2015-08-14T22:35:55-05:00 2014-09-30 861065772 DELOITTE TAX LLP 655 WEST BROADWAY SUITE 700 SAN DIEGO CA 921018590 990 2013-10-01 951934652 PRESBYTERIAN INTERCOMMUNITY HOSPITAL INC PRES 5626980811 12401 WASHINGTON BOULEVARD WHITTIER CA 90602 RONALD YOSHIHARA VP FINANCE 5626980811 2015-08-14 1 DIANA J MCCUTCHEN P00545657 6192326500 2013 2016-03-07 17:11:31Z RONALD YOSHIHARA 12401 WASHINGTON BOULEVARD WHITTIER CA 90602 571082485 0 X N/A X 1954 CA TO PROVIDE QUALITY HEALTHCARE AND CONTRIBUTE TO THE COMMUNITY'S HEALTH AND WELL-BEING. 17 14 3502 1015 346080 187736 2773989 2678359 489569882 502271574 23269127 13007876 5732690 7005320 521345688 524963129 460244 403635 0 0 239782776 256728932 0 0 0 227108023 250124752 467351043 507257319 53994645 17705810 1034650676 1176266823 490222810 616329469 544427866 559937354 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 344398936 403635 457378150 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 548-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 THE HEART & LUNG CENTER, CRITICAL CARE SERVICES, R.C. BAKER FOUNDATION EMERGENCY CENTER, THE RUBY L. GOLLEHER COMPREHENSIVE CANCER PROGRAM, PATRICIA L. SCHEIFLY BREAST HEALTH CENTER, REHABILITATION SERVICES, HOSPICE AND HOME HEALTH SERVICES AND MANY MORE.PATIENT CARE IN 2013EMPLOYEES....3,502VOLUNTEERS.......1,015NUMBER OF EMERGENCY DEPARTMENT (ED) VISITS....71,547NUMBER OF BIRTHS........4,033HOSPITAL VISITS (INCLUDES OUTPATIENT, INPATIENT, AND ED)....187,866MEDICAL OFFICE VISITS....436,748MEDICAL STAFF.....577 81070884 47563859 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. FINANCIAL ASSISTANCE IS REPORTED IN TERMS OF COSTS, NOT CHARGES, AND DOES NOT INCLUDE BAD DEBT. 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. THIS PAYMENT SHORTFALL IS NOT THE SAME AS A CONTRACTUAL ALLOWANCE, WHICH IS THE FULL DIFFERENCE BETWEEN CHARGES AND PAYMENTS BY GOVERNMENT PROGRAMS. NUMBER OF PERSONS SERVED BY FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS: 38,142FOR ADDITIONAL INFORMATION, PLEASE REFER TO PIH HEALTH'S COMMUNITY BENEFIT REPORT AT PIHHEALTH.ORG/CBANNUALREPORT 15254083 2859784 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 (USUALLY SUBSIDIZED BY THE HEALTHCARE ORGANIZATION AND DO NOT GENERATE PATIENT CARE BILLS, ALTHOUGH MAY INVOLVE A NOMINAL FEE). THESE PROGRAMS INCLUDE: COMMUNITY COLLABORATIVES, CARE FORCE ONE MOBILE HEALTH SERVICES, COMMUNITY EDUCATION, COMMUNITY INFORMATION AND REFERRAL SUPPORT, ENROLLMENT ASSISTANCE, HEALTH AND WELLNESS CENTER AT WHITTIER FIRST DAY, LIGHT RAIL TRANSIT COALITION, PREVENTATIVE HEALTH PROGRAMS AND SCREENINGS, SUPPORT GROUPS, AND TRANSPORTATION RESOURCES.HEALTH PROFESSIONS EDUCATION: THIS CATEGORY INCLUDES EDUCATIONAL PROGRAMS FOR PHYSICIANS, NURSES 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).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 AND SPECIALTY SERVICES, HIGH-RISK INFANT FOLLOW-UP CLINIC, AND HOSPICE HOMES.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. CLINICAL TRIALS OFFERED INCLUDE BREAST, COLON, KIDNEY AND LUNG CANCERS, AS WELL AS LEUKEMIA.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 WORK TIME, THE COST OF MEETING SPACE PROVIDED TO COMMUNITY GROUPS, AND THE DONATIONS OF FOOD, EQUIPMENT, MEDICATIONS, AND SUPPLIES. TOTAL NUMBER OF PERSONS SERVED BY ALL CATEGORIES: 77,370FOR ADDITIONAL INFORMATION, PLEASE REFER TO PIH HEALTH'S COMMUNITY BENEFIT REPORT AT PIHHEALTH.ORG/CBANNUALREPORT 440723903 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 1 0 0 0 0 1 1 1 1 0 0 1 243 0 1 3502 1 1 1 0 0 0 0 0 0 0 0 0 0 X 17 14 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X RONALD YOSHIHARA 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 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 1.50 1.50 X 0 1704325 0 PARESH PATEL MD DIRECTOR 1.50 1.50 X 10154 0 0 NORMA PROVENCIO DIRECTOR 1.50 3.00 X 0 0 0 NEAL SHINDEL MD DIRECTOR 1.50 1.50 X 0 775987 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 WILLIAM SHANAHAN MD DIRECTOR (THROUGH MAY 2014) 1.50 0.00 X 61875 0 0 JAMES WEST PRESIDENT AND CEO 30.00 16.10 X 1227452 0 15256 MITCHELL THOMAS CFO/SR. VP FINANCE 30.00 16.00 X 634268 0 35256 PEGGY CHULACK CAO 30.00 14.60 X 626928 0 4957 ROSALIO LOPEZ MD CMO/SR VP 40.00 1.50 X 711100 0 10911 REANNA THOMPSON COO/CNO 40.00 1.50 X 417249 0 0 DAVID KLINGER VP FACILITIES 40.00 0.00 X 431924 0 0 RONALD YOSHIHARA VP FINANCE 40.00 0.10 X 330059 0 18000 DAVID LEE CMIO 40.00 0.00 X 397429 0 16675 JULIA MCCONAGHY VP MKT & PLAN 40.00 0.00 X 343426 0 5349 PERRY EBELTOFT VP - ANCIL SERVICES 40.00 0.00 X 301809 0 15556 SUSANNE CARLSON VP REV CYC & MC 40.00 0.00 X 294053 0 5273 SHERREL HOLLINGSWORTH CHIEF HR OFFICER 40.00 0.00 X 289221 0 17175 JUDY PUGACH VP QUALITY MGMT. 40.00 0.00 X 258860 0 8411 PATRICIA BRAY VP COMM HLTH SERVICES 40.00 1.50 X 247499 0 7349 ROWENA STAJER VP CARE COORD 40.00 0.00 X 222183 0 12723 JOAN ROLLAND ADM/ED DIS SERVICES 40.00 0.00 X 205892 0 27945 ANUP PATEL VP RISK MANAGEMENT&COMPLIANCE 40.00 0.00 X 152124 0 15256 JUNG HO MEDICAL PHYS 40.00 0.00 X 244454 0 11051 JUDY CHIN INFECT DIS PHARM 40.00 0.00 X 214249 0 5348 ALAN ENDO ADM DIR PHARM 40.00 0.00 X 201669 0 13223 SCOTT BREMER DIR COMP/BEN HR 40.00 0.00 X 200739 0 16875 CHRISTOPHER BANDAK DIR KNOX KEENE 40.00 0.00 X 196549 0 15685 8221165 2480312 278274 424 0 1 0 LAMBERT RADIOLOGY MED GRP INC 11721 WHITTIER BLVD 509 WHITTIER CA 90601 MEDICAL SERVICES 6561311 WHITTIER PULM AND CRITICAL CARE 6905 ALTA VISTA DRIVE RANCHO PALOS VERDES CA 90275 MEDICAL SERVICES 5130990 INTERCOMMUNITY ANESTH SERVICE INC 371 VAN NESS WAY 210 TORRANCE CA 90501 MEDICAL SERVICES 4655825 INTERCOM FAMILY MEDICAL ASSOC INC 12291 WASHINGTON BLVD 500 WHITTIER CA 90606 MEDICAL SERVICES 3495552 ALLIEDBARTON SECURITY SERVICES PO BOX 828854 PHILADELPHIA PA 19182 SECURITY SERVICES 1984918 362 2678359 2678359 NET PATIENT REVENUE 621610 454742344 454742344 OTHER PATIENT REVENUE 621610 37844985 37844985 HOSPITAL FEE PROGRAM 900099 3466497 3466497 FOOD SERVICES 900099 2802197 2802197 ARRA INCENTIVE PAYMENT 900099 1341621 1341621 2073930 2073930 502271574 11218184 11218184 47892848 16200 43288386 2830970 4604462 -2814770 1789692 1789692 COMMUNITY PHARMACY 624110 5530219 5530219 PURCHASE DISCOUNTS 900099 1129021 1129021 NON-PATIENT LAB 621500 317160 317160 28920 28920 7005320 524963129 507801793 346080 14136897 X 126135 126135 277500 277500 8474601 5887000 2587601 172009071 152941881 19067190 11678432 9926667 1751765 50170664 47023398 3147266 14396164 12800125 1596039 549967 549967 2649451 9286 2640165 130000 130000 49884 49884 72287394 63826033 8461361 7408830 4888356 2520474 27895349 22874186 5021163 10588428 8136213 2452215 760210 464734 295476 300505 54520 245985 13151700 9630260 3521440 28777172 21077335 7699837 3878182 1178543 2699639 MEDICAL SUPPLIES 68187568 67872457 315111 0 HOSPITAL FEE PROGRAM 4396051 4396051 0 0 EQUIPMENT R&M 4021915 3936115 85800 0 EQUIPMENT LEASES 1150593 1144701 5892 0 3941553 2252407 1689146 507257319 440723903 66533416 0 459104 331457 6039 6031 58814888 71385516 4703997 5102419 7834720 9507980 557491711 157792616 394814262 399699095 383718336 405926617 594192 183705138 284307708 1034650676 1176266823 43471937 43951268 292944658 391592785 30500000 40000000 123306215 140785416 490222810 616329469 X 544427866 559937354 544427866 559937354 1034650676 1176266823 X 17705810 13238370 -15434692 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 49884 49884 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 362224021 58438116 303785905 129998876 81639812 48359064 65054203 17714688 47339515 399699095 DEFERRED FINANCING COSTS 4189023 INTERCOMPANY RECEIVABLE 275629427 OTHER RECEIVABLES 2420497 INVESTMENTS IN AFFILIATES 1001900 HOSPITAL FEE PROGRAM RECEIVABLE 1066861 284307708 DEFERRED COMPENSATION 14837869 SELF INSURANCE RESERVES 18163842 ACCRUED BOND INTEREST PAYABLE 1825390 HOSPITAL FEE PROGRAM PAYABLE 1231794 INTEREST RATE SWAP 39318432 INTERCOMPANY PAYABLE 1768202 PENSION LIABILITY 58170023 THIRD PARTY LIABILITY: COST REPORT PAYABLE 1603437 OTHER LIABLITIES 3866427 140785416 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 2014 OR 2013. 1 1 X 1 X 1 X 1 1 0 1 1 4062 15951100 9313976 6637124 0.01310 33248 61142186 36917289 24224897 0.04780 832 3977598 1332594 2645004 0.00520 38142 81070884 47563859 33507025 0.06610 58922 4942171 208850 4733321 0.00930 624 3818855 938456 2880399 0.00570 16567 5697849 1699650 3998199 0.00790 42 159092 159092 0.00030 1215 636116 12828 623288 0.00120 77370 15254083 2859784 12394299 0.02440 115512 96324967 50423643 45901324 0.09050 0.00000 0.00000 1 4 4652 4652 0.00000 1 8 30240 30240 0.00010 0.00000 1 12 10668 10668 0.00000 0.00000 0.00000 0.00000 3 24 45560 45560 0.00010 0 14078689 0 70639106 90229124 -19590018 X 1 1 1 1 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD WHITTIER CA 90602 930000129 X X X X SKILLED NURSING FACILITY PRESBYTERIAN INTERCOMMUNITY HOSPITAL 1 1 X X X X X X X X X 12 1 0 1 X PIHHEALTH.ORG/CHNA X X X X X X X X X X 0 0 1 1 100.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X X X X X 1 0 X X X X X 1 X 0 0 PRESBYTERIAN INTERCOMMUNITY HOSPITAL PART V, SECTION B, LINE 3: 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. THIS REPORT INCLUDES ACTIVITIES OF PIH HEALTH HOSPITAL - WHITTIER, PIH HEALTH HOSPITAL - DOWNEY, AND PIH HEALTH PHYSICIANS.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 5D: 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 7: DURING FISCAL YEAR 2013-2014, PIH HEALTH REVISED ITS IMPLEMENTATION STRATEGY, THUS ENSURING ALIGNMENT OF CHNA FINDINGS, PIH HEALTH'S COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND PIH HEALTH'S ORGANIZATIONAL STRATEGY. SOME OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS INCLUDED INSURANCE COVERAGE / AFFORDABILITY FOR DENTAL CARE, MENTAL HEALTH AND VISION CARE, ALCOHOL CONSUMPTION, CANCER, SMOKING AND YOUTH ASTHMA. PIH HEALTH WILL NOT FOCUS THE STRATEGIC EFFORTS OF THE 2014-2016 COMMUNITY HEALTH IMPROVEMENT IMPLEMENTATION STRATEGY ON THESE NEEDS. EXISTING WORK WILL CONTINUE IN THESE AREAS WHERE APPLICABLE AND REFERRAL RELATIONSHIPS WITH COMMUNITY-BASED AGENCIES ALREADY WORKING IN THESE AREAS WILL BE STRENGTHENED. 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 TO EFFECTIVELY ADDRESS THE NEED.ACCESS TO DENTAL CARE: PIH HEALTH HAS NEITHER THE EXPERTISE NOR THE INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS HEALTH NEED. PIH HEALTH WILL CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS THAT EFFECTIVELY ADDRESS THIS AREA OF NEED.ACCESS TO MENTAL HEALTHCARE: PIH HEALTH HAS NEITHER THE EXPERTISE NOR THE INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS HEALTH NEED. 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.ACCESS TO VISION CARE: PIH HEALTH HAS NEITHER THE EXPERTISE NOR THE INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS HEALTH NEED. PIH HEALTH WILL CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS THAT EFFECTIVELY ADDRESS THIS AREA OF NEED.ALCOHOL CONSUMPTION: PIH HEALTH HAS NEITHER THE EXPERTISE NOR THE INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS HEALTH NEED. PIH HEALTH WILL CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS THAT EFFECTIVELY ADDRESS THIS AREA OF NEED.CANCER: AS 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.SMOKING: PIH HEALTH HAS NEITHER THE EXPERTISE NOR THE INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS HEALTH NEED. PIH HEALTH WILL CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS THAT EFFECTIVELY ADDRESS THIS AREA OF NEED.YOUTH ASTHMA: PIH HEALTH HAS NEITHER THE EXPERTISE NOR THE INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS HEALTH NEED. PIH HEALTH WILL CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS THAT EFFECTIVELY ADDRESS THIS AREA OF NEED. PRESBYTERIAN INTERCOMMUNITY HOSPITAL PART V, SECTION B, LINE 14G: FPG IS PUBLICIZED AS FOLLOWS:- SELF-PAY PATIENTS RECEIVE A PACKET WITH A COVER LETTER AND A FINANCIAL ASSISTANCE AND MEDI-CAL APPLICATION AT SERVICE;- THE HOSPITAL LIMITS ITS CHARGES FOR MEDICALLY NECESSARY CARE PROVIDED TO FINANCIAL ASSISTANCE POLICY ELIGIBLE INDIVIDUALS TO NO MORE THAN "AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE." STATEMENTS TO THE UNINSURED REFLECT SIGNIFICANT SELF-PAY DISCOUNTS THAT EQUATE TO CONTRACTED MEDICARE ADVANTAGE RATES (OR LESS) AND A NOTICE THAT THE PATIENT MAY BE ELIGIBLE FOR STATE AND/OR UNCOMPENSATED CARE PROGRAMS;- SIGNS ARE POSTED THROUGHOUT THE FACILITY TO PROVIDE EDUCATION ABOUT CHARITY POLICIES;- THE HOSPITAL WEBSITE INCLUDES A COPY OF THE POLICY AND APPLICATIONS IN ENGLISH AND SPANISH. PRESBYTERIAN INTERCOMMUNITY HOSPITAL PART V, SECTION B, LINE 18E: 1. SELF-PAY PATIENTS RECEIVE A FREE PACKET WITH A COVER LETTER AND FINANCIAL ASSISTANCE AND MEDI-CAL APPLICATION AT SERVICE;2. AN ELIGIBILITY VENDOR ATTEMPTS TO CONTACT UNINSURED PATIENTS TO HELP THEM APPLY FOR MEDICAID;3. THE EARLY OUT SELF-PAY VENDOR TELLS PATIENTS ABOUT CHARITY IF THEY CANNOT PAY. PRESBYTERIAN INTERCOMMUNITY HOSPITAL PART V, SECTION B, LINE 20D: 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 A DISCOUNT BASED ON THE PATIENTS'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. 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 SCHEIFLY 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 I, LINE 7: THE COST SYSTEM IS BASED ON THE COST-TO-CHARGE ("C2C") METHODOLOGY, 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 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, E.G. 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. ALL COST INFORMATION REFLECTED IN PIH'S REGULATORY REPORTING AND FINANCIAL ANALYSIS IS BASED ON THIS DEPARTMENT-LEVEL C2C METHODOLOGY. 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. THIS EFFORT - IN PART - CONTRIBUTED TO WHITTIER BEING NAMED AS A FINALIST IN THE NATIONAL CIVIC LEAGUE'S PRESTIGIOUS ALL-AMERICA CITY AWARD.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.FURTHERMORE, PIH HEALTH OFFERS A FREE SHUTTLE SERVICE FROM THE NORWALK TRAIN STATION DURING MORNING AND AFTERNOON HOURS TO PROVIDE EMPLOYEES LIVING A SIGNIFICANT DISTANCE FROM THE HOSPITAL WITH AN INCENTIVE TO COMMUTE VIA TRAIN RATHER THAN BY CAR. 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 THROUGHOUT 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 FINANCIAL ASSISTANCE 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 ITS 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.PROVIDER SURVEYIN 2014, A PIH HEALTH TASK FORCE CONDUCTED AN ONLINE SURVEY OF ITS MEDICAL PROVIDERS THAT COLLECTED INFORMATION REGARDING THE HEALTHCARE NEEDS OF THE PROVIDER'S PATIENTS. PART VI, LINE 3: 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 CHARITY CARE AND MEDICAID APPLICATION AT THE TIME OF REGISTRATION THEREBY GIVING THEM THE OPPORTUNITY TO APPLY FOR ASSISTANCE. 3. THERE ARE SIGNS THROUGHOUT THE FACILITY THAT EDUCATE PATIENTS AND VISITORS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. 4. THE HOSPITAL'S WEBSITE PUBLISHES THE CHARITY CARE 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 CHARITY CARE 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 FINANCIAL ASSISTANCE AND QUALIFIES, THE PATIENT'S ACCOUNT IS RETURNED TO THE HOSPITAL AND CHARITY CARE IS EXTENDED. PART VI, LINE 4: 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: PIH WAS ESTABLISHED IN 1959 AS A NONPROFIT SAFETY NET FOR WHITTIER AND SURROUNDING AREAS. SINCE THEN, OUR SINCERE COMMITMENT TO SERVE OUR COMMUNITY HAS NEVER FALTERED.TODAY, PIH OFFERS A WIDE RANGE OF SERVICES INCLUDING UTILIZATION OF PRIMARY CARE TEAMS TO PROVIDE GENERAL MEDICINE AND PREVENTATIVE CARE; ACCESS TO EMERGENCY AND URGENT CARE, A COMPREHENSIVE CANCER PROGRAM, OUTPATIENT SURGERY, AN ADULT DAY HEALTHCARE CENTER, HOME HEALTH SERVICES AND HOSPICE; AND A NETWORK OF PHYSICIANS AND ADVANCED PRACTICE PROFESSIONALS. OUR MISSION IS TO 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. WE ARE GUIDED BY OUR BELIEF THAT HEALTH CARE IS A RIGHT AND NOT A PRIVILEGE. GUIDED BY A CHARITABLE MISSION, PIH'S COMMITMENT TO COMMUNITY BENEFIT, AND ULTIMATELY COMMUNITY HEALTH, IS DEMONSTRATED BY:- PROVIDING ESSENTIAL HEALTHCARE SERVICES FOR THOSE IN GREATEST NEED, INCLUDING THE UNINSURED AND UNDERINSURED;- OFFERING FREE AND LOW-COST SERVICES AIMED AT HEALTH MANAGEMENT AND DISEASE PREVENTION;- PROVIDING SCHOOL-BASED PROGRAMS AND COMMUNITY-BASED EDUCATION;- SUPPORTING LOCAL COMMUNITY WELLNESS INITIATIVES; AND BY- PARTNERING WITH COMMUNITY ORGANIZATIONS TO ENSURE THE HEALTH AND SOCIAL SERVICES NEEDS OF OUR NEIGHBORHOODS AND COMMUNITIES ARE MET THROUGH A BROAD SPECTRUM OF SERVICES.IN 2006, PIH'S BOARD OF DIRECTORS ESTABLISHED THE COMMUNITY BENEFIT OVERSIGHT COMMITTEE (CBOC), COMPRISED OF COMMUNITY STAKEHOLDERS AND HOSPITAL LEADERSHIP. THE CBOC IS DEDICATED TO PROVIDING STRATEGIC DIRECTION, OVERSIGHT, AND EVALUATION OF OUR COMMUNITY BENEFIT INITIATIVES, ENSURING CAREFUL STEWARDSHIP OF PIH'S CHARITABLE RESOURCES. THE SELECTION OF PIH COMMUNITY BENEFIT PRIORITY HEALTH AREAS AND DEVELOPMENT OF ITS IMPLEMENTATION STRATEGY ARE INTEGRAL TO ENSURING THAT PIH'S INITIATIVES ARE RESPONSIVE TO COMMUNITY NEEDS. RECOGNIZING THAT IT TAKES TIME TO REALIZE THE LONG-TERM OVERALL HEALTH IMPROVEMENT BENEFITS OF PROGRAMS AIMED AT DISEASE PREVENTION AND HEALTH PROMOTION, WE REMAIN STEADFAST IN THE BELIEF THAT EACH SMALL STEP, EACH COMMUNITY PARTNERSHIP, AND EACH SUCCESSFUL EFFORT BRINGS US ONE STEP CLOSER TO OUR VISION OF A HEALTHIER COMMUNITY. EXAMPLES OF PIH'S COMMITMENT TO IMPROVING THE HEALTH OF OUR COMMUNITIES ARE BELOW:PREVENTATIVE HEALTH PROGRAMS- IMMUNIZATIONS AND SCREENINGSPIH'S CARE FORCE ONE MOBILE HEALTH SERVICES, COMMUNITY HEALTH EDUCATION, AND FAMILY PRACTICE DEPARTMENTS PROVIDE FLU AND PNEUMONIA IMMUNIZATIONS TO LOW-INCOME, UNINSURED AND UNDERINSURED INDIVIDUALS. CLINICS ARE HOSTED AT LOCAL CHURCHES, SCHOOLS, COMMUNITY AND SENIOR CENTERS, AND COMMUNITY-BASED HEALTH FAIRS. IN ADDITION, PIH'S CARE FORCE ONE MOBILE HEALTH SERVICES PROVIDES FREE AND LOW-COST PRIMARY HEALTHCARE SERVICES DIRECTLY TO THOSE IN THE COMMUNITY WHO HAVE DIFFICULTY ACCESSING CARE FOR A VARIETY OF REASONS, WITH OVER 3,175 PATIENT ENCOUNTERS DURING FY 2012-2013.THE PIH PATRICIA L. SCHEIFLY BREAST HEALTH CENTER, DESIGNATED AS A BREAST IMAGING CENTER OF EXCELLENCE, PROVIDES FREE AND REDUCED-COST MAMMOGRAMS TO UNINSURED OR UNDER-SERVED WOMEN IN THE COMMUNITY. A PIH FOUNDATION FUND IS SPECIFICALLY DESIGNATED TO PROVIDE THE FREE MAMMOGRAMS. IN FY 2012-2013 41 WOMEN RECEIVED FREE MAMMOGRAMS AND 150 WOMEN RECEIVED REDUCED-COST MAMMOGRAMS. COMMUNITY HOTLINESPIH HEALTH ALSO OFFERS THREE TOLL-FREE HOTLINES DESIGNED TO LINK THE COMMUNITY TO HOSPITAL AND COMMUNITY-BASED HEALTH RESOURCES. EXAMPLES INCLUDE THE CANCER HELPLINE, STAFFED BY A REGISTERED NURSE WHO ADDRESSES CANCER-RELATED QUESTIONS, A SOCIAL SERVICES HELPLINE, AND A 24-7 COMMUNITY ADVICE NURSE. COMMUNITY COLLABORATIVES TO IMPROVE HEALTH AND WELLNESSPIH ACTIVELY SUPPORTS AND PARTICIPATES IN TWO COMMUNITY-BASED COLLABORATIVES: ACTIVATE WHITTIER AND HEALTHY LOS NIETOS.ACTIVATE WHITTIER'S MISSION IS TO BUILD A HEALTHY, ACTIVE WHITTIER THROUGH NEIGHBORHOOD AND COMMUNITY ENGAGEMENT, COLLABORATIVE PARTNERSHIPS, AND POLICY/ENVIRONMENTAL CHANGE, WITH A FOCUS ON SUSTAINABLE EFFORTS TO IMPROVE THE HEALTH AND WELLNESS OF THOSE LIVING, WORKING, LEARNING, AND PLAYING IN OUR COMMUNITY. ACTIVATE WHITTIER IS A PARTNERSHIP BETWEEN PIH, YMCA OF GREATER WHITTIER, CITY OF WHITTIER, LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, BOYS & GIRLS CLUB OF WHITTIER, WHITTIER COLLEGE, UPTOWN WELLNESS CENTER, LEARN, AND KAISER PERMANENTE DOWNEY MEDICAL CENTER. ACTIVATE WHITTIER'S COMMUNITY ACTION PLAN FEATURES STRATEGIES TO IMPROVE HEALTH IN DESIGNATED NEIGHBORHOODS, SCHOOLS, AND COMMUNITY-BASED ORGANIZATIONS.HEALTHY LOS NIETOS' MISSION IS A HEALTHY LOS NIETOS COMMUNITY THROUGH HEALTH PROMOTION, EDUCATION, CLINICAL SERVICES AND ON-GOING COMMUNITY PARTNERSHIPS. HEALTHY LOS NIETOS BEGAN WHEN SCHOOL AND CITY OFFICIALS - SEEING INCREASING RATES OF DIABETES AND OBESITY - BEGAN WORKING COLLABORATIVELY TO IDENTIFY SOLUTIONS. IN 2011, HEALTHY LOS NIETOS WAS DEVELOPED IN PARTNERSHIP WITH PIH AND NOW OFFERS EVIDENCE BASED COMPREHENSIVE PROGRAM FOR CLASSROOM HEALTH EDUCATION, STRATEGIC PHYSICAL EDUCATION, AND AFTER SCHOOL ACTIVITIES. SCHOOL NUTRITION CHANGES HAVE BEEN IMPLEMENTED AND ALL FOUR LOS NIETOS SCHOOL DISTRICT CAMPUSES HAVE SALAD BARS AND HEALTHY FOOD OPTIONS AVAILABLE. ADDITIONALLY, BEGINNING IN THE 2013-2014 SCHOOL YEAR, LONGITUDINAL TRACKING OF STUDENT BODY MASS INDEX (BMI), BLOOD PRESSURE, TELEVISION SCREEN TIME, AND NUTRITION/PHYSICAL ACTIVITY INDICATORS IS TAKING PLACE WITH ALL FIRST, THIRD, FIFTH, AND SEVENTH GRADE STUDENTS. PIH RESIDENT PHYSICIANS PROVIDE PREVENTION-FOCUSED EDUCATION DURING THE SCHOOL DAY TO STUDENTS, STAFF, AND TEACHERS. ENROLLMENT ASSISTANCE: ENROLLMENT COORDINATORS & MEDI-CAL ELIGIBILITY WORKERSIN ADDITION TO EMPLOYING TWO ENROLLMENT COORDINATORS, PIH HEALTH CONTRACTS WITH AGENCIES SPECIALIZING IN MEDI-CAL AND HEALTHY FAMILIES HEALTH COVERAGE IN AN EFFORT TO ENSURE THAT ALL THOSE ELIGIBLE OBTAIN HEALTH INSURANCE COVERAGE AND, ULTIMATELY, HAVE ACCESS TO CARE. THE ENROLLMENT COORDINATORS ALSO PROVIDE REFERRALS TO OTHER SOURCES OF HEALTHCARE AND SOCIAL SERVICE RESOURCES. FAMILY MEDICINE RESIDENCY PROGRAMAS AN ACCREDITED CONTINUING MEDICAL EDUCATION PROVIDER, PIH HEALTH'S FAMILY MEDICINE RESIDENCY PROGRAM PLACES SPECIAL EMPHASIS ON TRAINING RESIDENTS TO WORK WITH COMMUNITY MEMBERS OF ALL AGES WHO RESIDE IN LOW-INCOME, UNDER-SERVED AREAS. RESIDENT PHYSICIANS PROVIDE COMMUNITY HEALTH SERVICES VIA PIH HEALTH'S HOME-BASED PALLIATIVE CARE PROGRAM, AT CLINICS, AT WHITTIER COLLEGE AND A LOCAL HOMELESS SHELTER AS WELL AS THROUGH A PARTNERSHIP WITH THE LOS NIETOS SCHOOL DISTRICT AIMED AT REDUCING CHILDHOOD OBESITY. PHYSICIAN RESIDENTS IN PARTNERSHIP WITH HOMEBOY INDUSTRIES ALSO ASSIST WITH TATTOO REMOVAL FOR FORMER GANG MEMBERS.R. C. BAKER FOUNDATION REGIONAL EMERGENCY DEPARTMENTPIH HEALTH'S EMERGENCY DEPARTMENT (ED), ONE OF THE LARGEST IN LOS ANGELES COUNTY, EXPERIENCED 71,547 VISITS DURING FY 2012-2013.THE ED FEATURES THE AREA'S PARAMEDIC BASE STATION, PROVIDING BOTH THE EQUIPMENT AND RESOURCES FOR QUALIFIED STAFF SO THAT WHEN AN AMBULANCE IS DISPATCHED TO A LOCAL HOME, PARAMEDICS HAVE CRITICAL ACCESS TO LOCAL HOSPITAL-BASED EMERGENCY SERVICES. PIH HEALTH IS A DESIGNATED STEMI (HEART ATTACK) RECEIVING CENTER, A DESIGNATED STROKE RECEIVING CENTER AND AN EMERGENCY DEPARTMENT APPROVED FOR PEDIATRICS (EDAP) THROUGH LOS ANGELES COUNTY. PIH HEALTH ALSO SUSTAINS A CONTRACT WITH AN ON-CALL PHYSICIAN PANEL SO THAT ELIGIBLE PATIENTS, REGARDLESS OF HEALTH INSURANCE STATUS, ARE ASSURED ACCESS TO SPECIALTY CARE APPROPRIATE TO THEIR NEEDS.RUBY L. GOLLEHER COMPREHENSIVE CANCER PROGRAMONCOLOGY SERVICES AT PIH HEALTH ARE MULTIFACETED, FROM CLINICAL TRIALS, SCREENING AND PREVENTION PROGRAMS TO TREATMENT, RECOVERY AND SUPPORT. THROUGH A COMMITMENT TO ACQUIRING THE LATEST TREATMENTS AND TECHNOLOGY TO THE DEVELOPMENT OF A DEDICATED ONCOLOGY UNIT, THE RUBY L. GOLLEHER COMPREHENSIVE COMMUNITY CANCER PROGRAM CONTINUES TO BE A LEADER - AS IT HAS BEEN FOR MORE THAN 30 YEARS - IN HELPING PATIENTS AND THEIR CAREGIVERS MEET THE CHALLENGES OF CANCER.VOLUNTEER CONTRIBUTIONSA TOTAL OF 1,019 PIH VOLUNTEERS COLLECTIVELY CONTRIBUTED 120,033 HOURS, TRANSLATING INTO MORE THAN $2,657,531 IN SAVINGS FOR THE ORGANIZATION. PART VI, LINE 6: HOSPITAL AFFILIATES INCLUDE: 1) INTERHEALTH CORP, PIH HEALTH'S PARENT COMPANY; 2) PIH HEALTH HOSPITAL - DOWNEY; 3) PIH HEALTH PHYSICIANS ("PHP"), A NONPROFIT MEDICAL FOUNDATION; 4) THE PIH HEALTH FOUNDATION, A NONPROFIT ORGANIZATION THAT EXISTS TO RAISE PHILANTHROPIC FUNDS IN SUPPORT OF PIH'S CHARITABLE MISSION; AND 5) MEDSITE, WHICH SUBSIDIZES THE PIH HEALTH S. MARK TAPER FOUNDATION A DAY AWAY ADULT DAY HEALTH CARE CENTER. 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, 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. 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. PIH HEALTH S. MARK TAPER FOUNDATION A DAY AWAY ADULT DAY HEALTH CARE CENTER (MEDSITE) HAS, SINCE 1999, PROVIDED SAFE, APPROPRIATE CARE FOR ADULTS REQUIRING CONTINUOUS DAY-TIME SUPERVISION. A DAY AWAY ENSURES AN OPPORTUNITY FOR CAREGIVERS TO MAINTAIN THEIR JOBS, CARE FOR OTHER FAMILY MEMBERS, AND ATTEND TO THE BASIC DEMANDS OF LIFE. 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 BOYS & GIRLS CLUB OF WHITTIER 7905 GREENLEAF AVENUE WHITTIER CA 90602 956151763 501(C)(3) 6101 GENERAL SUPPORT RIO HONDO COLLEGE 3600 WORKMAN MILL RD WHITTIER CA 90601 954367487 501(C)(3) 50000 EDUCATIONAL SUPPORT 2 0 SCHOLARSHIPS AND MEDICAL EDUCATION 53 134000 PSYCHIATRIC CARE AT INDEPENDENT FACILITY FOR UNINSURED 70 143500 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 0 1 0 0 0 0 0 0 0 SUDHAKER NAYAK MD DIRECTOR 0 1546135 0 140190 0 18000 0 0 0 0 0 1704325 0 0 NEAL SHINDEL MD DIRECTOR 0 750926 0 7061 0 18000 0 0 0 0 0 775987 0 0 JAMES WEST PRESIDENT AND CEO 890860 0 322035 0 14557 0 0 0 15256 0 1242708 0 0 0 MITCHELL THOMAS CFO/SR. VP FINANCE 427774 0 111191 0 95303 0 17500 0 17756 0 669524 0 89303 0 PEGGY CHULACK CAO 452975 0 106947 0 67006 0 0 0 4957 0 631885 0 60577 0 ROSALIO LOPEZ MD CMO/SR VP 531324 0 169967 0 9809 0 0 0 10911 0 722011 0 0 0 REANNA THOMPSON COO/CNO 312296 0 98025 0 6928 0 0 0 0 0 417249 0 0 0 DAVID KLINGER VP FACILITIES 309891 0 43191 0 78842 0 0 0 0 0 431924 0 72428 0 RONALD YOSHIHARA VP FINANCE 251013 0 34412 0 44634 0 17500 0 500 0 348059 0 36941 0 DAVID LEE CMIO 340764 0 50000 0 6665 0 0 0 16675 0 414104 0 0 0 JULIA MCCONAGHY VP MKT & PLAN 261447 0 48834 0 33145 0 0 0 5349 0 348775 0 29145 0 PERRY EBELTOFT VP - ANCIL SERVICES 222547 0 52800 0 26462 0 0 0 15556 0 317365 0 19639 0 SUSANNE CARLSON VP REV CYC & MC 208120 0 48632 0 37301 0 0 0 5273 0 299326 0 30887 0 SHERREL HOLLINGSWORTH CHIEF HR OFFICER 282221 0 0 0 7000 0 0 0 17175 0 306396 0 0 0 JUDY PUGACH VP QUALITY MGMT. 194760 0 32796 0 31304 0 0 0 8411 0 267271 0 24006 0 PATRICIA BRAY VP COMM HLTH SERVICES 185653 0 35204 0 26642 0 0 0 7349 0 254848 0 19625 0 ROWENA STAJER VP CARE COORD 181096 0 35087 0 6000 0 0 0 12723 0 234906 0 0 0 JOAN ROLLAND ADM/ED DIS SERVICES 161618 0 37176 0 7098 0 17500 0 10445 0 233837 0 0 0 ANUP PATEL VP RISK MANAGEMENT&COMPLIANCE 149124 0 0 0 3000 0 0 0 15256 0 167380 0 0 0 JUNG HO MEDICAL PHYS 244454 0 0 0 0 0 0 0 11051 0 255505 0 0 0 JUDY CHIN INFECT DIS PHARM 214028 0 221 0 0 0 0 0 5348 0 219597 0 0 0 ALAN ENDO ADM DIR PHARM 198169 0 3500 0 0 0 0 0 13223 0 214892 0 0 0 SCOTT BREMER DIR COMP/BEN HR 182239 0 18500 0 0 0 0 0 16875 0 217614 0 0 0 CHRISTOPHER BANDAK DIR KNOX KEENE 196549 0 0 0 0 0 0 0 15685 0 212234 0 0 0 PART I, LINE 1A ALL EMPLOYEES ARE ELIGIBLE FOR HEALTH CLUB REIMBURSEMENT AND ANY SUCH REIMBURSEMENTS WERE INCLUDED IN TAXABLE COMPENSATION, PER 2014 PLAN YEAR BENEFITS SUMMARY. PART I, LINE 4B IHC AND ITS AFFILIATES SPONSOR A 457F PLAN. THE PLAN PARTICIPANTS AND AMOUNTS RECEIVED (IF APPLICABLE) WERE: PATRICIA BRAY ($19,625), SUSANNE CARLSON ($30,887), PEGGY CHULACK ($60,577), PERRY EBELTOFT ($19,639), DAVID KLINGER ($72,428), ROSALIO LOPEZ, MD., JULIA MCCONAGHY ($29,145), JUDY PUGACH ($24,006), JOAN ROLLAND, ROWENA STAJER, MITCHELL THOMAS ($89,303), REANNA THOMPSON, JAMES WEST, DAVID LEE, SHERREL HOLLINGSWORTH, ANUP PATEL, RONALD YOSHIHARA ($36,941), AND SUDHAKER NAYAK. A CITY OF WHITTIER - SERIES 2009 956000812 966769DA6 2009-05-14 280328878 HOSPITAL FACILITIES REFUND 2007 BONDS 0 0 0 B CITY OF WHITTIER - SERIES 2011 956000812 966769DH1 2011-03-31 40828054 CONSTRUCTION OF FACILITIES 0 0 0 C CITY OF WHITTIER - SERIES 2012 956000812 NONEAVAIL 2012-12-31 148000000 REFUND 2009 SERIES B AND C BONDS 0 0 0 D CITY OF WHITTIER - SERIES 2014 956000812 966769DK4 2014-08-01 106149636 PROJECT FUND 0 0 0 A 148000000 280328878 5800000 2416738 1087414 1337283 2013 1 0 1 1 B 40828054 939373 939373 40011493 2013 0 0 1 1 C 148000000 2013 1 0 1 1 D 106149636 1417650 2014 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 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 0 0 1 0 0 0 0 1 C 0 0 0 1 1 1 GOLDMAN SACHS BANK USA UNION BANK USA 23.400000000000 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF WHITTIER - SERIES 2009 DATE THE REBATE COMPUTATION WAS PERFORMED: 01/31/2013 ISSUER NAME: CITY OF WHITTIER - SERIES 2011 DATE THE REBATE COMPUTATION WAS PERFORMED: 01/31/2013 ISSUER NAME: CITY OF WHITTIER - SERIES 2012 DATE THE REBATE COMPUTATION WAS PERFORMED: 01/31/2013 SEE PART V 0 SCHEDULE L, PART IV: A: WILLIAM SHANAHAN, MD.B: SHAREHOLDER OF LAMBERT RADIOLOGY MEDICAL GROUPC: $6,561,311D: RADIOLOGY SERVICES PROVIDED TO PIHE: NO 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 4 PRESBYTERIAN INTERCOMMUNITY HOSPITAL BYLAWS WERE AMENDED TO REFLECT THE FOLLOWING CHANGES: 1) ARTICLE V, SECTION 1. BOARD OF DIRECTORS - AFFILIATION WITH THE SYNOD OF SOUTHERN CALIFORNIA, PRESBYTERIAN CHURCH HAS DISSOLVED AND FELT IT WAS APPROPRIATE AND NO LONGER NECESSARY TO HAVE THE REQUIREMENT OF AN ASSOCIATION WITH THE PRESBYTERIAN CHURCH INCLUDED IN THE BYLAWS. 2) ARTICLE V, SECTION 3. QUALIFICATION AND NOMINATION OF DIRECTORS - WITH THE REMOVAL OF THE ASSOCIATION WITH THE PRESBYTERIAN CHURCH, A CLASS FOR PRESBYTERIAN DIRECTORS WAS NO LONGER NECESSARY AND HAS BEEN REMOVED FROM THE BYLAWS. 3) ARTICLE V, SECTION 3. QUALIFICATION AND NOMINATION OF DIRECTORS - WITH THE ACQUISITION OF PHH - DOWNEY AND IN ACCORDANCE WITH THE ATTORNEY GENERAL'S STIPULATIONS, TWO MEMBERS OF THE BOARD SHALL EITHER RESIDE OR WORK IN THE DOWNEY PRIMARY OR SECONDARY SERVICE AREAS. 4) ARTICLE V, SECTION 10. CONFLICT OF INTEREST/CONFIDENTIALITY - MINOR CHANGE REGARDING A BOARD MEMBERS NOTICE OF ANY CONFLICT OF INTEREST SHOULD BE REPORTED TO THE CHAIR OF THE BOARD AND TO GENERAL COUNSEL. THE BYLAWS PREVIOUSLY READ THAT THE NOTICE SHOULD BE PROVIDED TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. 5) ARTICLE VIIII, SECTION 2B. COMMITTEES, CORPORATE FINANCE COMMITTEE - A MAJOR DUTY-THE DEVELOPMENT AND RECOMMENDATION OF AN OVERALL INSTITUTIONAL PLAN FOR THE CORPORATION INCLUSIVE OF AN ANNUAL OPERATING BUDGET-FOR THE CORPORATE FINANCE COMMITTEE WAS NOT PREVIOUSLY INCLUDED IN THE PIH HEALTH BYLAWS BUT RATHER THE PHH - WHITTIER BYLAWS. MANAGEMENT HAS ADDED THIS DUTY TO THE PIH HEALTH BYLAWS. 6) ARTICLE VIIII, SECTION 2E. COMMITTEES, GOVERNANCE - UNDER THE GOVERNANCE COMMITTEE, IT PREVIOUSLY IDENTIFIED THE NEED FOR A COMMUNITY DIRECTOR, PRESBYTERIAN DIRECTOR, AND MEDICAL STAFF DIRECTOR TO SERVE ON THE GOVERNANCE COMMITTEE. THIS DESIGNATION HAS BEEN REMOVED AND IS NO LONGER NECESSARY. ANY BOARD MEMBER INTERESTED IN SERVING ON THE GOVERNANCE COMMITTEE CAN SERVE. 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 26,973,254. MANAGEMENT AND GENERAL EXPENSES 18,009. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,991,263. PURCHASED SERVICES - OTHER: PROGRAM SERVICE EXPENSES 9,339,697. MANAGEMENT AND GENERAL EXPENSES 2,904,012. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,243,709. ALL OTHER: PROGRAM SERVICE EXPENSES 27,513,082. MANAGEMENT AND GENERAL EXPENSES 5,539,340. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,052,422. FORM 990, PART XI, LINE 9: PENSION ADJUSTMENTS -8,636,723. NET UNREALIZED LOSS ON INTEREST RATE SWAP -3,398,924. GOODWILL IMPAIRMENT -594,192. EQUITY TRANSFER TO BHP/PHP -2,804,853. PIH COMMUNITY PHARMACY LLC 12401 WASHINGTON BLVD WHITTIER CA 90602 264390142 PHARMACY CA 214302 831066 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 HEALTHCARE CA SECTION 501(C)(3) 3 INTERHEALTH CORP 1 DOWNEY REGIONAL MEDICAL CENTER INC 11500 BROOKSHIRE AVENUE DOWNEY CA 90241 954504845 SUPPORT OF TAX-EXEMPT AFFILIATES CA SECTION 501(C)(3) 11, TYPE 1 INTERHEALTH CORP 1 MEMORIAL TRUST FOUNDATION OF DOWNEY REGIONAL MEDICAL CENTER 12401 WASHINGTON BLVD WHITTIER CA 90602 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 AVENUE DOWNEY CA 90241 954769768 REAL ESTATE CA DRMC INC C 0 DRMC INSURANCE SERVICES 11500 BROOKSHIRE AVENUE DOWNEY CA 90241 953967987 INSURANCE CA DRMC INC C 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0 1 0 1 1 PIH FOUNDATION C 2678359 FMV INTERHEALTH CORP K 3787446 FMV IHC MANAGEMENT CORP M 549967 FMV BRIGHT HEALTH PHYSICIANS OF PIH P 8648610 FMV PIH INSURANCE COMPANY R 2153283 FMV IHC MANAGEMENT CORP S 391075 FMV BRIGHT HEALTH PHYSICIANS OF PIH R 2804853 FMV SCHEDULE R, PART II: DOWNEY REGIONAL MEDICAL CENTER, INC WAS MERGED INTO DOWNEY REGIONAL MEDICAL CENTER HOSPITAL, INC. EFFECTIVE OCTOBER 1, 2014. 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.