STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

PIH HEALTH DOWNEY HOSPTIAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
PIH HEALTH DOWNEY HOSPTIAL (EIN 95-1903935)
Tax period
2018-10-01 to 2019-09-30
Filed
2020-08-14
IRS object ID
202032279349302043
Schema version
2018v3.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-08-14T15:00:03-05:00ReturnTs
Tax Period End2019-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11 S WACKER DRIVE STE 800AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN951903935EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PIH Health Hospital - DowneyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPIHHBusinessNameControlTxt
Phone5629045000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111500 Brookshire AvenueAddressLine1Txt
CityDowneyCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90241ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAnita ChouPersonNm
Person TitleCFOPersonTitleTxt
Phone5626980811PhoneNum
Signature2020-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRebekuh EleyPreparerPersonNm
PTINP01247672PTIN
Phone3126343400PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.184.218.2IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-08-14IPDt
IP Tm14:32:32IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id64E34636FEC2DFD844E3D394C3B342543AC68841AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-11-06 18:47:13ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1PIH Health Downey HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerAnita ChouPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line112401 Washington BlvdAddressLine1Txt
CityWhittierCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90602ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$170,397,521GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.PIHHealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1956FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTo provide quality healthcare and contribute to the community's health and well-being.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee1351TotalEmployeeCnt
Total Volunteers249TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$544,876PYContributionsGrantsAmt
CY Contributions Grants$67,707CYContributionsGrantsAmt
PY Program Service Revenue$157,439,166PYProgramServiceRevenueAmt
CY Program Service Revenue$170,196,250CYProgramServiceRevenueAmt
PY Investment Income$5,600PYInvestmentIncomeAmt
CY Investment Income$30,000CYInvestmentIncomeAmt
PY Other Revenue$663,989PYOtherRevenueAmt
CY Other Revenue$103,564CYOtherRevenueAmt
PY Total Revenue$158,653,631PYTotalRevenueAmt
CY Total Revenue$170,397,521CYTotalRevenueAmt
PY Grants And Similar Paid$472,702PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,224,603CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$94,439,672PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$95,325,443CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$74,454,756PYOtherExpensesAmt
CY Other Expenses$78,379,983CYOtherExpensesAmt
PY Total Expenses$169,367,130PYTotalExpensesAmt
CY Total Expenses$174,930,029CYTotalExpensesAmt
PY Revenues Less Expenses-$10,713,499PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$4,532,508CYRevenuesLessExpensesAmt
Total Assets BOY$161,264,007TotalAssetsBOYAmt
Total Assets EOY$164,320,635TotalAssetsEOYAmt
Total Liabilities BOY$239,289,322TotalLiabilitiesBOYAmt
Total Liabilities EOY$246,724,289TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$78,025,315NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$82,403,654NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMission: 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$89,275,109ExpenseAmt
Grant$1,224,603GrantAmt
Revenue$125,003,532RevenueAmt
DescPatient 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 2018-2019Employees 1,201Volunteers 235Number of Emergency Department (ED) visits 56,579Number of Births 872Medical Staff 404Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$61,918,362ExpenseAmt
Grant$0GrantAmt
Revenue$44,163,649RevenueAmt
DescFinancial Assistance and Means-Tested Government Programs: Financial Assistance, also known as charity care, is defined as free or discounted health services provided to individuals who cannot afford to pay and who meet the eligibility criteria of the organization's financial assistance policy. PIH Health offers a generous Financial Assistance Program, providing charity care to those with family income(s) at or below 400% of Federal Poverty Level guidelines.In providing services to those patients participating in means-tested government health programs, such as Medi-Cal, PIH Health realizes a collective net loss each fiscal year due to the shortfall created when the payments received from these programs are less than the cost of caring for public program beneficiaries. Number of persons served by financial assistance and means-tested government programs: 32,971Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$4,959,431ExpenseAmt
Revenue$1,029,069RevenueAmt
DescSee 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: 3,250 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: 114 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 325 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: 123 at-risk individuals were provided with in-kind durable medical equipment, clothing or services, such as skilled nursing or mental healthcare. Nine organizations were provided with in-kind room space or PIH Health time serving on a community-health related boardTotal number of persons served by all categories: 36,792For additional information, please refer to PIH Health's community benefit report at: PIHHealth.org/CBAnnualReportDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$156,152,902TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document81IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1351EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Richard WangBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5626980811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112102 Washington BlvdAddressLine1Txt
CityWhittierCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90606ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Richard Atwood
Director & Chair1.506.00Yes (X)Yes (X)$0$0$0
Ed Dunlap
Director & Vice Chair1.504.50Yes (X)Yes (X)$0$0$0
Jeff Hamar
Director & Treasurer1.504.50Yes (X)Yes (X)$0$0$0
Paula Cowan
Director & Secretary1.504.50Yes (X)Yes (X)$0$0$0
Alex Alvarez
Director1.504.50Yes (X)$0$0$0
David Berger MD
Director1.500.00Yes (X)$0$0$0
Blayne Cutler MD PhD
Director1.504.50Yes (X)$0$0$0
Jane Dicus
Director1.504.50Yes (X)$0$0$0
Mark Minkes MD
Director6.000.00Yes (X)$33,725$0$0
Patrick Monroe
Director1.504.50Yes (X)$0$0$0
Sushil Ojha MD
Director1.500.00Yes (X)$0$0$0
Robert Petrina
Director1.504.50Yes (X)$0$0$0
Charlotte Weaver Phd
Director1.504.50Yes (X)$0$0$0
Kenton Woods
Director1.504.50Yes (X)$0$0$0
Peter Greaney MD
Director (as of 11/13/18)1.504.50Yes (X)$0$0$0
James West
President and CEO1.5043.20Yes (X)$0$1,576,298$278,696
Peggy Chulack
CAO & Asst. Secretary1.5043.20Yes (X)$0$857,401$130,358
Greg Williams
CFO & Asst. Treasurer1.5043.20Yes (X)$0$816,748$184,490
Rosalio Lopez MD
CSO/CMO1.5043.00Yes (X)$0$989,775$27,062
Ramona Pratt
COO40.000.00Yes (X)$0$425,008$108,220
Ceonne Houston-Rassikh
VP, Nursing OPS40.000.00$219,215$0$18,785Yes (X)
Lela Rosales
RN Charge Nurse40.000.00$253,235$0$31,072Yes (X)
Mohammed Ghonim
Pharmacy Director40.000.00$230,436$0$11,672Yes (X)
Linda Buddine
RN Charge Nurse40.000.00$199,803$0$36,142Yes (X)
Belma Moreno
RN40.000.00$225,350$0$38,112Yes (X)
Vidhyashankaran Mahalingamshivarama
Controller40.000.00$177,415$0$6,770Yes (X)
Judy Pugach
Former CNO0.0040.00$0$360,281$60,402Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,339,179TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,025,511TotReportableCompRltdOrgAmt
Total Other Compensation$931,781TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K205IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DLS Builders Inc
1975 N Batavia StreetOrangeCA92665Construction$5,099,502
Cross Country Staffing
PO Box 404689AtlantaGA303844689Professional Services$4,685,217
Millie and Severson Inc
3601 Serpentine DriveLos AlamitosCA907200399Construction$4,148,168
Emergency Associates Corp
PO Box 9350Rancho Santa FeCA92067Professional Services$1,916,931
Sodexo Inc & Affiliates
PO Box 360170PittsburghPA152516170Dietary Services$1,534,506
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K18CntrctRcvdGreaterThan100KCnt
Related Organizations$67,707RelatedOrganizationsAmt
Total Contributions$67,707TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue622110$149,056,861$149,056,861
Hospital Fee Program900099$21,005,182$21,005,182
Food Services900099$112,156$112,156
Community Ed Revenue624100$22,051$22,051
FieldValueIRS element (for citing)
Total Program Service Revenue$170,196,250TotalProgramServiceRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$30,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$30,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,000TotalRevenueColumnAmt
Exclusion$30,000ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$103,564TotalRevenueColumnAmt
Exclusion$103,564ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$103,564OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$170,397,521TotalRevenueColumnAmt
Related Or Exempt Func Income$170,196,250RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$133,564ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,224,603TotalAmt
Program Services$1,224,603ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$440,298TotalAmt
Program Services$220,149ProgramServicesAmt
Management And General$220,149ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$73,438,263TotalAmt
Program Services$63,891,289ProgramServicesAmt
Management And General$9,546,974ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,426,419TotalAmt
Program Services$1,240,985ProgramServicesAmt
Management And General$185,434ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$14,280,008TotalAmt
Program Services$12,423,607ProgramServicesAmt
Management And General$1,856,401ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,740,455TotalAmt
Program Services$4,994,196ProgramServicesAmt
Management And General$746,259ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$24,000TotalAmt
Management And General$24,000ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,500TotalAmt
Management And General$7,500ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$27,669TotalAmt
Management And General$27,669ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$18,444,189TotalAmt
Program Services$17,276,835ProgramServicesAmt
Management And General$1,167,354ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,976,770TotalAmt
Program Services$2,776,989ProgramServicesAmt
Management And General$199,781ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,725,612TotalAmt
Program Services$2,516,047ProgramServicesAmt
Management And General$209,565ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$35,177TotalAmt
Program Services$30,041ProgramServicesAmt
Management And General$5,136ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,513TotalAmt
Program Services$2,037ProgramServicesAmt
Management And General$476ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,271,883TotalAmt
Program Services$4,271,883ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,150,001TotalAmt
Program Services$6,220,501ProgramServicesAmt
Management And General$929,500ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,698,366TotalAmt
Management And General$1,698,366ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$18,695,163$18,573,394$121,769
Quality Assurance Fee$15,080,531$15,080,531
Bad Debt Expense$4,484,636$4,484,636
Equipment R&M$640,527$640,527

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,115,446TotalAmt
Program Services$284,652ProgramServicesAmt
Management And General$1,830,794ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$174,930,029TotalAmt
Program Services$156,152,902ProgramServicesAmt
Management And General$18,777,127ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$46,167BOYAmt
EOY$2,570EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$18,036,007BOYAmt
EOY$23,547,993EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,073,612BOYAmt
EOY$2,290,234EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$721,171BOYAmt
EOY$655,944EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$154,124,433LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$34,321,152LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$118,898,002BOYAmt
EOY$119,803,281EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$21,489,048BOYAmt
EOY$18,020,613EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$161,264,007BOYAmt
EOY$164,320,635EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$21,278,609BOYAmt
EOY$17,705,462EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$218,010,713BOYAmt
EOY$229,018,827EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$239,289,322BOYAmt
EOY$246,724,289EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$78,025,315BOYAmt
EOY-$82,403,654EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$78,025,315BOYAmt
EOY-$82,403,654EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$161,264,007BOYAmt
EOY$164,320,635EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$4,532,508ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$154,169OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$27,669OtherActivitiesAmt
Total Lobbying Expenditures$27,669TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1, Lobbying Activities:FormAndLineReferenceDesc
ExplanationExplanation: 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

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,497,365OtherCostOrOtherBasisAmt
Book Value$14,497,365BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$56,997,291OtherCostOrOtherBasisAmt
Depreciation$4,988,568DepreciationAmt
Book Value$52,008,723BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,597,336OtherCostOrOtherBasisAmt
Depreciation$6,736,448DepreciationAmt
Book Value$17,860,888BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,791,004OtherCostOrOtherBasisAmt
Depreciation$22,558,980DepreciationAmt
Book Value$17,232,024BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,241,437OtherCostOrOtherBasisAmt
Depreciation$37,156DepreciationAmt
Book Value$18,204,281BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$119,803,281TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Hospital Fee Program Receivable$17,860,571
Other Receivables$160,042
FieldValueIRS element (for citing)
Total Book Value Other Assets$18,020,613TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Intercompany Payable$215,245,360
Hospital Fee Payable$8,486,201
Self-Insurance Reserves$4,198,706
Capital Lease and other Debt$236,149
Estimated Third Party Payor Settlement$852,411
FieldValueIRS element (for citing)
Total Liability$229,018,827TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationThe principal operations of the Company are exempt from income taxes pursuant to Internal Revenue Code (IRC) Section 501(c)(3) and the laws of the states in which it operates and, as such, is generally not subject to federal or state income taxes. However, the Company is subject to income taxes on net income derived from a trade or business regularly carried on that does not further the organization's exempt purpose. Further, the Company is also subject to federal excise taxes pursuant to the Tax Cuts and Jobs Act. No significant income tax provision has been recorded in the accompanying consolidated financial statements for net income derived from unrelated trade or business and excise taxes. The Company measures liabilities for unrecognized tax uncertainties in accordance with ASC 740, Income Taxes, which prescribes a comprehensive model for how a company should recognize, measure, present and disclose in its financial statements uncertain tax positions that a company has taken or expects to take on a tax return. The guidance is applicable to profit-oriented entities, pass-through entities and tax-exempt organizations. Management believes it has no significant uncertain tax positions and, as such, no tax liability, benefits, interest or penalties were accrued at September 30, 2019 or 2018. 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 2015 for federal purposes and 2013 for California purposes.ExplanationTxt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served286PersonsServedCnt
Total Community Benefit Expns$628,336TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$160,908DirectOffsettingRevenueAmt
Net Community Benefit Expns$467,428NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served32685PersonsServedCnt
Total Community Benefit Expns$61,290,026TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$44,002,741DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,287,285NetCommunityBenefitExpnsAmt
Total Expense0.10140TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served32971PersonsServedCnt
Total Community Benefit Expns$61,918,362TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$44,163,649DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,754,713NetCommunityBenefitExpnsAmt
Total Expense0.10410TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served3250PersonsServedCnt
Total Community Benefit Expns$195,339TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,945DirectOffsettingRevenueAmt
Net Community Benefit Expns$191,394NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served114PersonsServedCnt
Total Community Benefit Expns$2,930,321TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,025,124DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,905,197NetCommunityBenefitExpnsAmt
Total Expense0.01120TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served325PersonsServedCnt
Total Community Benefit Expns$1,756,997TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,756,997NetCommunityBenefitExpnsAmt
Total Expense0.01030TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served132PersonsServedCnt
Total Community Benefit Expns$76,774TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$76,774NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs14ActivitiesOrProgramsCnt
Persons Served3821PersonsServedCnt
Total Community Benefit Expns$4,959,431TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,029,069DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,930,362NetCommunityBenefitExpnsAmt
Total Expense0.02310TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs14ActivitiesOrProgramsCnt
Persons Served36792PersonsServedCnt
Total Community Benefit Expns$66,877,793TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,192,718DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,685,075NetCommunityBenefitExpnsAmt
Total Expense0.12720TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served1PersonsServedCnt
Total Community Benefit Expns$665TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$665NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served10PersonsServedCnt
Total Community Benefit Expns$8,707TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,707NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served11PersonsServedCnt
Total Community Benefit Expns$9,372TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,372NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$4,484,636BadDebtExpenseAmt
Reimbursed By Medicare$28,230,174ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$29,152,240CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$922,066MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PIH Health Hospital - DowneyBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line111500 Brookshire AveAddressLine1Txt
CityDowneyCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90241ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.pihhealth.orgWebsiteAddressTxt
State LicenseLicense #930000048StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PIH Health Hospital - DowneyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.pihhealth.org/wellness/community-benefit/OwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLhttps://healthactionlab.shutterfly.comOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLpihhealth.org/chipStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, Page 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Page 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Page 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PIH Health Hospital - DowneyPart 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 - DowneyPart 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 - DowneyPart V, Section B, Line 6a: PIH Health Hospital - Downey's CHNA was conducted with PIH Health Hospital - Whittier, St. Francis Medical Center and Kaiser Permanente Downey Medical Center. Shared service areas and community partners allowed for coordinated interviews and focus groups and sharing of data/results.
PIH Health Hospital - DowneyPart 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, and sparing 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 - DowneyPart 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 - DowneyPart 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. There are also considerations for patients where the FPG is not applicable and the patient is insured with inadequate coverage or excessive liability.
PIH Health Hospital - DowneyPart V, line 16a, FAP website: https://www.pihhealth.org/patients-visitors/billing-insurance/pricing-financial-assistance
PIH Health Hospital - DowneyPart V, line 16b, FAP Application Website: https://www.pihhealth.org/patients-visitors/billing-insurance/pricing-financial-assistance
PIH Health Hospital - DowneyPart 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6a:PIH Health's Community Benefit Report for Fiscal Year 2018-2019 counts for both PIH Health Hospital - Whittier and PIH Health Hospital - Downey's programs and services that promote the health of the community. The report separates out community benefit investment figures for each hospital.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 $ 4,484,636.
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 are 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. Patients 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'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 978 PIH Health volunteers collectively contributed 101,245 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 5,500 new books are distributed.
Part VI, Line 6:Hospital affiliates include: 1) PIH Health, Inc., PIH Health's parent company; 2) PIH Health Hospital - Whittier; 3) PIH Health Physicians, a nonprofit medical foundation; and 4) PIH Health Foundation, a nonprofit organization that exists to raise philanthropic funds in support of PIH Health's charitable mission.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.PIH Health Hospital - Whittier began as a community hospital in 1959. As a 501 (c)(3) nonprofit, 523-bed hospital, the Whittier campus has developed into a health system offering a multitude of services. As a nonprofit hospital with a charitable mission, PIH Health Hospital - Whittier 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.PIH Health Physicians 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.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 StatesCA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1PIH Health PhysiciansBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line16557 Greenleaf AveAddressLine1Txt
CityWhittierCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90601ZIPCd
FieldValueIRS element (for citing)
Recipient EIN953942828RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$1,224,603CashGrantAmt
Purpose Of GrantGeneral SupportPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationDuring tax year 2018, 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

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
James West
President and CEO$0$1,186,038$0$374,390$0$15,870$0$256,308$0$22,388$0$1,854,994$0$0
Peggy Chulack
CAO & Asst. Secretary$0$559,924$0$134,545$0$162,932$0$114,990$0$15,368$0$987,759$0$155,437
Greg Williams
CFO & Asst. Treasurer$0$630,080$0$168,090$0$18,578$0$161,705$0$22,785$0$1,001,238$0$0
Rosalio Lopez MD
CSO/CMO$0$688,460$0$158,159$0$143,156$0$16,770$0$10,292$0$1,016,837$0$129,656
Ramona Pratt
COO$0$357,232$0$59,291$0$8,485$0$85,651$0$22,569$0$533,228$0$0
Ceonne Houston-Rassikh
VP, Nursing OPS$218,964$0$0$0$251$0$0$0$18,785$0$238,000$0$0$0
Lela Rosales
RN Charge Nurse$253,235$0$0$0$0$0$15,272$0$15,800$0$284,307$0$0$0
Mohammed Ghonim
Pharmacy Director$230,288$0$0$0$148$0$9,428$0$2,244$0$242,108$0$0$0
Linda Buddine
RN Charge Nurse$197,007$0$0$0$2,796$0$12,572$0$23,570$0$235,945$0$0$0
Belma Moreno
RN$223,057$0$0$0$2,293$0$13,542$0$24,570$0$263,462$0$0$0
Vidhyashankaran Mahalingamshivarama
Controller$173,962$0$0$0$3,453$0$0$0$6,770$0$184,185$0$0$0
Judy Pugach
Former CNO$0$282,997$0$33,207$0$44,077$0$53,490$0$6,912$0$420,683$0$35,067

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3Compensation 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 4bPIH 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 Greg Williams Rosalio Lopez Ramona Pratt Judy Pugach The following amounts became vested or were paid-out in 2018 and are included in Schedule J, Part II, Column (b)(iii): Rosalio Lopez $129,656 Peggy Chulack $155,437 Judy Pugach $35,067

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Andrew PrattBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionSon of OfficerRelationshipDescriptionTxt
Transaction$70,236TransactionAmt
TransactionSee Part VTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:FormAndLineReferenceDesc
ExplanationAndrew Pratt, son of Ramona Pratt, is employed by PIHExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2PIH 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, Charlotte Weaver, Kenton Woods, Peter Greaney, James West, Peggy Chulack, Greg Williams, Rosalio Lopez
Form 990, Part VI, Section A, line 6PIH Health, Inc. Is the sole member of PIH Health Hospital - Downey.
Form 990, Part VI, Section A, line 7aPIH Health, Inc. has authority to elect all the members of the Board of Directors of PIH Health Hospital - Downey.
Form 990, Part VI, Section A, line 7bPIH Health, Inc. has all voting rights and the power to elect the Board of Directors of PIH Health Hospital - Downey.
Form 990, Part VI, Section B, line 11bForm 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 12cEach year, all management and board of directors members are required to complete a conflict of interest disclosure form. All positive responses are reviewed by the 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 19The 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.
Part VII, Section A, Line 1:One of the filing organization's directors, Mark Minkes, is an employee 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 - $18,750 Other Compensation - $563
Form 990, Part IX, line 11gMiscellaneous: Program service expenses 17,276,835. Management and general expenses 1,167,354. Fundraising expenses 0. Total expenses 18,444,189.
Form 990, Part XI, line 9:Bankruptcy/Reorganization Costs 154,169.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
PIH Health Foundation
12401 Washington BlvdWhittierCA90602953761274FundraisingCASection 501(C)(3)Line 7PIH Health IncYes (1)
PIH Health Management Corp
12401 Washington BlvdWhittierCA90602954016278Support of Tax-Exempt AffiliatesCASection 501(C)(3)Line 12b, IIPIH Health IncYes (1)
PIH Health Home Healthcare
12401 Washington BlvdWhittierCA90602953036281Support of Tax-Exempt AffiliatesCASection 501(C)(3)Line 12b, IIPIH Health IncYes (1)
PIH Health Inc
12401 Washington BlvdWhittierCA90602953619388Support of Tax-Exempt AffiliatesCASection 501(C)(3)Line 12b, II0N/A
PIH Health Adult Day Healthcare
12401 Washington BlvdWhittierCA90602953643829Support of Tax-Exempt AffiliatesCASection 501(C)(3)Line 12b, IIPIH Health IncYes (1)
PIH Health Hospital - Whittier
12401 Washington BlvdWhittierCA90602951934652HealthcareCASection 501(C)(3)Line 3PIH Health IncYes (1)
PIH Health Physicians
6557 Greenleaf AveWhittierCA90601953942828HealthcareCASection 501(C)(3)Line 10PIH Health IncYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
DRMC Properties Inc
11500 Brookshire AvenueDowneyCA90241954769768Real EstateCAN/ACYes (1)
PIH Health RE
1003 Bishop StreetHonoluluHI96813472501390Captive InsuranceHIN/ATYes (1)
PIH Insurance Co A Reciprocal Risk Retention Group
1003 Bishop StreetHonoluluHI96813263760243Captive InsuranceHIN/ATYes (1)
PIH Health Care Solutions
6557 Greenleaf AvenueWhittierCA90601462072342HealthcareCAN/ACYes (1)
Healthmed Services Inc
12401 Washington BlvdWhittierCA90602300831225HealthcareCAN/ACYes (1)
Pioneer Medical Group Inc
12401 Washington BlvdWhittierCA90602330927283Medical ServicesCAN/ACYes (1)
Pioneer Provider Network A Medical GroupInc
12401 Washington BlvdWhittierCA90602330922631Management ServicesCAN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PIH Health Physicians
B$1,224,603FMV
PIH Health Foundation
C$67,707FMV