PIH HEALTH DOWNEY HOSPTIAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- PIH HEALTH DOWNEY HOSPTIAL (EIN 95-1903935)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-22
- IRS object ID
- 201411429349300116
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2014-05-22T11:35:41-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910189318 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SECOND STREET 9TH FLOOR | AddressLine1 |
| City | SAN FRANCISCO | City |
| State | CA | State |
| ZIP Code | 94105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951903935 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOWNEY COMMUNITY HOSPITAL FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | DOWN | NameControl |
| Phone | 5629045251 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11500 BROOKSHIRE AVENUE | AddressLine1 |
| City | DOWNEY | City |
| State | CA | State |
| ZIP Code | 90241 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MITCHELL THOMAS | Name |
| Title | CFO | Title |
| Phone | 5629045251 | Phone |
| Date Signed | 2014-05-22 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RENIE BURBANK | Name |
| PTIN | P00159653 | PTIN |
| Phone | 4159561500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOWNEY REG'L MED CTR HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MITCHELL THOMAS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11500 BROOKSHIRE AVENUE | AddressLine1 |
| City | DOWNEY | City |
| State | CA | State |
| ZIP Code | 90241 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 155057954 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | DRMCI.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1956 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | DOWNEY REGIONAL MEDICAL CENTER HOSPITAL PROVIDES THE SURROUNDING COMMUNITY WITH A COMPREHENSIVE RANGE OF INPATIENT ACUTE CARE SERVICES FOR MEDICAL, SURGICAL, PEDIATRIC, OBSTRETIC, & CRITICAL CARE PATIENTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1435 | TotalNbrEmployees |
| Total Nbr Volunteers | 102 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4000 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 156974133 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 154521485 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 121178 | InvestmentIncomePriorYear |
| Investment Income Current Year | 39518 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 14934459 | OtherRevenuePriorYear |
| Other Revenue Current Year | 492951 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 172029770 | TotalRevenuePriorYear |
| Total Revenue Current Year | 155057954 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 86233966 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 85666430 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 89274889 | OtherExpensePriorYear |
| Other Expenses Current Year | 92290221 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 175508855 | TotalExpensesPriorYear |
| Total Expenses Current Year | 177956651 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -3479085 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -22898697 | RevenuesLessExpensesCY |
| Total Assets BOY | 79714331 | TotalAssetsBOY |
| Total Assets EOY | 68914014 | TotalAssetsEOY |
| Total Liabilities BOY | 116476034 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 128574420 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -36761703 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -59660406 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE OCONSISTENT WITH THE MISSION OF DOWNEY REGIONAL MEDICAL CENTER, INC., THE MISSION OF DOWNEY REGIONAL MEDICAL CENTER HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE TO OUT 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, PHYSICANS AND VOLUNTEERS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 106495382 | Expense |
| Revenue | 120645695 | Revenue |
| Description | SEE SCHEDULE ODOWNEY REGIONAL MEDICAL CENTER (DRMC) HAS PROVIDED ADVANCED HEALTH AND HEALING FOR THE RESIDENTS OF DOWNEY AND THE SURROUNDING COMMUNITIES FOR MORE THAN 50 YEARS, DELIVERING EVER-IMPROVING VALUE AND QUALITY TO PATIENTS. THIS PRIVATE, NON-PROFIT HOSPITAL RAPIDLY RESPONDS TO EMERGING PATIENT DESIRES. DRMC HAS APPLIED THE LATEST TECHNOLOGY AND SKILLS TO BECOME RECOGNIZED AS A PREMIERE HEALTHCARE FACILITY IN SOUTHEAST LOS ANGELES COUNTY. IT IS RANKED AS ONE OF THE 10 BEST HOSPITALS IN LOS ANGELES COUNTY. THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS, THE GOLD STANDARD FOR HEALTHCARE QUALITY AND SAFETY, AND THE MOST RESPECTED ACCREDITING BODY FOR HEALTHCARE PROVIDERS ALSO VALIDATE THIS REPUTATION WITH ABOVE AVERAGE SCORES. SPECIALIZED CARE IS PROVIDED BY DRMC THROUGH ITS EMERGENCY CARE CENTER, FAMILY BIRTH CENTER AND HEART CENTER, AS WELL AS HOME HEALTH, IMAGING, REHABILIATION AND SURGICAL SERVICES. IN ADDITION, DRMC HOSTS NUMEROUS SUPPORT GROUPS, COMMUNITY EDUCATION CLASSES AND OTHER OUTREACH EVENTS FOR PEOPLE OF ALL AGES. THE SENIOR CARE RESOURCES PROVIDE HEALTH FAIRS, LECTURES, HEALTH INFORMATION AND SCREENINGS SPECIFICALLY TARGETED FOR SENIORS. FOR MORE INFORMATION ON DOWNEY REGIONAL MEDICAL CENTER, VISIT THE WEBSITE AT WWW.DRMCI.ORG. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 49055458 | Expense |
| Revenue | 33274058 | Revenue |
| Description | SEE SCHEDULE OFINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS: FINANCIAL ASSISTANCE, OR CHARITY CARE, REFERS TO DOLLARS EXPENDED FOR THE PROVISION OF 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. RECOGNIZING OUR CHARITABLE MISSION, DRMC OFFERS A GENEROUS UNCOMPENSATED CARE PROGRAM PROVIDING FREE HEALTHCARE TO ALL PATIENTS WITH FAMILY INCOME(S) WITHIN 350% OF FEDERAL POVERTY GUIDELINES AND DISCOUNTED HEALTHCARE TO ALL PATIENTS WITH FAMILY INCOME(S) WITHIN 406% OF FEDERAL POVERTY GUIDELINES. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3270441 | Expense |
| Revenue | 601732 | Revenue |
| Description | SEE SCHEDULE OSUBSIDIZED HEALTH SERVICES, COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION AND DONATIONS-IN-KIND. PROGRAMS INCLUDE COMMUNITY HEALTH IMPROVEMENT SERVICES SUCH AS CLINICS, MEDI-CAL ELIGIBILITY WORKERS AND EXERCISE CLASSES; EDUCATION OF MEDICAL STUDENTS, INTERNS, RESIDENTS, FELLOWS AND NURSES; BEHAVIORAL HEALTH SERVICES AND ED PHYSICIAN ON CALL PROGRAMS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 158821281 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 49 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1435 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GEORGE WOO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5629045251 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11500 BROOKSHIRE AVE | AddressLine1 |
| City | DOWNEY | City |
| State | CA | State |
| ZIP Code | 90241 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JIM BALL | |||||||
| CHAIRMAN | 3.00 | X | X | 0 | 0 | 0 | |
| BILL HARE | |||||||
| VICE CHAIRMAN | 3.00 | X | X | 0 | 0 | 0 | |
| BEVERLY MATHIS | |||||||
| SECRETARY & TREASURER | 3.00 | X | X | 0 | 0 | 0 | |
| SAM SMOCK | |||||||
| DIRECTOR | 3.00 | X | 0 | 0 | 0 | ||
| RICHY AGAJANIAN MD | |||||||
| DIRECTOR, EX OFFICIO | 3.00 | X | 0 | 0 | 0 | ||
| ERNEST AGATSTEIN MD | |||||||
| DIRECTOR, EX OFFICIO | 3.00 | X | 0 | 0 | 0 | ||
| STEVEN WEISS MD | |||||||
| DIRECTOR, EX OFFICIO | 3.00 | X | 0 | 0 | 0 | ||
| KENNETH STROPLE | |||||||
| PRESIDENT/CEO | 40.00 | X | 796876 | 0 | 0 | ||
| ROBERT FULLER | |||||||
| EXECUTIVE VP/COO | 40.00 | X | 630982 | 0 | 0 | ||
| GALEN GORMAN | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | X | 306880 | 0 | 0 | ||
| WILLIAM STEIN | |||||||
| VP ANCILLARY OPERATIONS | 40.00 | 256647 | 0 | 0 | X | ||
| DEAN CORRENTI | |||||||
| REVENUE CYCLE DIRECTOR | 40.00 | 201144 | 0 | 0 | X | ||
| NOEMI GUEVARRA | |||||||
| RN SUPERVISOR | 40.00 | 231287 | 0 | 0 | X | ||
| LINDA BUDDINE | |||||||
| RN SUPERVISOR | 40.00 | 190194 | 0 | 0 | X | ||
| JESUS GUTIERREZ | |||||||
| ULTRASOUND TECHNOLOGIST | 40.00 | 163953 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2777963 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 75 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ARNOLD & PORTER LLP | |||||
| 777 SOUTH FIGUEROA ST 44TH | LOS ANGELES | CA | 90017 | LEGAL SERVICES | 1490048 |
| SOUTHLAND MGMT GROUP INC | |||||
| 3300 E SOUTH ST STE 308 | LONG BEACH | CA | 90805 | HEMODIALYSIS | 857900 |
| LEVENENEALEBENDERYOO&BRILL | |||||
| 10250 CONSTELLATION BLVD STE 1700 | LOS ANGELES | CA | 90067 | LEGAL SERVICES | 300365 |
| DOWNEY ANESTHESIA MEDICAL | |||||
| 5951 VARIEL AVENUE | WOODLAND HILLS | CA | 91367 | ANESTHETIC SERVICES | 293900 |
| MAXIM HEALTHCARE SERVICES | |||||
| 12558 COLLECTIONS CETR DR | CHICAGO | IL | 60693 | CONTRACTED NURSING REGISTRY SERVICES | 277830 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| Related Organizations | 4000 | RelatedOrganizations |
| Total Contributions | 4000 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUE | 621110 | 154354759 | 154354759 |
| MED TRAINING PRGM REV | 624100 | 129841 | 129841 |
| COMMUNITY ED REVENUE | 624100 | 36885 | 36885 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 154521485 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 39018 | TotalRevenueColumn |
| Exclusion | $39,018 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 500 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 500 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 500 | TotalRevenueColumn |
| Exclusion | $500 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| OTHER INCOME | 900099 | 497089 | $497,089 |
| VENDING MACHINE | 900099 | 21474 | $21,474 |
| CRT INCOME/(LOSS) | 900099 | -25612 | -$25,612 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 492951 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 155057954 | TotalRevenueColumn |
| Related Or Exempt Function Income | 154521485 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $532,469 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2419554 | Total |
| Management And General | 2419554 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66974665 | Total |
| Program Services | 62286438 | ProgramServices |
| Management And General | 4688227 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1471439 | Total |
| Program Services | 1368438 | ProgramServices |
| Management And General | 103001 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9921772 | Total |
| Program Services | 9227248 | ProgramServices |
| Management And General | 694524 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4879000 | Total |
| Program Services | 4537470 | ProgramServices |
| Management And General | 341530 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 802590 | Total |
| Management And General | 802590 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1020483 | Total |
| Management And General | 1020483 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50950 | Total |
| Management And General | 50950 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12294 | Total |
| Management And General | 12294 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22586313 | Total |
| Program Services | 21005270 | ProgramServices |
| Management And General | 1581043 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1430261 | Total |
| Program Services | 1330143 | ProgramServices |
| Management And General | 100118 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2659319 | Total |
| Program Services | 2659319 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 108717 | Total |
| Program Services | 108717 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6518621 | Total |
| Management And General | 6518621 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4849566 | Total |
| Program Services | 4849566 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2060957 | Total |
| Program Services | 2060957 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 20726299 | 20726299 | |
| QUALITY ASSURANCE FEE | 20384097 | 20384097 | |
| PURCHASE SRVC/MAINT.EXP | 7473819 | 7473819 | |
| REORGANIZATION EXPENSE | 741957 | 741957 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 863978 | Total |
| Program Services | 803500 | ProgramServices |
| Management And General | 60478 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 177956651 | Total |
| Program Services | 158821281 | ProgramServices |
| Management And General | 19135370 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3516 | BOY |
| EOY | 3516 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 560256 | BOY |
| EOY | 782799 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20794652 | BOY |
| EOY | 21103749 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1761617 | BOY |
| EOY | 1897856 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4674858 | BOY |
| EOY | 4121935 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 141785165 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 123135044 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25856517 | BOY |
| EOY | 18650121 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 409475 | BOY |
| EOY | 410383 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25653440 | BOY |
| EOY | 21943655 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79714331 | BOY |
| EOY | 68914014 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49837268 | BOY |
| EOY | 54941537 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10169686 | BOY |
| EOY | 11309770 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34407299 | BOY |
| EOY | 41533718 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22061781 | BOY |
| EOY | 20789395 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 116476034 | BOY |
| EOY | 128574420 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -36761703 | BOY |
| EOY | -59660406 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -36761703 | BOY |
| EOY | -59660406 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79714331 | BOY |
| EOY | 68914014 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -22898697 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -6 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $12,294 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 12294 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | A PORTION OF DUES PAID TO HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA IS RELATED TO LOBBYING ACTIVITIES. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3239242 | OtherCostOrOtherBasis |
| Book Value | 3239242 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 63604331 | OtherCostOrOtherBasis |
| Depreciation | 54684014 | Depreciation |
| Book Value | 8920317 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 72889183 | OtherCostOrOtherBasis |
| Depreciation | 68451030 | Depreciation |
| Book Value | 4438153 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2052409 | OtherCostOrOtherBasis |
| Book Value | 2052409 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 18650121 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INTERCOMPANY DRMCI | 922452 |
| INTERCOMPANY DRMCI PROP | 4074673 |
| WORKERS' COMP AND MEDICAL MALPRACTICE | 5110000 |
| HOSPITAL FEE PROGRAM | 11836530 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 21943655 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SHARED RISK/PACIFICARE ADVANCE | $2,570,946 |
| A/R CREDIT BALANCE | $823,947 |
| OTHER LIABILITIES | $51,228 |
| CAPITALIZED LEASE OBLIGATION | $1,431,394 |
| 3RD PARTY SETTLEMENT | $750,880 |
| HOSPITAL FEE PROGRAM LIABILITY | $15,161,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 20789395 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | THE COMPANY FOLLOWS THE PROVISIONS OF FASB ASC 740-10, INCOME TAXES, RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS, WHICH HAS NO CONSOLIDATED FINANCIAL STATEMENT IMPACT TO THE COMPANY. THE COMPANY RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 350.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 406.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 0 | AmountsBudgetedForCharityCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 78 | PersonsServed |
| Total Community Benefit Expense | 517579 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 100537 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 417042 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 22271 | PersonsServed |
| Total Community Benefit Expense | 47308283 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 32806686 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14501597 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08150 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1337 | PersonsServed |
| Total Community Benefit Expense | 1229596 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 366835 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 862761 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00480 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 23686 | PersonsServed |
| Total Community Benefit Expense | 49055458 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 33274058 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15781400 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08860 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 10 | NumberOfActivitiesOrPrograms |
| Persons Served | 2756 | PersonsServed |
| Total Community Benefit Expense | 458069 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12305 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 445764 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00250 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 1711 | PersonsServed |
| Total Community Benefit Expense | 2422166 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 589427 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1832739 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01030 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 909 | PersonsServed |
| Total Community Benefit Expense | 359369 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 359369 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 144 | PersonsServed |
| Total Community Benefit Expense | 30837 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 30837 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 16 | NumberOfActivitiesOrPrograms |
| Persons Served | 5520 | PersonsServed |
| Total Community Benefit Expense | 3270441 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 601732 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2668709 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01500 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 16 | NumberOfActivitiesOrPrograms |
| Persons Served | 29206 | PersonsServed |
| Total Community Benefit Expense | 52325899 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 33875790 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18450109 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10360 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 1 | PersonsServed |
| Total Community Building Expense | 62 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 62 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 1 | PersonsServed |
| Total Community Building Expense | 62 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 62 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $13,810,922 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 37257750 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 37378451 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -120701 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOWNEY REGIONAL MEDICAL CNTR HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11500 BROOKSHIRE AVENUE | AddressLine1 |
| City | DOWNEY | City |
| State | CA | State |
| ZIP Code | 90241 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOWNEY REGIONAL MEDICAL CNTR HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 10 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| On Request | X | OnRequest |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 350.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 406.000000000000 | FPGDiscountPercent |
| Explains Basis | 0 | ExplainsBasis |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 0 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| SCHEDULE H, PART I, LINE 3C | THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR PROVIDING FREE AND DISCOUNTED CARE TO LOW INCOME INDIVIDUALS. | |
| SCHEDULE H, PART I, LINE 6A | THE HOSPITAL'S COMMUNITY BENEFIT REPORT IS FILED ON A SEPARATE BASIS AND IS NOT INCLUDED IN A REPORT PREPARED BY A RELATED ORGANIZATION. | |
| SCHEDULE H, PART I, LINE 7G | THE HOSPITAL DID NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC IN THE AMOUNTS LISTED IN THE TABLE AT PART I LINE 7G, SUBSIDIZED HEALTH SERVICES. | |
| SCHEDULE H, 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. | |
| SCHEDULE H,PART II | PLEASE REFER TO DESCRIPTION PROVIDED ON FORM 990, PART III, LINE 4A-4D. | COMMUNITY BUILDING ACTIVITIES: |
| SCHEDULE H, PART III, LINE 4 | THE HOSPITAL DETERMINES THE AMOUNT REPORTED IN PART III LINES 2 AND 3 BASED ON THE COST-TO-CHARGE RATIOS DISCUSSED ABOVE. | |
| SCHEDULE H, 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 ALLOWABLE 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. | |
| SCHEDULE H, PART III, LINE 9B | DOWNEY REGIONAL MEDICAL CENTER AS PART OF ITS MISSION PROVIDES CHARITY CARE TO PATIENTS WHO DO NOT HAVE ADEQUATE INSURANCE COVERAGE AND/OR FINANCIAL RESOURCES TO PAY THEIR HOSPITAL BILLS. THIS POLICY ENSURES THAT DRMC IS IN COMPLIANCE WITH THE GUIDELINES SET FORTH IN THE ACCOUNTING AND REPORTING MANUAL OF THE CALIFORNIA HOSPITALS PUBLISHED BY THE STATE OF CALIFORNIA, OFFICE OF THE STATEWIDE HEALTH PLANNING DEVELOPMENT. DOWNEY REGIONAL MEDICAL CENTER PRE-SCREENS PATIENTS FOR POSSIBLE CHARITY ELIGIBILITY AT PRE-REGISTRATION, REGISTRATION, DISCHARGE, AND AT ANY OTHER TIME THE FACILITY STAFF ENCOUNTERS INFORMATION DETAILING THE PATIENT'S FINANCIAL NEED. CHARITY IS RE-SCREENED THROUGHOUT THE REVENUE CYCLE BY FINANCIAL COUNSELING, PATIENT FINANCIAL SERVICES, AND ANY VENDOR WE ASSIGN RESPONSIBILITY TO, WHEN EVENTS TRIGGER REVIEW. IF DRMC HAS INITIATED EXTERNAL COLLECTION ACTIVITIES AND THEN DISCOVERS A REQUEST FOR CHARITY REVIEW HAS BEEN MADE, THE COLLECTIONS PROCESS WILL CONTINUE UNTIL A FINANCIAL ASSESSMENT HAS BEEN MADE. WE WILL INFORM THE COLLECTION AGENCIES OF OUR FINANCIAL ASSESSMENT REVIEW. CHARITY ELIGIBILITY WILL BE EVALUATED ON THE CURRENT FINANCIAL STATUS OF THE PATIENT OR GUARANTOR, TO ALLOW FOR RECENT FINANCIAL HARDSHIPS THAT RESULT IN A NEWFOUND NEED FOR CHARITY SERVICE. THE GUARANTOR OF PAYMENT MUST MAKE ALL ATTEMPTS BY EITHER SIGNING A PROMISSORY NOTE FOR INSTALLMENT PAYMENTS OR A REQUEST FOR PARTIAL CHARITY SERVICE. IN THE CASE OF CHARITY DENIAL, THE PATIENT WILL HAVE THIRTY (30) CALENDAR DAYS TO APPEAL THE DECISION, CORRECT ANY DEFICIENCIES IN DOCUMENTATION, OR REQUEST A REVIEW OF THE DENIAL. WITHIN THE FIRST THIRTY (30) DAYS FOLLOWING A CHARITY DENIAL, DRMC WILL NOT REFER THE PATIENT ACCOUNT TO ANY EXTERNAL COLLECTION AGENCY. IF NO APPEAL OR REQUEST FOR REVIEW IS MADE DURING THAT THIRTY-DAY PERIOD, DRMC WILL INITIATE EXTERNAL COLLECTION ACTIVITIES AT THE APPROPRIATE ACCOUNT AGE. ACCOUNTS MAY BE RETURNED FROM BAD DEBT STATUS IF FINANCIAL CIRCUMSTANCES WARRANT AND CHARITY MAY BE APPLIED. PATIENTS WHO ARE APPROVED FOR FINANCIAL ASSISTANCE AND WHO HAVE EXISTING HOSPITAL ACCOUNTS IN BAD DEBT STATUS MAY HAVE THOSE PAST ACCOUNTS REVIEWED ON A CASE BY CASE BASIS, TO DETERMINE IF THEY QUALIFY FOR RECLASSIFYING THE EXISTING BAD DEBT ACCOUNTS TO CHARITY STATUS. IF PATIENTS DO NOT PROVIDE THE NECESSARY DOCUMENTATION TO BE CONSIDERED FOR FINANCIAL ASSISTANCE, OR IF A PATIENT DOES NOT RESPOND TO OFFERS OF FINANCIAL ASSISTANCE, THE HOSPITAL'S PATIENT FINANCIAL SERVICES DEPARTMENT WILL UTILIZE OUTSIDE SOURCES OF INFORMATION TO DETERMINE ELIGIBILITY. DEBT COLLECTION AGENCIES ENGAGED IN COLLECTING SELF PAY BALANCES ON BEHALF OF THE HOSPITAL WILL PROVIDE WRITTEN NOTICES TO PATIENTS REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR UNINSURED AND/OR UNDERINSURED PATIENTS DURING THE COLLECTION PROCESS. DEBT COLLECTION AGENCIES ARE REQUIRED TO TREAT PATIENTS FAIRLY, MAY ONLY CONTACT PATIENTS BETWEEN 8AM AND 9PM AND GENERALLY MAY NOT GIVE INFORMATION ABOUT THE PATIENT'S DEBT TO ANOTHER PERSON. | |
| PART V, SECTION B, LINE 3: DURING A THREE-WEEK PERIOD BEGINNING IN MID-OCTOBER 2010, EIGHTEEN COMMUNITY LEADERS PARTICIPATED IN ONE-ON-ONE TELEPHONE INTERVIEWS TO IDENTIFY PRIORITY HEALTH ISSUES. COMMUNITY LEADERS PARTICIPATING IN THE COMMUNITY CONSULTATION REPRESENTED VARIOUS LOCAL ORGANIZATIONS, INCLUDING CITY OF DOWNEY, PUBLIC SCHOOLS SERVING KINDERGARTEN TO 12TH GRADE STUDENTS IN DOWNEY, A COMMUNITY COLLEGE NURSING DEPARTMENT, SERVICE ORGANIZATIONS, THE LOCAL NEWSPAPER, COMMUNITY PHYSICIANS, AND MEMBERS OF THE HOSPITAL'S BOARD OF DIRECTORS. MANY OF THOSE INTERVIEWED HAVE LIVED, WORKED AND VOLUNTEERED LOCALLY FOR MANY YEARS, OFFERING CONSIDERABLE PERSPECTIVE ON AREA HEALTH ISSUES. PRIMARY DATA COLLECTION FOR THIS NEEDS ASSESSMENT CONSISTED OF TARGETED INTERVIEWS, FOCUS GROUPS, AND A COMMUNITY SURVEY, WHICH WERE USED TO GATHER INFORMATION REGARDING PERCEPTIONS AND OPINIONS FROM THOSE REPRESENTING THE BOARD INTERESTS OF THE COMMUNITIES IN OUR PRIMARY SERVICE AREA. | DOWNEY REGIONAL MEDICAL CNTR HOSPITAL | |
| PART V, SECTION B, LINE 7: THIS WAS NOT REQUIRED FOR THE 2010 COMMUNITY HEALTH NEEDS ASSESSMENT. THE INFORMATION WILL BE INCLUDED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT THAT IS CURRENTLY BEING COMPLETED. | DOWNEY REGIONAL MEDICAL CNTR HOSPITAL | |
| SCHEDULE H, PART VI, LINE 2 | IN 2010, DOWNEY REGIONAL MEDICAL CENTER COMPLETED A COMMUNITY NEEDS ASSESSMENT. FIRST, THE HOSPITAL VERIFIED ITS SERVICE AREA DEFINITION TO FOCUS ON THE COMMUNITIES SURROUNDING THE HOSPITAL. NEXT, A COMPREHENSIVE WORK PLAN, INCLUDING BOTH PRIMARY AND SECONDARY DATA, WAS ESTABLISHED. THE WORK PLAN FOCUSED ON A THOROUGH DESCRIPTION OF SERVICE AREA DEMOGRAPHICS, COMMUNITY HEALTH STATUS (REVIEWING INDICATORS RELATED TO AVAILABILITY OF HEALTH INSURANCE, LEADING CAUSES OF DEATH, PREVENTABLE HOSPITALIZATIONS, BIRTH-RELATED OUTCOMES, AND AGE-SPECIFIC HEALTH CONSIDERATIONS), AND CONSULTATION WITH THE COMMUNITY REGARDING IMPORTANT HEALTH ISSUES. AT THE CONCLUSION OF THE ASSESSMENT, THE REPORT WAS DISTRIBUTED AND REVIEWED BY ADMINISTRATION. THE FINDINGS OF THE NEEDS ASSESSMENT ARE USED BY MEDICAL CENTER STAFF IN THEIR PLANNING OF HEALTH-RELATED PROGRAMS. | NEEDS ASSESSMENT: |
| SCHEDULE H, PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE ALL PATIENTS ARE PROVIDED WITH A WRITTEN NOTICE THAT CONTAINS INFORMATION ABOUT THE AVAILABILITY OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, INCLUDING INFORMATION ABOUT ELIGIBILITY, AS WELL AS CONTACT INFORMATION FOR A HOSPITAL EMPLOYEE OR OFFICE FROM WHICH THE PERSON MAY OBTAIN FURTHER INFORMATION ABOUT THESE POLICIES. THE NOTICE SHALL BE PROVIDED IN ENGLISH AND IN OTHER LANGUAGES. NOTICE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO, ALL OF THE FOLLOWING: O EMERGENCY DEPARTMENT O PATIENT FINANCIAL SERVICES O PATIENT REGISTRATION O OUTPATIENT SURGICAL CENTERO REHABILITATION DEPARTMENT DETERMINATION OF FINANCIAL ASSISTANCE IS GENERALLY MADE AT THE TIME OF ADMISSION, OR SHORTLY THEREAFTER. HOWEVER, EVENTS AFTER DISCHARGE COULD CHANGE THE ABILITY OF THE PATIENT TO PAY. ALL HOSPITAL FINANCIAL ASSISTANCE REQUESTS ARE REFERRED TO EITHER THE ELIGIBLITY REPRESENTATIVES OR A PATIENT FINANCIAL SERVICES REPRESENTATIVE. IN THE EVENT AN OUTSOURCE AGENCY DISCOVERS A PATIENT THAT MAY QUALIFY UNDER THE HOSPITAL'S GUIDELINES, THEY WILL REFER THOSE PATIENTS TO THE APPROPRIATE HOSPITAL PERSONNEL. | |
| SCHEDULE H, PART VI, LINE 4 | THE NEEDS ASSESSMENT INCLUDED A SUMMARY OF POPULATION AND HOUSEHOLD DEMOGRAPHICS, MEASURES RELATED TO ACCESS TO HEALTH CARE, MORTALITY, MATERNAL AND INFANT HEALTH, CHILD AND ADOLESCENT HEALTH, ADULT HEALTH, AND SENIOR HEALTH; AND FINDINGS FROM COMMUNITY CONSULTATIONS. THE HOSPITAL USES THE FINDINGS OF THE 2010 NEEDS ASSESSMENT IN THE PREPARATION OF COMMUNITY BENEFITS PLANS FOR THE NEXT THREE FISCAL YEARS, IN ACCORDANCE WITH SENATE BILL 697 (COMMUNITY BENEFITS LEGISLATION FOR NOT-FOR-PROFIT HOSPITALS). DOWNEY REGIONAL MEDICAL CENTER, LOCATED IN DOWNEY, DEFINED ITS SERVICE AREA FOR PURPOSES OF THE 2010 COMMUNITY NEEDS ASSESSMENT TO INCLUDE THE FOLLOWING COMMUNITIES: O DOWNEY O BELLO BELLFLOWER O CERRITOS O HUNTINGTON PARK O LYNWOODO MAYWOOD O NORWALK O PARAMOUNT O PICO RIVERAO SANTA FE SPRINGSO SOUTH GATE THE SERVICE AREA POPULATION (2010) IS ESTIMATED AT 873,937 PERSONS. THE POPULATION IN THE SERVICE AREA IS FORECAST TO INCREASE 2.7 PERCENT IN THE NEXT FIVE YEARS. GROWTH PROJECTIONS FOR HOUSEHOLDS AND FAMILIES ARE ESTIMATED TO INCREASE 1.8 PERCENT AND 1.8 PERCENT. TO ASSIST WITH PROVIDING CONTEXT TO THE SERVICE AREA DEMOGRAPHICS, KEY STATISTICS ARE COMPARED TO LOS ANGELES COUNTY FOR 2010. OF NOTE, IN COMPARISON TO LOS ANGELES COUNTY, THE SERVICE AREA HAS A HIGHER PROPORTION OF: HISPANIC RESIDENTS; PERSONS SPEAKING SPANISH AT HOME; ADULTS WITH LESS THAN A 9TH GRADE EDUCATION, SOME HIGH SCHOOL (NO DIPLOMA), AND HIGH SCHOOL GRADUATES; EMPLOYED PERSONS WITH BLUE COLLAR OCCUPATIONS; HOUSEHOLDS WITH 3 OR MORE PERSONS, HOUSEHOLDS WITH INCOMES FROM $15,000 TO $99,999; HOUSEHOLDS HEADED BY PERSONS 65 YEARS AND OLDER; OWNER OCCUPIED HOUSEHOLDS; HOUSEHOLDS WITH NO CHILDREN UNDER AGE 18 YEARS PRESENT; AND FAMILIES BELOW THE POVERTY LEVEL. POPULATION CHARACTERISTICS CORRELATED WITH HEALTH STATUS INCLUDE AGE 65 YEARS AND OLDER, CULTURAL DIVERSITY (PERSONS OF NON-HISPANIC WHITE RACE/ETHNICITY), LANGUAGE SPOKEN AT HOME (PERSONS FIVE YEARS AND OLDER SPEAKING SPANISH OR ASIAN/PACIFIC ISLAND LANGUAGES), EDUCATIONAL ATTAINMENT (PERSONS 25 YEARS AND OLDER WITH LESS THAN A HIGH SCHOOL DEGREE OR GED), HOUSEHOLD INCOME, AND POVERTY LEVEL (FAMILIES BELOW THE POVERTY LEVEL). HEART DISEASE AND CANCER WERE THE TOP TWO LEADING CAUSES OF DEATH IN THE SERVICE AREA, ACCOUNTING FOR 50.6 PERCENT OF ALL DEATHS. PARTICIPANTS IN THE COMMUNITY CONSULTATION IDENTIFIED THE FOLLOWING IMPORTANT HEALTH ISSUES (PRESENTED INORDER OF FREQUENCY OF MENTION):O ACCESS TO HEALTH CARE SERVICES AND HEALTH INSURANCEO PREVENTION AND MANAGEMENT OF CHRONIC DISEASES AND ACCIDENTSO MENTAL HEALTH SERVICESO AVAILABILITY OF LOCAL HOSPITAL SERVICES | COMMUNITY INFORMATION |
| SCHEDULE H, PART VI, LINE 5 | DURING FISCAL YEAR ENDED 2013, DOWNEY REGIONAL MEDICAL CENTER CONTINUED TO PURSUE THE FOLLOWING OBJECTIVES: 1. TO CONTINUE TO PROVIDE AFFORDABLE AND ACCESSIBLE HEALTH CARE SERVICES. 2. TO CONTINUE THE DEVELOPMENT OF HEALTH EDUCATION, PROMOTION AND WELLNESS SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. 3. TO CONTINUE TO COORDINATE EFFORTS WITH EDUCATION AND TRAINING PROGRAMS. MANY OF THE HOSPITAL'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE HOSPITAL NOR FAMILY MEMBERS THEREOF. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARMENTS. THE HOSPITAL APPLIES SURPLUS FUNDS TO CONTINUING AND IMPROVING HEALTHCARE OPERATIONS IN THE COMMUNITY. | PROMOTION OF COMMUNITY HEALTH |
| SCHEDULE H, PART VI, LINE 7 | A COMMUNITY BENEFIT REPORT IS FILED IN THE STATE OF CALIFORNIA. | STATE FILING OF COMMUNITY BENEFIT REPORT: |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENNETH STROPLE | ||||||||||||||
| PRESIDENT/CEO | 464292 | 0 | 318334 | 0 | 14250 | 0 | 0 | 0 | 0 | 0 | 796876 | 0 | 0 | 0 |
| ROBERT FULLER | ||||||||||||||
| EXECUTIVE VP/COO | 385976 | 0 | 230756 | 0 | 14250 | 0 | 0 | 0 | 0 | 0 | 630982 | 0 | 0 | 0 |
| GALEN GORMAN | ||||||||||||||
| CHIEF FINANCIAL OFFICER | 306880 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 306880 | 0 | 0 | 0 |
| WILLIAM STEIN | ||||||||||||||
| VP ANCILLARY OPERATIONS | 234061 | 0 | 0 | 0 | 22586 | 0 | 0 | 0 | 0 | 0 | 256647 | 0 | 0 | 0 |
| DEAN CORRENTI | ||||||||||||||
| REVENUE CYCLE DIRECTOR | 87483 | 0 | 0 | 0 | 113661 | 0 | 0 | 0 | 0 | 0 | 201144 | 0 | 0 | 0 |
| NOEMI GUEVARRA | ||||||||||||||
| RN SUPERVISOR | 231287 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 231287 | 0 | 0 | 0 |
| LINDA BUDDINE | ||||||||||||||
| RN SUPERVISOR | 190194 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 190194 | 0 | 0 | 0 |
| JESUS GUTIERREZ | ||||||||||||||
| ULTRASOUND TECHNOLOGIST | 163953 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 163953 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | THE ORGANIZATION PROVIDED GROSS-UP PAYMENTS FOR THE EMPLOYEE'S SHARE OF THEIR HMO COVERAGE FOR THE EXECUTIVES, INCLUDING THE CEO, CFO, AND COO. THESE AMOUNTS WERE INCLUDED IN TAXABLE COMPENSATION FOR EACH PERSON WHO RECEIVED THE BENEFIT. |
| PART I, LINE 4A | SEVERANCE PAYMENT WAS PAID TO DEAN CORRENTI IN THE AMOUNT OF $113,661. THE SEVERANCE PAYMENT WAS INCLUDED IN HIS FORM W-2. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS ONE MEMBER, DOWNEY REGIONAL MEDICAL CENTER, INC. A 501(C)(3) ORGANIZATION. THE MEMBER MAY APPOINT OF REMOVE HOSPITAL DIRECTORS. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE POWERS AND AUTHORITY OF THE MEMBER INCLUDES THE FOLLOWING: TO ESTABLISH THE MISSION, LONG-RANGE GOALS, STRATEGIES, CORPORATE POLICIES AND PERFORMANCE CRITERIA FOR THE HOSPITAL; TO DIRECT FUNDS NOT REQUIRED FOR DAY-TO-DAY OPERATIONS OF THE HOSPITAL TO BE TRANSFERRED TO THE CORPORATE ACCOUNT; TO APPROVE DISSOLUTION, MERGER OR CONSOLIDATION OF THE HOSPITAL; TO AMEND OR RESTATE THE ARTICLES OF INCORPORATION OR THE BYLAWS; TO CHANGE OR APPROVE THE CHANGE OF THE PURPOSES OF THE HOSPITAL; TO APPROVE THE ANNUAL BUDGET AND LONG-TERM CAPITAL AND OPERATIONAL BUDGETS; TO APPROVE INDEPENDENT AUDITORS; TO ENTER INTO ANY AGREEMENT FOR THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, OR OTHER DISPOSITION OR GIFT OF ALL, OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE HOSPITAL; AND TO ENTER INTO AGREEMENTS OR INCUR DEBTS. THE ACTIONS OF THE HOSPITAL'S BOARD OF DIRECTORS ARE SUBJECT TO THE ULTIMATE AUTHORITY OF THE MEMBER. | |
| FORM 990, PART VI, SECTION A, LINE 7B | SEE EXPLANATION TO 990, PART VI, LINE 7A. | |
| FORM 990, PART VI, SECTION B, LINE 11 | AN ELECTRONIC COPY OF THE FORM 990 HAS BEEN PROVIDED TO THE GOVERNING BODY PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. | |
| FORM 990, PART VI, SECTION B, LINE 12C | AN ANNUAL CONFLICT OF INTEREST DISCLOSURE AIMED AT DETERMING ANY FAMILY AND BUSINESS RELATIONSHIPS AND TRANSACTIONS OR OTHER TRANSACTIONS THAT MAY POSE A POTENTIAL CONFLICT, IS DISTRIBUTED TO ALL COVERED PERSONS (I.E., BOARD MEMBERS, OFFICERS, KEY EMPLOYEES, AND EXECUTIVE LEADERSHIP). COVERED PERSONS ARE REQUIRED TO DISCLOSE REAL OR POTENTIAL CONFLICTS AT THE TIME WHEN SUCH CONFLICTS ARISE. THE COMPLETED QUESTIONNARIES ARE REVIEWED BY THE BOARD OF DIRECTORS. THE PROCEDURES FOR ADDRESSING ANY CONFLICT OF INTEREST INCLUDES, BUT IS NOT LIMITED TO, THE FOLLOWING: (1) THE CONFLICTING INTEREST IS FULLY DISCLOSED TO THE BOARD; (2) THE INTERESTED PERSON RESPONDS TO FACTUAL QUESTIONS RELATED TO THE SUBSTANCE OF THE TRANSACTION OR ARRANGEMENT BEING CONSIDERED, AFTER WHICH HE/SHE SHALL LEAVE THE MEETING; (3) THE PERSON WITH THE CONLFICT OF INTEREST IS EXCLUDED FROM DISCUSSION AND APPROVAL OF SUCH TRANSACTION; (4) ALTERNATIVES TO THE PROPOSED TRANSACTION ARE INVESTIGATED, AND COMPETITIVE BIDS OR COMPARABLE VALUATIONS ARE OBTAINED; (5) ANY CONFLICTING ISSUES DURING THE COURSE OF A BOARD MEETING WHICH CANNOT BE RESOLVED IS REFERRED TO THE GOVERNANCE COMMITTEE; AND (6) THE TRANSACTION OR ACTION MUST BE APPORVED BY A MAJORITY OF DISINTERESTED PERSONS. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD APPOINTS A COMPENSATION COMMITTEE, COMPRISED SOLELY OF INDEPENDENT DIRECTORS, NONE OF WHICH HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT, TO BE ACCOUNTABLE FOR SETTING REASONABLE COMPENSATION PACKAGES FOR THE CHIEF EXECUTIVE OFFICER, THE CHIEF FINANCIAL OFFICER, AND THE CHIEF OPERATING OFFICER. THE COMPENSATION COMMITTEE DEVELOPS, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEE ALSO MAY HIRE A QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALIST (INDEPENDENT EXPERT) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EMPLOYEES. APPROPRIATE COMPARABILITY DATA IS OBTAINED FROM THE INDEPENDENT SOURCES (LAST OBTAINED IN 2007 AND NO RAISES FOR COVERED PERSONS HAVE BEEN GIVEN POST-2007), I.E., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS (BOTH TAXABLE AND TAX-EXEMPT) FOR SIMILAR JOB RESPONSIBILITIES. THE COMMITTEE'S WRITTEN RECORDS INCLUDE THE KEY DELIBERATIONS OF THE COMMITTEE, INCLUDING: (A) THE TERMS OF THE TRANSACTION THAT WAS APPROVED AND THE DATE IT WAS APPROVED; (B) THE MEMBERS OF THE AUTHORIZED BODY WHO WERE PRESENT DURING DEBATE ON THE TRANSACTION THAT WAS APPROVED AND THOSE WHO VOTED ON IT; (C) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE AUTHORIZED BODY AND HOW THE DATA WAS OBTAINED; AND (D) ANY ACTIONS TAKEN WITH RESPECT TO CONSIDERATION OF THE TRANSACTION BY ANYONE WHO IS OTHERWISE A MEMBER OF THE AUTHORIZED BODY BUT WHO HAD A CONFLICT OF INTEREST WITH RESPECT TO THE TRANSACTION ARE ALSO DOCUMENTED IN MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING. THE REVIEW OF OTHER OFFICER AND KEY EMPLOYEE COMPENSATION PACKAGES ARE DELEGATED TO THE CEO AND THE RECOMMENDATIONS ARE REVIEWED, APPROVED AND DOCUMENTED BY THE BOARD (AS DESCRIBED ABOVE). BENCHMARKING DATA IS OBTAINED FROM MULTIPLE SOURCES IN DETERMINING APPROPRIATE TOTAL ECONOMIC BENEFITS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | WHILE 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 11G | OTHER: PROGRAM SERVICE EXPENSES 21,005,270. MANAGEMENT AND GENERAL EXPENSES 1,581,043. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,586,313. | OTHER FEES |
| FORM 990, PART XI, LINE 9: | AUDITED FINANCIAL STATEMENT ROUNDING ADJUSTMENT -6. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| 990, PART XII, LINE 2C | THE COMPANY WAS ACQUIRED BY INTERHEALTH CORP., DBA PIH HEALTH ON OCTOBER 1, 2013. IN CONNECTION WITH THE ACQUISITION, THE PIH HEALTH AUDIT COMMITTEE ASSUMED OVERSIGHT OF THE AUDIT OF THE COMPANY'S FINANCIAL STATEMENTS. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| DOWNEY REGIONAL MEDICAL CENTER INC | ||||||||||
| 11500 BROOKSHIRE AVENUE | DOWNEY | CA | 90241 | 954504845 | SUPPORTING ORGANIZATION | CA | 501(C)(3) | 11-TYPE 1 | N/A | 1 |
| MEMORIAL TRUST FOUNDATION OF DOWNEY REGIONAL | ||||||||||
| 11500 BROOKSHIRE AVENUE | DOWNEY | CA | 90241 | 203883428 | FUNDRAISING | CA | 501(C)(3) | 11-TYPE 1 | N/A | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| DRMC PROPERTIES | ||||||||||
| 11500 BROOKSHIRE AVENUE | DOWNEY | CA | 90241 | 954769768 | REAL ESTATE | CA | DRMC INC | C | 1.00000 | 0 |
| DRMC INSURANCE SERVICES | ||||||||||
| 11500 BROOKSHIRE AVENUE | DOWNEY | CA | 90241 | 953967987 | INSURANCE | CA | DRMC INC | C | 1.00000 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |