ST HELENA HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: ST HELENA HOSPITAL (EIN 94-1279779)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-17
IRS object ID: 201403219349304540
Schema version: 2013v3.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-17T20:00:16-08:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	941279779	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Helena Hospital	BusinessNameLine1
Business Name Line2	DBA St Helena Hospital Napa Valley	BusinessNameLine2

Field	Value	IRS element (for citing)
Business Name Control	STHE	BusinessNameControlTxt
Phone	7079633611	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10 Woodland Rd	AddressLine1
City	St Helena	City
State	CA	State
ZIP Code	94574	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Edward McDonald	PersonNm
Person Title	Asst Sec/Sr VP Fin	PersonTitleTxt
Signature	2014-11-17	SignatureDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Steven Herber MD	PrincipalOfficerNm
Gross Receipts	$195,787,857	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
All Affiliates Included	false	AllAffiliatesIncludedInd
Group Exemption	1071	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.adventisthealth.org/napa-valley	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1898	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	The hospital mission is to provide our community with physical, mental, and spiritual healing in a way that reflects God's love for all.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	1501	TotalEmployeeCnt
Total Volunteers	187	TotalVolunteersCnt
Total Gross UBI	$175,501	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$40,967	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,848,688	PYContributionsGrantsAmt
CY Contributions Grants	$4,468,889	CYContributionsGrantsAmt
PY Program Service Revenue	$192,218,714	PYProgramServiceRevenueAmt
CY Program Service Revenue	$187,875,775	CYProgramServiceRevenueAmt
PY Investment Income	$245,740	PYInvestmentIncomeAmt
CY Investment Income	$151,347	CYInvestmentIncomeAmt
PY Other Revenue	$1,219,882	PYOtherRevenueAmt
CY Other Revenue	$804,902	CYOtherRevenueAmt
PY Total Revenue	$198,533,024	PYTotalRevenueAmt
CY Total Revenue	$193,300,913	CYTotalRevenueAmt
PY Grants And Similar Paid	$36,250	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$29,800	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$90,206,038	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$81,592,183	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,339,897	CYTotalFundraisingExpenseAmt
PY Other Expenses	$102,440,304	PYOtherExpensesAmt
CY Other Expenses	$110,206,362	CYOtherExpensesAmt
PY Total Expenses	$192,682,592	PYTotalExpensesAmt
CY Total Expenses	$191,828,345	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,850,432	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,472,568	CYRevenuesLessExpensesAmt
Total Assets BOY	$174,476,650	TotalAssetsBOYAmt
Total Assets EOY	$170,147,015	TotalAssetsEOYAmt
Total Liabilities BOY	$119,258,992	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$113,692,726	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$55,217,658	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$56,454,289	NetAssetsOrFundBalancesEOYAmt
Mission	To share God's love by providing physical, mental, and spiritual healing.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$157,462,252	ExpenseAmt
Grant	$29,800	GrantAmt
Revenue	$188,194,682	RevenueAmt
Desc	St. Helena Hospital 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 of St. Helena Hospital, the organization recognizes that not all individuals possess the ability to pay for essential medical services.Adventist Health's 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:a) Providing free care and/or subsidized careb) Providing care to persons covered by governmental programs at below costc) Providing health/wellness activities and community education programsNot only does St. Helena Hospital provide low-cost care to individuals covered by government programs and those unable to afford health care, but it also helps patients find and access private and governmental resources for health care benefits. St. Helena Hospital recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed value of providing care to these patients in 2013 was $38,501,596.Inpatient services in 2013 were provided to 7,766 patients. These services included:Babies delivered - 226Surgeries performed - 2,109Radiology procedures performed - 63,330Cardiac catheterization and other procedures - 7,814Laboratory tests performed - 137,556Rehabilitation Units - 1Outpatient services in 2013 were provided to 84,253 patients. These services included:Emergency Room visits - 7,573Surgeries performed - 3,510Radiology procedures performed - 98,634Cardiac catheterization procedures - 7,814Laboratory tests performed - 107,464Medical clinics - 26In addition, home care services were also provided in 2013. These services included:Home health visits - 7,363St. Helena Hospital 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:Early Intervention ProgramHealthy Beginnings ProgramHealthvan One, Project HopeSafe Sitter classesChildren's Activity CenterHealthy Families Program Teddy Bear FairsPediatric S.A.R.T. (Sexual Assault Response Team) ProgramLearning-For-Life CentersSensory Integration Summer CampAsthma CampPhoneFriendGirls Today, Women TomorrowPASS (Parents for Alternate Support Solutions)Partners for PreventionParish NursingHealth FairsBlood Pressure Clinics	Desc
Total Program Service Expenses	$157,462,252	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	300	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1501	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	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
Excess Business Holdings	false	ExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Org Filed In Lieu Of Form1041	false	OrgFiledInLieuOfForm1041Ind
Licensed More Than One State	false	LicensedMoreThanOneStateInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	8	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	false	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	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Edward McDonald	PersonNm
Phone	7075712888	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10 Woodland Rd	AddressLine1
City	St Helena	City
State	CA	State
ZIP Code	94574	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
McDonald Edward
Trs/CFO/AsstSec	50.00	0.00	$0	$319,210	$85,507
Caviness Larry
Director	2.00	0.00	$0	$2,263	$0	Yes (X)
Dickinson Charles
Director	2.00	0.00	$0	$5,021	$0	Yes (X)
Fike Ruthita
Director	2.00	0.00	$0	$576	$0	Yes (X)
Friestad Christine
Director	2.00	0.00	$0	$1,783	$0	Yes (X)
Gabriel Melody
Director	2.00	0.00	$0	$1,443	$0	Yes (X)
Graham Ricardo
Director	2.00	0.00	$0	$3,020	$0	Yes (X)
Innocent Larry
Director	2.00	0.00	$0	$1,410	$0	Yes (X)
Jones Helmuth
Director	2.00	0.00	$0	$85,460	$0	Yes (X)
Reimche Allan
Director	2.00	0.00	$0	$2,070	$0	Yes (X)
Rippey Wesley
Director	2.00	0.00	$0	$96,929	$0	Yes (X)
Torkelsen Max
Director	2.00	0.00	$0	$2,799	$0	Yes (X)
Carmen Robert
Dir/Chair	0.00	50.00	$0	$1,469,005	$44,835	Yes (X)	Yes (X)
Reiner Scott
Dir/V Chair/Sec	0.00	50.00	$0	$1,075,867	$198,380	Yes (X)	Yes (X)
Rebok Douglas
Asst Secretary	0.00	50.00	$0	$787,365	$162,365		Yes (X)
Wehtje Rodney
Asst Treasurer	0.00	50.00	$0	$508,359	$105,863		Yes (X)
Wing Bill
Asst Secretary	0.00	50.00	$0	$782,125	$172,894		Yes (X)
Newmyer Terrance
President	50.00	0.00	$0	$638,878	$133,420		Yes (X)
Herber Steven
Int CEO/EVP/CMO	50.00	0.00	$0	$336,328	$83,683		Yes (X)
Jacobson Carlton
VP Finance	50.00	0.00	$0	$249,101	$68,441			Yes (X)
Cowan Joshua
VP Marketing	50.00	0.00	$0	$192,475	$37,195			Yes (X)
Fillman Orvin
Reg VP Behav Med	50.00	0.00	$0	$84,795	$13,141			Yes (X)
Lendaris Antonia
VP Pt Care Svcs	50.00	0.00	$0	$195,297	$27,415			Yes (X)
Olson David
VP Physician Svcs/CMG	50.00	0.00	$0	$224,125	$36,128			Yes (X)
Selivanoff Paul
VP Fin Revenue Mngt	50.00	0.00	$0	$213,634	$41,564			Yes (X)
Williams Patricia
VP Business Dev	50.00	0.00	$0	$234,799	$62,854			Yes (X)
Matthews Gwen
Sr VP Operations	50.00	0.00	$0	$367,410	$91,224			Yes (X)
Bockmann Rick
VP Administrative	50.00	0.00	$0	$256,647	$108,326			Yes (X)
Mackay Cristal
VP Human Dev/Perform	50.00	0.00	$0	$197,399	$31,801			Yes (X)
Jacobson Carlton
VP Finance	50.00	0.00	$0	$0	$0			Yes (X)
Mann Jeremy
CMO Ambulatory Care	50.00	0.00	$180,428	$16,000	$30,489			Yes (X)
Coon Thomas
Medical Director	40.00	0.00	$300,000	$0	$147				Yes (X)
Lundin Stephen
Chief Dev. Officer	40.00	0.00	$261,573	$0	$36,347				Yes (X)
Kirk Richard
Nurse Practitioner	40.00	0.00	$250,980	$0	$29,321				Yes (X)
Nelson Barry
CV Lab Supervisor	40.00	0.00	$228,649	$0	$32,337				Yes (X)
Thanhtong Ton
Pharmacy Director	40.00	0.00	$197,578	$0	$50,679				Yes (X)
Dodds Larry
Former V Chair/Sec	0.00	0.00	$0	$216,120	$3,969					Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,419,208	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,567,713	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,688,325	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	130	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/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
Allen Creative Group
22 West St Ste 1	Millbury	MA	01527	Marketing/Design	$1,080,362
Patient Access Medical Group
PO Box 742528	Dallas	TX	75374	Physician Services	$1,080,000
Universal Protection Service
PO Box 101034	Pasadena	CA	91189	Security Services	$552,287
Latham & Watkins LLP
PO Box 894284	Los Angeles	CA	90189	Legal Services	$348,979
Scott Johnson
PO Box 911	Angwin	CA	94508	CRNA Services	$312,557

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	36	CntrctRcvdGreaterThan100KCnt
Related Organizations	$4,293,137	RelatedOrganizationsAmt
Government Grants	$2,700	GovernmentGrantsAmt
All Other Contributions	$173,052	AllOtherContributionsAmt
Total Contributions	$4,468,889	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
Patient Service Revenue	621110	$183,750,575	$183,750,575
EMR Incentives	621110	$1,699,795	$1,699,795
Rental Income	531120	$1,217,209	$1,172,805	$44,404
Dietary	722210	$774,258	$774,258
Other Revenue	900099	$433,938	$433,938

Field	Value	IRS element (for citing)
Total Program Service Revenue	$187,875,775	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$150,447	TotalRevenueColumnAmt
Exclusion	$150,447	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$900	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$900	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$900	TotalRevenueColumnAmt
Exclusion	$900	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$2,971,151	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$2,486,944	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$484,207	TotalRevenueColumnAmt
Unrelated Business Revenue	$173,713	UnrelatedBusinessRevenueAmt
Exclusion	$310,494	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Chg in interest in fnd	900099	$185,130	$185,130
Community services	221000	$133,777	$133,777
Spa services	812900	$1,788		$1,788

Field	Value	IRS element (for citing)
Other Revenue Total	$320,695	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$193,300,913	TotalRevenueColumnAmt
Related Or Exempt Func Income	$188,150,278	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$175,501	UnrelatedBusinessRevenueAmt
Exclusion	$506,245	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$29,800	TotalAmt
Program Services	$29,800	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	$210,917	TotalAmt
Management And General	$210,917	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$62,085,011	TotalAmt
Program Services	$54,949,335	ProgramServicesAmt
Management And General	$6,532,547	ManagementAndGeneralAmt
Fundraising	$603,129	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,086,317	TotalAmt
Program Services	$2,086,317	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,861,598	TotalAmt
Program Services	$10,504,512	ProgramServicesAmt
Management And General	$2,190,199	ManagementAndGeneralAmt
Fundraising	$166,887	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,348,340	TotalAmt
Program Services	$3,857,653	ProgramServicesAmt
Management And General	$447,423	ManagementAndGeneralAmt
Fundraising	$43,264	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,297,248	TotalAmt
Management And General	$1,289,884	ManagementAndGeneralAmt
Fundraising	$7,364	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,106,123	TotalAmt
Management And General	$1,106,123	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$10,511,451	TotalAmt
Program Services	$8,403,344	ProgramServicesAmt
Management And General	$2,011,487	ManagementAndGeneralAmt
Fundraising	$96,620	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,947,100	TotalAmt
Management And General	$2,863,490	ManagementAndGeneralAmt
Fundraising	$83,610	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,222,676	TotalAmt
Program Services	$1,480,608	ProgramServicesAmt
Management And General	$720,636	ManagementAndGeneralAmt
Fundraising	$21,432	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,952,593	TotalAmt
Program Services	$7,880,161	ProgramServicesAmt
Management And General	$56,551	ManagementAndGeneralAmt
Fundraising	$15,881	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,143,669	TotalAmt
Program Services	$2,789,108	ProgramServicesAmt
Management And General	$354,283	ManagementAndGeneralAmt
Fundraising	$278	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$308,724	TotalAmt
Program Services	$125,444	ProgramServicesAmt
Management And General	$177,678	ManagementAndGeneralAmt
Fundraising	$5,602	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$39,580	TotalAmt
Program Services	$26,354	ProgramServicesAmt
Management And General	$2,644	ManagementAndGeneralAmt
Fundraising	$10,582	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,526,413	TotalAmt
Program Services	$2,526,413	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,393,950	TotalAmt
Program Services	$8,356,160	ProgramServicesAmt
Management And General	$37,484	ManagementAndGeneralAmt
Fundraising	$306	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,161,058	TotalAmt
Program Services	$1,161,058	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Patient Care Supplies	$29,586,977	$29,586,977
Other	$19,288,151	$11,196,196	$8,070,345	$21,610
Purchased Services	$18,428,302	$11,232,009	$6,936,661	$259,632
Rentals/Leases	$1,271,318	$1,249,774	$17,844	$3,700

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$21,029	TotalAmt
Program Services	$21,029	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$191,828,345	TotalAmt
Program Services	$157,462,252	ProgramServicesAmt
Management And General	$33,026,196	ManagementAndGeneralAmt
Fundraising	$1,339,897	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,255,110	BOYAmt
EOY	$908,670	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,394,328	BOYAmt
EOY	-$1,387,225	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	$32,088,446	BOYAmt
EOY	$32,818,990	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	$3,348,898	BOYAmt
EOY	$3,603,796	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,301,117	BOYAmt
EOY	$1,285,335	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$196,286,566	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$110,095,216	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$85,685,961	BOYAmt
EOY	$86,191,350	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$3,462,830	BOYAmt
EOY	$2,668,629	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$41,939,960	BOYAmt
EOY	$44,057,470	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$174,476,650	BOYAmt
EOY	$170,147,015	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$13,283,821	BOYAmt
EOY	$11,349,493	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$37,130	BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,477,833	BOYAmt
EOY	$1,201,780	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$104,460,208	BOYAmt
EOY	$101,141,453	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$119,258,992	BOYAmt
EOY	$113,692,726	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$28,790,874	BOYAmt
EOY	$30,819,844	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$24,036,606	BOYAmt
EOY	$23,270,010	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,390,178	BOYAmt
EOY	$2,364,435	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$55,217,658	BOYAmt
EOY	$56,454,289	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$174,476,650	BOYAmt
EOY	$170,147,015	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,472,568	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$235,937	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)
Church	Yes (X)	ChurchInd

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	$12,796	OtherActivitiesAmt
Total Lobbying Expenditures	$12,796	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	Portion of dues paid to membership organizations allocable to political lobbying activities.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,434,793	BeginningYearBalanceAmt
Contributions	$4,304,601	ContributionsAmt
Investment Earnings Or Losses	$373,738	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,046,216	OtherExpendituresAmt
End Year Balance	$9,066,916	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,606,949	BeginningYearBalanceAmt
Contributions	$4,272,247	ContributionsAmt
Investment Earnings Or Losses	-$559,442	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,881,883	OtherExpendituresAmt
Administrative Expenses	$3,078	AdministrativeExpensesAmt
End Year Balance	$9,434,793	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,742,337	BeginningYearBalanceAmt
Contributions	$4,197,230	ContributionsAmt
Investment Earnings Or Losses	$817,479	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,147,811	OtherExpendituresAmt
Administrative Expenses	$2,286	AdministrativeExpensesAmt
End Year Balance	$7,606,949	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,577,529	BeginningYearBalanceAmt
Contributions	$4,780,055	ContributionsAmt
Investment Earnings Or Losses	$221,919	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,835,218	OtherExpendituresAmt
Administrative Expenses	$1,948	AdministrativeExpensesAmt
End Year Balance	$5,742,337	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,242,348	BeginningYearBalanceAmt
Contributions	$7,782,272	ContributionsAmt
Investment Earnings Or Losses	$209,056	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,654,542	OtherExpendituresAmt
Administrative Expenses	$1,605	AdministrativeExpensesAmt
End Year Balance	$6,577,529	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.32000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.14000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.54000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	false	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$426,637	OtherCostOrOtherBasisAmt
Book Value	$426,637	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$115,634,151	OtherCostOrOtherBasisAmt
Depreciation	$61,571,949	DepreciationAmt
Book Value	$54,062,202	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$55,392,308	OtherCostOrOtherBasisAmt
Depreciation	$41,887,468	DepreciationAmt
Book Value	$13,504,840	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,833,470	OtherCostOrOtherBasisAmt
Depreciation	$6,635,799	DepreciationAmt
Book Value	$18,197,671	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$86,191,350	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
Receivables from Related Organization	$22,296,545
Interest in Consolidated Org	$20,185,217
Other Receivables	$1,575,708

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$44,057,470	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Payables to Related Organizations	$94,608,256
Workers Comp Liability	$3,286,956
Payables to 3rd Party Payors	$2,533,964
Other Liabilities	$712,277

Field	Value	IRS element (for citing)
Total Liability	$101,141,453	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

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	false	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,534,079	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,116,579	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$417,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,496,570	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,455,737	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$3,959,167	NetCommunityBenefitExpnsAmt

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,380,442	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,678,312	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,702,130	NetCommunityBenefitExpnsAmt
Total Expense	0.00890	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,411,091	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,250,628	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$1,839,537	NetCommunityBenefitExpnsAmt
Total Expense	0.01110	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$200,870	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$65,592	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$135,278	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,489	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,489	NetCommunityBenefitExpnsAmt

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,858,953	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,161,637	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,697,316	NetCommunityBenefitExpnsAmt
Total Expense	0.02450	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$297,312	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,083	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$244,229	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$120,590	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$120,590	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,487,214	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,280,312	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,206,902	NetCommunityBenefitExpnsAmt
Total Expense	0.02710	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,898,305	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,530,940	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,367,365	NetCommunityBenefitExpnsAmt
Total Expense	0.03820	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,124	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,124	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$132,762	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$132,762	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$134,886	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$134,886	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,030,477	BadDebtExpenseAmt
Bad Debt Expense Attributable	$195,791	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$68,821,421	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$75,306,683	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,485,262	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
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	OtherOtherDesc
St Helena Hospital
1	10 Woodland Rd	St Helena	CA	94574	Yes (X)	Yes (X)	Yes (X)	1
SHH Ctr for Behavioral Health
2	525 Oregon St	Vallejo	CA	94590	Yes (X)			1	Acute Psychiatric Hospital

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	St Helena Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Sch H Part VI-Supplemental Info	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	See Sch H Part VI-Supplemental Info	OtherWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Form4720 Filed	false	Form4720FiledInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.0000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	400.0000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 3 - Account Input from Person Who Represent the Community	To validate the data for the Live Healthy Napa County (LHNC) CHNA, and to ensure a broad representation of the community, qualitative data was collected from a variety of sources:Brainstorming - the Forces of Change Brainstorming Session, held in November 2012 as part of the LHNC Steering Committee's second meeting, set out to identify the political, cultural, environmental, and social factors that affect health and quality of life in Napa County. It was designed to create a comprehensive but focused understanding of key factors.Surveys - the LHNC Core Support Team worked with community partners across the County to conduct a survey of residents, service providers, and other stakeholders. The survey was a tool to gather data on how participants perceive health in Napa County, what the critical issues are, and how community members are currently accessing services.Workshops - residents and other stakeholders had an opportunity to participate in the community health assessment process through a series of workshops facilitated by volunteers from community organizations and agencies in the fall of 2012. Over 300 residents participated in 28 workshops in October and November 2012.Interviews - In the months of November and December 2012, a total of 16 stakeholder interviews were conducted with key leaders throughout Napa County.
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	Live Healthy Napa County (LHNC) is a public-private partnership bringing together representatives not just from health and healthcare organizations, but also from business, public safety, education,government and the general public to develop a shared understanding and vision of a healthier Napa County. The LHNC CHNA was a collaborative effort of:Kaiser PermanenteNapa County Health & Human Services AgencyNapa Valley Coalition of Nonprofit AgenciesSt. Joseph Health Queen of the Valley (SJHQOV) and St. Helena Hospital.
Part V, Line 7 - Explanation of Needs Not Addressed and Reasons Why	The following areas of need were not addressed in our hospital's Community Health Improvement Plan: Develop approaches to address disparities identified throughout our needs assessment. Increase access to fresh, healthy foods, especially in schools.St. Helena Hospital Napa Valley set community benefit goals to address areas of need that could best benefit from our capabilities and resources. We are working with the LHNC collaborative to develop a countywide Community Health Improvement Plan that will address all identified priority areas of need. This plan will be completed in early 2014.

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
St Helena Coon Joint Replacement Institute
6 Woodland Rd Ste 202	St Helena	CA	94574	Outpatient Clinic
St Helena Medical Specialties OBGYN
935 Trancas St Ste 4B	Napa	CA	94558	Outpatient Clinic
St Helena Medical Specialties Internal Medicine
18990 Coyote Valley Rd Stes 9 10	Hidden Valley Lake	CA	95467	Outpatient Clinic
St Helena Physical Therapy
1030 Main Street Ste 100	St Helena	CA	94574	Outpatient Clinic

Supplemental Information Detail SupplementalInformationDetail (11 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 chargesThe hospital is located in a medically underserved area and participates in a quality assurance fee program with the State of California to fund certain Medi-Cal coverage expansions. The state redistributes funds to hospitals that provide patient care to a higher proportion of indigent and medically underprivileged patients, who otherwise would most likely not have access to physicians and other medical services. The community benefit analysis includes receipts from this redistribution that are used to assist in partially offsetting the significant costs associated with providing patient care to this population group. The program may or may not continue in the future based on the State of Californias regulations and policies and the approval of the federal government.
Part III, Line 4 - Bad Debt Expense	Uncollected patient accounts are analyzed using written patient financial services policies that apply standard procedures for all patient accounts. The result of the analysis is what is recognized as bad debt expense. For example, all self-pay patients receive a discount. If the discounted account is unpaid after collection efforts, the unpaid balance is classified as bad debt. The cost-to-charge ratio described for Part I, Line 7 is multiplied times the hospital's bad debt expense as reported in the system-wide audited combined financial statements. The resulting figure has been reported as bad debts at cost on Part III, Line 2.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.The system-wide audited combined financial statements do not contain a footnote describing bad debt expense.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	The Medicare cost report apportions the hospitals costs on the basis of inpatient days and ancillary and outpatient charges to establish the costing methodology.Healthcare delivery by hospitals is a complex, highly regulated business in the United States. Healthcare unit cost inflation is driven by compliance with ever-expanding regulatory requirements, shortages of highly skilled labor and evolving medical and information technology. The health care market basket is unrelated to that of the average individual consumer. Since the 1997 Balanced Budget Act, Medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that Medicare payments too many U.S. hospitals are well below the cost of providing care. These unreimbursed costs are a community benefit for seniors and others in the community as these individuals are continuing to receive care without which many would become dependent on other governmental resources such as Medicaid. The benefit to the community for healthier Medicare recipients is no different than those benefits the community realizes for uninsured and underinsured patients who are eligible for partial and full charity care. Medicare is a safety net for seniors and others. Without Medicare coverage, many individuals would undoubtedly qualify for charity care.In addition to the mismatch between Medicare payment increases and healthcare cost inflation, the highly complex Medicare payment systems and formulas produce disparate payment levels from one hospital to another for the same service. These disparate payment levels create disparate results within groups of hospitals.Reconciliation of Medicare Revenue from the hospital's Medicare Cost Report to GLMedicare Cost Report Revenue $66,358,667Prior Year Settlements (25,821)Cost Report Reimbursable Bad Debts 957,023Estimates and Accrual Variances (668,112)Other 2,199,664Subtotal - Amount reported in Pt. III, line 5 $68,821 421Amounts included in Part 1, lines g and f -Total Medicare Revenue $68,821,421Note: The Medicare Cost Report revenue does not include the bad debt reimbursement. The Cost Report revenue does include the patient co-pay and deductible amounts. Adding the bad debt reimbursement would have duplicated the revenue already accounted for in the co-pay and deductible amounts.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	When a patient has requested screening for charity care, the hospital must immediately cease collection activity and place the account in a charity pending status. If 100% charity is approved, the entire account balance is written off to charity care. If the patient has a sliding scale liability based on the federal poverty guidelines, they are billed only for that liability. If the patient fails to pay their after-charity liability, they are assigned to a collection agency with an identifier that indicates to the agency that the patient is "low income" and the following criteria must be followed by the agency:1. They may not report the patient to a credit bureau2. They may not file a lawsuit to recover the outstanding liability3. They may not charge interest
Part VI - Needs Assessment	The health system retains outside research firms to assess changes in the market and community perception. Data is collected through a variety of vehicles, including phone surveys, paper surveys, and focus groups. Questions were added to the survey to help assess the impact of our community benefit activities and residents' barriers to access for health care services as well as unmet community needs.A copy of the hospital's 2013 CHNA study is posted on the hospital's website, https://www.adventisthealth.org/napa-valley/pages/about-us/community.aspx, as well as on the Adventist Health Corporate website, https://www.adventisthealth.org/Pages/About-Us/Community-Health-Needs-Assessments.aspx
Part VI - Patient Education of Eligibility for Assistance	At the time of registration, patients who are uninsured and underinsured are provided information about government healthcare programs. Patients also are orally informed of their right to request charity assistance. Signs and other communiques are posted and displayed throughout the hospital 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. The hospital charity assistance policy is posted on the hospital website.
Part VI - Community Information	The hospital primarily serves the people of Napa, Lake, and Solano counties in California. Additionally, the hospital attracts patients from outside our geographic area with specialized destination medicine programs.
Part VI - Community Building Activities	Our hospital is involved in numerous community building activities which promote the health of the communities it serves. Numerous community concerns are addressed, including health improvement, education, poverty, workforce development and access to care. We also encourage our employees to serve on community collaboration boards, health advocacy programs, and physical improvement projects to promote the health of the communities we serve. And, 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 - Explanation Of How Organization Furthers Its Exempt Purpose	We do not wait until a community member needs our services through our clinics or our Emergency Department. We are active in the community we serve. By involving ourselves in various activities, groups, and outreaches, we communicate our willingness to serve our community and our commitment to our mission. Our community health needs assessment keeps us current with changes in the health of our community. By working with other groups and agencies we are better able to assess the needs of the community then if we relied only on our own resources.
Part VI - Affilated Health Care System Roles and Promotion	The hospital is a member of a larger health care system, which provides services in diversified areas of the Western United States. The hospital shares some services with other hospitals in its geographic area. Using today's technology, hospitals outside the geographic area are able to support the hospital by providing remote services such as telepharmacy and robotics surgery. The Corporate Office provides support for the rural health clinics, quality of care, and other clinical needs.
Part VI - States Where Community Benefit Report Filed	CA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd
Total501c3 Org	0	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Psych Intern Stipends	GrantTypeTxt
Recipient	5	RecipientCnt
Cash Grant	$29,800	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Grantmaker's Description of How Grants are Used	FormAndLineReferenceDesc
Explanation	Grants are made to student interns working alongside licensed psychiatric clinicians at our mental health facility. The grant funds are given to help defray general living costs while the students are actively working in the facility and are only given during the the period of their internship.	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
Rebuttable Presumption Proc	false	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt
Dodds Larry
Former V Chair/Sec	$216,120	$3,969	$220,089	$216,120
Coon Thomas
Medical Director					$300,000	$147	$300,147
Lundin Stephen
Chief Dev. Officer					$229,062	$20,771	$297,920	$32,511	$15,576
Kirk Richard
Nurse Practitioner					$239,059	$17,617	$280,301		$11,704	$11,921
Nelson Barry
CV Lab Supervisor					$228,649	$18,259	$260,986		$14,078
Thanhtong Ton
Pharmacy Director					$183,133	$38,608	$248,257		$12,071	$14,445
Carmen Robert
Dir/Chair	$352,983	$27,048	$1,513,840								$989,976	$126,046	$17,787
Reiner Scott
Dir/V Chair/Sec	$302,585	$28,391	$1,274,247	$277,913							$688,994	$84,288	$169,989
Rebok Douglas
Asst Secretary	$142,757	$24,601	$949,730	$121,472							$572,416	$72,192	$137,764
Wehtje Rodney
Asst Treasurer	$101,441	$22,183	$614,222	$65,921							$369,816	$37,102	$83,680
Wing Bill
Asst Secretary	$116,785	$28,699	$955,019	$63,725							$593,788	$71,552	$144,195
Newmyer Terrance
President	$179,998	$25,670	$772,298	$82,326							$458,880		$107,750
Herber Steven
Int CEO/EVP/CMO	$49,634	$28,311	$420,011	$28,402							$261,694	$25,000	$55,372
McDonald Edward
Trs/CFO/AsstSec	$51,326	$28,375	$404,717	$35,381							$267,884		$57,132
Jacobson Carlton
VP Finance	$35,657	$28,428	$317,542	$20,402							$213,444		$40,013
Cowan Joshua
VP Marketing	$7,771	$28,505	$229,670								$184,704		$8,690
Lendaris Antonia
VP Pt Care Svcs	$13,909	$16,111	$222,712								$181,388		$11,304
Olson David
VP Physician Svcs/CMG	$52,163	$23,669	$260,253								$171,962		$12,459
Selivanoff Paul
VP Fin Revenue Mngt	$15,498	$29,235	$255,198								$198,136		$12,329
Williams Patricia
VP Business Dev	$37,355	$28,272	$297,653	$24,950							$197,444		$34,582
Matthews Gwen
Sr VP Operations	$57,466	$28,328	$458,634	$37,042							$289,944	$20,000	$62,896
Bockmann Rick
VP Administrative	$15,741	$22,016	$364,973								$240,906		$86,310
Mackay Cristal
VP Human Dev/Perform	$6,336	$20,430	$229,200								$184,518	$6,545	$11,371
Mann Jeremy
CMO Ambulatory Care	$16,000		$16,000		$180,428	$20,359	$210,917		$10,130

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Gregory Williams
Officer Spouse	$40,328	Consulting Services	false
Maria Lendaris
Officer Child	$48,144	Employment	false
Cambria Wehtje-Sim
Officer Child	$33,301	Employment	false
Tammy McDonald
Officer Wife	$1,182	Indep Contractor	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	The hospital is organized as a not-for-profit religious corporation. 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 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	The hospital bylaws define its board of directors to be the same individuals who are members of the Adventist Health System/West board of directors. Adventist Health System/West, a California not-for-profit religious corporation, is the sole corporate member of the hospital.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	The completed Form 990 is shared with members of the hospital's board of directors by electronic communication for their review prior to filing. A special board meeting is scheduled to answer questions and receive input from the board after their review but prior to filing.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital officers, key employees and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation, to illustrate examples of a conflict and to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the CEO immediately. The corporate internal audit staff review these questionnaires and disclosures each year during the audit process.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	See explanation of process for setting CEO compensation below on Form 990, Part VI, Line 15b explanation.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	The hospital board of directors has established a Compensation Committee to 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 CEOs and CFOs, 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 CEOs and executives, with midpoints aligned with the 50th percentile of comparable system hospital data, and having a 24 percent spread from minimum to maximum (industry norm is approximately a 50 percent spread). A hospital CEO has a maximum potential incentive of 30 percent of base salary. (This incentive potential is less than the industry norm.) Other hospital executives have a maximum potential incentive of 20 percent of base salary.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	The hospital does not make its governing documents publicly available, beyond required filings of articles of incorporation with the secretary of state. The hospital does not make its conflict of interest policy publicly available. The hospital files monthly/quarterly summary financial reports with the state health planning agency.
Other Changes In Net Assets Or Fund Balances - Other Increases	Change in value of split interest agreements = $77268
Other Changes In Net Assets Or Fund Balances - Other Decreases	Transfer to related organization = -$1243
Other Changes In Net Assets Or Fund Balances - Other Decreases	Change in interest in foundation = -$184762
Other Changes In Net Assets Or Fund Balances - Other Decreases	Released from restrictions difference = -$127200

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
Adventist Health SystemWest
2100 Douglas Blvd	Roseville	CA	95661	953484589	Support and manage system-wide activities	CA	501(c)(3)	1	NA	false
St Helena Hospital Foundation
10 Woodland Rd	St Helena	CA	94574	201384250	Fundraising and Investment Management	CA	501(c)(3)	11a, I	NA	false
Castle Medical Center
640 Ulukahiki St	Kailua	HI	96734	990107330	Hospital	HI	501(c)(3)	1	Adventist Health SystemWest	false
Central Valley General Hospital
1025 N Douty St	Hanford	CA	93230	770324630	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Feather River Hospital
5974 Pentz Rd	Paradise	CA	95969	941101228	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Glendale Adventist Medical Center
1509 Wilson Ter	Glendale	CA	91206	951816017	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Hanford Community Hospital
450 Greenfield Ave	Hanford	CA	93230	940535360	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
NW Medical Foundation of Tillamook
1000 Third St	Tillamook	OR	97141	930622075	Hospital	OR	501(c)(3)	1	Adventist Health SystemWest	false
Paradise Valley Hospital
2100 Douglas Blvd	Roseville	CA	95661	951816034	Wind down after sale of hospital facilities	CA	501(c)(3)	1	Adventist Health SystemWest	false
Portland Adventist Medical Center
10123 SE Market St	Portland	OR	97216	930429015	Hospital	OR	501(c)(3)	1	Adventist Health SystemWest	false
Adventist Health Clearlake Hospital Inc
Ave 18 at Hwy 53	Clearlake	CA	95422	680395149	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
San Joaquin Community Hospital
2615 Chester Ave	Bakersfield	CA	93301	952294234	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Simi Valley Hospital & Health Care Svcs
2975 N Sycamore Dr	Simi Valley	CA	93065	956064971	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Sonora Community Hospital
1000 Greenley Rd	Sonora	CA	95370	941415069	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Ukiah Adventist Hospital
275 Hospital Dr	Ukiah	CA	95482	941639901	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Walla Walla General Hospital
1025 S Second Ave	Walla Walla	WA	99362	910617726	Hospital	WA	501(c)(3)	1	Adventist Health SystemWest	false
White Memorial Medical Center
1720 Cesare E Chavez Ave	Los Angeles	CA	90033	952282647	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Willits Hospital Inc
1 Madrone St	Willits	CA	95490	680108919	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Adventist Health Physicians Network
2100 Douglas Blvd	Roseville	CA	95661	680357690	Medical Foundation	CA	501(c)(3)	11b, II	Adventist Health SystemWest	false
Reedley Community Hospital
372 W Cypress Ave	Reedley	CA	93654	453220509	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	South Coast Medical Center	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 Douglas Blvd	AddressLine1
City	Roseville	City
State	CA	State
ZIP Code	95661	ZIPCode

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 NA	N/A	DirectControllingNACd
Entity Type	C Corp	EntityTypeTxt
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	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	Yes (true)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd