STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

PIH HEALTH WHITTIER HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
PIH HEALTH WHITTIER HOSPITAL (EIN 95-1934652)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-06
IRS object ID
202442199349301039
Schema version
2022v5.0
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)
Return2024-08-06T13:53:39-05:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1301 MAIN STREET SUITE 2150AddressLine1Txt
CityBATON ROUGECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70801ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN951934652EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PIH HEALTH WHITTIER HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPIHHBusinessNameControlTxt
Phone5626980811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112401 WASHINGTON BOULEVARDAddressLine1Txt
CityWHITTIERCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90602ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonVID SHIVARAMANPersonNm
Person TitleCFOPersonTitleTxt
Phone5626980811PhoneNum
Signature2024-07-31SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRITTANY ELLISERPreparerPersonNm
PTINP01284594PTIN
Phone2253444000PhoneNum
Preparation2024-07-22PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMES WESTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line112401 WASHINGTON BOULEVARDAddressLine1Txt
CityWHITTIERCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90602ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,107,404,007GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PIHHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1954FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE QUALITY HEALTHCARE AND CONTRIBUTE TO THE COMMUNITY'S HEALTH AND WELL-BEING.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee4818TotalEmployeeCnt
Total Volunteers901TotalVolunteersCnt
Total Gross UBI$6,439TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$4,895NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,605,263PYContributionsGrantsAmt
CY Contributions Grants$1,184,872CYContributionsGrantsAmt
PY Program Service Revenue$799,429,040PYProgramServiceRevenueAmt
CY Program Service Revenue$832,507,712CYProgramServiceRevenueAmt
PY Investment Income$46,874,630PYInvestmentIncomeAmt
CY Investment Income$22,174,084CYInvestmentIncomeAmt
PY Other Revenue$13,062,269PYOtherRevenueAmt
CY Other Revenue$18,204,368CYOtherRevenueAmt
PY Total Revenue$861,971,202PYTotalRevenueAmt
CY Total Revenue$874,071,036CYTotalRevenueAmt
PY Grants And Similar Paid$155,788PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$126,850CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$379,216,449PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$415,157,708CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$405,307,408PYOtherExpensesAmt
CY Other Expenses$460,754,036CYOtherExpensesAmt
PY Total Expenses$784,679,645PYTotalExpensesAmt
CY Total Expenses$876,038,594CYTotalExpensesAmt
PY Revenues Less Expenses$77,291,557PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,967,558CYRevenuesLessExpensesAmt
Total Assets BOY$1,750,782,539TotalAssetsBOYAmt
Total Assets EOY$1,866,079,653TotalAssetsEOYAmt
Total Liabilities BOY$927,328,918TotalLiabilitiesBOYAmt
Total Liabilities EOY$982,123,064TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$823,453,621NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$883,956,589NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMISSION: 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$577,045,856ExpenseAmt
Revenue$758,980,961RevenueAmt
DescPATIENT CARE: PIH HEALTH WHITTIER HOSPITAL BEGAN AS A COMMUNITY HOSPITAL IN 1959. AS A 501 (C)(3) NONPROFIT, 523-BED HOSPITAL, THE WHITTIER CAMPUS HAS DEVELOPED INTO A HEALTH SYSTEM OFFERING A MULTITUDE OF SERVICES.PATIENT CARE IN FISCAL YEAR 2022-2023EMPLOYEES 4,029VOLUNTEERS 901NUMBER OF EMERGENCY DEPARTMENT (ED) VISITS 80,936NUMBER OF BIRTHS 2,041MEDICAL STAFF 696Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$146,567,712ExpenseAmt
Revenue$81,894,609RevenueAmt
DescFINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS: FINANCIAL ASSISTANCE, ALSO KNOWN AS CHARITY CARE, IS DEFINED AS FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO INDIVIDUALS WHO CANNOT AFFORD TO PAY AND WHO MEET THE ELIGIBILITY CRITERIA OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PIH HEALTH OFFERS A GENEROUS FINANCIAL ASSISTANCE PROGRAM, PROVIDING CHARITY CARE TO THOSE WITH FAMILY INCOME(S) AT OR BELOW 400% OF FEDERAL POVERTY LEVEL GUIDELINES.IN PROVIDING SERVICES TO THOSE PATIENTS PARTICIPATING IN MEANS-TESTED GOVERNMENT HEALTH PROGRAMS, SUCH AS MEDI-CAL, PIH HEALTH REALIZES A COLLECTIVE NET LOSS EACH FISCAL YEAR DUE TO THE SHORTFALL CREATED WHEN THE PAYMENTS RECEIVED FROM THESE PROGRAMS ARE LESS THAN THE COST OF CARING FOR PUBLIC PROGRAM BENEFICIARIES. NUMBER OF PERSONS SERVED BY FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS: 42,345Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$16,281,984ExpenseAmt
Grant$126,850GrantAmt
Revenue$3,415,695RevenueAmt
DescCOMMUNITY HEALTH IMPROVEMENT SERVICES: DEFINED AS COMMUNITY HEALTH IMPROVEMENT ACTIVITIES, WHICH EXTEND BEYOND PATIENT CARE ACTIVITIES. THESE PROGRAMS INCLUDE: COMMUNITY EDUCATION, COMMUNITY INFORMATION AND REFERRAL SUPPORT, ENROLLMENT ASSISTANCE, HEALTH AND WELLNESS CENTER AT WHITTIER FIRST DAY SUPPORT, COMMUNITY HEALTH MESSAGING, SUPPORT GROUPS, COVID-19 VACCINATION CLINICS AND TRANSPORTATION RESOURCES.SNAPSHOT OF OUTCOMES:MORE THAN 17,654 COMMUNITY MEMBERS WERE REACHED THROUGH A VARIETY OF COMMUNITY HEALTH IMPROVEMENT ACTIVITIES.HEALTH PROFESSIONS EDUCATION: THIS CATEGORY INCLUDES EDUCATIONAL PROGRAMS FOR PHYSICIANS, NURSES, STUDENTS AND OTHER HEALTH PROFESSIONALS WHEN EDUCATION IS NECESSARY OR REQUIRED BY STATE LAW, ACCREDITING BODY OR HEALTH PROFESSION SOCIETY. PIH HEALTH PROGRAMS INCLUDE THE FAMILY MEDICINE RESIDENCY PROGRAM AND STUDENT EDUCATION (INTERNSHIP, EXTERNSHIP, PRECEPTORSHIP AND MENTORING PROGRAMS).SNAPSHOT OF OUTCOMES:MORE THAN 223 STUDENT NURSES, PHYSICIAN RESIDENTS, AND OTHER INDIVIDUALS STUDYING TO BECOME HEALTHCARE PROFESSIONALS WERE PROVIDED WITH MENTORSHIP, PRECEPTORSHIP AND TRAINING OPPORTUNITIES.SUBSIDIZED HEALTH SERVICES: SUBSIDIZED SERVICES ARE CLINICAL PROGRAMS, WHICH ARE PROVIDED DESPITE A FINANCIAL LOSS SO SIGNIFICANT THAT NEGATIVE MARGINS REMAIN AFTER REMOVING THE EFFECTS OF FINANCIAL ASSISTANCE, BAD DEBT AND MEDI-CAL SHORTFALLS. NEVERTHELESS, THE SERVICE IS PROVIDED BECAUSE IT MEETS AN IDENTIFIED COMMUNITY NEED AND, IF NO LONGER OFFERED, WOULD EITHER BE UNAVAILABLE IN THE AREA OR FALL TO THE RESPONSIBILITY OF GOVERNMENT OR ANOTHER NONPROFIT ORGANIZATION TO PROVIDE. PIH HEALTH SERVICES PROVIDED INCLUDE DIABETES EDUCATION CENTER, EMERGENCY DEPARTMENT ON-CALL PHYSICIANS, HOSPICE HOMES AND HOME HEALTH, AND PARAMEDIC BASE STATION.SNAPSHOT OF OUTCOMES:THE HOSPICE HOMES ENSURE ACCESS TO QUALITY, COMPASSIONATE END-OF-LIFE CARE, REGARDLESS OF ABILITY TO PAY; 90 SERVED.1,466 INDIVIDUALS PROVIDED WITH SERVICES AND EDUCATIONAL CLASSES VIA THE DIABETES EDUCATION CENTERTOTAL INDIVIDUALS SERVED BY SUBSIDIZED HEALTH SERVICES= 17,635RESEARCH: RESEARCH THAT MAY BE REPORTED AS COMMUNITY BENEFIT INCLUDES CLINICAL AND COMMUNITY HEALTH RESEARCH AS WELL AS STUDIES ON HEALTHCARE DELIVERY THAT ARE GENERALIZABLE AND SHARED WITH THE PUBLIC. PIH HEALTH HAS BEEN OFFERING CLINICAL TRIALS AND RESEARCH STUDIES AIMED AT IMPROVING HEALTH AND CANCER CARE SINCE 2001.SNAPSHOT OF OUTCOMES:MORE THAN 64 CLINICAL TRIALS IN VARIOUS STAGES, ENTERPRISE-WIDE IN ONCOLOGY, STROKE, CARDIOVASCULAR, NEONATAL, PODIATRY, ENDOVASCULAR AND OTHER THERAPEUTIC AREAS. WITH A TOTAL OF 620 ENROLLED PATIENTS IN OUR CLINICAL / REGISTRY STUDIES.CASH & IN-KIND CONTRIBUTIONS: THIS CATEGORY INCLUDES FUNDS AND IN-KIND SERVICES DONATED BY PIH HEALTH TO COMMUNITY ORGANIZATIONS OR TO THE COMMUNITY-AT-LARGE FOR A COMMUNITY BENEFIT PURPOSE. THESE DONATIONS INCLUDE CASH DONATIONS TO COMMUNITY ORGANIZATIONS, HOURS CONTRIBUTED BY STAFF TO THE COMMUNITY WHILE ON PIH HEALTH WORK TIME, THE COST OF MEETING SPACE PROVIDED TO COMMUNITY GROUPS, AND THE DONATIONS OF EQUIPMENT, MEDICATIONS, SUPPLIES AND SERVICES. SNAPSHOT OF OUTCOMES:200 AT-RISK INDIVIDUALS WERE PROVIDED WITH IN-KIND DURABLE MEDICAL EQUIPMENT OR SERVICES, SUCH AS SKILLED NURSING OR MENTAL HEALTHCARE AND TRANSPORTATION.FOR ADDITIONAL INFORMATION, PLEASE REFER TO PIH HEALTH'S COMMUNITY BENEFIT REPORT AT PIHHEALTH.ORG/CBANNUALREPORTDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$739,895,552TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document144IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4818EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARK KAWAUCHIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5626980811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112102 WASHINGTON BOULEVARDAddressLine1Txt
CityWHITTIERCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90606ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (48 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ADRIAN CRISAN MD
DIRECTOR1.500.00Yes (X)$0$0$0
ALEX ALVAREZ
DIRECTOR & TREASURER1.506.00Yes (X)$0$0$0Yes (X)
BLAYNE CUTLER MD PHD
DIRECTOR1.506.00Yes (X)$0$0$0
BRENT GRAY MD
DIRECTOR12.501.50Yes (X)$103,480$0$0
CHARLOTTE WEAVER PHD
DIRECTOR & VICE CHAIR1.506.00Yes (X)$0$0$0Yes (X)
EDUARDO TOVAR MD
DIRECTOR9.500.00Yes (X)$83,138$0$0
JANE DICUS
DIRECTOR1.506.00Yes (X)$0$0$0
JAY BROWN AS OF 3123
DIRECTOR1.506.00Yes (X)$0$0$0
JEFF HAMAR
DIRECTOR1.506.00Yes (X)$0$0$0
KENTON WOODS
DIRECTOR1.506.00Yes (X)$0$0$0
MARISSA GOLDBERG
DIRECTOR1.506.00Yes (X)$0$0$0
MELANIE BATISTE
DIRECTOR1.506.00Yes (X)$0$0$0
PATRICK MONROE
DIRECTOR & CHAIR1.506.00Yes (X)$0$0$0Yes (X)
PAUL TREINEN
DIRECTOR1.506.00Yes (X)$0$0$0
PAULA COWAN UNTIL 9222023
DIRECTOR1.506.00Yes (X)$0$0$0
PETER GREANEY MD
DIRECTOR & SECRETARY1.506.00Yes (X)$0$0$0Yes (X)
RICHARD ATWOOD
DIRECTOR1.507.50Yes (X)$0$0$0
ROBERT MALONEY MD
DIRECTOR1.506.00Yes (X)$0$0$0
SUDHAKER NAYAK MD
DIRECTOR9.500.00Yes (X)$77,603$2,400$0
WILLIAM ROTH AS OF 3123
DIRECTOR1.506.00Yes (X)$0$0$0
JAMES WEST
SYSTEM PRESIDENT & CEO20.0032.20$2,046,653$0$355,723Yes (X)
ROSALIO LOPEZ MD
SYSTEM CSO/CMO20.0026.20$1,114,134$0$46,447Yes (X)
BRIAN SMOLSKIS UNTIL 9282023
SYSTEM COO20.0027.70$1,034,811$0$219,042Yes (X)
PEGGY CHULACK
SYSTEM CAO & ASST SECRETARY20.0032.20$995,412$0$192,712Yes (X)
VID SHIVARAMAN
SYSTEM CFO & ASST TREASURER20.0032.20$749,812$0$150,468Yes (X)
RAMONA PRATT
CNO40.000.00$411,459$0$119,587Yes (X)
DAVIS LEE
CMIO & CIO40.000.00$781,918$0$118,242Yes (X)
JUDY PUGACH
VP REGULATORY AFFAIRS40.000.00$627,953$0$91,608Yes (X)
CAROL SALAS
SYSTEM CHIEF HR OFFICER40.000.00$531,311$0$132,850Yes (X)
ROLAND FARGO
REGIONAL VP15.0025.00$461,515$0$97,325Yes (X)
CHICO MANNING
VP, SUPPLY CHAIN40.000.00$437,827$0$88,953Yes (X)
SHELLY NECKE
VP POST ACUTE CR SVS40.000.00$432,147$0$105,454Yes (X)
DEBRA LEGAN
VP MKTG & PLANNING40.000.00$411,234$0$93,808Yes (X)
MARK KAWAUCHI
VP OF FINANCE40.000.00$369,296$0$103,622Yes (X)
MOHAMMED GHONIM
REGIONAL VP10.0030.00$365,787$0$71,068Yes (X)
NOEL COPPINGER
VP, REVENUE CYCLE40.000.00$342,691$0$66,437Yes (X)
BRENT MELTON
VP SUPPORT SERVICES40.000.00$339,331$0$56,107Yes (X)
ANUP PATEL
VP ENT RSK MGMT & CORP COMP40.000.00$335,835$0$92,555Yes (X)
LUCINDA PLACE
VP OF QUALITY MGMT40.000.00$327,621$0$87,444Yes (X)
RON EICKHOFF
VP, RESPIRATORY40.000.00$262,382$0$66,500Yes (X)
STACY JOHNSON
VP, RADIOLOGY & IMAGING40.000.00$262,246$0$58,560Yes (X)
KEVIN BROWN UNTIL 542023
VP, CARDIOLOGY SERVICES5.0035.00$262,193$0$44,695Yes (X)
SCOTT BREMER
SYS DIR COMPENSATION, BENEFITS40.000.00$280,482$0$33,783Yes (X)
CESAR ROSAS
RN CHARGE NURSE40.000.00$278,146$0$0Yes (X)
REBECCA WEYANT
ADMIN DIR SURGICAL SVCS40.000.00$277,244$0$31,797Yes (X)
VICTORIA NGUYEN
RN DIALYSIS40.000.00$276,246$0$15,461Yes (X)
DIANE MCCOWAN
DIR PHARMACY40.000.00$272,187$0$17,389Yes (X)
ANITA CHOU
FORMER CFO & ASST TREASURER0.000.00$119,014$0$14Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$14,671,108TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,400TotReportableCompRltdOrgAmt
Total Other Compensation$2,557,651TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1103IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ALLSCRIPTS HEALTHCARE LLC
ECLIPSYS CORPORATION LOCKBOX 07713PHILADELPHIAPA191710133IT SERVICES$29,836,041
LAMBERT RADIOL MED GROUP INC
11721 WHITTIER BLVD SUITE 509WHITTIERCA90601MEDICAL SERVICES$20,197,155
INTERCOMMUNITY ANESTH SVCS INC
PO BOX 511509LOS ANGELESCA900518064MEDICAL SERVICES$13,545,107
WHITTIER PULM AND CRITICAL CARE
6905 ALTA VISTA DRIVERANCHO PALOS VERDESCA90275MEDICAL SERVICES$7,178,211
SODEXO INC & AFFILIATES-PA
PO BOX 360170PITTSBURGHPA152516170NUTRITION SERVICES$5,364,418
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K57CntrctRcvdGreaterThan100KCnt
Related Organizations$1,184,872RelatedOrganizationsAmt
Total Contributions$1,184,872TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE622110$591,843,272$591,843,272
OTHER PATIENT REVENUE622110$178,067,561$178,067,561
HOSPITAL FEE PROGRAM900099$35,151,645$35,151,645
RELATED CAPITATION561110$11,661,856$11,661,856
FOOD SERVICES722514$4,006,153$4,006,153

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,777,225TotalRevenueColumnAmt
Related Or Exempt Func Income$11,777,225RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$832,507,712TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,745,342TotalRevenueColumnAmt
Exclusion$17,745,342ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$237,752,273SecuritiesAmt
Other$3,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$233,326,531SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,425,742SecuritiesAmt
Other$3,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,428,742TotalRevenueColumnAmt
Exclusion$4,428,742ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$12,879GrossSalesOfInventoryAmt
Cost Of Goods Sold$6,440CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,439TotalRevenueColumnAmt
Unrelated Business Revenue$6,439UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
COMMUNITY PHARMACY456110$11,783,553$11,783,553
PURCHASE DISCOUNTS900099$2,637,674$2,637,674
VIVITY EARNINGS DISTRI900099$1,666,528$1,666,528

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,110,174TotalRevenueColumnAmt
Exclusion$2,110,174ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$18,197,929OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$874,071,036TotalRevenueColumnAmt
Related Or Exempt Func Income$844,291,265RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$6,439UnrelatedBusinessRevenueAmt
Exclusion$28,588,460ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$126,850TotalAmt
Program Services$126,850ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$12,615,626TotalAmt
Program Services$7,518,806ProgramServicesAmt
Management And General$5,096,820ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$384,490TotalAmt
Program Services$330,661ProgramServicesAmt
Management And General$53,829ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$282,607,842TotalAmt
Program Services$243,042,744ProgramServicesAmt
Management And General$39,565,098ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$13,510,773TotalAmt
Program Services$11,619,265ProgramServicesAmt
Management And General$1,891,508ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$81,303,995TotalAmt
Program Services$69,921,436ProgramServicesAmt
Management And General$11,382,559ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$24,734,982TotalAmt
Program Services$21,272,085ProgramServicesAmt
Management And General$3,462,897ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$5,078,698TotalAmt
Management And General$5,078,698ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,208,126TotalAmt
Management And General$4,208,126ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$200,225TotalAmt
Management And General$200,225ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,345,365TotalAmt
Management And General$2,345,365ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$71,919,809TotalAmt
Program Services$62,421,162ProgramServicesAmt
Management And General$9,498,647ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,373,851TotalAmt
Program Services$1,373,851ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,814,641TotalAmt
Program Services$8,102,010ProgramServicesAmt
Management And General$5,712,631ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$46,430,111TotalAmt
Program Services$39,929,895ProgramServicesAmt
Management And General$6,500,216ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$13,212,313TotalAmt
Program Services$9,820,393ProgramServicesAmt
Management And General$3,391,920ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$734,827TotalAmt
Program Services$631,988ProgramServicesAmt
Management And General$102,839ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$325,431TotalAmt
Program Services$94,506ProgramServicesAmt
Management And General$230,925ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$22,550,696TotalAmt
Program Services$8,135,588ProgramServicesAmt
Management And General$14,415,108ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$26,119,498TotalAmt
Program Services$22,462,768ProgramServicesAmt
Management And General$3,656,730ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,129,257TotalAmt
Management And General$14,129,257ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$123,843,418$123,722,401$121,017
CLAIMS EXPENSE$39,048,696$39,048,696
BAD DEBT EXPENSE$27,104,766$27,104,766
QUALITY ASSURANCE FEE$22,999,422$22,999,422

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$25,314,886TotalAmt
Program Services$20,216,259ProgramServicesAmt
Management And General$5,098,627ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$876,038,594TotalAmt
Program Services$739,895,552ProgramServicesAmt
Management And General$136,143,042ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$382,171BOYAmt
EOY$958,151EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$136,029,181BOYAmt
EOY$160,372,798EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$13,250,000BOYAmt
EOY$13,250,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,696,289BOYAmt
EOY$8,658,525EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,056,099BOYAmt
EOY$9,360,532EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$673,432,824LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$369,190,272LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$318,785,536BOYAmt
EOY$304,242,552EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$682,896,131BOYAmt
EOY$699,024,967EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$3,105,646BOYAmt
EOY$3,267,552EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$579,581,486BOYAmt
EOY$666,944,576EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,750,782,539BOYAmt
EOY$1,866,079,653EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$98,659,040BOYAmt
EOY$90,576,349EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$484,878,506BOYAmt
EOY$478,394,199EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$39,480,000BOYAmt
EOY$34,040,000EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$183,000,000BOYAmt
EOY$254,500,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$121,311,372BOYAmt
EOY$124,612,516EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$927,328,918BOYAmt
EOY$982,123,064EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$823,453,621BOYAmt
EOY$883,956,589EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$823,453,621BOYAmt
EOY$883,956,589EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,750,782,539BOYAmt
EOY$1,866,079,653EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,967,558ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$51,314,160NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$11,156,366OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$200,225OtherActivitiesAmt
Total Lobbying Expenditures$200,225TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PORTION OF DUES PAID TO HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA, CALIFORNIA HOSPITALS COMMITTEE ON ISSUES, 340B HEALTH, AND AMERICAN HOSPITAL ASSOCIATION ARE RELATED TO LOBBYING. PIH HEALTH WHITTIER HOSPITAL DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS), ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$214,611OtherCostOrOtherBasisAmt
Book Value$214,611BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$329,563,317OtherCostOrOtherBasisAmt
Depreciation$120,573,055DepreciationAmt
Book Value$208,990,262BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$79,988,671OtherCostOrOtherBasisAmt
Depreciation$44,038,272DepreciationAmt
Book Value$35,950,399BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$241,268,473OtherCostOrOtherBasisAmt
Depreciation$191,960,366DepreciationAmt
Book Value$49,308,107BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,397,752OtherCostOrOtherBasisAmt
Depreciation$12,618,579DepreciationAmt
Book Value$9,779,173BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$304,242,552TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY RECEIVABLE$598,388,913
HOSPITAL FEE PROGRAM RECEIVABLE$49,253,227
OTHER RECEIVABLES$9,686,403
DEFERRED FINANCING COSTS$4,215,364
RIGHT-OF-USE ASSETS$4,664,393
COST REPORT RECEIVABLE$736,276
FieldValueIRS element (for citing)
Total Book Value Other Assets$666,944,576TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDescAmtAmt
HOSPITAL FEE PAYABLE$31,590,469
PENSION LIABILITY$26,695,356
DEFERRED COMPENSATION$16,751,589
SELF INSURANCE RESERVES$15,779,619
LITIGATION RESERVE$15,500,000
BOND INTEREST PAYABLE$6,053,245
INTEREST RATE SWAP$4,005,964
ROU LIABILITY$3,916,033
AFFILIATE PAYABLE$3,235,465
GOVERNMENT ADVANCES$1,084,776
FieldValueIRS element (for citing)
Total Liability$124,612,516TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE PRINCIPAL OPERATIONS OF THE COMPANY ARE EXEMPT FROM INCOME TAXES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) AND THE LAWS OF THE STATES IN WHICH IT OPERATES AND, AS SUCH, IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, THE COMPANY IS SUBJECT TO INCOME TAXES ON NET INCOME DERIVED FROM A TRADE OR BUSINESS REGULARLY CARRIED ON THAT DOES NOT FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. FURTHER, THE COMPANY IS ALSO SUBJECT TO FEDERAL EXCISE TAXES PURSUANT TO THE TAX CUTS AND JOBS ACT. NO SIGNIFICANT INCOME TAX PROVISION HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR NET INCOME DERIVED FROM UNRELATED TRADE OR BUSINESS AND EXCISE TAXES. 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 GUIDANCE IS APPLICABLE TO PROFIT-ORIENTED ENTITIES, PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. MANAGEMENT BELIEVES IT HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS AND, AS SUCH, NO TAX LIABILITY, BENEFITS, INTEREST OR PENALTIES WERE ACCRUED AT SEPTEMBER 30, 2023 OR 2022. THE COMPANY IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE COMPANY BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2019 FOR FEDERAL PURPOSES AND 2017 FOR CALIFORNIA PURPOSES.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served623PersonsServedCnt
Total Community Benefit Expns$5,309,097TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,624,780DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,684,317NetCommunityBenefitExpnsAmt
Total Expense0.00430TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served41406PersonsServedCnt
Total Community Benefit Expns$144,907,526TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$78,313,145DirectOffsettingRevenueAmt
Net Community Benefit Expns$66,594,381NetCommunityBenefitExpnsAmt
Total Expense0.07840TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served316PersonsServedCnt
Total Community Benefit Expns$3,517,676TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,956,684DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,560,992NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served42345PersonsServedCnt
Total Community Benefit Expns$153,734,299TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$81,894,609DirectOffsettingRevenueAmt
Net Community Benefit Expns$71,839,690NetCommunityBenefitExpnsAmt
Total Expense0.08450TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs16ActivitiesOrProgramsCnt
Persons Served17580PersonsServedCnt
Total Community Benefit Expns$2,410,958TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$475DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,410,483NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served223PersonsServedCnt
Total Community Benefit Expns$6,476,050TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,465,324DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,010,726NetCommunityBenefitExpnsAmt
Total Expense0.00590TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served17635PersonsServedCnt
Total Community Benefit Expns$6,105,820TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,483,160DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,622,660NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served620PersonsServedCnt
Total Community Benefit Expns$1,021,368TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$466,736DirectOffsettingRevenueAmt
Net Community Benefit Expns$554,632NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served200PersonsServedCnt
Total Community Benefit Expns$140,938TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$140,938NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs27ActivitiesOrProgramsCnt
Persons Served36258PersonsServedCnt
Total Community Benefit Expns$16,155,134TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,415,695DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,739,439NetCommunityBenefitExpnsAmt
Total Expense0.01500TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs27ActivitiesOrProgramsCnt
Persons Served78603PersonsServedCnt
Total Community Benefit Expns$169,889,433TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$85,310,304DirectOffsettingRevenueAmt
Net Community Benefit Expns$84,579,129NetCommunityBenefitExpnsAmt
Total Expense0.09950TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served2PersonsServedCnt
Total Community Benefit Expns$6,343TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,343NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served4PersonsServedCnt
Total Community Benefit Expns$250,425TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$211,700DirectOffsettingRevenueAmt
Net Community Benefit Expns$38,725NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served1PersonsServedCnt
Total Community Benefit Expns$4,358TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,358NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served4PersonsServedCnt
Total Community Benefit Expns$28,471TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,471NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served1314PersonsServedCnt
Total Community Benefit Expns$2,537TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,537NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served1325PersonsServedCnt
Total Community Benefit Expns$292,134TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$211,700DirectOffsettingRevenueAmt
Net Community Benefit Expns$80,434NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$27,104,766BadDebtExpenseAmt
Reimbursed By Medicare$85,195,503ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$92,763,755CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$7,568,252MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PIH HEALTH HOSPITAL - WHITTIERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line112401 WASHINGTON BLVDAddressLine1Txt
CityWHTTIERCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90602ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.PIHHEALTH.ORGWebsiteAddressTxt
State License930000129StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherSKILLED NURSING FACILITYOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PIH HEALTH WHITTIER HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.PIHHEALTH.ORG/CHNAOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://PIHHEALTH.ORG/CHISStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.PIHHEALTH.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.PIHHEALTH.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.PIHHEALTH.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCEFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PIH HEALTH WHITTIER HOSPITALPART V, SECTION B, LINE 3J: THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES DATA, MAPS AND INFORMATION REGARDING SOCIAL DETERMINANTS OF HEALTH, HEALTH STATUS AND LIFE EXPECTANCY, ACCESS TO HEALTHCARE, MENTAL HEALTH, ALCOHOL, SUBSTANCE AND TOBACCO USE, PHYSICAL ACTIVITY, NUTRITION AND WEIGHT STATUS, REPRODUCTIVE HEALTH, ACUTE AND CHRONIC DISEASE, LEADING CAUSES OF DEATH, COMMUNITY PERSPECTIVES GATHERED FROM FOCUS GROUPS AND INTERVIEWS, AND PROGRESS ON THE IMPLEMENTATION STRATEGY.
PIH HEALTH WHITTIER HOSPITALPART V, SECTION B, LINE 5: PRIMARY DATA-COMMUNITY INPUTPIH HEALTH WHITTIER HOSPITAL CONDUCTED TARGETED INTERVIEWS TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. EIGHTEEN (18) TELEPHONE INTERVIEWS WERE CONDUCTED DURING MARCH AND APRIL 2022. INTERVIEW PARTICIPANTS INCLUDED A BROAD RANGE OF STAKEHOLDERS CONCERNED WITH HEALTH AND WELLBEING IN THE LOS ANGELES SERVICE AREA WHO SPOKE TO ISSUES AND NEEDS IN THE COMMUNITIES SERVED BY THE HOSPITAL. THE IDENTIFIED STAKEHOLDERS WERE INVITED BY EMAIL TO PARTICIPATE IN THE PHONE INTERVIEW. APPOINTMENTS FOR THE INTERVIEWS WERE MADE ON DATES AND TIMES CONVENIENT TO THE STAKEHOLDERS. AT THE BEGINNING OF EACH INTERVIEW, THE PURPOSE OF THE INTERVIEW IN THE CONTEXT OF THE ASSESSMENT WAS EXPLAINED, THE STAKEHOLDERS WERE ASSURED THEIR RESPONSES WOULD REMAIN CONFIDENTIAL, AND CONSENT TO PROCEED WAS GIVEN. INTERVIEW PARTICIPANTS INCLUDED AGENCIES REPRESENTING A BROAD RANGE OF HEALTH AND SOCIAL SERVICES, INCLUDING LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS AS WELL THE LOCAL HEALTH DEPARTMENT THAT HAVE CURRENT INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITIES WE SERVE. THE FULL LISTING OF INTERVIEW AND FOCUS GROUPS CAN BE FOUND IN ATTACHMENT 2 OF THE ASSESSMENT FOUND HERE: HTTPS://WWW.PIHHEALTH.ORG/APP/FILES/PUBLIC/73C98380-25D9-458F-ABDA-09C966B4FA25/FINAL_CHNA%20REPORT%202022-WHITTIER.9.23.22.PDF
PIH HEALTH WHITTIER HOSPITALPART V, SECTION B, LINE 6A: PIH HEALTH WHITTIER HOSPITAL PARTICIPATED IN A COLLABORATIVE PROCESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT WITH PIH HEALTH DOWNEY HOSPITAL.
PIH HEALTH WHITTIER HOSPITALPART V, SECTION B, LINE 7D: ASSESSMENT FINDINGS WERE ALSO DISTRIBUTED TO KEY STAKEHOLDERS VIA EMAIL WITH EMPHASIS ON SUPPORTING PROGRAM PLANNING AND FUND-DEVELOPMENT ENDEAVORS, SHARING ORGANIZATIONS THE EXPENSE OF DUPLICATIVE DATA COLLECTION EFFORTS. ASSESSMENT FINDINGS ARE ALSO SHARED ON AN ON-GOING BASIS VIA PRESENTATIONS AT COMMUNITY EVENTS AND COMMUNITY COLLABORATIVE MEETINGS, THROUGH SOCIAL MEDIA CHANNELS AND VIA OUR ORGANIZATION'S E-NEWSLETTER AND MAILED MAGAZINE.
PIH HEALTH WHITTIER HOSPITALPART V, SECTION B, LINE 11: PIH HEALTH'S COMMUNITY HEALTH IMPLEMENTATION STRATEGY (CHIS) ENSURES ALIGNMENT OF CHNA FINDINGS, OUR COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND PIH HEALTH'S ORGANIZATIONAL STRATEGY. TO VIEW THE 2023-2025 CHIS AND THE INITIATIVES IDENTIFIED TO ADDRESS AREAS OF FOCUS (ACCESS TO HEALTH CARE - PRIMARY CARE, DENTAL CARE AND MENTAL HEALTH, CANCER INCIDENCE/MORTALITY, DIABETES INCIDENCE/MORTALITY, HEART DISEASE/STROKE INCIDENCE/MORTALITY, OVERWEIGHT/OBESITY, SUBSTANCE USE AND MISUSE, PREVENTATIVE SCREENINGS AND IMMUNIZATIONS WITH EMPHASIS ON FLU AND PNEUMONIA VACCINES AND CANCER SCREENINGS, FOOD INSECURITY, HOUSING/HOMELESSNESS), VISIT HTTPS://WWW.PIHHEALTH.ORG/APP/FILES/PUBLIC/8C2F0B48-FAB8-4A2D-A03D-4B875D0A931A/COMMUNITY%20HEALTH%20IMPROVEMENT%20PLAN%202022_PHWH.PDFSINCE PIH HEALTH WHITTIER HOSPITAL CANNOT DIRECTLY ADDRESS ALL THE HEALTH NEEDS PRESENT IN THE COMMUNITY, WE WILL CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN OUR AREAS OF FOCUS AND EXPERTISE. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, PIH HEALTH WHITTIER HOSPITAL WILL NOT DIRECTLY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA, INCLUDING: BIRTH INDICATORS, COVID-19, ECONOMIC INSECURITY, EDUCATION, AND VIOLENCE AND INJURY PREVENTION. WHILE THE HOSPITAL DOES NOT INTEND TO EMPHASIZE COMMUNITY COVID-19 INTERVENTIONS AT THIS POINT IN THE PANDEMIC, PIH HEALTH WHITTIER HOSPITAL WILL CONTINUE TO DELIVER VACCINES, TESTING AND ACUTE MEDICAL CARE TO ADDRESS COVID-19.
PIH HEALTH WHITTIER HOSPITALPART V, SECTION B, LINE 13B: ASSISTANCE IS PROVIDED FREE OR DISCOUNTED FOR THOSE PATIENTS ELIGIBLE FOR FAP. THE CRITERIA FOR FAP IS IF THE PATIENT IS UNINSURED AND DOES NOT HAVE THE ABILITY TO PAY, HAS RESTRICTED MEDI-CAL BENEFITS, OR IS UNDERINSURED. THIS IS ALSO CONSIDERATIONS FOR PATIENTS WHERE THE FPG IS NOT APPLICABLE AND THE PATIENT IS INSURED WITH INADEQUATE COVERAGE OR EXCESSIVE LIABILITY.
FieldValueIRS element (for citing)
Facility13FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - SAME DAY SURGERY
12415 WASHINGTON BLVDWHITTIERCA90602OUTPATIENT SURGICAL SERVICES
2 - PATRICIA L SCHEIFLY BREAST HEALTH CTR
12393 WASHINGTON BLVDWHITTIERCA90602BREAST HEALTH SVCS
3 - ERNEST D WELLS MEDICAL OFFICE BUILDING
12462 PUTNAM STWHITTIERCA90602OUTPATIENT SERVICES
4 - WASHINGTON MEDICAL OFFICE BUILDING
12291 WASHINGTON BLVDWHITTIERCA90602WOUND HEALING, LAB DRAW STATION
5 - BLOOMFIELD MEDICAL OFFICE BUILDING
12400 BLOOMFIELDSANTE FE SPRINGSCA90670OUTPATIENT SERVICES
6 - WHITTWOOD MEDICAL OFFICE BUILDING
15725 E WHITTIER BLVDHACIENDA HEIGHTSCA90603OUTPATIENT SERVICES
7 - LA MIRADA MEDICAL OFFICE BUILDING
12675 S LA MIRADA BLVD SUITE 219LA MIRADACA90638OUTPATIENT SERVICES
8 - HACIENDA HEIGHTS MEDICAL OFFICE BUILDING
1850 AZUSA AVEHACIENDA HEIGHTSCA91745OUTPATIENT SERVICES
9 - PIH HEALTH THERAPY SERVICES
15088 IMPERIAL HWYLA MIRADACA90638OUTPATIENT SERVICES
10 - PIH HOME HEALTH SERVICES
15050 IMPERIAL HWYLA MIRADACA90638HOME HEALTH AGENCY
11 - ARCADIA HOME HEALTH SERVICES
351 E FOOTHILL BLVD SUITE 100ARCADIACA91006VISITING NURSES ASSOCIATION
12 - HOSPICE HOMES - DOVE
10736 VALLEY VIEW AVEWHITTIERCA90604HOSPICE CARE
13 - HOSPICE HOMES - ROSE
10742 VALLEY VIEW AVEWHITTIERCA90604HOSPICE CARE

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:PIH HEALTH'S COMMUNITY BENEFIT REPORT, PREPARED ANNUALLY, ACCOUNTS FOR THE ORGANIZATION'S PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITY. THE REPORT SEPARATES OUT COMMUNITY BENEFIT INVESTMENT FIGURES FOR EACH HOSPITAL. THE REPORT WAS MADE WIDELY AVAILABLE TO THE PUBLIC VIA SOCIAL MEDIA, OUR ORGANIZATION'S WEBSITE AND A COMMUNITY E-NEWSLETTER. IT WILL ALSO BE SHARED WITH CERTAIN INTERNAL AND COMMUNITY STAKEHOLDERS VIA PRESENTATION.TO VIEW THE FULL REPORT, VISIT HTTPS://WWW.PIHHEALTH.ORG/APP/FILES/PUBLIC/FADD2708-EF33-4817-9801-C298556711D5/PIH_HEALTH_WHITTIER_HOSPITAL_FY23_COMMUNITY_BENEFIT_ANNUAL_REPORT_AND_PLAN.PDF
PART I, LINE 7:PATIENT CARE COST-TO-CHARGES RATIO DERIVED FROM WORKSHEET 2 WAS USED TO CALCULATE THE FINANCIAL ASSISTANCE AND UNREIMBURSED MEDICAID. FOR ALL OTHERS, WE UTILIZED INTERNAL COSTING SYSTEM AND ACCOUNTS FOR THE VARIOUS PAYER MIX.
PART I, LN 7 COL(F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $27,104,766.
PART II, COMMUNITY BUILDING ACTIVITIES:PIH HEALTH WORKS WITH A VARIETY OF COMMUNITY STAKEHOLDERS TO ENHANCE THE COLLECTIVE CAPACITY FOR ADDRESSING THE ROOT CAUSES OF HEALTH PROBLEMS. PIH HEALTH MOBILIZES ASSETS AND INVESTS RESOURCES THROUGH A VARIETY OF COMMUNITY-BUILDING ACTIVITIES DESIGNED TO ADDRESS IDENTIFIED NEEDS, INCLUDING PARTICIPATION ON LOCAL CHAMBER OF COMMERCE BOARDS AIMED AT IMPROVING THE ECONOMIC, CIVIC AND CULTURAL WELLBEING OF THE COMMUNITY. PIH HEALTH ALSO UNDERTAKES DISASTER PREPAREDNESS TRAINING ABOVE AND BEYOND LICENSURE REQUIREMENTS TO ENSURE WE ARE EFFECTIVELY PREPARED TO SERVE THE COMMUNITY IN A DISASTER. IN ADDITION, PIH HEALTH HAS ADVOCATED FOR IMPROVED PUBLIC TRANSPORTATION SOLUTIONS VIA EXTENDED LIGHT RAIL SERVICE IN THE COMMUNITY TO IMPROVE FUNDING AND RESOURCES TO ADDRESS THIS NEED. ALSO, THE ORGANIZATION'S PRESIDENT AND CEO HAS SUPPORTED LOCAL, STATE AND FEDERAL HEALTH-RELATED ADVOCACY THROUGH PARTICIPATION AND LEADERSHIP IN VARIOUS HEALTHCARE ASSOCIATIONS. LASTLY, PIH HEALTH ACCOUNTS FOR STAFF PARTICIPATION IN AND/OR SUPPORT OF WORKFORCE DEVELOPMENT PROGRAMS, WORKFORCE DEVELOPMENT BOARDS, ETC.
PART III, LINE 2:THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE COMPANY FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE THE COMPANY ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY. AS A RESULT OF THE ADOPTION OF ASC 606, PIH HEALTH WHITTIER HOSPITAL IS REPORTING IMPLICIT PRICE CONCESSIONS, WHICH IS ESTABLISHED BASED ON MANY FACTORS, INCLUDING PAYER MIX, AGE OF RECIEVABLES, HISTORICAL CASH COLLECTION EXPERIENCE, OTHER RELEVANT INFORMATION.
PART III, LINE 3:PIH HEALTH WHITTIER HOSPITAL ACTIVELY PROVIDES ALL PATIENTS THE OPTION TO APPLY FOR FINANCIAL ASSISTANCE, THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY.
PART III, LINE 4:AS PART OF THE COMPANY'S MISSION TO SERVE THE COMMUNITY, THE COMPANY PROVIDES CARE TO PATIENTS EVEN THOUGH THEY MAY LACK ADEQUATE INSURANCE OR MAY PARTICIPATE IN PROGRAMS WITH NEGOTIATED OR REGULATED PAYMENT AMOUNTS. THE COMPANY MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR CHARITY CARE UPON ADMISSION, THOUGH DETERMINATION MAY ALSO BE MADE AT A LATER TIME. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE APPLICATION OF ANY FINANCIAL, UNINSURED OR OTHER DISCOUNTS OR PAYMENTS RECEIVED ON THE ACCOUNT, AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE COMPANY FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE COMPANY. THE COMPANY MANAGES ITS COLLECTION RISK BY REGULARLY REVIEWING ITS ACCOUNTS AND CONTRACTS, AND BY PROVIDING APPROPRIATE ALLOWANCES THAT ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEETS.IMPLICIT PRICE CONCESSIONS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE IMPLICIT PRICE CONCESSIONS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE COMPANY FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. IMPLICIT PRICE CONCESSIONS IS INCLUDED AS A DEDUCTION FROM PATIENT SERVICES REVENUES SINCE THE COMPANY GENERALLY ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY.
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 FORM 990 SCHEDULE H METHOD. HOWEVER, THE PIH HEALTH 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 HEALTH 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, I.E.. DEPARTMENT C2C %, IS LOADED INTO PIH HEALTH'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 HEALTH'S REGULATORY REPORTING AND FINANCIAL ANALYSIS IS BASED ON THE ABOVE DEPARTMENT C2C METHODOLOGY.
PART III, LINE 9B:THE HOSPITAL ENCOURAGES ALL SELF-PAY PATIENTS TO APPLY FOR FINANCIAL ASSISTANCE OR OTHER PROGRAMS. 1. ALL UNINSURED PATIENTS ARE ASSUMED TO NEED FINANCIAL ASSISTANCE AND AUTOMATICALLY RECEIVE DISCOUNTED BILLS THAT REFLECT THE CONTRACT RATE OR LESS OF A MEDICARE ADVANTAGE CONTRACT.2. ALL UNINSURED PATIENTS ARE PROVIDED WITH A FINANCIAL ASSISTANCE AND MEDICAID APPLICATION AT THE TIME OF REGISTRATION THEREBY GIVING THEM THE OPPORTUNITY TO APPLY FOR ASSISTANCE.3. THERE ARE SIGNS THROUGH THE FACILITY THAT EDUCATE PATIENTS AND VISITORS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE.4. THE HOSPITAL'S WEBSITE PUBLISHES THE FINANCIAL ASSISTANCE POLICY AND APPLICATIONS.5. SELF-PAY INPATIENTS ALSO MAY BE CONTACTED BY A VENDOR TO OFFER ASSISTANCE IN APPLYING FOR MEDICAID, IF ELIGIBLE.6. STATEMENTS (WHICH REFLECT A REDUCTION IN CHARGES TO THE RATES AT OR LOWER THAN CONTRACTED RATES FOR MEDICARE ADVANTAGE MEMBERS) PROMOTE THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM.7. ONLY PATIENTS WHO DO NOT QUALIFY FOR FURTHER FINANCIAL ASSISTANCE (AFTER DISCOUNTS) OR WHO DO NOT APPLY FOR PROGRAMS AND DO NOT PAY ARE REFERRED TO COLLECTION. IN ADDITION, IF A PATIENT IS REFERRED TO COLLECTION AND LATER APPLIES FOR CHARITY AND QUALIFIES, THE PATIENT'S ACCOUNT IS RETURNED TO THE HOSPITAL AND FINANCIAL ASSISTANCE IS EXTENDED.
PART VI, LINE 2:IN ADDITION TO THE HOSPITAL'S CHNA, PIH HEALTH UTILIZES THE FOLLOWING METHODS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES: COMMUNITY BENEFIT OVERSIGHT COMMITTEE- IN 2006, PIH HEALTH'S BOARD OF DIRECTORS ESTABLISHED THE COMMUNITY BENEFIT OVERSIGHT COMMITTEE (CBOC), WHICH IS COMPRISED OF COMMUNITY STAKEHOLDERS AND KEY PUBLIC HEALTH AND LEGISLATIVE REPRESENTATIVES. THIS COMMITTEE MEETS REGULARLY AND ITS MEMBERS SHARE HEALTHCARE-RELATED NEEDS/CONCERNS EXPERIENCED BY THE COMMUNITY MEMBERS THEY REPRESENT AS WELL AS ASSETS OR POTENTIAL PARTNERS FOR THE HOSPITAL TO ENGAGE IN ADDRESSING THE IDENTIFIED NEEDS.FEEDBACK FROM COMMUNITY ORGANIZATIONS / COLLABORATIVE- THROUGH PARTICIPATION IN VARIOUS COMMUNITY COLLABORATIVE AND NETWORKING MEETINGS, PIH HEALTH IS ABLE TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITY AND IDENTIFY PARTNERSHIP OPPORTUNITIES.
PART VI, LINE 3:THERE ARE MANY AVENUES PIH HEALTH TAKES IN EDUCATING PATIENTS AND FAMILY MEMBERS ABOUT THE VARIOUS FINANCIAL ASSISTANCE PROGRAMS. PATIENT ARE ADVISED AT THE TIME OF SERVICE, DURING IN-HOUSE CARE AND POST DISCHARGES. FREE HANDOUTS OF THE FAP APPLICATION ARE PROVIDED IN BOTH ENGLISH AND SPANISH. THERE AE POSTINGS THROUGHOUT THE HOSPITAL IN BOTH ENGLISH AND SPANISH WITH INFORMATION ABOUT OUR FAP PROGRAM. WE HAVE AN ELIGIBILITY VENDOR THAT IS CONVENIENTLY AVAILABLE TO ASSIST OUR PATIENTS IN THE EMERGENCY ROOM OR IN-HOUSE PATIENTS WITH DETERMINING ELIGIBILITY FOR VARIOUS GOVERNMENTAL PROGRAMS, AS WELL AS, ADVISE AND ASSIST THE PATIENT WITH THE FAP. POST DISCHARGE, OUR BUSINESS OFFICE STAFF TAKES THE INITIATIVE TO ADVISE THE PATIENT OF OUR FAP PROGRAM. ALSO, WITH THE INITIAL STATEMENT SENT TO PATIENTS, AN APPLICATION IS INCLUDED. PIH'S FAP IS ALSO PUBLISHED ON OUR WEBSITE.
PART VI, LINE 4:PIH HEALTH WHITTIER HOSPITAL IS LOCATED AT 12401 WASHINGTON BLVD., WHITTIER, CA 90602. THE HOSPITAL'S SERVICE AREA ENCOMPASSES 13 ZIP CODES IN 9 CITIES/COMMUNITIES. THE SERVICE AREA IS SERVED BY THE LOS ANGELES COUNTY 4TH SUPERVISORIAL DISTRICT AND THE MAJORITY OF THE CITIES/COMMUNITIES FALL WITHIN THE LOS ANGELES COUNTY SERVICE PLANNING AREA (SPA) 7. A SECTION OF LA HABRA ZIP CODE 90631 IS IN ORANGE COUNTY. PIH HEALTH WHITTIER HOSPITAL TRACKS ZIP CODES OF ORIGIN FOR PATIENT ADMISSIONS. THE SERVICE AREA WAS DETERMINED FROM THE ZIP CODES THAT REFLECT A MAJORITY OF PATIENT ADMISSIONS FROM THE LOCAL GEOGRAPHIC AREA.BASED ON THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, THE POPULATION FOR PIH HEALTH WHITTIER HOSPITAL'S SERVICE AREA IS 616,536. CHILDREN AND YOUTH, AGES 0-17, ARE 22.8% OF THE POPULATION, 67.6% ARE ADULTS, AGES 18-64, AND 9.6% OF THE POPULATION ARE ADULTS, AGES 65 AND OLDER. IN THE SERVICE AREA, 68.0% OF THE POPULATION IS HISPANIC/LATINO, 16.1% ARE WHITE, 12.3% ARE ASIAN, 1.7% ARE BLACK/AFRICAN AMERICAN, 1.5% ARE OTHER/MULTIPLE RACES, 0.3% ARE NATIVE AMERICAN/ALASKAN NATIVE, AND 0.2% ARE NATIVE HAWAIIAN/PACIFIC ISLANDER. AMONG THE SERVICE AREA POPULATION, AGES FIVE AND OLDER, 45.7% SPEAK SPANISH IN THE HOME, 42.5% SPEAK ONLY ENGLISH IN THE HOME, 9.7% SPEAK AN ASIAN OR PACIFIC ISLANDER LANGUAGE, 1.7% SPEAK OTHER INDO-EUROPEAN LANGUAGES, AND 0.3% SPEAK OTHER LANGUAGES IN THEIR HOME. IN THE SERVICE AREA, 10.3% OF THE POPULATION IS AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL. AMONG SERVICE AREA ADULTS, AGES 25 AND OLDER, 19.2% HAVE LESS THAN A HIGH SCHOOL DIPLOMA, 49.6% ARE HIGH SCHOOL GRADUATES, AND 31.1% HAVE AN ASSOCIATE, BACHELOR'S, OR GRADUATE/PROFESSIONAL DEGREE. THERE ARE FIVE OTHER HOSPITALS PROVIDING CARE IN THE SERVICE AREA POPULATION AND NO FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS PRESENT IN THE SERVICE AREA. FOR ADDITIONAL DATA REGARDING THE SERVICE AREA, PLEASE SEE THE CHNA AT PIHHEALTH.ORG/CHNA
PART VI, LINE 5:COMMUNITY BOARDPIH HEALTH'S COMMUNITY BOARD OF DIRECTORS WORKS TO ADVANCE PIH HEALTH'S COMMITMENT TO HELPING OUR COMMUNITIES GET WELL AND STAY HEALTHY.OPEN MEDICAL STAFFPIH HEALTH EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES.USE OF SURPLUS FUNDSPIH HEALTH APPLIES SURPLUS FUNDS TOWARD IMPROVEMENTS IN PATIENT CARE, TECHNOLOGY, AND MEDICAL EDUCATION.COMMUNITY BENEFIT OVERSIGHT COMMITTEE (CBOC)IN 2006, PIH HEALTH'S BOARD OF DIRECTORS ESTABLISHED THE CBOC, COMPRISED OF COMMUNITY STAKEHOLDERS AND A PUBLIC HEALTH REPRESENTATIVE. THE CBOC PROMOTES THE HEALTH OF THE COMMUNITY BY 1) REVIEWING AND VALIDATING LEGAL AND REGULATORY COMPLIANCE WITH RESPECT TO COMMUNITY BENEFIT MANDATES, 2) REVIEWING AND VALIDATING THAT PIH HEALTH'S COMMUNITY BENEFIT PROGRAMS AND SERVICES EFFECTIVELY MEET IDENTIFIED COMMUNITY HEALTH NEEDS, WITH EMPHASIS ON VULNERABLE POPULATIONS, AS AN ESSENTIAL EXPRESSION OF PIH HEALTH'S CHARITABLE MISSION AND 3) INCREASING PUBLIC AWARENESS OF COMMUNITY BENEFIT ACTIVITIES AND COMMUNITY VALUE.DONATION OF TIMEMANY PIH HEALTH PROVIDERS ARE LIVING OUT THEIR PASSION TO SERVE PEOPLE IN NEED BY DONATING THEIR TIME AND TALENTS BOTH IN OUR COMMUNITY AND OVERSEAS. EMERGENCY AND DISASTER PREPAREDNESS/DISASTER RESOURCE CENTER (DRC) PIH HEALTH WHITTIER HOSPITAL IS ONE OF 13 LOS ANGELES COUNTY DESIGNATED DRC'S THAT ENSURE THE COMMUNITY HAS ACCESS TO RESOURCES AND THE HIGHLY SKILLED STAFF NEEDED TO RESPOND TO A LARGE-SCALE DISASTER OR OTHER PUBLIC HEALTH EMERGENCIES.ENVIRONMENTAL AND RECYCLING PROJECTSPIH HEALTH CONTINUES TO IMPLEMENT "GREEN" INITIATIVES, INCLUDING INCREASED USAGE OF LED LIGHTING TO DECREASE CONSUMPTION OF ELECTRICITY AND, EXPANDING A METHANE GAS PROJECT WITH THE CITY OF WHITTIER TO CONVERT METHANE GAS INTO ELECTRICITY. EYEGLASSES AND HEARING AIDS ARE ALSO COLLECTED AND RECYCLED FOR REDISTRIBUTION BY THE EAST WHITTIER LIONS CLUB TO THOSE IN NEED.VOLUNTEER CONTRIBUTIONS SOME 1,355 PIH HEALTH VOLUNTEERS COLLECTIVELY CONTRIBUTED 112,001 HOURS OF SERVICE, SUPPORTING DEPARTMENTS THROUGHOUT THE ORGANIZATION. THROUGH THE PIH HEALTH MEDICAL CAREERS PROGRAM, WHICH GIVES STUDENT VOLUNTEERS A HEAD START IN DISCOVERING PRODUCTIVE AND MEANINGFUL CAREERS IN HEALTHCARE, 30 INDIVIDUALS SPENT 184 HOURS SHADOWING MEDICAL CAREER PROFESSIONALS AND ATTENDING SIMULATION LABS. SOME 15 VOLUNTEERS AND COMMUNITY MEMBERS ATTENDED A 'MEET THE PROS' EDUCATIONAL CLASS, WHERE A HEALTHCARE PROFESSIONAL GAVE A PRESENTATION ON HIS CAREER PATH.REACH OUT AND READ PROGRAM OUR PEDIATRICS DEPARTMENT PARTNERS WITH REACH OUT AND READ TO PROMOTE EARLY LITERACY AND SCHOOL READINESS. PHYSICIANS PROVIDE PATIENTS WITH A CHILDREN'S BOOK AND DISCUSS WITH PARENTS THE IMPORTANCE OF READING ALOUD. EACH YEAR, OVER 4,912 NEW BOOKS ARE DISTRIBUTED.
PART VI, LINE 6:HOSPITAL AFFILIATES INCLUDE: 1) PIH HEALTH, INC., PIH HEALTH'S PARENT COMPANY; 2) PIH HEALTH DOWNEY HOSPITAL; 3) PIH HEALTH GOOD SAMARITAN HOSPITAL; 4) PIH HEALTH PHYSICIANS, A NONPROFIT MEDICAL FOUNDATION; 5) PIH HEALTH HOME HEALTHCARE AND 6) THE PIH HEALTH FOUNDATION, A NONPROFIT ORGANIZATION THAT EXISTS TO RAISE PHILANTHROPIC FUNDS IN SUPPORT OF PIH'S CHARITABLE MISSION 1) PIH HEALTH, INC. 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.2) PIH HEALTH DOWNEY HOSPITAL OFFICIALLY BECAME PART OF PIH HEALTH IN OCTOBER 2013. AS A 501 (C)(3) NONPROFIT, 199-BED HOSPITAL, THE DOWNEY CAMPUS HAS PROVIDED QUALITY CARE IN A WELCOMING ENVIRONMENT FOR MORE THAN 100 YEARS. AS A NONNPROFIT HOSPITAL WITH A CHARITABLE MISSION, PIH HEALTH HOSPITAL DOWNEY IS A DEDICATED COMMUNITY HEALTH AND WELLNESS PARTNER. THIS COMMITMENT AND LEADERSHIP GIVES BACK TO THE COMMUNITY THROUGH CHARITY CARE, HEALTH PROFESSIONS EDUCATION AND MORE.3) PIH HEALTH GOOD SAMARITAN HOSPITAL FOUNDED IN 1885, BECAME PART OF PIH HEALTH IN DECEMBER 2019. AS A 501 (C) (3) NONPROFIT, 408-BED ACUTE CARE HOSPITAL, THE DOWNTOWN LOS ANGELES CAMPUS SERVES THE HEALTHCARE NEEDS OF A GROWING AND DIVERSE COMMUNITY. AS A NONNPROFIT HOSPITAL WITH A CHARITABLE MISSION, PIH HEALTH GOOD SAMARITAN HOSPITAL IS A DEDICATED COMMUNITY HEALTH AND WELLNESS PARTNER. THIS COMMITMENT AND LEADERSHIP GIVES BACK TO THE COMMUNITY THROUGH CHARITY CARE, MEDICAL RESEARCH, DONATIONS, HEALTH PROFESSIONS EDUCATION AND MORE.4) PIH HEALTH PHYSICIANS (PHP) IS A 501(C)(3) NONPROFIT MEDICAL GROUP THAT IS EXCLUSIVELY AFFILIATED WITH PIH HEALTH, THE GROUP IS COMPRISED OF MORE THAN 270 PRIMARY CARE PHYSICIANS AND SPECIALIST WHO COORDINATE CARE FROM DIAGNOSIS TO RECOVERY. PHP SUPPORTS THE LOCAL COMMUNITY THROUGH ITS FINANCIAL ASSISTANCE PROGRAM, WHITTIER FIRST DAY HEALTH & WELLNESS CENTER FOR THE HOMELESS AND THOSE AT-RISK FOR HOMELESSNESS, HEALTH PROFESSIONS EDUCATION, AND OTHER COMMUNITY HEALTH IMPROVEMENT SERVICES.5) PIH HEALTH HOME HEALTHCARE PROVIDES AROUND-THE-CLOCK, QUALITY CARE FOR PATIENTS IN THEIR OWN HOME. PIH HEALTH HOME HEALTHCARE IS CERTIFIED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES.6) THE PIH HEALTH FOUNDATION IS A 501(C)(3) NONPROFIT ORGANIZATION WITH THE SOLE MISSION TO RAISE FUNDS THROUGH PHILANTROPHY TO BENEFIT PIH HEALTH AND ITS AFFILIATES. DOLLARS RAISED ARE REINVESTED INTO THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTHCARE, HEALTH-BASED PROGRAMS AND SERVICES OFFERED THROUGH PIH HEALTH.FOR DETAILED INFORMATION REGARDING THESE PIH HEALTH AFFILIATES' ADDITIONAL ACTIVITIES TO SUPPORT AND PROMOTE COMMUNITY HEALTH, PLEASE SEE EACH RESPECTIVE ORGANIZATION'S IRS FORM 990.
PART VI, LINE 7, REPORTS FILED WITH STATESCA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
BOYS GIRLS CLUB OF WHITTIER
7905 GREENLEAF AVEWHITTIERCA90602956151763501(C)(3)$10,000$0FUNDS ARE INTENDED TO SUPPORT HEALTHY LIFESTYLES PROGRAMMING, WHICH HELPS FILL GAPS FOR LOWER-INCOME FAMILIES WITH PHYSICAL ACTIVITY, ORGANIZED SPORTS, AND NUTRITION EDUCATION FOR YOUTH.
INTERFAITH FOOD CENTER
11819 BURKE STREETSANTA FE SPRINGSCA90670953889152501(C)(3)$10,000$0FUNDS WILL SUPPORT INTERFAITH FOOD CENTERS FOOD PANTRY PROGRAM
KINGDOM CAUSES BELLFLOWER
16429 BELLFLOWER BLVDSANTA FE SPRINGSCA90706954849998501(C)(3)$10,000$0FUNDS ARE INTENDED TO SUPPORT MARGARETS HOUSE, A TRANSITIONAL HOME PROVIDING SHORT-TERM HOUSING AND SERVICES FOR FAMILIES WITH MINOR DEPENDENT CHILDREN.
PROJECT ANGEL FOOD
922 VINE STREETLOS ANGELESCA90038954115863501(C)(3)$10,000$0FUNDS SHOULD BE RESTRICTED TO SUPPORTING LITTLE LAKE SCHOOL DISTRICTS MINDFUL STUDENTS PROGRAM TO INCREASE STUDENT ENGAGEMENT AND MENTAL HEALTH THROUGH PRACTICING MINDFULNESS STRATEGIES.
COMMUNITY FAMILY GUIDANCE CENTER
10929 SOUTH STREET STE208BCERRITOSCA90703953083776501(C)(3)$8,000$0FUNDING WILL SUPPORT THE WELLBEING OF CHILDREN AND FAMILIES BY PROVIDING NON-INTENSIVE AND INTENSIVE MENTAL HEALTH SERVICES, WHICH CONSIST OF SHORT-TERM PREVENTION AND EARLY INTERVENTIONS, PARENT EDUCATION, CASE MANAGEMENT SERVICES.
HELPLINE YOUTH COUNSELING INC
14181 TELEGRAPH ROADWHITTIERCA90604237113824501(C)(3)$7,500$0FUNDS SHOULD BE RESTRICTED TO HELPLINE YOUTH COUNSELINGS PROVISION OF ACCESSIBLE MENTAL HEALTH SERVICES FOR LOW-INCOME CHILDREN, INDIVIDUALS AND FAMILIES.
LA CADA
12070 TELEGRAPH ROAD STE207SANTA FE SPRINGSCA90670237110152501(C)(3)$7,500$0FUNDS WILL SUPPORT LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSE'S SUBSTANCE USE PROGRAMS/DIRECT SERVICES FOR HOMELESS SUBSTANCE USERS.
FieldValueIRS element (for citing)
Total501c3 Org7Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationPIH HEALTH PROVIDES FINANCIAL ASSISTANCE TO BOTH NOT-FOR-PROFIT ORGANIZATIONS AND INDIVIDUALS. PIH HEALTH PROVIDES FINANCIAL SUPPORT TO TAX-EXEMPT, NONPROFIT ORGANIZATIONS IN OUR SERVICE AREA CITIES THROUGH ITS COMMUNITY SUPPORT AND SPONSORSHIPS PROGRAM, WITH EMPHASIS ON COMMUNITY HEALTH NEEDS/AREAS OF CONCERN AS IDENTIFIED BY PIH HEALTH'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS. FINANCIAL SUPPORT MAY BE PROVIDED IF THE REQUESTING ORGANIZATION ADDRESSES ONE OR MORE OF THESE AREAS AND IS RESPONSIVE TO THE HEALTH AND WELLNESS NEEDS OF THE COMMUNITIES WE SERVE, ALLOWING PIH HEALTH TO BUILD UPON THE IMPACT OF EXISTING COMMUNITY HEALTH IMPROVEMENT EFFORTS. FOR CONTRIBUTIONS MADE TO CHARITABLE ORGANIZATIONS, PIH HEALTH HAS ADOPTED A POLICY WHICH GUIDES THE PROCESS TO ENSURE GOOD STEWARDSHIP OF PIH HEALTH'S CHARITABLE RESOURCES AS A FEDERALLY REGISTERED NONPROFIT ENTITY. TO ENSURE ACCURATE COMMUNITY BENEFIT REPORTING, THIS POLICY SETS FORTH THAT DIRECT FINANCIAL CONTRIBUTIONS MADE TO COMMUNITY ORGANIZATIONS MUST BE APPROPRIATELY CLASSIFIED AS EITHER A) COMMUNITY BENEFIT OR B) A SPONSORSHIP (A MARKETING COMMUNICATIONS DEPARTMENT EXPENSE NOT REPORTABLE AS COMMUNITY BENEFIT). IN COMPLIANCE WITH THIS POLICY, INFORMATION IS GATHERED FROM THE GRANTEE REGARDING THE INTENDED USE OF FUNDS AND A RESTRICTION LETTER IS SENT, NOTING THE INTENDED USE OF FUNDS. ORGANIZATIONS RECEIVING COMMUNITY SUPPORT FUNDING IN THE AMOUNT OF $2,500 OR MORE ARE REQUIRED TO SUBMIT A SUMMARY REPORT OF PROGRAM OR SERVICE IMPACT, WITHIN 90 DAYS AFTER EVENT OR RECEIPT OF PROGRAM FUNDING, UNLESS AN ALTERNATE DATE IS DESIGNATED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES WEST
SYSTEM PRESIDENT & CEO$1,506,821$0$0$0$539,832$0$335,520$0$20,325$0$2,402,498$0$517,243$0
BRIAN SMOLSKIS UNTIL 9282023
SYSTEM COO$838,304$0$0$0$196,507$0$196,657$0$22,507$0$1,253,975$0$188,312$0
PEGGY CHULACK
SYSTEM CAO & ASST SECRETARY$826,709$0$0$0$168,703$0$178,274$0$14,760$0$1,188,446$0$120,897$0
ROSALIO LOPEZ MD
SYSTEM CSO/CMO$907,438$0$0$0$206,696$0$36,700$0$9,869$0$1,160,703$0$0$0
DAVIS LEE
CMIO & CIO$532,268$0$0$0$249,650$0$103,309$0$20,056$0$905,283$0$247,135$0
VID SHIVARAMAN
SYSTEM CFO & ASST TREASURER$681,460$0$0$0$68,352$0$141,186$0$9,404$0$900,402$0$61,131$0
JUDY PUGACH
VP REGULATORY AFFAIRS$329,056$0$75,000$0$223,897$0$85,077$0$6,654$0$719,684$0$37,477$0
CAROL SALAS
SYSTEM CHIEF HR OFFICER$461,805$0$0$0$69,506$0$109,715$0$23,257$0$664,283$0$53,155$0
ROLAND FARGO
REGIONAL VP$389,307$0$0$0$72,208$0$76,941$0$20,507$0$558,963$0$65,794$0
SHELLY NECKE
VP POST ACUTE CR SVS$376,010$0$0$0$56,137$0$89,692$0$15,884$0$537,723$0$47,881$0
RAMONA PRATT
CNO$401,796$0$0$0$9,663$0$100,536$0$19,174$0$531,169$0$0$0
CHICO MANNING
VP, SUPPLY CHAIN$359,243$0$0$0$78,584$0$88,953$0$118$0$526,898$0$69,549$0
DEBRA LEGAN
VP MKTG & PLANNING$402,846$0$0$0$8,388$0$93,748$0$182$0$505,164$0$0$0
MARK KAWAUCHI
VP OF FINANCE$362,522$0$0$0$6,774$0$81,020$0$22,724$0$473,040$0$0$0
MOHAMMED GHONIM
REGIONAL VP$357,516$0$0$0$8,271$0$69,038$0$2,151$0$436,976$0$0$0
ANUP PATEL
VP ENT RSK MGMT & CORP COMP$307,879$0$0$0$27,956$0$68,953$0$24,724$0$429,512$0$20,971$0
LUCINDA PLACE
VP OF QUALITY MGMT$319,988$0$0$0$7,633$0$67,059$0$20,507$0$415,187$0$0$0
NOEL COPPINGER
VP, REVENUE CYCLE$280,661$0$0$0$62,030$0$59,921$0$6,638$0$409,250$0$55,256$0
BRENT MELTON
VP SUPPORT SERVICES$302,672$0$0$0$36,659$0$33,574$0$22,655$0$395,560$0$29,480$0
RON EICKHOFF
VP, RESPIRATORY$255,608$0$0$0$6,774$0$51,611$0$15,010$0$329,003$0$0$0
STACY JOHNSON
VP, RADIOLOGY & IMAGING$255,832$0$0$0$6,414$0$50,233$0$8,449$0$320,928$0$0$0
SCOTT BREMER
SYS DIR COMPENSATION, BENEFITS$279,294$0$0$0$1,188$0$13,747$0$20,158$0$314,387$0$0$0
REBECCA WEYANT
ADMIN DIR SURGICAL SVCS$274,958$0$0$0$2,286$0$16,035$0$15,884$0$309,163$0$0$0
KEVIN BROWN UNTIL 542023
VP, CARDIOLOGY SERVICES$255,779$0$0$0$6,414$0$36,142$0$8,675$0$307,010$0$0$0
VICTORIA NGUYEN
RN DIALYSIS$263,139$0$0$0$13,107$0$9,349$0$6,131$0$291,726$0$0$0
DIANE MCCOWAN
DIR PHARMACY$269,799$0$0$0$2,388$0$16,200$0$1,311$0$289,698$0$0$0
CESAR ROSAS
RN CHARGE NURSE$267,897$0$0$0$10,249$0$0$0$0$0$278,146$0$0$0
ANITA CHOU
FORMER CFO & ASST TREASURER-$14$0$0$0$119,028$0$0$0$14$0$119,028$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINES 4A-BFormAndLineReferenceDesc
ExplanationPART I, LINE 4A: THE FOLLOWING RECEIVED A SEVERANCE PAYMENT DURING THE CALENDAR YEAR. THE PAYMENT IS INCLUDED IN PART VII, COLUMN D AND SCHEDULE J, PART II, COLUMN B(III). THE TERMS AND CONDITIONS OF THE CONFIDENTIAL SEVERANCE AGREEMENT ARE AVAILABLE TO THE INTERNAL REVENUE SERVICE UPON REQUEST. ANITA CHOU JOHN JOYCE MARK ST. JULIEN PART I, LINE 4B: PIH HEALTH INC. AND ITS AFFILIATES PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR CERTAIN EXECUTIVES. THE FOLLOWING INDIVIDUALS PARTICIPATE IN THE PLAN: JAMES WEST PEGGY CHULACK VID SHIVARAMAN BRIAN SMOLSKIS RAMONA PRATT DAVIS LEE ANUP PAEL CHICO MANNING SHELLY NECKE DEBRA LEGAN JUDY PUGACH CAROL SALAS BRENT MELTON MARK KAWAUCHI LUCINDA PLACE NOEL COPPINGER MOHAMMED GHONIM RON EICKHOFF STACY JOHNSON ROLAND FARGO KEVIN BROWN ANITA CHOU MARK ST. JULIEN JOHN JOYCE THE FOLLOWING AMOUNTS BECAME VESTED OR WERE PAID-OUT IN 2022 AND ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III): JAMES WEST $517,243 PEGGY CHULACK $120,897 VID SHIVARAMAN $61,131 BRIAN SMOLSKIS $188,312 DAVIS LEE $247,135 ANUP PATEL $20,971 CHICO MANNING $69,549 SHELLY NECKE $47,881 JUDY PUGACH $37,477 CAROL SALAS $53,155 BRENT MELTON $29,480 NOEL COPPINGER $55,256 ROLAND FARGO $65,794ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF WHITTIER
A956000812966769DK42014-08-07$106,612,491ACQUIRE AND EQUIP HOSPITAL000
CITY OF WHITTIER
B956000812996769DL22018-11-29$48,500,000REFUND SERIES 2012 B BONDS000
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
C52164382813032UWP92020-10-08$197,721,474CONSTRUCTION AND EQUIPMENT & REFUND BONDS 2009 AND 2012C000
CITY OF WHITTIER - SERIES 2022A
D956000812NONEAVAIL2022-04-06$40,135,000REFUND BOND 2012A000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRetiredRetiredAmtUnspentUnspentAmt
A$106,612,491$1,880,505$6,854,015$97,877,971201400Yes (1)Yes (1)
B$48,500,000$457,075$48,042,925Yes (1)0Yes (1)Yes (1)$11,195,000
C$197,721,474$2,170,191$54,446,263$108,924,588Yes (1)00Yes (1)$2,365,000$32,180,432
D$40,135,000$40,135,000Yes (1)0Yes (1)Yes (1)$4,285,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)000Yes (1)
B00Yes (1)Yes (1)000Yes (1)
C00Yes (1)Yes (1)000Yes (1)
D00Yes (1)Yes (1)000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
(no name)
A0Yes (1)00000Yes (1)Yes (1)
BARCLAY
B0Yes (1)000Yes (1)00Yes (1)7.00000000000000
(no name)
C0Yes (1)000000Yes (1)
(no name)
D0Yes (1)00Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART IV, LINE 4A:FormAndLineReferenceDesc
ExplanationBOND 2012 SERIES ALSO ENTERED INTO HEDGE WITH UNION BANK, N.AExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JAMES WESTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship With OrgPRESIDENT AND CEORelationshipWithOrgTxt
Loan PurposeSPLIT DOLLAR LIFE AGREEMENT BENEFIT PLANLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$13,250,000OriginalPrincipalAmt
Balance Due$13,250,000BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$13,250,000TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
MARY WARGO
SISTER OF OFFICER$97,684SEE PART V0
ANDREW PRATT
SON OF OFFICER$119,130SEE PART V0
SEE PART V
SEE PART V$167,676SEE PART V0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCH L, PART II, LOANS TO AND FROM INTERESTED PERSONS:(A) NAME OF PERSON: JAMES WEST(B) RELATIONSHIP WITH ORGANIZATION: PRESIDENT & CEO(C) PURPOSE OF LOAN: SPLIT DOLLAR LIFE AGREEMENT BENEFIT PLAN
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:MARY WARGO, SISTER OF PEGGY CHULACK, IS EMPLOYED BY PIH HEALTH WHITTIER HOSPITAL.
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:ANDREW PRATT, SON OF RAMONA PRATT, IS EMPLOYED BY PIH HEALTH WHITTIER HOSPITAL.
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:ELIZABETH BROGAN-SHIVARAMAN, FAMILY MEMBER OF OFFICER VID SHIVARAMAN, IS EMPLOYED BY PIH HEALTH PHYSICIANS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2PIH HEALTH WHITTIER HOSPITAL IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM. THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP BY VIRTUE OF THEIR POSITIONS AS OFFICER OR DIRECTORS OF RELATED ENTITIES WITHIN THE SYSTEM: RICHARD ATWOOD, JEFF HAMAR, PAULA COWAN, ALEX ALVAREZ, BLAYNE CUTLER, JANE DICUS, PATRICK MONROE, PAUL TREINEN, CHARLOTTE WEAVER, KENTON WOODS, PETER GREANEY, MARISSA GOLDBERG, MELANIE BATISTE, ROBERT MALONEY, JAMES WEST, PEGGY CHULACK, VID SHIVARAMAN, ROSALIO LOPEZ, AND BRIAN SMOLSKIS.
FORM 990, PART VI, SECTION A, LINE 6PIH HEALTH, INC. IS THE SOLE MEMBER OF PIH HEALTH WHITTIER HOSPITAL
FORM 990, PART VI, SECTION A, LINE 7APIH HEALTH, INC. HAS AUTHORITY TO ELECT ALL THE MEMBERS OF THE BOARD OF DIRECTORS OF PIH HEALTH WHITTIER HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7BPIH HEALTH, INC. HAS ALL VOTING RIGHTS AND THE POWER TO ELECT THE BOARD OF DIRECTORS OF PIH HEALTH WHITTIER HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS REVIEWED BY THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION, WHICH IS MADE UP OF INDEPENDENT DIRECTORS. THE FORM 990 IS THEN PROVIDED TO THE BOARD FOR ITS INFORMATION.
FORM 990, PART VI, SECTION B, LINE 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 CHIEF ADMINISTRATIVE OFFICER AND GENERAL COUNSEL. 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 INCLUDES TWO PEER GROUPS: A NATIONAL PEER GROUP OF COMPARABLY-SIZED HOSPITALS AND SINGLE HOSPITAL SYSTEMS AND A REGIONAL PEER GROUP OF HOSPITALS AND SYSTEMS IN SOUTHERN CALIFORNIA, THE DATA OF WHICH IS PROVIDED TO THE COMMITTEE IN ITS REPORT. THE NATIONAL DATA IS USED AS THE PRIMARY COMPARATOR FOR THE ANALYSIS. THE COMMITTEE IS PRESENTED WITH CHARTS THAT COMPARE ORGANIZATION SALARIES TO THE LEVEL TARGETED IN THE COMPENSATION PHILOSOPHY. NEITHER PERFORMANCE NOR QUALIFICATIONS OF THE INCUMBENT IS CONSIDERED WHEN PROVIDING THE MARKET DATA. THE COMMITTEE IS PROVIDED WITH A REVIEW OF THE BASE SALARY ANALYSIS, A REVIEW OF THE INCENTIVE COMPENSATION ANALYSIS, A REVIEW OF THE TOTAL CASH COMPENSATION ANALYSIS (BASE SALARY PLUS INCENTIVE), AND A REVIEW OF THE TOTAL COMPENSATION ANALYSIS (BASE SALARY PLUS INCENTIVE PLUS BENEFITS/PERQUISITES). BASED UPON ALL OF THE ABOVE INFORMATION, THE CONSULTANT PROVIDES THE COMMITTEE WITH RECOMMENDED SALARY RANGES FOR THE PERIOD ASSESSED. THE EXECUTIVE COMPENSATION COMMITTEE DELIBERATES ON THE COMPARABILITY DATA TO ENSURE THAT IT IS APPROPRIATE IN REPRESENTING LIKE ORGANIZATIONS, LIKE POSITIONS, AND LIKE CIRCUMSTANCES, AND THAT IT COULD REALISTICALLY RELY ON THE COMPARABILITY DATA IN REACHING ITS DECISION THAT THE COMPENSATION IS REASONABLE AND REPRESENTS FAIR MARKET VALUE FOR SERVICES RENDERED. THE EXECUTIVE COMPENSATION COMMITTEE AFFIRMS THIS PROCESS TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 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, PART VII, SECTION A, LINE 1:THREE OF THE FILING ORGANIZATION'S DIRECTORS ARE EMPLOYEES OF PIONEER MEDICAL GROUP (PMG) WHICH HAS A PROFESSIONAL SERVICE AGREEMENT WITH PIH HEALTH PHYSICIANS, AN AFFILIATE OF THE FILING ORGNAIZATION, TO PROVIDE PHYSICIAN SERVICES. THE INDIVIDUALS RECEIVED COMPENSATION FROM PMG AS FOLLOWS: SUDHAKER MAYAK: REPORTABLE BASE COMPENSATION - $1,801,100 OTHER COMPENSATION - $54,518 EDUARDO TOVAR: REPORTABLE BASE COMPENSATION - $1,279,771 OTHER COMPENSATION - $57,363 BRENT GRAY: REPORTABLE BASE COMPENSATION - $694,853 OTHER COMPENSATION - $39,301 ONE OF THE FILING ORGANIZATION'S OFFICERS, ROSALIO LOPEZ, IS AN EMPLOYEE OF PIH HEALTH DOWNEY MEDICAL GROUP, INC. (DMG), WHICH HAS A PROFESSIONAL SERVICE AGREEMENT WITH PIH HEALTH PHYSICIANS, AN AFFILIATE OF THE FILING ORGANIZATION, TO PROVIDE PHYSICIAN SERVICES. THE INDIVIDUALS RECEIVED COMPENSATION FROM DMG, AS FOLLOWS: ROSALIO LOPEZ: REPORTABLE BASE COMPENSATION - $70,464 OTHER COMPENSATION - $0
FORM 990, PART IX, LINE 11GPROFESSIONAL FEES - PHYSICIANS:: PROGRAM SERVICE EXPENSES 24,010,731. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,010,731. PROFESSIONAL FEES - OTHER:: PROGRAM SERVICE EXPENSES 35,884,729. MANAGEMENT AND GENERAL EXPENSES 6,646,940. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,531,669. R&M BUILDING: PROGRAM SERVICE EXPENSES 2,525,702. MANAGEMENT AND GENERAL EXPENSES 84,058. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,609,760. : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,767,649. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,767,649.
FORM 990, PART XI, LINE 9:SWAP MARKET VALUE ADJ 3,506,353. PENSION ADJ 7,650,013.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PIH HEALTH COMMUNITY PHARMACY LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line112401 WASHINGTON BLVDAddressLine1Txt
CityWHITTIERCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90602ZIPCd
FieldValueIRS element (for citing)
EIN264390142EIN
Primary ActivitiesPHARMACYPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Total Income$11,783,553TotalIncomeAmt
End Of Year Assets$715,887EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PIH HEALTH WHITTIER HOSPITALBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
PIH HEALTH FOUNDATION
12401 WASHINGTON BLVDWHITTIERCA90602953761274FUNDRAISINGCA501(C)(3)LINE 7PIH HEALTH INCYes (1)
PIH HEALTH MANAGEMENT CORP
12401 WASHINGTON BLVDWHITTIERCA90602954016278SUPPORT OF TAX-EXEMPT AFFILIATESCA501(C)(3)LINE 12B, IIPIH HEALTH INCYes (1)
PIH HEALTH HOME HEALTHCARE
12401 WASHINGTON BLVDWHITTIERCA90602953036281HEALTHCARECA501(C)(3)LINE 10PIH HEALTH INCYes (1)
PIH HEALTH INC
12401 WASHINGTON BLVDWHITTIERCA90602953619388SUPPORT OF TAX-EXEMPT AFFILIATESCA501(C)(3)LINE 12B, II0N/A
PIH HEALTH ADULT DAY HEALTHCARE
12401 WASHINGTON BLVDWHITTIERCA90602953643829HEALTHCARECA501(C)(3)LINE 10PIH HEALTH INCYes (1)
PIH HEALTH PHYSICIANS
6557 GREENLEAF AVENUEWHITTIERCA90601953942828HEALTHCARECA501(C)(3)LINE 10PIH HEALTH INCYes (1)
PIH HEALTH DOWNEY HOSPITAL
11500 BROOKSHIRE AVENUEDOWNEYCA90241951903935HEALTHCARECA501(C)(3)LINE 3PIH HEALTH INCYes (1)
GOOD SAMARITAN HOSPITAL
1225 WILSHIRE BLVDLOS ANGELESCA90017951656366HEALTHCARECA501(C)(3)LINE 3PIH HEALTH INCYes (1)
GOOD SAMARITAN INSTITUTE FOR RESEARCH AND EDUCATION
1225 WILSHIRE BLVDLOS ANGELESCA90017954077161RESEARCHCA501(C)(3)LINE 4GOOD SAMARITAN HOSPITALYes (1)
ORTHOPEDIC INSTITUTE OF THE GOOD SAMARITAN HOSPITAL
1225 WILSHIRE BLVDLOS ANGELESCA90017954346048RESEARCHCA501(C)(3)LINE 12A, IGOOD SAMARITAN HOSPITALYes (1)
SAMARITAN IMAGING CENTER
1225 WILSHIRE BLVDLOS ANGELESCA90017954252321HEALTHCARECA501(C)(3)LINE 10GOOD SAMARITAN HOSPITALYes (1)
GOOD SAMARITAN MEDICAL OFFICE BUILDING INC
1225 WILSHIRE BLVDLOS ANGELESCA90017953244046MEDICAL OFFICESCA501(C)(3)LINE 12A, IGOOD SAMARITAN HOSPITALYes (1)
KATE VAN NUYS PAGE FOUNDATION
1225 WILSHIRE BLVDLOS ANGELESCA90017956028032GRANTS INCOME TO GOOD SAMARITAN HOSPITALCA501(C)(3)LINE 12A, IGOOD SAMARITAN HOSPITALYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
PIH HEALTH INSURANCE COMPANY
733 BISHOP STREET STE 1555HONOLULUHI96813263760243CAPTIVE INSURANCEHIN/ATYes (1)
PIH HEALTH CARE SOLUTIONS
6557 GREENLEAF AVENUEWHITTIERCA90601462072342HEALTHCARECAN/ACYes (1)
DRMC PROPERTIES INC
12401 WASHINGTON BLVDWHITTIERCA90602954769768REAL ESTATECAN/ACYes (1)
PIH HEALTH RE
733 BISHOP STREET STE 1555HONOLULUHI96813472501390CAPTIVE INSURANCEHIN/ATYes (1)
HEALTHMED SERVICES INC
12401 WASHINGTON BLVDWHITTIERCA90602300831225HEALTHCARECAN/ACYes (1)
PIONEER MEDICAL GROUP INC
12401 WASHINGTON BLVDWHITTIERCA90602330927283MEDICAL SERVICESCAN/ACYes (1)
PIONEER PROVIDER NETWORK A MEDICAL GROUP INC
12401 WASHINGTON BLVDWHITTIERCA90602330922631MANAGEMENT SERVICESCAN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PIH HEALTH FOUNDATION
C$1,184,872FMV
PIH HEALTH PHYSICIANS
L$11,394,345FMV
PIH HEALTH MANAGEMENT CORP
M$1,551,459FMV

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, COLUMN (E):PIH INSURANCE COMPANY IS AN UNINCORPORATED RISK RETENTION GROUP.
PART IV, COLUMN (E):PIH HEALTH CARE SOLUTIONS IS A NONPROFIT MUTUAL BENEFIT CORPORATION.