CASTLE MEDICAL CENTER: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- CASTLE MEDICAL CENTER (EIN 99-0107330)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-13
- IRS object ID
- 202003189349313115
- Schema version
- 2019v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-13T16:40:48-08:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 800519547 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ACCOUNTANCY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 N Brand Blvd Fl 20 | AddressLine1Txt |
| City | Glendale | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 990107330 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Castle Medical Center | BusinessNameLine1Txt |
| Business Name Line2 | dba Adventist Health Castle | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CAST | BusinessNameControlTxt |
| Phone | 8082635500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 640 Ulukahiki St | AddressLine1Txt |
| City | Kailua | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96734 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Heidar Thordarson | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Signature | 2020-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | S Clement | PreparerPersonNm |
| PTIN | P01218012 | PTIN |
| Phone | 8185475701 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Raethel Kathryn | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 640 Ulukahiki St | AddressLine1Txt |
| City | Kailua | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96734 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $181,364,366 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 1071 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.adventisthealth.org/castle | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1960 | FormationYr |
| Legal Domicile State | HI | LegalDomicileStateCd |
| Activity Or Mission | Living Gods love by inspiring health, wholeness and hope. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 1188 | TotalEmployeeCnt |
| Total Volunteers | 119 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $888,143 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,004,860 | PYContributionsGrantsAmt |
| CY Contributions Grants | $407,741 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $174,487,124 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $175,352,926 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,929,441 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,520,692 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$1,852 | PYOtherRevenueAmt |
| CY Other Revenue | $32,729 | CYOtherRevenueAmt |
| PY Total Revenue | $179,419,573 | PYTotalRevenueAmt |
| CY Total Revenue | $181,314,088 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $69,112 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $51,134 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $79,167,465 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $79,378,598 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $175 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $93,059,346 | PYOtherExpensesAmt |
| CY Other Expenses | $94,838,547 | CYOtherExpensesAmt |
| PY Total Expenses | $172,295,923 | PYTotalExpensesAmt |
| CY Total Expenses | $174,268,279 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,123,650 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,045,809 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $287,745,337 | TotalAssetsBOYAmt |
| Total Assets EOY | $277,913,794 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $102,687,709 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $86,099,452 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $185,057,628 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $191,814,342 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Living Gods love by inspiring health, wholeness and hope. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $141,412,846 | ExpenseAmt |
| Grant | $51,134 | GrantAmt |
| Revenue | $175,930,327 | RevenueAmt |
| Desc | Castle Medical Center dba Adventist Health Castle (AHCS) 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 Castle Medical Center dba Adventist Health Castle, the organization recognizes that not all individuals possess the ability to pay for essential medical services.Adventist Healths vision is to enhance the health of the communities where we live and serve, by engaging our communities and our patients in a new definition of and partnership for personal community health. In keeping with this commitment to serve all members of the community, the following will be considered when individuals who need health care cannot pay:providing free care and/or subsidized careproviding care to persons covered by governmental programs at below costproviding health/wellness activities and community education programsNot only does Castle Medical Center dba Adventist Health Castle provide low cost care to individuals covered by government-programs and those unable to afford healthcare, it also helps patients find and access private and governmental resources for healthcare benefits.AHCS recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed cost of providing care to these patients in 2019 was $4,951,558.The following Inpatient services that were provided to all our patients. These services included:960 Babies delivered1,205 Surgeries performed28,231 Patient days The following Outpatient services that were provided to all our patients. These services included:34,260 Emergency department visits1,347 Outpatient Surgeries performed65,434 Outpatient visits 31,584 Clinic visitsAHCS recognizes it has an obligation to provide human services above and beyond its role as a healing facility. The following community benefits demonstrate the tangible ways in which the organization is fulfilling its mission. The total unreimbursed cost of these community benefits in 2019 was $2,036,072.Adventist Healths mission statement of Living Gods love by inspiring health, wholeness and hope is coupled with a vision to transform the health experience of our communities through collaborative programs, community investments and community outreach. We are inspired by the healing ministry as represented by the life of Jesus Christ and believe we are called to live out our mission intentionally in the communities we serve. In the small towns, suburbs and inner cities we serve, we continue our journey to provide quality healthcare until every person made in Gods image has experienced the best health today, hope for tomorrow, and Gods love that endures forever.Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/ | Desc |
| Total Program Service Expenses | $141,412,846 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1188 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | HI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jay Lipps | PersonNm |
| Phone | 9164061092 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 619135 | AddressLine1Txt |
| City | Roseville | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95661 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| Reiner Scott | |||||||
| Dir/Chair | 0.00 | 50.00 | Yes (X) | Yes (X) | $0 | $1,995,696 | $53,734 |
| Wing Bill | |||||||
| Dir/A Sec/CFO | 0.00 | 50.00 | Yes (X) | Yes (X) | $0 | $1,572,254 | $46,583 |
| Reppert Joseph | |||||||
| A/Sec thru 8/19 | 0.00 | 50.00 | Yes (X) | $0 | $1,209,069 | $57,565 | |
| Newmyer Joyce | |||||||
| President, PNR | 10.00 | 40.00 | $0 | $871,962 | $53,734 | ||
| Wagner Jack | |||||||
| Former Asst Secr | 0.00 | 50.00 | $0 | $778,475 | $29,189 | ||
| Jobe Meredith | |||||||
| Secretary | 0.00 | 50.00 | Yes (X) | $0 | $730,385 | $45,909 | |
| Raethel Kathryn | |||||||
| President | 50.00 | 0.00 | Yes (X) | $0 | $702,284 | $48,558 | |
| Welch Donald | |||||||
| Finance Officer, PNR | 10.00 | 40.00 | $0 | $596,433 | $53,734 | ||
| Rippey Wesley | |||||||
| Regional Medical Officer, PNR | 10.00 | 40.00 | $0 | $559,088 | $23,415 | ||
| Ashlock Ryan | |||||||
| Operations Exec | 50.00 | 0.00 | $0 | $355,690 | $47,479 | ||
| Thordarson Heidar | |||||||
| Treasurer/A Sec | 50.00 | 0.00 | Yes (X) | $0 | $320,586 | $36,798 | |
| Voshell Shane | |||||||
| Reg HR Dir, PNR | 10.00 | 40.00 | $0 | $264,030 | $56,205 | ||
| Matsukawa Robin | |||||||
| Physician | 50.00 | 0.00 | $276,150 | $0 | $37,917 | ||
| Villarreal Enrique | |||||||
| Psychiatrist | 50.00 | 0.00 | $297,032 | $0 | $8,125 | ||
| Tsai Joseph Chiu Shung | |||||||
| Physician | 50.00 | 0.00 | $257,948 | $0 | $29,122 | ||
| Koyanagi Chad | |||||||
| Psychiatrist | 50.00 | 0.00 | $284,980 | $0 | $13 | ||
| Yong Clara | |||||||
| Physician | 50.00 | 0.00 | $252,685 | $0 | $16,243 | ||
| Cheung Alan | |||||||
| VP/Admin Director, Medical Officer | 50.00 | 0.00 | $0 | $254,702 | $0 | ||
| Westphal Laura | |||||||
| Former PCE | 50.00 | 0.00 | $0 | $227,253 | $19,684 | ||
| Anderson Erik | |||||||
| Patient Care Executive | 50.00 | 0.00 | $0 | $210,472 | $35,426 | ||
| Lee Adam | |||||||
| Dir Marketing & Comm, PNR | 10.00 | 40.00 | $0 | $138,323 | $38,877 | ||
| Clegg Travis | |||||||
| Former VP Operations | 0.00 | 50.00 | $0 | $116,963 | $14,631 | ||
| Reiner Richard | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $28,588 | $0 | |
| Davis Andrew | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $28,246 | $0 | |
| Cherry Robert | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $26,315 | $0 | |
| Heinrich Kerry | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $20,102 | $0 | |
| Innocent Larry | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $18,852 | $0 | |
| Woodson Marc | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $15,000 | $0 | |
| Graham Ricardo | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $8,848 | $0 | |
| Banks David | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $6,382 | $0 | |
| Freedman John | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $2,367 | $0 | |
| Salazar Velino | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $553 | $0 | |
| Philip Celeste | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |
| Ocampo Lucy | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,368,795 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $11,058,918 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $752,941 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 197 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Inpatient Medicine Services | |||||
| PO BOX 22562 | Honolulu | HI | 96823 | Physican Services | $1,280,168 |
| Glenn PK Akiona DBA GAAS LLC | |||||
| 301 Malaai Rd | Hilo | HI | 96820 | Anesthesiology Svcs | $1,193,592 |
| Fresenius Medical Care | |||||
| PO Box 749959 | Los Angeles | CA | 90041 | Hemodialysis Service | $707,932 |
| Hawaii Intensive Care LLC | |||||
| PO Box 22562 | Honolulu | HI | 96823 | Intensivist Services | $546,000 |
| Diagnostic Laboratory Services | |||||
| 99-859 Iwaiwa St | Aiea | HI | 96744 | Lab Services | $493,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 29 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $116,445 | FundraisingAmt |
| All Other Contributions | $291,296 | AllOtherContributionsAmt |
| Total Contributions | $407,741 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Dietary | 722514 | $40,998 | $40,998 |
| Medical Office Rentals | 531120 | $4,142,140 | $4,142,140 |
| Other Revenue | 900099 | $2,239,752 | $2,239,752 |
| Patient Care Services | 900099 | $168,930,036 | $168,930,036 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $175,352,926 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,943,291 | TotalRevenueColumnAmt |
| Exclusion | $4,943,291 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $577,401 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $577,401 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $577,401 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $577,401 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $22,140 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $116,445 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $35,006 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$12,866 | TotalRevenueColumnAmt |
| Exclusion | -$12,866 | ExclusionAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $60,867 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $15,272 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,595 | TotalRevenueColumnAmt |
| Exclusion | $45,595 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $181,314,088 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $175,930,327 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $4,976,020 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,134 | TotalAmt |
| Program Services | $51,134 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,834,084 | TotalAmt |
| Program Services | $58,428,845 | ProgramServicesAmt |
| Management And General | $2,405,239 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,447,206 | TotalAmt |
| Program Services | $2,390,879 | ProgramServicesAmt |
| Management And General | $56,327 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,727,951 | TotalAmt |
| Program Services | $11,270,448 | ProgramServicesAmt |
| Management And General | $457,503 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,369,357 | TotalAmt |
| Program Services | $4,263,505 | ProgramServicesAmt |
| Management And General | $105,852 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $286,070 | TotalAmt |
| Program Services | $61,343 | ProgramServicesAmt |
| Management And General | $224,727 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $327,695 | TotalAmt |
| Program Services | $98,467 | ProgramServicesAmt |
| Management And General | $229,228 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,100 | TotalAmt |
| Program Services | $5,100 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,397,303 | TotalAmt |
| Program Services | $6,326,162 | ProgramServicesAmt |
| Management And General | $71,141 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,904 | TotalAmt |
| Program Services | $15,804 | ProgramServicesAmt |
| Management And General | $100 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,113,211 | TotalAmt |
| Program Services | $816,552 | ProgramServicesAmt |
| Management And General | $296,484 | ManagementAndGeneralAmt |
| Fundraising | $175 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,479,018 | TotalAmt |
| Program Services | $1,460,493 | ProgramServicesAmt |
| Management And General | $18,525 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,372,720 | TotalAmt |
| Program Services | $6,758,372 | ProgramServicesAmt |
| Management And General | $614,348 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,026 | TotalAmt |
| Program Services | $115,904 | ProgramServicesAmt |
| Management And General | $88,122 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,870 | TotalAmt |
| Program Services | $68,900 | ProgramServicesAmt |
| Management And General | $7,970 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,715,837 | TotalAmt |
| Program Services | $1,661,229 | ProgramServicesAmt |
| Management And General | $54,608 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,343,641 | TotalAmt |
| Program Services | $7,333,192 | ProgramServicesAmt |
| Management And General | $10,449 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Purchased Services | $30,775,220 | $5,638,382 | $25,136,838 |
| Patient Care Supplies | $29,314,592 | $29,314,592 | |
| Quality Assurance | $4,170,000 | $4,170,000 | |
| Revenue Cycle Fees | $2,806,190 | $2,806,190 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,435,150 | TotalAmt |
| Program Services | $1,163,543 | ProgramServicesAmt |
| Management And General | $271,607 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,268,279 | TotalAmt |
| Program Services | $141,412,846 | ProgramServicesAmt |
| Management And General | $32,855,258 | ManagementAndGeneralAmt |
| Fundraising | $175 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,851 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,883,987 | BOYAmt |
| EOY | $127,284,724 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,721 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,485,276 | BOYAmt |
| EOY | $23,104,212 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,738,746 | BOYAmt |
| EOY | $3,097,301 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $581,064 | BOYAmt |
| EOY | $740,423 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $226,614,187 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $119,124,465 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,569,823 | BOYAmt |
| EOY | $107,489,722 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,460,040 | BOYAmt |
| EOY | $3,840,846 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,320,192 | BOYAmt |
| EOY | $5,776,138 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,546,637 | BOYAmt |
| EOY | $6,580,428 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $287,745,337 | BOYAmt |
| EOY | $277,913,794 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,254,978 | BOYAmt |
| EOY | $14,776,010 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,224 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,408,507 | BOYAmt |
| EOY | $71,323,442 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,687,709 | BOYAmt |
| EOY | $86,099,452 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,396,019 | BOYAmt |
| EOY | $190,245,331 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,661,609 | BOYAmt |
| EOY | $1,569,011 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $185,057,628 | BOYAmt |
| EOY | $191,814,342 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $287,745,337 | BOYAmt |
| EOY | $277,913,794 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $7,045,809 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$289,095 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $10,529 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,529 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1i - Other Activities Description | FormAndLineReferenceDesc |
| Explanation | The organization belongs to industry and professional associations for which a portion of the membership dues is used for lobbying activities. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,863,057 | BeginningYearBalanceAmt |
| Contributions | $324,479 | ContributionsAmt |
| Investment Earnings Or Losses | -$246,558 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $198,056 | GrantsOrScholarshipsAmt |
| Other Expenditures | $173,911 | OtherExpendituresAmt |
| End Year Balance | $1,569,011 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,519,910 | BeginningYearBalanceAmt |
| Contributions | $1,047,178 | ContributionsAmt |
| Investment Earnings Or Losses | $336,258 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,040,289 | OtherExpendituresAmt |
| End Year Balance | $1,863,057 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,222,255 | BeginningYearBalanceAmt |
| Contributions | $231,143 | ContributionsAmt |
| Investment Earnings Or Losses | $158,762 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,092,250 | OtherExpendituresAmt |
| End Year Balance | $5,519,910 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,631,562 | BeginningYearBalanceAmt |
| Contributions | $1,172,425 | ContributionsAmt |
| Investment Earnings Or Losses | $95,798 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $677,530 | OtherExpendituresAmt |
| End Year Balance | $7,222,255 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,501,763 | BeginningYearBalanceAmt |
| Contributions | $2,615,477 | ContributionsAmt |
| Investment Earnings Or Losses | -$148,137 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $337,541 | OtherExpendituresAmt |
| End Year Balance | $6,631,562 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | false | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,840,806 | OtherCostOrOtherBasisAmt |
| Book Value | $27,840,806 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $329,073 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $156,209,651 | OtherCostOrOtherBasisAmt |
| Depreciation | $86,082,115 | DepreciationAmt |
| Book Value | $70,456,609 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $924,248 | OtherCostOrOtherBasisAmt |
| Depreciation | $805,754 | DepreciationAmt |
| Book Value | $118,494 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,406,856 | OtherCostOrOtherBasisAmt |
| Depreciation | $28,379,205 | DepreciationAmt |
| Book Value | $7,027,651 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,903,553 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,857,391 | DepreciationAmt |
| Book Value | $2,046,162 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $107,489,722 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Cancer Center LLC | Desc |
| Book Value | $5,776,138 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Annuities Payable | $1,656,584 |
| Deferred Workers Comp | $1,857,556 |
| Other Liabilities | $159,749 |
| Payables to Related Organizations | $67,649,553 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $71,323,442 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: Intended uses of the endowment fund. | Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended. |
| Part X : FIN48 Footnote | The System recognizes tax benefits from any uncertain tax positions only if it is more-likely-than-not the tax position will be sustained, based solely on its technical merits, with the taxing authority having full knowledge of all relevant information. The System records a liability for unrecognized tax benefits from uncertain tax positions as discrete tax adjustments in the first interim period the more-likely-than-not threshold is not met. The System recognizes deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of its assets and liabilities along with net operating loss and tax credit carryovers only for tax positions that meet the more-likely-than-not recognition criteria. At December 31, 2019 and 2018, no such assets or liabilities were recorded.The System currently files Form 990 (informational return of organizations exempt from income taxes) and form 990-T (business income tax return for an exempt organization) in the U.S. federal jurisdiction and the state of California. The System is not subject to income tax examinations prior to 2015 in major tax jurisdictions. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | false | AgrmtProfFundraisingActyInd |
| Licensed States | CA | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Golf Tournament | Event1Nm |
| Gross Receipts Event1 | $138,585 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $116,445 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $22,140 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $4,974 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $9,604 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $20,428 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $138,585 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $116,445 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $22,140 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $4,974 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $9,604 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $20,428 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $35,006 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$12,866 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,056,303 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,056,303 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00610 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,334,767 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,439,512 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,895,255 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02240 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,391,070 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,439,512 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,951,558 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02850 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $773,845 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $68,261 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $705,584 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $187,209 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $187,209 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,734,659 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,620,345 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,114,314 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00640 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,965 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $28,965 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,724,678 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,688,606 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,036,072 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01170 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,115,748 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,128,118 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,987,630 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04020 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $147,863 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,590 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $145,273 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $147,863 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,590 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $145,273 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,291,764 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $203,719 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $32,504,526 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $32,001,139 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $503,387 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| Castle Ambulatory Surgery | ||
| Outpatient surgery center | 0.66415 | 0.33585 |
| The Cancer Center of Hawaii | ||
| Outpatient cancer center | 0.25000 | 0.30000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Castle Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 640 Ulukahiki St | AddressLine1Txt |
| City | Kailua | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96734 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.adventisthealth.org/castle | WebsiteAddressTxt |
| State License | 120006 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Sch H Part VI - Needs Assessment | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | See Sch H Part VI - Needs Assessment | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Sch H Part VI - Needs Assessment | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Sch H Part VI - Patient Education | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Sch H Part VI - Patient Education | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Sch H Part VI - Patient Education | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Facility: - Part V, Section B, Line 5 | The 2019 CHNA data collection process can be summarized as follows: 1. review of prior CHNA reporting efforts; 2. Collection of most recently available demographic, socioeconomic and health indicator data. 3. Data gathering from community membersSteering Committee: A steering committee was formed to: a) advise Islander Institute on the factors that impact health in Hawaii and the different communities affected; b) participate in or help plan community engagement; and c) provide input and analysis in the development of findings. The committee included a number of willing participants from HAH and member facilities, and provided an opportunity for them to forge new relationships and shared understandings that will hopefully benefit the future implementation phases of this CHNA. The steering committee met a total of three times in 2018 on May 21, July 27, and September 19. In between meetings, steering committee members were called on for advice and for help in making community connections. Some attended community meetings, and some planned and facilitated meetings based on their own relationships with groups.Community Meetings: Islander Institute convened 21 community meetings in total to engage everyday people in discussions around health in their communities. A specific effort was made to learn about the experience of health in vulnerable communities, including disadvantaged minorities, rural residents, youth, seniors, places that are medically underserved, and people with low incomes. The meetings were not limited to these populations and included a diverse sample of geographies, ages, ethnicities, and socioeconomic backgrounds. Special attention was given to ensure the meetings were not merely extracting information from people and communities. Rather, the purpose of the meeting.Key Informant Interviews: Islander Institute created an initial list of people who could shed light on questions of health, social determinants, and the circumstances in various communities. The initial list included experts and authorities with whom Islander Institute had existing relationships based on its many years of working in Hawaii. Throughout the months of conversations, people suggested others to talk to and helped make connections. In total, Islander Institute spoke with roughly 200 people from six islands in person or over the phone, in a one-on-one format or in small groups, and in formal or informal settings. Among the key informants, Islander Institute also met with representatives of each of the 19 participating hospital facilities to best understand their engagement with the CHNA and the communities they serve. These conversations helped illuminate interests, capacities, and missions of each facility and shed light on limitations and uses of previous CHNAs and the potential for this CHNA. Additionally, Islander Institute obtained the informant interview notes from the past two CHNAs, reviewed them, and incorporated those views that were still timely into this process.Secondary data used for the CHNA was used in context with data collected from sources above. Some core county-level data is presented through the community lens that was developed from community conversations and key informant feedback. Additionally, administrators of the CHNA used data from Hawaii Health Matters, Data USA, HealthLandscape, and Community Commons. |
| Facility: - Part V, Section B, Line 6a | Nineteen HAH member hospitals contributed to the production of this CHNA.The names of those hospitals follow: Adventist Health Castle, Kahi Mohala, Kahuku Medical Center, Kaiser Foundation Hospital Honolulu, Kapiolani Medical Center for Women & Children, Kuakini Medical Center, Kula Hospital, Lanai Community Hospital, Maui Memorial MedicalCenter, Molokai General Hospital, North Hawaii Community Hospital, Pali Momi Medical Center, The Queens Medical Center, The Queens Medical Center West Oahu, Rehabilitation Hospital of the Pacific, Shriners Hospitals for Children Honolulu, Straub Medical Center, Wahiawa General Hospital, and Wilcox Medical Center. |
| Facility: - Part V, Section B, Line 11 | Adventist Health Castle Medical Center identified the following areas of significant needs in the 2016 CHNA: diabetes and access to health care. The main goal was to improve the overall health and wellness of our communities through provision of services, community collaboration and innovation. Priority Need 1 - Diabetes Adventist Health Castle saw the A1C improvement of 1.24 in 2019 from 1.05 in 2018. Average weight loss was 5.7 pounds in 2019, which is a decrease from 6.6 pounds in 2018. We continued to have a focus of increasing A1C compliance along with controlling blood pressure. In 2019, we had 79% compliance with our patients with A1C.Interventions:1. The Wellness and Lifestyle Medicine Center receives referrals for children, adolescents, and adults diagnosed with obesity and/or diabetes. On a continual basis throughout the year, a morning and evening 5-week Self-Management Education Diabetes Program class was offered. Number of Community Members Served: 1,166 diabetic patient encounters were served in our American Association of Diabetes Educators accredited program 2. Increasing awareness and participation in self-management education: We reached out to our community to encourage enrollment in the Self-Management Education Diabetes Program where participants learn to adopt healthy behavior changes. We also encourage family referrals. As way of serving the community and creating greater awareness of the services available, we participated in community events including Veg Fest, I Love Kailua Town Party, and Convoy of Hope. At Convoy of Hope, 1,319 people were provided health services over the course of a single day. In late 2019, we revised our referral forms so physicians may select to have medical management for their patients by our Nurse Practitioner who is a Certified Diabetes Educator. In 2019, we expanded access to classes beyond Kailua to include a Kaneohe location throughout the year. Having more than one location has been well received, and we will continue to have classes in both the Kailua and Kaneohe locations. Number of Community Members Served: 254 unique patients. Our 2019 goal was to increase from a completion rate of 87% to a 90% completion rate and we successfully had a completion rate of 91% with at least 300 unique patients.3. We mailed a post card to community residential addresses and have received a positive response from patients who directly want to enroll in classes. We are continuing this communication on a quarterly basis. Number of Community Members Served: 55,000 homes every quarter.4. Our social media presence expanded by 80% on Instagram (IG) and Facebook #castlewellnesshawaii to reach new and existing participants. Number of Community Members Served: from 350 followers in 2018 to 640 followers in 2019 with a goal of 1,0005. As of October 2017, we hired a Certified Diabetes Educator (CDE) who is a Nurse Practitioner (NP) and she receives referrals for all diabetes and pre-diabetes patients inpatient and outpatient. The CDE/NP establishes an introduction between the patient and his/her family with our diabetes program, and as of 2019 a clinic follow-up appointment with the NP is scheduled at bedside before the patient returns home. This real time scheduling has decreased the barrier of delayed education post hospital discharge. Additionally, before the patient leaves the hospital, the NP is prescribed a glucometer, learns how to use the glucometer, and given a glucose food log. For the patient, education begins bedside and there is a bridge to outpatient education. Number of Community Members Served: 1,258 diabetes patientsPriority Need 2 - Access to Care Castle Health Group has had a focus on access and worked with physician members to expand office hours including evenings and weekend hours. This has been very successful and allowed community members to seek care outside of their normal working hours. We have also partnered with local Urgent Cares to ensure notes on patients are sent to the primary care providers to coordinate care. In 2019, we had 26,696 Office visits throughout our clinics. By continuing to have same day access that we implemented in 2018, we have increased our visits by 6,282. Interventions:1. Added ENT, Cardiology, and Dental services to our Rural Health Clinic in Laie. Number of Community Members Served: 2,432 unique people were served in our Rural Health Clinic 2. Hired 1 Interventional Cardiologist to serve the Windward Community. Number of Community Members Served: 875 people served for same day visits.Priority Areas Not Addressed:The following 20 areas were identified as top health priority needs in our 2016 CHNA: access to health services, cancer, diabetes, disabilities, economy, education, environment, exercise, nutrition & weight, family planning, heart disease & stroke, immunizations & infectious diseases, injury prevention & safety, maternal, fetal & infant health, mental health & mental disorders, older adults & aging, oral health, respiratory diseases, social environment, substance abuse & lifestyle, and transportation.After investigating the twenty topic areas identified in the report, the CHNA committee followed an iterative process in which the focus was narrowed to increasingly fewer topics, each of which was investigated further to determine its fit with selection criteria. After internal discussion and consultation with community stakeholders, our CHNA committee chose diabetes and access to health care as our top community needs. |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Cancer Center of Hawaii Liliha | ||||
| 2226 Liliha Street Ste B2 | Honolulu | HI | 96817 | Cancer Center |
| Cancer Center of Hawaii Leeward | ||||
| 91-2135 Fort Weaver Rd Ste B-120 | Ewa Beach | HI | 96706 | Cancer Center |
| Windward Surgery Center | ||||
| 642 Ulukahiki Street Suite 200 | Kailua | HI | 96734 | Out Patient Surgery Center |
| Laboratory Services | ||||
| 46-001 Kamehameha Highway Suite 104 | Kaneohe | HI | 96744 | Laboratory Services |
| Castle Performance & Rehabilitation Center-Kailua | ||||
| 640 Ulukahiki St | Kailua | HI | 96734 | Physical Therapy |
| Castle Performance & Rehabilitation Center-Kaneohe | ||||
| 46-001 Kamehameha Highway Suite 301 | Kaneohe | HI | 96744 | Physical Therapy |
| Castle Professional Center Surgical Weight Loss Institute Ch | ||||
| 46-001 Kamehameha Highway | Kaneohe | HI | 96744 | Surgical Weight Loss Institute Child Development Center |
| Koolau Pharmacy | ||||
| 642 Ulukahiki Street Suite 101 | Kailua | HI | 96734 | Retail Pharmacy |
| Kaneohe Radiology | ||||
| 46-001 Kamehameha Highway Suite 104 | Kaneohe | HI | 96744 | Radiology |
| Castle Primary Care of Kailua | ||||
| 30 Aulike Street Suite 501 | Kailua | HI | 96734 | Primary Care |
| Castle Primary Care of Laie | ||||
| 55-510 Kamehameha Hwy | Laie | HI | 96762 | Rural Health Clinic |
| Castle Primary Care of Kaneohe | ||||
| 46-001 Kamehameha Hwy Suite 301 | Kaneohe | HI | 96744 | Primary Care |
| Castle Professional Center Pharmacy | ||||
| 46-001 Kamehameha Highway Suite 108 | Kaneohe | HI | 96744 | Pharmacy |
| Castle Primary Care of Kailua-2 | ||||
| 30 Auliki St Ste 303 | Kailua | HI | 96734 | Primary Care |
| Wellness and Lifestyle Medicine | ||||
| 642 Ulukahiki Street Suite 105 | Kailua | HI | 96734 | Wellness Center |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7 - Explanation of Costing Methodology | The costs were determined by using a cost-to-charge ratio. The cost-to-charge computation is based on hospital specific data included in the system-wide combined audited financial statements. The formula used for computation equals financial statement data as follows:(Total expenses - (Provision for bad debts + Other revenue + Interest income))/Gross patient charges) |
| Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense | Uncollected patient accounts are analyzed using written patient financial services policies that apply standard procedures for all patient accounts. The result of the analysis is what is recognized as bad debt expense. For example, all self-pay patients receive a discount. If the discounted account is unpaid after collection efforts, the unpaid balance is classified as bad debt. The cost-to-charge ratio is multiplied times the hospital's bad debt expense. The resulting figure has been reported as bad debts at cost on Part III, Line 2. |
| Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit | The portion of the bad debts attributed to charity care as reported on Part III, Line 3 was calculated by an independent third-party consulting firm. This is an estimate of additional charity care that would have been granted if patients had cooperated by furnishing family financial information. A statistically valid sampling of patient accounts written-off was evaluated. The evaluation used various factors to determine which patients would have been eligible for charity care. Had the hospital obtained sufficient information from all patients who qualified for financial assistance, these additional accounts would have been recorded as charity care instead of bad debt. |
| Part III, Line 4 - Bad Debt Expense | The system-wide combined audited financial statements do not contain a footnote describing bad debt expense. |
| Part III, Line 8 - Explanation Of Shortfall As Community Benefit | The Medicare cost report apportions the hospitals costs on the basis of inpatient days and ancillary and outpatient charges to establish the costing methodology.Healthcare delivery by hospitals is a complex, highly regulated business in the United States. Healthcare unit cost inflation is driven by compliance with ever-expanding regulatory requirements, shortages of highly skilled labor and evolving medical and information technology. The health care market basket is unrelated to that of the average individual consumer. Since the 1997 Balanced Budget Act, Medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that Medicare payments too many U.S. hospitals are well below the cost of providing care. These unreimbursed costs are a community benefit for seniors and others in the community as these individuals are continuing to receive care without which many would become dependent on other governmental resources such as Medicaid. The benefit to the community for healthier 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 $32,504,526Prior Year Settlements 2,940Cost Report Reimbursable Bad Debts 287,132Estimates and Accrual Variances 229,882Other 1,887,617 ___________Total Medicare Revenue $34,912,097*Note: The Medicare Cost Report Revenue includes the patient co-pay and deductible amounts, but not the bad-debt reimbursement. Adding the bad-debt reimbursement would have duplicated the revenue and deductible amounts. |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | When a patient has requested screening for charity care, the hospital must immediately cease collection activity and place the account in a charity pending status. If 100% charity is approved, the entire account balance is written off to charity care. If the patient has a sliding scale liability based on the federal poverty guidelines, they are billed only for that liability. If the patient fails to pay their after-charity liability, they are assigned to a collection agency with an identifier that indicates to the agency that the patient is "low income" and the following criteria must be followed by the agency: 1. They may not report the patient to a credit bureau 2. They may not file a lawsuit to recover the outstanding liability 3. They may not charge interest |
| Part VI, Line 2 - Needs Assessment | The hospital's 2019 CHNA, the 2020 Community Health Plan (CHP) Update for fiscal year 2019, and the 2020 Implementation Strategy are posted on the hospital's website at: https://www.adventisthealth.org/castle/about-us/community-benefit/The two most recent Community Health Needs Assessments, two most recent Implementation Strategy reports and the most recent Community Health Plan Updates are also available on the Adventist Health Corporate website athttps://www.adventisthealth.org/about-us/community-benefit/In addition to the CHNA, our hospital engages in a process of continuous quality improvement, focusing on questions such as: are our interventions making a difference in improving health outcomes; are we providing the appropriate resources in the appropriate locations; and how are we using technology to track our health improvements and provide relevant feedback at the local level? Building a healthy community requires multiple stakeholders working together with a common purpose. With that in mind, our hospital leadership serves on a variety of community boards and committees focused on addressing community-specific needs, allowing for ongoing responsiveness to the health care needs of the community and collaboration with local agencies and organizations, enabling maximum effectiveness through collective impact. |
| Part VI, Line 3 - Patient Education of Eligibility for Assistance | The plain language summary of the Financial Assistance Policy (FAP) is posted along with the complete FAP policy and FAP Application on the hospital's website at https://www.adventisthealth.org/documents/financial-assistance/ENG_PFS-112_Financial-Assistance-Policy.pdf. These documents are available in multiple languages.At the time of registration, patients who are uninsured and underinsured are provided information about government healthcare programs. Patients are also orally informed of their right to request charity assistance. Signs are displayed in the patient business office, patient registration areas and the emergency room in multiple languages informing patients of this right as well. The hospital also provides a brochure during the registration process that explains the hospital billing and collection procedures, and how to request financial assistance. In addition, every billing statement sent to patients contains information on how to request financial assistance. |
| Part VI, Line 4 - Community Information | O'ahu is a place of tourism and gentrification. It is a place where many cultures are able to practice their traditions and share them. It is a place of visible disparities between rich and poor, urban and rural, sheltered and unsheltered. It is a place of rural living where you know your neighbors and care for each other. It is a place of workplace stress, traffic and long commutes, sedentary lifestyles, poor sleep, and people locked in on their phones. It is a place of convenience, job opportunities, and healthcare accessibility for most. It is a place of commercial activity and material abundance. It is a place of connection to lo'i, fishponds, beaches, hiking, and fishing. A steady stream of development continues around rail, luxury condominiums, shopping centers, and suburban neighborhoods. Many feel policies regarding public areas are made for the safety and wellbeing of visitors first, thus exacerbating a crisis for houseless people in large part caused by a lack of sufficient affordable housing and insufficient services for those with mental illnesses. Care for houseless individuals, particularly those in urban Honolulu, falls primarily to government and nonprofits rather than appealing to a broader notion of all caring for all.The population on Oahu is 990,060, of which 1 in 10 at any given time are visitors. Of the population, 242,500 identify as Hawaiian. Almost one in four residents identifies as two or more races, which is much more than in the U.S. overall, and the largest single race group in Hawaii is Asian. 4500 residents of Oahu are homeless, 86,900 are living in poverty, 23,500 are children living in poverty and 21,800 are unemployed. Those living without health insurance number 37,600. 78,400 residents are identified as veterans. Oahus communitys highest needs include addressing mental and physical well-being for families, developing traffic solutions to reduce commute times, resisting gentrification and inequality of conditions exacerbated by development, and engaging the public in developing and implementing solutions for the houseless population. |
| Part VI, Line 4 - Community Building Activities | The hospital is involved in numerous community building activities which promote the health of the communities it serves. Numerous community concerns are addressed, including health improvement, education, poverty, workforce development and access to care. We also encourage our employees to serve on community collaboration boards, health advocacy programs, and physical improvement projects to promote the health of the communities we serve. In addition, we work with neighborhood programs, including schools, work sites and safety net providers to promote health and wellness and prevent disease. These activities are not included elsewhere on Schedule H. |
| Part VI, Line 5 - Promotion of Community Health | Our hospitals mission is, Living Gods love by inspiring health, wholeness and hope. Our community benefit work is rooted deep within our mission and merely an extension of our mission and service. We have also incorporated our community benefit work to be an integral component of improving the triple aim. The Triple Aim concept broadly known and accepted within health care includes:1) Improve the experience of care for our residents.2) Improve the health of populations.3) Reduce the per capita costs of health care.Our strategic investments in our community are focused on a more planned, proactive approach to community health. The basic issue of good stewardship is making optimal use of limited charitable funds. Defaulting to charity care in our emergency rooms for the most vulnerable is not consistent with our mission. An upstream and more proactive and strategic allocation of resources enables us to help low income populations avoid preventable pain and suffering; in turn allowing the reallocation of funds to serve an increasing number of people experiencing health disparities.Hospitals and health systems are facing continuous challenges during this historic shift in our health system. Given todays state of health, where cost and heartache is soaring, now more than ever, we believe we can do something to change this. These challenges include a paradigm shift in how hospitals and health systems are positioning themselves and their strategies for success in a new payment environment. This will impact everyone in a community and will require shared responsibility among all stakeholders. As hospitals move toward population health management, community health interventions are a key element in achieving the overall goals of reducing the overall cost of health care, improving the health of the population, and improving access to affordable health services for the community both in outpatient and community settings. The key factor in improving quality and efficiency of the care hospitals provide is to include the larger community they serve as a part of their overall strategy. Population health is not just the overall health of a population, but also includes the distribution of health. Overall health could be quite high if the majority of the population is relatively healthyeven though a minority of the population is much less healthy. Ideally such differences would be eliminated or at least substantially reduced.Community health can serve as a strategic platform to improve the health outcomes of a defined group of people, concentrating on three correlated stages:1) The distribution of specific health statuses and outcomes within a population; 2) Factors that cause the present outcomes distribution; and 3) Interventions that may modify the factors to improve health outcomes.Improving population health requires effective initiatives to: 1) Increase the prevalence of evidence-based preventive health services and preventive health behaviors, 2) Improve care quality and patient safety, and 3) Advance care coordination across the health care continuum. We will work together with our community to ensure the community health improvements are identified and then targeted for programs to influence behaviors to obtain improved health within the whole community. |
| Part VI, Line 6 - Affilated Health Care System | The hospital is a member of Adventist Health, 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 can provide support through remote services such as telepharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk management, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate administrative support for hospital affiliated medical groups that engage physicians through employment or other contracts. This provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communities served by all member hospitals. |
| Part VI - Additional Information | Part III Other Community Benefits1. Providing tobacco treatment counseling to 115 participants who were primarily low-income, low-education, or unemployed (important, vulnerable groups who have higher tobacco use prevalence and may face additional barriers to quitting tobacco).2. The Center provides inspiration, and behavior change skills to help participants build a healthy, body, mind, and spirit through programs including tobacco cessation, therapeutic massage, nutrition counseling, monthly cooking demonstrations called Eat Well for Life, and free monthly speaker series called In Sickness & In Health. Number of Community Members Served: 195 nutrition encounters.3. 9 different types of fitness classes with 15 classes per week year including beginning/easy classes such as yoga and pulmonary fitness and moderate level intensity activity. Number of Community Members Served: 9,114 fitness contacts4. The Wellness Center receives referrals for children and adolescents diagnosed with obesity or diabetes. Healthy Weight and Your Child is a family-based program provided in a partnership with YMCA and Hawaii Pacific Health. This 25-session program focuses on healthy eating, physical activity, confidence building, and stronger family connections. Number of Community Members Served: 625 encounters to families 5. We partnered with the University of Hawaii to provide a free skill building class centered on teaching basic nutrition, meal planning, food safety, budgeting, along with some physical activity. Number of Community Members Served: 80 encounters6. In our fifth year partnering with the Boys and Girls Club of Kailua, Castle provided resiliency training to middle school girls. Number of Community Youth Members served: 88 encounters 7. Castle continues to offer massages provided by licensed massage therapists to our associates and the community.8. 9 different community support groups (Alzheimers caregivers, Grief Support, Hospice, Mamma Hui, National Association for Mental Illness, Parkinsons, Pulmonary Fibrosis, Tobacco Cessation) met regularly. Number of Community Members Served: 957 9. The Aloha Kidney Class, taught by nephrologist Ramona Wong, M.D., served individuals who have stage 3, 4, or 5 chronic kidney disease but who are not on dialysis. Number of Community Members Served: 112 individuals10. We hold free education seminars called In Sickness in Health and cooking classes Eat Well for Life. Number of Community Members Served: 417 educational seminar encounters and 11 cooking classes with 342 cooking encounters |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | First Assembly of God dba Con | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3400 Moanalua Rd | AddressLine1Txt |
| City | Honolulu | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96819 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 990079322 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $10,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Valuation Method Used | Funds Transfer | ValuationMethodUsedDesc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Additional Supplemental Information | FormAndLineReferenceDesc |
| Explanation | Grants are donations made to US tax exempt organizations, Government Entities and Civic organizations who are community partners, known to us, and present a valid purpose for their donation request. It is anticipated that no further monitoring is required. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Anderson Erik | ||||||||||||
| Patient Care Executive | $176,369 | $4,800 | $29,303 | $9,300 | $26,126 | $245,898 | ||||||
| Ashlock Ryan | ||||||||||||
| Operations Exec | $281,034 | $18,077 | $56,579 | $14,905 | $32,574 | $403,169 | ||||||
| Cheung Alan | ||||||||||||
| VP/Admin Director, Medical Officer | $254,702 | $254,702 | ||||||||||
| Clegg Travis | ||||||||||||
| Former VP Operations | $45,191 | $71,772 | $11,182 | $3,449 | $131,594 | |||||||
| Jobe Meredith | ||||||||||||
| Secretary | $524,870 | $65,461 | $140,054 | $16,782 | $29,127 | $776,294 | ||||||
| Koyanagi Chad | ||||||||||||
| Psychiatrist | $274,980 | $10,000 | $13 | $284,993 | ||||||||
| Lee Adam | ||||||||||||
| Dir Marketing & Comm, PNR | $138,323 | $6,428 | $32,449 | $177,200 | ||||||||
| Matsukawa Robin | ||||||||||||
| Physician | $248,775 | $27,375 | $26,957 | $314,067 | $10,960 | |||||||
| Newmyer Joyce | ||||||||||||
| President, PNR | $706,207 | $125,111 | $40,644 | $16,782 | $36,952 | $925,696 | ||||||
| Raethel Kathryn | ||||||||||||
| President | $462,272 | $59,396 | $180,616 | $16,782 | $31,776 | $750,842 | ||||||
| Reiner Scott | ||||||||||||
| Dir/Chair | $1,510,024 | $420,315 | $65,357 | $16,782 | $36,952 | $2,049,430 | ||||||
| Reppert Joseph | ||||||||||||
| A/Sec thru 8/19 | $581,409 | $187,572 | $440,088 | $16,782 | $40,783 | $1,266,634 | ||||||
| Rippey Wesley | ||||||||||||
| Regional Medical Officer, PNR | $419,231 | $42,380 | $97,477 | $23,415 | $582,503 | |||||||
| Thordarson Heidar | ||||||||||||
| Treasurer/A Sec | $261,986 | $23,913 | $34,687 | $16,164 | $20,634 | $357,384 | ||||||
| Tsai Joseph Chiu Shung | ||||||||||||
| Physician | $216,236 | $41,712 | $12,706 | $287,070 | $16,416 | |||||||
| Villarreal Enrique | ||||||||||||
| Psychiatrist | $297,032 | $7,526 | $305,157 | $599 | ||||||||
| Voshell Shane | ||||||||||||
| Reg HR Dir, PNR | $198,696 | $27,119 | $38,215 | $14,348 | $41,857 | $320,235 | ||||||
| Wagner Jack | ||||||||||||
| Former Asst Secr | $778,475 | $29,189 | $807,664 | |||||||||
| Welch Donald | ||||||||||||
| Finance Officer, PNR | $412,260 | $66,318 | $117,855 | $16,782 | $36,952 | $650,167 | ||||||
| Westphal Laura | ||||||||||||
| Former PCE | $163,259 | $23,769 | $40,225 | $15,238 | $4,446 | $246,937 | ||||||
| Wing Bill | ||||||||||||
| Dir/A Sec/CFO | $1,200,390 | $318,717 | $53,147 | $16,782 | $29,801 | $1,618,837 | ||||||
| Yong Clara | ||||||||||||
| Physician | $208,000 | $44,085 | $19 | $268,928 | $16,224 | $600 | ||||||
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Linda Henry | |||
| Key EE Sister | $65,157 | Employment | false |
| Mark Ashlock | |||
| Key EE Father | $998,293 | Employment | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part V Supplemental Information | FormAndLineReferenceDesc |
| Explanation | Additional information regarding interested persons listed above:1. Linda Henry is the sister of Former Adventist Health board member and current Key Employee, Wesley Rippey.2. Mark Ashlock is the father of Key Employee, Ryan Ashlock. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | The Hospital is organized as a religious corporation and operates as a not-for-profit hospital. The sole corporate member is Adventist Health System/West, a California not-for-profit public benefit corporation that operates as a public charity. The Hospital operates as an affiliate of Adventist Health System/West. |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | The Hospital Bylaws define its Board of Directors to be the same individuals who are members of the Adventist Health System/West Board of Directors. |
| Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders | The sole corporate member, Adventist Health System/West, must approve all changes to the articles of incorporation and bylaws. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | This Form 990, including all supporting schedules, was prepared by a public accounting firm, reviewed by the System Controller and market Finance Officer, and shared by electronic communication with the corporation's Board of Directors prior to filing. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital officers, key employees and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation, to illustrate examples of a conflict and to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the CEO immediately.The Corporate General Counsel distributes, collects, and reviews for signatures the COIs for all applicable Corporate employees and the board. In addition, the hospital's administration is responsible for keeping record to ensure all hospital-based individuals with director and above positions have submitted their COIs. The Corporate General Counsel reviews all the disclosures on the board and Corporate employees' COIs. Corporate General Counsel retains the COIs for the board members. The officers and key employees' COIs are kept in their personnel files. Further inquiries on any potential significant conflicts are made as needed. Conflicts are documented and reviewed with the Board. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | The hospital board of directors has established a Compensation Committee to overseethe executive compensation program. This committee is composed of independentdirectors with no conflicts of interest. The committee performs the followingfunctions: recommends a total compensation philosophy to the board; assurescompliance with the board-approved philosophy; meets annually to reviewcomparability data from outside consultants; recommends any adjustments to currentexecutive compensation, including salary ranges for hospital CEOs and CFOs, that would be indicated by the data; evaluates executive performance against annualgoals; recommends appropriate incentive awards to the board for approval; follows adiligent process that meets regulatory requirements for a rebuttable presumption ofreasonableness; records committee deliberations and decisions in timely minutes;selects, engages and supervises any consultant hired to advise and providecomparability data.The board-approved executive compensation philosophy specifies that salary ranges will be established for hospital CEOs and executives, with midpoints aligned with the 50th percentile of comparable system hospital data, and having a 50 percent spread from minimum to maximum. A hospital CEO has a maximum potential incentive of 30 or 35 percent of base salary based upon size and scope of hospital. (Incentive potential is industry norm) Other hospital executives have a maximum potential incentive of 25 to 30 percent of base salary. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | See Line 15b explanation. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | The hospital does not make its governing documents publicly available, beyond required filings of articles of incorporation with the secretary of state. The hospital does not make its conflict of interest policy publicly available. The hospital files annual summary financial reports with the state health-planning agency. |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Change in minority interest = -$65885 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Change in value of split-interest agreements = -$246558 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Net Assets Released fr Restrictions = -$309208 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Net Assets Released From Restrictions = $29953 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Other Adjustments = $21294 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Restricted Gifts & Grants = $324479 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Transfer to related entity = -$43170 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Crestview Property LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 640 Ulukahiki St | AddressLine1Txt |
| City | Kailua | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96734 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 050574476 | EIN |
| Primary Activities | Real propety holding | PrimaryActivitiesTxt |
| Legal Domicile State | HI | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Adventist Health SystemWest | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 953484589 | Integrated Health System | CA | 501(c)(3) | 10 | NA | false |
| Adventist Health Clearlake Hospital Inc | ||||||||||
| 15630 18th Ave | Clearlake | CA | 95422 | 680395149 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Adventist Health Medical Center Tehachap | ||||||||||
| 1100 Magellan Drive | Tehachapi | CA | 93561 | 812240617 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Adventist Health Physicians Network | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 680357690 | Medical Foundation | CA | 501(c)(3) | 12b2 | Adventist Health SystemWest | false |
| Adventist Health So CA Medical Fdtn | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 954424391 | Discontinued Operations | CA | 501(c)(3) | 12b2 | Adventist Health SystemWest | false |
| Feather River Hospital | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 941101228 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Fremont-Rideout Health Group | ||||||||||
| 989 Plumas Street | Yuba City | CA | 95991 | 942917251 | Acute Care Hospital | CA | 501(c)(3) | 12b2 | Stone Point Health | false |
| Glendale Adventist Medical Center | ||||||||||
| 1509 Wilson Terrace | Glendale | CA | 91206 | 951816017 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Hanford Community Hospital | ||||||||||
| 115 Mall Drive | Hanford | CA | 93230 | 940535360 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Lodi Memorial Hospital Association Inc | ||||||||||
| 975 S Fairmont Avenue | Lodi | CA | 95240 | 941044474 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Northwest Medical Fdtn of Tillamook | ||||||||||
| 1000 Third Street | Tillamook | OR | 97141 | 930622075 | Hospital | OR | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Paradise Valley Hospital | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 951816034 | Discontinued Operations | CA | 501(c)(3) | 1 | Adventist Health SystemWest | false |
| Portland Adventist Medical Center | ||||||||||
| 10123 SE Market Street | Portland | OR | 97216 | 930429015 | Hospital | OR | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Reedley Community Hospital | ||||||||||
| 372 Cypress Avenue | Reedley | CA | 93654 | 453220509 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Rideout Memorial Hospital | ||||||||||
| 989 Plumas Street | Yuba City | CA | 95991 | 941387866 | Acute Care Hospital | CA | 501(c)(3) | 3 | Fremont-Rideout Health Group | false |
| St Helena Hospital | ||||||||||
| 10 Woodland Road | St Helena | CA | 94574 | 941279779 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| San Joaquin Community Hospital | ||||||||||
| 2615 Chester Avenue | Bakersfield | CA | 93301 | 952294234 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Simi Valley Hospital & Health Care Svc | ||||||||||
| 2975 N Sycamore Drive | Simi Valley | CA | 93065 | 956064971 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Sonora Community Hospital | ||||||||||
| 1000 Greenley Road | Sonora | CA | 95370 | 941415069 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Stone Point Health | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 823763347 | Supporting organization | CA | 501(c)(3) | 12b2 | Adventist Health SystemWest | false |
| Ukiah Adventist Hospital | ||||||||||
| 275 Hospital Drive | Ukiah | CA | 95482 | 941639901 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| United Com-Serve | ||||||||||
| 989 Plumas Street | Yuba City | CA | 95991 | 943015356 | Skilled Nursing/Asstd Living/Home Health | CA | 501(c)(3) | 12b2 | Fremont-Rideout Health Group | false |
| Walla Walla General Hospital | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 910617726 | Hospital | WA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Western Health Resources | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 953867863 | Home Care | CA | 501(c)(3) | 10 | Adventist Health SystemWest | false |
| White Memorial Medical Center | ||||||||||
| 1720 Cesar E Chavez Avenue | Los Angeles | CA | 90033 | 952282647 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Willits Hospital Inc | ||||||||||
| 1 Marcela Drive | Willits | CA | 95490 | 680108919 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Adventist Health Delano | ||||||||||
| PO Box 460 | Delano | CA | 93216 | 770258013 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Adventist Health Tulare | ||||||||||
| 869 North Cherry Street | Tulare | CA | 93274 | 832351753 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Castle Ambulatory Surgery Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 640 Ulukahiki St | AddressLine1Txt |
| City | Kailua | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96734 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261390010 | EIN |
| Primary Activities | OP Surg Cnt | PrimaryActivitiesTxt |
| Legal Domicile State | HI | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Share Of Total Income | -$217,098 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $947,640 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0.66415 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | South Coast Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 619135 | AddressLine1Txt |
| City | Roseville | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95661 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952037291 | EIN |
| Primary Activities | Wind down after sale of hospital | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AHSWest | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C-Corp | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Adventist Health SystemWest | ||
| e | $67,649,553 | Notes Payable |
| Adventist Health SystemWest | ||
| o | $1,411,462 | Compensation |
| Adventist Health SystemWest | ||
| p | $26,113,639 | Operating Exp |
| Adventist Health SystemWest | ||
| s | $16,087,688 | Cash Mgt Funds |