FURP.ORG / PUBLIC DATA EXPLORER

PIH HEALTH WHITTIER HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PIH HEALTH WHITTIER HOSPITAL (EIN 95-1934652)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-07-30
IRS object ID
201242129349300769
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-07-30T10:22:12-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1655 WEST BROADWAY SUITE 700AddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code921018590ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN951934652EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PRESBYTERIAN INTERCOMMUNITY HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPRESNameControl
Phone5626980811Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line112401 WASHINGTON BOULEVARDAddressLine1
CityWHITTIERCity
StateCAState
ZIP Code90602ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMITCHELL THOMASName
TitleCFOTitle
Phone5626980811Phone
Date Signed2012-07-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDIANA J MCCUTCHENName
Phone6192326500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMITCHELL THOMASNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line112401 WASHINGTON BOULEVARDAddressLine1
CityWHITTIERCity
StateCAState
ZIP Code90602ZIPCode
FieldValueIRS element (for citing)
Gross Receipts535072562GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1954YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE QUALITY HEALTHCARE AND CONTRIBUTE TO THE COMMUNITY'S HEALTH AND WELL-BEING.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees3082TotalNbrEmployees
Total Nbr Volunteers830TotalNbrVolunteers
Total Gross UBI139234TotalGrossUBI
Net Unrelated Business Txbl Income52047NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1595087ContributionsGrantsPriorYear
Contributions Grants Current Year2204568ContributionsGrantsCurrentYear
Program Service Revenue Prior Year392575409ProgramServiceRevenuePriorYear
Program Service Revenue CY444974620ProgramServiceRevenueCY
Investment Income Prior Year13580533InvestmentIncomePriorYear
Investment Income Current Year15084659InvestmentIncomeCurrentYear
Other Revenue Prior Year2138979OtherRevenuePriorYear
Other Revenue Current Year3235462OtherRevenueCurrentYear
Total Revenue Prior Year409890008TotalRevenuePriorYear
Total Revenue Current Year465499309TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year739812GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY852252GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year193119748SalariesEtcPriorYear
Salaries Etc Current Year212682689SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year181162804OtherExpensePriorYear
Other Expenses Current Year202598224OtherExpensesCurrentYear
Total Expenses Prior Year375022364TotalExpensesPriorYear
Total Expenses Current Year416133165TotalExpensesCurrentYear
Revenues Less Expenses Prior Year34867644RevenuesLessExpensesPriorYear
Revenues Less Expenses CY49366144RevenuesLessExpensesCY
Total Assets BOY848581314TotalAssetsBOY
Total Assets EOY905350088TotalAssetsEOY
Total Liabilities BOY409434369TotalLiabilitiesBOY
Total Liabilities EOY493712181TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY439146945NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY411637907NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionMISSION: 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 PATIENT'S 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense257888806Expense
Grants376715Grants
Revenue385268841Revenue
DescriptionPATIENT CARE: PRESBYTERIAN INTERCOMMUNITY HOSPITAL (PIH) IS A 444-BED MEDICAL CENTER AND INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH SERVES MORE THAN 1.5 MILLION RESIDENTS IN LOS ANGELES, SAN BERNARDINO, AND ORANGE COUNTIES, AND INCLUDES A NETWORK OF PRIMARY CARE CLINICS, MOBILE HEALTH SERVICES, A RESIDENTIAL HOSPICE PROGRAM, AS WELL AS AN ADULT DAY HEALTH CARE CENTER. PIH IS SITUATED IN THE SOUTHEAST PORTION OF LOS ANGELES COUNTY WITHIN AN AREA REFERRED TO AS SERVICE PLANNING AREA 7 (SPA 7). APPROXIMATELY 73% OF ADMISSIONS CAME FROM NINE CITIES, WHICH COMPRISE PIH'S PRIMARY SERVICE AREA. PIH'S SECONDARY SERVICE AREAS INCLUDE ADDITIONAL CITIES IN SAN GABRIEL VALLEY AND NORTH ORANGE COUNTY. THE FOLLOWING IS A LIST OF PROGRAMS OFFERED THROUGH PIH DURING THE YEAR:A DAY AWAY ADULT DAY HEALTH CARE CENTERBLOOD DONOR CENTERCOMPREHENSIVE CANCER PROGRAMCAR SEAT PROGRAM (LOW-COST CAR SEATS)CARE FORCE ONE MOBILE HEALTH SERVICESCHAPLAINCY PROGRAMCOMMUNITY-BUILDING BY SENIOR LEADERSHIP & MANAGEMENTCOMMUNITY EDUCATION OUTREACH (BREAST HEALTH/CHILDBIRTH/DIABETES/HEART HEALTH)COMMUNITY HELPLINES (CANCER HELPLINE, COMMUNITY ADVICE NURSE, SOCIAL SERVICES HELPLINE) DISASTER READINESSDONATIONS TO COMMUNITY ORGANIZATIONS (FINANCIAL & IN-KIND)ED PHYSICIAN ON-CALL PROGRAM (EA PROGRAM)ENROLLMENT ASSISTANCE (MEDI-CAL ELIGIBILITY WORKERS & ENROLLMENT COORDINATORS)EXERCISE CLASSES / FALL PREVENTION PROGRAMFAMILY PRACTICE RESIDENCY PROGRAMFLU AND PNEUMONIA VACCINATION CLINICSHEALTH SCREENINGSHIGH-RISK INFANT FOLLOW-UP CLINICHOSPICE AND HOME HEALTHHOSPITALISTS / INTENSIVISTS (24/7)NOTARY SERVICESPARAMEDIC BASE STATION (INCLUDING STAFF TRAINING)PHYSICIAN/MEDICAL PROFESSIONAL EDUCATIONPURCHASED SERVICES & TRANSPORTATION FOR UNDERSERVED PATIENTS/FAMILIESRESEARCHSENIOR SERVICESSEXUAL ASSUALT RESPONSE TEAM (SART)STUDENT TRAINING (NURSING & ANCILLARY)SUPPORT GROUPSWHITTIER FIRST DAY CLINIC (LOCAL HOMELESS SHELTER)CHARITY CARE REFERS TO DOLLARS EXPENDED FOR THE PROVISION OF FREE OR DISCOUNTED CARE PROVIDED TO BOTH THE UNINSURED AND THE INSURED WHO LACK FINANCIAL RESOURCES AND MEET THE UNCOMPENSATED CARE PROGRAMS CRITERIA TO PAY FOR NEEDED HEALTHCARE SERVICES. RECOGNIZING ITS CHARITABLE MISSION, PIH OFFERS A GENEROUS UNCOMPENSATED CARE PROGRAM THAT EXCEEDS RECOMMENDED STANDARDS, PROVIDING CHARITY CARE TO ALL PATIENTS WHO APPLY AND QUALIFY WITH FAMILY INCOME(S) WITHIN 400% OF THE FEDERAL POVERTY GUIDELINES. ADDITIONALLY, UNDER THE PIH SELF-PAY PAYMENT PROGRAM, ALL CASH-PAY PATIENTS AND THOSE THAT HAVE LIMITED BENEFIT PLANS (ALL PATIENTS LACKING HEALTH INSURANCE) ARE AUTOMATICALLY GIVEN A BILL REDUCTION COMMENSURATE WITH OR LESS THAN THE NEGOTIATED REIMBURSEMENT RATES WITH A CONTRACTED HEALTHY FAMILIES PROGRAM PLAN; NO PRE-QUALIFICATION IS NECESSARY. EACH FISCAL YEAR, PIH REALIZES A NET LOSS DUE TO OFFERING CASH DISCOUNTS OFF OF ACTUAL HOSPITAL COSTS OF PROVIDING THIS CARE. THE DISCOUNTS PROVIDED BY THE SELF-PAY PAYMENT PROGRAM ARE ESPECIALLY OF BENEFIT TO THOSE IN THE PROCESS OF APPLYING FOR PIHS CHARITY CARE OR OTHER GOVERNMENT MEANS-TESTED PROGRAMS AND AWAITING ELIGIBILITY DETERMINATION. PIH ALSO REALIZES A NET LOSS EACH FISCAL YEAR IN PROVIDING SERVICES TO THOSE PATIENTS PARTICIPATING IN GOVERNMENT-SPONSORED MEANS-TESTED HEALTH PROGRAMS, SUCH AS MEDI-CAL, MEDI-CAL HMO, CCS, AND HEALTHY WAY LA. NUMBER OF PERSONS SERVED THROUGH CHARITY CARE & MEANS-TESTED PROGRAMS: 35,529.NUMBER OF PERSONS SERVED THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, CASH & IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS: 53,229. FOR ADDITIONAL INFORMATION, PLEASE REFER TO PIH'S ANNUAL REPORT & PLAN FOR COMMUNITY BENEFIT REPORT AT WWW.PIH.NET.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense91808996Expense
Revenue58282832Revenue
DescriptionCHARITY CARE REFERS TO DOLLARS EXPENDED TO THE PROVISION OF FREE OR DISCOUNTED CARE PROVIDED TO THOSE LACKING INSURANCE OR FINANCIAL RESOURCES TO PAY FOR NEEDED HEALTHCARE SERVICES. RECOGNIZING OUR CHARITABLE MISSION, PIH OFFERS A GENEROUS UNCOMPENSATED CARE PROGRAM PROVIDING CHARITY CARE TO ALL PATIENTS WITH FAMILY INCOME(S) WITHIN 400% OF THE FEDERAL POVERTY GUIDELINES. ADDITIONALLY, UNDER THE PIH CASH DISCOUNT PROGRAM, ALL CASH-PAY PATIENTS (ALL PATIENTS LACKING HEALTH INSURANCE) ARE OFFERED A BILL REDUCTION COMMENSURATE WITH THE DISCOUNTED REIMBURSEMENT RATE EXTENDED THROUGH THE GOVERNMENT-SPONSORED MEANS-TESTED HEALTHY FAMILIES PROGRAM; NO PRE-QUALIFICATION IS NECESSARY. EACH FISCAL YEAR, PIH REALIZES A NET LOSS DUE TO OFFERING CASH DISCOUNTS OFF OF ACTUAL HOSPITAL COSTS OF PROVIDING THIS CARE. THE DISCOUNTS PROVIDED BY THE CASH PAYMENT PROGRAM ARE ESPECIALLY OF BENEFIT TO THOSE IN THE PROCESS OF APPLYING FOR PIH'S CHARITY CARE OR OTHER GOVERNMENT MEANS-TESTED PROGRAM AND AWAITING ELIGIBILITY DETERMINATION. NUMBER OF PERSONS SERVED: 35,529.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense20057068Expense
Grants475537Grants
Revenue3999883Revenue
DescriptionSUBSIDIZED HEALTH SERVICES, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, CONTRIBUTIONS TO COMMUNITY GROUPS, RESEARCH: IN PROVIDING SERVICES TO THOSE PATIENTS PARTICIPATING IN GOVERNMENT-SPONSORED MEANS-TESTED HEALTH PROGRAMS, SUCH AS MEDI-CAL, MEDI-CAL HMO AND HEALTHY FAMILIES, PIH REALIZES A COLLECTIVE NET LOSS EACH FISCAL YEAR. NUMBER OF PERSONS SERVED: 53,229.FOR ADDITIONAL INFORMATION, PLEASE REFER TO PIH'S COMMUNITY BENEFIT REPORT AT WWW.PIH.NET.Description
FieldValueIRS element (for citing)
Total Program Service Expense369754870TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096244NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees3082NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RONALD YOSHIHARABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5626980811TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line112102 WASHINGTON BLVDAddressLine1
CityWHITTIERCity
StateCAState
ZIP Code90606ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
EFRAIN ACEVES
DIRECTOR1.50X000
DONALD ALVARADO
DIRECTOR & VICE CHAIRMAN1.50X000X
RICHARD ATWOOD
DIRECTOR1.50X000
PAULA COWAN
DIRECTOR1.50X000
JANE DICUS
DIRECTOR & SECRETARY1.50X000X
LEON MN GARCIA
DIRECTOR1.50X000
THOMAS KING
DIRECTOR1.50X000
ANGEL MUNOZ
DIRECTOR1.50X000
SUDHAKER NAYAK MD
DIRECTOR1.50X19110600
NORMA PROVENCIO
DIRECTOR1.50X000
WILLIAM SHANAHAN MD
DIRECTOR1.50X5500000
NEAL SHINDEL MD
DIRECTOR1.50X42012241940
DREW SONES
DIRECTOR & CHAIRMAN1.50X000X
KENTON WOODS
DIRECTOR & TREASURER1.50X000X
HUEY-MIN YU
DIRECTOR1.50X000
JAMES WEST
PRESIDENT & CEO40.008850230184410X
MITCHELL THOMAS
CFO, ASST TREAS & SR VP40.005204520112615X
PEGGY CHULACK
CAO & ASST SECRETARY40.00440143066885X
ROSALIO LOPEZ MD
CHIEF MED OFF & SR VP40.00530978095031X
REANNA THOMPSON
CHIEF NURSING OFFICER40.00394473059756X
DAVE KLINGER
VP, FACILITIES40.00366152059920X
JOAN ROLLAND
ADMIN ED/DISASTER SERV40.00170885048212X
JUDY PUGACH
VP OF QUALITY RISK MGMT.40.00183151035497X
LON OREY
VP OF HUMAN RESOURCES40.00348567044720X
PATRICIA BRAY
VP OF CONTINUING CARE40.00184012032815X
PERRY EBELTOFT
ANCILLARY SERVICES ADMIN40.00197719042062X
RAMONA PRATT
VP, NURSING OPERATIONS40.00220667039345X
RONALD YOSHIHARA
VP, FINANCE & CONTROLLER40.00266127063988X
ROWENA STAJER
ADMINISTRATIVE DIRECTOR40.00217114031094X
SUSANNE CARLSON
ADMINISTRATIVE DIRECTOR40.00253613043481X
MARVIN RICE
VP, NETWORK SERVICES40.00440960099994X
JUNG HO
MEDICAL PHYSICIST40.0022543902430X
CARMEN A CHANG
PHARMACIST40.0018771001561X
PHILIP B CHON
PHARMACIST40.0018411002010X
ALAN Y ENDO
DIRECTOR - PHARMACY40.0018258003011X
ANNA KRUGER
RN40.001730750561X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6861068TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs24194TotalReportableCompFrmRltdOrgs
Total Other Compensation1069398TotalOtherCompensation
Number Individuals GT100 K267NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MILLIE AND SEVERSON INC
PO BOX 3601LOS ALAMITOSCA90720CONSTRUCTION24728560
ALLSCRIPTS (FORMERLY ECLIPSYS)
3 RAVINIA DRIVE SUITE B-150ATLANTAGA30346IT SERVICES10762498
WHITTIER PULM AND CRITC CARE
6905 ALTA VISTA DRIVERANCHO PALOS VERDESCA90275MEDICAL SERVICES5311065
LAMBERT RADIOL MED GRP INC
11721 WHITTIER BLVD 509WHITTIERCA90601MEDICAL SERVICES4635071
FAMILY PRACTICE RESIDENCY PROGRAM
12291 WASHINGTON BLVDWHITTIERCA90606MEDICAL SERVICES3164360
FieldValueIRS element (for citing)
Number Of Contractors GT100 K75NumberOfContractorsGT100K
Related Organizations2204568RelatedOrganizations
Total Contributions2204568TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE RE621610405297234405297234
HOSPITAL FEE PROGRAM9000992760112927601129
OTHER PATIENT REVENUE6216101207625712076257
FieldValueIRS element (for citing)
Total Program Service Revenue444974620TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column9004803TotalRevenueColumn
Exclusion$9,004,803ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities75635109Securities
Other18000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities69555870Securities
Other17383Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities6079239Securities
Other617Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column6079856TotalRevenueColumn
Exclusion$6,079,856ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
COMMUNITY PHARMACY624110258677125769369835
PURCHASE DISCOUNTS900099537291$537,291
NON-PATIENT LAB621500125323125323

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column-13923TotalRevenueColumn
Unrelated Business Revenue4076UnrelatedBusinessRevenue
Exclusion-$17,999ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3235462TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column465499309TotalRevenueColumn
Related Or Exempt Function Income447551556RelatedOrExemptFunctionIncome
Unrelated Business Revenue139234UnrelatedBusinessRevenue
Exclusion$15,603,951ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total601102Total
Program Services601102ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total251150Total
Program Services251150ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5427058Total
Program Services3934941ProgramServices
Management And General1492117ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total144966239Total
Program Services129681194ProgramServices
Management And General15285045ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total11796843Total
Program Services10026637ProgramServices
Management And General1770206ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total38750932Total
Program Services36389574ProgramServices
Management And General2361358ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total11741617Total
Program Services10432372ProgramServices
Management And General1309245ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total370219Total
Management And General370219ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1502114Total
Program Services4287ProgramServices
Management And General1497827ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total53850Total
Management And General53850ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total50318Total
Management And General50318ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total48997600Total
Program Services42779593ProgramServices
Management And General6218007ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5219496Total
Program Services3387479ProgramServices
Management And General1832017ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total19673508Total
Program Services15967976ProgramServices
Management And General3705532ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7783111Total
Program Services6476465ProgramServices
Management And General1306646ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total475004Total
Program Services349350ProgramServices
Management And General125654ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total187623Total
Program Services30295ProgramServices
Management And General157328ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total10664380Total
Program Services8885149ProgramServices
Management And General1779231ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total16502054Total
Program Services13750287ProgramServices
Management And General2751767ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3780695Total
Program Services998994ProgramServices
Management And General2781701ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES47358556470369653215910
HOSPITAL FEE PROGRAM185745131857451300
BAD DEBT141950191419501900
EQUIPMENT R&M396621137928821733290
EQUIPMENT LEASES72896772028286850

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2514986Total
Program Services1488364ProgramServices
Management And General1026622ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total416133165Total
Program Services369754870ProgramServices
Management And General46378295ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2269947BOY
EOY8522455EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6521483BOY
EOY6038EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY69675419BOY
EOY63298558EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3431697BOY
EOY3307679EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY10649826BOY
EOY8710475EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis405509298LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec116205653LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY256432376BOY
EOY289303645EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY351404186BOY
EOY352866582EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY594192BOY
EOY594192EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY147602188BOY
EOY178740464EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY848581314BOY
EOY905350088EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY34496454BOY
EOY38628321EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY273946465BOY
EOY308097102EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY100991450BOY
EOY146986758EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY409434369BOY
EOY493712181EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY439146945BOY
EOY411637907EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY439146945BOY
EOY411637907EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY848581314BOY
EOY905350088EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses49366144ReconcilationRevenueExpenses
Reconcilation Other Changes-76875182ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$50,318OtherActivitiesAmount
Total Lobbying Expenditures IIB50318TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationA PORTION OF DUES PAID TO HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA AND AMERICAN HOSPITAL ASSOCIATION ARE RELATED TO LOBBYING.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis214611OtherCostOrOtherBasis
Book Value214611BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis187032997OtherCostOrOtherBasis
Depreciation44555746Depreciation
Book Value142477251BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis98134089OtherCostOrOtherBasis
Depreciation66760589Depreciation
Book Value31373500BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis120127601OtherCostOrOtherBasis
Depreciation4889318Depreciation
Book Value115238283BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings289303645TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED FINANCING COSTS3544563
DUE FROM AFFILIATES164049712
OTHER RECEIVABLES3729110
INVESTMENTS IN AFFILIATES1113445
OTHER ASSET-HOSPITAL FEE PROGRAM6303634
FieldValueIRS element (for citing)
Total Book Value Other Assets178740464TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
DEFERRED COMPENSATION$14,047,633
SELF INSURANCE TRUST$19,697,205
ACCRUED BOND INTEREST PAYABLE$1,496,675
DEFERRED INCOME-HOSP FEE PROGRAM$10,011,739
INTEREST RATE SWAP$49,557,301
INTERCO PAYABLE$840,002
PENSION LIABILITY$51,336,203
FieldValueIRS element (for citing)
Total Of Amounts146986758TotalOfAmounts
Total Revenue465499309TotalRevenue
Total Expenses416133165TotalExpenses
Excess Or Deficit For Year49366144ExcessOrDeficitForYear
Net Unrealized GL On Investments-20815448NetUnrealizedGLOnInvestments
Other-$56,059,734OtherAmount
Total Adjustments-76875182TotalAdjustments
Excess Or Deficit Per FS-27509038ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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 2011 OR 2010.
PART XI, LINE 8 - OTHER ADJUSTMENTS:PENSION ADJUSTMENTS -16,444,669. NET UNREALIZED LOSSES ON INTEREST RATE SWAP -9,925,385. LOSS ON INSURANCE LITIGATION SETTLEMENT -650,000. EQUITY TRANSFER TO IHMC -29,039,680.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served8107PersonsServed
Total Community Benefit Expense23198308TotalCommunityBenefitExpense
Direct Offsetting Revenue7008980DirectOffsettingRevenue
Net Community Benefit Expense16189328NetCommunityBenefitExpense
Percent Of Total Expense0.04030PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served27159PersonsServed
Total Community Benefit Expense66704942TotalCommunityBenefitExpense
Direct Offsetting Revenue50753201DirectOffsettingRevenue
Net Community Benefit Expense15951741NetCommunityBenefitExpense
Percent Of Total Expense0.03970PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served263PersonsServed
Total Community Benefit Expense954672TotalCommunityBenefitExpense
Direct Offsetting Revenue520651DirectOffsettingRevenue
Net Community Benefit Expense434021NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served35529PersonsServed
Total Community Benefit Expense90857922TotalCommunityBenefitExpense
Direct Offsetting Revenue58282832DirectOffsettingRevenue
Net Community Benefit Expense32575090NetCommunityBenefitExpense
Percent Of Total Expense0.08110PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs21NumberOfActivitiesOrPrograms
Persons Served39459PersonsServed
Total Community Benefit Expense4569321TotalCommunityBenefitExpense
Direct Offsetting Revenue66008DirectOffsettingRevenue
Net Community Benefit Expense4503313NetCommunityBenefitExpense
Percent Of Total Expense0.01120PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served624PersonsServed
Total Community Benefit Expense3519378TotalCommunityBenefitExpense
Direct Offsetting Revenue816145DirectOffsettingRevenue
Net Community Benefit Expense2703233NetCommunityBenefitExpense
Percent Of Total Expense0.00670PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served11766PersonsServed
Total Community Benefit Expense10857432TotalCommunityBenefitExpense
Direct Offsetting Revenue2977663DirectOffsettingRevenue
Net Community Benefit Expense7879769NetCommunityBenefitExpense
Percent Of Total Expense0.01960PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served20PersonsServed
Total Community Benefit Expense86332TotalCommunityBenefitExpense
Net Community Benefit Expense86332NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served1360PersonsServed
Total Community Benefit Expense1024605TotalCommunityBenefitExpense
Direct Offsetting Revenue140067DirectOffsettingRevenue
Net Community Benefit Expense884538NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs38NumberOfActivitiesOrPrograms
Persons Served53229PersonsServed
Total Community Benefit Expense20057068TotalCommunityBenefitExpense
Direct Offsetting Revenue3999883DirectOffsettingRevenue
Net Community Benefit Expense16057185NetCommunityBenefitExpense
Percent Of Total Expense0.03990PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs38NumberOfActivitiesOrPrograms
Persons Served88758PersonsServed
Total Community Benefit Expense110914990TotalCommunityBenefitExpense
Direct Offsetting Revenue62282715DirectOffsettingRevenue
Net Community Benefit Expense48632275NetCommunityBenefitExpense
Percent Of Total Expense0.12100PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense8532TotalCommunityBuildingExpense
Net Community Building Expense8532NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served15PersonsServed
Total Community Building Expense36000TotalCommunityBuildingExpense
Net Community Building Expense36000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served15PersonsServed
Total Community Building Expense48781TotalCommunityBuildingExpense
Net Community Building Expense48781NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served30PersonsServed
Total Community Building Expense93313TotalCommunityBuildingExpense
Net Community Building Expense93313NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$14,195,019BadDebtExpenseAmount
Amount Reimbursed By Medicare66236883AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare76706202CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-10469319MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1PRESBYTERIAN INTERCOMMUNITY HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line112401 WASHINGTON BLVDAddressLine1
CityWHITTERCity
StateCAState
ZIP Code90602ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours
OtherSKILLED NURSING FACILITYOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NOT REQUIREDBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities11NumberOfOtherFacilities

Other Facilities OtherFacilities (11 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
SAME DAY SURGERY
12415 WASHINGTON BLVDWHITTERCA90602OUTPATIENT SURGICAL SERVICES
INTERCOMMUNITY MAGNETIC RESONANCE IMAGIN
12455 WASHINGTON BLVDWHITTERCA90602MRI SERVICES
ERNEST D WELLS MEDICAL OFFICE BUILDING
12462 PUTNAM STWHITTERCA90602OUTPATIENT SERVICES
PATRICIA L SCHEIFLY BREAST HEALTH CTR
12393 WASHINGTON BLVDWHITTERCA90602SVCS
PRESBYTERIAN HEALTH MEDICAL PLAZA
12291 WASHINGTON BLVDWHITTERCA90602WOUND HEALING, LAB DRAW STATION
ARCADIA HOME HEALTH NURSING
351 E FOOTHILL BLVD SUITE 100ARCADIACA91006VISITING NURSES ASSOCIATION
HOSPICE HOMES - DOVE
10736 VALLEY VIEW AVEWHITTERCA90604HOSPICE CARE
HOSPICE HOMES - ROSE
10742 VALLEY VIEW AVEWHITTERCA90604HOSPICE CARE
PIH HOME HEALTH
15050 IMPERIAL HWYLA MIRADACA90638HOME HEALTH AGENCY
PRESBYTERIAN HEALTH MEDICAL PLAZA
15088 IMPERIAL HWYLA MIRADACA90638OUTPATIENT THERAPY
BHP - LA MIRADA
12675 S LA MIRADA BLVD SUITE 219LA MIRADACA90638RADIOLOGY

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 6A: PIH FILES ITS COMMUNITY BENEFIT REPORT WITH THE STATE OF CALIFORNIA IN FULFILLMENT OF ITS MANDATED REPORTING REQUIREMENT, AS STIPULATED BY CALIFORNIA SENATE BILL 697 (SB 697). THIS ANNUAL REPORT & PLAN FOR COMMUNITY BENEFIT IS SUBMITTED TO OFFICE OF STATEWIDE HEALTH PLANNING & DEVELOPMENT (OSHPD), HEALTHCARE INFORMATION DIVISION, AND IS ALSO WIDELY DISTRIBUTED THROUGHOUT THE COMMUNITY, AS WELL AS BEING POSTED TO PIH'S WEBSITE: WWW.PIH.NET.
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 DEPARTEMENT 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 I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 14195019.
PART II: PIH WORKS WITH A VARIETY OF COMMUNITY STAKEHOLDERS TO ENHANCE OUR COLLECTIVE CAPACITY TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. MEMBERS OF PIH'S MANAGEMENT TEAM, IN ADDITION TO DESIGNATED COMMUNITY BENEFIT STAFF, ACTIVELY ENGAGE KEY COMMUNITY STAKEHOLDERS THROUGH SERVICE ON THE HOSPITAL'S COMMUNITY BENEFIT OVERSIGHT COMMITTEE (CBOC). THE CBOC IS ACCOUNTABLE TO THE HOSPITAL'S BOARD OF DIRECTORS AND IS RESPONSIBLE FOR COMMUNITY BENEFIT OVERSIGHT, IMPLEMENTATION AND EVALUATION.TO FURTHER SUPPORT COMMUNITY-BUILDING, MANY HOSPITAL STAFF MEMBERS SERVE ON BOARDS OF COMMUNITY-BASED ORGANIZATIONS THAT SERVE THE HEALTH AND SOCIAL SERVICE NEEDS OF LOCAL COMMUNITIES, SUCH AS THE WHOLE CHILD, A LOCAL AGENCY WITH A MISSION TO STRENGTHEN VITAL PARENT-CHILD RELATIONSHIPS. PIH'S DIRECTOR OF MARKETING & PLANNING DEPARTMENT SERVED ON A COMMUNITY COALITION, ADVOCATING FOR BRINGING VITAL PUBLIC TRANSPORTATION SERVICES TO WHITTIER. OTHER MEMBERS OF THIS COALITION INCLUDE WHITTIER CITY COUNCIL MEMBERS, A CITY OF WHITTIER PLANNING COMMISSIONER, WHITTIER COLLEGE PROFESSORS, THE EXECUTIVE DIRECTOR OF THE WHITTIER CHAMBER OF COMMERCE, AS WELL AS WHITTIER RESIDENTS. FURTHERMORE, PIH OFFERS A FREE SHUTTLE SERVICE FROM A LOCAL 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. LAUNCHED INITIALLY AS A PILOT IN FY 2005-2006, THE SHUTTLE SERVICE NOW HAS MANY PARTICIPANTS USING PUBLIC TRANSPORTATION ON A REGULAR BASIS, SUPPORTING PIH'S EFFORTS TO IMPROVE THE ENVIRONMENT.ADDITIONALLY, PIH MOBILIZES ASSETS AND INVESTS RESOURCES THROUGH OTHER CAREFULLY PRIORITIZED COMMUNITY-BUILDING ACTIVITIES. EXAMPLES OF THESE ACTIVITIES INCLUDE:ACTIVATE WHITTIER - A COLLABORATIVE COMMUNITY INITIATIVE WITH A VISION FOR A HEALTHY ACTIVE WHITTIER, WHICH IS COMMITTED TO MOTIVATING AND SUPPORTING A HEALTHY COMMUNITY THROUGH WELLNESS EDUCATION, ADVOCACY AND POLICY-RELATED EFFORTS, AND PROMOTION OF HEALTHY EATING AND PHYSICAL ACTIVITY. ACTIVATE WHITTIER SUPPORTS THE GRANT-FUNDED ACHIEVE INITIATIVE, DESIGNED TO FACILITATE ENVIRONMENTAL CHANGE. PIH IS AN ACTIVE MEMBER AND JOINS THE CITY OF WHITTIER, YMCA OF GREATER WHITTIER, LA COUNTY PUBLIC HEALTH DEPARTMENT, WHITTIER COLLEGE, WHITTIER FIRST DAY, AND THE BOYS AND GIRLS CLUB OF WHITTIER, ALL OF WHICH ARE SERVING AS ACTIVE PARTNERS IN THIS COLLABORATION.LA MIRADA ACHIEVE - A 3-YEAR INITIATIVE LED BY THE CITY OF LA MIRADA, WITH FY 2010-2011 BEING THE PROJECTS FINAL YEAR. THIS ACHIEVE INITIATIVE ENGAGED KEY STAKEHOLDERS IN ALL COMMUNITY SECTORS TO IDENTIFY AND IMPLEMENT POLICIES AND ENVIRONMENTAL STRATEGIES WHICH SOUGHT TO 1) FACILITATE AN INCREASE IN PHYSICAL ACTIVITY IN AFTER-SCHOOL PROGRAMS; 2) FACILITATE DEVELOPMENT AND IMPLEMENTATION OF WORKSITE WELLNESS POLICIES; AND 3) TO ESTABLISH LA MIRADA PARKS AS SMOKE-FREE ENVIRONMENTS. PIH SERVED AS A PARTNER IN IMPLEMENTATION OF THIS INITIATIVE.WHITTIER CITY SCHOOL DISTRICT - PIH HAS CONTRIBUTED TO THE INCREASED EFFECTIVENESS AND IMPROVED CAPACITY OF A LOCAL SCHOOL DISTRICT THROUGH THE REACH FOR THE STARS CHILDHOOD OBESITY PREVENTION PROGRAM. AS A KEY PROGRAM PARTNER, PIH HAS CONTRIBUTED STAFF TIME, IN-KIND RESOURCES, DIRECT PRIMARY CARE FOR SCHOOL CHILDREN THROUGH ITS CARE FORCE ONE MOBILE HEALTH SERVICES, AND A VARIETY OF HEALTH PROMOTION EDUCATION EFFORTS. EFFECTIVE FY 2010-2011, PIH IS FACILITATING EXPANSION OF THIS PROGRAM INTO A DISTRICT-WIDE EFFORT THAT INCLUDES THE IMPLEMENTATION OF CATCH (COORDINATED APPROACH TO CHILDRENS HEALTH) - AN EVIDENCE-BASED CURRICULUM. IN ADDITION, PIH PLAYED A KEY ROLE, THROUGH ITS PARTICIPATION IN ACTIVATE WHITTIER, IN FACILITATING THE FIRST-EVER SALAD BAR IN THE DISTRICT SPECIFICALLY AT AN ELEMENTARY SCHOOL LOCATED IN A LOW-INCOME AREA WITH HIGH NEED FOR ACCESS TO HEALTHY FOOD OPTIONS. WHITTIER AREA FIRST DAY COALITION - PIH PROVIDES DIRECT SUPPORT FOR WHITTIER FIRST DAY, AN AGENCY THAT OFFERS SHORT-TERM TRANSITIONAL HOUSING AND SUPPORTIVE SOCIAL SERVICES FOR HOMELESS ADULTS. A PIH BOARD MEMBER ALSO SERVES ON THE BOARD OF FIRST DAY. IN ADDITION, PIH AND FIRST DAY ACTIVELY COLLABORATE IN MANY WAYS TO ASSIST HOMELESS RESIDENTS AND, ULTIMATELY, BENEFIT THE ENTIRE COMMUNITY THROUGH MANY POSITIVE OUTCOMES. FOR EXAMPLE, PIH PROVIDES A LICENSED NURSE PRACTITIONER TO STAFF AN ON-SITE HEALTH AND WELLNESS CLINIC AT FIRST DAY, AS WELL AS DONATING MEDICATIONS AND MEDICAL SUPPLIES. THROUGH THIS PROVISION OF PREVENTIVE PRIMARY CARE SERVICES TO FIRST DAY RESIDENTS, THE RESIDENTS EXPERIENCED A MEASURABLE REDUCTION IN SICK VISITS TO LOCAL CLINICS AND THE EMERGENCY ROOM. THE PIH AND FIRST DAY COLLABORATIVE HAS BEEN RECOGNIZED BY THE LOS ANGELES HOMELESS SERVICES AUTHORITY AND THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA AS A MODEL FOR EFFECTIVE COMMUNITY ENGAGEMENT TO MEET THE NEEDS OF THOSE MOST AT-RISK. DURING FY 2009-2010, PIH WAS RECOGNIZED BY VHA, INC. WITH ITS NATIONAL 2010 COMMUNITY BENEFIT EXCELLENCE LEADERSHIP AWARD, WITH SPECIAL EMPHASIS ON THIS PARTNERSHIP BETWEEN PIH AND FIRST DAY.
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. RESERVES FOR CHARITY AND UNCOLLECTIBLE AMOUNTS HAVE BEEN ESTABLISHED AND ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEET.
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: UNINSURED PATIENTS WILL BE ENCOURAGED TO APPLY FOR GOVERNMENT PROGRAMS OR UNCOMPENSATED CARE. IF PIH'S COLLECTION AGENCY IDENTIFIES A PATIENT THAT QUALIFIES FOR PIH'S UNCOMPENSATED CARE PROGRAM BUT THAT FAILED TO APPLY, IT WILL RETURN THE ACCOUNT TO PIH AND RECOMMEND AN UNCOMPENSATED CARE WRITE-OFF. IN ADDITION IT WILL REMOVE DELINQUENCIES FROM THE PATIENT'S CREDIT REPORT.
PART I, LINE 7B:IN OCTOBER 2010, CMS APPROVED LEGISLATION ENACTED BY THE STATE OF CALIFORNIA THAT PROVIDED FOR SUPPLEMENTAL MEDI-CAL PAYMENTS TO BE PAID TO CERTAIN HOSPITALS FROM FUNDS COLLECTED FROM PARTICIPATING HOSPITALS UNDER THE STATE'S QUALITY ASSURANCE FEE PROGRAM. SUCH AMOUNTS WERE ALLOCATED AND PAID TO PRESBYTERIAN INTERCOMMUNITY HOSPITAL BASED ON PRIOR YEAR PATIENT DATA, WHICH INCLUDES MEDI-CAL PATIENTS. THE INCLUSION OF OUT-OF-PERIOD REVENUE IN FISCAL YEAR 2011 FINANCIAL RESULTS REDUCED THE NET UNREIMBURSED MEDICAID. IF THESE AMOUNTS HAD NOT BEEN INCLUDED, THE HOSPITAL WOULD HAVE REPORTED A TOTAL CHARITY CARE PERCENTAGE OF 14.23% INSTEAD OF THE 12.10% CURRENTLY BEING REPORTED.
PART VI, LINE 2: TO ASSESS THE HEALTH NEEDS OF THE COMMUNITIES WE SERVE, PIH CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, IN ACCORDANCE WITH CALIFORNIA STATE LAW AND THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA). THE FINDINGS OF THESE ASSESSMENTS SERVES AS A PRIMARY TOOL FOR THE HOSPITAL TO DETERMINE ITS COMMUNITY BENEFIT PLAN, WHICH OUTLINES HOW THE HOSPITAL WILL ADDRESS UNMET COMMUNITY HEALTH NEEDS, AND ULTIMATELY, STRIVE TO IMPROVE THE OVERALL HEALTH AND QUALITY OF LIFE IN OUR LOCAL COMMUNITIES. 2010 COMMUNITY HEALTH NEEDS ASSESSMENTDRIVEN BY A NEW AND SIGNIFICANTLY INNOVATIVE APPROACH TO ASSESSING COMMUNITY HEALTH NEEDS, THE PIH 2010 COMMUNITY HEALTH NEEDS ASSESSMENT TOOK A FOCUSED APPROACH THAT INCLUDED ENHANCED PRIMARY DATA COLLECTION IN ORDER TO GAIN A DEEPER UNDERSTANDING OF THE HEALTH ACCESS EXPERIENCE OF OUR COMMUNITY'S MOST VULNERABLE. AS A RESULT, PRIMARY DATA COLLECTION INCLUDED 27 STAKEHOLDER INTERVIEWS HELD WITH COMMUNITY STAKEHOLDERS, REPRESENTING LOCAL GOVERNMENT, AND HEALTH AND SOCIAL SERVICES IN PRIMARY SERVICE AREA COMMUNITIES. IN ADDITION, TEN FOCUS GROUPS WERE CONDUCTED TO GATHER INFORMATION AND PERCEPTIONS FROM PIH PRIMARY SERVICE AREA RESIDENTS; GROUPS WERE CONDUCTED IN BOTH ENGLISH AND SPANISH.SECONDARY DATA WERE COLLECTED BY OBTAINING AND ANALYZING A VARIETY OF OBJECTIVE DATA FROM LOCAL, COUNTY, AND STATE SOURCES TO PRESENT A COMMUNITY PROFILE, BIRTH AND DEATH CHARACTERISTICS, ACCESS TO HEALTH CARE, CHRONIC DISEASES, SOCIAL ISSUES, AND SCHOOL AND STUDENT CHARACTERISTICS. WHEN PERTINENT, THESE DATA SETS WERE PRESENTED IN THE CONTEXT OF LOS ANGELES COUNTY AND THE STATE, WHICH SERVED TO FRAME THE SCOPE OF AN ISSUE AS IT RELATED TO THE BROADER COMMUNITY. ADDITIONALLY, FINDINGS WERE COMPARED TO ACCEPTED BENCHMARKS THAT REFERENCE RECOGNIZABLE STATE AND NATIONAL RESOURCES (E.G., HEALTHY PEOPLE 2020 OBJECTIVES). ENHANCED GIS MAPPING RELATED TO PRIORITY HEALTH AREAS WAS INCLUDED, AS WELL. IN ADDITION TO BEING AVAILABLE ON PIH'S WEBSITE, THE 2010 COMMUNITY HEALTH NEEDS ASSESSMENT HAS BEEN WIDELY SHARED WITH CIVIC, BUSINESS AND COMMUNITY LEADERS, LOCAL COMMUNITY-BASED ORGANIZATIONS, AND KEY STAKEHOLDERS, AS WELL AS THE COMMUNITY AT-LARGE. EMPHASIS IS MADE ON SHARING ASSESSMENT RESULTS WITH AREA AGENCIES TO ASSIST THEM WITH THEIR PROGRAM PLANNING AND FUND-DEVELOPMENT ENDEAVORS, WHILE SPARING THE EXPENSE OF DUPLICATIVE DATA COLLECTION EFFORTS.
PART VI, LINE 3: CHARITY CARE REFERS TO DOLLARS EXPENDED FOR THE PROVISION OF FREE OR DISCOUNTED CARE PROVIDED TO BOTH THE INSURED AND UNINSURED WHO LACK FINANCIAL RESOURCES AND MEET THE UNCOMPENSATED CARE PROGRAMS CRITERIA TO PAY FOR NEEDED HEALTHCARE SERVICES. DURING FY 2010-2011, PIH INCURRED UN-REIMBURSED COSTS FOR THIS PROVISION OF CHARITY CARE TO THE UNDER-SERVED IN THE AMOUNT OF $16,189,328.PIH'S CHARITY CARE POLICY INCLUDES THE FOLLOWING TWO PROGRAMS: UNCOMPENSATED CARE PROGRAM PIH OFFERS A GENEROUS UNCOMPENSATED CARE PROGRAM THAT EXCEEDS RECOMMENDED STANDARDS, PROVIDING CHARITY CARE TO ALL PATIENTS WHO APPLY AND QUALIFY WITH FAMILY INCOME(S) WITHIN 400% OF THE FEDERAL POVERTY GUIDELINES. PATIENTS WHO WOULD QUALIFY UNDER THIS PROGRAM ARE:UNINSURED PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY AS DETERMINED BY THE FINANCIAL GUIDELINES IN THIS POLICY;PATIENTS WHO HAVE RESTRICTED MEDI-CAL EMERGENCY AND PREGNANCY SERVICES COVERAGE (AND NO SHARE OF COST) AND WHOSE SERVICES ARE NOT COVERED FOR A PARTICULAR EPISODE OR PARTIAL EPISODE OF CARE. (AN UNCOMPENSATED CARE APPLICATION IS NOT REQUIRED SINCE THE PATIENT IS PRESUMED TO MEET THE CHARITY CARE ELIGIBILITY REQUIREMENTS);THERE ARE INSTANCES WHEN A PATIENT MAY APPEAR ELIGIBLE FOR CHARITY CARE DISCOUNTS, BUT THERE IS NO FINANCIAL ASSISTANCE FORM ON FILE DUE TO A LACK OF SUPPORTING DOCUMENTATION. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE, BUT ARE NOT LIMITED TO: STATE-FUNDED PRESCRIPTION PROGRAMS; HOMELESS OR RECEIVED CARE FROM A HOMELESS CLINIC OR SHELTER PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); FOOD STAMP ELIGIBILITY; SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; AND PATIENT IS DECEASED WITH NO KNOWN ESTATE; AND PATIENTS WHO ARE CURRENTLY ELIGIBLE FOR MEDI-CAL, BUT WERE NOT ELIGIBLE IN ONE TO THREE MONTHS PRIOR TO ELIGIBILITY ARE PRESUMED TO BE ELIGIBLE FOR CHARITY AND DO NOT NEED TO FILL OUT THE APPLICATION.INSURED PATIENTS WHOSE COVERAGE IS INADEQUATE TO COVER A CATASTROPHIC SITUATION;PERSONS WHOSE INCOME IS SUFFICIENT TO PAY FOR BASIC LIVING COSTS BUT NOT MEDICAL CARE, AND ALSO THOSE PERSONS WITH GENERALLY ADEQUATE INCOMES WHO ARE SUDDENLY FACED WITH CATASTROPHICALLY LARGE MEDICAL BILLS;PATIENTS WHO DEMONSTRATE ABILITY TO PAY PART BUT NOT ALL OF THEIR LIABILITY. FOR EXAMPLE, THOSE WHO HAVE AN OUT OF POCKET THAT EXCEEDS 10% OF THEIR ANNUAL NET FAMILY INCOME IN THE PRIOR TWELVE MONTHS.SELF-PAY PAYMENT PROGRAMADDITIONALLY, UNDER THE PIH SELF-PAY PAYMENT PROGRAM, ALL CASH-PAY PATIENTS AND THOSE THAT HAVE LIMITED BENEFIT PLANS (ALL PATIENTS LACKING HEALTH INSURANCE) ARE AUTOMATICALLY GIVEN A BILL REDUCTION COMMENSURATE WITH OR LESS THAN THE NEGOTIATED REIMBURSEMENT RATES WITH A CONTRACTED HEALTHY FAMILIES PROGRAM PLAN; NO PRE-QUALIFICATION IS NECESSARY. IF A PATIENT CANNOT PAY THE ENTIRE DISCOUNTED OBLIGATION AND DOES NOT QUALIFY FOR GOVERNMENT OR HOSPITAL PROGRAMS, PIH WILL EXTEND REASONABLE NO-INTEREST PAYMENTS. THE DISCOUNTS PROVIDED BY THE SELF-PAY PAYMENT PROGRAM ARE ESPECIALLY OF BENEFIT TO THOSE IN THE PROCESS OF APPLYING FOR PIH'S CHARITY CARE OR OTHER GOVERNMENT MEANS-TESTED PROGRAMS AND AWAITING ELIGIBILITY DETERMINATION. UNINSURED PATIENTS ARE EDUCATED ABOUT THE SELF-PAY PAYMENT PROGRAM PRIOR TO OR AT REGISTRATION/ADMISSION (OR AFTER AN EMERGENCY DEPARTMENT PATIENT HAS BEEN MEDICALLY SCREENED AND STABILIZED).ADDITIONAL PATIENT EDUCATION REGARDING PIH'S CHARITY CAREIT IS IMPORTANT TO NOTE THAT, REGARDLESS OF ABILITY TO PAY, APPROPRIATE CLINICAL STAFF ESTABLISH A PLAN OF CARE, ORDER MEDICALLY NECESSARY TREATMENT, SERVICES AND MEDICATIONS, IN ORDER TO STABILIZE ALL PATIENTS. ONCE STABILIZED, BILINGUAL (ENGLISH & SPANISH) FINANCIAL COUNSELORS OR OTHER APPROPRIATE STAFF WORK WITH ELIGIBLE PATIENTS IN APPLYING FOR PIH'S CHARITY CARE OR OTHER GOVERNMENT MEANS-TESTED PROGRAMS. IN ACCORDANCE WITH CALIFORNIA'S FAIR PRICING LAW FOR LOW-INCOME, UNINSURED INDIVIDUALS, PIH POSTS NOTICES IN BOTH ENGLISH AND SPANISH WITH INFORMATION REGARDING ITS UNCOMPENSATED CARE AND SELF-PAY PAYMENT POLICIES IN SETTINGS THAT ARE HIGHLY VISIBLE TO THE PUBLIC, SUCH AS THE EMERGENCY DEPARTMENT, BILLING/CASHIER OFFICE, PATIENT REGISTRATION, AS WELL AS VARIOUS ANCILLARY DEPARTMENTS AND OUTPATIENT FACILITIES. UN-INSURED PATIENTS ALSO RECEIVE A LETTER IN ENGLISH AND/OR SPANISH, WHICH DETAILS THE VARIOUS PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE. IN ADDITION, THE BELOW STATEMENT APPEARS ON ALL PATIENT BILLING STATEMENTS IN ENGLISH AND SPANISH:"PLEASE PAY THE BALANCE DUE. IF YOU CANNOT PAY THE ENTIRE BALANCE, PLEASE CALL TO SET UP INSTALLMENT PAYMENTS. IF YOU ARE UNABLE TO PAY ALL OR PART OF YOUR BALANCE AND YOUR FAMILY INCOME IS WITHIN 400% OF FEDERAL POVERTY LIMITS, PLEASE CALL AND REQUEST AN UNCOMPENSATED CARE APPLICATION."
PART VI, LINE 4: PRESBYTERIAN INTERCOMMUNITY HOSPITAL (PIH) 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 ADMISSIONS COME FROM NINE CITIES, WHICH COMPRISE ITS PRIMARY SERVICE AREA. PIH'S SECONDARY SERVICE AREA INCLUDES ADDITIONAL CITIES IN SAN GABRIEL VALLEY AND NORTH ORANGE COUNTY. IN ADDITION, THROUGH PIH HOME HEALTH, ARCADIA HOME NURSING & HEALTH SERVICES, HOSPICE OF PRESBYTERIAN AND HOSPICE OF PASADENA, PIH'S REACH EXTENDS UP THE 605 FREEWAY CORRIDOR INTO ARCADIA-PASADENA, BRINGING THE TOTAL ESTIMATED HOSPITAL SERVICE AREA WELL BEYOND 1.5 MILLION RESIDENTS. BELOW ARE PIH'S PRIMARY AND SECONDARY SERVICE AREAS, BASED UPON OSHPD DISCHARGE DATA (2009):PRIMARY SERVICE AREA(ENCOMPASSES 9 CITIES/13 ZIP CODES)HACIENDA HEIGHTS 91745LA HABRA 90631LA HABRA HEIGHTS 90631LA MIRADA 90638MONTEBELLO 90640NORWALK 90650PICO RIVERA 90660SANTA FE SPRINGS 90670WHITTIER 90601-90606SECONDARY SERVICE AREA - WESTBELL 90201BELLFLOWER 90706DOWNEY 90240-90242LOS ANGELES 90022LOS ANGELES 90040SOUTH GATE 90280SECONDARY SERVICE AREA - EASTCHINO HILLS 91709DIAMOND BAR 91765LA PUENTE 91744LA PUENTE 91746ROWLAND HEIGHTS 91748WALNUT 91789WEST COVINA 91792PRIMARY SERVICE AREA PROFILETHE POPULATION FOR THE PIH PRIMARY SERVICE AREA IS APPROXIMATELY 600,000. CHILDREN AND YOUTH, AGES 0-17 MAKE UP 29.4% OF THE POPULATION; 32.9% ARE 18-39 YEARS OF AGE; 26.6% ARE 40-64; AND 11.2% OF THE POPULATION ARE SENIORS, 65 YEARS OF AGE AND OLDER. THE AREA HAS SLIGHTLY HIGHER PERCENTAGES OF CHILDREN AGES 5-17 AND SENIORS THAN FOUND IN LOS ANGELES COUNTY AND THE STATE. THE PRIMARY SERVICE AREA CONSISTS PRIMARILY OF LATINOS (60.7%) AND WHITES (25.6%). ASIAN/PACIFIC ISLANDERS COMPRISE 9.7% OF THE POPULATION, AND AFRICAN AMERICANS, NATIVE AMERICANS, AND OTHER RACES COMBINED TOTAL ONLY 4.0% OF THE POPULATION. THE AREA HAS A NOTABLY LARGER PERCENTAGE OF LATINOS, AND A SMALLER PERCENTAGE OF ALL OTHER RACES AND ETHNICITIES WHEN COMPARED TO LOS ANGELES COUNTY. POVERTY RATES PAINT AN IMPORTANT PICTURE OF THE POPULATION WITHIN THE PIH PRIMARY SERVICE AREA. AT THE TIME OF THE 2000 CENSUS, FROM 5.5% TO 16.6% OF THE POPULATION LIVED AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL. IT CAN BE ASSUMED WITH THE INCREASE IN UNEMPLOYMENT IN THE AREA, THAT POVERTY RATES HAVE ALSO INCREASED. IMPORTANTLY, THE DATA INDICATE THAT WITHIN THE PIH SERVICE AREA POVERTY INCREASES MARKEDLY FOR THE POPULATION AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL). IN THE PIH SERVICE AREA ALMOST ONE-THIRD (31.3%) OF THE RESIDENTS EXIST AT 200% OF FPL. IN THE OVERALL PIH SERVICE AREA, SPANISH IS SPOKEN IN 44.3% OF THE HOMES; THIS IS HIGHER THAN THE NUMBER OF SPANISH SPEAKING HOUSEHOLDS IN THE COUNTY (37.9%) AND THE STATE (25.8%). COMPARATIVELY, THE SERVICE AREA HAS NOTICEABLY FEWER HOUSEHOLDS THAT SPEAK OTHER INDO-EUROPEAN (2.6%) OR ASIAN/PACIFIC ISLAND LANGUAGES (8.0%). OF THE POPULATION AGE 25 AND OVER, 30.0% HAVE LESS THAN A HIGH SCHOOL DIPLOMA; THIS IS CONSISTENT WITH COUNTY COMPLETION RATES. BY COMPARISON, THE AREA HAS HIGHER HIGH SCHOOL GRADUATION RATES THAN THE COUNTY OR STATE, WITH ALMOST ONE-QUARTER OF THE POPULATION (24.8%) HAVING A HIGH SCHOOL DIPLOMA. IN COMPARISON, THE RESIDENTS SHOW EQUIVALENT ASSOCIATE DEGREE COLLEGE ATTAINMENT, BUT LOWER RATES OF RESIDENTS WITH BACHELORS DEGREES, GRADUATE OR PROFESSIONAL DEGREES THAN IN THE COUNTY OR STATE.THE POPULATION SERVED BY PIH EXPERIENCES HIGH RATES OF OVERWEIGHT AND OBESITY, CHRONIC DISEASES AND POOR BIRTH OUTCOMES. THE CONCERNS AND BARRIERS FACED BY VULNERABLE POPULATIONS IN WHITTIER AND THE SURROUNDING ENVIRONS INCLUDE A LACK OF AFFORDABLE HOUSING, RESOURCES THAT ARE OUTSTRIPPED BY NEEDS, DIFFICULTY ACCESSING SERVICES, AND A GENERAL LACK OF AWARENESS OF THE SERVICES THAT ARE AVAILABLE.
PART VI, LINE 6: SINCE OPENING IN 1959, PRESBYTERIAN INTERCOMMUNITY HOSPITAL (PIH) HAS GROWN FROM A 188-BED FACILITY TO A 444-BED MEDICAL CENTER AND INTEGRATED HEALTHCARE DELIVERY SYSTEM THAT TODAY SERVES MORE THAN 1.5 MILLION RESIDENTS, AND INCLUDES A NETWORK OF PRIMARY CARE CLINICS, MOBILE HEALTH SERVICES, A RESIDENTIAL HOSPICE PROGRAM, AS WELL AS AN ADULT DAY HEALTH CARE CENTER. PIH'S 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. TODAY, AS A NOT-FOR-PROFIT HOSPITAL, COMMUNITY BENEFIT CONTINUES TO BE AN INTEGRAL PART OF PIH'S MISSION. WE DEDICATE ASSETS TO CHARITABLE PURPOSES, SUCH AS CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS, AS WELL AS A MULTITUDE OF COMMUNITY-BASED INITIATIVES TO IMPROVE AND PROMOTE OVERALL HEALTH AND WELL-BEING, REGARDLESS OF HEALTH OR ECONOMIC STATUS. IN ADDITION, PIH HAS A STRONG NETWORK OF COMMUNITY PARTNERSHIPS AND COLLABORATIONS, DEMONSTRATING OUR ACTIVE LEADERSHIP ROLE IN THE COMMUNITY.CAREFUL STEWARDSHIP OF PIH'S CHARITABLE RESOURCES IS OF HIGH PRIORITY FOR PIH'S BOARD OF DIRECTORS. AS SUCH, IN 2006, THE BOARD ESTABLISHED A COMMUNITY BENEFIT OVERSIGHT COMMITTEE (CBOC), COMPRISED OF COMMUNITY STAKEHOLDERS AND HOSPITAL SENIOR MANAGEMENT, WHICH IS DEDICATED TO PROVIDING THE STRATEGIC DIRECTION, OVERSIGHT, AND EVALUATION OF THE HOSPITAL'S COMMUNITY BENEFIT PROGRAMS AND INITIATIVES. MEASUREMENT OF OUTCOMES FOR EACH OF PIH'S FLAGSHIP COMMUNITY BENEFIT PROGRAMS VIA DEVELOPMENT OF AIMS AND MEASURABLE OBJECTIVES, HAS RESULTED IN A MORE SOPHISTICATED LEVEL OF EVALUATION AND OVERSIGHT BY PIH'S CBOC AT ITS ANNUAL MEETINGS. EXAMPLES OF PIH'S COMMITMENT TO IMPROVEMENT OF OVERALL COMMUNITY HEALTH AND HEALTHCARE ACCESS ARE BELOW:ENROLLMENT ASSISTANCE PIH, THROUGH ITS BRIGHT HEALTH PHYSICIANS AFFILIATE, ESTABLISHED A TEAM OF BI-LINGUAL ENROLLMENT COORDINATORS TO ASSIST THE UN-INSURED IN APPLYING FOR HEALTH INSURANCE COVERAGE FOR CHILDREN AND TO ASSIST ELIGIBLE PIH PATIENTS IN APPLYING FOR PIH'S CHARITY CARE PROGRAM. THE ENROLLMENT COORDINATORS ALSO PROVIDE REFERRALS TO OTHER SOURCES OF HEALTH CARE AND SOCIAL SERVICES. THEY WORK IN CONJUNCTION WITH LOCAL SCHOOLS AND PIH'S BUSINESS OFFICE, EMERGENCY, MOBILE HEALTH SERVICES, SOCIAL WORK AND INFORMATION TECHNOLOGY DEPARTMENTS TO LOCATE FAMILIES IN NEED. THE RESULTS OF THEIR EFFORTS ARE ALSO REFLECTED IN PIH'S CHARITY CARE REPORTING. IN ADDITION, PIH CONTRACTS WITH AGENCIES SPECIALIZING IN MEDI-CAL AND HEALTHY FAMILIES ENROLLMENT, IN AN EFFORT TO ENSURE THAT ALL THOSE ELIGIBLE OBTAIN HEALTH INSURANCE COVERAGE AND, ULTIMATELY, HAVE ACCESS TO CARE. COMMUNITY-BASED HEALTH CAREPIH AND WHITTIER FIRST DAY, A LOCAL TRANSITIONAL HOMELESS SHELTER, COLLABORATE IN MANY WAYS TO ASSIST SHELTER RESIDENTS AND, ULTIMATELY, TO BENEFIT THE ENTIRE COMMUNITY THROUGH MANY POSITIVE OUTCOMES. AS SUCH, PIH PROVIDES A NURSE PRACTITIONER (AND SUPERVISING PHYSICIAN) TO STAFF A HEALTH AND WELLNESS CLINIC ON-SITE AT WHITTIER FIRST DAY TO ENSURE THAT HOMELESS INDIVIDUALS HAVE DIRECT ACCESS TO BASIC AND PREVENTIVE HEALTH CARE SERVICES; DURING FY 2011, 87% OF CLINIC PATIENTS EXPERIENCED IMPROVED HEALTH STATUS; PIH WAS RECOGNIZED BY VHA, INC. WITH ITS NATIONAL 2010 COMMUNITY BENEFIT EXCELLENCE LEADERSHIP AWARD, WITH SPECIAL EMPHASIS ON THE PARTNERSHIP BETWEEN PIH AND FIRST DAY. 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 9,100 PATIENT ENCOUNTERS DURING FY 2011.FAMILY PRACTICE RESIDENCY PROGRAMPIH IS COMMITTED TO EDUCATING THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS VIA ITS FAMILY PRACTICE RESIDENCY PROGRAM, WHICH PLACES SPECIAL EMPHASIS ON TRAINING RESIDENT PHYSICIANS TO WORK WITH MEDICALLY AT-RISK COMMUNITY MEMBERS OF ALL AGES WHO RESIDE IN LOW-INCOME, UNDER-SERVED AREAS. RESIDENT PHYSICIANS PROVIDE COMMUNITY HEALTH SERVICES VIA PIH'S HOME-BASED PALLIATIVE CARE PROGRAM, AT HOSPITAL-SUPPORTED CLINICS AT WHITTIER COLLEGE AND A LOCAL HOMELESS SHELTER, AS WELL AS THROUGH COMMUNITY PARTNERSHIPS, SUCH AS WITH THE LOS NIETOS SCHOOL DISTRICT, IN WHICH RESIDENTS SUPPORT THIS LOW-INCOME COMMUNITY IN ITS EFFORTS TO ADDRESS THEIR SIGNIFICANT OBESITY RATES. IN ADDITION, THE PIH RESIDENCY PROGRAM OFFERS A TROPICAL MEDICINE TRACK, WHICH PROVIDES OPPORTUNITIES FOR RESIDENTS TO PROVIDE MUCH NEEDED CARE IN COUNTRIES AS FAR AWAY AS CAMEROON AND ZAMBIA.R. C. BAKER FOUNDATION REGIONAL EMERGENCY DEPARTMENTDURING FY 2010-2011, PIH'S EMERGENCY DEPARTMENT (ED) EXPERIENCED AN ESTIMATED 70,000 VISITS. PIH COMPLETED EXPANSION OF THE ED IN 2009, MAKING IT ONE OF THE LARGEST EMERGENCY ROOMS IN LOS ANGELES COUNTY WITH AN INCREASE FROM 43 TO 61 BEDS, ALLOWING FOR DECREASED WAIT TIMES, MORE TRIAGE ROOMS, AND AN AREA DESIGNED SPECIFICALLY FOR PEDIATRIC CARE. ADDITIONALLY, THE ED FEATURES THE LOCAL AREAS PARAMEDIC BASE STATION, PROVIDING BOTH THE EQUIPMENT AND RESOURCES FOR QUALIFIED STAFFING OF THE BASE STATION SO THAT WHEN AN AMBULANCE IS DISPATCHED TO A LOCAL HOME, PARAMEDICS HAVE CRITICAL ACCESS TO LOCAL HOSPITAL-BASED EMERGENCY SERVICES. FURTHERMORE, PIH SUSTAINS A CONTRACT WITH AN ON-CALL PHYSICIAN PANEL SO THAT ALL ELIGIBLE PATIENTS, REGARDLESS OF HEALTH INSURANCE STATUS, ARE ASSURED ACCESS TO SPECIALTY CARE APPROPRIATE TO THEIR NEEDS. RUBY L. GOLLEHER COMPREHENSIVE CANCER PROGRAMPIH'S AWARD-WINNING COMPREHENSIVE CANCER PROGRAM PARTICIPATES IN CLINICAL RESEARCH TRIALS THROUGH AFFILIATIONS WITH TWO ACADEMIC TEACHING CENTERS: (1) SOUTHWEST ONCOLOGY GROUP [SWOG] IN AFFILIATION WITH THE UNIVERSITY OF CALIFORNIA AT IRVINE; AND (2) RADIATION THERAPY ONCOLOGY GROUP (RTOG) IN AFFILIATION WITH THE UNIVERSITY OF CALIFORNIA AT DAVIS. THE PROGRAM HAS BEEN ENHANCED IN RECENT YEARS TO INCLUDE: A CANCER SURVIVORSHIP PROGRAM; LYMPHEDEMA WORKSHOPS; AND TWO NEW CLINICAL TRIALS FOR METASTATIC PROSTATE CANCER AND STAGE III COLON CANCER; AND COMPLEMENTARY MEDICINE OFFERINGS OPEN TO THE COMMUNITY, INCLUDING YOGA FOR HEALING AND REIKI HEALING HANDS THERAPY.VOLUNTEER CONTRIBUTIONSAPPROXIMATELY 800 PIH VOLUNTEERS COLLECTIVELY CONTRIBUTED 125,696 HOURS, TRANSLATING INTO MORE THAN $2,620,753 IN SAVINGS FOR THE HOSPITAL.
PART VI, LINE 7: WHILE PIH IS NOT PART OF A HOSPITAL SYSTEM, THE HOSPITAL IS AFFILIATED WITH: 1) INTERHEALTH CORP, PIH'S PARENT COMPANY; 2) BRIGHT HEALTH PHYSICIANS (BHP), A NOT-FOR-PROFIT MEDICAL FOUNDATION; 3) THE PIH FOUNDATION, A NOT-FOR-PROFIT ORGANIZATION THAT EXISTS TO RAISE PHILANTHROPIC FUNDS IN SUPPORT OF PIH'S CHARITABLE MISSION; AND 4) MEDSITE, WHICH SUBSIDIZES THE 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.BHP SUPPORTS THE LOCAL COMMUNITY THROUGH A NETWORK OF COMMUNITY-BASED HEALTH CLINICS, AND HEALTH PROMOTION AND HEALTH INSURANCE ENROLLMENT EFFORTS. DURING FY 2010-2011, PIH & BRIGHT HEALTH PHYSICIANS (BHP) WERE THE RECIPIENTS OF THE WHITTIER BEAUTIFUL AWARD, PRESENTED BY THE WHITTIER CHAMBER OF COMMERCE FOR ITS CORPORATE OFFICE IN UPTOWN WHITTIER, WHICH OPENED IN 2010, AFTER THE PURCHASE AND REFURBISHMENT OF THE VACANT FISHER BUILDING. THE NEW, 40,000 SQUARE FOOT OFFICE BUILDING HOUSES OVER 165 EMPLOYEES, WHO IN TURN SUPPORT AREA BUSINESSES. THE CITY OF WHITTIER'S ECONOMIC DEVELOPMENT NEWSLETTER "GROWING WHITTIER," (SPRING/SUMMER 2010, ISSUE 11), STATES THAT PROJECTS SUCH AS THIS UNDERSCORE PIH AS A "RESOURCE THAT PROTECTS THE HEALTH AND SAFETY OF THE COMMUNITY WHILE PROVIDING JOBS TO OUR CITY'S RESIDENTS." THE PIH FOUNDATION RAISES FUNDS IN SUPPORT OF PIH, AS WELL AS PROVIDING IN-KIND FUNDRAISING CONSULTATION TO LOCAL COMMUNITY-BASED ORGANIZATIONS. THE PIH FOUNDATIONS GALA, WHICH IS HELD ANNUALLY, BENEFITS A HOSPITAL PROGRAM, INITIATIVE, OR DEPARTMENT EACH YEAR. DURING FY 2010-2011, THE GALA DREW MORE THAN 700 PEOPLE AND RAISED A RECORD $642,740 IN SUPPORT OF THE CRITICAL CARE CENTER THAT WILL BE IN PIH'S NEW PLAZA TOWER; THE CRITICAL CARE CENTER RECENTLY CELEBRATED 50 YEARS OF SERVICE TO THE COMMUNITY. ALSO DURING FY 2010-2011, PIH FOUNDATION GOLF TOURNAMENT GENERATED OVER $205,000 IN SUPPORT OF PIH'S NURSING EDUCATION PROGRAM, WHICH PROVIDES FOR NURSING SCHOLARSHIPS SO THAT PIH NURSES ARE ABLE TO ADVANCE THEIR EDUCATION, AS WELL AS THE HOSPITALS CAPITAL CAMPAIGN FOR THE NEW PLAZA TOWER. MEDSITE'S S. MARK TAPER FOUNDATION A DAY AWAY ADULT DAY HEALTH CARE CENTER HAS, SINCE 1999, PROVIDED HIGH QUALITY CARE FOR INDIVIDUALS REQUIRING CONTINUOUS SUPERVISION AND CARE AND WHOSE CAREGIVERS MAY NEED TO WORK, CARE FOR OTHERS, OR ARE IN DESPERATE NEED OF RESPITE. THE CENTER OFFERS BOTH SOCIAL & MEDICAL PROGRAMS DEPENDING UPON INDIVIDUAL NEED. FAMILY MEMBERS INVOLVED IN THEIR LOVED ONES TREATMENT HAVE THE OPPORTUNITY TO PARTICIPATE IN ON-GOING EDUCATION AND CAREGIVER SUPPORT GROUPS - ALL DESIGNED TO EMPOWER FAMILIES TO BE MORE SKILLED AND EFFECTIVE IN THEIR CAREGIVING ROLES. DURING FY 2010-2011, SOME 90 INDIVIDUALS WERE CARED FOR AT A DAY AWAY. FOR DETAILED INFORMATION REGARDING THESE PIH AFFILIATES' ADDITIONAL ACTIVITIES TO SUPPORT AND PROMOTE COMMUNITY HEALTH, PLEASE SEE EACH RESPECTIVE ORGANIZATION'S IRS FORM 990.
CAREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
AMERICAN CANCER SOCIETY
13230 PENN STREETWHITTIERCA90602941170350501(C)(3)7900GENERAL SUPPORT
PARTNERS IN CARE FOUNDATION
732 MOTT STREET STE 150SAN FERNANDOCA91340953954057501(C)(3)5625GENERAL SUPPORT
RANCHO LOS AMIGOS FOUNDATION
7601 E IMPERIAL HWYDOWNEYCA90242953849600501(C)(3)6800GENERAL SUPPORT
YMCA OF GREATER WHITTIER
12510 E HADLEY ST STE 201WHITTIERCA90601951684795501(C)(3)8500GENERAL SUPPORT
SANTA FE SPRINGS CHAMBERS
12016 E TELEGRAPH RD STE 100SANTA FE SPRINGSCA90670952912042501(C)(3)6000GENERAL SUPPORT
WHITTIER COMMUNITY FOUNDATION
13230 PENN STREETWHITTIERCA90602951918226501(C)(3)7500GENERAL SUPPORT
CALIFORNIA HEALTH FOUNDATION AND TRUST
1215 K STREET SUITE 800SACRAMENTOCA95814941498687501(C)(3)475537SUPPORT CHARITABLE ACTIVITIES AT HOSPITALS & HEALTH SYSTEMS IN CALIFORNIA
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants7TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
SCHOLARSHIPS AND MEDICAL EDUCATION51142000
PSYCHIATRIC CARE AT INDEPENDENT FACILITY FOR UNINSURED59109150

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (22 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SUDHAKER NAYAK MD
191106000000000191106000
JAMES WEST
769831063000052192080120176398010694330630000
MITCHELL THOMAS
38975803275309794108012010460306330670327530
PEGGY CHULACK
365436068310063970801205887305070280683100
ROSALIO LOPEZ MD
481810040013091550801208701906260090400130
REANNA THOMPSON
2889930693000361800801205174404542290693000
DAVE KLINGER
2918000395200348320801205190804260720395200
JOAN ROLLAND
16021503755069150217690264430219097000
JUDY PUGACH
16335601288006915054230300740218648000
LON OREY
238982013680095905076790370410393287000
PATRICIA BRAY
1770560006956058210269940216827000
PERRY EBELTOFT
1902170007502056140364480239781000
RAMONA PRATT
18466702926606734061300332150260012000
RONALD YOSHIHARA
2153390183660324220232360407520330115000
ROWENA STAJER
1616800255670298670171870139070248208000
SUSANNE CARLSON
196219032088025306064330370480297094000
MARVIN RICE
3389250296210724140300120699820540954000
JUNG HO
225439000000024300227869000
CARMEN A CHANG
187710000000015610189271000
PHILIP B CHON
184110000000020100186120000
ALAN Y ENDO
182580000000030110185591000
ANNA KRUGER
17307500000005610173636000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1AALL EMPLOYEES ARE ELIGIBLE FOR HEALTH CLUB REIMBURSEMENT AND ANY SUCH REIMBURSEMENTS WERE INCLUDED IN TAXABLE COMPENSATION, PER 2011 PLAN YEAR BENEFITS SUMMARY.
PART I, LINE 4BPART I, LINE 4B: IHC AND ITS AFFILIATES SPONSOR A 457(F) PLAN. THE PLAN PARTICIPANTS AND AMOUNTS RECEIVED (IF APPLICABLE) WERE: PATRICIA BRAY, SUSANNE CARLSON ($18,892), PEGGY CHULACK, DAVID KLINGER ($28,418), PERRY EBELTOFT, ROSALIO LOPEZ MD, LON OREY ($89,053), RAMONA PRATT, JUDY PUGACH, JOAN ROLLAND, ROWENA STAJER ($23,867), MARVIN RICE ($65,226), MITCHELL THOMAS ($75,441), REANNA THOMPSON ($29,394), JAMES WEST, AND RONALD YOSHIHARA ($25,368).
PART IIIPART II, COLUMN F: THE ORGANIZATION INADVERTENTLY USED THE INCORRECT CALENDAR YEAR BONUS INFORMATION ON THE 2009 FORM 990. THE BONUS IS REPORTED CORRECTLY ON THE 2010 FORM 990 IN PART II, COLUMN B(II). BECAUSE THE BONUS AMOUNTS WERE PREVIOUSLY REPORTED IN THE PRIOR YEAR FORM 990, THE AMOUNTS ALSO APPEAR IN COLUMN F OF THE CURRENT YEAR FORM 990. ALL OTHER COMPENSATION INFORMATION REPORTED ON THE 2009 FORM 990 IS CORRECT.SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF WHITTIER - SERIES 2009
956000812966769DA62009-05-14280328878HOSPITAL FACILITIES REFUND 2007 BONDS000
CITY OF WHITTIER - SERIES 2011
956000812966769DH12011-03-3140828054CONSTRUCTION OF FACILITIES000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
280328878580000024167381087414133728320121011
408280549393734001149320120011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000011
000011

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsBusiness Name Line2NameOfHedgeProvider/BusinessNameLine2Term Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
GOLDMAN SACHS BANK
011USA29.50000000000000001
(no name)
000001

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SEE PART VBusinessNameLine1
FieldValueIRS element (for citing)
Amount Of Transaction4635071AmountOfTransaction
Sharing Of Revenues0SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSCHEDULE L, PART IV:Identifier
ExplanationA: LAMBERT RADIOLOGY MEDICAL GROUP, INC.B: SHAREHOLDER, WILLIAM SHANAHAN IS A DIRECTOR OF PIHC: $4,635,071D: RADIOLOGY SERVICES PROVIDED TO PIHE: NOExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 21)DREW SONES HAS A BUSINESS RELATIONSHIP WITH LEON M.N. GARCIA. 2)JANE DICUS HAS A BUSINESS RELATIONSHIP WITH DREW SONES.
FORM 990, PART VI, SECTION A, LINE 6INTERHEALTH CORP. ("IHC") IS THE SOLE MEMBER OF PIH.
FORM 990, PART VI, SECTION A, LINE 7AIHC HAS AUTHORITY TO ELECT ALL THE MEMBERS OF THE BOARD OF PIH.
FORM 990, PART VI, SECTION A, LINE 7BIHC HAS ALL VOTING RIGHTS AND THE POWER TO ELECT THE BOARD OF DIRECTORS OF PIH.
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION, WHICH IS MADE UP OF INDEPENDENT DIRECTORS. THE FORM 990S ARE THEN PROVIDED TO THE BOARD FOR ITS INFORMATION.
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 12C
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 INTEGRATED DELIVERY 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 HAS TWO PEER GROUPS-A NATIONAL PEER GROUP OF COMPARABLY-SIZED HOSPITALS AND INTEGRATED DELIVERY 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 CHIEF EXECUTIVE OFFICER AND THE SENIOR VICE PRESIDENT OF FINANCE AND CHIEF FINANCIAL OFFICER.FORM 990, PART VI, SECTION B, LINE 15
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 VI, SECTION C, LINE 19
BOARD MEMBERS ARE NOT COMPENSATED FOR SERVICE AS A MEMBER OF THE BOARD. WILLIAM SHANAHAN MD RECEIVED $55,000 DURING CALENDAR YEAR 2010 FOR PROFESSIONAL SERVICES AS A MEDICAL DIRECTOR. NEAL SHINDEL MD RECEIVED $42,012 DURING CALENDAR YEAR 2010 FOR GI BONUS PAYMENTS. SUDHAKER NAYAK MD RECEIVED $191,106 DURING CALENDAR YEAR 2010 FOR PROFESSIONAL SERVICES AS ED ON CALL FOR PIH. THE HOURS REPORTED ON PART VII ONLY REFLECT TIME SPENT AS AN UNCOMPENSATED BOARD MEMBER AND DOES NOT INCLUDE TIME SPENT ON OTHER DUTIES.FORM 990, PART VII, SECTION A:
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -20,815,448. PENSION ADJUSTMENTS -16,444,669. NET UNREALIZED LOSSES ON INTEREST RATE SWAP -9,925,385. LOSS ON INSURANCE LITIGATION SETTLEMENT -650,000. EQUITY TRANSFER TO IHMC -29,039,680. TOTAL TO FORM 990, PART XI, LINE 5: -76,875,182.FORM 990, PART XI, LINE 5:
PIH INSURANCE COMPANY IS AN UNINCORPORATED RISK RETENTION GROUP.SCHEDULE R, PART IV, COLUMN (E):

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1PIH COMMUNITY PHARMACY LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line112401 WASHINGTON BLVDAddressLine1
CityWHITTIERCity
StateCAState
ZIP Code90602ZIPCode
FieldValueIRS element (for citing)
EIN264390142EIN
Primary ActivitiesPHARMACYPrimaryActivities
Legal Domicile StateCALegalDomicileState
Total Income2586771TotalIncome
EOY Assets522845EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PRESBYTERIAN INTERCOMMUNITY HOSPITAL INCBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
PIH FOUNDATION
12401 WASHINGTON BLVDWHITTIERCA90602953761274FUNDRAISINGCASECTION 501(C)(3)7INTERHEALTH CORP1
IHC MANAGEMENT CORP
12401 WASHINGTON BLVDWHITTIERCA90602954016278SUPPORT OF TAX-EXEMPT AFFILIATESCASECTION 501(C)(3)11, TYPE 1INTERHEALTH CORP1
INTERHEALTH HOME HEALTH CARE
12401 WASHINGTON BLVDWHITTIERCA90602953036281HEALTHCARECASECTION 501(C)(3)9INTERHEALTH CORP1
INTERHEALTH CORP
12401 WASHINGTON BLVDWHITTIERCA90602953619388SUPPORT OF TAX-EXEMPT AFFILIATESCASECTION 501(C)(3)11, TYPE 1INTERHEALTH CORP0
MED SITE - HACIENDA HEIGHTS
12401 WASHINGTON BLVDWHITTIERCA90602953643829HEALTHCARECASECTION 501(C)(3)9INTERHEALTH CORP1
BRIGHT HEALTH PHYSICIANS OF PIH
12401 WASHINGTON BLVDWHITTIERCA90602953942828HEALTHCARECASECTION 501(C)(3)9INTERHEALTH CORP1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1PIH INSURANCE COMPANY A RECIPROCAL RISK RETENTION GROUPBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11003 BISHOP STREETAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
EIN263760243EIN
Primary ActivityCAPTIVE INSURANCEPrimaryActivity
Legal Domicile StateHILegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1INTERHEALTH CORPBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityTTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
IHC MANAGEMENT CORP
L370219FV BASED ON INTERCOMPANY BALANCE
PIH FOUNDATION
C2204568FV BASED ON INTERCOMPANY BALANCE
BRIGHT HEALTH PYSICIANS OF PIH
O3712695FV BASED ON INTERCOMPANY BALANCE
PIH INSURANCE COMPANY A RECIPROCAL RISKRETENTION GROUP
Q1879198FV BASED ON INTERCOMPANY BALANCE
PIH FOUNDATION
B147500FV BASED ON INTERCOMPANY BALANCE
IHC MANAGEMENT CORP
Q29039680SETTLEMENT OF INTERCO BAL AT FV