CASTLE MEDICAL CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: CASTLE MEDICAL CENTER (EIN 99-0107330)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-12
IRS object ID: 202503169349308730
Schema version: 2024v5.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-12T16:28:49-08:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	800519547	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	THE ACCOUNTANCY LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 N BRAND BLVD STE 1930	AddressLine1Txt
City	GLENDALE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91203	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	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	Johnson Nicolas	PersonNm
Person Title	Treasurer	PersonTitleTxt
Signature	2025-11-12	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Steve Clement	PreparerPersonNm
PTIN	P01218012	PTIN
Phone	8185475701	PhoneNum
Self Employed	Yes (X)	SelfEmployedInd

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Ashlock Ryan	PrincipalOfficerNm
Gross Receipts	$275,085,862	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	1071	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.adventisthealth.org/castle	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1960	FormationYr
Legal Domicile State	HI	LegalDomicileStateCd
Activity Or Mission	Living Gods love by inspiring health, wholeness and hope.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	1396	TotalEmployeeCnt
Total Volunteers	82	TotalVolunteersCnt
Total Gross UBI	$33,358	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,879,393	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,692,334	PYContributionsGrantsAmt
CY Contributions Grants	$5,848,889	CYContributionsGrantsAmt
PY Program Service Revenue	$232,309,828	PYProgramServiceRevenueAmt
CY Program Service Revenue	$259,400,243	CYProgramServiceRevenueAmt
PY Investment Income	$7,466,180	PYInvestmentIncomeAmt
CY Investment Income	$7,190,023	CYInvestmentIncomeAmt
PY Other Revenue	$1,681,737	PYOtherRevenueAmt
CY Other Revenue	$2,571,363	CYOtherRevenueAmt
PY Total Revenue	$244,150,079	PYTotalRevenueAmt
CY Total Revenue	$275,010,518	CYTotalRevenueAmt
PY Grants And Similar Paid	$134,297	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$126,110	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$119,798,292	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$127,655,022	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$324,621	CYTotalFundraisingExpenseAmt
PY Other Expenses	$127,309,823	PYOtherExpensesAmt
CY Other Expenses	$137,624,392	CYOtherExpensesAmt
PY Total Expenses	$247,242,412	PYTotalExpensesAmt
CY Total Expenses	$265,405,524	CYTotalExpensesAmt
PY Revenues Less Expenses	-$3,092,333	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$9,604,994	CYRevenuesLessExpensesAmt
Total Assets BOY	$274,760,745	TotalAssetsBOYAmt
Total Assets EOY	$280,805,611	TotalAssetsEOYAmt
Total Liabilities BOY	$104,024,677	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$101,460,297	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$170,736,068	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$179,345,314	NetAssetsOrFundBalancesEOYAmt
Mission	Living Gods love by inspiring health, wholeness and hope.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$219,552,928	ExpenseAmt
Grant	$126,110	GrantAmt
Revenue	$275,010,518	RevenueAmt
Desc	Castle Medical Center, dba Adventist Health Castle (AHCS), provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay.Although, reimbursement for services rendered is critical to the operation and stability of Castle Medical Center, 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 coverage will be considered when individuals who need health care cannot afford to pay: Free care and/or subsidized care Care to persons covered by governmental programs at/or below cost Health/wellness activities and community education programsNot only does Castle Medical Center 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 2024 was $6,600,461.The following Inpatient services were provided to all our patients:922 babies delivered969 surgeries performed26,922 patient days The following Outpatient services were provided to all our patients:36,082 emergency room visits2,179 outpatient surgeries performed74,561 outpatient visits 169,086 clinic visitsAHCS recognizes it has an obligation to provide human services above and beyond its role as a healing facility. Schedule H provides more details on the tangible ways in which the organization is fulfilling its mission. The total unreimbursed cost of these community benefits in 2024 was $16,868,073.AHCS' quality and performance awards include: Centers for Medicare and Medicaid Services 5-Star Rating, Top 100 Hospitals by Fortune and Premier's PINC AI, "A" Hospital Safety Grade from The Leapfrogn Group for Spring 2025, Best Places to Work in Hawaii by Hawaii Business Magazine, Healthgrades Quality Achievement Awards Outstanding Patient Experience - 12 Years Running, Beacon Award for Excellence - ICU, Level III Trauma Medical Center verification from the American College of Surgeons Committee on Trauma and the State of Hawaii Department of Health, 5-Star Cleanliness Rating by CMS, and America's Best Maternity Hospitals by Newsweek. 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	$219,552,928	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	10	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1396	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	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	13	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	John Beaman	PersonNm
Phone	9164060000	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

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
HeinrichKerry
Director/CEO	0.00	50.50	Yes (X)	Yes (X)	$0	$3,974,195	$57,975
Hofheins Todd
COO/Vice Chair	0.00	50.50	Yes (X)	Yes (X)	$0	$2,407,675	$65,992
Beaman John
CFO/Asst Secty	0.00	50.50		Yes (X)	$0	$1,980,861	$79,808
Stevens Eric
Fmr Care Div Ops Exec thru 2/22	0.00	50.50			$0	$1,886,146	$57,975
Nahapetian Arby
Former Care Div Med Off thru2/22	0.00	50.00			$0	$1,759,258	$79,808
Ing Albert
Physician	40.00	0.00			$1,352,994	$0	$32,665
Jobe Meredith
Secretary	0.00	50.50		Yes (X)	$0	$1,221,104	$57,975
Ashlock Ryan thru 1024
President, AHCS	10.00	40.00		Yes (X)	$0	$1,092,176	$74,790
Rippey Wesley
Frmr Reginal Med Off, PNR thru 3/21	0.00	50.00			$0	$796,263	$37,321
Welch Donald
Frmr Finance Officer, PNR thru 3/21	0.00	50.00			$0	$706,292	$57,975
Loui William
Physician	40.00	0.00			$720,036	$0	$38,121
Jahn Andrew
Former Care Div President thru 2/22	0.00	37.50			$0	$736,769	$17,097
Witmer Kenneth
Physician	40.00	0.00			$600,542	$0	$42,790
Munir Jamalah
Physician	40.00	0.00			$599,291	$0	$39,460
Younoszai Barak
Physician	40.00	0.00			$590,397	$0	$42,380
Thordarson Heidar
Former Treas / Asst Sec thru 3/21	0.00	50.00			$0	$550,840	$57,975
Johnson Nicolas
Treasurer	50.00	0.00		Yes (X)	$0	$474,082	$51,692
Smitson Robert
Medical Officer	50.00	0.00			$0	$402,919	$73,331
LeeAdam
For Dir Mark&Comm, PNR thru 3/21	0.00	50.00			$0	$375,643	$79,483
Seibel Jesse
Mission and Admin Executive	50.00	0.00			$0	$317,521	$63,107
Voshell Shane
Former Reg HR Dir, PNR thru 3/21	0.00	50.00			$0	$305,087	$71,269
Anderson Erik
Patient Care Exec. thru 10/2024	2.00	48.00			$0	$291,984	$30,508
Saavedra Garcia Katherine
Operations Executive	50.00	0.00			$0	$259,217	$45,059
Wing Bill
Former Dir/A Sec/V Chair thru 01/22	0.00	0.00			$0	$273,263	$0
Aalborg Chase eff 1024
President, AHCS	50.00	0.00		Yes (X)	$0	$126,854	$11,012
Freedman John
Dir/Chair	0.00	4.00	Yes (X)	Yes (X)	$0	$27,203	$0
Newton Bradford
Dir/Vice Chair	0.00	4.00	Yes (X)	Yes (X)	$0	$26,939	$0
Davis Andrew
Director	0.00	4.00	Yes (X)		$0	$26,611	$0
Cherry Robert
Director	0.00	4.00	Yes (X)		$0	$26,611	$0
Innocent Larry
Director	0.00	4.00	Yes (X)		$0	$26,611	$0
Reiner Richard
Director	0.00	4.00	Yes (X)		$0	$26,611	$0
Wagner Jack
Director	0.00	4.00	Yes (X)		$0	$21,611	$0
Woodson Marc
Director	0.00	4.00	Yes (X)		$0	$21,611	$0
SalazarVelino thru924
Director	0.00	4.00	Yes (X)		$0	$21,181	$0
Fehr Joy
Director	0.00	4.00	Yes (X)		$0	$18,680	$0
Beckett Ann
Director	0.00	4.00	Yes (X)		$0	$17,930	$0
Jutsy Kenneth
Director	0.00	4.00	Yes (X)		$0	$16,180	$0
Daggett Jonathan
Director	0.00	4.00	Yes (X)		$0	$16,180	$0
Cress John eff 1024
Director	0.00	4.00	Yes (X)		$0	$430	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,863,260	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$20,232,538	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,265,568	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	349	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
Sodexo Inc and Affiliates
PO Box 360170	Pittsburgh	PA	15251	Staffing	$4,980,632
Pacific Radiology Group Inc
321 N Kuakini St 405	Honolulu	HI	96817	Medical services	$2,541,174
Koolau Anesthesia Group LLC
44-668 Kuono Pl	Kaneohe	HI	96744	Medical services	$2,002,045
Allied Universal Security Services
PO Box 31001-2374	Pasadena	CA	91110	Security services	$1,618,534
Inpatient Medicine Services
PO Box 22562	Honolulu	HI	96823	Medical services	$1,020,000

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	38	CntrctRcvdGreaterThan100KCnt
Fundraising	$48,086	FundraisingAmt
Government Grants	$2,203,494	GovernmentGrantsAmt
All Other Contributions	$3,597,309	AllOtherContributionsAmt
Noncash Contributions	$20,000	NoncashContributionsAmt
Total Contributions	$5,848,889	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Medical Office Rentals	900099	$3,075,028	$3,075,028
Other Program Svc Rev	531120	$2,127,777	$2,127,777
Patient Care Services		$238,284,045	$238,284,045
Pharmacy 340b Revenue	621110	$9,196,673	$9,196,673
Premium Revenue	722514	$6,716,720	$6,716,720

Field	Value	IRS element (for citing)
Total Program Service Revenue	$259,400,243	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,218,901	TotalRevenueColumnAmt
Exclusion	$5,218,901	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	$1,975,442	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$4,320	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,975,442	SecuritiesAmt
Other	-$4,320	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,971,122	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,971,122	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$140,766	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$48,086	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$58,963	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$81,803	TotalRevenueColumnAmt
Exclusion	$81,803	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	$2,501,621	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$12,061	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,489,560	TotalRevenueColumnAmt
Unrelated Business Revenue	$33,358	UnrelatedBusinessRevenueAmt
Exclusion	$2,456,202	ExclusionAmt

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

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$275,010,518	TotalRevenueColumnAmt
Related Or Exempt Func Income	$261,371,365	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$33,358	UnrelatedBusinessRevenueAmt
Exclusion	$7,756,906	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$126,110	TotalAmt
Program Services	$126,110	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	$102,519,863	TotalAmt
Program Services	$90,185,956	ProgramServicesAmt
Management And General	$12,135,370	ManagementAndGeneralAmt
Fundraising	$198,537	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,216,740	TotalAmt
Program Services	$3,703,976	ProgramServicesAmt
Management And General	$504,610	ManagementAndGeneralAmt
Fundraising	$8,154	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,834,632	TotalAmt
Program Services	$11,330,942	ProgramServicesAmt
Management And General	$2,465,160	ManagementAndGeneralAmt
Fundraising	$38,530	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,083,787	TotalAmt
Program Services	$6,216,376	ProgramServicesAmt
Management And General	$851,863	ManagementAndGeneralAmt
Fundraising	$15,548	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$19,687,931	TotalAmt
Management And General	$19,687,931	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$78,859	TotalAmt
Management And General	$78,859	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$4,983	TotalAmt
Management And General	$4,983	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	$25,813,467	TotalAmt
Program Services	$23,507,268	ProgramServicesAmt
Management And General	$2,287,500	ManagementAndGeneralAmt
Fundraising	$18,699	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$229,229	TotalAmt
Management And General	$229,229	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,368,372	TotalAmt
Program Services	$2,156,435	ProgramServicesAmt
Management And General	$199,073	ManagementAndGeneralAmt
Fundraising	$12,864	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,739,197	TotalAmt
Program Services	$2,068,882	ProgramServicesAmt
Management And General	$5,668,815	ManagementAndGeneralAmt
Fundraising	$1,500	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,313,764	TotalAmt
Program Services	$10,292,627	ProgramServicesAmt
Management And General	$21,137	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$324,073	TotalAmt
Program Services	$194,708	ProgramServicesAmt
Management And General	$124,792	ManagementAndGeneralAmt
Fundraising	$4,573	FundraisingAmt

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	$83,541	TotalAmt
Program Services	$76,877	ProgramServicesAmt
Management And General	$6,514	ManagementAndGeneralAmt
Fundraising	$150	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,273,623	TotalAmt
Program Services	$3,218,410	ProgramServicesAmt
Management And General	$55,213	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,316,640	TotalAmt
Program Services	$10,216,064	ProgramServicesAmt
Management And General	$100,576	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,442,819	TotalAmt
Program Services	$2,442,654	ProgramServicesAmt
Management And General	$165	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt	Management And GeneralManagementAndGeneralAmt
Patient Care Supplies	$47,326,494	$47,325,926	$568
Quality Assurance	$4,245,951	$4,245,951
Other Expenses	$1,829,251	$697,568	$25,498	$1,106,185
Equipment Rental	$1,274,898	$1,274,898

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$271,300	TotalAmt
Program Services	$271,300	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$265,405,524	TotalAmt
Program Services	$219,552,928	ProgramServicesAmt
Management And General	$45,527,975	ManagementAndGeneralAmt
Fundraising	$324,621	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$54,446,451	BOYAmt
EOY	$80,699,227	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$30,400,137	BOYAmt
EOY	$36,815,350	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	$4,948,356	BOYAmt
EOY	$5,179,629	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$720,850	BOYAmt
EOY	$600,468	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$280,937,080	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$150,620,119	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$134,601,495	BOYAmt
EOY	$130,316,961	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$16,253,985	BOYAmt
EOY	$2,025,907	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	$7,496,219	BOYAmt
EOY	$7,838,162	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,484,807	BOYAmt
EOY	$10,484,807	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$15,408,445	BOYAmt
EOY	$6,845,100	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$274,760,745	BOYAmt
EOY	$280,805,611	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$15,691,728	BOYAmt
EOY	$19,789,747	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$487,475	BOYAmt
EOY	$49,194	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$89,924	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$87,755,550	BOYAmt
EOY	$81,621,356	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$104,024,677	BOYAmt
EOY	$101,460,297	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$165,258,967	BOYAmt
EOY	$171,787,756	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,477,101	BOYAmt
EOY	$7,557,558	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$170,736,068	BOYAmt
EOY	$179,345,314	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$274,760,745	BOYAmt
EOY	$280,805,611	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$9,604,994	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$995,748	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

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	$23,391	OtherActivitiesAmt
Total Lobbying Expenditures	$23,391	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part II-B, Line 1i - Other Activities Description	The organization belongs to industry and professional associations for which a portion of the membership dues is used for lobbying activities.
Part IV - Additional Information

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,206,024	BeginningYearBalanceAmt
Contributions	$3,756,566	ContributionsAmt
Investment Earnings Or Losses	$9,255	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,676,470	OtherExpendituresAmt
End Year Balance	$10,295,375	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,334,199	BeginningYearBalanceAmt
Contributions	$1,620,243	ContributionsAmt
Investment Earnings Or Losses	$10,941	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,759,359	OtherExpendituresAmt
End Year Balance	$8,206,024	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,740,300	BeginningYearBalanceAmt
Contributions	$4,099,290	ContributionsAmt
Investment Earnings Or Losses	-$3,388	InvestmentEarningsOrLossesAmt
Other Expenditures	$502,003	OtherExpendituresAmt
End Year Balance	$12,334,199	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,100,104	BeginningYearBalanceAmt
Contributions	$6,387,961	ContributionsAmt
Investment Earnings Or Losses	$6,519	InvestmentEarningsOrLossesAmt
Other Expenditures	$754,284	OtherExpendituresAmt
End Year Balance	$8,740,300	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,569,011	BeginningYearBalanceAmt
Contributions	$1,883,540	ContributionsAmt
Investment Earnings Or Losses	$79,856	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$237,214	GrantsOrScholarshipsAmt
Other Expenditures	$195,089	OtherExpendituresAmt
End Year Balance	$3,100,104	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.26590	BoardDesignatedBalanceEOYPct
Term Endowment Balance EOY	0.73410	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$28,803,952	OtherCostOrOtherBasisAmt
Book Value	$28,803,952	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$329,073	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$192,729,156	OtherCostOrOtherBasisAmt
Depreciation	$109,240,522	DepreciationAmt
Book Value	$83,817,707	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,356,019	OtherCostOrOtherBasisAmt
Depreciation	$4,732,771	DepreciationAmt
Book Value	$623,248	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$46,877,573	OtherCostOrOtherBasisAmt
Depreciation	$32,494,555	DepreciationAmt
Book Value	$14,383,018	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,841,307	OtherCostOrOtherBasisAmt
Depreciation	$4,152,271	DepreciationAmt
Book Value	$2,689,036	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$130,316,961	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Annuities Payable	$872,399
Other Liabilities	$2,681,220
Payables to Related Organizations	$77,727,321
Payables to Third-Party Medicare	$340,416

Field	Value	IRS element (for citing)
Total Liability	$81,621,356	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 4: Intended uses of the endowment fund.

Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended.

Part X : FIN48 Footnote

The System recognizes tax benefits from any uncertain tax positions only if it is more-likely-than-not the tax position will be sustained, based solely on its technical merits, with the taxing authority having full knowledge of all relevant information. The System records a liability for unrecognized tax benefits from uncertain tax positions as discrete tax adjustments in the first interim period the more-likely-than-not threshold is not met. The System recognizes deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of its assets and liabilities along with net operating loss and tax credit carryovers only for tax positions that meet the more-likely-than-not recognition criteria. At December 31, 2024 and 2023, no such assets or liabilities were recorded.The System currently files Form 990 (informational return of organizations exempt from income taxes) and form 990-T (business income tax return for an exempt organization) in the U.S. federal jurisdiction and the state of California. The System is not subject to income tax examinations prior to 2021 in major tax jurisdictions.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	false	AgrmtProfFundraisingActyInd
Licensed States	CA	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Golf Tournament	Event1Nm
Gross Receipts Event1	$188,852	GrossReceiptsEvent1Amt
Charitable Contri Event1	$48,086	CharitableContriEvent1Amt
Gross Revenue Event1	$140,766	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$58,963	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$188,852	GrossReceiptsTotalAmt
Charitable Contributions Tot	$48,086	CharitableContributionsTotAmt
Gross Revenue Total Events	$140,766	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$58,963	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$58,963	DirectExpenseSummaryEventsAmt
Net Income Summary	$81,803	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	$526,583	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$526,583	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,713,158	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,639,280	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,073,878	NetCommunityBenefitExpnsAmt
Total Expense	0.02290	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,239,741	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,639,280	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,600,461	NetCommunityBenefitExpnsAmt
Total Expense	0.02490	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,690,675	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,690,675	NetCommunityBenefitExpnsAmt
Total Expense	0.01010	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$395,328	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$395,328	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,610,398	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,998,299	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,612,099	NetCommunityBenefitExpnsAmt
Total Expense	0.05130	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$169,971	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$169,971	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,866,372	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,998,299	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,868,073	NetCommunityBenefitExpnsAmt
Total Expense	0.06350	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,106,113	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,637,579	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,468,534	NetCommunityBenefitExpnsAmt
Total Expense	0.08840	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$266,294	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$266,294	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$266,294	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$266,294	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,115,558	BadDebtExpenseAmt
Bad Debt Expense Attributable	$305,214	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$38,106,209	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$37,853,581	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$252,628	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 (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Castle Ambulatory Surgery
Outpatient Surgery Center	0.76660	0.23340
The Cancer Center of Hawaii
Outpatient Cancer Center	0.25000	0.30000
Hawaii Health Network LLC
Managed Care Network	0.51000	0.49000

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	See Form 990 Question J	WebsiteAddressTxt
State License	120006	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	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
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Sch H Part VI - Needs Assessment	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	See Sch H Part VI - Needs Assessment	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	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
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
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 (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Facility: - Part V, Section B, Line 5	The CHNA data collection process can be summarized as follows: 1. review of prior CHNA reporting efforts; 2. Collection of most recently available demographic, socioeconomic and health indicator data. 3. Primary data gathering from community membersThe research team had the opportunity to engage with over 200 people across Hawaii who care deeply about their state. Social workers, teachers, farmers, doctors, policy advocates, mothers and fathers, sons and daughters, survivors, students, and healthcare providers all asked to share their thoughts on and for the communities where they live, the clients they serve, and the people they love. Strategies to collect input included: 82 key informant interviews, 18 community meetings, three expert panel webinars, four small focus groups, a literature review of CHNA reports from various U.S. markets, and a review of publicly available secondary data. The importance of a shared kuleana - responsibility - of healthcare working together with community and government to address social determinants of health was an important theme throughout the process. Vulnerable populations included homeless households, developmentally disabled persons, ALICE families, Kupuna/seniors, persons with mental health needs,and domestic violence survivors.
Facility: - Part V, Section B, Line 6a	Yes other participating hospitals included: The Queens Medical Center, Kaiser Permanente, Moanalua Medical Center, Kap'iolani Medical Center for Women & Children, Shriners Hospital for Children Honolulu, Wahiawa General Hospital, Hawai'i State Hospital, Hilo Medical Center, Kona Community Hospital, North Hawai'i Community Hospital, Hale Hoola Hamakua, Kau Hospital, Kohala Hospital, Maui Memorial Medical Center, Kula Hospital, Molokai General Hospital, Lana'i Community Hospital, Kuakini Medical Center, Pali Momi Medical Center, Straub Medical Center, Wilcox Memorial Hospital, Samuel Mahelona Memorial Hospital, Kaua'i Veterans Memorial Hospital, Kona Community Hospital, Hilo Medical Center, Kahuku Medical Center, Sutter Health Kahi Mohala, and West Kaua'i Medical Center (KVMH).
Facility: - Part V, Section B, Line 11	Tax year 2024 was Year Two of the Implementation Strategy for the 2022 Community Health Needs Assessment (CHNA). All programs and activities provided to the community were in response to the priority health needs identified in the 2022 CHNA. Our 2022 CHNA identified four areas of significance: Access to Care (trust and equitable access), Financial Stability, Housing and Mental Health. Priority Need One- Access to Care (trust and equitable access): The goal for this need is to collaborate with outpatient healthcare providers to increase access to healthcare for patients with any type of insurance by identifying providers that accept all insurances. In 2023, Castle Medical Center developed an easy-to-use website serving as a hub of resources to assist community members in finding a primary care provider and implemented a phone line to help community members find a primary care provider or specialist. A resource link was added in partnership with the Castle Medical Center Community Outreach team to assist members with insurance, food insecurity, housing and other needs identified by patients as well as providing enrollment assistance through a third-party vendor to assist community members with Medicaid eligibility, high touch customer service and patient advocacy. This website was maintained in 2024 and a directory of primary care physicians accepting new patients has been created and distributed at community events. This directory is updated continuously to reflect changes in provider availability. 2024 saw 13,157 new patients 95,477 primary care and 7,689 specialty). Priority Need Two- Financial Stability: Castle Medical Centers goal is to meet the strategic workforce needs in a dynamic labor market and environment to deliver high quality care and become an integral part of the community as an employer, providing entry points into the workforce, and fostering career and growth opportunities to Hawaii residents. In 2024 Castle Medical Center performed the following activities and programs addressing financial stability. 1). Optimized and improved existing training programs such as Acute Care Nursing Assistants, Medical Assistants, Mental Health Technicians and Surgical Technicians. 2). Continued work on Healthcare Association of Hawai`i and Sector Partnership-Chamber of Commerce Steering Committee and joined the Windward Workforce Development initiative whose main initiative is to increase healthcare career awareness through teacher externships, connecting employers with educational institutions to ensure alignment of provided skills and needs of the employers. 3). 2024 Adventist Health Castle Training Cohorts: Acute Care Nursing Assistants: 3 Cohorts, 13 Graduates; Medical Assistants: 1 Cohort, 3 Graduates; Mental Health Techs: 1 Cohort, 3 Graduates; Surgical Techs: 1 Cohort, 3 Graduates. In 2024, the hospital participated in 11 events that created awareness for career opportunities at Castle Medical Center including: 2/22/24 Kaneohe Marine Base, Career Speaking; 3/5/2024, Kailua High School, Healthcare Association of Hawaii Partnership; 3/28/2024, Key Project, Job Fair; 4/3/2024, Brigham Young University -Hawaii, Career Fair; 4/17/2024, Chaminade University, Career Fair; 5/17/2024, Schofield Barracks, Employment Readiness Program Career Fair; 8/8/20204, Kapiolani Community College, MA Presentation. Priority Need Three-Housing: The goal is to establish partnerships utilizing community healthcare coordinators to connect the homeless and those with housing instability with existing services and programs that lessen financial burden and facilitate available resources between client and organizations through collaboration with community partnerships. In 2024, Adventist Health accomplished the following programs/activities: 1). Implemented online database through KEY Project for Find Help Search and Connect to Social Care and reached 930 community members through 32 outreaches. 2). Collaborated with internal educational training programs promoting both clinical and non-clinical based careers to the community and partnered with the hospital Community Outreach Hui and Education and Training team to implement training for the following cohorts: Acute Care Nursing Assistants: 3 Cohorts, 13 Graduates, Medical Assistants: 1 Cohort, 3 Graduates, Mental Health Techs: 1 Cohort, 3 Graduates and registered with the University of Hawaii system to provide 1 Medical Assistant cohort, and 1 Acute Nursing Assistant cohort for 2025. 3). Provided financial support to interns hired through the Adventist Health Workforce Readiness Program and assisted 8 interns through their internship period. 4). Provided financial, hiring, and community services to 35 community members to assist in obtaining a full-time position at Castle Medical Center. 5). Completed outreaches to promote jobs available, job training, job requirements, job skills, community colleges in development, housing stability services, support services and Workforce Readiness Program and connected with 165 community members through 32 outreaches for a total of 161 community members supported. 6). Collaborated with hospital Case Management with providing social services and supported 10 patients with referrals to food security and housing stability resources. 7). Established quarterly efforts with Hui Mahiai and Weinberg Village providing workforce and social services to residents. 8). Enrolled and graduated a total of 78 community members from employability and technical skill courses hosted, arranged, or referred by hospital Community Outreach Hui through 12 training sessions with Key Project, ERVSAFE Food Handler Training: 2 sessions, HPD Academy Preparation: 1 session, Personal Caregiver Certification: 1 session, CDL 101 Overview: 2 sessions , SLC Public Speaking Training: 6 sessions, hosted 1 Acute Care Nursing Aid Workshop and provided one on one resume building, and application assistance training. Priority Need Four- Mental Health: The goal is to provide access for community and state of Hawaii mental health needs and evaluate additional behavioral health services that are not limited to detoxification and telehealth psychiatric services by increasing and improving access to behavioral health services. In 2024 Castle Medical Center engaged in the following activities: 1). Engaged and created partnerships with Kaiser Permanente Behavioral and Social Work departments to improve patient flow and Emergency Department referrals. 2). Maintained and continued community collaborative meetings with members from key stakeholders in the community such as the state legislature, NAMI, Patient self-help, Poailani, Hina Mauka and former Department of Health. 3). Collaborated with Institute of Human Services to expand mental health services for homeless through meetings with hospital social workers and IHS case managers. 4). Maintained and continued community partnerships with Castle Medical Center Community Outreach through presence at community events. 5). Primary sponsor of the annual Hawaii NAMI conference and participated in annual NAMI Walk where we strengthened our relationship with other mental health entities and hospitals. 6). A report was developed to keep track of provider transfer times from ED intake to BHS unit. The report shows the average amount of time it takes from Psychiatric assessment to In-patient admission is 49 minutes.Identified Needs from CHNA, Not Addressed and Why - No hospital can address all the health needs identified in its community. Castle Medical Center is committed to serving the community by adhering to its mission, and using its skills, expertise and resources to provide a range of community benefit programs. Other needs identified in the 2022 Community Health Needs Assessment were to work together for equity and justice; strengthen safe families; prepare for emergencies; build good food systems; community cohesiveness; environment; invest in teenagers and healthy starts; and shift kapuna care away from sick care. These additional needs will be addressed by the entirety of the state of Hawaii through collaboration and partnerships.
Facility: - Part V, Section B, Line 13h	Patients who do not meet the income criteria, may be eligible for financial assistance based on essential living expenses and resources.The following two (2) qualifications must both apply:1. Essential living expenses: Exceed fifty percent (50%) of the household income; and2. Resources: The patient's excess medical expenses (the amount that allowable medical expenses are greater than 50% of annual household income) must be greater than available qualifying assets.

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Koolau Pharmacy
642 Ulukahiki Street Suite 101	Kailua	HI	96734	Retail Pharmacy
Kaneohe Laboratory Services
46-001 Kamehameha Highway Suite 104	Kaneohe	HI	96744	Laboratory Services
Pearl City Urgent Care
1234 Kuala St	Pearl City	HI	96782	Urgent Care Clinic
Kailua Urgent Care
660 Kailua Road	Kailua	HI	96734	Urgent Care Clinic
Castle Primary Care of Laie
55-510 Kamehameha Hwy Suite 5 Suite	Laie	HI	96762	Rural Health Clinic
Castle Performance & Rehabilitation Center-Kaneohe
46-001 Kamehameha Highway Suite 104	Kaneohe	HI	96744	Physical Therapy
Kapolei Urgent Care
890 Kamokila Blvd	Kapolei	HI	96707	Urgent Care Clinic
Oncology HBOC
642 Ulukahiki Street Suite 104	Kailua	HI	96734	Oncology Clinic
Kaneohe Radiology
46-001 Kamehameha Highway Suite 104	Kaneohe	HI	96744	A department of the hospital
Kapolei OBGYN
711 Kamokila Blvd Suite 103	Kailua	HI	96734	OB Clinic
Waikiki Urgent Care
1860 Ala Moana Blvd	Honolulu	HI	96815	Urgent Care Clinic
Multi Specialty Clinic
642 Ulukahiki Street Suite 103	Kailua	HI	96734	Specialty Clinic
Complex Care Clinic
46-001 Kamehameha Highway Suite 208	Kaneohe	HI	96744	Specialty Clinic
OB Clinic
642 Ulukahiki Street Suite 301	Kailua	HI	96734	OB Clinic
Outpatient Psychiatry
40 Aulike Street Suite 217	Kailua	HI	96734	Outpatient Psychiatry
Castle Primary Care of Kailua
30 Aulike Street Suite 501	Kailua	HI	96734	Urgent Care
Castle Primary Care of Kaneohe
46-001 Kamehameha Hwy Suite 401	Kaneohe	HI	96744	Urgent Care
Central Medical Clinic
321 North Kuakini St	Honolulu	HI	96815	Medical Clinic
Multi Specialty Clinic
46-001 Kamehameha Highway Suite 202	Kaneohe	HI	96744	Specialty Clinic
AlaMoana Specialty
1441 Kapiolani Blvd	Honolulu	HI	96814	Specialty Practice
Makawao Specialty
30 Kupaoa St Suite 205	Makawao	HI	96768	Specialty Practice

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7 - Explanation of Costing Methodology	The costs were determined by using a cost-to-charge ratio. The cost-to-charge computation is based on hospital specific data included in the system-wide combined audited financial statements. The formula used for computation equals financial statement data as follows:(Total expenses - (Provision for bad debts + Other revenue + Interest income))/Gross patient charges)
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	Uncollected patient accounts are analyzed using written patient financial services policies that apply standard procedures for all patient accounts. The result of the analysis is what is recognized as bad debt expense. For example, all self-pay patients receive a discount. If the discounted account is unpaid after collection efforts, the unpaid balance is classified as bad debt. The cost-to-charge ratio is multiplied times the hospital's bad debt expense. The resulting figure has been reported as bad debts at cost on Part III, Line 2.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit	The portion of the bad debts attributed to charity care as reported on Part III, Line 3 was calculated by an independent third-party consulting firm. 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. 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. For further information please refer to schedule H part III section B.
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	Castle Medical Center promotes access to their 2022 Community Health Needs Assessment (CHNA), the 2023 Community Health Implementation Strategy (CHIS) approved in fiscal year 2023, and the Year Two Update, FY 2024 for the Community Health Implementation Strategy by posting their reports on the Hospital's website at:https://www.adventisthealth.org/castle/about-us/community-benefit/.The two most recent Community Health Needs Assessments, the two most recent Implementation Strategy reports and the 2022, 2023 and 2024 Community Health Plan Updates are also available on the Adventist Health Corporate website at https://www.adventisthealth.org/about-us/community-benefit/.The Community Health Needs Assessment (CHNA) includes both the activity and product of identifying and prioritizing a community's health needs, accomplished through the collection and development of a community health plan. The second component of the CHNA, the community health plan, includes strategies and plans to address prioritized needs, with the goal of contributing to improvements in the community's health. Qualitative and quantitative data sources were used in conducting the CHNA. To accomplish the many important systemic goals that are underway in our community, Castle Medical Center supports local partners to augment our own efforts, and to promote a healthier community. Partnership is not used as a legal term, but a description of the relationships of connectivity that are necessary to collectively improve the health of our region. One of our objectives is to partner with other nonprofit and faith-based organizations that share our values and priorities to improve the health status and quality of life of the community we serve. This is an intentional effort to avoid duplication and leverage the successful work already in existence in the community. In addition to the CHNA, our hospital engages in a process of continuous quality improvement, focusing on questions such as: are our interventions making a difference in improving health outcomes; are we providing the appropriate resources in the appropriate locations; and how are we using technology to track our health improvements and provide relevant feedback at the local level. Building a healthy community requires multiple stakeholders working together with a common purpose. With that in mind, our hospital leadership serves on a variety of community boards and committees focused on addressing community-specific needs, allowing for ongoing responsiveness to the health care needs of the community and collaboration with local agencies and organizations, enabling maximum effectiveness through collective impact.
Part VI, Line 3 - Patient Education of Eligibility for Assistance	The plain language summary of the Financial Assistance Policy (FAP) is posted along with the complete FAP policy and FAP Application on the hospitals website at: https://www.adventisthealth.org/patient-resources/bill-pay/financial-assistance/ The documents are available in multiple languages. The link to the hospitals Self-Pay Billing and Collection Policy is posted at: https://www.adventisthealth.org/documents/system/13863-self-pay-billing-and-collection-policy.pdf. 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	Castle Medical Center is situated in the City & County of Honolulu (O'ahu) As would be expected of an urban center, the stresses of long commute times, driving alone on a long commute, and other urban lifestyle indicators are clear in the secondary data. Another example is air quality, which is much worse on O'ahu than on the Neighbor Islands. Insufficient sleep, defined as 7 hours or less per 24-hour period, was much higher on O'ahu (45% of adults, contrasted to 38-40% on Neighbor Islands). Certain health outcomes data, however, are generally better for residents of O'ahu than for those on the Neighbor Islands, likely due to greater access to screening and preventive care. The birth rate, which has fallen on O'ahu and almost everywhere in the past several years, remains the highest in the state, while the teen birth rate is among the lowest. Data for teens show levels of fruit/vegetable consumption and sufficient sleep to be lower on O'ahu than on the Neighbor Islands. However, the percentage of teens reporting being bullied or cyberbullied is lowest on O'ahu, as is the percentage who reported at least one suicide attempt in the 12 months prior to being surveyed (as part of the Hawai'i DOH Youth Risk Behavior Surveillance System). Levels of teen vaping and alcohol use are reportedly lowest on O'ahu, as well. This data may be a reflection of the highest median household income in the state and the proliferation of private schools on the island.
Part VI, Line 4 - Community Building Activities	The hospital is involved in numerous community building activities which promote the health of the community. Overwhelmingly, we see diseases of despair including suicide, substance abuse, mental health and chronic illnesses plaguing the communities in which we have a significant presence in. These community concerns are addressed through health improvement, education, poverty, workforce development and access to care. This is why we have focused our work around addressing behavior and the systems keeping the most vulnerable people in cycles of poverty and high utilization. In an effort to heal these communities, we have strategically invested in our communities by partnering with national leaders in community well-being. We believe the power of community transformation lies in the hands of the community. Our solution for transformation is to create a sustainable model of well-being that measurably impacts the well-being of people, well-being of place and equity. In 2020, Adventist Health acquired Blue Zones as the first step toward reaching our solution. By partnering with Blue Zones, we will be able to gain ground in shifting the balance from healthcare treating people once they are ill to transformative well-being changing the way communities live, work and play. In 2021, Adventist Health committed to launching six Blue Zone Projects within our community footprint. In 2022, these projects were active and growing. In 2023, we saw tremendous growth in several of our markets promoting walking moais, worksite wellness, Blue Zones Project school pledges to create an environment that instills healthy lifestyle choices for our children and Blue Zones Project restaurant pledges to provide healthy options.2024 saw continued transformation of our six community Blue Zones Projects through policy initiatives around built environment, tobacco use and food. Blue Zones widens our impact from only reaching our hospitals communities in four states to a global mission practice. 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.
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 are able to provide support through remote services such as telepharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk management, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate administrative support for hospital affiliated medical groups that engage physicians through employment or other contracts. This provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communities served by all member hospitals.
Part VI, Line 7 - States Filing of Community Benefit Report	HI
Part VI - Additional Information	Other Items Inspiring health, wholeness and hope in the communities we serve requires that we provide services that allow everyone to reach their optimal health. Ensuring that everyone in our communities has that opportunity is the definition of health equity. Adventist Health is committing the time and effort to ensuring health equity in all of our markets. A Health Equity Committee has been formed with champions from every market. We are especially sensitive to addressing health equity gaps for the underserved, frail, elderly, and minority populations, says Raul Ayala, MD, MHCM, Adventist Health Ambulatory Medical Officer, Central Valley Network family practitioner, and leader of our Health Equity Committee. We are assessing the gaps in care for these populations and finding ways to close those gaps. The Health Equity Committee is looking at the programs we currently have that successfully meet the needs of underserved groups and are figuring out how we can duplicate these efforts in other markets. Programs such as our technological language support, mobile clinics, ACO nurse navigators, Community Connect, community health workers, and our substance abuse navigators. We know we must also create more access to care and enhance the patient/customer experience. In 2024, screenings for social determinants of health at our hospital reached 92.9% which included screenings for housing instability, food insecurity, utility difficulties and transportation needs. This robust data enabled our hospital to identify key areas of concern and strategically develop and refine programs to better support our communitys health. Primary website address: See Form 990, Pg 1, Item JNeeds Assessment website: See Sch H Part VI - Needs AssessmentFAP website: See Sch H Part VI-Patient Education

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	false	GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt
American Heart Association
AHA ECC Distribution	Dallas	TX	75284	135613797	501(c)(3)	$15,000	$0	Funds Transfer	General Support
Kokua Mau
PO Box 62155	Honolulu	HI	96839	990339201	501(c)(3)	$6,000	$0	Funds Transfer	General Support
National Alliance on Mental I
770 Kapiolani Blvd Ste 613	Honolulu	HI	96813	990272540	501(c)(3)	$10,000	$0	Funds Transfer	General Support
The Outdoor Circle
Lani Kailua Outdoor Circle	Kailua	HI	96734	990085044	501(c)(3)	$6,000	$0	Funds Transfer	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Additional Supplemental Information	FormAndLineReferenceDesc
Explanation	Grants are donations made to US tax exempt organizations, Government Entities and Civic organizations who are community partners, known to us, and present a valid purpose for their donation request. It is anticipated that no further monitoring is required.Employees donate to an employee assistance fund which in turn is used to assist employees needing financial assistance. The maximum assistance an employee can request is $500.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt
Anderson Erik
Patient Care Exec. thru 10/2024	$214,241	$53,625	$24,118	$13,296	$17,212	$322,492
Ashlock Ryan thru 1024
President, AHCS	$634,923	$129,977	$327,276	$13,296	$61,494	$1,166,966
Beaman John
CFO/Asst Secty	$1,261,000	$698,818	$21,043	$13,296	$66,512	$2,060,669
HeinrichKerry
Director/CEO	$2,342,000	$1,586,113	$46,082	$13,296	$44,679	$4,032,170
Hofheins Todd
COO/Vice Chair	$1,474,000	$888,115	$45,560	$13,296	$52,696	$2,473,667
Ing Albert
Physician							$1,345,744	$7,250	$13,296	$19,369	$1,385,659
Jahn Andrew
Former Care Div President thru 2/22	$281,190	$407,001	$48,578	$13,296	$3,801	$753,866
Jobe Meredith
Secretary	$796,100	$281,132	$143,872	$13,296	$44,679	$1,279,079
Johnson Nicolas
Treasurer	$350,967	$85,828	$37,287	$13,296	$38,396	$525,774
LeeAdam
For Dir Mark&Comm, PNR thru 3/21	$298,456	$48,371	$28,816	$13,296	$66,187	$455,126
Loui William
Physician							$687,180	$32,856	$13,296	$24,825	$758,157
Munir Jamalah
Physician							$557,155	$42,136	$13,296	$26,164	$638,751
Nahapetian Arby
Former Care Div Med Off thru2/22	$1,111,000	$458,435	$189,823	$13,296	$66,512	$1,839,066
Rippey Wesley
Frmr Reginal Med Off, PNR thru 3/21	$551,182	$131,994	$113,087	$13,296	$24,025	$833,584
Saavedra Garcia Katherine
Operations Executive	$154,730	$63,276	$41,211	$7,737	$37,322	$304,276
Seibel Jesse
Mission and Admin Executive	$123,693	$60,305	$133,523	$6,185	$56,922	$380,628
Smitson Robert
Medical Officer	$328,478	$48,369	$26,072	$13,296	$60,035	$476,250
Stevens Eric
Fmr Care Div Ops Exec thru 2/22	$1,196,000	$495,682	$194,464	$13,296	$44,679	$1,944,121
Thordarson Heidar
Former Treas / Asst Sec thru 3/21	$425,591	$77,747	$47,502	$13,296	$44,679	$608,815
Voshell Shane
Former Reg HR Dir, PNR thru 3/21	$234,959	$46,691	$23,437	$11,748	$59,521	$376,356
Welch Donald
Frmr Finance Officer, PNR thru 3/21	$465,504	$150,507	$90,281	$13,296	$44,679	$764,267
Wing Bill
Former Dir/A Sec/V Chair thru 01/22			$273,263			$273,263
Witmer Kenneth
Physician							$551,356	$49,186	$13,296	$29,494	$643,332
Younoszai Barak
Physician							$590,397		$13,296	$29,084	$632,777

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, Line 6	The Hospital is organized as a religious corporation and operates as a not-for-profit hospital. The sole corporate member is Adventist Health System/West, a California not-for-profit religious corporation. The Hospital operates as an affiliate of Adventist Health System/West.
Form 990, Part VI, Section A, Line 7a	The Hospital Bylaws define its Board of Directors to be the same individuals who are members of the Adventist Health System/West Board of Directors.
Form 990, Part VI, Section A, Line 7b	The Board of Directors of the Hospital shall have sole authority to amend or repeal the Articles of Incorporation, subject to the additional approval of the Board of Directors of Adventist Health System/West. The Hospital does not have any Members.
Form 990, Part VI, Section B, Line 11b	This Form 990 including all supporting schedules was prepared by a public accounting firm, reviewed by the Corporate Finance Officer and Market Financial Officer, and shared by electronic communication with the Corporation's Board of Directors prior to filing.
Form 990, Part VI, Section B, Line 12c	During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital corporate officers, key employees and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation to illustrate examples of a conflict and to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the market president or the System General Counsel immediately.The System General Counsel distributes, collects, and reviews for signatures the COIs for all applicable Corporate employees, stakeholders and the board. In addition, the hospital's administration is responsible for keeping record to ensure all hospital-based individuals with director and above positions have submitted their COIs. The System General Counsel reviews all the disclosures on the board and Corporate employees' COIs. System General Counsel retains the COIs for all individuals. Further inquiries on any potential significant conflicts are made as needed. Conflicts are documented and reviewed with the Board.
Form 990, Part VI, Section B, Line 15a	The Hospital's Board of Directors has established a Human Resources Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets at least annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, including salary ranges for hospital presidents and finance officers that would be indicated by the data evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data. The board-approved executive compensation philosophy specifies that salary ranges will be established for hospital executives, with midpoints aligned with the 60th percentile of comparable system hospital data, and having a 50 percent spread from minimum to maximum.
Form 990, Part VI, Section B, Line 15b	See Line 15a explanation.
Form 990, Part VI, Section C, Line 19	The Hospital does not make its governing documents publicly available, beyond required filings of Articles of Incorporation with the Secretary of State. The Hospital does not make its Conflict of Interest Policy available upon request, but does file monthly/quarterly summary financial reports with the state health-planning agency.
Form 990, Part XI, Line 9	Change in Interest Joint Ventures = -$6514748
Form 990, Part XI, Line 9	Split Interest Agreements-Change in Value = $75924
Form 990, Part XI, Line 9	Transfers from Related Entities = $4219947
Form 990, Part XI, Line 9	Unrealized Gain on Investments = $1223129

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 (29 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 Clearlake Hospital Inc
15630 18th Avenue	Clearlake	CA	95422	680395149	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Adventist Health Delano
1401 Garces Hwy	Delano	CA	93215	770258013	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Adventist Health Foundation
1 Adventist Health Way	Roseville	CA	95661	680002188	Charitable Foundation	CA	501(c)(3)	7	Adventist Health SystemWest	false
Adventist Health Med Ctr Tehachapi
1100 Magellan Drive	Tehachapi	CA	93561	812240617	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Adventist Health Mendocino Coast
700 River Drive	Fort Bragg	CA	95437	845174585	Hospital	CA	501(c)(3)	3	Stone Point Health	false
Adventist Health Physicians Network
1 Adventist Health Way	Roseville	CA	95661	680357690	Medical Foundation	CA	501(c)(3)	12b2	Adventist Health SystemWest	false
Adventist Health SystemWest
1 Adventist Health Way	Roseville	CA	95661	953484589	Integrated Health System	CA	501(c)(3)	10	NA	false
Adventist Health Tulare
869 North Cherry Street	Tulare	CA	93274	832351753	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Feather River Hospital
1 Adventist Health Way	Roseville	CA	95661	941101228	Hospital	CA	501(c)(3)	3	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 Association Inc
975 S Fairmont Avenue	Lodi	CA	95240	941044474	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Mid-Columbia Medical Center
1700 E 19th Street	The Dalles	OR	97058	930386936	Hospital	OR	501(c)(3)	3	Stone Point Health	false
Northwest Medical Fdtn of Tillamook
1000 Third Street	Tillamook	OR	97141	930622075	Hospital	OR	501(c)(3)	3	Adventist Health SystemWest	false
Portland Adventist Medical Center
10123 SE Market Street	Portland	OR	97216	930429015	Hospital	OR	501(c)(3)	3	Adventist Health SystemWest	false
Reedley Community Hospital
372 Cypress Avenue	Reedley	CA	93654	453220509	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Rideout Memorial Hospital
726 Fourth Street	Marysville	CA	95901	941387866	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
St Helena Hospital
10 Woodland Road	St Helena	CA	94574	941279779	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
San Joaquin Community Hospital
2615 Chester Avenue	Bakersfield	CA	93301	952294234	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Sierra Vista Hospital Inc
1010 Murray Avenue	San Luis Obispo	CA	93405	952588614	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Simi Valley Hospital & Health Care Svc
2975 N Sycamore Drive	Simi Valley	CA	93065	956064971	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Sonora Community Hospital
1000 Greenley Road	Sonora	CA	95370	941415069	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Stone Point Health
1 Adventist Health Way	Roseville	CA	95661	823763347	Supporting Organization	CA	501(c)(3)	12b2	Adventist Health SystemWest	false
Twin Cities Community Hospital Inc
1100 Las Tablas Road	Templeton	CA	93465	752918765	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Ukiah Adventist Hospital
275 Hospital Drive	Ukiah	CA	95482	941639901	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
United Com-Serve
726 Fourth Street	Marysville	CA	95901	943015356	Skilled Nursing/Asstd Living/Home Health	CA	501(c)(3)	12b2	Stone Point Health	false
Western Health Resources
1 Adventist Health Way	Roseville	CA	95661	953867863	Home Care	CA	501(c)(3)	10	Adventist Health SystemWest	false
White Memorial Medical Center
1720 E Cesar E Chavez Avenue	Los Angeles	CA	90033	952282647	Hospital	CA	501(c)(3)	10	Adventist Health SystemWest	false
Willits Hospital Inc
1 Marcela Drive	Willits	CA	95490	680108919	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Castle Ambulatory Surgery Center
640 Ulukahiki St	Kailua	HI	96734	261390010	OP Surg Cnt	HI	NA	false	false	0.76660
Blue Legacy Ventures LLC
1010 NE 2nd Avenue	Miami	FL	33132	871254649	Real Property Rental	FL	AHSWest	false	false
Blue Zones LLC
200 Southdale Center	Edina	MN	55435	271603327	Education	MN	AHSWest	false	false
PAR LLC dba CherryWood Village
8440 SE Sunnybrook Blvd Suite 100	Clackamas	OR	97015	931262371	Senior Housing	OR	AHSWest	false	false
PVHR LLC dba Paradise Village
8440 SE Sunnybrook Blvd Suite 100	Clackamas	OR	97015	260622555	Senior Housing	OR	AHSWest	false	false
PVHR2 LLC dba Parkview Memory Care
8440 SE Sunnybrook Blvd Suite 100	Clackamas	OR	97015	473300170	Senior Housing	OR	AHSWest	false	false
WWGHR LLC dba Wheatland Village
8440 SE Sunnybrook Blvd Suite 100	Clackamas	OR	97015	810591221	Senior Housing	OR	AHSWest	false	false
Hawaii Health Network LLC
640 Ulukahiki Street	Kailua	HI	96734	833141301	Managed Care	HI	Castle Medical Cntr	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
Adventist Health Plan Inc
1 Adventist Health Way	Roseville	CA	95661	463833261	Health Insurance	CA	AHSWest	C-Corp	false
Thrive Productions Inc
200 Southdale Center	Edina	MN	55435	453369049	Production Company	MN	AHSWest	C-Corp	false
Castle Health Group
640 Ulukahiki St	Kailua	HI	96734	990327883	Managed Care	HI	Castle Medical Cntr	C-Corp	false
AdHealth Limited
				952037291	Pure Captive Insurance		AHSWest	C-Corp	false	PO Box HM 2062	Hamilton	BD	HM HX	BD

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	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Adventist Health SystemWest
e	$78,569,428	Notes Payable
Adventist Health SystemWest
m	$25,382,488	Operating Exp
Adventist Health SystemWest
o	$3,115,869	Compensation
Adventist Health SystemWest
r	$31,842,352	Cash Mgt Funds