PIH HEALTH PHYSICIANS: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- PIH HEALTH PHYSICIANS (EIN 95-3942828)
- Tax period
- 2017-10-01 to 2018-09-30
- Filed
- 2019-08-02
- IRS object ID
- 201922149349300807
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-08-02T13:17:18-05:00 | ReturnTs |
| Tax Period End | 2018-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 S WACKER DRIVE STE 800 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953942828 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIH HEALTH PHYSICIANS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PIHH | BusinessNameControlTxt |
| Phone | 5626980811 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12401 WASHINGTON BOULEVARD | AddressLine1Txt |
| City | WHITTIER | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90602 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD WANG | PersonNm |
| Person Title | VP OF FINANCE | PersonTitleTxt |
| Phone | 5626980811 | PhoneNum |
| Signature | 2019-08-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | REBEKUH ELEY | PreparerPersonNm |
| PTIN | P01247672 | PTIN |
| Phone | 3126343400 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 66.98.98.130 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-08-01 | IPDt |
| IP Tm | 12:32:07 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 64E34636FEC2DFD844E3D394C3B342543AC68841 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICHARD WANG | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12401 WASHINGTON BOULEVARD | AddressLine1Txt |
| City | WHITTIER | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $152,735,453 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PIHHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1982 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDES HEALTH CARE SERVICES TO THE COMMUNITY REGARDLESS OF THE ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 774 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $32,360 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,031,545 | PYContributionsGrantsAmt |
| CY Contributions Grants | $467,702 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $138,788,062 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $150,020,350 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,388,971 | PYOtherRevenueAmt |
| CY Other Revenue | $1,550,498 | CYOtherRevenueAmt |
| PY Total Revenue | $141,208,578 | PYTotalRevenueAmt |
| CY Total Revenue | $152,038,550 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $33,208,540 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $38,111,968 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $125,368,802 | PYOtherExpensesAmt |
| CY Other Expenses | $134,690,682 | CYOtherExpensesAmt |
| PY Total Expenses | $158,577,342 | PYTotalExpensesAmt |
| CY Total Expenses | $172,802,650 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$17,368,764 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$20,764,100 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $22,416,153 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,764,663 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $20,835,594 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $38,966,616 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,580,559 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$19,201,953 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | IN ADDITION TO DIRECT CLINICAL CARE, PHP ALSO SERVES THE COMMUNITY THROUGH RESEARCH ACTIVITIES, COMMUNITY HEALTH SCREENINGS AND EVENTS, AND HEALTH EDUCATION CLASSES PROVIDED AT NO COST TO PARTICIPANTS. IN ADDITION TO A SENIOR OUTREACH PROGRAM, PHP OFFERS A WIDE VARIETY OF HEALTH AND WELLNESS EDUCATION TO THE COMMUNITY FREE OF CHARGE OR AT A NOMINAL COST. FURTHERMORE, ALL PHP FACILITIES OFFER HEALTH CARE SERVICES TO HONORING A CHARITY CARE POLICY THAT PROVIDES SERVICES TO THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $148,475,907 | ExpenseAmt |
| Revenue | $141,844,348 | RevenueAmt |
| Desc | PATIENT CARE: PIH HEALTH PHYSICIANS IS A 501 (C)(3) NONPROFIT MEDICAL GROUP THAT IS EXCLUSIVELY AFFILIATED WITH PIH HEALTH. THE GROUP IS COMPRISED OF MORE THAN 170 PRIMARY CARE PHYSICIANS AND OVER 200 SPECIALISTS WHO COORDINATE CARE FROM DIAGNOSIS TO RECOVERY.PATIENT CARE IN FISCAL YEAR 2017-2018EMPLOYEES: 723PIH HEALTH PHYSICIAN LOCATIONS: 20 MEDICAL OFFICESTOTAL MEDICAL OFFICE VISITS: 547,157 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,916,826 | ExpenseAmt |
| Revenue | $3,979,917 | RevenueAmt |
| Desc | 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. IN PROVIDING SERVICES TO THOSE PATIENTS PARTICIPATING IN MEANS-TESTED GOVERNMENT HEALTH PROGRAMS, SUCH AS MEDI-CAL, PIH HEALTH PHYSICIANS 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: 29,919 | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,295,680 | ExpenseAmt |
| Revenue | $5,746,583 | RevenueAmt |
| Desc | SEE SCHEDULE OOTHER COMMUNITY BENEFIT SERVICES: COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, AND SUBSIDIZED HEALTH SERVICES 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 EDUCATION, SUPPORT GROUPS, AND THE HEALTH AND WELLNESS CENTER AT WHITTIER FIRST DAY.SNAPSHOT OF OUTCOMES:- 1,298 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 PHYSICIAN PROGRAMS INCLUDE THE STUDENT EDUCATION (ANCILLARY AND RESIDENT PRECEPTORSHIP).SNAPSHOT OF OUTCOMES:- 46 STUDENT INTERNS AND PHYSICIAN RESIDENTS 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 PHYSICIAN SERVICES PROVIDED INCLUDE PALLIATIVE CARE PROGRAM, PULMONOLOGY CLINIC AND URGENT CARES.SNAPSHOT OF OUTCOMES:- 54,059 INDIVIDUALS WERE SERVED BY PIH HEALTH PHYSICIANS SUBSIDIZED HEALTH SERVICES.TOTAL NUMBER OF PERSONS SERVED BY ALL CATEGORIES: 55,403FOR ADDITIONAL INFORMATION, PLEASE REFER TO PIH HEALTH'S COMMUNITY BENEFIT REPORT AT PIHHEALTH.ORG/CBANNUALREPORT | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $163,688,413 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 955 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 774 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RICHARD WANG | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5626980811 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12401 WASHINGTON BOULEVARD | AddressLine1Txt |
| City | WHITTIER | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90602 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| RICHARD ATWOOD | |||||||||
| DIRECTOR & CHAIR | 1.50 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ED DUNLAP | |||||||||
| DIRECTOR & VICE CHAIR | 1.50 | 4.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PAULA COWAN | |||||||||
| DIRECTOR & SECRETARY | 1.50 | 4.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JEFF HAMAR | |||||||||
| DIRECTOR & TREASURER | 1.50 | 4.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ALEX ALVAREZ | |||||||||
| DIRECTOR | 1.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |||
| BLAYNE CUTLER MD PHD | |||||||||
| DIRECTOR | 1.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |||
| JANE DICUS | |||||||||
| DIRECTOR | 1.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |||
| BRENT GRAY MD | |||||||||
| DIRECTOR | 1.50 | 20.00 | Yes (X) | $0 | $762,872 | $43,887 | |||
| ROSALIO LOPEZ MD | |||||||||
| DIRECTOR | 1.50 | 43.00 | Yes (X) | $0 | $820,505 | $138,561 | |||
| MARK MAGGED MD | |||||||||
| DIRECTOR | 1.50 | 0.00 | Yes (X) | $0 | $335,894 | $35,801 | |||
| PATRICK MONROE | |||||||||
| DIRECTOR | 1.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT PETRINA | |||||||||
| DIRECTOR | 1.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |||
| CHARLOTTE WEAVER | |||||||||
| DIRECTOR | 1.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |||
| KENTON WOODS | |||||||||
| DIRECTOR | 1.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |||
| HUEY-MIN YU | |||||||||
| DIRECTOR | 1.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |||
| JAMES WEST | |||||||||
| CHIEF EXECUTIVE OFFICER | 10.00 | 36.20 | Yes (X) | $0 | $1,373,355 | $269,389 | |||
| PEGGY CHULACK | |||||||||
| ASSISTANT SECRETARY | 10.00 | 36.20 | Yes (X) | $0 | $668,472 | $124,860 | |||
| GREG WILLIAMS | |||||||||
| CFO & ASSISTANT TREASURER | 10.00 | 36.20 | Yes (X) | $0 | $658,252 | $177,226 | |||
| BRIAN SMOLSKIS | |||||||||
| PRESIDENT | 40.00 | Yes (X) | $0 | $622,421 | $158,606 | ||||
| ROBERTO MADRID MD | |||||||||
| VP MEDICAL GROUP OPS | 40.00 | $0 | $344,535 | $100,087 | Yes (X) | ||||
| VICTORIA MCKEMY | |||||||||
| COO MSO IPA | 40.00 | $186,136 | $0 | $7,445 | Yes (X) | ||||
| MARIA D GONZALEZ | |||||||||
| COO MSO IPA PIH HEALTH | 40.00 | $0 | $439,064 | $37,050 | Yes (X) | ||||
| ANDREW ZWERS | |||||||||
| VP GROUP OPS | 40.00 | $39,797 | $258,839 | $64,864 | Yes (X) | ||||
| JAMES KYLE MD | |||||||||
| COO MSO IPA | 40.00 | $145,342 | $0 | $10,383 | Yes (X) | ||||
| LINDA CAMPBELL | |||||||||
| RN ADMIN DIRECTOR | 40.00 | $175,650 | $0 | $11,795 | Yes (X) | ||||
| NOVELLA QUESADA | |||||||||
| DIRECTOR MED MGMT | 40.00 | $157,717 | $0 | $8,974 | Yes (X) | ||||
| KIMBERLY DILLARD | |||||||||
| DIRECTOR BUSINESS SERVICE | 40.00 | $138,205 | $0 | $19,802 | Yes (X) | ||||
| GRACIELA MONTES | |||||||||
| ADM DIR GROUP OPS | 40.00 | $129,333 | $0 | $27,936 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $972,180 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,284,209 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,236,666 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 23 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| INTERCOMMUNITY HEALTH ASSOCIATION | |||||
| 6557 GREENLEAF AVENUE | WHITTIER | CA | 90601 | MEDICAL SERVICES | $56,794,573 |
| PIH HEALTH HOSPITAL - WHITTIER | |||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | MEDICAL SERVICES | $4,017,786 |
| INTERCOMMUNITY ANESTHESIOLOGY SERVICES | |||||
| PO BOX 511509 | LOS ANGELES | CA | 90051 | MEDICAL SERVICES | $3,263,731 |
| WHITTIER BREAST IMAGING | |||||
| 4250 CHESTNUT AVENUE | LONG BEACH | CA | 90807 | MEDICAL SERVICES | $2,113,100 |
| INTERCOMMUNITY EMERGENCY MEDICAL GROUP | |||||
| 21860 BURBANK BLVD STE 120 | WOODLAND HILLS | CA | 91367 | MEDICAL SERVICES | $1,386,138 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 59 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $467,702 | RelatedOrganizationsAmt |
| Total Contributions | $467,702 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CAPITATION REVENUE | 900099 | $85,376,749 | $85,376,749 |
| PATIENT SERVICES REVENUE | 900099 | $61,483,671 | $61,483,671 |
| CAREMORE BONUS | 900099 | $500,402 | $500,402 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,659,528 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,659,528 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $150,020,350 | TotalProgramServiceRevenueAmt |
| Gross Sales Of Inventory | $2,247,401 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $696,903 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,550,498 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,550,498 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $152,038,550 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $151,570,848 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,857,424 | TotalAmt |
| Program Services | $1,124,235 | ProgramServicesAmt |
| Management And General | $733,189 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,468,094 | TotalAmt |
| Program Services | $22,922,221 | ProgramServicesAmt |
| Management And General | $2,545,873 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,803,089 | TotalAmt |
| Program Services | $1,586,718 | ProgramServicesAmt |
| Management And General | $216,371 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,870,868 | TotalAmt |
| Program Services | $6,046,364 | ProgramServicesAmt |
| Management And General | $824,504 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,112,493 | TotalAmt |
| Program Services | $1,858,994 | ProgramServicesAmt |
| Management And General | $253,499 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,725 | TotalAmt |
| Management And General | $28,725 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,727,447 | TotalAmt |
| Program Services | $81,628,307 | ProgramServicesAmt |
| Management And General | $2,099,140 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $727,473 | TotalAmt |
| Program Services | $715,425 | ProgramServicesAmt |
| Management And General | $12,048 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,661,917 | TotalAmt |
| Program Services | $8,808,785 | ProgramServicesAmt |
| Management And General | $1,853,132 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,738 | TotalAmt |
| Program Services | $9,417 | ProgramServicesAmt |
| Management And General | $6,321 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,289 | TotalAmt |
| Program Services | $2,821 | ProgramServicesAmt |
| Management And General | $15,468 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,361,998 | TotalAmt |
| Program Services | $2,958,558 | ProgramServicesAmt |
| Management And General | $403,440 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,909,755 | TotalAmt |
| Program Services | $1,909,755 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| CLAIMS | $25,459,974 | $25,459,974 |
| MEDICAL SUPPLIES | $7,743,562 | $7,743,562 |
| BAD DEBT | $678,114 | $678,114 |
| EQUIPMENT REPAIRS & MAI | $148,308 | $148,308 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,382 | TotalAmt |
| Program Services | $86,855 | ProgramServicesAmt |
| Management And General | $122,527 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,802,650 | TotalAmt |
| Program Services | $163,688,413 | ProgramServicesAmt |
| Management And General | $9,114,237 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $364,284 | BOYAmt |
| EOY | $58,293 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,543,630 | BOYAmt |
| EOY | $7,727,809 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $971,334 | BOYAmt |
| EOY | $852,477 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $726,787 | BOYAmt |
| EOY | $121,151 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $35,413,185 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $24,570,606 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,608,392 | BOYAmt |
| EOY | $10,842,579 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,201,726 | BOYAmt |
| EOY | $162,354 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,416,153 | BOYAmt |
| EOY | $19,764,663 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,672,650 | BOYAmt |
| EOY | $17,183,994 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,162,944 | BOYAmt |
| EOY | $21,782,622 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,835,594 | BOYAmt |
| EOY | $38,966,616 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,580,559 | BOYAmt |
| EOY | -$19,201,953 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,580,559 | BOYAmt |
| EOY | -$19,201,953 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,416,153 | BOYAmt |
| EOY | $19,764,663 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$20,764,100 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$18,412 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $135,477 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,832 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $1,031,545 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $467,702 | CurrentTaxYearAmt |
| Total | $1,659,556 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $123,091,282 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $132,217,106 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $137,318,935 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $138,788,062 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $152,267,751 | CurrentTaxYearAmt |
| Total | $683,683,136 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $123,226,759 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $132,241,938 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $137,318,935 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $139,819,607 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $152,735,453 | CurrentTaxYearAmt |
| Total | $685,342,692 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $685,342,692 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $123,226,759 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $132,241,938 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $137,318,935 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $139,819,607 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $152,735,453 | CurrentTaxYearAmt |
| Total | $685,342,692 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,753 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,753 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,637,065 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,263,994 | DepreciationAmt |
| Book Value | $1,373,071 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,875,229 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,525,096 | DepreciationAmt |
| Book Value | $8,350,133 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,882,138 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,762,763 | DepreciationAmt |
| Book Value | $1,119,375 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,842,579 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| SELF-INSURANCE RESERVES | $2,731,411 |
| INTERCOMPANY PAYABLE | $19,051,211 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $21,782,622 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE 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 BE TAKEN ON A TAX RETURN. THE COMPANY HAS NOT RECORDED A LIABILITY FOR UNRECOGNIZED TAX UNCERTAINTIES IN 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 J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRENT GRAY MD | ||||||||||||||
| DIRECTOR | $0 | $762,872 | $0 | $0 | $0 | $0 | $0 | $10,736 | $0 | $33,151 | $0 | $806,759 | $0 | $0 |
| ROSALIO LOPEZ MD | ||||||||||||||
| DIRECTOR | $0 | $666,564 | $0 | $30,938 | $0 | $123,003 | $0 | $123,371 | $0 | $15,190 | $0 | $959,066 | $0 | $109,510 |
| MARK MAGGED MD | ||||||||||||||
| DIRECTOR | $0 | $334,416 | $0 | $1,478 | $0 | $0 | $0 | $10,736 | $0 | $25,065 | $0 | $371,695 | $0 | $0 |
| JAMES WEST | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $0 | $1,137,303 | $0 | $47,927 | $0 | $188,125 | $0 | $247,002 | $0 | $22,387 | $0 | $1,642,744 | $0 | $172,284 |
| PEGGY CHULACK | ||||||||||||||
| ASSISTANT SECRETARY | $0 | $537,083 | $0 | $39,460 | $0 | $91,929 | $0 | $115,228 | $0 | $9,632 | $0 | $793,332 | $0 | $64,439 |
| GREG WILLIAMS | ||||||||||||||
| CFO & ASSISTANT TREASURER | $0 | $585,710 | $0 | $38,202 | $0 | $34,340 | $0 | $156,339 | $0 | $20,887 | $0 | $835,478 | $0 | $0 |
| BRIAN SMOLSKIS | ||||||||||||||
| PRESIDENT | $0 | $529,477 | $0 | $19,388 | $0 | $73,556 | $0 | $136,893 | $0 | $21,713 | $0 | $781,027 | $0 | $66,097 |
| ROBERTO MADRID MD | ||||||||||||||
| VP MEDICAL GROUP OPS | $0 | $326,655 | $0 | $0 | $0 | $17,880 | $0 | $85,228 | $0 | $14,859 | $0 | $444,622 | $0 | $0 |
| VICTORIA MCKEMY | ||||||||||||||
| COO MSO IPA | $186,136 | $0 | $0 | $0 | $0 | $0 | $7,445 | $0 | $0 | $0 | $193,581 | $0 | $0 | $0 |
| MARIA D GONZALEZ | ||||||||||||||
| COO MSO IPA PIH HEALTH | $0 | $182,387 | $0 | $14,820 | $0 | $241,857 | $0 | $29,765 | $0 | $7,285 | $0 | $476,114 | $0 | $94,243 |
| ANDREW ZWERS | ||||||||||||||
| VP GROUP OPS | $39,764 | $241,012 | $0 | $0 | $33 | $17,827 | $0 | $46,518 | $3,359 | $14,987 | $43,156 | $320,344 | $0 | $0 |
| JAMES KYLE MD | ||||||||||||||
| COO MSO IPA | $140,276 | $0 | $5,000 | $0 | $66 | $0 | $5,586 | $0 | $4,797 | $0 | $155,725 | $0 | $0 | $0 |
| LINDA CAMPBELL | ||||||||||||||
| RN ADMIN DIRECTOR | $172,142 | $0 | $0 | $0 | $3,508 | $0 | $7,125 | $0 | $4,670 | $0 | $187,445 | $0 | $0 | $0 |
| NOVELLA QUESADA | ||||||||||||||
| DIRECTOR MED MGMT | $156,529 | $0 | $0 | $0 | $1,188 | $0 | $6,289 | $0 | $2,685 | $0 | $166,691 | $0 | $0 | $0 |
| KIMBERLY DILLARD | ||||||||||||||
| DIRECTOR BUSINESS SERVICE | $133,047 | $0 | $0 | $0 | $5,158 | $0 | $8,422 | $0 | $11,380 | $0 | $158,007 | $0 | $0 | $0 |
| GRACIELA MONTES | ||||||||||||||
| ADM DIR GROUP OPS | $129,191 | $0 | $0 | $0 | $142 | $0 | $5,367 | $0 | $22,569 | $0 | $157,269 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | COMPENSATION FOR THE CEO WAS ESTABLISHED AND PAID BY PIH HEALTH HOSPITAL - WHITTIER, A RELATED ORGANIZATION. PIH HEALTH HOSPITAL - WHITTIER USED THE FOLLOWING TO ESTABLISH THE CEO'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) FORM 990 OF OTHER ORGANIZATIONS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD. |
| PART I, LINES 4A-B | PART I, LINE 4A: IN 2017, A SEVERANCE PAYMENT OF $120,253 WAS MADE TO MARIA GONZALEZ. 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: PEGGY CHULACK JAMES WEST GREG WILLIAMS ROSALIO LOPEZ BRIAN SMOLSKIS MARIA D. GONZALEZ ROBERTO MADRID ANDREW ZWERS THE FOLLOWING AMOUNTS BECAME VESTED OR WERE PAID-OUT IN 2017 AND ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III): ROSALIO LOPEZ $109,510 PEGGY CHULACK $64,439 BRIAN SMOLSKIS $66,097 JAMES WEST $172,284 MARIA GONZALEZ $94,243 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | PIH HEALTH, INC. IS THE SOLE MEMBER OF PIH HEALTH PHYSICIANS ("PHP"). |
| FORM 990, PART VI, SECTION A, LINE 7A | PIH HEALTH, INC. HAS AUTHORITY TO ELECT ALL THE MEMBERS OF THE BOARD OF DIRECTORS OF PIH HEALTH PHYSICIANS ("PHP"). |
| FORM 990, PART VI, SECTION A, LINE 7B | PIH HEALTH, INC. HAS ALL VOTING RIGHTS AND THE POWER TO ELECT THE BOARD OF DIRECTORS OF PIH HEALTH PHYSICIANS ("PHP"). |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 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 12C | EACH 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 C, LINE 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND 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 11G | PROFESSIONAL FEES - PHYSICIANS: PROGRAM SERVICE EXPENSES 68,006,314. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,006,314. CAPITATION EXPENSE: PROGRAM SERVICE EXPENSES 13,530,338. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,530,338. PROFESSIONAL FEES - CONSULTANTS/OTHER: PROGRAM SERVICE EXPENSES 3,778,696. MANAGEMENT AND GENERAL EXPENSES 2,099,140. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,877,836. LOSS TRANSFER TO PIH: PROGRAM SERVICE EXPENSES -3,687,041. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -3,687,041. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PIH HEALTH HOSPITAL - DOWNEY | |||||||||||
| 11500 BROOKSHIRE AVENUE | DOWNEY | CA | 90241 | 951903935 | HEALTHCARE | CA | 501(C)(3) | LINE 3 | PIH HEALTH INC | Yes (1) | |
| PIH HEALTH MANAGEMENT CORP | |||||||||||
| 12401 WASHINGTON BOULEVARD | WHITTIER | CA | 90602 | 954016278 | SUPPORT OF TAX-EXEMPT AFFILIATES | CA | 501(C)(3) | LINE 12B, II | PIH HEALTH INC | Yes (1) | |
| PIH HEALTH HOME HEALTHCARE | |||||||||||
| 12401 WASHINGTON BOULEVARD | WHITTIER | CA | 90602 | 953036281 | HEALTHCARE | CA | 501(C)(3) | LINE 10 | PIH HEALTH INC | Yes (1) | |
| PIH HEALTH INC | |||||||||||
| 12401 WASHINGTON BOULEVARD | WHITTIER | CA | 90602 | 953619388 | SUPPORT OF TAX-EXEMPT AFFILIATES | CA | 501(C)(3) | LINE 12B, II | 0 | N/A | |
| PIH HEALTH ADULT DAY HEALTHCARE | |||||||||||
| 12401 WASHINGTON BOULEVARD | WHITTIER | CA | 90602 | 953643829 | HEALTHCARE | CA | 501(C)(3) | LINE 10 | PIH HEALTH INC | Yes (1) | |
| PIH HEALTH FOUNDATION | |||||||||||
| 12401 WASHINGTON BOULEVARD | WHITTIER | CA | 90602 | 953761274 | FUNDRAISING | CA | 501(C)(3) | LINE 7 | PIH HEALTH INC | Yes (1) | |
| PIH HEALTH HOSPITAL - WHITTIER | |||||||||||
| 12401 WASHINGTON BOULEVARD | WHITTIER | CA | 90602 | 951934652 | HEALTHCARE | CA | 501(C)(3) | LINE 3 | PIH HEALTH INC | Yes (1) | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| PIH HEALTH INSURANCE COMPANY | |||||||||
| 1003 BISHOP STREET | HONOLULU | HI | 96813 | 263760243 | CAPTIVE INSURANCE | HI | PIH HEALTH INC | T | Yes (1) |
| PIH HEALTH CARE SOLUTIONS | |||||||||
| 6557 GREENLEAF AVENUE | WHITTIER | CA | 90601 | 462072342 | HEALTHCARE | CA | PIH HEALTH INC | C | Yes (1) |
| DOWNEY REGIONAL MEDICAL CENTER PROPERTIES INC | |||||||||
| 11500 BROOKSHIRE AVENUE | DOWNEY | CA | 90241 | 954769768 | REAL ESTATE | CA | PIH HEALTH INC | C | Yes (1) |
| PIH HEALTH RE | |||||||||
| 1003 BISHOP STREET | HONOLULU | HI | 96813 | 472501390 | CAPTIVE INSURANCE | HI | PIH HEALTH INC | T | Yes (1) |
| HEALTHMED SERVICES INC | |||||||||
| 12401 WASHINGTON BOULEVARD | WHITTIER | CA | 90602 | 300831225 | HEALTHCARE | CA | PIH HEALTH INC | C | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PIH HEALTH HOSPITAL - WHITTIER | ||
| M | $4,571,384 | FMV |
| PIH HEALTH HOSPITAL - DOWNEY | ||
| C | $467,702 | FMV |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, COLUMN (E): | PIH INSURANCE COMPANY IS AN UNINCORPORATED RISK RETENTION GROUP. |
| PART IV, COLUMN (E): | PIH HEALTH CARE SOLUTIONS IS A NONPROFIT MUTUAL BENEFIT CORPORATION. |