PIH HEALTH DOWNEY HOSPTIAL: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- PIH HEALTH DOWNEY HOSPTIAL (EIN 95-1903935)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-08-05
- IRS object ID
- 202102179349301610
- Schema version
- 2019v5.2
- 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 I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-08-05T14:41:40-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | 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 South Wacker Dr Suite 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 | 2019-10-01 | 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 Hospital - Downey | 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 | Chief Financial Officer | PersonTitleTxt |
| Phone | 5626980811 | PhoneNum |
| Signature | 2021-07-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Rebekuh Eley | PreparerPersonNm |
| PTIN | P01247672 | PTIN |
| Phone | 3126343400 | PhoneNum |
| Preparation | 2021-07-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIH Health Downey Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Vid Shivaraman | 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 | $187,353,115 | 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 | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 1473 | TotalEmployeeCnt |
| Total Volunteers | 321 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $67,707 | PYContributionsGrantsAmt |
| CY Contributions Grants | $13,928,066 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $170,196,250 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $173,080,155 | CYProgramServiceRevenueAmt |
| PY Investment Income | $30,000 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $103,564 | PYOtherRevenueAmt |
| CY Other Revenue | $120,746 | CYOtherRevenueAmt |
| PY Total Revenue | $170,397,521 | PYTotalRevenueAmt |
| CY Total Revenue | $187,128,967 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,224,603 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $515,553 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $95,325,443 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $107,400,801 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $78,379,983 | PYOtherExpensesAmt |
| CY Other Expenses | $76,192,182 | CYOtherExpensesAmt |
| PY Total Expenses | $174,930,029 | PYTotalExpensesAmt |
| CY Total Expenses | $184,108,536 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,532,508 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,020,431 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $164,320,635 | TotalAssetsBOYAmt |
| Total Assets EOY | $167,862,077 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $246,724,289 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $247,295,300 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$82,403,654 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$79,433,223 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Mission: Why we are here: we provide high quality healthcare without discrimination, and contribute to the health and well-being of our communities in an ethical, safe, and fiscally prudent manner in recognition of our charitable purpose. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $96,436,630 | ExpenseAmt |
| Grant | $515,553 | GrantAmt |
| Revenue | $125,769,377 | RevenueAmt |
| Desc | Patient Care: PIH Health Hospital - Downey 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 2019-2020Employees 1,223Volunteers 308Number of Emergency Department (ED) visits 48,486Number of Births 460Medical Staff 397 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $63,380,612 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $46,293,027 | 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: 28,787 | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,775,323 | ExpenseAmt |
| Revenue | $1,017,751 | 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 Collaborative support and participation, Community Education and Exercise Classes, Transportation Services, and Enrollment Assistance.Snapshot of Outcomes:2,007 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:118 student nurses 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 201 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:386 at-risk individuals were provided with in-kind durable medical equipment, clothing or services, such as skilled nursing or mental healthcare.Eight organizations were provided with in-kind room space or PIH Health time serving on a community-health related boardFor additional information, please refer to PIH Health's community benefit report at: PIHHealth.org/CBAnnualReport | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $165,592,565 | 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 | Yes (1) | 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 | 75 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1473 | 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | Vid Shivaraman | 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 (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| James West | |||||||||
| President and CEO | 10.00 | 43.20 | Yes (X) | $0 | $1,789,200 | $290,278 | |||
| Rosalio Lopez MD | |||||||||
| CSO/CMO | 10.00 | 33.00 | Yes (X) | $0 | $1,118,285 | $11,067 | |||
| Peggy Chulack | |||||||||
| CAO & Asst. Secretary | 10.00 | 43.20 | Yes (X) | $0 | $833,977 | $137,822 | |||
| Greg Williams | |||||||||
| CFO & Asst. Treasurer (until 6/1/19) | 1.50 | 43.20 | $0 | $529,914 | $66,903 | Yes (X) | |||
| Ramona Pratt | |||||||||
| CNO (until 11/18/19) | 40.00 | 40.00 | Yes (X) | $0 | $434,951 | $85,919 | |||
| Jaime Diaz | |||||||||
| CMO | 40.00 | 0.00 | $347,625 | $0 | $21,689 | Yes (X) | |||
| Lela Rosales | |||||||||
| RN Charge Nurse | 40.00 | 0.00 | $269,008 | $0 | $16,322 | Yes (X) | |||
| Mohammed Ghonim | |||||||||
| Pharmacy Director | 40.00 | 0.00 | $260,481 | $0 | $5,339 | Yes (X) | |||
| Vidhyashankaran Mahalingamshivarama | |||||||||
| Controller (until 3/31/19) | 40.00 | 40.00 | $55,605 | $201,587 | $6,964 | Yes (X) | |||
| Ceonne Houston-Rassikh | |||||||||
| CNO | 40.00 | 0.00 | $220,299 | $0 | $20,057 | Yes (X) | |||
| Rosalie Madden | |||||||||
| RN Charge Nurse | 40.00 | 0.00 | $204,245 | $0 | $19,931 | Yes (X) | |||
| Cynthia Apodaca | |||||||||
| RN BSN 12HR | 40.00 | 0.00 | $187,129 | $0 | $12,762 | Yes (X) | |||
| Anita Chou | |||||||||
| CFO & Asst. Treasurer | 10.00 | 43.10 | Yes (X) | $0 | $117,808 | $8 | |||
| Richard Trogman | |||||||||
| President & Sys. COO | 40.00 | 0.00 | Yes (X) | $0 | $92,025 | $19,874 | |||
| Mark Minkes MD | |||||||||
| Director | 3.00 | 0.00 | $35,875 | $0 | $0 | Yes (X) | |||
| Richard Atwood | |||||||||
| Director & Chair | 1.50 | 7.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Ed Dunlap | |||||||||
| Director & Treasurer | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Jeff Hamar | |||||||||
| Director & Vice Chair | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Charlotte Weaver PhD | |||||||||
| Director & Secretary | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Alex Alvarez | |||||||||
| Director | 1.50 | 6.00 | $0 | $0 | $0 | Yes (X) | |||
| David Berger MD | |||||||||
| Director (Until 6/18/20) | 1.50 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Paula Cowan | |||||||||
| Director | 1.50 | 6.00 | $0 | $0 | $0 | Yes (X) | |||
| Blayne Cutler MD PhD | |||||||||
| Director | 1.50 | 6.00 | $0 | $0 | $0 | Yes (X) | |||
| Jane Dicus | |||||||||
| Director | 1.50 | 6.00 | $0 | $0 | $0 | Yes (X) | |||
| Patrick Monroe | |||||||||
| Director | 1.50 | 6.00 | $0 | $0 | $0 | Yes (X) | |||
| Sushil Ojha MD | |||||||||
| Director | 1.50 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Robert Petrina | |||||||||
| Director (Until 10/23/19) | 1.50 | 4.50 | $0 | $0 | $0 | Yes (X) | |||
| Paul Treinen | |||||||||
| Director (As of 11/12/19) | 1.50 | 6.00 | $0 | $0 | $0 | Yes (X) | |||
| Kenton Woods | |||||||||
| Director | 1.50 | 6.00 | $0 | $0 | $0 | Yes (X) | |||
| Peter Greaney MD | |||||||||
| Director | 1.50 | 6.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,580,267 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,117,747 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $714,935 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 229 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| DLS Builders Inc | |||||
| 1975 N Batavia Street | Orange | CA | 92665 | Construction | $2,548,417 |
| Sodexo Inc & Affiliates | |||||
| PO Box 360170 | Pittsburgh | PA | 152516170 | Dietary Services | $1,806,955 |
| Emergency Associates Corp | |||||
| PO Box 9350 | Rancho Santa Fe | CA | 92067 | Professional Services | $1,582,664 |
| Millie and Severson Inc | |||||
| 3601 Serpentine Drive | Los Alamitos | CA | 907200399 | Construction | $1,431,289 |
| Sodexo CTM | |||||
| MSC-410672 PO BOX 41500 | Nashville | TN | 372415000 | Repair Services | $1,414,375 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 15 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $13,928,066 | GovernmentGrantsAmt |
| Total Contributions | $13,928,066 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Revenue | 622110 | $152,431,087 | $152,431,087 |
| Hospital Fee Program | 900099 | $20,546,102 | $20,546,102 |
| Food Services | 722514 | $94,926 | $94,926 |
| Community Ed Revenue | 624100 | $8,040 | $8,040 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $173,080,155 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $223,297 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $224,148 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$851 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$851 | TotalRevenueColumnAmt |
| Exclusion | -$851 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $121,597 | TotalRevenueColumnAmt |
| Exclusion | $121,597 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $121,597 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $187,128,967 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $173,080,155 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $120,746 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $515,553 | TotalAmt |
| Program Services | $515,553 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,304,706 | TotalAmt |
| Program Services | $791,811 | ProgramServicesAmt |
| Management And General | $512,895 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,383,703 | TotalAmt |
| Program Services | $69,857,659 | ProgramServicesAmt |
| Management And General | $9,526,044 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,769,696 | TotalAmt |
| Program Services | $1,557,332 | ProgramServicesAmt |
| Management And General | $212,364 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,701,358 | TotalAmt |
| Program Services | $16,457,195 | ProgramServicesAmt |
| Management And General | $2,244,163 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,241,338 | TotalAmt |
| Program Services | $5,492,377 | ProgramServicesAmt |
| Management And General | $748,961 | 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 Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,924 | TotalAmt |
| Management And General | $27,924 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,720,215 | TotalAmt |
| Program Services | $17,428,546 | ProgramServicesAmt |
| Management And General | $1,291,669 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,588,699 | TotalAmt |
| Program Services | $3,380,369 | ProgramServicesAmt |
| Management And General | $208,330 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,779,542 | TotalAmt |
| Program Services | $2,751,386 | ProgramServicesAmt |
| Management And General | $28,156 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,263 | TotalAmt |
| Program Services | $3,172 | ProgramServicesAmt |
| Management And General | $91 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,550 | TotalAmt |
| Program Services | $3,089 | ProgramServicesAmt |
| Management And General | $461 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,259,188 | TotalAmt |
| Program Services | $4,259,188 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,182,838 | TotalAmt |
| Program Services | $6,320,897 | ProgramServicesAmt |
| Management And General | $861,941 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,530,471 | TotalAmt |
| Management And General | $1,530,471 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $18,426,144 | $18,226,874 | $199,270 |
| Quality Assurance Fee | $10,663,444 | $10,663,444 | |
| Bad Debt Expense | $4,996,825 | $4,996,825 | |
| Equipment R&M and Lease | $2,456,898 | $2,347,984 | $108,914 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,529,181 | TotalAmt |
| Program Services | $538,864 | ProgramServicesAmt |
| Management And General | $990,317 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,108,536 | TotalAmt |
| Program Services | $165,592,565 | ProgramServicesAmt |
| Management And General | $18,515,971 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,570 | BOYAmt |
| EOY | $2,097,345 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,547,993 | BOYAmt |
| EOY | $22,067,159 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,290,234 | BOYAmt |
| EOY | $3,399,618 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $655,944 | BOYAmt |
| EOY | $421,120 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $159,865,373 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $41,503,990 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,803,281 | BOYAmt |
| EOY | $118,361,383 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,020,613 | BOYAmt |
| EOY | $21,515,452 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,320,635 | BOYAmt |
| EOY | $167,862,077 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,705,462 | BOYAmt |
| EOY | $19,022,794 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,018,827 | BOYAmt |
| EOY | $228,272,506 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,724,289 | BOYAmt |
| EOY | $247,295,300 | 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 | -$82,403,654 | BOYAmt |
| EOY | -$79,433,223 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$82,403,654 | BOYAmt |
| EOY | -$79,433,223 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,320,635 | BOYAmt |
| EOY | $167,862,077 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,020,431 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$50,000 | 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 | 0 | FederalGrantAuditRequiredInd |
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 | $27,924 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $27,924 | 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. | 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 | $56,996,641 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,404,263 | DepreciationAmt |
| Book Value | $50,592,378 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,603,295 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,560,771 | DepreciationAmt |
| Book Value | $16,042,524 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,976,040 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,408,913 | DepreciationAmt |
| Book Value | $15,567,127 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,792,032 | OtherCostOrOtherBasisAmt |
| Depreciation | $130,043 | DepreciationAmt |
| Book Value | $21,661,989 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $118,361,383 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Hospital Fee Program Receivable | $20,657,491 |
| Other Receivables | $857,961 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $21,515,452 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| Intercompany Payable | $196,126,471 |
| Hospital Fee Payable | $10,019,936 |
| Self-Insurance Reserves | $6,834,218 |
| Capital Lease and other Debt | $4,844 |
| Estimated Third Party Payor Settlement | $287,037 |
| Government Advances | $15,000,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $228,272,506 | 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, 2020 or 2019. 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 2016 for federal purposes and 2014 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) |
|---|---|---|
| Persons Served | 467 | PersonsServedCnt |
| Total Community Benefit Expns | $1,320,247 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $398,139 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $922,108 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00510 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 28320 | PersonsServedCnt |
| Total Community Benefit Expns | $62,060,365 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $45,894,888 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,165,477 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09030 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 28787 | PersonsServedCnt |
| Total Community Benefit Expns | $63,380,612 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $46,293,027 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,087,585 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09540 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 2007 | PersonsServedCnt |
| Total Community Benefit Expns | $235,103 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $930 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $234,173 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 118 | PersonsServedCnt |
| Total Community Benefit Expns | $3,698,017 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,016,821 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,681,196 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01500 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 201 | PersonsServedCnt |
| Total Community Benefit Expns | $1,734,333 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,734,333 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00970 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 395 | PersonsServedCnt |
| Total Community Benefit Expns | $107,870 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $107,870 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 11 | ActivitiesOrProgramsCnt |
| Persons Served | 2721 | PersonsServedCnt |
| Total Community Benefit Expns | $5,775,323 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,017,751 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,757,572 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02660 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 11 | ActivitiesOrProgramsCnt |
| Persons Served | 31508 | PersonsServedCnt |
| Total Community Benefit Expns | $69,155,935 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $47,310,778 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,845,157 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12200 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 1 | PersonsServedCnt |
| Total Community Benefit Expns | $189 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $189 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 3 | PersonsServedCnt |
| Total Community Benefit Expns | $2,486 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,486 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 4 | PersonsServedCnt |
| Total Community Benefit Expns | $2,675 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,675 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,996,825 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $28,850,411 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $30,921,269 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,070,858 | 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 Hospital - Downey | 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 Hospital - Downey | 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 | 18 | 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 |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | https://healthactionlab.shutterfly.com | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.pihhealth.org/chip | 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 Hospital - Downey | 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 Hospital - Downey | Part V, Section B, Line 5: Primary data collection consisted of 23 key stakeholder interviews and 14 community focus groups (138 participants) regarding perceptions and opinions of those representing the broad interests of the communities in our primary service area. 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. Focus group participants included members of medically underserved, low-income and minority populations, individuals or organizations serving the interests of these populations, and persons representing the broad interest of the community. Focus groups were conducted in both English and Spanish.The full listing of interview and focus groups can be found in Appendix B of the assessment found here: https://www.pihhealth.org/app/files/public/5021/2019-CHNA-Downey.pdf |
| PIH Health Hospital - Downey | Part V, Section B, Line 6a: PIH Health Hospital - Downey's CHNA was conducted with PIH Health Hospital - Whittier, St. Francis Medical Center and Kaiser Foundation Hospital - Downey Medical Center. Shared service areas and community partners allowed for coordinated interviews and focus groups and sharing of data/results. |
| PIH Health Hospital - Downey | 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 that reaches over 350,000 residents collectively. |
| PIH Health Hospital - Downey | Part V, Section B, Line 11: PIH Health's Community Health Improvement Plan (CHIP) ensures alignment of CHNA findings, our community health improvement programs and PIH Health's organizational strategy. To view the 2020-2022 CHIP and the initiatives identified to address areas of focus (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, dental care and mental health), visit PIHHealth.org/CHIP. For the health needs not prioritized as areas of focus - access to healthcare, asthma incidence, birth indicators, economic insecurity, education, kidney disease mortality, liver disease mortality, sexually transmitted infections, violence and injury - it was determined that PIH Health has neither the expertise nor the infrastructure to lead efforts in these areas. As these health needs are still very important to PIH Health and the community it serves, emphasis will be placed on referral relationships with community-based agencies already working in these areas. |
| PIH Health Hospital - Downey | 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 Hospital - Downey | Part V, line 16a, FAP website: http://www.pihhealth.org/patients-visitors/billing-insurance/pricing-financial-assistance |
| PIH Health Hospital - Downey | Part V, line 16b, FAP Application Website: http://www.pihhealth.org/patients-visitors/billing-insurance/pricing-financial-assistance |
| PIH Health Hospital - Downey | Part V, line 16c, FAP Plain Language Summary Website: https://www.pihhealth.org/app/files/public/3985/financial-application-plain-language.pdf |
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 PIHHealth.org/cbannualreport |
| 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, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 4,996,825. |
| 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. |
| 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 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.Community Health Improvement Team- This internal work group of hospital staff that manages the hospital's various community-based programs meets annually to share resources that benefit community members and to discuss any challenges / needs as a way to enhance the provision of services.Feedback from Community Organizations / Collaborative- Through participation in various community collaborative and networking meetings, PIH Health is able to assess the healthcare needs of the community and identify partnership opportunities. |
| Part VI, Line 3: | There are many avenues PIH Health takes in educating patients and family members about the various financial assistance programs. Patient are advised at the time of service, during in-house care and post discharges. Free handouts of the FAP application are provided in both english and spanish. There ae postings throughout the hospital in both english and spanish with information about our FAP program. We have an eligibility vendor that is conveniently available to assist our patients in the emergency room or in-house patients with determining eligibility for various governmental programs, as well as, advise and assist the patient with the FAP. Post discharge, our Business Office staff takes the initiative to advise the patient of our FAP program. Also, with the initial statement sent to patients, an application is included. PIH Health's FAP is also published on our website. |
| Part VI, Line 4: | PIH Health Hospital - Downey is located in a mostly suburban area of southeastern Los Angeles County. The hospital's primary service area includes 11 zip codes in 11 cities / communities. Primary service area cities include:Bell / Bell Gardens / Cudahy 90201Bellflower 90706Downey 90240, 90241, 90242Huntington Park 90255Lynwood 90262Norwalk 90650Paramount 90723Pico Rivera 90660South Gate 90280Primary Service Area ProfileThe population for PIH Health Hospital - Downey's primary service area is 760,867Population demographics: Children and youth (ages 0-17) make up 27.4% of the population; older adults (ages 65+) make up 9.5% of the population. The largest population by race and ethnicity in the service area is Hispanic or Latino (82.4%). White/Caucasians make up 7.5% of the population. Asians comprise 4.9% of the population, and African Americans, Native Americans, Hawaiians, and other races combined total 5.3% of the population.Income & Poverty: The median household income in the service area is $50,712. Some 19.4% of the service area population lives below 100% of the Federal Poverty Level and 47.8% live below 200%. Health Insurance: 82.6% of the service area is insured, 92.4% of children 0-18 are insured and 75.8% of adults ages 19-64 are insured. 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 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 Hospital - Whittier 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 1,266 PIH Health volunteers collectively contributed 91,813 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 4,420 new books are distributed. |
| Part VI, Line 6: | PIH Health Hospital - Downey is a member of an integrated healthcare system controlled by PIH Health, Inc. As such, the hospital has several affiliates, as outlined in Schedule R, which conduct, support, and promote the health of the community within the meaning of Section 501(c)(3) of the code. Key affiliates include: 1) PIH Health, Inc., PIH Health's parent company; 2) PIH Health Good Samaritan Hospital; 3) PIH Health Whittier Hospital 4) PIH Health Physicians, a nonprofit medical foundation; 5) PIH Health Home Healthcare and 6) the PIH Health Foundation, a nonprofit organization that exists to raise philanthropic funds in support of PIH's charitable mission.1) PIH Health, Inc. provides technical, facility and support services for tax-exempt affiliates whose charitable purpose is to provide a broad range of healthcare services to their community by way of an integrated health care delivery system.2) PIH Health 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.3) 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.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 121 primary care physicians and over 186 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 raises funds in support of PIH Health to ensure the health and well-being of our communities for years to come through supporting programs that directly impact the community, including PIH Health's community benefit programs. Healthy Living Healthy Giving is an opportunity for everyone to play a role in the overall health of their friends, family, neighbors and everyone who lives, works, learns and plays in our community. Gifts big, small and all will support PIH Health's work to provide access to quality healthcare, screenings, preventative care, prevention-focused education and other important initiatives.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 I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIH Health Physicians | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6557 Greenleaf Ave | AddressLine1Txt |
| City | Whittier | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 953942828 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $515,553 | CashGrantAmt |
| Purpose Of Grant | General Support | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | During tax year 2019, PIH Health Hospital - Downey made grants to its related organization, PIH Health Physicians. The organization maintains a close relationship with the grant recipient as both are members of an integrated healthcare system controlled by PIH Health Inc. This relationship allows PIH Health Hospital - Downey to monitor and ensure its grants are used for proper purposes and aren't otherwise diverted from the intended use. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | 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 (12 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 | ||||||||||||||
| President and CEO | $0 | $1,257,134 | $0 | $342,262 | $0 | $189,804 | $0 | $272,003 | $0 | $18,275 | $0 | $2,079,478 | $0 | $177,030 |
| Rosalio Lopez MD | ||||||||||||||
| CSO/CMO | $0 | $859,313 | $0 | $160,631 | $0 | $98,341 | $0 | $2,800 | $0 | $8,267 | $0 | $1,129,352 | $0 | $90,055 |
| Peggy Chulack | ||||||||||||||
| CAO & Asst. Secretary | $0 | $599,226 | $0 | $126,276 | $0 | $108,475 | $0 | $124,412 | $0 | $13,410 | $0 | $971,799 | $0 | $101,287 |
| Greg Williams | ||||||||||||||
| CFO & Asst. Treasurer (until 6/1/19) | $0 | $388,250 | $0 | $138,581 | $0 | $3,083 | $0 | $60,011 | $0 | $6,892 | $0 | $596,817 | $0 | $0 |
| Ramona Pratt | ||||||||||||||
| CNO (until 11/18/19) | $0 | $358,557 | $0 | $69,620 | $0 | $6,774 | $0 | $67,488 | $0 | $18,431 | $0 | $520,870 | $0 | $0 |
| Jaime Diaz | ||||||||||||||
| CMO | $335,024 | $0 | $5,793 | $0 | $6,808 | $0 | $3,258 | $0 | $18,431 | $0 | $369,314 | $0 | $0 | $0 |
| Lela Rosales | ||||||||||||||
| RN Charge Nurse | $269,008 | $0 | $0 | $0 | $0 | $0 | $2,544 | $0 | $13,778 | $0 | $285,330 | $0 | $0 | $0 |
| Mohammed Ghonim | ||||||||||||||
| Pharmacy Director | $253,308 | $0 | $5,793 | $0 | $1,380 | $0 | $2,436 | $0 | $2,903 | $0 | $265,820 | $0 | $0 | $0 |
| Vidhyashankaran Mahalingamshivarama | ||||||||||||||
| Controller (until 3/31/19) | $48,819 | $182,378 | $3,187 | $14,296 | $3,599 | $4,913 | $0 | $1,153 | $731 | $5,080 | $56,336 | $207,820 | $0 | $0 |
| Ceonne Houston-Rassikh | ||||||||||||||
| CNO | $203,508 | $0 | $14,296 | $0 | $2,495 | $0 | $4,588 | $0 | $15,469 | $0 | $240,356 | $0 | $0 | $0 |
| Rosalie Madden | ||||||||||||||
| RN Charge Nurse | $199,047 | $0 | $0 | $0 | $5,198 | $0 | $0 | $0 | $19,931 | $0 | $224,176 | $0 | $0 | $0 |
| Cynthia Apodaca | ||||||||||||||
| RN BSN 12HR | $183,682 | $0 | $0 | $0 | $3,447 | $0 | $1,698 | $0 | $11,064 | $0 | $199,891 | $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 Hospital - Whittier (PIH), a related organization. PIH 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, 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 Anita Chou Greg Williams Rosalio Lopez The following amounts became vested or were paid-out in 2019 and are included in Schedule J, Part II, Column (b)(iii): James West $177,030 Rosalio Lopez $90,055 Peggy Chulack $101,287 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | PIH Health Hospital - Downey is a member of an integrated healthcare system controlled by PIH Health, Inc. The following individuals have a business relationship by virtue of their positions as officer or directors of related entities within the system: Richard Atwood, Ed Dunlap, Jeff Hamar, Paula Cowan, Alex Alvarez, Blayne Cutler, Jane Dicus, Patrick Monroe, Robert Petrina, Paul Treinen, Charlotte Weaver, Kenton Woods, Peter Greaney, James West, Peggy Chulack, Anita Chou, Rosalio Lopez |
| Form 990, Part VI, Section A, line 6 | PIH Health, Inc. Is the sole member of PIH Health Hospital - Downey. |
| 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 Hospital - Downey. |
| 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 Hospital - Downey. |
| Form 990, Part VI, Section B, line 11b | Form 990 is reviewed by the Audit Committee of PIH Health, Inc., which is made up of independent directors. The Form 990 is then provided to the Board for its information. |
| Form 990, Part VI, Section B, line 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 - $490,254 Other Compensation - $30,211 Rosalio Lopez: Reportable Base Compensation - $72,576 Other Compensation - $0 Form 990, Part VII, Section A, Column B: Vidhyashankaran Mahalingamshiva devoted 40 hours per week to PIH Health Hospital - Downey through March 31, 2019 while serving as Controller. For the remainder of 2019, Vidhyashankaran Mahalingamshiva devoted 40 hours per week to PIH Health Physicians while serving as VP Managed Care Operations. Ramona Pratt devoted 40 hours per week to PIH Health Hospital - Downey through November 18, 2019 while serving as CNO. For the remainder of 2019, Ramona Pratt devoted 40 hours per week to PIH Health Hospital - Whittier while serving as CNO. |
| Form 990, Part IX, line 11g | Professional Fees - Physicians: Program service expenses 8,598,996. Management and general expenses 0. Fundraising expenses 0. Total expenses 8,598,996. Professional Fees - Others: Program service expenses 7,665,465. Management and general expenses 778,354. Fundraising expenses 0. Total expenses 8,443,819. R&M Building: Program service expenses 1,164,085. Management and general expenses 136,787. Fundraising expenses 0. Total expenses 1,300,872. Collections Agency Services: Program service expenses 0. Management and general expenses 376,528. Fundraising expenses 0. Total expenses 376,528. |
| Form 990, Part XI, line 9: | Bankruptcy/Reorganization Costs -50,000. |
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 Hospital - Whittier | |||||||||||
| 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) | |
| 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 | 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 | 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 | 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 | 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 | 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 | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | 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 | Yes (1) | 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 Physicians | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | B | TransactionTypeTxt |
| Involved | $515,553 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |