2017-11-15T16:38:31-08:00 2016-12-31 SADD VELAZQUEZ HIGASHI & SHAMMAA LLP 330 N BRAND BLVD STE 200 GLENDALE CA 912032361 990 2016-01-01 952282647 White Memorial Medical Center WHIT 3232685000 1720 Cesar E Chavez Avenue Los Angeles CA 90033 Blin Richards CFO/VP Finance 2017-11-15 true S Clement P01218012 8185475701 X 2016 2021-01-29 14:40:06Z Raffoul John 2100 Douglas Blvd Roseville CA 95661 465691904 false false 1071 X www.whitememorial.com 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. 11 7 2110 230 0 5683628 5848720 407498952 450392412 10396430 9366892 4337997 83880 427917007 465691904 813263 456093 0 165170180 161233951 0 617673 224160107 250333859 390143550 412023903 37773457 53668001 700844744 741054313 135120713 124728832 565724031 616325481 Living Gods love by inspiring health, wholeness and hope. false false 361136581 456093 465691904 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 White Memorial Medical Center, 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 the 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 the White Memorial Medical Center 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. The White Memorial Medical Center 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 2016 was $24,290,155.Inpatient services in 2016 were provided to 22,879 patients. These services included: 3,790 Babies delivered 3,760 Surgeries performed 1,312 Cardiac catherization patients 410 Skilled nursing patients 264 Rehabilitation patients 571 Neonatal Intensive Care Patients 184 Pediatric Intensive Care Patients 2,057 Psychiatric Care Patients 9,148 Other Medical/Surgical Services Outpatient services in 2016 were provided to 131,357 patients. These services included: 61,236 Emergency room visits 4,999 Outpatient surgeries performed 89,277 Radiology procedures performed 1,418 Cardiac catheterizations outpatients746,478 Laboratory tests performed 1,955 Cleft Palate visits 4,083 Cancer Center proceduresThe White Memorial Medical Center 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 internal and external. Beyond our role as a leading community health care provider, we are committed to operating as a socially responsible organization meeting the needs of all of our stakeholders our patients, physicians, workforce, neighbors, partners, volunteers and donors. This is why WMMC devotes a significant amount of financial and human resources to maintain its legacy of over 100 years of community-centered service to medically underserved communities in our area. Our goal is to enable people to achieve more than just good health by creating opportunities for growth and development that will make a real, lasting impact on the health of the community.The WMMC is a community-serving, community-engaged academic medical center which serves a community where almost 89% of the residents are Latino. Approximately 39% of the households in our community earn less than $25,000 annually, amounts well below the poverty level. The median household income for our community is $35,757 with 47% of adults under the age of 65 being uninsured. As such, we are positioned to provide this historically medically underserved population with highly advanced specialty services, including advanced certifications, specialty care services and state-of-the-art procedures, as well as Latino-focused language programs and education and bilingual doctors and nurses. WMMC has adopted rigorous national quality standards and regularly receives various awards and recognitions. WMMC has adopted rigorous national quality standards and regularly receives various awards and recognitions. The WMMC has been named one of the Healthgrades America's 100 Best Hospitals overall. Being a Top 100 hospital places the WMMC in the Top 2% of hospitals Nationwide. On average, a person seeking treatment at the WMMC has a 26.5% lower risk of dying than if they were treated in a hospital that did not receive this award. WMMCs mission anchors everything we do, extending out to the community in many ways. Collaborative efforts between WMMC, local organizations and donors has created critical programs needed to address the specific health care needs of the more than two million residents living throughout eastern Los Angeles. Together we are changing the outcome of the community's health.For example: The Diabetes Care Center 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.). This six-week program is 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 newest Giraffe Beds, purchased with donations received through the WMMC Foundation. Nonetheless, a significant portion of the mission-driven assistance WMMC provides its community is intangible or otherwise difficult to quantify. The following story illustrates this:Recently, I ran into Dr. Brian Johnston in the hallway on my way to a Planetree meeting. He does not know me well, but he knows Ive helped him with his homeless projects each year by donating clothes and Ziploc bags of hygiene products. We are always helping adults, he said out of the blue. What about the children who are homeless? The only thing I could think to say is Where are they? He mentioned the Chaplains office. They can help you find them. And find them they did. Thirty-eight homeless children who all attend the 2nd Street Elementary School. Christina Munoz, the school principal, told me that because they are homeless, these children often have problems with head lice and, since their families cannot afford to buy lice shampoo, are kept out of school.I took the leap dont ask me why and declared that I would adopt her 38 children and get them school supplies. I think I shocked her, possibly myself, as she at first could not believe what she was hearing. I assured her that I was good at my word, and we shook hands in agreement. At home, all I could think of were the 38 children. I called my family and we started our campaign that my sister Sylvia named Fill the Backpacks. I went to my Unit-Based Council and informed the Planetree Council of my intentions. As word got around, coworkers, committee members, family and senior citizens donated several items, including a donation of 38 boxes of lice shampoo from the White Memorial pharmacy. On Aug 12, we arrived with our backpacks and school supplies and much else. Principal Munoz was very thankful. Had had we not provided these school supplies for the children they would have nothing at all. She shared with us that when school starts, they would give them a warm breakfast every morning and a lunch. But she was not quite sure what they would have for dinner that evening. But for now they would have backpacks and school supplies and so much else. Stories like Rosemarys are not unusual. We hear them all the time as we walk the halls of the hospital, as we walk to and from the cafeteria, to and from the examination rooms, to and from the doctors offices, to and from the parking lots we are assigned to. People at the WMMC have a great habit of adopting people, causes, homeless women, needy children, the displaced or disposed, people in need of someone to talk to, someone who will talk back. It comes with the territory, perhaps, or the calling, or the culture, were not quite sure what. Doesnt matter. We welcome the habit, for us and for the communities we serve.It takes special people to create change, people with a passion for making a difference in the lives of others and the community at large. Not just because it is the right thing to do, but because the passion to help those less fortunate is in their heart and their hunger for excellence. White Memorial invites you to partner with us in building on our legacy of p 361136581 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 true true false false false false false false false false false false false false false false false false true false false false false true 321 0 true 2110 true false false false false false false false false 0 false false false false false false false false false false X 11 7 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 Dickinson Charles Director 0.00 4.00 X 0 217464 54172 Freedman John Director 0.00 4.00 X 0 300 0 Friedstad Christine Director 0.00 4.00 X 0 968 0 Gabriel Melody Director 0.00 4.00 X 0 2269 0 Graham Ricardo Director 0.00 4.00 X 0 4246 0 Heinrich Kerry Director 0.00 4.00 X 0 683 0 Innocent Larry Director 0.00 4.00 X 0 1503 0 Reimche Allan Director 0.00 4.00 X 0 4407 0 Rippey Wesley Director 0.00 4.00 X 0 129770 0 Reiner Scott Dir/Chair 0.00 50.00 X X 0 1711534 286273 Salazar Velino Director 0.00 4.00 X 0 3915 0 Torkelsen Max Director 0.00 4.00 X 0 4102 0 Wing Bill Dir/V Chair/Ass 0.00 50.00 X X 0 1319055 238895 Jobe Meredith Secretary 0.00 50.00 X X 0 552085 99823 Raffoul John President 0.00 50.00 X 0 594690 367086 Wagner Jack Asst Sec 0.00 50.00 X 0 1117705 41826 Richards Blin CFO/Asst Sec/VP 0.00 50.00 X 0 328941 40731 Armendariz Cesar VP Bus Dev 0.00 50.00 X 0 122714 10637 Bryant Mara Sr VP Org Perf 0.00 50.00 X 0 348059 75882 Bendixen-Chern Mary Anne Sr VP Fund Dev/Ex Rel 0.00 50.00 X 0 312704 54028 Hansberger Karen Sr VP Medical Affairs 0.00 50.00 X 0 360828 26958 Fargo Roland Sr VP Reg Physician Ops 0.00 50.00 X 0 456293 97883 Milatovich Natasha VP HR 50.00 50.00 X 0 316669 44984 Miller Elizabeth VP Care Mngt 50.00 50.00 X 0 301175 39844 Nahapetian Arby Reg CMO 0.00 50.00 X 0 631536 141957 Stone Patricia Sr VP Nurs/CNE 0.00 50.00 X 0 312478 18640 Schwarz Greg VP Bus Dev 0.00 50.00 X 0 150920 26450 Wehtje Ronald CFO SCR 0.00 50.00 X 0 501328 27873 Zachary Beth President SCR 0.00 50.00 X 0 1031265 201025 Coan Carl CEO, FQHC 50.00 0.00 X 287622 0 18691 Nguyen Thao Dir. Pharmacy 60.00 0.00 X 246107 0 37879 Hopper Monica Dir. Finance 60.00 0.00 X 232284 0 42391 Saad John Dir. Perioperative 50.00 0.00 X 210598 0 22816 Marsala Freisia Staff RN 50.00 0.00 X 206435 0 24000 Carmen Robert Former Dir/Chair 0.00 0.00 X 0 358716 7952 Whaley Lynne Former SVP ClincOp/CNE 0.00 0.00 X 0 201299 0 Wehtje Rodney Former Asst Treas 0.00 0.00 X 0 388431 41835 1183046 11788052 2090531 382 true true false Shiftwise Inc PO Box 70870 St Paul MN 551709705 Registry Services 3712026 Altamed Health Services Corp 2040 Camfield Ave Los Angeles CA 90040 Medical Services 3575930 Adventist Health Physicians 3191 Casitas Ave Ste 216 Los Angeles CA 90039 Medical Services 2379690 FCS Medical Corporation 5823 York Blvd Suite 1 Highland Park CA 90042 Medical Services 2060955 White Memorial Medical Group Inc 1701 Cesar E Chavez Ave Ste 510 Los Angeles CA 90033 Medical Services 1888824 55 2145095 3237972 465653 5848720 Dietary 722210 1494174 1494174 EMR Income 611430 198227 198227 Other Prog Svc Rev 900099 1227793 203542 1024251 Patient Svc Revenue 621110 441661442 441661442 Rental Income-Pgm Svc 531120 5810776 5810776 450392412 9073871 9073871 0 0 0 293021 293021 293021 293021 0 0 0 Net Assets Rel from Rest 900099 16843 16843 Value Change-Net Asset 900099 67037 67037 83880 465691904 449452041 10391143 330552 330552 125541 125541 0 0 0 0 128445092 119335498 8617607 491987 4829751 4829751 18491631 15591109 2812798 87724 9467477 8798341 631174 37962 0 493389 493389 9937 9937 0 0 0 23507500 20934899 2572601 673198 673198 4678084 3187509 1490575 17400424 17084830 315594 0 11255940 11244060 11880 348577 203493 145084 0 272198 180889 91309 35967 35967 0 17301642 17181388 120254 1729626 1729626 Purchased Services 71932359 39775992 32156367 Pt Care Supplies 49214178 49214178 Qual Assur Hosp Fee 39566203 39566203 Other Expenses 10141757 10060670 81087 1772880 1726085 46795 412023903 361136581 50269649 617673 463463 312132 428032628 446236272 188068 0 60623938 50130097 0 0 0 4708703 5251614 1377348 2391787 388986578 223494607 174594717 165491971 4233098 3868494 0 0 1150000 1150000 25472781 66221946 700844744 741054313 43370007 42009138 57417255 54179282 34333451 28540412 135120713 124728832 X 560229634 611164011 5494397 5161470 565724031 616325481 700844744 741054313 X 53668001 -3066551 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 52022 52022 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. 5494397 4264197 4597124 5161470 5720273 4106539 4332415 5494397 5297595 3594787 3172109 5720273 4802349 2703813 2208567 5297595 3997249 2992064 2186964 4802349 1.00000 false true true 2263420 2263420 290955203 152532379 138422824 83701550 66004781 17696769 12066405 4957447 7108958 165491971 Other Assets 6621263 Other Receivables 2148473 Receivables from Related Organizations 18097916 Receivables from Third-Party Payors 39354294 66221946 Payables to Related Organizations 2428119 Settlements-Medicare Pay to 3rd Pty 19977791 Workers Comp Payable 6134502 28540412 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 East Asia Mission Trip 76588 Travel/Supplies Cost Latin America Mission Trip 48932 Travel/Supplies Cost 2 false false false false false false true true X true X true X true true true false true true 4143603 4143603 0.01010 231401706 243507167 222730 119724 103006 0.00030 235768039 243626891 4246609 0.01040 4037754 4037754 0.00980 15332717 2060489 13272228 0.03220 14848486 3718960 11129526 0.02700 11078 11078 487317 487317 0.00120 34717352 5779449 28937903 0.07020 270485391 249406340 33184512 0.08060 5226 5226 94314 94314 0.00020 440 440 99980 99980 0.00020 true 1377692 1074599 75434319 48720854 26713465 X true true 1 1 White Memorial Medical Center 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 16 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 https://www.adventisthealth.org/white-me X https://www.adventisthealth.org/white-me X https://www.adventisthealth.org/white-me 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 WMMC 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 White Memorial Medical Center 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 PerformanceWhite Memorial Medical CenterDan Castillo, MDCEOLAC+USC Medical CenterCstulo de la Rocha, JDPresident and CEOAlta MedHectorFlores, MDFamily Medicine Residency ProgramWhite Memorial Medical CenterDebra Fong Executive DirectorAsian Pacific Community FundBuilding A Community of Giving Monica GarciaBoard Member District 2Los Angeles Unified School DistrictKaren Hansberger, MDSenior VP, Medical AffairsWhite Memorial Medical CenterDavid 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 the White Memorial Medical Center 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 $61,994,300 Prior Year Settlements 10,580,768 Cost Report Reimbursable Bad Debts 540,130 Less Amts included in Part 1, lines g & f (1,996,667) Estimates and Accrual Variances ( 448,552) Other 4,764,340 ___________ Subtotal - Amount reported in Pt III line 5 $75,434,319 Amount included in Part 1, lines g and f 1,996,667 ___________ Total Medicare Revenue $77,430,986*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 - 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, WMMC 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 WMMC 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 WMMC solicits additional information on community health needs. WMMC 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 - Patient Education of Eligibility for Assistance WMMC provides inpatient, outpatient, emergency, diagnostic care, and community education for over 148,000 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. White Memorial Medical Center 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 White Memorial, 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 the White Memorial Medical Center 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. White Memorial Medical Center recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community.White Memorial 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. WMMCs 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. WMMC 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 White Memorials mission is to provide compassionate, quality care regardless of their ability to pay. The unreimbursed value of providing care to patients in 2016 was $24,290,155.Our on-campus White Memorial 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 - Community Information White Memorial is located in Boyle Heights, a vibrant neighborhood east of downtown Los Angeles. The hospital is located at 1720 East Cesar E. Chavez Avenue, Los Angeles, California 90033. The primary service area served by WMMC consists of 17 ZIP Codes for the cities or communities of: Bell Gardens, Boyle Heights, Chinatown, East Los Angeles, El Sereno, Huntington Park, Lincoln Heights, Los Angeles, Montebello, Pico Rivera and South Gate. The hospital is located in Los Angeles County Service Planning Area (SPA) 4. WMMCs service area is designated as a medically underserved area/population. Neighboring areas have been designated as health professional shortage areas for primary care. The population for the hospital service area is 1,097,136. The population is 50.2% male and 49.8% female, with a median age of 30. Persons of Hispanic origin represent 86.5% of the service area population. The largest racial group is composed of individuals who identify as White (44.2%); the second is composed of individuals who identify as belonging to some other race (40.7%). 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 50% of adults aged 25 years and older do not have a high school diploma. As well, area households earn a yearly income between $12,000 and $43,000, or $17,000 per year; and 30% of people in the service area are living below the federal poverty level (FPL). The unemployment rate in the primary service area is substantially higher in some neighborhoods. 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 - 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 - Explanation Of How Organization Furthers Its Exempt Purpose WMMC 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, WMMC 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. White Memorial Medical Center 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. The White Memorial Medical Center is accredited by the Joint Commission (TJC) and the Accreditation Council on Graduate Medical Education (ACGME). As a teaching facility, White Memorial Medical Center 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 - Affilated Health Care System Roles and Promotion 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 - States Where Community Benefit Report Filed 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:White Memorial Medical Center (WMMC) 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. WMMC 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.WMMC serves a community whose residents are predominantly Latino and where approximately 39% of the households have an annual income of less than $25,000, which is well below the federal poverty level. WMMC 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. WMMC has adopted rigorous national quality standards and has won four Eureka Awards for Performance Excellence from the California Council on Excellence.WMMC mission anchors everything we do and extends out to the community in many ways. Collaborative efforts between WMMC, 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 WMMC 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 WMMC 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. false Altamed Health Svcs 2040 Camfield Ave Los Angeles CA 90040 952810095 501(c)(3) 16667 0 Sponsorship Familia Unida Living With MS 4716 E Cesar E Chavez Avenue Los Angeles CA 90022 911898199 501(c)(3) 10000 0 Sponsorship Glendale Adv Med Cntr Fdtn 1509 Wilson Terrace Glendale CA 91206 951816017 501(c)(3) 10000 0 Sponsorship Gods Soldier Ministries 1535 East Chevy Chase Dr Glendale CA 91206 473723610 501(c)(3) 10000 0 Sponsorship Gospel Heritage Fdtn PO Box 1358 Placerville CA 95667 942348330 501(c)(3) 10000 0 Sponsorship Hollenbeck Police Bus Council 2015 E 1st St Los Angeles CA 90033 237188231 501(c)(3) 10000 0 Sponsorship Mexican American Opportunity 401 N Garfield Avenue Montebello CA 90640 952594166 501(c)(3) 64000 0 Sponsorship National Health Foundation 515 S Figueroa St Ste 1300 Los Angeles CA 90071 237314808 501(c)(3) 5667 0 Sponsorship Oscar De La Hoya Foundation 626 Wilshire Blvd Los Angeles CA 90017 954586767 501(c)(3) 12100 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 White Memorial Adventist Sch 1605 New Jersey Street Los Angeles CA 90033 954349770 501(c)(3) 16500 0 Sponsorship White Memorial SDA Church 401 N State St Los Angeles CA 90033 270721343 501(c)(3) 8000 0 Sponsorship Young Mens Christian Assoc 2900 Whitter Blvd Los Angeles CA 90023 951644052 501(c)(3) 68752 0 Sponsorship 14 9 X 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 233783 44748 34173 44057 9971 366732 Bryant Mara Sr VP Org Perf 274720 48740 24599 47073 28809 423941 Carmen Robert Former Dir/Chair 358716 7952 366668 Coan Carl CEO, FQHC 252470 32260 2892 18691 306313 Dickinson Charles Director 184932 32532 37740 16432 271636 Fargo Roland Sr VP Reg Physician Ops 332464 59878 63951 65541 32342 554176 Hansberger Karen Sr VP Medical Affairs 338139 15307 7382 16180 10778 387786 Hopper Monica Dir. Finance 211545 16621 4118 24000 18391 274675 Jobe Meredith Secretary 364469 95028 92588 74172 25651 651908 Marsala Freisia Staff RN 206410 25 24000 230435 Milatovich Natasha VP HR 256491 45056 15122 16180 28804 361653 Miller Elizabeth VP Care Mngt 232959 54009 14207 16180 23664 341019 Nahapetian Arby Reg CMO 495897 88816 46823 108751 33206 773493 Nguyen Thao Dir. Pharmacy 219180 18873 8054 24000 13879 283986 Raffoul John President 398002 105515 91173 342544 24542 961776 Reiner Scott Dir/Chair 1018912 299575 393047 249575 36698 1997807 Richards Blin CFO/Asst Sec/VP 238595 43964 46382 16270 24461 369672 Saad John Dir. Perioperative 185445 16034 9119 9705 13111 233414 Schwarz Greg VP Bus Dev 146506 4414 8231 18219 177370 Stone Patricia Sr VP Nurs/CNE 255139 48708 8631 16180 2460 331118 Wagner Jack Asst Sec 698200 200386 219119 16384 25442 1159531 Wehtje Rodney Former Asst Treas 380418 8013 16393 25442 430266 Wehtje Ronald CFO SCR 335653 80000 85675 10880 16993 529201 Whaley Lynne Former SVP ClincOp/CNE 201299 201299 Wing Bill Dir/V Chair/Ass 855884 253689 209482 203961 34934 1557950 Zachary Beth President SCR 696556 171232 163477 168659 32366 1232290 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 internal audit staff reviews these questionnaires and disclosures each year during the audit process. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management See explanation of process for setting CEO compensation below on Form 990, Part VI, Line 15b explanation. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The hospital board of directors has established a Compensation Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, including salary ranges for hospital CEOs and CFOs, that would be indicated by the data; evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data.The board-approved executive compensation philosophy specifies that salary ranges will be established for hospital CEOs and executives, with midpoints aligned with the 50th percentile of comparable system hospital data, and having a 24 percent spread from minimum to maximum (industry norm is approximately a 50 percent spread). A hospital CEO has a maximum potential incentive of 30 percent of base salary. (This incentive potential is less than the industry norm.) Other hospital executives have a maximum potential incentive of 20 percent of base salary. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The hospital does not make its governing documents publicly available, beyond required filings of articles of incorporation with the secretary of state. The hospital does not make its conflict of interest policy 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 Donated property and equip 168.11 - Zero = $0 Other Changes In Net Assets Or Fund Balances - Other Decreases Net Assets Released fr Restrictions - 169.20 = -$4529025 Other Changes In Net Assets Or Fund Balances - Other Increases Restricted Gifts & Grants 169.30/.60 = $4264196 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfers to Affliated Organizations - 168.30 = -$2801722 Adventist Health SystemWest 2100 Douglas Blvd Roseville CA 95661 953484589 Support and Manage System-wide Activities 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 Techapi 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 Ukiah Adventist Hospital 275 Hospital Drive Ukiah CA 95482 941639901 Hospital CA 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 false true true true true false White Memorial Medical Center Fdtn m 125686 Cost White Memorial Medical Center Fdtn o 491987 Cost