WHITE MEMORIAL MEDICAL CENTER: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- WHITE MEMORIAL MEDICAL CENTER (EIN 95-2282647)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-08
- IRS object ID
- 202313129349305156
- Schema version
- 2022v5.0
- 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 F
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-08T15:48:38-08:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 800519547 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ACCOUNTANCY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 N BRAND BLVD STE 1930 | AddressLine1Txt |
| City | GLENDALE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952282647 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | White Memorial Medical Center | BusinessNameLine1Txt |
| Business Name Line2 | dba Adventist Health White Memorial | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WHIT | BusinessNameControlTxt |
| Phone | 3232685000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1720 East Cesar E Chavez Avenue | AddressLine1Txt |
| City | Los Angeles | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90033 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Owens Francis | PersonNm |
| Person Title | Treas Eff 9/22 | PersonTitleTxt |
| Signature | 2023-11-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Owens | PersonFirstNm |
| Person Last | Francis | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | S Clement | PreparerPersonNm |
| PTIN | P01218012 | PTIN |
| Phone | 8185475701 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Raffoul John | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1720 East Cesar E Chavez Avenue | AddressLine1Txt |
| City | Los Angeles | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 900332443 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $532,686,531 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 1071 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.AdventistHealth.org/White-Memorial | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1963 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | Living Gods love by inspiring health, wholeness and hope. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 2337 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $6,132,187 | PYContributionsGrantsAmt |
| CY Contributions Grants | $15,012,930 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $470,460,550 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $485,283,795 | CYProgramServiceRevenueAmt |
| PY Investment Income | $21,092,905 | PYInvestmentIncomeAmt |
| CY Investment Income | -$8,688,990 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $497,685,642 | PYTotalRevenueAmt |
| CY Total Revenue | $491,607,735 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,063,008 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $606,008 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $184,921,672 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $195,378,518 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $783,157 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $320,566,367 | PYOtherExpensesAmt |
| CY Other Expenses | $343,734,986 | CYOtherExpensesAmt |
| PY Total Expenses | $506,551,047 | PYTotalExpensesAmt |
| CY Total Expenses | $539,719,512 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$8,865,405 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$48,111,777 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $779,737,909 | TotalAssetsBOYAmt |
| Total Assets EOY | $723,447,345 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $160,493,565 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $160,608,629 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $619,244,344 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $562,838,716 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Living Gods love by inspiring health, wholeness and hope. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $381,942,421 | ExpenseAmt |
| Grant | $606,008 | GrantAmt |
| Revenue | $491,607,735 | RevenueAmt |
| Desc | White Memorial Medical Center, dba Adventist Health White Memorial (AHWM), provides quality medical healthcare 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 White Memorial Medical Center, the organization recognizes that not all individuals possess the ability to pay for essential medical services.Adventist Healths 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 coverage will be considered when individuals who need health care cannot afford to pay: Free care and/or subsidized care Care to persons covered by governmental programs at/or below cost Health/wellness activities and community education programsNot only does White Memorial Medical Center provide low-cost care to individuals covered by government programs, and those unable to afford healthcare, it also helps patients find and access private and governmental resources for healthcare benefits.AHWM recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed cost of providing care to these patients in 2022 was $2,253,916.The following Inpatient services were provided to all our patients:3,937 babies delivered2,597 surgeries performed80,667 patient days The following Outpatient services were provided to all our patients:61,970 emergency department visits4,798 outpatient surgeries performed70,267 outpatient visits 28,195 clinic visitsAHWM recognizes it has an obligation to provide human services above and beyond its role as a healing facility. Schedule H provides more details on the tangible ways in which the organization is fulfilling its mission. The total unreimbursed cost of these community benefits in 2022 was $26,909,985.Adventist Healths mission statement of living Gods love by inspiring health, wholeness and hope is coupled with a vision to transform the health experience of our communities through collaborative programs, community investments and community outreach. We are inspired by the healing ministry, as represented by the life of Jesus Christ, and believe we are called to live out our mission intentionally in the communities we serve. In the small towns, suburbs, and inner cities we serve, we continue our journey to provide quality healthcare until every person made in Gods image has experienced the best health today, hope for tomorrow, and Gods love that endures forever.To illustrate how Adventist Health White Memorial works to connect with the community, we share the following story:Dr. Rosie Avila joined the Obstetrics and Gynecology faculty at Adventist Health White Memorial after completing her Residency in 2022. Her expertise spans obstetrics and gynecology, prenatal care, labor and delivery, primary care and surgical interventions, as needed. However, the seeds of her passion for womens health and medicine were sown much earlier in her life as a young girl living in Highland Park.At the tender age of two, Avila and her family immigrated from Mexico to the United States. As her mother grappled with health issues, young Avila was exposed to the American healthcare system. And without the safety net of health insurance, she witnessed firsthand how challenging it can be for immigrants to navigate the complex American insurance system.During doctor visits with her mother, the absence of Spanish-speaking staff compelled Avila to step in and bridge the language divide for her mother. This formative experience ignited her passion for medicine and informed her decision to specialize in women's health. The invaluable lessons she learned also underscored the significance of culturally competent healthcare. "All my interactions since I was very little definitely guided me to want to do something in healthcare," Avila reminisced. "As I got older, I wanted to be a doctor. And then, I wanted to be a women's health doctor."Latina women frequently grapple with the challenge of securing culturally competent care when addressing pregnancy and other reproductive health concerns. This disparity often leads to the underutilization of preventative health services and exacerbates long-term health issues. Moreover, without a fundamental comprehension of the cultural nuances intrinsic to Latina patient populations encompassing language, religion and customary healthcare practices, clinicians may overlook or dismiss critical information vital to administering appropriate care.Understanding all these realities, Adventist Health White Memorial has committed to providing culturally competent care by hiring personnel proficient in Spanish and familiar with Latino cultural norms. As a result, we can engage more effectively with our patients and create trusted partnerships by ensuring a better understanding of perceptions around womens health in the local communities.Avila is deeply aware of these cultural intricacies. She shared her insights on culturally competent care, saying, "My patients are very grateful to have a native Spanish speaker and someone who understands where they're coming from and all the old cultural wives tales to treat certain things. First, I acknowledge their cultural beliefs, like banana peels on the feet to bring down a fever. Then I try to find ways to incorporate their beliefs and their alternative medicines with western medicine. I grew up with these things, so I understand them and hear them."Adventist Health White Memorial strategies are bearing fruit. By offering culturally competent care specific to the needs of our community, we have seen an increase in overall visits and improved patient outcomes among these populations.Another challenge many Latina women in under-resourced communities Another challenge many Latina women in under-resourced communities face is a lack of healthcare insurance system literacy. However, drawing on her childhood experiences, Avila often goes above and beyond to help her patients. One such patient, Ana, sought Avila's expertise for prenatal care. (The patients name has been changed).Ana yearned for a baby but had already suffered the heartbreak of more than five miscarriages. She sought help from various doctors, leaving her medical records scattered across numerous locations. When Avila learned of Anas plight, she resolved to provide the best care for Ana but needed her complete medical records first. Avila painstakingly collected as much information as possible, persistently asking the right questions and calling around until she managed to track Ana's records. Upon reviewing them, Avila determined that Ana required a cerclage, a procedure designed to strengthen the cervix and help maintain a pregnancy within the uterus, allowing a mother to carry her unborn baby to full term. With Avilas help, Anas cerclage was successfully performed and she finally realized her dream of having a baby.In a world where cultural understanding and empathy are more crucial than ever, Avila and Adventist Health White Memorial are blazing a trail by prioritizing culturally competent care for women. By acknowledging and addressing Latina women's unique challenges, they foster trust, understanding and ultimately create better patient health outcomes.Reflecting on her long-term medical career aspirations, Avila shares, "I see myself being here for a really long time. I hope to become a well-known doctor who cares about her patients in the community. I want them to say, 'I'm going to see Dr. Avila because I know she'll take care of me, she speaks Spanish, and she's Mexican.'"We thank Avila for her dedication to bridging cultural divides and fostering patient trust. Her story is a vivid reminder that when we invest in the well-being and understanding of all members of our diverse communities, we pave the way for a healthier, more inclusive and compassionate future for everyone.Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/ | Desc |
| Total Program Service Expenses | $381,942,421 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | Yes (true) | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2337 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John Beaman | PersonNm |
| Phone | 9164060000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 619135 | AddressLine1Txt |
| City | Roseville | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95661 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| Wing Bill-Departed 122 | |||||||
| Dir/VC/Asst Sec | 0.00 | 50.00 | Yes (X) | Yes (X) | $0 | $2,511,347 | $53,289 |
| Heinrich Kerry | |||||||
| Director/CEO | 0.00 | 50.00 | Yes (X) | Yes (X) | $0 | $2,131,444 | $48,069 |
| Hofheins Todd | |||||||
| COO Eff 1/22 | 0.00 | 50.00 | Yes (X) | $0 | $1,971,652 | $55,964 | |
| Burke James | |||||||
| Medical Officer, SCR | 10.00 | 40.00 | $0 | $1,620,690 | $59,640 | ||
| Jahn Andrew-Care Div Pres thru 222 | |||||||
| President, Southern CA Network | 10.00 | 40.00 | $0 | $1,409,539 | $60,092 | ||
| Beaman John | |||||||
| CFO/Secretary | 0.00 | 50.00 | Yes (X) | $0 | $1,361,096 | $61,075 | |
| Nahapetian Arby-Care Div Med Off th | |||||||
| Chief Clinical Officer | 0.00 | 50.00 | $0 | $1,334,111 | $60,780 | ||
| Spenst Brett-Care Div Fin Off thru | |||||||
| Sr. Finance Officer & CIO | 0.00 | 50.00 | $0 | $1,322,824 | $40,922 | ||
| Stevens Eric-Care Div Ops Exec thru | |||||||
| President, No Cal/HI State Network | 0.00 | 50.00 | $0 | $1,315,314 | $46,881 | ||
| Reiner Scott | |||||||
| Former Dir/Chair/CEO thru 12/21 | 0.00 | 50.00 | $0 | $1,222,073 | $25,188 | ||
| Jobe Meredith | |||||||
| Secretary | 0.00 | 50.00 | Yes (X) | $0 | $930,036 | $49,067 | |
| Raffoul John | |||||||
| President, AHWM | 0.00 | 50.00 | Yes (X) | $0 | $911,284 | $48,284 | |
| Takahashi Patrick | |||||||
| Medical Officer, AHWM | 50.00 | 0.00 | $0 | $817,506 | $32,868 | ||
| Milatovic Natasa | |||||||
| Reg HR Dir, SCR | 10.00 | 40.00 | $0 | $574,613 | $53,910 | ||
| Bryant Mara | |||||||
| Operations Exec | 50.00 | 0.00 | $0 | $564,038 | $32,935 | ||
| Schwarz Greg | |||||||
| Bus Dev Executive | 50.00 | 0.00 | $0 | $430,612 | $38,720 | ||
| Owens Francis-Eff 922 | |||||||
| Treas/Asst Sec | 50.00 | 0.00 | Yes (X) | $0 | $399,366 | $63,436 | |
| Richards Blin-Departed 822 | |||||||
| Treas/Asst Sec | 50.00 | 0.00 | Yes (X) | $0 | $347,826 | $41,760 | |
| Nguyen Thao | |||||||
| Director Pharmacy | 40.00 | 0.00 | $287,946 | $0 | $70,084 | ||
| Marsala Fresia | |||||||
| RN | 40.00 | 0.00 | $283,335 | $0 | $48,798 | ||
| Cota Stephanie | |||||||
| Adm Dir,ER/Beh Hlt | 40.00 | 0.00 | $246,070 | $0 | $28,074 | ||
| Gooden Jennifer | |||||||
| RN | 40.00 | 0.00 | $247,724 | $0 | $22,337 | ||
| Kirya Ronald | |||||||
| RN | 40.00 | 0.00 | $263,620 | $0 | $2,184 | ||
| Stone Patricia | |||||||
| Patient Care Executive | 50.00 | 0.00 | $0 | $183,499 | $11,484 | ||
| Freedman John | |||||||
| Dir/Chair | 0.00 | 4.00 | Yes (X) | $0 | $26,858 | $0 | |
| Woodson Marc | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $26,728 | $0 | |
| Banks David | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $26,478 | $0 | |
| Cherry Robert | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $26,478 | $0 | |
| Davis Andrew | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $26,478 | $0 | |
| Innocent Larry | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $26,478 | $0 | |
| Reiner Richard | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $26,478 | $0 | |
| Newton Bradford | |||||||
| Dir/Vice Chair | 0.00 | 4.00 | Yes (X) | $0 | $25,180 | $0 | |
| Salazar Velino | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $21,478 | $0 | |
| Fehr Joy | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $430 | $0 | |
| Ocampo Lucy | |||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $430 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,328,695 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $21,592,364 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,055,841 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 512 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Aya Healthcare Inc | |||||
| 5930 Cornerstone Court West 300 | San Diego | CA | 92121 | Registry Services | $4,579,407 |
| Sound Physicians of California III | |||||
| 1498 Pacific Avenue Suite 400 | Tacoma | WA | 98402 | Medical Services | $2,829,070 |
| Fastaff LLC | |||||
| 5700 South Quebec Street Suite 300 | Greenwood Village | CO | 80111 | Registry Services | $2,567,306 |
| Westways Staffing Services Inc | |||||
| 790 The City Drive S 180 | Orange | CA | 92868 | Registry Services | $2,530,377 |
| DVA Renal Healthcare Inc | |||||
| 601 Hawaii Street | El Segundo | CA | 90245 | Medical Services | $2,300,777 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 86 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $78,262 | RelatedOrganizationsAmt |
| Government Grants | $9,574,152 | GovernmentGrantsAmt |
| All Other Contributions | $5,360,516 | AllOtherContributionsAmt |
| Total Contributions | $15,012,930 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | BusinessBusinessCd |
|---|---|---|---|
| CARES Act Income | $7,474,484 | $7,474,484 | |
| Dietary | $2,053,010 | $2,053,010 | |
| Patient Care Services | $403,217,081 | $403,217,081 | 900099 |
| Premium Revenue | $62,095,429 | $62,095,429 | 722514 |
| Rental Income-Program Svc | $7,958,849 | $7,958,849 | 900099 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,484,942 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,484,942 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $485,283,795 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,389,126 | TotalRevenueColumnAmt |
| Exclusion | $32,389,126 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $680 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $41,078,796 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$41,078,796 | SecuritiesAmt |
| Other | $680 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$41,078,116 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$41,078,116 | RelatedOrExemptFuncIncomeAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $491,607,735 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $444,205,679 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $32,389,126 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $606,008 | TotalAmt |
| Program Services | $606,008 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,951,851 | TotalAmt |
| Program Services | $147,133,442 | ProgramServicesAmt |
| Management And General | $12,273,144 | ManagementAndGeneralAmt |
| Fundraising | $545,265 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,222,073 | TotalAmt |
| Program Services | $5,708,771 | ProgramServicesAmt |
| Management And General | $491,629 | ManagementAndGeneralAmt |
| Fundraising | $21,673 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,798,312 | TotalAmt |
| Program Services | $16,190,194 | ProgramServicesAmt |
| Management And General | $1,541,077 | ManagementAndGeneralAmt |
| Fundraising | $67,041 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,406,282 | TotalAmt |
| Program Services | $10,647,656 | ProgramServicesAmt |
| Management And General | $718,847 | ManagementAndGeneralAmt |
| Fundraising | $39,779 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,537,549 | TotalAmt |
| Program Services | $1,877,130 | ProgramServicesAmt |
| Management And General | $54,660,419 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $449,794 | TotalAmt |
| Management And General | $449,794 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,450 | TotalAmt |
| Management And General | $60,450 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,757,917 | TotalAmt |
| Program Services | $60,948,030 | ProgramServicesAmt |
| Management And General | $47,775,908 | ManagementAndGeneralAmt |
| Fundraising | $33,979 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,386 | TotalAmt |
| Management And General | $32,386 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,305,869 | TotalAmt |
| Program Services | $1,756,060 | ProgramServicesAmt |
| Management And General | $535,488 | ManagementAndGeneralAmt |
| Fundraising | $14,321 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,314,154 | TotalAmt |
| Program Services | $2,274,067 | ProgramServicesAmt |
| Management And General | $14,040,087 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,002,033 | TotalAmt |
| Program Services | $12,925,141 | ProgramServicesAmt |
| Management And General | $2,076,892 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $307,790 | TotalAmt |
| Program Services | $210,148 | ProgramServicesAmt |
| Management And General | $83,747 | ManagementAndGeneralAmt |
| Fundraising | $13,895 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,770 | TotalAmt |
| Program Services | $41,074 | ProgramServicesAmt |
| Management And General | $22,481 | ManagementAndGeneralAmt |
| Fundraising | $6,215 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,182,166 | TotalAmt |
| Program Services | $2,182,166 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,266,756 | TotalAmt |
| Program Services | $12,781,490 | ProgramServicesAmt |
| Management And General | $1,485,266 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,493,259 | TotalAmt |
| Program Services | $5,359,288 | ProgramServicesAmt |
| Management And General | $133,971 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|---|
| Patient Care Supplies | $61,971,489 | $61,969,599 | $1,890 | |
| Quality Assurance | $34,811,825 | $34,811,825 | ||
| Other expenses | $23,077,310 | $2,688,382 | $39,099 | $20,349,829 |
| Equipment Rental | $2,092,613 | $1,830,094 | $262,519 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,856 | TotalAmt |
| Program Services | $1,856 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $539,719,512 | TotalAmt |
| Program Services | $381,942,421 | ProgramServicesAmt |
| Management And General | $156,993,934 | ManagementAndGeneralAmt |
| Fundraising | $783,157 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $526,153,574 | BOYAmt |
| EOY | $448,000,251 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $444,837 | BOYAmt |
| EOY | $910,711 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,449,952 | BOYAmt |
| EOY | $51,054,195 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,403,300 | BOYAmt |
| EOY | $7,706,050 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,408,654 | BOYAmt |
| EOY | $1,389,776 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $416,739,549 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $307,382,800 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,857,592 | BOYAmt |
| EOY | $109,356,749 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $350,000 | BOYAmt |
| EOY | $350,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,670,000 | BOYAmt |
| EOY | $104,679,613 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $779,737,909 | BOYAmt |
| EOY | $723,447,345 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,188,386 | BOYAmt |
| EOY | $28,007,024 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,664 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,205,515 | BOYAmt |
| EOY | $132,601,605 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,493,565 | BOYAmt |
| EOY | $160,608,629 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $612,834,026 | BOYAmt |
| EOY | $552,813,645 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,410,318 | BOYAmt |
| EOY | $10,025,071 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $619,244,344 | BOYAmt |
| EOY | $562,838,716 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $779,737,909 | BOYAmt |
| EOY | $723,447,345 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$48,111,777 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$11,627,000 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $3,333,149 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $116,132 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $116,132 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part II-B, Line 1i - Other Activities Description | The organization belongs to industry and professional associations for which a portion of the membership dues is used for lobbying activities. Expenditures to Noteware and Holland & Knight were paid for the purpose of working with legislators and government officials relating to legislation affecting hospitals and healthcare.Executives met with state and federal legislators and attended industry organization meet and greet events for the purpose of educating legislators and advocating for the needs of the health care industry. |
| Part IV - Additional Information |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,461,086 | BeginningYearBalanceAmt |
| Contributions | $10,582,024 | ContributionsAmt |
| Investment Earnings Or Losses | $790 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $7,014,231 | OtherExpendituresAmt |
| End Year Balance | $11,029,669 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,109,043 | BeginningYearBalanceAmt |
| Contributions | $2,933,485 | ContributionsAmt |
| Investment Earnings Or Losses | $3,812 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,585,254 | OtherExpendituresAmt |
| End Year Balance | $7,461,086 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,807,348 | BeginningYearBalanceAmt |
| Contributions | $3,313,944 | ContributionsAmt |
| Investment Earnings Or Losses | $3,534 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $2,154,688 | GrantsOrScholarshipsAmt |
| Other Expenditures | $861,095 | OtherExpendituresAmt |
| End Year Balance | $8,109,043 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,766,420 | BeginningYearBalanceAmt |
| Contributions | $4,902,834 | ContributionsAmt |
| Investment Earnings Or Losses | $111 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $3,006,718 | GrantsOrScholarshipsAmt |
| Other Expenditures | $855,299 | OtherExpendituresAmt |
| End Year Balance | $7,807,348 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,919,763 | BeginningYearBalanceAmt |
| Contributions | $6,252,523 | ContributionsAmt |
| Investment Earnings Or Losses | $177,086 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,582,952 | OtherExpendituresAmt |
| End Year Balance | $6,766,420 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.09110 | BoardDesignatedBalanceEOYPct |
| Term Endowment Balance EOY | 0.90890 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,627,471 | OtherCostOrOtherBasisAmt |
| Book Value | $2,627,471 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $299,299,542 | OtherCostOrOtherBasisAmt |
| Depreciation | $216,875,828 | DepreciationAmt |
| Book Value | $82,423,714 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,057,701 | OtherCostOrOtherBasisAmt |
| Depreciation | $121,065 | DepreciationAmt |
| Book Value | $936,636 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $101,673,012 | OtherCostOrOtherBasisAmt |
| Depreciation | $84,051,724 | DepreciationAmt |
| Book Value | $17,621,288 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,081,823 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,334,183 | DepreciationAmt |
| Book Value | $5,747,640 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $109,356,749 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Investment in Fdtn | $10,743,056 |
| Other Assets | $654,000 |
| Other Receivables | $10,253,067 |
| Receivables from Related Organizations | $13,673,510 |
| Receivables from Third Parties | $69,355,980 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $104,679,613 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Other Liabilities | $8,973,687 |
| Payables to Related Organizations | $103,973,398 |
| Payables to Third Parties | $19,654,520 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $132,601,605 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: Intended uses of the endowment fund. | Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended. |
| Part X : FIN48 Footnote | The System recognizes tax benefits from any uncertain tax positions only if it is more-likely-than-not the tax position will be sustained, based solely on its technical merits, with the taxing authority having full knowledge of all relevant information. The System records a liability for unrecognized tax benefits from uncertain tax positions as discrete tax adjustments in the first interim period the more-likely-than-not threshold is not met. The System recognizes deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of its assets and liabilities along with net operating loss and tax credit carryovers only for tax positions that meet the more-likely-than-not recognition criteria. At December 31, 2022 and 2021, no such assets or liabilities were recorded.The System currently files Form 990 (informational return of organizations exempt from income taxes) and form 990-T (business income tax return for an exempt organization) in the U.S. federal jurisdiction and the state of California. The System is not subject to income tax examinations prior to 2018 in major tax jurisdictions. |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants To Org Outside US GrantsToOrgOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Latin America | RegionTxt |
| Purpose Of Grant | Community Projects | PurposeOfGrantTxt |
| Cash Grant | $3,750 | CashGrantAmt |
| Manner Of Cash Disbursement | Check | MannerOfCashDisbursementTxt |
| Non Cash Assistance | $25,304 | NonCashAssistanceAmt |
| Description Of Non Cash Asst | Supplies/Travel | DescriptionOfNonCashAsstTxt |
| Valuation Method Used | Cost | ValuationMethodUsedDesc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Org | 1 | TotalOtherOrgCnt |
| Transfer To Foreign Corp | false | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | false | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,253,916 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,253,916 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00420 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,253,916 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,253,916 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00420 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,195,488 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,195,488 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,774,556 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,252,073 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,522,483 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02320 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,577,673 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,436,909 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,140,764 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02430 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,250 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $51,250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $57,598,967 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,688,982 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,909,985 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04980 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $59,852,883 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,688,982 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,163,901 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05400 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,118 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,118 | NetCommunityBenefitExpnsAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $94,037 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $94,037 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $106,155 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $106,155 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,841,344 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,236,589 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $44,509,276 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $44,360,542 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $148,734 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Adv Health White Memorial | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1720 Cesar E Chavez Avenue | AddressLine1Txt |
| City | Los Angeles | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90033 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 930000195 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | Acute,Rehab,Psychiatric,Skilled Nursing | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Sch H Part VI - Needs Assessment | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | See Sch H Part VI - Needs Assessment | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Sch H Part VI - Needs Assessment | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | Sch H Part VI - Patient Education | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | Sch H Part VI - Patient Education | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | Sch H Part VI - Patient Education | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Facility: - Part V, Section B, Line 5 | The 2022 CHNA data collection process can be summarized as follows: 1. review of prior CHNA reporting efforts; 2. collection of most recently available demographic, socioeconomic and health indicator data; 3. Data gathering from community members.The CHNA Steering Committee identified vulnerable populations and worked with local organizations to coordinate focus groups and key informant interviews to ensure that minority populations the voices of those with chronic disease, low incomes and the underserved were heard. Community-based healthcare organizations focusing on education, family services, formerly incarcerated, low-income, mental health, minority populations, public health, students and unhoused populations all participated in twelve (12) focus groups with 56 participants and 7 key informant interviews. The Community Health Needs Assessment was developed using four separate sources of primary and secondary data. This mixed methods approach is considered a preferred practice for needs assessments because it allows for the greatest understanding of community needs from the broadest range of perspectives. Primary data refers to data collected and analyzed specifically for this project, while secondary data refers to data compiled and analyzed by external groups and utilized here. Qualitative primary data collection involved focus group interviews with local service providers and service recipients and individual key informant interviews with local leaders. These were conducted in person and virtually. Direct quotes were taken from a transcription of key informant interviews and are intended to be 100% accurate but could not be verified in all situations. This information was collected by the Adventist Health Community Well-Being team and evaluation consultants from the Center for Behavioral Health Integration. Secondary data was amassed and analyzed across 45 different data sets by the University of Missouri Extension Center for Applied Research and Engagement Systems (CARES). Finally, survey data sets of registered voters in the community were collected and analyzed by UC Berkeley Institute of Governmental Studies (IGS). Survey data was gathered from the Los Angeles County region (region name defined by survey administrator, (UCBerkely IGS). |
| Facility: - Part V, Section B, Line 11 | The COVID-19 global pandemic has caused extraordinary challenges for Adventist Health hospitals and health care systems across the world including keeping front line workers safe, shortages of protective equipment, limited ICU bed space and developing testing protocols. They have also focused on helping patients and families deal with the isolation needed to stop the spread of the virus, and more recently vaccine roll out efforts. Adventist Health, like other health care systems, had to pivot its focus to meet the most urgent healthcare needs of its community during the pandemic, as well as reassess the ability to continue with some community health strategies due public health guidelines for social distancing. Adjustments have been made to continue community health improvement efforts as possible, while ensuring the health and safety of those participating. Tax year 2022 was year three of the Implementation Strategy for the 2019 CHNA. All programs and activities provided to the community were in response to the priority health needs identified in the 2019 CHNA. Our 2019 CHNA identified three areas of significant need: Chronic Disease, Mental Health, and Access to Health Care and Resources. Priority Need 1- Chronic Disease- The goal is to improve health outcomes in patients and community members with chronic disease. Strategy 1- Mobilize patients and community members through education and tools to manage chronic disease. Activity 1.1- Diabetes Center- The Adventist Health White Memorial strategy for 2022 was focused on building our referral base and increasing the number of Diabetes Self-Management Education referrals for our outpatient education program which saw a decline during the pandemic. Additionally, we were focused on increasing our virtual education. As a result, the impact included the following: 294 total participants were educated, 86 participants were provided diabetes self-management education. 70% of participants were checking their blood sugar at least 1 time per day. 75% of the participants lowered their Hemoglobin A1c level. 83 total GDM (Gestational Diabetes Mellitus) received diabetes self-management education using the Sweet Success model. 86% of our GDM participants delivered normal weight babies. White Memorial Medical Center increased virtual education by 47% from 2021. 61 participants in the Healthy Eating Lifestyle Program (HELP) were educated virtually and 1 participant in the Living with Diabetes program was educated virtually.Activity 1.2- Vive Bien! Senior- In January 2022 programming was paused due to an increase in COVID-19 cases. In April-September, the Community Resource Center went through a transition phase to a new location. Classes were temporarily hosted in hospital meeting rooms and programming resumed at a limited capacity. Also, due to space constraints many of the exercise classes were paused. The new center opened in September 2022 and classes resumed at full capacity. A total of 1,532 participants took part in the exercise classes. A total of 145 participants took part in the health education classesAdditional activities include our Blue Zones Project work. We are currently in the beginning phases and have completed community listening meetings. Priority Need 2- Mental Health- The goal is appropriate mental and behavioral health services. Strategy 1- Assess and refer vulnerable populations to appropriate mental and behavioral health services. Activity 1.1- Welcome Baby Program (Community Program)- The Welcome Baby Program is an outreach program provided for expectant mothers in our community to educate, support, provide home wellness visits, and connections to resources in the community. The total of mental health assessments in pregnant women: 106, postpartum mental health education/support tools provided: 3,316, and total number of referrals to mental health sources: 284. Activity 1.2- Community Information Center Virtual Referral and resource site. Due to COVID-19, the Community Information Center had a soft reopening in Mid-July 2021. The soft reopening consisted of a combination of in-person services and over-the-phone services. 2022 was the year to do outreach and re-build relationships with the community and partners once again. The pandemic raised mental health needs and awareness in the community, in which many community members were in search of safe spaces that offered support groups. 4 individuals were referred to Wellness by the CIC and 10 mental health classes were offered at the CIC through the Vive Bien Program. Priority Need 3- Access to Health Care and Resources- The goal is to provide a hub of health care resources and referrals to services to improve access. Strategy 1- Engage local stakeholders to refer to the Community Information Center through the implementation of a referral application in addition to normal duties and responsibilities of the center. Activity 1.1- Community Information Center- Due to COVID-19, the Community Information Center had a soft reopening in Mid-July 2021. The soft reopening consisted of a combination of in-person services and over-the-phone services. Most of the community members preferred in person services but still had anxiety attending due to the pandemic. 2022 was the year to do outreach and re-build relationships with the community once again. In 2022 there were 567 on site enrollment/ assistance to health care, 45 referrals via Referral Pad for services and resources, 1673 services, resources, referred and coordinated (Total Visits for the Year) and 12 new enrollments for Vive Bien referred through the Referral Pad.Priority Need 3- Access to Health Care and Resources- The goal is to provide a hub of health care resources and referrals to services to improve access. Strategy 1- Engage local stakeholders to refer to the Community Information Center through the implementation of a referral application in addition to normal duties and responsibilities of the center. Activity 1.1- Community Information Center- Due to COVID-19, the Community Information Center had a soft reopening in Mid-July 2021. The soft reopening consisted of a combination of in-person services and over-the-phone services. Most of the community members preferred in person services but still had anxiety attending due to the pandemic. 2022 was the year to do outreach and re-build relationships with the community once again. In 2022 there were 567 on site enrollment/ assistance to health care, 45 referrals via Referral Pad for services and resources, 1673 services, resources, referred and coordinated (Total Visits for the Year) and 12 new enrollments for Vive Bien referred through the Referral Pad. |
| Facility: - Part V, Section B, Line 13h | Patients who do not meet the income criteria, may be eligible for financial assistance based on essential living expenses and resources. The following two (2) qualifications must both apply:1. Essential living expenses: Exceed fifty percent (50%) of the household income; and2. Resources: The patient's excess medical expenses (the amount that allowable medical expenses are greater than 50% of annual household income) must be greater than available qualifying assets. |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7 - Explanation of Costing Methodology | The hospital is located in a medically underserved area and participates in a quality assurance fee program with the State of California to fund certain Medi-Cal coverage expansions. The state redistributes funds to hospitals that provide patient care to a higher proportion of indigent and medically underprivileged patients, who otherwise would most likely not have access to physicians and other medical services. The community benefit analysis includes receipts from this redistribution that are used to assist in partially offsetting the significant costs associated with providing patient care to this population group. The program may or may not continue in the future based on the State of Californias regulations and policies and the approval of the federal government. |
| Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense | Uncollected patient accounts are analyzed using written patient financial services policies that apply standard procedures for all patient accounts. The result of the analysis is what is recognized as bad debt expense. For example, all self-pay patients receive a discount. If the discounted account is unpaid after collection efforts, the unpaid balance is classified as bad debt. The cost-to-charge ratio is multiplied times the hospital's bad debt expense. The resulting figure has been reported as bad debts at cost on Part III, Line 2. |
| Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit | The portion of the bad debts attributed to charity care as reported on Part III, Line 3 was calculated by an independent third-party consulting firm. A statistically valid sampling of patient accounts written-off was evaluated. The evaluation used various factors to determine which patients would have been eligible for charity care. Had the hospital obtained sufficient information from all patients who qualified for financial assistance, these additional accounts would have been recorded as charity care instead of bad debt. |
| Part III, Line 4 - Bad Debt Expense | The system-wide combined audited financial statements do not contain a footnote describing bad debt expense. |
| Part III, Line 8 - Explanation Of Shortfall As Community Benefit | The Medicare cost report apportions the 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. Medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that Medicare payments too 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. For further information please refer to schedule H part III section B. |
| 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 incomeX and the following criteria must be followed by the agency:1. They may not report the patient to a credit bureau2. They may not file a lawsuit to recover the outstanding liability3. They may not charge interest |
| Part VI, Line 2 - Needs Assessment | The hospital's 2022 CHNA, the 2023 community health implementation strategy approved in FY 2023, and the 2022 Community Health Plan (CHP) Update for fiscal year 2022 are posted on the hospital's website at https://www.adventisthealth.org/white-memorial/about-us/community-benefit/The two most recent Community Health Needs Assessments, the two most recent Implementation Strategy reports and the 2022, 2021 and 2020 Community Health Plan Updates are also available on the Adventist Health Corporate website at https://www.adventisthealth.org/about-us/community-benefit/In addition to the CHNA, our hospital engages in a process of continuous quality improvement, focusing on questions such as: are our interventions making a difference in improving health outcomes; are we providing the appropriate resources in the appropriate locations; and how are we using technology to track our health improvements and provide relevant feedback at the local level? Building a healthy community requires multiple stakeholders working together with a common purpose. With that in mind, our hospital leadership serves on a variety of community boards and committees focused on addressing community-specific needs, allowing for ongoing responsiveness to the health care needs of the community and collaboration with local agencies and organizations, enabling maximum effectiveness through collective impact. |
| Part VI, Line 3 - Patient Education of Eligibility for Assistance | The plain language summary of the Financial Assistance Policy (FAP) is posted along with the complete FAP policy and FAP Application on the hospital's website at:1.https://www.adventisthealth.org/patient-resources/bill-pay/financial-assistance/ 2.https://www.adventisthealth.org/documents/financial-assistance/13863-Self-Pay-Billing-and-Collection-Policy.pdfThese documents are available in multiple languages.At the time of registration, patients who are uninsured and underinsured are provided information about government healthcare programs. Patients are also orally informed of their right to request charity assistance. Signs are displayed in the patient business office, patient registration areas and the emergency room in multiple languages informing patients of this right as well. The hospital also provides a brochure during the registration process that explains the hospital billing and collection procedures, and how to request financial assistance. In addition, every billing statement sent to patients contains information on how to request financial assistance. |
| Part VI, Line 4 - Community Information | From Mariachi Plaza to Evergreen Cemetery, Boyle Heights is one of Los Angeles most historic and vibrant communities. Just three miles east of downtown Los Angeles, Boyle Heights is home to generations of immigrants with 76% of the community served by White Memorial Hospital being Hispanic, and the epicenter of several historical social justice movements. This small neighborhood has an impressive total population of 1,109,487. A community rich in art, music, food and small business. The median household income is $52,384, and of that, 45.66% is spent on housing and transportation. Among this population, 30.84% of children live in poverty and 2.27% of students are unhoused, compared to the state average of 4.25% and national average of 2.77%. True to its historical roots as a center of civic engagement, this population boasts a voter participation rate of 67.5%.A review of publicly available data showed 14.5% of the residents do not have access to health insurance, and 14.4% of households do not have a motor vehicle, a rate higher than the state (7%) and the nation (8.5%). However, most of the population (93%) lives within half a mile of public transportation. Health literacy and limited English proficiency can be additional barriers to access to care. The unemployment rate is 7.65%, which is higher than the US overall (5.38%) and California (6.18%). Childhood poverty is remarkably high (31%) almost double that of California. The median household income of $52,384 is lower than both California and the US by a substantial amount. The community has 21% of its residents living in poverty, which is 8% higher than state and national averages. Poverty rates are even greater for Black and for female residents. Additionally, 88% of students receive free or reduced-price school lunches more than double the national average and almost 30% higher than the California average.The White Memorial Medical Center CHNA market is based on the state of California with a total population of 1,056,633 (based on the 2020 Decennial Census). The largest city in the service area is East Los Angeles CDP, with a population of 126,496. The service area is comprised of the following ZIP codes: 90031, 90042, 90201, 90012, 90270, 91754, 90026, 90023, 90007, 90057, 90255, 90640, 90065, 90022, 90063, 90033, 90032, 90006, 90011, 90021, 91803. 29.82% of the population owns their home and 70.18% of the population rents their home. The total population by age groups is as follows: Age 0-4: 6.1%, Age 5-17: 16.9% , Age 18-24: 11.4%, Age 25-34: 18.1%, Age 35-44: 13.7%, Age 45-54: 12.6%, Age 55-64: 9.9%, Age 65+: 11.4%. |
| Part VI, Line 4 - Community Building Activities | The hospital is involved in numerous community building activities which promote the health of the community. Overwhelmingly, we see diseases of despair including suicide, substance abuse, mental health and chronic illnesses plaguing the communities in which we have a significant presence in. These community concerns are addressed through health improvement, education, poverty, workforce development and access to care. This is why we have focused our work around addressing behavior and the systems keeping the most vulnerable people in cycles of poverty and high utilization. In an effort to heal these communities, we have strategically invested in our communities by partnering with national leaders in community well-being. We believe the power of community transformation lies in the hands of the community. Our solution for transformation is to create a sustainable model of well-being that measurably impacts the well-being of people, well-being of place and equity. In 2020, Adventist Health acquired Blue Zones as the first step toward reaching our solution. By partnering with Blue Zones, we will be able to gain ground in shifting the balance from healthcare treating people once they are ill to transformative well-being changing the way communities live, work and play. In 2021, Adventist Health committed to launching six Blue Zone Projects within our community footprint, and as we enter 2022 these projects are active. Blue Zones widens our impact from only reaching our hospitals communities in four states to a global mission practice. We also encourage our employees to serve on community collaboration boards, health advocacy programs, and physical improvement projects to promote the health of the communities we serve. In addition, we work with neighborhood programs, including schools, work sites and safety net providers to promote health and wellness and prevent disease. These activities are not included elsewhere on Schedule H.Other Community Benefits -In partnership with the YMCA, White Memorial Medical Center provided food deliveries for the local senior population tackling food insecurity due to the COVID-19 impact. White Memorial Medical Center also maintained a community COVID-19 vaccination clinic on campus and mobile clinic to reach vulnerable communities. |
| Part VI, Line 5 - Promotion of Community Health | Our hospitals mission is, Living Gods love by inspiring health, wholeness and hope. Our community benefit work is rooted deep within our mission and merely an extension of our mission and service. We have also incorporated our community benefit work to be an integral component of improving the Triple Aim. The Triple Aim concept broadly known and accepted within health care includes:1) Improve the experience of care for our residents.2) Improve the health of populations.3) Reduce the per capita costs of health care.Our strategic investments in our community are focused on a more planned, proactive approach to community health. The basic issue of good stewardship is making optimal use of limited charitable funds. Defaulting to charity care in our emergency rooms for the most vulnerable is not consistent with our mission. An upstream and more proactive and strategic allocation of resources enables us to help low income populations avoid preventable pain and suffering; in turn allowing the reallocation of funds to serve an increasing number of people experiencing health disparities.Hospitals and health systems are facing continuous challenges during this historic shift in our health system. Given todays state of health, where cost and heartache is soaring, now more than ever, we believe we can do something to change this. These challenges include a paradigm shift in how hospitals and health systems are positioning themselves and their strategies for success in a new payment environment. This will impact everyone in a community and will require shared responsibility among all stakeholders. As hospitals move toward population health management, community health interventions are a key element in achieving the overall goals of reducing the overall cost of health care, improving the health of the population, and improving access to affordable health services for the community both in outpatient and community settings. The key factor in improving quality and efficiency of the care hospitals provide is to include the larger community they serve as a part of their overall strategy. Population health is not just the overall health of a population, but also includes the distribution of health. Overall health could be quite high if the majority of the population is relatively healthyeven though a minority of the population is much less healthy. Ideally such differences would be eliminated or at least substantially reduced. Community health can serve as a strategic platform to improve the health outcomes of a defined group of people, concentrating on three correlated stages:1) The distribution of specific health statuses and outcomes within a population; 2) Factors that cause the present outcomes distribution; and 3) Interventions that may modify the factors to improve health outcomes.Improving population health requires effective initiatives to: 1) Increase the prevalence of evidence-based preventive health services and preventive health behaviors, 2) Improve care quality and patient safety, and 3) Advance care coordination across the health care continuum.We will work together with our community to ensure the community health improvements are identified and then targeted for programs to influence behaviors to obtain improved health within the whole community. |
| Part VI, Line 6 - Affilated Health Care System | The hospital is a member of Adventist Health, a health care system which provides healthcare services in diverse markets within the Western United States. A member hospital may share some services with other member hospitals in its geographic area, such as clinical, management and support services. Using today's technology, hospitals outside the geographic area are able to provide support through remote services such as telepharmacy and robotics surgery. The Corporate Office provides important shared administrative support for member hospitals' rural health clinics and home care agencies, quality of care, other clinical needs, financing and risk management, and shared clinical and financial information technology. As many experienced and new physicians search for alternatives to independent practice, there is also corporate administrative support for hospital affiliated medical groups that engage physicians through employment or other contracts. This provides stability and growth of qualified physicians across many specialties, which is very important to make healthcare services available and to maintain and improve health within the communities served by all member hospitals. |
| Part VI, Line 7 - States Filing of Community Benefit Report | CA |
| Part VI - Additional Information | Identified Needs from CHNA, Not Addressed and Why (Based on FY 2022) CHP Update - No hospital can address all the health needs identified in its community. White Memorial Medical Center (AHWM) is committed to serving the community by adhering to its mission, and using its skills, expertise and resources to provide a range of community benefit programs. Due to the magnitude of the three selected priority needs and the capacity of AHWM, the following areas will not be addressed: Homelessness and Poverty and Access to Healthy Foods. These priorities are being met through collaboration of community partners. Other Items Primary website address: See Form 990, Pg 1, Item JNeeds Assessment website: See Sch H Part VI - Needs AssessmentFAP website: See Sch H Part VI-Patient Education |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|
| Baldridge Foundation | |||||||||
| 250 W Old Wilson Bridge Rd | Worthington | OH | 43085 | 201806185 | 501(c)(3) | $20,000 | $0 | Funds Transfer | Sponsorship |
| CA Hlth Foundation and Trust | |||||||||
| 1215 K St Ste 800 | Sacramento | CA | 95814 | 941498697 | 501(c)(3) | $493,158 | $0 | Funds Transfer | Uninsured/Underinsured Patients |
| Hispanas Org for Political Eq | |||||||||
| 634 S Spring St Ste 920 | Los Angeles | CA | 90014 | 954718409 | 501(c)(3) | $15,000 | $0 | Funds Transfer | Sponsorship |
| The Long Term Partners LLC | |||||||||
| 220 1/2 S Reeves Dr | Beverly Hills | CA | 90212 | 822940355 | 501(c)(3) | $17,600 | $0 | Funds Transfer | General Support |
| University of La Verne | |||||||||
| 1950 3rd St | La Verne | CA | 91750 | 951644026 | 501(c)(3) | $7,250 | $0 | Funds Transfer | Sponsorship |
| White Memorial SDA Church | |||||||||
| 401 North State St | Los Angeles | CA | 90033 | 951994597 | 501(c)(3) | $38,000 | $0 | Funds Transfer | Parking Project |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Grantmaker's Description of How Grants are Used | FormAndLineReferenceDesc |
| Explanation | Grants are donations made to US tax exempt organizations who present a valid purpose for their donation request. It is anticipated that no further monitoring is required. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Beaman John | ||||||||||||
| CFO/Secretary | $1,047,636 | $298,600 | $14,860 | $12,310 | $48,765 | $1,422,171 | ||||||
| Bryant Mara | ||||||||||||
| Operations Exec | $426,294 | $78,945 | $58,799 | $12,310 | $20,625 | $596,973 | ||||||
| Burke James | ||||||||||||
| Medical Officer, SCR | $1,169,177 | $192,892 | $258,621 | $12,310 | $47,330 | $1,680,330 | ||||||
| Cota Stephanie | ||||||||||||
| Adm Dir,ER/Beh Hlt | $229,077 | $16,195 | $798 | $11,454 | $16,620 | $274,144 | ||||||
| Gooden Jennifer | ||||||||||||
| RN | $245,096 | $2,628 | $12,255 | $10,082 | $270,061 | |||||||
| Heinrich Kerry | ||||||||||||
| Director/CEO | $1,817,710 | $76 | $313,658 | $12,310 | $35,759 | $2,179,513 | ||||||
| Hofheins Todd | ||||||||||||
| COO Eff 1/22 | $1,358,421 | $376,216 | $237,015 | $12,310 | $43,654 | $2,027,616 | ||||||
| Jahn Andrew-Care Div Pres thru 222 | ||||||||||||
| President, Southern CA Network | $1,047,840 | $349,414 | $12,285 | $12,310 | $47,782 | $1,469,631 | ||||||
| Jobe Meredith | ||||||||||||
| Secretary | $639,741 | $154,687 | $135,608 | $12,310 | $36,757 | $979,103 | ||||||
| Kirya Ronald | ||||||||||||
| RN | $263,620 | $2,184 | $265,804 | |||||||||
| Marsala Fresia | ||||||||||||
| RN | $283,335 | $12,310 | $36,488 | $332,133 | ||||||||
| Milatovic Natasa | ||||||||||||
| Reg HR Dir, SCR | $420,759 | $101,677 | $52,177 | $12,310 | $41,600 | $628,523 | ||||||
| Nahapetian Arby-Care Div Med Off th | ||||||||||||
| Chief Clinical Officer | $927,049 | $234,212 | $172,850 | $12,310 | $48,470 | $1,394,891 | ||||||
| Nguyen Thao | ||||||||||||
| Director Pharmacy | $265,158 | $19,423 | $3,365 | $12,310 | $57,774 | $358,030 | ||||||
| Owens Francis-Eff 922 | ||||||||||||
| Treas/Asst Sec | $321,242 | $48,157 | $29,967 | $12,310 | $51,126 | $462,802 | ||||||
| Raffoul John | ||||||||||||
| President, AHWM | $640,537 | $138,425 | $132,322 | $12,310 | $35,974 | $959,568 | ||||||
| Reiner Scott | ||||||||||||
| Former Dir/Chair/CEO thru 12/21 | $348,458 | $870,709 | $2,906 | $12,310 | $12,878 | $1,247,261 | ||||||
| Richards Blin-Departed 822 | ||||||||||||
| Treas/Asst Sec | $243,694 | $65,850 | $38,282 | $11,984 | $29,776 | $389,586 | ||||||
| Schwarz Greg | ||||||||||||
| Bus Dev Executive | $330,018 | $62,511 | $38,083 | $12,310 | $26,410 | $469,332 | ||||||
| Spenst Brett-Care Div Fin Off thru | ||||||||||||
| Sr. Finance Officer & CIO | $817,612 | $416,845 | $88,367 | $12,310 | $28,612 | $1,363,746 | ||||||
| Stevens Eric-Care Div Ops Exec thru | ||||||||||||
| President, No Cal/HI State Network | $896,507 | $250,602 | $168,205 | $12,310 | $34,571 | $1,362,195 | ||||||
| Stone Patricia | ||||||||||||
| Patient Care Executive | $161,638 | $19,879 | $1,982 | $9,175 | $2,309 | $194,983 | ||||||
| Takahashi Patrick | ||||||||||||
| Medical Officer, AHWM | $598,574 | $124,595 | $94,337 | $12,310 | $20,558 | $850,374 | ||||||
| Wing Bill-Departed 122 | ||||||||||||
| Dir/VC/Asst Sec | $263,334 | $662,638 | $1,585,375 | $12,310 | $40,979 | $2,564,636 | ||||||
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 2 | See Sch L p2 |
| Form 990, Part VI, Section A, Line 6 | The Hospital is organized as a religious corporation and operates as a not-for-profit hospital. The sole corporate member is Adventist Health System/West, a California not-for-profit religious corporation. The Hospital operates as an affiliate of Adventist Health System/West. |
| Form 990, Part VI, Section A, Line 7a | The Hospital Bylaws define its Board of Directors to be the same individuals who are members of the Adventist Health System/West Board of Directors. |
| Form 990, Part VI, Section A, Line 7b | The sole corporate member, Adventist Health System/West, must approve all changes to the Articles of Incorporation and Bylaws. |
| Form 990, Part VI, Section B, Line 11b | This Form 990, including all supporting schedules, was prepared by a public accounting firm, reviewed by the System Controller and market Finance Officer, and shared by electronic communication with the corporation's Board of Directors prior to filing. |
| Form 990, Part VI, Section B, Line 12c | During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, hospital corporate 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 market president immediately.The System General Counsel distributes, collects, and reviews for signatures the COIs for all applicable Corporate employees, stakeholders and the board. In addition, the hospital's administration is responsible for keeping record to ensure all hospital-based individuals with director and above positions have submitted their COIs. The System General Counsel reviews all the disclosures on the board and Corporate employees' COIs. System General Counsel retains the COIs for all individuals. Copies for the officers and key employees' COIs are kept in their personnel files. Further inquiries on any potential significant conflicts are made as needed. Conflicts are documented and reviewed with the Board. |
| Form 990, Part VI, Section B, Line 15a | The Organization's Board of Directors has established a Human Performance 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 presidents and finance officers 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 executives, with midpoints aligned with the 50th percentile of comparable system hospital data, and having a 50 percent spread from minimum to maximum. |
| Form 990, Part VI, Section B, Line 15b | See Line 15a explanation. |
| Form 990, Part VI, Section C, Line 19 | 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 XI, Line 9 | Change in Foundation Net Assets = $3333149 |
| Prior Period Adjustments | Prior Period adjustments were a result of cash balance correction and clean up of books due to prior period activities including debt service, capital expenditures, and other items. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Adventist Health SystemWest | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 953484589 | Integrated Health System | CA | 501(c)(3) | 10 | NA | false |
| Adventist Health Clearlake Hospital Inc | ||||||||||
| 15630 18th Avenue | Clearlake | CA | 95422 | 680395149 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Adventist Hlth Medical Ctr Tehachapi | ||||||||||
| 1100 Magellan Drive | Tehachapi | CA | 93561 | 812240617 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Adventist Health Physicians Network | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 680357690 | Medical Foundation | CA | 501(c)(3) | 12b2 | Adventist Health SystemWest | false |
| Castle Medical Center | ||||||||||
| 640 Ulukahiki Street | Kailua | HI | 96734 | 990107330 | Hospital | HI | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Feather River Hospital | ||||||||||
| PO Box 619135 | Glendale | CA | 95661 | 941101228 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| The Fremont- Rideout Health Group | ||||||||||
| 898 Plumas Street | Yuba City | CA | 95991 | 942917251 | Hospital | CA | 501(c)(3) | 12b2 | Stone Point Health | false |
| Glendale Adventist Medical Center | ||||||||||
| 1509 Wilson Terrace | Glendale | CA | 91206 | 951816017 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Hanford Community Hospital | ||||||||||
| 115 Mall Drive | Hanford | CA | 93230 | 940535360 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Lodi Memorial Hospital Assn Inc | ||||||||||
| 975 So Fairmont Ave | Lodi | CA | 95240 | 941044474 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Northwest Medical Fdtn of Tillamook | ||||||||||
| 1000 Third Street | Tillamook | OR | 97141 | 930622075 | Hospital | OR | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Paradise Valley Hospital | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 951816034 | Discontinued Operations | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Portland Adventist Medical Center | ||||||||||
| 10123 SE Market Street | Portland | OR | 97216 | 930429015 | Hospital | OR | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Reedley Community Hospital | ||||||||||
| 372 Cypress Ave | Reedley | CA | 95370 | 453220509 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Rideout Memorial Hospital | ||||||||||
| 989 Plumas Street | Yuba City | CA | 93065 | 941387866 | Hospital | CA | 501(c)(3) | 3 | Fremont Rideout Health Group | false |
| St Helena Hospital | ||||||||||
| 10 Woodland Road | St Helena | CA | 94574 | 941279779 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| San Joaquin Community Hospital | ||||||||||
| 2615 Chester Avenue | Bakersfield | CA | 93301 | 952294234 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Simi Valley Hospital & Health Care Svc | ||||||||||
| 2975 No Sycamore Drive | Simi Valley | CA | 93065 | 956064971 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Sonora Community Hospital | ||||||||||
| 1000 Greenley Road | Sonora | CA | 95370 | 941415069 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Stone Point Health | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 823763347 | Supporting Organization | CA | 501(c)(3) | 12b2 | Adventist Health SystemWest | false |
| Ukiah Adventist Hospital | ||||||||||
| 275 Hospital Drive | Ukiah | CA | 95482 | 941639901 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| United Com-Serve | ||||||||||
| 989 Plumas Street | Yuba City | CA | 95991 | 943015356 | Skilled Nursing/Assisted Living/Hm Care | CA | 501(c)(3) | 12b2 | Fremont Rideout Health Group | false |
| Walla Walla General Hospital | ||||||||||
| PO Box 61935 | Roseville | CA | 95661 | 910617726 | Hospital | WA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Western Health Resources | ||||||||||
| PO Box 61935 | Roseville | CA | 95661 | 953867863 | Home Care | CA | 501(C)(3) | 10 | Adventist Health SystemWest | false |
| White Memorial Med Cntr Charitable Fdtn | ||||||||||
| 1720 East Cesar E Chavez Avenue | Los Angeles | CA | 900332443 | 953760201 | Hospital | CA | 501(C)(3) | 3 | Adventist Health SystemWest | Yes (true) |
| Willits Hospital Inc | ||||||||||
| 1 Marcela Drive | Willits | CA | 95490 | 680108919 | Fundraising for Hospital | CA | 501(C)(3) | 3 | Adventist Health SystemWest | false |
| Adventist Health Delano | ||||||||||
| PO Box 460 | Delano | CA | 93216 | 770258013 | Hospital | CA | 501(C)(3) | 3 | Western Health Resources | false |
| Adventist Health Tulare | ||||||||||
| 869 North Cherry Street | Tulare | CA | 93274 | 832351753 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Adventist Health Mendocino Coast | ||||||||||
| 700 River Drive | Fort Bragg | CA | 95437 | 845174585 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| Blue Legacy Ventures LLC | |||||||||
| 1010 NE 2nd Avenue | Miami | FL | 33132 | 871254649 | Real Property Rental | FL | AHSWest | false | false |
| Blue Zones LLC | |||||||||
| 200 Southdale Center | Edina | MN | 55435 | 271603327 | Education | MN | AHSWest | false | false |
| PAR LLC dba CherryWood Village | |||||||||
| 8440 SE Sunnybrook Blvd Suite 100 | Clackamas | OR | 97015 | 931262371 | Senior Housing | OR | AHSWest | false | false |
| PVHR LLC dba Paradise Village | |||||||||
| 8440 SE Sunnybrook Blvd Suite 100 | Clackamas | OR | 97015 | 260622555 | Senior Housing | OR | AHSWest | false | false |
| PVHR2 LLC dba Parkview Memory Care | |||||||||
| 8440 SE Sunnybrook Blvd Suite 100 | Clackamas | OR | 97015 | 473300170 | Senior Housing | OR | AHSWest | false | false |
| WWGHR LLC dba Wheatland Village | |||||||||
| 8440 SE Sunnybrook Blvd Suite 100 | Clackamas | OR | 97015 | 810591221 | Senior Housing | OR | AHSWest | false | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| South Coast Medical Center | ||||||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 952037291 | Wind down after sale of hospital | CA | AHSWest | C-Corp | false | |||||
| Adventist Health Plan Inc | ||||||||||||||
| 1 Adventist Health Way | Roseville | CA | 95661 | 463833261 | Health Insurance | CA | AHSWest | C-Corp | false | |||||
| Thrive Productions Inc | ||||||||||||||
| 200 Southdale Center | Edina | MN | 55435 | 453369049 | Production Company | MN | AHSWest | C-Corp | false | |||||
| AdHealth Limited | ||||||||||||||
| Pure Captive Insurance | AHSWest | C-Corp | false | PO Box HM 2062 | Hamilton | BD | HM HX | BD | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Adventist Health SystemWest | ||
| e | $103,973,398 | Notes Payable |
| Adventist Health SystemWest | ||
| m | $70,967,066 | Operating Exp |
| Adventist Health SystemWest | ||
| o | $3,181,765 | Compensation |
| Adventist Health SystemWest | ||
| r | $78,170,803 | Cash Mgt Funds |
| White Memorial Med Cntr Charitable Fdtn | ||
| o | $1,111,703 | Compensation |
| White Memorial Med Cntr Charitable Fdtn | ||
| s | $2,233,846 | Funds Transfer |