2020-11-16T11:26:27-08:00 2019-12-31 800519547 THE ACCOUNTANCY LLP 500 N Brand Blvd Fl 20 Glendale CA 91203 990 2019-01-01 952282647 White Memorial Medical Center WHIT 3232685000 1720 East Cesar E Chavez Avenue Los Angeles CA 90033 Blin Richards Financial Officer 2020-11-16 true S Clement P01218012 8185475701 X 2019 2021-01-29 14:40:06Z Raffoul John 1720 East Cesar E Chavez Avenue Los Angeles CA 900332443 472292921 false 1071 X www.AdventistHealth.org/White-Memorial X 1963 CA Living Gods love by inspiring health, wholeness and hope. 14 12 2393 306 0 45079247 1243110 452655745 450062460 9844129 20987351 293118 0 507872239 472292921 1277910 341395 0 170088268 179624900 0 718441 256196305 284640491 427562483 464606786 80309756 7686135 791000100 803945501 100193167 104324698 690806933 699620803 Living Gods love by inspiring health, wholeness and hope. false false 378950700 341395 449976764 White Memorial Medical Center (AHWM) 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 White Memorial Medical Center, 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: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 White Memorial Medical Center provide low cost care to individuals covered by government-programs and those unable to afford healthcare, it also helps patients find and access private and governmental resources for healthcare benefits.AHWM 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 2019 was $1,255,113The following Inpatient services that were provided to all our patients. These services included:3,371 Babies delivered3,265 Surgeries performed88,418 Patient days The following Outpatient services that were provided to all our patients. These services included:65,681 Emergency department visits5,020 Outpatient Surgeries performed79,572 Outpatient visits 30,296 Clinic visitsAHWM 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 2019 was $26,404,345.Adventist Health's mission statement of Living God's 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 God's image has experienced the best health today, hope for tomorrow, and God's love that endures forever.Our hospitals impact on our community is best illustrated by excerpts from the following story written by Juan Castro, one of the students participating in our Healthcare Workforce Development program who was recently accepted into an X-Ray Technician program at East Los Angeles Occupational Center Radiology Program. Juan graduated from Pasadena City College with an Associate Degree in Arts and Natural Science with a 3.8 GPA and Administration honors:I am currently volunteering at Adventist Health White Memorial. I started off volunteering at the Same Day Surgery department. My experience volunteering here has been awesome. One of the main reasons I really enjoy working at AHWM is because of its core values, which are aligned with my personal values. Even though I am not a Seventh-day Adventist, I am a follower of the Christian faith, being raised Catholic by my parents. And whether someone is of a different religion, I do not discriminate because we are all equal. It is these same values: integrity, compassion, respect and excellence that I uphold in daily life. This is why volunteering here at AHWM has been a pleasure.Living life with these values is what motivates me to helping and serving others. That is what I feel this life is about: to help and serve others. Volunteering may not be a big help, or helping save lives directly, but it feels good to be part of the big picture in helping saving lives, no matter how small a task is, or even if my work is not recognized. My passion is to help others in any way I can.This is why I chose to study Radiology. I feel this career is best suited for me, because it helps save lives. It really is amazing how much progress has been made in the medical world. We can record images of the human body to pinpoint where a broken bone is located to treat that affected area specifically. We can see how organs function. We can stop the spread of cancer by early detection with X-ray imaging.It is a perfect doorway into the medical field for me. It is also a perfect doorway for me to get out poverty. I am a 1st generation Mexican-American. Both of my parents came to the U.S from Mexico. They came with virtually nothing but still have provided stability for my family. We are not rich, we live in a housing projects for low income families. Living in the projects is not the ideal place to live. There is a lot of crime and drugs here. This neighborhood is actually referred to as a "Food Desert" because there is no place to buy healthy food here. There is only one liquor store here to buy food. Residents have to travel a few miles to get healthy, non-processed food because there are no markets around us.I am grateful for all that my parents have done for me. It is because of them that I am motivated in starting a career in the medical field. They have always supported me. There is no excuse to not succeed. Thanks to them, I am the 1st and only person in my family that has graduated from college. I am eager to continue advancing in my educational life, eventually becoming a Radiologist. I love helping people, and I really want to help those that have always been there for me as well. I want to give my parents the best, just like they gave me the best to succeed.Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/ 378950700 true true false true false false false false false true true false false true true true false true false false false true false false false false true true true false true false false false false false false false false false false false false false true true true false false true 0 0 true 2393 true false false false false false false false 0 false false false false false false false X 14 12 false false false false true true true true true false false true true true true true true true true false CA X Jay Lipps 9164061092 PO Box 619135 Roseville CA 95661 X Reiner Scott Dir/Chair 0.00 50.00 X X 0 1995696 53734 Raffoul John FO, SCR/Presid. 0.00 50.00 X 0 1893381 48038 Wing Bill Dir/A Sec/CFO 0.00 50.00 X X 0 1572254 46583 Jahn Andrew President, SCR 10.00 40.00 0 1254944 59912 Reppert Joseph CFO/A Sec-08/19 0.00 50.00 X 0 1209069 57565 Nahapetian Arby Medical Officer , SCR 10.00 40.00 0 841794 58842 Zachary Beth President SCR thru 12/2019 10.00 40.00 0 840555 47667 Wagner Jack Former Asst Secr 0.00 50.00 0 778453 29189 Jobe Meredith Secretary 0.00 50.00 X 0 730385 45909 Bryant Mara Operations Exec 50.00 0.00 0 529546 54562 Fargo Roland Former Physician Ops Officer 0.00 50.00 0 475946 39167 Milatovic Natasa Reg HR Dir, SCR 10.00 40.00 0 459205 49980 Stone Patricia Patient Care Executive 50.00 0.00 0 452505 30595 Richards Blin FO/Treas/ A Sec 0.00 50.00 X 0 422514 48491 Schwarz Greg Bus Dev Executive 50.00 0.00 0 400055 27959 Takahashi Patrick Chief Medical Officer 50.00 0.00 0 415760 12106 Miller Elizabeth Care Mgt Officer 50.00 0.00 0 367348 45763 Burke James Medical Officer, SCR 10.00 40.00 0 336072 39227 Nguyen Thao Director Pharmacy 50.00 0.00 276483 0 45943 Vera Esfeamor RN 50.00 0.00 238932 0 37468 Wehtje Ronald CFO SCR thru 03/2019 10.00 40.00 0 265160 8290 Santiago Brigida RN 50.00 0.00 231928 0 38742 Armendariz Cesar Admin Dir-Comm Int 50.00 0.00 232642 0 31998 Cota Stephanie Admin Dir-Emerg Sv 50.00 0.00 236002 0 21533 DavisWhitney Comm Director, SCR 50.00 0.00 0 149648 28730 Reiner Richard Director 0.00 4.00 X 0 28588 0 Davis Andrew Director 0.00 4.00 X 0 28246 0 Cherry Robert Director 0.00 4.00 X 0 26315 0 Heinrich Kerry Director 0.00 4.00 X 0 20102 0 Innocent Larry Director 0.00 4.00 X 0 18852 0 Woodson Marc Director 0.00 4.00 X 0 15000 0 Graham Ricardo Director 0.00 4.00 X 0 8848 0 Banks David Director 0.00 4.00 X 0 6382 0 Freedman John Director 0.00 4.00 X 0 2367 0 Salazar Velino Director 0.00 4.00 X 0 553 0 Philip Celeste Director 0.00 4.00 X 0 0 0 Ocampo Lucy Director 0.00 4.00 X 0 0 0 1215987 15545543 1007993 476 true true false Shiftwise Inc 1800 SW 1st Ave Ste 510 Portland OR 97201 Registry Services 5229050 White Memorial Medical Group Inc 1701 Cesar E Chavez Ave Los Angeles CA 90033 Medical Services 2254688 FCS Medical Corporation 1701 Cesar Chavez Ave Los Angeles CA 90033 Medical Services 2232175 Consultants For Anesthesia 521 Caruso Avenue Glendale CA 91210 Medical Services 2186721 White Memorial GYN OB Medical Group 1701 Cesar Chavez Ave Los Angeles CA 90033 Medical Services 1497954 52 90143 1152967 1243110 Dietary 722514 1789708 1789708 Medical Office Rentals 531120 6478208 6478208 Other Revenue 900099 1073269 987573 85696 Patient Care Services 900099 440721275 440721275 450062460 20987351 20987351 0 0 0 0 0 0 0 0 472292921 449976764 21073047 341395 341395 0 0 0 0 0 145331776 132655256 12110092 566428 5516174 5350974 146236 18964 18225694 17002108 1153025 70561 10551256 9833981 675735 41540 1133010 484310 648700 642014 48375 593639 35631 35631 0 0 0 28055381 27866869 187312 1200 14446 12976 1470 2821231 2083343 728574 9314 3341987 3259049 78413 4525 0 19424075 17729736 1694339 553560 195530 358030 0 309110 235689 73421 862504 862504 0 18242226 18106297 135929 423062 423062 Purchased Services 102453475 38764925 63688095 455 Patient Care Supplies 60718842 60329297 384181 5364 Quality Assurance 40782538 40782538 Other Expenses 2039495 903588 1135817 90 2787904 1643267 1144637 464606786 378950700 84937645 718441 0 332669220 488022335 976694 227908 56421745 54553148 0 0 0 5698792 6596751 1139944 1497508 416528607 276137218 151857082 140391389 2875365 0 0 5873974 0 350000 350000 233137284 112306462 791000100 803945501 33326950 37339245 13552177 53314040 66985453 100193167 104324698 X 685282000 693054758 5524933 6566045 690806933 699620803 791000100 803945501 X 7686135 1127735 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 133681 133681 false false Part II-B, Line 1i - Other Activities Description The organization belongs to industry and professional associations for which a portion of the membership dues is used for lobbying activities. Expenditures to Noteware and Holland & Knight were paid for the purpose of working with legislators and government officials relating to legislation affecting hospitals and healthcare.Executives met with state and federal legislators and attended industry organization meet and greet events for the purpose of educating legislators and advocating for the needs of the health care industry. 6766420 4902834 111 3006718 855299 7807348 3919763 6252523 177086 3582952 6766420 5161470 4418182 209 5660098 3919763 5494397 4264197 4597124 5161470 5720273 4106539 4332415 5494397 0.15900 0.84100 false true true 2627471 2627471 296673259 187972419 108700840 108823033 82397696 26425337 8404844 5767103 2637741 140391389 Interest in Consolidated Oraganizations 7956014 Other Assets 900134 Other Receivables Receivables from Related Organizations 11070208 Receivables from Third Parties 92380106 112306462 Other Liabilities 9134744 Payables to Related Organizations 39544106 Payables to Third Parties 18306603 66985453 X 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, 2019 and 2018, 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 2015 in major tax jurisdictions. true Central America Mission Trip 27027 Travel/Supplies Cost Latin America Mission Trip 11400 16302 Travel/Supplies Cost Sub Saharan Afr Mission Trip 84740 Travel/Supplies Cost 3 false false false false false false true true X true X true X true true true false true true 1255113 1255113 0.00270 1255113 1255113 0.00270 2154234 2344 2151890 0.00460 15876734 2220241 13656493 0.02940 16802727 6804724 9998003 0.02150 220425 220425 0.00050 377534 377534 0.00080 35431654 9027309 26404345 0.05680 36686767 9027309 27659458 0.05950 9683 9683 1064021 1064021 0.00230 5309 5309 698646 698646 0.00150 1777659 1777659 0.00380 true 2848806 2176918 53680000 53668149 11851 X true true 1 1 Adv Health White Memorial 1720 Cesar E Chavez Avenue Los Angeles CA 90033 X X X X Acute,Rehab,Psychiatric,Skilled Nursing false false true X X X X X X X X X 19 true false false true X See Sch H Part VI - Needs Assessment X See Sch H Part VI - Needs Assessment X true 19 true See Sch H Part VI - Needs Assessment false false true X 200.0000 400.0000 X X X X true true X X X X true X See Sch H Part VI-Patient Education X See Sch H Part VI-Patient Education X See Sch H Part VI-Patient Education X X X X X X true X false X X X X true X false false 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 members.From February 4, 2019 to May 7, 2019, focus groups, key informant interviews and surveys were administered within AHWMs PSA. Approximately 156 people were surveyed to obtain input from the community in the form of 8 focus groups (with a total of 76 focus group participants), 16 key informant interviews and 64 people responded to the online survey (51 in English and 13 Spanish). Community Survey: Survey participants lived in areas similar to that of focus group participants and key informants. Ninety percent of the survey respondents lived in Los Angeles County most living in 90033 (Arroyo Seco) and 90023 (Boyle Heights) zip codes.Community Focus Group: Focus group participants were end-users of programs and services provided by AHWM. Populations represented by focus group members included seniors, low-income, homeless, parents, and college students in the medical field and other sectors. The majority of focus group participants live in Boyle Heights. Several of the respondents mentioned living in shelters in the Boyle Heights area.Key Informant Interview: Key informant interviews consisted of key leaders in our community from an array of agencies, including those that connect financial and social resources to area populations, educational, and health care services. Additionally, key informant interviews were conducted with representatives from the non-profit, educational, homeless, law enforcement, and faith-based sectors. The majority of the people interviewed serve residents in Boyle Heights, East Los Angeles, and throughout Los Angeles County. Most key informants hold titles such as Director or Executive Director, President or Vice President, Chief Medical Officer, and Monsignor.Secondary sources include publicly available state and nationally recognized data sources available at the zip code, county and state level. Health indicators for social and economic factors, health system, public health and prevention, and physical environment are incorporated. A significant portion of the data for this assessment was collected through reports generated through CARES Engagement Network CHNA (https://engagementnetwork.org/assessment/).Other sources include Los Angeles County Department of Public Health, California Department of Public Health, County Health Rankings & Roadmaps, and California Environmental Protection Agencys Office of Environmental Health Hazard Assessment. When feasible, health metrics have been further compared to estimates for the state or national benchmarks, such as the Healthy People 2020 objectives. Adventist Health White Memorial identified relevant key informants and topical focus groups to gather more insightful data and aid in describing the community. Key informants and focus groups were purposefully chosen to represent medically under-served, low-income, or minority populations in our community, to better direct our investments and form partnerships. Facility: - Part V, Section B, Line 11 Our 2016 CHNA identified three areas of significant needs: access to healthcare & education;chronic disease management & mental health & substance abuse services. The main goal was to improve the overall health & wellness of our communities through provision of services, community collaboration & innovation. Priority Need 1-Access to healthcare & education with intervention efforts focused on maternal & child health, workforce development & senior care. Interventions: 1 Healthy Eating Lifestyle Program (HELP)educates children & their families on proper nutrition for overweight children to prevent or lessen the effects of weight related health issues. 74% of children & 80% of adults were successful in maintaining or reducing their BMI. No.served-3872 Jumpstart program is a school based nutritional program for elementary age children that shows the importance of making healthy nutritional choices & offered simple ways to increase their physical activity having fun. Participants based on pre & post test questions completed after each session, increased their knowledge from 60% to 90%. No.served-1203 Welcome Baby Program-Outreach Program provided for expectant mothers in our community to educate, support, provide home wellness visits,& connections to community resources. Program participation increased by 27% from parents in our underserved community. No.served-1,021 & 6,052 encounters.4 We Care Baby Care ClassTeaches the importance of home environment on developing infants & basic infant care to new & inexperienced parents from our community. No.served-1165 Childbirth(Lamaze)Class-Free classes that educate expectant mothers on safe & effective childbirth techniques. Community members served-3706 Natural NursingBreastfeeding Class-Teaches new mothers proper breastfeeding technique to promote infant health & development. The Lactation Clinic provides additional support to mothers experiencing problems. Participation decreased by 50% in 2019. No.served-1057 Infant CPR and Safety class educates new parents on life saving techniques for infants, proper use of car seats, & tips on home safety. Participation decreased by 30% in 2019. No.served-58.8 Rainbow Childrens Center-Certified & accredited child care center for children ages 0-5, available at no cost or sliding scale fee based on income to community members & hospital staff. No. served-1549 Cleft Palate Education, outreach & support program for parents, caregivers & families of children diagnosed with cleft lip palate that includes what a diagnosis means, problems that may be encountered such as problems with feedings, ear infections, dentition and speech, bullying, & resources about cleft lip & palate for the first years as well as surgery and treatment options for cleft lip and palate, follow-up care, and oral hygiene. No.served-33610 Pediatric Mobile Dental Clinic-During the summer a free mobile dental clinic for children ages 1-18 was provided. Children receive dental screenings & dental procedures including fillings,crowns,tooth extractions & dental sealants. No.served-39511 School Based Community Education, Outreach & Health Screenings provide free pre-participation physical assessments for local high school students;provide medical support at community youth sporting events;conduct health screenings;provide classroom education on health topics & educate parents at PTSA meetings. No.served-54012 Workforce Development & Career Prep presentations at local schools to students to learn about health careers,shadow programs & mentorships for health careers. No.served-70313 Tours are provided throughout the week for parents in Spanish and English from our community providing information about health & wellness;each participant is provided a free gift bag,calendar for Family Focus educational classes,& information on the Welcome Baby Program. Participation decreased by 13%;182 tours were conducted in 2019. No.served-109214 Other Health Professionals education programs provide student internships & mentorship to undergraduate, bachelor, masters, & doctoral level students enrolled at colleges & universities including Nursing, EMT, CLS & Phlebotomy,Radiology,Surgery,Rehabilitation,Social Work,Psychology,Nutrition & Dietetics,Public Health,Respiratory,Child Life,Health Care Administration. No.served-1,45815 TELACU Nursing Program & COPE Health Extenders program provides opportunity to the community to train in nursing & allied health professions to serve & provide culturally sensitive & competent-in language care. No.served-19316 Senior Wellness programs provide classes for senior community members including wellness topics,health screenings,activities & workshops,medication counseling, nutrition education healthy food choices,caregiver support,arts & crafts,computer education,ESL classes,oral health & knitting club. Wellness programs are in partnership with YMCA to promote fitness. No.served-5,36017 Senior Exercise and Strengthening Classes are provided weekly exercise classes to improve coordination & strength including: Zumba,Chair Yoga,Stretch & Tone, Folklorico Dance,Tai Chi,Weight Training,Gentle Aerobics,Aqua Aerobics,Latin Dance & exercise for Arthritis & Strengthening. No.served-16,63718 Continuing Medical Education Seminars,Nursing Education Workshops,& Research SymposiumsEducational seminars & workshops are provided throughout the year for affiliated providers ,allied health professionals,nurses and community health professionals; topics focus on various issues relating to quality of care, research, evidence-based practices for disease specific topics,palliative care, bioethics topics, educational updates,& address practice in the context of cultural & linguistic needs of the population in our service area. No.served-99019 Senior Wellness Monthly CalendarA monthly newsletter that includes health articles,senior wellness program updates,social activities & events for seniors in our community. No.served-14,53020 Access to Health Insurance InformationProvided information & enrollment assistance for the community; health insurance options include Medicare,Covered California,& Medi-Cal. No.served-1791Priority Need 2-Chronic disease management with intervention efforts focused on diabetes,asthma,cardiovascular,respiratory illness,& access to healthy foods. Interventions: 1 Diabetes education & outreach programs that support those who have been diagnosed with diabetes or are at-risk for diabetes helping them & their families manages diabetes. 83% of adults who were diagnosed with diabetes & participated in the educational classes lowered their HbA1c. No.served-6142 Free glucose screening for those at risk. No.served-4663 Gestational diabetes education program for pregnant women with pre-existing diabetes or who have developed diabetes during pregnancy on skills to prevent Type 2 diabetes. 80% of participants attending at least one gestational diabetes self-management education classe delivered normal weight babies. No.served-3574 Breast & cervical cancer education,screening,outreach support programs-offered at health fairs,community clinics,mobile screening events. No.served-3845 Close the Gap healthcare screenings provide cardiology health risk assessments & screenings & follow up screening for cholesterol,glucose, blood pressure & BMI. No.served-2906 Boyle Heights 5K Run/Walk & Munchkin Run-Participate as primary partner in the annual Boyle Heights event to promote respiratory health & wellness in the community. No.served-727 Community Health Fairs & Screenings-Community members participate in multiple health fairs sponsored by AHWM at community sites that provide free health screenings,nutritional counseling,blood pressure screeningsHigi Machine),dental screenings,exercise & fitness runs,& health education information. No.served-9908 LivingWell Fair with Farmers MarketOnce a week a farmers market & living well fair is sponsored by AHWM for the community with Fresh Fruit and Vegetable vendors, healthy food & refreshment vendors; & a Wellness Tent where there are healthy recipes,fitness activities,diabetes screenings,flu shots,& educational information & resources to health. No.served-24,0009 CalFresh ProgramProvides nutrition assistance to our underserved community,focusing on healthy foods for the whole family. No.served-32010 Healthy Cooking Education,Free FruitThroughout the year AHWM provides healthy cooking demonstrations with recipes and tasting; information on how to eat healthy on a budget; free apples are available daily & a variety of fruit is provided every Friday;& vendors follow guidelines for the 10 vending machines placed throughout the AHWM campus including nutritional standards for calories,serving size,fats,amount of sugar,sodium per serving,dietary fiber,juices must be 100% fruit or vegetable no added sweeteners,standards for low calorie or diet sodas,& amount of caffeine. No.served-650011 Community GardenUrban FarmAHWM has a fenced garden with 23 irrigated raised Part I, Line 7 - Explanation of Costing Methodology The 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 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 hospital's 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 to 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 $55,856,514 Prior Year Settlements 7,940,454 Cost Report Reimbursable Bad Debts 1,152,283 Non-Cost Report Revenue - Estimates and Accrual Variances ( 132,618) Other ( 624,435) ___________ Total Medicare Revenue $64,192,198*Note: 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, Line 2 - Needs Assessment The hospital's 2019 CHNA, the 2020 Community Health Plan (CHP) for fiscal year 2019, and the 2020 Implementation Strateg, are posted on the hospital's website at https://www.adventisthealth.org/white-memorial/about-us/community-benefit/The two most recent Community Health Needs Assessments, two most recent Implementation Strategy reports and the most recent Community Health Plan Updates are also available on the Adventist Health Corporate website at https://www.adventisthealth.org/about-us/community-benefit/In addition to the CHNA, our hospital engages in a process of continuous quality improvement, focusing on questions such as: are our interventions making a difference in improving health outcomes; are we providing the appropriate resources in the appropriate locations; and how are we using technology to track our health improvements and provide relevant feedback at the local level? Building a healthy community requires multiple stakeholders working together with a common purpose. With that in mind, our hospital leadership serves on a variety of community boards and committees focused on addressing community-specific needs, allowing for ongoing responsiveness to the health care needs of the community and collaboration with local agencies and organizations, enabling maximum effectiveness through collective impact. Part VI, Line 3 - Patient Education of Eligibility for Assistance The plain language summary of the Financial Assistance Policy (FAP) is posted along with the complete FAP policy and FAP Application on the hospital's website at www.adventisthealth.org/white-memorial.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 Adventist Health White Memorial (AHWM) service areas can be defined in three ways, as Los Angeles County, Primary Service Area, or zip code. Primary, Secondary Service Areas and Tertiary Service Areas (PSA, SSA and TSA, respectively) are comprised of zip codes that are defined by the volume of patients discharges (see table pages 13-16 for complete breakdown). PSA is comprised of 18 zip codes that makes-up 63% of the total impatient discharges for AHWM. Those zip codes include Boyle Heights, East Los Angeles, City Terrace, Downtown Los Angeles, Huntington Park, Bell Gardens, Montebello, El Sereno, Lincoln Heights, South Gate, Pico Rivera, Maywood and Chinatown. Residents of the primary service areas are 49.6% male and 50.4% female, while majority of the population is Hispanic (85.1%). Of the 10,105,722 people living in LA County, 1,161,693 are residents of the PSA. The average household income in the PSA is $52,596 as compared to $89,855 in LA County. For every 10,000 children, there are 31.7 Head Start Facilities in AHWMs PSA. This rate is higher than the estimate for Los Angeles County (6.4 per 10,000 children) and the state (5.9 per 10,000 children). When looking at adult educational attainment by race/ethnicity in Los Angeles County, one finds that Latinos fare worse than other ethnicities in earning a high school degree at 42.2% followed by African Americans at 11.3%. Whites have the highest percentage for attaining college or postgraduate degrees at 45.5%, while Latinos have the lowest at 9.8%. When looking at percent of adults who are employed, AHWMs PSA has a lower percent (52.9%) as compared to Los Angeles County (57.5%) and the nation (56.4%). AHWMs PSA has a lower percentage of total population and children under age 18 living under the 100% federal poverty level at 38.5% and 27.0% as compared to zip code 90033. However, the estimates are higher than Los Angeles County and California. Within the homeless population in Los Angeles County, youth experiencing homelessness showed the greatest increase (32.5%) in comparison to other groups from 2018 to 2019. Chronically homeless populations showed the second greatest growth at 10%. When looking at occupational trends across the total service area, service occupations (44.2% manufacturing occupations (15.4%), and retail trade occupations (12%) emerged as the most common type of employment for the overall population.The population for the hospital service area is 1,165,691 and projected to grow about 2.3 percent in 5 years. The population is young with a median age of 30 and almost 46 percent of the female population is of childbearing age.The population is 44 percent Caucasian, 6 percent African American, 4 percent Asian/Pacific Islander and 55 percent Other which includes those choosing more than one race. As the population becomes blended and the US Census Bureau reporting methodologies change, the segment of the population that identifies as Hispanic is about 87 percent and could be included in any of the race/ethnicity categories. Spanish and English are the most commonly spoken languages in the primary service area. 13% of people, on average, aged 18-64 years reported speaking only English, with the greatest concentration residing within the 90039 zip code (Los Angeles). An average of 47% of persons aged 18-64 years reported speaking Spanish, with the greatest concentration residing within the 90255 zip code (Huntington Park).The community served by the hospital has an at-risk, vulnerable population. This is evidenced by low education rates as about 31 percent of adults aged 25 years and older have less than a 9th grade education and another 18 percent have some high school, but did not receive a high school diploma. The Federal Poverty Level guidelines for 2018 indicate the FPL for a family of 4 is $25,100. In the AHWM service area, 32 percent of the households are living below the FPL earning $25,000 or less each year.The unemployment rate in the primary service area is substantially higher in some neighborhoods according the the Community Health Needs Assement prepared in 2016. The highest rate is 26.7% in the area surrounding the hospital. As a result of high levels of unemployment and poverty, access to health care can be limited. In the service area, 29.3% of adults, ages 18-64, lack health insurance.Part III: Other Community Benefits1.Homeless outreach of monthly hot meals and support to the homeless men and women at the Dolores Mission. Community members served-5762.Homeless outreach under the bridges distributes clothes, food, and water to community residents in need; provides health screenings and medical Q&A with physician and nurse. Community members served: 1003. AHWM HOPE Mobile Showers for homeless provides funding and support for a mobile shower which moves to different locations in our community and provides towels, hygiene items, clothes, food, books, and other resources. Community members served-9,6004. First Aid booth provides medical support and services are for the Komen Race for the Cure; 5KRun and Walk events; and other community events. Community members served-1185. Gang intervention community support for area gang members and their families who come to AHWM through the Emergency Room to help them understand the treatment process, build cooperation and trust with health care professionals and provide resources to help. Community members served-4206. AHWM collaborates with local funeral homes/ mortuaries to aid families whom lack financial means to bury their loved ones; each family is provided a comfort care basket and resources. Community members served-557. Homeless placement transition of care assistance, medical oversight and care management assistance; housing placement assistance; medications, supplies, transportation and resources for homeless and medically indigent patients. Community members served-7078. AHWM host blood drives throughout the year to increase blood supplies. Community members served-1089. Hospital fire and life safety education classes are provided monthly address LA City fire safety codes. Community members served-10310. Community outreach of donations for meal vouchers, holiday meals, comfort care baskets, clothing and toys. Cash and in-kind donations to the American Cancer Society; American Diabetes Association; American Health Association; American Red Cross; Local Adventist Churches; YMCA; Casa 010. Community members served-2,678 Part VI, Line 4 - Community Building Activities The hospital is involved in numerous community building activities which promote the health of the communities it serves. Numerous community concerns are addressed, including health improvement, education, poverty, workforce development and access to care. We also encourage our employees to serve on community collaboration boards, health advocacy programs, and physical improvement projects to promote the health of the communities we serve. In addition, we work with neighborhood programs, including schools, work sites and safety net providers to promote health and wellness and prevent disease. These activities are not included elsewhere on Schedule H.Los Angeles Community Health Assessment and Action Partnership (LA Partnership) Steering Committee; LA Partnership Diabetes Prevention Workgroup; YMCA Advisory Boards for East Los Angeles; Montebello-Commerce YMCA Board of Managers; Southern California Association of Healthcare Development; First5 LA Welcome Baby Program Leads; The Shower of Hope; SPA 7 Partnership. Part VI, Line 5 - Promotion of Community Health Our hospitals mission is, Living Gods love by inspiring health, wholeness and hope. Our community benefit work is rooted deep within our mission and merely an extension of our mission and service. We have also incorporated our community benefit work to be an integral component of improving the triple aim. The Triple Aim concept broadly known and accepted within health care includes:1) Improve the experience of care for our residents.2) Improve the health of populations.3) Reduce the per capita costs of health care.Our strategic investments in our community are focused on a more planned, proactive approach to community health. The basic issue of good stewardship is making optimal use of limited charitable funds. Defaulting to charity care in our emergency rooms for the most vulnerable is not consistent with our mission. An upstream and more proactive and strategic allocation of resources enables us to help low income populations avoid preventable pain and suffering; in turn allowing the reallocation of funds to serve an increasing number of people experiencing health disparities.Hospitals and health systems are facing continuous challenges during this historic shift in our health system. Given todays state of health, where cost and heartache is soaring, now more than ever, we believe we can do something to change this. These challenges include a paradigm shift in how hospitals and health systems are positioning themselves and their strategies for success in a new payment environment. This will impact everyone in a community and will require shared responsibility among all stakeholders. As hospitals move toward population health management, community health interventions are a key element in achieving the overall goals of reducing the overall cost of health care, improving the health of the population, and improving access to affordable health services for the community both in outpatient and community settings. The key factor in improving quality and efficiency of the care hospitals provide is to include the larger community they serve as a part of their overall strategy. Population health is not just the overall health of a population, but also includes the distribution of health. Overall health could be quite high if the majority of the population is relatively healthyeven though a minority of the population is much less healthy. Ideally such differences would be eliminated or at least substantially reduced. Community health can serve as a strategic platform to improve the health outcomes of a defined group of people, concentrating on three correlated stages:1) The distribution of specific health statuses and outcomes within a population; 2) Factors that cause the present outcomes distribution; and 3) Interventions that may modify the factors to improve health outcomes.Improving population health requires effective initiatives to: 1) Increase the prevalence of evidence-based preventive health services and preventive health behaviors, 2) Improve care quality and patient safety, and 3) Advance care coordination across the health care continuum.We will work together with our community to ensure the community health improvements are identified and then targeted for programs to influence behaviors to obtain improved health within the whole community. Part VI, Line 6 - Affilated Health Care System The hospital is a member of Adventist Health, a health care system which provides healthcare services in diverse markets within the Western United States. A member hospital may share some services with other member hospitals in its geographic area, such as clinical, management and support services. Using today's technology, hospitals outside the geographic area are able to provide support through remote services such as telepharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk management, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate administrative support for hospital affiliated medical groups that engage physicians through employment or other contracts. This provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communities served by all member hospitals. Part VI, Line 7 - States Filing of Community Benefit Report CA Part VI - Additional Information Schedule H, Part V, Section B, Line 11 Continued from Sch H page 8Priority Need 3-Mental health and substance abuseInterventions:1 Breast Cancer Support Groups - Weekly support groups open to the community, in English and Spanish, for women diagnosed with breast cancer, and for their families to help improve their quality life. No.served-2902 Cleft Palate Support Group Monthly Support Group for families affected by Cleft Palate, which includes discussions on anti-bullying, self-esteem; provides life and social skills; and social interaction. No.served-3363 Little Angels of White Memorial Support Group and Outreach-A monthly support group for families to help cope and heal from pregnancy loss; annual community candle lighting; butterfly release; and walk to remember. No.served-3804 Homeless Outreach Women and Children-Workshops on health, beauty, and wellness to homeless and battered women; topics focus on Breast Cancer Prevention, Heart Attack Prevention, Diabetes Update and Food Intake, Stoke Prevention, and Promoting Self-esteem-Confidence Class. No.served-1895 Vive Bien Mental Health Seminars-Mental Health workshops are provided for seniors on anxiety disorders, depression, grief and loss, drugs and alcohol, domestic violence, and suicide prevention. No.served-3,5886 Circle of Life/Narcotics Anonymous Meeting SupportGroup meetings for recovering men and women from the community. No.served-4,160Priority Areas Not Addressed:Taking existing hospital and community resources into consideration, AHWM will not directly address other issues; it will concentrate on those health needs that can most effectively be addressed given the organizations areas of focus and expertise. Part III: Other Community Benefits 1 Backpacks, Clothes, and Food for Homeless School Age Children and their Families-Homeless children and their families are provided backpacks with school supplies, groceries, clothing, books, treatment for head lice, blankets, and holiday stockings and gifts. No.served-9712. Homeless Outreach - Each month we provide hot meals and support to the homeless men and women at the Dolores Mission. No.served-8753 Homeless Outreach Under the Bridges-Distribute clothes, food, and water to community residents in need; health screenings and medical Q&A with physician and nurse provided. No.served-1154 Gang InterventionCommunity SupportProvide Support and Intervention for community gang members and their families who come to AHWM through the Emergency Room understand the treatment process, build cooperation and trust with health care professionals providing care, and provide resources to help. No.served-4805 Robotics and STEAM Partnered with the Weingart YMCA to develop a robotics program to engage elementary students with engineering knowledge and robotics though construction improvement projects. No.served-3276 American Red Cross Blood Drive Host blood drives throughout the year to increase blood supplies. No.served-89 true Altamed Health Services Corp 2040 Camfield Ave Los Angeles CA 90040 952810095 501(c)(3) 15000 0 Funds Transfer Sponsorship Dolores Mission 171 S Gless St Los Angeles CA 90033 952477312 501(c)(3) 5400 0 Funds Transfer Sponsorship Eastmont Community Center 701 Hoefner Ave Los Angeles CA 90022 956221642 501(c)(3) 6000 0 Funds Transfer Sponsorship End Homelessness California 5515 Green Oak Dr Los Angeles CA 90068 814962168 501(c)(3) 15000 0 Funds Transfer Sponsorship Familia Unida Living with MS 4716 E Cesar E Chavez Ave Los Angeles CA 90022 911898199 501(c)(3) 7500 0 Funds Transfer Sponsorship Hispanas Org for Political Eq 634 S Spring St Ste 920 Los Angeles CA 90014 954718409 501(c)(3) 8500 0 Funds Transfer Sponsorship Hollenbeck Police Activities 126 N St Louis St C/O L Brook Los Angeles CA 90033 010780689 501(c)(3) 10000 0 Funds Transfer Sponsorship Hollenbeck Police Business Co 2015 E 1st St Los Angeles CA 90033 237188231 501(c)(3) 6000 0 Funds Transfer Sponsorship Lucille And Edward R Roybal F Roybal Foundation 5251 East B Los Angeles CA 90022 954031228 501(c)(3) 18333 0 Funds Transfer Sponsorship March Of Dimes Inc 1550 Crystal Dr Suite 1300 Arlington VA 22202 131846366 501(c)(3) 13500 0 Funds Transfer Sponsorship Oscar De La Hoya Foundation 626 Wilshire Blvd Suite 350 Los Angeles CA 90017 954586767 501(c)(3) 12500 0 Funds Transfer Sponsorship University of Laverne 1950 3rd St La Verne CA 91750 951644026 501(c)(3) 11500 0 Funds Transfer Sponsorship University of Southern CA University Park Campus 3551 Los Angeles CA 90089 951642394 501(c)(3) 5750 0 Funds Transfer Sponsorship Variety Boys And Girls Club 2530 Cincinnati St Los Angeles CA 90033 951919219 501(c)(3) 10000 0 Funds Transfer Sponsorship White Memorial Adventist Sch 1605 New Jersy Street Los Angeles CA 90033 954349770 501(c)(3) 10000 0 Funds Transfer Sponsorship White Memorial SDA Church 401 North State St Los Angeles CA 90033 951994597 501(c)(3) 53135 0 Funds Transfer Sponsorship 16 0 Grantmaker's Description of How Grants are Used Grants are donations made to US tax exempt organizations who present a valid purpose for their donation request. It is anticipated that no further monitoring is required. X X X X true true false false false false false false false Armendariz Cesar Admin Dir-Comm Int 185210 42640 4792 12166 19832 264640 Bryant Mara Operations Exec 363004 85722 80820 16782 37780 584108 Burke James Medical Officer, SCR 336072 11942 27285 375299 Cota Stephanie Admin Dir-Emerg Sv 204320 25215 6467 11726 9807 257535 DavisWhitney Comm Director, SCR 129567 16429 3652 7838 20892 178378 Fargo Roland Former Physician Ops Officer 58258 417688 39167 515113 Jahn Andrew President, SCR 811125 201952 241867 16782 43130 1314856 Jobe Meredith Secretary 524870 65461 140054 16782 29127 776294 Milatovic Natasa Reg HR Dir, SCR 314010 68963 76232 16782 33198 509185 Miller Elizabeth Care Mgt Officer 119236 42024 206088 15381 30382 413111 Nahapetian Arby Medical Officer , SCR 556818 153586 131390 16782 42060 900636 Nguyen Thao Director Pharmacy 233496 30078 12909 15383 30560 322426 Raffoul John FO, SCR/Presid. 545731 198623 2032885 16782 31256 2825277 1893381 Reiner Scott Dir/Chair 1510024 420315 65357 16782 36952 2049430 Reppert Joseph CFO/A Sec-08/19 581409 187572 440088 16782 40783 1266634 Richards Blin FO/Treas/ A Sec 294384 74767 53363 16782 31709 471005 Santiago Brigida RN 231928 13059 25683 270670 Schwarz Greg Bus Dev Executive 267623 67881 64551 27959 428014 Stone Patricia Patient Care Executive 308798 78975 64732 16782 13813 483100 Takahashi Patrick Chief Medical Officer 353942 425 61393 5600 6506 427866 Vera Esfeamor RN 236432 2500 11814 25654 276400 Wagner Jack Former Asst Secr 778453 29189 807642 Wehtje Ronald CFO SCR thru 03/2019 209145 300 55715 8290 273450 Wing Bill Dir/A Sec/CFO 1200390 318717 53147 16782 29801 1618837 Zachary Beth President SCR thru 12/2019 840555 11540 36127 888222 Linda Henry Key EE Sister 65157 Employment false Schedule L, Part V Supplemental Information 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. 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 public benefit corporation that operates as a public charity. 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 CEO immediately.The Corporate General Counsel distributes, collects, and reviews for signatures the COIs for all applicable Corporate employees 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 Corporate General Counsel reviews all the disclosures on the board and Corporate employees' COIs. Corporate General Counsel retains the COIs for the board members. 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 hospital board of directors has established a Compensation Committee to overseethe executive compensation program. This committee is composed of independentdirectors with no conflicts of interest. The committee performs the followingfunctions: recommends a total compensation philosophy to the board; assurescompliance with the board-approved philosophy; meets annually to reviewcomparability data from outside consultants; recommends any adjustments to currentexecutive compensation, including salary ranges for hospital CEOs and CFOs, that would be indicated by the data; evaluates executive performance against annualgoals; recommends appropriate incentive awards to the board for approval; follows adiligent process that meets regulatory requirements for a rebuttable presumption ofreasonableness; records committee deliberations and decisions in timely minutes;selects, engages and supervises any consultant hired to advise and providecomparability data.The board-approved executive compensation philosophy specifies that salary ranges will be established for hospital CEOs and executives, with midpoints aligned with the 50th percentile of comparable system hospital data, and having a 50 percent spread from minimum to maximum. A hospital CEO has a maximum potential incentive of 30 or 35 percent of base salary based upon size and scope of hospital. (Incentive potential is industry norm) Other hospital executives have a maximum potential incentive of 25 to 30 percent of base salary. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees See Line 15b 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 available upon request, but does file monthly/quarterly summary financial reports with the state health-planning agency. Other Changes In Net Assets Or Fund Balances - Other Increases Foundation Change in Net Assets = $1130735 Other Changes In Net Assets Or Fund Balances - Other Decreases Net Assets Released fr Restrictions = -$3000 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 Avenue Clearlake CA 95422 680395149 Hospital CA 501(c)(3) 3 Adventist Health SystemWest false Adventist Hlth Medical Ctr Tehachapi 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 Castle Medical Center 640 Ulukahiki Street Kailua HI 96734 990107330 Hospital HI 501(c)(3) 3 Adventist Health SystemWest false Feather River Hospital PO Box 619135 Glendale CA 95661 941101228 Hospital CA 501(c)(3) 3 Adventist Health SystemWest false Fremont- Rideout Health Group 898 Plumas Street Yuba City CA 95991 942917251 Acute Care Hospital CA 501(c)(3) 12b2 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 Assn Inc 975 So Fairmont Ave Lodi CA 95240 941044474 Hospital CA 501(c)(3) 3 Adventist Health SystemWest false Northwest Medical Fdtn of Tillamook 1000 Third Street Tillamook OR 97141 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 Ave Reedley CA 95370 453220509 Hospital CA 501(c)(3) 3 Adventist Health SystemWest false Rideout Memorial Hospital 989 Plumas Street Yuba City CA 93065 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 No Sycamore Drive Simi Valley CA 93065 956064971 Hospital CA 501(c)(3) 3 Adventist Health SystemWest false Sonora Community Hospital 1000 Greenley Road Sonora CA 95370 941415069 Hospital CA 501(c)(3) 3 Adventist Health SystemWest false Stone Point Health PO Box 619135 Roseville CA 95661 823763347 Supporting Organization CA 501(c)(3) 12b2 Adventist Health SystemWest false Ukiah Adventist 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/Assisted Living/Hm Care CA 501(c)(3) 12b2 Fremont Rideout Health Group false Walla Walla General Hospital PO Box 61935 Roseville CA 95661 910617726 Hospital WA 501(C)(3) 3 Adventist Health SystemWest false Western Health Resources PO Box 61935 Roseville CA 95661 953867863 Home Care CA 501(C)(3) 10 Adventist Health SystemWest false Willits Hospital Inc 1 Marcela Drive Willits CA 95490 680108919 Hospital CA 501(C)(3) 3 Adventist Health SystemWest false White Memorial Med Cntr Charitable Fdtn 1720 East Cesar E Chavez Avenue Los Angeles CA 900332443 953760201 Fundraising for Hospital CA 501(C)(3) 3 Western Health Resources true 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 South Coast Medical Center PO Box 619135 Roseville CA 95661 952037291 Wind down after sale of hospital CA AHSWest C-Corp false false false false false true false false false false false false true true true true true true false true Adventist Health SystemWest e 39544106 Notes Payable Adventist Health SystemWest o 5156501 Compensation Adventist Health SystemWest p 64683106 Operating Exp Adventist Health SystemWest s 155647057 Cash Mgt Funds White Memorial Med Cntr Charitable Fdtn l 61685 Operating Exp White Memorial Med Cntr Charitable Fdtn o 924350 Compensation White Memorial Med Cntr Charitable Fdtn s 3934059 Fund Transfers