PIH HEALTH MANAGEMENT CORP: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- PIH HEALTH MANAGEMENT CORP (EIN 95-4016278)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-09
- IRS object ID
- 201142219349301324
- Schema version
- 2009v1.7
- 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 | 2011-08-09T11:22:06-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 954016278 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IHC MANAGEMENT CORP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | IHCM | NameControl |
| Phone | 5626980811 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MITCHELL THOMAS | Name |
| Title | CFO | Title |
| Phone | 5626980811 | Phone |
| Date Signed | 2011-08-09 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6192326500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| 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 | 12401 WASHINGTON BOULEVARD | AddressLine1 |
| City | WHITTIER | City |
| State | CA | State |
| ZIP Code | 90602 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 12165473 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | IHMC PROVIDES MANAGEMENT AND FINANCIAL SERVICES TO OTHER RELATED TAX-EXEMPT ENTITIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 3 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 3 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1066240 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 230768 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 613359 | InvestmentIncomePriorYear |
| Investment Income Current Year | 472225 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1679599 | TotalRevenuePriorYear |
| Total Revenue Current Year | 702993 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1057236 | OtherExpensePriorYear |
| Other Expenses Current Year | 230768 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1057236 | TotalExpensesPriorYear |
| Total Expenses Current Year | 230768 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 622363 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 472225 | RevenuesLessExpensesCY |
| Total Assets BOY | 48537339 | TotalAssetsBOY |
| Total Assets EOY | 15519748 | TotalAssetsEOY |
| Total Liabilities BOY | 47734000 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 44620676 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 803339 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -29100928 | NetAssetsOrFundBalancesEOY |
| Mission Description | IHMC PROVIDES MANAGEMENT AND FINANCIAL SERVICES TO OTHER RELATED TAX-EXEMPT ENTITIES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Revenue | 230768 | Revenue |
| Description | Financial management and accounting services provided to InterHealth Corp., a related tax-exempt organization, and its affiliates. | Description |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| 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 | 0 | Hospital |
| 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 | 1 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 3 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| 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 |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Nbr Voting Governing Body Members | 3 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | 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 | 1 | 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 | Ronald Yoshihara | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5626980811 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12102 Washington Blvd | AddressLine1 |
| City | Whittier | City |
| State | CA | State |
| ZIP Code | 90606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (3 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| James West | ||||||
| Chairman | 1.50 | X | X | 0 | 814564 | 174331 |
| Mitchell Thomas | ||||||
| Treasurer & CFO | 1.50 | X | X | 0 | 442205 | 159079 |
| Peggy Chulack | ||||||
| Secretary | 1.50 | X | X | 0 | 359383 | 62700 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1616152 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 396110 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE & TOUCHE LLP | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 SOUTH GRAND AVE STE 200 | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 900742578 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | ACCOUNTING SERVICES | DescriptionOfServices |
| Compensation | 436270 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MANAGEMENT FEES | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 230768 | TotalRevenueColumn |
| Related Or Exempt Function Income | 230768 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 230768 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 508763 | TotalRevenueColumn |
| Exclusion | $508,763 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 11425942 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 11462480 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -36538 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -36538 | TotalRevenueColumn |
| Exclusion | -$36,538 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 702993 | TotalRevenueColumn |
| Related Or Exempt Function Income | 230768 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $472,225 | ExclusionAmount |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BANK SERVICE CHARGES | 230581 | 0 | 230581 | 0 |
| LICENSES & FEES | 187 | 0 | 187 | 0 |
| 0 | 0 | 0 | 0 | |
| 0 | 0 | 0 | 0 | |
| 0 | 0 | 0 | 0 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 230768 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 230768 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31792531 | BOY |
| EOY | 6511626 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16744808 | BOY |
| EOY | 9008122 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48537339 | BOY |
| EOY | 15519748 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 225433 | BOY |
| EOY | 46829 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47508567 | BOY |
| EOY | 44573847 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47734000 | BOY |
| EOY | 44620676 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 803339 | BOY |
| EOY | -29100928 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 803339 | BOY |
| EOY | -29100928 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48537339 | BOY |
| EOY | 15519748 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (4 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| Presbyterian Intercommunity Hospital | |||||
| 951934652 | 3 | 1 | 1 | 1 | $0 |
| Bright Health Physicians of PIH | |||||
| 953942828 | 9 | 1 | 1 | 1 | $30,246,705 |
| InterHealth Home Health Care | |||||
| 953036281 | 9 | 1 | 1 | 1 | $0 |
| PIH Foundation | |||||
| 953761274 | 7 | 1 | 1 | 1 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 4 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 30246705 | SumOfAmounts |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INTERCOMPANY PAYABLES | Description |
| Amount | $44,573,847 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 44573847 | TotalOfAmounts |
| Total Revenue | 702993 | TotalRevenue |
| Total Expenses | 230768 | TotalExpenses |
| Excess Or Deficit For Year | 472225 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -129787 | NetUnrealizedGLOnInvestments |
| Other | -$30,246,705 | OtherAmount |
| Total Adjustments | -30376492 | TotalAdjustments |
| Excess Or Deficit Per FS | -29904267 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part X: | Description of Uncertain Tax Positions Under FIN 48: | Income Taxes - The Company measures liabilities for unrecognized tax uncertainties in accordance with ASC 740, Income Taxes (formerly FASB Interpretation No. 48, Accounting for Uncertainty in Income Taxes - an interpretation of FASB Statement No. 109) 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 2010 or 2009. |
| Part XI, Line 8 - Other Adjustments: | FUND BALANCE TRANSFER (FORGIVENESS OF INTERCOMPANY BALANCE) TO BHP: -30246705. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | 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 (3 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| James West | |||||||||||||
| 0 | 679194 | 0 | 63000 | 0 | 72370 | 0 | 8012 | 0 | 166319 | 0 | 988895 | 0 | 0 |
| Mitchell Thomas | |||||||||||||
| 0 | 403236 | 0 | 32753 | 0 | 6216 | 0 | 8012 | 0 | 151067 | 0 | 601284 | 0 | 0 |
| Peggy Chulack | |||||||||||||
| 0 | 264671 | 0 | 68310 | 0 | 26402 | 0 | 8012 | 0 | 54688 | 0 | 422083 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 1a | All employees are eligible for health club reimbursement and any such reimbursements were included in taxable compensation, per 2010 plan year benefits summary. | |
| Part I, Line 4b: | IHC and its affiliates Sponsor a 457 (F) Plan. The following individuals participated in the plan: Peggy Chulack, Mitchell Thomas and James West. | |
| Part III | 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 or Study; (6) Approval by the Board or Compensation Committee. | Supplemental Information |
Schedule N IRS990ScheduleN
Disposition Table DispositionTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Asset | FORGIVENESS OF INTERCOMPANY BALANCES TO A RELATED TAX-EXEMPT ORGANIZATION | DescriptionOfAsset |
| Date Of Distribution | 2010-09-30 | DateOfDistribution |
| FMV Of Asset | 30246705 | FMVOfAsset |
| Method Of FMV Determination | BOOK VALUE | MethodOfFMVDetermination |
| EIN | 953942828 | EIN |
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bright Health Physicians | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12401 Whittier Blvd | AddressLine1 |
| City | Whittier | City |
| State | CA | State |
| ZIP Code | 90602 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | 501(c)(3) | IRCSection |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | 0 | DirectorOfSuccessor2 |
| Employee Of Successor2 | 0 | EmployeeOfSuccessor2 |
| Owner Of Successor2 | 0 | OwnerOfSuccessor2 |
| Receive Compensation2 | 0 | ReceiveCompensation2 |
Form990 Schedule N Part III Form990ScheduleNPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Per an agreement with InterHealth Corp., (the tax-exempt parent) the intercompany liability balance of Bright Health Physicians of PIH (a related tax-exempt organization) was forgiven and a transfer of $30,246,705 from IHC Management Corp. was made on 9/30/2010. Steps are being taken to restore the negative fund balance by the year ending 9/30/2011. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part X, Line 27: | A fund balance transfer was accomplished by forgiving certain intercompany balances between IHMC and BHP during the year, resulting in a negative fund balance for IHMC. Steps are being taken to restore the negative fund balance by the year ended 9/30/11. | |
| Form 990, Part VI, Section A, line 6 | Interhealth Corp. ("IHC") is the sole member of IHC management corp. ("IHMC"). | |
| Form 990, Part VI, Section A, line 7a | IHC may elect members of the Board of Directors as vacancies occur. | |
| Form 990, Part VI, Section A, line 7b | Decisions of the governing body may be subject to approval by the statuory member (IHC). | |
| 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 990s are then provided to the Board for its information. | |
| Form 990, Part VI, Section B, line 12c | Each year, all management and Board of Directors members are required to complete a conflict of interest disclosure form. All positive responses are reviewed by the compliance officer. Each positive response is considered in light of magnitude of ownership interest, financial transaction(s), etc. if deemed necessary, conflicts of interest could be resolved by insisting that the incumbent either divest their ownership interest, that the organization terminate the business relationship, or even that the director resign. Directors with potential conflicts of interest may recuse themselves from voting on certain matters and/or may excuse themselves from meetings during the discussion, deliberation, and voting on of matters. | |
| Form 990, Part VI, Section B, line 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 analysis includes a review of compensation trends, regulatory issues, the organization 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 organizations 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 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 and form 990-T are available upon request. The organization is not required to make form 1023 available for public inspection as it received its tax exemption prior to July 15, 1987. | |
| Form 990, Part VII: | James West, Mitchell Thomas and Peggy Chulack work on average 40+ hours per week for their services as PIH employees, and 1.5+ hours per week for their services to related Organizations as Board members & officers. | Avg hours devoted to related org(s) when related comp is reported: |
| Schedule R, Part IV, Column(E): | PIH Insurance Company is an unincorporated risk retention group. | |
| Schedule R, Part V, Line 2: | and other assets reported: The fair value of the working capital transfer to Bright Health Physicians was determined based on the book value of intercompany account balances. The fair value of the management fees received was based on the book value of the company's net loss. | Description of method used to determine the value of the services, cash, |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIH COMMUNITY PHARMACY LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12401 WASHINGTON BLVD | AddressLine1 |
| City | WHITTER | City |
| State | CA | State |
| ZIP Code | 90602 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 264390142 | EIN |
| Primary Activities | PHARMACY | PrimaryActivities |
| Legal Domicile State | CA | LegalDomicileState |
| Total Income | 1406473 | TotalIncome |
| EOY Assets | 545465 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRESBYTERIAN INTERCOMMUNITY HOSPITAL | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| PIH Foundation | |||||||||
| 12401 Washington Blvd | Whittier | CA | 90602 | 953761274 | Fundraising | CA | section 501(c)(3) | 7 | InterHealth Corp |
| Presbyterian Intercommunity Hospital Inc | |||||||||
| 12401 Washington Blvd | Whittier | CA | 90602 | 951934652 | Healthcare | CA | section 501(c)(3) | 3 | InterHealth Corp |
| Interhealth Home Health Care | |||||||||
| 12401 Washington Blvd | Whittier | CA | 90602 | 953036281 | Healthcare | CA | section 501(c)(3) | 9 | InterHealth Corp |
| InterHealth Corp | |||||||||
| 12401 Washington Blvd | Whittier | CA | 90602 | 953619388 | support of tax-exempt affiliates | CA | section 501(c)(3) | 11, type 1 | InterHealth Corp |
| Med Site - Hacienda Heights | |||||||||
| 12401 Washington Blvd | Whittier | CA | 90602 | 953643829 | Healthcare | CA | section 501(c)(3) | 9 | InterHealth Corp |
| Bright Health Physicians of PIH | |||||||||
| 12401 Washington Blvd | Whittier | CA | 90602 | 953942828 | Healthcare | CA | section 501(c)(3) | 9 | InterHealth Corp |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIH Insurance Company a reciprocal risk retention group | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1003 Bishop Street | AddressLine1 |
| City | Honolulu | City |
| State | HI | State |
| ZIP Code | 96813 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 263760243 | EIN |
| Primary Activity | Captive Insurance | PrimaryActivity |
| Legal Domicile State | HI | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Interhealth corp | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | T | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| 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 | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | 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 | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Bright Health Physicians of PIH | |
| B | 30246705 |
| Presbyterian Intercommunity Hospital Inc | |
| K | 230767 |