CASTLE MEDICAL CENTER: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- CASTLE MEDICAL CENTER (EIN 99-0107330)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-16
- IRS object ID
- 202103209349302235
- Schema version
- 2020v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-16T13:28:13-08:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 800519547 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ACCOUNTANCY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 N Brand Blvd Fl 20 | AddressLine1Txt |
| City | Glendale | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 990107330 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Castle Medical Center | BusinessNameLine1Txt |
| Business Name Line2 | dba Adventist Health Castle | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CAST | BusinessNameControlTxt |
| Phone | 8082635500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 640 Ulukahiki St | AddressLine1Txt |
| City | Kailua | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96734 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Heidar Thordarson | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Signature | 2021-11-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Heidar | PersonFirstNm |
| Person Last | Thordarson | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | S Clement | PreparerPersonNm |
| PTIN | P01218012 | PTIN |
| Phone | 8185475701 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Raethel Kathryn | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 640 Ulukahiki St | AddressLine1Txt |
| City | Kailua | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96734 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $177,989,053 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 1071 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.adventisthealth.org/castle | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1960 | FormationYr |
| Legal Domicile State | HI | LegalDomicileStateCd |
| Activity Or Mission | Living Gods love by inspiring health, wholeness and hope. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 1175 | TotalEmployeeCnt |
| Total Volunteers | 76 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $1,746,739 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $407,741 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,782,238 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $175,352,926 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $169,036,208 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,520,692 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,503,500 | CYInvestmentIncomeAmt |
| PY Other Revenue | $32,729 | PYOtherRevenueAmt |
| CY Other Revenue | $257,444 | CYOtherRevenueAmt |
| PY Total Revenue | $181,314,088 | PYTotalRevenueAmt |
| CY Total Revenue | $176,579,390 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $51,134 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $29,260 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $79,378,598 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $81,667,842 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $95,377 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $94,838,547 | PYOtherExpensesAmt |
| CY Other Expenses | $97,285,886 | CYOtherExpensesAmt |
| PY Total Expenses | $174,268,279 | PYTotalExpensesAmt |
| CY Total Expenses | $178,982,988 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,045,809 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,403,598 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $277,913,794 | TotalAssetsBOYAmt |
| Total Assets EOY | $287,891,609 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $86,099,452 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $97,885,858 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $191,814,342 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $190,005,751 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Living Gods love by inspiring health, wholeness and hope. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $142,003,066 | ExpenseAmt |
| Grant | $29,260 | GrantAmt |
| Revenue | $174,539,708 | RevenueAmt |
| Desc | Castle Medical Center dba Adventist Health Castle (AHCS) provides quality medical health care regardless of race, creed, sex, national origin, handicap, age, or ability to pay.Although reimbursement for services rendered is critical to the operation and stability Castle Medical Center dba Adventist Health Castle, the organization recognizes that not all individuals possess the ability to pay for essential medical services.Adventist Healths vision is to enhance the health of the communities where we live and serve by engaging our communities and our patients in a new definition of and partnership for personal community health. In keeping with this commitment to serve all members of the community, the following will be considered when individuals who need health care cannot pay:providing free care and/or subsidized careproviding care to persons covered by governmental programs at below costproviding health/wellness activities and community education programsNot only does Castle Medical Center dba Adventist Health Castle provide low cost care to individuals covered by government-programs and those unable to afford healthcare, it also helps patients find and access private and governmental resources for healthcare benefits.AHCS recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed cost of providing care to these patients in 2020 was $6,376,415.The following Inpatient services that were provided to all our patients. These services included:896 Babies delivered1,129 Surgeries performed25,561 Patient days The following Outpatient services that were provided to all our patients. These services included:27,273 Emergency department visits1,251 Outpatient Surgeries performed58,855 Outpatient visits 49,225 Clinic visitsAHCS recognizes it has an obligation to provide human services above and beyond its role as a healing facility. The following community benefits demonstrate the tangible ways in which the organization is fulfilling its mission. The total unreimbursed cost of these community benefits in 2020 was $2,340,602.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 | $142,003,066 | 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 | false | 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 | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1175 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| 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 | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | HI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Todd Hofheins | PersonNm |
| Phone | 9164061092 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 619135 | AddressLine1Txt |
| City | Roseville | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95661 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| Reiner Scott | |||||||
| Director/CEO | 0.00 | 50.00 | Yes (X) | Yes (X) | $0 | $2,358,378 | $54,819 |
| Wing Bill | |||||||
| Dir/Pres/A Sec | 0.00 | 50.00 | Yes (X) | Yes (X) | $0 | $1,760,327 | $59,054 |
| Jahn Andrew | |||||||
| President, Care Division | 2.00 | 48.00 | $0 | $1,365,841 | $59,307 | ||
| Newmyer Joyce | |||||||
| President, PNR, Chief Culture Offic | 10.00 | 40.00 | $0 | $933,247 | $62,067 | ||
| Nahapetian Arby | |||||||
| Care Division Chief Medical Officer | 2.00 | 48.00 | $0 | $868,206 | $54,711 | ||
| Reppert Joseph | |||||||
| Former CFO/Asst Secr thru 8/19 | 50.00 | 50.00 | $0 | $813,425 | $41,111 | ||
| Jobe Meredith | |||||||
| Secretary | 0.00 | 50.00 | Yes (X) | $0 | $769,985 | $43,868 | |
| Raethel Kathryn | |||||||
| President | 50.00 | 50.00 | Yes (X) | $0 | $678,307 | $44,499 | |
| Munir Jamalah | |||||||
| Physician | 50.00 | 0.00 | $648,319 | $0 | $28,220 | ||
| Welch Donald | |||||||
| Finance Officer, PNR | 10.00 | 40.00 | $0 | $597,456 | $53,834 | ||
| Rippey Wesley | |||||||
| Regional Medical Officer, PNR | 10.00 | 40.00 | $0 | $603,356 | $40,956 | ||
| Fowler Steven | |||||||
| Physician | 50.00 | 0.00 | $527,615 | $0 | $29,091 | ||
| Hofheins Todd | |||||||
| CFO as of 8/20 | 0.00 | 50.00 | Yes (X) | $0 | $469,107 | $13,281 | |
| Ashlock Ryan | |||||||
| Operations Exec | 10.00 | 40.00 | $0 | $379,680 | $48,880 | ||
| Villarreal Enrique | |||||||
| Psychiatrist | 50.00 | 0.00 | $385,254 | $0 | $29,416 | ||
| Thordarson Heidar | |||||||
| FO/Treas/A Sec | 50.00 | 50.00 | Yes (X) | $0 | $354,920 | $32,574 | |
| Pompl Patrick | |||||||
| Psychiatrist | 50.00 | 0.00 | $357,996 | $0 | $23,809 | ||
| Wright Darin | |||||||
| Physician | 50.00 | 0.00 | $361,580 | $0 | $19,346 | ||
| Voshell Shane | |||||||
| Reg HR Dir, PNR | 10.00 | 40.00 | $0 | $271,024 | $58,224 | ||
| Cheung Alan | |||||||
| VP/Admin Director, Medical Officer | 10.00 | 40.00 | $0 | $294,495 | $0 | ||
| Anderson Erik | |||||||
| Patient Care Executive | 10.00 | 40.00 | $0 | $257,162 | $35,079 | ||
| Wagner Jack | |||||||
| Former Asst Secr thru 3/18 | 0.00 | 50.00 | $0 | $269,387 | $13,558 | ||
| Lee Adam | |||||||
| Dir Marketing & Comm, PNR | 10.00 | 40.00 | $0 | $197,098 | $39,016 | ||
| Freedman John | |||||||
| Vice Chair | 0.00 | 4.00 | Yes (X) | $0 | $27,216 | $0 | |
| Davis Andrew | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $26,971 | $0 | |
| Reiner Richard | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $26,764 | $0 | |
| Cherry Robert | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $26,160 | $0 | |
| Innocent Larry | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $25,608 | $0 | |
| Graham Ricardo | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $23,359 | $0 | |
| Heinrich Kerry | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $20,608 | $0 | |
| Woodson Marc | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $20,608 | $0 | |
| Ocampo Lucy | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $20,358 | $0 | |
| Banks David | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $15,441 | $0 | |
| Salazar Velino | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $6,651 | $0 | |
| Fehr Joy | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $108 | $0 | |
| Philip Celeste | |||||||
| Director | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,280,764 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $13,481,253 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $884,720 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 231 | 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 |
|---|---|---|---|---|---|
| Glenn PK Akiona DBA GAAS LLC | |||||
| 301 Malaai Rd | Hilo | HI | 96820 | Physican Services | $1,193,140 |
| Inpatient Medicine Services | |||||
| PO BOX 22562 | Honolulu | HI | 96823 | Physican Services | $935,000 |
| Fresenius Medical Care | |||||
| PO Box 749959 | Los Angeles | CA | 90041 | Hemodialysis Service | $869,126 |
| Diagnostic Laboratory Services | |||||
| 99-859 Iwaiwa St | Aiea | HI | 96744 | Lab Services | $594,206 |
| S and G Labs Hawaii LLC | |||||
| 75-240 Nani Kailua Dr Ste 6A | Kailua Kona | HI | 96740 | Lab Services | $477,657 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $1,782,238 | AllOtherContributionsAmt |
| Total Contributions | $1,782,238 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CARES Act Income | 900099 | $3,642,457 | $3,642,457 |
| Medical Office Rentals | 900099 | $4,932,042 | $4,932,042 |
| Other Program Svc Rev | 531120 | $1,764,493 | $1,764,493 |
| Patient Care Services | $156,417,670 | $156,417,670 | |
| Premium Revenue | 722514 | $2,121,480 | $2,121,480 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $158,066 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $158,066 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $169,036,208 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,551,133 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,551,133 | RelatedOrExemptFuncIncomeAmt |
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 | $1,952,367 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,952,367 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,952,367 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,952,367 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $10,000 | FundraisingGrossIncomeAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,000 | TotalRevenueColumnAmt |
| Exclusion | $10,000 | 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 | $1,657,107 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $1,409,663 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $247,444 | TotalRevenueColumnAmt |
| Exclusion | $247,444 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $176,579,390 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $174,539,708 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $257,444 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,500 | TotalAmt |
| Program Services | $13,500 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,760 | TotalAmt |
| Program Services | $15,760 | ProgramServicesAmt |
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 | $64,376,177 | TotalAmt |
| Program Services | $58,802,229 | ProgramServicesAmt |
| Management And General | $5,573,652 | ManagementAndGeneralAmt |
| Fundraising | $296 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,573,866 | TotalAmt |
| Program Services | $2,422,612 | ProgramServicesAmt |
| Management And General | $151,239 | ManagementAndGeneralAmt |
| Fundraising | $15 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,243,272 | TotalAmt |
| Program Services | $9,290,171 | ProgramServicesAmt |
| Management And General | $953,052 | ManagementAndGeneralAmt |
| Fundraising | $49 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,474,527 | TotalAmt |
| Program Services | $4,217,035 | ProgramServicesAmt |
| Management And General | $257,492 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,411,480 | TotalAmt |
| Program Services | $109,857 | ProgramServicesAmt |
| Management And General | $14,301,623 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,041 | TotalAmt |
| Management And General | $173,041 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $24,658,847 | TotalAmt |
| Program Services | $15,668,342 | ProgramServicesAmt |
| Management And General | $8,961,235 | ManagementAndGeneralAmt |
| Fundraising | $29,270 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,549 | TotalAmt |
| Management And General | $11,549 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,197,201 | TotalAmt |
| Program Services | $873,447 | ProgramServicesAmt |
| Management And General | $258,707 | ManagementAndGeneralAmt |
| Fundraising | $65,047 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,290,068 | TotalAmt |
| Program Services | $1,357,381 | ProgramServicesAmt |
| Management And General | $4,932,687 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,409,302 | TotalAmt |
| Program Services | $5,666,408 | ProgramServicesAmt |
| Management And General | $742,894 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,144 | TotalAmt |
| Program Services | $42,299 | ProgramServicesAmt |
| Management And General | $34,845 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,762 | TotalAmt |
| Program Services | $47,443 | ProgramServicesAmt |
| Management And General | $8,319 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,954,578 | TotalAmt |
| Program Services | $1,822,389 | ProgramServicesAmt |
| Management And General | $132,189 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,547,143 | TotalAmt |
| Program Services | $7,536,257 | ProgramServicesAmt |
| Management And General | $10,886 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $483,780 | TotalAmt |
| Program Services | $483,780 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Patient Care Supplies | $28,830,777 | $28,785,911 | $44,866 | |
| Quality Assurance | $3,600,000 | $3,600,000 | ||
| Equipment Rental | $614,384 | $613,267 | $1,117 | |
| Other Expenses | $597,330 | $261,478 | $335,152 | $700 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $373,500 | TotalAmt |
| Program Services | $373,500 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,982,988 | TotalAmt |
| Program Services | $142,003,066 | ProgramServicesAmt |
| Management And General | $36,884,545 | ManagementAndGeneralAmt |
| Fundraising | $95,377 | 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 | $127,284,724 | BOYAmt |
| EOY | $127,166,749 | 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 | $23,104,212 | BOYAmt |
| EOY | $22,538,954 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,097,301 | BOYAmt |
| EOY | $3,422,661 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $740,423 | BOYAmt |
| EOY | $950,754 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $234,945,026 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $126,133,142 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,489,722 | BOYAmt |
| EOY | $108,811,884 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,840,846 | BOYAmt |
| EOY | $11,895,331 | 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 | $5,776,138 | BOYAmt |
| EOY | $6,683,760 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,580,428 | BOYAmt |
| EOY | $6,421,516 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $277,913,794 | BOYAmt |
| EOY | $287,891,609 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,776,010 | BOYAmt |
| EOY | $13,281,239 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $145,676 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,323,442 | BOYAmt |
| EOY | $84,458,943 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,099,452 | BOYAmt |
| EOY | $97,885,858 | 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 | $190,245,331 | BOYAmt |
| EOY | $187,003,849 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,569,011 | BOYAmt |
| EOY | $3,001,902 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $191,814,342 | BOYAmt |
| EOY | $190,005,751 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $277,913,794 | BOYAmt |
| EOY | $287,891,609 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,403,598 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $595,007 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $7,627 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $7,627 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1i - Other Activities Description | FormAndLineReferenceDesc |
| Explanation | The organization belongs to industry and professional associations for which a portion of the membership dues is used for lobbying activities. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,569,011 | 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 |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,863,057 | BeginningYearBalanceAmt |
| Contributions | $324,479 | ContributionsAmt |
| Investment Earnings Or Losses | -$246,558 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $198,056 | GrantsOrScholarshipsAmt |
| Other Expenditures | $173,911 | OtherExpendituresAmt |
| End Year Balance | $1,569,011 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,519,910 | BeginningYearBalanceAmt |
| Contributions | $1,047,178 | ContributionsAmt |
| Investment Earnings Or Losses | $336,258 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,040,289 | OtherExpendituresAmt |
| End Year Balance | $1,863,057 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,222,255 | BeginningYearBalanceAmt |
| Contributions | $231,143 | ContributionsAmt |
| Investment Earnings Or Losses | $158,762 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,092,250 | OtherExpendituresAmt |
| End Year Balance | $5,519,910 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,631,562 | BeginningYearBalanceAmt |
| Contributions | $1,172,425 | ContributionsAmt |
| Investment Earnings Or Losses | $95,798 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $677,530 | OtherExpendituresAmt |
| End Year Balance | $7,222,255 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.03200 | BoardDesignatedBalanceEOYPct |
| Term Endowment Balance EOY | 0.96800 | 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 | $27,840,806 | OtherCostOrOtherBasisAmt |
| Book Value | $27,840,806 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $329,073 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $156,881,327 | OtherCostOrOtherBasisAmt |
| Depreciation | $90,545,200 | DepreciationAmt |
| Book Value | $66,665,200 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,902,459 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,291,599 | DepreciationAmt |
| Book Value | $610,860 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $37,617,175 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,339,571 | DepreciationAmt |
| Book Value | $7,277,604 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,374,186 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,956,772 | DepreciationAmt |
| Book Value | $6,417,414 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $108,811,884 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Cancer Center LLC | Desc |
| Book Value | $6,683,760 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Annuities Payable | $1,632,788 |
| Income tax payable | $109,445 |
| Other Liabilities | $10,051,147 |
| Payables to Related Organizations | $67,631,716 |
| Payables to Third Parties | $5,033,847 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $84,458,943 | 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, 2020 and 2019, 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 2016 in major tax jurisdictions. |
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 | $301,084 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $301,084 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,993,375 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,918,043 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,075,332 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03390 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,294,459 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,918,043 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,376,416 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03560 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $886,969 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,300 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $858,669 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00480 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $77,180 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $77,180 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,354,153 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,354,153 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00760 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $50,600 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $50,600 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,368,902 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,300 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,340,602 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01310 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,663,361 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,946,343 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,717,018 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04870 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,030 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $43,030 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,030 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $43,030 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,597,472 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $286,236 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $27,776,238 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $30,726,681 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,950,443 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| Castle Ambulatory Surgery | ||
| Outpatient surgery center | 0.69475 | 0.30525 |
| The Cancer Center of Hawaii | ||
| Outpatient cancer center | 0.25000 | 0.30000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Castle Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 640 Ulukahiki St | AddressLine1Txt |
| City | Kailua | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96734 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.adventisthealth.org/castle | WebsiteAddressTxt |
| State License | 120006 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Form 990, Pg 1, Item J | 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 | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Sch H Part VI - Needs Assessment | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Sch H Part VI - Patient Education | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Sch H Part VI - Patient Education | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Sch H Part VI - Patient Education | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Facility: - Part V, Section B, Line 5 | The 2019 CHNA data collection process can be summarized as follows: 1. review of prior CHNA reporting efforts; 2. Collection of most recently available demographic, socioeconomic and health indicator data. 3. Data gathering from community membersSteering Committee: A steering committee was formed to: a) advise Islander Institute on the factors that impact health in Hawaii and the different communities affected; b) participate in or help plan community engagement; and c) provide input and analysis in the development of findings. The committee included a number of willing participants from HAH and member facilities, and provided an opportunity for them to forge new relationships and shared understandings that will hopefully benefit the future implementation phases of this CHNA. The steering committee met a total of three times in 2018 on May 21, July 27, and September 19. In between meetings, steering committee members were called on for advice and for help in making community connections. Some attended community meetings, and some planned and facilitated meetings based on their own relationships with groups.Community Meetings: Islander Institute convened 21 community meetings in total to engage everyday people in discussions around health in their communities. A specific effort was made to learn about the experience of health in vulnerable communities, including disadvantaged minorities, rural residents, youth, seniors, places that are medically underserved, and people with low incomes. The meetings were not limited to these populations and included a diverse sample of geographies, ages, ethnicities, and socioeconomic backgrounds. Special attention was given to ensure the meetings were not merely extracting information from people and communities. Rather, the purpose of the meeting.Key Informant Interviews: Islander Institute created an initial list of people who could shed light on questions of health, social determinants, and the circumstances in various communities. The initial list included experts and authorities with whom Islander Institute had existing relationships based on its many years of working in Hawaii. Throughout the months of conversations, people suggested others to talk to and helped make connections. In total, Islander Institute spoke with roughly 200 people from six islands in person or over the phone, in a one-on-one format or in small groups, and in formal or informal settings. Among the key informants, Islander Institute also met with representatives of each of the 19 participating hospital facilities to best understand their engagement with the CHNA and the communities they serve. These conversations helped illuminate interests, capacities, and missions of each facility and shed light on limitations and uses of previous CHNAs and the potential for this CHNA. Additionally, Islander Institute obtained the informant interview notes from the past two CHNAs, reviewed them, and incorporated those views that were still timely into this process.Secondary data used for the CHNA was used in context with data collected from sources above. Some core county-level data is presented through the community lens that was developed from community conversations and key informant feedback. Additionally, administrators of the CHNA used data from Hawaii Health Matters, Data USA, HealthLandscape, and Community Commons. |
| Facility: - Part V, Section B, Line 6a | Nineteen HAH member hospitals contributed to the production of this CHNA.The names of those hospitals follow: Adventist Health Castle, Kahi Mohala, Kahuku Medical Center, Kaiser Foundation Hospital Honolulu, Kapiolani Medical Center for Women & Children, Kuakini Medical Center, Kula Hospital, Lanai Community Hospital, Maui Memorial MedicalCenter, Molokai General Hospital, North Hawaii Community Hospital, Pali Momi Medical Center, The Queens Medical Center, The Queens Medical Center West Oahu, Rehabilitation Hospital of the Pacific, Shriners Hospitals for Children Honolulu, Straub Medical Center, Wahiawa General Hospital, and Wilcox Medical Center. |
| Facility: - Part V, Section B, Line 11 | The COVID-19 global pandemic has caused extraordinary challenges for Adventist Health hospitals and health care systems across the world including keeping front line workers safe, shortages of protective equipment, limited ICU bed space and developing testing protocols. They have also focused on helping patients and families deal with the isolation needed to stop the spread of the virus, and more recently vaccine roll out efforts. Adventist Health, like other health care systems, had to pivot its focus to meet the most urgent healthcare needs of its community during the pandemic, as well as reassess the ability to continue with some community health strategies due to public health guidelines for social distancing. Adjustments have been made to continue community health improvement efforts as possible, while ensuring the health and safety of those participating. Our 2019 CHNA identified two areas of significance: Nurture community identity and cohesiveness & provide accessible, proactive support for those with high needs. Priority Need 1- Nurture community identity and cohesiveness- The goal is to work with community members, groups and organizations to inspire hope, provide education and skills to promote well-being as well as ways to prevent avoidable admissions and readmissions. Strategy 1- Promote healthy lifestyles and behavior. Activity 1.1- Healthy Lifestyles (The Daniel Plan, CHIP, Healthy Lifestyle Class)- Three different health lifestyle offerings were provided during the year. The Daniel Plan is a nationally recognized program that includes a faith component and was delivered in-person prior to COVID-19. A total of 46 individuals were enrolled, 76% completed the program, 1.1% saw a reduction in body fat, an average of 2.1 lbs. were lost, and there was a 1.4 years reduction in metabolic age. Since the start of the pandemic the program has been placed on hold. Both the CHIP and Healthy Lifestyle programs are evidence based and two common aspects of each offering includes the support of peers in a group setting, and program flexibility. Participants choose which healthy habit(s) to focus on as a starting point to sustainable changes toward greater well-being. With the CHIP program- a total of 15 individuals attended, 17 enrolled, and 82% completed the program. The Health Lifestyle program included 15 enrolled, 73% completed the program, 90% strongly agree they would refer a friend of family to the program, 12% saw improvement in overall health, and 13% saw an improvement in healthy eating. Activity 1.2- Youth Well-Being (Boys and Girls Club)- Due to COVID precautions, Castle was unable to participate in 2020. The Boys & Girls Windward Clubhouse shifted from in-person services to virtual outreach and then back to in-person services to a limited community. Throughout these shifts, the programming to members were adjusted and Castle is now unable to participate as guest facilitators. Activity 1.3- Healthy Weight and Your Child (A family-based lifestyle change program for youth with high BMI)- Due to COVID this program was suspended with plans to restart in the future. Activity 1.4- Expanded Food and Nutrition Program Life Skills (A family-based lifestyle change program for low income families)- Due to COVID this program adapted and shifted to live virtual sessions that are expected to start in 2021. Activity 1.5- Community Events (Exposing and inviting community members to experience healthy lifestyle screenings)- Due to COVID, the events offered to our community changed and many events were cancelled. Strategy 2- Support people and their families living with chronic disease. Activity 2.1- Support Groups- Due to COVID various support groups were previously in-person. Some groups discontinued meeting and many shifted to meeting virtually. Every year a Christmas lunch is provided to community members who participate on the wellness programs at Castle. For this groups, a total of 180 healthy drive through meals were prepared free of charge and distributed. Strategy 3- Youth Education and Outreach to Develop Hawaiis Workforce. Activity 3.1- Increase pathways to health careers with community serving community- The COPE scholar program provides an immersive opportunity for high school aged youth and young adults to gain insight and direction into career pathways in a healthcare setting. The COPE Health Scholar gains hands on experience, learning the day-to-day work activities of healthcare professionals. The goal is to mentor the next generation of healthcare leaders within the community. In 2020, 100% of all the 18+ COPE scholars were enrolled in college. As Hawaii experienced stay-at-home orders, the COPE Scholar had 2 related shutdowns. This program included 86 individuals, 10 high school students and 76 who were 18 or older. There were four cohorts, 1,359 hospital shifts, and a total of 8,128 hours worked. Priority Need 2- Provide accessible, proactive support for those with high needs- The goal is to increase community members access to care. Strategy 1- Expand clinic access to increase health prevention and improve treatment to prevent avoidable admissions and readmissions. Activity 1.1- Provide telehealth program- Due to the pandemic all services were reviewed, and this resulted in not adding urgent care services, expanding primary care hours, or specialist hours. Care was continued by the addition of telehealth visit options to augment in-person visits. At Castles Rural Health Center in Laie, operations expanded beyond medical care to include oral care services. There were a total of 15,345 telehealth encounters. Activity 1.2- Expansion of behavioral health clinic services- In FY 2020, there was a total of 910 behavioral health encounters. Additionally, with the exception of massage and in-person cooking classes which was paused due to COVID safety precautions, all other lifestyle medicine services were shifted to being provided virtually. This included 880 diabetic self-management education encounters, 233 nutrition counseling sessions, tobacco treatment services to 142 people and exercise memberships to 43 households with access to 11 fitness classes a week. As the community sheltered in place the importance of these services was magnified as it provided a social connection for many who have had very little contact outside of their homes. Even in a virtual setting, the group sessions are conducted in a way that encourages positive emotional and mental health. Goal 2- Reduce nicotine use among disparate populations. Strategy 2- Deliver nicotine reduction services in the community as opposed to traditionally hospital focused patient populations in order to proactively reach disparate populations. Activity 2.1- Behavioral Health Inpatient Visits- Within this program there were a total of 25 nicotine users reached and 3 enrolled in the program, and 100% of participants were from the priority populations. Activity 2.2- Support Groups Originating from Castle- Within this program there were a total of 14 individuals who attended with 68 encounters and 16 sessions offered by the group. For the Virtual groups a total of 17 individuals would consistently attend and 130 encounters. Activity 2.3- Community Based Groups- Within this program a total of 15 individuals attended, included a total of 20 encounters, 2 in-person sessions offered by the group. The virtual platform included a total of 10 individuals with total of 94 encounters and 20 sessions offered by the group. |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Windward Surgery Center | ||||
| 642 Ulukahiki Street Suite 200 | Kailua | HI | 96734 | Out Patient Surgery Center |
| Laboratory Services | ||||
| 46-001 Kamehameha Highway Suite 104 | Kaneohe | HI | 96744 | Laboratory Services |
| Castle Primary Care of Kailua | ||||
| 30 Aulike Street Suite 501 | Kailua | HI | 96734 | Primary Care |
| Castle Performance & Rehabilitation Center-Kailua | ||||
| 640 Ulukahiki St | Kailua | HI | 96734 | Physical Therapy |
| Castle Professional Center Surgical Weight Loss Institute Ch | ||||
| 46-001 Kamehameha Highway | Kaneohe | HI | 96744 | Surgical Weight Loss Institute Child Development Center |
| Castle Performance & Rehabilitation Center-Kaneohe | ||||
| 46-001 Kamehameha Highway Suite 301 | Kaneohe | HI | 96744 | Physical Therapy |
| Castle Primary Care of Laie | ||||
| 55-510 Kamehameha Hwy | Laie | HI | 96762 | Rural Health Clinic |
| Castle Primary Care of Kaneohe | ||||
| 46-001 Kamehameha Hwy Suite 301 | Kaneohe | HI | 96744 | Primary Care |
| Koolau Pharmacy | ||||
| 642 Ulukahiki Street Suite 101 | Kailua | HI | 96734 | Retail Pharmacy |
| Kaneohe Radiology | ||||
| 46-001 Kamehameha Highway Suite 104 | Kaneohe | HI | 96744 | Radiology |
| Castle Primary Care of Kailua-2 | ||||
| 30 Auliki St Ste 303 | Kailua | HI | 96734 | Primary Care |
| Castle Professional Center Pharmacy | ||||
| 46-001 Kamehameha Highway Suite 108 | Kaneohe | HI | 96744 | Pharmacy |
| Wellness and Lifestyle Medicine | ||||
| 642 Ulukahiki Street Suite 105 | Kailua | HI | 96734 | Wellness Center |
| Cancer Center of Hawaii Liliha | ||||
| 2226 Liliha Street Ste B2 | Honolulu | HI | 96817 | Cancer Center |
| Cancer Center of Hawaii Leeward | ||||
| 91-2135 Fort Weaver Rd Ste B-120 | Ewa Beach | HI | 96706 | Cancer Center |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7 - Explanation of Costing Methodology | The costs were determined by using a cost-to-charge ratio. The cost-to-charge computation is based on hospital specific data included in the system-wide combined audited financial statements. The formula used for computation equals financial statement data as follows:(Total expenses - (Provision for bad debts + Other revenue + Interest income))/Gross patient charges) |
| Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense | Uncollected patient accounts are analyzed using written patient financial services policies that apply standard procedures for all patient accounts. The result of the analysis is what is recognized as bad debt expense. For example, all self-pay patients receive a discount. If the discounted account is unpaid after collection efforts, the unpaid balance is classified as bad debt. The cost-to-charge ratio is multiplied times the hospital's bad debt expense. The resulting figure has been reported as bad debts at cost on Part III, Line 2. |
| Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit | The portion of the bad debts attributed to charity care as reported on Part III, Line 3 was calculated by an independent third-party consulting firm. This is an estimate of additional charity care that would have been granted if patients had cooperated by furnishing family financial information. A statistically valid sampling of patient accounts written-off was evaluated. The evaluation used various factors to determine which patients would have been eligible for charity care. Had the hospital obtained sufficient information from all patients who qualified for financial assistance, these additional accounts would have been recorded as charity care instead of bad debt. |
| Part III, Line 4 - Bad Debt Expense | The system-wide combined audited financial statements do not contain a footnote describing bad debt expense. |
| Part III, Line 8 - Explanation Of Shortfall As Community Benefit | The Medicare cost report apportions the hospitals costs on the basis of inpatient days and ancillary and outpatient charges to establish the costing methodology.Healthcare delivery by hospitals is a complex, highly regulated business in the United States. Healthcare unit cost inflation is driven by compliance with ever-expanding regulatory requirements, shortages of highly skilled labor and evolving medical and information technology. The health care market basket is unrelated to that of the average individual consumer. Since the 1997 Balanced Budget Act, Medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that Medicare payments too many U.S. hospitals are well below the cost of providing care. These unreimbursed costs are a community benefit for seniors and others in the community as these individuals are continuing to receive care without which many would become dependent on other governmental resources such as Medicaid. The benefit to the community for healthier Medicare recipients is no different than those benefits the community realizes for uninsured and underinsured patients who are eligible for partial and full charity care. Medicare is a safety net for seniors and others. Without Medicare coverage, many individuals would undoubtedly qualify for charity care.In addition to the mismatch between Medicare payment increases and healthcare cost inflation, the highly complex Medicare payment systems and formulas produce disparate payment levels from one hospital to another for the same service. These disparate payment levels create disparate results within groups of hospitals.Reconciliation of Medicare Revenue from the hospital's Medicare Cost Report to GL Revenue Rec. *Medicare Cost Report Revenue $ 27,776,238 Prior Year Settlements 20,325 Cost Report Reimbursable Bad Debts 81,907 Non-Cost Report Revenue 4,211,856 Estimates and Accrual Variances 378,079 Other (258,252) ___________Total Medicare Revenue $ 32,210,153 *Note: The Medicare Cost Report Revenue includes the patient co-pay and deductible amounts, but not the bad-debt reimbursement. Adding the bad-debt reimbursement would have duplicated the revenue and deductible amounts. |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | When a patient has requested screening for charity care, the hospital must immediately cease collection activity and place the account in a charity pending status. If 100% charity is approved, the entire account balance is written off to charity care. If the patient has a sliding scale liability based on the federal poverty guidelines, they are billed only for that liability. If the patient fails to pay their after-charity liability, they are assigned to a collection agency with an identifier that indicates to the agency that the patient is "low incomeX and the following criteria must be followed by the agency: 1. They may not report the patient to a credit bureau 2. They may not file a lawsuit to recover the outstanding liability 3. They may not charge interest |
| Part VI, Line 2 - Needs Assessment | The hospital's 2019 CHNA, the 2021 Community Health Plan (CHP) Updates for fiscal year 2020, and the 2020 Implementation Strategy adopted in 2020 are posted on the hospital's website at Community Benefit | Roseville, California | Adventist Health. The two most recent Community Health Needs Assessment, two most recent Implementation Strategy reports and the most recent Community Health Plan Updates are also available on the Adventist Health Corporate website at Community Benefit | Roseville, California | Adventist Health. 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. |
| Part VI, Line 3 - Patient Education of Eligibility for Assistance | The plain language summary of the Financial Assistance Policy (FAP) is posted along with the complete FAP policy and FAP Application on the hospital's website at https://www.adventisthealth.org/documents/financial-assistance/ENG_PFS-112_Financial-Assistance-Policy.pdf. These documents are available in multiple languages.At the time of registration, patients who are uninsured and underinsured are provided information about government healthcare programs. Patients are also orally informed of their right to request charity assistance. Signs are displayed in the patient business office, patient registration areas and the emergency room in multiple languages informing patients of this right as well. The hospital also provides a brochure during the registration process that explains the hospital billing and collection procedures, and how to request financial assistance. In addition, every billing statement sent to patients contains information on how to request financial assistance. |
| Part VI, Line 4 - Community Information | O'ahu is a place of tourism and gentrification. It is a place where many cultures are able to practice their traditions and share them. It is a place of visible disparities between rich and poor, urban and rural, sheltered and unsheltered. It is a place of rural living where you know your neighbors and care for each other. It is a place of workplace stress, traffic and long commutes, sedentary lifestyles, poor sleep, and people locked in on their phones. It is a place of convenience, job opportunities, and healthcare accessibility for most. It is a place of commercial activity and material abundance. It is a place of connection to lo'i, fishponds, beaches, hiking, and fishing. A steady stream of development continues around rail, luxury condominiums, shopping centers, and suburban neighborhoods. Many feel policies regarding public areas are made for the safety and wellbeing of visitors first, thus exacerbating a crisis for houseless people in large part caused by a lack of sufficient affordable housing and insufficient services for those with mental illnesses. Care for houseless individuals, particularly those in urban Honolulu, falls primarily to government and nonprofits rather than appealing to a broader notion of all caring for all.The population on Oahu is 990,060, of which 1 in 10 at any given time are visitors. Of the population, 242,500 identify as Hawaiian. Almost one in four residents identifies as two or more races, which is much more than in the U.S. overall, and the largest single race group in Hawaii is Asian. 4500 residents of Oahu are homeless, 86,900 are living in poverty, 23,500 are children living in poverty and 21,800 are unemployed. Those living without health insurance number 37,600. 78,400 residents are identified as veterans. Oahus communitys highest needs include addressing mental and physical well-being for families, developing traffic solutions to reduce commute times, resisting gentrification and inequality of conditions exacerbated by development, and engaging the public in developing and implementing solutions for the houseless population. |
| Part VI, Line 4 - Community Building Activities | The hospital is involved in numerous community building activities which promote the health of the community. Overwhelmingly, we see diseases of despair including suicide, substance abuse, mental health and chronic illnesses plaguing the communities that 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 completed the acquisition of Blue Zones as the first step toward reaching this goal. By partnering with Blue Zones, we are 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. 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. These activities are not included elsewhere on Schedule H. |
| Part VI, Line 5 - Promotion of Community Health | Our hospitals mission is, Living Gods love by inspiring health, wholeness and hope. Our community benefit work is rooted deep within our mission and merely an extension of our mission and service. We have also incorporated our community benefit work to be an integral component of improving the triple aim. The Triple Aim concept broadly known and accepted within health care includes:1) Improve the experience of care for our residents.2) Improve the health of populations.3) Reduce the per capita costs of health care.Our strategic investments in our community are focused on a more planned, proactive approach to community health. The basic issue of good stewardship is making optimal use of limited charitable funds. Defaulting to charity care in our emergency rooms for the most vulnerable is not consistent with our mission. An upstream and more proactive and strategic allocation of resources enables us to help low income populations avoid preventable pain and suffering; in turn allowing the reallocation of funds to serve an increasing number of people experiencing health disparities.Hospitals and health systems are facing continuous challenges during this historic shift in our health system. Given todays state of health, where cost and heartache is soaring, now more than ever, we believe we can do something to change this. These challenges include a paradigm shift in how hospitals and health systems are positioning themselves and their strategies for success in a new payment environment. This will impact everyone in a community and will require shared responsibility among all stakeholders. As hospitals move toward population health management, community health interventions are a key element in achieving the overall goals of reducing the overall cost of health care, improving the health of the population, and improving access to affordable health services for the community both in outpatient and community settings. The key factor in improving quality and efficiency of the care hospitals provide is to include the larger community they serve as a part of their overall strategy. Population health is not just the overall health of a population, but also includes the distribution of health. Overall health could be quite high if the majority of the population is relatively healthyeven though a minority of the population is much less healthy. Ideally such differences would be eliminated or at least substantially reduced.Community health can serve as a strategic platform to improve the health outcomes of a defined group of people, concentrating on three correlated stages:1) The distribution of specific health statuses and outcomes within a population; 2) Factors that cause the present outcomes distribution; and 3) Interventions that may modify the factors to improve health outcomes.Improving population health requires effective initiatives to: 1) Increase the prevalence of evidence-based preventive health services and preventive health behaviors, 2) Improve care quality and patient safety, and 3) Advance care coordination across the health care continuum. We will work together with our community to ensure the community health improvements are identified and then targeted for programs to influence behaviors to obtain improved health within the whole community. |
| Part VI, Line 6 - Affilated Health Care System | The hospital is a member of Adventist Health, a health care system which provides healthcare services in diverse markets within the Western United States. A member hospital may share some services with other member hospitals in its geographic area, such as clinical, management and support services. Using today's technology, hospitals outside the geographic area can provide support through remote services such as telepharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk management, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate administrative support for hospital affiliated medical groups that engage physicians through employment or other contracts. This provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communities served by all member hospitals. |
| Part VI - Additional Information | Identified Needs from CHNA, Not Addressed and Why (Based on 2020 (FY 2019) CHP Update) - No hospital can address all the health needs identified in its community. Adventist Health Castle is committed to serving the community be adhering to its mission, and using its skills, expertise and resources to provide a range of community benefit programs. Other needs identified in the CHNA not specifically addressed did not meet the criteria of the implementation strategy. Other Items Adventist Health Castle took these additional actions:In Waimanalo, a few miles from Castle, Hui Mahiai tiny home community helped 37 homeless people previously living in makeshift shelters at the beach transition to a residence in a safe alternative. The Adventist Health $10,000 grant provided funding to create a safe and sanitary kitchen area. In May 2020, with assistance from funding from Adventist Health, Castle Medical Center Rehabilitation (drug treatment recovery residence, many formerly incarcerated) has 150 residents sheltering in place and were able to effectively continue services by preparing 1,000 meals a day for themselves and for the community in partnership with community organizations like our local community college as a distribution site for meals. A total of 18,801 COVID drive through tests were completed, 1,700 drive through flu vaccinations were given. In December 2020, 1,350 COVID vaccinations were given. In FY2020, Adventist Health as a system took the following actions in response to the needs created or exacerbated by COVID-19: Adventist Health as a system directed Community Strength Fund grants to each hospital to support community partners immediate response to COVID-19; Adventist Health as a system directed Community Integration Catalyst funds to each hospital to support internal new or expanded community well-being programming and innovation as an immediate response to COVID-19; began offering more virtual health care visits to keep community members safe and healthy; developed an online symptom tracker to help community members determine if they may have COVID-19 or some other flu type illness and what steps to take; partnered with MaskUp, a collaboration of 100 leading health systems representing thousands of hospitals across the U.S. joining to create messages for the betterment of the communities they serve.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 (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc |
|---|---|---|---|---|---|---|---|---|
| American Heart Association | ||||||||
| 677 Ala Moana Blvd | Honolulu | HI | 96813 | 135613797 | 501(c)(3) | $7,500 | $0 | Funds Transfer |
| Healthcare Association of Haw | ||||||||
| 707 Richards Street PH2 | Honolulu | HI | 96813 | 990105817 | 501(c)(3) | $6,000 | $0 | Funds Transfer |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Employee Assistance | GrantTypeTxt |
| Recipient | 42 | RecipientCnt |
| Cash Grant | $15,760 | CashGrantAmt |
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 (23 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 | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Anderson Erik | |||||||||||
| Patient Care Executive | $219,296 | $12,262 | $25,604 | $12,096 | $22,983 | $292,241 | |||||
| Ashlock Ryan | |||||||||||
| Operations Exec | $313,284 | $33,724 | $32,672 | $17,042 | $31,838 | $428,560 | |||||
| Cheung Alan | |||||||||||
| VP/Admin Director, Medical Officer | $294,495 | $294,495 | |||||||||
| Fowler Steven | |||||||||||
| Physician | $527,615 | $6,571 | $22,520 | $556,706 | |||||||
| Hofheins Todd | |||||||||||
| CFO as of 8/20 | $297,756 | $66 | $171,285 | $13,281 | $482,388 | ||||||
| Jahn Andrew | |||||||||||
| President, Care Division | $992,796 | $210,574 | $162,471 | $17,042 | $42,265 | $1,425,148 | |||||
| Jobe Meredith | |||||||||||
| Secretary | $575,127 | $81,637 | $113,221 | $13,010 | $30,858 | $813,853 | |||||
| Lee Adam | |||||||||||
| Dir Marketing & Comm, PNR | $168,272 | $13,154 | $15,672 | $6,981 | $32,035 | $236,114 | |||||
| Munir Jamalah | |||||||||||
| Physician | $648,050 | $5,700 | $22,520 | $676,539 | $269 | ||||||
| Nahapetian Arby | |||||||||||
| Care Division Chief Medical Officer | $648,088 | $107,260 | $112,858 | $12,449 | $42,262 | $922,917 | |||||
| Newmyer Joyce | |||||||||||
| President, PNR, Chief Culture Offic | $757,634 | $155,648 | $19,965 | $17,042 | $45,025 | $995,314 | |||||
| Pompl Patrick | |||||||||||
| Psychiatrist | $357,996 | $14,429 | $9,380 | $381,805 | |||||||
| Raethel Kathryn | |||||||||||
| President | $492,087 | $66,191 | $120,029 | $17,042 | $27,457 | $722,806 | |||||
| Reiner Scott | |||||||||||
| Director/CEO | $1,631,895 | $352,059 | $374,424 | $17,042 | $37,777 | $2,413,197 | |||||
| Reppert Joseph | |||||||||||
| Former CFO/Asst Secr thru 8/19 | $2,779 | $810,646 | $41,111 | $854,536 | |||||||
| Rippey Wesley | |||||||||||
| Regional Medical Officer, PNR | $448,162 | $69,299 | $85,895 | $12,673 | $28,283 | $644,312 | |||||
| Thordarson Heidar | |||||||||||
| FO/Treas/A Sec | $294,492 | $31,375 | $29,053 | $17,042 | $15,532 | $387,494 | |||||
| Villarreal Enrique | |||||||||||
| Psychiatrist | $385,254 | $13,154 | $16,262 | $414,670 | |||||||
| Voshell Shane | |||||||||||
| Reg HR Dir, PNR | $216,133 | $32,844 | $22,047 | $14,269 | $43,955 | $329,248 | |||||
| Wagner Jack | |||||||||||
| Former Asst Secr thru 3/18 | $269,387 | $13,558 | $282,945 | ||||||||
| Welch Donald | |||||||||||
| Finance Officer, PNR | $437,746 | $79,504 | $80,206 | $17,042 | $36,792 | $651,290 | |||||
| Wing Bill | |||||||||||
| Dir/Pres/A Sec | $1,458,328 | $279,883 | $22,116 | $17,042 | $42,012 | $1,819,381 | |||||
| Wright Darin | |||||||||||
| Physician | $361,580 | $4,331 | $15,015 | $380,926 | |||||||
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Linda Henry | |||
| Key EE Sister | $45,395 | Employment | false |
| Mark Ashlock | |||
| Key EE Father | $965,055 | Employment | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part V Supplemental Information | FormAndLineReferenceDesc |
| Explanation | Additional information regarding interested persons listed above:1. Linda Henry is the sister of Former Adventist Health board member and current Key Employee, Wesley Rippey.2. Mark Ashlock is the father of Key Employee, Ryan Ashlock. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | The Hospital is organized as a religious corporation and operates as a not-for-profit hospital. The sole corporate member is Adventist Health System/West, a California not-for-profit religious corporation. The Hospital operates as an affiliate of Adventist Health System/West. |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | The Hospital Bylaws define its Board of Directors to be the same individuals who are members of the Adventist Health System/West Board of Directors. |
| Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders | The sole corporate member, Adventist Health System/West, must approve all changes to the articles of incorporation and bylaws. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | This Form 990, including all supporting schedules, was prepared by a public accounting firm, reviewed by the System Controller and market Finance Officer, and shared by electronic communication with the corporation's Board of Directors prior to filing. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital officers, key employees and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation, to illustrate examples of a conflict and to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the market president 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. Copies for the officers and key employees' COIs are kept in their personnel files. Further inquiries on any potential significant conflicts are made as needed. Conflicts are documented and reviewed with the Board. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | The Organization's Board of Directors has established a Human Performance Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, including salary ranges for hospital 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 50th percentile of comparable system hospital data, and having a 50 percent spread from minimum to maximum. A hospital president has a maximum potential incentive of 30 or 35 percent of base salary based upon size and scope of hospital. (Incentive potential is industry norm) Other hospital executives have a maximum potential incentive of 25 to 30 percent of base salary. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | See Line 15a explanation. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | The hospital does not make its governing documents publicly available, beyond required filings of articles of incorporation with the secretary of state. The hospital does not make its conflict of interest policy publicly available. The hospital files annual summary financial reports with the state health-planning agency. |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Change in Interest-JV = -$5773 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Change in value of split-interest agreements = $77225 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Transfer to related entity = -$34072 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Unrealized Gain on Investments = $557627 |
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 SystemWest | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 953484589 | Integrated Health System | CA | 501(c)(3) | 10 | NA | false |
| Adventist Health Clearlake Hospital Inc | ||||||||||
| 15630 18th Ave | Clearlake | CA | 95422 | 680395149 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Adventist Health Medical Center Tehachap | ||||||||||
| 1100 Magellan Drive | Tehachapi | CA | 93561 | 812240617 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Adventist Health Physicians Network | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 680357690 | Medical Foundation | CA | 501(c)(3) | 12b2 | Adventist Health SystemWest | false |
| Adventist Health So CA Medical Fdtn | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 954424391 | Discontinued Operations | CA | 501(c)(3) | 12b2 | Adventist Health SystemWest | false |
| Feather River Hospital | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 941101228 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Fremont-Rideout Health Group | ||||||||||
| 989 Plumas Street | Yuba City | CA | 95991 | 942917251 | Acute Care Hospital | CA | 501(c)(3) | 12b2 | Stone Point Health | false |
| Glendale Adventist Medical Center | ||||||||||
| 1509 Wilson Terrace | Glendale | CA | 91206 | 951816017 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Hanford Community Hospital | ||||||||||
| 115 Mall Drive | Hanford | CA | 93230 | 940535360 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Lodi Memorial Hospital Association Inc | ||||||||||
| 975 S Fairmont Avenue | Lodi | CA | 95240 | 941044474 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Northwest Medical Fdtn of Tillamook | ||||||||||
| 1000 Third Street | Tillamook | OR | 97141 | 930622075 | Hospital | OR | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Paradise Valley Hospital | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 951816034 | Discontinued Operations | CA | 501(c)(3) | 1 | Adventist Health SystemWest | false |
| Portland Adventist Medical Center | ||||||||||
| 10123 SE Market Street | Portland | OR | 97216 | 930429015 | Hospital | OR | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Reedley Community Hospital | ||||||||||
| 372 Cypress Avenue | Reedley | CA | 93654 | 453220509 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Rideout Memorial Hospital | ||||||||||
| 989 Plumas Street | Yuba City | CA | 95991 | 941387866 | Acute Care Hospital | CA | 501(c)(3) | 3 | Fremont-Rideout Health Group | false |
| St Helena Hospital | ||||||||||
| 10 Woodland Road | St Helena | CA | 94574 | 941279779 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| San Joaquin Community Hospital | ||||||||||
| 2615 Chester Avenue | Bakersfield | CA | 93301 | 952294234 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Simi Valley Hospital & Health Care Svc | ||||||||||
| 2975 N Sycamore Drive | Simi Valley | CA | 93065 | 956064971 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Sonora Community Hospital | ||||||||||
| 1000 Greenley Road | Sonora | CA | 95370 | 941415069 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Stone Point Health | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 823763347 | Supporting organization | CA | 501(c)(3) | 12b2 | Adventist Health SystemWest | false |
| Ukiah Adventist Hospital | ||||||||||
| 275 Hospital Drive | Ukiah | CA | 95482 | 941639901 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| United Com-Serve | ||||||||||
| 989 Plumas Street | Yuba City | CA | 95991 | 943015356 | Skilled Nursing/Asstd Living/Home Health | CA | 501(c)(3) | 12b2 | Fremont-Rideout Health Group | false |
| Walla Walla General Hospital | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 910617726 | Hospital | WA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Western Health Resources | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 953867863 | Home Care | CA | 501(c)(3) | 10 | Adventist Health SystemWest | false |
| White Memorial Medical Center | ||||||||||
| 1720 Cesar E Chavez Avenue | Los Angeles | CA | 90033 | 952282647 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Willits Hospital Inc | ||||||||||
| 1 Marcela Drive | Willits | CA | 95490 | 680108919 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Adventist Health Delano | ||||||||||
| PO Box 460 | Delano | CA | 93216 | 770258013 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Adventist Health Tulare | ||||||||||
| 869 North Cherry Street | Tulare | CA | 93274 | 832351753 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Adventist Health Mendocino Coast | ||||||||||
| 700 River Drive | Fort Bragg | CA | 95437 | 845174585 | Hospital | CA | 501(C)(3) | 3 | Adventist Health SystemWest | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Castle Ambulatory Surgery Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 640 Ulukahiki St | AddressLine1Txt |
| City | Kailua | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96734 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261390010 | EIN |
| Primary Activities | OP Surg Cnt | PrimaryActivitiesTxt |
| Legal Domicile State | HI | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0.69475 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | South Coast Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 619135 | AddressLine1Txt |
| City | Roseville | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95661 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952037291 | EIN |
| Primary Activities | Wind down after sale of hospital | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AHSWest | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C-Corp | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 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 | $67,631,716 | Notes Payable |
| Adventist Health SystemWest | ||
| m | $26,896,564 | Operating Exp |
| Adventist Health SystemWest | ||
| o | $1,343,006 | Compensation |
| Adventist Health SystemWest | ||
| r | $16,087,688 | Cash Mgt Funds |