WHITE MEMORIAL MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: WHITE MEMORIAL MEDICAL CENTER (EIN 95-2282647)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-15
IRS object ID: 201343199349303379
Schema version: 2012v2.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-15T08:20:36-08:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Clement & Associates CPA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2930 Honolulu Avenue Suite 200	AddressLine1
City	La Crescenta	City
State	CA	State
ZIP Code	91214	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	952282647	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	White Memorial Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	WHIT	NameControl
Phone	3232685000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1720 Cesar E Chavez Ave	AddressLine1
City	Los Angeles	City
State	CA	State
ZIP Code	90033	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	John Raffoul	Name
Title	Treasurer/VP Finance	Title
Date Signed	2013-11-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	S Clement	Name
PTIN	P01218012	PTIN
Phone	8182491065	Phone
Self Employed	X	SelfEmployed

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Beth Zachary	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1720 Cesar E Chavez Ave	AddressLine1
City	Los Angeles	City
State	CA	State
ZIP Code	900332443	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	391482376	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Group Exemption Number	1071	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.whitememorial.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1963	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	The hospital mission is to provide our community with physical, mental, and spiritual healing in a way that reflects God's love for all.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	2197	TotalNbrEmployees
Total Nbr Volunteers	322	TotalNbrVolunteers
Total Gross UBI	-1647707	TotalGrossUBI
Net Unrelated Business Txbl Income	-1935013	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	4689466	ContributionsGrantsPriorYear
Contributions Grants Current Year	5184340	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	294608484	ProgramServiceRevenuePriorYear
Program Service Revenue CY	367626648	ProgramServiceRevenueCY
Investment Income Prior Year	10663698	InvestmentIncomePriorYear
Investment Income Current Year	12439950	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-204261	OtherRevenuePriorYear
Other Revenue Current Year	259112	OtherRevenueCurrentYear
Total Revenue Prior Year	309757387	TotalRevenuePriorYear
Total Revenue Current Year	385510050	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	191820	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	412707	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	146755585	SalariesEtcPriorYear
Salaries Etc Current Year	152388610	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	617434	TotalFundrsngExpCurrentYear
Other Expense Prior Year	153448422	OtherExpensePriorYear
Other Expenses Current Year	190636963	OtherExpensesCurrentYear
Total Expenses Prior Year	300395827	TotalExpensesPriorYear
Total Expenses Current Year	343438280	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	9361560	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	42071770	RevenuesLessExpensesCY
Total Assets BOY	582784398	TotalAssetsBOY
Total Assets EOY	630190202	TotalAssetsEOY
Total Liabilities BOY	146562954	TotalLiabilitiesBOY
Total Liabilities EOY	150275471	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	436221444	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	479914731	NetAssetsOrFundBalancesEOY
Mission Description	As 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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	268178272	Expense
Grants	412707	Grants
Revenue	367626648	Revenue
Description	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 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 2012 was $83,102,351.Inpatient services in 2012 were provided to 23,524 patients. These services included: 4,043 Newborns 3,911 Babies delivered 7,302 Surgeries performed 904 Cardiac catherization patients 370 Skilled nursing patients 338 Rehabilitation patients 629 Neonatal Intensive Care Patients 211 Pediatric Intensive Care Patients 1,808 Psychiatric Care Patients 2,872 Medical Services Outpatient services in 2012 were provided to 118,856 patients. These services included: 51,030 Emergency room visits 5,505 Outpatient surgeries performed 94,699 Radiology procedures performed 747 Cardiac catheterizations outpatients945,828 Laboratory tests performed 2,666 Cleft Palate visits 4,685 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 Program - 1,400 encounters for free classesHealthy Families Program Rainbow Center Child CarePartners for PreventionHealth Fairs - 270 Glucose Screenings for DiabetesPatient Healthcare Transportation - provided 2,105 encountersOne 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 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 20% of families earn less than $15,000 and 38% 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 #11 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 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. A	Description
Total Program Service Expense	268178272	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	477	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2197	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	John Raffoul TreasurerVP Fin	NamePerson
Telephone Number	3232685000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1720 Cesar E Chavez Ave	AddressLine1
City	Los Angeles	City
State	CA	State
ZIP Code	900332443	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Scott Reiner
Vice Chair/Sec	50.00	0.00	X	X	0	915400	183744
Robert Carmen
Chairman	50.00	0.00	X	X	0	1814442	38864
Max Torkelsen
Director	1.00	0.00	X		0	2233	0
Wes Rippey MD
Director	1.00	0.00	X		0	48566	0
Al Reimche
Director	1.00	0.00	X		0	2290	0
Helmuth Jones
Director	1.00	0.00	X		0	1127	0
Meredith Jobe Esq
Dir/Gen Counsel	1.00	0.00	X		0	318021	73755
Larry Innocent
Director	1.00	0.00	X		0	1273	0
Ricardo Graham
Director	1.00	0.00	X		0	2556	0
Melody Gabriel
Director	1.00	0.00	X		0	300	0
Christine E Friestad Esq
Director	1.00	0.00	X		0	2586	0
Ruthita Fike
Director	1.00	0.00	X		0	695	0
Charles Dickinson
Director	1.00	0.00	X		0	3085	0
Lynn Creitz
Director	1.00	0.00	X		0	4052	0
Larry Caviness
Director	1.00	0.00	X		0	3245	0
Albert Deininger
AsstSec/VPConst	50.00	0.00		X	0	219394	22638
John Raffoul
Treas/Sr VPFin	50.00	0.00		X	0	396133	85720
Beth Zachary
President/CEO	50.00	0.00		X	0	694058	125289
Bill Wing
Asst Sec	50.00	0.00		X	0	665195	154613
Rodney Wehtje
Asst Treas	50.00	0.00		X	0	534490	210115
Douglas Rebok
Asst Sec	50.00	0.00		X	0	872315	159731
Natasha Milatovich
1720 Cesar E. Chavez Ave	0.00	50.00			123163	89337	19133	X
Sharon McCoy
VP Ancillary Serv	0.00	0.00			137613	96902	18987	X
David Wortham
VP Med Affairs	0.00	50.00			0	304890	31198	X
Roland Fargo
VP Bus Dev	0.00	50.00			0	287450	69964	X
Mary Anne Chern
VP Fund Dev	0.00	50.00			0	267056	60758	X
Mara Bryant
VP Org Excell	0.00	50.00			0	243032	38489	X
Lynne Whaley
Sr VP Clin Ops	0.00	50.00			0	281889	105996	X
Thao Nguyen
Dir Pharmacy Svcs	50.00	0.00			219600	0	34700		X
Stella Nwaigbo
Staff RN	60.00	0.00			207281	0	0		X
Jesus Velazquez
Staff RN	60.00	0.00			204383	0	18485		X
Blin Richards
Controller	60.00	0.00			196367	0	30213		X
John Saad
Dir Perioperative	50.00	0.00			191424	0	34287		X
Larry Dodds
Former Dir/V Chair/Sec	0.00	0.00			0	78842	18492			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1279831	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	8150854	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1535171	TotalOtherCompensation
Number Individuals GT100 K	229	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
White Memorial Medical Group
1701 Cesar Chavez Ave Ste 510	Los Angeles	CA	90033	Medical Services	1600931
Sodexo
Dept 880328	Los Angeles	CA	90088	Housekeeping Service	2879336
FCS Medical Corporation
5823 York Blvd Ste 1	Highland Park	CA	90042	Teaching/Med Svcs	1683204
DVA Renal Healthcare Inc
PO Box 403008	Atlanta	GA	30384	Medical Services	1833560
Comforce Technical Services
PO Box 9695	Uniondale	NY	115559695	Technical Services	2229895

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	92	NumberOfContractorsGT100K
Related Organizations	1148525	RelatedOrganizations
Government Grants	4033932	GovernmentGrants
All Other Contributions	1883	AllOtherContributions
Total Contributions	5184340	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
Rental Income-Pgm Svc	531120	1363425	1333264	$30,161
Patient Svc Revenue	621110	363739484	363739484
Parking	812930	282155			282155
Other Prog Svc Rev	900099	745888	168473	$577,415
Dietary	722210	1495696	1495696

Field	Value	IRS element (for citing)
Total Program Service Revenue	367626648	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	12456483	TotalRevenueColumn
Exclusion	$12,456,483	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	4025931	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	5955793	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-1929862	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-1929862	TotalRevenueColumn
Unrelated Business Revenue	-1929862	UnrelatedBusinessRevenue

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	16533	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-16533	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-16533	TotalRevenueColumn
Related Or Exempt Function Income	-16533	RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Value Change-Net Asset	900099	42528	42528
Net Assets Rel from Rest	900099	2146446	2146446
Miscellaneous Revenue	900099

Field	Value	IRS element (for citing)
Total Other Revenue	2188974	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	385510050	TotalRevenueColumn
Related Or Exempt Function Income	368909358	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	-1647707	UnrelatedBusinessRevenue
Exclusion	$13,064,059	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	412707	Total
Program Services	412707	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	260776	Total
Management And General	260776	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	120227919	Total
Program Services	111058286	ProgramServices
Management And General	8676553	ManagementAndGeneral
Fundraising	493080	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4373575	Total
Program Services	4373575	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	18661900	Total
Program Services	15897620	ProgramServices
Management And General	2674385	ManagementAndGeneral
Fundraising	89895	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	8864440	Total
Program Services	8191897	ProgramServices
Management And General	639020	ManagementAndGeneral
Fundraising	33523	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2370139	Total
Management And General	2370139	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	1926620	Total
Management And General	1926620	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	21566402	Total
Program Services	18076937	ProgramServices
Management And General	3489465	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	891268	Total
Management And General	891268	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3654619	Total
Program Services	2686077	ProgramServices
Management And General	968542	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	10734724	Total
Program Services	10153681	ProgramServices
Management And General	580923	ManagementAndGeneral
Fundraising	120	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	11332840	Total
Program Services	11308785	ProgramServices
Management And General	24055	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	365867	Total
Program Services	203960	ProgramServices
Management And General	161907	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	225519	Total
Program Services	153263	ProgramServices
Management And General	72256	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	16339	Total
Program Services	16339	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	16722352	Total
Program Services	16555913	ProgramServices
Management And General	165623	ManagementAndGeneral
Fundraising	816	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1025270	Total
Program Services	1025270	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Other Expenses	14916196	939720	13976476
Purchased Services	27437865	17669228	9768637
Hospital CHFT Fees	27904526		27904526
Pt Care Supplies	46292348	46292348

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3254069	Total
Program Services	3162666	ProgramServices
Management And General	91403	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	343438280	Total
Program Services	268178272	ProgramServices
Management And General	74642574	ManagementAndGeneral
Fundraising	617434	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	356464	BOY
EOY	48457	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	329822718	BOY
EOY	367430920	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	33850	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	38316690	BOY
EOY	39666453	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3941064	BOY
EOY	4454000	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1163376	BOY
EOY	915107	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	354147164	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	162684205	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	196924796	BOY
EOY	191462959	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	4274292	BOY
EOY	5356731	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	7984998	BOY
EOY	20821725	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	582784398	BOY
EOY	630190202	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	31058521	BOY
EOY	30196354	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	72714154	BOY
EOY	68723122	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	42790279	BOY
EOY	51355995	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	146562954	BOY
EOY	150275471	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	432224195	BOY
EOY	475112382	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3997249	BOY
EOY	4802349	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	436221444	BOY
EOY	479914731	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	582784398	BOY
EOY	630190202	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	42071770	ReconcilationRevenueExpenses
Reconcilation Other Changes	1621517	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Church170b1 Ai	X	Church170b1Ai

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$6,517	DirectContactLegislatorsAmount
Rallies Demonstrations	true	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$260,240	OtherActivitiesAmount
Total Lobbying Expenditures IIB	266757	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i	Identifier
Return Reference	Part II-B, Line 1i - Other Activities Description	ReturnReference
Explanation	Allocation of dues paid to industry and professional organizations. 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.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3997249	BeginningOfYearBalance
Contributions	2992064	Contributions
Other Expenditures	2186964	OtherExpenditures
End Of Year Balance	4802349	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4351534	BeginningOfYearBalance
Contributions	2139353	Contributions
Other Expenditures	2493638	OtherExpenditures
End Of Year Balance	3997249	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3749829	BeginningOfYearBalance
Contributions	2721430	Contributions
Other Expenditures	2119725	OtherExpenditures
End Of Year Balance	4351534	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4944562	BeginningOfYearBalance
Contributions	2259777	Contributions
Other Expenditures	3454510	OtherExpenditures
End Of Year Balance	-1962596	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2814824	BeginningOfYearBalance
Grants Or Scholarships	4928101	GrantsOrScholarships
Administrative Expenses	-1536063	AdministrativeExpenses
End Of Year Balance	-577214	EndOfYearBalance

Field	Value	IRS element (for citing)
Term Endowment EOY Balance	1.00000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	34118	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	2263420	OtherCostOrOtherBasis
Book Value	2297538	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	264490397	OtherCostOrOtherBasis
Depreciation	108380940	Depreciation
Book Value	156109457	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	72363033	OtherCostOrOtherBasis
Depreciation	50188034	Depreciation
Book Value	22174999	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	14996196	OtherCostOrOtherBasis
Depreciation	4115231	Depreciation
Book Value	10880965	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	191462959	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
Workers Comp Payable	$4,564,413
Settlements - Medicare, Pay to 3rd Party	$46,099,356
Payables to Related Organizations	$692,226

Field	Value	IRS element (for citing)
Total Of Amounts	51355995	TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

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

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14582710	TotalCommunityBenefitExpense
Direct Offsetting Revenue	53787	DirectOffsettingRevenue
Net Community Benefit Expense	14528923	NetCommunityBenefitExpense
Percent Of Total Expense	0.04230	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	121729683	TotalCommunityBenefitExpense
Direct Offsetting Revenue	164499427	DirectOffsettingRevenue
Net Community Benefit Expense	-42769744	NetCommunityBenefitExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1253700	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1196530	DirectOffsettingRevenue
Net Community Benefit Expense	57170	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	137566093	TotalCommunityBenefitExpense
Direct Offsetting Revenue	165749744	DirectOffsettingRevenue
Net Community Benefit Expense	-28183651	NetCommunityBenefitExpense
Percent Of Total Expense	0.04250	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1490363	TotalCommunityBenefitExpense
Net Community Benefit Expense	1490363	NetCommunityBenefitExpense
Percent Of Total Expense	0.00430	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15696706	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2723524	DirectOffsettingRevenue
Net Community Benefit Expense	12973182	NetCommunityBenefitExpense
Percent Of Total Expense	0.03780	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	544185	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1443231	DirectOffsettingRevenue
Net Community Benefit Expense	-899046	NetCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	452167	TotalCommunityBenefitExpense
Net Community Benefit Expense	452167	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18183421	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4166755	DirectOffsettingRevenue
Net Community Benefit Expense	14016666	NetCommunityBenefitExpense
Percent Of Total Expense	0.04340	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	155749514	TotalCommunityBenefitExpense
Direct Offsetting Revenue	169916499	DirectOffsettingRevenue
Net Community Benefit Expense	-14166985	NetCommunityBenefitExpense
Percent Of Total Expense	0.08590	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	256118	TotalCommunityBuildingExpense
Net Community Building Expense	256118	NetCommunityBuildingExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	1106436	TotalCommunityBuildingExpense
Net Community Building Expense	1106436	NetCommunityBuildingExpense
Percent Of Total Expense	0.00320	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	1362554	TotalCommunityBuildingExpense
Net Community Building Expense	1362554	NetCommunityBuildingExpense
Percent Of Total Expense	0.00390	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$2,751,914	BadDebtExpenseAmount
Amount Attributable To	2036416	AmountAttributableTo
Amount Reimbursed By Medicare	82706590	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	68296169	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	14410421	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	White Memorial Medical Center	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1720 Cesar E Chavez Ave	AddressLine1
City	Los Angeles	City
State	CA	State
ZIP Code	90033	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours
Other	Acute,Rehab,Skilled Nursing,Psychiatric	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Field	Value	IRS element (for citing)
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.0000	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	400.0000	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Medicare Rate	X	MedicareRate
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part VI - Additional Information	Part V, Section BSchedule H, Part V, Section B, Lines 1 through 7 is optional for the reporting organization as the tax year began prior to March 23, 2012, according to the instructions for Schedule H. Lacerte software has not provided a tool for an organization to indicate that it is opting not to complete Part V, Section B. In addition, the software has been programmed so that it populates responses when the organization chooses to provide no data inputs. Part V, Section B should be blank as the reporting organization opts to not complete it.Additional 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 57% of the households have an annual income of less than $25,000 and 41% of families earn under $15,000, 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.
Part V - Explanation of Number of Facility Type	The hospital provides outpatient services in multiple locations within its service area.
Part VI - States Where Community Benefit Report Filed	CA
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 - Explanation Of How Organization Furthers Its Exempt Purpose	The 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 - Community Building Activities	The 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 28% 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 - Community Information	WMMC 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 81% of the population of our service area and our second largest ethnic group is Asian at 7%. 57% of the households have an annual income of less than $25,000 of which 41% earn less than $15,000 annually translating to 87% 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 - Patient Education of Eligibility for Assistance	At the time of registration, patients who are uninsured and underinsured are provided information about government healthcare programs. Patients also are orally informed of their right to request charity assistance. Signs 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 - Needs Assessment	The 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 V, Line 20d - Other Billing Determination of Individuals Without Insurance	The 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.	Number of Hospital Faciltiy - 1
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 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 $77,417,541 Prior Year Settlements 5,494,105 Cost Report Reimbursable Bad Debts 2,508,413 Less Amts included in Part 1, lines g & f (2,558,574) Estimates and Accrual Variances (6,287,961) Other 6,133,066 ___________ Subtotal - Amount reported in Pt III line 5 $82,706,590 Amount included in Part 1, lines g and f 2,558,574 ___________ Total Medicare Revenue $85,265,164Note: 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 4 - Bad Debt Expense	Uncollected patient accounts are analyzed using written patient financial services policies that apply standard procedures for all patient accounts. The result of the analysis is what is recognized as bad debt expense. For example, all self-pay patients receive a discount. If the discounted account is unpaid after collection efforts, the unpaid balance is classified as bad debt. The cost-to-charge ratio described for Part I, Line 7 is multiplied times the hospital's bad debt expense as reported in the system-wide 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 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	false	RecordsMaintained

Recipient Table RecipientTable (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Purpose Of GrantPurposeOfGrant	IRC SectionIRCSection
Young Mens Christian Assoc
2900 Whittier Blvd	Los Angeles	CA	90023	951644052	15000	0	General Operations
White Memorial Med Cntr Fdtn
1720 Cesar E Chavez Ave	Los Angeles	CA	90033	953760201	12743	0	Fundraising
White Memorial Adv Schl Inc
1605 New Jersey Street	Los Angeles	CA	90033	954349770	10000	0	General Operations
University Of Southern Calif
3607 Trousdale Parkway Tcc 32	Los Angeles	CA	90089	951642394	10000	0	Fundraising	501(c)(3)
Telacu Education Foundation
5400 E Olympic Blvd Ste 120	Los Angeles	CA	90022	954384333	15000	0	General Operations
Oscar De La Hoya Foundation
626 Wilshire Blvd	Los Angeles	CA	90017	954586767	10000	0	Fundraising
Heart And Soul International
53 Hidden Valley Road	Monrovia	CA	91016	200755905	8000	0	Fundraising
American Heart Association
816 S Figueroa Street	Los Angeles	CA	90017	135613797	83665	0	American Heart Walk	501(c)(3)
Altamed Health Services Inc
500 Citadel Drive Suite 490	Los Angeles	CA	90033	952810095	6250	0	General Operations

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	78	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	7	TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException
Rebuttable Presumption Procedure	false	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (22 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Thao Nguyen
Dir Pharmacy Svcs	195679	18795	5126	13170	21530	254300
Stella Nwaigbo
Staff RN	207266		15			207281
Sharon McCoy
VP Ancillary Serv	105447	29356	2810	4750	4268	146631	93098	3804	2140	7829	106871
Scott Reiner
Vice Chair/Sec							654000	111866	160719	23025	1099144	149534	42890
Roland Fargo
VP Bus Dev							242827	19258	49119	20845	357414	25365
Rodney Wehtje
Asst Treas							362899	100009	191288	18827	744605	71582	63809
Robert Carmen
Chairman							982571	591191	15298	23566	1853306	240680	472760
Natasha Milatovich
1720 Cesar E. Chavez Ave	95415	26610	1138	4225	5343	132731	85908	3429		9565	98902
Meredith Jobe Esq
Dir/Gen Counsel							262685	55336	56358	17397	391776
Mary Anne Chern
VP Fund Dev							205400	34084	42025	18733	327814	27572	28278
Mara Bryant
VP Org Excell							202000	19144	15580	22909	281521	21888
Lynne Whaley
Sr VP Clin Ops							245500	8944	94607	11389	387885	27445
Larry Dodds
Former Dir/V Chair/Sec								562	3564	14928	97334	78280
John Saad
Dir Perioperative	171638	14832	4954	10896	23391	225711
John Raffoul
Treas/Sr VPFin							291404	72467	62758	22962	481853	32262	48109
Jesus Velazquez
Staff RN	200302		4081	12105	6380	222868
Douglas Rebok
Asst Sec							561780	172912	138641	21090	1032046	137623	116805
David Wortham
VP Med Affairs							260384	31286	15298	15900	336088	13220
Blin Richards
Controller	169043	16195	11129	11407	18806	226580
Bill Wing
Asst Sec							554320	33678	131876	22737	819808	77197
Beth Zachary
President/CEO							435260	177858	104352	20937	819347	80940	132483
Albert Deininger
AsstSec/VPConst							129662	68699	8619	14019	242032	21033	41137

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Sch J, Part I, Line 1a	Identifier
Return Reference	Part I, Line 1a: Relevant information in regards to selections on 1a.	ReturnReference
Explanation	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.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	Meredith Jobe	NamePerson

Field	Value	IRS element (for citing)
Relationship	Jobe-Daught	Relationship
Amount Of Transaction	32772	AmountOfTransaction
Description Of Transaction	Employment	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Increases	Transfers from Affliated Organizations = $775898
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Increases	Restricted Gifts & Grants = $2992065
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Increases	Net Assets Released from Restr-Cap Addtn = $40518
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Decreases	Net Assets released fr restrictions = -$2186964
Form 990, Part VI, Line 19	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.
Form 990, Part VI, Line 15b	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 15a	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 12c	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 11b	Form 990, Part VI, Line 11b: Form 990 Review Process	The completed Form 990 is shared with members of the hospital's board of directors by electronic communication for their review prior to filing. A special board meeting is scheduled to answer questions and receive input from the board after their review but prior to filing.
Form 990, Part VI, Line 7b	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 6	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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (20 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
Willits Hospital Inc
1 Madrone St	Willits	CA	95490	680108919	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
White Memorial Medical Center Fdtn
1720 Cesar E Chavez Ave	Los Angeles	CA	90033	952282647	Fundraising for Hospital	CA	501(c)(3)	11, Type 1	Adventist Health SystemWest	false
Walla Walla General Hospital
1025 S Second Ave	Walla Walla	WA	99362	910617726	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Ukiah Adventist Hospital
275 Hospital Dr	Ukiah	CA	95482	941639901	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Sonora Community Hospital
1000 Greenley Rd	Sonora	CA	95370	941415069	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Simi Valley Hospital & Health Care Svcs
2975 N Sycamore Dr	Simi Valley	CA	93065	956064971	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
San Joaquin Community Hospital
2615 Chester Ave	Bakersfield	CA	93301	952294234	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
St Helena Hospital
10 Woodland Rd	St Helena	CA	94574	941279779	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Reedley Community Hospital
372 W Cypress Ave	Reedley	CA	93654	453220509	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Portland Adventist Medical Center
10123 SE Market St	Portland	OR	97216	930429015	Hospital	OR	501(c)(3)	1	Adventist Health SystemWest	false
Paradise Valley Hospital
2100 Douglas Blvd	Roseville	CA	95661	951816034	Wind Down After Sale of Hospital Facilit	CA	501(c)(3)	1	Adventist Health SystemWest	false
Northwest Medical Fdtn of Tillamook
1000 Third St	Tillamook	OR	97141	930622075	Hospital	OR	501(c)(3)	1	Adventist Health SystemWest	false
Hanford Community Hospital
450 Greenfield Ave	Hanford	CA	93230	940535360	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Glendale Adventist Medical Center
1509 Wilson Terrace	Glendale	CA	91206	953899682	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Feather River Hospital
5974 Pentz Rd	Paradise	CA	95969	941101228	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Central Valley General Hospital
1025 N Douty St	Hanford	CA	93230	770324630	Hospital	CA	501(c)(3)	1	Adventist Health SystemWest	false
Castle Medical Center
640 Ulukahiki St	Kailua	HI	96734	990107330	Hospital	HI	501(c)(3)	1	Adventist Health SystemWest	false
Adventist Health Physicians Network
2100 Douglas Blvd	Roseville	CA	95661	680357690	Hospital	CA	501(c)(3)	11b, II	Adventist Health SystemWest	false
Adventist Health Clearlake Hospital Inc
Ave 18 at Hwy 53	Clearlake	CA	95422	680395149	Hospital	CA	501(c)(3)	3	Adventist Health SystemWest	false
Adventist Health SystemWest
2100 Douglas Blvd	Roseville	CA	95661	953484589	Support and Manage System-wide Activities	CA	501(c)(3)	1		false	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

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

Field	Value	IRS element (for citing)
EIN	952037291	EIN
Primary Activity	Wind down after sale of hospital	PrimaryActivity
Legal Domicile State	CA	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Type Of Entity	C-Corp	TypeOfEntity
Controlled Org	false	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg