PIH HEALTH WHITTIER HOSPITAL: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- PIH HEALTH WHITTIER HOSPITAL (EIN 95-1934652)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-05
- IRS object ID
- 201602189349301295
- Schema version
- 2014v6.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-05T20:18:29-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 655 WEST BROADWAY SUITE 700 | AddressLine1Txt |
| City | SAN DIEGO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 921018590 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951934652 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRESBYTERIAN INTERCOMMUNITY HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PRES | BusinessNameControlTxt |
| Phone | 5626980811 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12401 WASHINGTON BOULEVARD | AddressLine1Txt |
| City | WHITTIER | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90602 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREG WILLIAMS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5626980811 | PhoneNum |
| Signature | 2016-08-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN W SADOFF JR | PreparerPersonNm |
| PTIN | P00540589 | PTIN |
| Phone | 6192326500 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GREG WILLIAMS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12401 WASHINGTON BOULEVARD | AddressLine1Txt |
| City | WHITTIER | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $675,435,214 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1954 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE QUALITY HEALTHCARE AND CONTRIBUTE TO THE COMMUNITY'S HEALTH AND WELL-BEING. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 3610 | TotalEmployeeCnt |
| Total Volunteers | 836 | TotalVolunteersCnt |
| Total Gross UBI | $149,551 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $52,311 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,678,359 | PYContributionsGrantsAmt |
| CY Contributions Grants | $676,044 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $502,271,574 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $588,377,410 | CYProgramServiceRevenueAmt |
| PY Investment Income | $13,007,876 | PYInvestmentIncomeAmt |
| CY Investment Income | $20,510,052 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,005,320 | PYOtherRevenueAmt |
| CY Other Revenue | $3,436,529 | CYOtherRevenueAmt |
| PY Total Revenue | $524,963,129 | PYTotalRevenueAmt |
| CY Total Revenue | $613,000,035 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $403,635 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $243,925 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $256,728,932 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $252,497,159 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $250,124,752 | PYOtherExpensesAmt |
| CY Other Expenses | $283,201,111 | CYOtherExpensesAmt |
| PY Total Expenses | $507,257,319 | PYTotalExpensesAmt |
| CY Total Expenses | $535,942,195 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $17,705,810 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $77,057,840 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,176,266,823 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,187,500,732 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $616,329,469 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $642,416,176 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $559,937,354 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $545,084,556 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MISSION: WHY WE ARE HERE: WE PROVIDE HIGH QUALITY HEALTHCARE WITHOUT DISCRIMINATION, AND CONTRIBUTE TO THE HEALTH AND WELL-BEING OF OUR COMMUNITIES IN AN ETHICAL, SAFE, AND FISCALLY PRUDENT MANNER IN RECOGNITION OF OUR CHARITABLE PURPOSE. VISION: WHERE WE WANT TO BE: WE WILL ACHIEVE EXCELLENCE IN EVERYTHING WE DO. VALUES: OUR PROMISE: OUR PATIENTS' SAFETY, WELL-BEING, AND MEDICAL CONDITION WILL BE OUR PRIMARY CONCERN AT ALL TIMES. WE WILL CONSISTENTLY DEMONSTRATE RESPECT AND COMPASSION FOR THE BELIEFS, SITUATION, AND NEEDS OF OUR PATIENTS AND CO-WORKERS. WE WILL STRIVE TO ANTICIPATE NEEDS AND RESPOND IN A TIMELY WAY TO MEET OR EXCEED THE EXPECTATIONS OF OTHERS. OUR ATTITUDE AND ACTIONS WILL REFLECT THE HIGHEST ETHICAL AND MORAL STANDARDS. WE WILL WORK TOGETHER - WITHIN AND OUTSIDE THE ORGANIZATION - TO SOLVE PROBLEMS AND PURSUE OPPORTUNITIES IN CREATIVE WAYS. WE WILL SERVE THE COMMUNITY WISELY THROUGH THE EFFICIENT AND PRUDENT USE OF OUR FINANCIAL RESOURCES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $324,205,678 | ExpenseAmt |
| Grant | $243,925 | GrantAmt |
| Revenue | $482,462,600 | RevenueAmt |
| Desc | PATIENT 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, PEDICATRIC 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 2014EMPLOYEES....3,610VOLUNTEERS.......836NUMBER OF EMERGENCY DEPARTMENT (ED) VISITS....76,651NUMBER OF BIRTHS........4,214MEDICAL STAFF.....522 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $124,765,398 | ExpenseAmt |
| Revenue | $106,152,506 | RevenueAmt |
| Desc | FINANCIAL 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: 40,236FOR ADDITIONAL INFORMATION, PLEASE REFER TO PIH HEALTH'S COMMUNITY BENEFIT REPORT AT PIHHEALTH.ORG/CBANNUALREPORT | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $13,983,270 | ExpenseAmt |
| Revenue | $1,933,257 | RevenueAmt |
| Desc | 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, MOBILE HEALTH SERVICES, 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 18,000 COMMUNITY MEMBERS WERE REACHED THROUGH A VARIETY OF HEALTH EDUCATION PROGRAMS OFFERED ON A VARIETY OF TOPICS (CHILDBIRTH PREPARATION, NUTRITION, PREVENTION AND MANAGEMENT OF CANCER, HEART DISEASE AND DIABETES). - THE HEALTHY LOS NIETOS SCHOOL-BASED WELLNESS PROGRAM AIMED AT IMPROVING HEALTHY BEHAVIORS IN THE LOS NIETOS COMMUNITY SAW AN AVERAGE OF 80% INCREASE IN KNOWLEDGE AFTER HEALTH EDUCATION. - THE DIABETES EDUCATION CENTER PROVIDED EDUCATION, SUPPORT AND FOLLOW-UP SERVICES TO ACCOMMODATE OVER 1,746 VISITS, WITH DIABETES SELF-MANAGEMENT PARTICIPANTS REDUCING BLOOD SUGAR CONCENTRATIONS BY AN AVERAGE OF 23%.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 760 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 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: - 12 CLINICAL TRIALS WERE OFFERED FOR APPROXIMATELY 80 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: - 85 AT-RISK INDIVIDUALS WERE PROVIDED WITH IN-KIND DURABLE MEDICAL EQUIPMENT OR SERVICES, SUCH AS SKILLED NURSING OR MENTAL HEALTHCARE. - MORE THAN $91,000 IN CASH DONATIONS WERE GIVEN TO 31 ORGANIZATIONS TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT.TOTAL NUMBER OF PERSONS SERVED BY ALL CATEGORIES: 52,241FOR ADDITIONAL INFORMATION, PLEASE REFER TO PIH HEALTH'S COMMUNITY BENEFIT REPORT AT PIHHEALTH.ORG/CBANNUALREPORT | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $462,954,346 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 230 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3610 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREG WILLIAMS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5626980811 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12102 WASHINGTON BLVD | AddressLine1Txt |
| City | WHITTIER | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90606 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| EFRAIN ACEVES | ||||||||||
| SECRETARY & DIRECTOR | 1.50 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DONALD ALVARADO | ||||||||||
| DIRECTOR | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD ATWOOD | ||||||||||
| VICE CHAIR & DIRECTOR | 1.50 | 4.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JAMES BALL | ||||||||||
| DIRECTOR | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAULA COWAN | ||||||||||
| DIRECTOR | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| JANE DICUS | ||||||||||
| TREASURER & DIRECTOR | 1.50 | 4.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| J PATRICK DROHAN | ||||||||||
| DIRECTOR | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| LEON M N GARCIA | ||||||||||
| DIRECTOR | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| FRANK GOMEZ PHD | ||||||||||
| DIRECTOR | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS KING | ||||||||||
| DIRECTOR | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| ANGEL MUNOZ | ||||||||||
| DIRECTOR | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| SUDHAKER NAYAK MD | ||||||||||
| DIRECTOR | 9.00 | 40.00 | Yes (X) | $0 | $1,662,803 | $0 | ||||
| PARESH PATEL MD | ||||||||||
| DIRECTOR (THROUGH 01/12/15) | 1.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| NORMA PROVENCIO | ||||||||||
| DIRECTOR | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| C WAYNE RAY MD | ||||||||||
| DIRECTOR | 1.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| NEAL SHINDEL MD | ||||||||||
| DIRECTOR | 1.50 | 40.00 | Yes (X) | $0 | $916,428 | $0 | ||||
| DREW SONES | ||||||||||
| DIRECTOR | 1.50 | 4.50 | Yes (X) | $0 | $0 | $0 | ||||
| KENTON WOODS | ||||||||||
| CHAIRMAN & DIRECTOR | 1.50 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| HUEY-MIN YU | ||||||||||
| DIRECTOR | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES WEST | ||||||||||
| PRESIDENT AND CEO | 30.00 | 17.60 | Yes (X) | $1,773,004 | $0 | $16,818 | ||||
| PEGGY CHULACK | ||||||||||
| CAO | 30.00 | 17.60 | Yes (X) | $634,660 | $0 | $6,119 | ||||
| ROSALIO LOPEZ MD | ||||||||||
| CMO/SR VP | 40.00 | 4.50 | Yes (X) | $729,949 | $0 | $11,713 | ||||
| REANNA THOMPSON | ||||||||||
| COO/CNO | 40.00 | 1.50 | Yes (X) | $545,273 | $0 | $0 | ||||
| GREG WILLIAMS | ||||||||||
| CFO | 30.00 | 17.60 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID KLINGER | ||||||||||
| VP FACILITIES | 40.00 | 0.00 | $534,795 | $0 | $17,500 | Yes (X) | ||||
| RONALD YOSHIHARA | ||||||||||
| VP FINANCE & ANL | 40.00 | 3.10 | $376,972 | $0 | $27,497 | Yes (X) | ||||
| DAVIS LEE | ||||||||||
| CMIO | 40.00 | 0.00 | $456,010 | $0 | $22,818 | Yes (X) | ||||
| JULIA MCCONAGHY | ||||||||||
| VP MKT & PLAN | 40.00 | 0.00 | $245,907 | $0 | $0 | Yes (X) | ||||
| PERRY EBELTOFT | ||||||||||
| VP - ANCIL SERVICES | 40.00 | 0.00 | $301,391 | $0 | $17,318 | Yes (X) | ||||
| SUSANNE CARLSON | ||||||||||
| VP REV CYC & MC | 40.00 | 0.00 | $281,270 | $0 | $5,779 | Yes (X) | ||||
| SHERREL HOLLINGSWORTH | ||||||||||
| CHIEF HR OFFICER | 40.00 | 0.00 | $385,515 | $0 | $17,518 | Yes (X) | ||||
| JUDY PUGACH | ||||||||||
| VP QUALITY MGMT. | 40.00 | 0.00 | $283,388 | $0 | $5,619 | Yes (X) | ||||
| PATRICIA BRAY | ||||||||||
| VP COMM HEALTH SERVICES | 40.00 | 1.50 | $209,570 | $0 | $3,560 | Yes (X) | ||||
| ROWENA STAJER | ||||||||||
| VP CARE COORD | 40.00 | 0.00 | $234,241 | $0 | $13,261 | Yes (X) | ||||
| JOAN ROLLAND | ||||||||||
| ADM/ED DIS SERVICES | 40.00 | 0.00 | $220,820 | $0 | $29,160 | Yes (X) | ||||
| MARVIN RICE | ||||||||||
| ASSOC MED DIR (THROUGH 11/20/14) | 30.00 | 10.00 | $554,577 | $0 | $17,500 | Yes (X) | ||||
| ANUP PATEL | ||||||||||
| VP RISK MANAGEMENT&COMPLIANCE | 40.00 | 0.00 | $190,941 | $0 | $16,818 | Yes (X) | ||||
| JUNG HO | ||||||||||
| MEDICAL PHYSCIAN | 40.00 | 0.00 | $262,499 | $0 | $10,112 | Yes (X) | ||||
| SCOTT BREMER | ||||||||||
| DIRECTOR COMP/BEN HR | 40.00 | 0.00 | $227,857 | $0 | $18,618 | Yes (X) | ||||
| JUDY CHIN | ||||||||||
| INFECT DIS PHARM | 40.00 | 0.00 | $222,580 | $0 | $5,569 | Yes (X) | ||||
| JACQUELINE NGUYEN | ||||||||||
| PHARMACIST | 40.00 | 0.00 | $201,562 | $0 | $19,118 | Yes (X) | ||||
| JACQUELYN CITUK | ||||||||||
| EX DIR ENT PHARM SV | 40.00 | 0.00 | $200,698 | $0 | $4,324 | Yes (X) | ||||
| MITCHELL THOMAS | ||||||||||
| FORMER CFO/SR. VP FINANCE | 0.00 | 0.00 | $846,480 | $0 | $36,817 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,919,959 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,579,231 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $323,556 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 517 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MILLIE AND SEVERSON INC | |||||
| 3601 SERPENTINE DR PO BOX 3601 | LOS ALAMITOS | CA | 90720 | CONSTRUCTION | $10,460,041 |
| INTERCOMMUNITY ANESTH SERVICES INC | |||||
| 371 VAN NESS WAY 210 | TORRANCE | CA | 90501 | MEDICAL SERVICES | $10,276,699 |
| LAMBERT RADIOLOGY MEDICAL GROUP INC | |||||
| 11721 WHITTIER BLVD STE 509 | WHITTIER | CA | 90601 | MEDICAL SERVICES | $6,909,022 |
| WHITTIER PULM AND CRITICAL CARE | |||||
| 6905 ALTA VISTA DRIVE | RANCHO PALOS VERDES | CA | 90275 | MEDICAL SERVICES | $5,192,591 |
| FAMILY PRACTICE RESIDENCY PROGRAM | |||||
| 12291 WASHINGTON BLVD 500 | WHITTIER | CA | 90606 | MEDICAL SERVICES | $3,256,329 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 82 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $676,044 | RelatedOrganizationsAmt |
| Total Contributions | $676,044 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 621610 | $496,712,848 | $496,712,848 |
| HOSPITAL FEE PROGRAM | 900099 | $61,997,732 | $61,997,732 |
| OTHER PATIENT REVENUE | 621610 | $24,010,055 | $24,010,055 |
| FOOD SERVICES | 900099 | $2,856,760 | $2,856,760 |
| ARRA INCENTIVE PAYMENT | 900099 | $731,054 | $731,054 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,068,961 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,068,961 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $588,377,410 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,538,384 | TotalRevenueColumnAmt |
| Exclusion | $10,538,384 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $72,277,297 | SecuritiesAmt |
| Other | $129,550 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $62,432,522 | SecuritiesAmt |
| Other | $2,657 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,844,775 | SecuritiesAmt |
| Other | $126,893 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,971,668 | TotalRevenueColumnAmt |
| Exclusion | $9,971,668 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| COMMUNITY PHARMACY | 624110 | $2,170,953 | $2,170,953 | ||
| PURCHASE DISCOUNTS | 900099 | $1,116,025 | $1,116,025 | ||
| NON-PATIENT LAB | 621500 | $117,791 | $117,791 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,760 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $31,760 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,436,529 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $613,000,035 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $590,548,363 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $149,551 | UnrelatedBusinessRevenueAmt |
| Exclusion | $21,626,077 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,585 | TotalAmt |
| Program Services | $93,585 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,340 | TotalAmt |
| Program Services | $150,340 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,184,815 | TotalAmt |
| Program Services | $4,404,655 | ProgramServicesAmt |
| Management And General | $1,780,160 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,290,868 | TotalAmt |
| Program Services | $145,971,899 | ProgramServicesAmt |
| Management And General | $28,318,969 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,591,958 | TotalAmt |
| Program Services | $1,353,164 | ProgramServicesAmt |
| Management And General | $238,794 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,138,878 | TotalAmt |
| Program Services | $51,465,930 | ProgramServicesAmt |
| Management And General | $4,672,948 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,290,640 | TotalAmt |
| Program Services | $12,093,517 | ProgramServicesAmt |
| Management And General | $2,197,123 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $747,792 | TotalAmt |
| Management And General | $747,792 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,775,466 | TotalAmt |
| Program Services | $18,659 | ProgramServicesAmt |
| Management And General | $1,756,807 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,450 | TotalAmt |
| Management And General | $66,450 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,281 | TotalAmt |
| Management And General | $42,281 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,619,545 | TotalAmt |
| Program Services | $56,221,586 | ProgramServicesAmt |
| Management And General | $7,397,959 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,436,608 | TotalAmt |
| Program Services | $1,495,023 | ProgramServicesAmt |
| Management And General | $2,941,585 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,896,766 | TotalAmt |
| Program Services | $26,975,348 | ProgramServicesAmt |
| Management And General | $5,921,418 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,808,763 | TotalAmt |
| Program Services | $8,832,594 | ProgramServicesAmt |
| Management And General | $2,976,169 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $580,863 | TotalAmt |
| Program Services | $391,002 | ProgramServicesAmt |
| Management And General | $189,861 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,903 | TotalAmt |
| Program Services | $38,629 | ProgramServicesAmt |
| Management And General | $200,274 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,885,858 | TotalAmt |
| Program Services | $4,930,039 | ProgramServicesAmt |
| Management And General | $955,819 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,354,553 | TotalAmt |
| Program Services | $23,341,037 | ProgramServicesAmt |
| Management And General | $4,013,516 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,845,252 | TotalAmt |
| Management And General | $4,845,252 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $69,397,234 | $68,650,488 | $746,746 |
| HOSPITAL FEE PROGRAM | $45,013,341 | $45,013,341 | |
| EQUIPMENT R&M | $4,364,872 | $4,352,508 | $12,364 |
| EQUIPMENT LEASES | $972,180 | $968,791 | $3,389 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,154,384 | TotalAmt |
| Program Services | $6,192,211 | ProgramServicesAmt |
| Management And General | $2,962,173 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $535,942,195 | TotalAmt |
| Program Services | $462,954,346 | ProgramServicesAmt |
| Management And General | $72,987,849 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $331,457 | BOYAmt |
| EOY | $363,620 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,031 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,385,516 | BOYAmt |
| EOY | $71,880,032 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,102,419 | BOYAmt |
| EOY | $5,236,841 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,507,980 | BOYAmt |
| EOY | $10,710,659 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $574,671,638 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $183,777,317 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $399,699,095 | BOYAmt |
| EOY | $390,894,321 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $405,926,617 | BOYAmt |
| EOY | $390,043,165 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $284,307,708 | BOYAmt |
| EOY | $318,372,094 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,176,266,823 | BOYAmt |
| EOY | $1,187,500,732 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,951,268 | BOYAmt |
| EOY | $52,180,261 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $391,592,785 | BOYAmt |
| EOY | $383,050,678 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,000,000 | BOYAmt |
| EOY | $39,000,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,785,416 | BOYAmt |
| EOY | $168,185,237 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $616,329,469 | BOYAmt |
| EOY | $642,416,176 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $559,937,354 | BOYAmt |
| EOY | $545,084,556 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $559,937,354 | BOYAmt |
| EOY | $545,084,556 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,176,266,823 | BOYAmt |
| EOY | $1,187,500,732 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $77,057,840 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$31,559,229 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$60,351,409 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $42,281 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $42,281 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | A PORTION OF DUES PAID TO HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA AND AMERICAN HOSPITAL ASSOCIATION ARE RELATED TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $214,611 | OtherCostOrOtherBasisAmt |
| Book Value | $214,611 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $364,556,909 | OtherCostOrOtherBasisAmt |
| Depreciation | $69,597,594 | DepreciationAmt |
| Book Value | $294,959,315 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $133,909,123 | OtherCostOrOtherBasisAmt |
| Depreciation | $90,651,143 | DepreciationAmt |
| Book Value | $43,257,980 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $75,990,995 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,528,580 | DepreciationAmt |
| Book Value | $52,462,415 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $390,894,321 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEFERRED FINANCING COSTS | $3,972,629 |
| INTERCOMPANY RECEIVABLE | $284,347,264 |
| OTHER RECEIVABLES | $2,074,955 |
| INVESTMENT IN AFFLIATES | $1,551,901 |
| HOSPITAL FEE PROGRAM RECEIVABLE | $26,425,345 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $318,372,094 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)
| DescDesc | AmtAmt |
|---|---|
| COST REPORT PAYABLE | $1,630,411 |
| BOND INTEREST PAYABLE | $2,348,204 |
| HOSPITAL FEE PAYABLE | $16,321,715 |
| INTERCOMPANY PAYABLE | $1,319,463 |
| DEFERRED COMPENSATION | $13,980,612 |
| INTEREST RATE SWAP | $48,589,331 |
| PENSION LIABILITY | $64,907,621 |
| SELF INSURANCE RESERVES | $16,233,259 |
| OTHER LIABILITIES | $2,854,621 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $168,185,237 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE COMPANY 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 2015 OR 2014. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3476 | PersonsServedCnt |
| Total Community Benefit Expns | $12,463,837 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,403,655 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,060,182 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00570 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 39707 | PersonsServedCnt |
| Total Community Benefit Expns | $109,227,195 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $95,001,210 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,225,985 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02650 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 529 | PersonsServedCnt |
| Total Community Benefit Expns | $3,074,366 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,747,641 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,326,725 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 43712 | PersonsServedCnt |
| Total Community Benefit Expns | $124,765,398 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $106,152,506 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,612,892 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03470 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 34767 | PersonsServedCnt |
| Total Community Benefit Expns | $3,034,711 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $60,721 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,973,990 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00550 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 762 | PersonsServedCnt |
| Total Community Benefit Expns | $5,519,173 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,056,677 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,462,496 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00830 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 15210 | PersonsServedCnt |
| Total Community Benefit Expns | $4,845,818 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $810,951 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,034,867 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00750 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 80 | PersonsServedCnt |
| Total Community Benefit Expns | $199,351 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $199,351 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1422 | PersonsServedCnt |
| Total Community Benefit Expns | $384,217 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,908 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $379,309 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 52241 | PersonsServedCnt |
| Total Community Benefit Expns | $13,983,270 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,933,257 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,050,013 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02240 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 95953 | PersonsServedCnt |
| Total Community Benefit Expns | $138,748,668 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $108,085,763 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,662,905 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05710 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 2 | PersonsServedCnt |
| Total Community Benefit Expns | $16,758 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,758 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 34 | PersonsServedCnt |
| Total Community Benefit Expns | $3,908 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,908 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,710 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,710 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 36 | PersonsServedCnt |
| Total Community Benefit Expns | $22,376 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,376 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $10,895,592 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $68,995,758 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $82,479,841 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$13,484,083 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRESBYTERIAN INTERCOMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12401 WASHINGTON BLVD | AddressLine1Txt |
| City | WHITTIER | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.PIHHEALTH.ORG | WebsiteAddressTxt |
| State License | 930000129 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | SKILLED NURSING FACILITY | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRESBYTERIAN INTERCOMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | PIHHEALTH.ORG/CHNA | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | PIHHEALTH.ORG/CHNA | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.PIHHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP:// WWW.PIHHEALTH.ORG/PATIENTS-VISITORS | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP:WWW.PIHHEALTH.ORG/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PRESBYTERIAN INTERCOMMUNITY HOSPITAL | PART 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. |
| PRESBYTERIAN INTERCOMMUNITY HOSPITAL | PART V, SECTION B, LINE 5: PRIMARY DATA COLLECTION FOR THIS NEEDS ASSESSMENT CONSISTED OF TARGETED INTERVIEWS, FOCUS GROUPS, AND A COMMUNITY SURVEY, WHICH WERE USED TO GATHER INFORMATION REGARDING PERCEPTIONS AND OPINIONS FROM THOSE REPRESENTING THE BROAD INTERESTS OF THE COMMUNITIES IN OUR PRIMARY SERVICE AREA.KEY STAKEHOLDER INTERVIEWSKEY COMMUNITY STAKEHOLDERS, IDENTIFIED BY PIH HEALTH AND LOCAL PARTNERS, WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT THROUGH TELEPHONE INTERVIEWS. EIGHTEEN INTERVIEWS WERE CONDUCTED IN NOVEMBER 2012. THE COMMUNITY STAKEHOLDERS WHO PARTICIPATED IN THIS NEEDS ASSESSMENT REPRESENTED A CROSS-SECTION OF AGENCIES REPRESENTING A BROAD CONTINUUM OF HEALTH AND SOCIAL SERVICES IN THE PRIMARY SERVICE AREA. INTERVIEW PARTICIPANTS INCLUDED LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, AND CHRONIC DISEASE POPULATIONS, AS WELL AS REGIONAL, STATE, OR LOCAL HEALTH DEPARTMENTS THAT HAVE "CURRENT DATA OR INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY," PER IRS REQUIREMENTS.COMMUNITY FOCUS GROUPSSIX FOCUS GROUPS WERE ALSO CONDUCTED AS PART OF THE NEEDS ASSESSMENT DURING THE MONTHS OF OCTOBER THROUGH DECEMBER 2012. ONE FOCUS GROUP WAS CONDUCTED IN SPANISH AND FIVE IN ENGLISH. ADDITIONALLY, ONE FOCUS GROUP WAS CONDUCTED IN APRIL 2012 WITH THE EAST WHITTIER CITY SCHOOL DISTRICT COMMUNITY ADVISORY AND RESOURCE EDUCATION (C.A.R.E.) COUNCIL THAT FOCUSED ON STUDENTS' PERCEPTIONS ON HEALTHY EATING AND PHYSICAL ACTIVITY. ANOTHER FOCUS GROUP WAS CONDUCTED IN AUGUST 2012 AT THE UNITED FRIENDS OF THE CHILDREN HOUSING PROGRAM. THESE EIGHT FOCUS GROUPS ENGAGED 106 PARTICIPANTS. COMMUNITY SURVEYA WEB-BASED SURVEY WAS USED TO COLLECT PRIMARY DATA FROM AREA RESIDENTS. THE SURVEY LINK WAS POSTED ON THE PIH HEALTH WEBSITE AND DISTRIBUTED ELECTRONICALLY THROUGHOUT THE COMMUNITY AND PAPER COPIES WERE MADE AVAILABLE THROUGH AREA AGENCIES. THE SURVEY WAS ALSO TRANSLATED INTO SPANISH. THE SURVEY WAS AVAILABLE FOR SIX WEEKS DURING OCTOBER TO DECEMBER 2012; A TOTAL OF 391 PEOPLE RESPONDED. A LIST OF THE STAKEHOLDER INTERVIEW AND FOCUS GROUP RESPONDENTS, AND A SUMMARY OF RESULTS INCLUDING COMMUNITY SURVEY RESULTS CAN BE FOUND IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AT PIHHEALTH.ORG/CHNA. |
| PRESBYTERIAN INTERCOMMUNITY HOSPITAL | PART V, SECTION B, LINE 7D: IN ADDITION TO POSTING ON THE HOSPITAL'S WEBSITE, ASSESSMENT FINDINGS WERE ALSO DISTRIBUTED TO KEY STAKEHOLDERS VIA EMAIL, AS WELL AS SHARED WITH THE COMMUNITY AT-LARGE, WITH EMPHASIS ON PROVIDING COMMUNITY-BASED ORGANIZATIONS WITH INFORMATION THAT WILL SUPPORT PROGRAM PLANNING AND FUND-DEVELOPMENT ENDEAVORS, WHILE SPARING THE EXPENSE OF DUPLICATIVE DATA COLLECTION EFFORTS. ASSESSMENT FINDINGS AND IMPLEMENTATION STRATEGY INITIATIVES WERE ALSO SHARED AND COMMUNITY DIALOGUE ENCOURAGED THROUGH COMMUNITY EVENTS AND PRESENTATIONS, WITH AREA AGENCIES INVITED TO PARTNER ON INITIATIVES. |
| PRESBYTERIAN INTERCOMMUNITY HOSPITAL | PART V, SECTION B, LINE 11: PIH HEALTH'S COMMUNITY HEALTH IMPROVEMENT PLAN ENSURES ALIGNMENT OF CHNA FINDINGS, PIH HEALTH'S COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND PIH HEALTH'S ORGANIZATIONAL STRATEGY. TO VIEW THE PIH HEALTH 2014-2016 COMMUNITY HEALTH IMPROVEMENT PLAN (IMPLEMENTATION STRATEGY) AND THE INITIATIVES IDENTIFIED TO ADDRESS THE ORGANIZATION'S AREAS OF FOCUS- PREVENTATIVE SCREENINGS & IMMUNIZATIONS, CHILDHOOD OBESITY, DIABETES & HEART DISEASE AND HEALTH INSURANCE COVERAGE - PLEASE VISIT PIHHEALTH.ORG/CHNA. PIH HEALTH MADE A DECISION TO FOCUS ON THE NEEDS THAT WERE DETERMINED TO BE EITHER MORE SIGNIFICANT WHEN COMPARED TO LOCAL AND NATIONAL BENCHMARKS AND/OR AREAS IN WHICH PIH HEALTH HAS EXPERTISE AND RESOURCES/INFRASTRUCTURE TO EFFECTIVELY ADDRESS THE NEED.DUE TO THIS, PIH HEALTH WILL NOT FOCUS THE STRATEGIC EFFORTS OF THE 2014-2016 COMMUNITY HEALTH IMPROVEMENT PLAN (IMPLEMENTATION STRATEGY) ON THE REMAINING NEEDS: INSURANCE COVERAGE / AFFORDABILITY FOR DENTAL CARE, MENTAL HEALTH AND VISION CARE, ALCOHOL CONSUMPTION, CANCER, SMOKING AND YOUTH ASTHMA. HOWEVER, EXISTING WORK WILL CONTINUE IN THESE AREAS WHERE APPLICABLE AND REFERRAL AND FUNDING RELATIONSHIPS WITH COMMUNITY-BASED AGENCIES ALREADY WORKING IN THESE AREAS WILL BE STRENGTHENED. AS IT RELATES TO MENTAL HEALTH, PIH HEALTH, AS PART OF ITS INTEGRATED DELIVERY SYSTEM, WILL CONTINUE TO IDENTIFY FREE OR LOW-COST MENTAL HEALTH PROVIDERS TO STRENGTHEN AND FACILITATE RELATIONSHIPS WITH THOSE ORGANIZATIONS ADDRESSING THIS AREA OF NEED. WE WILL ALSO CONTINUE TO ENSURE THAT MENTAL HEALTH IS INTEGRATED INTO EDUCATION PROGRAMS FOR EACH AREA OF FOCUS AS APPROPRIATE. IN ADDITION, AS IT RELATES TO THE CANCER NEED IN OUR COMMUNITIES (CARE, SCREENINGS, ETC.). IT WAS DETERMINED THAT HEALTH INSURANCE COVERAGE IS ESSENTIAL TO MEETING THIS NEED. PIH HEALTH WILL FOCUS ON THIS RATHER THAN SERVING AS A LEAD AROUND CANCER-RELATED COMMUNITY-BASED PROGRAMS. IT SHOULD BE NOTED THAT PIH HEALTH HOSPITAL - WHITTIER HAS AN EXTENSIVE NETWORK OF SERVICES DESIGNED TO MEET THE NEEDS OF THOSE DIAGNOSED WITH CANCER. |
| PRESBYTERIAN INTERCOMMUNITY HOSPITAL | PART V, SECTION B, LINE 13B: ASSISTANCE IS PROVIDED FREE OR DISCOUNTED FOR THOSE PATIENTS ELIGIBLE FOR FAP. THE CRITERIA FOR FAP IS IF THE PATIENT IS UNINSURED AND DOES NOT HAVE THE ABILITY TO PAY, HAS RESTRICTED MEDI-CAL BENEFITS, OR IS UNDERINSURED. THIS IS ALSO CONSIDERATIONS FOR PATIENTS WHERE THE FPG IS NOT APPLICABLE AND THE PATIENT IS INSURED WITH INADEQUATE COVERAGE OR EXCESSIVE LIABILITY. |
| PRESBYTERIAN INTERCOMMUNITY HOSPITAL | PART 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" TO DETERMINE THE DOLLAR AMOUNT TO BE CONSIDERED AS CHARITY CARE/FINANCIAL ASSISTANCE FOR ELIGIBLE PATIENTS. 2) CHARITY CARE: PATIENT APPLICATIONS THAT SHOW THAT FAMILY INCOME AT OR BELOW 100% OF FEDERAL POVERTY GUIDELINES (FPL) WILL BE APPROVED FOR NO-COST TO THE PATIENT. 3) DISCOUNTED CHARITY CARE: PATIENT APPLICATIONS THAT SHOW THAT FAMILY INCOME BETWEEN 101% AND 400% FPL WILL BE GRANTED THE LESSOR OF THE SELF-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 ADVANTAGE AGREEMENT, OR LESS); - 10% OF THE PATIENT'S ANNUAL INCOME; OR;- THE AMOUNT OUTLINED ABOVE. |
| PART V, SECTION B, LINE 16 | FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY |
| PRESBYTERIAN INTERCOMMUNITY HOSPITAL PART V, SECTION B, LINE 16A WEBSITE: | HTTP://WWW.PIHHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/ |
| PRESBYTERIAN INTERCOMMUNITY HOSPITAL PART V, SECTION B, LINE 16B WEBSITE: | HTTP:// WWW.PIHHEALTH.ORG/PATIENTS-VISITORS |
| PRESBYTERIAN INTERCOMMUNITY HOSPITAL PART V, SECTION B, LINE 16C WEBSITE: | HTTP:WWW.PIHHEALTH.ORG/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 12 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| SAME DAY SURGERY | ||||
| 12415 WASHINGTON BLVD | WHITTIER | CA | 90602 | OUTPATIENT SURGICAL SERVICES |
| INTERCOMMUNITY MAGNETIC RESONANCE IMAGIN | ||||
| 12455 WASHINGTON BLVD | WHITTIER | CA | 90602 | MRI SERVICES |
| ERNEST D WELLS MEDICAL OFFICE BUILDING | ||||
| 12462 PUTNAM ST | WHITTIER | CA | 90602 | OUTPATIENT SERVICES |
| PATRICIA L SHCEIFLY BREAST HEALTH CTR | ||||
| 12393 WASHINGTON BLVD | WHITTIER | CA | 90602 | SVCS |
| PRESBYTERIAN HEALTH MEDICAL PLAZA | ||||
| 12291 WASHINGTON BLVD | WHITTIER | CA | 90602 | WOUND HEALING, LAB DRAW STATION |
| ARCADIA HOME HEALTH NURSING | ||||
| 351 E FOOTHILL BLVD SUITE 100 | ARCADIA | CA | 91006 | VISITING NURSES ASSOCIATION |
| HOSPICE HOMES - DOVE | ||||
| 10736 VALLEY VIEW AVE | WHITTIER | CA | 90604 | HOSPICE CARE |
| HOSPICE HOMES - ROSE | ||||
| 10742 VALLEY VIEW AVE | WHITTIER | CA | 90604 | HOSPICE CARE |
| PIH HOME HEALTH | ||||
| 15050 IMPERIAL HWY | LA MIRADA | CA | 90638 | HOME HEALTH AGENCY |
| PRESBYTERIAN HEALTH MEDICAL PLAZA | ||||
| 15088 IMPERIAL HWY | LA MIRADA | CA | 90638 | OUTPATIENT THERAPY |
| BHP - LA MIRADA | ||||
| 12675 S LA MIRADA BLVD SUITE 219 | LA MIRADA | CA | 90638 | RADIOLOGY |
| HACIENDA HEIGHTS MEDICAL OFFICE BUILDING | ||||
| 1850 AZUSA AVE | HACIENDA HEIGHTS | CA | 91745 | MAMMOGRAPHY |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | PIH FILES ITS COMMUNITY BENEFIT REPORT WITH THE STATE OF CALIFORNIA IN ACCORDANCE WITH CALIFORNIA SENATE BILL 697 (SB 697), WHICH REQUIRES ANNUAL DOCUMENTATION OF COMMUNITY BENEFIT PROGRAMS AND SERVICES. THIS ANNUAL COMMUNITY BENEFIT REPORT IS SUBMITTED TO OFFICE OF STATEWIDE HEALTH PLANNING & DEVELOPMENT (OSHPD), HEALTHCARE INFORMATION DIVISION, AND IS ALSO DISTRIBUTED WIDELY THROUGHOUT THE COMMUNITY, AS WELL AS BEING POSTED TO PIH HEALTH'S WEBSITE: WWW.PIHHEALTH.ORG/CBANNUALREPORT.PDF. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | COMMUNITY-BUILDING ACTIVITIES IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL HAZARDS. COSTS FOR THESE ACTIVITIES INCLUDE CASH AND IN-KIND DONATIONS AND EXPENSES FOR THE DEVELOPMENT OF A VARIETY OF COMMUNITY BUILDING PROGRAMS AND PARTNERSHIPS.PIH HEALTH WORKS WITH A VARIETY OF COMMUNITY STAKEHOLDERS TO ENHANCE THE COLLECTIVE CAPACITY FOR IMPROVING COMMUNITY HEALTH. 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.TO FURTHER SUPPORT COMMUNITY BUILDING, PIH HEALTH OFFERS EXPERTISE, MOBILIZES ASSETS, AND INVESTS RESOURCES IN COMMUNITY-BASED ORGANIZATIONS THAT SERVE THE SOCIAL SERVICE NEEDS OF LOCAL COMMUNITIES AND ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS, AND ENVIRONMENTAL HAZARDS. FOR EXAMPLE, DESIGNATED PIH HEALTH STAFF MEMBERS SERVE ON BOARDS OF AREA COMMUNITY-BASED ORGANIZATIONS. PIH HEALTH ALSO PROVIDES DISASTER PREPAREDNESS TRAINING TO ENSURE THE COMMUNITY HAS KNOWLEDGE OF CRITICAL INFORMATION AND STRATEGIES TO EFFECTIVELY PREPARE FOR A DISASTER. |
| PART III, LINE 4: | THE COMPANY PROVIDES CARE TO PATIENTS EVEN THOUGH THEY MAY LACK ADEQUATE INSURANCE OR MAY PARTICIPATE IN PROGRAMS WITH NEGOTIATED OR REGULATED AMOUNTS. THE COMPANY MANAGES ITS COLLECTION RISK BY REGULARLY REVIEWING ITS ACCOUNTS AND CONTRACTS AND BY PROVIDING APPROPRIATE ALLOWANCES. BAD DEBT AMOUNTS ARE NOT CONSIDERED TO BE COMMUNITY BENEFIT COSTS. |
| PART III, LINE 8: | THE COMPANY DOES NOT TAKE THE POSITION THAT MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THE STATE HAS SPECIFICALLY ASKED US TO REPORT THIS SEPARATELY FROM OUR COMMUNITY BENEFIT TOTALS. THE COMPANY USES A COST-TO-CHARGE (C2C) RATIO TO DETERMINE MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENT RECEIVED FROM MEDICARE, WHICH IS SIMILAR TO THE IRS SCHEDULE H METHOD. HOWEVER, THE PIH 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 9B: | THE HOSPITAL ENCOURAGES ALL SELF-PAY PATIENTS TO APPLY FOR FINANCIAL ASSISTANCE OR OTHER PROGRAMS. 1. ALL UNINSURED PATIENTS ARE ASSUMED TO NEED FINANCIAL ASSISTANCE AND AUTOMATICALLY RECEIVE DISCOUNTED BILLS THAT REFLECT THE CONTRACT RATE OR LESS OF A MEDICARE ADVANTAGE CONTRACT.2. ALL UNINSURED PATIENTS ARE PROVIDED WITH A FINANCIAL ASSISTANCE AND MEDICAID APPLICATION AT THE TIME OF REGISTRATION THEREBY GIVING THEM THE OPPORTUNITY TO APPLY FOR ASSISTANCE. 3. THERE ARE SIGNS THROUGH THE FACILITY THAT EDUCATE PATIENTS AND VISITORS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. 4. THE HOSPITAL'S WEBSITE PUBLISHES THE FINANCIAL ASSISTANCE POLICY AND APPLICATIONS.5. SELF-PAY INPATIENTS ALSO MAY BE CONTACTED BY A VENDOR TO OFFER ASSISTANCE IN APPLYING FOR MEDICAID, IF ELIGIBLE. 6. STATEMENTS (WHICH REFLECT A REDUCTION IN CHARGES TO THE RATES AT OR LOWER THAN CONTRACTED RATES FOR MEDICARE ADVANTAGE MEMBERS) PROMOTE THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM.7. 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'S BOARD OF DIRECTORS ESTABLISHED THE COMMUNITY BENEFIT OVERSIGHT COMMITTEE (CBOC), COMPRISED OF COMMUNITY STAKEHOLDERS AND A PUBLIC HEALTH REPRESENTATIVE. THIS COMMITTEE MEETS REGULARLY AND IT'S MEMBERS SHARE HEALTH CARE NEEDS/CONCERNS EXPERIENCED BY THE COMMUNITY MEMBERS THEY REPRESENT AS WELL AS ASSETS OR POTENTIAL PARTNERS FOR THE HOSPITAL TO ENGAGE IN ADDRESSING THE IDENTIFIED NEEDS.COMMUNITY HEALTH IMPROVEMENT TEAM- THIS INTERNAL WORK GROUP OF HOSPITAL STAFF THAT MANAGES THE HOSPITAL'S VARIOUS COMMUNITY BASED PROGRAMS MEET REGULARLY TO SHARE RESOURCES THAT BENEFIT COMMUNITY MEMBERS AND TO DISCUSS ANY CHALLENGES / NEEDS FACED BY THEIR PARTICIPANTS.PROGRAM OUTCOMES - DATA ANALYSIS- EACH COMMUNITY BASED PROGRAM OFFERED BY THE HOSPITAL IS EVALUATED QUARTERLY AT SOME LEVEL, WHETHER PERSONS SERVED, VIA PRE-POST KNOWLEDGE AND BEHAVIOR CHANGE SURVEYS, LONGITUDINAL TRACKING OF HEALTH INDICATOR DATA, OR GENERAL FEEDBACK SURVEYS. THIS DATA IS SUMMARIZED QUARTERLY AND ANNUALLY FOR REVIEW BY PROGRAM MANAGEMENT AND STAFF, COMMUNITY BENEFIT OVERSIGHT COMMITTEE MEMBERS, AND HOSPITAL LEADERSHIP. THIS DATA ANALYSIS PROVIDES A SNAPSHOT OF THE NEEDS OF PARTICIPANTS/COMMUNITY MEMBERS AND PROVIDES A METHOD FOR ASSESSING HOW TO IMPROVE PROGRAMMING IN THE COMING YEAR TO MAXIMIZE IMPACT AND MORE DIRECTLY MEET COMMUNITY NEEDS. A MULTI-YEAR ANALYSIS OF COMMUNITY HEALTH NEEDS ASSESSMENT DATA ALSO HELPS IN IDENTIFYING HEALTH NEED TRENDS.FEEDBACK FROM COMMUNITY ORGS. / COLLABORATIVESTHROUGH PARTICIPATION IN VARIOUS COMMUNITY COLLABORATIVES AND NETWORKING MEETINGS, PIH HEALTH IS ABLE TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY AND IDENTIFY OPPORTUNITIES TO PARTNER ON SOLUTIONS. |
| PART VI, LINE 3: | THERE ARE MANY AVENUES PIH HEALTH TAKES IN EDUCATIONING PATIENTS AND FAMILY MEMBERS ABOUT THE VARIOUS FINANCIAL ASSISTANCE PROGRAMS. PATIENT ARE ADVISED AT THE TIME OF SERVICE, DURING IN-HOUSE CARE AND POST DISCHARGES. FREE HANDOUTS OF THE FAP APPLICATION ARE PROVIDED IN BOTH ENGLISH AND SPANISH. THERE AE POSTINGS THROUGHOUT THE HOSPITAL IN BOTH ENGLISH AND SPANISH WITH INFORMATION ABOUT OUR FAP PROGRAM. WE HAVE AN ELIGIBILITY VENDOR THAT IS CONVENIENTLY AVAILABLE TO ASSIST OUR PATIENTS IN THE EMERGENCY ROOM OR IN-HOUSE PATIENTS WITH DETERMINING ELIGIBILITY FOR VARIOUS GOVERNMENTAL PROGRAMS, AS WELL AS, ADVISE AND ASSIST THE PATIENT WITH THE FAP. POST DISCHARGE, OUR BUSINESS OFFICE STAFF TAKES THE INITIATIVE TO ADVISE THE PATIENT OF OUR FAP PROGRAM. ALSO, WITH EACH PATIENT STATEMENT THAT IS SENT OUT, THE FAP PROGRAM IS PRINTED ON THE BACK OF THE STATEMENT. PIH'S FAP IS ALSO PUBLISHED ON OUR WEBSITE. |
| PART VI, LINE 4: | DATA BELOW IS PER THE PIH HEALTH HOSPITAL - WHITTIER 2013 COMMUNITY HEALTH NEEDS ASSESSMENT.PIH HEALTH HOSPITAL - WHITTIER IS SITUATED IN THE SOUTHEAST PORTION OF LOS ANGELES COUNTY, CALIFORNIA, WITHIN AN AREA REFERRED TO AS SERVICE PLANNING AREA 7 (SPA 7). APPROXIMATELY 73% OF DISCHARGES COME FROM NINE CITIES/COMMUNITIES, WHICH COMPRISE ITS PRIMARY SERVICE AREA. BELOW ARE THE PRIMARY SERVICE AREA CITIES:PRIMARY SERVICE AREAHACIENDA HEIGHTS 91745LA HABRA 90631LA HABRA HEIGHTS 90631LA MIRADA 90638-90639MONTEBELLO 90640NORWALK 90650PICO RIVERA 90660SANTA FE SPRINGS 90670WHITTIER 90601-90606PRIMARY SERVICE AREA PROFILETHE POPULATION FOR PIH HEALTH HOSPITAL - WHITTIER'S PRIMARY SERVICE AREA IS 606,484. CHILDREN AND YOUTH (AGES 0-17) MAKE UP 25.7% OF THE POPULATION; OLDER ADULTS (AGES 65+) MAKE UP 12.1% OF THE POPULATION. IN THE PIH SERVICE AREA, 6.1% OF THE POPULATION 18 YEARS AND OLDER ARE VETERANS. IN THE SERVICE AREA, 8% OF SENIORS LIVE ALONE. THE LARGEST POPULATION BY RACE AND ETHNICITY IN THE SERVICE AREA IS HISPANIC OR LATINO (67.7%). WHITE/CAUCASIANS MAKE UP 18.8% OF THE POPULATION. ASIANS COMPRISE 10.4% OF THE POPULATION, AND AFRICAN AMERICANS, NATIVE AMERICANS, HAWAIIANS, AND OTHER RACES COMBINED TOTAL 3.1% OF THE POPULATION. IN THE SERVICE AREA, SPANISH IS SPOKEN IN 48% OF THE HOMES, HIGHER THAN THE NUMBER OF SPANISH SPEAKING HOUSEHOLDS IN THE COUNTY AND THE STATE. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA RANGES FROM $50,881 IN MONTEBELLO TO $121,380 IN LA HABRA HEIGHTS. THE AVERAGE FAMILY SIZE RANGES FROM 3.40 INDIVIDUALS IN WHITTIER (90603) TO 4.25 INDIVIDUALS IN PICO RIVERA.IN THE PIH SERVICE AREA, 75.4% OF THE ADULT POPULATION, 25 YEARS AND OLDER, HAVE OBTAINED A HIGH SCHOOL DIPLOMA OR HIGHER EDUCATION. ON AVERAGE, THE SERVICE AREA HAS A LOWER UNEMPLOYMENT RATE (10.8%) THAN WHEN COMPARED TO THE COUNTY AND THE STATE. IN THE SERVICE AREA, 10.2% OF THE POPULATION IS AT POVERTY LEVEL, LESS THAN THE COUNTY AND STATE RATES. IN SPA 7, 35.8% OF RESIDENTS ARE NOT ABLE TO AFFORD FOOD AND 9.9% UTILIZE FOOD STAMPS. ACCORDING TO THE 2011 LOS ANGELES HOMELESS SERVICES AUTHORITY COUNT, SPA 7 HAD AN ANNUALIZED ESTIMATE OF 4,759 HOMELESS INDIVIDUALS. IN SPA 7, 81% OF THE HOMELESS ARE INDIVIDUALS, AND 19% ARE HOMELESS FAMILIES, WHICH IS AN INCREASE FROM 8% IN 2009. HEART DISEASE, CANCER AND STROKE ARE THE THREE LEADING CAUSES OF DEATH. WHEN COMPARED TO STATE DEATH RATES, THE AREA HAS HIGHER DEATH RATES FOR HEART DISEASE, CANCER, DIABETES, AND INFLUENZA/PNEUMONIA. IN SPA 7, THE RATES OF OVERWEIGHT EXCEED THE COUNTY AND STATE RATES. |
| PART VI, LINE 5: | IN 2006, PIH'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) INTERHEALTH CORP, PIH HEALTH'S PARENT COMPANY; 2) PIH HEALTH HOSPITAL - DOWNEY; 3) PIH HEALTH PHYSICIANS, A NONPROFIT MEDICAL FOUNDATION; AND 4) THE PIH HEALTH FOUNDATION, A NONPROFIT ORGANIZATION THAT EXISTS TO RAISE PHILANTHROPIC FUNDS IN SUPPORT OF PIH'S CHARITABLE MISSION. INTERHEALTH CORP. 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, 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 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 STATES | CA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| INTERHEALTH FOOD CENTER | |||||||
| 11819 BURKE STREET | SANTA FE SPRINGS | CA | 90670 | 953889152 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| YMCA OF GREATER WHITTIER | |||||||
| 12510 E HADLEY STREET | WHITTIER | CA | 90601 | 951684795 | 501(C)(3) | $14,340 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| SCHOLARSHIP AND MEDICAL EDUCATION | 34 | $86,500 |
| PSYCHIATRIC CARE AT INDEPENDENT FACILITY FOR UNINSURED | 41 | $63,840 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | PIH 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUDHAKER NAYAK MD | ||||||||||||||
| DIRECTOR | $0 | $1,644,803 | $0 | $0 | $0 | $18,000 | $0 | $0 | $0 | $0 | $0 | $1,662,803 | $0 | $0 |
| NEAL SHINDEL MD | ||||||||||||||
| DIRECTOR | $0 | $898,428 | $0 | $0 | $0 | $18,000 | $0 | $0 | $0 | $0 | $0 | $916,428 | $0 | $0 |
| JAMES WEST | ||||||||||||||
| PRESIDENT AND CEO | $967,385 | $0 | $264,762 | $0 | $540,857 | $0 | $0 | $0 | $16,818 | $0 | $1,789,822 | $0 | $525,958 | $0 |
| PEGGY CHULACK | ||||||||||||||
| CAO | $455,384 | $0 | $131,155 | $0 | $48,121 | $0 | $0 | $0 | $6,119 | $0 | $640,779 | $0 | $41,093 | $0 |
| ROSALIO LOPEZ MD | ||||||||||||||
| CMO/SR VP | $560,393 | $0 | $158,299 | $0 | $11,257 | $0 | $0 | $0 | $11,713 | $0 | $741,662 | $0 | $0 | $0 |
| REANNA THOMPSON | ||||||||||||||
| COO/CNO | $397,946 | $0 | $85,821 | $0 | $61,506 | $0 | $0 | $0 | $0 | $0 | $545,273 | $0 | $54,155 | $0 |
| DAVID KLINGER | ||||||||||||||
| VP FACILITIES | $331,041 | $0 | $82,701 | $0 | $121,053 | $0 | $17,500 | $0 | $0 | $0 | $552,295 | $0 | $113,865 | $0 |
| RONALD YOSHIHARA | ||||||||||||||
| VP FINANCE & ANL | $263,308 | $0 | $70,574 | $0 | $43,090 | $0 | $17,500 | $0 | $9,997 | $0 | $404,469 | $0 | $35,230 | $0 |
| DAVIS LEE | ||||||||||||||
| CMIO | $353,779 | $0 | $72,306 | $0 | $29,925 | $0 | $0 | $0 | $22,818 | $0 | $478,828 | $0 | $23,081 | $0 |
| JULIA MCCONAGHY | ||||||||||||||
| VP MKT & PLAN | $60,346 | $0 | $34,580 | $0 | $150,981 | $0 | $0 | $0 | $0 | $0 | $245,907 | $0 | $0 | $0 |
| PERRY EBELTOFT | ||||||||||||||
| VP - ANCIL SERVICES | $242,393 | $0 | $25,379 | $0 | $33,619 | $0 | $0 | $0 | $17,318 | $0 | $318,709 | $0 | $26,597 | $0 |
| SUSANNE CARLSON | ||||||||||||||
| VP REV CYC & MC | $226,423 | $0 | $48,073 | $0 | $6,774 | $0 | $0 | $0 | $5,779 | $0 | $287,049 | $0 | $0 | $0 |
| SHERREL HOLLINGSWORTH | ||||||||||||||
| CHIEF HR OFFICER | $301,797 | $0 | $76,944 | $0 | $6,774 | $0 | $0 | $0 | $17,518 | $0 | $403,033 | $0 | $0 | $0 |
| JUDY PUGACH | ||||||||||||||
| VP QUALITY MGMT. | $228,097 | $0 | $28,519 | $0 | $26,772 | $0 | $0 | $0 | $5,619 | $0 | $289,007 | $0 | $18,878 | $0 |
| PATRICIA BRAY | ||||||||||||||
| VP COMM HEALTH SERVICES | $102,684 | $0 | $34,749 | $0 | $72,137 | $0 | $0 | $0 | $3,560 | $0 | $213,130 | $0 | $52,401 | $0 |
| ROWENA STAJER | ||||||||||||||
| VP CARE COORD | $193,693 | $0 | $33,360 | $0 | $7,188 | $0 | $0 | $0 | $13,261 | $0 | $247,502 | $0 | $0 | $0 |
| JOAN ROLLAND | ||||||||||||||
| ADM/ED DIS SERVICES | $182,352 | $0 | $30,086 | $0 | $8,382 | $0 | $17,500 | $0 | $11,660 | $0 | $249,980 | $0 | $0 | $0 |
| MARVIN RICE | ||||||||||||||
| ASSOC MED DIR (THROUGH 11/20/14) | $299,725 | $0 | $89,192 | $0 | $165,660 | $0 | $17,500 | $0 | $0 | $0 | $572,077 | $0 | $0 | $0 |
| ANUP PATEL | ||||||||||||||
| VP RISK MANAGEMENT&COMPLIANCE | $184,368 | $0 | $0 | $0 | $6,573 | $0 | $0 | $0 | $16,818 | $0 | $207,759 | $0 | $0 | $0 |
| JUNG HO | ||||||||||||||
| MEDICAL PHYSCIAN | $262,499 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,112 | $0 | $272,611 | $0 | $0 | $0 |
| SCOTT BREMER | ||||||||||||||
| DIRECTOR COMP/BEN HR | $214,922 | $0 | $12,522 | $0 | $413 | $0 | $0 | $0 | $18,618 | $0 | $246,475 | $0 | $0 | $0 |
| JUDY CHIN | ||||||||||||||
| INFECT DIS PHARM | $222,580 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,569 | $0 | $228,149 | $0 | $0 | $0 |
| JACQUELINE NGUYEN | ||||||||||||||
| PHARMACIST | $197,423 | $0 | $4,139 | $0 | $0 | $0 | $0 | $0 | $19,118 | $0 | $220,680 | $0 | $0 | $0 |
| JACQUELYN CITUK | ||||||||||||||
| EX DIR ENT PHARM SV | $194,031 | $0 | $6,667 | $0 | $0 | $0 | $0 | $0 | $4,324 | $0 | $205,022 | $0 | $0 | $0 |
| MITCHELL THOMAS | ||||||||||||||
| FORMER CFO/SR. VP FINANCE | $337,177 | $0 | $170,659 | $0 | $338,644 | $0 | $17,500 | $0 | $19,317 | $0 | $883,297 | $0 | $211,156 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | ALL EMPLOYEES ARE ELIGIBLE FOR HEALTH CLUB REIMBURSEMENT AND ANY SUCH REIMBURSEMENTS WERE INCLUDED IN TAXABLE COMPENSATION, PER 2015 PLAN YEAR BENEFITS SUMMARY. |
| PART I, LINES 4A-B | PART I, LINE 4A: IN 2014, SEVERANCE PAYMENTS WERE MADE TO MARVIN RICE ($154,358), JULIA MCCONAGHY ($130,986), AND MITCHELL THOMAS ($120,300). THESE PAYMENTS WERE MADE IN ACCORDANCE WITH THE WRITTEN SEVERANCE PLAN. PART I, LINE 4B: IHC AND ITS AFFILIATES SPONSOR A 457(F) PLAN. THE PLAN PARTICIPANTS AND AMOUNTS RECEIVED (IF APPLICABLE) WERE: PATRICIA BRAY ($52,401), SUSANNE CARLSON, PEGGY CHULACK ($41,093), PERRY EBELTOFT ($26,597), DAVE KLINGER ($113,865), ROSALIO LOPEZ M.D., JULIA MCCONAGHY, JUDY PUGACH ($18,878), JOAN ROLLAND, ROWENA STAJER, MITCHELL THOMAS ($211,156), REANNA THOMPSON ($54,155), DAVID LEE ($23,081), SHERREL HOLLINGSWORTH, ANUP PATEL, RONALD YOSHIHARA ($35,230), AND JAMES WEST ($525,958). |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| CITY OF WHITTIER | ||||||||
| A | 956000812 | 966769DA6 | 2009-05-14 | $280,328,878 | PURCHASE OF LAND AND TO REFUND BONDS ISSUED 1/31/2007 | 0 | 0 | 0 |
| CITY OF WHITTIER | ||||||||
| B | 956000812 | 966769DH1 | 2011-03-31 | $40,828,054 | CONSTRUCTION OF FACILITIES | 0 | 0 | 0 |
| CITY OF WHITTIER | ||||||||
| C | 956000812 | NONEAVAIL | 2012-12-31 | $148,000,000 | REFUND BONDS ISSUED 5/14/2009 | 0 | 0 | 0 |
| CITY OF WHITTIER | ||||||||
| D | 956000812 | 966769DK4 | 2014-08-07 | $106,612,491 | HOSPITAL FACILITIES CONSTRUCTION AND TO REFUND BONDS ISSUED 10/1/2013 | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $190,205,000 | $280,328,878 | $5,804,799 | $2,416,738 | $1,087,414 | $1,337,383 | $269,687,344 | 2013 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $2,225,000 | $40,828,054 | $816,561 | $40,011,493 | 2013 | 0 | 0 | Yes (1) | Yes (1) | |||
| C | $148,000,000 | $148,000,000 | Yes (1) | 0 | Yes (1) | Yes (1) | ||||||
| D | $106,612,491 | $1,880,505 | $6,854,015 | $97,877,971 | 2014 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| C | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| D | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Business Name Line2HedgeProviderName/BusinessNameLine2Txt | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GOLDMAN SACHS BANK | |||||||||||||
| A | 0 | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | USA | 29.500000000000 | 0 | 0 | 0 | 0 | Yes (1) |
| (no name) | |||||||||||||
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | ||||
| GOLDMAN SACHS BANK | |||||||||||||
| C | 0 | Yes (1) | 0 | 0 | Yes (1) | Yes (1) | USA UNION BANK USA | 23.400000000000 | 0 | 0 | 0 | 0 | Yes (1) |
| (no name) | |||||||||||||
| D | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) | ||||
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | DATE REBATE COMPUTATION PERFORMED | FormAndLineReferenceDesc |
| Explanation | ISSUER NAME: CITY OF WHITTIER DATE THE REBATE COMPUTATION WAS PERFORMED: 01/31/2013 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | JANE DICUS HAS BUSINESS RELATIONSHIPS WITH DREW SONES AND ROSALIO LOPEZ, MD. |
| FORM 990, PART VI, SECTION A, LINE 6 | INTERHEALTH CORP. ("IHC") IS THE SOLE MEMBER OF PIH. |
| FORM 990, PART VI, SECTION A, LINE 7A | IHC HAS AUTHORITY TO ELECT ALL THE MEMBERS OF THE BOARD OF DIRECTORS OF PIH. |
| FORM 990, PART VI, SECTION A, LINE 7B | IHC HAS ALL VOTING RIGHTS AND THE POWER TO ELECT THE BOARD OF DIRECTORS OF PIH. |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION, WHICH IS MADE UP OF INDEPENDENT DIRECTORS. THE FORM 990 IS THEN PROVIDED TO THE BOARD FOR ITS INFORMATION. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH YEAR, ALL MANAGEMENT AND BOARD OF DIRECTORS MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. ALL POSITIVE RESPONSES ARE REVIEWED BY THE 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 15 | THE 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 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990 AND FORM 990-T ARE AVAILABLE UPON REQUEST. THE ORGANIZATION IS NOT REQUIRED TO MAKE FORM 1023 AVAILABLE FOR PUBLIC INSPECTION AS IT RECEIVED ITS TAX EXEMPTION PRIOR TO JULY 15, 1987. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES - PHYSICIANS: PROGRAM SERVICE EXPENSES 28,222,223. MANAGEMENT AND GENERAL EXPENSES 1,975. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,224,198. PURCHASES SERVICES - OTHER: PROGRAM SERVICE EXPENSES 12,047,732. MANAGEMENT AND GENERAL EXPENSES 4,978,240. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,025,972. ALL OTHER: PROGRAM SERVICE EXPENSES 15,951,631. MANAGEMENT AND GENERAL EXPENSES 2,417,744. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,369,375. |
| FORM 990, PART XI, LINE 9: | PENSION ADJUSTMENTS -9,303,964. NET UNREALIZED LOSS ON INTEREST RATE SWAP -9,270,899. SWAP INTEREST -6,776,546. EQUITY TRANSFER TO BHP/PHP -35,000,000. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIH COMMUNITY PHARMACY LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12401 WASHINGTON BLVD | AddressLine1Txt |
| City | WHITTIER | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 264390142 | EIN |
| Primary Activities | PHARMACY | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Total Income | $7,188,530 | TotalIncomeAmt |
| End Of Year Assets | $694,572 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRESBYTERIAN INTERCOMMUNITY HOSPITAL | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| PIH FOUNDATION | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 953761274 | FUNDRAISING | CA | SECTION 501(C)(3) | 7 | INTERHEALTH CORP | Yes (1) |
| IHC MANAGEMENT CORP | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 954016278 | SUPPORT OF TAX-EXEMPT AFFILIATES | CA | SECTION 501(C)(3) | 11, TYPE 1 | INTERHEALTH CORP | Yes (1) |
| INTERHEALTH HOME HEALTH CARE | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 953036281 | HEALTHCARE | CA | SECTION 501(C)(3) | 9 | INTERHEALTH CORP | Yes (1) |
| INTERHEALTH CORP | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 953619388 | SUPPORT OF TAX-EXEMPT AFFILIATES | CA | SECTION 501(C)(3) | 11, TYPE 1 | INTERHEALTH CORP | 0 |
| MED SITE - HACIENDA HEIGHTS | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 953643829 | HEALTHCARE | CA | SECTION 501(C)(3) | 9 | INTERHEALTH CORP | Yes (1) |
| BRIGHT HEALTH PHYSICIANS OF PIH | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 953942828 | HEALTHCARE | CA | SECTION 501(C)(3) | 9 | INTERHEALTH CORP | Yes (1) |
| DOWNEY REGIONAL MEDICAL CENTER HOSPITAL INC | ||||||||||
| 11500 BROOKSHIRE AVENUE | DOWNEY | CA | 90241 | 951903935 | HEALTH CARE | CA | SECTION 501(C)(3) | 3 | INTERHEALTH CORP | Yes (1) |
| MEMORIAL TRUST FOUNDATION OF DOWNEY REGIONAL MEDICAL CENTER | ||||||||||
| 11500 BROOKSHIRE AVENUE | DOWNEY | CA | 90241 | 203883428 | FUNDRAISING | CA | SECTION 501(C)(3) | 11, TYPE 1 | INTERHEALTH CORP | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| PIH INSURANCE CO A RECIPROCAL RISK RETENTION GROUP | |||||||||
| 1003 BISHOP STREET | HONOLULU | HI | 96813 | 263760243 | CAPTIVE INSURANCE | HI | INTERHEALTH CORP | T | Yes (1) |
| PIH HEALTH CARE SOLUTIONS | |||||||||
| 6557 GREENLEAF AVENUE | WHITTIER | CA | 90601 | 462072342 | HEALTHCARE | CA | INTERHEALTH CORP | C | Yes (1) |
| DRMC PROPERTIES | |||||||||
| 11500 BROOKSHIRE AVE | DOWNEY | CA | 90241 | 954769768 | REAL ESTATE | CA | DRMC INC | C | Yes (1) |
| PIH HEALTH RE | |||||||||
| 1003 BISHOP STREET | HONOLULU | HI | 96813 | 472501390 | CAPTIVE INSURANCE | HI | INTERHEALTH CORP | T | Yes (1) |
| HEALTHMED SERVICES INC | |||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 300831225 | HEALTHCARE | CA | INTERHEALTH CORP | C | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PIH FOUNDATION | ||
| C | $676,044 | FMV |
| IHC MANAGEMENT CORP | ||
| M | $747,792 | FMV |
| BRIGHT HEALTH PHYSICIANS OF PIH | ||
| P | $5,522,269 | FMV |
| PIH INSURANCE COMPANY | ||
| R | $2,162,654 | FMV |
| BRIGHT HEALTH PHYSICIANS OF PIH | ||
| B | $35,000,000 | FMV |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE R, PART IV, COLUMN (E): | PIH INSURANCE COMPANY IS AN UNINCORPORATED RISK RETENTION GROUP. |
| SCHEDULE R, PART IV, COLUMN (E): | PIH HEALTH CARE SOLUTIONS IS A NONPROFIT MUTUAL BENEFIT CORPORATION. |