WHITE MEMORIAL MEDICAL CENTER: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- WHITE MEMORIAL MEDICAL CENTER (EIN 95-2282647)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-12
- IRS object ID
- 201943169349303619
- Schema version
- 2018v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-12T11:01:39-08:00 | ReturnTs |
| Tax Period End | 2018-12-31 | 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 | 330 N BRAND BLVD STE 200 | AddressLine1Txt |
| City | GLENDALE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 912032361 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | 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 |
| 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 | Blin Richards | PersonNm |
| Person Title | Financial Officer | PersonTitleTxt |
| Signature | 2019-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | 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 | $508,529,058 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| 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 | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 2363 | TotalEmployeeCnt |
| Total Volunteers | 350 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $153,857 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,827,479 | PYContributionsGrantsAmt |
| CY Contributions Grants | $45,079,247 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $495,577,417 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $452,655,745 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,465,108 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,844,129 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,484,665 | PYOtherRevenueAmt |
| CY Other Revenue | $293,118 | CYOtherRevenueAmt |
| PY Total Revenue | $514,354,669 | PYTotalRevenueAmt |
| CY Total Revenue | $507,872,239 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $345,997 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,277,910 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $166,262,819 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $170,088,268 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $753,363 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $262,136,889 | PYOtherExpensesAmt |
| CY Other Expenses | $256,196,305 | CYOtherExpensesAmt |
| PY Total Expenses | $428,745,705 | PYTotalExpensesAmt |
| CY Total Expenses | $427,562,483 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $85,608,964 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $80,309,756 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $750,499,758 | TotalAssetsBOYAmt |
| Total Assets EOY | $791,000,100 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $140,002,581 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $100,193,167 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $610,497,177 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $690,806,933 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Living Gods love by inspiring health, wholeness and hope. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $352,623,345 | ExpenseAmt |
| Grant | $1,277,910 | GrantAmt |
| Revenue | $451,318,185 | RevenueAmt |
| Desc | White Memorial Medical Center (AHWM) provides quality medical health care regardless of race, creed, sex, national origin, handicap, age, or ability to pay.Although reimbursement for services rendered is critical to the operation and stability 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 will be considered when individuals who need health care cannot pay:providing free care and/or subsidized careproviding care to persons covered by governmental programs at below costproviding health/wellness activities and community education programsNot only does 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 2018 was $1,269,346.The following Inpatient services that were provided to all our patients. These services included: 3,444 Babies delivered 3,368 Surgeries performed 85,072 Patient days The following Outpatient services that were provided to all our patients. These services included:63,375 Emergency department visits5,050 Outpatient Surgeries performed87,614 Outpatient visits 42,738 Clinic visitsAHWM recognizes it has an obligation to provide human services above and beyond its role as a healing facility. The following community benefits demonstrate the tangible ways in which the organization is fulfilling its mission. The total unreimbursed cost of these community benefits in 2018 was $24,270,568.Adventist Healths mission statement of Living God's 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 God's image has experienced the best health today, hope for tomorrow, and God's love that endures forever.This is best illustrated by the following story:Tanya Piazza knowsfirsthanda wonderful truth about philanthropy: It can change lives!She knows this because, just over a decade ago, she was a single mom who was picking tomatoes in the fields during the day, sleeping on the floor at night and, as she says, literally counting pennies. Today,Tanya Piazza, MSN/INF, MSN/Ed, RN, PHN, ENPC, TNCC, is a highly respected registered nurse with two masters degrees whose skill and hard work have led her to her current role as RN Residency Program Manager at Adventist Health White Memorial.What made the difference between Tanyas former life and her life today? It was, primarily, the Adventist Health White Memorial/TELACU Health Careers Program. This partnership, which started in 2002 with four years of generous funding from UniHealth Foundation, provides stipends and scholarships for young people to use for the education and testing required to become a registered nurse. Just as important, the program offers the culturally-sensitive support, mentoring, professionaldevelopment, and tools people often need to push through the challenges of pursuing higher education.That was the case for Gloria Santamaria, MSN, RN, who once believed her dream of becoming a nurse would never become reality. I had family members who told me I wasnt smart enough to be a nurse or that I really didnt want to be a nurse, she says.Gloria worked as a medical assistant and a secretary, and she went to college. But then family finances became an issue, and she once again saw her dream slipping away. One day, she attended a TELACU presentation at Rio Hondo College, and hope came charging back into her life! TELACU came along at a time when I thought I was going to have to quit college, she says.The financial help was, in Glorias words, a game-changer. Nearly a decade later, shelike Tanya and so many other graduates of the Health Careers Programhas become a highly-valued member of the leadership team at Adventist Health White Memorial, running two programs that help to ensure employees are working at their highest potential.This AHWM TELACU partnership not only changes the lives of those who complete the program, but also improves the care of our 90% Hispanic patients by offering culturally competent nurses who understand more than just Spanish. The entire community benefits, too, as our graduates buy homes, support local businesses, and give back to this community they love in other ways. Also, graduates go on to mentor and influence future generations of medical professionals.It is a huge investment in our lives. I am so thankful and, as a result, I have a huge sense of loyalty to White Memorial and TELACU, says Tanya.AHWM invites you to partner with us in building on our legacy of primary care and our unwavering pursuit of excellence in quality, innovation and service. For more information on the work that we do, please visit www.adventisthealth.org/whitememorial.Websites for our community benefit information: https://www.adventisthealth.org/about-us/community-benefit/ | Desc |
| Total Program Service Expenses | $352,623,345 | 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 |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| 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 | false | 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 |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | false | RelatedOrganizationCtrlEntInd |
| 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 | 2363 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| 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 |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | 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 | Jay Lipps | PersonNm |
| Phone | 9164061092 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Banks David | |||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $27,260 | $0 | |||
| Cherry Robert | |||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $25,126 | $0 | |||
| Davis Andrew | |||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $24,002 | $0 | |||
| Freedman John | |||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $718 | $0 | |||
| Gabriel Melody | |||||||||
| Dir Thru 12/18 | 0.00 | 4.00 | Yes (X) | $0 | $20,464 | $0 | |||
| Graham Ricardo | |||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $1,442 | $0 | |||
| Heinrich Kerry | |||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $20,485 | $0 | |||
| Innocent Larry | |||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $31,885 | $0 | |||
| Pedersen James | |||||||||
| Dir Thru 7/18 | 0.00 | 4.00 | Yes (X) | $0 | $3,625 | $0 | |||
| Reiner Richard | |||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $27,964 | $0 | |||
| Rippey Wesley | |||||||||
| Dir Thru 5/18 | 0.00 | 50.00 | Yes (X) | $0 | $623,943 | $47,568 | |||
| Salazar Velino | |||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $1,542 | $0 | |||
| Scott Reiner | |||||||||
| Dir/Chair | 0.00 | 50.00 | Yes (X) | $0 | $2,458,436 | $44,472 | Yes (X) | ||
| Wing Bill | |||||||||
| Dir/VCH/Asst Se | 0.00 | 50.00 | Yes (X) | $0 | $1,875,310 | $49,315 | Yes (X) | ||
| Jobe Meredith | |||||||||
| Secretary | 0.00 | 50.00 | $0 | $666,615 | $38,328 | Yes (X) | |||
| Raffoul John | |||||||||
| President | 50.00 | 0.00 | $0 | $842,389 | $442,687 | Yes (X) | |||
| Richards Blin | |||||||||
| FO/Asst Sec VP | 50.00 | 0.00 | $0 | $378,700 | $37,876 | Yes (X) | |||
| Wagner Jack | |||||||||
| A Sec Thru 3/18 | 0.00 | 50.00 | $0 | $1,332,907 | $34,076 | Yes (X) | |||
| Reppert Joseph | |||||||||
| CFO | 0.00 | 50.00 | $0 | $953,615 | $46,846 | Yes (X) | |||
| Zachary Beth | |||||||||
| President SCR | 12.50 | 37.50 | $0 | $1,310,581 | $42,365 | Yes (X) | |||
| Jahn Andrew | |||||||||
| President SCR | 12.50 | 37.50 | $0 | $1,116,118 | $59,339 | Yes (X) | |||
| Wehtje Ronald | |||||||||
| Finance Officer SCR | 12.50 | 37.50 | $0 | $833,628 | $37,770 | Yes (X) | |||
| Napapetian Arby | |||||||||
| Medical SCR | 12.50 | 37.50 | $0 | $966,535 | $51,169 | Yes (X) | |||
| Burke James | |||||||||
| Medical Officer SCR | 12.50 | 37.50 | $0 | $314,198 | $22,044 | Yes (X) | |||
| Bryant Mara | |||||||||
| Org performance Officer | 50.00 | 0.00 | $0 | $466,752 | $46,614 | Yes (X) | |||
| Bendixen-Chern Mary | |||||||||
| Sr VP Fund Deve/Ex Relations | 50.00 | 0.00 | $0 | $405,683 | $10,413 | Yes (X) | |||
| Milatovich Natasha | |||||||||
| Human Resource Officer | 12.50 | 37.50 | $0 | $398,746 | $29,727 | Yes (X) | |||
| Stone Patricia | |||||||||
| Chief Nursing Officer | 50.00 | 0.00 | $0 | $399,103 | $19,766 | Yes (X) | |||
| Schwarz Greg | |||||||||
| Bus Dev Officer | 50.00 | 0.00 | $0 | $336,306 | $44,930 | Yes (X) | |||
| Hansberger Karen | |||||||||
| Medical Affairs Officer | 50.00 | 0.00 | $0 | $527,527 | $28,261 | Yes (X) | |||
| Fargo Roland | |||||||||
| Reg Physician Ops Officer | 0.00 | 50.00 | $0 | $597,899 | $32,932 | Yes (X) | |||
| Miller Elizabeth | |||||||||
| Care MNGT Officer | 50.00 | 0.00 | $0 | $379,618 | $38,085 | Yes (X) | |||
| Nguyen Thao | |||||||||
| Director Pharmacy | 50.00 | 0.00 | $270,270 | $0 | $47,475 | Yes (X) | |||
| Velazquez Jesus | |||||||||
| RN | 50.00 | 0.00 | $241,915 | $0 | $22,869 | Yes (X) | |||
| Cota Stephanie | |||||||||
| Admin Dir-Emerg Sv | 50.00 | 0.00 | $220,790 | $0 | $21,565 | Yes (X) | |||
| Armendariz Cesar | |||||||||
| Admin Dir-Comm Int | 50.00 | 0.00 | $219,090 | $0 | $30,503 | Yes (X) | |||
| Saad John | |||||||||
| Director, Pre-op | 50.00 | 0.00 | $218,525 | $0 | $38,129 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,170,590 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $17,369,122 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,365,124 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 453 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | 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 |
|---|---|---|---|---|---|
| Shiftwise Inc | |||||
| 1800 SW 1st Ave Ste 510 | Portland | OR | 97201 | Registry Services | $5,865,985 |
| White Memorial Medical Group Inc | |||||
| 1701 Cesar E Chavez Ave Ste 510 | Los Angeles | CA | 90033 | Medical Services | $2,152,622 |
| FCS Medical Corporation | |||||
| 1701 Cesar Chavez Ave | Los Angeles | CA | 90033 | Medical Services | $2,090,000 |
| Consultants For Anesthesia | |||||
| 521 Caruso Avenue | Glendale | CA | 91210 | Medical Services | $1,919,726 |
| Faculty Physicians And Surgeons | |||||
| 11175 Campus St Ste 11120 | Loma Linda | CA | 92350 | Medical Services | $1,333,800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 49 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $42,119,805 | GovernmentGrantsAmt |
| All Other Contributions | $2,959,442 | AllOtherContributionsAmt |
| Total Contributions | $45,079,247 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Dietary | 722210 | $2,096,390 | $2,096,390 | |
| Other Prog Svc Rev | 900099 | $1,639,667 | $665,808 | $973,859 |
| Patient Svc Revenue | 621110 | $442,606,452 | $442,606,452 | |
| Rental Income-Pgm Svc | 531120 | $6,313,236 | $6,313,236 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $452,655,745 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,500,948 | TotalRevenueColumnAmt |
| Exclusion | $10,500,948 | 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 |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $656,819 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$656,819 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$656,819 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$656,819 | 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 |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Value Change-Net Asset | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $293,118 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $293,118 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $293,118 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $507,872,239 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $451,318,185 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $11,474,807 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,277,910 | TotalAmt |
| Program Services | $1,277,910 | 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 | $138,527,583 | TotalAmt |
| Program Services | $124,167,470 | ProgramServicesAmt |
| Management And General | $13,776,003 | ManagementAndGeneralAmt |
| Fundraising | $584,110 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,690,453 | TotalAmt |
| Program Services | $4,229,005 | ProgramServicesAmt |
| Management And General | $435,918 | ManagementAndGeneralAmt |
| Fundraising | $25,530 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,791,762 | TotalAmt |
| Program Services | $15,254,150 | ProgramServicesAmt |
| Management And General | $1,459,709 | ManagementAndGeneralAmt |
| Fundraising | $77,903 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,078,470 | TotalAmt |
| Program Services | $9,198,376 | ProgramServicesAmt |
| Management And General | $840,837 | ManagementAndGeneralAmt |
| Fundraising | $39,257 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,764,544 | TotalAmt |
| Program Services | $1,524,910 | ProgramServicesAmt |
| Management And General | $21,239,634 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,128 | TotalAmt |
| Management And General | $16,128 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $22,654,314 | TotalAmt |
| Program Services | $21,350,862 | ProgramServicesAmt |
| Management And General | $1,302,202 | ManagementAndGeneralAmt |
| Fundraising | $1,250 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,074,761 | TotalAmt |
| Management And General | $1,074,761 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,539,965 | TotalAmt |
| Program Services | $1,669,838 | ProgramServicesAmt |
| Management And General | $865,422 | ManagementAndGeneralAmt |
| Fundraising | $4,705 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,638,950 | TotalAmt |
| Program Services | $3,115,750 | ProgramServicesAmt |
| Management And General | $14,521,673 | ManagementAndGeneralAmt |
| Fundraising | $1,527 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,011,504 | TotalAmt |
| Program Services | $16,296,424 | ProgramServicesAmt |
| Management And General | $1,715,080 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $477,872 | TotalAmt |
| Program Services | $231,546 | ProgramServicesAmt |
| Management And General | $242,746 | ManagementAndGeneralAmt |
| Fundraising | $3,580 | 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 | $278,972 | TotalAmt |
| Program Services | $213,532 | ProgramServicesAmt |
| Management And General | $65,440 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $804,762 | TotalAmt |
| Program Services | $804,737 | ProgramServicesAmt |
| Management And General | $25 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,138,333 | TotalAmt |
| Program Services | $18,036,802 | ProgramServicesAmt |
| Management And General | $101,531 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$31,763 | TotalAmt |
| Program Services | -$31,763 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Pt Care Supplies | $54,573,222 | $53,363,646 | $1,209,576 |
| Purchased Services | $36,885,009 | $34,979,554 | $1,905,455 |
| Qual Assur Hosp Fee | $35,262,761 | $35,262,761 | |
| Revenue Cycle Fees | $13,079,906 | $35,124 | $13,044,782 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,027,065 | TotalAmt |
| Program Services | $11,642,711 | ProgramServicesAmt |
| Management And General | $368,853 | ManagementAndGeneralAmt |
| Fundraising | $15,501 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $427,562,483 | TotalAmt |
| Program Services | $352,623,345 | ProgramServicesAmt |
| Management And General | $74,185,775 | ManagementAndGeneralAmt |
| Fundraising | $753,363 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $822,164 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $427,733,339 | BOYAmt |
| EOY | $332,669,220 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $976,694 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,696,931 | BOYAmt |
| EOY | $56,421,745 | 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 | $5,598,713 | BOYAmt |
| EOY | $5,698,792 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $965,349 | BOYAmt |
| EOY | $1,139,944 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $408,735,470 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $256,878,388 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $158,766,508 | BOYAmt |
| EOY | $151,857,082 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,112,192 | BOYAmt |
| EOY | $2,875,365 | 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 | $5,873,974 | 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 | $101,454,562 | BOYAmt |
| EOY | $233,137,284 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $750,499,758 | BOYAmt |
| EOY | $791,000,100 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,597,754 | BOYAmt |
| EOY | $33,326,950 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,027,513 | BOYAmt |
| EOY | $13,552,177 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,377,314 | BOYAmt |
| EOY | $53,314,040 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,002,581 | BOYAmt |
| EOY | $100,193,167 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $606,577,414 | BOYAmt |
| EOY | $685,282,000 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,919,763 | BOYAmt |
| EOY | $5,524,933 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $610,497,177 | BOYAmt |
| EOY | $690,806,933 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $750,499,758 | BOYAmt |
| EOY | $791,000,100 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $80,309,756 | ReconcilationRevenueExpnssAmt |
| 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 | false | FederalGrantAuditRequiredInd |
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 | $160,726 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $160,726 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1i - Other Activities Description | FormAndLineReferenceDesc |
| Explanation | The organization belongs to industry and professional associations for which a portion of the membership dues is used for lobbying activities. Expenditures to Noteware, Mark Nobili 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| 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 |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,161,470 | BeginningYearBalanceAmt |
| Contributions | $4,418,182 | ContributionsAmt |
| Investment Earnings Or Losses | $209 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,660,098 | OtherExpendituresAmt |
| End Year Balance | $3,919,763 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,494,397 | BeginningYearBalanceAmt |
| Contributions | $4,264,197 | ContributionsAmt |
| Other Expenditures | $4,597,124 | OtherExpendituresAmt |
| End Year Balance | $5,161,470 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,720,273 | BeginningYearBalanceAmt |
| Contributions | $4,106,539 | ContributionsAmt |
| Other Expenditures | $4,332,415 | OtherExpendituresAmt |
| End Year Balance | $5,494,397 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,297,595 | BeginningYearBalanceAmt |
| Contributions | $3,594,787 | ContributionsAmt |
| Other Expenditures | $3,172,109 | OtherExpendituresAmt |
| End Year Balance | $5,720,273 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.18000 | BoardDesignatedBalanceEOYPct |
| Term Endowment Balance EOY | 0.82000 | 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 | $293,339,143 | OtherCostOrOtherBasisAmt |
| Depreciation | $176,461,879 | DepreciationAmt |
| Book Value | $116,877,264 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $96,733,045 | OtherCostOrOtherBasisAmt |
| Depreciation | $74,913,862 | DepreciationAmt |
| Book Value | $21,819,183 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,035,811 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,502,647 | DepreciationAmt |
| Book Value | $10,533,164 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $151,857,082 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Assets | $123,837,433 |
| Other Receivables | $350,673 |
| Receivables from Related Organizations | $19,049,123 |
| Receivables from Third-Party Payors | $89,900,055 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $233,137,284 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Other Liabilities | $8,907,708 |
| Payables to Related Organizations | $39,230,371 |
| Workers Comp Payable | $5,175,961 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $53,314,040 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Line 4: Intended uses of the endowment fund. | FormAndLineReferenceDesc |
| Explanation | Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended. | ExplanationTxt |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants To Org Outside US GrantsToOrgOutsideUSGrp (2 entries)
| RegionRegionTxt | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt | Description Of Non Cash AsstDescriptionOfNonCashAsstTxt | Valuation Method UsedValuationMethodUsedDesc | Cash GrantCashGrantAmt |
|---|---|---|---|---|---|
| East Asia | Mission Trip | $15,102 | Travel/Supplies | Cost | |
| Latin America | Mission Trip | $15,451 | Travel/Supplies | Cost | $11,100 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Org | 2 | 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 | $1,269,346 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,269,346 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,269,346 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,269,346 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,702,464 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,211 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,692,253 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,451,915 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,932,261 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,519,654 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02930 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,359,771 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,804,724 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,555,047 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02230 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $196,294 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $196,294 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $307,320 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $307,320 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,017,764 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,747,196 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,270,568 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05680 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,287,110 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,747,196 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,539,914 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05980 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,866 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,866 | NetCommunityBenefitExpnsAmt |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,209,422 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,209,422 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00280 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,848 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,848 | NetCommunityBenefitExpnsAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $656,305 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $656,305 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,879,441 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,879,441 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,501,414 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,141,975 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $53,430,923 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $46,340,023 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $7,090,900 | 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) |
|---|---|---|
| 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 | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Form 990, Pg 1, Item J | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | See Sch H Part VI - Needs Assessment | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | 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 |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 | See Sch H Part VI-Patient Education | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Sch H Part VI-Patient Education | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See 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 Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Selling Debt | Yes (X) | PermitSellingDebtInd |
| Collection Activities | Yes (true) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Engaged Legal Judicial Process | Yes (X) | EngagedLegalJudicialProcessInd |
| 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 | Yes (X) | LookBackMedicareInd |
| 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 | Adventist Health White Memorial engaged the community in the CHNA through focus groups and key informant interviews. Seven (7) focus groups surveyed approximately 80 people. The focus groups were held from February to April 2016 and were conducted in Spanish and English. Focus groups participants included medically underserved, low-income, and minority individuals served by the hospital. The focus groups engaged the following community voices:Guadalupe Homeless Project at the Dolores Mission involving theHomeless Healthy Eating Lifestyle Program (HELP) at the Adventist Health White Memorial involving Parents and Children Little Tokyo Service Center at the Little Tokyo Tower Apt. Building involving Senior Residents Mexican American Opportunity Foundation (MAOF) at their facility involving Seniors Second St. Elementary School involving the Parents of attending studentsVive Bin Senior Wellness Program at the White Memorial Medical Center involving Seniors Weingart East Los Angeles YMCA at their facility involving Adult from the YMCA Sixteen (16) key informant interviews were held from February to April 2016. Interviewees were comprised of key leaders from an array of agencies including researchers in Latino community health, local health departments, nonprofit community-based organizations, faith based organizations, and human service agencies. As well, written comments were solicited through the hospitals website, using the feedback link on the page where the CHNA is posted.The hospital facility consulted these community stakeholders for the interviews:Mara BryantVP, Organizational PerformanceAdventist Health White MemorialDan Castillo, MDCEOLAC+USC Medical CenterCstulo de la Rocha, JDPresident and CEOAlta MedHectorFlores, MDFamily Medicine Residency ProgramAdventist Health White MemorialDebra Fong Executive DirectorAsian Pacific Community FundBuilding A Community of Giving Monica GarciaBoard Member District 2Los Angeles Unified School DistrictKaren Hansberger, MDSenior VP, Medical AffairsAdventist Health White MemorialDavid Hayes-Bautista, PhDThe Center for the Study of Latino Health and CultureUCLA School of MedicineRocio HernandezFourteenth Council DistrictCity of Los AngelesBarbara HinesPresident and Chief Executive OfficerQueensCareAnish Mahajan Deputy Director Los Angeles County Department of Health ServicesMonsignor John MorrettaChurch of the ResurrectionJanina Lord Morrison, MD, MPHMedical DirectorThe Wellness Center at Los Angeles County+USC Medical CenterRolandPalenciaCommunity Benefits DirectorLA CareRoderick Shaner, MDLos Angeles County Department of Mental HealthJennifer YbarraProgram Manager Healthy Communities Southern RegionThe California Endowment |
| Facility: - Part V, Section B, Line 7d | The Community Benefit plan of Adventist Health White Memorial can be found at https://www.adventisthealth.org/pages/about-us/community-health-needs-assessments.aspx |
| Facility: - Part V, Section B, Line 11 | 1. Schedule H, Part V, Section B, Line 11Our 2016 CHNA identified three areas of significant needs: access to healthcare & education; chronic disease management; & mental health & substance abuse services. The main goal was to improve the overall health & wellness of our communities through provision of services, community collaboration & innovation. Priority Need 1-Access to healthcare and education with intervention efforts focused on maternal and child health, workforce development & senior care. Interventions: 1. Healthy Easting Lifestyle Program (HELP) educates children & their families on proper nutrition for overweight children to prevent or lessen the effects of weight related health issues. 76% of children & 80% of adults were successful in maintaining or reducing their BMI. Community members served-5182. Jumpstart program is a school based nutritional program for elementary age children that shows the importance of making healthy nutritional choices & offers simple ways to increase physical activity . Program participants based on pre & post test questions completed after each session, increased their knowledge from 60% to 90%. Community members served-4743. Welcome Baby Program-Outreach Program provided for expectant mothers i to educate, support, provide home wellness visits, & connections to community resources. Program participation increased by 6% from parents in our underserved community. Community members served-803 and 4,048 encounters.4. We Care Baby Care ClassTeaches the importance of home environment on developing infants and basic infant care to new & inexperienced parents from our community. Community members served-825. Childbirth (Lamaze) Class-Free classes that educate expectant mothers on safe, effective childbirth techniques. Community members served-3316. Natural NursingBreastfeeding Class-Teaches new mothers proper breastfeeding technique to promote infant health & development. The Lactation Clinic provides additional support to mothers experiencing problems. Participation increased by 6% in 2018. Community members served-2127. Infant CPR and Safety class educates new parents on life saving techniques for infants, proper use of car seats, & tips on home safety. Participation increased by 17% in 2018. Community members served-848. Rainbow Childrens Center-Certified, accredited child care center for children ages 0-5, available at no cost or sliding scale fee based on income to community members and hospital staff. Community members served-859. Cleft Palate Education, outreach & support program for parents, caregivers & families of children diagnosed with cleft lip palate that includes what a diagnosis means, problems that may be encountered such as feeding, ear infections, dentition and speech, bullying, & resources about cleft lip & palate for the first years as well as surgery and treatment options for cleft lip and palate, follow-up care, and oral hygiene. Community members served-35110. Pediatric Mobile Dental Clinic is a free dental clinic for children ages 1 to 18 years. Children receive dental screenings & dental procedures including filings, crowns, tooth extractions & dental sealants. 681 dental office visits & 2,904 procedures & increased participation rates in 2018 by 45% due to extended hours. Community members served-38011. School Based Community Education, Outreach & Health Screenings provide free pre-participation physical assessments for local high school students; provide medical support at community youth sporting events; conduct health screenings; provide classroom education on health topics & educate parents at PTSA meetings. Community members served-69512. Workforce Development & Career Prep presentations at local schools to students to learn about health careers, shadow programs and mentorships for health careers. Community members served-16013. Health Professions Education Programs where training focus is on preparing students to work with an underserved population providing culturally competent care. Residency Programs are in Family Medicine, Internal Medicine, Obstetrics & Gynecology, Podiatry, & Pharmacy. Provide internships to medical students, pharmacy students, nurse practitioner students, & physician assistant students. Community members served-40814. Other Health Professionals education programs provide student internships & mentorship to undergraduate, bachelor, masters, & doctoral level students enrolled at colleges & universities including Nursing, EMT, CLS & Phlebotomy, Radiology, Surgery, Rehabilitation, Social Work, Psychology, Nutrition & Dietetics, Public Health, Respiratory, Child Life, Health Care Administration. Community members served-1,06415. TELACU Nursing Program & COPE Health Extenders program provides opportunity to the community to train in nursing & allied health professions to serve & provide culturally sensitive & competent-in language care. Community members served-15716. Senior Wellness programs provide classes for senior community members including wellness topics, health screenings, activities & workshops, medication counseling, nutrition education healthy food choices, caregiver support, arts and crafts, computer education, ESL classes; oral health, knitting club. Wellness programs are in partnership with YMCA to promote fitness. Community members served-4,32617. Senior Exercise and Strengthening Classes are weekly exercise classes to improve coordination & strength for seniors are provided including: Zumba; Chair Yoga, Stretch & Tone, Folklorico Dance, Tai Chi, Weight Training, Gentle Aerobics, Aqua Aerobics, Latin Dance & exercise for Arthritis &Strengthening. Community members served-15,22518.Information & enrollment assistance for the community, the addition of 35 new primary care, 31 new specialty care & 6 allied health providers in response to our federal designation as serving in a medically underserved area. & Free van transportation from home to appointments, axi vouchers, bus tokens, free parking & parking validations. Community members served-54,367Priority Need 2-Chronic disease management with intervention efforts focused on diabetes, asthma, cardiovascular, respiratory illness, & access to healthy foods. Interventions: 1. Diabetes education & outreach programs that support those who have been diagnosed with diabetes or are at-risk for diabetes helping them & their families manages diabetes. 83% of adults who were diagnosed with diabetes & participated in the educational classes lowered their HbA1c. Community members served-5592. Free glucose screening for those at risk.. Community members served-5083. Gestational diabetes education program for pregnant women with pre-existing diabetes or who have developed diabetes during pregnancy on skills to prevent Type 2 diabetes. 80% of participants attending at least one gestational diabetes self-management education classes delivered normal weight babies. Community members served-4154. Breast & cervical cancer education, screening, outreach support programs - offered at health fairs, community clinics, mobile screening events. Community members served-1,3625. Breast cancer education 101 is a program that provides an overview of breast cancer including types, treatment options resources. Community members served-446. Close the Gap healthcare screenings provide cardiology health risk assessments & screenings & follow up screening for cholesterol, glucose, blood pressure & BMI. Community members served-2337 Cardiac rehabilitation class & wellness program provide the community with daily access to the cardiac rehabilitation gym for fitness. Community members served-608. Community CPR programs & events to educate the community on CPR for adults, children & infants. Community members served: 1509. Community Health Fairs sponsored by AHWM at community sites provided free health screenings, nutritional counseling, dental screenings, exercise, fitness runs and health education. Community members served-14,41810. Wellness tent at the farmers market sponsored by AHWM provided healthy recipes, fitness activities, diabetes screenings, flu shots, enrollment for the CalFresh program, educational resources. Community Members served-2,40011. Healthy cooking demonstrations with recipes, tastings along with access to a community garden with 23 raised garden beds. Community members served-147Priority Need 3-Mental health and substance abuseInterventions:1. Early detection of mental health issues for women through programs to assess symptoms of depression using a screening tool and providing mental health resources. Out of 35% of the participants who were screened for depression and provided an intervention almost 41% had improvement. Community members served-20962. Little Angels outreach program provided monthly support groups for families to help cope and heal from pregnancy loss; annual community candle lighting; butterfly release; and walk to remember. Community members served:2223. Homeless Outreach Wome |
Supplemental Information Detail SupplementalInformationDetail (15 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 described for Part I, Line 7 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. This is an estimate of additional charity care that would have been granted if patients had cooperated by furnishing family financial information. A statistically valid sampling of patient accounts written-off was evaluated. The evaluation used various factors to determine which patients would have been eligible for charity care. Had the hospital obtained sufficient information from all patients who qualified for financial assistance, these additional accounts would have been recorded as charity care instead of bad debt. |
| 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. Since the 1997 Balanced Budget Act, Medicare annual payment updates have fallen behind actual healthcare cost inflation to the point that Medicare payments to many U.S. hospitals are well below the cost of providing care. These unreimbursed costs are a community benefit for seniors and others in the community as these individuals are continuing to receive care without which many would become dependent on other governmental resources such as Medicaid. The benefit to the community for healthier Medicare recipients is no different than those benefits the community realizes for uninsured and underinsured patients who are eligible for partial and full charity care. Medicare is a safety net for seniors and others. Without Medicare coverage, many individuals would undoubtedly qualify for charity care.In addition to the mismatch between Medicare payment increases and healthcare cost inflation, the highly complex Medicare payment systems and formulas produce disparate payment levels from one hospital to another for the same service. These disparate payment levels create disparate results within groups of hospitals.Reconciliation of Medicare Revenue from the hospital's Medicare Cost Report to GL Revenue Rec. *Medicare Cost Report Revenue $55,598,892 Prior Year Settlements 282,089 Cost Report Reimbursable Bad Debts 742,249 Non-Cost Report Revenue 8,368,917 Estimates and Accrual Variances ( 913,353) Other 1,539,690 ___________ Total Medicare Revenue $65,618,484*Note: The Medicare Cost Report revenue does not include the bad debt reimbursement. The Cost Report revenue does include the patient co-pay and deductible amounts. Adding the bad debt reimbursement would have duplicated the revenue already accounted for in the co-pay and deductible amounts. |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | When a patient has requested screening for charity care, the hospital must immediately cease collection activity and place the account in a charity pending status. If 100% charity is approved, the entire account balance is written off to charity care. If the patient has a sliding scale liability based on the federal poverty guidelines, they are billed only for that liability. If the patient fails to pay their after-charity liability, they are assigned to a collection agency with an identifier that indicates to the agency that the patient is "low income" and the following criteria must be followed by the agency:1. They may not report the patient to a credit bureau2. They may not file a lawsuit to recover the outstanding liability3. They may not charge interest |
| Part V - Explanation of Number of Facility Type | The hospital provides outpatient services in multiple locations within its service area. |
| Part VI, Line 2 - Needs Assessment | The hospital's 2016 CHNA, the 2019 Community Health Plan (CHP) for fiscal year 2018, the 2018 Community Health Plan (CHP) Update for fiscal year 2017, and the 2016 Implementation Strategy (adopted in May 2017), which includes the 2016 CHP, are posted on the hospital's website athttps://www.adventisthealth.org/about-us/community-benefit/The CHNA, Implementation Strategy and the CHPs are also available on the Adventist Health Corporate website at https://www.adventisthealth.org/about-us/community-benefit/Hospital leadership serves on a variety of community boards and committees focused on addressing community-specific needs, allowing for ongoing responsiveness 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 www.adventisthealth.org/white-memorial.These 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 | Adventist Health White Memorial (AHWM) is located in Boyle Heights, a vibrant neighborhood east of downtown Los Angeles. The AHWMs primary service area consists of 18 zip codes and caring for the communities of Bell Gardens, Boyle Heights, Chinatown, Commerce, East Los Angeles, El Sereno, Huntington Park, Lincoln Heights, Los Angeles, Maywood, Montebello, Pico Rivera and South Gate. AHWMs service area is designated as a medically underserved area/population and neighboring areas have been designated as health professional shortage areas for primary care. The population for the hospital service area is 1,165,691 and projected to grow about 2.3 percent in 5 years. The population is young with a median age of 30 and almost 46 percent of the female population is of childbearing age.The population is 44 percent Caucasian, 6 percent African American, 4 percent Asian/Pacific Islander and 55 percent Other which includes those choosing more than one race. As the population becomes blended and the US Census Bureau reporting methodologies change, the segment of the population that identifies as Hispanic is about 87 percent and could be included in any of the race/ethnicity categories. Spanish and English are the most commonly spoken languages in the primary service area. 13% of people, on average, aged 18-64 years reported speaking only English, with the greatest concentration residing within the 90039 zip code (Los Angeles). An average of 47% of persons aged 18-64 years reported speaking Spanish, with the greatest concentration residing within the 90255 zip code (Huntington Park).The community served by the hospital has an at-risk, vulnerable population. This is evidenced by low education rates as about 31 percent of adults aged 25 years and older have less than a 9th grade education and another 18 percent have some high school, but did not receive a high school diploma. The Federal Poverty Level guidelines for 2018 indicate the FPL for a family of 4 is $25,100. In the AHWM service area, 32 percent of the households are living below the FPL earning $25,000 or less each year.The unemployment rate in the primary service area is substantially higher in some neighborhoods according the the Community Health Needs Assement prepared in 2016. The highest rate is 26.7% in the area surrounding the hospital. As a result of high levels of unemployment and poverty, access to health care can be limited. In the service area, 29.3% of adults, ages 18-64, lack health insurance.Part III: Other Community Benefits1.Homeless outreach of monthly hot meals and support to the homeless men and women at the Dolores Mission. Community members served-5762.Homeless outreach under the bridges distributes clothes, food, and water to community residents in need; provides health screenings and medical Q&A with physician and nurse. Community members served: 1003. AHWM HOPE Mobile Showers for homeless provides funding and support for a mobile shower which moves to different locations in our community and provides towels, hygiene items, clothes, food, books, and other resources. Community members served-9,6004. First Aid booth provides medical support and services are for the Komen Race for the Cure; 5KRun and Walk events; and other community events. Community members served-1185. Gang intervention community support for area gang members and their families who come to AHWM through the Emergency Room to help them understand the treatment process, build cooperation and trust with health care professionals and provide resources to help. Community members served-4206. AHWM collaborates with local funeral homes/ mortuaries to aid families whom lack financial means to bury their loved ones; each family is provided a comfort care basket and resources. Community members served-557. Homeless placement transition of care assistance, medical oversight and care management assistance; housing placement assistance; medications, supplies, transportation and resources for homeless and medically indigent patients. Community members served-7078. AHWM host blood drives throughout the year to increase blood supplies. Community members served-1089. Hospital fire and life safety education classes are provided monthly address LA City fire safety codes. Community members served-10310. Community outreach of donations for meal vouchers, holiday meals, comfort care baskets, clothing and toys. Cash and in-kind donations to the American Cancer Society; American Diabetes Association; American Health Association; American Red Cross; Local Adventist Churches; YMCA; Casa 010. Community members served-2,678 |
| Part VI, Line 4 - Community Building Activities | The hospital is involved in numerous community building activities which promote the health of the communities it serves. Numerous community concerns are addressed, including health improvement, education, poverty, workforce development and access to care. We also encourage our employees to serve on community collaboration boards, health advocacy programs, and physical improvement projects to promote the health of the communities we serve. 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.Los Angeles Community Health Assessment and Action Partnership (LA Partnership) Steering Committee; LA Partnership Diabetes Prevention Workgroup; YMCA Advisory Boards for East Los Angeles; Montebello-Commerce YMCA Board of Managers; Southern California Association of Healthcare Development; First5 LA Welcome Baby Program Leads; The Shower of Hope; SPA 7 Partnership. |
| 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 | Additional Information:Adventist Health White Memorial (AHWM) is a full service 353-bed, faith-based, community-serving, community-engaged academic medical center which provides a full range of inpatient, outpatient, emergency and diagnostic services and is located just minutes from downtown Los Angeles. One of the greatest assets an organization can possess is the trust of its community --both internal and external. AHWM devotes a significant amount of financial and human resources to carry on its legacy of close to 100 years of community-centered service to medically underserved communities in our area. Beyond our role as one of the leading providers of health care in our community, we are committed to operating as a socially responsible organization as we meet the needs of our different stakeholders--our patients, physicians, workforce, neighbors, partners and donors. Our goal is to enable people to achieve more than just good health; it is to create opportunities for growth and development that will make a real, lasting impact on the health of our community.AHWM serves a community whose residents are predominantly Latino and where approximately 32% of the households have an annual income of less than $25,100, which is well below the federal poverty level. AHWM is positioned to provide this historically medically underserved population with Latino-focused language programs and education, including Spanish bilingual doctors and nurses and is dedicated to providing all its patients with the same level of high quality health care. This care includes highly advanced specialty services including advanced certifications, specialty care services and state-of-the-art procedures. AHWM has adopted rigorous national quality standards and has won four Eureka Awards for Performance Excellence from the California Council on Excellence.AHWM mission anchors everything we do and extends out to the community in many ways. Collaborative efforts between AHWM, local organizations and donors has created critical programs needed to address the specific health care needs of the more than 2 million residents living throughout eastern Los Angeles. Together we can change the outcome of our community's health. For example, the Cecilia Gonzalez De La Hoya Cancer Center, named for the late mother of champion boxer and philanthropist, Oscar De La Hoya, helps address the area's high incidence of breast cancer. The Cancer Center features sophisticated diagnostic and treatment equipment, bilingual breast cancer support groups, a community resource center and free breast exams and mammograms to women who are uninsured or underinsured.The Diabetes Care Center at AHWM addresses the high prevalence of diabetes within the community and provides full-service diabetes testing, education, peer counseling and follow-up care and runs a successful Healthy Eating & Lifestyle Program (H.E.L.P.); a six-week program designed to teach children, at-risk of developing diabetes, the benefits of a well-balanced diet and regular exercise. No insurance is needed to access this bilingual program. Our at-risk newborns, cared for in one of the few Level III Neonatal Intensive Care Units in Los Angeles, are protected by state-of-the-art technology neo blue lights and our Giraffe Beds, purchased with donations received through the AHWM Foundation. Babies are now safer and have a better chance of flourishing because our friends contributed to this successful fundraising effort. The Center for Limb Preservation & Advanced Wound Care offers a unique multidisciplinary approach to limb care and limb preservation and provides advanced outpatient therapy/treatment for wounds consistent with specific needs of the patients. The best thing is that all these services are available under one roof. The primary goal of the Center is to provide vital services to the population at risk of limb threatening condition, including patients of multiple and differing socioeconomic and cultural backgrounds. Limb amputation can be a major complication for patients who have diabetes, peripheral artery disease, kidney problems or another complex condition that impairs circulation. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| American Heart Assoc | ||||||||
| 272 Greenville Ave | Dallas | TX | 72531 | 135613797 | 501(c)(3) | $20,000 | $0 | Sponsorship |
| CA Health Fund & Trust | ||||||||
| 1215 K St Ste 800 | Sacramento | CA | 95817 | 941498697 | 501(c)(3) | $1,523,238 | $0 | Hlth services un/underinsured pt |
| Eastmont Community Center | ||||||||
| 701 Hoefner Ave | Los Angeles | CA | 90022 | 956221642 | 503(c)(3) | $6,000 | $0 | Sponsorship |
| End Homelessness in Ca | ||||||||
| 5515 Green Oak Dr | Los Angeles | CA | 90068 | 814962168 | 501(c)(3) | $15,000 | $0 | Sponsorship |
| Familia Unida Living With MS | ||||||||
| 4716 E Cesr E Chavez Ave | Los Angeles | CA | 90022 | 911898199 | 501(c)(3) | $7,500 | $0 | Sponsorship |
| Heart and Soul International | ||||||||
| 33051 41st Pl S | Federal Way | WA | 98001 | 421613262 | 5001(c)(3) | $25,000 | $0 | Sponsorship |
| L & E Roybal Fdtn Inc | ||||||||
| 5251 East Beverly Blvd | Los Angeles | CA | 90022 | 954031228 | 501(c)(3) | $7,000 | $0 | Sponsorship |
| La Plaza De Cultural Y Artes | ||||||||
| 200 No Spring St | Los Angels | CA | 90012 | 954311058 | 501(c)(3) | $6,000 | $0 | Sponsorship |
| La Plaza De Cultural Y Artes | ||||||||
| 501 North Main Street | Los Angeles | CA | 90012 | 753059288 | 501(c)(3) | $6,750 | $0 | Sponsorship |
| Mexican Amercan Oppty Fdtn | ||||||||
| 401 N Garfield Ave | Montebello | CA | 90640 | 952594166 | 501(c)(3) | $28,500 | $0 | Sponsorship |
| Oscar De La Hoya Fdtn | ||||||||
| 626 Wilshire Blvd Ste 350 | Los Angeles | CA | 90017 | 954586767 | 501(c)(3) | $12,000 | $0 | Sponsorship |
| Telacu Education Fdtn | ||||||||
| 5400 E Olympic Blvd Ste 300 | Commerce | CA | 90022 | 954384333 | 501(c)(3) | $25,000 | $0 | Sponsorship |
| University of Laverne | ||||||||
| 1950 3rd St | La Verne | CA | 91750 | 951644026 | 501(c)(3) | $6,500 | $0 | Sponsorship |
| Variety Boys and Girls Club | ||||||||
| 2530 Cincinnati St | Los Angeles | CA | 90033 | 951919219 | 501(c)(3) | $10,000 | $0 | Sponsorship |
| White Memorial Adventist Sch | ||||||||
| 605 New Jersy Street | Los Angeles | CA | 90033 | 954349770 | 501(c)(3) | $12,000 | $0 | Sponsorship |
| White Memorial SDA Church | ||||||||
| 401 North State St | Los Angeles | CA | 90033 | 951994597 | 5001(c)(3) | $29,500 | $0 | Sponsorship |
| YMCA of Metropolitan LA | ||||||||
| 625 S New Hampshire Ave | Los Angeles | CA | 90005 | 951644052 | 501(c)(3) | $22,000 | $0 | Sponsorship |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 17 | Total501c3OrgCnt |
| Total Other Org | 0 | 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) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| 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 |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Armendariz Cesar | ||||||||||||
| Admin Dir-Comm Int | $178,683 | $23,910 | $16,497 | $12,376 | $18,127 | $249,593 | ||||||
| Bendixen-Chern Mary | ||||||||||||
| Sr VP Fund Deve/Ex Relations | $271,981 | $65,291 | $68,411 | $10,413 | $416,096 | |||||||
| Bryant Mara | ||||||||||||
| Org performance Officer | $314,910 | $77,285 | $74,557 | $29,932 | $513,366 | $16,682 | ||||||
| Burke James | ||||||||||||
| Medical Officer SCR | $273,216 | $40,982 | $3,540 | $336,242 | $18,504 | |||||||
| Cota Stephanie | ||||||||||||
| Admin Dir-Emerg Sv | $197,863 | $907 | $22,020 | $12,726 | $8,839 | $242,355 | ||||||
| Fargo Roland | ||||||||||||
| Reg Physician Ops Officer | $175,272 | $95,874 | $326,753 | $21,968 | $630,831 | $10,964 | ||||||
| Hansberger Karen | ||||||||||||
| Medical Affairs Officer | $381,877 | $92,618 | $53,032 | $11,579 | $555,788 | $16,682 | ||||||
| Jahn Andrew | ||||||||||||
| President SCR | $672,558 | $157,741 | $285,819 | $42,657 | $1,175,457 | $16,682 | ||||||
| Jobe Meredith | ||||||||||||
| Secretary | $419,684 | $111,013 | $135,918 | $21,646 | $704,943 | $16,682 | ||||||
| Milatovich Natasha | ||||||||||||
| Human Resource Officer | $291,273 | $300 | $107,173 | $29,727 | $428,473 | |||||||
| Miller Elizabeth | ||||||||||||
| Care MNGT Officer | $277,859 | $58,918 | $42,841 | $21,403 | $417,703 | $16,682 | ||||||
| Napapetian Arby | ||||||||||||
| Medical SCR | $557,553 | $165,709 | $243,273 | $34,487 | $1,017,704 | $16,682 | ||||||
| Nguyen Thao | ||||||||||||
| Director Pharmacy | $260,420 | $9,850 | $15,195 | $32,280 | $317,745 | |||||||
| Raffoul John | ||||||||||||
| President | $469,321 | $176,246 | $196,822 | $23,532 | $1,285,076 | $419,155 | ||||||
| Reppert Joseph | ||||||||||||
| CFO | $686,470 | $152,446 | $114,699 | $30,164 | $1,000,461 | $16,682 | ||||||
| Richards Blin | ||||||||||||
| FO/Asst Sec VP | $273,955 | $66,709 | $38,036 | $21,194 | $416,576 | $16,682 | ||||||
| Rippey Wesley | ||||||||||||
| Dir Thru 5/18 | $565,539 | $58,404 | $27,319 | $671,511 | $20,249 | |||||||
| Saad John | ||||||||||||
| Director, Pre-op | $190,226 | $1,277 | $27,022 | $12,438 | $25,691 | $256,654 | ||||||
| Schwarz Greg | ||||||||||||
| Bus Dev Officer | $256,171 | $61,122 | $19,013 | $28,248 | $381,236 | $16,682 | ||||||
| Scott Reiner | ||||||||||||
| Dir/Chair | $1,339,257 | $747,881 | $371,298 | $27,790 | $2,502,908 | $16,682 | ||||||
| Stone Patricia | ||||||||||||
| Chief Nursing Officer | $289,986 | $71,173 | $37,944 | $3,084 | $418,869 | $16,682 | ||||||
| Velazquez Jesus | ||||||||||||
| RN | $235,257 | $750 | $5,908 | $13,705 | $9,164 | $264,784 | ||||||
| Wagner Jack | ||||||||||||
| A Sec Thru 3/18 | $180,671 | $414,342 | $737,894 | $22,894 | $1,366,983 | $11,182 | ||||||
| Wehtje Ronald | ||||||||||||
| Finance Officer SCR | $525,772 | $154,336 | $153,520 | $21,088 | $871,398 | $16,682 | ||||||
| Wing Bill | ||||||||||||
| Dir/VCH/Asst Se | $1,015,353 | $603,273 | $256,685 | $32,633 | $1,924,626 | $16,682 | ||||||
| Zachary Beth | ||||||||||||
| President SCR | $191,196 | $270,398 | $848,987 | $25,683 | $1,352,946 | $16,682 | ||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 1a: Relevant information in regards to selections on 1a. | FormAndLineReferenceDesc |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Linda Henry | |||
| Key EE Sister | $59,434 | Employment | false |
| Brent Wagner | |||
| Son of Officer | $82,281 | Employment | false |
| Cambria Wehtje-Sim | |||
| Dghtr-Fmr Ofcr | $89,784 | Employment | false |
| Carol Jobe | |||
| Officer's Spouse | $4,429 | Employment | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part V Supplemental Information | FormAndLineReferenceDesc |
| Explanation | Additional information regarding interested persons listed above:1. Linda Henry is the daughter of Adventist Health board member, Wesley Rippey.2. Brent Wagner is the son of former Adventist Health CFO, Jack Wagner.3. Cambria Wehtje-Sim is the daughter of former officer Rodney Wehtje.4. Carol Jobe is the wife of Meredith Jobe, an officer of Adventist Health. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | The hospital is organized as a not-for-profit hospital. The sole corporate member is Adventist Health System/West, a California not-for-profit public charity. The hospital bylaws define its board of directors to be the same individuals who are members of Adventist Health System/West board of directors. |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | 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. Adventist Health System/West, a California not-for-profit religious corporation, is the sole corporate member of the hospital. |
| Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders | The sole corporate member, Adventist Health System/West, must approve all changes to the articles of incorporation and bylaws. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | 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, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | During the first quarter of each year, the annual conflict of interest questionnaireis sent to board members, hospital officers, key employees and department directorsfor completion and signature. The questionnaire is accompanied by a letter ofexplanation, to illustrate examples of a conflict and to remind the recipient thatif any perceived conflict should arise before the next annual questionnaire, he/sheis to notify the CEO immediately.The Corporate General Counsel distributes, collects, and reviews for signatures theCOIs for all applicable Corporate employees and the board. In addition, thehospitals administration is responsible for keeping record to ensure allhospital-based individuals with director and above positions have submitted theirCOIs. The Corporate General Counsel reviews all the disclosures on the board andCorporate employees COIs. Corporate General Counsel retains the COIs for the boardmembers. 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 member. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | See explanation of process for setting CEO compensation below on Form 990, Part VI, Line 15b explanation. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | The hospital board of directors has established a Compensation Committee to overseethe executive compensation program. This committee is composed of independentdirectors with no conflicts of interest. The committee performs the followingfunctions: recommends a total compensation philosophy to the board; assurescompliance with the board-approved philosophy; meets annually to reviewcomparability data from outside consultants; recommends any adjustments to currentexecutive compensation, including salary ranges for hospital CEOs and CFOs, that would be indicated by the data; evaluates executive performance against annualgoals; recommends appropriate incentive awards to the board for approval; follows adiligent process that meets regulatory requirements for a rebuttable presumption ofreasonableness; records committee deliberations and decisions in timely minutes;selects, engages and supervises any consultant hired to advise and providecomparability data.The board-approved executive compensation philosophy specifies that salary ranges will be established for hospital CEOs and executives, with midpoints aligned with the 50th percentile of comparable system hospital data, and having a 50 percent spread from minimum to maximum. A hospital CEO has a maximum potential incentive of 30 or 35 percent of base salary based upon size and scope of hospital. (Incentive potential is industry norm) Other hospital executives have a maximum potential incentive of 25 to 30 percent of base salary. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | The hospital does not make its governing documents publicly available, beyond required filings of articles of incorporation with the secretary of state. The hospital does not make its conflict of interest policy available upon request, but does file monthly/quarterly summary financial reports with the state health-planning agency. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 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 | Support and Manage System-Wide Activitie | 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 | ||||||||||
| 115 W E St | Tehachapi | CA | 93561 | 812240617 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false |
| Adventist Health Physicians Network | ||||||||||
| PO Box 619135 | Roseville | HI | 95661 | 680357690 | Hospital | CA | 501(c)(3) | 12b2 | Adventist Health SystemWest | false |
| Adventist Health So CA Medical Fdtn | ||||||||||
| PO Box 619135 | Roseville | CA | 95661 | 954424391 | Discontinued Operations | CA | 501(c)(3) | 12c3 | 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 |
| Fremont- Rideout Health Group | ||||||||||
| 898 Plumas Street | Yuba City | CA | 95991 | 942917251 | Acute Care Hospital | CA | 501(c)(3) | 12b2 | Adventist Health SystemWest | 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 | Foundation | 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) | 1 | 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 | Acute Care Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | 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 |
| Willits Hospital Inc | ||||||||||
| 1 Marcela Drive | Willits | CA | 95490 | 680108919 | Hospital | CA | 501(C)(3) | 3 | Adventist Health SystemWest | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | South Coast Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Adventist Health Drive | AddressLine1Txt |
| City | Roseville | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95661 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952037291 | EIN |
| Primary Activities | Wind Down After Sale of Hospital | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C-Corp | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| 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 | Yes (true) | 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 | Yes (true) | 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 | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |