PARKVIEW COMMUNITY HOSPITAL MEDICAL: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- PARKVIEW COMMUNITY HOSPITAL MEDICAL (EIN 95-2477294)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201743199349316689
- Schema version
- 2016v3.0
- 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 | 2017-11-15T17:18:06-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 111986323 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Marcum LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 Montgomery Street 1900 | AddressLine1Txt |
| City | San Francisco | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952477294 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Parkview Community Hospital Medical | BusinessNameLine1Txt |
| Business Name Line2 | Center | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PARK | BusinessNameControlTxt |
| Phone | 9513525601 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3865 Jackson Street | AddressLine1Txt |
| City | Riverside | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92503 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Nancy Wilson | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9513525601 | PhoneNum |
| Signature | 2017-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Steven H Boultbee | PreparerPersonNm |
| PTIN | P01228676 | PTIN |
| Phone | 4154326200 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 47.19.127.190 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-14 | IPDt |
| IP Tm | 17:50:29 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 9B97A00D71B7C92AB3AAE968B807F6A009D15DF1 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | F9B4C3E951C151CF878363F2DDCF09B00AA0EE24 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Nancy Wilson | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3865 Jackson Street | AddressLine1Txt |
| City | Riverside | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $170,703,770 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.pchmc.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1956 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | Parkview Community Hospital Medical Center's mission is to provide safe, high-quality, high value, patient-centered health care services that are responsive to the diverse population of our Community. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 1454 | TotalEmployeeCnt |
| Total Volunteers | 5 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $50,742 | PYContributionsGrantsAmt |
| CY Contributions Grants | $767,200 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $168,204,944 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $166,422,067 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,399,064 | PYOtherRevenueAmt |
| CY Other Revenue | $3,514,503 | CYOtherRevenueAmt |
| PY Total Revenue | $172,654,750 | PYTotalRevenueAmt |
| CY Total Revenue | $170,703,770 | 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 | $81,112,527 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $80,438,776 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $166,410 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $82,663,162 | PYOtherExpensesAmt |
| CY Other Expenses | $90,785,049 | CYOtherExpensesAmt |
| PY Total Expenses | $163,775,689 | PYTotalExpensesAmt |
| CY Total Expenses | $171,223,825 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,879,061 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$520,055 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $87,729,550 | TotalAssetsBOYAmt |
| Total Assets EOY | $87,933,235 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $66,389,979 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $67,843,217 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,339,571 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $20,090,018 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Parkview Community Hospital Medical Center's mission is to provide comprehensive, high-quality, cost-effective healthcare services, which are responsive to the needs of the community. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $143,442,082 | ExpenseAmt |
| Revenue | $169,936,570 | RevenueAmt |
| Desc | THE HOSPITAL PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF ABILITY TO PAY. THE EVALUATION OF THE NECESSITY FOR MEDICAL TREATMENT OF ANY PATIENT IS BASED UPON CLINICAL JUDGEMENT, IRRESPECTIVE OF FINANCIAL STATUS OF THE PATIENT. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS PATIENT REVENUE. THE HOSPITAL PROVIDES A NUMBER OF BENEFITS AND SERVICES TO THE COMMUNITY FOR WHICH IT RECEIVES NO REIMBURSEMENT OR WHERE ONLY A NOMINAL FEE IS CHARGED. THESE SERVICES INCLUDE COMMUNITY MEDICAL AND WELLNESS EDUCATION PROGRAMS, MEDICAL SCREENINGS, SUPPORT GROUPS, AND OTHER SERVICES. THE HOSPITAL ALSO ASSISTS PATIENTS THROUGH THE COUNTY INDIGENT SERVICES PROGRAM. THE HOSPITAL STRIVES TO ASSIST PATIENTS, IF QUALIFIED, TO RECEIVE FINANCIAL ASSISTANCE FOR THEIR CARE THROUGH AVAILABLE GOVERNMENT PROGRAMS SUCH AS MEDI-CAL. THIS PROGRAM TYPICALLY REIMBURSES THE HOSPITAL AT SUBSTANTIAL DISCOUNTS FROM ESTABLISHED RATES, OFTEN BELOW THE ACTUAL COST OF PROVIDING SERVICES. FOR THE YEARS ENDED 12/31/2016 AND 12/31/2015, CONTRACTUAL DISCOUNTS RELATED TO THE MEDI-CAL PROGRAM TOTALED IN EXCESS OF $73M AND $83M, RESPECTIVELY. | Desc |
| Total Program Service Expenses | $143,442,082 | 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 | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| 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 | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 277 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1454 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 |
| DAF Excess Business Holdings | 0 | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | 0 | TaxableDistributionsInd |
| Distribution To Donor | 0 | DistributionToDonorInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 | 0 | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Nancy Wilson CFO | PersonNm |
| Phone | 9513525601 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3865 Jackson Street | AddressLine1Txt |
| City | Riverside | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92503 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| Stephen CarneyMD | ||||||||
| Chairperson Board | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| Dwight Tate | ||||||||
| Immediate Past Chair | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Patricia Reynolds | ||||||||
| Vice Chairperson | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Wendel Tucker | ||||||||
| Treasurer | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Catherine OdellMD | ||||||||
| Secretary | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Serafin Salazar | ||||||||
| Chief of Staff | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Henry Coil | ||||||||
| Emeritus | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| John Demshki | ||||||||
| Director | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Kaustubh PantankarMD | ||||||||
| Director | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Woodie Rucker-Hughes | ||||||||
| Director | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Charissa Leach | ||||||||
| Director | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Richard Ramirez | ||||||||
| Director | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| John PortwoodMD | ||||||||
| Director | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Tarek Z MahdiMD | ||||||||
| Director | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Stephen Popkin | ||||||||
| CEO | 40.00 | $416,026 | $0 | $0 | Yes (X) | |||
| Patricia Lepe | ||||||||
| CFO | 40.00 | $366,634 | $0 | $0 | Yes (X) | |||
| Robert Brown | ||||||||
| COO | 40.00 | $251,846 | $0 | $0 | Yes (X) | |||
| Thomas Santos | ||||||||
| CNO/CQO | 40.00 | $235,996 | $0 | $0 | Yes (X) | |||
| Marlene Burnett | ||||||||
| VP Marketing | 40.00 | $189,070 | $0 | $0 | Yes (X) | |||
| Nancy Wilson | ||||||||
| CFO | 40.00 | $75,026 | $0 | $0 | Yes (X) | |||
| Karen Descent | ||||||||
| CNO | 40.00 | $27,298 | $0 | $0 | Yes (X) | |||
| Mary T Hore | ||||||||
| RN | 58.00 | $190,163 | $0 | $0 | Yes (X) | |||
| Jane Frank | ||||||||
| RN | 49.00 | $170,834 | $0 | $0 | Yes (X) | |||
| Jennifer Tagbuba | ||||||||
| RN | 55.00 | $166,109 | $0 | $0 | Yes (X) | |||
| Beshoui Helakani | ||||||||
| Pharmacist | 55.00 | $161,418 | $0 | $0 | Yes (X) | |||
| Maritiza Salazar | ||||||||
| RN | 40.00 | $157,941 | $0 | $0 | Yes (X) | |||
| Lizette Norton | ||||||||
| VP Human Resources | 40.00 | $105,727 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,514,088 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 126 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 |
|---|---|---|---|---|---|
| Medical Solutions | |||||
| 1010 N 102nd St Ste 300 | OMaha | NE | 68114 | Nurses Registry | $3,049,357 |
| Octoclean Franchising | |||||
| 5225 Canyon Crest Dr Ste 71 | RIverside | CA | 92507 | Housekeeping Services | $2,038,682 |
| Hershorin & Henry LLP | |||||
| 27422 Portola Parkway Ste 360 | Foothill Ranch | CA | 92610 | Corporate Counsel | $1,434,034 |
| READYLINK HEALTHCARE | |||||
| 72030 METROPLEX DR | THOUSAND PALMS | CA | 92276 | Nurses Registry | $1,094,484 |
| URGENT NURSING RESOURCES INC | |||||
| 14752 Beach Boulevard 101 | La Mirada | CA | 90638 | Nurses Registry | $922,449 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 35 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $767,200 | AllOtherContributionsAmt |
| Noncash Contributions | $54,200 | NoncashContributionsAmt |
| Total Contributions | $767,200 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $166,422,067 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $166,422,067 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $166,422,067 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| OTHER REVENUE | 900099 | $2,822,775 | $2,822,775 |
| CAFETERIA REVENUE | 624200 | $691,728 | $691,728 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,514,503 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $170,703,770 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $166,422,067 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,514,503 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,667,622 | TotalAmt |
| Management And General | $1,667,622 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,614,633 | TotalAmt |
| Program Services | $56,887,979 | ProgramServicesAmt |
| Management And General | $2,616,726 | ManagementAndGeneralAmt |
| Fundraising | $109,928 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,214,461 | TotalAmt |
| Program Services | $2,043,664 | ProgramServicesAmt |
| Management And General | $160,037 | ManagementAndGeneralAmt |
| Fundraising | $10,760 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,987,241 | TotalAmt |
| Program Services | $11,003,882 | ProgramServicesAmt |
| Management And General | $958,160 | ManagementAndGeneralAmt |
| Fundraising | $25,199 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,954,819 | TotalAmt |
| Program Services | $4,661,246 | ProgramServicesAmt |
| Management And General | $284,742 | ManagementAndGeneralAmt |
| Fundraising | $8,831 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,071,646 | TotalAmt |
| Program Services | $346,243 | ProgramServicesAmt |
| Management And General | $725,403 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,841,759 | TotalAmt |
| Management And General | $1,841,759 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,439 | TotalAmt |
| Management And General | $294,439 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,396 | TotalAmt |
| Management And General | $190,396 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,825,080 | TotalAmt |
| Program Services | $1,621,950 | ProgramServicesAmt |
| Management And General | $201,682 | ManagementAndGeneralAmt |
| Fundraising | $1,448 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,248,328 | TotalAmt |
| Program Services | $1,248,328 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,238,336 | TotalAmt |
| Program Services | $3,116,694 | ProgramServicesAmt |
| Management And General | $113,560 | ManagementAndGeneralAmt |
| Fundraising | $8,082 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,282 | TotalAmt |
| Program Services | $15,549 | ProgramServicesAmt |
| Management And General | $85,733 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,484 | TotalAmt |
| Program Services | $54,189 | ProgramServicesAmt |
| Management And General | $11,295 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $947,775 | TotalAmt |
| Program Services | $947,775 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,594,385 | TotalAmt |
| Program Services | $3,524,526 | ProgramServicesAmt |
| Management And General | $69,859 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,103,096 | TotalAmt |
| Management And General | $1,103,096 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical SUPPLIES | $24,670,940 | $24,670,940 | |
| HOSPITAL FEE PROGRAM | $15,851,100 | $15,851,100 | |
| HEALTHCARE PROFESSIONAL | $11,577,299 | $11,501,475 | $75,824 |
| BAD DEBT EXPENSE | $8,513,037 | $8,513,037 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,650,667 | TotalAmt |
| Program Services | $13,284,605 | ProgramServicesAmt |
| Management And General | $1,363,900 | ManagementAndGeneralAmt |
| Fundraising | $2,162 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,223,825 | TotalAmt |
| Program Services | $143,442,082 | ProgramServicesAmt |
| Management And General | $27,615,333 | ManagementAndGeneralAmt |
| Fundraising | $166,410 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,660,818 | BOYAmt |
| EOY | $5,282,724 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,119,923 | BOYAmt |
| EOY | $4,806,988 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,648,332 | BOYAmt |
| EOY | $39,834,568 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,485,031 | BOYAmt |
| EOY | $3,525,566 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $780,729 | BOYAmt |
| EOY | $583,587 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $89,591,296 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $63,465,826 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,173,563 | BOYAmt |
| EOY | $26,125,470 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,861,154 | BOYAmt |
| EOY | $7,774,332 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,729,550 | BOYAmt |
| EOY | $87,933,235 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,574,681 | BOYAmt |
| EOY | $39,220,815 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,842,965 | BOYAmt |
| EOY | $25,735,454 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,972,333 | BOYAmt |
| EOY | $2,886,948 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,389,979 | BOYAmt |
| EOY | $67,843,217 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,339,571 | BOYAmt |
| EOY | $20,090,018 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,339,571 | BOYAmt |
| EOY | $20,090,018 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,729,550 | BOYAmt |
| EOY | $87,933,235 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$520,055 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$729,498 | 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,932,247 | OtherCostOrOtherBasisAmt |
| Book Value | $2,932,247 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,475,699 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,290,619 | DepreciationAmt |
| Book Value | $1,185,080 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,197,894 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,002,652 | DepreciationAmt |
| Book Value | $6,195,242 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $51,697,742 | OtherCostOrOtherBasisAmt |
| Depreciation | $40,172,555 | DepreciationAmt |
| Book Value | $11,525,187 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,287,714 | OtherCostOrOtherBasisAmt |
| Book Value | $4,287,714 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $26,125,470 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSITS | $462,730 |
| DEPOSITS - MORTGAGE INSURANCE | $1,213,591 |
| THIRD PARTY SETTLEMENTS | $6,073,201 |
| other Receivable | $24,810 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,774,332 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Capital Lease Obligation | Desc |
| Amt | $2,886,948 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,886,948 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $162,190,733 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $162,190,733 | RevenueSubtotalAmt |
| Other Revenues Not Included | $8,513,037 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $8,513,037 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $170,703,770 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $162,710,788 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $162,710,788 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $8,513,037 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $8,513,037 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $171,223,825 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | The Hospital is organized under the laws of the state of California as a tax-exempt organization under the provisions of Section 501(c)(3) of the Internal Revenue Code and the related state provision. The Hospital, under the FASB guidance on Accounting for Uncertainty in Income Taxes under ASC 740, utilizes a two-step approach to recognizing and measuring uncertain tax positions (tax contingencies). The first step is to evaluate the tax position for recognition by determining if the weight of available evidence indicates it is more likely than not that the position will be sustained on audit, including resolution of related appeals or litigation processes. The second step is to measure the tax benefit as the largest amount, which is more than 50% likely of being realized upon ultimate settlement. For the years ended December 31, 2016 and 2015, there were no liabilities recorded for unrecognized tax benefits related to tax positions taken in the current year. The Hospital considers many factors when evaluating and estimating its tax positions and tax benefits, which may require periodic adjustments and which may not accurately forecast actual outcomes. In accordance with ASC 740, the Hospital has elected to include interest and penalties related to its tax contingencies in income tax expense. There were no accruals for interest and penalties related to uncertain tax positions at the inception date or for the years ended December 31, 2016 and 2015. The current and prior three tax years remain open and subject to examination by the appropriate governmental agencies in the United States and California. |
| PART XI AND XII: 4B OTHER | BAD DEBT EXPENSE IS INCLUDED IN TOTAL REVENUE ON THE AUDITED FINANCIAL STATEMENTS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,068,831 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,944,980 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,123,851 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01240 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $64,919,637 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $40,178,380 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,741,257 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14450 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,801 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,801 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $69,994,269 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,123,360 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,870,909 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15690 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $455,739 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $455,739 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $298,301 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $298,301 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,733 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $29,733 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $418,427 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $418,427 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,202,200 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,202,200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00700 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $71,196,469 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,123,360 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,073,109 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16390 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,513,037 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $8,513,037 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $13,480,187 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $10,376,085 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $3,104,102 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 0 | WrittenDebtCollectionPolicyInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARKVIEW COMMUNITY HOSPITAL MEDICAL CENT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3865 JACKSON STREET | AddressLine1Txt |
| City | RIVERSIDE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Parkview Community Hospital Medical Cntr | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | 0 | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | oshpd.ca.gov | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | oshpd.ca.gov | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | 0 | ExplainedBasisInd |
| App Financial Asst Expln | 0 | AppFinancialAsstExplnInd |
| Includes Publicity Measures | 0 | IncludesPublicityMeasuresInd |
| FAP Actions On Nonpayment | 0 | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Parkview Community Hospital Medical Cntr | FormAndLineReferenceDesc |
| Explanation | Part V, Section B, Line 11: Our facility is addressing the communities' needs by offering programs that support obesity through our Bariatric program. We offer senior outreach programs that offer classes to help with arthritis and a Community Health program that helps those that have had a stroke. The hospital offers a palliative care program for the elderly and breast feeding classes for new moms.There are also health fairs to bring community awareness about cancer and other health problems that affect the community.We feel we serve the needs of all the different ethnicities that are represented in our community by working with the Latina Women's Group and African American groups as well as Korean groups.We aren't aware of any needs that we aren't meeting at this time. | ExplanationTxt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part III, Line 4: | MANAGEMENT BELIEVES THERE ARE MINIMAL CREDIT RISKS ASSOCIATED WITH RECEIVABLES FROM GOVERNMENT PROGRAMS. RECEIVABLES FROM MANAGED CARE PROGRAMS AND OTHERS ARE FROM VARIOUS PAYORS WHO ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS AND DO NOT REPRESENT CONCENTRATED RISKS TO THE HOSPITAL. MANAGEMENT CONTINUALLY MONITORS AND ADJUSTS THE RESERVES ASSOCIATED WITH RECEIVABLES AND DOES NOT REQUIRE COLLATERAL. LOSSES DUE TO BAD DEBTS HAVE BEEN WITHIN MANAGEMENT'S ESTIMATES. |
| Part III, Line 8: | NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS. IN SOME CASES, REIMBURSEMENT IS BASED ON FORMULAS, WHICH CANNOT BE DETERMINED UNTIL COST REPORTS ARE FILED AND AUDITED OR OTHERWISE SETTLED BY THE VARIOUS PROGRAMS. NORMAL ESTIMATION DIFFERENCES BETWEEN FINAL SETTLEMENTS AND AMOUNTS ACCRUED IN PREVIOUS YEARS ARE REFLECTED IN NET PATIENT SERVICE REVENUE IN THE YEAR SETTLEMENT OCCURS IF A RECOVERY IS EXPECTED; IF A PAYMENT IS EXPECTED, IT IS ACCRUED WHEN IDENTIFIED. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | 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 (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Stephen Popkin | ||||||||||||||
| CEO | $416,026 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $416,026 | $0 | $0 | $0 |
| Patricia Lepe | ||||||||||||||
| CFO | $366,634 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $366,634 | $0 | $0 | $0 |
| Robert Brown | ||||||||||||||
| COO | $251,846 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $251,846 | $0 | $0 | $0 |
| Thomas Santos | ||||||||||||||
| CNO/CQO | $235,996 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $235,996 | $0 | $0 | $0 |
| Marlene Burnett | ||||||||||||||
| VP Marketing | $189,070 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $189,070 | $0 | $0 | $0 |
| Mary T Hore | ||||||||||||||
| RN | $190,163 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $190,163 | $0 | $0 | $0 |
| Jane Frank | ||||||||||||||
| RN | $170,834 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $170,834 | $0 | $0 | $0 |
| Jennifer Tagbuba | ||||||||||||||
| RN | $166,109 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $166,109 | $0 | $0 | $0 |
| Beshoui Helakani | ||||||||||||||
| Pharmacist | $161,418 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $161,418 | $0 | $0 | $0 |
| Maritiza Salazar | ||||||||||||||
| RN | $157,941 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $157,941 | $0 | $0 | $0 |
| Lizette Norton | ||||||||||||||
| VP Human Resources | $105,727 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $105,727 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 4a | FormAndLineReferenceDesc |
| Explanation | Patricia Lepe: severance pay - $166,788 | ExplanationTxt |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | Equipment | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $54,200 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Market value of simi | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 7a | The members get to elect new members. |
| Form 990, Part VI, Section A, line 7b | Decisions by the governing body are approved by its members who are one and the same. |
| Form 990, Part VI, Section B, line 11b | The 990s are presented by the CFO to the Finance Committee after they are prepared and passed around to the Board members for discussion. At that time there is a formal discussion about the returns and the Board members approve them. The approval is noted in our Board minutes. |
| Form 990, Part VI, Section B, line 12c | Parkview Community Hospital Medical Center ("PCHMC") initially adopted a formal Conflict of Interest Policy ("Policy") on or about October 2, 1996, and has as amended the Policy from time to time. The Policy provides for a fair and orderly process for the disclosure and management of conflicts of interest which may exist for persons with positions of trust and responsibility in the governance and management of PCHMC and its affiliated entities, and to assure that laws relating to such conflicts are followed. The purpose of the Policy is to protect PCHMC's interest when it is contemplating entering into a transaction or arrangement that might benefit the private interest of an officer or director or may otherwise not be in PCHMC's best interests. In connection with any actual or possible conflict of interest, each director on PCHMC's Board must disclose, on an annual basis, the existence of material financial interests and be given the opportunity to disclose all material facts to the directors and members of committees with governing board delegated powers who are considering the proposed transaction or arrangement. Moreover, in order to safeguard independent judgment and action in business decisions, each person entrusted with a key position of responsibility in PCHMC has a duty to avoid acting out of any conflict of interest, or appearance of such conflict which may arise from personal financial interests in entities which may adversely affect or conflict with PCHMC's best interest. For purposes of the Policy, the term "Covered Individuals" include the Board of Directors, officers, members of the Executive Committee and certain key management employees of PCHMC. All Covered Individuals are required to prepare and submit the following statements: (1) Initial Conflict of Interest Disclosure Statement-Upon the occurrence of an event rendering a person a Covered Individual, he or she shall file with the Filing Officer an Initial Conflict of Interest Disclosure Statement. (2) Annual Conflict of Interest Disclosure Statement- All Covered Individuals under this Policy shall prepare and submit to the Filing Officer on a yearly basis or when leaving such position, an Annual Conflict of Interest Disclosure Statement. (3) Subsequent Occurrences Reporting Requirements- Covered Individuals must file a Conflict of Interest Disclosure Statement with the Filing Officer upon the occurrence of any event requiring disclosure under this Policy, which has not been previously disclosed. Those determined to have an interest in or be conflicted out by virtue of application of the Policy are precluded from participating in Board, Committee, or Management actions. Moreover, the Chairperson of the Board retains the right, under appropriate circumstances, to form an ad-hoc committee to investigate an alleged Policy violation, conduct hearings, and, under all circumstances, take appropriate remedial action, including without limitation, removal of a director or management personnel. |
| Form 990, Part VI, Section B, line 15 | Compensation of the key executive officer of PHCMC is vested in the Board of Directors who has appointed a Compensation Committee and adopted a formal Chief Executive Officer Compensation Policy ("Comp Policy"). Under the Comp Policy, the Board of Directors ("Board") has the authority and responsibility to review and approve the complete compensation package of the Hospital's Chief Executive Officer ("CEO"), and the report of the CEO of those who report to the CEO, to ensure that such packages are reasonable and do not create any "private inurement or "excess benefit" within the meaning of the tax law. The Board may, in its discretion and in accordance with its bylaws, delegate responsibility to review and recommend the compensation package of the CEO, and those who report to the CEO, pursuant to the CEO Compensation Policy to the Hospital Board's Executive Compensation/Succession Planning Committee ("Committee"). The process to be followed by the Board or Committee in carrying out this responsibility is set out below. This process is intended to be consistent with Hospital's fulfillment of its mission as a charitable nonprofit organization, as well as its compensation philosophy and principles. The Board or Committee shall obtain sufficient information, taking into consideration the knowledge and expertise of its members, to determine whether the full compensation package of the CEO is reasonable, i.e., that it represents no more than fair market value for the services performed. In assessing the reasonableness of a CEO's compensation package, the Board or Committee shall take into account all elements of the package, including without limitation, salary, any bonus or incentive payments, severance payments, and deferred and non-cash compensation, as well as all compensatory benefits such as payments to medical, dental, life, severance pay and disability benefit plans, and any fringe benefits such as expense allowances. The Board or Committee may also consider other relevant information including, but not limited to: (i) Compensation and benefits paid by similarly situated organizations (which may be either taxable or tax-exempt) for positions that are functionally comparable to those of the CEO. When looking at these other organization, consideration should be provided to the size of the organizations (number of employees, financial production, etc.), their geographic locations, the nature of the services provided, the level of experience and specific responsibilities of the positions considered, similarities to or differences from the Hospital, and the composition of the compensation packages offered, (ii) current compensation surveys compiled by independent firms and surveys compiled by respected companies or national periodicals. (iii) written offers from similar institutions competing for a CEO's services; or (iv) community involvement/feedback (at State and local levels), patient surveys, direct reports-leadership, department directors with input from their staff, and physician surveys. All Committee reports are subject to final Board approval. The year in which this policy was last used was 2014 to set CEO compensation for 2015. |
| Form 990, Part VI, Section C, line 19 | The organization reports various financial information to state and federal agencies, such as, among others, OSPHD (CA) and Medicare (CMS), and would make the information available in response to any request so long as the information requested is neither confidential nor protected from disclosure by peer review statutes, attorney client or work product privileges or similar protections. |
| Form 990, Part XI, line 9: | CHANGE IN MINIMUM PENSION LIABILITY -729,498. |
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