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PIH HEALTH DOWNEY HOSPTIAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
PIH HEALTH DOWNEY HOSPTIAL (EIN 95-1903935)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-08-14
IRS object ID
201502269349304615
Schema version
2013v4.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-08-14T22:35:55-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1655 WEST BROADWAY SUITE 700AddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code921018590ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN951903935EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DOWNEY REGIONAL MEDICAL CENTER HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlDOWNBusinessNameControlTxt
Phone5629045000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111500 BROOKSHIRE AVENUEAddressLine1
CityDOWNEYCity
StateCAState
ZIP Code90241ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRONALD YOSHIHARAPersonNm
Person TitleVP FINANCEPersonTitleTxt
Phone5629045000PhoneNum
Signature2015-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDIANA J MCCUTCHENPreparerPersonNm
PTINP00545657PTIN
Phone7144367100PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1PIH HEALTH HOSPITAL - DOWNEYBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerRONALD YOSHIHARAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line111500 BROOKSHIRE AVENUEAddressLine1
CityDOWNEYCity
StateCAState
ZIP Code90241ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$132,548,468GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.DRMCI.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1956FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionDOWNEY REGIONAL MEDICAL CENTER HOSPITAL PROVIDES THE SURROUNDING COMMUNITY WITH A COMPREHENSIVE RANGE OF INPATIENT ACUTE CARE SERVICES FOR MEDICAL, SURGICAL, PEDIATRIC, OBSTETRIC, & CRITICAL CARE PATIENTS.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee1402TotalEmployeeCnt
Total Volunteers237TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,222PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$34,873,107PYProgramServiceRevenueAmt
CY Program Service Revenue$131,079,026CYProgramServiceRevenueAmt
PY Investment Income$8,197PYInvestmentIncomeAmt
CY Investment Income$32,562CYInvestmentIncomeAmt
PY Other Revenue$2,223,199PYOtherRevenueAmt
CY Other Revenue$1,436,880CYOtherRevenueAmt
PY Total Revenue$37,114,725PYTotalRevenueAmt
CY Total Revenue$132,548,468CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$20,874,564PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$81,952,206CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$23,425,255PYOtherExpensesAmt
CY Other Expenses$58,810,240CYOtherExpensesAmt
PY Total Expenses$44,299,819PYTotalExpensesAmt
CY Total Expenses$140,762,446CYTotalExpensesAmt
PY Revenues Less Expenses-$7,185,094PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$8,213,978CYRevenuesLessExpensesAmt
Total Assets BOY$71,537,436TotalAssetsBOYAmt
Total Assets EOY$100,401,246TotalAssetsEOYAmt
Total Liabilities BOY$138,382,937TotalLiabilitiesBOYAmt
Total Liabilities EOY$155,771,749TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$66,845,501NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$55,370,503NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF DOWNEY REGIONAL MEDICAL CENTER HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE TO OUR PATIENTS, TO ASSESS AND ADDRESS ALL HEALTH CARE NEEDS TO OUR SERVICE AREA, AND TO PROVIDE A SYNERGISTIC SUPPORTIVE WORKING ENVIRONMENT FOR OUR PATIENTS, EMPLOYEES, PHYSICIANS AND VOLUNTEERS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$69,208,779ExpenseAmt
Revenue$110,257,751RevenueAmt
DescPATIENT CARE: PIH HEALTH HOSPITAL - DOWNEY, FORMERLY KNOWN AS DOWNEY REGIONAL MEDICAL CENTER, IS PART OF THE PIH HEALTH INTEGRATED HEALTHCARE SYSTEM.PIH HEALTH PROVIDES A WIDE ARRAY OF OUTSTANDING HEALTHCARE SERVICES TO MORE THAN 2.1 MILLION PEOPLE LIVING IN LOS ANGELES COUNTY, ORANGE COUNTY AND THE SAN GABRIEL VALLEY. PIH HEALTH HOSPITAL - DOWNEY IS A NONPROFIT HOSPITAL WITH A RICH, 90-YEAR HISTORY OF MEETING THE HEALTHCARE NEEDS OF ITS COMMUNITY AND ESTABLISHING A VISION OF "PATIENTS FIRST". THE DOWNEY CAMPUS IS PROUD TO PROVIDE KEY SERVICES AND NEW TECHNOLOGIES AS PART OF PIH HEALTH'S INTEGRATED HEALTHCARE SYSTEM.PIH HEALTH IS DEDICATED TO ENSURING HIGH STANDARDS FOR CARE. IN ORDER TO ASSIST PIH HEALTH HOSPITAL - DOWNEY IN BECOMING THE PREMIER HOSPITAL IN THE AREA, PIH HEALTH IS COMMITTED TO UPGRADES THAT WILL HELP THE INSTITUTION INCREASE QUALITY, SAFETY AND EFFICIENCY. 2013 IMPROVEMENTS INCLUDE: UPGRADES TO PATIENT AND OPERATING ROOMS, HIGH-QUALITY VENTILATORS, GASTROENTEROLOGY ENHANCEMENTS, NEW REHABILITATION EQUIPMENT, IMPROVED EFFICIENCY IN FOOD AND NUTRITION SERVICES, IMAGING IMPROVEMENTS, ADVANCED LABORATORY EQUIPMENT, BUILDING IMPROVEMENTS, CLINICAL ENHANCEMENTS, AND TECHNOLOGY UPGRADES.PATIENT CARE IN 2013EMPLOYEES....1,402VOLUNTEERS....237PHYSICIANS AND ADVANCED CARE PROFESSIONALS....402NUMBER OF EMERGENCY DEPARTMENT (ED) VISITS....52,385NUMBER OF BIRTHS....1,318LICENSED HOSPITAL BEDS....199MEDICAL STAFF....400Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$37,763,694ExpenseAmt
Revenue$19,196,197RevenueAmt
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. FINANCIAL ASSISTANCE IS REPORTED IN TERMS OF COSTS, NOT CHARGES, AND DOES NOT INCLUDE BAD DEBT. 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. THIS PAYMENT SHORTFALL IS NOT THE SAME AS A CONTRACTUAL ALLOWANCE, WHICH IS THE FULL DIFFERENCE BETWEEN CHARGES AND PAYMENTS BY GOVERNMENT PROGRAMS. NUMBER OF PERSONS SERVED BY FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS: 27,201FOR ADDITIONAL INFORMATION, PLEASE REFER TO PIH HEALTH'S COMMUNITY BENEFIT REPORT AT PIHHEALTH.ORG/CBANNUALREPORTDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$4,370,128ExpenseAmt
Revenue$1,625,078RevenueAmt
DescCOMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, AND CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT ARE COMPRISED OF THE FOLLOWING:COMMUNITY HEALTH IMPROVEMENT SERVICES: DEFINED AS COMMUNITY HEALTH IMPROVEMENT ACTIVITIES, WHICH EXTEND BEYOND PATIENT CARE ACTIVITIES (USUALLY SUBSIDIZED BY THE HEALTHCARE ORGANIZATION AND DO NOT GENERATE PATIENT CARE BILLS, ALTHOUGH MAY INVOLVE A NOMINAL FEE). THESE PROGRAMS INCLUDE: COMMUNITY COLLABORATIVES, COMMUNITY EDUCATION, COMMUNITY INFORMATION AND REFERRAL SUPPORT, ENROLLMENT ASSISTANCE, PREVENTATIVE HEALTH PROGRAMS AND SCREENINGS AND SUPPORT GROUPS.HEALTH PROFESSIONS EDUCATION: THIS CATEGORY INCLUDES EDUCATIONAL PROGRAMS FOR PHYSICIANS, NURSES 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).SUBSIDIZED HEALTH SERVICES: SUBSIDIZED HEALTH 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. EMERGENCY DEPARTMENT AND SPECIALTY SERVICES IS ONE SERVICE THAT FALLS UNDER THIS CATEGORY.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 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 FOOD, EQUIPMENT, MEDICATIONS, AND SUPPLIES. TOTAL NUMBER OF PERSONS SERVED BY ALL CATEGORIES: 5,877FOR ADDITIONAL INFORMATION, PLEASE REFER TO PIH HEALTH'S COMMUNITY BENEFIT REPORT AT PIHHEALTH.ORG/CBANNUALREPORTDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$111,342,601TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
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 Organizations0GrantsToOrganizationsInd
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 Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
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 Document53IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1402EmployeeCnt
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
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RONALD YOSHIHARABusinessNameLine1
FieldValueIRS element (for citing)
Phone5626980811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112102 WASHINGTON BLVDAddressLine1
CityWHITTIERCity
StateCAState
ZIP Code90606ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
EFRAIN ACEVES
SECRETARY & DIRECTOR1.503.00Yes (X)Yes (X)$0$0$0
RICHY AGAJANIAN MD
DIRECTOR1.500.00Yes (X)$0$0$0
DONALD ALVARADO
DIRECTOR1.503.00Yes (X)$0$0$0
RICHARD ATWOOD
VICE CHAIR & DIRECTOR1.504.50Yes (X)Yes (X)$0$0$0
JAMES BALL
DIRECTOR1.501.50Yes (X)$0$0$0
PAULA COWAN
DIRECTOR1.503.00Yes (X)$0$0$0
JANE DICUS
TREASURER & DIRECTOR1.504.50Yes (X)Yes (X)$0$0$0
J PATRICK DROHAN
DIRECTOR1.503.00Yes (X)$0$0$0
LEON M N GARCIA
DIRECTOR1.503.00Yes (X)$0$0$0
THOMAS KING
DIRECTOR1.503.00Yes (X)$0$0$0
MARK MINKES MD
DIRECTOR1.500.00Yes (X)$379,875$0$0
ANGEL MUNOZ
DIRECTOR1.503.00Yes (X)$0$0$0
SANATKUMAR PATEL MD
DIRECTOR1.500.00Yes (X)$0$0$0
NORMA PROVENCIO
DIRECTOR1.503.00Yes (X)$0$0$0
DREW SONES
DIRECTOR1.504.50Yes (X)$0$0$0
KENTON WOODS
CHAIRMAN & DIRECTOR1.503.00Yes (X)Yes (X)$0$0$0
HUEY-MIN YU
DIRECTOR1.503.00Yes (X)$0$0$0
BRIAN SMOLSKIS
COO40.000.00Yes (X)$181,496$0$8,337
JOSEFINA VELARDE
RN SUPERVISOR40.000.00$201,944$0$7,440Yes (X)
LELA ROSALES
RN SUPERVISOR40.000.00$195,736$0$26,320Yes (X)
JOSE CORTEZ
LEAD RAD TECH40.000.00$177,171$0$5,849Yes (X)
NOEMI GUEVARRA
RN SUPERVISOR40.000.00$176,200$0$17,898Yes (X)
LINDA BUDDINE
RN SUPERVISOR40.000.00$175,539$0$15,519Yes (X)
WILLIAM STEIN
FORMER VP ANCIL OPER40.000.00$160,621$0$8,948Yes (X)
KENNETH STROPLE
FORMER RESIDENT & CEO40.000.00$2,058,193$0$13,243Yes (X)
ROBERT FULLER
FORMER VP & COO40.000.00$1,585,982$0$19,740Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,292,757TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$123,294TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K114IndivRcvdGreaterThan100KCnt
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/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
ARNOLD & PORTER LLP
777 SOUTH FIGUEROA ST 44TH FLOORLOS ANGELESCA90017LEGAL SERVICES$1,692,189
SOUTHLAND MGMT GROUP INC
3300 ESOUTH ST STE 308LONG BEACHCA90805HEMODIALYSIS$951,030
DOWNEY ANESTHESIA MEDICAL GROUP
C/O ABEO WESTERN DIV PO BOX 1809ORANGECA92856ANESTHETIC SERVICES$730,471
HEALTH ADVOCATES
14721 CALIFA STREETSHERMAN OAKSCA91411COLLECTION AGENCY SERVICE$403,567
MARK MINKES MD
11480 BROOKSHIRE AVE STE 111DOWNEYCA90241ER ONCALL SERVICE$379,875
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE621110$126,420,230$126,420,230
HOSPITAL FEE PROGRAM900099$4,181,412$4,181,412
FOOD SERVICES900099$370,035$370,035
MED TRAINING PROGRAM REVENUE624100$79,952$79,952
COMMUNITY ED REVENUE624100$27,397$27,397
FieldValueIRS element (for citing)
Total Program Service Revenue$131,079,026TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,562TotalRevenueColumnAmt
Exclusion$32,562ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
VENDOR SETTLEMENTS900099$1,121,799$1,121,799
OTHER INCOME900099$301,205$301,205
VENDING MACHINE900099$13,876$13,876
FieldValueIRS element (for citing)
Other Revenue Total$1,436,880OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$132,548,468TotalRevenueColumnAmt
Related Or Exempt Func Income$131,079,026RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,469,442ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$754,194TotalAmt
Program Services$552,401ProgramServicesAmt
Management And General$201,793ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$61,759,835TotalAmt
Program Services$49,152,888ProgramServicesAmt
Management And General$12,606,947ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$13,500TotalAmt
Program Services$13,500ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$15,565,199TotalAmt
Program Services$13,311,391ProgramServicesAmt
Management And General$2,253,808ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,859,478TotalAmt
Program Services$3,071,648ProgramServicesAmt
Management And General$787,830ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$24,000TotalAmt
Program Services$24,000ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$372,836TotalAmt
Management And General$372,836ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$106,226TotalAmt
Management And General$106,226ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$15,558TotalAmt
Management And General$15,558ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,085,454TotalAmt
Program Services$8,287,306ProgramServicesAmt
Management And General$5,798,148ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,413,317TotalAmt
Program Services$2,269,492ProgramServicesAmt
Management And General$1,143,825ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,476,994TotalAmt
Program Services$3,671,135ProgramServicesAmt
Management And General$805,859ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,829,688TotalAmt
Program Services$269,076ProgramServicesAmt
Management And General$2,560,612ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$64,728TotalAmt
Program Services$31,282ProgramServicesAmt
Management And General$33,446ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,328,042TotalAmt
Program Services$1,328,042ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,010,162TotalAmt
Program Services$6,820,472ProgramServicesAmt
Management And General$189,690ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$864,011TotalAmt
Management And General$864,011ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$17,668,672$16,746,734$921,938$0
QUALITY ASSURANCE FEE$4,181,411$4,181,411$0$0
PURCHASED SERVICES$1,114,159$1,048,024$66,135$0
EQUIPMENT LEASES$437,615$175,154$262,461$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$817,367TotalAmt
Program Services$388,645ProgramServicesAmt
Management And General$428,722ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$140,762,446TotalAmt
Program Services$111,342,601ProgramServicesAmt
Management And General$29,419,845ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$103,486BOYAmt
EOY$3,755,803EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,361,198BOYAmt
EOY$102,768EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$18,534,184BOYAmt
EOY$16,641,833EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,974,093BOYAmt
EOY$2,047,010EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,554,819BOYAmt
EOY$8,977,194EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$70,450,418LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,128,998LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$18,789,724BOYAmt
EOY$63,321,420EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,637,033BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$24,582,899BOYAmt
EOY$5,555,218EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$71,537,436BOYAmt
EOY$100,401,246EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$46,362,416BOYAmt
EOY$13,692,197EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,594,791BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$57,292,046BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$23,133,684BOYAmt
EOY$142,079,552EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$138,382,937BOYAmt
EOY$155,771,749EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$66,845,501BOYAmt
EOY-$55,370,503EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$66,845,501BOYAmt
EOY-$55,370,503EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$71,537,436BOYAmt
EOY$100,401,246EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$8,213,978ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$19,688,976OtherChangesInNetAssetsAmt
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$15,558OtherActivitiesAmt
Total Lobbying Expenditures$15,558TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PORTION OF DUES PAID TO HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA ARE RELATED TO LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,058,204OtherCostOrOtherBasisAmt
Book Value$15,058,204BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,039,588OtherCostOrOtherBasisAmt
Depreciation$881,227DepreciationAmt
Book Value$29,158,361BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,638,715OtherCostOrOtherBasisAmt
Depreciation$671,344DepreciationAmt
Book Value$3,967,371BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,422,929OtherCostOrOtherBasisAmt
Depreciation$5,576,427DepreciationAmt
Book Value$9,846,502BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,290,982OtherCostOrOtherBasisAmt
Book Value$5,290,982BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$63,321,420TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$4,057,188
HOSPITAL FEE PROGRAM RECEIVABLE$1,498,030
FieldValueIRS element (for citing)
Total Book Value Other Assets$5,555,218TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
CURRENT PORTION - CAPITAL LEASES$447,386
CURRENT PORTION - BK LIABILITY$2,419,850
HOSPITAL FEE PROGRAM PAYABLE$1,140,814
SELF-INSURANCE RESERVES$12,214,377
BANKRUPTCY PAYABLE$8,873,368
OTHER LIABILITY$434,378
INTERCOMPANY PAYABLE$116,549,379
FieldValueIRS element (for citing)
Total Liability$142,079,552TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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 COMPANY HAS NOT RECORDED A LIABILITY FOR UNRECOGNIZED TAX UNCERTAINTIES IN 2014 OR 2013.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 Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served490PersonsServedCnt
Total Community Benefit Expns$676,747TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$374,848DirectOffsettingRevenueAmt
Net Community Benefit Expns$301,899NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served25954PersonsServedCnt
Total Community Benefit Expns$36,144,913TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,540,815DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,604,098NetCommunityBenefitExpnsAmt
Total Expense0.12800TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Persons Served757PersonsServedCnt
Total Community Benefit Expns$942,034TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$280,534DirectOffsettingRevenueAmt
Net Community Benefit Expns$661,500NetCommunityBenefitExpnsAmt
Total Expense0.00480TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served27201PersonsServedCnt
Total Community Benefit Expns$37,763,694TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,196,197DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,567,497NetCommunityBenefitExpnsAmt
Total Expense0.13500TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served2704PersonsServedCnt
Total Community Benefit Expns$1,069,257TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,147DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,060,110NetCommunityBenefitExpnsAmt
Total Expense0.00770TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served2315PersonsServedCnt
Total Community Benefit Expns$3,063,359TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,615,931DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,447,428NetCommunityBenefitExpnsAmt
Total Expense0.01050TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served498PersonsServedCnt
Total Community Benefit Expns$235,660TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$235,660NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served360PersonsServedCnt
Total Community Benefit Expns$1,852TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,852NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs15ActivitiesOrProgramsCnt
Persons Served5877PersonsServedCnt
Total Community Benefit Expns$4,370,128TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,625,078DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,745,050NetCommunityBenefitExpnsAmt
Total Expense0.01990TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs15ActivitiesOrProgramsCnt
Persons Served33078PersonsServedCnt
Total Community Benefit Expns$42,133,822TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,821,275DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,312,547NetCommunityBenefitExpnsAmt
Total Expense0.15490TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,242,336BadDebtExpenseAmt
Reimbursed By Medicare$34,121,236ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$35,059,402CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$938,166MedicareSurplusOrShortfallAmt

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 Line1DOWNEY REGIONAL MEDICAL CNTR HOSPITALBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line111500 BROOKSHIRE AVENUEAddressLine1
CityDOWNEYCity
StateCAState
ZIP Code90241ZIPCode
FieldValueIRS element (for citing)
State License930000048StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1DOWNEY REGIONAL MEDICAL CENTER HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
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
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLPIHHEALTH.ORG/CHNAOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs Addressed0AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
State RegulationYes (X)StateRegulationInd
ResidencyYes (X)ResidencyInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DOWNEY REGIONAL MEDICAL CENTER HOSPITAL, INC.PART V, SECTION B, LINE 3: PRIMARY DATA COLLECTION CONSISTED OF INTERVIEWS AND FOCUS GROUPS, REGARDING PERCEPTIONS AND OPINIONS OF THOSE REPRESENTING THE BROAD INTERESTS OF THE COMMUNITIES IN PIH HEALTH HOSPITAL - DOWNEY'S PRIMARY SERVICE AREA. KEY STAKEHOLDER INTERVIEWSKEY COMMUNITY STAKEHOLDERS, IDENTIFIED BY PIH HEALTH AND LOCAL PARTNERS, WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT THROUGH TELEPHONE INTERVIEWS. TEN INTERVIEWS WERE CONDUCTED DURING THE MONTHS OF DECEMBER 2013 AND JANUARY 2014. THE COMMUNITY STAKEHOLDERS WHO PARTICIPATED IN THIS NEEDS ASSESSMENT REPRESENTED A CROSS-SECTION OF AGENCIES REPRESENTING A BROAD RANGE OF HEALTH AND SOCIAL SERVICES IN THE PRIMARY SERVICE AREA. INTERVIEW PARTICIPANTS INCLUDED LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS, AS WELL AS REGIONAL, STATE, OR LOCAL HEALTH DEPARTMENTS THAT HAVE "CURRENT DATA OR INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY," PER IRS REQUIREMENTS. COMMUNITY FOCUS GROUPS THREE FOCUS GROUPS WERE ALSO CONDUCTED AS PART OF THE NEEDS ASSESSMENT DURING THE MONTHS OF DECEMBER 2013 AND JANUARY 2014. PARTICIPANTS INCLUDE MEMBERS OF MEDICALLY UNDERSERVED POPULATIONS AND PERSONS REPRESENTING THE BROAD INTEREST OF THE COMMUNITY. THE FOCUS GROUPS ENGAGED 41 PARTICIPANTS. TWO FOCUS GROUPS WERE CONDUCTED IN SPANISH AND ONE IN ENGLISH. A LIST OF THE STAKEHOLDER INTERVIEW AND FOCUS GROUP RESPONDENTS, AND A SUMMARY OF RESULTS CAN BE FOUND IN THE 2013-2014 COMMUNITY HEALTH NEEDS ASSESSMENT AT PIHHEALTH.ORG/CHNA.
DOWNEY REGIONAL MEDICAL CENTER HOSPITAL, INC.PART V, SECTION B, LINE 5D: IN ADDITION TO POSTING ON THE HOSPITAL'S WEBSITE, ASSESSMENT FINDINGS WERE ALSO DISTRIBUTED TO KEY STAKEHOLDERS VIA EMAIL, AS WELL AS SHARED WITH THE COMMUNITY AT-LARGE, WITH EMPHASIS ON PROVIDING COMMUNITY-BASED ORGANIZATIONS WITH INFORMATION THAT WILL SUPPORT PROGRAM PLANNING AND FUND-DEVELOPMENT ENDEAVORS, WHILE SPARING THE EXPENSE OF DUPLICATIVE DATA COLLECTION EFFORTS. ASSESSMENT FINDINGS AND IMPLEMENTATION STRATEGY INITIATIVES WERE ALSO SHARED AND COMMUNITY DIALOGUE ENCOURAGED THROUGH COMMUNITY EVENTS AND PRESENTATIONS.
DOWNEY REGIONAL MEDICAL CENTER HOSPITAL, INC.PART V, SECTION B, LINE 7: SOME OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS INCLUDED INSURANCE COVERAGE / AFFORDABILITY FOR DENTAL CARE AND MENTAL HEALTH, CANCER AND SMOKING. PIH HEALTH WILL NOT FOCUS THE STRATEGIC EFFORTS OF THE 2014-2016 COMMUNITY HEALTH IMPROVEMENT IMPLEMENTATION STRATEGY ON THESE NEEDS. EXISTING WORK WILL CONTINUE IN THESE AREAS WHERE APPLICABLE AND REFERRAL RELATIONSHIPS WITH COMMUNITY-BASED AGENCIES ALREADY WORKING IN THESE AREAS WILL BE STRENGTHENED. PIH HEALTH MADE A DECISION TO FOCUS ON NEEDS DETERMINED TO BE EITHER MORE SIGNIFICANT WHEN COMPARED TO LOCAL AND NATIONAL BENCHMARKS AND/OR AREAS IN WHICH PIH HEALTH HAS EXPERTISE AND RESOURCES TO EFFECTIVELY ADDRESS THE NEED. ACCESS TO DENTAL CARE: PIH HEALTH HAS NEITHER THE EXPERTISE NOR THE INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS HEALTH NEED. PIH HEALTH WILL CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS THAT EFFECTIVELY ADDRESS THIS AREA OF NEED.ACCESS TO MENTAL HEALTHCARE: PIH HEALTH HAS NEITHER THE EXPERTISE NOR THE INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS HEALTH NEED. PIH HEALTH, AS PART OF ITS INTEGRATED DELIVERY SYSTEM, WILL CONTINUE TO IDENTIFY FREE OR LOW-COST MENTAL HEALTH PROVIDERS TO STRENGTHEN AND FACILITATE RELATIONSHIPS WITH THOSE ORGANIZATIONS ADDRESSING THIS AREA OF NEED. CANCER: FOR THE TIMEFRAME OF THIS REPORT, PIH HEALTH HOSPITAL - DOWNEY DOES NOT YET HAVE THE INFRASTRUCTURE IN PLACE TO SERVE AS A LEAD AROUND THIS HEALTH NEED. WHILE STILL IN THE PLANNING PHASE, COMMUNITY MEMBERS IN NEED OF RESOURCES AND CARE TO ADDRESS THIS NEED WILL BE REFERRED TO PIH HEALTH HOSPITAL - WHITTIER, WHICH HAS AN EXTENSIVE NETWORK OF SERVICES AND OTHER PROVIDERS AS APPROPRIATE.SMOKING: PIH HEALTH HAS NEITHER THE EXPERTISE NOR THE INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS HEALTH NEED. PIH HEALTH WILL CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS THAT EFFECTIVELY ADDRESS THIS AREA OF NEED.
DOWNEY REGIONAL MEDICAL CENTER HOSPITAL, INC.PART V, SECTION B, LINE 14G: FPG IS PUBLICIZED AS FOLLOWS: - SELF-PAY PATIENTS RECEIVE A PACKET WITH A COVER LETTER AND A FINANCIAL ASSISTANCE AND MEDI-CAL APPLICATION AT SERVICE; - THE HOSPITAL LIMITS ITS CHARGES FOR MEDICALLY NECESSARY CARE PROVIDED TO FINANCIAL ASSISTANCE POLICY ELIGIBLE INDIVIDUALS TO NO MORE THAN "AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE". STATEMENTS TO THE UNINSURED REFLECT SIGNIFICANT SELF-PAY DISCOUNTS THAT EQUATE TO CONTRACTED MEDICARE ADVANTAGE RATES (OR LESS) AND A NOTICE THAT THE PATIENT MAY BE ELIGIBLE FOR STATE AND/OR UNCOMPENSATED CARE PROGRAMS; - SIGNS ARE POSTED THROUGHOUT THE FACILITY TO PROVIDE EDUCATION ABOUT CHARITY POLICIES; - THE HOSPITAL WEBSITE INCLUDES A COPY OF THE POLICY AND APPLICATIONS IN ENGLISH AND SPANISH.
DOWNEY REGIONAL MEDICAL CENTER HOSPITAL, INC.PART V, SECTION B, LINE 18E: 1. SELF-PAY PATIENTS RECEIVE A FREE PACKET WITH A COVER LETTER AND FINANCIAL ASSISTANCE AND MEDI-CAL APPLICATION AT SERVICE;2. AN ELIGIBILITY VENDOR ATTEMPTS TO CONTACT UNINSURED PATIENTS TO HELP THEM APPLY FOR MEDICAID;3. THE EARLY OUT SELF-PAY VENDOR TELLS PATIENTS ABOUT CHARITY IF THEY CANNOT PAY.
DOWNEY REGIONAL MEDICAL CENTER HOSPITAL, INC.PART V, SECTION B, LINE 20D: THE HOSPITAL AUTOMATICALLY EXTENDED ITS NEGOTIATED RATES OR LOWER WITH A MEDICARE ADVANTAGE PLAN TO ALL UNINSURED PATIENTS. IN ADDITION, PATIENTS ARE PROVIDED WITH FINANCIAL ASSISTANCE AND MEDI-CAL APPLICATIONS. THOSE WHO QUALIFY FOR FINANCIAL ASSISTANCE RECEIVE FURTHER REDUCTIONS TO THEIR BILL AS OUTLINED BELOW. AMOUNT OF CHARITY CARE DETERMINATION BASED ON:METHODOLOGY: PIH HEALTH HOSPITAL USES THE "SLIDING SCALE METHOD" TO DETERMINE THE DOLLAR AMOUNT TO BE CONSIDERED AS CHARITY CARE/FINANCIAL ASSISTANCE FOR ELIGIBLE PATIENTS. CHARITY CARE: PATIENT APPLICATIONS THAT SHOW THAT FAMILY INCOME AT OR BELOW 100% OF FEDERAL POVERTY GUIDELINES (FPL) WILL BE APPROVED FOR NO-COST TO THE PATIENT. DISCOUNTED CHARITY CARE: PATIENT APPLICATIONS THAT SHOW THAT FAMILY INCOME BETWEEN 101% AND 400% FPL WILL BE GRANTED THE LESSOR OF THE SELF-PAY RATE OR A DISCOUNT BASED ON THE PATIENTS'S FPL. PATIENT LIABILITY IS BASED ON THE LESSER OF - BILLED CHARGES; - THE CASH DISCOUNT RATE (BASED ON THE RATES OF A MEDICARE ADVANTAGE AGREEMENT, OR LESS); - 10% OF THE PATIENT'S ANNUAL INCOME; OR; - THE AMOUNT OUTLINED ABOVE.

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:PIH HEALTH FILES ITS COMMUNITY BENEFIT REPORT WITH THE STATE OF CALIFORNIA IN ACCORDANCE WITH CALIFORNIA SENATE BILL 697 (SB 697), WHICH REQUIRES ANNUAL DOCUMENTATION OF COMMUNITY BENEFIT PROGRAMS AND SERVICES. THIS ANNUAL COMMUNITY BENEFIT REPORT IS SUBMITTED TO OFFICE OF STATEWIDE HEALTH PLANNING & DEVELOPMENT (OSHPD), HEALTHCARE INFORMATION DIVISION. THIS REPORT INCLUDES ACTIVITIES OF PIH HEALTH HOSPITAL - WHITTIER, PIH HEALTH HOSPITAL - DOWNEY, AND PIH HEALTH PHYSICIANS.
PART I, LINE 7:THE METHODOLOGY FOR CALCULATING UNPAID COSTS IN GOVERNMENT PROGRAMS, CARE FOR THE UNINSURED, AND CHARITY CARE IS BASED ON DOWNEY REGIONAL MEDICAL CENTER'S PAYOR-SPECIFIC COST-TO-CHARGE RATIOS, OFFSET BY (ANY) ACTUAL PAYMENTS RECEIVED. PHYSICIAN SERVICES INCLUDE BACKUP SERVICES IN THE EMERGENCY AND SURGICAL AREAS TO COVER THE COST OF PHYSICIANS ON CALL FOR UNINSURED PATIENTS. PSYCHIATRIC SERVICES INCLUDE THOSE PROVIDED TO HOSPITALIZED PATIENTS. UNREIMBURSED COSTS MAY INCLUDE AN HOURLY RATE FOR LABOR AND ACTUAL COSTS FOR SUPPLIES, MATERIALS AND OTHER PURCHASED SERVICES. ANY OFFSETTING REVENUE IS DEDUCTED FROM THE COSTS OF PROVIDING SERVICES. UNREIMBURSED COSTS WERE ESTIMATED BY EACH DEPARTMENT RESPONSIBLE FOR PROVIDING THE PROGRAM/SERVICE. THE PAYOR-SPECIFIC COST-TO-CHARGE SYSTEM COVERS ALL PATIENT SEGMENTS, E.G. INPATIENT, OUTPATIENT, SELF-PAY, UNINSURED, MEDICARE AND MEDICAID, ETC.
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 $ 3,242,336.
PART III, LINE 8:THE HOSPITAL PREPARES MEDICARE COST REPORTS IN ACCORDANCE WITH PROVIDER REIMBURSEMENT MANUAL (PRM) SECTION 2150FF AND PRM 15-2, SECTION 1000FF, AS FOLLOWS:TOTAL ALLOWANCE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. IN HOSPITALS, ANOTHER FACTOR TO BE CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS.
PART III, LINE 9B:THESE POLICIES ARE EXPLAINED IN COMPANY POLICIES 85300.600 CHARITY CARE, 85300.098 BAD DEBT, 85300.602 SELF- PAY DISCOUNT PROGRAM. 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 THROUGHOUT 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 FINANCIAL ASSISTANCE AND QUALIFIES, THE PATIENT'S ACCOUNT IS RETURNED TO THE HOSPITAL AND FINANCIAL ASSISTANCE IS EXTENDED.
PART VI, LINE 3:FINANCIAL ASSISTANCE, OR CHARITY CARE, IS DEFINED AS FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD TO PAY AND WHO MEET THE ELIGIBILITY CRITERIA OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. FINANCIAL ASSISTANCE IS REPORTED IN TERMS OF COSTS, NOT CHARGES, AND DOES NOT INCLUDE BAD DEBT.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. DURING FISCAL YEAR 2013-2014, A TOTAL OF $301,899 IN FINANCIAL ASSISTANCE WAS PROVIDED TO 490 INDIVIDUALS, ENSURING ACCESS TO NEEDED HEALTHCARE SERVICES, REGARDLESS OF ABILITY TO PAY.FOR FY 2012-2013, PIH HEALTH'S REPORTABLE FINANCIAL ASSISTANCE ENCOMPASSES THE FOLLOWING PROGRAM: CHARITY CARE PROGRAM (BASED ON POLICY NO. 85300.600)PIH HEALTH OFFERS A GENEROUS FINANCIAL ASSISTANCE PROGRAM, PROVIDING CHARITY CARE TO THOSE WITH FAMILY INCOME(S) WITHIN 400% OF THE 2012 FEDERAL POVERTY LEVEL GUIDELINES. PER PIH HEALTH'S CHARITY CARE POLICY, THOSE WHO WOULD QUALIFY UNDER THIS PROGRAM INCLUDE: - UNINSURED PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY AS DETERMINED BY THE FINANCIAL GUIDELINES STATED IN THE CHARITY CARE POLICY; - PATIENTS WHO HAVE RESTRICTED MEDI-CAL EMERGENCY AND PREGNANCY SERVICES COVERAGE (AND NO SHARE OF COST) AND WHOSE SERVICES ARE NOT COVERED FOR A PARTICULAR EPISODE OR PARTIAL EPISODE OF CARE. (AN UNCOMPENSATED CARE APPLICATION IS NOT REQUIRED SINCE THE PATIENT IS PRESUMED TO MEET THE CHARITY CARE ELIGIBILITY REQUIREMENTS); - THERE ARE INSTANCES WHEN A PATIENT MAY APPEAR ELIGIBLE FOR CHARITY CARE DISCOUNTS, BUT THERE IS NO FINANCIAL ASSISTANCE FORM ON FILE DUE TO A LACK OF SUPPORTING DOCUMENTATION. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE, BUT ARE NOT LIMITED TO:O STATE-FUNDED PRESCRIPTION PROGRAMS; O HOMELESS OR RECEIVED CARE FROM A HOMELESS CLINIC OR SHELTER; O PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);O FOOD STAMP ELIGIBILITY; O SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; O LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; AND O PATIENT IS DECEASED WITH NO KNOWN ESTATE; ANDO PATIENTS WHO ARE CURRENTLY ELIGIBLE FOR MEDI-CAL, BUT WERE NOT ELIGIBLE IN ONE TO THREE MONTHS PRIOR TO ELIGIBILITY ARE PRESUMED TO BE ELIGIBLE FOR CHARITY AND DO NOT NEED TO FILL OUT THE APPLICATION.O INSURED PATIENTS WHOSE COVERAGE IS INADEQUATE TO COVER A CATASTROPHIC SITUATION;O PERSONS WHOSE INCOME IS SUFFICIENT TO PAY FOR BASIC LIVING COSTS BUT NOT MEDICAL CARE, AND ALSO THOSE PERSONS WITH GENERALLY ADEQUATE INCOMES WHO ARE SUDDENLY FACED WITH CATASTROPHICALLY LARGE MEDICAL BILLS;O PATIENTS WHO DEMONSTRATE ABILITY TO PAY PART BUT NOT ALL OF THEIR LIABILITY. FOR EXAMPLE, THOSE WHO HAVE AN OUT OF POCKET THAT EXCEEDS 10% OF THEIR ANNUAL NET FAMILY INCOME IN THE PRIOR TWELVE MONTHS. SELF-PAY PAYMENT PROGRAMADDITIONALLY, UNDER THE PIH HEALTH SELF-PAY PAYMENT PROGRAM, PATIENTS WHO ARE UNINSURED OR HAVE VERY LIMITED BENEFITS ARE AUTOMATICALLY GIVEN A BILL REDUCTION REFLECTIVE OF OR LESS THAN THE HEALTHY FAMILIES RATE WITH A CONTRACTED PLAN; NO PRE-QUALIFICATION IS NECESSARY. IF A PATIENT CANNOT PAY THE ENTIRE DISCOUNTED OBLIGATION AND DOES NOT QUALIFY FOR GOVERNMENT OR HOSPITAL PROGRAMS, PIH HEALTH WILL EXTEND REASONABLE NO-INTEREST PAYMENTS. THIS PROGRAM IS ESPECIALLY OF BENEFIT TO THOSE APPLYING FOR PIH HEALTH'S CHARITY CARE OR OTHER PUBLIC MEANS-TESTED HEALTHCARE PROGRAMS AND AWAITING ELIGIBILITY DETERMINATION. UNINSURED PATIENTS ARE EDUCATED ABOUT THE SELF-PAY PAYMENT PROGRAM PRIOR TO OR AT REGISTRATION/ADMISSION (OR AFTER AN EMERGENCY DEPARTMENT PATIENT HAS BEEN MEDICALLY SCREENED AND STABILIZED).ADDITIONAL PATIENT EDUCATION REGARDING PIH HEALTH'S FINANCIAL ASSISTANCEIT IS IMPORTANT TO NOTE THAT, REGARDLESS OF ABILITY TO PAY, APPROPRIATE CLINICAL STAFF ESTABLISH A PLAN OF CARE, ORDER MEDICALLY NECESSARY TREATMENT, SERVICES AND MEDICATIONS, IN ORDER TO STABILIZE ALL PATIENTS. ONCE STABILIZED, BILINGUAL (ENGLISH & SPANISH) FINANCIAL COUNSELORS OR OTHER APPROPRIATE STAFF WORK WITH ELIGIBLE PATIENTS IN APPLYING FOR PIH HEALTH'S CHARITY CARE OR OTHER GOVERNMENT MEANS-TESTED PROGRAMS. IN ACCORDANCE WITH CALIFORNIA'S FAIR PRICING LAW FOR LOW-INCOME, UNINSURED INDIVIDUALS, PIH HELATH POSTS NOTICES IN BOTH ENGLISH AND SPANISH WITH INFORMATION REGARDING ITS CHARITY CARE POLICY IN SETTINGS THAT ARE HIGHLY VISIBLE TO THE PUBLIC, SUCH AS THE EMERGENCY DEPARTMENT, BILLING/CASHIER OFFICE, PATIENT REGISTRATION, AS WELL AS VARIOUS ANCILLARY DEPARTMENTS AND OUTPATIENT FACILITIES. UNINSURED PATIENTS ALSO RECEIVE A LETTER IN ENGLISH AND/OR SPANISH, WHICH DETAILS THE VARIOUS PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE. THE UNCOMPENSATED CARE APPLICATION IS ALSO AVAILABLE ON THE PIH HEALTH WEBSITE. IN ADDITION, THE BELOW STATEMENT APPEARS ON ALL PATIENT BILLING STATEMENTS IN ENGLISH AND SPANISH:"PLEASE PAY THE BALANCE DUE. IF YOU CANNOT PAY THE ENTIRE BALANCE, PLEASE CALL TO SET UP INSTALLMENT PAYMENTS. IF YOU ARE UNABLE TO PAY ALL OR PART OF YOUR BALANCE AND YOUR FAMILY INCOME IS WITHIN 400% OF FEDERAL POVERTY LIMITS, PLEASE CALL AND REQUEST AN UNCOMPENSATED CARE APPLICATION."
PART VI, LINE 4:PIH HEALTH HOSPITAL - DOWNEY IS SITUATED IN THE SOUTHEAST PORTION OF LOS ANGELES COUNTY, WITHIN AN AREA REFERRED TO AS SERVICE PLANNING AREA 7 (SPA 7) AND SPA 6. THE SERVICE AREA WAS DETERMINED BY HOSPITAL DISCHARGE DATA OBTAINED THROUGH THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT, WHICH INCLUDED ALL WHO RECEIVED CARE WITHOUT REGARD TO INSURANCE COVERAGE OR ELIGIBILITY FOR FINANCIAL ASSISTANCE. APPROXIMATELY 82.2% OF PIH HEALTH HOSPITAL - DOWNEY'S INPATIENT DISCHARGES COME FROM THE 18 CITIES/COMMUNITIES NOTED BELOW. PRIMARY SERVICE AREAARTESIA 90701BELL 90201BELLFLOWER 90706BELL GARDENS 90201-90202CERRITOS 90703COMMERCE 90040COMPTON 90221CUDAHY 90201DOWNEY 90240-90242HUNTINGTON PARK 90255LYNWOOD 90262LOS ANGELES 90001MAYWOOD 90270NORWALK 90650PARAMOUNT 90723PICO RIVERA 90660SANTA FE SPRINGS 90670 SOUTH GATE 90280PRIMARY SERVICE AREA PROFILETHE POPULATION FOR PIH HEALTH HOSPITAL - DOWNEY'S PRIMARY SERVICE AREA IS 983,011. CHILDREN AND YOUTH (AGES 0-17) MAKE UP 29.9% OF THE POPULATION; OLDER ADULTS (AGES 65+) MAKE UP 8.5% OF THE POPULATION. THE LARGEST POPULATION BY RACE AND ETHNICITY IN THE SERVICE AREA IS HISPANIC OR LATINO (77.9%). WHITE/CAUCASIANS MAKE UP 8% OF THE POPULATION. ASIANS COMPRISE 7.2% OF THE POPULATION, AND AFRICAN AMERICANS, NATIVE AMERICANS, HAWAIIANS, AND OTHER RACES COMBINED TOTAL 6.9% OF THE POPULATION. IN THE SERVICE AREA, SPANISH IS SPOKEN IN 68.8% OF THE HOMES, HIGHER THAN THE NUMBER OF SPANISH SPEAKING HOUSEHOLDS IN THE COUNTY AND THE STATE. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA RANGES FROM $36,386 IN LOS ANGELES (90001) TO $87,522 IN CERRITOS. THE AVERAGE FAMILY SIZE RANGES FROM 3.54 INDIVIDUALS IN CERRITOS TO 4.73 INDIVIDUALS IN COMPTON (90221).IN THE SERVICE AREA, 54.8% OF THE ADULT POPULATION, 25 YEARS AND OLDER, HAVE OBTAINED A HIGH SCHOOL DIPLOMA OR HIGHER EDUCATION. THE SERVICE AREA HAS A HIGHER UNEMPLOYMENT RATE (15%) THAN THE COUNTY AND THE STATE. IN THE SERVICE AREA, 17.9% OF THE POPULATION IS AT POVERTY LEVEL, GREATER THAN THE COUNTY RATE. IN SPA 7, 43.6% OF RESIDENTS ARE NOT ABLE TO AFFORD FOOD AND 16.1% UTILIZE FOOD STAMPS. ACCORDING TO THE LOS ANGELES HOMELESS SERVICES AUTHORITY COUNT, THE PERCENTAGE OF HOMELESS FAMILIES GREW FROM 19% IN 2011 TO 21% IN 2013. HEART DISEASE, CANCER, AND STROKE ARE THE THREE LEADING CAUSES OF DEATH IN SPA 7. WHEN COMPARED TO COUNTY DEATH RATES, THE AREA HAS HIGHER DEATH RATES FOR HEART DISEASE, STROKE, DIABETES, AND HYPERTENSION. THE SERVICE AREA RATES OF OBESITY EXCEED THE COUNTY RATE.
PART VI, LINE 5:PIH HEALTH'S COMMUNITY BENEFIT OVERSIGHT COMMITTEE (CBOC) IS 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.
PART VI, LINE 6:HOSPITAL AFFILIATES INCLUDE: 1) INTERHEALTH CORP, PIH HEALTH'S PARENT COMPANY; 2) PIH HEALTH HOSPITAL - DOWNEY; 3) PIH HEALTH PHYSICIANS ("PHP"), A NONPROFIT MEDICAL FOUNDATION; 4) THE PIH HEALTH FOUNDATION, A NONPROFIT ORGANIZATION THAT EXISTS TO RAISE PHILANTHROPIC FUNDS IN SUPPORT OF PIH'S CHARITABLE MISSION; AND 5) MEDSITE, WHICH SUBSIDIZES THE PIH HEALTH S. MARK TAPER FOUNDATION A DAY AWAY ADULT DAY HEALTH CARE CENTER. INTERHEALTH CORP. 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 PROVIDES THE HIGH-QUALITY HEALTHCARE OUR COMMUNITIES HAVE COME TO EXPECT. FOUNDED IN 1959 AS PRESBYTERIAN INTERCOMMUNITY HOSPITAL, THE HOSPITAL WAS BUILT TO ADDRESS THE NEED FOR CARE AFTER A POST-WORLD WAR II POPULATION BOOM. PIH HEALTH HOSPITAL - WHITTIER PROVIDES OUTSTANDING AND COMPASSIONATE CARE TO PATIENTS, EVERY DAY.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. PIH HEALTH FOUNDATION'S HEALTHY LIVING HEALTHY GIVING PHILANTHROPIC EFFORT 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. PIH HEALTH S. MARK TAPER FOUNDATION A DAY AWAY ADULT DAY HEALTH CARE CENTER (MEDSITE) HAS, SINCE 1999, PROVIDED SAFE, APPROPRIATE CARE FOR ADULTS REQUIRING CONTINUOUS DAY-TIME SUPERVISION. A DAY AWAY ENSURES AN OPPORTUNITY FOR CAREGIVERS TO MAINTAIN THEIR JOBS, CARE FOR OTHER FAMILY MEMBERS, AND ATTEND TO THE BASIC DEMANDS OF LIFE. 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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
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 (10 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
MARK MINKES MD
DIRECTOR$379,875$0$0$0$0$0$0$0$0$0$379,875$0$0$0
BRIAN SMOLSKIS
COO$178,496$0$0$0$3,000$0$0$0$8,337$0$189,833$0$0$0
JOSEFINA VELARDE
RN SUPERVISOR$193,466$0$8,478$0$0$0$0$0$7,440$0$209,384$0$0$0
LELA ROSALES
RN SUPERVISOR$195,736$0$0$0$0$0$0$0$26,320$0$222,056$0$0$0
JOSE CORTEZ
LEAD RAD TECH$177,171$0$0$0$0$0$0$0$5,849$0$183,020$0$0$0
NOEMI GUEVARRA
RN SUPERVISOR$176,200$0$0$0$0$0$0$0$17,898$0$194,098$0$0$0
LINDA BUDDINE
RN SUPERVISOR$175,539$0$0$0$0$0$0$0$15,519$0$191,058$0$0$0
WILLIAM STEIN
FORMER VP ANCIL OPER$118,054$0$0$0$42,567$0$0$0$8,948$0$169,569$0$0$0
KENNETH STROPLE
FORMER RESIDENT & CEO$319,778$0$0$0$1,738,415$0$0$0$13,243$0$2,071,436$0$0$0
ROBERT FULLER
FORMER VP & COO$307,941$0$0$0$1,278,041$0$0$0$19,740$0$1,605,722$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AALL EMPLOYEES ARE ELIGIBLE FOR HEALTH CLUB REIMBURSEMENT AND ANY SUCH REIMBURSEMENTS WERE INCLUDED IN TAXABLE COMPENSATION, PER 2014 PLAN YEAR BENEFITS SUMMARY.
PART I, LINE 4ASEVERANCE PAYMENTS WERE INCLUDED IN OTHER REPORTABLE COMPENSATION FOR FORMER OFFICERS. THESE INCLUDED PAYMENTS OF $1,685,776 TO KENNETH STROPLE AND $1,260,000 TO ROBERT FULLER.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonRICHY AGAJANIAN MDPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionOFFICER OF THE ONCOLOGY INSTITUTE OF HOPE & INNOVATIONRelationshipDescriptionTxt
Transaction$1,937,081TransactionAmt
TransactionMEDICAL SERVICES PROVIDED TO THE HOSPITALTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2JANE DICUS (DOWNEY'S BOARD MEMBER) HAS A BUSINESS RELATIONSHIP WITH ROSALIO LOPEZ, MD (DOWNEY'S OFFICER).
FORM 990, PART VI, SECTION A, LINE 4THE PIH HEALTH HOSPITAL - DOWNEY BYLAWS WERE COMPLETELY RE-WRITTEN DUE TO THE OCTOBER 1, 2013 MEMBER SUBSTITUTION BY INTERHEALTH CORPORATION ("IHC"). THE BY-LAWS WERE REWRITTEN TO MIRROR THOSE OF PIH HEALTH HOSPITAL - WHITTIER, A TAX-EXEMPT HOSPITAL IN WHICH IHC IS ALSO THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 6INTERHEALTH CORP. ("IHC") IS THE SOLE MEMBER OF DOWNEY REGIONAL MEDICAL CENTER - HOSPITAL, INC (DBA: PIH HEALTH HOSPITAL - DOWNEY)
FORM 990, PART VI, SECTION A, LINE 7AINTERHEALTH CORP. ("IHC") HAS AUTHORITY TO ELECT ALL THE MEMBER OF THE BOARD OF DIRECTORS OF DOWNEY REGIONAL MEDICAL CENTER - HOSPITAL, INC (DBA: PIH HEALTH HOSPITAL - DOWNEY)
FORM 990, PART VI, SECTION A, LINE 7BINTERHEALTH CORP. ("IHC") HAS ALL VOTING RIGHTS AND THE POWER TO ELECT THE BOARD OF DIRECTORS OF DOWNEY REGIONAL MEDICAL CENTER - HOSPITAL, INC (DBA: PIH HEALTH HOSPITAL - DOWNEY)
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION, WHICH IS MADE UP OF INDEPENDENT DIRECTORS. THE FORM 990 IS THEN PROVIDED TO THE BOARD FOR ITS INFORMATION.
FORM 990, PART VI, SECTION B, LINE 12CEACH YEAR, ALL MANAGEMENT AND BOARD OF DIRECTORS MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. ALL POSITIVE RESPONSES ARE REVIEWED BY THE COMPLIANCE OFFICER. EACH POSITIVE RESPONSE IS CONSIDERED IN LIGHT OF MAGNITUDE OF OWNERSHIP INTEREST, FINANCIAL TRANSACTION(S), ETC. IF DEEMED NECESSARY, CONFLICTS OF INTEREST COULD BE RESOLVED BY INSISTING THAT THE INCUMBENT EITHER DIVEST THEIR OWNERSHIP INTEREST, THAT THE ORGANIZATION TERMINATE THE BUSINESS RELATIONSHIP, OR EVEN THAT THE DIRECTOR RESIGN. DIRECTORS WITH POTENTIAL CONFLICTS OF INTEREST MAY RECUSE THEMSELVES FROM VOTING ON CERTAIN MATTERS AND/OR MAY EXCUSE THEMSELVES FROM MEETINGS DURING THE DISCUSSION, DELIBERATION, AND VOTING ON OF MATTERS.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S EXECUTIVE COMPENSATION COMMITTEE ENGAGES AN INDEPENDENT, THIRD-PARTY, EXPERT COMPENSATION CONSULTANT TO REVIEW ITS EXECUTIVE SALARIES. THE CONSULTANT OBTAINS SPECIFIC ORGANIZATIONAL DATA FROM WHICH TO BASE ITS ANALYSIS (REVENUES, EXPENSES, EMPLOYEES, SERVICE AREA, JOB DESCRIPTIONS, ETC.). THE CONSULTANT'S ANALYSIS INCLUDES A REVIEW OF COMPENSATION TRENDS, REGULATORY ISSUES, THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY, THE METHODOLOGY USED FOR THE ASSESSMENT, THE BASE SALARY ANALYSIS, THE INCENTIVE COMPENSATION ANALYSIS, THE TOTAL CASH COMPENSATION ANALYSIS, AND THE TOTAL COMPENSATION ANALYSIS. SALARY MOVEMENT, INCENTIVE COMPENSATION, MARKET BENEFIT, AND RECRUITMENT AND RETENTION TRENDS ARE REVIEWED. THIS ANALYSIS IS PROVIDED TO THE ORGANIZATION'S EXECUTIVE COMPENSATION COMMITTEE, WHICH IS COMPRISED OF INDEPENDENT DIRECTORS. THE EXECUTIVE COMPENSATION COMMITTEE HAS APPROVED A REGIONAL PEER GROUP THAT INCLUDES HIGH-PERFORMING, COMPARABLY-SIZED CALIFORNIA HOSPITALS AND HEALTH SYSTEMS. THE CONSULTANT COMPILES COMPARABILITY DATA FROM NATIONAL AND REGIONAL PEERS; COMPARES THE ORGANIZATION'S EXECUTIVE COMPENSATION WITH PEER GROUP COMPENSATION LEVELS; AND PREPARES A REPORT THAT INCLUDES ALL OF THE BACK-UP DATA ON COMPARABILITY, PEER GROUPS, AND JOB MATCHES. THE METHODOLOGY USED BY THE CONSULTANT WAS TWO PEER GROUPS: A NATIONAL PEER GROUP OF COMPARABLY-SIZED HOSPITALS AND SINGLE HOSPITAL SYSTEMS AND A REGIONAL PEER GROUP OF HOSPITALS AND SYSTEMS IN SOUTHERN CALIFORNIA, THE DATA OF WHICH IS PROVIDED TO THE COMMITTEE IN ITS REPORT. THE NATIONAL DATA IS USED AS THE PRIMARY COMPARATOR FOR THE ANALYSIS. THE COMMITTEE IS PRESENTED WITH CHARTS THAT COMPARE ORGANIZATION SALARIES TO THE LEVEL TARGETED IN THE COMPENSATION PHILOSOPHY. NEITHER PERFORMANCE NOR QUALIFICATIONS OF THE INCUMBENT IS CONSIDERED WHEN PROVIDING THE MARKET DATA. THE COMMITTEE IS PROVIDED WITH A REVIEW OF THE BASE SALARY ANALYSIS, A REVIEW OF THE INCENTIVE COMPENSATION ANALYSIS, A REVIEW OF THE TOTAL CASH COMPENSATION ANALYSIS (BASE SALARY PLUS INCENTIVE), AND A REVIEW OF THE TOTAL COMPENSATION ANALYSIS (BASE SALARY PLUS INCENTIVE PLUS BENEFITS/PERQUISITES). BASED UPON ALL OF THE ABOVE INFORMATION, THE CONSULTANT PROVIDES THE COMMITTEE WITH RECOMMENDED SALARY RANGES FOR THE PERIOD ASSESSED. THE EXECUTIVE COMPENSATION COMMITTEE DELIBERATES ON THE COMPARABILITY DATA TO ENSURE THAT IT IS APPROPRIATE IN REPRESENTING LIKE ORGANIZATIONS, LIKE POSITIONS, AND LIKE CIRCUMSTANCES, AND THAT IT COULD REALISTICALLY RELY ON THE COMPARABILITY DATA IN REACHING ITS DECISION THAT THE COMPENSATION IS REASONABLE AND REPRESENTS FAIR MARKET VALUE FOR SERVICES RENDERED. THE EXECUTIVE COMPENSATION COMMITTEE AFFIRMS THIS PROCESS TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19WHILE FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION, THE ORGANIZATION MAKES THESE DOCUMENTS AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GPROFESSIONAL FEES - PHYSICIANS/MEDICAL: PROGRAM SERVICE EXPENSES 2,399,625. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,399,625. SUPPLIES - OTHER: PROGRAM SERVICE EXPENSES 482,922. MANAGEMENT AND GENERAL EXPENSES 105,358. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 588,280. MEDICAL PURCHASED SERVICES - OUTSIDE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,107,351. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,107,351. MAINTENANCE EXPENSE: PROGRAM SERVICE EXPENSES 356,097. MANAGEMENT AND GENERAL EXPENSES 174,031. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 530,128. CPR EXPENSE: PROGRAM SERVICE EXPENSES 1,605. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,605. PUBLIC RELATIONS: PROGRAM SERVICE EXPENSES 14,306. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,306. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,032,751. MANAGEMENT AND GENERAL EXPENSES 4,411,408. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,444,159.
FORM 990, PART XI, LINE 9:ELIMINATION OF NET DEFICIT UPON 10/1/13 ACQUISITION 66,845,501. GOODWILL IMPAIRMENT -38,606,860. BANKRUPTCY/REORGANIZATION COSTS -3,838,186. GAIN/LOSS ON EARLY EXTINGUISHED DEBT -4,711,479.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
DOWNEY REGIONAL MEDICAL CENTER INC
11500 BROOKSHIRE AVENUEDOWNEYCA90241954504845SUPPORTING ORGANIZATIONCASECTION 501(C)(3)11, TYPE 1INTERHEALTH CORPYes (1)
MEMORIAL TRUST FOUNDATION OF DOWNEY REGIONAL
11500 BROOKSHIRE AVENUEDOWNEYCA90241203883428FUNDRAISINGCASECTION 501(C)(3)11, TYPE 1INTERHEALTH CORPYes (1)
PIH FOUNDATION
12401 WASHINGTON BLVDWHITTIERCA90602953761274FUNDRAISINGCASECTION 501(C)(3)7INTERHEALTH CORPYes (1)
IHC MANAGEMENT CORP
12401 WASHINGTON BLVDWHITTIERCA90602954016278SUPPORT OF TAX-EXEMPT AFFILIATESCASECTION 501(C)(3)11, TYPE 1INTERHEALTH CORPYes (1)
INTERHEALTH HOME HEALTH CARE
12401 WASHINGTON BLVDWHITTIERCA90602953036281HEALTHCARECASECTION 501(C)(3)9INTERHEALTH CORPYes (1)
INTERHEALTH CORP
12401 WASHINGTON BLVDWHITTIERCA90602953619388SUPPORT OF TAX-EXEMPT AFFILIATESCASECTION 501(C)(3)11, TYPE 1INTERHEALTH CORP0
MED SITE - HACIENDA HEIGHTS
12401 WASHINGTON BLVDWHITTIERCA90602953643829HEALTHCARECASECTION 501(C)(3)9INTERHEALTH CORPYes (1)
BRIGHT HEALTH PHYSICIANS OF PIH
12401 WASHINGTON BLVDWHITTIERCA90602953942828HEALTHCARECASECTION 501(C)(3)9INTERHEALTH CORPYes (1)
PRESBYTERIAN INTERCOMMUNITY HOSPITAL INC
12401 WASHINGTON BLVDWHITTIERCA90602951934652HEALTHCARECASECTION 501(C)(3)3INTERHEALTH CORPYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationInd
DRMC PROPERTIES
11500 BROOKSHIRE AVENUEDOWNEYCA90241954769768REAL ESTATECADRMC INCC$2,248,288$19,129,4430
DRMC INSURANCE SERVICES
11500 BROOKSHIRE AVENUEDOWNEYCA90241953967987INSURANCECADRMC INCC0
PIH INSURANCE CO A RECIPROCAL RISK RETENTION GROUP
1003 BISHOP STREETHONOLULUHI96813263760243CAPTIVE INSURANCEHIINTERHEALTH CORPTYes (1)
PIH HEALTH CARE SOLUTIONS
6557 GREENLEAF AVENUEWHITTIERCA90601462072342HEALTHCARECAINTERHEALTH CORPCYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
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 Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
DRMC PROPERTIES
K$599,784FMV
PIH INSURANCE CO
R$705,303FMV