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 953619388 INTERHEALTH CORP INTE 5626980811 12401 WASHINGTON BOULEVARD WHITTIER CA 90602 RONALD YOSHIHARA VP FINANCE 5626980811 2015-08-14 1 DIANA J MCCUTCHEN P00545657 6192326500 2013 2016-04-25 22:37:26Z RONALD YOSHIHARA 12401 WASHINGTON BOULEVARD WHITTIER CA 90602 15082544 0 X N/A X 1981 CA TO SUPPORT AND TO OPERATE FOR THE BENEFIT OF ITS TAX-EXEMPT AFFILIATES. 14 14 0 14 0 0 0 0 14484853 15082544 0 0 0 0 14484853 15082544 0 0 0 0 306498 338024 0 0 0 9448894 10896094 9755392 11234118 4729461 3848426 102122572 123037261 101881799 118948062 240773 4089199 X INTERHEALTH CORP.'S PRIMARY EXEMPT PURPOSE IS TO SUPPORT AND TO OPERATE FOR THE BENEFIT OF ITS TAX-EXEMPT AFFILILATES: PRESBYTERIAN INTERCOMMUNITY HOSPITAL, PIH FOUNDATION, BRIGHT HEALTH PHYSICIANS OF PIH, IHC MANAGEMENT CORP., MED SITE - HACIENDA HEIGHTS, INTERHEALTH HOME HEALTH CARE, DOWNEY REGIONAL MEDICAL CENTER HOSPITAL, INC., DOWNEY REGIONAL MEDICAL CENTER, INC. AND MEMORIAL TRUST FOUNDATION OF DOWNEY REGIONAL. INTERHEALTH CORP IS THE SOLE CORPORATE MEMBER OF THE ABOVE LISTED ENTITIES. 0 0 9342851 3719054 PROVIDING TECHNICAL, FACILITY AND SUPPORT SERVICES FOR TAX-EXEMPT AFFILIATES WHOSE CHARITABLE PURPOSE IS TO PROVIDE A BROAD RANGE OF HEALTH CARE SERVICES TO THEIR COMMUNITY BY WAY OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. 9342851 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 12 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X RONALD YOSHIHARA 5626980811 12102 WASHINGTON BLVD WHITTIER CA 90606 EFRAIN ACEVES DIRECTOR 1.50 3.00 X 0 0 0 DONALD ALVARADO CHAIRMAN & DIRECTOR 1.50 3.00 X X 0 0 0 RICHARD ATWOOD SECRETARY & DIRECTOR 1.50 4.50 X 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 THOMAS KING DIRECTOR 1.50 3.00 X 0 0 0 LEON MN GARCIA DIRECTOR 1.50 3.00 X 0 0 0 ANGEL MUNOZ DIRECTOR 1.50 3.00 X 0 0 0 SUDHAKER NAYAK MD DIRECTOR (THROUGH 10/14/2013) 1.50 1.50 X 0 151200 0 J PATRICK DROHAN DIRECTOR 1.50 3.00 X 0 0 0 NORMA PROVENCIO DIRECTOR 1.50 3.00 X 0 0 0 PARISH PETEL MD DIRECTOR (THROUGH 10/14/2013) 1.50 1.50 X 0 0 0 NEAL SHINDEL MD DIRECTOR (THROUGH 10/14/2013) 1.50 1.50 X 0 3199 0 DREW SONES DIRECTOR 1.50 4.50 X 0 0 0 KENTON WOODS VICE CHAIRMAN & DIRECTOR 1.50 3.00 X X 0 0 0 HUEY-MIN YU DIRECTOR 1.50 3.00 X 0 0 0 JAMES BALL DIRECTOR 1.50 3.00 X 0 0 0 JAMES WEST PRESIDENT AND CEO 1.50 44.60 X 0 1227452 15256 MITCHELL THOMAS CFO, ASST TREAS., SR. VP 1.50 44.50 X 0 634268 35256 PEGGY CHULACK CAO & ASST. SECRETARY 1.50 43.10 X 0 626928 4957 ROSALIO LOPEZ MD CHIEF MED OFFICER, SR VP 1.50 40.00 X 0 711100 10911 REANNA THOMPSON CHIEF NURSING OFFICER 1.50 40.00 X 0 417249 0 0 3771396 66380 0 0 1 0 RJ CONSTRUCTION 12107 PHILADELPHIA ST WHITTIER CA 906013928 CONSTRUCTION 2198983 MILLIE AND SEVERSON 3601 SERPENTINE DR LOS ALAMITOS CA 907200399 CONSTRUCTION 1854418 SCS FLOORING 5 PETERS CANYON ROAD IRVINE CA 92606 CONSTRUCTION 695376 BURGHARD DESIGN 29798 HAUN ROAD SUITE 200 SUN CITY CA 92586 CONSTRUCTION 561834 DELOITTE & TOUCHE LLP 555 W 5TH STREET SUITE 2700 LOS ANGELES CA 90013 PROFESSIONAL SERVICES 510200 16 RENTAL - TAX EXEMPT AFFILIATES 900099 11363490 11363490 RENTAL THIRD PARTY TENANTS 900099 3295039 3295039 CAFE REVENUE 900099 367062 367062 RENTAL AND MAINTENANCE 900099 56953 56953 15082544 15082544 3719054 0 11363490 X 292015 126823 165192 28464 7858 20606 17545 7620 9925 2205 2205 381696 381696 1763499 1396966 366533 62597 9594 53003 3025097 2614213 410884 35 35 151687 151687 5239318 4763624 475694 MEDICAL SUPPLIES 253331 246970 6361 LICENSES AND FEES 8614 8379 235 EQUIPMENT R & M 1763 660 1103 6252 6252 11234118 9342851 1891267 0 166586 124345 160280 392528 146280644 24247401 101876400 122033243 85892 320559 102122572 123037261 2707908 4829997 109144 6734447 99173891 107274474 101881799 118948062 X 240773 4089199 240773 4089199 102122572 123037261 3848426 0 X 0 1 X 1 0 X X X 0 0 0 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 951934652 3 1 1 1 0 IHC MANAGEMENT CORP 954016278 11, TYPE 1 1 1 1 0 INTERHEALTH HOME HEALTH CARE 953036281 9 1 1 1 0 PIH FOUNDATION 953761274 7 1 1 1 0 MED SITE - HACIENDA HEIGHTS 953643829 9 1 1 1 0 BRIGHT HEALTH PHYSICIANS OF PIH 953942828 9 1 1 1 0 DOWNEY REGIONAL MEDICAL CENTER HOSPITAL INC 951903935 3 1 1 1 0 DOWNEY REGIONAL MEDICAL CENTER INC 954504845 11, TYPE 1 1 1 1 0 MEMORIAL TRUST FOUNDATION OF DOWNEY REGIONAL 203883428 11, TYPE 1 1 1 1 0 9 0 33159343 33159343 74405970 16629895 57776075 21068564 5029507 16039057 1711710 1131618 580092 15935057 1456381 14478676 122033243 INTERCOMPANY PAYABLES 107274474 107274474 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. 0 1 0 0 0 0 0 0 0 SUDHAKER NAYAK MD DIRECTOR (THROUGH 10/14/2013) 0 151200 0 0 0 0 0 0 0 0 0 151200 0 0 JAMES WEST PRESIDENT AND CEO 0 890860 0 322035 0 14557 0 0 0 15256 0 1242708 0 0 MITCHELL THOMAS CFO, ASST TREAS., SR. VP 0 427774 0 111191 0 95303 0 17500 0 17756 0 669524 0 89303 PEGGY CHULACK CAO & ASST. SECRETARY 0 452975 0 106947 0 67006 0 0 0 4957 0 631885 0 60577 ROSALIO LOPEZ MD CHIEF MED OFFICER, SR VP 0 531324 0 169967 0 9809 0 0 0 10911 0 722011 0 0 REANNA THOMPSON CHIEF NURSING OFFICER 0 312296 0 98025 0 6928 0 0 0 0 0 417249 0 0 PART I, LINE 3 COMPENSATION FOR THE CEO WAS ESTABLISHED AND PAID BY PRESBYTERIAN INTERCOMMUNITY HOSPITAL ("PIH"), A RELATED ORGANIZATION. PIH USED THE FOLLOWING TO ESTABLISH THE CEO'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) FORM 990 OF OTHER ORGANIZATIONS; (4) WRITTEN EMPLOYMENT CONTRACTS; (5) COMPENSATION SURVEY ORSTUDY; (6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B IHC AND ITS AFFILIATES SPONSOR A 457(F) PLAN. THE PLAN PARTICIPANTS AND AMOUNTS RECEIVED (IF APPLICABLE) WERE: JAMES WEST, MITCHELL THOMAS ($89,303), PEGGY CHULACK ($60,577), ROSALIO LOPEZ, MD., AND REANNA THOMPSON. 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 THE FOLLOWING CHANGES WERE MADE TO THE BYLAWS: ARTICLE II, SECTION 1 SUPPORT ORGANIZATION - WITH THE AQUISITION OF PHH - DOWNEY, DOWNEY REGIONAL MEDICAL CENTER - HOSPITAL, INC. WAS ADDED AS A SUPPORTED ORGANIZATION. ARTICLE V, SECTION 1 BOARD OF DIRECTORS - AFFILIATION WITH THE SYNOD OF SOUTHERN CALIFORNIA, PRESBYTERIAN CHURCH HAS DISSOLVED AND NO LONGER NECESSARY TO HAVE THE REQUIREMENT OF AN ASSOCIATION WITH THE PRESBYTERIAN CHURCH IN THE BYLAWS. ARTICLE V, SECTION 3 QUALIFICATION AND NOMINATION OF DIRECTORS - REMOVAL OF THE ASSOCIATION WITH THE PRESBYTERIAN CHURCH, A CLASS FOR PRESBYTERIAN DIRECTORS WAS NO LONGER NECESSARY AND HAS BEEN REMOVED FROM THE BYLAWS. 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 AND SECONDARY SERVICE AREAS. 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 AND APPROVAL. 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 CHIEF ADMINISTRATIVE OFFICER AND GENERAL. 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 WAS 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. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE SPECIFIC SALARY OF THE PRESIDENT AND THE CHIEF EXECUTIVE OFFICER AND THE SENIOR VICE PRESIDENT OF FINANCE AND CHIEF FINANCIAL OFFICER. 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 IS 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 PURCHASED SERVICES - OTHER: PROGRAM SERVICE EXPENSES 682,801. MANAGEMENT AND GENERAL EXPENSES 163,277. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 846,078. PURCHASED SERVICES - R&M BUILDING: PROGRAM SERVICE EXPENSES 566,634. MANAGEMENT AND GENERAL EXPENSES 161,268. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 727,902. PURCHASED SERVICES - GROUND MAINTENANCE: PROGRAM SERVICE EXPENSES 147,531. MANAGEMENT AND GENERAL EXPENSES 41,988. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 189,519. PIH HEALTH REAL ESTATE SERVICES LLC 12401 WASHINGTON BLVD WHITTIER CA 90602 REAL ESTATE CA 607475 11781396 INTERHEALTH CORP PRESBYTERIAN INTERCOMMUNITY HOSPITAL INC 12401 WASHINGTON BLVD WHITTIER CA 90602 951934652 HEALTHCARE CA SECTION 501(C)(3) 3 INTERHEALTH CORP 1 PIH FOUNDATION 12401 WASHINGTON BLVD WHITTIER CA 90602 953761274 FUNDRAISING CA SECTION 501(C)(3) 7 INTERHEALTH CORP 1 INTERHEALTH HOME HEALTH CARE 12401 WASHINGTON BLVD WHITTIER CA 90602 953036281 HEALTHCARE CA SECTION 501(C)(3) 9 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 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 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 HEALTH PLAN LICENSE PENDING CA INTERHEALTH CORP C 1 DRMC PROPERTIES 11500 BROOKSHIRE AVENUE DOWNEY CA 90241 954769768 REAL ESTATE CA INTERHEALTH CORP C 0 DRMC INSURANCE SERVICES 11500 BROOKSHIRE AVENUE DOWNEY CA 90241 953967987 INSURANCE CA INTERHEALTH CORP C 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 MED SITE - HACIENDA HEIGHTS A 234222 FMV PIH FOUNDATION A 52983 FMV PRESBYTERIAN INTERCOMMUNITY HOSPITAL A 3787446 FMV BRIGHT HEALTH PHYSICIANS OF PIH A 7204757 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.