2016-08-05T20:18:29-05:00 2015-09-30 861065772 DELOITTE TAX LLP 655 WEST BROADWAY SUITE 700 SAN DIEGO CA 921018590 990 2014-10-01 951934652 PRESBYTERIAN INTERCOMMUNITY HOSPITAL INC PRES 5626980811 12401 WASHINGTON BOULEVARD WHITTIER CA 90602 GREG WILLIAMS CFO 5626980811 2016-08-05 1 JOHN W SADOFF JR P00540589 6192326500 2014 2016-12-15 16:53:06Z GREG WILLIAMS 12401 WASHINGTON BOULEVARD WHITTIER CA 90602 675435214 0 X N/A X 1954 CA TO PROVIDE QUALITY HEALTHCARE AND CONTRIBUTE TO THE COMMUNITY'S HEALTH AND WELL-BEING. 18 16 3610 836 149551 52311 2678359 676044 502271574 588377410 13007876 20510052 7005320 3436529 524963129 613000035 403635 243925 0 0 256728932 252497159 0 0 0 250124752 283201111 507257319 535942195 17705810 77057840 1176266823 1187500732 616329469 642416176 559937354 545084556 X 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. 0 0 324205678 243925 482462600 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 124765398 106152506 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 13983270 1933257 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 462954346 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 230 0 1 3610 1 1 1 0 0 0 0 0 0 0 0 0 0 X 18 16 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X GREG WILLIAMS 5626980811 12102 WASHINGTON BLVD WHITTIER CA 90606 EFRAIN ACEVES SECRETARY & DIRECTOR 1.50 3.00 X X 0 0 0 DONALD ALVARADO DIRECTOR 1.50 3.00 X 0 0 0 RICHARD ATWOOD VICE CHAIR & DIRECTOR 1.50 4.50 X X 0 0 0 JAMES BALL DIRECTOR 1.50 3.00 X 0 0 0 PAULA COWAN DIRECTOR 1.50 3.00 X 0 0 0 JANE DICUS TREASURER & DIRECTOR 1.50 4.50 X X 0 0 0 J PATRICK DROHAN DIRECTOR 1.50 3.00 X 0 0 0 LEON M N GARCIA DIRECTOR 1.50 3.00 X 0 0 0 FRANK GOMEZ PHD DIRECTOR 1.50 3.00 X 0 0 0 THOMAS KING DIRECTOR 1.50 3.00 X 0 0 0 ANGEL MUNOZ DIRECTOR 1.50 3.00 X 0 0 0 SUDHAKER NAYAK MD DIRECTOR 9.00 40.00 X 0 1662803 0 PARESH PATEL MD DIRECTOR (THROUGH 01/12/15) 1.50 0.00 X 0 0 0 NORMA PROVENCIO DIRECTOR 1.50 3.00 X 0 0 0 C WAYNE RAY MD DIRECTOR 1.50 0.00 X 0 0 0 NEAL SHINDEL MD DIRECTOR 1.50 40.00 X 0 916428 0 DREW SONES DIRECTOR 1.50 4.50 X 0 0 0 KENTON WOODS CHAIRMAN & DIRECTOR 1.50 3.00 X X 0 0 0 HUEY-MIN YU DIRECTOR 1.50 3.00 X 0 0 0 JAMES WEST PRESIDENT AND CEO 30.00 17.60 X 1773004 0 16818 PEGGY CHULACK CAO 30.00 17.60 X 634660 0 6119 ROSALIO LOPEZ MD CMO/SR VP 40.00 4.50 X 729949 0 11713 REANNA THOMPSON COO/CNO 40.00 1.50 X 545273 0 0 GREG WILLIAMS CFO 30.00 17.60 X 0 0 0 DAVID KLINGER VP FACILITIES 40.00 0.00 X 534795 0 17500 RONALD YOSHIHARA VP FINANCE & ANL 40.00 3.10 X 376972 0 27497 DAVIS LEE CMIO 40.00 0.00 X 456010 0 22818 JULIA MCCONAGHY VP MKT & PLAN 40.00 0.00 X 245907 0 0 PERRY EBELTOFT VP - ANCIL SERVICES 40.00 0.00 X 301391 0 17318 SUSANNE CARLSON VP REV CYC & MC 40.00 0.00 X 281270 0 5779 SHERREL HOLLINGSWORTH CHIEF HR OFFICER 40.00 0.00 X 385515 0 17518 JUDY PUGACH VP QUALITY MGMT. 40.00 0.00 X 283388 0 5619 PATRICIA BRAY VP COMM HEALTH SERVICES 40.00 1.50 X 209570 0 3560 ROWENA STAJER VP CARE COORD 40.00 0.00 X 234241 0 13261 JOAN ROLLAND ADM/ED DIS SERVICES 40.00 0.00 X 220820 0 29160 MARVIN RICE ASSOC MED DIR (THROUGH 11/20/14) 30.00 10.00 X 554577 0 17500 ANUP PATEL VP RISK MANAGEMENT&COMPLIANCE 40.00 0.00 X 190941 0 16818 JUNG HO MEDICAL PHYSCIAN 40.00 0.00 X 262499 0 10112 SCOTT BREMER DIRECTOR COMP/BEN HR 40.00 0.00 X 227857 0 18618 JUDY CHIN INFECT DIS PHARM 40.00 0.00 X 222580 0 5569 JACQUELINE NGUYEN PHARMACIST 40.00 0.00 X 201562 0 19118 JACQUELYN CITUK EX DIR ENT PHARM SV 40.00 0.00 X 200698 0 4324 MITCHELL THOMAS FORMER CFO/SR. VP FINANCE 0.00 0.00 X 846480 0 36817 9919959 2579231 323556 517 1 1 0 MILLIE AND SEVERSON INC 3601 SERPENTINE DR PO BOX 3601 LOS ALAMITOS CA 90720 CONSTRUCTION 10460041 INTERCOMMUNITY ANESTH SERVICES INC 371 VAN NESS WAY 210 TORRANCE CA 90501 MEDICAL SERVICES 10276699 LAMBERT RADIOLOGY MEDICAL GROUP INC 11721 WHITTIER BLVD STE 509 WHITTIER CA 90601 MEDICAL SERVICES 6909022 WHITTIER PULM AND CRITICAL CARE 6905 ALTA VISTA DRIVE RANCHO PALOS VERDES CA 90275 MEDICAL SERVICES 5192591 FAMILY PRACTICE RESIDENCY PROGRAM 12291 WASHINGTON BLVD 500 WHITTIER CA 90606 MEDICAL SERVICES 3256329 82 676044 676044 NET PATIENT REVENUE 621610 496712848 496712848 HOSPITAL FEE PROGRAM 900099 61997732 61997732 OTHER PATIENT REVENUE 621610 24010055 24010055 FOOD SERVICES 900099 2856760 2856760 ARRA INCENTIVE PAYMENT 900099 731054 731054 2068961 2068961 588377410 10538384 10538384 72277297 129550 62432522 2657 9844775 126893 9971668 9971668 COMMUNITY PHARMACY 624110 2170953 2170953 PURCHASE DISCOUNTS 900099 1116025 1116025 NON-PATIENT LAB 621500 117791 117791 31760 31760 3436529 613000035 590548363 149551 21626077 X 93585 93585 150340 150340 6184815 4404655 1780160 174290868 145971899 28318969 1591958 1353164 238794 56138878 51465930 4672948 14290640 12093517 2197123 747792 747792 1775466 18659 1756807 66450 66450 42281 42281 63619545 56221586 7397959 4436608 1495023 2941585 32896766 26975348 5921418 11808763 8832594 2976169 580863 391002 189861 238903 38629 200274 5885858 4930039 955819 27354553 23341037 4013516 4845252 4845252 MEDICAL SUPPLIES 69397234 68650488 746746 HOSPITAL FEE PROGRAM 45013341 45013341 EQUIPMENT R&M 4364872 4352508 12364 EQUIPMENT LEASES 972180 968791 3389 9154384 6192211 2962173 535942195 462954346 72987849 0 331457 363620 6031 71385516 71880032 5102419 5236841 9507980 10710659 574671638 183777317 399699095 390894321 405926617 390043165 284307708 318372094 1176266823 1187500732 43951268 52180261 391592785 383050678 40000000 39000000 140785416 168185237 616329469 642416176 X 559937354 545084556 559937354 545084556 1176266823 1187500732 X 77057840 -31559229 -60351409 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 42281 42281 0 PART II-B, LINE 1: A PORTION OF DUES PAID TO HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA AND AMERICAN HOSPITAL ASSOCIATION ARE RELATED TO LOBBYING. 214611 214611 364556909 69597594 294959315 133909123 90651143 43257980 75990995 23528580 52462415 390894321 DEFERRED FINANCING COSTS 3972629 INTERCOMPANY RECEIVABLE 284347264 OTHER RECEIVABLES 2074955 INVESTMENT IN AFFLIATES 1551901 HOSPITAL FEE PROGRAM RECEIVABLE 26425345 318372094 COST REPORT PAYABLE 1630411 BOND INTEREST PAYABLE 2348204 HOSPITAL FEE PAYABLE 16321715 INTERCOMPANY PAYABLE 1319463 DEFERRED COMPENSATION 13980612 INTEREST RATE SWAP 48589331 PENSION LIABILITY 64907621 SELF INSURANCE RESERVES 16233259 OTHER LIABILITIES 2854621 168185237 X PART X, LINE 2: 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. 1 1 X 1 X 1 X 1 1 0 1 1 3476 12463837 9403655 3060182 0.00570 39707 109227195 95001210 14225985 0.02650 529 3074366 1747641 1326725 0.00250 43712 124765398 106152506 18612892 0.03470 34767 3034711 60721 2973990 0.00550 762 5519173 1056677 4462496 0.00830 15210 4845818 810951 4034867 0.00750 80 199351 0 199351 0.00040 1422 384217 4908 379309 0.00070 52241 13983270 1933257 12050013 0.02240 95953 138748668 108085763 30662905 0.05710 1 2 16758 16758 0.00000 1 34 3908 3908 0.00000 1 1710 1710 0.00000 3 36 22376 22376 0 10895592 0 68995758 82479841 -13484083 X 1 1 1 1 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD WHITTIER CA 90602 WWW.PIHHEALTH.ORG 930000129 X X X X SKILLED NURSING FACILITY PRESBYTERIAN INTERCOMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X X 12 1 0 0 1 X PIHHEALTH.ORG/CHNA X X 1 14 1 PIHHEALTH.ORG/CHNA 0 0 1 X 100.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X HTTP://WWW.PIHHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/ X HTTP:// WWW.PIHHEALTH.ORG/PATIENTS-VISITORS X HTTP:WWW.PIHHEALTH.ORG/ X X X X X 1 X 0 X X X X 1 X 0 0 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/ 12 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 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 1 INTERHEALTH FOOD CENTER 11819 BURKE STREET SANTA FE SPRINGS CA 90670 953889152 501(C)(3) 10000 GENERAL SUPPORT YMCA OF GREATER WHITTIER 12510 E HADLEY STREET WHITTIER CA 90601 951684795 501(C)(3) 14340 GENERAL SUPPORT 2 0 SCHOLARSHIP AND MEDICAL EDUCATION 34 86500 PSYCHIATRIC CARE AT INDEPENDENT FACILITY FOR UNINSURED 41 63840 PART I, LINE 2: 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. X 1 1 X X X X X X 1 1 0 0 0 0 0 0 0 SUDHAKER NAYAK MD DIRECTOR 0 1644803 0 0 0 18000 0 0 0 0 0 1662803 0 0 NEAL SHINDEL MD DIRECTOR 0 898428 0 0 0 18000 0 0 0 0 0 916428 0 0 JAMES WEST PRESIDENT AND CEO 967385 0 264762 0 540857 0 0 0 16818 0 1789822 0 525958 0 PEGGY CHULACK CAO 455384 0 131155 0 48121 0 0 0 6119 0 640779 0 41093 0 ROSALIO LOPEZ MD CMO/SR VP 560393 0 158299 0 11257 0 0 0 11713 0 741662 0 0 0 REANNA THOMPSON COO/CNO 397946 0 85821 0 61506 0 0 0 0 0 545273 0 54155 0 DAVID KLINGER VP FACILITIES 331041 0 82701 0 121053 0 17500 0 0 0 552295 0 113865 0 RONALD YOSHIHARA VP FINANCE & ANL 263308 0 70574 0 43090 0 17500 0 9997 0 404469 0 35230 0 DAVIS LEE CMIO 353779 0 72306 0 29925 0 0 0 22818 0 478828 0 23081 0 JULIA MCCONAGHY VP MKT & PLAN 60346 0 34580 0 150981 0 0 0 0 0 245907 0 0 0 PERRY EBELTOFT VP - ANCIL SERVICES 242393 0 25379 0 33619 0 0 0 17318 0 318709 0 26597 0 SUSANNE CARLSON VP REV CYC & MC 226423 0 48073 0 6774 0 0 0 5779 0 287049 0 0 0 SHERREL HOLLINGSWORTH CHIEF HR OFFICER 301797 0 76944 0 6774 0 0 0 17518 0 403033 0 0 0 JUDY PUGACH VP QUALITY MGMT. 228097 0 28519 0 26772 0 0 0 5619 0 289007 0 18878 0 PATRICIA BRAY VP COMM HEALTH SERVICES 102684 0 34749 0 72137 0 0 0 3560 0 213130 0 52401 0 ROWENA STAJER VP CARE COORD 193693 0 33360 0 7188 0 0 0 13261 0 247502 0 0 0 JOAN ROLLAND ADM/ED DIS SERVICES 182352 0 30086 0 8382 0 17500 0 11660 0 249980 0 0 0 MARVIN RICE ASSOC MED DIR (THROUGH 11/20/14) 299725 0 89192 0 165660 0 17500 0 0 0 572077 0 0 0 ANUP PATEL VP RISK MANAGEMENT&COMPLIANCE 184368 0 0 0 6573 0 0 0 16818 0 207759 0 0 0 JUNG HO MEDICAL PHYSCIAN 262499 0 0 0 0 0 0 0 10112 0 272611 0 0 0 SCOTT BREMER DIRECTOR COMP/BEN HR 214922 0 12522 0 413 0 0 0 18618 0 246475 0 0 0 JUDY CHIN INFECT DIS PHARM 222580 0 0 0 0 0 0 0 5569 0 228149 0 0 0 JACQUELINE NGUYEN PHARMACIST 197423 0 4139 0 0 0 0 0 19118 0 220680 0 0 0 JACQUELYN CITUK EX DIR ENT PHARM SV 194031 0 6667 0 0 0 0 0 4324 0 205022 0 0 0 MITCHELL THOMAS FORMER CFO/SR. VP FINANCE 337177 0 170659 0 338644 0 17500 0 19317 0 883297 0 211156 0 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). A CITY OF WHITTIER 956000812 966769DA6 2009-05-14 280328878 PURCHASE OF LAND AND TO REFUND BONDS ISSUED 1/31/2007 0 0 0 B CITY OF WHITTIER 956000812 966769DH1 2011-03-31 40828054 CONSTRUCTION OF FACILITIES 0 0 0 C CITY OF WHITTIER 956000812 NONEAVAIL 2012-12-31 148000000 REFUND BONDS ISSUED 5/14/2009 0 0 0 D CITY OF WHITTIER 956000812 966769DK4 2014-08-07 106612491 HOSPITAL FACILITIES CONSTRUCTION AND TO REFUND BONDS ISSUED 10/1/2013 0 0 0 A 190205000 280328878 5804799 2416738 1087414 1337383 269687344 2013 1 0 1 1 B 2225000 40828054 816561 40011493 2013 0 0 1 1 C 148000000 148000000 1 0 1 1 D 106612491 1880505 6854015 97877971 2014 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 1 GOLDMAN SACHS BANK USA 29.500000000000 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 1 1 GOLDMAN SACHS BANK USA UNION BANK USA 23.400000000000 0 0 0 0 1 D 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF WHITTIER DATE THE REBATE COMPUTATION WAS PERFORMED: 01/31/2013 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. PIH COMMUNITY PHARMACY LLC 12401 WASHINGTON BLVD WHITTIER CA 90602 264390142 PHARMACY CA 7188530 694572 PRESBYTERIAN INTERCOMMUNITY HOSPITAL PIH FOUNDATION 12401 WASHINGTON BLVD WHITTIER CA 90602 953761274 FUNDRAISING CA SECTION 501(C)(3) 7 INTERHEALTH CORP 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 1 INTERHEALTH HOME HEALTH CARE 12401 WASHINGTON BLVD WHITTIER CA 90602 953036281 HEALTHCARE CA SECTION 501(C)(3) 9 INTERHEALTH CORP 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 1 BRIGHT HEALTH PHYSICIANS OF PIH 12401 WASHINGTON BLVD WHITTIER CA 90602 953942828 HEALTHCARE CA SECTION 501(C)(3) 9 INTERHEALTH CORP 1 DOWNEY REGIONAL MEDICAL CENTER HOSPITAL INC 11500 BROOKSHIRE AVENUE DOWNEY CA 90241 951903935 HEALTH CARE CA SECTION 501(C)(3) 3 INTERHEALTH CORP 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 1 PIH INSURANCE CO A RECIPROCAL RISK RETENTION GROUP 1003 BISHOP STREET HONOLULU HI 96813 263760243 CAPTIVE INSURANCE HI INTERHEALTH CORP T 1 PIH HEALTH CARE SOLUTIONS 6557 GREENLEAF AVENUE WHITTIER CA 90601 462072342 HEALTHCARE CA INTERHEALTH CORP C 1 DRMC PROPERTIES 11500 BROOKSHIRE AVE DOWNEY CA 90241 954769768 REAL ESTATE CA DRMC INC C 1 PIH HEALTH RE 1003 BISHOP STREET HONOLULU HI 96813 472501390 CAPTIVE INSURANCE HI INTERHEALTH CORP T 1 HEALTHMED SERVICES INC 12401 WASHINGTON BLVD WHITTIER CA 90602 300831225 HEALTHCARE CA INTERHEALTH CORP C 1 0 1 1 0 0 0 0 0 0 0 1 0 1 0 0 1 0 1 0 PIH FOUNDATION C 676044 FMV IHC MANAGEMENT CORP M 747792 FMV BRIGHT HEALTH PHYSICIANS OF PIH P 5522269 FMV PIH INSURANCE COMPANY R 2162654 FMV BRIGHT HEALTH PHYSICIANS OF PIH B 35000000 FMV 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.