CASTLE MEDICAL CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: CASTLE MEDICAL CENTER (EIN 99-0107330)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-12
IRS object ID: 201903169349303340
Schema version: 2018v3.1
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 J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-12T10:55:14-08:00	ReturnTs
Tax Period End	2018-12-31	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	330 N BRAND BLVD STE 200	AddressLine1Txt
City	GLENDALE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	912032361	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	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	2019-11-12	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	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	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	$179,537,745	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
All Affiliates Included	false	AllAffiliatesIncludedInd
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	12	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1229	TotalEmployeeCnt
Total Volunteers	118	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,374,117	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$376,819	PYContributionsGrantsAmt
CY Contributions Grants	$1,004,860	CYContributionsGrantsAmt
PY Program Service Revenue	$169,761,238	PYProgramServiceRevenueAmt
CY Program Service Revenue	$174,487,124	CYProgramServiceRevenueAmt
PY Investment Income	$2,637,655	PYInvestmentIncomeAmt
CY Investment Income	$3,929,441	CYInvestmentIncomeAmt
PY Other Revenue	$1,063,027	PYOtherRevenueAmt
CY Other Revenue	-$1,852	CYOtherRevenueAmt
PY Total Revenue	$173,838,739	PYTotalRevenueAmt
CY Total Revenue	$179,419,573	CYTotalRevenueAmt
PY Grants And Similar Paid	$119,612	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$69,112	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$79,997,447	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$79,167,465	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$82,637,579	PYOtherExpensesAmt
CY Other Expenses	$93,059,346	CYOtherExpensesAmt
PY Total Expenses	$162,754,638	PYTotalExpensesAmt
CY Total Expenses	$172,295,923	CYTotalExpensesAmt
PY Revenues Less Expenses	$11,084,101	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,123,650	CYRevenuesLessExpensesAmt
Total Assets BOY	$275,748,039	TotalAssetsBOYAmt
Total Assets EOY	$287,745,337	TotalAssetsEOYAmt
Total Liabilities BOY	$98,715,547	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$102,687,709	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$177,032,492	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$185,057,628	NetAssetsOrFundBalancesEOYAmt
Mission	Living Gods love by inspiring health, wholeness and hope.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$141,557,210	ExpenseAmt
Grant	$69,112	GrantAmt
Revenue	$176,013,113	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 2018 was $8,250,142.The following Inpatient services that were provided to all our patients. These services included:1,104 Babies delivered1,463 Surgeries performed31,396 Patient days The following Outpatient services that were provided to all our patients. These services included:34,277 Emergency department visits1,221 Outpatient Surgeries performed61,540 Outpatient visits 23,252, 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 2018 was $2,175,026.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	$141,557,210	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
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	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	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	1229	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
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Org Filed In Lieu Of Form1041	false	OrgFiledInLieuOfForm1041Ind
Licensed More Than One State	false	LicensedMoreThanOneStateInd
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	12	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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 (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Banks David
Director	0.00	4.00	Yes (X)	$0	$27,160	$0
Cherry Robert
Director	0.00	4.00	Yes (X)	$0	$25,126	$0
Davis Andrew
Director	0.00	4.00	Yes (X)	$0	$24,002	$0
Freedman John
Director	0.00	4.00	Yes (X)	$0	$718	$0
Gabriel Melody
Dir Thru 12/18	0.00	4.00	Yes (X)	$0	$20,464	$0
Graham Ricardo
Director	0.00	4.00	Yes (X)	$0	$1,442	$0
Heinrich Kerry
Director	0.00	4.00	Yes (X)	$0	$20,485	$0
Innocent Larry
Director	0.00	4.00	Yes (X)	$0	$31,885	$0
Pedersen James
Dir Thru 7/18	0.00	4.00	Yes (X)	$0	$3,625	$0
Reiner Richard
Director	0.00	4.00	Yes (X)	$0	$27,964	$0
Rippey Wesley
Dir Thru 5/18	0.00	50.00	Yes (X)	$0	$623,943	$47,568
Salazar Velino
Director	0.00	4.00	Yes (X)	$0	$1,542	$0
Reiner Scott
Dir/Chair	0.00	50.00	Yes (X)	$0	$2,458,436	$44,472	Yes (X)
Wing Bill
Dir/VCh/AsstSec	0.00	50.00	Yes (X)	$0	$1,875,310	$49,315	Yes (X)
Jobe Meredith
Secretary	0.00	50.00		$0	$666,515	$38,328	Yes (X)
Wagner Jack
A Sec Thru 3/18	0.00	50.00		$0	$1,332,907	$34,076	Yes (X)
Raethel Kathryn
President	50.00	0.00		$0	$2,528,850	$19,042	Yes (X)
Thordarson Heidar
Treasurer	50.00	0.00		$0	$285,313	$16,375	Yes (X)
Newmeyer Joyce
President, PNR	12.50	37.50		$0	$1,166,598	$42,409		Yes (X)
Welch Donald
Finance Officer, PNR	12.50	37.50		$0	$671,125	$44,290		Yes (X)
Cheung Alan
VP Medical Affairs	50.00	0.00		$0	$251,126	$0		Yes (X)
Reppert Joseph
CFO	0.00	50.00		$0	$953,615	$46,846		Yes (X)
Westphal Laura
Patient Care Exec	50.00	0.00		$0	$318,742	$17,935		Yes (X)
Clegg Travis
VP Operations	50.00	0.00		$0	$329,771	$17,894		Yes (X)
Tsai Joseph
Physician	50.00	0.00		$291,885	$0	$372			Yes (X)
Yong Clara
Physician	50.00	0.00		$284,316	$0	$15,967			Yes (X)
Keller Howard
Physician	50.00	0.00		$268,939	$0	$16,060			Yes (X)
Schlacter Marc
Physician	50.00	0.00		$227,906	$0	$13,768			Yes (X)
Wilson Maria
Physician	50.00	0.00		$219,413	$0	$8,393			Yes (X)
Roney Benjamin
Former MD	0.00	50.00		$0	$210,194	$12,078				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,292,459	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$13,856,858	TotReportableCompRltdOrgAmt
Total Other Compensation	$485,188	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	5	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
Hawaiian Dredging Constr
PO Box 4088	Honolulu	HI	96812	Construction Svces	$2,991,438
Inpatient Medicine Services
PO BOX 22562	Honolulu	HI	96823	Physican Services	$1,509,504
Glenn PK Akiona DBA GAAS LLC
301 Malaai Rd	Hilo	HI	96820	Anesthesiology Svcs	$1,094,126
Fresenius Medical Care
PO Box 749959	Los Angeles	CA	90074	Hemodialysis Service	$875,161
Diagnostic Laboratory Services
99-859 Iwaiwa St	Aiea	HI	96744	Lab Services	$785,203

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	214	CntrctRcvdGreaterThan100KCnt
Fundraising	$55,500	FundraisingAmt
Related Organizations	$10,000	RelatedOrganizationsAmt
All Other Contributions	$939,360	AllOtherContributionsAmt
Total Contributions	$1,004,860	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Child care	624410	$568,157	$568,157
Dietary	900099	$471,388	$471,388
Other revenue	900099	$889,282	$889,282
Patient service revenue	621110	$168,420,373	$168,420,373
Rental income	531190	$4,047,924	$4,047,924

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$90,000	TotalRevenueColumnAmt
Related Or Exempt Func Income	$90,000	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$174,487,124	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,403,452	TotalRevenueColumnAmt
Exclusion	$2,403,452	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	$1,525,989	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,525,989	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,525,989	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,525,989	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$52,660	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$55,500	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$25,621	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27,039	TotalRevenueColumnAmt
Exclusion	$27,039	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	$63,660	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$92,551	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$28,891	TotalRevenueColumnAmt
Exclusion	-$28,891	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$179,419,573	TotalRevenueColumnAmt
Related Or Exempt Func Income	$176,013,113	RelatedOrExemptFuncIncomeAmt
Exclusion	$2,401,600	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$69,112	TotalAmt
Program Services	$69,112	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	$62,686,326	TotalAmt
Program Services	$59,029,446	ProgramServicesAmt
Management And General	$3,656,880	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,418,770	TotalAmt
Program Services	$2,303,528	ProgramServicesAmt
Management And General	$115,242	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,490,574	TotalAmt
Program Services	$8,794,830	ProgramServicesAmt
Management And General	$695,744	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,571,795	TotalAmt
Program Services	$4,361,254	ProgramServicesAmt
Management And General	$210,541	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$8,166,170	TotalAmt
Program Services	$101,035	ProgramServicesAmt
Management And General	$8,065,135	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$98,434	TotalAmt
Management And General	$98,434	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$506	TotalAmt
Management And General	$506	ManagementAndGeneralAmt

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	$9,342,907	TotalAmt
Program Services	$8,411,041	ProgramServicesAmt
Management And General	$931,866	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$604,927	TotalAmt
Management And General	$604,927	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,298,544	TotalAmt
Program Services	$862,754	ProgramServicesAmt
Management And General	$435,790	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,460,722	TotalAmt
Program Services	$1,638,845	ProgramServicesAmt
Management And General	$5,821,877	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,411,057	TotalAmt
Program Services	$6,766,235	ProgramServicesAmt
Management And General	$644,822	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$392,025	TotalAmt
Program Services	$198,094	ProgramServicesAmt
Management And General	$193,931	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	$66,814	TotalAmt
Program Services	$60,776	ProgramServicesAmt
Management And General	$6,038	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,250,441	TotalAmt
Program Services	$1,059,373	ProgramServicesAmt
Management And General	$191,068	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,834,516	TotalAmt
Program Services	$6,823,630	ProgramServicesAmt
Management And General	$10,886	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$92,465	TotalAmt
Program Services	$92,465	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Pt Care Supplies	$31,078,406	$31,020,569	$57,837
Revenue Cycle Fees	$8,091,356	-$65,513	$8,156,869
Quality Assurance	$4,485,516	$4,485,516
Purchased Services	$3,296,960	$2,675,096	$621,864

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,087,580	TotalAmt
Program Services	$2,869,124	ProgramServicesAmt
Management And General	$218,456	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$172,295,923	TotalAmt
Program Services	$141,557,210	ProgramServicesAmt
Management And General	$30,738,713	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$202,018	BOYAmt
EOY	$21,851	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$99,555,700	BOYAmt
EOY	$104,883,987	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$69,143	BOYAmt
EOY	$137,721	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$23,511,875	BOYAmt
EOY	$22,485,276	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	$3,319,149	BOYAmt
EOY	$2,738,746	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$489,843	BOYAmt
EOY	$581,064	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$224,736,032	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$111,166,209	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$115,032,863	BOYAmt
EOY	$113,569,823	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$10,380,630	BOYAmt
EOY	$12,460,040	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	$6,850,086	BOYAmt
EOY	$6,320,192	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$16,336,732	BOYAmt
EOY	$24,546,637	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$275,748,039	BOYAmt
EOY	$287,745,337	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$18,085,879	BOYAmt
EOY	$16,254,978	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$145,554	BOYAmt
EOY	$24,224	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$80,484,114	BOYAmt
EOY	$86,408,507	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$98,715,547	BOYAmt
EOY	$102,687,709	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$171,595,005	BOYAmt
EOY	$182,396,019	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,437,487	BOYAmt
EOY	$2,661,609	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$177,032,492	BOYAmt
EOY	$185,057,628	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$275,748,039	BOYAmt
EOY	$287,745,337	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$7,123,650	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$901,486	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)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

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	$8,993	OtherActivitiesAmt
Total Lobbying Expenditures	$8,993	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. Expenditures were also paid for the purpose of working with legislators and government officials relating to legislation affecting hospitals and healthcare.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,350,738	BeginningYearBalanceAmt
Contributions	$974,793	ContributionsAmt
Investment Earnings Or Losses	$1,265,906	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,089,674	OtherExpendituresAmt
End Year Balance	$4,501,763	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.03000	BoardDesignatedBalanceEOYPct
Term Endowment Balance EOY	0.97000	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	$131,170,089	OtherCostOrOtherBasisAmt
Depreciation	$80,427,637	DepreciationAmt
Book Value	$51,071,525	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$7,000	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$924,248	OtherCostOrOtherBasisAmt
Depreciation	$521,370	DepreciationAmt
Book Value	$409,878	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,194,632	OtherCostOrOtherBasisAmt
Depreciation	$26,462,184	DepreciationAmt
Book Value	$6,732,448	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,270,184	OtherCostOrOtherBasisAmt
Depreciation	$3,755,018	DepreciationAmt
Book Value	$27,515,166	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$113,569,823	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Castle ASC	$725,440	C
Cancer Center LLC	$6,363,839	C
Castle Health Group	-$43,647	C

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
Interest in consolidated orgs	$1,496,416
Other Assets	$396,912
Other receivables	$229,308
Receivable from 3rd party	$746,665
Receivable from related orgs	$21,677,336

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$24,546,637	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Annuities Payable	$1,476,203
Deferred Workers Comp	$1,344,626
Other Liabilities	$1,256,797
Payable to Rel Orgs	$82,330,881

Field	Value	IRS element (for citing)
Total Liability	$86,408,507	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Line 4: Intended uses of the endowment fund.	FormAndLineReferenceDesc
Explanation	Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended.	ExplanationTxt

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
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	false	AgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Golf Tournament	Event1Nm
Gross Receipts Event1	$108,160	GrossReceiptsEvent1Amt
Charitable Contri Event1	$55,500	CharitableContriEvent1Amt
Gross Revenue Event1	$52,660	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$8,125	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$7,496	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$10,000	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$108,160	GrossReceiptsTotalAmt
Charitable Contributions Tot	$55,500	CharitableContributionsTotAmt
Gross Revenue Total Events	$52,660	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$8,125	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$7,496	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$10,000	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$25,621	DirectExpenseSummaryEventsAmt
Net Income Summary	$27,039	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	$1,804,082	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,804,082	NetCommunityBenefitExpnsAmt
Total Expense	0.01050	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,789,546	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,343,486	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,446,060	NetCommunityBenefitExpnsAmt
Total Expense	0.03740	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,593,628	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,343,486	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,250,142	NetCommunityBenefitExpnsAmt
Total Expense	0.04790	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$732,485	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,360	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$704,125	NetCommunityBenefitExpnsAmt
Total Expense	0.00410	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$362,046	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$362,046	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,916,694	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,814,269	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,102,425	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,430	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,430	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,017,655	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,842,629	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,175,026	NetCommunityBenefitExpnsAmt
Total Expense	0.01260	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,611,283	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,186,115	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,425,168	NetCommunityBenefitExpnsAmt
Total Expense	0.06050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$32,084,135	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$31,019,749	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,064,386	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	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
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Castle Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
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	18	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: Castle Medical Center - Part V, Section B, Line 5	The 2016 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.Quantitative data gathering relied on secondary data, or data that has previously been collected. The main source for the secondary data is Hawaii Health Matters, a publicly available data platform that is maintained by the Hawaii Department of Health, the Hawaii Health Data Warehouse, and Healthy Communities Institute. As of March 31, 2015, when the data was queried, there were over 500 health and health-related indicators on the Hawaii Health Matters dashboard, and 429 of those were available for this analysis for the state. In addition to indicators available on Hawaii Health Matters, indicators of preventable hospitalization rates were provided by Hawaii Health Information Corporation (HHIC). These Prevention Quality Indicators (PQI), defined by the Agency for Healthcare Research and Quality (AHRQ) to assess the quality of outpatient care, were included in secondary data scoring and provide further insight on the rate of preventable hospitalizations at a sub-county level. Unadjusted rates of admission due to any mental health condition are also presented as an assessment of the relative utilization of services among subpopulations. Finally, several health topic areas were supplemented with quantitative data collected from previously published reports. This additional content was not incorporated in secondary data scoring due to the limited number of comparisons possible, but is included in the narrative of our CHNA for context.Qualitative data gathering was accomplished by conducting key informant interviews. Fifteen key informants were interviewed for their knowledge about community health needs, barriers, strengths, and opportunities (including the needs for vulnerable and underserved populations as required by IRS regulations). In many cases, the vulnerable populations are defined by race/ethnic groups, and this assessment will place a special emphasis on these findings. Interview topics were not restricted to the health area for which a key informant was nominated. These key informants were individuals recognized for their knowledge of community health in one or more health areas, and were nominated and selected by the HAH Advisory Committee in September 2014.
Facility: Castle Medical Center - Part V, Section B, Line 6a	Fifteen Hawaii hospitals, located on all islands, participated in the CHNA project. These hospitals are:1-Castle Medical Center 2-Kahi Mohala Behavioral Health 3-Kaiser Permanente Medical Center 4-Kapi`olani Medical Center for Women & Children 5-Kuakini Medical Center 6-Molokai General Hospital 7-North Hawaii Community Hospital 8-Pali Momi Medical Center 9-Rehabilitation Hospital of the Pacific 10-Shriners Hospitals for Children - Honolulu 11-Straub Clinic & Hospital 12-The Queens Medical Center 13-The Queens Medical Center West Oahu 14-Wahiawa General Hospital 15-Wilcox Memorial Hospital
Facility: Castle Medical Center - 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 - According to the Centers for Disease Control, by 2023 we will have 86,000 more people diagnosed with diabetes in Hawaii. This trend poses a tremendous economic burden on our state and community. Hawaiis greatest challenge continues to be the cultural perception that diabetes is an unchangeable, hereditary disease. A contributor to our problem is the wide misconception that medication will treat diabetes without the addition of lifestyle changes. The epidemic of pre-diabetes and diabetes in Hawaii now effects nearly 600,000 people or every 1 out of 3 people. Interventions:1. The Castle 5-week Self-Management Education Diabetes Program is continually evaluated, identifying opportunities to bring greater success to participants and the community in the fight against diabetes. In 2017, outreach efforts expanded to rural areas of North Shore Oahu in Laie and the addition of a nurse practitioner who is a certified diabetes educator serving as the inpatient liaison to help bridge the gap from inpatient to outpatient care. This bridge helps to prevent diabetes complications and readmissions. Community partners include an endocrinologist, patient advocate, and primary care physicians of Castle Health Group. Overall, our patients experience an average of a 15% improvement in A1C in 3 to 6 months. Number of community members served 1,180.2. Inpatient diabetes consultations were added to identify and build rapport with hospitalized patients with diabetes. The objective is to encourage outpatient education and healthy lifestyle behavior changes. Additionally, this serves as an opportunity to prevent diabetes complications and readmissions. As of December 2017, a Certified Diabetes Educator Nurse Practitioner was added to the program and she also services patients who are pre-diabetic. Number of community members served 68 visits per month.3. During 2017 the Wellness and Lifestyle Medicine Center provided inspiration, and behavior change skills to help participants build a healthy body, mind, and spirit through programs including tobacco cessation, fitness classes, nutrition counseling, cooking classes, and therapeutic massage. Number of community members served 1,359.4.Eight different types of fitness classes were offered throughout the year. Number of community members served 7,139.5.Ten Eat Well for Life wellness cooking classes were held. Number of community members served 238.Priority Need 2 - Access to Care - In 2017, Castle Medical Center employed 3 additional primary care providers, totaling 10 primary care providers to expand access of care on the Windward side which contributed to reaching 1,600 new patients. In addition, Castle Health Group has expanded from 32 to 43 primary care providers and has extended its hours of service to include week day evenings and weekend hours. Castle Health Group has become the top performer in the state of Hawaii in quality outcome metrics, based on HEDIS (Health Effectiveness Data and Information) measures and community standards. Number of community members served 65,000.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.Other Community Benefits:Substance Abuse was also identified as a health priority need in the 2016 CHNA. Although Castle Medical Center chose to concentrate on the above listed needs, we recognize the importance of smoking on the health of our community. Through a Hawaii Community Foundation Gran, outpatient tobacco counseling was provided to primarily low income, low education or unemployed community members. These are vulnerable groups who have a higher tobacco use prevalence and may face additional barriers to quitting tobacco. As appropriate, these people were provided with grant-funded treatment medications. Additionally, a tobacco support group was created and 71 encounters were provided. Number of community members served: 162Castle Health Group Primary Care Physicians also screened every patient to ask about their smoking status during visits. Smokers were identified and referred to smoking cessation counseling. Number of community members served: 65,000.

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Castle Professional Center Surgical Weight Loss Institute Ch
46-001 Kamehameha Highway	Kaneohe	HI	96744	Surgical Weight Loss Institute Child Development Center
Kaneohe Radiology
46-001 Kamehameha Highway Suite 104	Kaneohe	HI	96744	Radiology
Laboratory Services
46-001 Kamehameha Highway Suite 104	Kaneohe	HI	96744	Laboratory Services
Castle Performance & Rehabilitation Center-Kaneohe
46-001 Kamehameha Highway Suite 301	Kaneohe	HI	96744	Physical Therapy
Castle Professional Center Pharmacy
46-001 Kamehameha Highway Suite 108	Kaneohe	HI	96744	Pharmacy
Castle Primary Care of Kaneohe
46-001 Kamehameha Hwy Suite 301	Kaneohe	HI	96744	Primary Care
Koolau Pharmacy
642 Ulukahiki Street Suite 101	Kailua	HI	96734	Retail Pharmacy
Wellness and Lifestyle Medicine
642 Ulukahiki Street Suite 105	Kailua	HI	96734	Wellness Center
Windward Surgery Center
642 Ulukahiki Street Suite 200	Kailua	HI	96734	Out Patient Surgery Center
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 Kailua-2
30 Auliki St Ste 303	Kailua	HI	96734	Primary Care
Castle Performance & Rehabilitation Center-Kailua
640 Ulukahiki St	Kailua	HI	96734	Physical Therapy

Supplemental Information Detail SupplementalInformationDetail (12 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 described for Part I, Line 7 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 GLMedicare Cost Report Revenue $32,084,135Prior Year Settlements 70,227Cost Report Reimbursable Bad Debts 113,383Estimates and Accrual Variances 81,641Other (2,023,425) ___________Total Medicare Revenue $30,325,961Note: 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 2016 CHNA, the 2017 Community Health Plan (CHP) Update/Annual Report, and the 2016 Implementation Strategy (adopted in May 2017), known as the 2017 Community Health Plan (Implementation Strategy) & 2016 Update/Annual Report, are posted on the hospital's website at https://www.adventisthealth.org/castle/about-us/community-benefit/. The CHNA, Implementation Strategy, and the CHPs are also available on the Adventist Health Corporate website at https://www.adventisthealth.org/about-us/community-benefit/.Hospital leadership serves on a variety of community boards and committees focused on addressing community-specific needs, allowing for ongoing responsiveness the health care needs of the community and collaboration with local agencies and organizations, enabling maximum effectiveness through collective impact. Committee/Board Participation includes: Aloha Care, Aloha United Way, Boys and Girls Club of Hawaii, Care Resource Hawaii, Hawaii Nutrition and Physical Activity Coalition, Hawaii Independent Physicians Association, Hawaii Medical Service Association, Hawaii Primary Care Association, Healthy Hawaii Initiative, Tobacco Settlement Project, Mental Health America of Hawaii, Parkinsons Disease Foundation, and University of Hawaii Cancer Center.
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/castle/patient-resources/financial-assistance. 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	The demographics of a community significantly impact its health profile. Different race/ethnic, age, and socioeconomic groups may have unique needs and require varied approaches to health improvement efforts. In 2016, Hawaiis population was approximately 1.4 million. As measured by the decennial Census,7 the population density in the state is much higher than the U.S. overall. Between 2010 and 2013, population growth was higher across all counties in Hawaii compared to the rest of the states. The race/ethnicity breakdown of Hawaii is also significantly different from the rest of the country. Almost one in four residents identifies as two or more races, which is much more than in the U.S. overall. Within Hawaii in 2013, 25.7% of the population identified as any part Native Hawaiian or Pacific Islander, 55.8% as any part Asian, and 42.5% as any part White. The population reporting as White only made up 25.6% of the population, compared to 73.7% of the nation. Black/African American, Hispanic/Latino, and Other race/ethnicity groups are also much smaller than the U.S. overall.The population of Windward Oahu is 131,886, and comprises households with very diverse income levels. While there is low anticipated growth in the primary service area, the median age of the population is predicted to rise (current median age is 37.2). There are two large centers of Native Hawaiian populations with unique social and health needs. Health issues for this population include higher incidence rates for digestive and lung/liver cancers, higher prevalence of obesity, diabetes and heart disease. Kailua (50,746) and Kaneohe (54,247) are the primary population centers, with smaller centers spread throughout the Primary Service Area. The more distant areas of Waimanalo and Koolauloa (northern Windward Oahu) include a higher percentage of Native Hawaiians. The areas of Kailua, Kaneohe, and Kaaawa have a high median income, whereas Waimanalo and most of Koolauloa have a significantly lower median income.
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. Health education, diet and lifestyle are keys to community health. CMC works to improve access to and understanding of all three. Our community wellness center offers a variety of free seminars and paid classes in cooking, nutrition, exercise, diabetes and more. Our Bistro offers a healthy vegetarian diet and is rated highly on Yelp and a place to go for lunch. CMC sponsors healthy living for its employees and the community with activities, community fairs and community outreach. In addition, CMC provided $15.8 Million for community development through free and low cost care, community events and donations. 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.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
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
Rebuttable Presumption Proc	false	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount
Cheung Alan
VP Medical Affairs	$251,126	$251,126
Clegg Travis
VP Operations	$263,393	$347,665	$51,702	$14,676	$16,682	$1,212
Jobe Meredith
Secretary	$419,684	$704,943	$111,013	$135,918	$16,682	$21,646
Keller Howard
Physician							$232,681	$36,258	$16,041	$19	$284,999
Newmeyer Joyce
President, PNR	$657,199	$1,209,007	$294,310	$215,089	$16,682	$25,727
Raethel Kathryn
President	$431,687	$2,547,893	$174,290	$1,922,874	$16,682	$2,360
Reiner Scott
Dir/Chair	$1,339,257	$2,502,908	$747,881	$371,298	$16,682	$27,790
Reppert Joseph
CFO	$686,470	$1,000,461	$152,446	$114,699	$16,682	$30,164
Rippey Wesley
Dir Thru 5/18	$565,539	$671,511		$58,404	$20,249	$27,319
Roney Benjamin
Former MD	$206,722	$222,272	$525	$2,947	$12,059	$19
Schlacter Marc
Physician							$198,441	$28,940	$13,396	$372	$241,674	$525
Thordarson Heidar
Treasurer	$243,317	$301,689	$19,245	$22,752	$15,432	$943
Tsai Joseph
Physician							$223,232	$68,128		$372	$292,257	$525
Wagner Jack
A Sec Thru 3/18	$180,671	$1,366,983	$414,342	$737,894	$11,182	$22,894
Welch Donald
Finance Officer, PNR	$398,127	$715,415	$97,502	$175,496	$16,682	$27,608
Westphal Laura
Patient Care Exec	$241,785	$336,677	$50,989	$25,968	$16,682	$1,253
Wilson Maria
Physician							$209,080	$9,808	$8,374	$19	$227,806	$525
Wing Bill
Dir/VCh/AsstSec	$1,015,353	$1,924,626	$603,273	$256,685	$16,682	$32,633
Yong Clara
Physician							$215,417	$5,027	$15,948	$19	$300,283	$63,872

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 1a: Relevant information in regards to selections on 1a.	FormAndLineReferenceDesc

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Linda Henry
Key EE Sister	$59,434	Employment	false
Brent Wagner
Son of Officer	$82,281	Employment	false
Cambria Wehtje-Sim
Dghtr-Fmr Ofcr	$89,784	Employment	false
Carol Jobe
Officer's Spouse	$4,429	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 daughter of Adventist Health board member, Wesley Rippey.2. Brent Wagner is the son of former Adventist Health CFO, Jack Wagner.3. Cambria Wehtje-Sim is the daughter of former officer Rodney Wehtje.4. Carol Jobe is the wife of Meredith Jobe, an officer of Adventist Health.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 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 not-for-profit hospital. The sole corporate member is Adventist Health System/West, a California not-for-profit public charity. The hospital bylaws define its board of directors to be the same individuals who are members of Adventist Health System/West board of directors.
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. Adventist Health System/West, a California not-for-profit religious corporation, is the sole corporate member of the hospital.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	Part VI, Line 7aThe hospital bylaws define its board of directors to be the same individuals who are members of the Adventist Health System/West board of directors.Part VI, Line 7bThe 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 questionnaireis sent to board members, hospital officers, key employees and department directorsfor completion and signature. The questionnaire is accompanied by a letter ofexplanation, to illustrate examples of a conflict and to remind the recipient thatif any perceived conflict should arise before the next annual questionnaire, he/sheis to notify the CEO immediately.The Corporate General Counsel distributes, collects, and reviews for signatures theCOIs for all applicable Corporate employees and the board. In addition, thehospitals administration is responsible for keeping record to ensure allhospital-based individuals with director and above positions have submitted theirCOIs. The Corporate General Counsel reviews all the disclosures on the board andCorporate employees COIs. Corporate General Counsel retains the COIs for the boardmembers. 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	See explanation of process for setting CEO compensation below on Form 990, Part VI, Line 15b explanation
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	The hospital board of directors has established a Compensation Committee to 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 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	Beginning of Year NA Adj = -$511044
Other Changes In Net Assets Or Fund Balances - Other Increases	Change in Value JV adj = $92166
Other Changes In Net Assets Or Fund Balances - Other Increases	Change in Value JV = $411932
Other Changes In Net Assets Or Fund Balances - Other Increases	Change in Value of Planned Giving = $336258
Other Changes In Net Assets Or Fund Balances - Other Increases	Unrealized Gain on Investments = $572174

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 (24 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
Adventish 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	Hospital	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
898 Plumas Street	Yuba City	CA	95991	942917251	Acute Care Hospital	CA	501(c)(3)	12b2	Adventist Health SystemWest	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 Assn Inc
975 So Fairmont Ave	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	956064971	93-0622075	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
Reedley Community Hospital
372 Cypress Ave	Reedley	CA	95370	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	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 No 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 HospitalAdventist Health
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/Assisted Living/Hm Care	CA	501(c)(3)	12b2	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
Walla Walla General Hospital
PO Box 619135	Roseville	CA	95661	910617726	Hospital	WA	501(c)(3)	3	Advenstist Health System West	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	$227,079	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,147,943	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	2100 Douglas Blvd	AddressLine1Txt
City	Roseville	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95661	ZIPCd

Field	Value	IRS element (for citing)
EIN	952037297	EIN
Primary Activities	Wind down after sale of hospital	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
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	false	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	false	TransferFromOtherOrgInd