FURP.ORG / PUBLIC DATA EXPLORER

PIH HEALTH WHITTIER HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
PIH HEALTH WHITTIER HOSPITAL (EIN 95-1934652)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-09
IRS object ID
201132219349301228
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-09T11:22:06-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1655 WEST BROADWAY SUITE 700AddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code921018590ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN951934652EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMITCHELL THOMASName
TitleCFOTitle
Phone5626980811Phone
Date Signed2011-08-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6192326500Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line112401 WASHINGTON BOULEVARDAddressLine1
CityWHITTIERCity
StateCAState
ZIP Code90602ZIPCode
FieldValueIRS element (for citing)
Gross Receipts532114438GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.PIH.netWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1954YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTo provide quality healthcare and contribute to the community's health and well-being.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees3150TotalNbrEmployees
Total Nbr Volunteers905TotalNbrVolunteers
Total Gross UBI154688TotalGrossUBI
Net Unrelated Business Txbl Income47819NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2606395ContributionsGrantsPriorYear
Contributions Grants Current Year1595087ContributionsGrantsCurrentYear
Program Service Revenue Prior Year380632625ProgramServiceRevenuePriorYear
Program Service Revenue CY392575409ProgramServiceRevenueCY
Investment Income Prior Year-935983InvestmentIncomePriorYear
Investment Income Current Year13580533InvestmentIncomeCurrentYear
Other Revenue Prior Year834717OtherRevenuePriorYear
Other Revenue Current Year2138979OtherRevenueCurrentYear
Total Revenue Prior Year383137754TotalRevenuePriorYear
Total Revenue Current Year409890008TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year616501GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY739812GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year184625584SalariesEtcPriorYear
Salaries Etc Current Year193119748SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year169672253OtherExpensePriorYear
Other Expenses Current Year181162804OtherExpensesCurrentYear
Total Expenses Prior Year354914338TotalExpensesPriorYear
Total Expenses Current Year375022364TotalExpensesCurrentYear
Revenues Less Expenses Prior Year28223416RevenuesLessExpensesPriorYear
Revenues Less Expenses CY34867644RevenuesLessExpensesCY
Total Assets BOY806597203TotalAssetsBOY
Total Assets EOY848581314TotalAssetsEOY
Total Liabilities BOY395654408TotalLiabilitiesBOY
Total Liabilities EOY409434369TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY410942795NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY439146945NetAssetsOrFundBalancesEOY
Mission DescriptionMISSION: Why We Are Here: We provide high quality healthcare without discrimination, and contribute to the health and well-being of our communities in an ethical, safe, and fiscally prudent manner in recognition of our charitable purpose. VISION: Where We Want To Be: We will achieve excellence in everything we do. VALUES: Our Promise: Our patient's safety, well-being, and medical condition will be our primary concern at all times. We will consistently demonstrate respect and compassion for the beliefs, situation, and needs of our patients and co-workers. We will strive to anticipate needs and respond in a timely way to meet or exceed the expectations of others. Our attitude and actions will reflect the highest ethical and moral standards. We will work together within and outside the organization to solve problems and pursue opportunities in creative ways. We will serve the community wisely through the efficient and prudent use of our financial resources.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense252358596Expense
Grants739812Grants
Revenue372090549Revenue
DescriptionPatient Care. Presbyterian Intercommunity Hospital (PIH) is a 444-bed facility 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 its primary service area. PIH's secondary services 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 service area well beyond 1.5 million residents.The following is a list of programs that PIH had during the year:24/7 IntensivistsA day away adhcBlood donor centerBreast health educationCancer helplineCar seat programCardiac lecturesCare force oneChaplaincy programChildbirth educationCommunity benefit managementCommunity building by senior leadership & managementCommunity clinicsCommunity education outreach Diabetes educationDonation of spaceDonations to community organizationsED physician on call expenses/ea programExercise classes / Balance and mobility fall preventionFamily practice residency programFlu and pneumonia clinicsHealth fairsHealth screeningsHigh-risk infant follow-up clinicHospice and Home HealthMariposa boutiqueMedi-Cal eligibility workersNotary serviceParamedic base stationParamedic base station trainingPhysician/medical professional educationPurchased services &/or donation of equipment/suppliesResearchSenior servicesSexual assualt response team (sart)Social services helplineStudent trainingSupport groupsTransportation for underserved patients & familiesWhittier first day clinicDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense54756467Expense
Revenue15076121Revenue
DescriptionCharity care refers to dollars expended to the provision of free or discounted care provided to those lacking insurance or financial resources to pay for needed healthcare services. Recognizing our charitable mission, PIH offers a generous Uncompensated Care Program providing charity care to all patients with family income(s) within 400% of the federal poverty guidelines. Additionally, under the PIH Cash Discount Program, all cash-pay patients (all patients lacking health insurance) are offered a bill reduction commensurate with the discounted reimbursement rate extended through the government-sponsored means-tested Healthy Families program; no pre-qualification is necessary. Each Fiscal Year, PIH realizes a net loss due to offering cash discounts off of actual hospital costs of providing this care. The discounts provided by the cash payment program are especially of benefit to those in the process of applying for PIH's charity care or other government means-tested program and awaiting eligibility determination. Number of persons served: 36,052.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense23449891Expense
Revenue6799166Revenue
DescriptionSubsidized health services, community health improvement services and community benefit operations, contributions to community groups, research: In providing services to those patients participating in government-sponsored means-tested health programs, such as Medi-Cal, Medi-Cal HMO and Healthy Families, PIH realizes a collective net loss each fiscal year. Number of persons served: 34,766.For additional information, please refer to PIH's community benefit report at www.PIH.net.Description
FieldValueIRS element (for citing)
Total Program Service Expense330564954TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096270NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees3150NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Ronald YoshiharaBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5626980811TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line112102 Washington BlvdAddressLine1
CityWhittierCity
StateCAState
ZIP Code90606ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (38 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Efrain Aceves
Director1.50X000
Donald Alvarado
Director & Vice Chair1.50X000X
Richard Atwood
Director1.50X000
Jane Dicus
Director & Secretary1.50X000X
Leon MN Garcia
Director1.50X000
JC McFarland
Director1.50X000
Edward Miller
Director1.50X000
Angel Munoz
Director1.50X000
Gregory Polito MD
Director1.50X000
Norma Provencio
Director1.50X000
William Shanahan MD
Director1.50X6000000
Neal Shindel MD
Director1.50X0394270
Drew Sones
Director & Chair1.50X000X
Kenton Woods
Director & Treasurer1.50X000X
Huey-Min Yu
Director1.50X000
James West
President & CEO40.008145640174331X
Mitchell Thomas
CFO & Sr VP & Asst Treas40.004422050159079X
Peggy Chulack
CAO & Asst Secretary40.00359383062700X
Rosalio Lopez MD
Sr. VP & Chief Med Off40.00490887090624X
Reanna Thompson
Chief Nursing Officer40.00287097051977X
Dave Klinger
VP, Facilities40.00265238043640X
Ronald Yoshihara
VP, Finance & Controller40.00205341042909X
Patricia Bray
VP of Continuing Care40.00183604027946X
Judy Pugach
VP of Quality Risk Mgmt.40.00167342032214X
Lon Orey
VP of Human Resources40.00273758045881X
Ramona Pratt
VP, Nursing Operations40.00187700036283X
Margo Kaatz
Care Center Admin.40.00165401023816X
Rowena Stajer
Administrative Director40.00163662035601X
Suzanne Carlson
Administrative Director40.00201118041388X
Perry Ebeltoft
Ancillary Services Admin40.00176520018291X
Joan Rolland
Admin ED/Disaster Serv40.00164105033045X
Julie Reback
VP Marketing & Planning40.0030226905036X
Todd Salnas
VP Operations40.00284953014549X
Jung Ho
Medical Physicist40.0021804508179X
Joanna Libiez
Spec. Proj. Admin40.0017983606901X
Lillian Bell
Asst. Clin. Coord40.00185591016488X
Alan Endo
Dir-Pharmacy40.00177095016632X
Philip B Chon
Pharmacist40.0017459006621X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6130304TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs39427TotalReportableCompFrmRltdOrgs
Total Other Compensation994131TotalOtherCompensation
Number Individuals GT100 K235NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Millie and Severson Inc
PO Box 3601Los AlamitosCA90720Construction16935289
Eclypsis Solution Corp
Three Ravinia DriveAtlantaGA30346IT Services11922324
Whittier Pulm and Critc Care
6905 Alta Vista DriveRancho Palos VerdesCA90275Medical Services4936340
Lambert Radiol Med Grp Inc
11721 Whittier Blvd 509WhittierCA90601Medical Services4700967
Family Practice Residency Prog
12291 Washington BlvdWhittierCA90606Medical Services3015720
FieldValueIRS element (for citing)
Number Of Contractors GT100 K81NumberOfContractorsGT100K
Related Organizations1595087RelatedOrganizations
Total Contributions1595087TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT Service Re621610380365611380365611
Other Patient Revenue6216101220979812209798
FieldValueIRS element (for citing)
Total Program Service Revenue392575409TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column11587053TotalRevenueColumn
Exclusion$11,587,053ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities124211820Securities
Other6090Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities122008656Securities
Other215774Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2203164Securities
Other-209684Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1993480TotalRevenueColumn
Exclusion$1,993,480ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Community Pharmacy6241101406473139042716046
Purchase Discounts900099744990$744,990
Non-Patient Lab621500138642138642

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column-151126TotalRevenueColumn
Exclusion-$151,126ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2138979TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column409890008TotalRevenueColumn
Related Or Exempt Function Income393965836RelatedOrExemptFunctionIncome
Unrelated Business Revenue154688UnrelatedBusinessRevenue
Exclusion$14,174,397ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total484412Total
Program Services484412ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total255400Total
Program Services255400ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5591608Total
Program Services3967414ProgramServices
Management And General1624194ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total136235050Total
Program Services124143156ProgramServices
Management And General12091894ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total10361039Total
Program Services8806883ProgramServices
Management And General1554156ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total29517814Total
Program Services26457295ProgramServices
Management And General3060519ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total11414237Total
Program Services10025058ProgramServices
Management And General1389179ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total230767Total
Management And General230767ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2696474Total
Program Services302ProgramServices
Management And General2696172ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total121061Total
Management And General121061ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total38276Total
Management And General38276ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total48701565Total
Program Services42414901ProgramServices
Management And General6286664ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5719525Total
Program Services3257552ProgramServices
Management And General2461973ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total17345120Total
Program Services13199495ProgramServices
Management And General4145625ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8206820Total
Program Services6864954ProgramServices
Management And General1341866ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total459056Total
Program Services337312ProgramServices
Management And General121744ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total176275Total
Program Services34544ProgramServices
Management And General141731ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total10669848Total
Program Services9360073ProgramServices
Management And General1309775ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total16207535Total
Program Services14189792ProgramServices
Management And General2017743ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3437286Total
Program Services1047708ProgramServices
Management And General2389578ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Medical Supplies45369925450439143260110
Bad Debt149414381494143800
Equipment R&M373893535885591503760
Equipment Leases67312966438487450
Dues & Subscriptions5531801265874265930

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1876589Total
Program Services1353821ProgramServices
Management And General522768ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total375022364Total
Program Services330564954ProgramServices
Management And General44457410ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1606745BOY
EOY2269947EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7507156BOY
EOY6521483EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY64439263BOY
EOY69675419EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY36498BOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY42000BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3116493BOY
EOY3431697EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY13987703BOY
EOY10649826EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis362936022LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec106503646LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY237473046BOY
EOY256432376EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY321769904BOY
EOY351404186EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1108958BOY
EOY594192EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY155509437BOY
EOY147602188EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY806597203BOY
EOY848581314EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY36755543BOY
EOY34496454EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY280304830BOY
EOY273946465EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY78594035BOY
EOY100991450EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY395654408BOY
EOY409434369EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY410942795BOY
EOY439146945EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY410942795BOY
EOY439146945EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY806597203BOY
EOY848581314EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$38,276OtherActivitiesAmount
Total Lobbying Expenditures IIB38276TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationA portion of dues paid to Hospital Association of Southern California and American Hospital Association are related to lobbying.Explanation

Schedule D IRS990ScheduleD

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis186232390OtherCostOrOtherBasis
Depreciation39100637Depreciation
Book Value147131753BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis103642347OtherCostOrOtherBasis
Depreciation65029233Depreciation
Book Value38613114BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis72846674OtherCostOrOtherBasis
Depreciation2373776Depreciation
Book Value70472898BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings256432376TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
Deferred Financing Costs2843699
Due from Affiliates138279513
Other Receivables5174703
Investment in Affiliates1132673
Other Receivables - Comm Pharmacy171600
FieldValueIRS element (for citing)
Total Book Value Other Assets147602188TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
Deferred compensation$13,778,078
Self insurance trust$16,458,031
Accrued bond interest payable$842,018
Pension liability$29,447,956
Interest rate swap$39,631,919
Intercompany payable - Comm Pharmacy$694,650
Other liabilities$138,798
FieldValueIRS element (for citing)
Total Of Amounts100991450TotalOfAmounts
Total Revenue409890008TotalRevenue
Total Expenses375022364TotalExpenses
Excess Or Deficit For Year34867644ExcessOrDeficitForYear
Net Unrealized GL On Investments16879375NetUnrealizedGLOnInvestments
Other-$23,542,869OtherAmount
Total Adjustments-6663494TotalAdjustments
Excess Or Deficit Per FS28204150ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part X:Description of Uncertain Tax Positions Under FIN 48:The company measures liabilities for unrecognized tax uncertainties in accordance with ASC 740, Income taxes (formerly FASB Interpretation no. 48, Accounting for uncertainty in Income Taxes - an interpretation of FASB Statement no. 109) which prescribes a comprehensive model for how a company should recognize, measure, present, and disclosein 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 2010 or 2009.
Part XI, Line 8 - Other Adjustments:Pension Adjustments: -6460111. Net unrealized losses on interest rate swap: -13582758. Loss on Litigation Settlement: -3500000.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served10198PersonsServed
Total Community Benefit Expense14745514TotalCommunityBenefitExpense
Direct Offsetting Revenue878968DirectOffsettingRevenue
Net Community Benefit Expense13866546NetCommunityBenefitExpense
Percent Of Total Expense0.03700PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served25811PersonsServed
Total Community Benefit Expense38742078TotalCommunityBenefitExpense
Direct Offsetting Revenue14124115DirectOffsettingRevenue
Net Community Benefit Expense24617963NetCommunityBenefitExpense
Percent Of Total Expense0.06560PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served43PersonsServed
Total Community Benefit Expense249078TotalCommunityBenefitExpense
Direct Offsetting Revenue73038DirectOffsettingRevenue
Net Community Benefit Expense176040NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served36052PersonsServed
Total Community Benefit Expense53736670TotalCommunityBenefitExpense
Direct Offsetting Revenue15076121DirectOffsettingRevenue
Net Community Benefit Expense38660549NetCommunityBenefitExpense
Percent Of Total Expense0.10310PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs20NumberOfActivitiesOrPrograms
Persons Served32223PersonsServed
Total Community Benefit Expense4299481TotalCommunityBenefitExpense
Direct Offsetting Revenue19019DirectOffsettingRevenue
Net Community Benefit Expense4280462NetCommunityBenefitExpense
Percent Of Total Expense0.01140PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served579PersonsServed
Total Community Benefit Expense4017068TotalCommunityBenefitExpense
Direct Offsetting Revenue751259DirectOffsettingRevenue
Net Community Benefit Expense3265809NetCommunityBenefitExpense
Percent Of Total Expense0.00870PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served1326PersonsServed
Total Community Benefit Expense14159538TotalCommunityBenefitExpense
Direct Offsetting Revenue6023756DirectOffsettingRevenue
Net Community Benefit Expense8135782NetCommunityBenefitExpense
Percent Of Total Expense0.02170PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served15PersonsServed
Total Community Benefit Expense86369TotalCommunityBenefitExpense
Net Community Benefit Expense86369NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served623PersonsServed
Total Community Benefit Expense887435TotalCommunityBenefitExpense
Direct Offsetting Revenue5132DirectOffsettingRevenue
Net Community Benefit Expense882303NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs39NumberOfActivitiesOrPrograms
Persons Served34766PersonsServed
Total Community Benefit Expense23449891TotalCommunityBenefitExpense
Direct Offsetting Revenue6799166DirectOffsettingRevenue
Net Community Benefit Expense16650725NetCommunityBenefitExpense
Percent Of Total Expense0.04440PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs39NumberOfActivitiesOrPrograms
Persons Served70818PersonsServed
Total Community Benefit Expense77186561TotalCommunityBenefitExpense
Direct Offsetting Revenue21875287DirectOffsettingRevenue
Net Community Benefit Expense55311274NetCommunityBenefitExpense
Percent Of Total Expense0.14750PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served7PersonsServed

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served15PersonsServed
Total Community Building Expense36000TotalCommunityBuildingExpense
Net Community Building Expense36000NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served13PersonsServed
Total Community Building Expense45175TotalCommunityBuildingExpense
Net Community Building Expense45175NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served35PersonsServed
Total Community Building Expense81175TotalCommunityBuildingExpense
Net Community Building Expense81175NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$14,941,438BadDebtExpenseAmount
Amount Reimbursed By Medicare62321306AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare73615105CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-11293799MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Form990ScheduleHPartV (12 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursOtherOther
Presbyterian Intercommunity Hospital
12401 Washington BlvdWhittierCA90602XXXXSkilled nursing facility
Same Day Surgery
12415 Washington BlvdWhittierCA90602Outpatient surgical services
Intercommunity Magnetic Resonance Imagin
12455 Washington BlvdWhittierCA90602MRI services
Ernest D Wells Medical Office Bldg
12462 Putnam StWhittierCA90602Outpatient services
Patricia L Scheiffly Breast Health Ctr
12393 Washington BlvdWhittierCA90602SVCS
Presbyterian Health Medical Plaza
12291 Washington BlvdWhittierCA90602wound healing, lab draw station
Arcadia Home Nursing
351 E Foothill Blvd suite 100ArcadiaCA91006Visiting nurses association
Hospice Homes - Dove
10736 Valley View AveWhittierCA90604Hospice care
Hospice Homes - Rose
10742 Valley View AveWhittierCA90604Hospice care
PIH Home Health
15050 Imperial HwyLa MiradaCA90638Home Health Agency
Presbyterian Health Medical Plaza
15088 Imperial HwyLa MiradaCA90638Outpatient therapy
BHP - La Mirada
12675 S La Mirada Blvd Suite 219La MiradaCA90638Radiology

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Annual Community Benefit ExplnPart 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.AnnualCommunityBenefitExpln
Costing Method UsedPart 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 7F: $14,941,438.CostingMethodUsed
Subsidized Health Services ExplnPart I, Line 7g:SubsidizedHealthServicesExpln
Bad Debt FootnotePart 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.BadDebtFootnote
Shortfall As Community BenefitPart 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.ShortfallAsCommunityBenefit
Debt Collection PolicyPart 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.DebtCollectionPolicy
Needs AssessmentPart VI, Line 2: To assess the health care needs of the communities we serve, PIH conducts a community health needs assessment every three years, in accordance with California State law and the new Patient Protection and Affordable Care Act (PPACA), is federal statute that was signed into law on March 23, 2010. The triennial assessment serves as a primary tool for the hospital to determine its community benefit plan, which outlines how the hospital will give back to the community in the form of health care and other community services to address unmet community health needs. 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 gaining a deeper understanding of the health access experience of our community's most vulnerable. As such, in planning for the 2010 Community Health Needs Assessment strategy, PIHs Community Benefit Oversight Committee (CBOC) identified an opportunity to obtain baseline data on our three community benefit priority health areas (identified below). As a result, these priority health areas were examined during primary data collection through stakeholder interviews and community focus groups. The resulting community input will greatly assist the hospital and CBOC sub-committees with designing meaningful initiatives that will provide a substantial return on investment of PIH's charitable resources.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 the priority areas was included, as well. Primary data collection included some 27 stakeholder interviews held with community partners and area physicians. 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.Priority Health AreasUpon completion of the 2007 Community Health Needs Assessment, PIH's Community Benefit Oversight Committee (CBOC) undertook an extensive priority setting process, reaching consensus on three priority health areas on which to focus community benefit and community capacity-building efforts:1. Short-term priority: Adult Pneumonia; 2. Long-term priority: Overweight & Obesity; and3. Hospital Priority: Preventable Emergency Department Visits / Avoidable Hospitalizations The CBOC will again engage in a priority setting process, based on results of the 2010 Community Health Needs Assessment, to determine the hospitals areas of focus for 2011 through 2013. This process will include consideration of data findings and current priority health areas, as well as consideration of significant health indicators from the 2010 Assessment.NeedsAssessment
Patient Education AssistancePart 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 program's criteria to pay for needed healthcare services. During FY 2009-2010, PIH incurred un-reimbursed costs for this provision of charity care to the under-served in the amount of $ 13,866,546.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 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 the Charity Care policy;Patients who have Restricted Medi-Cal Emergency & Pregnancy services Coverage (and share no cost) and are receiving services not paid for by Medi-Cal;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; andPatients who demonstrate ability to pay part, but not all of their liability.Self-Pay Payment ProgramAdditionally, under the PIH Self-Pay Payment Program, all cash-pay patients (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 program 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).Both of these programs are designed to alleviate the burdensome costs of healthcare for those with limited financial resources and for those who may be on the brink of poverty. 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. Additional Patient Education Regarding PIH's Charity Care:It 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 and Spanish) Financial Counselors or other appropriate staff work with eligible patients in applying for assistance. In accordance with California's Fair Pricing Law for low-income, uninsured individuals, PIH posts notices in both English and/or Spanish with information regarding its Uncompensated Care and Self-Pay Payment programs 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. Patients also receive a Letter to the Uninsured in English and/or Spanish, which details the various programs for which they may be eligible and 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. PIH accepts all major credit cards. You may also pay on-line at http://www.pih.net. Note: checks will be processed electronically and will immediately take funds from your account. Thank you.PatientEducationAssistance
Community InformationPart 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, PIHs 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. On average, the PIH Primary Service Area has a lower unemployment rate than when compared to the County and the State. In all Primary Service Area cities, unemployment has risen in 2010 compared to 2009.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.CommunityInformation
Community Building ActivitiesPart VI, Line 5: 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 hospitals 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 a variety of community-based organizations which serve the health and social service needs of local communities, including the Whole Child, a local agency with a mission to strengthen vital parent-child relationships. PIH's Director of Marketing & Planning Department serves on a community coalition, which is advocating for bringing vital public transportation services to Whittier. Other members of this coalition include Whittier City Councilmembers, 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 to motivate and support a healthy community through wellness education, advocacy and policy-related efforts, and promotion of healthy eating and physical activity. PIH is an active member and joins the City of Whittier, YMCA of Greater Whittier, LA County Public Health Department (SPA 7), Whittier College, Whittier First Day, and the Boys and Girls Club of Whittier to serve on Activate Whittier.La Mirada ACHIEVE - An initiative led by the City of La Mirada, which engages key stakeholders in all community sectors to identify and implement policies and environmental strategies to 1) Facilitate an increase in physical activity in public spaces; 2) Facilitate development and implementation of worksite wellness policies; and 3) To establish La Mirada as a smoke-free environment; PIH is a supporting partner in implementation of this initiative.Whittier Unified School District - PIH has contributed to the increased effectiveness and improved capacity of a local school district through 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 the Care Force One mobile clinic, 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.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 care visits to local clinics and the emergency room. Additionally, PIH provided First Day with a grant to assist with the purchase of a tri-plex property to be used by families for transitional housing, therefore, reducing the burden of homelessness in the community. 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.CommunityBuildingActivities
Other InformationPart 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, a mobile health clinic, hospice programs, 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, as well as a multitude of community-based initiatives to improve and promote overall health and well-being, regardless of health or economic status.Furthermore, PIH, along with our affiliated medical group, Bright Health Physicians, is forward-thinking in making plans to ensure our longevity and position us to continue our provision of outstanding healthcare which meets the needs of our communities. We are intuitively planning for the upcoming changes in healthcare and are committed to safeguarding our financial strength, which, in turn, allows for future growth and continued fulfillment of our community-based healthcare mission. This 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 & measurable goals, has resulted in a more sophisticated level of evaluation and oversight by PIH's CBOC at its annual meetings. This on-going review of program effectiveness and impact ensures that PIH continues to employ intelligent business approaches in evaluation of initiatives to inform overall decision-making. We realize that it is only through measurement and evaluation of impact that we can distinguish successes, highlight areas for improvement, and identify those programs that should be re-focused or discontinued to free-up vital resources for allocation to more effective interventions. For Fiscal Year 2009-2010, PIHs community benefit contributions totaled $55,392,449, including $38,660,549 related to Charity Care and programs such as Medi-Cal, $8,135,782 in Subsidized Health Services and $4,014,355 in Community Health Improvement Services, as well as dollars associated with other community benefit categories.Examples of PIH's commitment to improvement of overall community health and healthcare access are below:Enrollment AssistancePIH, 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 patients in applying for PIHs charity care program. Since September 2006, they have enrolled over 1,100 families with health insurance programs, such as Healthy Families. The results of their efforts are also reflected in PIHs 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 HealthcarePIH and Whittier First Day, a local 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 primary healthcare services. During FY 2009-2010, 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. Family Practice Residency ProgramAs an Accredited Continuing Medical Education Provider, PIH's Family Practice Residency Program places special emphasis upon training residents to work with medically at-risk populations in the community including teen mothers, homeless families, and community members of all ages who reside in low-income, under-served areas. Resident physicians provide community health services via the Care Force One mobile health unit, a County-sponsored Community Resource Center, PIH's home-based palliative care program, and at hospital-supported clinics at Whittier College and local homeless shelters. 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 2009-2010, PIH's Emergency Department (ED) experienced an estimated 70,000 visits, a slight increase from the prior fiscal year. PIH completed expansion of the ED in 2009, making it one of the largest emergency rooms in Los Angeles County. The expansion included 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 area's 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, Los Angeles County Paramedics have critical access to local hospital-based emergency services. Furthermore, PIH sustains a contract with an on-call physician panel so that eligible patients, regardless of health insurance status, are assured access to specialty care appropriate to their needs. Research - 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. During FY 2009-2010, the comprehensive cancer program was enhanced to include: a cancer survivorship program; yoga for healing; meditation/relaxation therapy; Lymphedema workshops; and two new clinical trials for metastic prostate cancer and stage III colon cancer.Volunteer ContributionsOver 600 PIH volunteers contributed some 102,655 hours, translating into more than $2,140,265 in savings for the hospital.OtherInformation
Affiliated Health Care SystemPart VI, Line 7: While PIH is not part of a hospital system, the hospital is affiliated with 1) Bright Health Physicians (BHP), a not-for-profit medical foundation; 2) the PIH Foundation, a not-for-profit organization that exists to raise philanthropic funds in support of PIHs charitable mission; and 3) MedSite, which subsidizes The S. Mark Taper Foundation "A Day Away" Adult Day Health Care Center. BHP supports the local community through a network of community-based health clinics, and health promotion and health insurance enrollment efforts. In addition, BHP opened a corporate office in 2010, after the purchase and refurbishment of the Fisher Building in Uptown Whittier. The new corporate office houses over 165 employees. The City of Whittier's Economic Development Newsletter states that projects such as this underscore PIH / BHP as a "resource that protects the health and safety of the community while providing jobs to our City's residents." During FY 2008-2009, PIH and BHP were jointly recognized as "Whittier Business of the Year" by the City's Chamber of Commerce for this Uptown project, an award only given when a local organization or business has exemplified exceptional benefit and service to the community. The PIH Foundation Gala, which is held annually, benefits a hospital program, initiative, or department each year. During FY 2009-2010, the Gala benefited the Ruby L. Golleher Comprehensive Cancer Program, generating over $268,000 to enhance its oncology services. The total dollars raised include a subsequent employee appeal, which resulted in an additional $10,000 for the Program. In addition to raising funds in support of PIH, the PIH Foundation also provides in-kind fundraising consultation to local community-based organizations. 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 models 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, some 80 individuals were cared for at the "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.AffiliatedHealthCareSystem
Reports Filed With StatesCAReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Arthritis Foundation
4311 Wilshire Blvd Ste 530Los AngelesCA90010951885447501(c)(3)7000General Support
Rancho Los Amigos Foundation
7601 E Imperial hwyDowneyCA90242953849600501(c)(3)10625General Support
Rio Hondo College Foundation
3600 Workman Mill RDWhittierCA90601954367487501(c)(3)291000Degree Nursing Program and General Support
American Cancer Society - Whittier
13230 Penn streetWhittierCA90602941170350501(c)(3)8295General Support
Boys & Girls Club of Whittier
7905 Greenleaf AvenueWhittierCA90602956151763501(c)(3)7617General Support
YMCA of Greater Whittier
12510 E Hadley St Ste 201WhittierCA90601951684795501(c)(3)6800General Support
COPE Health Solutions
2400 S Flower StreetLos AngelesCA90007470864952501(c)(3)5025General Support
Los Angeles Centers for Alcohol and Drug Abuse - LACADA
11015 Bloomfield AvenueSanta Fe SpringsCA90670237110152501(c)(3)15250General Support
National Health Foundation
515 S Figueroa Street Ste 1300Los AngelesCA90071237314808501(c)(3)5000General Support
Partners in Care FoundE Goetz
732 Mott Street Suite 150San FernandoCA91340953954057501(c)(3)6900General Support
Whittier Area First Day Coalition
12426 Whittier blvdWhittierCA90602931141844501(c)(3)18850General Support
Whittier Community Foundation
13230 Penn streetWhittierCA90602830450823501(c)(3)8300General Support
Whittier Host Lions Club
PO BOX 245WhittierCA90608956094500501(c)(3)7275General Support
PIH FOUNDATION
12401 WASHINGTON BOULEVARDWhittierCA90602953761274501(c)(3)121052General Support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants14TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
Scholarships and medical education37159000
Psychiatric Care at independent facility for uninsured patients5496400

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: PIH provides financial assistance to both not-for-profit organizations and individuals based on 1) Charitable mission or purpose of the charitable organization and its alignment with PIH's mission, values and objectives and/or 2) Identified individual need for health-related services. For contributions made to charitable organizations, PIH adopted a policy which guides the process by which funds are granted to ensure that PIH is a good steward of its resources as a federally registered 501(c)(3) not-for-profit entity. To ensure accurate community benefit reporting, this policy also sets forth that direct contributions made to community organizations must be appropriately classified as either a) Community Benefit or b) Community Relations/Marketing Contributions. In compliance with this policy, information is gathered from the grantee regarding the intended use of funds and the percent of granted funds that will go towards supporting the organization's mission. For contributions made to individuals, PIH has established a dedicated budget which subsidizes vital assistance such as purchase of durable medical equipment or non-acute care not covered by insurance upon hospital discharge, including paid placement in skilled nursing or mental health facilities. In these instances, a specific service is being purchased and receipt of proper service is ensured through follow-up by PIH discharge planners or social workers.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
James West
6791940630000723700801201663190988895000
Mitchell Thomas
403236032753062160801201510670601284000
Peggy Chulack
264671068310026402080120546880422083000
Rosalio Lopez MD
418779040013032095080120826120581511000
Reanna Thompson
201243069300016554080120439650339074000
Dave Klinger
209180039520016538080120356280308878000
Ronald Yoshihara
19169100013650062460366630248250000
Patricia Bray
1766620006942058210221250211550000
Judy Pugach
1608080006534052650269490199556000
Lon Orey
25829100015467074560384250319639000
Ramona Pratt
1808560006844059510303320223983000
Margo Kaatz
14639508359010647050690187470189217083590
Rowena Stajer
1576620006000051990304020199263000
Suzanne Carlson
19070500010413062460351420242506000
Perry Ebeltoft
170387023690376409360173550194811000
Joan Rolland
1555710008534051160279290197150000
Julie Reback
161638053438087193000503603073050534380
Todd Salnas
2305750286580257200001454902995020286580
Jung Ho
21794500010000081790226224000
Joanna Libiez
14892601166101924900069010186737000
Lillian Bell
1817440150002347000164880202079000
Alan Endo
1747260236900000166320193727000
Philip B Chon
171976000261400066210181211000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aAll employees are eligible for Health Club reimbursement and any such reimbursements were included in taxable compensation, per 2010 plan year benefits summary.
Part I, Lines 4a-b:Julie Reback received a total severance payment of $149,578. The first half of $74,789 was paid during calendar year 2009 and the second half of $74,789 was paid during calendar year 2010. Part I, Line 4b: IHC and its related affiliates sponsors a 457(F) plan. The Plan participants and amounts received (if applicable) were: James West, Mitchell Thomas, Peggy Chulack, Rosalio Lopez MD, Reanna Thompson, Dave Klinger, Ronald Yoshihara, Patricia Bray, Judy Pugach, Ramona Pratt, Margo Kaatz ($8,359), Rowena Stajer, Suzanne Carlson, Joan Rolland, Julie Reback ($53,438), and Todd Salnas ($28,658).

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1City of whittier - Series 2009BusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN956000812IssuerEIN
CUSIP Number966769DA6CUSIPNumber
Date Issued2009-05-14DateIssued
Issue Price280328878IssuePrice
Description Of PurposeHospital Facilities, refund 2007 BondsDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds280328878TotalProceeds
Amount In Reserve Fund6278125AmountInReserveFund
Issuance Costs From Proceeds3155562IssuanceCostsFromProceeds
Capital Expenditures1337383CapitalExpenditures
Year Of Subst Completion2012YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged1BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1Goldman Sachs BankBusinessNameLine1
Business Name Line2USABusinessNameLine2
FieldValueIRS element (for citing)
Term Of Hedge29.500000000000TermOfHedge
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate1ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1See Schedule OBusinessNameLine1
FieldValueIRS element (for citing)
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 21) Jane Dicus has a business relationship with J.C. McFarland 2) Jane Dicus has a business relationship with Drew Sones
Form 990, Part VI, Section A, line 6Interhealth corp. ("IHC") is the sole member of PIH.
Form 990, Part VI, Section A, line 7aIHC has authority to elect all the members of the board of PIH.
Form 990, Part VI, Section A, line 7bIHC has all voting rights and the power to elect the board of directors of PIH.
Form 990, Part VI, Section B, line 11Form 990 is reviewed by the Audit Committee of the parent organization, which is made up of the independent directors. The Form 990s are then provided to the Board for its inforation.
Form 990, Part VI, Section B, line 12cEach 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 15The organization's Executive Compensation Committee engages an independent, third-party, expert compensation consultant to review its executive salaries. The consultant obtains specific organizational data from which to base its analysis (revenues, expenses, employees, service area, job descriptions, etc.). The consultant's analysis includes a review of compensation trends, regulatory issues, the organization's Executive Compensation Philosophy, the methodology used for the assessment, the base salary analysis, the incentive compensation analysis, the total cash compensation analysis, and the total compensation analysis. Salary movement, incentive compensation, market benefit, and recruitment and retention trends are reviewed. This analysis is provided to the organization's Executive Compensation Committee, which is comprised of independent directors. The Executive compensation committee has approved a regional peer group that includes high-performing, comparably-sized california hospitals and health systems. The consultant compiles comparability data from national and regional peers; compares the organization's Executive Compensation with peer group compensation levels; and prepares a report that includes all of the back-up data on comparability, peer groups, and job matches. The methodology used by the consultant was two peer groups-a national peer group of comparably-sized hospitals and single hospital systems and a regional peer group of hospitals and systems in Southern California, the data of which is provided to the committee in its report. The national data is used as the primary comparator for the analysis. The committee is presented with charts that compare organization salaries to the level targeted in the compensation philosophy. Neither performance nor qualifications of the incumbent is considered when providing the market data. The committee is provided with a review of the base salary analysis, a review of the incentive compensation analysis, a review of the total cash compensation analysis (base salary plus incentive), and a review of the total compensation analysis (base salary plus incentive plus benefits/perquisites). Based upon all of the above information, the consultant provides the committee with recommended salary ranges for the period assessed. The Executive Compensation Committee deliberates on the comparability data to ensure that it is appropriate in representing like organizations, like positions, and like circumstances, and that it could realistically rely on the comparability data in reaching its decision that the compensation is reasonable and represents fair market value for services rendered. The Executive Compensation Committee affirms this process to the board of directors. In addition, the Executive Compensation Committee reviews the specific salary of the President and Chief Executive Officer and the Senior Vice President of Finance and Chief Financial Officer.
Form 990, Part VI, Section C, line 19The 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, Schedule L, Part IV:A. Lambert Radiology Medical Group, inc B. Shareholder, William Shanahan is a Director of PIH C. $ 4,587,040 D. Radiology services provided to PIH E. No A. Bewley, Lassleben & Miller B. Partner, Edward Miller is a Director of PIH C. $635,363 D. Legal services provided to PIH E. No
FORM 990, PART VII, SECTION A:William Shanahan MD received $60,000 during calendar year 2009 for professional services as a medical director. Neal Shindel MD received $39,427 during calendar year 2009 for GI bonus payments.
Schedule R, Part IV, column (e):PIH Insurance Company is an unincorporated risk retention group.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1PIH Community Pharmacy LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line112401 Washington BlvdAddressLine1
CityWhittierCity
StateCAState
ZIP Code90602ZIPCode
FieldValueIRS element (for citing)
EIN264390142EIN
Primary ActivitiesPharmacyPrimaryActivities
Legal Domicile StateCALegalDomicileState
Total Income1406473TotalIncome
EOY Assets545465EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
PIH Foundation
12401 Washington BlvdWhittierCA90602953761274FundraisingCAsection 501(c)(3)7InterHealth Corp
IHC Management Corp
12401 Washington BlvdWhittierCA90602954016278Support of tax-exempt affiliatesCAsection 501(c)(3)11, type 1InterHealth Corp
Interhealth Home Health Care
12401 Washington BlvdWhittierCA90602953036281HealthcareCAsection 501(c)(3)9InterHealth Corp
InterHealth Corp
12401 Washington BlvdWhittierCA90602953619388Support of tax-exempt affiliatesCAsection 501(c)(3)11, type 1InterHealth Corp
Med Site - Hacienda Heights
12401 Washington BlvdWhittierCA90602953643829HealthcareCAsection 501(c)(3)9InterHealth Corp
Bright Health Physicians of PIH
12401 Washington BlvdWhittierCA90602953942828HealthcareCAsection 501(c)(3)9InterHealth Corp

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1PIH Insurance Company a reciprocal risk retention groupBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11003 Bishop StreetAddressLine1
CityHonoluluCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
EIN263760243EIN
Primary ActivityCaptive InsurancePrimaryActivity
Legal Domicile StateHILegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Interhealth CorpBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityTTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
InterHealth Corp
J2651656
IHC Management Corp
L230767
PIH Foundation
C1595087
Bright Health Physicians of PIH
O3976409
PIH Insurance Company A Reciprocal Risk Retention Group
Q1916391
PIH Foundation
B121052