FURP.ORG / PUBLIC DATA EXPLORER

PIH HEALTH WHITTIER HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
PIH HEALTH WHITTIER HOSPITAL (EIN 95-1934652)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-02
IRS object ID
201912149349301116
Schema version
2017v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-08-02T13:16:50-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11 S WACKER DRIVE STE 800AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN951934652EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PIH HEALTH HOSPITAL - WHITTIERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPIHHBusinessNameControlTxt
Phone5626980811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112401 WASHINGTON BOULEVARDAddressLine1Txt
CityWHITTIERCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90602ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD WANGPersonNm
Person TitleVP OF FINANCEPersonTitleTxt
Phone5626980811PhoneNum
Signature2019-08-01SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonREBEKUH ELEYPreparerPersonNm
PTINP01247672PTIN
Phone3126343400PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address66.98.98.130IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-08-01IPDt
IP Tm13:57:40IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id64E34636FEC2DFD844E3D394C3B342543AC68841AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRICHARD WANGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line112401 WASHINGTON BOULEVARDAddressLine1Txt
CityWHITTIERCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90602ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$724,192,052GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PIHHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1954FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE QUALITY HEALTHCARE AND CONTRIBUTE TO THE COMMUNITY'S HEALTH AND WELL-BEING.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee3785TotalEmployeeCnt
Total Volunteers772TotalVolunteersCnt
Total Gross UBI$25,991TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$33,855NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,620,107PYContributionsGrantsAmt
CY Contributions Grants$1,040,754CYContributionsGrantsAmt
PY Program Service Revenue$560,571,584PYProgramServiceRevenueAmt
CY Program Service Revenue$586,124,611CYProgramServiceRevenueAmt
PY Investment Income$12,774,082PYInvestmentIncomeAmt
CY Investment Income$18,731,184CYInvestmentIncomeAmt
PY Other Revenue$2,718,833PYOtherRevenueAmt
CY Other Revenue$3,009,976CYOtherRevenueAmt
PY Total Revenue$579,684,606PYTotalRevenueAmt
CY Total Revenue$608,906,525CYTotalRevenueAmt
PY Grants And Similar Paid$219,630PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$197,851CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$266,966,788PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$272,384,404CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$270,505,103PYOtherExpensesAmt
CY Other Expenses$274,860,898CYOtherExpensesAmt
PY Total Expenses$537,691,521PYTotalExpensesAmt
CY Total Expenses$547,443,153CYTotalExpensesAmt
PY Revenues Less Expenses$41,993,085PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$61,463,372CYRevenuesLessExpensesAmt
Total Assets BOY$1,282,135,553TotalAssetsBOYAmt
Total Assets EOY$1,297,737,709TotalAssetsEOYAmt
Total Liabilities BOY$664,673,317TotalLiabilitiesBOYAmt
Total Liabilities EOY$583,090,156TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$617,462,236NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$714,647,553NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMISSION: WHY WE ARE HERE: WE PROVIDE HIGH QUALITY HEALTHCARE WITHOUTDISCRIMINATION, AND CONTRIBUTE TO THE HEALTH AND WELL-BEING OF OURCOMMUNITIES IN AN ETHICAL, SAFE, AND FISCALLY PRUDENT MANNER INRECOGNITION OF OUR CHARITABLE PURPOSE.VISION: WHERE WE WANT TO BE: WE WILL ACHIEVE EXCELLENCE IN EVERYTHINGWE DO.VALUES: OUR PROMISE: OUR PATIENTS' SAFETY, WELL-BEING, AND MEDICALCONDITION WILL BE OUR PRIMARY CONCERN AT ALL TIMES. WE WILLCONSISTENTLY DEMONSTRATE RESPECT AND COMPASSION FOR THE BELIEFS,SITUATION, AND NEEDS OF OUR PATIENTS AND CO-WORKERS. WE WILL STRIVE TOANTICIPATE NEEDS AND RESPOND IN A TIMELY WAY TO MEET OR EXCEED THEEXPECTATIONS OF OTHERS. OUR ATTITUDE AND ACTIONS WILL REFLECT THEHIGHEST ETHICAL AND MORAL STANDARDS. WE WILL WORK TOGETHER - WITHIN ANDOUTSIDE THE ORGANIZATION - TO SOLVE PROBLEMS AND PURSUE OPPORTUNITIESIN CREATIVE WAYS. WE WILL SERVE THE COMMUNITY WISELY THROUGH THEEFFICIENT AND PRUDENT USE OF OUR FINANCIAL RESOURCES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$370,511,395ExpenseAmt
Grant$197,851GrantAmt
Revenue$519,083,994RevenueAmt
DescPATIENT CARE: PIH HEALTH HOSPITAL - WHITTIER BEGAN AS A COMMUNITY HOSPITAL IN 1959. AS A 501 (C)(3) NONPROFIT, 523-BED HOSPITAL, THE WHITTIER CAMPUS HAS DEVELOPED INTO A HEALTH SYSTEM OFFERING A MULTITUDE OF SERVICES.PATIENT CARE IN FISCAL YEAR 2017-2018EMPLOYEES 3,373VOLUNTEERS 886NUMBER OF EMERGENCY DEPARTMENT (ED) VISITS 82,206NUMBER OF BIRTHS 1,752MEDICAL STAFF 490Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$97,143,518ExpenseAmt
Revenue$66,701,037RevenueAmt
DescFINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS: FINANCIAL ASSISTANCE, ALSO KNOWN AS CHARITY CARE, IS DEFINED AS FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO INDIVIDUALS WHO CANNOT AFFORD TO PAY AND WHO MEET THE ELIGIBILITY CRITERIA OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PIH HEALTH OFFERS A GENEROUS FINANCIAL ASSISTANCE PROGRAM, PROVIDING CHARITY CARE TO THOSE WITH FAMILY INCOME(S) AT OR BELOW 400% OF FEDERAL POVERTY LEVEL GUIDELINES.IN PROVIDING SERVICES TO THOSE PATIENTS PARTICIPATING IN MEANS-TESTED GOVERNMENT HEALTH PROGRAMS, SUCH AS MEDI-CAL, PIH HEALTH REALIZES A COLLECTIVE NET LOSS EACH FISCAL YEAR DUE TO THE SHORTFALL CREATED WHEN THE PAYMENTS RECEIVED FROM THESE PROGRAMS ARE LESS THAN THE COST OF CARING FOR PUBLIC PROGRAM BENEFICIARIES. NUMBER OF PERSONS SERVED BY FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS: 42,281Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$12,236,164ExpenseAmt
Revenue$2,461,859RevenueAmt
DescOTHER COMMUNITY BENEFIT SERVICES: COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, CASH AND IN-KIND CONTRIBUTIONS AND COMMUNITY BUILDING FOR COMMUNITY BENEFIT ARE COMPRISED OF THE FOLLOWING: COMMUNITY HEALTH IMPROVEMENT SERVICES: DEFINED AS COMMUNITY HEALTH IMPROVEMENT ACTIVITIES, WHICH EXTEND BEYOND PATIENT CARE ACTIVITIES. THESE PROGRAMS INCLUDE: COMMUNITY COLLABORATIVE SUPPORT AND PARTICIPATION, COMMUNITY EDUCATION, COMMUNITY INFORMATION AND REFERRAL SUPPORT, ENROLLMENT ASSISTANCE, HEALTH AND WELLNESS CENTER AT WHITTIER FIRST DAY, PREVENTATIVE HEALTH PROGRAMS AND SCREENINGS, SUPPORT GROUPS, AND TRANSPORTATION RESOURCES.SNAPSHOT OF OUTCOMES:MORE THAN 20,618 COMMUNITY MEMBERS WERE REACHED THROUGH A VARIETY OF COMMUNITY HEALTH IMPROVEMENT ACTIVITIES.HEALTH PROFESSIONS EDUCATION: THIS CATEGORY INCLUDES EDUCATIONAL PROGRAMS FOR PHYSICIANS, NURSES, STUDENTS AND OTHER HEALTH PROFESSIONALS WHEN EDUCATION IS NECESSARY OR REQUIRED BY STATE LAW, ACCREDITING BODY OR HEALTH PROFESSION SOCIETY. PIH HEALTH PROGRAMS INCLUDE THE FAMILY MEDICINE RESIDENCY PROGRAM, PARAMEDIC BASE STATION TRAINING AND STUDENT EDUCATION (INTERNSHIP, EXTERNSHIP, PRECEPTORSHIP AND MENTORING PROGRAMS).SNAPSHOT OF OUTCOMES:MORE THAN 1,112 STUDENT NURSES, PHYSICIAN RESIDENTS, AND OTHER INDIVIDUALS STUDYING TO BECOME HEALTHCARE PROFESSIONALS WERE PROVIDED WITH MENTORSHIP, PRECEPTORSHIP AND TRAINING OPPORTUNITIES.SUBSIDIZED HEALTH SERVICES: SUBSIDIZED SERVICES ARE CLINICAL PROGRAMS, WHICH ARE PROVIDED DESPITE A FINANCIAL LOSS SO SIGNIFICANT THAT NEGATIVE MARGINS REMAIN AFTER REMOVING THE EFFECTS OF FINANCIAL ASSISTANCE, BAD DEBT AND MEDI-CAL SHORTFALLS. NEVERTHELESS, THE SERVICE IS PROVIDED BECAUSE IT MEETS AN IDENTIFIED COMMUNITY NEED AND, IF NO LONGER OFFERED, WOULD EITHER BE UNAVAILABLE IN THE AREA OR FALL TO THE RESPONSIBILITY OF GOVERNMENT OR ANOTHER NONPROFIT ORGANIZATION TO PROVIDE. PIH HEALTH SERVICES PROVIDED INCLUDE DIABETES EDUCATION CENTER, EMERGENCY DEPARTMENT ON-CALL PHYSICIANS, HIGH-RISK INFANT FOLLOW-UP CLINIC, HOSPICE HOMES, PALLIATIVE CARE PROGRAM, AND PARAMEDIC BASE STATION.SNAPSHOT OF OUTCOMES:THE HIGH RISK INFANT FOLLOW-UP CLINIC ENSURES FAMILIES HAVE ACCESS TO SPECIALIZED CARE TO MEET THEIR CHILDREN'S DEVELOPMENTAL NEEDS, WITH APPROXIMATELY 80-100 CHILDREN SERVED EACH YEAR.THE HOSPICE HOMES ENSURE ACCESS TO QUALITY, COMPASSIONATE END-OF-LIFE CARE, REGARDLESS OF ABILITY TO PAY, WITH APPROXIMATELY 200 PATIENTS SERVED EACH YEAR.TOTAL INDIVIDUALS SERVED BY SUBSIDIZED HEALTH SERVICES= 12,757RESEARCH: RESEARCH THAT MAY BE REPORTED AS COMMUNITY BENEFIT INCLUDES CLINICAL AND COMMUNITY HEALTH RESEARCH AS WELL AS STUDIES ON HEALTHCARE DELIVERY THAT ARE GENERALIZABLE AND SHARED WITH THE PUBLIC. PIH HEALTH HAS BEEN OFFERING CLINICAL TRIALS AND RESEARCH STUDIES AIMED AT IMPROVING HEALTH AND CANCER CARE SINCE 2001. SNAPSHOT OF OUTCOMES:13 CLINICAL TRIALS WERE OFFERED WITH 35 PARTICIPATING.CASH & IN-KIND CONTRIBUTIONS: THIS CATEGORY INCLUDES FUNDS AND IN-KIND SERVICES DONATED BY PIH HEALTH TO COMMUNITY ORGANIZATIONS OR TO THE COMMUNITY-AT-LARGE FOR A COMMUNITY BENEFIT PURPOSE. THESE DONATIONS INCLUDE CASH DONATIONS TO COMMUNITY ORGANIZATIONS, HOURS CONTRIBUTED BY STAFF TO THE COMMUNITY WHILE ON PIH HEALTH WORK TIME, THE COST OF MEETING SPACE PROVIDED TO COMMUNITY GROUPS, AND THE DONATIONS OF EQUIPMENT, MEDICATIONS, AND SUPPLIES. SNAPSHOT OF OUTCOMES:89 AT-RISK INDIVIDUALS WERE PROVIDED WITH IN-KIND DURABLE MEDICAL EQUIPMENT OR SERVICES, SUCH AS SKILLED NURSING OR MENTAL HEALTHCARE.$118,000 IN CASH DONATIONS WAS GIVEN TO 29 ORGANIZATIONS TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IN OUR SERVICE AREA COMMUNITIES.TOTAL NUMBER OF PERSONS SERVED BY ALL CATEGORIES: 35,484FOR ADDITIONAL INFORMATION, PLEASE REFER TO PIH HEALTH'S COMMUNITY BENEFIT REPORT AT PIHHEALTH.ORG/CBANNUALREPORTDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$479,891,077TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document175IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3785EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RICHARD WANGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5626980811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112401 WASHINGTON BLVDAddressLine1Txt
CityWHITTIERCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90602ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ALEX ALVAREZ
DIRECTOR (AS OF 10/9/17)1.504.50Yes (X)$0$0$0
RICHARD ATWOOD
DIRECTOR & CHAIR1.506.00Yes (X)$0$0$0Yes (X)
ROBERT BOHR MD
DIRECTOR7.0040.00Yes (X)$72,000$414,879$17,540
PAULA COWAN
DIRECTOR & SECRETARY1.504.50Yes (X)$0$0$0Yes (X)
BLAYNE CUTLER MD PHD
DIRECTOR (AS OF 10/9/17)1.504.50Yes (X)$0$0$0
JANE DICUS
DIRECTOR1.504.50Yes (X)$0$0$0
ED DUNLAP
DIRECTOR & VICE CHAIR1.504.50Yes (X)$0$0$0Yes (X)
JEFF HAMAR
DIRECTOR & TREASUER1.504.50Yes (X)$0$0$0Yes (X)
PATRICK MONROE
DIRECTOR1.504.50Yes (X)$0$0$0
SUDHAKER NAYAK MD
DIRECTOR8.5040.00Yes (X)$119,070$1,627,624$37,121
ROBERT PETRINA
DIRECTOR1.504.50Yes (X)$0$0$0
NEAL SHINDEL MD
DIRECTOR1.5040.00Yes (X)$0$1,128,326$36,373
CHARLOTTE WEAVER PHD
DIRECTOR1.504.50Yes (X)$0$0$0
KENTON WOODS
DIRECTOR1.504.50Yes (X)$0$0$0
HUEY-MIN YU
DIRECTOR1.504.50Yes (X)$0$0$0
JAMES WEST
PRESIDENT/CEO30.0016.20$1,373,355$0$269,389Yes (X)
PEGGY CHULACK
CAO & ASST. SECRETARY30.0016.20$668,472$0$124,860Yes (X)
GREG WILLIAMS
CFO & ASST. TREASURER30.0016.20$658,252$0$177,226Yes (X)
ROSALIO LOPEZ MD
CMO/CSO40.004.50$820,505$0$138,561Yes (X)
REANNA THOMPSON
COO/CNO40.00$484,637$0$122,605Yes (X)
DAVID KLINGER
VP FACILITIES40.00$506,307$0$34,237Yes (X)
DAVIS LEE
CHIEF MED INFO OFFICER40.00$501,206$0$103,642Yes (X)
DEBRA LEGAN
VP MKTG & PLANNING40.00$403,951$0$83,520Yes (X)
RONALD YOSHIHARA
VP FINANCE & ANALYTICS40.00$323,277$0$58,627Yes (X)
PERRY EBELTOFT
VP ANCILLARY SVS40.00$297,012$0$67,487Yes (X)
ANUP PATEL
VP ENT RSK MGMT & CORP COM40.00$267,017$0$60,014Yes (X)
NICHOLAS CHRISTIANSON
VP REV CYC & MGD CRE40.00$259,712$0$62,171Yes (X)
SHELLY NECKE
VP POST ACUTE CR SVS40.00$257,110$0$43,584Yes (X)
CHICO MANNING
VP SUPPLY CHAIN40.00$227,398$0$39,398Yes (X)
JUNG HO
MEDICAL PHYSICIST40.00$262,095$0$24,610Yes (X)
DIANE MCCOWAN
DIR PHARMACY40.00$241,974$0$14,428Yes (X)
SCOTT BREMER
DIR COMP, BENEF & HRIS40.00$232,723$0$34,526Yes (X)
REBECCA WEYANT
RN ADM DIR40.00$212,214$0$27,884Yes (X)
CESAR ROSAS
RN CHARGE NURSE40.00$202,768$0$12,203Yes (X)
SHERREL HOLLINGSWORTH
CHIEF HR OFFICER TERM 2/17/170.00$566,068$0$42,923Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,957,123TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,170,829TotReportableCompRltdOrgAmt
Total Other Compensation$1,632,929TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K498IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ALLSCRIPTS - CHICAGO
24630 NETWORK PLACECHICAGOIL60673IT SERVICES$18,297,950
LAMBERT RADIOL MED GRP INC
11721 WHITTIER BLVD SUITE 509WHITTIERCA90601MEDICAL SERVICES$11,921,907
INTERCOMMUNITY ANESTH SVCS INC
PO BOX 511509LOS ANGELESCA90051MEDICAL SERVICES$11,634,983
WHITTIER PULM AND CRITC CARE
6905 ALTA VISTA DRIVERANCHO PALOS VERDESCA90275MEDICAL SERVICES$7,656,224
DOWNEY MEDICAL GROUP
11500 BROOKSHIRE AVENUEDOWNEYCA90241MEDICAL SERVICES$3,173,185
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K66CntrctRcvdGreaterThan100KCnt
Related Organizations$1,040,754RelatedOrganizationsAmt
Total Contributions$1,040,754TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE621610$472,722,217$472,722,217
OTHER PATIENT REVENUE621610$69,844,389$69,844,389
HOSPITAL FEE PROGRAM900099$33,532,814$33,532,814
FOOD SERVICES900099$2,902,796$2,902,796
ARRA INCENTIVE PAYMENT900099$44,502$44,502

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,077,893TotalRevenueColumnAmt
Related Or Exempt Func Income$7,077,893RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$586,124,611TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,015,246TotalRevenueColumnAmt
Exclusion$11,015,246ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$120,656,543SecuritiesAmt
Other$2,344,922OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$113,078,505SecuritiesAmt
Other$2,207,022OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$7,578,038SecuritiesAmt
Other$137,900OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,715,938TotalRevenueColumnAmt
Exclusion$7,715,938ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
COMMUNITY PHARMACY624110$2,122,279$2,122,279
PURCHASE DISCOUNTS900099$861,706$861,706

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,991TotalRevenueColumnAmt
Unrelated Business Revenue$25,991UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,009,976OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$608,906,525TotalRevenueColumnAmt
Related Or Exempt Func Income$588,246,890RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$25,991UnrelatedBusinessRevenueAmt
Exclusion$19,592,890ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$72,851TotalAmt
Program Services$72,851ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$125,000TotalAmt
Program Services$125,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,424,544TotalAmt
Program Services$4,914,168ProgramServicesAmt
Management And General$2,510,376ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$188,500,604TotalAmt
Program Services$165,880,532ProgramServicesAmt
Management And General$22,620,072ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$12,670,941TotalAmt
Program Services$11,150,428ProgramServicesAmt
Management And General$1,520,513ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$48,155,928TotalAmt
Program Services$42,377,217ProgramServicesAmt
Management And General$5,778,711ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$15,632,387TotalAmt
Program Services$13,756,501ProgramServicesAmt
Management And General$1,875,886ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,157,010TotalAmt
Management And General$2,157,010ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,765,885TotalAmt
Management And General$1,765,885ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$38,563TotalAmt
Management And General$38,563ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$35,340TotalAmt
Management And General$35,340ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$60,202,984TotalAmt
Program Services$54,374,463ProgramServicesAmt
Management And General$5,828,521ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,520,271TotalAmt
Program Services$5,004,111ProgramServicesAmt
Management And General$3,516,160ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$32,073,042TotalAmt
Program Services$28,224,277ProgramServicesAmt
Management And General$3,848,765ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,154,971TotalAmt
Program Services$7,727,037ProgramServicesAmt
Management And General$2,427,934ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$469,549TotalAmt
Program Services$419,717ProgramServicesAmt
Management And General$49,832ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$69,304TotalAmt
Program Services$32,092ProgramServicesAmt
Management And General$37,212ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,600,114TotalAmt
Program Services$5,516,500ProgramServicesAmt
Management And General$2,083,614ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$24,357,350TotalAmt
Program Services$21,434,468ProgramServicesAmt
Management And General$2,922,882ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,360,313TotalAmt
Management And General$5,360,313ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$72,720,046$71,765,532$954,514
QUALITY ASSURANCE FEE ($23,508,485$23,508,485
BAD DEBT EXPENSE$10,503,133$10,503,133
EQUIPMENT R&M$4,743,457$4,724,272$19,185

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$10,581,081TotalAmt
Program Services$8,380,293ProgramServicesAmt
Management And General$2,200,788ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$547,443,153TotalAmt
Program Services$479,891,077ProgramServicesAmt
Management And General$67,552,076ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$271,662BOYAmt
EOY$268,902EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$67,651,252BOYAmt
EOY$71,041,882EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,568,606BOYAmt
EOY$5,421,268EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,554,562BOYAmt
EOY$6,103,446EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$598,189,306LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$249,636,017LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$367,452,391BOYAmt
EOY$348,553,289EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$457,811,734BOYAmt
EOY$473,856,017EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$374,825,346BOYAmt
EOY$392,492,905EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,282,135,553BOYAmt
EOY$1,297,737,709EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$54,167,762BOYAmt
EOY$51,381,052EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$364,725,100BOYAmt
EOY$354,833,542EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$48,000,000BOYAmt
EOY$28,000,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$197,780,455BOYAmt
EOY$148,875,562EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$664,673,317BOYAmt
EOY$583,090,156EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$617,462,236BOYAmt
EOY$714,647,553EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$617,462,236BOYAmt
EOY$714,647,553EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,282,135,553BOYAmt
EOY$1,297,737,709EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$61,463,372ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,847,408NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$150,154PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$31,024,691OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$35,340OtherActivitiesAmt
Total Lobbying Expenditures$35,340TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1, LOBBYING ACTIVITIES:FormAndLineReferenceDesc
ExplanationA PORTION OF DUES PAID TO HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA AND AMERICAN HOSPITAL ASSOCIATION ARE RELATED TO LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$214,611OtherCostOrOtherBasisAmt
Book Value$214,611BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$324,762,931OtherCostOrOtherBasisAmt
Depreciation$76,815,258DepreciationAmt
Book Value$247,947,673BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$75,485,821OtherCostOrOtherBasisAmt
Depreciation$28,520,490DepreciationAmt
Book Value$46,965,331BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$188,111,472OtherCostOrOtherBasisAmt
Depreciation$136,818,264DepreciationAmt
Book Value$51,293,208BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,614,471OtherCostOrOtherBasisAmt
Depreciation$7,482,005DepreciationAmt
Book Value$2,132,466BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$348,553,289TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY RECEIVABLE$357,860,450
HOSPITAL FEE PROGRAM RECEIVABLE$25,180,306
OTHER RECEIVABLES$3,707,507
DEFERRED FINANCING COSTS$3,389,609
INVESTMENT IN AFFILIATES$1,555,033
OTHER DEPOSITS$800,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$392,492,905TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
PENSION LIABILITY$49,218,144
INTEREST RATE SWAP$25,961,432
NOTE PAYABLE$19,500,000
HOSPITAL FEE PAYABLE$18,597,013
DEFERRED COMPENSATION$16,441,177
SELF INSURANCE RESERVES$15,167,800
BOND INTEREST PAYABLE$2,240,973
OTHER LIABILITIES$1,749,023
FieldValueIRS element (for citing)
Total Liability$148,875,562TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE COMPANY HAS ESTABLISHED ITS STATUS AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER THE INTERNAL REVENUE CODE (THE CODE) SECTION 501(C)(3) AND THE LAWS OF THE STATES IN WHICH IT OPERATES, AND AS SUCH, IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, THE COMPANY IS SUBJECT TO INCOME TAXES ON NET INCOME DERIVED FROM A TRADE OR BUSINESS, REGULARLY CARRIED ON, WHICH DOES NOT FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. NO SIGNIFICANT INCOME TAX PROVISION HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR NET INCOME DERIVED FROM UNRELATED TRADE OR BUSINESS. THE COMPANY MEASURES LIABILITIES FOR UNRECOGNIZED TAX UNCERTAINTIES IN ACCORDANCE WITH ASC 740, INCOME TAXES, WHICH PRESCRIBES A COMPREHENSIVE MODEL FOR HOW A COMPANY SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE IN ITS FINANCIAL STATEMENTS UNCERTAIN TAX POSITIONS THAT A COMPANY HAS TAKEN OR EXPECTS TO TAKE ON A TAX RETURN. THE GUIDANCE IS APPLICABLE TO PROFIT-ORIENTED ENTITIES, PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. MANAGEMENT BELIEVES IT HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS, AND AS SUCH NO TAX LIABILITY, BENEFITS, INTEREST OR PENALTIES WERE ACCRUED AT SEPTEMBER 30, 2018 OR 2017. THE COMPANY IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE COMPANY BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2014 FOR FEDERAL PURPOSES AND 2012 FOR CALIFORNIA PURPOSES.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served926PersonsServedCnt
Total Community Benefit Expns$4,132,048TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,415,172DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,716,876NetCommunityBenefitExpnsAmt
Total Expense0.00510TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served40888PersonsServedCnt
Total Community Benefit Expns$90,656,078TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$66,384,985DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,271,093NetCommunityBenefitExpnsAmt
Total Expense0.04520TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Persons Served467PersonsServedCnt
Total Community Benefit Expns$2,355,392TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$830,070DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,525,322NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served42281PersonsServedCnt
Total Community Benefit Expns$97,143,518TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$68,630,227DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,513,291NetCommunityBenefitExpnsAmt
Total Expense0.05310TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs18ActivitiesOrProgramsCnt
Persons Served20693PersonsServedCnt
Total Community Benefit Expns$1,998,028TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,881DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,964,147NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served1112PersonsServedCnt
Total Community Benefit Expns$4,015,445TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$995,210DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,020,235NetCommunityBenefitExpnsAmt
Total Expense0.00560TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served12757PersonsServedCnt
Total Community Benefit Expns$5,603,019TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,220,753DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,382,266NetCommunityBenefitExpnsAmt
Total Expense0.00820TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served35PersonsServedCnt
Total Community Benefit Expns$153,302TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,536DirectOffsettingRevenueAmt
Net Community Benefit Expns$148,766NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served997PersonsServedCnt
Total Community Benefit Expns$466,370TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,700DirectOffsettingRevenueAmt
Net Community Benefit Expns$464,670NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs34ActivitiesOrProgramsCnt
Persons Served35594PersonsServedCnt
Total Community Benefit Expns$12,236,164TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,256,080DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,980,084NetCommunityBenefitExpnsAmt
Total Expense0.01870TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs34ActivitiesOrProgramsCnt
Persons Served77875PersonsServedCnt
Total Community Benefit Expns$109,379,682TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$70,886,307DirectOffsettingRevenueAmt
Net Community Benefit Expns$38,493,375NetCommunityBenefitExpnsAmt
Total Expense0.07180TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served2PersonsServedCnt
Total Community Benefit Expns$32,168TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$32,168NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served15PersonsServedCnt
Total Community Benefit Expns$15,703TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,703NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served6PersonsServedCnt
Total Community Benefit Expns$20,810TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$20,810NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served2PersonsServedCnt
Total Community Benefit Expns$535TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$535NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served25PersonsServedCnt
Total Community Benefit Expns$69,216TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$69,216NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$10,503,133BadDebtExpenseAmt
Reimbursed By Medicare$74,309,129ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$90,430,350CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$16,121,221MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 ANGEL CARE HEALTH NETWORK LLC (VIVITY)BusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesSEE PART VIPrimaryActivitiesTxt
Org Profit Or Ownership0.12500OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.00000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PIH HEALTH HOSPITAL - WHITTIERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line112401 WASHINGTON BOULEVARDAddressLine1Txt
CityWHITTIERCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90602ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.PIHHEALTH.ORGWebsiteAddressTxt
State LicenseLICENSE #930000129StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherSKILLED NURSING FACILITYOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PIH HEALTH HOSPITAL - WHITTIERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLPIHHEALTH.ORG/WELLNESS/COMMUNITY-BENEFIT/OwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLHEALTHACTIONLAB.SHUTTERFLY.COMOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLPIHHEALTH.ORG/CHIPStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLPIHHEALTH.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLPIHHEALTH.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.PIHHEALTH.ORG/APP/FILES/PUBLIC/3985/FINANCIAL-APPLICATION-PLAINFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PIH HEALTH HOSPITAL - WHITTIERPART V, SECTION B, LINE 3J: THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES DATA AND INFORMATION REGARDING DEMOGRAPHIC PROFILE, SOCIAL DETERMINANTS OF HEALTH, GENERAL HEALTHCARE ACCESS, MATERNAL AND INFANT HEALTH, ORAL HEALTH, MENTAL HEALTH, HEALTH BEHAVIORS, WEIGHT STATUS, NUTRITION AND PHYSICAL ACTIVITY, CHRONIC DISEASES, LEADING CAUSES OF DEATH AND COMMUNITY PERSPECTIVES GATHERED FROM FOCUS GROUPS AND INTERVIEWS.
PIH HEALTH HOSPITAL - WHITTIERPART V, SECTION B, LINE 5: PRIMARY DATA COLLECTION CONSISTED OF 21 KEY STAKEHOLDER INTERVIEWS AND SIX COMMUNITY FOCUS GROUPS (50 PARTICIPANTS) REGARDING PERCEPTIONS AND OPINIONS OF THOSE REPRESENTING THE BROAD INTERESTS OF THE COMMUNITIES IN OUR PRIMARY SERVICE AREA.INTERVIEW PARTICIPANTS INCLUDED AGENCIES REPRESENTING A BROAD RANGE OF HEALTH AND SOCIAL SERVICES, INCLUDING LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS AS WELL THE LOCAL HEALTH DEPARTMENT THAT HAVE CURRENT INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITIES WE SERVE. KEY STAKEHOLDER INTERVIEWEES1. EVELYN CASTRO-GUILLEN, CHIEF OPERATING OFFICER, THE WHOLE CHILD2. JOANN EROS-DELGADO, FACILITY DIRECTOR, LA COUNTY COMMUNITY RESOURCE CENTER3. RICHARD ESPINOSA, HEALTH DEPUTY, OFFICE OF LA COUNTY SUPERVISOR DON KNABE4. JEFF FARBER, EXECUTIVE DIRECTOR, HELPLINE YOUTH COUNSELING5. ALEXANDRIA GUEVARA, TEEN PROGRAM DIRECTOR, WHITTIER BOYS & GIRLS CLUB6. MICHEL HESIA, PROMOTORA, ACTIVATE WHITTIER COMMUNITY COLLABORATIVE7. SCOTT LEE MD, FAMILY MEDICINE PHYSICIAN, PIH HEALTH8. PENNY LOPEZ, PROGRAM DIRECTOR, ACTIVATE WHITTIER COMMUNITY COLLABORATIVE9. EDITH MARCEL, PROMOTORA PRESIDENT, HEALTHY LOS NIETOS COMMUNITY COLLABORATIVE10. CLARE MCCLAFFERTY, SOCIAL WORKER, PIH HEALTH11. RICARDO MENDOZA, DEPUTY DISTRICT DIRECTOR, OFFICE OF CONGRESSWOMAN LINDA SANCHEZ12. SID MENZIES, CHIEF OPERATING OFFICER, BOYS & GIRLS CLUB OF WHITTIER13. USAMA MITRY MD, FAMILY MEDICINE PHYSICIAN, PIH HEALTH14. MARIA OCHOA RN BSN PHN, SPA 7 COMMUNITY LIAISON PUBLIC HEALTH NURSE LA COUNTY DEPARTMENT OF PUBLIC HEALTH15. LIZET OLMOS, RECREATION COORDINATOR, PICO RIVERA SENIOR CENTER16. JIM ROBERTS, PATIENT ADVISOR/AMBASSADOR, PIH HEALTH17. DENNA SANCHEZ PHD, PSYCHOLOGIST COORDINATOR, PSYCHOLOGICAL SERVICES RIO HONDO COLLEGE18. ANA SUAREZ, DISTRICT CHIEF, LA COUNTY DEPARTMENT OF MENTAL HEALTH SPA 719. JOHN VELASCO, DIRECTOR AND VICE PRESIDENT, HEART OF COMPASSION20. MARTHA VELASQUEZ, PROGRAM DIRECTOR, SPIRITT FAMILY SERVICES21. GUYLENE VELEZ, SOCIAL WORKER, PIH HEALTHFOCUS GROUPS PARTICIPANTS INCLUDED MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS, INDIVIDUALS OR ORGANIZATIONS SERVING THE INTERESTS OF THESE POPULATIONS, AND PERSONS REPRESENTING THE BROAD INTEREST OF THE COMMUNITY. FOCUS GROUPS WERE CONDUCTED IN BOTH ENGLISH AND SPANISH.COMMUNITY FOCUS GROUPS1. PARTNERSHIP FOR HEALTHIER COMMUNITIES COLLABORATIVE, SIX COMMUNITY-BASED ORGANIZATIONS2. STEINMETZ SENIOR CENTER- HACIENDA HEIGHTS, 10 OLDER ADULTS3. PLAZA DE LA RAZA, FIVE PARENTS OF PRESCHOOL-AGED CHILDREN4. INTERFAITH FOOD CENTER, 10 FOOD PANTRY CLIENTS5. MY FRIEND'S HOUSE, 12 FAITH-BASED GROUP PASTORS, LAY PASTORS AND CONGREGANTS6. FRIENDS OF FAMILY HEALTH CENTER - LA HABRA, SEVEN COMMUNITY CLINIC CLIENTS
PIH HEALTH HOSPITAL - WHITTIERPART V, SECTION B, LINE 6A: PIH HEALTH HOSPITAL - WHITTIER'S CHNA WAS CONDUCTED WITH PIH HEALTH HOSPITAL - DOWNEY AND KAISER FOUNDATION HOSPITAL - DOWNEY MEDICAL CENTER. SHARED SERVICE AREAS AND COMMUNITY PARTNERS ALLOWED FOR COORDINATED INTERVIEWS AND FOCUS GROUPS AND SHARING OF DATA/RESULTS.
PIH HEALTH HOSPITAL - WHITTIERPART V, SECTION B, LINE 7D: ASSESSMENT FINDINGS WERE ALSO DISTRIBUTED TO KEY STAKEHOLDERS VIA EMAIL WITH EMPHASIS ON SUPPORTING PROGRAM PLANNING AND FUND-DEVELOPMENT ENDEAVORS, AND SPARING ORGANIZATIONS THE EXPENSE OF DUPLICATIVE DATA COLLECTION EFFORTS. ASSESSMENT FINDINGS ARE ALSO SHARED ON AN ON-GOING BASIS VIA PRESENTATIONS AT COMMUNITY EVENTS AND COMMUNITY COLLABORATIVE MEETINGS AND THROUGH SOCIAL MEDIA CHANNELS.
PIH HEALTH HOSPITAL - WHITTIERPART V, SECTION B, LINE 11: PIH HEALTH'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) ENSURES ALIGNMENT OF CHNA FINDINGS, OUR COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND PIH HEALTH'S ORGANIZATIONAL STRATEGY. TO VIEW THE 2017-2019 CHIP AND THE INITIATIVES IDENTIFIED TO ADDRESS AREAS OF FOCUS (DIABETES, HEART DISEASE, OVERWEIGHT/OBESITY, PREVENTATIVE SCREENINGS AND IMMUNIZATIONS, FOOD INSECURITY, HOMELESSNESS AND EDUCATION), VISIT PIHHEALTH.ORG/CHIP. FOR THE HEALTH NEEDS THAT WERE NOT PRIORITIZED AS AREAS OF FOCUS (ASTHMA, CANCER DEATHS, DENTAL CARE ACCESS, HEALTH INSURANCE COVERAGE/AFFORDABILITY, LUNG DISEASE DEATHS, MENTAL HEALTHCARE, AND SUBSTANCE ABUSE), PIH HEALTH HAS NEITHER THE EXPERTISE NOR THE INFRASTRUCTURE TO SERVE AS LEAD IN THESE AREAS. AS THESE HEALTH NEEDS ARE STILL VERY IMPORTANT TO PIH HEALTH AND THE COMMUNITIES WE SERVE, WORK WILL CONTINUE IN THESE AREAS WHERE APPLICABLE, AND REFERRAL AND FUNDING RELATIONSHIPS WITH COMMUNITY-BASED AGENCIES ALREADY WORKING IN THESE AREAS MAY BE STRENGTHENED.
PIH HEALTH HOSPITAL - WHITTIERPART V, SECTION B, LINE 13B: ASSISTANCE IS PROVIDED FREE OR DISCOUNTED FOR THOSE PATIENTS ELIGIBLE FOR FAP. THE CRITERIA FOR FAP IS IF THE PATIENT IS UNINSURED AND DOES NOT HAVE THE ABILITY TO PAY, HAS RESTRICTED MEDI-CAL BENEFITS, OR IS UNDERINSURED. THIS IS ALSO CONSIDERATIONS FOR PATIENTS WHERE THE FPG IS NOT APPLICABLE AND THE PATIENT IS INSURED WITH INADEQUATE COVERAGE OR EXCESSIVE LIABILITY.
FieldValueIRS element (for citing)
Facility12FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - SAME DAY SURGERY
12415 WASHINGTON BLVDWHITTIERCA90602OUTPATIENT SURGICAL SERVICES
2 - INTERCOMMUNITY MAGNETIC RESONANCE IMAGNG
12455 WASHINGTON BLVDWHITTIERCA90602MRI SERVICES
3 - ERNEST D WELLS MEDICAL OFFICE BUILDING
12462 PUTNAM STWHITTIERCA90602OUTPATIENT SERVICES
4 - PATRICIA L SHCEIFLY BREAST HEALTH CTR
12393 WASHINGTON BLVDWHITTIERCA90602BREAST HEALTH SVCS
5 - PRESBYTERIAN HEALTH MEDICAL PLAZA
12291 WASHINGTON BLVDWHITTIERCA90602WOUND HEALING, LAB DRAW STATION
6 - ARCADIA HOME HEALTH NURSING
351 E FOOTHILL BLVD SUITE 100ARCADIACA91006VISITING NURSES ASSOCIATION
7 - HOSPICE HOMES - DOVE
10736 VALLEY VIEW AVEWHITTIERCA90604HOSPICE CARE
8 - HOSPICE HOMES - ROSE
10742 VALLEY VIEW AVEWHITTIERCA90604HOSPICE CARE
9 - PIH HOME HEALTH
15050 IMPERIAL HWYLA MIRADACA90638HOME HEALTH AGENCY
10 - PRESBYTERIAN HEALTH MEDICAL PLAZA
15088 IMPERIAL HWY SUITE 219LA MIRADACA90638OUTPATIENT THERAPY
11 - BHP - LA MIRADA
12675 S LA MIRADA BLVD SUITE 219LA MIRADACA90638RADIOLOGY
12 - HACIENDA HEIGHTS MEDICAL OFFICE BUILDING
1850 AZUSA AVEHACIENDA HEIGHTSCA91745MAMMOGRAPHY

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:PIH HEALTH'S COMMUNITY BENEFIT REPORT FOR FISCAL YEAR 2017-2018 COUNTS FOR BOTH PIH HEALTH HOSPITAL - WHITTIER AND PIH HEALTH - HOSPITAL DOWNEY'S PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITY. THE REPORT SEPARATES OUT COMMUNITY BENEFIT INVESTMENT FIGURES FOR EACH HOSPITAL.TO VIEW THE FULL REPORT, VISIT PIHHEALTH.ORG/CBANNUALREPORT
PART I, LINE 7:PATIENT CARE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS USED TO CALCULATE THE FINANCIAL ASSISTANCE. FOR ALL OTHERS, WE UTILIZED INTERNAL COSTING SYSTEM AND ACCOUNTS FOR THE VARIOUS PAYER MIX.
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 10,503,133.
PART II, COMMUNITY BUILDING ACTIVITIES:PIH HEALTH WORKS WITH A VARIETY OF COMMUNITY STAKEHOLDERS TO ENHANCE THE COLLECTIVE CAPACITY FOR ADDRESSING THE ROOT CAUSES OF HEALTH PROBLEMS. PIH HEALTH MOBILIZES ASSETS AND INVESTS RESOURCES THROUGH A VARIETY OF COMMUNITY-BUILDING ACTIVITIES DESIGNED TO ADDRESS IDENTIFIED NEEDS, INCLUDING PARTICIPATION IN EDUCATION AND WORKFORCE INITIATIVES AIMED AT HEALTHCARE WORKFORCE DEVELOPMENT, AS WELL AS PARTICIPATION ON LOCAL CHAMBER OF COMMERCE BOARDS AIMED AT IMPROVING THE ECONOMIC, CIVIC AND CULTURAL WELLBEING OF THE COMMUNITY. PIH HEALTH ALSO UNDERTAKES DISASTER PREPAREDNESS TRAINING ABOVE AND BEYOND LICENSURE REQUIREMENTS TO ENSURE WE ARE EFFECTIVELY PREPARED TO SERVE THE COMMUNITY IN A DISASTER. IN ADDITION, PIH HEALTH HAS ADVOCATED TO CONGRESSIONAL LEADER FOR MORE SUPPORT FOR MENTAL HEALTH AND THE ORGANIZATION'S PRESIDENT AND CEO HAS SUPPORTED LOCAL, STATE AND FEDERAL HEALTH-RELATED ADVOCACY THROUGH PARTICIPATION AND LEADERSHIP IN VARIOUS HEALTHCARE ASSOCIATIONS.
PART III, LINE 2:THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE COMPANY FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE THE COMPANY ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY.
PART III, LINE 4:THE COMPANY PROVIDES CARE TO PATIENTS EVEN THOUGH THEY MAY LACK ADEQUATE INSURANCE OR MAY PARTICIPATE IN PROGRAMS WITH NEGOTIATED OR REGULATED AMOUNTS. THE COMPANY MANAGES ITS COLLECTION RISK BY REGULARLY REVIEWING ITS ACCOUNTS AND CONTRACTS AND BY PROVIDING APPROPRIATE ALLOWANCES THAT ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEETS.AS PART OF THE COMPANY'S MISSION TO SERVE THE COMMUNITY, THE COMPANY PROVIDES CARE TO PATIENTS EVEN THOUGH THEY MAY LACK ADEQUATE INSURANCE OR MAY PARTICIPATE IN PROGRAMS WITH NEGOTIATED OR REGULATED PAYMENT AMOUNTS. THE COMPANY MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR CHARITY CARE UPON ADMISSION, THOUGH DETERMINATION MAY ALSO BE MADE AT A LATER TIME. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE APPLICATION OF ANY FINANCIAL, UNINSURED OR OTHER DISCOUNTS OR PAYMENTS RECEIVED ON THE ACCOUNT, AND REASONABLE EFFORTS TO COLLECT FROM PATIENT HAVE BEEN EXHAUSTED, THE COMPANY FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE COMPANY.THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE COMPANY FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE THE COMPANY ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY.
PART III, LINE 8:THE COMPANY DOES NOT TAKE THE POSITION THAT MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THE STATE HAS SPECIFICALLY ASKED US TO REPORT THIS SEPARATELY FROM OUR COMMUNITY BENEFIT TOTALS. THE COMPANY USES A COST-TO-CHARGE (C2C) RATIO TO DETERMINE MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENT RECEIVED FROM MEDICARE, WHICH IS SIMILAR TO THE IRS SCHEDULE H METHOD. HOWEVER, THE PIH HEALTH SYSTEM IS MORE REFINED AND EXACTING, SINCE IT IS GENERATED AT THE DEPARTMENT LEVEL AND INCLUDES BOTH DIRECT COSTS AND ALLOCATED COMPANY-WIDE INDIRECT COSTS. ALL PERIOD INDIRECT COSTS ARE ALLOCATED BETWEEN PIH HEALTH DEPARTMENTS BASED ON THEIR RELATIVE GROSS CHARGES. THE SUM OF THE DIRECT AND ALLOCATED INDIRECT COSTS OF EACH DEPARTMENT ARE DIVIDED BY THE TOTAL DEPARTMENT GROSS PROCEDURE CHARGES. THE RESULTING DEPARTMENT SPECIFIC PERCENTAGE, IE. DEPARTMENT C2C %, IS LOADED INTO PIH HEALTH'S ERP SOFTWARE EACH QUARTER. THE COST SYSTEM APPLIES THE DEPARTMENT'S C2C% TO ALL PROCEDURE CHARGES ORIGINATING WITHIN THE DEPARTMENT IN ORDER TO COMPUTE THE RELATED PROCEDURE COSTS. AS SUCH, ALL COST INFORMATION REFLECTED IN PIH HEALTH'S REGULATORY REPORTING AND FINANCIAL ANALYSIS IS BASED ON THE ABOVE DEPARTMENT C2C METHODOLOGY.
PART III, LINE 9B:THE HOSPITAL ENCOURAGES ALL SELF-PAY PATIENTS TO APPLY FOR FINANCIAL ASSISTANCE OR OTHER PROGRAMS. 1. ALL UNINSURED PATIENTS ARE ASSUMED TO NEED FINANCIAL ASSISTANCE AND AUTOMATICALLY RECEIVE DISCOUNTED BILLS THAT REFLECT THE CONTRACT RATE OR LESS OF A MEDICARE ADVANTAGE CONTRACT.2. ALL UNINSURED PATIENTS ARE PROVIDED WITH A FINANCIAL ASSISTANCE AND MEDICAID APPLICATION AT THE TIME OF REGISTRATION THEREBY GIVING THEM THE OPPORTUNITY TO APPLY FOR ASSISTANCE. 3. THERE ARE SIGNS THROUGH THE FACILITY THAT EDUCATE PATIENTS AND VISITORS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. 4. THE HOSPITAL'S WEBSITE PUBLISHES THE FINANCIAL ASSISTANCE POLICY AND APPLICATIONS.5. SELF-PAY INPATIENTS ALSO MAY BE CONTACTED BY A VENDOR TO OFFER ASSISTANCE IN APPLYING FOR MEDICAID, IF ELIGIBLE. 6. STATEMENTS (WHICH REFLECT A REDUCTION IN CHARGES TO THE RATES AT OR LOWER THAN CONTRACTED RATES FOR MEDICARE ADVANTAGE MEMBERS) PROMOTE THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM7. ONLY PATIENTS WHO DO NOT QUALIFY FOR FURTHER FINANCIAL ASSISTANCE (AFTER DISCOUNTS) OR WHO DO NOT APPLY FOR PROGRAMS AND DO NOT PAY ARE REFERRED TO COLLECTION. IN ADDITION, IF A PATIENT IS REFERRED TO COLLECTION AND LATER APPLIES FOR CHARITY AND QUALIFIES, THE PATIENT'S ACCOUNT IS RETURNED TO THE HOSPITAL AND FINANCIAL ASSISTANCE IS EXTENDED.
PART IV, LINE 1, COLUMN (B):VIVITY WAS FORMED TO CREATE A LARGE SOUTHERN CALIFORNIA HEALTH CARE NETWORK THAT COULD EFFECTIVELY COMPETE WITH KAISER PERMANENTE. THE MEMBERS COLLABORATED TO DEVELOP A NEW BLUE CROSS HMO BENEFIT PLAN FOR SALE IN LOS ANGELES AND ORANGE COUNTIES. THE COMBINED INFRASTRUCTURE OF THE MEMBERS AND A MORE HOLISTIC APPROACH TO HEALTH CARE RESULTS IN REDUCED SPECIALTY CARE OR REDUNDANT MEDICAL PROCEDURES. THE COST-SAVINGS ARE PASSED ON TO THE PATIENTS. LONGER TERM VALUE OF THE INNOVATIVE VENTURE WILL COME FROM FUTURE IMPROVEMENTS IN EFFICIENCY AND EFFECTIVENESS ENABLED BY SUCH THINGS AS COMMON EMR, SHARED CARE MANAGEMENT, JOINT WELLNESS RESOURCES, ETC.
PART VI, LINE 2:IN ADDITION TO THE HOSPITAL'S CHNA, PIH HEALTH UTILIZES THE FOLLOWING METHODS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES: COMMUNITY BENEFIT OVERSIGHT COMMITTEE- IN 2006, PIH HEALTH'S BOARD OF DIRECTORS ESTABLISHED THE COMMUNITY BENEFIT OVERSIGHT COMMITTEE (CBOC), WHICH IS COMPRISED OF COMMUNITY STAKEHOLDERS AND KEY PUBLIC HEALTH AND LEGISLATIVE REPRESENTATIVES. THIS COMMITTEE MEETS REGULARLY AND ITS MEMBERS SHARE HEALTHCARE-RELATED NEEDS/CONCERNS EXPERIENCED BY THE COMMUNITY MEMBERS THEY REPRESENT AS WELL AS ASSETS OR POTENTIAL PARTNERS FOR THE HOSPITAL TO ENGAGE IN ADDRESSING THE IDENTIFIED NEEDS.COMMUNITY HEALTH IMPROVEMENT TEAM- THIS INTERNAL WORK GROUP OF HOSPITAL STAFF THAT MANAGES THE HOSPITAL'S VARIOUS COMMUNITY-BASED PROGRAMS MEETS ANNUALLY TO SHARE RESOURCES THAT BENEFIT COMMUNITY MEMBERS AND TO DISCUSS ANY CHALLENGES / NEEDS AS A WAY TO ENHANCE THE PROVISION OF SERVICES.FEEDBACK FROM COMMUNITY ORGANIZATIONS / COLLABORATIVES- THROUGH PARTICIPATION IN VARIOUS COMMUNITY COLLABORATIVES AND NETWORKING MEETINGS, PIH HEALTH IS ABLE TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITY AND IDENTIFY PARTNERSHIP OPPORTUNITIES.
PART VI, LINE 3:THERE ARE MANY AVENUES PIH HEALTH TAKES IN EDUCATING PATIENTS AND FAMILY MEMBERS ABOUT THE VARIOUS FINANCIAL ASSISTANCE PROGRAMS. PATIENT ARE ADVISED AT THE TIME OF SERVICE, DURING IN-HOUSE CARE AND POST DISCHARGES. FREE HANDOUTS OF THE FAP APPLICATION ARE PROVIDED IN BOTH ENGLISH AND SPANISH. THERE AE POSTINGS THROUGHOUT THE HOSPITAL IN BOTH ENGLISH AND SPANISH WITH INFORMATION ABOUT OUR FAP PROGRAM. WE HAVE AN ELIGIBILITY VENDOR THAT IS CONVENIENTLY AVAILABLE TO ASSIST OUR PATIENTS IN THE EMERGENCY ROOM OR IN-HOUSE PATIENTS WITH DETERMINING ELIGIBILITY FOR VARIOUS GOVERNMENTAL PROGRAMS, AS WELL AS, ADVISE AND ASSIST THE PATIENT WITH THE FAP. POST DISCHARGE, OUR BUSINESS OFFICE STAFF TAKES THE INITIATIVE TO ADVISE THE PATIENT OF OUR FAP PROGRAM. ALSO, WITH EACH PATIENT STATEMENT THAT IS SENT OUT, THE FAP PROGRAM IS PRINTED ON THE BACK OF THE STATEMENT. PIH HEALTH'S FAP IS ALSO PUBLISHED ON OUR WEBSITE.
PART VI, LINE 4:PIH HEALTH HOSPITAL - WHITTIER SERVES AN URBAN GEOGRAPHY IN THE SOUTHEAST PORTION OF LOS ANGELES COUNTY, CALIFORNIA, WITHIN SERVICE PLANNING AREA 7 (SPA 7). PRIMARY SERVICE AREA CITIES INCLUDE:DOWNEY 90241HACIENDA HEIGHTS 91745LA HABRA 90631LA HABRA HEIGHTS 90631LA MIRADA 90638LA PUENTE 91744MONTEBELLO 90640NORWALK 90650PICO RIVERA 90660ROWLAND HEIGHTS 91748SANTA FE SPRINGS 90670WALNUT 91789WHITTIER 90601-90606PRIMARY SERVICE AREA PROFILETHE POPULATION FOR PIH HEALTH HOSPITAL - WHITTIER'S PRIMARY SERVICE AREA IS 822,408. POPULATION DEMOGRAPHICS: CHILDREN AND YOUTH (AGES 0-19) MAKE UP 27.9% OF THE POPULATION; OLDER ADULTS (AGES 65+) MAKE UP 12.2% OF THE POPULATION. THE LARGEST POPULATION BY RACE AND ETHNICITY IN THE SERVICE AREA IS HISPANIC OR LATINO (65.1%). WHITE/CAUCASIANS MAKE UP 16.1% OF THE POPULATION. ASIANS COMPRISE 15.5% OF THE POPULATION, AND AFRICAN AMERICANS, NATIVE AMERICANS, HAWAIIANS, AND OTHER RACES COMBINED TOTAL 3.3% OF THE POPULATION. INCOME & POVERTY: THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA RANGES FROM $47,438 IN MONTEBELLO TO $91,623 IN WALNUT. SOME 11.6% OF THE SERVICE AREA POPULATION LIVES BELOW 100% OF THE FEDERAL POVERTY LEVEL AND 33.5% LIVE BELOW 200%. HEALTH INSURANCE: 79.1% OF THE SERVICE AREA IS INSURED, 90.9% OF CHILDREN UNDER 18 ARE INSURED AND 71% OF ADULTS AGES 18-64 ARE INSURED. IN SPA 7, 30.7% ARE MEDI-CAL RECIPIENTS.THERE ARE SEVEN OTHER HOSPITALS PROVIDING CARE IN THE SERVICE AREA POPULATION AND NO FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS PRESENT IN THE SERVICE AREA. FOR ADDITIONAL DATA REGARDING THE SERVICE AREA, PLEASE SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT AT PIHHEALTH.ORG/CHNA
PART VI, LINE 5:COMMUNITY BOARDPIH HEALTH'S COMMUNITY BOARD OF DIRECTORS WORKS TO ADVANCE PIH HEALTH'S COMMITMENT TO HELPING OUR COMMUNITIES GET WELL AND STAY HEALTHY.OPEN MEDICAL STAFFPIH HEALTH EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES.USE OF SURPLUS FUNDSPIH HEALTH APPLIES SURPLUS FUNDS TOWARD IMPROVEMENTS IN PATIENT CARE, TECHNOLOGY, AND MEDICAL EDUCATION.COMMUNITY BENEFIT OVERSIGHT COMMITTEE (CBOC)IN 2006, PIH HEALTH'S BOARD OF DIRECTORS ESTABLISHED THE CBOC, COMPRISED OF COMMUNITY STAKEHOLDERS AND A PUBLIC HEALTH REPRESENTATIVE. THE CBOC PROMOTES THE HEALTH OF THE COMMUNITY BY 1) REVIEWING AND VALIDATING LEGAL AND REGULATORY COMPLIANCE WITH RESPECT TO COMMUNITY BENEFIT MANDATES, 2) REVIEWING AND VALIDATING THAT PIH HEALTH'S COMMUNITY BENEFIT PROGRAMS AND SERVICES EFFECTIVELY MEET IDENTIFIED COMMUNITY HEALTH NEEDS, WITH EMPHASIS ON VULNERABLE POPULATIONS, AS AN ESSENTIAL EXPRESSION OF PIH HEALTH'S CHARITABLE MISSION AND 3) INCREASING PUBLIC AWARENESS OF COMMUNITY BENEFIT ACTIVITIES AND COMMUNITY VALUE.DONATION OF TIMEMANY PIH HEALTH PROVIDERS ARE LIVING OUT THEIR PASSION TO SERVE PEOPLE IN NEED BY DONATING THEIR TIME AND TALENTS BOTH IN OUR COMMUNITY AND OVERSEAS. EMERGENCY AND DISASTER PREPAREDNESS/DISASTER RESOURCE CENTER (DRC) PIH HEALTH HOSPITAL - WHITTIER IS ONE OF 13 LOS ANGELES COUNTY DESIGNATED DRC'S THAT ENSURE THE COMMUNITY HAS ACCESS TO RESOURCES AND THE HIGHLY SKILLED STAFF NEEDED TO RESPOND TO A LARGE-SCALE DISASTER OR OTHER PUBLIC HEALTH EMERGENCIES.ENVIRONMENTAL AND RECYCLING PROJECTSPIH HEALTH CONTINUES TO IMPLEMENT "GREEN" INITIATIVES, INCLUDING INCREASED USAGE OF LED LIGHTING TO DECREASE CONSUMPTION OF ELECTRICITY AND, EXPANDING A METHANE GAS PROJECT WITH THE CITY OF WHITTIER TO CONVERT METHANE GAS INTO ELECTRICITY. EYEGLASSES AND HEARING AIDS ARE ALSO COLLECTED AND RECYCLED FOR THE EAST WHITTIER LIONS CLUB.VOLUNTEER CONTRIBUTIONS SOME 980 PIH HEALTH VOLUNTEERS COLLECTIVELY CONTRIBUTED 95,273 HOURS OF SERVICE, SUPPORTING DEPARTMENTS THROUGHOUT THE ORGANIZATION.REACH OUT AND READ PROGRAM OUR PEDIATRICS DEPARTMENT PARTNERS WITH REACH OUT AND READ TO PROMOTE EARLY LITERACY AND SCHOOL READINESS. PHYSICIANS PROVIDE PATIENTS WITH A CHILDREN'S BOOK AND DISCUSS WITH PARENTS THE IMPORTANCE OF READING ALOUD. EACH YEAR, OVER 6,000 NEW BOOKS ARE DISTRIBUTED.
PART VI, LINE 6:HOSPITAL AFFILIATES INCLUDE: 1) PIH HEALTH, INC., PIH HEALTH'S PARENT COMPANY; 2) PIH HEALTH HOSPITAL - DOWNEY; 3) PIH HEALTH PHYSICIANS, A NONPROFIT MEDICAL FOUNDATION; AND 4) THE PIH HEALTH FOUNDATION, A NONPROFIT ORGANIZATION THAT EXISTS TO RAISE PHILANTHROPIC FUNDS IN SUPPORT OF PIH'S CHARITABLE MISSION PIH HEALTH, INC. PROVIDES TECHNICAL, FACILITY AND SUPPORT SERVICES FOR TAX-EXEMPT AFFILIATES WHOSE CHARITABLE PURPOSE IS TO PROVIDE A BROAD RANGE OF HEALTHCARE SERVICES TO THEIR COMMUNITY BY WAY OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM.PIH HEALTH HOSPITAL - DOWNEY OFFICIALLY BECAME PART OF PIH HEALTH IN OCTOBER 2013. AS A 501 (C)(3) NONPROFIT, 199-BED HOSPITAL, THE DOWNEY CAMPUS HAS PROVIDED QUALITY CARE IN A WELCOMING ENVIRONMENT FOR NEARLY 100 YEARS. AS A NONNPROFIT HOSPITAL WITH A CHARITABLE MISSION, PIH HEALTH HOSPITAL DOWNEY IS A DEDICATED COMMUNITY HEALTH AND WELLNESS PARTNER. THIS COMMITMENT AND LEADERSHIP GIVES BACK TO THE COMMUNITY THROUGH CHARITY CARE, HEALTH PROFESSIONS EDUCATION AND MORE.PIH HEALTH PHYSICIANS SUPPORTS THE LOCAL COMMUNITY THROUGH ITS FINANCIAL ASSISTANCE PROGRAM, WHITTIER FIRST DAY HEALTH & WELLNESS CENTER FOR THE HOMELESS AND THOSE AT-RISK FOR HOMELESSNESS, HEALTH PROFESSIONS EDUCATION, AND OTHER COMMUNITY HEALTH IMPROVEMENT SERVICES. THE PIH HEALTH FOUNDATION RAISES FUNDS IN SUPPORT OF PIH HEALTH TO ENSURE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES FOR YEARS TO COME THROUGH SUPPORTING PROGRAMS THAT DIRECTLY IMPACT THE COMMUNITY, INCLUDING PIH HEALTH'S COMMUNITY BENEFIT PROGRAMS. GIFTS BIG, SMALL AND ALL WILL SUPPORT PIH HEALTH'S WORK TO PROVIDE ACCESS TO QUALITY HEALTHCARE, SCREENINGS, PREVENTATIVE CARE, PREVENTION-FOCUSED EDUCATION AND OTHER IMPORTANT INITIATIVES.FOR DETAILED INFORMATION REGARDING THESE PIH HEALTH AFFILIATES' ADDITIONAL ACTIVITIES TO SUPPORT AND PROMOTE COMMUNITY HEALTH, PLEASE SEE EACH RESPECTIVE ORGANIZATION'S IRS FORM 990.
PART VI, LINE 7, REPORTS FILED WITH STATESCA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
INTERFAITH FOOD CENTER
11819 BURKE STREETSANTA FE SPRINGSCA90670953889152501(C)(3)$12,000FOOD FOR LOW-INCOME FAMILIES
FIRST CHRISTIAN CHURCH OF DOWNEY
10909 NEW STREETDOWNEYCA90241951803687501(C)(3)$9,500TRUCK FOR FOOD DELIVERY FOR INDIGENTS
HELPLINE YOUTH COUNSELING INC
14181 TELEGRAPH ROADWHITTIERCA90604237113824501(C)(3)$7,901SUPPORT YOUTH COUNSELING
BOYS GIRLS CLUB OF WHITTIER
7905 GREENLEAF AVENUEWHITTIERCA90602956151763501(C)(3)$7,450HEALTHY NUTRITION AND LIFESTYLES FOR KIDS
TLC FAMILY RESOURCE CENTER
13220 BELLFLOWER BLVDDOWNEYCA90242956006586501(C)(3)$6,000PROVIDE FOOD AND SERVICES FOR INDIGENTS
WHITTIER ROTARY CLUB
PO BOX 753WHITTIERCA90608951371765501(C)(3)$5,000DENTAL CARE FOR INDIGENTS
WHITTIER AREA FIRST DAY COALITION
12426 WHITTIER BLVDWHITTIERCA90602931141844501(C)(3)$5,000SUPPORT HOMELESS
VISTA COMMUNITY CLINIC
1000 VALE TERRACE DRIVEVISTACA92084952815615501(C)(3)$5,000FOOD FOR LOW-INCOME FAMILIES
THE WHOLE CHILD
10155 COLIMA ROADWHITTIERCA90603952031148501(C)(3)$5,000SUPPORT HOMELESS CHILDREN AND FAMILIES
SOROPTIMIST INTERNATIONAL
PO BOX 468WHITTIERCA90608956096575501(C)(3)$5,000EDUCATION FOR NEEDY
LYNWOOD PARTNERS EDUCATION FOUNDATION
11321 BULLS ROADLYNWOODCA90262473028270501(C)(3)$5,000SUPPORT HOMELESS STUDENTS AND FAMILIES
FieldValueIRS element (for citing)
Total501c3 Org11Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient49RecipientCnt
Cash Grant$125,000CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationPIH PROVIDES FINANCIAL ASSISTANCE TO BOTH NOT-FOR-PROFIT ORGANIZATIONS AND INDIVIDUALS. PIH HEALTH PROVIDES FINANCIAL SUPPORT TO TAX-EXEMPT, NONPROFIT ORGANIZATIONS IN OUR SERVICE AREA CITIES THROUGH ITS COMMUNITY SUPPORT AND SPONSORSHIPS PROGRAM, WITH EMPHASIS ON COMMUNITY HEALTH NEEDS/AREAS OF CONCERN AS IDENTIFIED BY PIH HEALTH'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS. FINANCIAL SUPPORT MAY BE PROVIDED IF THE REQUESTING ORGANIZATION ADDRESSES ONE OR MORE OF THESE AREAS AND IS RESPONSIVE TO THE HEALTH AND WELLNESS NEEDS OF THE COMMUNITIES WE SERVE, ALLOWING PIH HEALTH TO BUILD UPON THE IMPACT OF EXISTING COMMUNITY HEALTH IMPROVEMENT EFFORTS. FOR CONTRIBUTIONS MADE TO CHARITABLE ORGANIZATIONS, PIH HEALTH HAS ADOPTED A POLICY WHICH GUIDES THE PROCESS TO ENSURE GOOD STEWARDSHIP OF PIH HEALTH'S CHARITABLE RESOURCES AS A FEDERALLY REGISTERED NONPROFIT ENTITY. TO ENSURE ACCURATE COMMUNITY BENEFIT REPORTING, THIS POLICY SETS FORTH THAT DIRECT FINANCIAL CONTRIBUTIONS MADE TO COMMUNITY ORGANIZATIONS MUST BE APPROPRIATELY CLASSIFIED AS EITHER A) COMMUNITY BENEFIT OR B) A SPONSORSHIP (A MARKETING COMMUNICATIONS DEPARTMENT EXPENSE NOT REPORTABLE AS COMMUNITY BENEFIT). IN COMPLIANCE WITH THIS POLICY, INFORMATION IS GATHERED FROM THE GRANTEE REGARDING THE INTENDED USE OF FUNDS AND A RESTRICTION LETTER IS SENT, NOTING THE INTENDED USE OF FUNDS. ORGANIZATIONS RECEIVING COMMUNITY SUPPORT FUNDING IN THE AMOUNT OF $2,500 OR MORE ARE REQUIRED TO SUBMIT A SUMMARY REPORT OF PROGRAM OR SERVICE IMPACT, WITHIN 90 DAYS AFTER EVENT OR RECEIPT OF PROGRAM FUNDING, UNLESS AN ALTERNATE DATE IS DESIGNATED. FOR CONTRIBUTIONS MADE TO INDIVIDUALS, PIH HEALTH HAS ESTABLISHED A DEDICATED BUDGET WHICH SUBSIDIZES VITAL ASSISTANCE SUCH AS PURCHASE OF DURABLE MEDICAL EQUIPMENT OR NON-ACUTE CARE NOT COVERED BY INSURANCE UPON HOSPITAL DISCHARGE, INCLUDING PAID PLACEMENT IN SKILLED NURSING OR MENTAL HEALTH FACILITIES. IN THESE INSTANCES, A SPECIFIC SERVICE IS BEING PURCHASED AND RECEIPT OF PROPER SERVICE IS ENSURED THROUGH FOLLOW-UP BY PIH DISCHARGE PLANNERS OR SOCIAL WORKERS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBERT BOHR MD
DIRECTOR$72,000$414,879$0$0$0$0$0$10,736$0$6,804$72,000$432,419$0$0
SUDHAKER NAYAK MD
DIRECTOR$119,070$1,627,624$0$0$0$0$0$10,736$0$26,385$119,070$1,664,745$0$0
NEAL SHINDEL MD
DIRECTOR$0$1,128,326$0$0$0$0$0$10,736$0$25,637$0$1,164,699$0$0
JAMES WEST
PRESIDENT/CEO$1,137,303$0$47,927$0$188,125$0$247,002$0$22,387$0$1,642,744$0$172,284$0
PEGGY CHULACK
CAO & ASST. SECRETARY$537,083$0$39,460$0$91,929$0$115,228$0$9,632$0$793,332$0$64,439$0
GREG WILLIAMS
CFO & ASST. TREASURER$585,710$0$38,202$0$34,340$0$156,339$0$20,887$0$835,478$0$0$0
ROSALIO LOPEZ MD
CMO/CSO$666,564$0$30,938$0$123,003$0$123,371$0$15,190$0$959,066$0$109,510$0
REANNA THOMPSON
COO/CNO$462,680$0$13,784$0$8,173$0$122,568$0$37$0$607,242$0$0$0
DAVID KLINGER
VP FACILITIES$352,597$0$24,545$0$129,165$0$34,200$0$37$0$540,544$0$120,879$0
DAVIS LEE
CHIEF MED INFO OFFICER$398,325$0$21,948$0$80,933$0$82,849$0$20,793$0$604,848$0$58,213$0
DEBRA LEGAN
VP MKTG & PLANNING$319,897$0$16,686$0$67,368$0$76,346$0$7,174$0$487,471$0$60,594$0
RONALD YOSHIHARA
VP FINANCE & ANALYTICS$266,649$0$6,329$0$50,299$0$50,069$0$8,558$0$381,904$0$28,825$0
PERRY EBELTOFT
VP ANCILLARY SVS$269,717$0$0$0$27,295$0$43,918$0$23,569$0$364,499$0$20,100$0
ANUP PATEL
VP ENT RSK MGMT & CORP COM$238,471$0$0$0$28,546$0$59,977$0$37$0$327,031$0$22,054$0
NICHOLAS CHRISTIANSON
VP REV CYC & MGD CRE$242,318$0$11,250$0$6,144$0$47,110$0$15,061$0$321,883$0$0$0
SHELLY NECKE
VP POST ACUTE CR SVS$219,909$0$23,482$0$13,719$0$28,383$0$15,201$0$300,694$0$6,659$0
CHICO MANNING
VP SUPPLY CHAIN$212,376$0$8,800$0$6,222$0$39,361$0$37$0$266,796$0$0$0
JUNG HO
MEDICAL PHYSICIST$262,095$0$0$0$0$0$15,602$0$9,008$0$286,705$0$0$0
DIANE MCCOWAN
DIR PHARMACY$232,398$0$0$0$9,576$0$14,391$0$37$0$256,402$0$0$0
SCOTT BREMER
DIR COMP, BENEF & HRIS$223,211$0$0$0$9,512$0$9,407$0$25,119$0$267,249$0$0$0
REBECCA WEYANT
RN ADM DIR$206,074$0$0$0$6,140$0$12,743$0$15,141$0$240,098$0$0$0
CESAR ROSAS
RN CHARGE NURSE$202,768$0$0$0$0$0$12,166$0$37$0$214,971$0$0$0
SHERREL HOLLINGSWORTH
CHIEF HR OFFICER TERM 2/17/17$105,375$0$28,855$0$431,838$0$25,769$0$17,154$0$608,991$0$109,217$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINES 4A-BFormAndLineReferenceDesc
ExplanationPART I, LINE 4A: IN 2017, A SEVERANCE PAYMENT OF $290,826 WAS MADE TO SHERREL HOLLINGSWORTH. PART I, LINE 4B: PIH HEALTH INC. AND ITS AFFILIATES PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR CERTAIN EXECUTIVES. THE FOLLOWING INDIVIDUALS PARTICIPATE IN THE PLAN: JAMES WEST PEGGY CHULACK GREGORY WILLIAMS PERRY EBELTOFT SHERREL HOLLINGSWORTH DAVIS LEE ROSALIO LOPEZ ANUP PATEL REANNA THOMPSON RON YOSHIHARA DAVID KLINGER NICHOLAS CHRISTIANSON CHICO MANNING SHELLY NECKE DEBRA LEGAN THE FOLLOWING AMOUNTS BECAME VESTED OR WERE PAID-OUT IN 2017 AND ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III): JAMES WEST $172,284 PEGGY CHULACK $64,439 ROSALIO LOPEZ $109,510 DAVID KLINGER $120,879 DAVIS LEE $58,213 DEBRA LEGAN $60,594 SHERREL HOLLINGSWORTH $109,217 RON YOSHIHARA $28,825 PERRY EBELTOFT $20,100 ANUP PATEL $22,054 SHELLY NECKE $6,659ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF WHITTIER
A956000812966769DA62009-05-14$280,328,878PURCHASE OF LAND AND TO REFUND BONDS ISSUED 1/31/2007000
CITY OF WHITTIER
B956000812966769DH12011-03-31$40,828,054CONSTRUCTION OF FACILITIES000
CITY OF WHITTIER
C9560008122012-12-31$148,000,000REFUND BONDS ISSUED 5/14/2009000
CITY OF WHITTIER
D956000812966769DK42014-08-07$106,612,491HOSPITAL FACILITIES CONSTRUCTION AND TO REFUND BONDS ISSUED 10/1/2013000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$209,025,000$280,328,878$2,416,738$1,087,414$1,337,383$275,487,4432013Yes (1)0Yes (1)Yes (1)
B$5,375,000$40,828,054$816,561$40,011,493201300Yes (1)Yes (1)
C$6,050,000$148,000,000$148,000,000Yes (1)0Yes (1)Yes (1)
D$106,612,491$1,880,505$6,854,015$97,877,9712014Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)000Yes (1)
B00Yes (1)Yes (1)000Yes (1)
C00Yes (1)Yes (1)000Yes (1)
D00Yes (1)Yes (1)000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
GOLDMAN SACHS BANK
A000Yes (1)Yes (1)Yes (1)29.5000000000000000Yes (1)
(no name)
B000Yes (1)0000Yes (1)
GOLDMAN SACHS BANK
C0Yes (1)000Yes (1)23.4000000000000000Yes (1)
(no name)
D0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART IV, LINE 2CFormAndLineReferenceDesc
ExplanationARBITRAGE REBATE ANALYSIS WAS PERFORMED FOR BONDS A AND B IN FY13, LISTED BELOW ARE THE ANALYSIS OPINION LETTER DATES. NO PAYMENT WAS DUE TO THE IRS FOR THESE BONDS IN FY16. BOND A ARBITRAGE ANALYSIS OPINION LETTER ISSUED ON FEBRUARY 11, 2013 FOR BOND A. BOND B ARBITRAGE ANALYSIS OPINION LETTER ISSUED ON FEBRUARY 11, 2013 FOR BOND B.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonMARY WARGOPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSISTER OF OFFICERRelationshipDescriptionTxt
Transaction$91,179TransactionAmt
TransactionPEGGY CHULACK'S SISTER, MARY WARGO, IS EMPLOYED BY PIH.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6PIH HEALTH, INC. IS THE SOLE MEMBER OF PIH HEALTH HOSPITAL - WHITTIER.
FORM 990, PART VI, SECTION A, LINE 7APIH HEALTH, INC. HAS AUTHORITY TO ELECT ALL THE MEMBERS OF THE BOARD OF DIRECTORS OF PIH HEALTH HOSPITAL - WHITTIER.
FORM 990, PART VI, SECTION A, LINE 7BPIH HEALTH, INC. HAS ALL VOTING RIGHTS AND THE POWER TO ELECT THE BOARD OF DIRECTORS OF PIH HEALTH HOSPITAL - WHITTIER.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS REVIEWED BY THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION, WHICH IS MADE UP OF INDEPENDENT DIRECTORS. THE FORM 990 IS THEN PROVIDED TO THE BOARD FOR ITS INFORMATION.
FORM 990, PART VI, SECTION B, LINE 12CEACH YEAR, ALL MANAGEMENT AND BOARD OF DIRECTORS MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. ALL POSITIVE RESPONSES ARE REVIEWED BY THE CHIEF ADMINISTRATIVE OFFICER AND GENERAL COUNSEL. EACH POSITIVE RESPONSE IS CONSIDERED IN LIGHT OF MAGNITUDE OF OWNERSHIP INTEREST, FINANCIAL TRANSACTION(S), ETC. IF DEEMED NECESSARY, CONFLICTS OF INTEREST COULD BE RESOLVED BY INSISTING THAT THE INCUMBENT EITHER DIVEST THEIR OWNERSHIP INTEREST, THAT THE ORGANIZATION TERMINATE THE BUSINESS RELATIONSHIP, OR EVEN THAT THE DIRECTOR RESIGN. DIRECTORS WITH POTENTIAL CONFLICTS OF INTEREST MAY RECUSE THEMSELVES FROM VOTING ON CERTAIN MATTERS AND/OR MAY EXCUSE THEMSELVES FROM MEETINGS DURING THE DISCUSSION, DELIBERATION, AND VOTING ON OF MATTERS.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S EXECUTIVE COMPENSATION COMMITTEE ENGAGES AN INDEPENDENT, THIRD-PARTY, EXPERT COMPENSATION CONSULTANT TO REVIEW ITS EXECUTIVE SALARIES. THE CONSULTANT OBTAINS SPECIFIC ORGANIZATIONAL DATA FROM WHICH TO BASE ITS ANALYSIS (REVENUES, EXPENSES, EMPLOYEES, SERVICE AREA, JOB DESCRIPTIONS, ETC.). THE CONSULTANT'S ANALYSIS INCLUDES A REVIEW OF COMPENSATION TRENDS, REGULATORY ISSUES, THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY, THE METHODOLOGY USED FOR THE ASSESSMENT, THE BASE SALARY ANALYSIS, THE INCENTIVE COMPENSATION ANALYSIS, THE TOTAL CASH COMPENSATION ANALYSIS, AND THE TOTAL COMPENSATION ANALYSIS. SALARY MOVEMENT, INCENTIVE COMPENSATION, MARKET BENEFIT, AND RECRUITMENT AND RETENTION TRENDS ARE REVIEWED. THIS ANALYSIS IS PROVIDED TO THE ORGANIZATION'S EXECUTIVE COMPENSATION COMMITTEE, WHICH IS COMPRISED OF INDEPENDENT DIRECTORS. THE EXECUTIVE COMPENSATION COMMITTEE HAS APPROVED A REGIONAL PEER GROUP THAT INCLUDES HIGH-PERFORMING, COMPARABLY-SIZED CALIFORNIA HOSPITALS AND HEALTH SYSTEMS. THE CONSULTANT COMPILES COMPARABILITY DATA FROM NATIONAL AND REGIONAL PEERS; COMPARES THE ORGANIZATION'S EXECUTIVE COMPENSATION WITH PEER GROUP COMPENSATION LEVELS; AND PREPARES A REPORT THAT INCLUDES ALL OF THE BACK-UP DATA ON COMPARABILITY, PEER GROUPS, AND JOB MATCHES. THE METHODOLOGY USED BY THE CONSULTANT INCLUDES TWO PEER GROUPS: A NATIONAL PEER GROUP OF COMPARABLY-SIZED HOSPITALS AND SINGLE HOSPITAL SYSTEMS AND A REGIONAL PEER GROUP OF HOSPITALS AND SYSTEMS IN SOUTHERN CALIFORNIA, THE DATA OF WHICH IS PROVIDED TO THE COMMITTEE IN ITS REPORT. THE NATIONAL DATA IS USED AS THE PRIMARY COMPARATOR FOR THE ANALYSIS. THE COMMITTEE IS PRESENTED WITH CHARTS THAT COMPARE ORGANIZATION SALARIES TO THE LEVEL TARGETED IN THE COMPENSATION PHILOSOPHY. NEITHER PERFORMANCE NOR QUALIFICATIONS OF THE INCUMBENT IS CONSIDERED WHEN PROVIDING THE MARKET DATA. THE COMMITTEE IS PROVIDED WITH A REVIEW OF THE BASE SALARY ANALYSIS, A REVIEW OF THE INCENTIVE COMPENSATION ANALYSIS, A REVIEW OF THE TOTAL CASH COMPENSATION ANALYSIS (BASE SALARY PLUS INCENTIVE), AND A REVIEW OF THE TOTAL COMPENSATION ANALYSIS (BASE SALARY PLUS INCENTIVE PLUS BENEFITS/PERQUISITES). BASED UPON ALL OF THE ABOVE INFORMATION, THE CONSULTANT PROVIDES THE COMMITTEE WITH RECOMMENDED SALARY RANGES FOR THE PERIOD ASSESSED. THE EXECUTIVE COMPENSATION COMMITTEE DELIBERATES ON THE COMPARABILITY DATA TO ENSURE THAT IT IS APPROPRIATE IN REPRESENTING LIKE ORGANIZATIONS, LIKE POSITIONS, AND LIKE CIRCUMSTANCES, AND THAT IT COULD REALISTICALLY RELY ON THE COMPARABILITY DATA IN REACHING ITS DECISION THAT THE COMPENSATION IS REASONABLE AND REPRESENTS FAIR MARKET VALUE FOR SERVICES RENDERED. THE EXECUTIVE COMPENSATION COMMITTEE AFFIRMS THIS PROCESS TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990 AND FORM 990-T ARE AVAILABLE UPON REQUEST. THE ORGANIZATION IS NOT REQUIRED TO MAKE FORM 1023 AVAILABLE FOR PUBLIC INSPECTION AS IT RECEIVED ITS TAX EXEMPTION PRIOR TO JULY 15, 1987.
FORM 990, PART IX, LINE 11GPROFESSIONAL FEES - PHYSICIANS: PROGRAM SERVICE EXPENSES 29,227,309. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,227,309. PROFESSIONAL FEES - OTHER: PROGRAM SERVICE EXPENSES 22,971,318. MANAGEMENT AND GENERAL EXPENSES 3,963,555. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,934,873. R&M BUILDING: PROGRAM SERVICE EXPENSES 2,175,836. MANAGEMENT AND GENERAL EXPENSES 25,575. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,201,411. COLLECTION AGENCY SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,839,391. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,839,391.
FORM 990, PART XI, LINE 9:CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 8,080,084. PENSION ADJUSTMENTS 22,944,607.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PIH HEALTH COMMUNITY PHARMACY LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line112401 WASHINGTON BLVDAddressLine1Txt
CityWHITTIERCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90602ZIPCd
FieldValueIRS element (for citing)
EIN264390142EIN
Primary ActivitiesPHARMACYPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Total Income$6,128,318TotalIncomeAmt
End Of Year Assets$525,721EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PIH HEALTH HOSPITAL - WHITTIERBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
PIH HEALTH FOUNDATION
12401 WASHINGTON BLVDWHITTIERCA90602953761274FUNDRAISINGCA501(C)(3)LINE 7PIH HEALTH INCYes (1)
PIH HEALTH MANAGEMENT CORP
12401 WASHINGTON BLVDWHITTIERCA90602954016278SUPPORT OF TAX-EXEMPT AFFILIATESCA501(C)(3)LINE 12B, IIPIH HEALTH INCYes (1)
PIH HEALTH HOME HEALTHCARE
12401 WASHINGTON BLVDWHITTIERCA90602953036281HEALTHCARECA501(C)(3)LINE 10PIH HEALTH INCYes (1)
PIH HEALTH INC
12401 WASHINGTON BLVDWHITTIERCA90602953619388SUPPORT OF TAX-EXEMPT AFFILIATESCA501(C)(3)LINE 12B, II0N/A
PIH HEALTH ADULT DAY HEALTHCARE
12401 WASHINGTON BLVDWHITTIERCA90602953643829HEALTHCARECA501(C)(3)LINE 10PIH HEALTH INCYes (1)
PIH HEALTH PHYSICIANS
12401 WASHINGTON BLVDWHITTIERCA90602953942828HEALTHCARECA501(C)(3)LINE 10PIH HEALTH INCYes (1)
PIH HEALTH HOSPITAL - DOWNEY
11500 BROOKSHIRE AVENUEDOWNEYCA90241951903935HEALTHCARECA501(C)(3)LINE 3PIH HEALTH INCYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
PIH INSURANCE CO A RECIPROCAL RISK RETENTION GROUP
1003 BISHOP STREETHONOLULUHI96813263760243CAPTIVE INSURANCEHIPIH HEALTH INCTYes (1)
PIH HEALTH CARE SOLUTIONS
6557 GREENLEAF AVENUEWHITTIERCA90601462072342HEALTHCARECAPIH HEALTH INCCYes (1)
DRMC PROPERTIES
11500 BROOKSHIRE AVENUEDOWNEYCA90241954769768REAL ESTATECADRMC INCCYes (1)
PIH HEALTH RE
1003 BISHOP STREETHONOLULUHI96813472501390CAPTIVE INSURANCEHIPIH HEALTH INCTYes (1)
HEALTHMED SERVICES INC
12401 WASHINGTON BLVDWHITTIERCA90602300831225HEALTHCARECAPIH HEALTH INCCYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PIH HEALTH PHYSICIANS
L$4,571,384FMV
PIH HEALTH FOUNDATION
C$1,040,754FMV
PIH HEALTH MANAGEMENT CORP
M$833,298FMV

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, COLUMN (E):PIH HEALTH CARE SOLUTIONS IS A NONPROFIT MUTUAL BENEFIT CORPORATION.
PART IV, COLUMN (E):PIH INSURANCE COMPANY IS AN UNINCORPORATED RISK RETENTION GROUP.