PIH HEALTH DOWNEY HOSPTIAL: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- PIH HEALTH DOWNEY HOSPTIAL (EIN 95-1903935)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-07-07
- IRS object ID
- 202301889349300330
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-07-07T17:03:02-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 S Wacker Drive Ste 3300 | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 606063392 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951903935 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIH Health Downey Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PIHH | BusinessNameControlTxt |
| Phone | 5629045000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11500 Brookshire Avenue | AddressLine1Txt |
| City | Downey | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90241 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Vid Shivaraman | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5626980811 | PhoneNum |
| Signature | 2023-06-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Vid | PersonFirstNm |
| Person Last | Shivaraman | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Rebekuh Eley | PreparerPersonNm |
| PTIN | P01247672 | PTIN |
| Phone | 3126343400 | PhoneNum |
| Preparation | 2023-06-29 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | James West | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12401 Washington Blvd | AddressLine1Txt |
| City | Whittier | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $203,562,004 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.PIHHealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1956 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | To provide quality healthcare and contribute to the community's health and well-being. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 1631 | TotalEmployeeCnt |
| Total Volunteers | 291 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,870,397 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,037,453 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $183,463,593 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $202,143,702 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $91,570 | CYInvestmentIncomeAmt |
| PY Other Revenue | $543,682 | PYOtherRevenueAmt |
| CY Other Revenue | $217,880 | CYOtherRevenueAmt |
| PY Total Revenue | $189,877,672 | PYTotalRevenueAmt |
| CY Total Revenue | $203,490,605 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $115,711,771 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $110,657,012 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $82,502,122 | PYOtherExpensesAmt |
| CY Other Expenses | $86,898,019 | CYOtherExpensesAmt |
| PY Total Expenses | $198,213,893 | PYTotalExpensesAmt |
| CY Total Expenses | $197,555,031 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$8,336,221 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,935,574 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $167,649,888 | TotalAssetsBOYAmt |
| Total Assets EOY | $186,762,359 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $255,419,332 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $268,596,229 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$87,769,444 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$81,833,870 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Mission: 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $114,217,797 | ExpenseAmt |
| Revenue | $163,145,863 | RevenueAmt |
| Desc | Patient Care: 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 almost 100 years.Patient Care in Fiscal Year 2021-2022Employees 1,631Volunteers 291Number of Emergency Department (ED) Visits 55,792Medical Staff 473 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $56,349,322 | ExpenseAmt |
| Revenue | $37,918,779 | RevenueAmt |
| Desc | Financial 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: 30,617 | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,490,630 | ExpenseAmt |
| Revenue | $1,079,060 | RevenueAmt |
| Desc | See Schedule OOther Community Benefit Services: Community health improvement services and community benefit operations, Health professions education, Subsidized health services, cash and in-kind contributions are comprised of the following: COMMUNITY HEALTH IMPROVEMENT SERVICES: Defined as community health improvement activities, which extend beyond patient care activities. These programs include: Community Helpline and Enrollment Assistance.Snapshot of Outcomes:1,904 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:63 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 Emergency Department On-Call Physicians.Snapshot of Outcomes:Some 38 individuals were served by subsidized health services. 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:121 at-risk individuals were provided with in-kind durable medical equipment, clothing or services, such as skilled nursing or mental healthcare.For additional information, please refer to PIH Health's community benefit report at: https://www.pihhealth.org/CHNA | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $177,057,749 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 37 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1631 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mark Kawauchi | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5626980811 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12102 Washington Blvd | AddressLine1Txt |
| City | Whittier | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Jung Yong Park MD | |||||||||
| Medical Director | 6.00 | 1.50 | Yes (X) | $56,940 | $0 | $0 | |||
| Mark Minkes MD | |||||||||
| Director | 6.50 | 0.00 | Yes (X) | $31,850 | $0 | $0 | |||
| Patrick Monroe | |||||||||
| Director & Chair | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Charlotte Weaver PhD | |||||||||
| Director & Vice Chair | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Peter Greaney MD | |||||||||
| Director & Secretary | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Jeff Hamar | |||||||||
| Director & Treasurer | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Alex Alvarez | |||||||||
| Director | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| Richard Atwood | |||||||||
| Director | 1.50 | 7.50 | Yes (X) | $0 | $0 | $0 | |||
| Melanie Batiste | |||||||||
| Director | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| Paula Cowan | |||||||||
| Director | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| Blayne Cutler MD PhD | |||||||||
| Director | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| Jane Dicus | |||||||||
| Director | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| Marissa Goldberg | |||||||||
| Direcotr | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| Sushil Ojha MD | |||||||||
| Director | 1.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Robert Maloney MD | |||||||||
| Director | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| Paul Treinen | |||||||||
| Director | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| Kenton Woods | |||||||||
| Director | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| James West | |||||||||
| System President and CEO | 10.00 | 43.20 | $0 | $2,763,938 | $340,079 | Yes (X) | |||
| Rosalio Lopez MD | |||||||||
| System CSO/CMO | 10.00 | 36.20 | $0 | $1,573,688 | $212,248 | Yes (X) | |||
| Peggy Chulack | |||||||||
| System CAO & Asst. Secretary | 10.00 | 43.20 | $0 | $1,058,662 | $164,469 | Yes (X) | |||
| Brian Smolskis | |||||||||
| System COO | 10.00 | 37.70 | $0 | $1,029,190 | $176,975 | Yes (X) | |||
| Vid Shivaraman | |||||||||
| System CFO & Asst. Treasurer | 10.00 | 43.20 | $0 | $702,914 | $118,060 | Yes (X) | |||
| Marie-Dianne Sauco | |||||||||
| CNO (As of 07/18/22) | 40.00 | 0.00 | $0 | $250,928 | $34,250 | Yes (X) | |||
| Ceonne Houston-Rassikh | |||||||||
| CNO (Until 06/06/22) | 40.00 | 0.00 | $0 | $398,346 | $69,259 | Yes (X) | |||
| Lela Rosales | |||||||||
| RN Charge Nurse | 40.00 | 0.00 | $285,193 | $0 | $29,033 | Yes (X) | |||
| Linda Buddine | |||||||||
| RN Charge Nurse | 40.00 | 0.00 | $217,874 | $0 | $34,464 | Yes (X) | |||
| Rosalie Madden | |||||||||
| RN Charge Nurse | 40.00 | 0.00 | $230,016 | $0 | $32,529 | Yes (X) | |||
| Mary Rodriguez | |||||||||
| RN Charge Nurse | 40.00 | 0.00 | $199,981 | $0 | $10,621 | Yes (X) | |||
| Roseanna Carpenter | |||||||||
| RN Charge Nurse | 40.00 | 0.00 | $198,886 | $0 | $12,683 | Yes (X) | |||
| Anita Chou | |||||||||
| Former CFO & Asst. Treasurer | 0.00 | 0.00 | $0 | $1,100,156 | $21,568 | Yes (X) | |||
| Richard Trogman | |||||||||
| Former President & Sys. COO | 0.00 | 0.00 | $0 | $487,652 | $508 | Yes (X) | |||
| Gregory Williams | |||||||||
| Former CFO & Asst. Treasurer | 0.00 | 0.00 | $0 | $613,536 | $0 | Yes (X) | |||
| Jaime Diaz MC | |||||||||
| Former CMO | 0.00 | 40.00 | $138,688 | $378,851 | $24,210 | Yes (X) | |||
| Ramona Pratt | |||||||||
| Former CNO | 0.00 | 40.00 | $0 | $521,969 | $106,290 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,359,428 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $10,879,830 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,387,246 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 266 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Cross Country Staffing | |||||
| PO Box 404689 | Atlanta | GA | 30384 | Staffing Services | $6,474,358 |
| DLS Builders Inc | |||||
| 1975 N Batavia Street | Orange | CA | 92665 | Construction Services | $2,974,586 |
| Sodexo Inc & Affiliates | |||||
| PO Box 360170 | Pittsburgh | PA | 15251 | Dietary Services | $2,102,886 |
| Emergency Associates Corp | |||||
| PO Box 9350 | Rancho Santa Fe | CA | 92067 | Professional Services | $1,479,070 |
| Allied Universal | |||||
| 161 Washington Street Ste 600 | Conshohocken | PA | 19428 | Security Services | $1,162,484 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $36,700 | RelatedOrganizationsAmt |
| Government Grants | $1,000,753 | GovernmentGrantsAmt |
| Total Contributions | $1,037,453 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Revenue | 622110 | $172,151,525 | $172,151,525 |
| Hospital Fee Program | 900099 | $29,824,969 | $29,824,969 |
| Food Services | 722514 | $167,208 | $167,208 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $202,143,702 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $245,061 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $71,399 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $173,662 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $173,662 | TotalRevenueColumnAmt |
| Exclusion | $173,662 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $91,570 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $91,570 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $91,570 | TotalRevenueColumnAmt |
| Exclusion | $91,570 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Settlements, Purch. Discounts | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $8,312 | TotalRevenueColumnAmt |
| Exclusion | $8,312 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,906 | TotalRevenueColumnAmt |
| Exclusion | $35,906 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $44,218 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $203,490,605 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $202,143,702 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $309,450 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $806,492 | TotalAmt |
| Program Services | $594,796 | ProgramServicesAmt |
| Management And General | $211,696 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,310,265 | TotalAmt |
| Program Services | $69,869,931 | ProgramServicesAmt |
| Management And General | $10,440,334 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,573,930 | TotalAmt |
| Program Services | $2,239,319 | ProgramServicesAmt |
| Management And General | $334,611 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,507,358 | TotalAmt |
| Program Services | $17,841,401 | ProgramServicesAmt |
| Management And General | $2,665,957 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,458,967 | TotalAmt |
| Program Services | $5,619,301 | ProgramServicesAmt |
| Management And General | $839,666 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,000 | TotalAmt |
| Management And General | $24,000 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,652 | TotalAmt |
| Management And General | $6,652 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,896 | TotalAmt |
| Management And General | $67,896 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,780,174 | TotalAmt |
| Program Services | $19,330,390 | ProgramServicesAmt |
| Management And General | $1,449,784 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $311 | TotalAmt |
| Program Services | $291 | ProgramServicesAmt |
| Management And General | $20 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,246,915 | TotalAmt |
| Program Services | $3,033,858 | ProgramServicesAmt |
| Management And General | $213,057 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,252 | TotalAmt |
| Management And General | $103,252 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,281,907 | TotalAmt |
| Program Services | $3,128,527 | ProgramServicesAmt |
| Management And General | $153,380 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,360 | TotalAmt |
| Program Services | $1,360 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,655 | TotalAmt |
| Program Services | $16,606 | ProgramServicesAmt |
| Management And General | $3,049 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,254,180 | TotalAmt |
| Program Services | $4,254,180 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,997,408 | TotalAmt |
| Program Services | $6,087,745 | ProgramServicesAmt |
| Management And General | $909,663 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,074,084 | TotalAmt |
| Management And General | $2,074,084 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $22,526,739 | $21,998,841 | $527,898 |
| Quality Assurance Fee | $11,040,867 | $11,040,867 | |
| Bad Debt Expense | $8,532,666 | $8,532,666 | |
| Equipment R&M and Lease | $2,705,377 | $2,565,383 | $139,994 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,234,576 | TotalAmt |
| Program Services | $902,287 | ProgramServicesAmt |
| Management And General | $332,289 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $197,555,031 | TotalAmt |
| Program Services | $177,057,749 | ProgramServicesAmt |
| Management And General | $20,497,282 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,503 | BOYAmt |
| EOY | $30,011 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,401,792 | BOYAmt |
| EOY | $32,066,267 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,930,420 | BOYAmt |
| EOY | $2,905,836 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $531,249 | BOYAmt |
| EOY | $499,649 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $179,332,918 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $55,388,776 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,077,486 | BOYAmt |
| EOY | $123,944,142 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,675,438 | BOYAmt |
| EOY | $27,316,454 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,649,888 | BOYAmt |
| EOY | $186,762,359 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,540,998 | BOYAmt |
| EOY | $21,049,629 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $235,878,334 | BOYAmt |
| EOY | $247,546,600 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $255,419,332 | BOYAmt |
| EOY | $268,596,229 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$87,769,444 | BOYAmt |
| EOY | -$81,833,870 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$87,769,444 | BOYAmt |
| EOY | -$81,833,870 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,649,888 | BOYAmt |
| EOY | $186,762,359 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $5,935,574 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $67,896 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $67,896 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1, Lobbying Activities: | FormAndLineReferenceDesc |
| Explanation | Explanation: A portion of dues paid to Hospital Association of Southern California and American Hospital Association is related to lobbying. PIH Health Downey 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,497,365 | OtherCostOrOtherBasisAmt |
| Book Value | $14,497,365 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $88,209,993 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,391,264 | DepreciationAmt |
| Book Value | $78,818,729 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,161,486 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,462,619 | DepreciationAmt |
| Book Value | $13,698,867 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $49,404,058 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,245,071 | DepreciationAmt |
| Book Value | $16,158,987 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,060,016 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,289,822 | DepreciationAmt |
| Book Value | $770,194 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $123,944,142 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Hospital Fee Program Receivable | $26,166,814 |
| Other Receivables | $549,787 |
| ROU Assets | $599,853 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $27,316,454 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| Intercompany Payable | $225,481,167 |
| Hospital Fee Payable | $12,610,897 |
| Self-Insurance Reserves | $6,177,237 |
| Estimated Third Party Payor Settlement | $173,732 |
| Government Advances | $2,853,612 |
| ROU Liability | $249,955 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $247,546,600 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | The 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, 2022 or 2021. 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 2018 for federal purposes and 2016 for California purposes. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 342 | PersonsServedCnt |
| Total Community Benefit Expns | $720,754 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $172,093 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $548,661 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 30275 | PersonsServedCnt |
| Total Community Benefit Expns | $55,628,568 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $37,746,686 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,881,882 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09460 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 30617 | PersonsServedCnt |
| Total Community Benefit Expns | $56,349,322 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $37,918,779 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,430,543 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09750 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 1904 | PersonsServedCnt |
| Total Community Benefit Expns | $679,341 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $679,341 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 63 | PersonsServedCnt |
| Total Community Benefit Expns | $4,127,314 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,079,060 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,048,254 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01610 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 38 | PersonsServedCnt |
| Total Community Benefit Expns | $1,633,437 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,633,437 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00860 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 121 | PersonsServedCnt |
| Total Community Benefit Expns | $50,538 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $50,538 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 12 | ActivitiesOrProgramsCnt |
| Persons Served | 2126 | PersonsServedCnt |
| Total Community Benefit Expns | $6,490,630 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,079,060 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,411,570 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02860 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 12 | ActivitiesOrProgramsCnt |
| Persons Served | 32743 | PersonsServedCnt |
| Total Community Benefit Expns | $62,839,952 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $38,997,839 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,842,113 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12610 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 2 | PersonsServedCnt |
| Total Community Benefit Expns | $1,211 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,211 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 2 | PersonsServedCnt |
| Total Community Benefit Expns | $1,211 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,211 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,532,666 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $29,360,798 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $24,374,658 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $4,986,140 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIH Health Downey Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11500 Brookshire Ave | AddressLine1Txt |
| City | Downey | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90241 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.pihhealth.org | WebsiteAddressTxt |
| State License | License #930000048 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIH Health Downey Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.pihhealth.org/CHNA | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.pihhealth.org/CHIS | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V, Page 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V, Page 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V, Page 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PIH Health Downey Hospital | Part 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 Downey Hospital | Part V, Section B, Line 5: Primary Data-Community InputPIH Health Downey 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/cbe4c661-a9c5-476d-bc89-de447879855f/FINAL_CHNA%20Report%202022-Downey.9.23.22.pdf |
| PIH Health Downey Hospital | Part V, Section B, Line 6a: PIH Health Downey Hospital participated in a collaborative process for the Community Health Needs Assessment with PIH Health Whittier Hospital. |
| PIH Health Downey Hospital | Part 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 Downey Hospital | Part V, Section B, Line 11: PIH Health's Community Health Improvement 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 heatlh, 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/public//72cfb81b-4833-4bbd-90a1-bb00ea6c44f7/Community%20Health%20Improvement%20Plan%202022_PHDH.pdfSince PIH Health Downey 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 Downey 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 Downey Hospital will continue to deliver vaccines, testing and acute medical care to address COVID-19. |
| PIH Health Downey Hospital | Part 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. |
| PIH Health Downey Hospital | Part V, line 16a, FAP website: https://www.pihhealth.org/patients-visitors/billing-financial-assistance/financial-assistance/ |
| PIH Health Downey Hospital | Part V, line 16b, FAP Application Website: https://www.pihhealth.org/patients-visitors/billing-financial-assistance/financial-assistance/ |
| PIH Health Downey Hospital | Part V, line 16c, FAP Plain Language Summary Website: https://www.pihhealth.org/patients-visitors/billing-financial-assistance/financial-assistance/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - PIH Health Downey Hosp Rehabilitation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11420 Brookshire Ave | AddressLine1Txt |
| City | Downey | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90241 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | Outpatient Therapy | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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://Pihhealth.org/app/files/public/32210790-3a65-49f2-be80-d54aab30ec48/PIH_Health_Downey_Hospital_FY22_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. 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 $8,532,666. |
| 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 staff supported a local community service club by participating in their meetings/activities. Civic clubs improve the 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. |
| 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 Downey Hospital is reporting implicit price concessions, which is established based on many factors, including payer mix, age of receivables, historical cash collection experience, other relevant information. |
| 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 are 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 Health's FAP is also published on our website. |
| Part VI, Line 4: | PIH Health Downey Hospital is located at 11500 Brookshire Ave., Downey, CA 90241. The hospital's service area encompasses 10 ZIP codes in the cities of Bellflower, Bell Gardens, Downey, Huntington Park, Lynwood, Norwalk, Paramount, and South Gate. The service area is served by the Los Angeles County 1st, 2nd, and 4th Supervisorial Districts and the majority of the cities/communities fall within the Los Angeles County Service Planning Area (SPA) 7. PIH Health Downey 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.The population for PIH Health Downey Hospital's service area is 691,496. Children and youth (ages 0-17) make up 26.5% of the population, 63.4% are adults, ages 18 to 64, and 10.1% are adults, ages 65 and older. In the service area, 81.9% of the population is Hispanic/Latino, 7.4% are White, 5.0% are Asian, 4.5% are Black/African American, 0.9% are Other/Multiple Races, 0.3% are Native Hawaiian/Pacific Islander, and 0.1% are Native American/Alaskan Native. Among the service area population, ages five and older, 72.3% speak Spanish in the home, 22.2% speak only English in the home, 3.9% speak an Asian or Pacific Islander language, 1.0% speak other Indo-European languages, and 0.6% speak other languages in their home. In the service area, 16.4% of the population is at or below 100% of the federal poverty level. Among service area adults, ages 25 and older, 35.0% have less than a high school diploma, 45% are high school graduates, and 19.9% have an associate, bachelor's, or graduate/professional degree. There are nine other hospitals providing care in the service area population and one federally-designated medically underserved areas present in the service area. For additional data regarding the service area, please see the CHNA at https://www.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 1,459 PIH Health System volunteers collectively contributed 116,429 hours of service, supporting departments throughout the organization.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 Whittier 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 Health'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 Whittier Hospital opened 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. As a nonnprofit hospital with a charitable mission, PIH Health Whittier 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.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) A 501(c)(3) nonprofit medical group that is exclusively affiliated with PIH Health, the group is comprised of more than 150 primary care physicians and over 245 specialists 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 States | CA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| James West | ||||||||||||||
| System President and CEO | $0 | $1,403,776 | $0 | $1,129,582 | $0 | $230,580 | $0 | $320,688 | $0 | $19,391 | $0 | $3,104,017 | $0 | $210,464 |
| Rosalio Lopez MD | ||||||||||||||
| System CSO/CMO | $0 | $848,206 | $0 | $336,481 | $0 | $389,001 | $0 | $203,006 | $0 | $9,242 | $0 | $1,785,936 | $0 | $381,303 |
| Peggy Chulack | ||||||||||||||
| System CAO & Asst. Secretary | $0 | $701,640 | $0 | $347,513 | $0 | $9,509 | $0 | $150,342 | $0 | $14,127 | $0 | $1,223,131 | $0 | $0 |
| Brian Smolskis | ||||||||||||||
| System COO | $0 | $697,337 | $0 | $323,736 | $0 | $8,117 | $0 | $155,902 | $0 | $21,073 | $0 | $1,206,165 | $0 | $0 |
| Anita Chou | ||||||||||||||
| Former CFO & Asst. Treasurer | $0 | $113,900 | $0 | $142,450 | $0 | $843,806 | $0 | $8,041 | $0 | $13,527 | $0 | $1,121,724 | $0 | $233,343 |
| Vid Shivaraman | ||||||||||||||
| System CFO & Asst. Treasurer | $0 | $516,146 | $0 | $180,469 | $0 | $6,299 | $0 | $111,770 | $0 | $6,290 | $0 | $820,974 | $0 | $0 |
| Ramona Pratt | ||||||||||||||
| Former CNO | $0 | $379,010 | $0 | $133,457 | $0 | $9,502 | $0 | $92,663 | $0 | $13,627 | $0 | $628,259 | $0 | $0 |
| Gregory Williams | ||||||||||||||
| Former CFO & Asst. Treasurer | $0 | $0 | $0 | $0 | $0 | $613,536 | $0 | $0 | $0 | $0 | $0 | $613,536 | $0 | $613,536 |
| Jaime Diaz MC | ||||||||||||||
| Former CMO | $138,615 | $378,851 | $73 | $0 | $0 | $0 | $0 | $2,808 | $1,773 | $19,629 | $140,461 | $401,288 | $0 | $0 |
| Richard Trogman | ||||||||||||||
| Former President & Sys. COO | $0 | $1,270 | $0 | $0 | $0 | $486,382 | $0 | $508 | $0 | $0 | $0 | $488,160 | $0 | $0 |
| Ceonne Houston-Rassikh | ||||||||||||||
| CNO (Until 06/06/22) | $0 | $285,263 | $0 | $105,946 | $0 | $7,137 | $0 | $47,857 | $0 | $21,402 | $0 | $467,605 | $0 | $0 |
| Lela Rosales | ||||||||||||||
| RN Charge Nurse | $285,193 | $0 | $0 | $0 | $0 | $0 | $15,406 | $0 | $13,627 | $0 | $314,226 | $0 | $0 | $0 |
| Marie-Dianne Sauco | ||||||||||||||
| CNO (As of 07/18/22) | $0 | $239,956 | $0 | $4,260 | $0 | $6,712 | $0 | $11,927 | $0 | $22,323 | $0 | $285,178 | $0 | $0 |
| Rosalie Madden | ||||||||||||||
| RN Charge Nurse | $226,147 | $0 | $0 | $0 | $3,869 | $0 | $9,627 | $0 | $22,902 | $0 | $262,545 | $0 | $0 | $0 |
| Linda Buddine | ||||||||||||||
| RN Charge Nurse | $212,025 | $0 | $0 | $0 | $5,849 | $0 | $13,891 | $0 | $20,573 | $0 | $252,338 | $0 | $0 | $0 |
| Roseanna Carpenter | ||||||||||||||
| RN Charge Nurse | $196,987 | $0 | $0 | $0 | $1,899 | $0 | $11,431 | $0 | $1,252 | $0 | $211,569 | $0 | $0 | $0 |
| Mary Rodriguez | ||||||||||||||
| RN Charge Nurse | $192,511 | $0 | $0 | $0 | $7,470 | $0 | $8,558 | $0 | $2,063 | $0 | $210,602 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | Compensation for the CEO was established and paid by PIH Health Whittier Hospital (PHWH), a related organization. PHWH used the following to establish the CEO's compensation: (1) Compensation Committee; (2) Independent Compensation Consultant; (3) Form 990 of other organizations; (4) Compensation Survey or Study; (5) Approval by the Board. |
| Part I, Lines 4a-b | Part I, Line 4A: Richard Trogman and Anita Chou received a severance payment during the calendar year. The payment is included in Part VII, Column E 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. 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: Peggy Chulack James West Vid Shivaraman Rosalio Lopez Brian Smolskis Ceonne Houston-Rassikh Richard Trogman Anita Chou Greg Williams Romona Pratt The following amounts became vested or were paid-out in 2021 and are included in Schedule J, Part II, Column (b)(iii): James West $210,464 Rosalio Lopez $381,303 Anita Chou $233,343 Greg Williams $613,536 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | PIH Health Downey 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 6 | PIH Health, Inc. Is the sole member of PIH Health Downey Hospital. |
| Form 990, Part VI, Section A, line 7a | PIH Health, Inc. has authority to elect all the members of the Board of Directors of PIH Health Downey Hospital. |
| Form 990, Part VI, Section A, line 7b | PIH Health, Inc. has all voting rights and the power to elect the Board of Directors of PIH Health Downey Hospital. |
| Form 990, Part VI, Section B, line 11b | The Organization works with an independent accountant, RSM US LLP, to prepare the Form 990. Once the return is prepared, the return is reviewed by the Chief Financial Officer and VP of Finance. Form 990 is then reviewed by the Audit Committee of PIH Health, Inc., which is made up of independent directors. RSM US LLP makes all changes necessary. The final Form 990 is provided to the board prior to filing. |
| Form 990, Part VI, Section B, line 12c | Each year, all management and board of directors members are required to complete a conflict of interest disclosure form. All positive responses are reviewed by the General Counsel and Chief Administrative Officer of PIH Health, Inc. 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 C, line 19 | The organization does not make its governing documents, conflict of interest policy, and financial statements available to the public. Form 990 is available upon request. The organization is not required to make form 1023 available for public inspection as it received its tax exemption prior to July 15, 1987. |
| Form 990, Part VII, Section A, Line 1: | Two of the filing organization's directors, Mark Minkes and Rosalio Lopez, are employees of PIH Health Downey Medical Group (DMG), Inc. 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: Mark Minkes: Reportable Base Compensation - $547,777 Other Compensation - $43,798 Rosalio Lopez: Reportable Base Compensation - $72,736 Other Compensation - $0 One of the filing organization's directors, Jung Yong Park, is an employee of Pioneer Health Associates, Inc. (PHA), which has a professional service agreement with the filing organization, to provide physician services. The individual received compensation from PHA, as follows: Jung Yong Park: Reportable Base Compensation - $488,727 Other Compensation - $43,170 |
| Form 990, Part IX, line 11g | Professional Fees - Physicians: Program service expenses 8,698,237. Management and general expenses 0. Fundraising expenses 0. Total expenses 8,698,237. Professional Fees - Others: Program service expenses 9,571,889. Management and general expenses 941,695. Fundraising expenses 0. Total expenses 10,513,584. R&M Building: Program service expenses 1,060,264. Management and general expenses 125,257. Fundraising expenses 0. Total expenses 1,185,521. Collections Agency Services: Program service expenses 0. Management and general expenses 382,832. Fundraising expenses 0. Total expenses 382,832. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PIH Health Foundation | |||||||||||
| 12401 Washington Blvd | Whittier | CA | 90602 | 953761274 | Fundraising | CA | 501(c)(3) | Line 7 | PIH Health Inc | Yes (1) | |
| PIH Health Management Corp | |||||||||||
| 12401 Washington Blvd | Whittier | CA | 90602 | 954016278 | Support of Tax-Exempt Affiliates | CA | 501(c)(3) | Line 12b, II | PIH Health Inc | Yes (1) | |
| PIH Health Home Healthcare | |||||||||||
| 12401 Washington Blvd | Whittier | CA | 90602 | 953036281 | Support of Tax-Exempt Affiliates | CA | 501(c)(3) | Line 12b, II | PIH Health Inc | Yes (1) | |
| PIH Health Inc | |||||||||||
| 12401 Washington Blvd | Whittier | CA | 90602 | 953619388 | Support of Tax-Exempt Affiliates | CA | 501(c)(3) | Line 12b, II | 0 | N/A | |
| PIH Health Adult Day Healthcare | |||||||||||
| 12401 Washington Blvd | Whittier | CA | 90602 | 953643829 | Support of Tax-Exempt Affiliates | CA | 501(c)(3) | Line 12b, II | PIH Health Inc | Yes (1) | |
| PIH Health Whittier Hospital | |||||||||||
| 12401 Washington Blvd | Whittier | CA | 90602 | 951934652 | Healthcare | CA | 501(c)(3) | Line 3 | PIH Health Inc | Yes (1) | |
| PIH Health Physicians | |||||||||||
| 6557 Greenleaf Ave | Whittier | CA | 90601 | 953942828 | Healthcare | CA | 501(c)(3) | Line 10 | PIH Health Inc | Yes (1) | |
| PIH Health Good Samaritan Hospital | |||||||||||
| 1225 Wilshire Blvd | Los Angeles | CA | 90017 | 951656366 | Hospital | CA | 501(c)(3) | Line 3 | PIH Health Inc | Yes (1) | |
| Good Samaritan Institute for Research and Education | |||||||||||
| 1225 Wilshire Blvd | Los Angeles | CA | 90017 | 954077161 | Heart Research | CA | 501(c)(3) | Line 4 | PIH Health Good Samaritan Hospital | Yes (1) | |
| Orthopedic Institute of the Good Samaritan Hospital | |||||||||||
| 1225 Wilshire Blvd | Los Angeles | CA | 90017 | 954346048 | Orthopedic Research | CA | 501(c)(3) | Line 12a, I | PIH Health Good Samaritan Hospital | Yes (1) | |
| Samaritan Imaging Center | |||||||||||
| 1225 Wilshire Blvd | Los Angeles | CA | 90017 | 954252321 | Outpatient Imaging Services | CA | 501(c)(3) | Line 10 | PIH Health Good Samaritan Hospital | Yes (1) | |
| Good Samaritan Medical Office Building Inc | |||||||||||
| 1225 Wilshire Blvd | Los Angeles | CA | 90017 | 953244046 | Physicians Medical Offices | CA | 501(c)(3) | Line 12a, I | PIH Health Good Samaritan Hospital | Yes (1) | |
| Kate Van Nuys Page Foundation | |||||||||||
| 1225 Wilshire Blvd | Los Angeles | CA | 90017 | 956028032 | Grants income to Good Samaritan Hospital | CA | 501(c)(3) | Line 12a, I | PIH Health Good Samaritan Hospital | Yes (1) | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| DRMC Properties Inc | |||||||||
| 11500 Brookshire Avenue | Downey | CA | 90241 | 954769768 | Real Estate | CA | N/A | C | Yes (1) |
| PIH Health RE | |||||||||
| 1003 Bishop Street | Honolulu | HI | 96813 | 472501390 | Captive Insurance | HI | N/A | T | Yes (1) |
| PIH Insurance Co A Reciprocal Risk Retention Group | |||||||||
| 1003 Bishop Street | Honolulu | HI | 96813 | 263760243 | Captive Insurance | HI | N/A | T | Yes (1) |
| PIH Health Care Solutions | |||||||||
| 6557 Greenleaf Avenue | Whittier | CA | 90601 | 462072342 | Healthcare | CA | N/A | C | Yes (1) |
| Healthmed Services Inc | |||||||||
| 12401 Washington Blvd | Whittier | CA | 90602 | 300831225 | Healthcare | CA | N/A | C | Yes (1) |
| Pioneer Medical Group Inc | |||||||||
| 12401 Washington Blvd | Whittier | CA | 90602 | 330927283 | Medical Services | CA | N/A | C | Yes (1) |
| Pioneer Provider Network A Medical GroupInc | |||||||||
| 12401 Washington Blvd | Whittier | CA | 90602 | 330922631 | Management Services | CA | N/A | C | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIH Health Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $36,700 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |