2018-03-12T21:05:51-05:00 2017-06-30 KPMG LLP 3975 Freedom Circle Dr Suite 100 Santa Clara CA 95054 990 2016-07-01 680393304 Western Health Advantage % STEPHANIE MADSEN WEST 9165633188 2349 Gateway Oaks Drive No 100 Sacramento CA 95833 RITA RUECKER CFO 2018-03-02 true Valerie J Ball P00178114 4083675764 2018-03-06 167.68.102.5 77070920180715000007 2018-03-12 P CC56352486E01435CEB456F227625CF0B1439CEC 15DC06F6CDD064E693C3C1AF256E0FB6B0AEE778 2016 2021-01-29 14:40:06Z GARRY MAISEL 2349 Gateway Oaks Drive No 100 Sacramento CA 95833 729805871 false X www.westernhealth.com X 1995 CA IMPROVING THE HEALTH AND WELFARE OF THE COMMUNITIES SERVED BY PROVIDING HEALTH BENEFIT COVERAGE AND FURTHERING MISSIONS OF THE ORGANIZATION'S EXEMPT ORGANIZATION MEMBERS. 7 7 254 0 330750 -470815 0 0 664944132 725800608 155576 280627 1955 6961 665101663 726088196 1218135 1390716 0 0 19104148 24187894 0 0 0 643265271 701075478 663587554 726654088 1514109 -565892 83478356 73914138 74667918 65366721 8810438 8547417 X TO PROMOTE THE HEALTH OF THE RESIDENTS OF CALIFORNIA AND TO SERVE THE COMMUNITY INTERESTS OF THE RESIDENTS OF CALIFORNIA BY OPERATION OF A HEALTH MAINTENANCE ORGANIZATION. ADDITIONAL INFORMATION: SUPPORT OF MEMBER HEALTH SYSTEMS. THE ORGANIZATION IS COMMUNITY CONTROLLED BY TWO TAX-EXEMPT HEALTH SYSTEMS. THE ORGANIZATION IS CONTROLLED BY ITS MEMBER HEALTH SYSTEMS, BOTH OF WHICH ARE TAX EXEMPT UNDER 501(C)(3). THE MEMBER HEALTH SYSTEMS CONTROL THE APPOINTMENT OF 6 OUT OF 7 MEMBERS TO THE BOARD OF DIRECTORS OF THE ORGANIZATION, WITH THE SEVENTH MEMBER BEING ELECTED BY A MAJORITY OF THE OTHER DIRECTORS. CHARITY TO THE COMMUNITY IN PARTNERSHIP WITH MEMBER HEALTH SYSTEMS, THE MEMBER HEALTH SYSTEMS, COMPOSED OF NETWORKS OF HOSPITALS AND PHYSICIAN GROUPS, ARE SUBJECT TO REQUIREMENTS THAT THEY PERFORM COMMUNITY HEALTH NEEDS ASSESSMENTS AND TO DEVELOP PLANS TO SERVE THE COMMUNITY ON A PER-HOSPITAL BASIS. THE MEMBER HEALTH SYSTEMS ADVANCE THEIR CHARITABLE MISSIONS BY PROVIDING FINANCIAL ASSISTANC false false 713493056 0 725475306 PUBLIC BENEFIT HEALTH COVERAGE THE ORGANIZATION PROMOTES THE COMMON GOOD AND GENERAL WELFARE OF THE COMMUNITY BY OFFERING HEALTH BENEFIT COVERAGE TO THE PUBLIC THROUGH MULTIPLE, EASILY ACCESSIBLE CHANNELS. THE ORGANIZATION SERVES INDIVIDUALS, FAMILIES AND SMALL EMPLOYER GROUPS, AND SOME LARGE EMPLOYER GROUPS, THE MAJORITY OF WHOM ARE THE EMPLOYEES AND DEPENDENTS OF ITS TWO MEMBERS, DIGNITY HEALTH AND NORTHBAY HEALTHCARE GROUP (COLLECTIVELY "MEMBER HEALTH SYSTEMS") AND GOVERNMENTAL ENTITIES, INCLUDING THE UNIVERSITY OF CALIFORNIA, SEVERAL SCHOOL DISTRICTS AND CITIES, WATER DISTRICTS, FIRE DISTRICTS, CONSERVATION DISTRICTS AND OTHER SUCH GOVERNMENTAL ENTITIES. EMPLOYEES AND DEPENDENTS OF THE ORGANIZATION'S TWO MEMBER HEALTH SYSTEMS, WHICH ENGAGE IN TAX-EXEMPT AND CHARITABLE PURPOSES, COMPRISE 21% OF ALL OF THE ORGANIZATION'S ENROLLEES. GOVERNMENTAL ENTITIES' EMPLOYEES AND DEPENDENTS COMPRISE AN ADDITIONAL 28% OF ALL OF THE ORGANIZATION'S ENROLLEES. ALL ENROLLEES ARE ENTITLED TO RECEIVE THE FULL RANGE OF BENEFITS DEFINED BY THE STATE AND FEDERAL GOVERNMENT AS "BASIC HEALTH CARE SERVICES"ESSENTIAL HEALTH BENEFITS". THE ORGANIZATION PROVIDES COVERAGE OF PREEXISTING CONDITIONS AND HIGH-RISK INDIVIDUALS WITHOUT A PRICE DIFFERENTIAL AND WITHOUT REGARD TO AGE (FOR INDIVIDUALS YOUNGER THAN 65), INCOME, OR EMPLOYMENT STATUS. THE ORGANIZATION'S PREMIUMS ARE KEPT LOW IN ORDER TO MAKE ITS COVERAGE MORE AFFORDABLE FOR MEMBERS OF THE PUBLIC, INDIVIDUALS ENROLLED THROUGH COVERED CALIFORNIA AND THROUGH EMPLOYER GROUPS. THE ORGANIZATION DOES NOT DECLINE COVERAGE TO ANY INDIVIDUAL OF THE PUBLIC BASED ON HEALTH CONDITION, NOR DOES THE ORGANIZATION DISCRIMINATE ON THE BASIS OF RACE, ETHNICITY, COUNTRY OF ORIGIN, SEX, GENDER, OR GENDER IDENTITY OR EXPRESSION. ALL MEMBERS OF THE PUBLIC MAY PURCHASE HEALTH COVERAGE FROM THE ORGANIZATION, WHICH BENEFITS THE COMMUNITY AS A WHOLE. MORE SPECIFICALLY, THE ORGANIZATION BENEFITS THE COMMUNITY AND PROMOTES SOCIAL WELFARE BY REASON OF (1) ENROLLMENT THAT IS OPEN TO INDIVIDUALS AND SMALL GROUPS, (2) SERVING LOW INCOME, HIGH RISK, MEDICALLY UNDERSERVED, OR ELDERLY PERSONS, AND (3) HAVING HMO PREMIUMS ON A COMMUNITY-RATED BASIS COVERAGE TO INDIVIDUALS. THE ORGANIZATION'S COMMITMENT TO ENSURING THAT HEALTH COVERAGE IS AVAILABLE TO THE ENTIRE COMMUNITY IS SHOWN BY ITS MARKETING/COMMUNITY RELATIONS BUDGET AND MARKETING MATERIALS. THE ORGANIZATION HEAVILY FOCUSES ON EXPANDING ITS HEALTH CARE OFFERINGS IN THE INDIVIDUAL MARKET. SUBSTANTIALLY ALL OF THE ORGANIZATION'S MARKETING BUDGET AND MARKETING PERSONNEL ARE DEVOTED TO PROMOTING COVERAGE THROUGH COVERED CALIFORNIA AND OTHER OFFERINGS OF INDIVIDUAL COVERAGE. THE ORGANIZATION COMMUNICATES WITH ITS MEMBERS AND PROVIDERS THROUGH QUARTERLY PRINTED PUBLICATIONS. ADVANTAGE MAGAZINE IS A QUARTERLY MAGAZINE AIMED AT PROMOTING HEALTHY LIFESTYLES AND ASSISTING MEMBERS TO TAKE ADVANTAGE OF THEIR HEALTH BENEFITS COVERAGE. PROVIDER INSIDER IS AN INFORMATIONAL MAGAZINE FOR PROVIDERS ALSO SENT EVERY THREE MONTHS. THE ORGANIZATION'S SERVICE AREA INCLUDES A NUMBER OF COUNTIES THAT HAVE A SIGNIFICANT NUMBER OF UNINSURED INDIVIDUALS. THE SOCIAL WELFARE PURPOSE OF THE ORGANIZATION IS DEMONSTRATED BY THE FACT THAT IT OPERATES IN A SERVICE AREA THAT INCLUDES MEDICALLY UNDERSERVED, LOW INCOME, RURAL AND HIGH RISK PERSONS. THE ORGANIZATION'S SERVICE AREA INCLUDES BOTH MEDICALLY UNDERSERVED POPULATIONS ("MUPS") AND MEDICALLY UNDERSERVED AREAS ("MUAS"). MUAS AND MUPS ARE AREAS OR POPULATIONS DESIGNATED BY THE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION ("HRSA") AS HAVING TOO FEW PRIMARY CARE PROVIDERS, HIGH INFANT MORTALITY, HIGH POVERTY AND/OR A HIGH ELDERLY POPULATION. WHA WELLNESS PROGRAMS. WHA PROVIDES WELLNESS RESOURCES AND SUPPORT FOR INDIVIDUAL AND EMPLOYER/BROKER-DRIVEN WELLNESS INITIATIVES, WHOSE OVERALL GOAL IS TO REDUCE HEALTHCARE COSTS FOR SOCIETY. WHA'S WELLNESS MANAGER WORKS CLOSELY WITH LARGE EMPLOYER GROUPS, PARTICULARLY MUNICIPALITIES AND SCHOOL DISTRICTS, TO HELP DEVELOP WELLNESS PROGRAMS DESIGNED TO IMPROVE THE HEALTH OF WHA'S MEMBERS. WHA'S WELLNESS MANAGER ALSO WORKS WITH SMALL COMPANIES UPON REQUEST. WELLNESS PRESENTATIONS PROGRAMS ARE TAILORED TO EACH EMPLOYER GROUPS' NEEDS, WITH AN EMPHASIS ON MODIFYING HEALTH BEHAVIOR, PREVENTING ILLNESS, AND FACILITATING ACCESS TO HEALTH RESOURCES. THIS IS DONE BY CONDUCTING EDUCATIONAL SEMINARS, GETTING INVOLVED IN EMPLOYER-SPONSORED WELLNESS CAMPAIGNS AND CHALLENGES, PROMOTING ONLINE WELLNESS RESOURCES, AND PARTICIPATING IN HEALTH FAIRS WELLNESS PROGRAMS FOR INDIVIDUALS. OUR ONLINE WELLNESS PROGRAM REACHES INDIVIDUALS BY OFFERING HEALTH ASSESSMENTS AND TRACKING TOOLS. THE MAIN PURPOSE OF OUR WELLNESS PROGRAM IS TO EDUCATE OUR MEMBERS ON HEALTHY LIVING AND PUT THEM IN TOUCH WITH TOOLS AND RESOURCES THAT WILL HELP THEM TO IMPROVE THEIR HEALTH. MEMBERS CAN ACCESS HEALTH RESOURCES THROUGH THE WESTERN HEALTH ADVANTAGE WEBSITE WELLNESS PROGRAMS FOR THE COMMUNITY. WHA'S WELLNESS INITIATIVES REACH BEYOND WHA'S BASE OF APPROXIMATELY 135,000 MEMBERS. EDUCATIONAL SEMINARS AND PROGRAMS AT THE EMPLOYER-GROUP LEVEL ARE OFFERED TO ALL EMPLOYEES REGARDLESS OF HEALTH PLAN AFFILIATION. HEALTH RESOURCES AND INFORMATION ARE FREELY GIVEN AT HEALTH EVENTS, AND WHA'S WELLNESS MANAGER APPEARS REGULARLY IN MEDIA DRIVEN CAMPAIGNS, INCLUDING GIVING INTERVIEWS ON LOCAL TELEVISION NEWS PROGRAMS SEEN THROUGHOUT NORTHERN CALIFORNIA, PROMOTING HEALTHY EATING AND ACTIVITY. THUS, WHA'S WELLNESS INITIATIVES REACH POTENTIALLY MILLIONS OF PEOPLE IN THE NORTHERN CALIFORNIA REGION. WHAFIT WHAFIT IS WHA'S OWN HEALTH AND WELLNESS PROGRAM, FORMED IN 2013, TO PROMOTE THE HEALTH AND WELL-BEING OF WHA'S APPROXIMATELY 240 EMPLOYEES. PROMOTING POSITIVE BEHAVIOR CHANGES AMONG WHA'S EMPLOYEES BENEFITS THE COMMUNITY, AS THESE EMPLOYEES ARE MEMBERS OF THE COMMUNITY THAT WHA SERVES. WHA STANDS FOR NOT ONLY WESTERN HEALTH ADVANTAGE, BUT IN THIS CONTEXT, WELLNESS, HEALTH AND ACTION. WHA AND THE AMERICAN HEART ASSOCIATION ADDITIONALLY, WHA'S WELLNESS MANAGER LEADS A COORDINATED "WORKPLACE ACHIEVEMENT INDEX" WELLNESS PROGRAM WITH THE AMERICAN HEART ASSOCIATION (AHA), WHICH BRINGS THE AHA'S VAST RESOURCES ON HEART-HEALTHY LIVING TO MANY WORKSITES IN THE REGION. THROUGH THIS PROGRAM THE AHA AND WHA HELP CREATE HEALTHY WORK ENVIRONMENTS, WHICH INCREASES PRODUCTIVITY, REDUCES ABSENTEEISM (DUE TO FEWER HEALTH PROBLEMS EXPERIENCED BY EMPLOYEES), AND LOWERS TURNOVER. 1390716 1390716 0 COMMUNITY OUTREACH AND SUPPORT. THE ORGANIZATION SUPPORTS MEMBER HEALTH SYSTEMS' MISSIONS THROUGH CHARITABLE GRANTS. THE ORGANIZATION PROVIDES BENEFITS TO THE COMMUNITY BEYOND HEALTH CARE BENEFITS THROUGH FUNDING PROGRAMS FOR THE PROMOTION OF HEALTH AND OTHER CHARITABLE PURPOSES, INCLUDING SUPPORT FOR THE CHARITABLE ACTIVITIES OF THE MEMBER HEALTH SYSTEMS. FOR FISCAL YEAR 2016-2017, THE ORGANIZATION BUDGETED OVER $1,000,000 TO SUPPORT CHARITABLE PROGRAMS WHICH BENEFIT THE COMMUNITY SERVED BY THE ORGANIZATION, INCLUDING (1) A $100,000 GRANT TO THE AMERICAN HEART ASSOCIATION FOR A COMMUNITY HEALTH AWARENESS PROGRAM, (2) A $100,000 GRANT TO THE CROCKER ART MUSEUM FOR OUTREACH AND EDUCATION PROGRAMS, AND (3) SPONSORSHIP OF HEALTHY KIDS DAY, WHICH IS INTENDED TO INCREASE AWARENESS OF HEALTHY LIFESTYLES FOR CHILDREN AND OFFERS FREE HEALTH, DENTAL AND VISION SCREENING FOR CHILDREN, AND FREE FLU SHOTS FOR MEMBERS OF ALL AGES. WHA SUPPORTS LOCAL COMMUNITIES. BENEFITING THE COMMUNITY IS AT THE CORE OF WHA'S BEING AND SO WE SUPPORT THE COMMUNITIES WHERE WE LIVE AND WORK. WHA HAS BEEN CONNECTING OUR SERVICES WITH THE NEEDS OF AREA RESIDENTS FOR MANY YEARS AND FOR ONE REASON - TO KEEP THEM, THEIR FAMILY, AND THEIR NEIGHBORS HEALTHY. IT IS OUR SINGULAR MISSION, AND BY WORKING TOGETHER, WE CAN CONTINUE TO MAKE OUR COMMUNITY A HEALTHIER PLACE TO LIVE, NOW AND INTO THE FUTURE. WHA STRIVES TO STRENGTHEN THE FABRIC OF NEIGHBORHOODS AND IMPROVE AND ENRICH THE LIVES OF COMMUNITY MEMBERS BY SUPPORTING WORTHY LOCAL ORGANIZATIONS. AS A LOCAL ORGANIZATION, ALMOST ALL OF OUR ECONOMIC IMPACT IS FELT IN THE GREATER SACRAMENTO AREA, FROM SALARIES TO PURCHASING TO CHARITABLE GIVING, WHA SUPPORTS PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS BY SUPPORTING LOCAL ORGANIZATIONS. IN PARTICULAR, WHA IS COMMITTED TO THE FOLLOWING ACTIVITIES: HEALTH, AND WELLNESS NUTRITION, HEALTHY FAMILIES AND WELL-BEING ARE ALL CENTRAL TO OUR MISSION; ARTS, A HEALTHY COMMUNITY NOURISHES THE BODY, MIND AND SOUL; LOCAL SAFETY NET, SUPPORT FOR THE MOST VULNERABLE, AT-RISK MEMBERS OF OUR COMMUNITY REINFORCES OUR COMMITMENT TO IMPROVING THE REGION; CIVIC LEADERSHIP, AS A LOCAL COMPANY, WE HAVE A VESTED INTEREST IN BUILDING THE CAPACITY OF OUR COMMUNITY RELATIONS. WHA IS A PARTNER TO THE COMMUNITIES WE SERVE, COMMUNITY RELATIONS DEVELOPS AND IMPLEMENTS OUTREACH PROGRAMS, INCLUDING SOCIAL AND COMMUNITY AWARENESS INCENTIVES. EACH YEAR, WHA PROVIDES FINANCIAL ASSISTANCE FOR A VARIETY OF CULTURAL AND COMMUNITY EVENTS, AS WELL AS HEALTH AND HUMAN SERVICES ORGANIZATIONS EVENTS. CONTRIBUTION OF WHA EMPLOYEES TO WHA'S COMMUNITY. WHA EMPLOYEES EXEMPLIFY OUR ORGANIZATION'S OBJECTIVES AND PHILOSOPHY OF "GIVING BACK" TO THOSE WE SERVE EACH YEAR, THEY DONATE MORE THAN 2,000 VOLUNTEER HOURS SERVING ON BOARDS, WORKING IN SCHOOLS AND SUPPORTING LOCAL NON-PROFIT ORGANIZATIONS IN A WIDE VARIETY OF WAYS. WHA'S MISSION IS TO IMPROVE AND ENRICH THE LIVES OF COMMUNITY MEMBERS BY SUPPORTING LOCAL ORGANIZATIONS. THROUGHOUT THE YEAR WHA ANNOUNCES GIVING OPPORTUNITIES THAT HAVE A POSITIVE IMPACT ON THE HEALTH AND WELLBEING OF THE COMMUNITY. IN SUPPORT OF THIS MISSION, WHA ENCOURAGES EMPLOYEE PARTICIPATION, WHETHER THROUGH FINANCIAL DONATIONS, VOLUNTEER EFFORTS OR COMMUNITY ACTIVITIES LIKE WEEKEND FUN RUNS AND AN ANNUAL BIKE TREK WITH SUPERVISOR APPROVAL, EMPLOYEES CAN ALSO ATTEND EVENTS THAT MAY OCCUR DURING REGULAR WORK HOURS. DOLLARS FOR DO-ERS. WESTERN HEALTH ADVANTAGES DOLLARS FOR DO-ERS PROGRAM WILL DONATE UP TO $100 PER YEAR TO A SELECTED CHARITY ON BEHALF OF THE EMPLOYEES WHO HAVE CONFIRMED THEIR VOLUNTEERISM OF 20 OR MORE HOURS WITH THE ORGANIZATION. WHA EMPLOYEE MATCHING CHARITABLE CONTRIBUTIONS. WHA MATCHES EMPLOYEE CHARITABLE DONATIONS DOLLAR FOR-DOLLAR, UP TO $250 PER FISCAL YEAR PER EMPLOYEE. EMPLOYEES CAN GIVE VIA PAYROLL DEDUCTIONS OR ONE-TIME CASH DONATIONS. DONATIONS MUST BE MADE TO QUALIFIED NONPROFIT ORGANIZATIONS. WHA OFFERS EMPLOYEES 8 HOURS OF PAID TIME-OFF EACH YEAR TO VOLUNTEER AT THE ORGANIZATION OF THEIR CHOICE. IN ADDITION, EMPLOYEES ARE GIVEN THE OPPORTUNITY TO PARTICIPATE IN 8 HOURS OF VOLUNTEER ACTIVITIES AT WESTERN HEALTH ADVANTAGE SPONSORED EVENTS. WHA CEO INVOLVEMENT IN THE COMMUNITY. THE PRESIDENT AND CEO OF WHA, GARRY MAISEL, SUPPORTS VARIOUS COMMUNITY CHARITIES AND CAUSES, IN ADDITION TO IMPROVING HEALTHCARE FOR THE COMMUNITY AS AN ACTIVE BOARD MEMBER OF WHA. 0 714883772 false false false false false false false false false true false false true true true false true false false false false false false false false false true false true false false false false false false false false false false false false false true true false false true 1775 0 true 254 true true true false false false false false X 7 7 false false true false true true true true true false false true true true true true true true true false CA X STEPHANIE MADSEN 9165633193 2349 GATEWAY OAKS DRIVE SUITE 100 Sacramento CA 95833 Tammy Wilcox Chairman of the Board 1.0 0.0 X X 0 0 0 Elnora Cameron Vice Chair & Secy of the Board 1.0 0.0 X X 0 0 0 Gary Passama thru 62117 Director 1.0 0.0 X 0 0 0 DR Shanaz Khambatta Director 1.0 0.0 X 0 0 0 Ann Madden-Rice thru 62117 Director 1.0 0.0 X 0 0 0 Maureen McKennanthru 62117 Vice Chairman 1.0 0.0 X 0 0 0 DR Alvin Sockolov MD Director 1.0 0.0 X 0 0 0 Laurie Harting Director 1.0 0.0 X 0 0 0 Kevin Klockenga Director 1.0 0.0 X 0 0 0 DR MICHAEL HOOPER Board Member (thru 6/21/17) 1.0 0.0 X 0 0 0 B Konard Jones Director 1.0 0.0 X 0 0 0 Garry Maisel President & CEO 40.0 0.0 X 944786 0 106922 Mariette Ruecker Treasurer & CFO 40.0 0.0 X 439524 0 55922 William Figenshu Chief Sales Officer 40.0 0.0 X 337331 0 55409 Donald Hufford Chief Medical Officer 40.0 0.0 X 430546 0 67092 Rebecca Downing Chief Legal Officer 40.0 0.0 X 293339 0 52774 Frederick Heron Chief Mktg & Brand Officer 32.0 0.0 X 240396 0 48050 Glenn Hamburg Chief Client Services Officer 40.0 0.0 X 263694 0 26968 Ali Darugar Chief Information Officer 40.0 0.0 X 249746 0 54045 Elizabeth Hargett Sales Director 40.0 0.0 X 196195 0 33722 Mary Ingram Actuarial Services Director 40.0 0.0 X 187146 0 30057 Christopher Paul Senior Benefit Consultant 40.0 0.0 X 183381 0 24180 Keith Howes Human Resources Director 40.0 0.0 X 218140 0 25059 GARY PLUNDO MEDICAL DIRECTOR 40.0 0.0 X 174589 0 19503 4158813 0 599703 38 false true false THE REGENTS OF THE UNIVERSITY OF CA ONE SHIELDS AVENUE DAVIS CA 95616 MEDICAL SERVICES 134963884 DIGNITY HOSPITAL 1090 GOLD CENTER DRIVE STE 300 RANCHO CORDOVA CA 95670 MEDICAL SERVICES 123200583 EXPRESS SCRIPTS INC ONE EXPRESS WAY ST LOUIS MO 63121 PHARMACY BENEFITS 76324499 HILL PHYSICIANS MEDICAL GROUP 2409 CAMINO RAMON SAN RAMON CA 94583 MEDICAL SERVICES 67933529 NORTH BAY HEALTHCARE GROUP 1200 B GALE WILSON BLVD FAIRFIELD CA 94533 MEDICAL SERVICES 52815975 106 0 PREMIUMS EARNED 524114 725450574 725450574 PPO PREMIUM REVENUE 524298 325302 325302 ADMINISTRATIVE INCOME 524292 24732 24732 725800608 203903 5448 198455 0 0 0 0 0 3794399 3717675 76724 76724 76724 0 0 0 0 0 0 0 0 0 MISCELLANEOUS REVENUE 900009 6961 6961 6961 726088196 725475306 330750 282140 1390716 1390716 0 0 0 3622146 1773953 1848193 0 16037166 13144875 2892291 451153 355062 96091 2695970 2066999 628971 1381459 1106835 274624 22234999 21503396 731603 193327 193327 317302 317302 0 0 0 654625395 654625395 1995169 1995169 3557329 1304561 2252768 4079116 3976654 102462 0 1102459 286639 815820 273650 166093 107557 0 1237009 600511 636498 362789 362789 0 1362286 1199169 163117 346903 346903 AFFORDABLE CARE ACT FEES 7066325 7066325 PPO ADMIN EXPENSES 1427533 1427533 TAXES 660396 660396 DMHC FEES 233491 233491 726654088 714883772 11770316 0 46454266 38476534 5076177 4969133 0 0 1194054 3300171 0 0 0 0 0 0 109962 115853 4277121 1501189 11307742 5994576 4025049 5313166 6165509 7093678 0 0 0 0 0 0 16176218 13144414 83478356 73914138 10143632 8691040 0 0 18821369 17348404 0 0 0 0 0 0 0 0 0 0 45702917 39327277 74667918 65366721 X 8810438 8547417 0 0 0 0 8810438 8547417 83478356 73914138 -565892 302871 X false true X true false 411600 193895 217705 9281484 5062243 4219241 1614658 738438 876220 5313166 AFFORDABLE CARE ACT RECEIVABLE 3460018 INTEREST RECEIVABLE 40548 INCOME TAX RECEIVABLE 216468 PHARMACY REBATE RECEIVABLE 4360369 UC RISK ADJUSTMENT RECEIVABLE 154572 OTHER RECEIVABLES 462188 ADDTL CAPITATION CENTER REC. 2666681 PREMIUM STABILIZATION REC. 1783570 13144414 0 IBNR 9903801 CLAIMS PAYABLE 7293322 MEDICAL COST PAYABLE 7855413 CAPITATION PAYABLE 2989604 INTEREST PAYABLE 180066 NOTES PAYABLE TO SPONSORS 11105071 39327277 X PART X, LINE 2 THE COMPANY FOLLOWS THE PROVISIONS OF FASB ACCOUNTING STANDARDS CODIFICATION (ASC) SUBTOPIC 740-10, INCOME TAXES - OVERALL. THIS PRONOUNCEMENT PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION EXPECTED TO BE TAKEN IN A TAX RETURN. IT ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. THE COMPANY FILES TAX RETURNs IN THE UNITED STATES AND CALIFORNIA. ALL TAX PERIODS BEGINNING WITH THE TAX YEAR ENDED DECEMBER 31, 2013 AND THEREAFTER ARE OPEN TO EXAMINATION FOR U.S. PURPOSES, AND ALL TAX PERIODS BEGINNING WITH the TAX PERIOD ENDED DECEMBER 31, 2012 AND THEREAFTER ARE OPEN TO EXAMINATION FOR CALIFORNIA PURPOSES. THE COMPANY IS CURRENTLY NOT UNDER EXAMINATION BY THE IRS OR OTHER TAX AUTHORITIES. SIGNIFICANT JUDGMENT IS REQUIRED IN APPLYING THE PRINCIPLES OF ASC SUBTOPIC 740-10. THE CALCULATION OF THE PROVISION FOR INCOME TAXES INVOLVES DEALING WITH UNCERTAINTIES IN THE APPLICATION OF COMPLEX TAX LAWS AND REGULATIONS. IN DETERMINING THE ADEQUACY OF THE PROVISION FOR INCOME TAXES, THE COMPANY REGULARLY ASSESSES THE POTENTIAL SETTLEMENT OUTCOMES RESULTING FROM INCOME TAX EXAMINATIONS. HOWEVER, THE FINAL OUTCOME OF THE TAX EXAMINATIONS, INCLUDING THE TOTAL AMOUNT PAYABLE OR THE TIMING OF ANY SUCH PAYMENTS UPON RESOLUTION OF THESE ISSUES, CANNOT BE PREDICTED WITH CERTAINTY. IN ADDITION, THE COMPANY CANNOT BE CERTAIN THAT SUCH AMOUNT WILL NOT BE MATERIALLY DIFFERENT THAN THAT WHICH IS REFLECTED IN THE COMPANY'S HISTORICAL INCOME TAX PROVISIONS AND ACCRUALS. SHOULD THE IRS OR OTHER TAX AUTHORITIES ASSESS ADDITIONAL TAXES AS A RESULT OF A FUTURE EXAMINATION, THE COMPANY MAY BE REQUIRED TO RECORD CHARGES TO OPERATIONS IN FUTURE PERIODS THAT COULD HAVE A MATERIAL IMPACT ON THE RESULTS OF OPERATIONS, FINANCIAL POSITION, OR CASH FLOWS IN THE APPLICABLE PERIOD OR PERIODS. true ACADEMY OF FRIENDS 650 Fifth Street Suite 408 San Francisco CA 94107 943064135 501(c)(3) 25000 AIDS Research ALF Exemplary Leaders 1601 Response Road Suite 350 SACRAMENTO CA 95815 911792774 501(c)(3) 25000 Leadership Education AMERICAN HEART ASSOCIATION 7272 Greenville Ave Dallas TX 952314596 135613797 501(c)(3) 100000 Health Initiative B Street Theater Mainstage 2711 B Street SACRAMENTO CA 95816 954047805 501(c)(3) 68000 Theatre Arts Ed. BREATHE CALIFORNIA 909 12th Street SACRAMENTO CA 95814 941641240 501(c)(3) 15000 Health Education CALIFORNIA ASIAN PACIFIC 2331 Alhambra BlvdSte 100 Sacramento CA 95817 680423644 501(c)(6) 15000 Asian Pacific Chamber CRISTO REY HIGH SCHOOL 8475 Jackson Road SACRAMENTO CA 95826 412191660 501(c)(3) 26000 Workplace Assistance CROCKER ART MUSEUM 216 O Street SACRAMENTO CA 95814 942552486 501(c)(3) 100000 Arts Education DIGNITY HEALTH 185 Berry St Ste 300 San Francisco CA 94107 941196203 501(c)(3) 7500 Womens Health Select Sacramento 400 Capitol Mall Suite 2500 Sacramento CA 95814 465517841 501(c)(3) 6500 Sponsorship DOWNTOWN SACRAMENTO 980 9th Street Suite 400 Sacramento CA 95814 680270320 501(c)(6) 15000 Community Support EL DIA DE LOS MUERTOS PETALUMA 35 Liberty Street Petaluma CA 95609 474289029 501(c)(3) 10000 Sponsorship GIFTS TO SHARE INC 915 I STREET 3RD FLOOR Sacramento CA 95841 942985546 501(C)(3) 18500 Children's Arts Sacramento Food Bank 3333 Third Ave Sacramento CA 95817 943315566 501(c)(3) 5020 Sponsorship FOOD FOR FAMILIES PO Box 15618 Sacramento CA 95852 680195082 501(C)(3) 10000 Food Bank support GREATER SACRAMENTO AREA 400 Capitol Mall Suite 2500 Sacramento CA 95814 465517841 501(c)(3) 100000 Civic Leadership MARIN GENERAL HOSPITAL FOUNDATION 100B Drakes Landing Road Suite 25 Greenbrae CA 94904 946127213 501(c)(3) 16000 Hospital support MERCY FOUNDATION 3400 Data Drive Rancho Cordova CA 95670 237072762 501(c)(3) 40000 Health Neurological MERISTEM 9200 Fair Oaks Blvd Fair Oaks CA 95628 471411177 501(c)(3) 30000 serves young adults MONDAVI CENTER UC DAVIS One Shields Ave Davis CA 95616 946036494 Government 112500 Arts Sponsorship NORTHBAY HEALTHCARE FOUNDATION 4500 Business Center Drive Fairfield CA 94534 942995085 501(c)(3) 20000 community support RUN TO FEED THE HUNGRY 3333 Third Ave Sacramento CA 95817 943315566 501(c)(3) 60000 emergency goods SACRAMENTO BALLET ASSOCIATION 2420 N Street Suite 100 Sacramento CA 95816 941674349 501(c)(3) 43350 arts education SACRAMENTO METROPOLITAN One Capitol Mall Suite 700 Sacramento CA 95814 940824600 501(c)(6) 43350 community support SOIL BORN FARM URBAN PO Box 661175 SACRAMENTO CA 95866 200774693 501(c)(3) 25000 community support ST HOPE ACADEMY PO Box 5447 Sacramento CA 95817 680193050 501(c)(3) 10000 education support Sac State University Fdn 6000 J Street Sacramento CA 95819 943001359 501(c)(3) 10000 Education Support UCD NURSING SCHOOL One Shields Ave Davis CA 95616 946081352 501(c)(3) 83333 Nursing VALLEY VISION 2320 Broadway Sacramento CA 95818 943214572 501(c)(3) 30000 Community Support WEAVE INC 1900 K Street SACRAMENTO CA 95811 942493158 501(c)(3) 35000 Crisis Intervention WOODLAND HEALTHCARE FOUNDATION 1321 Cottonwood Street Suite 207 Woodland CA 95695 941196203 501(c)(3) 20000 Donation to Imaging and Surgical Services Campaign Additional Grants 5000 or less 2349 Gateway Oaks Drive No 100 Sacramento CA 95833 Various Purposes 27 4 PART I, LINE 2 THE ORGANIZATION'S MANAGEMENT TEAM EVALUATES POTENTIAL DONATIONS TO OUTSIDE ORGANIZATIONS TAKING INTO ACCOUNT HOW THE OUTSIDE ORGANIZATION ALIGNS WITH THE ORGANIZATION'S MISSION. GRANT RECIPIENTS ARE TYPICALLY WELL-KNOWN ORGANIZATIONS WITH A STRONG REPUTATION FOR DOING GOOD WITHIN THE COMMUNITY. GRANTS ARE MADE FOR GENERAL SUPPORT OR SPECIFIC PROJECTS THAT FURTHER THE OUTSIDE ORGANIZATION'S MISSION OF BENEFITING THE COMMUNITY. GRANTS ARE MADE AFTER REVIEW OF A WRITTEN APPLICATION, REVIEWED BY THE GRANT COMMITTEE AND WRITTEN AGREEMENT WITH WHA. X true false X X X X false true false false false false false true false Garry Maisel President & CEO 701450 0 236136 0 7200 0 94014 0 12908 0 1051708 0 0 0 Mariette Ruecker Treasurer & CFO 289784 0 141379 0 8361 0 35913 0 20009 0 495446 0 0 0 William Figenshu Chief Sales Officer 263875 0 63985 0 9471 0 32830 0 22579 0 392740 0 0 0 Donald Hufford Chief Medical Officer 320515 0 73091 0 36940 0 39794 0 27298 0 497638 0 0 0 Rebecca Downing Chief Legal Officer 231995 0 51750 0 9594 0 28865 0 23909 0 346113 0 0 0 Frederick Heron Chief Mktg & Brand Officer 185724 0 34490 0 20182 0 22865 0 25185 0 288446 0 0 0 Glenn Hamburg Chief Client Services Officer 207731 0 47045 0 8918 0 23956 0 3012 0 290662 0 0 0 Elizabeth Hargett Sales Director 129217 0 54493 0 12485 0 7981 0 25741 0 229917 0 0 0 Mary Ingram Actuarial Services Director 162809 0 13684 0 10653 0 7473 0 22584 0 217203 0 0 0 Christopher Paul Senior Benefit Consultant 156478 0 17208 0 9695 0 2026 0 22154 0 207561 0 0 0 Keith Howes Human Resources Director 164021 0 37000 0 17119 0 8798 0 16261 0 243199 0 0 0 Ali Darugar Chief Information Officer 200544 0 36050 0 13152 0 25794 0 28251 0 303791 0 0 0 GARY PLUNDO MEDICAL DIRECTOR 174243 0 0 0 346 0 2538 0 16965 0 194092 0 0 0 Schedule J, Part I, Question 1a THE ORGANIZATION PAID $180 EACH FOR YEARLY HEALTH CLUB DUES FOR TWO OFFICERS, FIVE KEY EMPLOYEES, AND TWO HIGHEST COMPENSATED EMPLOYEES LISTED ON FORM 990 PART VII. THESE AMOUNTS HAVE BEEN INCLUDED AS NONTAXABLE BENEFITS IN SCHEDULE J, PART II, COLUMN D. Schedule J, Part I, Question 4b THE ORGANIZATION HAS A 457(F) PLAN WHEREBY PARTICIPANTS VEST AFTER 5 YEARS, WITH IMMEDIATE VESTING UPON DEATH, DISABILITY, OR INVOLUNTARY TERMINATION WITHOUT CAUSE. Schedule J, Part I, Question 7 Bonuses/incentives are based on an individual's performance and are discretionary based on meeting established goals. Form 990, Part VI, Section A, Line 4 The following significant changes were made to the bylaws during the tax year: - Special Meetings of Members may be called by any 1 Member. - Clarifying the treatment of a corporate member who is terminated for failure to be a network provider: retains all rights and obligations for a 5-year period after the vote to terminate other than the right to appoint any Directors; termination to be rescinded if the terminated member enters into a provider agreement on terms and conditions required by WHA (unless the member was terminated on other grounds as well) within the 5-year period. - Restoring language that defines quorum as either a majority of directors or the presence of at least one director representing each Member. - Adding language that interested directors and common directors are not included in all members. - Clarifying that the Vice Chair shall be a Director. - Amending Compensation Committee to strengthen the safe harbor for WHAs compensation decisions. - Restoring Unanimous Written Consent provision for Committees. - Restoring Quorum and Voting provision for Committees. - Requires a corporate member who is withdrawing from membership to notify the corporation in addition to notifying the other corporate members. - Clarification that the officers, directors and committee members appointed by a terminated corporate member are automatically removed from their positions. - Authorizes use of electronic transmission for unanimous written consent. -Deletion of the indemnification provision which requires Corporate Members to indemnify and hold the other Corporate Members and WHA harmless for claims, expenses, liabilities and attorneys fees for acts and omissions unrelated to WHA. - Clarifies that only members may revise the bylaws. Form 990, Part VI, Section A, Line 6: DIGNITY HEALTH AND NORTHBAY HEALTHCARE GROUP ARE MEMBERS OF WESTERN HEALTH ADVANTAGE. Form 990, Part VI, Section A, Line 7A DIGNITY HEALTH AND NORTHBAY HEALTHCARE GROUP HAVE RIGHTS TO ELECT AND REMOVE MOST BOARD MEMBERS. Form 990, Part VI, Section A, Line 7B DIGNITY HEALTH AND NORTHBAY HEALTHCARE GROUP RETAIN THE APPROVAL RIGHTS AFFORDED MEMBERS FOR CERTAIN SIGNIFICANT TRANSACTIONS (E.G. CHANGE IN BYLAWS). Form 990, Part VI, Section B, Line 11 THE BOARD OF DIRECTORS REVIEWS THE FORM 990 BEFORE THE RETURN IS FILED. THE ORGANIZATION'S CFO AND FINANCE DIRECTOR WORK CLOSELY WITH AN OUTSIDE ACCOUNTING FIRM TO PREPARE AND REVIEW THE RETURN. A COMPLETE COPY OF FORM 990 IS PROVIDED TO THE ENTIRE BOARD PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. Form 990, Part VI, Section B, Line 12C ON AN ANNUAL BASIS, THE ORGANIZATION DISTRIBUTES CONFLICT OF INTEREST QUESTIONNAIRES WHICH THE BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES COMPLETE AND RETURN. THE CHIEF LEGAL OFFICER OF THE ORGANIZATION REVIEWS THE RETURNED FORMS FOR COMPLIANCE. IF A CONFLICT IS REPORTED IT WOULD BE HANDLED IN ACCORDANCE WITH THE CONFLICTS OF INTEREST POLICY, WHICH REQUIRES INDIVIDUALS WITH A POTENTIAL CONFLICT TO RECUSE THEMSELVES FROM THE BOARD'S DELIBERATIONS ON THE ISSUE OF CONFLICT. Form 990, Part VI, Section B, Line 15 THE BOARD OF DIRECTORS REVIEW THE COMPENSATION OF THE CHIEF LEVEL EXECUTIVES AFTER RECEIVING A REPORT FROM AN INDEPENDENT CONSULTANT ADVISING AS TO THE LEVEL OF SALARIES FOR SIMILAR POSITIONS. A WRITTEN POLICY AND PROCEDURES REQUIRES THAT THE BOARD DETERMINE THAT COMPENSATION IS REASONABLE TO THE ORGANIZATION BASED UPON INFORMATION SUFFICIENT TO DETERMINE WHETHER THE VALUE OF SERVICES IS THE AMOUNT THAT WOULD ORDINARILY BE PAID FOR LIKE SERVICES BY LIKE ENTERPRISES, WHETHER TAXABLE OR TAX EXEMPT. UNDER LIKE CIRCUMSTANCES RELEVANT INFORMATION INCLUDES, BUT IS NOT LIMITED TO, COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA OF THE APPLICABLE TAX EXEMPT ORGANIZATION, CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS, AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE DISQUALIFIED PERSON. THE BOARD MUST ALSO MAKE A FINDING THAT COMPENSATION TO THE CEO AND CFO IS JUST AND REASONABLE. ANY MEMBERS OF THE BOARD WHO HAVE A CONFLICT CANNOT BE INCLUDED IN THE DECISION MAKING PROCESS. Form 990, Part VI, Section C, Line 19 WHILE FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION, THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:CAPITATION TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:CLAIMS EXPENSE TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL ADMIN TOTAL FEES:6030623 WESTERN HEALTH ADVANTAGE COMMUNITY 2349 GATEWAY OAKS FRNE SUITE 100 SACRAMENTO CA 95833 870748090 Inactive CA NA C CORP 0 0 1.00000 false false false false false false false false false false false false false false false false false false false