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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-07-30T10:22:12-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 655 WEST BROADWAY SUITE 700 | AddressLine1 |
| City | SAN DIEGO | City |
| State | CA | State |
| ZIP Code | 921018590 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951934652 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRESBYTERIAN INTERCOMMUNITY HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PRES | NameControl |
| Phone | 5626980811 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12401 WASHINGTON BOULEVARD | AddressLine1 |
| City | WHITTIER | City |
| State | CA | State |
| ZIP Code | 90602 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MITCHELL THOMAS | Name |
| Title | CFO | Title |
| Phone | 5626980811 | Phone |
| Date Signed | 2012-07-27 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DIANA J MCCUTCHEN | Name |
| Phone | 6192326500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MITCHELL THOMAS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12401 WASHINGTON BOULEVARD | AddressLine1 |
| City | WHITTIER | City |
| State | CA | State |
| ZIP Code | 90602 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 535072562 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1954 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE QUALITY HEALTHCARE AND CONTRIBUTE TO THE COMMUNITY'S HEALTH AND WELL-BEING. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3082 | TotalNbrEmployees |
| Total Nbr Volunteers | 830 | TotalNbrVolunteers |
| Total Gross UBI | 139234 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 52047 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1595087 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2204568 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 392575409 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 444974620 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 13580533 | InvestmentIncomePriorYear |
| Investment Income Current Year | 15084659 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2138979 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3235462 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 409890008 | TotalRevenuePriorYear |
| Total Revenue Current Year | 465499309 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 739812 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 852252 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 193119748 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 212682689 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 181162804 | OtherExpensePriorYear |
| Other Expenses Current Year | 202598224 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 375022364 | TotalExpensesPriorYear |
| Total Expenses Current Year | 416133165 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 34867644 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 49366144 | RevenuesLessExpensesCY |
| Total Assets BOY | 848581314 | TotalAssetsBOY |
| Total Assets EOY | 905350088 | TotalAssetsEOY |
| Total Liabilities BOY | 409434369 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 493712181 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 439146945 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 411637907 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | MISSION: WHY WE ARE HERE: WE PROVIDE HIGH QUALITY HEALTHCARE WITHOUT DISCRIMINATION, AND CONTRIBUTE TO THE HEALTH AND WELL-BEING OF OUR COMMUNITIES IN AN ETHICAL, SAFE, AND FISCALLY PRUDENT MANNER IN RECOGNITION OF OUR CHARITABLE PURPOSE. VISION: WHERE WE WANT TO BE: WE WILL ACHIEVE EXCELLENCE IN EVERYTHING WE DO. VALUES: OUR PROMISE: OUR 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 Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 257888806 | Expense |
| Grants | 376715 | Grants |
| Revenue | 385268841 | Revenue |
| Description | PATIENT 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 91808996 | Expense |
| Revenue | 58282832 | Revenue |
| Description | CHARITY 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 20057068 | Expense |
| Grants | 475537 | Grants |
| Revenue | 3999883 | Revenue |
| Description | SUBSIDIZED 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 369754870 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 244 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 3082 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RONALD YOSHIHARA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5626980811 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12102 WASHINGTON BLVD | AddressLine1 |
| City | WHITTIER | City |
| State | CA | State |
| ZIP Code | 90606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (36 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| EFRAIN ACEVES | ||||||||
| DIRECTOR | 1.50 | X | 0 | 0 | 0 | |||
| DONALD ALVARADO | ||||||||
| DIRECTOR & VICE CHAIRMAN | 1.50 | X | 0 | 0 | 0 | X | ||
| RICHARD ATWOOD | ||||||||
| DIRECTOR | 1.50 | X | 0 | 0 | 0 | |||
| PAULA COWAN | ||||||||
| DIRECTOR | 1.50 | X | 0 | 0 | 0 | |||
| JANE DICUS | ||||||||
| DIRECTOR & SECRETARY | 1.50 | X | 0 | 0 | 0 | X | ||
| LEON MN GARCIA | ||||||||
| DIRECTOR | 1.50 | X | 0 | 0 | 0 | |||
| THOMAS KING | ||||||||
| DIRECTOR | 1.50 | X | 0 | 0 | 0 | |||
| ANGEL MUNOZ | ||||||||
| DIRECTOR | 1.50 | X | 0 | 0 | 0 | |||
| SUDHAKER NAYAK MD | ||||||||
| DIRECTOR | 1.50 | X | 191106 | 0 | 0 | |||
| NORMA PROVENCIO | ||||||||
| DIRECTOR | 1.50 | X | 0 | 0 | 0 | |||
| WILLIAM SHANAHAN MD | ||||||||
| DIRECTOR | 1.50 | X | 55000 | 0 | 0 | |||
| NEAL SHINDEL MD | ||||||||
| DIRECTOR | 1.50 | X | 42012 | 24194 | 0 | |||
| DREW SONES | ||||||||
| DIRECTOR & CHAIRMAN | 1.50 | X | 0 | 0 | 0 | X | ||
| KENTON WOODS | ||||||||
| DIRECTOR & TREASURER | 1.50 | X | 0 | 0 | 0 | X | ||
| HUEY-MIN YU | ||||||||
| DIRECTOR | 1.50 | X | 0 | 0 | 0 | |||
| JAMES WEST | ||||||||
| PRESIDENT & CEO | 40.00 | 885023 | 0 | 184410 | X | |||
| MITCHELL THOMAS | ||||||||
| CFO, ASST TREAS & SR VP | 40.00 | 520452 | 0 | 112615 | X | |||
| PEGGY CHULACK | ||||||||
| CAO & ASST SECRETARY | 40.00 | 440143 | 0 | 66885 | X | |||
| ROSALIO LOPEZ MD | ||||||||
| CHIEF MED OFF & SR VP | 40.00 | 530978 | 0 | 95031 | X | |||
| REANNA THOMPSON | ||||||||
| CHIEF NURSING OFFICER | 40.00 | 394473 | 0 | 59756 | X | |||
| DAVE KLINGER | ||||||||
| VP, FACILITIES | 40.00 | 366152 | 0 | 59920 | X | |||
| JOAN ROLLAND | ||||||||
| ADMIN ED/DISASTER SERV | 40.00 | 170885 | 0 | 48212 | X | |||
| JUDY PUGACH | ||||||||
| VP OF QUALITY RISK MGMT. | 40.00 | 183151 | 0 | 35497 | X | |||
| LON OREY | ||||||||
| VP OF HUMAN RESOURCES | 40.00 | 348567 | 0 | 44720 | X | |||
| PATRICIA BRAY | ||||||||
| VP OF CONTINUING CARE | 40.00 | 184012 | 0 | 32815 | X | |||
| PERRY EBELTOFT | ||||||||
| ANCILLARY SERVICES ADMIN | 40.00 | 197719 | 0 | 42062 | X | |||
| RAMONA PRATT | ||||||||
| VP, NURSING OPERATIONS | 40.00 | 220667 | 0 | 39345 | X | |||
| RONALD YOSHIHARA | ||||||||
| VP, FINANCE & CONTROLLER | 40.00 | 266127 | 0 | 63988 | X | |||
| ROWENA STAJER | ||||||||
| ADMINISTRATIVE DIRECTOR | 40.00 | 217114 | 0 | 31094 | X | |||
| SUSANNE CARLSON | ||||||||
| ADMINISTRATIVE DIRECTOR | 40.00 | 253613 | 0 | 43481 | X | |||
| MARVIN RICE | ||||||||
| VP, NETWORK SERVICES | 40.00 | 440960 | 0 | 99994 | X | |||
| JUNG HO | ||||||||
| MEDICAL PHYSICIST | 40.00 | 225439 | 0 | 2430 | X | |||
| CARMEN A CHANG | ||||||||
| PHARMACIST | 40.00 | 187710 | 0 | 1561 | X | |||
| PHILIP B CHON | ||||||||
| PHARMACIST | 40.00 | 184110 | 0 | 2010 | X | |||
| ALAN Y ENDO | ||||||||
| DIRECTOR - PHARMACY | 40.00 | 182580 | 0 | 3011 | X | |||
| ANNA KRUGER | ||||||||
| RN | 40.00 | 173075 | 0 | 561 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6861068 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 24194 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1069398 | TotalOtherCompensation |
| Number Individuals GT100 K | 267 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MILLIE AND SEVERSON INC | |||||
| PO BOX 3601 | LOS ALAMITOS | CA | 90720 | CONSTRUCTION | 24728560 |
| ALLSCRIPTS (FORMERLY ECLIPSYS) | |||||
| 3 RAVINIA DRIVE SUITE B-150 | ATLANTA | GA | 30346 | IT SERVICES | 10762498 |
| WHITTIER PULM AND CRITC CARE | |||||
| 6905 ALTA VISTA DRIVE | RANCHO PALOS VERDES | CA | 90275 | MEDICAL SERVICES | 5311065 |
| LAMBERT RADIOL MED GRP INC | |||||
| 11721 WHITTIER BLVD 509 | WHITTIER | CA | 90601 | MEDICAL SERVICES | 4635071 |
| FAMILY PRACTICE RESIDENCY PROGRAM | |||||
| 12291 WASHINGTON BLVD | WHITTIER | CA | 90606 | MEDICAL SERVICES | 3164360 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 75 | NumberOfContractorsGT100K |
| Related Organizations | 2204568 | RelatedOrganizations |
| Total Contributions | 2204568 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE RE | 621610 | 405297234 | 405297234 |
| HOSPITAL FEE PROGRAM | 900099 | 27601129 | 27601129 |
| OTHER PATIENT REVENUE | 621610 | 12076257 | 12076257 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 444974620 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9004803 | TotalRevenueColumn |
| Exclusion | $9,004,803 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 75635109 | Securities |
| Other | 18000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 69555870 | Securities |
| Other | 17383 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6079239 | Securities |
| Other | 617 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6079856 | TotalRevenueColumn |
| Exclusion | $6,079,856 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| COMMUNITY PHARMACY | 624110 | 2586771 | 2576936 | 9835 | |
| PURCHASE DISCOUNTS | 900099 | 537291 | $537,291 | ||
| NON-PATIENT LAB | 621500 | 125323 | 125323 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -13923 | TotalRevenueColumn |
| Unrelated Business Revenue | 4076 | UnrelatedBusinessRevenue |
| Exclusion | -$17,999 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3235462 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 465499309 | TotalRevenueColumn |
| Related Or Exempt Function Income | 447551556 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 139234 | UnrelatedBusinessRevenue |
| Exclusion | $15,603,951 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 601102 | Total |
| Program Services | 601102 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 251150 | Total |
| Program Services | 251150 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5427058 | Total |
| Program Services | 3934941 | ProgramServices |
| Management And General | 1492117 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 144966239 | Total |
| Program Services | 129681194 | ProgramServices |
| Management And General | 15285045 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11796843 | Total |
| Program Services | 10026637 | ProgramServices |
| Management And General | 1770206 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38750932 | Total |
| Program Services | 36389574 | ProgramServices |
| Management And General | 2361358 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11741617 | Total |
| Program Services | 10432372 | ProgramServices |
| Management And General | 1309245 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 370219 | Total |
| Management And General | 370219 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1502114 | Total |
| Program Services | 4287 | ProgramServices |
| Management And General | 1497827 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53850 | Total |
| Management And General | 53850 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50318 | Total |
| Management And General | 50318 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48997600 | Total |
| Program Services | 42779593 | ProgramServices |
| Management And General | 6218007 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5219496 | Total |
| Program Services | 3387479 | ProgramServices |
| Management And General | 1832017 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19673508 | Total |
| Program Services | 15967976 | ProgramServices |
| Management And General | 3705532 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7783111 | Total |
| Program Services | 6476465 | ProgramServices |
| Management And General | 1306646 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 475004 | Total |
| Program Services | 349350 | ProgramServices |
| Management And General | 125654 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 187623 | Total |
| Program Services | 30295 | ProgramServices |
| Management And General | 157328 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10664380 | Total |
| Program Services | 8885149 | ProgramServices |
| Management And General | 1779231 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16502054 | Total |
| Program Services | 13750287 | ProgramServices |
| Management And General | 2751767 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3780695 | Total |
| Program Services | 998994 | ProgramServices |
| Management And General | 2781701 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL SUPPLIES | 47358556 | 47036965 | 321591 | 0 |
| HOSPITAL FEE PROGRAM | 18574513 | 18574513 | 0 | 0 |
| BAD DEBT | 14195019 | 14195019 | 0 | 0 |
| EQUIPMENT R&M | 3966211 | 3792882 | 173329 | 0 |
| EQUIPMENT LEASES | 728967 | 720282 | 8685 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2514986 | Total |
| Program Services | 1488364 | ProgramServices |
| Management And General | 1026622 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 416133165 | Total |
| Program Services | 369754870 | ProgramServices |
| Management And General | 46378295 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2269947 | BOY |
| EOY | 8522455 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6521483 | BOY |
| EOY | 6038 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69675419 | BOY |
| EOY | 63298558 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3431697 | BOY |
| EOY | 3307679 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10649826 | BOY |
| EOY | 8710475 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 405509298 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 116205653 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 256432376 | BOY |
| EOY | 289303645 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 351404186 | BOY |
| EOY | 352866582 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 594192 | BOY |
| EOY | 594192 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 147602188 | BOY |
| EOY | 178740464 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 848581314 | BOY |
| EOY | 905350088 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34496454 | BOY |
| EOY | 38628321 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 273946465 | BOY |
| EOY | 308097102 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100991450 | BOY |
| EOY | 146986758 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 409434369 | BOY |
| EOY | 493712181 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 439146945 | BOY |
| EOY | 411637907 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 439146945 | BOY |
| EOY | 411637907 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 848581314 | BOY |
| EOY | 905350088 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 49366144 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -76875182 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $50,318 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 50318 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | A PORTION OF DUES PAID TO HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA AND AMERICAN HOSPITAL ASSOCIATION ARE RELATED TO LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 214611 | OtherCostOrOtherBasis |
| Book Value | 214611 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 187032997 | OtherCostOrOtherBasis |
| Depreciation | 44555746 | Depreciation |
| Book Value | 142477251 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 98134089 | OtherCostOrOtherBasis |
| Depreciation | 66760589 | Depreciation |
| Book Value | 31373500 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 120127601 | OtherCostOrOtherBasis |
| Depreciation | 4889318 | Depreciation |
| Book Value | 115238283 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 289303645 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DEFERRED FINANCING COSTS | 3544563 |
| DUE FROM AFFILIATES | 164049712 |
| OTHER RECEIVABLES | 3729110 |
| INVESTMENTS IN AFFILIATES | 1113445 |
| OTHER ASSET-HOSPITAL FEE PROGRAM | 6303634 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 178740464 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 146986758 | TotalOfAmounts |
| Total Revenue | 465499309 | TotalRevenue |
| Total Expenses | 416133165 | TotalExpenses |
| Excess Or Deficit For Year | 49366144 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -20815448 | NetUnrealizedGLOnInvestments |
| Other | -$56,059,734 | OtherAmount |
| Total Adjustments | -76875182 | TotalAdjustments |
| Excess Or Deficit Per FS | -27509038 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 8107 | PersonsServed |
| Total Community Benefit Expense | 23198308 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7008980 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16189328 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04030 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 27159 | PersonsServed |
| Total Community Benefit Expense | 66704942 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 50753201 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15951741 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03970 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 263 | PersonsServed |
| Total Community Benefit Expense | 954672 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 520651 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 434021 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 35529 | PersonsServed |
| Total Community Benefit Expense | 90857922 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 58282832 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 32575090 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08110 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 21 | NumberOfActivitiesOrPrograms |
| Persons Served | 39459 | PersonsServed |
| Total Community Benefit Expense | 4569321 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 66008 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4503313 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01120 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 624 | PersonsServed |
| Total Community Benefit Expense | 3519378 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 816145 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2703233 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00670 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 11766 | PersonsServed |
| Total Community Benefit Expense | 10857432 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2977663 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7879769 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01960 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 20 | PersonsServed |
| Total Community Benefit Expense | 86332 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 86332 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 1360 | PersonsServed |
| Total Community Benefit Expense | 1024605 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 140067 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 884538 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 38 | NumberOfActivitiesOrPrograms |
| Persons Served | 53229 | PersonsServed |
| Total Community Benefit Expense | 20057068 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3999883 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16057185 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03990 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 38 | NumberOfActivitiesOrPrograms |
| Persons Served | 88758 | PersonsServed |
| Total Community Benefit Expense | 110914990 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 62282715 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 48632275 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12100 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 8532 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 8532 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 15 | PersonsServed |
| Total Community Building Expense | 36000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 36000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 15 | PersonsServed |
| Total Community Building Expense | 48781 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 48781 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 30 | PersonsServed |
| Total Community Building Expense | 93313 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 93313 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $14,195,019 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 66236883 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 76706202 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -10469319 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRESBYTERIAN INTERCOMMUNITY HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12401 WASHINGTON BLVD | AddressLine1 |
| City | WHITTER | City |
| State | CA | State |
| ZIP Code | 90602 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
| Other | SKILLED NURSING FACILITY | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NOT REQUIRED | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 11 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (11 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| SAME DAY SURGERY | ||||
| 12415 WASHINGTON BLVD | WHITTER | CA | 90602 | OUTPATIENT SURGICAL SERVICES |
| INTERCOMMUNITY MAGNETIC RESONANCE IMAGIN | ||||
| 12455 WASHINGTON BLVD | WHITTER | CA | 90602 | MRI SERVICES |
| ERNEST D WELLS MEDICAL OFFICE BUILDING | ||||
| 12462 PUTNAM ST | WHITTER | CA | 90602 | OUTPATIENT SERVICES |
| PATRICIA L SCHEIFLY BREAST HEALTH CTR | ||||
| 12393 WASHINGTON BLVD | WHITTER | CA | 90602 | SVCS |
| PRESBYTERIAN HEALTH MEDICAL PLAZA | ||||
| 12291 WASHINGTON BLVD | WHITTER | CA | 90602 | WOUND HEALING, LAB DRAW STATION |
| ARCADIA HOME HEALTH NURSING | ||||
| 351 E FOOTHILL BLVD SUITE 100 | ARCADIA | CA | 91006 | VISITING NURSES ASSOCIATION |
| HOSPICE HOMES - DOVE | ||||
| 10736 VALLEY VIEW AVE | WHITTER | CA | 90604 | HOSPICE CARE |
| HOSPICE HOMES - ROSE | ||||
| 10742 VALLEY VIEW AVE | WHITTER | CA | 90604 | HOSPICE CARE |
| PIH HOME HEALTH | ||||
| 15050 IMPERIAL HWY | LA MIRADA | CA | 90638 | HOME HEALTH AGENCY |
| PRESBYTERIAN HEALTH MEDICAL PLAZA | ||||
| 15088 IMPERIAL HWY | LA MIRADA | CA | 90638 | OUTPATIENT THERAPY |
| BHP - LA MIRADA | ||||
| 12675 S LA MIRADA BLVD SUITE 219 | LA MIRADA | CA | 90638 | RADIOLOGY |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| ExplanationExplanation | IdentifierIdentifier | Return 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. | ||
| CA | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY | |||||||
| 13230 PENN STREET | WHITTIER | CA | 90602 | 941170350 | 501(C)(3) | 7900 | GENERAL SUPPORT |
| PARTNERS IN CARE FOUNDATION | |||||||
| 732 MOTT STREET STE 150 | SAN FERNANDO | CA | 91340 | 953954057 | 501(C)(3) | 5625 | GENERAL SUPPORT |
| RANCHO LOS AMIGOS FOUNDATION | |||||||
| 7601 E IMPERIAL HWY | DOWNEY | CA | 90242 | 953849600 | 501(C)(3) | 6800 | GENERAL SUPPORT |
| YMCA OF GREATER WHITTIER | |||||||
| 12510 E HADLEY ST STE 201 | WHITTIER | CA | 90601 | 951684795 | 501(C)(3) | 8500 | GENERAL SUPPORT |
| SANTA FE SPRINGS CHAMBERS | |||||||
| 12016 E TELEGRAPH RD STE 100 | SANTA FE SPRINGS | CA | 90670 | 952912042 | 501(C)(3) | 6000 | GENERAL SUPPORT |
| WHITTIER COMMUNITY FOUNDATION | |||||||
| 13230 PENN STREET | WHITTIER | CA | 90602 | 951918226 | 501(C)(3) | 7500 | GENERAL SUPPORT |
| CALIFORNIA HEALTH FOUNDATION AND TRUST | |||||||
| 1215 K STREET SUITE 800 | SACRAMENTO | CA | 95814 | 941498687 | 501(C)(3) | 475537 | SUPPORT CHARITABLE ACTIVITIES AT HOSPITALS & HEALTH SYSTEMS IN CALIFORNIA |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 7 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|
| SCHOLARSHIPS AND MEDICAL EDUCATION | 51 | 142000 |
| PSYCHIATRIC CARE AT INDEPENDENT FACILITY FOR UNINSURED | 59 | 109150 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (22 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUDHAKER NAYAK MD | |||||||||||||
| 191106 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 191106 | 0 | 0 | 0 |
| JAMES WEST | |||||||||||||
| 769831 | 0 | 63000 | 0 | 52192 | 0 | 8012 | 0 | 176398 | 0 | 1069433 | 0 | 63000 | 0 |
| MITCHELL THOMAS | |||||||||||||
| 389758 | 0 | 32753 | 0 | 97941 | 0 | 8012 | 0 | 104603 | 0 | 633067 | 0 | 32753 | 0 |
| PEGGY CHULACK | |||||||||||||
| 365436 | 0 | 68310 | 0 | 6397 | 0 | 8012 | 0 | 58873 | 0 | 507028 | 0 | 68310 | 0 |
| ROSALIO LOPEZ MD | |||||||||||||
| 481810 | 0 | 40013 | 0 | 9155 | 0 | 8012 | 0 | 87019 | 0 | 626009 | 0 | 40013 | 0 |
| REANNA THOMPSON | |||||||||||||
| 288993 | 0 | 69300 | 0 | 36180 | 0 | 8012 | 0 | 51744 | 0 | 454229 | 0 | 69300 | 0 |
| DAVE KLINGER | |||||||||||||
| 291800 | 0 | 39520 | 0 | 34832 | 0 | 8012 | 0 | 51908 | 0 | 426072 | 0 | 39520 | 0 |
| JOAN ROLLAND | |||||||||||||
| 160215 | 0 | 3755 | 0 | 6915 | 0 | 21769 | 0 | 26443 | 0 | 219097 | 0 | 0 | 0 |
| JUDY PUGACH | |||||||||||||
| 163356 | 0 | 12880 | 0 | 6915 | 0 | 5423 | 0 | 30074 | 0 | 218648 | 0 | 0 | 0 |
| LON OREY | |||||||||||||
| 238982 | 0 | 13680 | 0 | 95905 | 0 | 7679 | 0 | 37041 | 0 | 393287 | 0 | 0 | 0 |
| PATRICIA BRAY | |||||||||||||
| 177056 | 0 | 0 | 0 | 6956 | 0 | 5821 | 0 | 26994 | 0 | 216827 | 0 | 0 | 0 |
| PERRY EBELTOFT | |||||||||||||
| 190217 | 0 | 0 | 0 | 7502 | 0 | 5614 | 0 | 36448 | 0 | 239781 | 0 | 0 | 0 |
| RAMONA PRATT | |||||||||||||
| 184667 | 0 | 29266 | 0 | 6734 | 0 | 6130 | 0 | 33215 | 0 | 260012 | 0 | 0 | 0 |
| RONALD YOSHIHARA | |||||||||||||
| 215339 | 0 | 18366 | 0 | 32422 | 0 | 23236 | 0 | 40752 | 0 | 330115 | 0 | 0 | 0 |
| ROWENA STAJER | |||||||||||||
| 161680 | 0 | 25567 | 0 | 29867 | 0 | 17187 | 0 | 13907 | 0 | 248208 | 0 | 0 | 0 |
| SUSANNE CARLSON | |||||||||||||
| 196219 | 0 | 32088 | 0 | 25306 | 0 | 6433 | 0 | 37048 | 0 | 297094 | 0 | 0 | 0 |
| MARVIN RICE | |||||||||||||
| 338925 | 0 | 29621 | 0 | 72414 | 0 | 30012 | 0 | 69982 | 0 | 540954 | 0 | 0 | 0 |
| JUNG HO | |||||||||||||
| 225439 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2430 | 0 | 227869 | 0 | 0 | 0 |
| CARMEN A CHANG | |||||||||||||
| 187710 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1561 | 0 | 189271 | 0 | 0 | 0 |
| PHILIP B CHON | |||||||||||||
| 184110 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2010 | 0 | 186120 | 0 | 0 | 0 |
| ALAN Y ENDO | |||||||||||||
| 182580 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3011 | 0 | 185591 | 0 | 0 | 0 |
| ANNA KRUGER | |||||||||||||
| 173075 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 561 | 0 | 173636 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 1A | ALL 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 4B | PART 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 III | PART 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 EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| CITY OF WHITTIER - SERIES 2009 | |||||||
| 956000812 | 966769DA6 | 2009-05-14 | 280328878 | HOSPITAL FACILITIES REFUND 2007 BONDS | 0 | 0 | 0 |
| CITY OF WHITTIER - SERIES 2011 | |||||||
| 956000812 | 966769DH1 | 2011-03-31 | 40828054 | CONSTRUCTION OF FACILITIES | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|
| 280328878 | 5800000 | 2416738 | 1087414 | 1337283 | 2012 | 1 | 0 | 1 | 1 |
| 40828054 | 939373 | 40011493 | 2012 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 | 1 |
| 0 | 0 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Business Name Line2NameOfHedgeProvider/BusinessNameLine2 | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|---|---|
| GOLDMAN SACHS BANK | |||||||||
| 0 | 1 | 1 | USA | 29.500000000000 | 0 | 0 | 0 | 0 | 1 |
| (no name) | |||||||||
| 0 | 0 | 0 | 0 | 0 | 1 | ||||
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE PART V | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Of Transaction | 4635071 | AmountOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE L, PART IV: | Identifier |
| Explanation | A: LAMBERT RADIOLOGY MEDICAL GROUP, INC.B: SHAREHOLDER, WILLIAM SHANAHAN IS A DIRECTOR OF PIHC: $4,635,071D: RADIOLOGY SERVICES PROVIDED TO PIHE: NO | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | 1)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 6 | INTERHEALTH CORP. ("IHC") IS THE SOLE MEMBER OF PIH. | |
| FORM 990, PART VI, SECTION A, LINE 7A | IHC HAS AUTHORITY TO ELECT ALL THE MEMBERS OF THE BOARD OF PIH. | |
| FORM 990, PART VI, SECTION A, LINE 7B | IHC HAS ALL VOTING RIGHTS AND THE POWER TO ELECT THE BOARD OF DIRECTORS OF PIH. | |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION, WHICH IS MADE UP OF INDEPENDENT DIRECTORS. THE FORM 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIH COMMUNITY PHARMACY LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12401 WASHINGTON BLVD | AddressLine1 |
| City | WHITTIER | City |
| State | CA | State |
| ZIP Code | 90602 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 264390142 | EIN |
| Primary Activities | PHARMACY | PrimaryActivities |
| Legal Domicile State | CA | LegalDomicileState |
| Total Income | 2586771 | TotalIncome |
| EOY Assets | 522845 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRESBYTERIAN INTERCOMMUNITY HOSPITAL INC | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| PIH FOUNDATION | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 953761274 | FUNDRAISING | CA | SECTION 501(C)(3) | 7 | INTERHEALTH CORP | 1 |
| IHC MANAGEMENT CORP | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 954016278 | SUPPORT OF TAX-EXEMPT AFFILIATES | CA | SECTION 501(C)(3) | 11, TYPE 1 | INTERHEALTH CORP | 1 |
| INTERHEALTH HOME HEALTH CARE | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 953036281 | HEALTHCARE | CA | SECTION 501(C)(3) | 9 | INTERHEALTH CORP | 1 |
| INTERHEALTH CORP | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 953619388 | SUPPORT OF TAX-EXEMPT AFFILIATES | CA | SECTION 501(C)(3) | 11, TYPE 1 | INTERHEALTH CORP | 0 |
| MED SITE - HACIENDA HEIGHTS | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 953643829 | HEALTHCARE | CA | SECTION 501(C)(3) | 9 | INTERHEALTH CORP | 1 |
| BRIGHT HEALTH PHYSICIANS OF PIH | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 953942828 | HEALTHCARE | CA | SECTION 501(C)(3) | 9 | INTERHEALTH CORP | 1 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIH INSURANCE COMPANY A RECIPROCAL RISK RETENTION GROUP | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1003 BISHOP STREET | AddressLine1 |
| City | HONOLULU | City |
| State | HI | State |
| ZIP Code | 96813 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 263760243 | EIN |
| Primary Activity | CAPTIVE INSURANCE | PrimaryActivity |
| Legal Domicile State | HI | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INTERHEALTH CORP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | T | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| IHC MANAGEMENT CORP | ||
| L | 370219 | FV BASED ON INTERCOMPANY BALANCE |
| PIH FOUNDATION | ||
| C | 2204568 | FV BASED ON INTERCOMPANY BALANCE |
| BRIGHT HEALTH PYSICIANS OF PIH | ||
| O | 3712695 | FV BASED ON INTERCOMPANY BALANCE |
| PIH INSURANCE COMPANY A RECIPROCAL RISKRETENTION GROUP | ||
| Q | 1879198 | FV BASED ON INTERCOMPANY BALANCE |
| PIH FOUNDATION | ||
| B | 147500 | FV BASED ON INTERCOMPANY BALANCE |
| IHC MANAGEMENT CORP | ||
| Q | 29039680 | SETTLEMENT OF INTERCO BAL AT FV |