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      <PersonNm>Colleen Duncan</PersonNm>
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      <SignatureDt>2020-10-15</SignatureDt>
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    <BuildTS>2021-01-29 14:40:06Z</BuildTS>
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      <Desc>Inpatient Care: In 2019 Oroville Hospital provided 48,429 days of care for 13,889 patients. There were 2,044 surgeries, 1,202,899 lab tests, and 24,020 medical images performed. 448 babies were delivered to the people of Oroville and the surrounding foothill communities.</Desc>
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        <Desc>Oroville Hospital also provides a variety of outpatient Medical Imaging services, including a Women's Imaging Center and a Radiation Oncology Center. It has Outreach Laboratory Services, Home Health Services, Ambulatory Services, and Outpatient Surgery. Oroville Hospital had 170,834 outpatient visits, 8,151 Home Health visits and performed 3,896 outpatient surgeries in 2019.</Desc>
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      <TotalBookValueLandBuildingsAmt>77578738</TotalBookValueLandBuildingsAmt>
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        <BookValueAmt>1227084</BookValueAmt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Rounding</Desc>
        <Amt>1</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>FASB ASC 740, Income Taxes,clarifies the accounting for uncertainty in income taxes recognized in the Hospitals financial statements and prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken, or expected to be taken, in a tax return. In addition, FASB ASC 740 provides guidance on derecognition, classification, interest and penalties, accounting in interim periods, disclosure, and transition. The Hospital presently recognizes income tax positions based on managements estimate of whether it is reasonably possible that a liability has been incurred for unrecognized income tax effects by applying FASB ASC 450, Contingencies.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>Non Op Revenue $5671196</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>Non Op Expenses $229648</ExplanationTxt>
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        <StrategyWebsiteURLTxt>www.orovillehospital.com</StrategyWebsiteURLTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: Oroville Hospital - Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>Methodology of the Community Health Needs AssessmentPrimary data was collected from the following sources and methods:1. Together We Can! Healthy Living in Butte County Community HealthAssessment (CHA) SurveyA Community Health Assessment Survey was developed by the Together WeCan! Healthy Living in Butte County collaboration to gain insight into issues that affect the health of those living and working in Butte County. The survey consisted of 47 questions. Participation in the survey was voluntary, and care was taken to ensure that respondents answers were confidential in accordance with laws pertaining to privacy of personal and protected health information. The survey was made available in English, Spanish and Hmong; and in both paper and electronic formats for each language. For the purpose of this CHNA,participant surveys from the Oroville Hospital primary service area werestratified and analyzed. A total of 170 surveys were completed. Data analysis was completed by the California State University, Chicos Center for Healthy Communities (CHC).2. Focused ConversationsTogether We Can! Healthy Living in Butte County conducted focusedconversations to collect input from community members all over Butte County.Three focus groups were conducted throughout the Oroville community, targeting the medically underserved, low-income and minority populations. The first focus group was located at the African American Family and Cultural Center and had a total of 12 participants. The second focus group was located at the Feather River Senior Center and had a total of 51 participants. The last focus group was at the Hmong Cultural Center of Butte County and had a total of 10 participants.A fourth focus group had been planned to target the business owners and community leaders from throughout the primary medical service area, but due to a lack of participation, the focus group was canceled.3. Follow-Up Focused ConversationsFocused conversation guidelines were prepared by the CHC and adapted from Together We Can! Healthy Living in Butte County. In addition to focus gropus that of which targeted a specific population, Oroville Hospital also hosted a Community Meeting that was open to the general public. Invitations were sent out to all residents living within Oroville Hospitals primary medical service area. A total of 45 participants were present at the meeting.Secondary DataSecondary data was retrieved and compiled from local, state, national and other data resources. Local sources included Butte County Department of Public Health,Butte County Coroners Office and Butte County-wide Homeless Continuum of Care.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: Oroville Hospital - Part V, Section B, Line 16j</FormAndLineReferenceDesc>
        <ExplanationTxt>Office of Statewide Health Planning and Development Website</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: Oroville Hospital - Part V, Section B, Line 20e</FormAndLineReferenceDesc>
        <ExplanationTxt>Our hospital does not pursue collection of amounts from patients determined to qualify for charity care.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: Oroville Hospital - Part V, Section B, Line 22d</FormAndLineReferenceDesc>
        <ExplanationTxt>The amounts charged and the collection policies are the same for all of our patients. After a patient meets the qualifications for financial assistance, the account balance is either partially or entirely written off.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7 - Explanation of Costing Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>The costs were determined using a cost-to-charge ratio. The cost-to-charge computation is based on hospital specific data included in the audited financial statements. The formula used for the computation equals financial statement data as follows: Total Operating Expense less the sum of Non Patient Care Activities, Mcal Provider Taxes and Total Community Benefit &amp; Building Expense. This amount is then divided by the Gross Patient Care Charges reduced by charges for Community Benefit Programs. The ratio for 2019 equaled 28.88%.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluation and the specific circumstances of the account. Ratios are determined from those actual historical collection experiences and applied to outstanding receivables. Payments on patients accounts reduce the outstanding receivables. Discounts on patients accounts are recorded as an adjustment to revenue, not bad debt expense.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 3 - Methodology of Estimated Amount &amp; Rationale for Including in Community Benefit</FormAndLineReferenceDesc>
        <ExplanationTxt>It is our belief that $2,627,860 amount of bad debt should be included as community benefit. As a tax-exempt hospital we must provide necessary services regardless of the patient's ability to pay for the service provided. As a not-for-profit, patient care is provided to all, regardless of ability to pay for that care. Making quality patient care available to all in our community, regardless of their economic means, qualifies bad debts as a community benefit. We applied a percentage based on our historical experiences to our total amount of bad debt for self-pay patients to estimate the portion of self-pay bad debt that is likely attributable to individuals eligible for the hospital's financial assistance policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4 - Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>Patient Accounts Receivable The Hospital reports patient accounts receivable for services rendered at net realizable amounts from third-party payors, patients, and others. The Hospital provides an allowance for doubtful accounts based upon a review of outstanding receivables, historical collection information, and existing economic conditions. As a service to the patient, the Hospital bills third-party payors directly and bills the patient when the patient's liablility is determined. Patient accounts receivable are due in full when billed. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account. No interest is charged to patients for delinquent accounts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8 - Explanation Of Shortfall As Community Benefit</FormAndLineReferenceDesc>
        <ExplanationTxt>Medicare Cost Reports that the hospital is required to file does not include all of the costs required to treat Medicare patients. Therefore the amount reflected on the Cost report will likely differ from actual costs. The hospital's DSH payments and Uncompensated Care Payments are $6,762,132. The excess is used to subsidize charity and bad debt, and to improve patient care through programs, training, and acquired capital.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b - Provisions On Collection Practices For Qualified Patients</FormAndLineReferenceDesc>
        <ExplanationTxt>Any self-pay, uninsured patient who indicates an inability to pay is screened for a charity discount. Additionally, "high cost" patients as defined are also screened for a charity discount when the patient requests such screening. Screening for discounts will occur only after all other potential resources have been exhausted. The screening process will optimally occur at the time of service but may occur anytime during the collection process including post assignment to an outside collection agency.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V - Explanation of Number of Facility Type</FormAndLineReferenceDesc>
        <ExplanationTxt>11 Clinics17 Rural Health Clinics1 Infusion Center2 Outpatient Imaging Centers3 PT, OT, &amp; Speech1 Radiation Oncology</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2 - Needs Assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>As part of the 2010 Patient Protection and Affordable Care Act, Oroville Hospital has developed an ongoing, community-based assessment that has become part of the strategic plan on a long-term, continuing basis. This 2019 Community Health Needs Assessment (CHNA) includes the communitys perspective regarding health care needs and available services. Special consideration has been taken to ensure input was received from community representatives that possess broad interests of the community served by Oroville Hospital, including those who have particular knowledge or expertise in public healthPoor health status can result from a variety of factors including: genetic, environmental, behavioral, and socioeconomic. The best way to address this is by identifying the causes of these diseases, conditions and challenges and developing interventions in order to decrease the incidence or prevalence of these conditions. Oroville Hospital has a partnership with Together We Can! Healthy Living in Butte County and two other Butte County Hospitals, Enloe Medical Center (Chico and Orchard Hospital (Gridley) to better identify, strategize and implement action plans. Together We Can! Healthy Living is a county-wide Community Health Assessment that started in May 2014. This effort brought together about 100 different organizations across the county. The group as a whole is currently working on activities to improve the health of Butte County that were developed in the Community Health Improvement Plan. These new partnerships offer future capability to address a broader scope of the community's needs rather than just Oroville Hospital's clinical abilities.Primary Data was collected from the following sources and methods:Two versions of the 2019 Community Health Needs Survey were developed using the framework of the 2013 and 2016 Community Health Needs Surveys. The first version was targeted to residents of Oroville Hospitals Primary Medical Service Area, and the second version was targeted to employees of Oroville Hospital. Adjustments were made to the 2013 and 2016 Community Health Needs Surveys to ensure the content and feedback that we received was applicable to current times.Three focus groups were conducted throughout the Oroville community, targeting the medically underserved, low-income and minority populations.In addition to the focus groups that of which targeted a specific population, Oroville Hospital also hosted a Community Meeting that was open to the general public to collect input from the community. Invitations were sent out to all residents living within Oroville Hospitals primary medical service area.The purpose of the focus groups and meeting was to seek out and utilize the input of groups that represent medically underserved, low-income and minority populations. Input that was received was used to help identify and prioritize the health needs facing our community, resources available or new resources that could help mitigate these needs and how past action plans provided by Oroville Hospital have assisted the community in addressing the identified health needs.Questionnaires were sent to community leaders to obtain their vision was for the community, and how Oroville Hospital can assist in achieving that vision and how our past action plans have been received. Respondents included members of Butte County Public Health, the University of California Agriculture and Natural Resources and Prestige Assisted Living at Oroville.Secondary data was retrieved and compiled from local, state, national and other data resources. The sources include: United States Census Bureau Center for Disease and Prevention (CDC) United States Department of Health and Human Services United States Department of Agriculture (USDA) Substance Abuse and Mental Health Services Administration (SAMHSA) World Health Organization National Coalition for the Homeless Healthy People 2020 UCLA Center for Health Policy Research California Department of Public Health California Center for Public Health Advocacy Butte County Department of Public Health Butte County Coroners Office Butte County-wide Homeless Continuum of Care Butte County Health RankingsIdentified Primary Health Concerns of the CommunityPrimary and secondary data collection and analysis identified the follow as the most significant health needs for residents of the Oroville Hospital primary medical service area:*Substance Abuse*Overweight/Obesity (Access to Health Food/Food Insecurity)*Mental Health Issues*Access to Health Care*Heart Disease/High Blood Pressure*Diabetes*Homelessness and PovertyHospital Action Plans:The health concerns identified in the 2016 CHNA have been adapted and added to meet the needs of the 2019 health concerns. After identifying the communitys top health concerns, Oroville Hospital has new and existing action plans in place. Since there are many similar prioritized health concerns between the 2016 and 2019 Community Health Needs Assessments, many of the Action Plan items have either remained the same since the services are still needed in the community.In 2018, Oroville Hospital began to strategize with Public Health and the other hospitals within the county to determine the best way to reassess the health need of the community for 2019. The Camp Fire Disaster drastically changed the population and health needs of the county. Oroville Hospital is and will continue to evaluate the effects of the disaster and contnue to work with its recent Health Needs Assessment. We anticipate our action plan will be flexible to meet ongoing community health needs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3 - Patient Education of Eligibility for Assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Oroville Hospital's Financial Assistance Policy is available on the hospital's website, and signs are posted in the business office, the admitting and registration areas and the emergency department informing patients about our financial assistance policies and the availability of charity discounts. The plain language summary includes instructions on how an individual can obtain a copy of the Financial Assistance Policy and FAP Application by mail.Additionally, patient statements include standard language informing patients that they may request financial screening to determine eligibility for charity discounts and how that request may be made. All statements sent to patients contain a plain language summary of the patient's rights pursuant to AB 774 and the Rosenthal Fair Debt Collection Practices Act. Once a charity determination has been made, the outcome is communicated to the patient by a letter and/or phone call and is documented in the patient's account notes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4 - Community Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Oroville Hospital is in a rural setting, predominately agricultural based and located in Butte County. Butte County encompasses 1636.46 square miles. The highest point is Humboldt Peak (7,870 feet) and the lowest point is 90 feet above sea level. The primary medical service area population for Oroville Hospital is approximately 67,632. which is comprised of approximately 62.6% Caucasian, 17.3% Hispanic, 6.5% Asian and 1.6% African American, 1.5% Native American. Approximately 43% of the population is 55 years of age or older. The total population of the secondary medical service area is 341,735. 37% of the residents in the primary medical service area live on an annual income of less than $30,000 per year. 15% of the hospital's revenue was derived from Medi-Cal. The hospital's primary medical service area includes Bangor, Berry Creek, Biggs, Gridley, Oroville, and Palermo. There is one other hospital, Orchard Hospital in Gridley, serving the community. Rural, isolated adults, seniors (many living alone) and families and special populations who are at risk for poor health outcomes and behavior are the targeted populations for the Community Benefit Plan. The challenges involved in meeting the ongoing needs of a rural population are many. The majority of adults do not identify with a particular faith community. Many adults and seniors lack a social support system and have limited knowledge on how to effectively access healthcare services and resources. Frequent visits to emergency services and ongoing chronic health conditions are common among the rural adult population.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4 - Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>While Oroville Hospital provides vital health care services to a ruralcommunity, it is also the second largest employer in Oroville, offeringmany economic benefits to the area. As a large organization, the hospital employed 2,154 individuals in various service areas for a total of 2,832,000 hours worked during 2019. This results in a workforce that stimulates the local economy by spending a portion of its income in Oroville and the surrounding areas. Being located in a rural area, it is essential to have organizations that employ many people in order to drive economic growth in industries such as real estate, energy and social services. Oroville Hospital is proud to be a mainstay in this community that draws skilled individuals from all economic and educational backgrounds to the city. By offering employment for many, skilled professionals are encouraged to settle in Oroville and nearby towns and cities. In addition, Oroville Hospital strives to purchase goods and services from local suppliers whenever possible, creating ripple effects that provide additional economic value in the form of income and job creation for businesses in the community. For the multi-year Doves Landing project expansion, the hospital hired many local contractors and, when possible, purchased supplies and furniture from businesses in the north state to outfit the 68,000-square-foot building. Because the hospital has the ability to provide jobs for many in order to offer quality health care, it is also an organization that presents job stability for its employees. Staff totals increased by approximately nine percent from 2018 to 2019. The hospital offers full health care benefits and also contributes to retirement funds for eligible staff members, making it a desirable employer for the citizens of Oroville and Butte County.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5 - Promotion of Community Health</FormAndLineReferenceDesc>
        <ExplanationTxt>IMPROVING ACCESSThrough the development of hospital-based community clinics, Oroville Hospital has improved and increased access to health services throughout the Oroville community. The majority of our outpatient services accept all insurance plans including the State of Californias Medi-Cal program. Our community has a disproportionate share of low/no income families. Access to health care services would be extremely difficult for this group were it not for hospital-based clinics. The State of Californias Medi-Cal program reimbursement payments to physicians are set at a rate that makes it difficult for an independent physician to accept Medi-Cal patients. As a result many health care providers throughout the state and our community have eliminated Medi-Cal patients from their roster. EXPANDING COMMUNITY MEDICAL SERVICESAccess to a wide variety of medical services is necessary when it comes to delivering comprehensive medical care to patients. As a health system providing care to a large region of the North State, Oroville Hospital has priortized the recruitment of specialty and primary care providers to deliver quality and timely health care to patients. Since primary care providers are the foundation for excellent health, Oroville Hospital's addition of six primare care medical staff and a new walk-in clinic enables patients to receive the medical attention needed to live a healthy life. The continued growth of outpatient services further illustrates the hospital's commitment to delivering comprehensive medical services, including advanced procedures and state-of-the-art technology, to patients here at home.HELPING BUTTE COUNTY AND OUR COMMUNITYWith the past Paradise fire in 2018, employees that no longer had jobs at Feather River Hospital are now employd by Oroville Hospital. With the changes to Paradise, Orovilles population and patient base has grown. Oroville Hospital began to emphasize on recruitment to meet the growing needs.A COMMITMENT TO EDUCATION Oroville Hospital relies on a robust team of medical professionals to serve and facilitate care for its patients. Medical professionals, from physicians, to phlebotomists and nurses, all receive focused training in order to specialize in their chosen field. However, training does not end once they have graduated from medical school or completed a licensing program. At Oroville Hospital, medical professionals routinely complete continuing education classes that provide in-depth material and guidelines for treating a specific disease such as sepsis, or discuss new advancements in medical techniques or treatments. Classes are taught by Oroville Hospital doctors or medical experts from leading health care institutions around the country. Receiving hands-on training in the medical field is one of the first steps in developing the next generation of community medical providers. Training gives students firsthand experience when it comes to working with patients, providing real-time diagnoses and analyses for determining the best treatment options based on a patients medical history. Its a required component of each medical education program. As an organization that encourages innovation and continuing medical education, Oroville Hospital plays an active role in providing educational opportunities for medical professionals. The hospital partners with occupational training programs, colleges and universities throughout the country to provide externships and guidance to allied health, nursing and medical students. COMMUNITY EDUCATIONEducation plays a large role in creating a healthy community; a community that seeks preventive health care and encourages wellness to combat future illness and disease. Oroville Hospital recognizes that education efforts have the ability to positively impact the citizens of Oroville and those living in surrounding rural communities. With this responsibility in mind, our Lets Discuss Health speaker series was implemented in 2016 to encourage public discussion and education on important health topics relevant to the community. HEALTH FAIRSFor those individuals who do not have health insurance, Oroville Hospital hosts Biannual Health Fairs in June and September. These health fairs provide free educational information, free health care advice, free health screenings such as COPD screening, blood pressure monitoring, oxygen saturation checks, cholesterol checks, pulse checks and blood glucose checks and free flu shots. REDUCED HOSPITAL CHARGESA 30% reduction in charges was adopted December 1, 2015, to improve access to health care among Oroville Hospital constituents. The hospital spent three years negotiating with health insurance companies to reduce its charges and make health care more affordable for its patients.New Hospital Expansion Oroville Hospital has plans underway for a new five-story medical tower located adjacent to the existing hospital. Upgrades will also be made to the emergency services, dietary and pharmacy departments. Expanded services are ambulatory care, labor and delivery, intensive care unit and medical surgical floors. In addition, a new parking lot will provide ample parking for guests and patients. The tower will have state-of-the-art equipment, private patient rooms and will connect with the original facility via enclosed passageways on the first and second floors. The total investment for the entire project will cost in excess of $200 million. FREE HEALTH CLINICOroville Hospital partnered with the Oroville Seventh-day Adventist Church and the Adventist Medical Evangelism Network to provide free medical, laboratory, imaging and financial counseling services for community members. Oroville Hospital provided supplies such as dressings, lidocaine, sutures, alcohol swabs, exam tables, syringes and an ultrasound machine for use during routine medical exams. Oroville Hospital providers and other participating physicians conducted health screenings and spent time educating patients on preventive measures. Financial and insurance counselors were present to educate patients on Covered California and discuss the best insurance plan options based on an individuals need. DIABETES: Nutrition Consultations Oroville Hospitals Registered Dietitians offer consultations for patients needing assistance with blood glucose disorders. Butte County Public Health (BCPH) offers local nutrition and physical activity workshops and classes taught by Health Education Specialists. BCPH also provides outreach events in local communities.ADDITIONAL SERVICESMonthly Educational Talks Oroville Hospital hosts monthly community educational events. The educational events are free and open to the public, but do require reservation in advance. Future talks will focus on the top health concerns identified in the Community Benefit report.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 7 - States Filing of Community Benefit Report</FormAndLineReferenceDesc>
        <ExplanationTxt>CA</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Additional Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Part II, Ln 8: Oroville Hospital recruits physicians and other healthcare professionals needed in our traditionally underserved community, the cost of which was $154,772 in this tax year. In order to promote the health of the community we serve, Oroville Hospital participates in extensive community building activities which are not included elsewhere on Schedule H.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I, Line 1a: Relevant information in regards to selections on 1a.</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Part I, Line 1b: Reason for not following policy regarding payment provisions for expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>The health club membership dues costs the hospital only $15.00 per month. The amount is immaterial as only two board members are currently members of the health club,</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part III, Additional Information</FormAndLineReferenceDesc>
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        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>624706</TotalBalanceDueAmt>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Oroville Sports Club</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OH CEO</RelationshipDescriptionTxt>
        <TransactionAmt>304475</TransactionAmt>
        <TransactionDesc>Fitness Mmbrshps/Lse</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Dove's Landing</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OH CEO</RelationshipDescriptionTxt>
        <TransactionAmt>1249848</TransactionAmt>
        <TransactionDesc>Building Lease Pymts</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="18007218" softwareVersionNum="2018v3.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d: Other Program Services Description</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: Oroville Hospital also provides a variety of outpatient Medical Imaging services, including a Women's Imaging Center and a Radiation Oncology Center. It has Outreach Laboratory Services, Home Health Services, Ambulatory Services, and Outpatient Surgery. Oroville Hospital had 170,834 outpatient visits, 8,151 Home Health visits and performed 3,896 outpatient surgeries in 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>The form 990 is reviewed by the Executive Team before filing. That team is comprised of the CEO, COO, CFO, CNO and CRO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>Each member of the Board of Trustees must annually sign a Conflict of Interest Statement, and are requested to recuse themselves from voting on any actionable item from which they might benefit.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO compensation is established after reviewing market studies and comparable hospitals. A compensation committee made up of members of the Board of Trustees reviews the data and establishes the salary. Other officers and key employees salaries are established after reviewing market studies and comparable hospitals, with the CEO and COO making any final decisions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>Oroville Hospital makes financial, governing, and policy information available to the public through several avenues. The Office of Statewide Planning and Development posts the annual financial disclosure report, quarterly reports, utilization reports, and charge master on an easily assessable internet site. The Internal Revenue Service also makes the Form 990 Return of Organizations Exempt From Income Tax available to the public. In additional, these reports are available to any community member who requests them.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>1000 Executive Parkway</BusinessNameLine1Txt>
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          <AddressLine1Txt>1000 Executive Parkway</AddressLine1Txt>
          <CityNm>Oroville</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95966</ZIPCd>
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        <EIN>464253812</EIN>
        <PrimaryActivitiesTxt>Long Term Care Facility</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
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          <ZIPCd>95966</ZIPCd>
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        <EIN>942994776</EIN>
        <PrimaryActivitiesTxt>Support subsidiary Oroville Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 11B, II</PublicCharityStatusTxt>
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      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
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      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
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      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
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          <BusinessNameLine1Txt>Oroville Medical Partners LLC</BusinessNameLine1Txt>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>Oroville Solar Partners LLC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>p</TransactionTypeTxt>
        <InvolvedAmt>-9491</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>