WHITE MEMORIAL MEDICAL CENTER: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- WHITE MEMORIAL MEDICAL CENTER (EIN 95-2282647)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201203209349309040
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T17:03:27-08:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Clement & Associates CPA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2930 Honolulu Avenue Suite 200 | AddressLine1 |
| City | La Crescenta | City |
| State | CA | State |
| ZIP Code | 91214 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952282647 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | White Memorial Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WHIT | NameControl |
| Phone | 3232685000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1720 Cesar E Chavez Ave | AddressLine1 |
| City | Los Angeles | City |
| State | CA | State |
| ZIP Code | 90033 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | John Raffoul | Name |
| Title | Treasurer/VP Finance | Title |
| Date Signed | 2012-11-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | S Clement | Name |
| Phone | 8182491065 | Phone |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Beth Zachary | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1720 Cesar E Chavez Ave | AddressLine1 |
| City | Los Angeles | City |
| State | CA | State |
| ZIP Code | 900332443 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 315493669 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Group Exemption Number | 1071 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.whitememorial.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1963 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | The hospital mission is to provide our community with physical, mental, and spiritual healing in a way that reflects God's love for all. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2094 | TotalNbrEmployees |
| Total Nbr Volunteers | 206 | TotalNbrVolunteers |
| Total Gross UBI | -1689131 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -1963178 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 7624851 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4689466 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 321544234 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 294608484 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 11733971 | InvestmentIncomePriorYear |
| Investment Income Current Year | 10663698 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -1113084 | OtherRevenuePriorYear |
| Other Revenue Current Year | -204261 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 339789972 | TotalRevenuePriorYear |
| Total Revenue Current Year | 309757387 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 151760 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 191820 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 141034063 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 146755585 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 685322 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 165854963 | OtherExpensePriorYear |
| Other Expenses Current Year | 153448422 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 307040786 | TotalExpensesPriorYear |
| Total Expenses Current Year | 300395827 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 32749186 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 9361560 | RevenuesLessExpensesCY |
| Total Assets BOY | 571808172 | TotalAssetsBOY |
| Total Assets EOY | 582784398 | TotalAssetsEOY |
| Total Liabilities BOY | 145602182 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 146562954 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 426205990 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 436221444 | NetAssetsOrFundBalancesEOY |
| Mission Description | As a Seventh-day Adventist medical center, we are a family of caring professionals serving our community with: 1) A passion for excellence, 2) A spirit of Christian service, 3) A commitment to medical education. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 251817112 | Expense |
| Grants | 191820 | Grants |
| Revenue | 294608484 | Revenue |
| Description | As a Seventh-day Adventist medical center, we are a family of caring professionals serving our community with: 1. A spirit of Christian service 2. A passion for excellence and 3. A commitment to medical education.The White Memorial Medical Center 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 of the White Memorial Medical Center, the organization recognizes that not all individuals possess the ability to pay for essential medical services.Adventist Health's 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 the White Memorial Medical Center provide low-cost care to individuals covered by government programs and those unable to afford health care, but it also helps patients find and access private and governmental resources for health care benefits. The White Memorial Medical Center recognizes below-cost reimbursement as charity and uncompensated care in meeting its mission to the entire community. The unreimbursed value of providing care to these patients in 2011 was $93,055,483.Inpatient services in 2011 were provided to 23,524 patients. These services included: 4,116 Newborns 4,058 Babies delivered 6,930 Surgeries performed 2,292 Cardiac catherizations and other procedures 424 Skilled nursing patients 329 Rehabilitation patients 601 Neonatal Intensive Care Patients 280 Pediatric Intensive Care Patients 1,921 Psychiatric Care Patients 2,573 Medical Services Outpatient services in 2011 were provided to 114,734 patients. These services included: 44,773 Emergency room visits 4,807 Outpatient surgeries performed 91,266 Radiology procedures performed 5,464 Cardiac catherizations and other procedures960,075 Laboratory tests performed 2,756 Cleft Palate visits 5,834 Cancer Center proceduresThe White Memorial Medical Center recognizes it has an obligation to provide human services above and beyond its role as a healing facility. Thanks to support from our community partners, the organization is able to fulfill its mission through the following programs:Early Intervention ProgramHealthy Beginnings Program - 1,400 encounters for free classesHealthy Families Program Rainbow Center Child CarePartners for PreventionHealth Fairs - 1,826 Cancer Screenings & 100 Glucose Screenings for DiabetesPatient Healthcare Transportation - provided 2,195 encountersOne of the greatest assets an organization can possess is the trust of its community --both internal and external. WMMC 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.WMMC serves a community whose residents are predominantly Latino and where 57% of the households have an annual income of less than $25,000 and 41% of families earn under $15,000, which is below the federal poverty level. WMMC 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. WMMC has adopted rigorous national quality standards and has won four Eureka Awards for Performance Excellence from the California Council on Excellence.WMMC mission anchors everything we do and extends out to the community in many ways. Collaborative efforts between WMMC, 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 WMMC 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. A significant portion of the mission-driven benefits that WMMC provides to its community is intangible or otherwise difficult to quantify. The following brief story illustrates this reality:In November 2010 Philip Murray Simmons was getting ready to board a Greyhound bus to visit his sister in Texas when he suffered a devastating stroke. He awoke at White Memorial not knowing who he was or what had happened to him; with his wallet missing he had no I.D, and believed he'd been robbed.For a long time no one knew who Philip was, he was listed as John Doe. He had no insurance and was denied Medi-Cal. Yet for four months our physicians and medical staff went the extra mile to provide him with all the care he needed to slowly begin fighting his way back to recovery.Finally in March 2011 Philip was well enough to leave White Memorial--but he couldn't live on his own and he needed continued care for his recovery. His only relative was his sister in Texas. But neither Philip nor his sister had the funds to get him there.Seeing the need, a team of social workers, case managers and nurses swung into action. As a team they secured a flight and then obtained a donated walker and wheelchair from WMMC vendors. The hospital home health liaison identified a qualified home health volunteer to accompany Philip to Texas who then paid for her own trip. Social workers coordinated with Philip's sister. Nurses, therapists and physicians worked tirelessly to improve Philip's functionality to enable him to fly safely. Another employee secured a donated ambulance ride to get Philip to the airport and assisted in making final flight arrangements. A friend found Philip's wallet and I.D. in the luggage he'd left behind at the bus station all those months ago and brought both to him at the hospital.Despite the barriers, the team's persistence and tireless work paid off. When Philip left, the team had tears in their eyes, proud and happy of the vital part they had played in his care and in getting Philip to Texas and into his sister's arms. Today Philip's condition continues to improve under the safe and loving care of his sister. This is just one example on how our White Memorial employees, a family of caring individuals go above and beyond each day to meet the health care needs of our community.It takes special people to create change, people with a passion for making a difference in the lives of others. Not just because it is the right thing to do, but because their passion to help those less fortunate is in their heart. White Memorial 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. Visit us at www.whitememorial.com. | Description |
| Total Program Service Expense | 251817112 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | true | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 408 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2094 | NumberOfEmployees |
| Employment Tax Returns Filed | false | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Quid Pro Quo Disclosure | false | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Form720 Filed | false | Form720Filed |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | John Raffoul TreasurerVP Fin | NamePerson |
| Telephone Number | 3232685000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1720 Cesar E Chavez Ave | AddressLine1 |
| City | Los Angeles | City |
| State | CA | State |
| ZIP Code | 900332443 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (33 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Scott Reiner | ||||||||
| Vice Chair/Sec | 50.00 | X | X | 0 | 907841 | 160287 | ||
| Larry Dodds | ||||||||
| Vice Chair/Sec | 50.00 | X | X | 0 | 685344 | 96060 | ||
| Robert Carmen | ||||||||
| Chairman | 50.00 | X | X | 0 | 1749297 | 39804 | ||
| Max Torkelsen | ||||||||
| Director | 1.00 | X | 0 | 2381 | 0 | |||
| Wes Rippey MD | ||||||||
| Director | 1.00 | X | 0 | 98503 | 0 | |||
| Al Reimche | ||||||||
| Director | 1.00 | X | 0 | 1637 | 0 | |||
| Helmuth Jones | ||||||||
| Director | 1.00 | X | 0 | 350 | 0 | |||
| Meredith Jobe Esq | ||||||||
| Director | 1.00 | X | 12288 | 42329 | 0 | |||
| Larry Innocent | ||||||||
| Director | 1.00 | X | 0 | 350 | 0 | |||
| Steven C Herber MD | ||||||||
| Director | 1.00 | X | 0 | 219911 | 41678 | |||
| Ricardo Graham | ||||||||
| Director | 1.00 | X | 0 | 2652 | 0 | |||
| Christine E Friestad Esq | ||||||||
| Director | 1.00 | X | 0 | 2927 | 0 | |||
| Ruthita Fike | ||||||||
| Director | 1.00 | X | 0 | 635 | 0 | |||
| Lynn Creitz | ||||||||
| Director | 1.00 | X | 0 | 3123 | 0 | |||
| Larry Caviness | ||||||||
| Director | 1.00 | X | 0 | 2666 | 0 | |||
| Robert Bradshaw DDS | ||||||||
| Director | 1.00 | X | 0 | 4652 | 0 | |||
| Albert Deininger | ||||||||
| Asst Sec/VP Con | 50.00 | X | 0 | 254111 | 53958 | |||
| John Raffoul | ||||||||
| Treas/Sr VPFin | 50.00 | X | 0 | 389842 | 81005 | |||
| Beth Zachary | ||||||||
| President/CEO | 50.00 | X | 0 | 751685 | 117923 | |||
| Bill Wing | ||||||||
| Asst Sec | 50.00 | X | 0 | 321588 | 89967 | |||
| Rodney Wehtje | ||||||||
| Asst Treasurer | 50.00 | X | 0 | 506336 | 95494 | |||
| Douglas Rebok | ||||||||
| Asst Secretary | 50.00 | X | 0 | 857414 | 147299 | |||
| David Wortham | ||||||||
| VP Med Affairs | 50.00 | 0 | 143458 | 7156 | X | |||
| Ray Morales | ||||||||
| VP Med Affairs | 50.00 | 0 | 137386 | 10593 | X | |||
| Roland Fargo | ||||||||
| VP Bus Dev | 50.00 | 0 | 269660 | 36082 | X | |||
| Mary Anne Chern | ||||||||
| VP Fund Dev | 50.00 | 0 | 256644 | 56808 | X | |||
| Mara Bryant | ||||||||
| VP Org Excell | 50.00 | 0 | 232887 | 35599 | X | |||
| Lynne Whaley | ||||||||
| Sr VP Clin Ops | 50.00 | 0 | 284775 | 23886 | X | |||
| Sharon McCoy | ||||||||
| Assoc Vice Pres | 50.00 | 228940 | 0 | 10999 | X | |||
| Thao Nguyen | ||||||||
| Dir Pharmacy Svcs | 50.00 | 216940 | 0 | 15546 | X | |||
| Natasha Milatovich | ||||||||
| VP Human Resources | 50.00 | 202356 | 0 | 10795 | X | |||
| Ampha Kamachi | ||||||||
| RN | 60.00 | 199442 | 0 | 13799 | X | |||
| Blin Richards | ||||||||
| Controller | 50.00 | 196896 | 0 | 14092 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1056862 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 8130384 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1158830 | TotalOtherCompensation |
| Number Individuals GT100 K | 249 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| White Memorial Pediatric Group | |||||
| 1701 Cesar Chavez Ave Ste 532 | Los Angeles | CA | 90033 | Medical Services | 1060726 |
| White Memorial Medical Group | |||||
| 1701 Cesar Chavez Ave Ste 510 | Los Angeles | CA | 90033 | Medical Services | 1569638 |
| Sodexo | |||||
| Dept 43283 | Los Angeles | CA | 90088 | Housekeeping Service | 2832980 |
| FCS Medical Corporation | |||||
| 5823 York Blvd Ste 1 | Highland Park | CA | 90042 | Teaching/Med Svcs | 1674753 |
| DVA Renal Healthcare Inc | |||||
| PO Box 403008 | Atlanta | GA | 30384 | Medical Services | 2110374 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 72 | NumberOfContractorsGT100K |
| Related Organizations | 347184 | RelatedOrganizations |
| Government Grants | 4114986 | GovernmentGrants |
| All Other Contributions | 227296 | AllOtherContributions |
| Total Contributions | 4689466 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Rental Income-Pgm Svc | 531120 | 1803907 | 1803907 | ||
| Patient Svc Revenue | 621110 | 290520892 | 290520892 | ||
| Parking | 812930 | 737849 | 273465 | $464,384 | |
| Other Prog Svc Rev | 900099 | 100326 | 88914 | $11,412 | |
| Dietary | 722210 | 1405707 | 1405707 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 39803 | TotalRevenueColumn |
| Related Or Exempt Function Income | 39803 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 294608484 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10650398 | TotalRevenueColumn |
| Exclusion | $10,650,398 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3773686 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 5736282 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -1962596 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1962596 | TotalRevenueColumn |
| Unrelated Business Revenue | -1962596 | UnrelatedBusinessRevenue |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 13300 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 13300 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13300 | TotalRevenueColumn |
| Exclusion | $13,300 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Value Change-Net Asset | 900099 | 272876 | 272876 |
| Net Assets Rel from Rest | 900099 | 1485459 | 1485459 |
| Miscellaneous Revenue | 900099 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1758335 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 309757387 | TotalRevenueColumn |
| Related Or Exempt Function Income | 295617558 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -1689131 | UnrelatedBusinessRevenue |
| Exclusion | $11,139,494 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 180575 | Total |
| Program Services | 180575 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11245 | Total |
| Program Services | 11245 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7467 | Total |
| Management And General | 7467 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114728713 | Total |
| Program Services | 105194890 | ProgramServices |
| Management And General | 9052142 | ManagementAndGeneral |
| Fundraising | 481681 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4024249 | Total |
| Program Services | 4024249 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19568543 | Total |
| Program Services | 16668530 | ProgramServices |
| Management And General | 2811596 | ManagementAndGeneral |
| Fundraising | 88417 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8426613 | Total |
| Program Services | 7752856 | ProgramServices |
| Management And General | 640458 | ManagementAndGeneral |
| Fundraising | 33299 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2279595 | Total |
| Management And General | 2279595 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1261892 | Total |
| Management And General | 1261892 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19677257 | Total |
| Program Services | 16276827 | ProgramServices |
| Management And General | 3400430 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1246932 | Total |
| Program Services | 725 | ProgramServices |
| Management And General | 1164390 | ManagementAndGeneral |
| Fundraising | 81817 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4577796 | Total |
| Program Services | 3597438 | ProgramServices |
| Management And General | 980358 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9900416 | Total |
| Program Services | 9395232 | ProgramServices |
| Management And General | 505184 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11412467 | Total |
| Program Services | 11411267 | ProgramServices |
| Management And General | 1200 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 271796 | Total |
| Program Services | 130366 | ProgramServices |
| Management And General | 141430 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 200766 | Total |
| Program Services | 118860 | ProgramServices |
| Management And General | 81906 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16642 | Total |
| Program Services | 16642 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15871566 | Total |
| Program Services | 15720836 | ProgramServices |
| Management And General | 150622 | ManagementAndGeneral |
| Fundraising | 108 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3705436 | Total |
| Program Services | 3705436 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Rental/Lease Costs Equipment | 3721193 | 3636601 | 84592 |
| Purchased Services | 21632392 | 13174696 | 8457696 |
| Pt Care Supplies | 39941732 | 39941732 | |
| Other Expenses | 7328594 | 858109 | 6470485 |
| Hospital CHFT Fees | 10401950 | 10401950 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 300395827 | Total |
| Program Services | 251817112 | ProgramServices |
| Management And General | 47893393 | ManagementAndGeneral |
| Fundraising | 685322 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87144 | BOY |
| EOY | 356464 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 298312470 | BOY |
| EOY | 329822718 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38857425 | BOY |
| EOY | 38316690 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3674436 | BOY |
| EOY | 3941064 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1396581 | BOY |
| EOY | 1163376 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 346121904 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 149197108 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 205650446 | BOY |
| EOY | 196924796 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5372321 | BOY |
| EOY | 4274292 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18457349 | BOY |
| EOY | 7984998 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 571808172 | BOY |
| EOY | 582784398 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26891062 | BOY |
| EOY | 31058521 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 77069150 | BOY |
| EOY | 72714154 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41641970 | BOY |
| EOY | 42790279 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145602182 | BOY |
| EOY | 146562954 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 421854456 | BOY |
| EOY | 432224195 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4351534 | BOY |
| EOY | 3997249 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 426205990 | BOY |
| EOY | 436221444 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 571808172 | BOY |
| EOY | 582784398 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 9361560 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 653894 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Church170b1 Ai | X | Church170b1Ai |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $6,414 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | true | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $48,530 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 54944 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i | Identifier |
| Return Reference | Part II-B, Line 1i - Other Activities Description | ReturnReference |
| Explanation | Allocation of dues paid to industry and professional organizations. The industry and professional organizations conduct lobbying activity and a portion of the membership dues is allocated for this purpose.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. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4351534 | BeginningOfYearBalance |
| Contributions | 2139353 | Contributions |
| Other Expenditures | 2493638 | OtherExpenditures |
| End Of Year Balance | 3997249 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3749829 | BeginningOfYearBalance |
| Contributions | 2721430 | Contributions |
| Other Expenditures | 2119725 | OtherExpenditures |
| End Of Year Balance | 4351534 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4944562 | BeginningOfYearBalance |
| Contributions | 2259777 | Contributions |
| Other Expenditures | 3454510 | OtherExpenditures |
| End Of Year Balance | 3749829 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment EOY Balance | 1.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 34118 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 2263420 | OtherCostOrOtherBasis |
| Book Value | 2297538 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 265964722 | OtherCostOrOtherBasis |
| Depreciation | 98509574 | Depreciation |
| Book Value | 167455148 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 69100330 | OtherCostOrOtherBasis |
| Depreciation | 46876594 | Depreciation |
| Book Value | 22223736 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8759314 | OtherCostOrOtherBasis |
| Depreciation | 3810940 | Depreciation |
| Book Value | 4948374 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 196924796 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Workers Comp Payable | $4,897,250 |
| Settlements - Medicare, Pay to 3rd Party | $37,674,183 |
| Payables to Related Organizations | $212,460 |
| Federal Taxes Payable | $6,386 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 42790279 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part XI, Line 8 | Part XI, Line 8: Other Changes in Net Assets or Fund Balances | Gifts & Grants-Restricted-Rpt on VII line 1 $2139353 Net Assets Released from Restr-Cap Addtn $1008178 Restricted Assets Released from Restr $ -2493637 Transfers to Affiliates (Unrestr) $ -0 |
| Part V, Line 4 | 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. |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | true | GrantRecordsMaintained |
Grants To Orgs Outside US GrantsToOrgsOutsideUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | East Asia | Region |
| Purpose Of Grant | Tsunami-Japa | PurposeOfGrant |
| Amount Of Cash Grant | 11245 | AmountOfCashGrant |
| Manner Of Cash Disbursement | Check | MannerOfCashDisbursement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of501c3 Orgs | 1 | TotalNumberOf501c3Orgs |
| Transfer To Foreign Corp | false | TransferToForeignCorp |
| Interest In Foreign Trust | false | InterestInForeignTrust |
| Own Foreign Corp | false | OwnForeignCorp |
| Passive Foreign Invest Co | false | PassiveForeignInvestCo |
| Foreign Partnership | false | ForeignPartnership |
| Boycott Countries | false | BoycottCountries |
Form990 Schedule F Part V Form990ScheduleFPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Additional Supplemental Information | Identifier |
| Explanation | Part IIDonation to Adventist Development and Relief Agency International (ADRA) for the Japan Tsunami relief. ADRA is a recognized US 501(c)(3) entity and the funds were used to further their assistance with the tsunami relief in Japan in early 2011. This was a matching contribution to donations from employees which totalled an additional $11,353. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15988713 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 220839 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15767874 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05250 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 105217682 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 115514290 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -10296608 | NetCommunityBenefitExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1167172 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 630335 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 536837 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 122373567 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 116365464 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6008103 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05430 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1128845 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 133506 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 995339 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00330 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15565425 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2655696 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12909729 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04300 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 168139 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 86724 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 81415 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 424754 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 424754 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17287163 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2875926 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14411237 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04800 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 139660730 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 119241390 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 20419340 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10230 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 137662 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 137662 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1108257 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1108257 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00370 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1245919 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1245919 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00420 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $2,392,078 | BadDebtExpenseAmount |
| Amount Attributable To | 1770136 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 71673878 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 68769275 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 2904603 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 0 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | White Memorial Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1720 Cesar E Chavez Ave | AddressLine1 |
| City | Los Angeles | City |
| State | CA | State |
| ZIP Code | 90033 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
| Other | Acute,Rehab,Skilled Nursing,Psychiatric | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | White Memorial Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200.0000 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 400.0000 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part VI - Additional Information | Part V, Section BSchedule H, Part V, Section B, Lines 1 through 7 is optional for the reporting organization as the tax year began prior to March 23, 2012, according to the instructions for Schedule H. Lacerte software has not provided a tool for an organization to indicate that it is opting not to complete Part V, Section B. In addition, the software has been programmed so that it populates responses when the organization chooses to provide no data inputs. Part V, Section B should be blank as the reporting organization opts to not complete it.Additional Information:White Memorial Medical Center (WMMC) is a full service 353-bed, non-profit, faith-based hospital that 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. WMMC 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.WMMC serves a community whose residents are predominantly Latino and where 57% of the households have an annual income of less than $25,000 and 41% of families earn under $15,000, which is below the federal poverty level. WMMC 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. WMMC has adopted rigorous national quality standards and has won four Eureka Awards for Performance Excellence from the California Council on Excellence.WMMC mission anchors everything we do and extends out to the community in many ways. Collaborative efforts between WMMC, 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 WMMC 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. A significant portion of the mission-driven benefits that WMMC provides to its community is intangible or otherwise difficult to quantify. The following brief story illustrates this reality:In November 2010 Philip Murray Simmons was getting ready to board a Greyhound bus to visit his sister in Texas when he suffered a devastating stroke. He awoke at White Memorial not knowing who he was or what had happened to him; with his wallet missing he had no I.D, and believed he'd been robbed.For a long time no one knew who Philip was, he was listed as John Doe. He had no insurance and was denied Medi-Cal. Yet for four months our physicians and medical staff went the extra mile to provide him with all the care he needed to slowly begin fighting his way back to recovery.Finally in March 2011 Philip was well enough to leave White Memorial--but he couldn't live on his own and he needed continued care for his recovery. His only relative was his sister in Texas. But neither Philip nor his sister had the funds to get him there.Seeing the need, a team of social workers, case managers and nurses swung into action. As a team they secured a flight and then obtained a donated walker and wheelchair from WMMC vendors. The hospital home health liaison identified a qualified home health volunteer to accompany Philip to Texas who then paid for her own trip. Social workers coordinated with Philip's sister. Nurses, therapists and physicians worked tirelessly to improve Philip's functionality to enable him to fly safely. Another employee secured a donated ambulance ride to get Philip to the airport and assisted in making final flight arrangements. A friend found Philip's wallet and I.D. in the luggage he'd left behind at the bus station all those months ago and brought both to him at the hospital.Despite the barriers, the team's persistence and tireless work paid off. When Philip left, the team had tears in their eyes, proud and happy of the vital part they had played in his care and in getting Philip to Texas and into his sister's arms. Today Philip's condition continues to improve under the safe and loving care of his sister. This is just one example on how our White Memorial employees, a family of caring individuals go above and beyond each day to meet the health care needs of our community.It takes special people to create change, people with a passion for making a difference in the lives of others. Not just because it is the right thing to do, but because their passion to help those less fortunate is in their heart. White Memorial 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. Visit us at www.whitememorial.com. | |
| Part V - Explanation of Number of Facility Type | The hospital provides outpatient services in multiple locations within its service area. | |
| Part VI - States Where Community Benefit Report Filed | CA | |
| Part VI - Affilated Health Care System Roles and Promotion | 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 communites served | |
| Part VI - Explanation Of How Organization Furthers Its Exempt Purpose | The hospital has a governing board composed of community members who advise the president/CEO regarding the healthcare needs of the community. At the direction of the governing board, the hospital has developed outpatient and home care programs focused on rendering care in the most effective and efficient manner. The hospital's key medical services include Cardiac, Cancer, Women's Services, Ortho, Neuro, Behavioral Medicine, Rehabilitative Medicine, Emergency, and Home Care services, as well as a residency program. The hospital cooperates with area physicians to offer both family practice and obstetrics clinics. | |
| Part VI - Community Building Activities | The hospital is involved in numerious community building activities which promote the health of the communities we serve. Numerous community concerns are addressed, including health and prevention 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. 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.The hospital serves a community where 28% of families fall below the federal poverty line and whose residents are predominantly Latino. WMMC is positioned to provide this historically medically underserved population with Latino-focused in-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. WMMC has adopted rigorous national quality standards and has won four Eureka Awards for Performance Excellence from the California Council on Excellence. WMMC mission anchors everything we do and extends out to the community in many ways. Collaborative efforts between WMMC, 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. | |
| Part VI - Community Information | WMMC is located in the City of Los Angeles serving primarily the communities of East Los Angeles, Boyle Heights, Chinatown, Commerce, El Sereno, Glassel Park, Highland Park, Huntington Park, Lincoln Heights, Los Angeles, Maywood and Montebello. The largest ethnic group in our Primary Service Area is Hispanic, comprising 81% of the population of our service area and our second largest ethnic group is Asian at 7%. 57% of the households have an annual income of less than $25,000 of which 41% earn less than $15,000 annually translating to 87% of our patients being covered by Medical or Medicare. Based on the diversity of our service area we work to accomodate the diverse language and cultural needs. | |
| Part VI - Patient Education of Eligibility for Assistance | At the time of registration, patients who are uninsured and underinsured are provided information about government healthcare programs. Patients also are 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. The hospital charity assistance policy is posted on the hospital website. | |
| Part VI - Needs Assessment | The hospital retains outside research firms every 3 years to assess changes in the market and community needs. Data is collected through a variety of vehicles, including phone surveys, paper surveys, and focus groups. Questions were added to the survey to help assess the impact of our community benefit activities and residents' barriers to access for health care services as well as unmet community needs. | |
| Part V, Line 19d - Other Billing Determination of Individuals Without Insurance | The hospital's financial assistance policy has three income ranges for patients who received emergency medical care, which provides a discount based on Medicare rates. There are also three income ranges for patients who received non-emergency medical care; the two lower income ranges provide a discount based on Medicare rates. The higher income range provides a discount from the balance due after the uninsured discount, that is available to all uninsured patients without regard to income. Only five of the six income ranges are discounted based on Medicare rates. | Number of Hospital Faciltiy - 0 |
| 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 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 $77,449,472 Prior Year Settlements - Cost Report Reimbursable Bad Debts 2,597,090 Estimates and Accrual Variances (7,238,740) Other (1,133,944) ___________ Subtotal - Amount reported in Pt III line 5 $71,673,878 Amount included in Part 1, lines g and f 1,923,082 ___________ Total Medicare Revenue $73,596,960*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 4 - 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 as reported in the system-wide combined audited financial statements. The resulting figure has been reported as bad debts at cost on Part III, Line 2.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.The system-wide combined audited financial statements do not contain a footnote describing bad debt expense. |
Schedule I IRS990ScheduleI
Recipient Table RecipientTable (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|
| YMCA of Metropolitan LA | ||||||||
| 2900 Whittier Blvd | Los Angeles | CA | 90023 | 951644052 | 501(c)(3) | 10000 | 0 | |
| White Memorial Med Cntr Fdtn | ||||||||
| 1720 Cesar E Chavez Ave | Los Angeles | CA | 90033 | 953760201 | 501(c)(3) | 7317 | 0 | Fundraising |
| White Memorial Adv Schl Inc | ||||||||
| 1605 New Jersey Street | Los Angeles | CA | 90033 | 954349770 | 501(c)(3) | 31500 | 0 | General Operations |
| Telacu Education Foundation | ||||||||
| 5400 E Olympic Blvd Ste 120 | Los Angeles | CA | 90022 | 954384333 | 501(c)(3) | 15000 | 0 | General Operations |
| Mexican Amrcn Optnty Fdtn Inc | ||||||||
| 401 N Garfield Ave | Montebello | CA | 90640 | 952594166 | 501(c)(3) | 5500 | 0 | General Operations |
| Glendale Adv Mdcl Ctr Fdtn | ||||||||
| 1509 Wilson Terrace | Glendale | CA | 91206 | 953899682 | 501(c)(3) | 8000 | 0 | Fundraising |
| American Heart Association In | ||||||||
| PO Box 4002030 | Des Moines | IA | 50340 | 135613797 | 501(c)(3) | 16454 | 0 | General Operations |
| Altamed Health Services Inc | ||||||||
| 2040 Camfield Ave | Los Angeles | CA | 90040 | 952810095 | 501(c)(3) | 10833 | 0 | General Operations |
| Adventist Development and Rel | ||||||||
| 12501 Old Columbia Pike | Silver Springs | MD | 20904 | 521314847 | 501(c)(3) | 15011 | 0 | Disaster Relief |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 41 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 2 | TotalNbrOfOtherOrganizations |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Thao Nguyen | ||||||||||||
| 193742 | 18796 | 4402 | 13219 | 2327 | 232486 | |||||||
| Steven C Herber MD | ||||||||||||
| 212461 | 7450 | 27400 | 14278 | 261589 | ||||||||
| Sharon McCoy | ||||||||||||
| 194768 | 29356 | 4816 | 9133 | 1866 | 239939 | |||||||
| Scott Reiner | ||||||||||||
| 577345 | 181404 | 138780 | 21507 | 1068128 | 149092 | 119583 | ||||||
| Roland Fargo | ||||||||||||
| 219260 | 16843 | 15014 | 21068 | 305742 | 33557 | |||||||
| Rodney Wehtje | ||||||||||||
| 340430 | 87122 | 78557 | 16937 | 601830 | 78784 | 52751 | ||||||
| Robert Carmen | ||||||||||||
| 934340 | 547748 | 18150 | 21654 | 1789101 | 267209 | 424494 | ||||||
| Natasha Milatovich | ||||||||||||
| 171999 | 26610 | 3747 | 8468 | 2327 | 213151 | |||||||
| Mary Anne Chern | ||||||||||||
| 195900 | 30907 | 39958 | 16850 | 313452 | 29837 | 25719 | ||||||
| Mara Bryant | ||||||||||||
| 187500 | 17761 | 14217 | 21382 | 268486 | 27626 | |||||||
| Lynne Whaley | ||||||||||||
| 238750 | 9678 | 15014 | 8872 | 308661 | 36347 | |||||||
| Larry Dodds | ||||||||||||
| 303557 | 210693 | 79089 | 16971 | 781404 | 171094 | 120139 | ||||||
| John Raffoul | ||||||||||||
| 283067 | 64305 | 59565 | 21440 | 470847 | 42470 | 42515 | ||||||
| Douglas Rebok | ||||||||||||
| 533280 | 175042 | 128096 | 19203 | 1004713 | 149092 | 123894 | ||||||
| David Wortham | ||||||||||||
| 114461 | 8997 | 7156 | 150614 | 20000 | ||||||||
| Blin Richards | ||||||||||||
| 176443 | 16196 | 4257 | 11765 | 2327 | 210988 | |||||||
| Bill Wing | ||||||||||||
| 305808 | 15780 | 74419 | 15548 | 411555 | ||||||||
| Beth Zachary | ||||||||||||
| 422760 | 232580 | 98684 | 19239 | 869608 | 96345 | 191120 | ||||||
| Ampha Kamachi | ||||||||||||
| 199442 | 11964 | 1835 | 213241 | |||||||||
| Albert Deininger | ||||||||||||
| 182460 | 43829 | 37116 | 16842 | 308069 | 27822 | 21720 | ||||||
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Sch J, Part I, Line 1a | Identifier |
| Return Reference | Part I, Line 1a: Relevant information in regards to selections on 1a. | ReturnReference |
| Explanation | Part I, Line 1BAny items checked on this line are reported as taxable income to the employee, except first class or charter travel, which is only approved for business purposes on an exception basis. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part VI, Line 19 | 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. |
| Form 990, Part VI, Line 15b | 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 oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation, including salary ranges for hospital CEOs and CFOs, that would be indicated by the data; evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability 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 24 percent spread from minimum to maximum (industry norm is approximately a 50 percent spread). A hospital CEO has a maximum potential incentive of 30 percent of base salary. (This incentive potential is less than the industry norm.) Other hospital executives have a maximum potential incentive of 20 percent of base salary. |
| Form 990, Part VI, Line 12c | 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 questionnaire is sent to board members, hospital officers, key employees and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation, to illustrate examples of a conflict and to remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the CEO immediately. The corporate internal audit staff reviews these questionnaires and disclosures each year during the audit process. |
| Form 990, Part VI, Line 11 | Form 990, Part VI, Line 11: Form 990 Review Process | The completed Form 990 is shared with members of the hospital's board of directors by electronic communication for their review prior to filing. A special board meeting is scheduled to answer questions and receive input from the board after their review but prior to filing. |
| Form 990, Part VI, Line 7b | 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 6 | Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | The hospital is organized as a not-for-profit religious corporation. The sole corporate member is Adventist Health System/West, a California not-for-profit religious corporation. The hospital bylaws define its board of directors to be the same individuals who are members of Adventist Health System/West board of directors. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (20 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Willits Hospital Inc | |||||||||||
| 1 Madrone St | Willits | CA | 95490 | 680108919 | Hospital | CA | 501(c)(3) | 1 | Adventist Health SystemWest | false | |
| White Memorial Medical Center Fdtn | |||||||||||
| 1720 Cesar E Chavez Ave | Los Angeles | CA | 90033 | 952282647 | Fundraising for Hospital | CA | 501(c)(3) | 11, Type 1 | Adventist Health SystemWest | false | |
| Walla Walla General Hospital | |||||||||||
| 1025 S Second Ave | Walla Walla | WA | 99362 | 910617726 | Hospital | CA | 501(c)(3) | 1 | Adventist Health SystemWest | false | |
| Ukiah Adventist Hospital | |||||||||||
| 275 Hospital Dr | Ukiah | CA | 95482 | 941639901 | Hospital | CA | 501(c)(3) | 1 | Adventist Health SystemWest | false | |
| Sonora Community Hospital | |||||||||||
| 1000 Greenley Rd | Sonora | CA | 95370 | 941415069 | Hospital | CA | 501(c)(3) | 1 | Adventist Health SystemWest | false | |
| Simi Valley Hospital & Health Care Svcs | |||||||||||
| 2975 N Sycamore Dr | Simi Valley | CA | 93065 | 956064971 | Hospital | CA | 501(c)(3) | 1 | Adventist Health SystemWest | false | |
| San Joaquin Community Hospital | |||||||||||
| 2615 Chester Ave | Bakersfield | CA | 93301 | 952294234 | Hospital | CA | 501(c)(3) | 1 | Adventist Health SystemWest | false | |
| St Helena Hospital | |||||||||||
| 10 Woodland Rd | St Helena | CA | 94574 | 941279779 | Hospital | CA | 501(c)(3) | 1 | Adventist Health SystemWest | false | |
| Reedley Community Hospital | |||||||||||
| 372 W Cypress Ave | Reedley | CA | 93654 | 453220509 | Hospital | CA | 501(c)(3) | 1 | Adventist Health SystemWest | false | |
| Portland Adventist Medical Center | |||||||||||
| 10123 SE Market St | Portland | OR | 97216 | 930429015 | Hospital | OR | 501(c)(3) | 1 | Adventist Health SystemWest | false | |
| Paradise Valley Hospital | |||||||||||
| 2100 Douglas Blvd | Roseville | CA | 95661 | 951816034 | Wind Down After Sale of Hospital Facilit | CA | 501(c)(3) | 1 | Adventist Health SystemWest | false | |
| Northwest Medical Fdtn of Tillamook | |||||||||||
| 1000 Third St | Tillamook | OR | 97141 | 930622075 | Hospital | OR | 501(c)(3) | 1 | Adventist Health SystemWest | false | |
| Hanford Community Hospital | |||||||||||
| 450 Greenfield Ave | Hanford | CA | 93230 | 940535360 | Hospital | CA | 501(c)(3) | 1 | Adventist Health SystemWest | false | |
| Glendale Adventist Medical Center | |||||||||||
| 1509 Wilson Terrace | Glendale | CA | 91206 | 953899682 | Hospital | CA | 501(c)(3) | 1 | Adventist Health SystemWest | false | |
| Feather River Hospital | |||||||||||
| 5974 Pentz Rd | Paradise | CA | 95969 | 941101228 | Hospital | CA | 501(c)(3) | 1 | Adventist Health SystemWest | false | |
| Central Valley General Hospital | |||||||||||
| 1025 N Douty St | Hanford | CA | 93230 | 770324630 | Hospital | CA | 501(c)(3) | 1 | Adventist Health SystemWest | false | |
| Castle Medical Center | |||||||||||
| 640 Ulukahiki St | Kailua | HI | 96734 | 990107330 | Hospital | HI | 501(c)(3) | 1 | Adventist Health SystemWest | false | |
| Adventist Health Physicians Network | |||||||||||
| 2100 Douglas Blvd | Roseville | CA | 95661 | 680357690 | Hospital | CA | 501(c)(3) | 11b, II | Adventist Health SystemWest | false | |
| Adventist Health Clearlake Hospital Inc | |||||||||||
| Ave 18 at Hwy 53 | Clearlake | CA | 95422 | 680395149 | Hospital | CA | 501(c)(3) | 3 | Adventist Health SystemWest | false | |
| Adventist Health SystemWest | |||||||||||
| 2100 Douglas Blvd | Roseville | CA | 95661 | 953484589 | Support and Manage System-wide Activities | CA | 501(c)(3) | 1 | false | N/A | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | South Coast Medical Center | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Douglas Blvd | AddressLine1 |
| City | Roseville | City |
| State | CA | State |
| ZIP Code | 95661 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952037291 | EIN |
| Primary Activity | Wind down after sale of hospital | PrimaryActivity |
| Legal Domicile State | CA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C-Corp | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |