2018-11-15T19:17:22-08:00 2017-12-31 800519547 THE ACCOUNTANCY LLP 330 N BRAND BLVD STE 200 GLENDALE CA 912032361 990 2017-01-01 952282647 White Memorial Medical Center WHIT 3232685000 1720 Cesar E Chavez Avenue Los Angeles CA 90033 Blin Richards Financial Officer 2018-11-15 true S Clement P01218012 8185475701 X 2017 2019-02-21 02:37:17Z Raffoul John 2100 Douglas Blvd Roseville CA 95661 514354669 false false 1071 X www.AdventistHealth.org/White-Memorial X 1963 CA The hospital mission is to provide our community with physical, mental, and spiritual healing in a way that reflects God's love for all. 14 9 2166 358 0 5848720 5827479 450392412 495577417 9366892 9465108 83880 3484665 465691904 514354669 456093 345997 0 161233951 166262819 0 891447 250333859 262136889 412023903 428745705 53668001 85608964 741054313 750499758 124728832 140002581 616325481 610497177 Living Gods love by inspiring health, wholeness and hope. false false 359740485 345997 497154568 As a Seventh-day Adventist medical center, we are a family of caring professionals serving our community with: 1. A spirit of Christian service 2. A passion for excellence and 3. A commitment to medical education.The Adventist Health White Memorial (AHWM), a member of Adventist Health, 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 AHWM, 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 AHWM 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. AHWM 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 2017 was $10,923,847.Inpatient services in 2017 were provided to 19,531 patients. These services included: 3,834 Babies delivered 3,315 Surgeries performed 1,646 Cardiac catherization patients 386 Skilled nursing patients 248 Rehabilitation patients 594 Neonatal Intensive Care Patients 165 Pediatric Intensive Care Patients 2,015 Psychiatric Care Patients 9,168 Other Medical/Surgical Services Outpatient services in 2017 were provided to 133,560 patients. These services included: 63,161 Emergency room visits 4,897 Outpatient surgeries performed 87,320 Radiology procedures performed 1,535 Cardiac catheterizations outpatients721,619 Laboratory tests performed 2,101 Cleft Palate visits 5,793 Cancer Center proceduresAHWM recognizes it has an obligation to provide human services above and beyond its role as a healing facility. Thanks to support from our community partners, the organization is able to fulfill its mission through the following programs:Diabetes education and glucose testingRainbow Center Child CarePartners for PreventionHealth Fairs - Glucose Screenings for DiabetesPatient Healthcare TransportationWelcome BabyOne of the greatest assets an organization can possess is the trust of its community, both on campus and in the surrounding neighborhoods. Year after year, the health care needs of our community are assessed to guide the continued growth of programs and services and address those needs head on. Advancements were made in heart care, our first transcatheter aortic valve replacement (TAVR), a less-invasive valve replacement procedure that does not require open-heart surgery, was performed this year, making elderly heart patients in our community eligible for a procedure that can add years to their lives. The Cecilia Gonzalez De La Hoya Cancer Center, named for the late mother of professional boxer and philanthropist Oscar De La Hoya, addresses the high incidence of breast cancer in our community, featuring sophisticated diagnostic and treatment equipment, bilingual breast cancer support groups, a community resource center and free breast exams and mammograms to the uninsured or underinsured. The care we give at Adventist Health White Memorial follows our mission of living God's love by inspiring health, wholeness and hope. We touch the lives of people at every point throughout their lifetime beginning with exceptional prenatal and maternity care. Our Level III Neonatal Intensive Care Unit is one of the few in Los Angeles for newborns in need of advanced specialized care. The AHWM Cleft Palate Program focuses on providing the surgeries and support for children with this birth defect, including restoring normal function with minimal scarring, dentistry and speech therapy to help correct speaking difficulties. Mental and emotional health services are provided for all ages. Our Community Information Center, formed in 2014 to meet the need to educate our community on the Affordable Care Act and assist with health care insurance enrollment has grown to offer many more services to our surrounding Los Angeles community members. In partnership with Mexican American Opportunity Foundation (MAOF) and other not-for-profit partners, the Viva Bien program is a vital part of our seniors' lives, giving a place to connect, activities to help improve health and fitness, as well as assistance with accessibility and mobility. One of Adventist Health White Memorials signature efforts, the Workforce Development Program serves as an incubator for youth and young adults seeking work experience and exposure to careers in health care. Miguel Ruiz first started as an AHWM volunteer in high school and after college returned to the hospital as an intern with the Bank of America Career Pathways Program, which fosters future health professionals among local youth by teaching vital job skills. Miguels dream of working in medicine came true when he was hired at the hospital in 2014 working in the same-day surgery department. He now attends Western University of Health Sciences medical school and is pursuing a specialty in podiatry. Growing up in East Los Angeles, I always knew about White Memorial, said Miguel Ruiz. Having the opportunity to volunteer, intern and work there were experiences that definitely helped make my dream of going to medical school a reality. Like Miguel, Victor M. Gonzalez Luis was an intern with the Career Pathways Program. After completing the program, he began working at the hospital. White Memorial is a great hospital and I am proud that I was able to work there in admitting and same-day surgery, said Victor. Maybe I will work there again, but next time it will be as a doctor! He earned his B.S. in microbiology at California State University, Los Angeles and now attends the University of California, San Franciscos School of Medicine. Ronald Castillo volunteered with Adventist Health White Memorials Family Medicine Residency Program and served as a promotores (community health worker). He recently received an acceptance offer from the University of Southern Californias Keck School of Medicine. Ronalds career goal is to become a primary care physician. I am so grateful for the help, support and mentorship that I received at White Memorial, says Ronald. I learned so much from the physicians and all the staff. Their examples and encouragement helped inspire me to stay committed to my goal and work hard. Research has demonstrated that a healthcare workforce, which reflects its patient population increases access to care and improves quality. This is why we are fortunate that forty percent of Adventist Health White Memorial employees are from the hospitals surrounding community service area, many of them have started with the hospital as volunteers and interns. Developing this qualified pool of dedicated and passionate associates from within our community was accomplished through concerted planning and partnerships. Over the years, Adventist Health White Memorial has received multiple distinguished awards and accolades for its quality medical care, including Healthgrades 100 Best Hospitals Award two years in a row in 2016 and 2017. In 2018 AHWM was the only hospital in California to receive the highest Gold-level CAPE Eureka Award for outstanding commitment to sustainable performance excellence through innovation, continuous improvement and visionary leadership. Recently, AHWM received four CALNOC (Collaborative Alliance for Nursing Outcomes) Performance Excellence Awards: One for Best Performance in Preventing Injury Falls and three for Best Performance in Preventing Hospital-Acquired Infections. Recently, US News & World Report released its annual hospital rankings where AHWM was recognized as one of the best hospitals for 2018-2019, being named 'high performing' in the specialty care ranking for excellence in diabetes care. This is a major accomplishment for us diabetes continues to be a high-priority health risk factor in our community, affecting more than 50 percent of adults at some point in their lifetime. Confronted with the urgent need to combat the effects of this life-changing condition AHWM invested in building diabetes prevention and management programs, like the Center for Limb Preservation & Advanced Wound Care, so that our community members don't need to leave the area to receive nationally-recognized diabetes care. The Healthy Eating & Lifestyle Program (H.E.L.P.) is 359740485 true true false true false false false false false true true false false true true false 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 false false false true false false false true 285 0 true 2166 true false false false false false false false false 0 false false false false false false false false false false X 14 9 false false false false true false true true true false false true true true true true true true true false CA X Blin Richards CFO 3232685000 1720 Cesar E Chavez Ave Los Angeles CA 900332443 X Banks David Director 0.00 4.00 X 0 1553 0 Cherry Robert Director 0.00 4.00 X 0 11550 0 Davis Andrew Director 0.00 4.00 X 0 10600 0 Freedman John Director 0.00 4.00 X 0 1133 0 Gabriel Melody Director 0.00 4.00 X 0 1203 0 Graham Ricardo Director 0.00 4.00 X 0 2074 0 Heinrich Kerry Director 0.00 4.00 X 0 15866 0 Innocent Larry Director 0.00 4.00 X 0 17608 0 Pedersen James Director 0.00 4.00 X 0 2101 0 Reiner Richard Dir/Chair 0.00 50.00 X 0 19819 0 Rippey Wesley Director 0.00 4.00 X 0 118116 0 Salazar Velino Director 0.00 4.00 X 0 1928 0 Reiner Scott Dir/Chair 0.00 50.00 X X 0 1982804 53885 Wing Bill Dir/V Chair/Ass 0.00 50.00 X X 0 1460244 52693 Raffoul John President 0.00 50.00 X 0 759980 49429 Richard Blin CFO/Asst Sec/VP 0.00 50.00 X 0 368975 45068 Wagner Jack Asst Sec 0.00 50.00 X 0 1083258 37117 Zachary Beth President SCR 0.00 50.00 X 0 3531840 49519 Bryant Mara Org Performance Officer 0.00 50.00 X 0 450556 53881 Bendixen-Chern Mary Anne Sr VP Fund Dev/Ex Rel 0.00 50.00 X 0 379761 27565 Hansberger Karen Medical Affairs Officer 0.00 50.00 X 0 499747 32649 Fargo Roland Reg Physician Ops Officer 0.00 50.00 X 0 563956 44025 Milatovich Natasha Human Resource Officer 0.00 50.00 X 0 379255 53855 Miller Elizabeth Care Mngt Officer 50.00 50.00 X 0 329027 43715 Nahapetian Arby Medical Officer SCR 0.00 50.00 X 0 880809 58321 Stone Patricia Chief Nursing Officer 0.00 50.00 X 0 376788 28983 Schwarz Greg Bus Dev Officer 0.00 50.00 X 0 297192 49419 Wehtje Ronald Finance Officer SCR 0.00 50.00 X 0 698178 36965 Nguyen Thao Dir. Pharmacy 50.00 0.00 X 249143 0 46798 Saad John Dir. Perioperative 50.00 0.00 X 213661 0 38637 Hopper Monica Dir. Finance 50.00 0.00 X 293192 0 23903 Mosley Helen Director 50.00 0.00 X 221248 0 24558 Fraguero Erica Dir Amb Finance 50.00 0.00 X 212843 0 43363 Rebok Douglas Former Asst Sec 0.00 0.00 X 0 120028 6244 Wehtje Rodney Former Asst Treas 0.00 0.00 X 0 249427 23299 1190087 14615376 923891 5 true true false Shiftwise Inc 1800 SW 1st Ave Ste 510 Portland OR 97201 Registry Services 2737890 White Memorial Medical Group Inc 1701 Cesar E Chavez Ave Ste 510 Los Angeles CA 90033 Medical Services 2243059 FCS Medical Corporation 1701 Cesar Chavez Ave Los Angeles CA 90033 Medical Services 2095073 DVA Renal Healthcare Inc PO Box 532410 Atlanta GA 30355 Medical Services 1369943 Adventist Health Physicians 3191 Casitas Ave Ste 216 Los Angeles CA 90039 Medical Services 1307314 39 2675559 3151920 5827479 Dietary 722210 1558751 1558751 Other Prog Svc Rev 900099 1450956 442711 1008245 Patient Svc Revenue 621110 486432738 486432738 Rental Income-Pgm Svc 531120 6134972 6134972 495577417 9465108 9465108 0 0 0 0 0 0 0 Net Assets Rel from Rest 900099 398989 398989 Value Change-Net Asset 900099 3085676 3085676 3484665 514354669 498053837 10473353 345997 345997 0 0 0 0 0 134727757 122743648 11315551 668558 5274058 5220411 53647 16610969 13983747 2464113 163109 9650035 8863281 786754 2346330 497376 1848954 1328282 81825 1246457 1900 1900 0 0 0 23325170 22734680 590490 975868 1065 974803 2259775 1702131 557644 1620065 1342642 277423 0 17353401 17227897 65724 59780 439298 205891 233407 0 255924 206505 49419 5316 5316 0 18395157 18274903 120254 244154 244154 Purchased Services 88676170 45322965 43353205 Pt Care Supplies 50403930 50403930 Qual Assur Hosp Fee 46879069 46879069 Other Expenses 7627080 3451152 4175928 0 428745705 359740485 68113773 891447 312132 822164 446236272 427733339 0 50130097 49696931 0 0 0 5251614 5598713 2391787 965349 397637683 238871175 165491971 158766508 3868494 5112192 0 0 1150000 350000 66221946 101454562 741054313 750499758 42009138 34597754 54179282 51027513 28540412 54377314 124728832 140002581 X 611164011 606577414 5161470 3919763 616325481 610497177 741054313 750499758 X 85608964 -91437268 X false true X true false X false false false false false false false false false false true 167991 167991 false false Part II-B, Line 1i - Other Activities Description Allocation of dues paid to industry and professional organizations and consulting. The industry and professional organizations conduct lobbying activity and a portion of the membership dues is allocated for this purpose.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. 5161470 4418182 209 5660098 3919763 5494397 4264197 4597124 5161470 5720273 4106539 4332415 5494397 5297595 3594787 3172109 5720273 4802349 2703813 2208567 5297595 1.00000 false true true 2627471 2627471 293348287 164494604 128853683 91961492 69143578 22817914 9700433 5232993 4467440 158766508 Other Assets 6532159 Other Receivables 1505090 Receivables from Related Organizations 15054090 Receivables from Third-Party Payors 78363223 101454562 Other Liabilities 10884277 Payables to Related Organizations 37734088 Workers Comp Payable 5758949 54377314 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. true Africa Mission Trip 231098 Travel/Supplies Cost Latin America Mission Trip 16780 Travel/Supplies Cost 2 false false false false false false true true X true X true X true true true false true true 1947730 1947730 0.00450 1947730 1947730 0.00450 3741578 2151 3739427 0.00870 12296126 2168843 10127283 0.02360 9056813 814937 8241876 0.01920 233994 233994 0.00050 15500 15500 25344011 2985931 22358080 0.05200 27291741 2985931 24305810 0.05650 9511 9511 6344 6344 10389 2750 7639 2225 2225 28469 2750 25719 true 826568 734241 59762934 49892524 9870410 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 16 true false false true X X true 17 true See webb address in 7 d above true false true X 200.0000 400.0000 X X X true true X X X X true X X X X X X true X X true X X X X X X true X false false Part V, Line 5 - Account Input from Persons Who Represent the Community Adventist Health White Memorial engaged the community in the CHNA through focus groups and key informant interviews. Seven (7) focus groups surveyed approximately 80 people. The focus groups were held from February to April 2016 and were conducted in Spanish and English. Focus groups participants included medically underserved, low-income, and minority individuals served by the hospital. The focus groups engaged the following community voices:Guadalupe Homeless Project at the Dolores Mission involving theHomeless Healthy Eating Lifestyle Program (HELP) at the Adventist Health White Memorial involving Parents and Children Little Tokyo Service Center at the Little Tokyo Tower Apt. Building involving Senior Residents Mexican American Opportunity Foundation (MAOF) at their facility involving Seniors Second St. Elementary School involving the Parents of attending studentsVive Bin Senior Wellness Program at the White Memorial Medical Center involving Seniors Weingart East Los Angeles YMCA at their facility involving Adult from the YMCA Sixteen (16) key informant interviews were held from February to April 2016. Interviewees were comprised of key leaders from an array of agencies including researchers in Latino community health, local health departments, nonprofit community-based organizations, faith based organizations, and human service agencies. As well, written comments were solicited through the hospitals website, using the feedback link on the page where the CHNA is posted.The hospital facility consulted these community stakeholders for the interviews:Mara BryantVP, Organizational PerformanceAdventist Health White MemorialDan Castillo, MDCEOLAC+USC Medical CenterCstulo de la Rocha, JDPresident and CEOAlta MedHectorFlores, MDFamily Medicine Residency ProgramAdventist Health White MemorialDebra Fong Executive DirectorAsian Pacific Community FundBuilding A Community of Giving Monica GarciaBoard Member District 2Los Angeles Unified School DistrictKaren Hansberger, MDSenior VP, Medical AffairsAdventist Health White MemorialDavid Hayes-Bautista, PhDThe Center for the Study of Latino Health and CultureUCLA School of MedicineRocio HernandezFourteenth Council DistrictCity of Los AngelesBarbara HinesPresident and Chief Executive OfficerQueensCareAnish Mahajan Deputy Director Los Angeles County Department of Health ServicesMonsignor John MorrettaChurch of the ResurrectionJanina Lord Morrison, MD, MPHMedical DirectorThe Wellness Center at Los Angeles County+USC Medical CenterRolandPalenciaCommunity Benefits DirectorLA CareRoderick Shaner, MDLos Angeles County Department of Mental HealthJennifer YbarraProgram Manager Healthy Communities Southern RegionThe California Endowment Part V, Line 7d - Description of Making Needs Assessment Widely Available The Community Benefit plan of Adventist Health White Memorial can be found at https://www.adventisthealth.org/pages/about-us/community-health-needs-assessments.aspx 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 described for Part I, Line 7 is multiplied times the hospital's bad debt expense as reported in the system-wide combined audited 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 combined audited financial statements do not contain a footnote describing bad debt expense. Part III, Line 8 - Explanation Of Shortfall As Community Benefit The Medicare cost report apportions the hospitals costs on the basis of inpatient days and ancillary and outpatient charges to establish the costing methodology.Healthcare delivery by hospitals is a complex, highly regulated business in the United States. Healthcare unit cost inflation is driven by compliance with ever-expanding regulatory requirements, shortages of highly skilled labor and evolving medical and information technology. The health care market basket is unrelated to that of the average individual consumer. Since the 1997 Balanced Budget Act, Medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that Medicare payments 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 $59,762,934 Prior Year Settlements 1,334,941 Cost Report Reimbursable Bad Debts 588,857 Estimates and Accrual Variances (1,692,472) Other 11,627,563 ___________ Subtotal - Amount reported in Pt III line 5 $71,621,823 Amount included in Part 1, lines g and f 2,102,196 ___________ Total Medicare Revenue $73,724,019*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 In addition to assessing the needs of our communities through the conduct of a triennial Community Health Needs Assessment, as reported in Part V, Section B, the hospital facility assesses the health needs of the service area communities in a number of ways. In addition to having a vibrant volunteer base and diverse Boards of Directors, AHWM has organized a Community Leadership Council (CLC). The White Memorial Community Leadership Council (CLC) was established in 2009. The CLC includes members from educational institutions, churches, law enforcement agencies, local business owners, local governments and other civic organizations. The Council works with AHWM to keep abreast of the communitys needs and like the Boards has input into outreach efforts, community health, and wellness activities. The hospital facility has made the CHNA and Community Health Plan available on the website and welcomes written comments. By asking for public input AHWM solicits additional information on community health needs. AHWM staff actively participates in local collaborative groups that convene to address community needs. Finally, members of the hospital staff serve on a number of community-related planning groups, public health committees, and boards of community organizations. Information obtained from active community involvement factors into the identification of community health needs. Part VI, Line 3 - Patient Education of Eligibility for Assistance AHWM provides inpatient, outpatient, emergency, diagnostic care, and community education for over 156,000 patient visits annually. As a Seventh-day Adventist medical center, we are a family of caring professionals serving our community with: A spirit of Christian service; a passion for excellence and a commitment to medical education. AHWM provides quality medical health care regardless of race, creed, sex national origin, handicap, age or ability pay. Although reimbursement for services rendered is critical to the operation and stability of AHWM, the organization recognizes that not all individuals possess the ability to pay the essential medical services. 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 care; providing care to persons covered by governmental programs at below cost; providing health/wellness activities, community education programs and workshops. Not only does AHWM provide low-cost care to individuals covered by government programs and those unable to afford health care, it also helps patients find and access private and governmental resources for health care benefits. AHWM recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community.AHWM uses various vehicles to inform patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs. The Registration team is the first point of contact for the patient and there are a number of ways the patient is notified of their ability to apply for insurance coverage through state and federal avenues. AHWMs admissions packet contains documents that highlight patient financial services: The "Your Patient Account" trifold denotes we can "help you figure out your insurance coverage apply for government aid or make interest fee payment arrangements." This is also addressed in our "Welcome to Our Family" packet under Patient Financial Services. Financial assistance information is also provided in each of the Registration booths. AHWM statements sent to the patient has a section titled "Financial Assistance" where it indicates "If you can't pay part of your bill, please contact our Customer Service Department." More importantly AHWMs mission is to provide compassionate, quality care regardless of their ability to pay. The unreimbursed value of providing care to patients in 2017 was $10,923,847.Our on-campus AHWM Community Information Center provides access to health care programs, senior wellness programs, on-site enrollment services for state-funded insurance plans including Medicare, Covered California and MediCal available at no charge. Part VI, Line 4 - Community Information Adventist Health White Memorial (AHWM) is located in Boyle Heights, a vibrant neighborhood east of downtown Los Angeles. The AHWMs primary service area consists of 18 zip codes and caring for the communities of Bell Gardens, Boyle Heights, Chinatown, Commerce, East Los Angeles, El Sereno, Huntington Park, Lincoln Heights, Los Angeles, Maywood, Montebello, Pico Rivera and South Gate. AHWMs service area is designated as a medically underserved area/population and neighboring areas have been designated as health professional shortage areas for primary care. 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 VI, Line 4 - Community Building Activities Many of the organizations governing board members reside in the organizations primary service area and are neither employees nor independent contractors of the organization nor are family members. The Boards reflect the diversity of our community.As a nonprofit organization, any surplus funds are invested back into the organization, which greatly benefits the community. We have made a commitment to quality and safety and this commitment drives our participation in a number of in-house, statewide and national initiatives that seek to integrate patient safety into our organizational culture, from general policies and procedures, to the actions of individual physicians and employees. These initiatives also focus on clinical excellenceadopting best practices, monitoring our progress and continuously improving our care to ensure the best possible outcomes for our patients. Our efforts have been recognized as Healthgrades named White Memorial one of Americas 100 Best Hospitals! The 100 recipients of the Americas 100 Best Hospitals Award stand out among the rest for overall clinical excellence across a broad spectrum of care. WMMC has created a Community Information Center to bring health to the communities we serve. Partnering with highly respected community organizations like Mexican American Opportunity Foundation (MAOF), the Community Information Center provides on-site eligibility specialists to answer questions regarding health care coverage: enrollment and information for Covered CA, Medicare, and the Cal MediConnect Dual Enrollment Demonstration. We provide general information on access to health care coverage options, physicians and hospital-based services and programs. The Center also offers referrals to agencies and programs based on individual needs and hosts Vive Bien Senior Wellness Program workshops and events. Part VI, Line 5 - Promotion of Community Health AHWM is governed by a Board of Directors; a majority who are community members that reside in the hospitals service area The Board advises the President/CEO and executive leadership as it seeks to meet the health care needs of the community. In addition to the Board of Directors, AHWM also utilizes a Foundation Board and a Community Leadership Council (CLC) that is staffed by hospital employees and led by community members. The Boards and CLC are involved in the strategic planning process to ensure that the community benefit activities provided align with the health needs of our communities; health needs identified in the Community Health Needs Assessments are identified and prioritized; and Community benefit activities address the prioritized health needs and seek to focus our charitable resources on vulnerable populations with unmet health needs.To help ease the shortage of health care professionals and ensure the future needs of our communities are met, each year we train physicians, nurses and allied health professionals. AHWM offers postgraduate training programs to provide graduate medical education programs which develop personal, clinical and professional competence under the guidance and supervision of the faculty and staff. AHWM is accredited by the Joint Commission (TJC) and the Accreditation Council on Graduate Medical Education (ACGME). As a teaching facility, AHWM offers residency programs in family medicine, internal medicine, OB/GYN, podiatry and pharmacy practice.Medical staff membership is open to any physician regardless of group or other affiliation. Clinical privileges are granted based on meeting the prerequisite criteria. 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 communites served. Part VI, Line 7 - States Filing of Community Benefit Report CA Part V - Explanation of Number of Facility Type The hospital provides outpatient services in multiple locations within its service area. Part VI - Additional Information Additional Information:Adventist Health White Memorial (AHWM) is a full service 353-bed, faith-based, community-serving, comunity-engaged academic medical center which provides a full range of inpatient, outpatient, emergency and diagnostic services and is located just minutes from downtown Los Angeles. One of the greatest assets an organization can possess is the trust of its community --both internal and external. AHWM devotes a significant amount of financial and human resources to carry on its legacy of close to 100 years of community-centered service to medically underserved communities in our area. Beyond our role as one of the leading providers of health care in our community, we are committed to operating as a socially responsible organization as we meet the needs of our different stakeholders--our patients, physicians, workforce, neighbors, partners and donors. Our goal is to enable people to achieve more than just good health; it is to create opportunities for growth and development that will make a real, lasting impact on the health of our community.AHWM serves a community whose residents are predominantly Latino and where approximately 32% of the households have an annual income of less than $25,100, which is well below the federal poverty level. AHWM is positioned to provide this historically medically underserved population with Latino-focused language programs and education, including Spanish bilingual doctors and nurses and is dedicated to providing all its patients with the same level of high quality health care. This care includes highly advanced specialty services including advanced certifications, specialty care services and state-of-the-art procedures. AHWM has adopted rigorous national quality standards and has won four Eureka Awards for Performance Excellence from the California Council on Excellence.AHWM mission anchors everything we do and extends out to the community in many ways. Collaborative efforts between AHWM, local organizations and donors has created critical programs needed to address the specific health care needs of the more than 2 million residents living throughout eastern Los Angeles. Together we can change the outcome of our community's health. For example, the Cecilia Gonzalez De La Hoya Cancer Center, named for the late mother of champion boxer and philanthropist, Oscar De La Hoya, helps address the area's high incidence of breast cancer. The Cancer Center features sophisticated diagnostic and treatment equipment, bilingual breast cancer support groups, a community resource center and free breast exams and mammograms to women who are uninsured or underinsured.The Diabetes Care Center at AHWM addresses the high prevalence of diabetes within the community and provides full-service diabetes testing, education, peer counseling and follow-up care and runs a successful Healthy Eating & Lifestyle Program (H.E.L.P.); a six-week program designed to teach children, at-risk of developing diabetes, the benefits of a well-balanced diet and regular exercise. No insurance is needed to access this bilingual program. Our at-risk newborns, cared for in one of the few Level III Neonatal Intensive Care Units in Los Angeles, are protected by state-of-the-art technology neo blue lights and our Giraffe Beds, purchased with donations received through the AHWM Foundation. Babies are now safer and have a better chance of flourishing because our friends contributed to this successful fundraising effort. The Center for Limb Preservation & Advanced Wound Care offers a unique multidisciplinary approach to limb care and limb preservation and provides advanced outpatient therapy/treatment for wounds consistent with specific needs of the patients. The best thing is that all these services are available under one roof. The primary goal of the Center is to provide vital services to the population at risk of limb threatening condition, including patients of multiple and differing socioeconomic and cultural backgrounds. Limb amputation can be a major complication for patients who have diabetes, peripheral artery disease, kidney problems or another complex condition that impairs circulation. true Altamed Health Svcs 2040 Camfield Ave Los Angeles CA 90040 952810095 501(c)(3) 16667 0 Sponsorship Casa 0101 Inc 2102 E 1st St Los Angeles CA 90033 870787898 501(c)(3) 26000 0 Sponsorship Eastmont Community Center 701 Hoefner Ave Los Angeles CA 90022 956221642 501(c)(3) 6000 0 Sponsorship Familia Unida Living With MS 4716 East Cesar E Chavez Ave Los Angeles CA 90022 911898199 501(c)(3) 10000 0 Sponsorship Inter-American Div of SDA 8100 SW 117th Avenue Miami FL 33183 352570801 501(c)(3) 7000 0 Sponsorship La Sierra University Fndtn 4500 Riverside Parkway Riverside CA 92505 200178438 501(c)(3) 10000 0 Sponsorship Mexican American Opportunity 401 N Garfield Avenue Montebello CA 90640 952594166 501(c)(3) 32500 0 Sponsorship National Breast Cancer Founda 2600 Network Blvd Suite 300 Frisco TX 75034 752391148 501(c)(3) 10000 0 Sponsorship Oscar De La Hoya Foundation 626 Wilshire Blvd Los Angeles CA 90017 954586767 501(c)(3) 12000 0 Sponsorship Southeast Rio Vista YMCA 4801 E 58th St Maywood CA 90270 951644052 501(c)(3) 45000 0 Sponsorship Sportster Athletics 1900 Royal Oaks Dr Duarte CA 91010 461427616 501(c)(3) 7500 0 Sponsorship Telacu Education Foundation 5400 E Olympic Blvd Los Angeles CA 90022 954384333 501(c)(3) 15000 0 Sponsorship The RightWay Foundation 3650 W Martin Luther King Jr Los Angeles CA 90008 900761009 501(c)(3) 10000 0 Sponsorship White Memorial Adventist Sch 1605 New Jersey Street Los Angeles CA 90033 954349770 501(c)(3) 10000 0 Sponsorship White Memorial SDA Church 401 N State St Los Angeles CA 90033 270721343 501(c)(3) 34000 0 Sponsorship 15 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 true true X X X X true true false false false false false false false false Bendixen-Chern Mary Anne Sr VP Fund Dev/Ex Rel 253194 56570 69997 14642 12923 407326 56602 Bryant Mara Org Performance Officer 294748 67841 87967 16375 37506 504437 17841 Fargo Roland Reg Physician Ops Officer 360074 76840 127042 10956 33069 607981 Fraguero Erica Dir Amb Finance 125398 84271 3174 13248 30115 256206 Hansberger Karen Medical Affairs Officer 366031 81847 51869 16356 16293 532396 Hopper Monica Dir. Finance 166167 107177 19848 16356 7547 317095 Milatovich Natasha Human Resource Officer 274992 59594 44669 16356 37499 433110 Miller Elizabeth Care Mngt Officer 248572 42245 38210 16356 27359 372742 Mosley Helen Director 166429 18132 36687 13121 11437 245806 Nahapetian Arby Medical Officer SCR 535805 114043 230961 16356 41965 939130 81073 Nguyen Thao Dir. Pharmacy 221138 23432 4573 15435 31363 295941 Raffoul John President 436686 136666 186628 16356 33073 809409 59512 Rebok Douglas Former Asst Sec 120028 6244 126272 120028 Reiner Scott Dir/Chair 1184750 324119 473935 16356 37529 2036689 406467 Richard Blin CFO/Asst Sec/VP 258027 58739 52209 16446 28622 414043 22300 Saad John Dir. Perioperative 188361 19177 6123 12802 25835 252298 Schwarz Greg Bus Dev Officer 233706 36498 26988 16356 33063 346611 Stone Patricia Chief Nursing Officer 277725 61844 37219 16356 12627 405771 Wagner Jack Asst Sec 768843 221735 92680 11160 25957 1120375 Wehtje Rodney Former Asst Treas 158863 90564 213 23086 272726 79970 Wehtje Ronald Finance Officer SCR 490826 90579 116773 11008 25957 735143 Wing Bill Dir/V Chair/Ass 953512 273121 233611 16356 36337 1512937 Zachary Beth President SCR 768341 221735 2541764 16426 33093 3581359 143418 Part I, Line 1a: Relevant information in regards to selections on 1a. Part I, Line 1BAny items checked on this line are reported as taxable income to the employee, except first class or charter travel, which is only approved for business purposes on an exception basis. 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 bylaws define its board of directors to be the same individuals who are members of Adventist Health System/West board of directors. Form 990, Part VI, Line 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 The completed Form 990 is shared with members of the corporation'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 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 hospitals 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.During the year-end audit process, the auditors review all board member COIs and a sample of the Corporate officers, key employees, and hospital CEOs COIs. If a conflict is reported on a COI, the auditors will bring it to the attention of the AVP, Audit Services for follow-up.Further inquiries on any potential significant conflicts are made as needed. Conflicts were documented and reviewed with the Board, which in turn determined the conflicts were not inappropriate for the situations identified and that the terms of the arrangements would likely not be better for the organization. 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 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 Decreases Net Assets Released fr Restrictions = -$4913790 Other Changes In Net Assets Or Fund Balances - Other Increases Net Assets Released from Restr-Cap Addtn = $0 Other Changes In Net Assets Or Fund Balances - Other Increases Restricted Gifts & Grants = $3885482 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfers to Affliated Organizations = -$90408960 Adventist Health SystemWest 2100 Douglas Blvd Roseville CA 95661 953484589 Support and Manage System-Wide Activitie CA 501(c)(3) 1 N/A 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 Adventist Hlth Medical Ctr Tehachapi 115 W E St Tehachapi CA 93561 812240617 Hospital CA 501(c)(3) 11b, II Adventist Health SystemWest false Adventist Health Physicians Network 2100 Douglas Blvd Roseville HI 95661 680357690 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Castle Medical Center 640 Ulukahiki Street Kailua HI 96734 990107330 Hospital HI 501(c)(3) 1 Adventist Health SystemWest false Feather River Hospital 5974 Pentz Road Paradise CA 95969 941101228 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Glendale Adventist Medical Center 1509 Wilson Terrace Glendale CA 91206 953899682 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Hanford Community Hospital 450 Greenfield Avenue Hanford CA 93230 940535360 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Lodi Memorial Hospital Association Inc 975 Fairmount Ave Lodi CA 95240 941044474 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Northwest Medical Fdtn of Tillamook 1000 Third Street Tillamook OR 97141 930622075 Hospital OR 501(c)(3) 1 Adventist Health SystemWest false Paradise Valley Hospital 2100 Douglas Blvd Roseville CA 97216 951816034 Wind Down After Sale of Hospital Facilit 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) 1 Adventist Health SystemWest false Reedley Community Hospital 372 W Cypress Avenue Reedley CA 93654 453220509 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false St Helena Hospital 10 Woodland Road St Helena CA 94574 941279779 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false San Joaquin Community Hospital 2615 Chester Avenue Bakersfield CA 93301 952294234 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Simi Valley Hospital & Health Care Svcs 2975 N Sycamore Drive Simi Valley CA 93065 956064971 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Sonora Community Hospital 1000 Greenley Road Sonora CA 95370 941415069 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false Stone Point Health 2100 Douglas Blvd Roseville CA 95661 823763347 Support & Manage Hosp & Health Entities CA 501(c)(3) 1 Adventist Health SystemWest false Ukiah Adventist Hospital 275 Hospital Drive Ukiah CA 95482 941639901 Hospital WA 501(c)(3) 1 Adventist Health SystemWest false Walla Walla General Hospital 1025 S Second Avenue Walla Walla WA 99362 910617726 Hospital WA 501(c)(3) 1 Adventist Health SystemWest false White Memorial Medical Center Fdtn 1720 Cesar E Chavez Avenue Los Angeles CA 90033 952282647 Fundraising for Hospital CA 501(c)(3) 11, Type 1 Adventist Health SystemWest false Willits Hospital Inc 1 Marcela Dr Willits CA 95490 680108919 Hospital CA 501(c)(3) 1 Adventist Health SystemWest false South Coast Medical Center 2100 Douglas Blvd Roseville CA 95661 952037291 Wind Down After Sale of Hospital CA N/A C-Corp false false false false true true false false false false false true true true true true true true true true White Memorial Medical Center Fdtn n 26448 Cost White Memorial Medical Center Fdtn o 738564 Cost White Memorial Medical Center Fdtn s 4323546 Fund Transfers