2017-02-14T13:38:52-06:00 2016-06-30 KPMG LLP 3975 Freedom Circle Dr Suite 100 Santa Clara CA 95054 990 2015-07-01 680393304 Western Health Advantage % STEPHANIE MADSEN WEST 9165633188 2349 Gateway Oaks Drive No 100 Sacramento CA 95833 RITA RUECKER CFO 2017-02-08 true Valerie J Ball P00178114 4083675764 2017-02-10 2015 2021-01-29 14:40:06Z GARRY MAISEL 2349 Gateway Oaks Drive No 100 Sacramento CA 95833 665101663 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. 10 10 194 0 317169 -5068124 0 0 595156420 664944132 269957 155576 558903 1955 595985280 665101663 1119097 1218135 0 0 16610311 19104148 0 0 0 591431429 643265271 609160837 663587554 -13175557 1514109 93917060 83478356 86608453 74667918 7308607 8810438 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 THREE TAX-EXEMPT HEALTH SYSTEMS. THE ORGANIZATION IS CONTROLLED BY ITS MEMBER HEALTH SYSTEMS, ALL OF WHICH ARE TAX EXEMPT UNDER 501(C)(3). THE MEMBER HEALTH SYSTEMS CONTROL THE APPOINTMENT OF 9 OUT OF 10 MEMBERS TO THE BOARD OF DIRECTORS OF THE ORGANIZATION, WITH THE TENTH 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 ASSISTAN false false 652515186 0 664626963 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 THREE CORPORATE MEMBERS, DIGNITY HEALTH, NORTHBAY HEALTHCARE GROUP, AND THE UNIVERSITY OF CALIFORNIA, DAVIS HEALTH SYSTEM (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 THREE MEMBER HEALTH SYSTEMS, WHICH ENGAGE IN TAX-EXEMPT AND CHARITABLE PURPOSES, COMPRISE 37% OF ALL OF THE ORGANIZATION'S ENROLLEES. GOVERNMENTAL ENTITIES' EMPLOYEES AND DEPENDENTS COMPRISE AN ADDITIONAL 13% 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 ORGANIZATIONS 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. OF NOTE, THE BULK OF YOLO COUNTY IS DESIGNATED A MUA. PARTS OF SOLANO AND SACRAMENTO COUNTIES ARE DESIGNATED AS MUAS. AND THE MAJORITY OF NAPA AND MARIN COUNTIES ARE DESIGNATED AS MUPS. OTHER PORTIONS OF THE ORGANIZATION'S SERVICE AREA ARE ALSO DESIGNATED AS A MUA AND/OR MUP. PORTIONS OF THE ORGANIZATION'S SERVICE AREA ARE DESIGNATED AS HAVING A SHORTAGE OF PRIMARY CARE PHYSICIANS ("PCPHPSAS") , MENTAL HEALTH ("MHPSAS"), AND REGISTERED NURSE ("RNSAS") PROVIDERS. OF NOTE, THE MAJORITY OF EL DORADO, PLACER, AND SACRAMENTO COUNTIES ARE DESIGNATED PCPHPSAS, YOLO COUNTY IS DESIGNATED A MHHPSA VIA A POPULATION DESIGNATION. ALL OF COLUSA AND EL DORADO AND PARTS OF SOLANO COUNTIES ARE DESIGNATED VIA A GEOGRAPHIC DESIGNATION, AND THE ENTIRETY OF SACRAMENTO COUNTY IS AN RNSA. ALL OF THE COUNTIES WITHIN THE ORGANIZATION'S SERVICE AREA HAVE POPULATIONS BELOW THE POVERTY LEVEL. OF NOTE, THERE ARE LARGE PERCENTAGES OF CHILDREN AGES 0 TO 17 LIVING BELOW THE POVERTY LEVEL IN COLUSA (25.2%) AND SACRAMENTO COUNTIES (23.1%). THE ORGANIZATION'S SERVICE AREA CONTAINS A NUMBER OF COUNTIES THAT HAVE A HIGH PERCENTAGE OF UNINSURED INDIVIDUALS AND FAMILIES. OF NOTE, NAPA, SACRAMENTO, SOLANO, SONOMA, AND YOLO COUNTIES HAVE ESTIMATED UNINSURED RATES OF GREATER THAN 15%, EL DORADO, MARIN, AND PLACER COUNTIES HAVE UNINSURED RATES GREATER THAN 10%, AND COLUSA HAS AN ESTIMATED UNINSURED RATE OF GREATER THAN 23%. ON AVERAGE, THE PERCENTAGE OF PERSONS UNINSURED IN THE ORGANIZATION'S SERVICE AREA SIGNIFICANTLY EXCEEDS THAT OF THE STATE OF CALIFORNIA AND THE NATION. THE ORGANIZATION PROVIDES COVERAGE TO A SIGNIFICANT NUMBER OF INDIVIDUALS WHO ARE CHILDREN (18%) AND ELDERLY AGED 55 YEARS OR OLDER (18%). THE PLAN'S SERVICE AREA INCLUDES SEVERAL COUNTIES THAT HAVE POPULATIONS WITH HIGH PERCENTAGES OF FAIR OR POOR HEALTH OUTCOMES. FOR EXAMPLE, 10.3% OF SOLANO COUNTY CHILDREN AGES 0 TO 17 HAVE FAIR OR POOR HEALTH. IN SACRAMENTO COUNTY, 29% OF ADULTS AGES 65 AND OLDER HAVE FAIR OR POOR HEALTH. ADDITIONALLY, NEARLY ALL OF THE ORGANIZATION'S SERVICE AREA COUNTIES HAVE HIGH PERCENTAGES OF FAIR OR POOR HEALTH FOR ADULTS AGES 18 TO 64. 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 125,000 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 190 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 "FIT-FRIENDLY" 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. 1218135 1218135 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 2015-2016, 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. RUN TO FEED THE HUNGRY - WHA IS THE TITLE SPONSOR FOR THIS EVENT. IN 2015, SACRAMENTO'S RUN TO FEED THE HUNGRY WAS THE LARGEST THANKSGIVING DAY RACE IN THE COUNTRY, WITH ABOUT 30,000 PARTICIPANTS PROCEEDS FROM THE RACE PROVIDE 20 PERCENT OF THE ANNUAL OPERATING BUDGET FOR THE SACRAMENTO FOOD BANK AND FAMILY SERVICES. WHA'S SPONSORSHIP OF THE EVENT MAKES A HUGE IMPACT IN OUR COMMUNITY. BESIDES BEING A SPONSOR OF THIS EVENT, WHA SPONSORS A COMPANY TEAM AND ENCOURAGES ALL EMPLOYEES TO PARTICIPATE. THE RUN TO FEED THE HUNGRY IS A GREAT WAY TO PROMOTE HEALTH AND WELLNESS IN THE WORKPLACE. GO RED FOR WOMEN WEAR RED DAY IN FEBRUARY, AHA START WALKING DAY, AHA HEART WALK. THE HEART WALK IS THE AMERICAN HEART ASSOCIATION'S PREMIERE EVENT FOR RAISING FUNDS TO SAVE LIVES FROM THIS COUNTRY'S NO 1 AND NO 5 KILLERS - HEART DISEASE AND STROKE. DESIGNED TO PROMOTE PHYSICAL ACTIVITY AND HEART-HEALTHY LIVING, THE HEART WALK CREATES AN ENVIRONMENT THAT'S FUN AND REWARDING FOR THE ENTIRE FAMILY. BESIDES BEING A SPONSOR OF THIS EVENT, WHA SPONSORS A COMPANY TEAM AND ENCOURAGES ALL EMPLOYEES TO PARTICIPATE. THE HEART WALK IS A GREAT WAY TO PROMOTE HEALTH AND WELLNESS IN THE WORKPLACE. AHA GO RED FOR WOMEN LUNCHEON, COATS FOR KIDS, MARCH OF DIMES FUNDRAISER, WEAVE WALK A MILE IN HER SHOES, BRING YOUR KIDS TO WORK DAY, KOMEN WALK FOR THE CURE, THE BREATHE CALIFORNIA BIKE TREK, SACRAMENTO PRIDE, WOMEN'S EMPOWERMENT, HEALTHIEST EMPLOYER LUNCHEON, EASTER SEALS DAFFODIL DAYS, WAY UP SACRAMENTO COMMUNITY GARDEN, RIVER CATS AND SACRAMENTO REPUBLIC FC ORGANIZATIONS SUPPORTED WITH GRANTS, SACRAMENTO BALLET, $50,000, PASCO HR CONFERENCE, SOIL BORN FARMS- URBAN FARMING AND FOOD EDUCATION, $25,000 ANNUAL CAPITAL CONTRIBUTION FOR OUTDOOR TEACHING KITCHEN HEALTH FAIRS. WHA PROMOTES HEALTH FAIRS IN THE REGION, TO PROVIDE AND/OR PROMOTE THE AVAILABILITY OF SERVICES, SUCH AS CHOLESTEROL AND BLOOD-PRESSURE SCREENING, COOKING, WEIGHT-LOSS, EXERCISE AND SMOKING CESSATION PROGRAMS THESE PROGRAMS AND SERVICES WORK TO NOURISH MIND, BODY AND SPIRIT. WHA STRONGLY SUPPORTS MANY OF THE LOCAL CHAMBERS OF COMMERCE IN OUR EIGHT-COUNTY SERVICE AREA BECAUSE THAT IS ONE WAY TO REACH SMALL AND LARGE EMPLOYERS AND MAKE THEM AWARE OF WHA HEALTH COVERAGE THAT MIGHT BE OPTIMAL FOR THEIR EMPLOYEES. 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 USING ONGOING PAY ROLL DEDUCTIONS OR ONE-TIME. CASH DONATIONS MUST BE MADE TO QUALIFIED NONPROFIT ORGANIZATIONS. OVER 100 WHA EMPLOYEES TOOK PART IN THE EMPLOYEE MATCHING PROGRAM, WITH DONATIONS THAT WERE MATCHED BY WHA IN THE AMOUNT OF $13,100. WE OFFER OUR EMPLOYEES 16 HOURS OF PAID TIME-OFF FOR BOTH PERSONAL VOLUNTEER OPPORTUNITIES, AS WELL AS GROUP TEAM-BUILDING ACTIVITIES IN ADDITION TO PERSONAL VOLUNTEER TIME, EMPLOYEES WILL BE GIVEN THE OPPORTUNITY TO SPEND EIGHT REGULAR WORKING HOURS TO VOLUNTEER AT GROUP COMMUNITY PROGRAMS GROUP VOLUNTEER OPPORTUNITIES. WESTERN HEALTH ADVANTAGE ORGANIZES AT LEAST TWO GROUP VOLUNTEER PROJECTS EACH YEAR EMPLOYEES ARE ENCOURAGED TO USE UP TO EIGHT HOURS OF PAID TIME OFF TO PARTICIPATE IN THESE PROJECTS. 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. 653733321 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 1774 0 true 194 true false false false false false false X 10 10 false false false 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 James Goodnight MD Director(RETIRED - 09/01/2015) 1.0 0.0 X 0 0 0 Elnora Cameron Secretary 1.0 0.0 X X 0 0 0 Gary Passama Director 1.0 0.0 X 0 0 0 DR Shanaz Khambatta Director 1.0 0.0 X 0 0 0 Ann Madden - Rice Director 1.0 0.0 X 0 0 0 Maureen McKennan Vice Chairman 1.0 0.0 X 0 0 0 DR Alan 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 DIRECTOR 1.0 0.0 X 0 0 0 Garry Maisel President & CEO 40.0 0.0 X 1057232 0 103600 Mariette Ruecker Treasurer & CFO 40.0 0.0 X 421442 0 52770 William Figenshu Chief Sales Officer 40.0 0.0 X 338893 0 54956 Donald Hufford Chief Medical Officer 40.0 0.0 X 381061 0 62977 Rebecca Downing Chief Legal Officer 40.0 0.0 X 256625 0 51896 Frederick Heron Chief Mktg & Brand Officer 32.0 0.0 X 225191 0 45719 Glenn Hamburg Chief Client Services Officer 40.0 0.0 X 245571 0 26800 Ali Darugar Chief Information Officer 40.0 0.0 X 229526 0 44497 Elizabeth Hargett Sales Director 40.0 0.0 X 179901 0 31016 Mary Ingram Actuarial Services Director 40.0 0.0 X 172553 0 27929 Christopher Paul Senior Benefit Consultant 40.0 0.0 X 161710 0 24911 Christopher Morris Financial Analysis Manager 40.0 0.0 X 157279 0 29759 Keith Howes Human Resources Director 40.0 0.0 X 151516 0 22840 3978500 0 579670 29 false true false THE REGENTS OF THE UNIVERSITY OF CA ONE SHIELDS AVENUE DAVIS CA 95616 MEDICAL SERVICES 129395159 DIGNITY HOSPITAL 1090 GOLD CENTER DRIVE STE 300 RANCHO CORDOVA CA 95670 MEDICAL SERVICES 114343323 HILL PHYSICIANS MEDICAL GROUP 2409 CAMINO RAMON SAN RAMON CA 94583 MEDICAL SERVICES 65441117 DIGNITY HEALTH MEDICAL FOUNDATION 3400 DATA CENTER DRIVE RANCHO CORDOVA CA 95670 MEDICAL SERVICES 49159868 NORTH BAY HEALTHCARE GROUP 1200 B GALE WILSON BLVD FAIRFIELD CA 94533 MEDICAL SERVICES 28073803 97 0 PREMIUMS EARNED 524114 664356353 664356353 PPO PREMIUM REVENUE 524298 317169 317169 ADMINISTRATIVE INCOME 524292 270610 270610 664944132 155576 0 155576 0 0 0 0 0 0 0 0 0 MISCELLANEOUS INCOME 900009 1955 1955 1955 665101663 664626963 317169 157531 1218135 1218135 0 0 0 3504095 1641602 1862493 0 12158420 9892438 2265982 342183 272517 69666 2033321 1564521 468800 1066129 828084 238045 17830032 17285515 544517 270982 270982 184117 184117 9000 9000 0 0 601345713 601345713 2273932 2273932 2741280 1189891 1551389 3193132 3067041 126091 0 951393 247362 704031 168623 84293 84330 0 869292 218616 650676 411671 411671 0 1017591 901446 116145 296298 296298 AFFORDABLE CARE ACT FEES 10606977 10606977 TAXES & OTHER 894704 894704 DMHC FEES 200534 200534 663587554 653733321 9854233 0 52460798 46454266 7850234 5076177 0 0 3495817 1194054 0 0 0 0 0 0 0 109962 9470730 4277121 8919691 4894642 3049748 4025049 6462735 6165509 0 0 0 0 0 0 11126998 16176218 93917060 83478356 12516620 10143632 0 0 13273198 18821369 0 0 0 0 0 0 0 0 0 0 60818635 45702917 86608453 74667918 X 7308607 8810438 0 0 0 0 7308607 8810438 93917060 83478356 1514109 -12278 X false true X true false 265669 136394 129274 7571898 4123410 3448489 1082124 634838 447286 4025049 AFFORDABLE CARE ACT RECEIVABLE 6772463 INTEREST RECEIVABLE 32795 INCOME TAX RECEIVABLE 835798 PHARMACY REBATE RECEIVABLE 4665979 UC RISK ADJUSTMENT RECEIVABLE 1655189 ESI GUARANTEE RECEIVABLE 250112 ESI CONSULTING RETAINER 15000 OTHER RECEIVABLES 1948882 16176218 0 IBNR 8907181 CLAIMS PAYABLE 8012945 MEDICAL COST PAYABLE 11586241 CAPITATION PAYABLE 3784494 INTEREST PAYABLE 411756 NOTES PAYABLE TO SPONSORS 13000300 45702917 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 HAD RECOGNIZED A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE COMPANY IDENTIFIED AN UNCERTAIN TAX POSITION RESULTING FROM A FEDERAL PERMANENT DIFFERENCE FOR WHICH THE DEDUCTIBILITY WAS UNCERTAIN. AS OF JUNE 30, 2014, THE COMPANY RECOGNIZED CUMULATIVE LIABILITIES OF APPROXIMATELY $2.6 MILLION FOR UNRECOGNIZED TAX BENEFITS AND RELATED INTEREST. THE COMPANY RECOGNIZES ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN THE PROVISION FOR INCOME TAXES. DURING THE YEAR ENDED JUNE 30, 2015, THE COMPANY DERECOGNIZED THE LIABILITY FOR UNRECOGNIZED BENEFITS AND RELATED INTEREST. THE COMPANY FILES TAX RETURNS IN THE UNITED STATES AND CALIFORNIA. ALL TAX PERIODS BEGINNING WITH THE TAX YEAR ENDED DECEMBER 31, 2012 AND THERE AFTER ARE OPEN TO EXAMINATION FOR U.S. PURPOSES, AND ALL TAX PERIODS BEGINNING WITH THE TAX PERIOD ENDED DECEMBER 31, 2011 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 2495 Natomas Park Drive Suite 200 SACRAMENTO CA 95833 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) 50000 Theatre Arts Ed. BREATHE CALIFORNIA 909 12th Street SACRAMENTO CA 95814 941641240 501(c)(3) 15000 Donation toward health care cost CRISTO REY HIGH SCHOOL 8475 Jackson Road SACRAMENTO CA 95826 412191660 501(c)(3) 26000 Donation CROCKER ART MUSEUM 216 O Street SACRAMENTO CA 95814 942552486 501(c)(3) 100000 Donation DIGNITY HEALTH 185 Berry St Ste 300 San Francisco CA 94107 941196203 501(c)(3) 7500 Sponsorship DOWNTOWN SACRAMENTO 980 9th Street Suite 400 Sacramento CA 95814 680270320 501(c)(6) 7500 Community Support Gifts To Share 915 I Street Sacramento CA 95814 942985546 501(C)(3) 18500 Arts Program Sacramento Food Bank 3333 Third Ave Sacramento CA 95817 943315566 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) 10000 Sponsorship MERCY FOUNDATION 3400 Data Drive Rancho Cordova CA 95670 237072762 501(c)(3) 40000 Health Neurological Institute MERISTEM 9200 Fair Oaks Blvd Fair Oaks CA 95628 471411177 501(c)(3) 25000 Serves young adults on the autism spectrum MONDAVI CENTER UC DAVIS One Shields Ave Davis CA 95616 946036494 Government 100000 Sponsorship RUN TO FEED THE HUNGRY 3333 Third Ave Sacramento CA 95817 943315566 501(c)(3) 60000 Sponsorship SACRAMENTO ASIAN PACIFIC 2012 H St Ste 207 Sacramento CA 95811 680423644 501(c)(6) 17500 Sponsorship SACRAMENTO BALLET ASSOCIATION 1631 K Street Sacramento CA 95814 941674349 501(c)(3) 65000 Sponsorship SACRAMENTO METROPOLITAN One Capitol Mall Suite 300 Sacramento CA 95814 940824600 501(c)(6) 12500 Sponsorship SOIL BORN FARM URBAN PO Box 661175 SACRAMENTO CA 95866 200774693 501(c)(3) 25000 Donation UC DAVIS FOUNDATION One Shields Ave Davis CA 95616 946081352 501(c)(3) 83333 Sponsorship VALLEY VISION 2320 Broadway Sacramento CA 95818 943214572 501(c)(3) 7500 Sponsorship WEAVE INC 1900 K Street SACRAMENTO CA 95811 942493158 501(c)(3) 35000 Sponsorship 21 3 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. X true false X X X X false true false false false false false false false Garry Maisel President & CEO 668958 0 334920 0 53354 0 91392 0 12208 0 1160832 0 0 0 Mariette Ruecker Treasurer & CFO 281353 0 131781 0 8308 0 33870 0 18900 0 474212 0 0 0 William Figenshu Chief Sales Officer 256126 0 60567 0 22200 0 31308 0 23648 0 393849 0 0 0 Donald Hufford Chief Medical Officer 311171 0 59923 0 9967 0 37530 0 25447 0 444038 0 0 0 Rebecca Downing Chief Legal Officer 205932 0 39891 0 10802 0 26855 0 25041 0 308521 0 0 0 Frederick Heron Chief Mktg & Brand Officer 176436 0 33781 0 14974 0 22384 0 23335 0 270910 0 0 0 Glenn Hamburg Chief Client Services Officer 199122 0 38570 0 7879 0 23912 0 2888 0 272371 0 0 0 Elizabeth Hargett Sales Director 122382 0 47515 0 10004 0 7104 0 23912 0 210917 0 0 0 Mary Ingram Actuarial Services Director 158103 0 11723 0 2727 0 6893 0 21036 0 200482 0 0 0 Christopher Paul Senior Benefit Consultant 104231 0 50246 0 7233 0 1670 0 23241 0 186621 0 0 0 Christopher Morris Financial Analysis Manager 145561 0 5749 0 5969 0 6274 0 23485 0 187038 0 0 0 Keith Howes Human Resources Director 129921 0 10313 0 11282 0 6139 0 16701 0 174356 0 0 0 Ali Darugar Chief Information Officer 194372 0 30000 0 5154 0 23471 0 21026 0 274023 0 0 0 Schedule J, Part I, Question 1a The organization paid $180 yearly health club dues for two officers, four key employees, and one highest compensated employee 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. Form 990, Part VI, Section A, Line 6 DIGNITY HEALTH, NORTHBAY HEALTHCARE GROUP, AND UNIVERSITY OF CALIFORNIA, DAVIS HEALTH SYSTEM ARE MEMBERS OF WESTERN HEALTH ADVANTAGE. Form 990, Part VI, Section A, Line 7A DIGNITY HEALTH, NORTHBAY HEALTHCARE GROUP, AND UNIVERSITY OF CALIFORNIA, DAVIS HEALTH SYSTEM HAVE RIGHTS TO ELECT AND REMOVE MOST BOARD MEMBERS. Form 990, Part VI, Section A, Line 7B DIGNITY HEALTH, NORTHBAY HEALTHCARE GROUP, AND UNIVERSITY OF CALIFORNIA, DAVIS HEALTH SYSTEM 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 REVIEW THE FORM 990 BEFORE THE RETURN IS FILED. THE ORGANIZATION'S CFO AND FINANCE DIRECTOR WORK CLOSELY WITH OUTSIDE ACCOUNTING FIRM TO PREPARE AND REVIEW THE RETURN, PRIOR TO PROVIDING THE DRAFT TO THE BOARD OF DIRECTORS. 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 DISCOVERED IT IS 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 CONLFICT. IN ADDITION, THE CHIEF LEGAL OFFICER PRESENTS AN ANNUAL REVIEW OF THE CONFLICT OF INTEREST POLICY AND MAKES RECOMMENDATIONS FOR ANY CHANGES THAT MAY BE NECESSARY. 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. 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 D0 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:5540169 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 false