2021-05-11T15:54:50-05:00 2020-06-30 910189318 MOSS ADAMS LLP 2882 PROSPECT PARK DR STE 300 RANCHO CORDOVA CA 95670 990 2019-07-01 680393304 WESTERN HEALTH ADVANTAGE WEST 9165633188 2349 GATEWAY OAKS DRIVE NO 100 SACRAMENTO CA 95833 RITA RUECKER CHIEF FINANCIAL OFFICER 9165633188 2021-04-12 1 TRACY S PAGLIA P00366884 9165038100 2021-04-12 2019 2022-09-23 18:48:47Z RITA RUECKER 2349 GATEWAY OAKS DRIVE NO 100 SACRAMENTO CA 95833 743484290 0 X WWW.WESTERNHEALTH.COM X 1995 CA PROVIDING HEALTH COVERAGE AND FURTHERING THE MISSIONS OF THE TAX EXEMPT ORGANIZATION MEMBERS 8 7 299 0 387734 0 0 0 786509886 741941861 193871 69900 4340 166553 786708097 742178314 1295691 1246864 0 0 28976267 23835403 0 0 0 758554140 715571087 788826098 740653354 -2118001 1524960 74023272 81557418 62784815 68782294 11238457 12775124 X THE PURPOSES OF THE CORPORATION ARE TO IMPROVE THE HEALTH AND WELFARE OF THE COMMUNITIES SERVED BY THE CORPORATION BY: (I) OFFERING HEALTH BENEFIT COVERAGE TO THE GENERAL PUBLIC AND EMPLOYER GROUPS THROUGH MULTIPLE ACCESSIBLE CHANNELS; (II) SUPPORTING AND FURTHERING THE CHARITABLE, EDUCATIONAL AND/OR SOCIAL WELFARE PURPOSES OF THE CORPORATION'S MEMBERS (THE "MEMBERS") THAT ARE TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OR SECTION 501(C)(4) OF THE CODE, INCLUDING BY MAKING GRANTS TO ITS MEMBERS IN FURTHERANCE OF SUCH PURPOSES; AND (III) ENGAGING IN ANY ACTIVITIES THAT ARE REASONABLY RELATED TO OR IN FURTHERANCE OF THE FOREGOING PURPOSES. 0 0 729284195 0 741941861 SEE SCHEDULE OPUBLIC BENEFIT HEALTH COVERAGE:WHA PROMOTES THE COMMON GOOD AND GENERAL WELFARE OF THE COMMUNITY BY OFFERING HEALTH BENEFIT COVERAGE TO THE PUBLIC THROUGH MULTIPLE, EASILY ACCESSIBLE CHANNELS. WHA SERVES INDIVIDUALS, SMALL EMPLOYER GROUPS, AND LARGE EMPLOYER GROUPS. WHA BENEFITS THE COMMUNITY AND PROMOTES SOCIAL WELFARE BY REASON OF (1)ENROLLMENT THAT IS OPEN TO INDIVIDUALS (BOTH ON AND OFF THE CALIFORNIA HEALTH BENEFITS EXCHANGE, COVERED CALIFORNIA) AND SMALL GROUPS, (2) SERVING LOW INCOME, HIGH RISK, MEDICALLY UNDERSERVED, OR ELDERLY PERSONS, AND (3) HAVING HMO PREMIUMS ON A COMMUNITY-RATED BASIS COVERAGE TO ALL GROUP AND INDIVIDUAL MEMBERS. WHA COMMUNICATES WITH ITS MEMBERS AND PROVIDERS THROUGH QUARTERLY PRINTED PUBLICATIONS. ADVANTAGE MAGAZINE IS A QUARTERLY MAGAZINE AIMED AT PROMOTING HEALTHY LIFESTYLES AND ASSISTING MEMBERS TO TAKE ADVANTAGE OF THEIR HEALTH BENEFITS COVERAGE. PROVIDER INSIDER IS A QUARTERLY INFORMATIONAL MAGAZINE FOR PROVIDERS.WHA WELLNESS PROGRAMS:WHA PROVIDES WELLNESS RESOURCES AND SUPPORT FOR INDIVIDUAL AND EMPLOYER/BROKER-DRIVEN WELLNESS INITIATIVES, THE OVERALL GOAL OF WHICH IS TO REDUCE HEALTHCARE COSTS FOR THE SOCIETY. OUR ONLINE WELLNESS PROGRAM REACHES INDIVIDUALS BY OFFERING HEALTH ASSESSMENTS AND TRACKING TOOLS. WHA'S WELLNESS INITIATIVES REACH BEYOND WHA'S BASE OF MEMBERS. EDUCATIONAL SEMINARS AND PROGRAMS AT THE EMPLOYER GROUP LEVEL ARE OFFERED TO ALL EMPLOYEES REGARDLESS OF HEALTH PLAN AFFILIATION. HEALTH RESOURCES AND INFORMATION ARE FREELY GIVEN AT HEALTH EVENTS, AND WHA'S WELLNESS MANAGER AND CHIEF MEDICAL OFFICER APPEAR REGULARLY IN MEDIA DRIVEN CAMPAIGNS, INCLUDING GIVING INTERVIEWS ON LOCAL TELEVISION NEWS PROGRAMS SEEN THROUGHOUT NORTHERN CALIFORNIA, PROMOTING HEALTHY EATING AND ACTIVITY.WHAFIT:WHAFIT IS WHA'S OWN HEALTH AND WELLNESS PROGRAM, FORMED IN 2013, TO PROMOTE THE HEALTH AND WELL-BEING OF ITS EMPLOYEES. PROMOTING POSITIVE BEHAVIOR CHANGES AMONG WHA'S EMPLOYEES BENEFITS THE COMMUNITY, AS THESE EMPLOYEES ARE MEMBERS OF THE COMMUNITY THAT WHA SERVES. WHA STANDS FOR NOT ONLY WESTERN HEALTH ADVANTAGE, BUT IN THIS CONTEXT, WELLNESS, HEALTH AND ACTION.COMMUNITYFIT:WHA OFFERS COMMUNITYFIT, A NO COST FITNESS IN THE PARK PROGRAM, TWICE A YEAR FOR 6-8 WEEKS. THE PURPOSE OF THIS PROGRAM IS TO PROMOTE MOVEMENT DURING THE WORKDAY. COMMUNITYFIT IS AVAILABLE TO ALL MEMBERS OF THE COMMUNITY AND CURRENTLY ADMINISTERED IN VARIOUS PARKS IN DOWNTOWN SACRAMENTO DURING SPRING AND FALL SESSIONS. WITH CLASSES SUCH AS YOGA, PILATES, CIRCUIT TRAINING, AND MINDFULNESS MEDITATION, COMMUNITYFIT STRIVES TO REACH THE PUBLIC BY MAKING FITNESS AFFORDABLE AND CONVENIENT, WITH THE HOPE OF LOWERING HEALTH CARE COSTS AND IMPROVING THE WELL-BEING OF THE COMMUNITY. TO EXPAND ACCESS FOR MORE PEOPLE TO PARTICIPATE, COMMUNITYFIT ALSO HELD ONLINE CLASSES WHICH INCREASED ATTENDANCE SIGNIFICANTLY.WHA AND THE AMERICAN HEART ASSOCIATION:ADDITIONALLY, WHA'S WELLNESS MANAGER LEADS A COORDINATED "WORKPLACE ACHIEVEMENT INDEX" WELLNESS PROGRAM WITH THE AMERICAN HEART ASSOCIATION (AHA), WHICH BRINGS THE AHA'S VAST RESOURCES ON HEART-HEALTHY LIVING TO MANY WORKSITES IN THE REGION. THROUGH THIS PROGRAM THE AHA AND WHA HELP CREATE HEALTHY WORK ENVIRONMENTS, WHICH INCREASES PRODUCTIVITY, REDUCES ABSENTEEISM (DUE TO FEWER HEALTH PROBLEMS EXPERIENCED BY EMPLOYEES), AND LOWERS TURNOVER WHICH INCREASES PRODUCTIVITY. 1246864 1246864 0 SEE SCHEDULE OCOMMUNITY OUTREACH AND SUPPORT:WHA SUPPORTS MEMBER HEALTH SYSTEMS' MISSIONS THROUGH CHARITABLE GRANTS.WHA PROVIDES BENEFITS TO THE COMMUNITY BEYOND HEALTH CARE BENEFITS THROUGH FUNDING PROGRAMS FOR THE PROMOTION OF HEALTH AND OTHER CHARITABLE PURPOSES, INCLUDING SUPPORT FOR THE CHARITABLE ACTIVITIES OF THE MEMBER HEALTH SYSTEMS. FOR FISCAL YEAR 2019-2020, WHA CONTRIBUTED OVER $1,200,000 TO SUPPORT CHARITABLE PROGRAMS WHICH BENEFIT THE COMMUNITY SERVED BY WHA, INCLUDING (1) A $105,000 CONTRIBUTION TO THE AMERICAN HEART ASSOCIATION FOR A COMMUNITY HEALTH AWARENESS PROGRAM, (2) A $100,000 CONTRIBUTION TO THE CROCKER ART MUSEUM FOR OUTREACH, (3) A $100,000 CONTRIBUTION TO THE BIG DAY OF GIVING, A PROGRAM OF THE SACRAMENTO REGION COMMUNITY FOUNDATION, AND EDUCATION PROGRAMS, AND (3) SPONSORSHIP OF HEALTHY KIDS DAY, WHICH IS INTENDED TO INCREASE AWARENESS OF HEALTHY LIFESTYLES FOR CHILDREN AND OFFERS FREE HEALTH, DENTAL AND VISION SCREENING FOR CHILDREN, AND FREE FLU SHOTS FOR MEMBERS OF ALL AGES. ADDITIONAL GRANTEES INCLUDE THE NONPROFIT RESOURCE CENTER AND LIGHTHOUSE COUNSELING AND FAMILY RESOURCE CENTER.CONTRIBUTION OF WHA EMPLOYEES TO WHA'S COMMUNITY:WHA EMPLOYEES EXEMPLIFY OUR ORGANIZATION'S OBJECTIVES AND PHILOSOPHY OF "GIVING BACK" TO THOSE WE SERVE EACH YEAR, THEY DONATE MORE THAN 2,000 VOLUNTEER HOURS SERVING ON BOARDS, WORKING IN SCHOOLS AND SUPPORTING LOCAL NON-PROFIT ORGANIZATIONS IN A WIDE VARIETY OF WAYS.WHA'S MISSION IS TO IMPROVE AND ENRICH THE LIVES OF COMMUNITY MEMBERS BY SUPPORTING LOCAL ORGANIZATIONS. THROUGHOUT THE YEAR WHA ANNOUNCES GIVING OPPORTUNITIES THAT HAVE A POSITIVE IMPACT ON THE HEALTH AND WELLBEING OF THE COMMUNITY. IN SUPPORT OF THIS MISSION, WHA ENCOURAGES EMPLOYEE PARTICIPATION, WHETHER THROUGH FINANCIAL DONATIONS, VOLUNTEER EFFORTS OR COMMUNITY ACTIVITIES LIKE WEEKEND FUN RUNS AND AN ANNUAL BIKE TREK WITH SUPERVISOR APPROVAL. EMPLOYEES CAN ALSO ATTEND EVENTS THAT MAY OCCUR DURING REGULAR WORK HOURS.DOLLARS FOR DO-ERS:WESTERN HEALTH ADVANTAGE'S DOLLARS FOR DO-ERS PROGRAM WILL DONATE UP TO $100 PER YEAR TO A SELECTED CHARITY ON BEHALF OF THE EMPLOYEES WHO HAVE CONFIRMED THEIR VOLUNTEERISM OF 20 OR MORE HOURS WITH THE ORGANIZATION.WHA EMPLOYEE MATCHING CHARITABLE CONTRIBUTIONS:WHA MATCHES EMPLOYEE CHARITABLE DONATIONS DOLLAR FOR-DOLLAR, UP TO $250 PER FISCAL YEAR PER EMPLOYEE. EMPLOYEES CAN GIVE VIA PAYROLL DEDUCTIONS OR ONE-TIME CASH DONATIONS. DONATIONS MUST BE MADE TO QUALIFIED NONPROFIT ORGANIZATIONS. WHA OFFERS EMPLOYEES 8 HOURS OF PAID TIME-OFF EACH YEAR TO VOLUNTEER AT THE ORGANIZATION OF THEIR CHOICE. IN ADDITION, EMPLOYEES ARE GIVEN THE OPPORTUNITY TO PARTICIPATE IN 8 HOURS OF VOLUNTEER ACTIVITIES AT WESTERN HEALTH ADVANTAGE SPONSORED EVENTS. WHA CEO INVOLVEMENT IN THE COMMUNITY:THE PRESIDENT AND CEO OF WHA, GARRY MAISEL, SUPPORTS VARIOUS COMMUNITY CHARITIES AND CAUSES, IN ADDITION TO IMPROVING HEALTHCARE FOR THE COMMUNITY AS AN ACTIVE BOARD MEMBER OF WHA. 730531059 0 0 0 1 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1684 0 1 299 1 1 1 0 0 0 0 0 1 0 X 8 7 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 0 CA X STEPHANIE MADSEN 9165633193 2349 GATEWAY OAKS DRIVE SUITE 100 SACRAMENTO CA 95833 GARRY MAISEL CHIEF EXECUTIVE OFFICER 40.00 0.00 X X 1102488 0 128107 MARIETTE RUECKER TREASURER AND CFO 40.00 0.00 X 643184 0 54136 DONALD HUFFORD CHIEF MEDICAL OFFICER (THRU 03/2020) 40.00 0.00 X 459853 0 73099 REBECCA DOWNING CHIEF LEGAL OFFICER 40.00 0.00 X 318929 0 60352 GLENN HAMBURG CHIEF INFORMATION OFFICER 40.00 0.00 X 329509 0 34886 KEITH HOWES THRU 022020 CHIEF HUMAN RESOURCES OFFICER 40.00 0.00 X 308655 0 45907 FREDERICK HERON CHIEF EXPERIENCE OFFICER 40.00 0.00 X 293348 0 55058 WILLIAM FIGENSHU CHIEF SALES OFFICER (THRU 7/2020) 40.00 0.00 X 310383 0 21018 GARY PLUNDO MEDICAL DIRECTOR 40.00 0.00 X 300752 0 27224 ELIZABETH HARGETT SALES DIRECTOR 40.00 0.00 X 197892 0 34729 MARY INGRAM ACTUARIAL SERVICES DIRECTOR 36.00 0.00 X 198098 0 29280 YVETTE CROCKELL PHARMACY DIRECTOR 40.00 0.00 X 196647 0 30309 MICHELE LEHUTA GOVERNMENT PROGRAMS DIRECTOR 40.00 0.00 X 204749 0 16898 JEFFREY CINCIARELLI CHIEF SALES OFFICER 32.00 0.00 X 169613 0 25897 ALI DARUGAR FORMER CHIEF INFORMATION OFFICER 0.00 0.00 X 102340 0 11840 B KONARD JONES CHAIRMAN OF THE BOARD 1.00 0.00 X X 0 0 0 TAMMY WILCOX VICE-CHAIR OF THE BOARD 1.00 0.00 X X 0 0 0 ROBERT COSCIONE DIRECTOR 1.00 0.00 X 0 0 0 LAURIE HARTING SECRETARY OF THE BOARD 1.00 0.00 X X 0 0 0 DR SHANAZ KHAMBATTA DO DIRECTOR 1.00 0.00 X 0 0 0 KEVIN KLOCKENGA DIRECTOR 1.00 0.00 X 0 0 0 DR ALVIN SOCKOLOV MD DIRECTOR 1.00 0.00 X 0 0 0 5136440 0 648740 69 1 1 0 DIGNITY HEALTH HOSPITAL 3400 DATA DRIVE RANCHO CORDOVA CA 95670 MEDICAL SERVICES 161221642 EXPRESS SCRIPTS INC ONE EXPRESS WAY ST LOUIS MO 63121 PHARMACY BENEFITS 106591840 HILL PHYSICIANS MEDICAL GROUP 2409 CAMINO RAMON SAN RAMON CA 94583 MEDICAL BENEFITS 94548365 MERCY MEDICAL GROUP PO BOX 742016 LOS ANGELES CA 900748244 MEDICAL SERVICES 76402702 THE REGENTS OF THE UNIVERSITY OF CA ONE SHIELDS AVENUE DAVIS CA 95616 MEDICAL SERVICES 64709033 86 PREMIUMS EARNED 524114 741551779 741551779 PPO PREMIUM REVENUE 524298 368558 368558 ADMINISTRATION INCOME 524292 21524 21524 741941861 113087 19176 93911 139600 14613 124987 124987 124987 1248176 1291363 -43187 -43187 -43187 MISCELLANEOUS REVENUE 900099 41566 41566 41566 742178314 741573303 387734 217277 X 1246864 1246864 4392453 1861396 2531057 14831435 12145873 2685562 622262 477461 144801 2645528 1971751 673777 1343725 1031727 311998 20386028 19485130 900898 1145232 1145232 18700 18700 672868554 672868554 1730394 1730394 2881899 1559591 1322308 5248919 4965100 283819 1594312 1594312 52785 31629 21156 460203 377915 82288 106933 106933 1612760 1612061 699 305141 305141 AFFORDABLE CARE ACT FEE 6344920 6344920 TAXES 480997 480997 DMHC FEES 283310 283310 BAD DEBT EXPENSE 50000 50000 740653354 730531059 10122295 0 36687228 39886087 5361502 4973609 8275009 9431807 2201330 5157783 13023758 10483485 3907384 2540273 2524390 3283678 15066429 16284181 74023272 81557418 5110576 12636726 16348891 14372938 3662460 8176423 37662888 33596207 62784815 68782294 X 11238457 12775124 11238457 12775124 74023272 81557418 1524960 11707 0 X 0 1 X 1 0 1 0 0 500229 410395 89834 10861520 9197064 1664456 1662009 876026 785983 2540273 PHARMACY REBATES 7696291 ACA RISK ADJUSTMENT 3345658 HELD RATE RECEIVABLE 576251 ESI PRICING CREDITS 303357 NATIONCARE RECEIVABLE 604668 INCOME TAX RECEIVABLE 216468 RISK CORRIDOR 1871961 OTHER ASSETS 1669527 16284181 IBNR 5107621 CLAIMS PAYABLE 7782425 MEDICAL COST PAYABLE 8910727 CAPITATION PAYABLE 11795434 33596207 X 742012422 11707 11707 742000715 177599 177599 742178314 740475755 -177599 -177599 740653354 0 740653354 PART X, LINE 2: SIGNIFICANT JUDGMENT IS REQUIRED IN APPLYING THE PRINCIPLES OF ASC SUBTOPIC 740-10. THE CALCULATION OF THE PROVISION FOR INCOME TAXES INVOLVES DEALING WITH UNCERTAINTIES IN THE APPLICATION OF COMPLEX TAX LAWS AND REGULATIONS. IN DETERMINING THE ADEQUACY OF THE PROVISION FOR INCOME TAXES, THE COMPANY REGULARLY ASSESSES THE POTENTIAL SETTLEMENT OUTCOMES RESULTING FROM INCOME TAX EXAMINATIONS. HOWEVER, THE FINAL OUTCOME OF THE TAX EXAMINATIONS, INCLUDING THE TOTAL AMOUNT PAYABLE OR THE TIMING OF ANY SUCH PAYMENTS UPON RESOLUTION OF THESE ISSUES, CANNOT BE PREDICTED WITH CERTAINTY. IN ADDITION, THE COMPANY CANNOT BE CERTAIN THAT SUCH AMOUNT WILL NOT BE MATERIALLY DIFFERENT THAN THAT WHICH IS REFLECTED IN THE COMPANY'S HISTORICAL INCOME TAX PROVISIONS AND ACCRUALS. SHOULD THE IRS OR OTHER TAX AUTHORITIES ASSESS ADDITIONAL TAXES AS A RESULT OF A FUTURE EXAMINATION, THE COMPANY MAY BE REQUIRED TO RECORD CHARGES TO OPERATIONS IN FUTURE PERIODS THAT COULD HAVE A MATERIAL IMPACT ON THE RESULTS OF OPERATIONS, FINANCIAL POSITION, OR CASH FLOWS IN THE APPLICABLE PERIOD OR PERIODS. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL INCOME 139,600. NATIONCARE INCOME 52,612. RENTAL EXPENSE -14,613. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL INCOME -139,600. NATIONCARE INCOME -52,612. RENTAL EXPENSE 14,613. 1 THE UNIVERSITY FOUNDATION 6000 J STREET SACRAMENTO CA 95819 943001359 501(C)(3) 150000 GIOBAL ENTREPRENEURSHIP WEEK AND ENTREPRENEURSHIP AND INNOVATION AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 952314596 135613797 501(C)(3) 115000 HEALTH INITIATIVE SACRAMENTO BALLET ASSOCIATION 2420 N STREET SUITE 100 SACRAMENTO CA 95816 941674349 501(C)(3) 103000 ARTS EDUCATION AND OUTREACH GREATER SACRAMENTO AREA ECONOMIC COUNCIL 400 CAPITOL MALL SUITE 2500 SACRAMENTO CA 95814 465517841 501(C)(3) 100000 LEADERSHIP INITIATIVE SACRAMENTO REGION COMMUNITY FOUNDATION 955 UNIVERSITY AVENUE SACRAMENTO CA 95825 942891517 501(C)(3) 100000 GENERAL PURPOSE CROCKER ART MUSEUM 216 O STREET SACRAMENTO CA 95814 942552486 501(C)(3) 80000 EDUCATION AND OUTREACH B STREET THEATRE 2711 B STREET SACRAMENTO CA 95816 954047805 501(C)(3) 70000 MAINSTAGE SERIES SPONSORSHIP B STREET THEATRE GRANT 2711 B STREET SAC SACRAMENTO CA 95816 954047805 501(C)(3) 70000 THEATER FOR CHILDREN INC, CRISTO REY HIGH SCHOOL SACRAMENTO 8475 JACKSON ROAD SACRAMENTO CA 95826 043832927 501(C)(3) 40000 STUDENT OUTREACH AND WORKPLACE ASSISTANCE PROGRAM CRISTO REY HIGH SCHOOL SACRAMENTO WORK STUDY INC 8475 JACKSON ROAD SACRAMENTO CA 95826 412191660 501(C)(3) 27000 STUDENT OUTREACH AND WORKPLACE ASSISTANCE PROGRAM MERISTEM AUTISM PLEDGE 9200 FAIR OAKS BLVD FAIR OAKS CA 95268 471411177 501(C)(3) 25000 FOR AUTISM RESEARCH VALLEY VISION 3400 THIRD AVENUE SACRAMENTO CA 94817 943214572 501(C)(3) 25000 IMPROVING THE LIVABILITY OF THE SACRAMENTO REGION. DOWNTOWN SACRAMENTO PARTNERSHIP INC 980 9TH STREET SUITE 400 SACRAMENTO CA 95814 680270320 501(C)(6) 24315 DOWNTOWN HOLIDAY ICE RINK KVIE CAMPAIGN 2030 W EL CAMINO AVE SACRAMENTO CA 95833 941421463 501(C)(3) 20000 GENERAL PURPOSE WOODLAND HEALTHCARE FOUNDATION 1321 COTTONWOOD STREET SUITE 207 WOODLAND CA 95695 941196203 501(C)(3) 20000 TO IMAGING AND SURGICAL SERVICES CAMPAIGN YOLO FOOD BANK 233 HARTER AVENUE WOODLAND CA 95776 237111782 501(C)(3) 20000 TO SUPPORT THE END HUNGER YOLO CAPITAL CAMPAIGN BREATHE CALIFORNIA OF SACRAMENTO 909 12TH STREET SACRAMENTO CA 95814 941641240 501(C)(3) 16850 BREATHE CA BIKE TREK EDUCATION AND OUTREACH FOR CLEAN AIR/SMOKING SONOMA MEDIA INVESTMENTS LLC 427 MENDOCINO AVENUE SANTA ROSA CA 95401 454946776 16230 SPONSORSHIP OF VARIOUS EVENTS THROUGH THE NORTH BAY BUSINESS JOURNAL THROUGHOUT THE YEAR CROCKER ART MUSEUM ASSOCIATION 216 O STREET SACRAMENTO CA 95814 942552486 501(C)(3) 20000 CROCKER BALL SPONSORSHIP AMERICAN LEADERSHIP FORUM MOUNTAIN VALLEY CHAPTER 1601 RESPONSE ROAD SUITE 350 SACRAMENTO CA 95815 911792774 501(C)(3) 12500 LOCAL LEADERSHIP EDUCATION PROGRAM DEL PASO BOULEVARD FOUNDATION INC 1219 DEL PASO BLVD SACRAMENTO CA 95815 205541333 501(C)(3) 10000 GENERAL SUPPORT GREATER SACRAMENTO URBAN LEAGUE 3725 MARYSVILLE BLVD SACRAMENTO CA 95838 941686314 501(C)(3) 10000 SECURE ECONOMIC SELF-RELIANCE, PARITY, POWER AND CIVIL RIGHTS ACADEMY OF FRIENDS SPONSORSHIP 650 FIFTH STREET SUITE 408 SAN FRANCISCO CA 94107 943064135 501(C)(3) 7688 AIDS RESEARCH BIG BROTHERS BIG SISTERS OF THE GREATER 1540 ROVER PARK DRIVE SACRAMENTO CA 95815 941559583 501(C)(3) 5500 MENTORING RELATIONSHIPS FOR YOUTH 22 2 PART I, LINE 2: WHA'S MANAGEMENT TEAM EVALUATES POTENTIAL DONATIONS TO OUTSIDE ORGANIZATIONS TAKING INTO ACCOUNT HOW THE OUTSIDE ORGANIZATION ALIGNS WITH WHA'S MISSION. GRANT RECIPIENTS ARE TYPICALLY WELL-KNOWN ORGANIZATIONS WITH A STRONG REPUTATION FOR DOING GOOD WITHIN THE COMMUNITY. GRANTS ARE MADE FOR GENERAL SUPPORT OR SPECIFIC PROJECTS THAT FURTHER THE OUTSIDE ORGANIZATION'S MISSION OF BENEFITING THE COMMUNITY. GRANTS ARE MADE AFTER REVIEW OF A WRITTEN APPLICATION, REVIEWED BY THE GRANT COMMITTEE AND WRITTEN AGREEMENT WITH WHA. X X 1 0 X X X X 0 1 0 0 0 0 0 1 0 GARRY MAISEL CHIEF EXECUTIVE OFFICER 829685 0 206000 0 66803 0 105472 0 22635 0 1230595 0 0 0 MARIETTE RUECKER TREASURER AND CFO 481600 0 151470 0 10114 0 41310 0 12826 0 697320 0 0 0 DONALD HUFFORD CHIEF MEDICAL OFFICER (THRU 03/2020) 349871 0 97721 0 12261 0 45307 0 27792 0 532952 0 0 0 REBECCA DOWNING CHIEF LEGAL OFFICER 247350 0 69025 0 2554 0 32756 0 27596 0 379281 0 0 0 GLENN HAMBURG CHIEF INFORMATION OFFICER 242481 0 67423 0 19605 0 31260 0 3626 0 364395 0 0 0 KEITH HOWES THRU 022020 CHIEF HUMAN RESOURCES OFFICER 217491 0 61463 0 29701 0 28496 0 17411 0 354562 0 0 0 FREDERICK HERON CHIEF EXPERIENCE OFFICER 220996 0 57500 0 14852 0 28750 0 26308 0 348406 0 0 0 WILLIAM FIGENSHU CHIEF SALES OFFICER (THRU 7/2020) 174651 0 85429 0 50303 0 5925 0 15093 0 331401 0 0 0 GARY PLUNDO MEDICAL DIRECTOR 271213 0 24586 0 4953 0 11200 0 16024 0 327976 0 0 0 ELIZABETH HARGETT SALES DIRECTOR 144816 0 40764 0 12312 0 8097 0 26632 0 232621 0 0 0 MARY INGRAM ACTUARIAL SERVICES DIRECTOR 181185 0 16130 0 783 0 7893 0 21387 0 227378 0 0 0 YVETTE CROCKELL PHARMACY DIRECTOR 178898 0 16041 0 1708 0 7745 0 22564 0 226956 0 0 0 MICHELE LEHUTA GOVERNMENT PROGRAMS DIRECTOR 157633 0 32040 0 15076 0 8159 0 8739 0 221647 0 0 0 JEFFREY CINCIARELLI CHIEF SALES OFFICER 165923 0 0 0 3690 0 16615 0 9282 0 195510 0 0 0 ALI DARUGAR FORMER CHIEF INFORMATION OFFICER 70359 0 0 0 31981 0 4175 0 7665 0 114180 0 0 0 PART I, LINE 1A WHA PAID $135 EACH FOR YEARLY HEALTH CLUB DUES FOR TWO OFFICERS, SIX KEY EMPLOYEES, AND TWO HIGHEST COMPENSATED EMPLOYEES LISTED ON FORM 990 PART VII. THESE AMOUNTS HAVE BEEN INCLUDED AS TAXABLE BENEFITS IN ON THE EMPLOYEES' 2019 W-2S. CLUB DUES HAVE BEEN PAID BY WHA FOR BUSINESS USE BY ONE OFFICER. AS THE USE OF THIS CLUB IS FOR BUSINESS USE ONLY AND NOT FOR PERSONAL USE, NO AMOUNT HAS BEEN INCLUDED AS TAXABLE COMPENSATION TO THE OFFICER. SPOUSAL TRAVEL FOR PURPOSES OF ATTENDING A BUSINESS EVENT WAS PROVIDED TO THE SPOUSES ACCOMPANYING 5 PERSONS LISTED ON FORM 990, PART VII, SECTION A. THE ATTENDANCE OF THE SPOUSES WAS DETERMINED TO BE A BUSINESS EXPENSE AND THUS NOT INCLUDED IN THE TAXABLE INCOME FOR THOSE LISTED INDIVIDUALS. PART I, LINE 4B THE ORGANIZATION HAS A 457(F) PLAN WHEREBY PARTICIPANTS VEST AFTER 5 YEARS, WITH IMMEDIATE VESTING UPON DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT CAUSE. THE FOLLOWING INDIVIDUALS PARTICIPATE IN THE 457(F) PLAN IN THE 2019 CALENDAR YEAR: GARRY MAISEL, RECEIVING A CONTRIBUTION OF $94,272, NO DISTRIBUTION MARIETTE RUECKER, RECEIVING A CONTRIBUTION OF $30,110, NO DISTRIBUTION DONALD HUFFORD, RECEIVING A CONTRIBUTION OF $34,107, NO DISTRIBUTION REBECCA DOWNING, RECEIVING A CONTRIBUTION OF $21,556, NO DISTRIBUTION GLENN HAMBURG, RECEIVING A CONTRIBUTION OF $20,060, NO DISTRIBUTION KEITH HOWES, RECEIVING A CONTRIBUTION OF $17,296 , NO DISTRIBUTION FREDERICK HERON, RECEIVING A CONTRIBUTION OF $17,550, NO DISTRIBUTION JEFFREY CINCIARELLI, RECEIVING A CONTRIBUTION OF $16,615, NO DISTRIBUTION PART I, LINE 7 BONUSES/INCENTIVES ARE BASED ON AN INDIVIDUAL'S PERFORMANCE AND ARE DISCRETIONARY BASED ON MEETING ESTABLISHED GOALS. FORM 990, PART VI, SECTION A, LINE 6 DIGNITY COMMUNITY CARE AND NORTHBAY HEALTHCARE GROUP ARE MEMBERS OF WESTERN HEALTH ADVANTAGE. FORM 990, PART VI, SECTION A, LINE 7A DIGNITY COMMUNITY CARE AND NORTHBAY HEALTHCARE GROUP HAVE RIGHTS TO ELECT AND REMOVE MOST BOARD MEMBERS. WHA IS A COMMUNITY HEALTH PLAN CONTROLLED BY ITS TWO MEMBERS, BOTH OF WHICH ARE HEALTH SYSTEMS TAX EXEMPT UNDER 501(C)(3). THE MEMBER HEALTH SYSTEMS CONTROL THE APPOINTMENT OF SIX OUT OF EIGHT MEMBERS TO THE BOARD OF DIRECTORS OF WHA, WITH THE SEVENTH MEMBER BEING ELECTED BY A MAJORITY OF THE OTHER DIRECTORS AND THE EIGHTH MEMBER BEING THE PRESIDENT SERVING ON THE BOARD EX OFICIO. FORM 990, PART VI, SECTION A, LINE 7B DIGNITY COMMUNITY CARE AND NORTHBAY HEALTHCARE GROUP RETAIN THE APPROVAL RIGHTS AFFORDED MEMBERS FOR CERTAIN SIGNIFICANT TRANSACTIONS (E.G. CHANGE IN BYLAWS). FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS REVIEWS THE FORM 990 BEFORE THE RETURN IS FILED. THE ORGANIZATION'S CFO AND FINANCE DIRECTOR WORK CLOSELY WITH AN OUTSIDE ACCOUNTING FIRM TO PREPARE AND REVIEW THE RETURN. A COMPLETE COPY OF FORM 990 IS PROVIDED TO THE ENTIRE BOARD PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, THE ORGANIZATION DISTRIBUTES CONFLICT OF INTEREST QUESTIONNAIRES WHICH THE BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES COMPLETE AND RETURN. THE CHIEF LEGAL OFFICER OF THE ORGANIZATION REVIEWS THE RETURNED FORMS FOR COMPLIANCE. IF A CONFLICT IS REPORTED IT WOULD BE HANDLED IN ACCORDANCE WITH THE CONFLICTS OF INTEREST POLICY, WHICH REQUIRES INDIVIDUALS WITH A POTENTIAL CONFLICT TO RECUSE THEMSELVES FROM THE BOARD'S DELIBERATIONS ON THE ISSUE OF CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS REVIEWS THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND AUTHORIZES THE CEO TO APPROVE COMPENSATION OF THE OTHER CHIEF LEVEL EMPLOYEES WITH THE CAVEAT THAT ALL COMPENSATION OF THE CHIEF LEVEL EMPLOYEES MUST BE WITHIN THE RECOMMENDATIONS OF THE INDEPENDENT COMPENSATION REPORT. A WRITTEN POLICY REQUIRES THAT THE BOARD DETERMINE THAT COMPENSATION IS REASONABLE TO WHA BASED UPON INFORMATION SUFFICIENT TO DETERMINE WHETHER THE VALUE OF SERVICES IS THE AMOUNT THAT WOULD ORDINARILY BE PAID FOR LIKE SERVICES BY LIKE ENTERPRISES, WHETHER TAXABLE OR TAX EXEMPT. UNDER LIKE CIRCUMSTANCES RELEVANT INFORMATION INCLUDES, BUT IS NOT LIMITED TO, COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA OF THE APPLICABLE TAX EXEMPT ORGANIZATION, CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS, AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE DISQUALIFIED PERSON. THE BOARD MUST ALSO MAKE A FINDING THAT COMPENSATION TO THE CEO AND CFO IS JUST AND REASONABLE. ANY MEMBERS OF THE BOARD WHO HAVE A CONFLICT CANNOT BE INCLUDED IN THE DECISION MAKING. FORM 990, PART VI, SECTION C, LINE 19 WHILE FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION, THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CAPITATION EXPENSE: PROGRAM SERVICE EXPENSES 543,915,766. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 543,915,766. CLAIMS EXPENSE: PROGRAM SERVICE EXPENSES 117,173,381. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 117,173,381. MEDICAL ADMINISTRATION: PROGRAM SERVICE EXPENSES 11,779,407. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,779,407. WESTERN HEALTH ADVANTAGE COMMUNITY 2349 GATEWAY OAKS FRNE SUITE 100 SACRAMENTO CA 95833 870748090 INACTIVE CA C 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0