FURP.ORG / PUBLIC DATA EXPLORER

WHITE MEMORIAL MEDICAL CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
WHITE MEMORIAL MEDICAL CENTER (EIN 95-2282647)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201443219349311774
Schema version
2013v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-17T15:53:15-08:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Clement & Associates CPABusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12930 Honolulu Avenue Suite 200AddressLine1
CityLa CrescentaCity
StateCAState
ZIP Code91214ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN952282647EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1White Memorial Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlWHITBusinessNameControlTxt
Phone3232685000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11720 Cesar E Chavez AveAddressLine1
CityLos AngelesCity
StateCAState
ZIP Code90033ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJohn RaffoulPersonNm
Person TitleTreas/Sr VPFinPersonTitleTxt
Signature2014-11-17SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonS ClementPreparerPersonNm
PTINP01218012PTIN
Phone8182491065PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBeth ZacharyPrincipalOfficerNm
Gross Receipts$397,989,227GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Group Exemption1071GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.whitememorial.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1963FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionThe hospital mission is to provide our community with physical, mental, and spiritual healing in a way that reflects God's love for all.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee2250TotalEmployeeCnt
Total Volunteers186TotalVolunteersCnt
Total Gross UBI-$1,736,920TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$2,058,659NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,184,340PYContributionsGrantsAmt
CY Contributions Grants$4,872,133CYContributionsGrantsAmt
PY Program Service Revenue$367,626,648PYProgramServiceRevenueAmt
CY Program Service Revenue$376,299,653CYProgramServiceRevenueAmt
PY Investment Income$12,439,950PYInvestmentIncomeAmt
CY Investment Income$9,989,783CYInvestmentIncomeAmt
PY Other Revenue$259,112PYOtherRevenueAmt
CY Other Revenue$376,839CYOtherRevenueAmt
PY Total Revenue$385,510,050PYTotalRevenueAmt
CY Total Revenue$391,538,408CYTotalRevenueAmt
PY Grants And Similar Paid$412,707PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$340,275CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$152,388,610PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$153,934,574CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$565,221CYTotalFundraisingExpenseAmt
PY Other Expenses$190,636,963PYOtherExpensesAmt
CY Other Expenses$204,553,306CYOtherExpensesAmt
PY Total Expenses$343,438,280PYTotalExpensesAmt
CY Total Expenses$358,828,155CYTotalExpensesAmt
PY Revenues Less Expenses$42,071,770PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$32,710,253CYRevenuesLessExpensesAmt
Total Assets BOY$630,190,202TotalAssetsBOYAmt
Total Assets EOY$649,409,169TotalAssetsEOYAmt
Total Liabilities BOY$150,275,471TotalLiabilitiesBOYAmt
Total Liabilities EOY$136,124,618TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$479,914,731NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$513,284,551NetAssetsOrFundBalancesEOYAmt
MissionAs a Seventh-day Adventist medical center, we are a family of caring professionals serving our community with: 1) A passion for excellence, 2) A spirit of Christian service, 3) A commitment to medical education.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$279,588,388ExpenseAmt
Grant$340,275GrantAmt
Revenue$376,299,653RevenueAmt
DescAs 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 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 2013 was $64,484,558.Inpatient services in 2013 were provided to 20,498 patients. These services included: 4,113 Newborns 4,052 Babies delivered 7,395 Surgeries performed 881 Cardiac catherization patients 351 Skilled nursing patients 324 Rehabilitation patients 592 Neonatal Intensive Care Patients 94 Pediatric Intensive Care Patients 2,046 Psychiatric Care Patients 4,763 Medical Services Outpatient services in 2013 were provided to 118,218 patients. These services included: 51,833 Emergency room visits 4,112 Outpatient surgeries performed 94,962 Radiology procedures performed 741 Cardiac catheterizations outpatients704,089 Laboratory tests performed 2,481 Cleft Palate visits 7,644 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:Early Intervention ProgramHealthy Beginnings ProgramHealthy Families Program Rainbow Center Child CarePartners for PreventionHealth Fairs - Glucose Screenings for DiabetesPatient Healthcare TransportationOne 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 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.WMMC serves a community whose residents are predominantly Latino, where 9% of families earn less than $10,000 and 33% less than $25,000 annually, amounts at or well below the federal poverty level. 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. In 2013, for instance, US News & World Report ranked White Memorial Medical Center #12 in its Best Regional Hospitals Ranking for the Los Angeles Metro Area and #20 in the State of California. 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. Babies are now safer and have a better chance of flourishing because our friends contributed to this successful fundraising effort.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:Diagnosed at the age of 38 with stage four cervical cancer, Anabel Salazar came to Los Angeles, and White Memorial, seeking treatment after being refused medical assistance in the city she lived in because of her immigration status. In April 2013 she was admitted for intestinal blockage from complications of the cancer. Her 18-year-old son stayed with her and did not graduate from high school after missing three weeks of classes. Often he had no money to buy food and would go days without a change of clothes because he didnt have a car or money to take the bus home. After spending time with Anabel, we discovered she had a five-year old daughter and a 24-year old son. Her husband lost his job because he had to take care of the little girl and the oldest son was working in Oklahoma. Anabel, her mother, daughter and husband rented a room from her brother-in-law and could no longer pay the rent.By the end of April the cancer had spread. Her prognosis was very poor. The pain increased and as the reality of an inevitable death began to sink in, Anabel asked that we pray for her son and sister to be able to come to spend time with her.As the news spread of this heartbreaking journey, Customer Loyalty was notified. Meal tickets were provided to the family on a daily basis. The marketing manager, Sara, heard about Anabels challenges and donated cash and would bring food for the family on a regular basis. She also made arrangements and paid for Anabels oldest son, Salvador, to come to Los Angeles. Dr. Romero, Anabels oncologist, provided a letter to be submitted to immigration for Veronica, Anabels sister, to come to the U.S., and Dr. Esmail, the Palliative Care Physician, purchased gifts and clothes for Paulette, the five-year old, to celebrate her birthday and kindergarten graduation at WMMC. Patty from Education and Training brought the cupcakes and decorations for the celebration. The afternoon of Paulettes celebration, Anabel asked that her feeding tube be removed. She was ready to die. God had answered her prayer: her WMMC family, whom she called Angels from heaven, had fulfilled her longing to be treated with dignity and respect, no matter the circumstances. She learned the names of the nurses caring for her, including those who cleaned her room, and told them there was a place waiting for them in heaven when their journey on earth was completed. Anabel died in June 2013 at the age of 40. With no funds to fly her home, Sara contacted the Mexican Consulate who assisted with funeral arrangements and the flight back to Mexico. Sara and Customer Loyalty helped with other donations for Anabels final trip to her home town of Gomez Palacio, Durango. We create memories every day, some will-o-the-wisp, some as enduring as we care to remember. We are especially grateful to Anabel and her family for allowing us the privilege to walk this journey with them. We cant all be cured of disease but we can be healed and made whole. Those of us who participated in Anabels journey have been touched and healed in many ways: hers is one of the many Whys we do what we do at WMMC. Jesus served the poor and calls us to do the same. Anabel and her family had no money yet He provided for all theiDesc
Total Program Service Expenses$279,588,388TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgYes (true)MoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document462IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2250EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJohn Raffoul TreasurerVP FinPersonNm
Phone3232685000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11720 Cesar E Chavez AveAddressLine1
CityLos AngelesCity
StateCAState
ZIP Code900332443ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Caviness Larry
Director0.002.00Yes (X)$0$2,263$0
Dickinson Charles
Director0.002.00Yes (X)$0$5,021$0
Fike Ruthita
Director0.002.00Yes (X)$0$576$0
Friedstad Christine
Director0.002.00Yes (X)$0$1,783$0
Gabriel Melody
Director0.002.00Yes (X)$0$1,443$0
Graham Ricardo
Director0.002.00Yes (X)$0$3,020$0
Innocent Larry
Director0.002.00Yes (X)$0$1,410$0
Jones Helmuth
Director0.002.00Yes (X)$0$85,460$0
Reimche Allan
Director0.002.00Yes (X)$0$2,070$0
Rippey Wesley
Director0.002.00Yes (X)$0$96,929$0
Torkelsen Max
Director0.002.00Yes (X)$0$2,799$0
Carmen Robert
Dir/Chair0.0050.00Yes (X)$0$1,469,005$44,835Yes (X)
Reiner Scott
Dir/V Chair/Sec0.0050.00Yes (X)$0$1,075,867$198,380Yes (X)
Rebok Douglas
Asst Sec0.0050.00$0$787,365$162,365Yes (X)
Wehtje Rodney
Asst Treas0.0050.00$0$508,359$105,863Yes (X)
Wing Bill
Asst Sec0.0050.00$0$782,125$172,894Yes (X)
Zachary Beth
President & CEO0.0050.00$0$807,928$120,824Yes (X)
Raffoul John
Treas/AsstSec0.0050.00$0$419,019$91,044Yes (X)
Armendariz Cesar
VP Bus Dev/Mktg/Comm0.0050.00$0$131,170$25,172Yes (X)
Bryant Mara
VP Org Excell0.0050.00$0$257,251$71,912Yes (X)
Chern Mary Anne
VP Fund Dev0.0050.00$0$286,831$56,725Yes (X)
Fargo Roland
VP Bus Dev0.0050.00$0$329,730$77,043Yes (X)
McCoy Sharon
VP Ancillary Serv0.0050.00$0$245,216$31,754Yes (X)
Milatovich Natasha
VP HR0.000.00$0$226,246$42,417Yes (X)
Miller Elizabeth
VP Care Mngt0.0050.00$0$143,558$16,035Yes (X)
Whaley Lynne
Sr VP ClincOp/CNE0.000.00$0$301,562$60,217Yes (X)
Nguyen Thao
Dir Pharmacy Svcs50.000.00$226,709$0$30,595Yes (X)
Richards Blin
Controller60.000.00$205,369$0$23,953Yes (X)
Saad John
Dir Perioperative60.000.00$205,063$0$29,079Yes (X)
Patterson Leal
Dir. ED/Behv Med50.000.00$201,017$0$12,010Yes (X)
Maass Judith
Dir. Card. Svc/ICU50.000.00$187,544$0$11,587Yes (X)
Larry Dodds
Former Dir/V Chair/Sec0.000.00$216,120$0$3,969Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,241,822TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,974,006TotReportableCompRltdOrgAmt
Total Other Compensation$1,388,673TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K214IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Sodexo
Dept 880328Los AngelesCA90088Housekeeping Service$2,300,864
Comforce Technical Services
PO Box 9695UniondaleNY115559695Technical Services$2,213,777
DVA Renal Healthcare Inc
PO Box 403008AtlantaGA30384Medical Services$1,870,173
FCS Medical Corporation
5823 York Blvd Ste 1Highland ParkCA90042Teaching/Med Svcs$1,824,918
Lillibridge Healthcare Services
1701 Cesar Chavez Ave Ste 510Los AngelesCA90033Medical Services$1,770,276
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K66CntrctRcvdGreaterThan100KCnt
Related Organizations$228,362RelatedOrganizationsAmt
Government Grants$4,643,771GovernmentGrantsAmt
Total Contributions$4,872,133TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Dietary722210$1,392,781$1,392,781
Education611430$4,046,465$4,046,465
Other Prog Svc Rev900099$1,298,013$571,221$726,792
Patient Svc Revenue621110$367,708,934$367,708,934
Rental Income-Pgm Svc531120$1,566,771$1,500,928$31,097$34,746

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$286,689TotalRevenueColumnAmt
Unrelated Business Revenue$286,689UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$376,299,653TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,925,577TotalRevenueColumnAmt
Exclusion$9,925,577ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$4,392,464RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$6,450,819RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$2,058,355RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,058,355TotalRevenueColumnAmt
Unrelated Business Revenue-$2,058,355UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$64,206SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$64,206SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$64,206TotalRevenueColumnAmt
Related Or Exempt Func Income$64,206RelatedOrExemptFuncIncomeAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Miscellaneous Revenue900099
Net Assets Rel from Rest900099$2,044,246$2,044,246
Value Change-Net Asset900099$390,948$390,948
FieldValueIRS element (for citing)
Other Revenue Total$2,435,194OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$391,538,408TotalRevenueColumnAmt
Related Or Exempt Func Income$377,719,729RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$1,736,920UnrelatedBusinessRevenueAmt
Exclusion$10,683,466ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$255,531TotalAmt
Program Services$255,531ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$84,744TotalAmt
Program Services$84,744ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$120,136,602TotalAmt
Program Services$111,298,112ProgramServicesAmt
Management And General$8,420,196ManagementAndGeneralAmt
Fundraising$418,294FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,388,036TotalAmt
Program Services$4,388,036ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$20,426,822TotalAmt
Program Services$17,455,136ProgramServicesAmt
Management And General$2,869,267ManagementAndGeneralAmt
Fundraising$102,419FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,983,114TotalAmt
Program Services$8,327,720ProgramServicesAmt
Management And General$621,565ManagementAndGeneralAmt
Fundraising$33,829FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,490,552TotalAmt
Management And General$1,490,552ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,766,994TotalAmt
Management And General$1,766,994ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$27,791,749TotalAmt
Program Services$19,774,640ProgramServicesAmt
Management And General$8,017,109ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$951,864TotalAmt
Management And General$941,185ManagementAndGeneralAmt
Fundraising$10,679FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,217,533TotalAmt
Program Services$2,997,284ProgramServicesAmt
Management And General$1,220,249ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$13,638,964TotalAmt
Program Services$13,210,796ProgramServicesAmt
Management And General$428,168ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,864,495TotalAmt
Program Services$6,842,471ProgramServicesAmt
Management And General$22,024ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$274,694TotalAmt
Program Services$140,764ProgramServicesAmt
Management And General$133,930ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$235,842TotalAmt
Program Services$184,222ProgramServicesAmt
Management And General$51,620ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$13,211TotalAmt
Program Services$13,211ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$17,108,810TotalAmt
Program Services$16,944,666ProgramServicesAmt
Management And General$164,144ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,670,049TotalAmt
Program Services$3,670,049ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Pt Care Supplies$46,936,752$46,936,752
Hospital CHFT Fees$39,614,552$39,614,552
Purchased Services$34,795,349$23,298,719$11,496,630
Other Expenses$2,645,683$1,324,155$1,321,528

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,536,213TotalAmt
Program Services$2,441,380ProgramServicesAmt
Management And General$94,833ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$358,828,155TotalAmt
Program Services$279,588,388ProgramServicesAmt
Management And General$78,674,546ManagementAndGeneralAmt
Fundraising$565,221FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$48,457BOYAmt
EOY$165,686EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$367,430,920BOYAmt
EOY$390,735,540EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$33,850BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$39,666,453BOYAmt
EOY$41,644,657EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,454,000BOYAmt
EOY$4,950,573EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$915,107BOYAmt
EOY$1,373,067EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$369,615,573LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$175,973,368LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$191,462,959BOYAmt
EOY$193,642,205EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,356,731BOYAmt
EOY$4,649,386EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$20,821,725BOYAmt
EOY$12,248,055EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$630,190,202BOYAmt
EOY$649,409,169EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$30,196,354BOYAmt
EOY$30,070,093EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$68,723,122BOYAmt
EOY$64,740,714EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$51,355,995BOYAmt
EOY$41,313,811EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$150,275,471BOYAmt
EOY$136,124,618EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$475,112,382BOYAmt
EOY$507,986,955EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,802,349BOYAmt
EOY$5,297,596EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$479,914,731BOYAmt
EOY$513,284,551EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$630,190,202BOYAmt
EOY$649,409,169EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$32,710,253ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$659,567OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
ChurchYes (X)ChurchInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$10,774DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$229,990OtherActivitiesAmt
Total Lobbying Expenditures$240,764TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
ExplanationAllocation 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.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,802,349BeginningYearBalanceAmt
Contributions$2,703,813ContributionsAmt
Other Expenditures$2,208,567OtherExpendituresAmt
End Year Balance$5,297,595EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,997,249BeginningYearBalanceAmt
Contributions$2,992,064ContributionsAmt
Other Expenditures$2,186,964OtherExpendituresAmt
End Year Balance$4,802,349EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,351,534BeginningYearBalanceAmt
Contributions$2,139,353ContributionsAmt
Other Expenditures$2,493,638OtherExpendituresAmt
End Year Balance$3,997,249EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,749,829BeginningYearBalanceAmt
Contributions$2,721,430ContributionsAmt
Other Expenditures$2,119,725OtherExpendituresAmt
End Year Balance-$1,929,862EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,944,562BeginningYearBalanceAmt
Contributions$2,259,777ContributionsAmt
Other Expenditures$3,454,510OtherExpendituresAmt
End Year Balance-$1,962,596EndYearBalanceAmt
FieldValueIRS element (for citing)
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,263,420OtherCostOrOtherBasisAmt
Book Value$2,263,420BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$268,708,074OtherCostOrOtherBasisAmt
Depreciation$119,198,138DepreciationAmt
Book Value$149,509,936BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$76,357,082OtherCostOrOtherBasisAmt
Depreciation$52,355,635DepreciationAmt
Book Value$24,001,447BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,286,997OtherCostOrOtherBasisAmt
Depreciation$4,419,595DepreciationAmt
Book Value$17,867,402BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$193,642,205TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Payables to Related Organizations$2,578,846
Settlements - Medicare, Pay to 3rd Party$34,086,979
Workers Comp Payable$4,647,986
FieldValueIRS element (for citing)
Total Liability$41,313,811TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Line 4: Intended uses of the endowment fund.FormAndLineReferenceDesc
ExplanationBoard-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended.ExplanationTxt

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Grants To Org Outside US GrantsToOrgOutsideUSGrp (2 entries)

RegionRegionTxtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtDescription Of Non Cash AsstDescriptionOfNonCashAsstTxtValuation Method UsedValuationMethodUsedDesc
East AsiaMission Trip$43,174Med SuppliesCost
Sub-Saha AfricaShip Used Eq$41,570Ship Used EquipCost
FieldValueIRS element (for citing)
Total Other Org2TotalOtherOrgCnt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I - Additional Supplemental InformationFormAndLineReferenceDesc
ExplanationPart IICost of supplies and transportation of hospital personnel and volunteers for a mission trip to the Philippines to support Palawan Adventist Hospital in Peurto Princesa, Philippines. Donation of 40 Used Personal Computers, 40 Monitors and peripherals to Mwami Hospital in Chipata Zambia. The cost identified is the cost of shipping the used equipment.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,705,833TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,705,833NetCommunityBenefitExpnsAmt
Total Expense0.03260TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$146,013,952TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$189,023,783DirectOffsettingRevenueAmt
Net Community Benefit Expns-$43,009,831NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$157,719,785TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$189,023,783DirectOffsettingRevenueAmt
Net Community Benefit Expns-$31,303,998NetCommunityBenefitExpnsAmt
Total Expense0.03260TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,348,889TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$50,676DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,298,213NetCommunityBenefitExpnsAmt
Total Expense0.00640TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,346,250TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,558,574DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,787,676NetCommunityBenefitExpnsAmt
Total Expense0.03840TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,987,582TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,383,737DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,603,845NetCommunityBenefitExpnsAmt
Total Expense0.01000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$285,240TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$285,240NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,967,961TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,992,987DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,974,974NetCommunityBenefitExpnsAmt
Total Expense0.05560TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$181,687,746TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$193,016,770DirectOffsettingRevenueAmt
Net Community Benefit Expns-$11,329,024NetCommunityBenefitExpnsAmt
Total Expense0.08820TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$215,517TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$215,517NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$215,517TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$215,517NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$2,280,708BadDebtExpenseAmt
Bad Debt Expense Attributable$1,870,181BadDebtExpenseAttributableAmt
Reimbursed By Medicare$72,900,628ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$74,517,159CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,616,531MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1White Memorial Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherAcute,Rehab,Psychiatric,Skilled NursingOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

FieldValueIRS element (for citing)
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.adventisthealth.org/white-memorialOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedYes (true)AllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Form4720 FiledfalseForm4720FiledInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.0000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care400.0000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
State RegulationYes (X)StateRegulationInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 3 - Account Input from Person Who Represent the CommunityWhite Memorial Medical Center (WMMC) conducted multiple focus groups, key informant interviews, and asked community partners to participate in an online survey. The focus groups and key informant interviews were asked three central questions, which were: What is your vision of a healthy community? What is your perception of our hospital in general and of specific programs and services? What can we do to improve the health and quality of life in the community?Key informants interviews were comprised of key leaders from an array of agencies accross Los Angeles County, ranging from not-for-profits, faith-based organizations, policy groups, elected officials and their staff, to educational institutions and local businesses. These were conducted through email, phone, or in person.The community organization survey was emailed to organizations to collaborate with WMMC and was available online. The survey addressed: which community the organization serves, what is healthy in their community, what is not healthy in their community, and what their community needs to be healthy. In addition, the survey asked about perceived barriers to treatment.WMMC reviewed all the information given, found common themes and summariezed key points within the Needs Assessment. By identifying the common themes WMMC can address the needs of the entire community.
Part V, Line 20d - Other Billing Determination of Individuals Without InsuranceThe hospital's financial assistance policy has three income ranges for patients who received emergency medical care, which provides a discount based on Medicare rates. There are also three income ranges for patients who received non-emergency medical care; the two lower income ranges provide a discount based on Medicare rates. The higher income range provides a discount from the balance due after the uninsured discount, that is available to all uninsured patients without regard to income. Only five of the six income ranges are discounted based on Medicare rates.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7 - Explanation of Costing MethodologyThe 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 8 - Explanation Of Shortfall As Community BenefitThe 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 $72,434,553 Prior Year Settlements - Cost Report Reimbursable Bad Debts 1,973,940 Less Amts included in Part 1, lines g & f (2,497,320) Estimates and Accrual Variances 535,550 Other 453,905 ___________ Subtotal - Amount reported in Pt III line 5 $72,900,628 Amount included in Part 1, lines g and f 2,497,320 ___________ Total Medicare Revenue $75,397,948*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 PatientsWhen 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 AssessmentThe hospital retains outside research firms every 3 years to assess changes in the market and community needs. Data is collected through a variety of vehicles, including phone surveys, paper surveys, and focus groups. Questions were added to the survey to help assess the impact of our community benefit activities and residents' barriers to access for health care services as well as unmet community needs.
Part VI - Patient Education of Eligibility for AssistanceAt the time of registration, patients who are uninsured and underinsured are provided information about government healthcare programs. Patients also are orally informed of their right to request charity assistance. Signs are displayed in the patient business office, patient registration areas and the emergency room in multiple languages informing patients of this right as well. The hospital also provides a brochure during the registration process that explains the hospital billing and collection procedures, and how to request financial assistance. In addition, every billing statement sent to patients contains information on how to request financial assistance. The hospital charity assistance policy is posted on the hospital website.
Part VI - Community InformationWMMC is located in the City of Los Angeles serving primarily the communities of East Los Angeles, Boyle Heights, Chinatown, Commerce, El Sereno, Glassel Park, Highland Park, Huntington Park, Lincoln Heights, Los Angeles, Maywood and Montebello. The largest ethnic group in our Primary Service Area is Hispanic, comprising 88% of the population of our service area and our second largest ethnic group is Asian at 4%. 33% of the households have an annual income of less than $25,000 of which 9% earn less than $10,000 annually translating to 83% of our patients being covered by Medical or Medicare. Based on the diversity of our service area we work to accomodate the diverse language and cultural needs.
Part VI - Community Building ActivitiesThe hospital is involved in numerious community building activities which promote the health of the communities we serve. Numerous community concerns are addressed, including health and prevention education, poverty, workforce development and access to care. We also encourage our employees to serve on community collaboration boards, health advocacy programs, and physical improvement projects to promote the health of the communities we serve. We work with neighborhood programs, including schools, work sites and safety net providers to promote health and wellness and prevent disease. These activities are not included elsewhere on Schedule H.The hospital serves a community where 33% of families fall below the federal poverty line and whose residents are predominantly Latino. WMMC is positioned to provide this historically medically underserved population with Latino-focused in-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.
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeThe hospital has a governing board composed of community members who advise the president/CEO regarding the healthcare needs of the community. At the direction of the governing board, the hospital has developed outpatient and home care programs focused on rendering care in the most effective and efficient manner. The hospital's key medical services include Cardiac, Cancer, Women's Services, Ortho, Neuro, Behavioral Medicine, Rehabilitative Medicine, Emergency, and Home Care services, as well as a residency program. The hospital cooperates with area physicians to offer both family practice and obstetrics clinics.
Part VI - Affilated Health Care System Roles and PromotionThe 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 FiledCA
Part V - Explanation of Number of Facility TypeThe hospital provides outpatient services in multiple locations within its service area.
Part VI - Additional InformationAdditional Information:White Memorial Medical Center (WMMC) is a full service 353-bed, non-profit, faith-based hospital that 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 33% of the households have an annual income of less than $25,000 and 9% of families earn under $10,000, which is 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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
Adventist Dev and Relief
12501 Old Columbia PikeSilver SpringsMD20904521314847501(c )(3)$27,953$0Relief to the Philipines
Adventist Health Intl
11060 Anderson StreetLoma LindaCA92350330940020501(c )(3)$15,000$0Sponsorship
Altamed Health Services Corp
2040 Camfield AveLos AngelesCA90040952810095501(c )(3)$5,800$0Sponsorship
American Heart Association
816 W Figueroa StreetLos AngelesCA90017135613797501(c )(3)$23,128$0Sponsorship
Familia Unida Living With MS
4716 E Cesar E Chavez AveLos AngelesCA90022911898199501(c )(3)$14,000$0Sponsorship
Glendale Adventist Medical
1509 Wilson TerraceGlendaleCA91206951816017501(c )(3)$8,000$0Sponsorship
Mexican American Opportunity
401 N Garfild AvenueMontebelloCA90640952594166501(c )(3)$61,500$0Sponsorship
Oscar De La Hoya Foundation
626 Wilshire BlvdLos AngelesCA90017954586767501(c )(3)$10,000$0Sponsorship
Telacu Education Foundation
5400 E Olympic BlvdLos AngelesCA90022954384333501(c )(3)$20,000$0Sponsorship
White Memorial Adventist
1605 New Jersey StreetLos AngelesCA90033954349770501(c )(3)$10,150$0Sponsorship
Young MenS Christian Assoc
2900 Whitter BlvdLos AngelesCA90023951644052501(c )(3)$15,000$0Sponsorship
FieldValueIRS element (for citing)
Total501c3 Org11Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmt
Armendariz Cesar
VP Bus Dev/Mktg/Comm$127,651$3,519$6,036$19,136$156,342
Bryant Mara
VP Org Excell$216,694$5,039$43,632$28,280$329,163$35,518
Carmen Robert
Dir/Chair$989,976$352,983$17,787$27,048$1,513,840$126,046
Chern Mary Anne
VP Fund Dev$212,994$37,889$43,736$12,989$343,556$35,948$30,760
Fargo Roland
VP Bus Dev$267,850$19,556$51,870$25,173$406,773$42,324
Larry Dodds
Former Dir/V Chair/Sec$216,120$3,969$220,089$216,120
Maass Judith
Dir. Card. Svc/ICU$2,133$31$199,131$168,507$16,904$11,556
McCoy Sharon
VP Ancillary Serv$200,656$9,558$9,762$21,992$276,970$35,002
Milatovich Natasha
VP HR$184,792$8,688$13,731$28,686$268,663$32,766
Miller Elizabeth
VP Care Mngt$138,682$4,876$7,463$8,572$159,593
Nguyen Thao
Dir Pharmacy Svcs$12,336$16,999$257,304$202,502$11,871$13,596
Patterson Leal
Dir. ED/Behv Med$2,172$31$213,027$181,506$17,339$11,979
Raffoul John
Treas/AsstSec$294,994$73,130$62,712$28,332$510,063$50,895$50,249
Rebok Douglas
Asst Sec$572,416$142,757$137,764$24,601$949,730$72,192
Reiner Scott
Dir/V Chair/Sec$688,994$302,585$169,989$28,391$1,274,247$84,288$277,913
Richards Blin
Controller$14,001$11,851$229,322$174,320$17,048$12,102
Saad John
Dir Perioperative$46,389$16,999$234,142$141,435$17,239$12,080
Wehtje Rodney
Asst Treas$369,816$101,441$83,680$22,183$614,222$37,102$65,921
Whaley Lynne
Sr VP ClincOp/CNE$249,500$9,578$55,707$4,510$361,779$42,484
Wing Bill
Asst Sec$593,788$116,785$144,195$28,699$955,019$71,552$63,725
Zachary Beth
President & CEO$449,508$245,287$104,703$16,121$928,752$113,133$200,158

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.FormAndLineReferenceDesc
ExplanationPart 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.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe 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 ShareholdersThe 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 ProcessThe completed Form 990 is shared with members of the hospital's board of directors by electronic communication for their review prior to filing. A special board meeting is scheduled to answer questions and receive input from the board after their review but prior to filing.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsDuring 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 ManagementSee 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 EmployeesThe 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 AvailableThe 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 DecreasesNet Assets released fr restrictions = -$2208567
Other Changes In Net Assets Or Fund Balances - Other IncreasesNet Assets Released from Restr-Cap Addtn = $164321
Other Changes In Net Assets Or Fund Balances - Other IncreasesRestricted Gifts & Grants = $2703813
Other Changes In Net Assets Or Fund Balances - Other IncreasesTransfers from Affliated Organizations = $0

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Adventist Health SystemWest
2100 Douglas BlvdRosevilleCA95661953484589Support and Manage System-wide ActivitiesCA501(c)(3)1N/Afalse
Adventist Health Clearlake Hospital Inc
Ave 18 at Hwy 53ClearlakeCA95422680395149HospitalCA501(c)(3)3falseAdventist Health SystemWest
Adventist Health Physicians Network
2100 Douglas BlvdRosevilleCA95661680357690HospitalCA501(c)(3)11b, IIfalseAdventist Health SystemWest
Castle Medical Center
640 Ulukahiki StKailuaHI96734990107330HospitalHI501(c)(3)1falseAdventist Health SystemWest
Central Valley General Hospital
1025 N Douty StHanfordCA93230770324630HospitalCA501(c)(3)1falseAdventist Health SystemWest
Feather River Hospital
5974 Pentz RdParadiseCA95969941101228HospitalCA501(c)(3)1falseAdventist Health SystemWest
Glendale Adventist Medical Center
1509 Wilson TerraceGlendaleCA91206953899682HospitalCA501(c)(3)1falseAdventist Health SystemWest
Hanford Community Hospital
450 Greenfield AveHanfordCA93230940535360HospitalCA501(c)(3)1falseAdventist Health SystemWest
Northwest Medical Fdtn of Tillamook
1000 Third StTillamookOR97141930622075HospitalOR501(c)(3)1falseAdventist Health SystemWest
Paradise Valley Hospital
2100 Douglas BlvdRosevilleCA95661951816034Wind Down After Sale of Hospital FacilitCA501(c)(3)1falseAdventist Health SystemWest
Portland Adventist Medical Center
10123 SE Market StPortlandOR97216930429015HospitalOR501(c)(3)1falseAdventist Health SystemWest
Reedley Community Hospital
372 W Cypress AveReedleyCA93654453220509HospitalCA501(c)(3)1falseAdventist Health SystemWest
St Helena Hospital
10 Woodland RdSt HelenaCA94574941279779HospitalCA501(c)(3)1falseAdventist Health SystemWest
San Joaquin Community Hospital
2615 Chester AveBakersfieldCA93301952294234HospitalCA501(c)(3)1falseAdventist Health SystemWest
Simi Valley Hospital & Health Care Svcs
2975 N Sycamore DrSimi ValleyCA93065956064971HospitalCA501(c)(3)1falseAdventist Health SystemWest
Sonora Community Hospital
1000 Greenley RdSonoraCA95370941415069HospitalCA501(c)(3)1falseAdventist Health SystemWest
Ukiah Adventist Hospital
275 Hospital DrUkiahCA95482941639901HospitalCA501(c)(3)1falseAdventist Health SystemWest
Walla Walla General Hospital
1025 S Second AveWalla WallaWA99362910617726HospitalCA501(c)(3)1falseAdventist Health SystemWest
White Memorial Medical Center Fdtn
1720 Cesar E Chavez AveLos AngelesCA90033952282647Fundraising for HospitalCA501(c)(3)11, Type 1falseAdventist Health SystemWest
Willits Hospital Inc
1 Madrone StWillitsCA95490680108919HospitalCA501(c)(3)1falseAdventist Health SystemWest

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1South Coast Medical CenterBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Douglas BlvdAddressLine1
CityRosevilleCity
StateCAState
ZIP Code95661ZIPCode
FieldValueIRS element (for citing)
EIN952037291EIN
Primary ActivitiesWind down after sale of hospitalPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeC-CorpEntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd