1509 Wilson Terrace	Glendale	CA	91206	953899682	Fundraising for Hospital	CA	501(c)(3)	11, Type 1	Adventist Health SystemWest	false
Feather River Hospital
5974 Pentz Rd	Paradise	CA	95969	941101228	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Central Valley General Hospital
1025 N Douty St	Hanford	CA	93230	770324630	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Castle Medical Center
640 Ulukahiki St	Kailua	HI	96734	990107330	Hospital	HI	501(c)(3)	1	Adventist Health SystemWest	false
Adventist Health Physicians Network
2100 Douglas Blvd	Roseville	CA	95661	680357690	Hospital	CA	501(c)(3)	11b,II	Adventist Health SystemWest	false
Adventist Health Clearlake Hospital Inc
Ave 18 at Hwy 53	Clearlake	CA	95422	680395149	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Adventist Health SystemWest
2100 Douglas Blvd	Roseville	CA	95661	953484589	Support and Manage System-Wide Activities	CA	501(c)(3)	1		false	N/A

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
Glendale Adventist Medical Building LP
1509 Wilson Terrace	Glendale	CA	91206	953752800	Med Ofc Bld	CA	N/A	169269	2233625	false	true	0.54614
Physician Medical Terrace LP
1509 Wilson Terrace	Glendale	CA	91206	954277400	Med Ofc Bld	CA	N/A	-62642	4313546	false	true	0.56596

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	South Coast Medical Center	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2100 Douglas Blvd	AddressLine1
City	Roseville	City
State	CA	State
ZIP Code	95661	ZIPCode

Field	Value	IRS element (for citing)
EIN	952037291	EIN
Primary Activity	Wind down after sale of hospital	PrimaryActivity
Legal Domicile State	CA	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	C-Corp	BusinessNameLine1

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
Glendale Adventist Medical Building LP
p	1345331
Glendale Adventist Medical Building LP
k	5106
Glendale Adventist Medical Building LP
j	87768
Glendale Adventist Medical Building LP
d	229345
Physician Medical Terrace LP
p	2309994
Physician Medical Terrace LP
k	4883
Physician Medical Terrace LP
j	173363
Physician Medical Terrace LP
d	4130371