PIH HEALTH INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- PIH HEALTH INC (EIN 95-3619388)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-14
- IRS object ID
- 201542269349304709
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-14T22:35:55-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 655 WEST BROADWAY SUITE 700 | AddressLine1 |
| City | SAN DIEGO | City |
| State | CA | State |
| ZIP Code | 921018590 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953619388 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INTERHEALTH CORP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INTE | BusinessNameControlTxt |
| Phone | 5626980811 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12401 WASHINGTON BOULEVARD | AddressLine1 |
| City | WHITTIER | City |
| State | CA | State |
| ZIP Code | 90602 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RONALD YOSHIHARA | PersonNm |
| Person Title | VP FINANCE | PersonTitleTxt |
| Phone | 5626980811 | PhoneNum |
| Signature | 2015-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DIANA J MCCUTCHEN | PreparerPersonNm |
| PTIN | P00545657 | PTIN |
| Phone | 6192326500 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RONALD YOSHIHARA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12401 WASHINGTON BOULEVARD | AddressLine1 |
| City | WHITTIER | City |
| State | CA | State |
| ZIP Code | 90602 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,082,544 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO SUPPORT AND TO OPERATE FOR THE BENEFIT OF ITS TAX-EXEMPT AFFILIATES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,484,853 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $15,082,544 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $14,484,853 | PYTotalRevenueAmt |
| CY Total Revenue | $15,082,544 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $306,498 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $338,024 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,448,894 | PYOtherExpensesAmt |
| CY Other Expenses | $10,896,094 | CYOtherExpensesAmt |
| PY Total Expenses | $9,755,392 | PYTotalExpensesAmt |
| CY Total Expenses | $11,234,118 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,729,461 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,848,426 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $102,122,572 | TotalAssetsBOYAmt |
| Total Assets EOY | $123,037,261 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $101,881,799 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $118,948,062 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $240,773 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,089,199 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | INTERHEALTH CORP.'S PRIMARY EXEMPT PURPOSE IS TO SUPPORT AND TO OPERATE FOR THE BENEFIT OF ITS TAX-EXEMPT AFFILILATES: PRESBYTERIAN INTERCOMMUNITY HOSPITAL, PIH FOUNDATION, BRIGHT HEALTH PHYSICIANS OF PIH, IHC MANAGEMENT CORP., MED SITE - HACIENDA HEIGHTS, INTERHEALTH HOME HEALTH CARE, DOWNEY REGIONAL MEDICAL CENTER HOSPITAL, INC., DOWNEY REGIONAL MEDICAL CENTER, INC. AND MEMORIAL TRUST FOUNDATION OF DOWNEY REGIONAL. INTERHEALTH CORP IS THE SOLE CORPORATE MEMBER OF THE ABOVE LISTED ENTITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $9,342,851 | ExpenseAmt |
| Revenue | $3,719,054 | RevenueAmt |
| Desc | PROVIDING TECHNICAL, FACILITY AND SUPPORT SERVICES FOR TAX-EXEMPT AFFILIATES WHOSE CHARITABLE PURPOSE IS TO PROVIDE A BROAD RANGE OF HEALTH CARE SERVICES TO THEIR COMMUNITY BY WAY OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. | Desc |
| Total Program Service Expenses | $9,342,851 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 12 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Excess Business Holdings | 0 | ExcessBusinessHoldingsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RONALD YOSHIHARA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5626980811 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12102 WASHINGTON BLVD | AddressLine1 |
| City | WHITTIER | City |
| State | CA | State |
| ZIP Code | 90606 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| EFRAIN ACEVES | |||||||
| DIRECTOR | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| DONALD ALVARADO | |||||||
| CHAIRMAN & DIRECTOR | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| RICHARD ATWOOD | |||||||
| SECRETARY & DIRECTOR | 1.50 | 4.50 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| PAULA COWAN | |||||||
| DIRECTOR | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| JANE DICUS | |||||||
| TREASURER & DIRECTOR | 1.50 | 4.50 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| THOMAS KING | |||||||
| DIRECTOR | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| LEON MN GARCIA | |||||||
| DIRECTOR | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| ANGEL MUNOZ | |||||||
| DIRECTOR | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| SUDHAKER NAYAK MD | |||||||
| DIRECTOR (THROUGH 10/14/2013) | 1.50 | 1.50 | Yes (X) | $0 | $151,200 | $0 | |
| J PATRICK DROHAN | |||||||
| DIRECTOR | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| NORMA PROVENCIO | |||||||
| DIRECTOR | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| PARISH PETEL MD | |||||||
| DIRECTOR (THROUGH 10/14/2013) | 1.50 | 1.50 | Yes (X) | $0 | $0 | $0 | |
| NEAL SHINDEL MD | |||||||
| DIRECTOR (THROUGH 10/14/2013) | 1.50 | 1.50 | Yes (X) | $0 | $3,199 | $0 | |
| DREW SONES | |||||||
| DIRECTOR | 1.50 | 4.50 | Yes (X) | $0 | $0 | $0 | |
| KENTON WOODS | |||||||
| VICE CHAIRMAN & DIRECTOR | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| HUEY-MIN YU | |||||||
| DIRECTOR | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| JAMES BALL | |||||||
| DIRECTOR | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| JAMES WEST | |||||||
| PRESIDENT AND CEO | 1.50 | 44.60 | $0 | $1,227,452 | $15,256 | Yes (X) | |
| MITCHELL THOMAS | |||||||
| CFO, ASST TREAS., SR. VP | 1.50 | 44.50 | $0 | $634,268 | $35,256 | Yes (X) | |
| PEGGY CHULACK | |||||||
| CAO & ASST. SECRETARY | 1.50 | 43.10 | $0 | $626,928 | $4,957 | Yes (X) | |
| ROSALIO LOPEZ MD | |||||||
| CHIEF MED OFFICER, SR VP | 1.50 | 40.00 | $0 | $711,100 | $10,911 | Yes (X) | |
| REANNA THOMPSON | |||||||
| CHIEF NURSING OFFICER | 1.50 | 40.00 | $0 | $417,249 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,771,396 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $66,380 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| RJ CONSTRUCTION | |||||
| 12107 PHILADELPHIA ST | WHITTIER | CA | 906013928 | CONSTRUCTION | $2,198,983 |
| MILLIE AND SEVERSON | |||||
| 3601 SERPENTINE DR | LOS ALAMITOS | CA | 907200399 | CONSTRUCTION | $1,854,418 |
| SCS FLOORING | |||||
| 5 PETERS CANYON ROAD | IRVINE | CA | 92606 | CONSTRUCTION | $695,376 |
| BURGHARD DESIGN | |||||
| 29798 HAUN ROAD SUITE 200 | SUN CITY | CA | 92586 | CONSTRUCTION | $561,834 |
| DELOITTE & TOUCHE LLP | |||||
| 555 W 5TH STREET SUITE 2700 | LOS ANGELES | CA | 90013 | PROFESSIONAL SERVICES | $510,200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| RENTAL - TAX EXEMPT AFFILIATES | 900099 | $11,363,490 | $11,363,490 | |
| RENTAL THIRD PARTY TENANTS | 900099 | $3,295,039 | $3,295,039 | |
| CAFE REVENUE | 900099 | $367,062 | $367,062 | |
| RENTAL AND MAINTENANCE | 900099 | $56,953 | $56,953 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $15,082,544 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,082,544 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,719,054 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,363,490 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $292,015 | TotalAmt |
| Program Services | $126,823 | ProgramServicesAmt |
| Management And General | $165,192 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,464 | TotalAmt |
| Program Services | $7,858 | ProgramServicesAmt |
| Management And General | $20,606 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,545 | TotalAmt |
| Program Services | $7,620 | ProgramServicesAmt |
| Management And General | $9,925 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,205 | TotalAmt |
| Program Services | $2,205 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $381,696 | TotalAmt |
| Management And General | $381,696 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,763,499 | TotalAmt |
| Program Services | $1,396,966 | ProgramServicesAmt |
| Management And General | $366,533 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,597 | TotalAmt |
| Program Services | $9,594 | ProgramServicesAmt |
| Management And General | $53,003 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,025,097 | TotalAmt |
| Program Services | $2,614,213 | ProgramServicesAmt |
| Management And General | $410,884 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35 | TotalAmt |
| Management And General | $35 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,687 | TotalAmt |
| Program Services | $151,687 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,239,318 | TotalAmt |
| Program Services | $4,763,624 | ProgramServicesAmt |
| Management And General | $475,694 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $253,331 | $246,970 | $6,361 |
| LICENSES AND FEES | $8,614 | $8,379 | $235 |
| EQUIPMENT R & M | $1,763 | $660 | $1,103 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,252 | TotalAmt |
| Program Services | $6,252 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,234,118 | TotalAmt |
| Program Services | $9,342,851 | ProgramServicesAmt |
| Management And General | $1,891,267 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $166,586 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $124,345 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,280 | BOYAmt |
| EOY | $392,528 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $146,280,644 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $24,247,401 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,876,400 | BOYAmt |
| EOY | $122,033,243 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,892 | BOYAmt |
| EOY | $320,559 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,122,572 | BOYAmt |
| EOY | $123,037,261 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,707,908 | BOYAmt |
| EOY | $4,829,997 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $109,144 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $6,734,447 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,173,891 | BOYAmt |
| EOY | $107,274,474 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,881,799 | BOYAmt |
| EOY | $118,948,062 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,773 | BOYAmt |
| EOY | $4,089,199 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,773 | BOYAmt |
| EOY | $4,089,199 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,122,572 | BOYAmt |
| EOY | $123,037,261 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,848,426 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Certification | Yes (X) | CertificationInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Supported Org Information SupportedOrgInformationGrp (9 entries)
| EINEIN | Organization TypeOrganizationTypeDesc | Governing Document ListedGoverningDocumentListedInd | Supported Org NotifiedSupportedOrgNotifiedInd | US OrganizedUSOrganizedInd | SupportSupportAmt |
|---|---|---|---|---|---|
| PRESBYTERIAN INTERCOMMUNITY HOSPITAL | |||||
| 951934652 | 3 | Yes (1) | Yes (1) | Yes (1) | $0 |
| IHC MANAGEMENT CORP | |||||
| 954016278 | 11, TYPE 1 | Yes (1) | Yes (1) | Yes (1) | $0 |
| INTERHEALTH HOME HEALTH CARE | |||||
| 953036281 | 9 | Yes (1) | Yes (1) | Yes (1) | $0 |
| PIH FOUNDATION | |||||
| 953761274 | 7 | Yes (1) | Yes (1) | Yes (1) | $0 |
| MED SITE - HACIENDA HEIGHTS | |||||
| 953643829 | 9 | Yes (1) | Yes (1) | Yes (1) | $0 |
| BRIGHT HEALTH PHYSICIANS OF PIH | |||||
| 953942828 | 9 | Yes (1) | Yes (1) | Yes (1) | $0 |
| DOWNEY REGIONAL MEDICAL CENTER HOSPITAL INC | |||||
| 951903935 | 3 | Yes (1) | Yes (1) | Yes (1) | $0 |
| DOWNEY REGIONAL MEDICAL CENTER INC | |||||
| 954504845 | 11, TYPE 1 | Yes (1) | Yes (1) | Yes (1) | $0 |
| MEMORIAL TRUST FOUNDATION OF DOWNEY REGIONAL | |||||
| 203883428 | 11, TYPE 1 | Yes (1) | Yes (1) | Yes (1) | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 9 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,159,343 | OtherCostOrOtherBasisAmt |
| Book Value | $33,159,343 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $74,405,970 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,629,895 | DepreciationAmt |
| Book Value | $57,776,075 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,068,564 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,029,507 | DepreciationAmt |
| Book Value | $16,039,057 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,711,710 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,131,618 | DepreciationAmt |
| Book Value | $580,092 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,935,057 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,456,381 | DepreciationAmt |
| Book Value | $14,478,676 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $122,033,243 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTERCOMPANY PAYABLES | Desc |
| Amt | $107,274,474 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $107,274,474 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE 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 J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUDHAKER NAYAK MD | ||||||||||||||
| DIRECTOR (THROUGH 10/14/2013) | $0 | $151,200 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $151,200 | $0 | $0 |
| JAMES WEST | ||||||||||||||
| PRESIDENT AND CEO | $0 | $890,860 | $0 | $322,035 | $0 | $14,557 | $0 | $0 | $0 | $15,256 | $0 | $1,242,708 | $0 | $0 |
| MITCHELL THOMAS | ||||||||||||||
| CFO, ASST TREAS., SR. VP | $0 | $427,774 | $0 | $111,191 | $0 | $95,303 | $0 | $17,500 | $0 | $17,756 | $0 | $669,524 | $0 | $89,303 |
| PEGGY CHULACK | ||||||||||||||
| CAO & ASST. SECRETARY | $0 | $452,975 | $0 | $106,947 | $0 | $67,006 | $0 | $0 | $0 | $4,957 | $0 | $631,885 | $0 | $60,577 |
| ROSALIO LOPEZ MD | ||||||||||||||
| CHIEF MED OFFICER, SR VP | $0 | $531,324 | $0 | $169,967 | $0 | $9,809 | $0 | $0 | $0 | $10,911 | $0 | $722,011 | $0 | $0 |
| REANNA THOMPSON | ||||||||||||||
| CHIEF NURSING OFFICER | $0 | $312,296 | $0 | $98,025 | $0 | $6,928 | $0 | $0 | $0 | $0 | $0 | $417,249 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | COMPENSATION FOR THE CEO WAS ESTABLISHED AND PAID BY PRESBYTERIAN INTERCOMMUNITY HOSPITAL ("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) WRITTEN EMPLOYMENT CONTRACTS; (5) COMPENSATION SURVEY ORSTUDY; (6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
| PART I, LINE 4B | IHC AND ITS AFFILIATES SPONSOR A 457(F) PLAN. THE PLAN PARTICIPANTS AND AMOUNTS RECEIVED (IF APPLICABLE) WERE: JAMES WEST, MITCHELL THOMAS ($89,303), PEGGY CHULACK ($60,577), ROSALIO LOPEZ, MD., AND REANNA THOMPSON. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | JANE DICUS HAS BUSINESS RELATIONSHIPS WITH DREW SONES AND ROSALIO LOPEZ, MD. |
| FORM 990, PART VI, SECTION A, LINE 4 | THE FOLLOWING CHANGES WERE MADE TO THE BYLAWS: ARTICLE II, SECTION 1 SUPPORT ORGANIZATION - WITH THE AQUISITION OF PHH - DOWNEY, DOWNEY REGIONAL MEDICAL CENTER - HOSPITAL, INC. WAS ADDED AS A SUPPORTED ORGANIZATION. ARTICLE V, SECTION 1 BOARD OF DIRECTORS - AFFILIATION WITH THE SYNOD OF SOUTHERN CALIFORNIA, PRESBYTERIAN CHURCH HAS DISSOLVED AND NO LONGER NECESSARY TO HAVE THE REQUIREMENT OF AN ASSOCIATION WITH THE PRESBYTERIAN CHURCH IN THE BYLAWS. ARTICLE V, SECTION 3 QUALIFICATION AND NOMINATION OF DIRECTORS - REMOVAL OF THE ASSOCIATION WITH THE PRESBYTERIAN CHURCH, A CLASS FOR PRESBYTERIAN DIRECTORS WAS NO LONGER NECESSARY AND HAS BEEN REMOVED FROM THE BYLAWS. ARTICLE V, SECTION 3 QUALIFICATION AND NOMINATION OF DIRECTORS - WITH THE ACQUISITION OF PHH - DOWNEY AND IN ACCORDANCE WITH THE ATTORNEY GENERAL'S STIPULATIONS, TWO MEMBERS OF THE BOARD SHALL EITHER RESIDE OR WORK IN THE DOWNEY PRIMARY AND SECONDARY SERVICE AREAS. |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 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 AND APPROVAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH YEAR, ALL MANAGEMENT AND BOARD OF DIRECTORS MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. ALL POSITIVE RESPONSES ARE REVIEWED BY THE CHIEF ADMINISTRATIVE OFFICER AND GENERAL. 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 15 | THE 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. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE SPECIFIC SALARY OF THE PRESIDENT AND THE CHIEF EXECUTIVE OFFICER AND THE SENIOR VICE PRESIDENT OF FINANCE AND CHIEF FINANCIAL OFFICER. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990 IS AVAILABLE UPON REQUEST. THE ORGANIZATION IS NOT REQUIRED TO MAKE FORM 1023 AVAILABLE FOR PUBLIC INSPECTION AS IT RECEIVED ITS TAX EXEMPTION PRIOR TO JULY 15, 1987. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES - OTHER: PROGRAM SERVICE EXPENSES 682,801. MANAGEMENT AND GENERAL EXPENSES 163,277. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 846,078. PURCHASED SERVICES - R&M BUILDING: PROGRAM SERVICE EXPENSES 566,634. MANAGEMENT AND GENERAL EXPENSES 161,268. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 727,902. PURCHASED SERVICES - GROUND MAINTENANCE: PROGRAM SERVICE EXPENSES 147,531. MANAGEMENT AND GENERAL EXPENSES 41,988. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 189,519. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIH HEALTH REAL ESTATE SERVICES LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12401 WASHINGTON BLVD | AddressLine1 |
| City | WHITTIER | City |
| State | CA | State |
| ZIP Code | 90602 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | REAL ESTATE | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Total Income | $607,475 | TotalIncomeAmt |
| End Of Year Assets | $11,781,396 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INTERHEALTH CORP | BusinessNameLine1 |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| PRESBYTERIAN INTERCOMMUNITY HOSPITAL INC | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 951934652 | HEALTHCARE | CA | SECTION 501(C)(3) | 3 | INTERHEALTH CORP | Yes (1) |
| PIH FOUNDATION | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 953761274 | FUNDRAISING | CA | SECTION 501(C)(3) | 7 | INTERHEALTH CORP | Yes (1) |
| INTERHEALTH HOME HEALTH CARE | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 953036281 | HEALTHCARE | CA | SECTION 501(C)(3) | 9 | INTERHEALTH CORP | Yes (1) |
| IHC MANAGEMENT CORP | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 954016278 | SUPPORT OF TAX-EXEMPT AFFILIATES | CA | SECTION 501(C)(3) | 11, TYPE 1 | INTERHEALTH CORP | Yes (1) |
| MED SITE - HACIENDA HEIGHTS | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 953643829 | HEALTHCARE | CA | SECTION 501(C)(3) | 9 | INTERHEALTH CORP | Yes (1) |
| BRIGHT HEALTH PHYSICIANS OF PIH | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 953942828 | HEALTHCARE | CA | SECTION 501(C)(3) | 9 | INTERHEALTH CORP | Yes (1) |
| DOWNEY REGIONAL MEDICAL CENTER HOSPITAL INC | ||||||||||
| 11500 BROOKSHIRE AVENUE | DOWNEY | CA | 90241 | 951903935 | HEALTHCARE | CA | SECTION 501(C)(3) | 3 | INTERHEALTH CORP | Yes (1) |
| DOWNEY REGIONAL MEDICAL CENTER INC | ||||||||||
| 11500 BROOKSHIRE AVENUE | DOWNEY | CA | 90241 | 954504845 | SUPPORT OF TAX-EXEMPT AFFILIATES | CA | SECTION 501(C)(3) | 11, TYPE 1 | INTERHEALTH CORP | Yes (1) |
| MEMORIAL TRUST FOUNDATION OF DOWNEY REGIONAL MEDICAL CENTER | ||||||||||
| 11500 BROOKSHIRE AVENUE | DOWNEY | CA | 90241 | 203883428 | FUNDRAISING | CA | SECTION 501(C)(3) | 11, TYPE 1 | INTERHEALTH CORP | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| PIH INSURANCE CO A RECIPROCAL RISK RETENTION GROUP | |||||||||
| 1003 BISHOP STREET | HONOLULU | HI | 96813 | 263760243 | CAPTIVE INSURANCE | HI | INTERHEALTH CORP | T | Yes (1) |
| PIH HEALTH CARE SOLUTIONS | |||||||||
| 6557 GREENLEAF AVENUE | WHITTIER | CA | 90601 | 462072342 | HEALTH PLAN LICENSE PENDING | CA | INTERHEALTH CORP | C | Yes (1) |
| DRMC PROPERTIES | |||||||||
| 11500 BROOKSHIRE AVENUE | DOWNEY | CA | 90241 | 954769768 | REAL ESTATE | CA | INTERHEALTH CORP | C | 0 |
| DRMC INSURANCE SERVICES | |||||||||
| 11500 BROOKSHIRE AVENUE | DOWNEY | CA | 90241 | 953967987 | INSURANCE | CA | INTERHEALTH CORP | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MED SITE - HACIENDA HEIGHTS | ||
| A | $234,222 | FMV |
| PIH FOUNDATION | ||
| A | $52,983 | FMV |
| PRESBYTERIAN INTERCOMMUNITY HOSPITAL | ||
| A | $3,787,446 | FMV |
| BRIGHT HEALTH PHYSICIANS OF PIH | ||
| A | $7,204,757 | FMV |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE R, PART IV, COLUMN (E): | PIH INSURANCE COMPANY IS AN UNINCORPORATED RISK RETENTION GROUP. |
| SCHEDULE R, PART IV, COLUMN (E): | PIH HEALTH CARE SOLUTIONS IS A NONPROFIT MUTUAL BENEFIT CORPORATION. |