FURP.ORG / PUBLIC DATA EXPLORER

PIH HEALTH WHITTIER HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
PIH HEALTH WHITTIER HOSPITAL (EIN 95-1934652)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-14
IRS object ID
201732269349302518
Schema version
2015v3.0
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

FieldValueIRS element (for citing)
Return2017-08-14T15:30:48-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11 S WACKER DRIVE STE 800AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN951934652EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGREG WILLIAMSPersonNm
Person TitleCFOPersonTitleTxt
Phone5626980811PhoneNum
Signature2017-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWAYNE HARDERPreparerPersonNm
PTINP00294296PTIN
Phone3126343400PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGREG WILLIAMSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line112401 WASHINGTON BOULEVARDAddressLine1Txt
CityWHITTIERCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90602ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$791,599,520GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PIHHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1954FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE QUALITY HEALTHCARE AND CONTRIBUTE TO THE COMMUNITY'S HEALTH AND WELL-BEING.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee3774TotalEmployeeCnt
Total Volunteers825TotalVolunteersCnt
Total Gross UBI$489,973TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$6,568NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$676,044PYContributionsGrantsAmt
CY Contributions Grants$1,880,468CYContributionsGrantsAmt
PY Program Service Revenue$588,377,410PYProgramServiceRevenueAmt
CY Program Service Revenue$573,514,042CYProgramServiceRevenueAmt
PY Investment Income$20,510,052PYInvestmentIncomeAmt
CY Investment Income$26,648,320CYInvestmentIncomeAmt
PY Other Revenue$3,436,529PYOtherRevenueAmt
CY Other Revenue$4,490,857CYOtherRevenueAmt
PY Total Revenue$613,000,035PYTotalRevenueAmt
CY Total Revenue$606,533,687CYTotalRevenueAmt
PY Grants And Similar Paid$243,925PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$194,770CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$252,497,159PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$261,563,778CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$283,201,111PYOtherExpensesAmt
CY Other Expenses$275,350,407CYOtherExpensesAmt
PY Total Expenses$535,942,195PYTotalExpensesAmt
CY Total Expenses$537,108,955CYTotalExpensesAmt
PY Revenues Less Expenses$77,057,840PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$69,424,732CYRevenuesLessExpensesAmt
Total Assets BOY$1,187,500,732TotalAssetsBOYAmt
Total Assets EOY$1,250,290,757TotalAssetsEOYAmt
Total Liabilities BOY$642,416,176TotalLiabilitiesBOYAmt
Total Liabilities EOY$696,010,407TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$545,084,556NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$554,280,350NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMISSION: WHY WE ARE HERE: WE PROVIDE HIGH QUALITY HEALTHCARE WITHOUTDISCRIMINATION, AND CONTRIBUTE TO THE HEALTH AND WELL-BEING OF OURCOMMUNITIES IN AN ETHICAL, SAFE, AND FISCALLY PRUDENT MANNER INRECOGNITION OF OUR CHARITABLE PURPOSE.VISION: WHERE WE WANT TO BE: WE WILL ACHIEVE EXCELLENCE IN EVERYTHINGWE DO.VALUES: OUR PROMISE: OUR PATIENTS' SAFETY, WELL-BEING, AND MEDICALCONDITION WILL BE OUR PRIMARY CONCERN AT ALL TIMES. WE WILLCONSISTENTLY DEMONSTRATE RESPECT AND COMPASSION FOR THE BELIEFS,SITUATION, AND NEEDS OF OUR PATIENTS AND CO-WORKERS. WE WILL STRIVE TOANTICIPATE NEEDS AND RESPOND IN A TIMELY WAY TO MEET OR EXCEED THEEXPECTATIONS OF OTHERS. OUR ATTITUDE AND ACTIONS WILL REFLECT THEHIGHEST ETHICAL AND MORAL STANDARDS. WE WILL WORK TOGETHER - WITHIN ANDOUTSIDE THE ORGANIZATION - TO SOLVE PROBLEMS AND PURSUE OPPORTUNITIESIN CREATIVE WAYS. WE WILL SERVE THE COMMUNITY WISELY THROUGH THEEFFICIENT AND PRUDENT USE OF OUR FINANCIAL RESOURCES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$338,389,061ExpenseAmt
Grant$194,770GrantAmt
Revenue$498,480,035RevenueAmt
DescPATIENT CARE: PIH HEALTH HOSPITAL - WHITTIER PROVIDES THE HIGH-QUALITY HEALTHCARE OUR COMMUNITIES HAVE COME TO EXPECT. FOUNDED IN 1959 AS PRESBYTERIAN INTERCOMMUNITY HOSPITAL, THE HOSPITAL WAS BUILT TO ADDRESS THE NEED FOR CARE AFTER A POST-WORLD WAR II POPULATION BOOM. PIH HEALTH HOSPITAL - WHITTIER PROVIDES OUTSTANDING AND COMPASSIONATE CARE TO PATIENTS, EVERY DAY.TODAY, THE CAMPUS IS THE AREA'S ACKNOWLEDGED LEADING HEALTHCARE CENTER. THE 547-BED, TOP-NOTCH FACILITY SERVES NEARLY 2.1 MILLION RESIDENTS IN LOS ANGELES AND ORANGE COUNTIES AND THE SAN GABRIEL VALLEY AREA. THE WHITTIER CAMPUS IS A PART OF PIH HEALTH, A COMPREHENSIVE HEALTH SYSTEM CONSISTING OF TWO HOSPITALS, 22 MEDICAL OFFICE LOCATIONS AND A HOST OF SPECIALTY SERVICES INCLUDING ACUTE CARE HOSPITAL SERVICES, ACUTE REHABILITATION CENTER, CANCER/ONCOLOGY CARE, CORONARY INTENSIVE CARE, MEDICAL-SURGICAL ACUTE CARE, MEDICAL-SURGICAL INTENSIVE CARE, NEONATAL INTENSIVE CARE, NEWBORN NURSERY CARE, OBSERVATION UNIT, PEDIATRIC ACUTE CARE, OBSTETRICS CARE/LABOR AND DELIVERY, TELEMETRY UNIT, TRANSITIONAL CARE UNIT, EMERGENCY AND HOME CARE SERVICES, AND A WIDE RANGE OF ANCILLARY AND OUTPATIENT SERVICES.PATIENT CARE IN 2015EMPLOYEES 3,774VOLUNTEERS 825NUMBER OF EMERGENCY DEPARTMENT (ED) VISITS 79,258NUMBER OF BIRTHS 2,744MEDICAL STAFF 547Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$100,864,999ExpenseAmt
Revenue$70,123,333RevenueAmt
DescFINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS: FINANCIAL ASSISTANCE, ALSO KNOWN AS CHARITY CARE, IS DEFINED AS FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO INDIVIDUALS WHO CANNOT AFFORD TO PAY AND WHO MEET THE ELIGIBILITY CRITERIA OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PIH HEALTH OFFERS A GENEROUS FINANCIAL ASSISTANCE PROGRAM, PROVIDING CHARITY CARE TO THOSE WITH FAMILY INCOME(S) AT OR BELOW 400% OF FEDERAL POVERTY LEVEL GUIDELINES.IN PROVIDING SERVICES TO THOSE PATIENTS PARTICIPATING IN MEANS-TESTED GOVERNMENT HEALTH PROGRAMS, SUCH AS MEDI-CAL, PIH HEALTH REALIZES A COLLECTIVE NET LOSS EACH FISCAL YEAR DUE TO THE SHORTFALL CREATED WHEN THE PAYMENTS RECEIVED FROM THESE PROGRAMS ARE LESS THAN THE COST OF CARING FOR PUBLIC PROGRAM BENEFICIARIES. NUMBER OF PERSONS SERVED BY FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS: 42,395FOR ADDITIONAL INFORMATION, PLEASE REFER TO PIH HEALTH'S COMMUNITY BENEFIT REPORT AT PIHHEALTH.ORG/CBANNUALREPORTDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$20,572,280ExpenseAmt
Revenue$7,660,916RevenueAmt
DescOTHER COMMUNITY BENEFIT SERVICES: COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT ARE COMPRISED OF THE FOLLOWING: COMMUNITY HEALTH IMPROVEMENT SERVICES: DEFINED AS COMMUNITY HEALTH IMPROVEMENT ACTIVITIES, WHICH EXTEND BEYOND PATIENT CARE ACTIVITIES. THESE PROGRAMS INCLUDE: COMMUNITY COLLABORATIVE SUPPORT AND PARTICIPATION, COMMUNITY EDUCATION, COMMUNITY INFORMATION AND REFERRAL SUPPORT, ENROLLMENT ASSISTANCE, HEALTH AND WELLNESS CENTER AT WHITTIER FIRST DAY, PREVENTATIVE HEALTH PROGRAMS AND SCREENINGS, SUPPORT GROUPS, AND TRANSPORTATION RESOURCES.SNAPSHOT OF OUTCOMES:MORE THAN 31,954 COMMUNITY MEMBERS WERE REACHED THROUGH A VARIETY OF COMMUNITY HEALTH IMPROVEMENT ACTIVITIES.HEALTH PROFESSIONS EDUCATION: THIS CATEGORY INCLUDES EDUCATIONAL PROGRAMS FOR PHYSICIANS, NURSES, STUDENTS AND OTHER HEALTH PROFESSIONALS WHEN EDUCATION IS NECESSARY OR REQUIRED BY STATE LAW, ACCREDITING BODY OR HEALTH PROFESSION SOCIETY. PIH HEALTH PROGRAMS INCLUDE THE FAMILY MEDICINE RESIDENCY PROGRAM, PARAMEDIC BASE STATION TRAINING AND STUDENT EDUCATION (INTERNSHIP, EXTERNSHIP, PRECEPTORSHIP AND MENTORING PROGRAMS).SNAPSHOT OF OUTCOMES:MORE THAN 1,401 STUDENT NURSES, PHYSICIAN RESIDENTS, AND OTHER INDIVIDUALS STUDYING TO BECOME HEALTHCARE PROFESSIONALS WERE PROVIDED WITH MENTORSHIP, PRECEPTORSHIP AND TRAINING OPPORTUNITIES.SUBSIDIZED HEALTH SERVICES: SUBSIDIZED SERVICES ARE CLINICAL PROGRAMS, WHICH ARE PROVIDED DESPITE A FINANCIAL LOSS SO SIGNIFICANT THAT NEGATIVE MARGINS REMAIN AFTER REMOVING THE EFFECTS OF FINANCIAL ASSISTANCE, BAD DEBT AND MEDI-CAL SHORTFALLS. NEVERTHELESS, THE SERVICE IS PROVIDED BECAUSE IT MEETS AN IDENTIFIED COMMUNITY NEED AND, IF NO LONGER OFFERED, WOULD EITHER BE UNAVAILABLE IN THE AREA OR FALL TO THE RESPONSIBILITY OF GOVERNMENT OR ANOTHER NONPROFIT ORGANIZATION TO PROVIDE. PIH HEALTH SERVICES PROVIDED INCLUDE DIABETES EDUCATION CENTER, EMERGENCY DEPARTMENT ON-CALL PHYSICIANS, HIGH-RISK INFANT FOLLOW-UP CLINIC, HOSPICE HOMES, AND URGENT CARE CENTERS.SNAPSHOT OF OUTCOMES:THE HIGH RISK INFANT FOLLOW-UP CLINIC ENSURES FAMILIES HAVE ACCESS TO SPECIALIZED CARE TO MEET THEIR CHILDREN'S DEVELOPMENTAL NEEDS, WITH APPROXIMATELY 80-100 CHILDREN SERVED EACH YEAR.THE HOSPICE HOMES ENSURE ACCESS TO QUALITY, COMPASSIONATE END-OF-LIFE CARE, REGARDLESS OF ABILITY TO PAY, WITH APPROXIMATELY 200 PATIENTS SERVED EACH YEAR.RESEARCH: RESEARCH THAT MAY BE REPORTED AS COMMUNITY BENEFIT INCLUDES CLINICAL AND COMMUNITY HEALTH RESEARCH AS WELL AS STUDIES ON HEALTHCARE DELIVERY THAT ARE GENERALIZABLE AND SHARED WITH THE PUBLIC. PIH HEALTH HAS BEEN OFFERING CLINICAL TRIALS AND RESEARCH STUDIES AIMED AT IMPROVING HEALTH AND CANCER CARE SINCE 2001. SNAPSHOT OF OUTCOMES:10 CLINICAL TRIALS WERE OFFERED FOR APPROXIMATELY 62 NEW INDIVIDUALS.CASH & IN-KIND CONTRIBUTIONS: THIS CATEGORY INCLUDES FUNDS AND IN-KIND SERVICES DONATED BY PIH HEALTH TO COMMUNITY ORGANIZATIONS OR TO THE COMMUNITY-AT-LARGE FOR A COMMUNITY BENEFIT PURPOSE. THESE DONATIONS INCLUDE CASH DONATIONS TO COMMUNITY ORGANIZATIONS, HOURS CONTRIBUTED BY STAFF TO THE COMMUNITY WHILE ON PIH HEALTH WORK TIME, THE COST OF MEETING SPACE PROVIDED TO COMMUNITY GROUPS, AND THE DONATIONS OF EQUIPMENT, MEDICATIONS, AND SUPPLIES. SNAPSHOT OF OUTCOMES:83 AT-RISK INDIVIDUALS WERE PROVIDED WITH IN-KIND DURABLE MEDICAL EQUIPMENT OR SERVICES, SUCH AS SKILLED NURSING OR MENTAL HEALTHCARE.MORE THAN $96,000 IN CASH DONATIONS WERE GIVEN TO 33 ORGANIZATIONS TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IN OUR SERVICE AREA COMMUNITIES.TOTAL NUMBER OF PERSONS SERVED BY ALL CATEGORIES: 49,628FOR ADDITIONAL INFORMATION, PLEASE REFER TO PIH HEALTH'S COMMUNITY BENEFIT REPORT AT PIHHEALTH.ORG/CBANNUALREPORTDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$459,826,340TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document198IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3774EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GREG WILLIAMSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5626980811PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
EFRAIN ACEVES
DIRECTOR & SECRETARY1.504.50Yes (X)Yes (X)$0$0$0
DONALD ALVARADO
DIRECTOR1.504.50Yes (X)$0$0$0
RICHARD ATWOOD
DIRECTOR & VICE CHAIR1.506.00Yes (X)Yes (X)$0$0$0
JAMES BALL
DIRECTOR1.504.50Yes (X)$0$0$0
PAULA COWAN
DIRECTOR1.504.50Yes (X)$0$0$0
JANE DICUS
DIRECTOR & CHAIR1.504.50Yes (X)Yes (X)$0$0$0
ED DUNLAP
DIRECTOR1.504.50Yes (X)$0$0$0
LEON M N GARCIA
DIRECTOR1.504.50Yes (X)$0$0$0
FRANK GOMEZ PHD
DIRECTOR1.504.50Yes (X)$0$0$0
THOMAS KING
DIRECTOR1.504.50Yes (X)$0$0$0
SUDHAKER NAYAK MD
DIRECTOR9.0040.00Yes (X)$148,050$1,750,542$43,126
ROBERT PETRINA
DIRECTOR1.504.50Yes (X)$0$0$0
C WAYNE RAY MD
DIRECTOR12.500.00Yes (X)$72,000$0$0
NEAL SHINDEL MD
DIRECTOR1.5040.00Yes (X)$0$1,128,473$41,231
KENTON WOODS
DIRECTOR & TREASURER1.504.50Yes (X)Yes (X)$0$0$0
HUEY-MIN YU
DIRECTOR1.504.50Yes (X)$0$0$0
JAMES WEST
PRESIDENT/CEO30.0016.20Yes (X)$1,433,084$0$211,867
PEGGY CHULACK
CHIEF ADMIN OFFICER30.0016.20Yes (X)$584,466$0$90,482
GREG WILLIAMS
CFO30.0016.20Yes (X)$206,935$0$40,431
ROSALIO LOPEZ MD
SR VP & CMO/CSO40.004.50Yes (X)$740,229$0$96,364
REANNA THOMPSON
COO/CNO40.000.00Yes (X)$418,792$0$82,379
DAVID KLINGER
SR VP FAC & REAL ESTATE40.000.00$442,816$0$87,749Yes (X)
DAVIS LEE
CHIEF MED INFO OFFICER40.000.00$432,862$0$83,787Yes (X)
SHERREL HOLLINGSWORTH
CHIEF HR OFFICER40.000.00$366,325$0$96,691Yes (X)
RONALD YOSHIHARA
VP FINANCE & ANALYTICS40.001.70$309,674$0$73,111Yes (X)
PERRY EBELTOFT
VP ANCILLARY SVS40.000.00$280,162$0$54,942Yes (X)
JUDY PUGACH
VP QUALITY CONTROL40.000.00$315,335$0$45,956Yes (X)
SUSANNE CARLSON
VP REV CYC & MGD CARE40.000.00$232,114$0$63,842Yes (X)
ROWENA STAJER
VP CARE COORD40.000.00$200,416$0$29,098Yes (X)
JOAN ROLLAND
ADM ED/DISASTER SV40.000.00$254,254$0$56,105Yes (X)
ANUP PATEL
VP ENT RSK MGMT & CORP COMP40.000.00$204,945$0$31,467Yes (X)
DEBRA LEGAN
VP MKTG & PLANNING40.000.00$301,969$0$75,685Yes (X)
SCOTT BREMER
DIR COMP, BENEF & HRIS40.000.00$212,517$0$31,321Yes (X)
JUDY CHIN
INFECT DISEASE PHARM40.000.00$202,197$0$17,823Yes (X)
JACQUELYN CITUK
EXEC DIR PHARM40.000.00$254,293$0$16,571Yes (X)
JUNG HO
MEDICAL PHYSICIST40.000.00$262,371$0$29,120Yes (X)
JEAN MCCULLEN
DIR PTNT SVC40.000.00$301,081$0$21,647Yes (X)
MITCHELL THOMAS
CFO - FORMER0.000.00$0$447,624$36,747Yes (X)
GARY KOGER
CFO - FORMER0.000.00$146,859$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,323,746TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,326,639TotReportableCompRltdOrgAmt
Total Other Compensation$1,457,542TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K512IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ALLSCRIPTS - CHICAGO
24630 NETWORK PLACECHICAGOIL60673IT SERVICES$22,252,598
INTERCOMMUNITY ANESTH SVCS INC
PO BOX 511509LOS ANGELESCA90051MEDICAL SERVICES$11,494,416
LAMBERT RADIOL MED GRP INC
11721 WHITTIER BLVD SUITE 509WHITTIERCA90601MEDICAL SERVICES$8,318,473
MILLIE AND SEVERSON INC
3601 SERPERNTINE DRLOS ALAMITOSCA90720CONSTRUCTION$6,397,092
WHITTIER PULM AND CRITC CARE
6905 ALTA VISTA DRRANCHO PALOS VERDESCA90275MEDICAL SERVICES$5,261,648
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K74CntrctRcvdGreaterThan100KCnt
Related Organizations$1,880,468RelatedOrganizationsAmt
Total Contributions$1,880,468TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE621610$495,367,188$495,367,188
OTHER PATIENT REVENUE621610$37,096,823$37,096,823
HOSPITAL FEE PROGRAM900099$34,987,560$34,987,560
FOOD SERVICES900099$3,066,758$3,066,758
ARRA INCENTIVE PAYMENT900099$578,863$578,863

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,416,850TotalRevenueColumnAmt
Related Or Exempt Func Income$2,416,850RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$573,514,042TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,647,179TotalRevenueColumnAmt
Exclusion$9,647,179ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$202,058,867SecuritiesAmt
Other$8,107OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$185,065,833SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$16,993,034SecuritiesAmt
Other$8,107OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,001,141TotalRevenueColumnAmt
Exclusion$17,001,141ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
COMMUNITY PHARMACY624110$2,750,242$2,750,242
PURCHASE DISCOUNTS900099$1,250,642$1,250,642
NON-PATIENT LAB621500$458,678$458,678

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,295TotalRevenueColumnAmt
Unrelated Business Revenue$31,295UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,490,857OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$606,533,687TotalRevenueColumnAmt
Related Or Exempt Func Income$576,264,284RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$489,973UnrelatedBusinessRevenueAmt
Exclusion$27,898,962ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$107,270TotalAmt
Program Services$107,270ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$87,500TotalAmt
Program Services$87,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$9,032,226TotalAmt
Program Services$6,235,373ProgramServicesAmt
Management And General$2,796,853ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$180,409,682TotalAmt
Program Services$153,167,862ProgramServicesAmt
Management And General$27,241,820ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,493,502TotalAmt
Program Services$1,269,477ProgramServicesAmt
Management And General$224,025ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$55,518,829TotalAmt
Program Services$47,120,906ProgramServicesAmt
Management And General$8,397,923ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$15,109,539TotalAmt
Program Services$12,827,720ProgramServicesAmt
Management And General$2,281,819ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$777,946TotalAmt
Management And General$777,946ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,454,181TotalAmt
Program Services$30,667ProgramServicesAmt
Management And General$2,423,514ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$21,966TotalAmt
Management And General$21,966ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$284,116TotalAmt
Management And General$284,116ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$65,597,452TotalAmt
Program Services$57,351,713ProgramServicesAmt
Management And General$8,245,739ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,896,933TotalAmt
Program Services$4,471,719ProgramServicesAmt
Management And General$3,425,214ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$34,170,191TotalAmt
Program Services$28,019,557ProgramServicesAmt
Management And General$6,150,634ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,307,081TotalAmt
Program Services$7,485,977ProgramServicesAmt
Management And General$2,821,104ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$490,509TotalAmt
Program Services$386,132ProgramServicesAmt
Management And General$104,377ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$198,341TotalAmt
Program Services$20,115ProgramServicesAmt
Management And General$178,226ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,193,983TotalAmt
Program Services$5,007,238ProgramServicesAmt
Management And General$1,186,745ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$24,487,659TotalAmt
Program Services$20,816,191ProgramServicesAmt
Management And General$3,671,468ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,730,618TotalAmt
Management And General$4,730,618ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$70,980,911$70,108,229$872,682
QUALITY ASSURANCE FEE ($25,721,904$25,721,904
BAD DEBT EXPENSE$9,183,878$9,183,878
EQUIPMENT R&M$4,681,771$4,671,854$9,917

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,170,967TotalAmt
Program Services$5,735,058ProgramServicesAmt
Management And General$1,435,909ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$537,108,955TotalAmt
Program Services$459,826,340ProgramServicesAmt
Management And General$77,282,615ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$363,620BOYAmt
EOY$532,477EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$71,880,032BOYAmt
EOY$74,142,187EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,236,841BOYAmt
EOY$4,884,813EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,710,659BOYAmt
EOY$8,799,320EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$586,612,748LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$207,892,521LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$390,894,321BOYAmt
EOY$378,720,227EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$390,043,165BOYAmt
EOY$429,580,252EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$318,372,094BOYAmt
EOY$353,631,481EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,187,500,732BOYAmt
EOY$1,250,290,757EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$52,180,261BOYAmt
EOY$50,476,693EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$383,050,678BOYAmt
EOY$374,109,701EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$39,000,000BOYAmt
EOY$53,000,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$168,185,237BOYAmt
EOY$218,424,013EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$642,416,176BOYAmt
EOY$696,010,407EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$545,084,556BOYAmt
EOY$554,280,350EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$545,084,556BOYAmt
EOY$554,280,350EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,187,500,732BOYAmt
EOY$1,250,290,757EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$69,424,732ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$8,291,614NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$1,983,466PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$70,504,018OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$283,961OtherActivitiesAmt
Total Lobbying Expenditures$283,961TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$322,346,024OtherCostOrOtherBasisAmt
Depreciation$59,507,285DepreciationAmt
Book Value$262,838,739BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$70,908,615OtherCostOrOtherBasisAmt
Depreciation$22,190,644DepreciationAmt
Book Value$48,717,971BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$179,065,565OtherCostOrOtherBasisAmt
Depreciation$120,270,321DepreciationAmt
Book Value$58,795,244BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,077,933OtherCostOrOtherBasisAmt
Depreciation$5,924,271DepreciationAmt
Book Value$8,153,662BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$378,720,227TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
DEFERRED FINANCING COSTS$3,765,975
INTERCOMPANY RECEIVABLE$308,416,567
OTHER RECEIVABLES$4,036,485
INVESTMENT IN AFFILIATES$1,551,901
HOSPITAL FEE PROGRAM RECEIVABLE$35,260,553
OTHER DEPOSITS$600,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$353,631,481TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
COST REPORT PAYABLE$145,978
BOND INTEREST PAYABLE$2,320,212
HOSPITAL FEE PAYABLE$22,812,694
DEFERRED COMPENSATION$14,350,542
INTEREST RATE SWAP$55,546,728
PENSION LIABILITY$84,742,216
SELF INSURANCE RESERVES$15,782,828
OTHER LIABILITIES$2,972,815
NOTE PAYABLE$19,750,000
FieldValueIRS element (for citing)
Total Liability$218,424,013TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE COMPANY HAS ESTABLISHED ITS STATUS AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER THE INTERNAL REVENUE CODE (THE CODE) SECTION 501(C)(3) AND THE LAWS OF THE STATES IN WHICH IT OPERATES, AND AS SUCH, IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, THE COMPANY IS SUBJECT TO INCOME TAXES ON NET INCOME DERIVED FROM A TRADE OR BUSINESS, REGULAR CARRIED ON, WHICH DOES NOT FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. NO SIGNIFICANT INCOME TAX PROVISION HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR NET INCOME DERIVED FROM UNRELATED TRADE OR BUSINESS. THE COMPANY MEASURES LIABILITIES FOR UNRECOGNIZED TAX UNCERTAINTIES IN ACCORDANCE WITH ASC 740, INCOME TAXES, WHICH PRESCRIBES A COMPREHENSIVE MODEL FOR HOW A COMPANY SHOULD RECOGNIZE, MEASURE, PRESENT, AND DISCLOSE IN ITS FINANCIAL STATEMENTS UNCERTAIN TAX POSITIONS THAT A COMPANY HAS TAKEN OR EXPECTS TO TAKE ON A TAX RETURN. THE COMPANY HAS NOT RECORDED A LIABILITY FOR UNRECOGNIZED TAX UNCERTAINTIES IN 2016 OR 2015. 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 2012 FOR FEDERAL PURPOSES AND 2010 FOR CALIFORNIA PURPOSES.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served1341PersonsServedCnt
Total Community Benefit Expns$6,568,072TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,278,541DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,289,531NetCommunityBenefitExpnsAmt
Total Expense0.00800TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served40531PersonsServedCnt
Total Community Benefit Expns$90,883,188TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$66,450,344DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,432,844NetCommunityBenefitExpnsAmt
Total Expense0.04550TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Persons Served523PersonsServedCnt
Total Community Benefit Expns$3,413,739TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,394,448DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,019,291NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served42395PersonsServedCnt
Total Community Benefit Expns$100,864,999TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$70,123,333DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,741,666NetCommunityBenefitExpnsAmt
Total Expense0.05730TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs29ActivitiesOrProgramsCnt
Persons Served31954PersonsServedCnt
Total Community Benefit Expns$2,758,213TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$226,348DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,531,865NetCommunityBenefitExpnsAmt
Total Expense0.00470TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served1401PersonsServedCnt
Total Community Benefit Expns$5,404,616TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,128,519DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,276,097NetCommunityBenefitExpnsAmt
Total Expense0.00800TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served15108PersonsServedCnt
Total Community Benefit Expns$11,391,056TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,290,345DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,100,711NetCommunityBenefitExpnsAmt
Total Expense0.00950TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served62PersonsServedCnt
Total Community Benefit Expns$182,468TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,204DirectOffsettingRevenueAmt
Net Community Benefit Expns$169,264NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served1103PersonsServedCnt
Total Community Benefit Expns$835,927TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$833,427NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs45ActivitiesOrProgramsCnt
Persons Served49628PersonsServedCnt
Total Community Benefit Expns$20,572,280TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,660,916DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,911,364NetCommunityBenefitExpnsAmt
Total Expense0.02410TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs45ActivitiesOrProgramsCnt
Persons Served92023PersonsServedCnt
Total Community Benefit Expns$121,437,279TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$77,784,249DirectOffsettingRevenueAmt
Net Community Benefit Expns$43,653,030NetCommunityBenefitExpnsAmt
Total Expense0.08140TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served8PersonsServedCnt
Total Community Benefit Expns$6,909TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,909NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served2PersonsServedCnt
Total Community Benefit Expns$4,406TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,406NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served10PersonsServedCnt
Total Community Benefit Expns$747TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$747NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served20PersonsServedCnt
Total Community Benefit Expns$12,062TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,062NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$9,183,878BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$71,290,498ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$87,738,770CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$16,448,272MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line112401 WASHINGTON BOULEVARDAddressLine1Txt
CityWHITTIERCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90602ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.PIHHEALTH.ORGWebsiteAddressTxt
State License930000129StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherSKILLED NURSING FACILITYOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PIH HEALTH HOSPITAL - WHITTIERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
OtherYes (X)OtherInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLPIHHEALTH.ORG/CHNAOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLPIHHEALTH.ORG/CHIPStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLPIHHEALTH.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLPIHHEALTH.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCE/PRICING-FINANCFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PIH HEALTH HOSPITAL - WHITTIERPART V, SECTION B, LINE 3J: THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES DATA AND INFORMATION REGARDING DEMOGRAPHIC PROFILE, SOCIAL DETERMINANTS OF HEALTH, GENERAL HEALTHCARE ACCESS, MATERNAL AND INFANT HEALTH, ORAL HEALTH, MENTAL HEALTH, HEALTH BEHAVIORS, WEIGHT STATUS, NUTRITION AND PHYSICAL ACTIVITY, CHRONIC DISEASES, LEADING CAUSES OF DEATH AND COMMUNITY PERSPECTIVES GATHERED FROM FOCUS GROUPS AND INTERVIEWS.
PIH HEALTH HOSPITAL - WHITTIERPART V, SECTION B, LINE 5: PRIMARY DATA COLLECTION FOR THIS NEEDS ASSESSMENT CONSISTED OF 21 KEY STAKEHOLDER INTERVIEWS AND SIX COMMUNITY FOCUS GROUPS (50 PARTICIPANTS) REGARDING PERCEPTIONS AND OPINIONS OF THOSE REPRESENTING THE BROAD INTERESTS OF THE COMMUNITIES IN OUR PRIMARY SERVICE AREA. INTERVIEW PARTICIPANTS INCLUDED AGENCIES REPRESENTING A BROAD RANGE OF HEALTH AND SOCIAL SERVICES, INCLUDING LEADERS AND REPRESENTATIVES OF MEDICALLY-UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, AS WELL AS THE LOCAL HEALTH DEPARTMENT, THAT HAVE CURRENT INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITIES WE SERVE. KEY STAKEHOLDER INTERVIEWEES1. EVELYN CASTRO-GUILLEN, CHIEF OPERATING OFFICER, THE WHOLE CHILD2. JOANN EROS-DELGADO, FACILITY DIRECTOR, LA COUNTY COMMUNITY RESOURCE CENTER3. RICHARD ESPINOSA, HEALTH DEPUTY, OFFICE OF LA COUNTY SUPERVISOR DON KNABE4. JEFF FARBER, EXECUTIVE DIRECTOR, HELPLINE YOUTH COUNSELING5. ALEXANDRIA GUEVARA, TEEN PROGRAM DIRECTOR, WHITTIER BOYS & GIRLS CLUB6. MICHEL HESIA, PROMOTORA, ACTIVATE WHITTIER COMMUNITY COLLABORATIVE7. SCOTT LEE MD, FAMILY MEDICINE PHYSICIAN, PIH HEALTH8. PENNY LOPEZ, PROGRAM DIRECTOR, ACTIVATE WHITTIER COMMUNITY COLLABORATIVE9. EDITH MARCEL, PROMOTORA PRESIDENT, HEALTHY LOS NIETOS COMMUNITY COLLABORATIVE10. CLARE MCCLAFFERTY, SOCIAL WORKER, PIH HEALTH11. RICARDO MENDOZA, DEPUTY DISTRICT DIRECTOR, OFFICE OF CONGRESSWOMAN LINDA SANCHEZ12. SID MENZIES, CHIEF OPERATING OFFICER, BOYS & GIRLS CLUB OF WHITTIER13. USAMA MITRY MD, FAMILY MEDICINE PHYSICIAN, PIH HEALTH14. MARIA OCHOA RN BSN PHN, SPA 7 COMMUNITY LIAISON PUBLIC HEALTH NURSE LA COUNTY DEPARTMENT OF PUBLIC HEALTH15. LIZET OLMOS, RECREATION COORDINATOR, PICO RIVERA SENIOR CENTER16. JIM ROBERTS, PATIENT ADVISOR/AMBASSADOR, PIH HEALTH17. DENNA SANCHEZ PHD, PSYCHOLOGIST COORDINATOR, PSYCHOLOGICAL SERVICES RIO HONDO COLLEGE18. ANA SUAREZ, DISTRICT CHIEF, LA COUNTY DEPARTMENT OF MENTAL HEALTH SPA 719. JOHN VELASCO, DIRECTOR AND VICE PRESIDENT, HEART OF COMPASSION20. MARTHA VELASQUEZ, PROGRAM DIRECTOR, SPIRITT FAMILY SERVICES21. GUYLENE VELEZ, SOCIAL WORKER, PIH HEALTHFOCUS GROUP PARTICIPANTS INCLUDED MEMBERS OF MEDICALLY-UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, INDIVIDUALS OR ORGANIZATIONS SERVING THE INTERESTS OF THESE POPULATIONS, AND PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. FOCUS GROUPS WERE CONDUCTED IN BOTH ENGLISH AND SPANISH.COMMUNITY FOCUS GROUPS1. PARTNERSHIP FOR HEALTHIER COMMUNITIES COLLABORATIVE, SIX COMMUNITY-BASED ORGANIZATIONS2. STEINMETZ SENIOR CENTER- HACIENDA HEIGHTS, 10 OLDER ADULTS3. PLAZA DE LA RAZA, FIVE PARENTS OF PRESCHOOL-AGED CHILDREN4. INTERFAITH FOOD CENTER, 10 FOOD PANTRY CLIENTS5. MY FRIEND'S HOUSE, 12 FAITH-BASED GROUP PASTORS, LAY PASTORS AND CONGREGANTS6. FRIENDS OF FAMILY HEALTH CENTER - LA HABRA, SEVEN COMMUNITY CLINIC CLIENTS
PIH HEALTH HOSPITAL - WHITTIERPART V, SECTION B, LINE 6A: PIH HEALTH HOSPITAL - WHITTIER'S CHNA WAS CONDUCTED WITH PIH HEALTH HOSPITAL - DOWNEY AND KAISER FOUNDATION HOSPITAL - DOWNEY MEDICAL CENTER. SHARED SERVICE AREAS AND COMMUNITY PARTNERS ALLOWED FOR COORDINATED INTERVIEWS AND FOCUS GROUPS AND SHARING OF DATA/RESULTS.
PIH HEALTH HOSPITAL - WHITTIERPART V, SECTION B, LINE 7D: ASSESSMENT FINDINGS WERE ALSO DISTRIBUTED TO KEY STAKEHOLDERS VIA EMAIL WITH EMPHASIS ON SUPPORTING PROGRAM PLANNING AND FUND-DEVELOPMENT ENDEAVORS, AND SPARING ORGANIZATIONS THE EXPENSE OF DUPLICATIVE DATA COLLECTION EFFORTS. ASSESSMENT FINDINGS ARE ALSO SHARED ON AN ON-GOING BASIS AT COMMUNITY EVENTS AND COMMUNITY COLLABORATIVE MEETINGS.
PIH HEALTH HOSPITAL - WHITTIERPART V, SECTION B, LINE 11: PIH HEALTH'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) ENSURES ALIGNMENT OF CHNA FINDINGS, OUR COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND PIH HEALTH'S ORGANIZATIONAL STRATEGY. TO VIEW THE 2017-2019 CHIP AND THE INITIATIVES IDENTIFIED TO ADDRESS AREAS OF FOCUS (DIABETES, HEART DISEASE, OVERWEIGHT/OBESITY, PREVENTATIVE SCREENINGS AND IMMUNIZATIONS, FOOD INSECURITY, HOMELESSNESS AND EDUCATION), VISIT PIHHEALTH.ORG/CHIP. FOR THE HEALTH NEEDS THAT WERE NOT PRIORITIZED AS AREAS OF FOCUS (ASTHMA, CANCER DEATHS, DENTAL CARE ACCESS, HEALTH INSURANCE COVERAGE/AFFORDABILITY, LUNG DISEASE DEATHS, MENTAL HEALTHCARE, AND SUBSTANCE ABUSE), PIH HEALTH HAS NEITHER THE EXPERTISE NOR THE INFRASTRUCTURE TO SERVE AS LEAD IN THESE AREAS. AS THESE HEALTH NEEDS ARE STILL VERY IMPORTANT TO PIH HEALTH AND THE COMMUNITY WE SERVE, WORK WILL CONTINUE IN THESE AREAS WHERE APPLICABLE, AND REFERRAL AND FUNDING RELATIONSHIPS WITH COMMUNITY-BASED AGENCIES ALREADY WORKING IN THESE AREAS MAY BE STRENGTHENED.
PIH HEALTH HOSPITAL - WHITTIERPART V, SECTION B, LINE 13B: ASSISTANCE IS PROVIDED FREE OR DISCOUNTED FOR THOSE PATIENTS ELIGIBLE FOR FAP. THE CRITERIA FOR FAP IS IF THE PATIENT IS UNINSURED AND DOES NOT HAVE THE ABILITY TO PAY, HAS RESTRICTED MEDI-CAL BENEFITS, OR IS UNDERINSURED. THESE ARE ALSO CONSIDERATIONS FOR PATIENTS WHERE THE FPG IS NOT APPLICABLE AND THE PATIENT IS INSURED WITH INADEQUATE COVERAGE OR EXCESSIVE LIABILITY.
PIH HEALTH HOSPITAL - WHITTIERPART V, SECTION B, LINE 22D: THE HOSPITAL AUTOMATICALLY EXTENDED ITS NEGOTIATED RATES OR LOWER WITH A MEDICARE ADVANTAGE PLAN TO ALL UNINSURED PATIENTS. IN ADDITION, PATIENTS ARE PROVIDED WITH FINANCIAL ASSISTANCE AND MEDI-CAL APPLICATIONS. THOSE WHO QUALIFY FOR FINANCIAL ASSISTANCE RECEIVE FURTHER REDUCTIONS TO THEIR BILL AS OUTLINED BELOW.AMOUNT OF CHARITY CARE DETERMINATION BASED ON:1) METHODOLOGY: PIH HEALTH HOSPITAL USES THE "SLIDING SCALE METHOD" TODETERMINE THE DOLLAR AMOUNT TO BE CONSIDERED AS CHARITY CARE/FINANCIALASSISTANCE FOR ELIGIBLE PATIENTS.2) CHARITY CARE: PATIENT APPLICATIONS THAT SHOW THAT FAMILY INCOME AT ORBELOW 100% OF FEDERAL POVERTY GUIDELINES (FPL) WILL BE APPROVED FORNO-COST TO THE PATIENT.3) DISCOUNTED CHARITY CARE: PATIENT APPLICATIONS THAT SHOW THAT FAMILYINCOME BETWEEN 101% AND 400% FPL WILL BE GRANTED THE LESSOR OF THESELF-PAY RATE OR THE DISCOUNT BASED ON THE PATIENT'S FPL.PATIENT LIABILITY IS BASED ON THE LESSER OF- BILLED CHARGES;- THE CASH DISCOUNT RATE (BASED ON THE RATES OF A MEDICARE ADVANTAGEAGREEMENT, OR LESS);- 10% OF THE PATIENT'S ANNUAL INCOME; OR;- THE AMOUNT OUTLINED ABOVE.
FieldValueIRS element (for citing)
Facility12FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - SAME DAY SURGERY
12415 WASHINGTON BLVDWHITTIERCA90602OUTPATIENT SURGICAL SERVICES
2 - INTERCOMMUNITY MAGNETIC RESONANCE IMAGNG
12455 WASHINGTON BLVDWHITTIERCA90602MRI SERVICES
3 - ERNEST D WELLS MEDICAL OFFICE BUILDING
12462 PUTNAM STWHITTIERCA90602OUTPATIENT SERVICES
4 - PATRICIA L SHCEIFLY BREAST HEALTH CTR
12393 WASHINGTON BLVDWHITTIERCA90602SVCS
5 - PRESBYTERIAN HEALTH MEDICAL PLAZA
12291 WASHINGTON BLVDWHITTIERCA90602WOULD HEALING, LAB DRAW STATION
6 - ARCADIA HOME HEALTH NURSING
351 E FOOTHILL BLVD SUITE 100ARCADIACA91006VISITING NURSES ASSOCIATION
7 - HOSPICE HOMES - DOVE
10736 VALLEY VIEW AVEWHITTIERCA90604HOSPICE CARE
8 - HOSPICE HOMES - ROSE
10742 VALLEY VIEW AVEWHITTIERCA90604HOSPICE CARE
9 - PIH HOME HEALTH
15050 IMPERIAL HWYLA MIRADACA90638HOME HEALTH AGENCY
10 - PRESBYTERIAN HEALTH MEDICAL PLAZA
15088 IMPERIAL HWYLA MIRADACA90638OUTPATIENT THERAPY
11 - BHP - LA MIRADA
12675 S LA MIRADA BLVD SUITE 219LA MIRADACA90638RADIOLOGY
12 - HACIENDA HEIGHTS MEDICAL OFFICE BUILDING
1850 AZUSA AVEHACIENDA HEIGHTSCA91745MAMMOGRAPHY

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6APIH HEALTH'S COMMUNITY BENEFIT REPORT FOR FISCAL YEAR 2015-2016 ACCOUNTS FOR BOTH PIH HEALTH HOSPITAL WHITTIER AND PIH HEALTH HOSPITAL DOWNEY'S PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITY.TO VIEW THE FULL REPORT, VISIT PIHHEALTH.ORG/CBANNUALREPORT
PART I, LINE 7PATIENT CARE COST-TO-CHARGES RATIO DERIVED FROM WORKSHEET 2 WAS USED TO CALCULATE THE FINANCIAL ASSISTANCE. FOR ALL OTHERS, WE UTILIZED INTERNAL COSTING SYSTEM AND ACCOUNTS FOR THE VARIOUS PAYER MIX.
PART II, COMMUNITY BUILDING ACTIVITIES:PIH HEALTH WORKS WITH A VARIETY OF COMMUNITY STAKEHOLDERS TO ENHANCE THE COLLECTIVE CAPACITY FOR ADDRESSING THE ROOT CAUSES OF HEALTH PROBLEMS. PIH HEALTH MOBILIZES ASSETS AND INVESTS RESOURCES THROUGH A VARIETY OF COMMUNITY-BUILDING ACTIVITIES DESIGNED TO ADDRESS IDENTIFIED NEEDS, INCLUDING PARTICIPATION IN A LIGHT RAIL TRANSIT COALITION AIMED TO IMPROVE PUBLIC TRANSPORTATION RESOURCES TO THE LOCAL COMMUNITY AS WELL AS PARTICIPATION ON LOCAL CHAMBER OF COMMERCE BOARDS AIMED AT IMPROVING THE ECONOMIC, CIVIC AND CULTURAL WELLBEING OF THE COMMUNITY. PIH HEALTH ALSO UNDERTAKES DISASTER PREPAREDNESS TRAINING ABOVE AND BEYOND LICENSURE REQUIREMENTS TO ENSURE WE ARE EFFECTIVELY PREPARED TO SERVE THE COMMUNITY IN A DISASTER.
PART III, LINE 2:THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE COMPANY FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE THE COMPANY ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY.
PART III, LINE 4THE COMPANY PROVIDES CARE TO PATIENTS EVEN THOUGH THEY MAY LACK ADEQUATE INSURANCE OR MAY PARTICIPATE IN PROGRAMS WITH NEGOTIATED OR REGULATED AMOUNTS. THE COMPANY MANAGES ITS COLLECTION RISK BY REGULARLY REVIEWING ITS ACCOUNTS AND CONTRACTS AND BY PROVIDING APPROPRIATE ALLOWANCES THAT ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEETS.AS PART OF THE COMPANY'S MISSION TO SERVE THE COMMUNITY, THE COMPANY PROVIDES CARE TO PATIENTS EVEN THOUGH THEY MAY LACK ADEQUATE INSURANCE OR MAY PARTICIPATE IN PROGRAMS WITH NEGOTIATED OR REGULATED PAYMENT AMOUNTS. THE COMPANY MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR CHARITY CARE UPON ADMISSION, THROUGH DETERMINATION MAY ALSO BE MADE AT A LATER TIME. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE APPLICATION OF ANY FINANCIAL, UNINSURED OR OTHER DISCOUNTS OR PAYMENTS RECEIVED ON THE ACCOUNT, AND REASONABLE EFFORTS TO COLLECT FROM PATIENT HAVE BEEN EXHAUSTED, THE COMPANY FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE COMPANY.THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECITONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE COMPANY FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE THE COMPANY ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY.
PART III, LINE 8THE COMPANY DOES NOT TAKE THE POSITION THAT MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THE STATE HAS SPECIFICALLY ASKED US TO REPORT THIS SEPARATELY FROM OUR COMMUNITY BENEFIT TOTALS. THE COMPANY USES A COST-TO-CHARGE (C2C) RATIO TO DETERMINE MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENT RECEIVED FROM MEDICARE, WHICH IS SIMILAR TO THE IRS SCHEDULE H METHOD. HOWEVER, THE PIH SYSTEM IS MORE REFINED AND EXACTING, SINCE IT IS GENERATED AT THE DEPARTMENT LEVEL AND INCLUDES BOTH DIRECT COSTS AND ALLOCATED COMPANY-WIDE INDIRECT COSTS. ALL PERIOD INDIRECT COSTS ARE ALLOCATED BETWEEN PIH DEPARTMENTS BASED ON THEIR RELATIVE GROSS CHARGES. THE SUM OF THE DIRECT AND ALLOCATED INDIRECT COSTS OF EACH DEPARTMENT ARE DIVIDED BY THE TOTAL DEPARTMENT GROSS PROCEDURE CHARGES. THE RESULTING DEPARTMENT SPECIFIC PERCENTAGE, IE. DEPARTMENT C2C %, IS LOADED INTO PIH'S ERP SOFTWARE EACH QUARTER. THE COST SYSTEM APPLIES THE DEPARTMENT'S C2C% TO ALL PROCEDURE CHARGES ORIGINATING WITHIN THE DEPARTMENT IN ORDER TO COMPUTE THE RELATED PROCEDURE COSTS. AS SUCH, ALL COST INFORMATION REFLECTED IN PIH'S REGULATORY REPORTING AND FINANCIAL ANALYSIS IS BASED ON THE ABOVE DEPARTMENT C2C METHODOLOGY.
PART III, LINE 9BTHE HOSPITAL ENCOURAGES ALL SELF-PAY PATIENTS TO APPLY FOR FINANCIAL ASSISTANCE OR OTHER PROGRAMS. 1. ALL UNINSURED PATIENTS ARE ASSUMED TO NEED FINANCIAL ASSISTANCE AND AUTOMATICALLY RECEIVE DISCOUNTED BILLS THAT REFLECT THE CONTRACT RATE OR LESS OF A MEDICARE ADVANTAGE CONTRACT.2. ALL UNINSURED PATIENTS ARE PROVIDED WITH A FINANCIAL ASSISTANCE AND MEDICAID APPLICATION AT THE TIME OF REGISTRATION THEREBY GIVING THEM THE OPPORTUNITY TO APPLY FOR ASSISTANCE. 3. THERE ARE SIGNS THROUGH THE FACILITY THAT EDUCATE PATIENTS AND VISITORS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. 4. THE HOSPITAL'S WEBSITE PUBLISHES THE FINANCIAL ASSISTANCE POLICY AND APPLICATIONS.5. SELF-PAY INPATIENTS ALSO MAY BE CONTACTED BY A VENDOR TO OFFER ASSISTANCE IN APPLYING FOR MEDICAID, IF ELIGIBLE. 6. STATEMENTS (WHICH REFLECT A REDUCTION IN CHARGES TO THE RATES AT OR LOWER THAN CONTRACTED RATES FOR MEDICARE ADVANTAGE MEMBERS) PROMOTE THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM7. ONLY PATIENTS WHO DO NOT QUALIFY FOR FURTHER FINANCIAL ASSISTANCE (AFTER DISCOUNTS) OR WHO DO NOT APPLY FOR PROGRAMS AND DO NOT PAY ARE REFERRED TO COLLECTION. IN ADDITION, IF A PATIENT IS REFERRED TO COLLECTION AND LATER APPLIES FOR CHARITY AND QUALIFIES, THE PATIENT'S ACCOUNT IS RETURNED TO THE HOSPITAL AND FINANCIAL ASSISTANCE IS EXTENDED.
PART VI, LINE 2:IN ADDITION TO THE HOSPITAL'S CHNA, PIH HEALTH UTILIZES THE FOLLOWING METHODS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES:COMMUNITY BENEFIT OVERSIGHT COMMITTEE- IN 2006, PIH HEALTH'S BOARD OF DIRECTORS ESTABLISHED THE COMMUNITY BENEFIT OVERSIGHT COMMITTEE (CBOC), WHICH IS COMPRISED OF COMMUNITY STAKEHOLDERS AND KEY PUBLIC HEALTH AND LEGISLATIVE REPRESENTATIVES. THIS COMMITTEE MEETS REGULARLY AND ITS MEMBERS SHARE HEALTHCARE-RELATED NEEDS/CONCERNS EXPERIENCED BY THE COMMUNITY MEMBERS THEY REPRESENT AS WELL AS ASSETS OR POTENTIAL PARTNERS FOR THE HOSPITAL TO ENGAGE IN ADDRESSING THE IDENTIFIED NEEDS.COMMUNITY HEALTH IMPROVEMENT TEAM- THIS INTERNAL WORK GROUP OF HOSPITAL STAFF WHO MANAGE THE HOSPITAL'S VARIOUS COMMUNITY-BASED PROGRAMS MEETS REGULARLY TO SHARE RESOURCES THAT BENEFIT COMMUNITY MEMBERS AND TO DISCUSS ANY CHALLENGES / NEEDS AS A WAY TO ENHANCE THE PROVISION OF SERVICES.PROGRAM OUTCOMES - DATA ANALYSIS- EXTENSIVE DATA COLLECTION IS DONE FOR PIH HEALTH'S KEY COMMUNITY-BASED PROGRAMS. THIS DATA IS SUMMARIZED AND EVALUATED REGULARLY BY PROGRAM MANAGEMENT, CBOC MEMBERS, AND HOSPITAL LEADERSHIP. CHNA DATA DRIVES PROGRAM IMPROVEMENTS TO MAXIMIZE IMPACT AND MORE DIRECTLY MEET COMMUNITY NEEDS. FEEDBACK FROM COMMUNITY ORGANIZATIONS / COLLABORATIVESTHROUGH PARTICIPATION IN VARIOUS COMMUNITY COLLABORATIVES AND NETWORKING MEETINGS, PIH HEALTH IS ABLE TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITY AND IDENTIFY PARTNERSHIP OPPORTUNITIES.
PART VI, LINE 3:THERE ARE MANY AVENUES PIH HEALTH TAKES IN EDUCATING PATIENTS AND FAMILY MEMBERS ABOUT THE VARIOUS FINANCIAL ASSISTANCE PROGRAMS. PATIENTS ARE ADVISED AT THE TIME OF SERVICE, DURING IN-HOUSE CARE AND POST DISCHARGES. FREE HANDOUTS OF THE FAP APPLICATION ARE PROVIDED IN BOTH ENGLISH AND SPANISH. THERE ARE POSTINGS THROUGHOUT THE HOSPITAL IN BOTH ENGLISH AND SPANISH WITH INFORMATION ABOUT OUR FAP PROGRAM. WE HAVE AN ELIGIBILITY VENDOR THAT IS CONVENIENTLY AVAILABLE TO ASSIST OUR PATIENTS IN THE EMERGENCY ROOM OR IN-HOUSE PATIENTS WITH DETERMINING ELIGIBILITY FOR VARIOUS GOVERNMENTAL PROGRAMS, AS WELL AS ADVISE AND ASSIST THE PATIENT WITH THE FAP. POST DISCHARGE, OUR BUSINESS OFFICE STAFF TAKES THE INITIATIVE TO ADVISE THE PATIENT OF OUR FAP PROGRAM. ALSO, WITH EACH PATIENT STATEMENT THAT IS SENT OUT, THE FAP PROGRAM IS PRINTED ON THE BACK OF THE STATEMENT. PIH'S FAP IS ALSO PUBLISHED ON OUR WEBSITE.
PART VI, LINE 4:PIH HEALTH HOSPITAL - WHITTIER SERVES AN URBAN GEOGRAPHY IN THE SOUTHEAST PORTION OF LOS ANGELES COUNTY, CALIFORNIA, WITHIN SERVICE PLANNING AREA 7 (SPA 7). PRIMARY SERVICE AREA CITIES INCLUDE:DOWNEY 90241HACIENDA HEIGHTS 91745LA HABRA 90631LA HABRA HEIGHTS 90631LA MIRADA 90638LA PUENTE 91744MONTEBELLO 90640NORWALK 90650PICO RIVERA 90660ROWLAND HEIGHTS 91748SANTA FE SPRINGS 90670WALNUT 91789WHITTIER 90601-90606PRIMARY SERVICE AREA PROFILETHE POPULATION FOR PIH HEALTH HOSPITAL - WHITTIER'S PRIMARY SERVICE AREA IS 822,408. POPULATION DEMOGRAPHICS: CHILDREN AND YOUTH (AGES 0-19) MAKE UP 27.9% OF THE POPULATION; OLDER ADULTS (AGES 65+) MAKE UP 12.2% OF THE POPULATION. THE LARGEST POPULATION BY RACE AND ETHNICITY IN THE SERVICE AREA IS HISPANIC OR LATINO (65.1%). WHITE/CAUCASIANS MAKE UP 16.1% OF THE POPULATION. ASIANS COMPRISE 15.5% OF THE POPULATION, AND AFRICAN AMERICANS, NATIVE AMERICANS, HAWAIIANS, AND OTHER RACES COMBINED TOTAL 3.3% OF THE POPULATION. INCOME & POVERTY: THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA RANGES FROM $47,438 IN MONTEBELLO TO $91,623 IN WALNUT. SOME 11.6% OF THE SERVICE AREA POPULATION LIVES BELOW 100% OF THE FEDERAL POVERTY LEVEL AND 33.5% LIVE BELOW 200%. HEALTH INSURANCE: 79.1% OF THE SERVICE AREA IS INSURED, 90.9% OF CHILDREN UNDER 18 ARE INSURED AND 71% OF ADULTS AGES 18-64 ARE INSURED. IN SPA 7, 30.7% ARE MEDI-CAL RECIPIENTS.THERE ARE SEVEN OTHER HOSPITALS PROVIDING CARE IN THE SERVICE AREA POPULATION AND NO FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS PRESENT IN THE SERVICE AREA. FOR ADDITIONAL DATA REGARDING THE SERVICE AREA, PLEASE SEE THE CHNA AT PIHHEALTH.ORG/CHNA
PART VI, LINE 5:IN 2006, PIH HEALTH'S BOARD OF DIRECTORS ESTABLISHED THE COMMUNITY BENEFIT OVERSIGHT COMMITTEE (CBOC), COMPRISED OF COMMUNITY STAKEHOLDERS AND A PUBLIC HEALTH REPRESENTATIVE. THE CBOC PROMOTES THE HEALTH OF THE COMMUNITY BY 1) REVIEWING AND VALIDATING LEGAL AND REGULATORY COMPLIANCE WITH RESPECT TO COMMUNITY BENEFIT MANDATES, 2) REVIEWING AND VALIDATING THAT PIH HEALTH'S COMMUNITY BENEFIT PROGRAMS AND SERVICES EFFECTIVELY MEET IDENTIFIED COMMUNITY HEALTH NEEDS, WITH EMPHASIS ON VULNERABLE POPULATIONS, AS AN ESSENTIAL EXPRESSION OF PIH HEALTH'S CHARITABLE MISSION AND 3) INCREASING PUBLIC AWARENESS OF COMMUNITY BENEFIT ACTIVITIES AND COMMUNITY VALUE.
PART VI, LINE 6:HOSPITAL AFFILIATES INCLUDE: 1) PIH HEALTH, INC., PIH HEALTH'S PARENT COMPANY; 2) PIH HEALTH HOSPITAL - DOWNEY; 3) PIH HEALTH PHYSICIANS (PHP), A NONPROFIT MEDICAL FOUNDATION; AND 4) THE PIH HEALTH FOUNDATION, A NONPROFIT ORGANIZATION THAT EXISTS TO RAISE PHILANTHROPIC FUNDS IN SUPPORT OF PIH'S CHARITABLE MISSION PIH HEALTH, INC. PROVIDES TECHNICAL, FACILITY AND SUPPORT SERVICES FOR TAX-EXEMPT AFFILIATES WHOSE CHARITABLE PURPOSE IS TO PROVIDE A BROAD RANGE OF HEALTHCARE SERVICES TO THEIR COMMUNITY BY WAY OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM.PIH HEALTH HOSPITAL - DOWNEY, FORMERLY KNOWN AS DOWNEY REGIONAL MEDICAL CENTER, IS PART OF THE PIH HEALTH INTEGRATED HEALTHCARE SYSTEM. PIH HEALTH HOSPITAL - DOWNEY IS A NONPROFIT HOSPITAL WITH A RICH, 90-YEAR HISTORY OF MEETING THE HEALTHCARE NEEDS OF ITS COMMUNITY AND ESTABLISHING A VISION OF "PATIENTS FIRST." THE DOWNEY CAMPUS IS PROUD TO PROVIDE KEY SERVICES AND NEW TECHNOLOGIES AS PART OF PIH HEALTH'S INTEGRATED HEALTHCARE SYSTEM.PHP SUPPORTS THE LOCAL COMMUNITY THROUGH ITS FINANCIAL ASSISTANCE PROGRAM, WHITTIER FIRST DAY HEALTH & WELLNESS CENTER FOR THE HOMELESS AND THOSE AT-RISK FOR HOMELESSNESS, HEALTH PROFESSIONS EDUCATION, AND OTHER COMMUNITY HEALTH IMPROVEMENT SERVICES. THE PIH HEALTH FOUNDATION'S HEALTHY LIVING & HEALTHY GIVING PHILANTHROPIC EFFORT RAISES FUNDS IN SUPPORT OF PIH HEALTH TO ENSURE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES FOR YEARS TO COME THROUGH SUPPORTING PROGRAMS THAT DIRECTLY IMPACT THE COMMUNITY, INCLUDING PIH HEALTH'S COMMUNITY BENEFIT PROGRAMS. HEALTHY LIVING & HEALTHY GIVING IS AN OPPORTUNITY FOR EVERYONE TO PLAY A ROLE IN THE OVERALL HEALTH OF THEIR FRIENDS, FAMILY, NEIGHBORS AND EVERYONE WHO LIVES, WORKS, LEARNS AND PLAYS IN OUR COMMUNITY. GIFTS - BIG, SMALL AND ALL & WILL SUPPORT PIH HEALTH'S WORK TO PROVIDE ACCESS TO QUALITY HEALTHCARE, SCREENINGS, PREVENTATIVE CARE, PREVENTION-FOCUSED EDUCATION AND OTHER IMPORTANT INITIATIVES. FOR DETAILED INFORMATION REGARDING THESE PIH HEALTH AFFILIATES' ADDITIONAL ACTIVITIES TO SUPPORT AND PROMOTE COMMUNITY HEALTH, PLEASE SEE EACH RESPECTIVE ORGANIZATION'S IRS FORM 990.
PART VI, LINE 7, REPORTS FILED WITH STATESCA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
BOYS & GIRLS CLUB OF WHITTIER
7905 GREENLEAF AVEWHITTIERCA90602956151763501(C)(3)$21,600GENERAL SUPPORT
WHITTIER COMMUNITY FOUNDATION
13230 PENN STREETWHITTIERCA90602830450823501(C)(3)$13,320GENERAL SUPPORT
WHITTIER AREA FIRST DAY COALITION
12426 WHITTIER BLVDWHITTIERCA90602931141844501(C)(3)$5,350GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient35RecipientCnt
Cash Grant$87,500CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationPIH PROVIDES FINANCIAL ASSISTANCE TO BOTH NOT-FOR-PROFIT ORGANIZATIONS AND INDIVIDUALS BASED ON 1) CHARITABLE MISSION OR PURPOSE OF THE CHARITABLE ORGANIZATION AND ITS ALIGNMENT WITH PIH'S MISSION, VALUES AND OBJECTIVES AND/OR 2) IDENTIFIED INDIVIDUAL NEED FOR HEALTH-RELATED SERVICES. FOR CONTRIBUTIONS MADE TO CHARITABLE ORGANIZATIONS, PIH ADOPTED A POLICY WHICH GUIDES THE PROCESS BY WHICH FUNDS ARE GRANTED TO ENSURE THAT PIH IS A GOOD STEWARD OF ITS RESOURCES AS A FEDERALLY REGISTERED 501(C)(3) NOT-FOR-PROFIT ENTITY. TO ENSURE ACCURATE COMMUNITY BENEFIT REPORTING, THIS POLICY ALSO SETS FORTH THAT DIRECT CONTRIBUTIONS MADE TO COMMUNITY ORGANIZATIONS MUST BE APPROPRIATELY CLASSIFIED AS EITHER A) COMMUNITY BENEFIT OR B) COMMUNITY RELATIONS/MARKETING CONTRIBUTIONS. IN COMPLIANCE WITH THIS POLICY, INFORMATION IS GATHERED FROM THE GRANTEE REGARDING THE INTENDED USE OF FUNDS AND THE PERCENT OF GRANTED FUNDS THAT WILL GO TOWARDS SUPPORTING THE ORGANIZATION'S MISSION. FOR CONTRIBUTIONS MADE TO INDIVIDUALS, PIH HAS ESTABLISHED A DEDICATED BUDGET WHICH SUBSIDIZES VITAL ASSISTANCE SUCH AS PURCHASE OF DURABLE MEDICAL EQUIPMENT OR NON-ACUTE CARE NOT COVERED BY INSURANCE UPON HOSPITAL DISCHARGE, INCLUDING PAID PLACEMENT IN SKILLED NURSING OR MENTAL HEALTH FACILITIES. IN THESE INSTANCES, A SPECIFIC SERVICE IS BEING PURCHASED AND RECEIPT OF PROPER SERVICE IS ENSURED THROUGH FOLLOW-UP BY PIH DISCHARGE PLANNERS OR SOCIAL WORKERS.ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SUDHAKER NAYAK MD
DIRECTOR$148,050$1,580,891$0$169,651$0$0$0$23,165$0$19,961$148,050$1,793,668$0$0
NEAL SHINDEL MD
DIRECTOR$0$976,268$0$152,205$0$0$0$23,165$0$18,066$0$1,169,704$0$0
JAMES WEST
PRESIDENT/CEO$979,845$0$0$0$453,239$0$189,956$0$21,911$0$1,644,951$0$0$0
PEGGY CHULACK
CHIEF ADMIN OFFICER$500,906$0$0$0$83,560$0$83,031$0$7,451$0$674,948$0$0$0
GREG WILLIAMS
CFO$204,385$0$0$0$2,550$0$33,208$0$7,223$0$247,366$0$0$0
ROSALIO LOPEZ MD
SR VP & CMO/CSO$555,660$0$0$0$184,569$0$81,662$0$14,702$0$836,593$0$0$0
REANNA THOMPSON
COO/CNO$410,832$0$0$0$7,960$0$82,379$0$0$0$501,171$0$0$0
DAVID KLINGER
SR VP FAC & REAL ESTATE$333,270$0$0$0$109,546$0$87,749$0$0$0$530,565$0$0$0
DAVIS LEE
CHIEF MED INFO OFFICER$365,742$0$0$0$67,120$0$63,852$0$19,935$0$516,649$0$0$0
SHERREL HOLLINGSWORTH
CHIEF HR OFFICER$306,435$0$0$0$59,890$0$74,274$0$22,417$0$463,016$0$0$0
RONALD YOSHIHARA
VP FINANCE & ANALYTICS$261,316$0$1$0$48,357$0$60,451$0$12,660$0$382,785$0$0$0
PERRY EBELTOFT
VP ANCILLARY SVS$245,184$0$0$0$34,978$0$33,675$0$21,267$0$335,104$0$0$0
JUDY PUGACH
VP QUALITY CONTROL$253,104$0$0$0$62,231$0$39,000$0$6,956$0$361,291$0$0$0
SUSANNE CARLSON
VP REV CYC & MGD CARE$224,943$0$0$0$7,171$0$56,886$0$6,956$0$295,956$0$0$0
ROWENA STAJER
VP CARE COORD$192,172$0$0$0$8,244$0$12,275$0$16,823$0$229,514$0$0$0
JOAN ROLLAND
ADM ED/DISASTER SV$180,550$0$0$0$73,704$0$40,482$0$15,623$0$310,359$0$0$0
ANUP PATEL
VP ENT RSK MGMT & CORP COMP$192,758$0$0$0$12,187$0$31,467$0$0$0$236,412$0$0$0
DEBRA LEGAN
VP MKTG & PLANNING$295,571$0$0$0$6,398$0$63,623$0$12,062$0$377,654$0$0$0
SCOTT BREMER
DIR COMP, BENEF & HRIS$212,103$0$0$0$414$0$7,904$0$23,417$0$243,838$0$0$0
JUDY CHIN
INFECT DISEASE PHARM$202,197$0$0$0$0$0$11,397$0$6,426$0$220,020$0$0$0
JACQUELYN CITUK
EXEC DIR PHARM$254,033$0$0$0$260$0$10,078$0$6,493$0$270,864$0$0$0
JUNG HO
MEDICAL PHYSICIST$262,371$0$0$0$0$0$15,718$0$13,402$0$291,491$0$0$0
JEAN MCCULLEN
DIR PTNT SVC$298,796$0$0$0$2,285$0$14,846$0$6,801$0$322,728$0$0$0
MITCHELL THOMAS
CFO - FORMER$0$0$0$0$0$447,624$0$13,379$0$23,368$0$484,371$0$0
GARY KOGER
CFO - FORMER$0$0$0$0$146,859$0$0$0$0$0$146,859$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINES 4A-BFormAndLineReferenceDesc
ExplanationPART I, LINE 4A: IN 2015, A SEVERANCE PAYMENT OF $440,436 WAS MADE TO MITCHELL THOMAS. PART I, LINE 4B: IHC AND ITS AFFILIATES PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR CERTAIN EXECUTIVES. THE FOLLOWING INDIVIDUALS PARTICIPATE IN THE PLAN: JAMES WEST PEGGY CHULACK GREGORY WILLIAMS PERRY EBELTOFT SHERREL HOLLINGSWORTH DAVIS LEE DEBRA LEGAN ROSALIO LOPEZ ANUP PATEL JUDY PUGACH JOAN ROLLAND ROWENA STAJER REANNA THOMPSON RON YOSHIHARA DAVID KLINGER THE FOLLOWING AMOUNTS BECAME VESTED OR WERE PAID-OUT IN 2015 AND ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III): PEGGY CHULACK $76,508 JAMES WEST $437,922 RON YOSHIHARA $39,199 ROSALIO LOPEZ $173,064 DAVID KLINGER $101,303 DAVIS LEE $60,244 SHERREL HOLLINGSWORTH $53,116 PERRY EBELTOFT $27,886 JUDY PUGACH $54,242 JOAN ROLLAND $65,233 ANUP PATEL $5,565ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$198,420,000$280,328,878$5,804,799$2,416,738$1,087,414$1,337,383$269,687,3442013Yes (1)0Yes (1)Yes (1)
B$2,880,000$40,828,054$816,561$40,011,493201300Yes (1)Yes (1)
C$148,000,000$148,000,000Yes (1)0Yes (1)Yes (1)
D$106,612,491$1,880,505$6,854,015$97,877,9712014Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2JANE DICUS HAS A BUSINESS RELATIONSHIP WITH ROSALIO LOPEZ, MD.
FORM 990, PART VI, SECTION A, LINE 6PIH HEALTH, INC. IS THE SOLE MEMBER OF PIH HEALTH HOSPITAL - WHITTIER.
FORM 990, PART VI, SECTION A, LINE 7APIH HEALTH, INC. HAS AUTHORITY TO ELECT ALL THE MEMBERS OF THE BOARD OF DIRECTORS OF PIH HEALTH HOSPITAL - WHITTIER.
FORM 990, PART VI, SECTION A, LINE 7BPIH HEALTH, INC. HAS ALL VOTING RIGHTS AND THE POWER TO ELECT THE BOARD OF DIRECTORS OF PIH HEALTH HOSPITAL - WHITTIER.
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION, WHICH IS MADE UP OF INDEPENDENT DIRECTORS. THE FORM 990 IS THEN PROVIDED TO THE BOARD FOR ITS INFORMATION.
FORM 990, PART VI, SECTION B, LINE 12CEACH YEAR, ALL MANAGEMENT AND BOARD OF DIRECTORS MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. ALL POSITIVE RESPONSES ARE REVIEWED BY THE COMPLIANCE OFFICER. EACH POSITIVE RESPONSE IS CONSIDERED IN LIGHT OF MAGNITUDE OF OWNERSHIP INTEREST, FINANCIAL TRANSACTION(S), ETC. IF DEEMED NECESSARY, CONFLICTS OF INTEREST COULD BE RESOLVED BY INSISTING THAT THE INCUMBENT EITHER DIVEST THEIR OWNERSHIP INTEREST, THAT THE ORGANIZATION TERMINATE THE BUSINESS RELATIONSHIP, OR EVEN THAT THE DIRECTOR RESIGN. DIRECTORS WITH POTENTIAL CONFLICTS OF INTEREST MAY RECUSE THEMSELVES FROM VOTING ON CERTAIN MATTERS AND/OR MAY EXCUSE THEMSELVES FROM MEETINGS DURING THE DISCUSSION, DELIBERATION, AND VOTING ON OF MATTERS.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S EXECUTIVE COMPENSATION COMMITTEE ENGAGES AN INDEPENDENT, THIRD-PARTY, EXPERT COMPENSATION CONSULTANT TO REVIEW ITS EXECUTIVE SALARIES. THE CONSULTANT OBTAINS SPECIFIC ORGANIZATIONAL DATA FROM WHICH TO BASE ITS ANALYSIS (REVENUES, EXPENSES, EMPLOYEES, SERVICE AREA, JOB DESCRIPTIONS, ETC.). THE CONSULTANT'S ANALYSIS INCLUDES A REVIEW OF COMPENSATION TRENDS, REGULATORY ISSUES, THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY, THE METHODOLOGY USED FOR THE ASSESSMENT, THE BASE SALARY ANALYSIS, THE INCENTIVE COMPENSATION ANALYSIS, THE TOTAL CASH COMPENSATION ANALYSIS, AND THE TOTAL COMPENSATION ANALYSIS. SALARY MOVEMENT, INCENTIVE COMPENSATION, MARKET BENEFIT, AND RECRUITMENT AND RETENTION TRENDS ARE REVIEWED. THIS ANALYSIS IS PROVIDED TO THE ORGANIZATION'S EXECUTIVE COMPENSATION COMMITTEE, WHICH IS COMPRISED OF INDEPENDENT DIRECTORS. THE EXECUTIVE COMPENSATION COMMITTEE HAS APPROVED A REGIONAL PEER GROUP THAT INCLUDES HIGH-PERFORMING, COMPARABLY-SIZED CALIFORNIA HOSPITALS AND HEALTH SYSTEMS. THE CONSULTANT COMPILES COMPARABILITY DATA FROM NATIONAL AND REGIONAL PEERS; COMPARES THE ORGANIZATION'S EXECUTIVE COMPENSATION WITH PEER GROUP COMPENSATION LEVELS; AND PREPARES A REPORT THAT INCLUDES ALL OF THE BACK-UP DATA ON COMPARABILITY, PEER GROUPS, AND JOB MATCHES. THE METHODOLOGY USED BY THE CONSULTANT INCLUDES TWO PEER GROUPS: A NATIONAL PEER GROUP OF COMPARABLY-SIZED HOSPITALS AND SINGLE HOSPITAL SYSTEMS AND A REGIONAL PEER GROUP OF HOSPITALS AND SYSTEMS IN SOUTHERN CALIFORNIA, THE DATA OF WHICH IS PROVIDED TO THE COMMITTEE IN ITS REPORT. THE NATIONAL DATA IS USED AS THE PRIMARY COMPARATOR FOR THE ANALYSIS. THE COMMITTEE IS PRESENTED WITH CHARTS THAT COMPARE ORGANIZATION SALARIES TO THE LEVEL TARGETED IN THE COMPENSATION PHILOSOPHY. NEITHER PERFORMANCE NOR QUALIFICATIONS OF THE INCUMBENT IS CONSIDERED WHEN PROVIDING THE MARKET DATA. THE COMMITTEE IS PROVIDED WITH A REVIEW OF THE BASE SALARY ANALYSIS, A REVIEW OF THE INCENTIVE COMPENSATION ANALYSIS, A REVIEW OF THE TOTAL CASH COMPENSATION ANALYSIS (BASE SALARY PLUS INCENTIVE), AND A REVIEW OF THE TOTAL COMPENSATION ANALYSIS (BASE SALARY PLUS INCENTIVE PLUS BENEFITS/PERQUISITES). BASED UPON ALL OF THE ABOVE INFORMATION, THE CONSULTANT PROVIDES THE COMMITTEE WITH RECOMMENDED SALARY RANGES FOR THE PERIOD ASSESSED. THE EXECUTIVE COMPENSATION COMMITTEE DELIBERATES ON THE COMPARABILITY DATA TO ENSURE THAT IT IS APPROPRIATE IN REPRESENTING LIKE ORGANIZATIONS, LIKE POSITIONS, AND LIKE CIRCUMSTANCES, AND THAT IT COULD REALISTICALLY RELY ON THE COMPARABILITY DATA IN REACHING ITS DECISION THAT THE COMPENSATION IS REASONABLE AND REPRESENTS FAIR MARKET VALUE FOR SERVICES RENDERED. THE EXECUTIVE COMPENSATION COMMITTEE AFFIRMS THIS PROCESS TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990 AND FORM 990-T ARE AVAILABLE UPON REQUEST. THE ORGANIZATION IS NOT REQUIRED TO MAKE FORM 1023 AVAILABLE FOR PUBLIC INSPECTION AS IT RECEIVED ITS TAX EXEMPTION PRIOR TO JULY 15, 1987.
FORM 990, PART IX, LINE 11GPROFESSIONAL FEES - PHYSICIANS: PROGRAM SERVICE EXPENSES 30,032,137. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,032,137. PROFESSIONAL FEES - OTHER: PROGRAM SERVICE EXPENSES 14,167,061. MANAGEMENT AND GENERAL EXPENSES 5,995,638. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,162,699. PROFESSIONAL FEES - OTHER: PROGRAM SERVICE EXPENSES 13,152,515. MANAGEMENT AND GENERAL EXPENSES 2,250,101. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,402,616.
FORM 990, PART XI, LINE 9:CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -13,446,274. PENSION ADJUSTMENTS -21,257,744. EQUITY TRANSFER TO PIH HEALTH PHYSICIANS -34,000,000. EQUITY TRANSFER TO HEALTHCARE SOLUTIONS -1,800,000.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line112401 WASHINGTON BLVDAddressLine1Txt
CityWHITTIERCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90602ZIPCd
FieldValueIRS element (for citing)
EIN264390142EIN
Primary ActivitiesPHARMACYPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Total Income$6,980,369TotalIncomeAmt
End Of Year Assets$841,580EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
PIH HEALTH FOUNDATION
12401 WASHINGTON BLVDWHITTIERCA90602953761274FUNDRAISINGCA501(C)(3)LINE 7PIH HEALTH INCYes (1)
PIH HEALTH MANAGEMENT CORP
12401 WASHINGTON BLVDWHITTIERCA90602954016278SUPPORT OF TAX-EXEMPT AFFILIATESCA501(C)(3)LINE 11A, IPIH HEALTH INCYes (1)
PIH HEALTH HOME HEALTHCARE
12401 WASHINGTON BLVDWHITTIERCA90602953036281HEALTHCARECA501(C)(3)LINE 9PIH HEALTH INCYes (1)
PIH HEALTH INC
12401 WASHINGTON BLVDWHITTIERCA90602953619388SUPPORT OF TAX-EXEMPT AFFILIATESCA501(C)(3)LINE 11A, I0
PIH HEALTH ADULT DAY HEALTHCARE
12401 WASHINGTON BLVDWHITTIERCA90602953643829HEALTHCARECA501(C)(3)LINE 9PIH HEALTH INCYes (1)
PIH HEALTH PHYSICIANS
12401 WASHINGTON BLVDWHITTIERCA90602953942828HEALTHCARECA501(C)(3)LINE 9PIH HEALTH INCYes (1)
PIH HEALTH HOSPITAL - DOWNEY
11500 BROOKSHIRE AVENUEDOWNEYCA90241951903935HEALTHCARECA501(C)(3)LINE 3PIH HEALTH INCYes (1)
MEMORIAL TRUST FOUNDATION OF DOWNEY REGIONAL MEDICAL CENTER
11500 BROOKSHIRE AVENUEDOWNEYCA90241203883428FUNDRAISINGCA501(C)(3)LINE 11A, IPIH HEALTH INCYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
PIH INSURANCE CO A RECIPROCAL RISK RETENTION GROUP
1003 BISHOP STREETHONOLULUHI96813263760243CAPTIVE INSURANCEHIPIH HEALTH INCYes (1)
PIH HEALTH CARE SOLUTIONS
6557 GREENLEAF AVENUEWHITTIERCA90601462072342HEALTHCARECAPIH HEALTH INCYes (1)
DRMC PROPERTIES
11500 BROOKSHIRE AVENUEDOWNEYCA90241954769768REAL ESTATECADRMC INCYes (1)
PIH HEALTH RE
1003 BISHOP STREETHONOLULUHI96813472501390CAPTIVE INSURANCEHIPIH HEALTH INCYes (1)
HEALTHMED SERVICES INC
12401 WASHINGTON BLVDWHITTIERCA90602300831225HEALTHCARECAPIH HEALTH INCYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PIH HEALTH PHYSICIANS
B$34,000,000FMV
PIH HEALTH PHYSICIANS
P$4,597,304FMV
PIH HEALTH INC
K$4,119,504FMV
PIH INSURANCE COMPANY
R$2,226,301FMV
PIH HEALTH FOUNDATION
C$1,880,468FMV
PIH HEALTH MANAGEMENT CORP
M$777,946FMV

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.