2019-11-12T11:01:39-08:00 2018-12-31 800519547 THE ACCOUNTANCY LLP 330 N BRAND BLVD STE 200 GLENDALE CA 912032361 990 2018-01-01 952282647 White Memorial Medical Center WHIT 3232685000 1720 East Cesar E Chavez Avenue Los Angeles CA 90033 Blin Richards Financial Officer 2019-11-12 true S Clement P01218012 8185475701 X 2018 2020-03-31 21:24:44Z Raffoul John 1720 East Cesar E Chavez Avenue Los Angeles CA 900332443 508529058 false false 1071 X www.AdventistHealth.org/White-Memorial X 1963 CA Living Gods love by inspiring health, wholeness and hope. 12 10 2363 350 0 153857 5827479 45079247 495577417 452655745 9465108 9844129 3484665 293118 514354669 507872239 345997 1277910 0 166262819 170088268 0 753363 262136889 256196305 428745705 427562483 85608964 80309756 750499758 791000100 140002581 100193167 610497177 690806933 Living Gods love by inspiring health, wholeness and hope. false false 352623345 1277910 451318185 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/ 352623345 true true false true false false false false false true true false false true true false false true false false false true false false false false true true true false true false false false false false false false false false false false false false false false false true false false false true 0 0 true 2363 true true true false false false false false false 0 false false false false false false false false false false false false X 12 10 false false false false true true true true true false false true true true true true true true true false CA X Jay Lipps 9164061092 PO Box 619135 Roseville CA 95661 X Banks David Director 0.00 4.00 X 0 27260 0 Cherry Robert Director 0.00 4.00 X 0 25126 0 Davis Andrew Director 0.00 4.00 X 0 24002 0 Freedman John Director 0.00 4.00 X 0 718 0 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James Medical Officer SCR 12.50 37.50 X 0 314198 22044 Bryant Mara Org performance Officer 50.00 0.00 X 0 466752 46614 Bendixen-Chern Mary Sr VP Fund Deve/Ex Relations 50.00 0.00 X 0 405683 10413 Milatovich Natasha Human Resource Officer 12.50 37.50 X 0 398746 29727 Stone Patricia Chief Nursing Officer 50.00 0.00 X 0 399103 19766 Schwarz Greg Bus Dev Officer 50.00 0.00 X 0 336306 44930 Hansberger Karen Medical Affairs Officer 50.00 0.00 X 0 527527 28261 Fargo Roland Reg Physician Ops Officer 0.00 50.00 X 0 597899 32932 Miller Elizabeth Care MNGT Officer 50.00 0.00 X 0 379618 38085 Nguyen Thao Director Pharmacy 50.00 0.00 X 270270 0 47475 Velazquez Jesus RN 50.00 0.00 X 241915 0 22869 Cota Stephanie Admin Dir-Emerg Sv 50.00 0.00 X 220790 0 21565 Armendariz Cesar Admin Dir-Comm Int 50.00 0.00 X 219090 0 30503 Saad John Director, Pre-op 50.00 0.00 X 218525 0 38129 1170590 17369122 1365124 453 false true false Shiftwise Inc 1800 SW 1st Ave Ste 510 Portland OR 97201 Registry Services 5865985 White Memorial Medical Group Inc 1701 Cesar E Chavez Ave Ste 510 Los Angeles CA 90033 Medical Services 2152622 FCS Medical Corporation 1701 Cesar Chavez Ave Los Angeles CA 90033 Medical Services 2090000 Consultants For Anesthesia 521 Caruso Avenue Glendale CA 91210 Medical Services 1919726 Faculty Physicians And Surgeons 11175 Campus St Ste 11120 Loma Linda CA 92350 Medical Services 1333800 49 42119805 2959442 45079247 Dietary 722210 2096390 2096390 Other Prog Svc Rev 900099 1639667 665808 973859 Patient Svc Revenue 621110 442606452 442606452 Rental Income-Pgm Svc 531120 6313236 6313236 452655745 10500948 10500948 0 0 0 656819 -656819 -656819 -656819 0 0 0 Value Change-Net Asset 900099 293118 293118 293118 507872239 451318185 11474807 1277910 1277910 0 0 0 0 0 138527583 124167470 13776003 584110 4690453 4229005 435918 25530 16791762 15254150 1459709 77903 10078470 9198376 840837 39257 22764544 1524910 21239634 16128 16128 0 0 0 0 22654314 21350862 1302202 1250 1074761 1074761 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false false Part II-B, Line 1i - Other Activities Description The organization belongs to industry and professional associations for which a portion of the membership dues is used for lobbying activities. Expenditures to Noteware, 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. 3919763 6252523 177086 3582952 6766420 5161470 4418182 209 5660098 3919763 5494397 4264197 4597124 5161470 5720273 4106539 4332415 5494397 5297595 3594787 3172109 5720273 0.18000 0.82000 false true true 2627471 2627471 293339143 176461879 116877264 96733045 74913862 21819183 16035811 5502647 10533164 151857082 Other Assets 123837433 Other Receivables 350673 Receivables from Related Organizations 19049123 Receivables from Third-Party Payors 89900055 233137284 Other Liabilities 8907708 Payables to Related Organizations 39230371 Workers Comp Payable 5175961 53314040 Part V, Line 4: Intended uses of the endowment fund. Board-designated, temporary and permanently restricted endowment funds are for specified operating and capital projects. The funds are released as project costs are expended. true East Asia Mission Trip 15102 Travel/Supplies Cost Latin America Mission Trip 11100 15451 Travel/Supplies Cost 2 false false false false false false true true X true X true X true true true false true true 1269346 1269346 0.00300 1269346 1269346 0.00300 1702464 10211 1692253 0.00400 14451915 1932261 12519654 0.02930 16359771 6804724 9555047 0.02230 196294 196294 0.00050 307320 307320 0.00070 33017764 8747196 24270568 0.05680 34287110 8747196 25539914 0.05980 1866 1866 1209422 1209422 0.00280 11848 11848 656305 656305 0.00150 1879441 1879441 0.00430 true 1501414 1141975 53430923 46340023 7090900 X true true 1 1 Adv Health White Memorial 1720 Cesar E Chavez Avenue Los Angeles CA 90033 X X X X Acute,Rehab,Psychiatric,Skilled Nursing false false true X X X X X X X X X 16 true false false true X See Form 990, Pg 1, Item J X See Sch H Part VI - Needs Assessment X X true 18 true See Sch H Part VI - Needs Assessment false false true X 200.0000 400.0000 X X X X true true X X X X true X See Sch H Part VI-Patient Education X See Sch H Part VI-Patient Education X See Sch H Part VI-Patient Education X X X X X X true X X true X X X X X X true X false false 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 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. true American Heart Assoc 272 Greenville Ave Dallas TX 72531 135613797 501(c)(3) 20000 0 Sponsorship CA Health Fund & Trust 1215 K St Ste 800 Sacramento CA 95817 941498697 501(c)(3) 1523238 0 Hlth services un/underinsured pt Eastmont Community Center 701 Hoefner Ave Los Angeles CA 90022 956221642 503(c)(3) 6000 0 Sponsorship End Homelessness in Ca 5515 Green Oak Dr Los Angeles CA 90068 814962168 501(c)(3) 15000 0 Sponsorship Familia Unida Living With MS 4716 E Cesr E Chavez Ave Los Angeles CA 90022 911898199 501(c)(3) 7500 0 Sponsorship Heart and Soul International 33051 41st Pl S Federal Way WA 98001 421613262 5001(c)(3) 25000 0 Sponsorship L & E Roybal Fdtn Inc 5251 East Beverly Blvd Los Angeles CA 90022 954031228 501(c)(3) 7000 0 Sponsorship La Plaza De Cultural Y Artes 200 No Spring St Los Angels CA 90012 954311058 501(c)(3) 6000 0 Sponsorship La Plaza De Cultural Y Artes 501 North Main Street Los Angeles CA 90012 753059288 501(c)(3) 6750 0 Sponsorship Mexican Amercan Oppty Fdtn 401 N Garfield Ave Montebello CA 90640 952594166 501(c)(3) 28500 0 Sponsorship Oscar De La Hoya Fdtn 626 Wilshire Blvd Ste 350 Los Angeles CA 90017 954586767 501(c)(3) 12000 0 Sponsorship Telacu Education Fdtn 5400 E Olympic Blvd Ste 300 Commerce CA 90022 954384333 501(c)(3) 25000 0 Sponsorship University of Laverne 1950 3rd St La Verne CA 91750 951644026 501(c)(3) 6500 0 Sponsorship Variety Boys and Girls Club 2530 Cincinnati St Los Angeles CA 90033 951919219 501(c)(3) 10000 0 Sponsorship White Memorial Adventist Sch 605 New Jersy Street Los Angeles CA 90033 954349770 501(c)(3) 12000 0 Sponsorship White Memorial SDA Church 401 North State St Los Angeles CA 90033 951994597 5001(c)(3) 29500 0 Sponsorship YMCA of Metropolitan LA 625 S New Hampshire Ave Los Angeles CA 90005 951644052 501(c)(3) 22000 0 Sponsorship 17 0 Grantmaker's Description of How Grants are Used 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. X true true X X X X true true false false false false false false false false Armendariz Cesar Admin Dir-Comm Int 178683 23910 16497 12376 18127 249593 Bendixen-Chern Mary Sr VP Fund Deve/Ex Relations 271981 65291 68411 10413 416096 Bryant Mara Org performance Officer 314910 77285 74557 16682 29932 513366 Burke James Medical Officer SCR 273216 40982 18504 3540 336242 Cota Stephanie Admin Dir-Emerg Sv 197863 907 22020 12726 8839 242355 Fargo Roland Reg Physician Ops Officer 175272 95874 326753 10964 21968 630831 Hansberger Karen Medical Affairs Officer 381877 92618 53032 16682 11579 555788 Jahn Andrew President SCR 672558 157741 285819 16682 42657 1175457 Jobe Meredith Secretary 419684 111013 135918 16682 21646 704943 Milatovich Natasha Human Resource Officer 291273 300 107173 29727 428473 Miller Elizabeth Care MNGT Officer 277859 58918 42841 16682 21403 417703 Napapetian Arby Medical SCR 557553 165709 243273 16682 34487 1017704 Nguyen Thao Director Pharmacy 260420 9850 15195 32280 317745 Raffoul John President 469321 176246 196822 419155 23532 1285076 Reppert Joseph CFO 686470 152446 114699 16682 30164 1000461 Richards Blin FO/Asst Sec VP 273955 66709 38036 16682 21194 416576 Rippey Wesley Dir Thru 5/18 565539 58404 20249 27319 671511 Saad John Director, Pre-op 190226 1277 27022 12438 25691 256654 Schwarz Greg Bus Dev Officer 256171 61122 19013 16682 28248 381236 Scott Reiner Dir/Chair 1339257 747881 371298 16682 27790 2502908 Stone Patricia Chief Nursing Officer 289986 71173 37944 16682 3084 418869 Velazquez Jesus RN 235257 750 5908 13705 9164 264784 Wagner Jack A Sec Thru 3/18 180671 414342 737894 11182 22894 1366983 Wehtje Ronald Finance Officer SCR 525772 154336 153520 16682 21088 871398 Wing Bill Dir/VCH/Asst Se 1015353 603273 256685 16682 32633 1924626 Zachary Beth President SCR 191196 270398 848987 16682 25683 1352946 Part I, Line 1a: Relevant information in regards to selections on 1a. Linda Henry Key EE Sister 59434 Employment false Brent Wagner Son of Officer 82281 Employment false Cambria Wehtje-Sim Dghtr-Fmr Ofcr 89784 Employment false Carol Jobe Officer's Spouse 4429 Employment false Schedule L, Part V Supplemental Information 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. 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. 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