2026-08-14T18:58:19+00:00 2025-09-30 135565207 KPMG LLP 55 SECOND STREET SUITE 1400 SAN FRANCISCO CA 94105 990 2024-10-01 951934652 PIH HEALTH WHITTIER HOSPITAL PIHH 5626980811 12401 WASHINGTON BLVD WHITTIER CA 90602 VID SHIVARAMAN CFO 5626980811 2026-08-15 true ALISON LAKRITZ P01935980 4159635100 2026-08-15 2024 2025-03-06 01:10:19Z JAMES WEST 12401 WASHINGTON BLVD WHITTIER CA 90602 1124478258 false X X 1954 CA TO PROVIDE QUALITY HEALTHCARE AND CONTRIBUTE TO THE COMMUNITY'S HEALTH AND WELL-BEING. 20 18 4734 970 2835 957 8266309 23241679 892545670 805838604 33206917 31100526 28353621 30320006 962372517 890500815 151500 133500 0 431435024 456092036 0 0 491058676 531504748 922645200 987730284 39727317 -97229469 2022113403 2252957183 987603398 1252677940 1034510005 1000279243 MISSION: WE PROVIDE HIGH QUALITY HEALTHCARE WITHOUT DISCRIMINATION, AND CONTRIBUTE TO THE HEALTH AND WELL-BEING OF OUR COMMUNITIES IN AN ETHICAL, SAFE, AND FISCALLY PRUDENT MANNER IN RECOGNITION OF OUR CHARITABLE PURPOSE. false false 675540597 726970709 PATIENT CARE: PIH HEALTH WHITTIER HOSPITAL WAS FOUNDED IN 1959 BY COMMUNITY MEMBERS WHO NEEDED QUALITY HEALTHCARE SERVICES CLOSE TO HOME. AS A 501(C)(3) NONPROFIT, 523-BED HOSPITAL, THE WHITTIER CAMPUS HAS DEVELOPED INTO A HEALTH SYSTEM OFFERING A MULTITUDE OF SERVICES. PATIENT CARE IN FISCAL YEAR 2024-2025 EMPLOYEES......3,927 VOLUNTEERS......970 NUMBER OF EMERGENCY DEPARTMENT (ED) VISITS......79,510 NUMBER OF BIRTHS......2,199 MEDICAL STAFF......740 152523290 94972885 FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS: FINANCIAL ASSISTANCE, ALSO KNOWN AS CHARITY CARE, IS DEFINED AS FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO INDIVIDUALS WHO CANNOT AFFORD TO PAY AND WHO MEET THE ELIGIBILITY CRITERIA OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PIH HEALTH OFFERS A GENEROUS FINANCIAL ASSISTANCE PROGRAM, PROVIDING CHARITY CARE TO THOSE WITH FAMILY INCOME(S) AT OR BELOW 400% OF FEDERAL POVERTY LEVEL GUIDELINES. THE HOSPITAL HAS A POLICY TO TREAT EMERGENCY AND CERTAIN OTHER PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. UNDER THE CHARITY CARE POLICY, CHARITY CARE MAY BE PROVIDED TO PEOPLE WHO ARE UNINSURED OR UNDERINSURED AND CANNOT AFFORD TO PAY FOR THEIR OWN MEDICAL CARE. IN PROVIDING SERVICES TO THOSE PATIENTS PARTICIPATING IN MEANS-TESTED GOVERNMENT HEALTH PROGRAMS, SUCH AS MEDI-CAL, PIH HEALTH REALIZES A COLLECTIVE NET LOSS EACH FISCAL YEAR DUE TO THE SHORTFALL CREATED WHEN THE PAYMENTS RECEIVED FROM THESE PROGRAMS ARE LESS THAN THE COST OF CARING FOR PUBLIC PROGRAM BENEFICIARIES. NUMBER OF PERSONS SERVED BY FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS: 32,731 19625900 133500 3826573 OTHER COMMUNITY BENEFIT SERVICES: COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND CONTRIBUTIONS, ARE COMPRISED OF THE FOLLOWING: COMMUNITY HEALTH IMPROVEMENT SERVICES: DEFINED AS COMMUNITY HEALTH IMPROVEMENT ACTIVITIES, WHICH EXTEND BEYOND PATIENT CARE ACTIVITIES. THESE PROGRAMS INCLUDE: COMMUNITY EDUCATION, COMMUNITY-BASED CLINICAL SERVICES, A COMMUNITY HELPLINE, COMMUNITY HEALTH MESSAGING, A MEDICATION-ASSISTED TREATMENT PROGRAM, HEALTH INSURANCE ENROLLMENT ASSISTANCE, CANCER PROGRAM FINANCIAL NAVIGATOR, PURCHASED SERVICES FOR AT-RISK PATIENTS, AND TRANSPORTATION RESOURCES. COMMUNITY BENEFIT OPERATIONS IS DEFINED AS COSTS ASSOCIATED WITH ASSIGNED STAFF AND COMMUNITY HEALTH NEEDS ASSESSMENTS, AND COMMUNITY BENEFIT STRATEGY AND OPERATIONS. SNAPSHOT OF OUTCOMES: * SOME 30,265 COMMUNITY MEMBERS WERE REACHED THROUGH A VARIETY OF COMMUNITY HEALTH IMPROVEMENT ACTIVITIES. HEALTH PROFESSIONS EDUCATION: THIS CATEGORY INCLUDES INTERNSHIP, EXTERNSHIP, PRECEPTORSHIP, AND MENTORING PROGRAMS (EMPLOYEES EXCLUDED), SUPPORTING THE NEXT GENERATION OF HEALTHCARE PROVIDERS BY EDUCATING AND MENTORING STUDENTS IN CLINICAL, ANCILLARY, AND ADMINISTRATIVE SETTINGS. PIH HEALTH PROGRAMS INCLUDE THE FAMILY MEDICINE RESIDENCY PROGRAM AND STUDENT EDUCATION. SNAPSHOT OF OUTCOMES: * 309 MEDICAL RESIDENTS, NURSING, AND ANCILLARY PROFESSIONS STUDENTS WERE PROVIDED WITH MENTORSHIP, INTERNSHIP AND TRAINING OPPORTUNITIES. SUBSIDIZED HEALTH SERVICES: SUBSIDIZED HEALTH SERVICES ARE CLINICAL PROGRAMS, WHICH ARE PROVIDED DESPITE A FINANCIAL LOSS SO SIGNIFICANT THAT NEGATIVE MARGINS REMAIN AFTER REMOVING THE EFFECTS OF FINANCIAL ASSISTANCE, BAD DEBT AND MEDI-CAL SHORTFALLS. NEVERTHELESS, THE SERVICE IS PROVIDED BECAUSE IT MEETS AN IDENTIFIED COMMUNITY NEED AND, IF NO LONGER OFFERED, WOULD EITHER BE UNAVAILABLE IN THE AREA OR FALL TO THE RESPONSIBILITY OF GOVERNMENT OR ANOTHER NONPROFIT ORGANIZATION TO PROVIDE. PIH HEALTH SUBSIDIZED SERVICES INCLUDE EMERGENCY DEPARTMENT ON-CALL PHYSICIANS, HOSPICE HOMES, PALLIATIVE CARE, AND PARAMEDIC BASE STATION. SNAPSHOT OF OUTCOMES: * HOSPICE HOMES ENSURE ACCESS TO QUALITY, COMPASSIONATE END-OF-LIFE CARE, REGARDLESS OF ABILITY TO PAY; 227 SERVED. * TOTAL INDIVIDUALS SERVED BY SUBSIDIZED HEALTH SERVICES: 7,111 RESEARCH: RESEARCH THAT MAY BE REPORTED AS COMMUNITY BENEFIT INCLUDES CLINICAL AND COMMUNITY HEALTH RESEARCH AS WELL AS STUDIES ON HEALTHCARE DELIVERY THAT ARE GENERALIZABLE AND SHARED WITH THE PUBLIC. PIH HEALTH HAS BEEN OFFERING CLINICAL TRIALS AND RESEARCH STUDIES AIMED AT IMPROVING HEALTH AND CANCER CARE SINCE 2001. SNAPSHOT OF OUTCOMES: * 84 CLINICAL TRIALS IN VARIOUS STAGES ENTERPRISE-WIDE IN ONCOLOGY, STROKE, CARDIOVASCULAR, PODIATRY, ENDOVASCULAR TREATMENTS, AND OTHER THERAPEUTIC AREAS, WITH A TOTAL OF 1,141 ENROLLED PATIENTS (631 AT PIH HEALTH WHITTIER HOSPITAL). CASH & IN-KIND CONTRIBUTIONS: THIS CATEGORY INCLUDES FUNDS AND IN-KIND SERVICES DONATED BY PIH HEALTH TO COMMUNITY ORGANIZATIONS OR TO THE COMMUNITY-AT-LARGE FOR A COMMUNITY BENEFIT PURPOSE. THESE DONATIONS INCLUDE CASH DONATIONS TO COMMUNITY ORGANIZATIONS, HOURS CONTRIBUTED BY STAFF TO THE COMMUNITY WHILE ON PIH HEALTH WORK TIME, THE COST OF MEETING SPACE PROVIDED TO COMMUNITY GROUPS, AND THE DONATIONS OF EQUIPMENT, MEDICATIONS, SUPPLIES, AND SERVICES. SNAPSHOT OF OUTCOMES: * 25 ORGANIZATIONS RECEIVED FUNDING TO SUPPORT COMMUNITY HEALTH-RELATED PROGRAMS AND SERVICES * TOTAL SERVED BY CASH & IN-KIND CONTRIBUTIONS: 165 TOTAL NUMBER OF PERSONS SERVED BY ALL OTHER COMMUNITY BENEFIT SERVICES CATEGORIES: 38,481 FOR ADDITIONAL INFORMATION, PLEASE REFER TO PIH HEALTH'S COMMUNITY BENEFIT REPORT AT PIHHEALTH.ORG/CB ANNUAL REPORT 847689787 true true false true false false false false false false true false false true true true false true false false false false false false false false true true true false true true false false false false false true false false true false false false false false true true true true false false true 159 0 true 4734 true true true false false false false false false false false false true false X 20 18 true false false false true true true true true false false false true true true true true true true true false false CA X MARK KAWAUCHI 5626980811 12401 WASHINGTON BLVD WHITTIER CA 90602 ALEX ALVAREZ DIRECTOR & VICE CHAIR 1.5 6.0 X X 0 0 0 CHARLOTTE WEAVER PHD DIRECTOR & CHAIR 1.5 6.0 X X 0 0 0 PAUL TREINEN DIRECTOR & SECRETARY 1.5 6.0 X X 0 0 0 WILLIAM ROTH DIRECTOR & TREASURER 1.5 6.0 X X 0 0 0 ADRIAN CRISAN MD DIRECTOR 1.5 0 X 0 0 0 DANIEL SAKET MD DIRECTOR (AS OF 1/1/2025) 14.5 0 X 141660 0 0 DEBORAH MEDRANO DIRECTOR (AS OF 12/13/2024) 1.5 6.0 X 0 0 0 EDUARDO TOVAR MD DIRECTOR 2.5 0 X 12000 0 0 JEFFREY HAMAR DIRECTOR 1.5 6.0 X 0 0 0 KENTON WOODS DIRECTOR 1.5 6.0 X 0 0 0 MARISSA GOLDBERG DIRECTOR 1.5 4.5 X 0 0 0 MELANIE BATISTE DIRECTOR 1.5 6.0 X 0 0 0 PATRICK MONROE DIRECTOR 1.5 6.0 X 0 0 0 PETER GREANEY MD DIRECTOR 1.5 6.0 X 0 0 0 REGINE LAWTON DIRECTOR (AS OF 12/13/2024) 1.5 6.0 X 0 0 0 RICHARD ATWOOD DIRECTOR 1.5 7.5 X 0 0 0 SCOTT KROG DIRECTOR (AS OF 12/13/2024) 1.5 6.0 X 0 0 0 SCOTT SOUTHRON DIRECTOR (AS OF 12/13/2024) 1.5 6.0 X 0 0 0 SUDHAKER NAYAK MD DIRECTOR (THRU 12/31/2024) 5.5 0.0 X 66548 6720 0 THURSO BARENDSE DIRECTOR 1.5 6.0 X 0 0 0 TRACEA SARALIEV DIRECTOR 1.5 6.0 X 0 0 0 JAMES WEST SYSTEM PRESIDENT & CEO 20.0 32.2 X 1623596 0 40183 PEGGY CHULACK SYSTEM CAO & ASST SECRETARY 20.0 32.2 X 1481245 0 33880 RAMONA PRATT CNO 40.0 40.0 X 541901 0 56681 ROSALIO LOPEZ MD SYSTEM CSO/CMO 20.0 26.0 X 1344833 0 51655 VID SHIVARAMAN SYSTEM CFO & ASST TREASURER 20.0 32.2 X 870104 0 215850 ANUP PATEL VP ENT RSK MGMT & CORP COMP 40.0 0 X 388772 0 122356 BRENT MELTON VP SUPPORT SERVICES 40.0 0 X 410558 0 106343 CAROL SALAS SYSTEM CHIEF HR OFFICER 40.0 0 X 621084 0 179506 CHICO MANNING VP, SUPPLY CHAIN 40.0 0 X 483247 0 95127 DAVIS LEE CMIO & CIO 40.0 0 X 649274 0 138620 DEBRA LEGAN VP MKTG & PLANNING 40.0 0 X 603976 0 57722 JUDY PUGACH VP REGULATORY AFFAIRS 40.0 0 X 543456 0 48102 LUCINDA PLACE VP OF QUALITY MGMT 40.0 0 X 377095 0 125401 MARIE-DIANNE SAUCO COO, CARE MGMT & MGMT SVC ORG 40.0 40.0 X 459940 0 146065 MARK KAWAUCHI VP OF FINANCE 40.0 0 X 497528 0 107109 MOHAMMED GHONIM REGIONAL VP (THRU 12/06/2024) 10.0 30.0 X 501701 0 95238 NOEL COPPINGER VP, REVENUE CYCLE 40.0 0 X 322195 0 77724 RON EICKHOFF VP, RESPIRATORY 40.0 0 X 396168 0 91531 SARAH MERKLE VP, NURSING OPERATIONS 40.0 0 X 263726 0 74231 SHELLY NECKE VP POST ACUTE CR SVS 40.0 0 X 430526 0 133357 STACY JOHNSON VP, RADIOLOGY & IMAGING 40.0 0 X 91378 0 0 DIANE MCCOWAN DIR PHARMACY 40.0 0 X 298306 0 18983 HILARION CASTILLO DIR OF FINANCE, CONTROLLER 40.0 0 X 314238 0 28440 JEANETTE ABUNDIS SR DIRECTOR, NURSING 40.0 0 X 297781 0 18464 JUNG HO MEDICAL PHYSICIST 40.0 0 X 299181 0 26006 SCOTT BREMER SYS DIR COMPENSATION, BENEFITS 40.0 0 X 312645 0 38399 BRIAN SMOLSKIS FORMER - SYSTEM COO 0.0 0.0 X 1089063 0 16973 15733725 6720 2143946 1344 true true false ALLSCRIPTS HEALTHCARE LLC LOCK BOX 077133 PHILADELPHIA PA 191710133 IT SERVICES 29066783 LAMBERT RADIOLOGY MED GRPINC 11721 WHITTIER BLVD 509 WHITTIER CA 90601 MEDICAL SERVICES 23286455 WHITTIER PULM & CRITC CARE 6905 ALTA VISTA DR RANCHO PALOS VERDES CA 90275 MEDICAL SERVICES 7238550 SODEXO INC & AFFILIATES-PA PO BOX 360170 PITTSBURGH PA 152516170 NUTRITION SERVICES 6917029 ACCUITY DELIVERY SYSTEMS LLC 1111 MIDLANTIC DRIVE SUITE 400W MOUNT LAUREL NJ 08054 CLINICAL DOCUMENTATION REVIEW SERVICES 2863970 67 443228 22798451 23241679 NET PATIENT REVENUE 622110 516597932 516597932 OTHER PATIENT REVENUE 622110 203074718 203074718 HOSPITAL FEE PROGRAM 900099 53716263 53716263 RELATED CAPITATION 561110 12836483 12836483 19613208 19613208 0 0 805838604 24808035 24808035 0 0 240192598 74500 233974607 6217991 74500 6292491 6292491 5671 2836 2835 2835 COMMUNITY PHARMACY 446110 19931563 19931563 PURCHASE DISCOUNTS 900099 7262507 7262507 VIVITY EARNINGS DISTRIBUTION 900099 1237376 1237376 1885725 0 0 1885725 30317171 890500815 825770167 2835 41486134 133500 133500 12587925 7567817 5020108 412296 354575 57721 332699854 284789426 47910428 15076698 12905653 2171045 67103182 57440324 9662858 28212081 24149541 4062540 4980271 4980271 90053 90053 2755342 2755342 95989677 78292551 17697126 0 1823336 1823336 17259008 11383725 5875283 49852660 42673877 7178783 12600606 9843296 2757310 807425 742519 64906 479850 133995 345855 35408197 23105951 12302246 26704135 22858740 3845395 6952976 6952976 MEDICAL SUPPLIES 156247077 155278339 968738 QUALITY ASSURANCE FEE (CHA HOSPITAL FEE) 46786998 46786998 CLAIMS EXPENSE 45916547 45916547 26850590 21509077 5341513 0 987730284 847689787 140040497 0 769293 883877 181113734 180291225 13250000 13250000 0 0 8585054 9374987 10690569 10806331 743000073 418489356 299403623 324510717 828138415 911265993 0 3381738 5494765 676780977 797079288 2022113403 2252957183 92199826 101923833 620351125 612768703 0 0 28555000 22970000 104500000 299500000 141997447 215515404 987603398 1252677940 X 1034510005 1000279243 1034510005 1000279243 2022113403 2252957183 X -97229469 56056625 6942082 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 90053 90053 false SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A PORTION OF DUES PAID TO HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA, CALIFORNIA HOSPITALS COMMITTEE ON ISSUES, 340B HEALTH, AND AMERICAN HOSPITAL ASSOCIATION ARE RELATED TO LOBBYING. PIH HEALTH WHITTIER HOSPITAL DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS), ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. 214611 214611 333487547 128798043 204689504 80605995 46775762 33830233 250681185 203769108 46912077 78010735 39146443 38864292 324510717 INTERCOMPANY RECEIVABLE 682620762 HOSPITAL FEE PROGRAM RECEIVABLE 71389734 OTHER RECEIVABLES 27006802 DEFERRED FINANCING COSTS 3172872 RIGHT-OF-USE ASSETS 12063960 COST REPORT RECEIVABLE 825158 797079288 FEDERAL INCOME TAXES PENSION LIABILITY 17600347 INTEREST RATE SWAP 3032174 HOSPITAL FEE PAYABLE 62803750 DEFERRED COMPENSATION 19279189 SELF INSURANCE RESERVES 14506585 GOVERNMENT ADVANCES 86817 BOND INTEREST PAYABLE 9567581 LITIGATION RESERVE 15500000 AFFILIATE PAYABLE 4676558 ROU LIABILITY 10217182 EAAS DEFERRED INCOME 58245221 215515404 X 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE THE PRINCIPAL OPERATIONS OF THE COMPANY ARE EXEMPT FROM INCOME TAXES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) AND THE LAWS OF THE STATES IN WHICH IT OPERATES AND, AS SUCH, IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, THE COMPANY IS SUBJECT TO INCOME TAXES ON NET INCOME DERIVED FROM A TRADE OR BUSINESS REGULARLY CARRIED ON THAT DOES NOT FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. FURTHER, THE COMPANY IS ALSO SUBJECT TO FEDERAL EXCISE TAXES PURSUANT TO THE TAX CUTS AND JOBS ACT. NO SIGNIFICANT INCOME TAX PROVISION HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR NET INCOME DERIVED FROM UNRELATED TRADE OR BUSINESS AND EXCISE TAXES. THE COMPANY MEASURES LIABILITIES FOR UNRECOGNIZED TAX UNCERTAINTIES IN ACCORDANCE WITH ASC 740, INCOME TAXES, WHICH PRESCRIBES A COMPREHENSIVE MODEL FOR HOW A COMPANY SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE IN ITS FINANCIAL STATEMENTS UNCERTAIN TAX POSITIONS THAT A COMPANY HAS TAKEN OR EXPECTS TO TAKE ON A TAX RETURN. THE GUIDANCE IS APPLICABLE TO PROFIT-ORIENTED ENTITIES, PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. MANAGEMENT BELIEVES IT HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS AND, AS SUCH, NO TAX LIABILITY, BENEFITS, INTEREST OR PENALTIES WERE ACCRUED AT SEPTEMBER 30, 2025 OR 2024. THE COMPANY IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE COMPANY BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2021 FOR FEDERAL PURPOSES AND 2019 FOR CALIFORNIA PURPOSES. true true X true X true X true true true false true true 0 341 3453703 951783 2501920 0.00253 0 32097 144712230 91359056 53353174 0.05402 0 293 4357357 2662046 1695311 0.00172 0 32731 152523290 94972885 57550405 0.05827 18 30265 4791552 248965 4542587 0.00460 5 309 6182572 1343918 4838654 0.00490 4 7111 7126320 1712113 5414207 0.00548 1 631 1229106 521577 707529 0.00072 2 165 296350 0 296350 0.00030 30 38481 19625900 3826573 15799327 0.01600 30 71212 172149190 98799458 73349732 0.07426 0 0 0 0 0 0.0 1 3 7308 0 7308 0.00001 1 6 526221 0 526221 0.00053 1 1 3925 0 3925 0.00000 0 0 0 0 0 0.0 0 0 0 0 0 0.0 1 5 29767 0 29767 0.00003 1 748 17536 0 17536 0.00002 0 0 0 0 0 0.0 5 763 584757 0 584757 0.00059 true 65364616 99822458 101668520 -1846062 X true true 1 1 PIH HEALTH WHITTIER HOSPITAL 12401 WASHINGTON BLVD WHITTIER CA 90602 WWW.PIHHEALTH.ORG 930000129 X X X X X SKILLED NURSING FACILITY PIH HEALTH WHITTIER HOSPITAL 1 false false true X X X X X X X X X X 24 true true false true X https://www.pihhealth.org/CHNA X X true 24 true https://pihhealth.org/CHIS false true X 100.0 400.0 X X X X X true true X X X X true X https://www.pihhealth.org/patients-visitors/billing-financial-assistance/financial-assistance/ X HTTPS://WWW.PIHHEALTH.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE/ X https://www.pihhealth.org/patients-visitors/billing-financial-assistance/financial-assistance/ X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3 FACILITY , 1 FACILITY , 1 - PIH HEALTH WHITTIER HOSPITAL. THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES DATA AND INFORMATION REGARDING COMMUNITY DEMOGRAPHICS, SOCIAL DRIVERS OF HEALTH, ACCESS TO HEALTHCARE, BIRTH INDICATORS, LEADING CAUSES OF DEATH, ACUTE AND CHRONIC DISEASES, HEALTH BEHAVIORS, MENTAL HEALTH, SUBSTANCE USE, PREVENTIVE PRACTICES, COMMUNITY PERSPECTIVES GATHERED FROM FOCUS GROUPS AND INTERVIEWS, AND PROGRESS ON THE IMPLEMENTATION STRATEGY. INFOGRAPHICS DEPICT KEY DATA SETS FOR THE SERVICE AREA, AND 10 HEAT MAPS FURTHER ILLUSTRATE SELECTED COMMUNITY HEALTH INDICATORS. SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1 FACILITY , 1 - PIH HEALTH WHITTIER HOSPITAL. 2025 COMMUNITY HEALTH NEEDS ASSESSMENT: INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY PIH HEALTH WHITTIER HOSPITAL CONDUCTED INTERVIEWS WITH COMMUNITY STAKEHOLDERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY TO OBTAIN INPUT ON HEALTH NEEDS, BARRIERS TO CARE, AND RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED SIGNIFICANT HEALTH NEEDS. NINETEEN (19) INTERVIEWS WERE CONDUCTED BY TELEPHONE FROM FEBRUARY THROUGH APRIL 2025. THE IDENTIFIED STAKEHOLDERS WERE INVITED BY EMAIL TO PARTICIPATE IN THE PHONE INTERVIEW. APPOINTMENTS FOR THE INTERVIEWS WERE MADE ON DATES AND TIMES CONVENIENT TO THE STAKEHOLDERS. INTERVIEW PARTICIPANTS INCLUDED A BROAD RANGE OF STAKEHOLDERS CONCERNED WITH HEALTH AND WELLBEING IN LOS ANGELES COUNTY SPA 3 AND SPA 7 WHO SPOKE ABOUT ISSUES AND NEEDS IN THE COMMUNITIES SERVED BY THE HOSPITAL. AT THE BEGINNING OF EACH INTERVIEW, THE PURPOSE OF THE INTERVIEW IN THE CONTEXT OF THE ASSESSMENT WAS EXPLAINED, THE STAKEHOLDERS WERE ASSURED THEIR RESPONSES WOULD REMAIN CONFIDENTIAL, AND CONSENT TO PROCEED WAS GIVEN. THE INTERVIEWS WERE STRUCTURED TO OBTAIN GREATER DEPTH OF INFORMATION AND BUILD ON THE SECONDARY DATA REVIEW. DURING THE INTERVIEWS, PARTICIPANTS WERE ASKED TO IDENTIFY MAJOR HEALTH ISSUES IN THE COMMUNITY AND SOCIOECONOMIC, BEHAVIORAL, ENVIRONMENTAL, OR CLINICAL FACTORS CONTRIBUTING TO POOR HEALTH. THEY WERE ASKED TO SHARE THEIR PERSPECTIVES ON THE ISSUES, CHALLENGES, AND BARRIERS RELATED TO THE SIGNIFICANT HEALTH NEEDS, AND IDENTIFY RESOURCES TO ADDRESS THESE HEALTH NEEDS, SUCH AS SERVICES, PROGRAMS, AND/OR COMMUNITY EFFORTS. THE COMMUNITY AGENCIES AND ORGANIZATIONS INCLUDED RIO HONDO COLLEGE, WHITTIER COLLEGE, INTERFAITH FOOD CENTER, LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, WHITTIER POLICE DEPARTMENT, HELPLINE YOUTH COUNSELING, INC., HISPANIC OUTREACH TASKFORCE, HEART OF COMPASSION, YMCA OF GREATER WHITTIER, L.A. CADA, EAST WHITTIER CITY SCHOOL DISTRICT, LOS NIETOS SCHOOL DISTRICT, LOS ANGELES COUNTY OFFICE OF EDUCATION, BOYS & GIRLS CLUB OF WHITTIER AND PICO RIVERA, VCC: THE GARY CENTER, AND SPIRITT FAMILY SERVICES. THE VULNERABLE POPULATIONS REPRESENTED BY THESE GROUPS INCLUDED THOSE EXPOSED TO MEDICAL OR FINANCIAL RISK BY VIRTUE OF BEING UNINSURED, UNDERINSURED, OR ELIGIBLE FOR MEDI-CAL AND/OR MEDICARE, RACIAL AND ETHNIC GROUPS EXPERIENCING POOR HEALTH OUTCOMES, THE UNHOUSED, INDIVIDUALS IDENTIFYING AS LGBTQ, PEOPLE WITH DISABILITIES, PEOPLE WITH LIMITED ENGLISH PROFICIENCY, INDIVIDUALS AND FAMILIES EXPERIENCING FOOD INSECURITY, AND SERVICE AREA COMMUNITIES WITH A CALIFORNIA HEALTHY PLACES INDEX SCORE OF 25.4% FOR CLEAN ENVIRONMENT. THE FULL COMMUNITY HEALTH NEEDS ASSESSMENT, CAN BE FOUND AT HTTPS://WWW.PIHHEALTH.ORG/APP/FILES/PUBLIC/19989FF5-BC54-4816-A5D0-E8595FD51590/CHNA%202025%20-%20PIH%20HEALTH%20WHITTIER%20HOSPITAL%20FINAL.PDF ATTACHMENT 1 LISTS THE STAKEHOLDER INTERVIEW RESPONDENTS, THEIR TITLES, AND ORGANIZATIONS. ATTACHMENT 2 PROVIDES STAKEHOLDER RESPONSES TO THE INTERVIEW QUESTIONS. SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 1 FACILITY , 1 - PIH HEALTH WHITTIER HOSPITAL. THE HOSPITAL PARTICIPATED IN A COLLABORATIVE PROCESS FOR THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT WITH PIH HEALTH GOOD SAMARITAN HOSPITAL AND PIH HEALTH DOWNEY HOSPITAL. GIVEN THAT THESE HOSPITALS SHARE COLLABORATIVE PARTNERS WHO SERVE THE REGION, THE COLLABORATIVE EFFORT REDUCED REDUNDANCIES AND INCREASED DATA COLLECTION EFFICIENCY. SCHEDULE H, PART V, SECTION B, LINE 7 FACILITY , 1 FACILITY , 1 - PIH HEALTH WHITTIER HOSPITAL. THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT WAS MADE AVAILABLE TO THE PUBLIC BY POSTING ON THE HOSPITAL WEBSITE. PUBLIC COMMENT IS ENCOURAGED. A PAPER COPY OF THE REPORT IS AVAILABLE UPON REQUEST. ADDITIONALLY, THE 2025 CHNA WAS SHARED WITH PIH HEALTH'S COMMUNITY BENEFIT OVERSIGHT COMMITTEE, COMPRISED OF COMMUNITY PARTNERS, LEGISLATIVE REPRESENTATIVES, AND COMMUNITY-AT-LARGE REPRESENTATIVES, AS WELL AS LOS ANGELES DEPARTMENT OF PUBLIC HEALTH STAFF. ASSESSMENT FINDINGS WERE ALSO DISTRIBUTED TO KEY STAKEHOLDERS VIA EMAIL WITH EMPHASIS ON SUPPORTING PROGRAM PLANNING AND FUND-DEVELOPMENT ENDEAVORS, SHARING ORGANIZATIONS THE EXPENSE OF DUPLICATIVE DATA COLLECTION EFFORTS. ASSESSMENT FINDINGS ARE ALSO SHARED ON AN ON-GOING BASIS VIA PRESENTATIONS AT COMMUNITY EVENTS AND COMMUNITY COLLABORATIVE MEETINGS, THROUGH SOCIAL MEDIA CHANNELS, AND VIA PIH HEALTH'S E-NEWSLETTER AND MAILED MAGAZINE. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1 FACILITY , 1 - PIH HEALTH WHITTIER HOSPITAL. PIH HEALTH'S IMPLEMENTATION STRATEGY ENSURES ALIGNMENT OF CHNA FINDINGS, OUR COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND PIH HEALTH'S ORGANIZATIONAL STRATEGY. PIH HEALTH WHITTIER HOSPITAL WILL ADDRESS THE FOLLOWING PRIORITY HEALTH NEEDS: ACCESS TO HEALTHCARE (INCLUDING PRIMARY CARE AND MENTAL HEALTH CARE); CHRONIC DISEASE (INCLUDING OVERWEIGHT AND OBESITY, HEALTHY EATING, AND PHYSICAL ACTIVITY); PREVENTIVE PRACTICES (INCLUDING VACCINES AND SCREENINGS); SOCIAL DRIVERS OF HEALTH (INCLUDING FOOD INSECURITY AND HOUSING AND HOMELESSNESS); AND SUBSTANCE USE. PIH HEALTH WHITTIER HOSPITAL CANNOT ADDRESS ALL THE HEALTH NEEDS PRESENT IN THE COMMUNITY, BUT IT WILL CONCENTRATE ON THOSE PRIORITY HEALTH NEEDS THAT IT CAN MOST EFFECTIVELY ADDRESS GIVEN ITS AREAS OF FOCUS AND EXPERTISE. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, PIH HEALTH WHITTIER HOSPITAL WILL NOT ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA, INCLUDING DENTAL CARE. TO VIEW THE 2026-2028 IMPLEMENTATION STRATEGY AND THE INITIATIVES IDENTIFIED TO ADDRESS AREAS OF FOCUS, VISIT HTTPS://WWW.PIHHEALTH.ORG/APP/FILES/PUBLIC/02DB9870-F5CA-43E3-8932-41E6BDE4096B/COMMUNITY%20HEALTH%20IMPROVEMENT%20PLAN%202025_PHWH%20FINAL.PDF. SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY , 1 FACILITY , 1 - PIH HEALTH WHITTIER HOSPITAL. ASSISTANCE IS PROVIDED FREE OR DISCOUNTED FOR THOSE PATIENTS ELIGIBLE FOR FAP. THE CRITERIA FOR FAP IS IF THE PATIENT IS UNINSURED AND DOES NOT HAVE THE ABILITY TO PAY, HAS RESTRICTED MEDI-CAL BENEFITS, OR IS UNDERINSURED. THIS IS ALSO CONSIDERATIONS FOR PATIENTS WHERE THE FPG IS NOT APPLICABLE AND THE PATIENT IS INSURED WITH INADEQUATE COVERAGE OR EXCESSIVE LIABILITY. 13 SAME DAY SURGERY 12415 WASHINGTON BLVD WHITTIER CA 90602 OUTPATIENT SURGICAL SERVICES PATRICIA L SCHEIFLY BREAST HEALTH CTR 12393 WASHINGTON BLVD WHITTIER CA 90602 BREAST HEALTH SVCS ERNEST D WELLS MEDICAL OFFICE BUILDING 12462 PUTNAM ST WHITTIER CA 90602 OUTPATIENT SERVICES WASHINGTON MEDICAL OFFICE BUILDING 12291 WASHINGTON BLVD WHITTIER CA 90602 WOUND HEALING, LAB DRAW STATION BLOOMFIELD MEDICAL OFFICE BUILDING 12400 BLOOMFIELD AVENUE SANTE FE SPRINGS CA 90670 OUTPATIENT SERVICES WHITTWOOD MEDICAL OFFICE BUILDING 15725 E WHITTIER BLVD HACIENDA HEIGHTS CA 90603 OUTPATIENT SERVICES LA MIRADA MEDICAL OFFICE BUILDING 12675 S LA MIRADA BLVD SUITE 219 LA MIRADA CA 90638 OUTPATIENT SERVICES HACIENDA HEIGHTS MEDICAL OFFICE BUILDING 1850 AZUSA AVE HACIENDA HEIGHTS CA 91745 OUTPATIENT SERVICES PIH HEALTH THERAPY SERVICES 15088 IMPERIAL HWY LA MIRADA CA 90638 OUTPATIENT THERAPY PIH HOME HEALTH SERVICES 15050 IMPERIAL HWY LA MIRADA CA 90638 HOME HEALTH AGENCY ARCADIA HOME HEALTH SERVICES 351 E FOOTHILL BLVD SUITE 100 ARCADIA CA 91006 VISITING NURSES ASSOCIATION HOSPICE HOMES- DOVE 10736 VALLEY VIEW AVE WHITTIER CA 90604 HOSPICE CARE HOSPICE HOMES- ROSE 10742 VALLEY VIEW AVE WHITTIER CA 90604 HOSPICE CARE SCHEDULE H, PART I, LINE 6A PIH HEALTH'S COMMUNITY BENEFIT REPORT, PREPARED ANNUALLY, ACCOUNTS FOR THE ORGANIZATION'S PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITY. THE REPORT SEPARATES OUT COMMUNITY BENEFIT INVESTMENT FIGURES FOR EACH HOSPITAL. STANDALONE COMMUNITY BENEFIT REPORTS ARE ALSO PREPARED FOR EACH PIH HEALTH HOSPITAL ENTITY. IN ADDITION, A COMMUNITY BENEFIT REPORT FOR PIH HEALTH WHITTIER HOSPITAL WAS SUBMITTED TO THE CALIFORNIA DEPARTMENT OF HEALTH CARE ACCESS AND INFORMATION (HCAI). SCHEDULE H, PART I, LINE 6B COMMUNITY BENEFIT REPORTS ARE MADE WIDELY AVAILABLE TO THE PUBLIC VIA PIH HEALTH'S WEBSITE, SOCIAL MEDIA AND COMMUNITY E-NEWSLETTER. PUBLIC COMMENT IS ENCOURAGED. A PAPER COPY OF THE REPORT IS AVAILABLE UPON REQUEST. THE REPORT IS ALSO SHARED WITH INTERNAL AND COMMUNITY STAKEHOLDERS VIA EMAIL AND PRESENTATIONS, INCLUDING PIH HEALTH'S COMMUNITY BENEFIT OVERSIGHT COMMITTEE, COMPRISED OF COMMUNITY PARTNERS, LEGISLATIVE REPRESENTATIVES, AND COMMUNITY-AT-LARGE REPRESENTATIVES, AS WELL AS LOS ANGELES DEPARTMENT OF PUBLIC HEALTH STAFF. TO VIEW THE FULL REPORT FOR PIH HEALTH WHITTIER HOSPITAL, VISIT HTTPS://WWW.PIHHEALTH.ORG/APP/FILES/PUBLIC/234097FA-9F67-45BE-BCA2-E63CF795B9A9/PIH%20HEALTH%20WHITTIER%20HOSPITAL%20COMMUNITY%20BENEFIT%20ANNUAL%20REPORT%20AND%20PLAN%20FY%202025.PDF. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE PATIENT CARE COST-TO-CHARGES RATIO DERIVED FROM WORKSHEET 2 WAS USED TO CALCULATE THE FINANCIAL ASSISTANCE. FOR ALL OTHERS, WE UTILIZED INTERNAL COSTING SYSTEM AND ACCOUNTS FOR THE VARIOUS PAYER MIX. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES PIH HEALTH WORKS WITH A VARIETY OF COMMUNITY STAKEHOLDERS TO ENHANCE THE COLLECTIVE CAPACITY FOR ADDRESSING THE ROOT CAUSES OF HEALTH PROBLEMS. PIH HEALTH MOBILIZES ASSETS AND INVESTS RESOURCES THROUGH A VARIETY OF COMMUNITY-BUILDING ACTIVITIES DESIGNED TO ADDRESS IDENTIFIED NEEDS, INCLUDING PARTICIPATION ON LOCAL CHAMBER OF COMMERCE BOARDS AIMED AT IMPROVING THE ECONOMIC, CIVIC AND CULTURAL WELLBEING OF THE COMMUNITY. PIH HEALTH ALSO UNDERTAKES DISASTER PREPAREDNESS TRAINING ABOVE AND BEYOND LICENSURE REQUIREMENTS TO ENSURE WE ARE EFFECTIVELY PREPARED TO SERVE THE COMMUNITY IN A DISASTER. ALSO, THE ORGANIZATION'S PRESIDENT AND CEO HAS SUPPORTED LOCAL, STATE AND FEDERAL HEALTH-RELATED ADVOCACY THROUGH PARTICIPATION AND LEADERSHIP IN VARIOUS HEALTHCARE ASSOCIATIONS. LASTLY, THROUGH CREATIVE WORKFORCE DEVELOPMENT PARTNERSHIPS WITH SCHOOLS, PIH HEALTH'S HEALTHCARE TEAMS SHARE KNOWLEDGE AND EXPERTISE TO INTRODUCE YOUNG MINDS TO THE REWARDING WORLD OF HEALTHCARE. SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE COMPANY FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE THE COMPANY ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY. AS A RESULT OF THE ADOPTION OF ASC 606, PIH HEALTH WHITTIER HOSPITAL IS REPORTING IMPLICIT PRICE CONCESSIONS, WHICH IS ESTABLISHED BASED ON MANY FACTORS, INCLUDING PAYER MIX, AGE OF RECIEVABLES, HISTORICAL CASH COLLECTION EXPERIENCE, OTHER RELEVANT INFORMATION. SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY PIH HEALTH WHITTIER HOSPITAL ACTIVELY PROVIDES ALL PATIENTS THE OPTION TO APPLY FOR FINANCIAL ASSISTANCE, THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE AS PART OF THE COMPANY'S MISSION TO SERVE THE COMMUNITY, THE COMPANY PROVIDES CARE TO PATIENTS EVEN THOUGH THEY MAY LACK ADEQUATE INSURANCE OR MAY PARTICIPATE IN PROGRAMS WITH NEGOTIATED OR REGULATED PAYMENT AMOUNTS. THE COMPANY MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR CHARITY CARE UPON ADMISSION, THOUGH DETERMINATION MAY ALSO BE MADE AT A LATER TIME. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE APPLICATION OF ANY FINANCIAL, UNINSURED OR OTHER DISCOUNTS OR PAYMENTS RECEIVED ON THE ACCOUNT, AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE COMPANY FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE COMPANY. THE COMPANY MANAGES ITS COLLECTION RISK BY REGULARLY REVIEWING ITS ACCOUNTS AND CONTRACTS, AND BY PROVIDING APPROPRIATE ALLOWANCES THAT ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEETS. IMPLICIT PRICE CONCESSIONS ARE BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE IMPLICIT PRICE CONCESSIONS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE COMPANY FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. IMPLICIT PRICE CONCESSIONS ARE INCLUDED AS A DEDUCTION FROM PATIENT SERVICES REVENUES SINCE THE COMPANY GENERALLY ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY. SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS THE COMPANY DOES NOT TAKE THE POSITION THAT MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THE STATE HAS SPECIFICALLY ASKED US TO REPORT THIS SEPARATELY FROM OUR COMMUNITY BENEFIT TOTALS. THE COMPANY USES A COST-TO-CHARGE (C2C) RATIO TO DETERMINE MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENT RECEIVED FROM MEDICARE, WHICH IS SIMILAR TO THE IRS FORM 990 SCHEDULE H METHOD. HOWEVER, THE PIH HEALTH SYSTEM IS MORE REFINED AND EXACTING, SINCE IT IS GENERATED AT THE DEPARTMENT LEVEL AND INCLUDES BOTH DIRECT COSTS AND ALLOCATED COMPANY-WIDE INDIRECT COSTS. ALL PERIOD INDIRECT COSTS ARE ALLOCATED BETWEEN PIH HEALTH DEPARTMENTS BASED ON THEIR RELATIVE GROSS CHARGES. THE SUM OF THE DIRECT AND ALLOCATED INDIRECT COSTS OF EACH DEPARTMENT ARE DIVIDED BY THE TOTAL DEPARTMENT GROSS PROCEDURE CHARGES. THE RESULTING DEPARTMENT SPECIFIC PERCENTAGE, I.E.. DEPARTMENT C2C %, IS LOADED INTO PIH HEALTH'S ERP SOFTWARE EACH QUARTER. THE COST SYSTEM APPLIES THE DEPARTMENT'S C2C% TO ALL PROCEDURE CHARGES ORIGINATING WITHIN THE DEPARTMENT IN ORDER TO COMPUTE THE RELATED PROCEDURE COSTS. AS SUCH, ALL COST INFORMATION REFLECTED IN PIH HEALTH'S REGULATORY REPORTING AND FINANCIAL ANALYSIS IS BASED ON THE ABOVE DEPARTMENT C2C METHODOLOGY. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE THE HOSPITAL ENCOURAGES ALL SELF-PAY PATIENTS TO APPLY FOR FINANCIAL ASSISTANCE OR OTHER PROGRAMS. 1. ALL UNINSURED PATIENTS ARE ASSUMED TO NEED FINANCIAL ASSISTANCE AND AUTOMATICALLY RECEIVE DISCOUNTED BILLS THAT REFLECT THE CONTRACT RATE OR LESS OF A MEDICARE ADVANTAGE CONTRACT. 2. ALL UNINSURED PATIENTS ARE PROVIDED WITH A FINANCIAL ASSISTANCE AND MEDICAID APPLICATION AT THE TIME OF REGISTRATION THEREBY GIVING THEM THE OPPORTUNITY TO APPLY FOR ASSISTANCE. 3. THERE ARE SIGNS THROUGH THE FACILITY THAT EDUCATE PATIENTS AND VISITORS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. 4. THE HOSPITAL'S WEBSITE PUBLISHES THE FINANCIAL ASSISTANCE POLICY AND APPLICATIONS. 5. SELF-PAY INPATIENTS ALSO MAY BE CONTACTED BY A VENDOR TO OFFER ASSISTANCE IN APPLYING FOR MEDICAID, IF ELIGIBLE. 6. STATEMENTS (WHICH REFLECT A REDUCTION IN CHARGES TO THE RATES AT OR LOWER THAN CONTRACTED RATES FOR MEDICARE ADVANTAGE MEMBERS) PROMOTE THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. 7. ONLY PATIENTS WHO DO NOT QUALIFY FOR FURTHER FINANCIAL ASSISTANCE (AFTER DISCOUNTS) OR WHO DO NOT APPLY FOR PROGRAMS AND DO NOT PAY ARE REFERRED TO COLLECTION. IN ADDITION, IF A PATIENT IS REFERRED TO COLLECTION AND LATER APPLIES FOR CHARITY AND QUALIFIES, THE PATIENT'S ACCOUNT IS RETURNED TO THE HOSPITAL AND FINANCIAL ASSISTANCE IS EXTENDED. SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE - PIH HEALTH WHITTIER HOSPITAL: LINE 16A URL: HTTPS://WWW.PIHHEALTH.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE/; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE - PIH HEALTH WHITTIER HOSPITAL: LINE 16B URL: HTTPS://WWW.PIHHEALTH.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE/; SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE - PIH HEALTH WHITTIER HOSPITAL: LINE 16C URL: HTTPS://WWW.PIHHEALTH.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE/; SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT IN ADDITION TO THE HOSPITAL'S CHNA, PIH HEALTH UTILIZES THE FOLLOWING METHODS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES: COMMUNITY BENEFIT OVERSIGHT COMMITTEE- IN 2006, PIH HEALTH'S BOARD OF DIRECTORS ESTABLISHED THE COMMUNITY BENEFIT OVERSIGHT COMMITTEE (CBOC), WHICH IS COMPRISED OF COMMUNITY STAKEHOLDERS AND KEY PUBLIC HEALTH AND LEGISLATIVE REPRESENTATIVES. THIS COMMITTEE MEETS REGULARLY, AND ITS MEMBERS SHARE HEALTHCARE-RELATED NEEDS/CONCERNS EXPERIENCED BY THE COMMUNITY MEMBERS THEY REPRESENT AS WELL AS ASSETS OR POTENTIAL PARTNERS FOR THE HOSPITAL TO ENGAGE IN ADDRESSING THE IDENTIFIED NEEDS. FEEDBACK FROM COMMUNITY ORGANIZATIONS/COLLABORATIVE- THROUGH PARTICIPATION IN VARIOUS COMMUNITY COLLABORATIVE AND NETWORKING MEETINGS, PIH HEALTH IS ABLE TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITY AND IDENTIFY PARTNERSHIP OPPORTUNITIES. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THERE ARE MANY AVENUES PIH HEALTH TAKES IN EDUCATING PATIENTS AND FAMILY MEMBERS ABOUT THE VARIOUS FINANCIAL ASSISTANCE PROGRAMS. PATIENTS ARE ADVISED AT THE TIME OF SERVICE, DURING IN-HOUSE CARE AND POST DISCHARGES. FREE HANDOUTS OF THE FAP APPLICATION ARE PROVIDED IN BOTH ENGLISH AND SPANISH. THERE ARE POSTINGS THROUGHOUT THE HOSPITAL IN BOTH ENGLISH AND SPANISH WITH INFORMATION ABOUT OUR FAP PROGRAM. WE HAVE AN ELIGIBILITY VENDOR THAT IS CONVENIENTLY AVAILABLE TO ASSIST OUR PATIENTS IN THE EMERGENCY ROOM OR IN-HOUSE PATIENTS WITH DETERMINING ELIGIBILITY FOR VARIOUS GOVERNMENTAL PROGRAMS, AS WELL AS ADVISE AND ASSIST THE PATIENT WITH THE FAP. POST DISCHARGE, OUR BUSINESS OFFICE STAFF TAKES THE INITIATIVE TO ADVISE THE PATIENT OF OUR FAP PROGRAM. ALSO, WITH THE INITIAL STATEMENT SENT TO PATIENTS, AN APPLICATION IS INCLUDED. PIH'S FAP IS ALSO PUBLISHED ON OUR WEBSITE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION PIH HEALTH WHITTIER HOSPITAL (PHWH) IS LOCATED AT 12401 WASHINGTON BLVD., WHITTIER, CA 90602. THE HOSPITAL'S PRIMARY SERVICE AREA ENCOMPASSES 14 ZIP CODES IN THE CITIES OF BELL, BELL GARDENS, HACIENDA HEIGHTS, LA HABRA, LA HABRA HEIGHTS, LA MIRADA, MONTEBELLO, NORWALK, PICO RIVERA, SANTA FE SPRINGS, AND WHITTIER. THE SERVICE AREA IS SERVED BY THE LOS ANGELES COUNTY 1ST AND 4TH SUPERVISORIAL DISTRICTS AND FALLS WITHIN LOS ANGELES COUNTY SERVICE PLANNING AREAS (SPA) 3 AND 7. LA HABRA 90631 IS IN ORANGE COUNTY. PHWH TRACKS ZIP CODES OF ORIGIN FOR PATIENT ADMISSIONS. THE SERVICE AREA WAS DETERMINED FROM THE ZIP CODES THAT REFLECT A MAJORITY (72%) OF HOSPITAL INPATIENT DISCHARGES FROM THE LOCAL GEOGRAPHIC AREA. THE POPULATION OF PHWH'S PRIMARY SERVICE AREA IS 691,746. CHILDREN AND YOUTH, AGES 0-17, ARE 22.2% OF THE POPULATION, 62.6% ARE ADULTS, AGES 18-64, AND 15.1% OF THE POPULATION ARE SENIORS, AGES 65 AND OLDER. THE LARGEST PORTION OF THE POPULATION IN THE SERVICE AREA ARE HISPANIC AND LATINO RESIDENTS (71.6%). WHITE RESIDENTS MAKE UP 13.3% OF THE POPULATION. ASIAN RESIDENTS COMPRISE 11.2% OF THE POPULATION, AND BLACK OR AFRICAN AMERICAN RESIDENTS ARE 1.7% OF THE POPULATION. NATIVE AMERICAN RESIDENTS, HAWAIIANS OR PACIFIC ISLANDER RESIDENTS, MULTIRACIAL AND OTHER RACE RESIDENTS COMBINED TOTAL 2.3% OF THE POPULATION. AMONG THE RESIDENTS IN THE PRIMARY SERVICE AREA, 11.4% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 29.5% ARE AT 200% OF FPL OR BELOW. EDUCATIONAL ATTAINMENT IS A KEY DRIVER OF HEALTH. IN THE PRIMARY SERVICE AREA, 21.3% OF ADULTS, AGES 25 AND OLDER, LACK A HIGH SCHOOL DIPLOMA, AND 23.7% OF AREA ADULTS HAVE A BACHELOR'S DEGREE OR HIGHER. THE CALIFORNIA HEALTHY PLACES INDEX (HPI) IS A MEASURE OF SOCIOECONOMIC NEED THAT IS CORRELATED WITH POOR HEALTH OUTCOMES. FOR COMMUNITY BENEFIT PURPOSES, CALIFORNIA DEFINES VULNERABLE POPULATIONS ACCORDING TO SPECIFIC CRITERIA, INCLUDING INADEQUATE ACCESS TO CLEAN AIR AND SAFE DRINKING WATER, AS DEFINED BY AN ENVIRONMENTAL HPI SCORE OF 50 PERCENT OR LOWER. THE SERVICE AREA ZIP CODES HAVE AN HPI SCORE OF 25.4% FOR CLEAN ENVIRONMENT. FOR ADDITIONAL DATA REGARDING THE SERVICE AREA, PLEASE SEE THE CHNA AT PIHHEALTH.ORG/CHNA SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH COMMUNITY BOARD: PIH HEALTH'S COMMUNITY BOARD OF DIRECTORS WORKS TO ADVANCE PIH HEALTH'S COMMITMENT TO HELPING OUR COMMUNITIES GET WELL AND STAY HEALTHY. OPEN MEDICAL STAFF: PIH HEALTH EXTENDS MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. USE OF SURPLUS FUNDS: PIH HEALTH APPLIES SURPLUS FUNDS TOWARD IMPROVEMENTS IN PATIENT CARE, TECHNOLOGY, AND MEDICAL EDUCATION. COMMUNITY BENEFIT OVERSIGHT COMMITTEE (CBOC): IN 2006, PIH HEALTH'S BOARD OF DIRECTORS ESTABLISHED THE CBOC, COMPRISED OF COMMUNITY STAKEHOLDERS AND A PUBLIC HEALTH REPRESENTATIVE. THE CBOC PROMOTES THE HEALTH OF THE COMMUNITY BY 1) REVIEWING AND VALIDATING LEGAL AND REGULATORY COMPLIANCE WITH RESPECT TO COMMUNITY BENEFIT MANDATES, 2) REVIEWING AND VALIDATING THAT PIH HEALTH'S COMMUNITY BENEFIT PROGRAMS AND SERVICES EFFECTIVELY MEET IDENTIFIED COMMUNITY HEALTH NEEDS, WITH EMPHASIS ON VULNERABLE POPULATIONS, AS AN ESSENTIAL EXPRESSION OF PIH HEALTH'S CHARITABLE MISSION AND 3) INCREASING PUBLIC AWARENESS OF COMMUNITY BENEFIT ACTIVITIES AND COMMUNITY VALUE. DONATION OF TIME: MANY PIH HEALTH PROVIDERS ARE LIVING OUT THEIR PASSION TO SERVE PEOPLE IN NEED BY DONATING THEIR TIME AND TALENTS BOTH IN PIH HEALTH COMMUNITIES AND OVERSEAS. EMERGENCY AND DISASTER PREPAREDNESS/DISASTER RESOURCE CENTER (DRC): PIH HEALTH WHITTIER HOSPITAL IS ONE OF 13 LOS ANGELES COUNTY DESIGNATED DRC'S THAT ENSURE THE COMMUNITY HAS ACCESS TO RESOURCES AND THE HIGHLY SKILLED STAFF NEEDED TO RESPOND TO A LARGE-SCALE DISASTER OR OTHER PUBLIC HEALTH EMERGENCIES. EMPLOYEE GIVING: EACH YEAR, PIH HEALTH EMPLOYEES, PHYSICIANS, AND VOLUNTEERS GENEROUSLY SUPPORT VARIOUS CHARITABLE GIVING INITIATIVES. DURING FISCAL YEAR 2025, HOLIDAY WISH LISTS WERE FULFILLED FOR 184 FAMILIES SERVED BY THE WHOLE CHILD, 213 DUFFLE BAGS WITH ESSENTIAL ITEMS WERE DONATED TO SUPPORT THOSE AFFECTED BY SOUTHERN CALIFORNIA WILDFIRES, AND OVER 375 BACKPACKS FILLED WITH SCHOOL SUPPLIES WERE COLLECTED FOR DISTRIBUTION BY HELPLINE YOUTH COUNSELING TO STUDENTS ACROSS OUR SERVICE AREA. ENVIRONMENTAL AND SUSTAINABILITY PROJECTS: PIH HEALTH CONTINUES TO IMPLEMENT "GREEN" INITIATIVES, INCLUDING INCREASED USAGE OF LED LIGHTING TO DECREASE CONSUMPTION OF ELECTRICITY, EXPANSION OF A PROJECT WITH THE CITY OF WHITTIER TO CONVERT METHANE GAS INTO ELECTRICITY, AND PURCHASE OF REPROCESSED INSTRUMENTS THROUGH A VENDOR AGREEMENT THAT RESULTS IN NATIONAL FOREST RESTORATION. IN ADDITION, EYEGLASSES AND HEARING AIDS ARE COLLECTED FOR RECYCLING AND REDISTRIBUTION BY AREA LIONS CLUBS TO THOSE IN NEED. PROMOTING EARLY LITERACY: EACH YEAR OUR PEDIATRICS DEPARTMENT PARTNERS WITH REACH OUT AND READ TO DISTRIBUTE NEW BOOKS TO PATIENTS TO PROMOTE LITERACY AND SCHOOL READINESS. OVER 5,200 BOOKS WERE GIVEN TO FAMILIES DURING FISCAL YEAR 2025. IN ADDITION, OUR NICU PARTNERS WITH THE WHITTIER PUBLIC LIBRARY TO PROVIDE BOOKS TO SUPPORT BABIES AND FAMILIES AS AN IMPORTANT WAY OF CONNECTING THROUGH READING AND TALKING. VOLUNTEER CONTRIBUTIONS: SOME 1,364 PIH HEALTH VOLUNTEERS COLLECTIVELY CONTRIBUTED 111,102 HOURS OF SERVICE, SUPPORTING DEPARTMENTS THROUGHOUT THE ORGANIZATION. THROUGH THE PIH HEALTH MEDICAL CAREERS PROGRAM, WHICH GIVES STUDENT VOLUNTEERS A HEAD START IN DISCOVERING PRODUCTIVE AND MEANINGFUL CAREERS IN HEALTHCARE, 40 INDIVIDUALS SPENT 756 HOURS SHADOWING MEDICAL CAREER PROFESSIONALS. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM HOSPITAL AFFILIATES INCLUDE: 1) PIH HEALTH, INC., PIH HEALTH'S PARENT COMPANY; 2) PIH HEALTH DOWNEY HOSPITAL; 3) PIH HEALTH GOOD SAMARITAN HOSPITAL; 4) PIH HEALTH PHYSICIANS, A NONPROFIT MEDICAL FOUNDATION; 5) PIH HEALTH POST-ACUTE CARE SERVICES AND 6) THE PIH HEALTH FOUNDATION, A NONPROFIT ORGANIZATION THAT EXISTS TO RAISE PHILANTHROPIC FUNDS IN SUPPORT OF PIH HEALTH'S CHARITABLE MISSION 1) PIH HEALTH, INC. PROVIDES TECHNICAL, FACILITY, AND SUPPORT SERVICES FOR TAX-EXEMPT AFFILIATES WHOSE CHARITABLE PURPOSE IS TO PROVIDE A BROAD RANGE OF HEALTHCARE SERVICES TO THEIR COMMUNITY BY WAY OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. 2) PIH HEALTH DOWNEY HOSPITAL OFFICIALLY BECAME PART OF PIH HEALTH IN OCTOBER 2013. AS A 501(C)(3) NONPROFIT, 199-BED HOSPITAL, THE DOWNEY CAMPUS HAS PROVIDED QUALITY CARE IN A WELCOMING ENVIRONMENT FOR MORE THAN 100 YEARS. 3) PIH HEALTH GOOD SAMARITAN HOSPITAL WAS FOUNDED IN 1885, PIH HEALTH GOOD SAMARITAN HOSPITAL BECAME PART OF PIH HEALTH IN DECEMBER 2019. AS A 501(C)(3) NONPROFIT, 408-BED ACUTE CARE HOSPITAL, THE DOWNTOWN LOS ANGELES CAMPUS SERVES THE HEALTHCARE NEEDS OF A GROWING AND DIVERSE COMMUNITY, GIVING BACK TO THE COMMUNITY THROUGH CHARITY CARE, MEDICAL RESEARCH, HEALTH PROFESSIONS EDUCATION AND MORE. 4) PIH HEALTH PHYSICIANS (PHP) IS A 501(C)(3) NONPROFIT MEDICAL GROUP THAT IS EXCLUSIVELY AFFILIATED WITH PIH HEALTH, THE GROUP IS COMPRISED OF MORE THAN 355 PRIMARY CARE PHYSICIANS AND SPECIALISTS WHO COORDINATE CARE FROM DIAGNOSIS TO RECOVERY. PHP SUPPORTS THE LOCAL COMMUNITY THROUGH ITS FINANCIAL ASSISTANCE PROGRAM, WHITTIER FIRST DAY HEALTH & WELLNESS CENTER FOR THE HOMELESS AND THOSE AT-RISK FOR HOMELESSNESS, HEALTH PROFESSIONS EDUCATION, AND OTHER COMMUNITY HEALTH IMPROVEMENT SERVICES. 5) THE PIH HEALTH FOUNDATION IS A 501(C)(3) NONPROFIT ORGANIZATION WITH THE SOLE MISSION TO RAISE FUNDS THROUGH PHILANTHROPY TO BENEFIT PIH HEALTH AND ITS AFFILIATES. LED BY A VOLUNTEER BOARD OF DIRECTORS, THE PIH HEALTH FOUNDATION RAISES VITAL FUNDS TO PROVIDE THE TOOLS AND RESOURCES PIH HEALTH'S MEDICAL PROFESSIONALS REQUIRE TO DELIVER EXCEPTIONAL CARE. FOR DETAILED INFORMATION REGARDING THESE PIH HEALTH AFFILIATES' ADDITIONAL ACTIVITIES TO SUPPORT AND PROMOTE COMMUNITY HEALTH, PLEASE SEE EACH RESPECTIVE ORGANIZATION'S IRS FORM 990. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT CA true BOYS & GIRLS CLUB OF WHITTIER 7905 GREENLEAF AVE WHITTIER CA 90602 956151763 501(C)(3) 10000 FUNDS SUPPORTED THE BOYS & GIRLS CLUB'S HEALTHY LIFESTYLES PROGRAMS, WHICH COMBAT CHILDHOOD OBESITY THROUGH HEALTHY EATING/NUTRITION EDUCATION, PHYSICAL FITNESS AND SPORTS, AND SOCIAL-EMOTIONAL LEARNING. INTERFAITH FOOD CENTER 11819 BURKE STREET SANTA FE SPRINGS CA 90670 953889152 501(C)(3) 10000 FUNDS SUPPORTED INTERFAITH FOOD CENTER'S MISSION TO "PROVIDE NUTRITIOUS FOOD TO OUR NEIGHBORS IN NEED IN AN ENVIRONMENT THAT NURTURES DIGNITY AND RESPECT." SPECIFICALLY, FUNDS WERE RESTRICTED TO SUPPORTING THE GROCERY PROGRAM AND FOOD PROGRAM FOR THE UNHOUSED. WHITTIER COLLEGE 13406 E PHILADELPHIA ST WHITTIER CA 90608 951644048 501(C)(3) 10000 FUNDS SUPPORTED THE WHITTIER COLLEGE POET PANTRY, RESTRICTED TO EXPANSION / ENHANCEMENT OF REFRIGERATION STORAGE AND ASSOCIATED EXPENSES. TLC FAMILY RESOURCE CENTER 13220 BELLFLOWER BLVD DOWNEY CA 90242 956006586 501(C)(3) 10000 FUNDS SUPPORTED DOWNEY UNIFIED SCHOOL DISTRICT'S TLC FAMILY RESOURCE CENTER'S MISSION TO CREATE TRUE, LASTING CONNECTIONS BETWEEN THE DOWNEY COMMUNITY AND THE FAMILIES OF THE DOWNEY UNIFIED SCHOOL DISTRICT TO ENSURE STUDENTS REACH THEIR FULLEST POTENTIAL - WITH EMPHASIS ON FUNDS SUPPORTING TLC'S MENTAL HEALTH SUPPORT SERVICES. COMMUNITY FAMILY GUIDANCE CENTER 10929 SOUTH STREET STE208B CERRITOS CA 90703 953083776 501(C)(3) 8000 FUNDS SUPPORTED COMMUNITY FAMILY GUIDANCE CENTER'S FAMILY WELLNESS PROGRAM, WHICH INCLUDES COUNSELING SERVICES FOR CHILDREN THAT INSTILL THE TOOLS NEEDED TO HEAL FROM SEXUAL, PHYSICAL AND EMOTIONAL ABUSE, AMONG OTHER OVERLAYING FACTORS THAT PREVENT THEM FROM HAVING A HEALTHY LIFE. OLIVE CREST 16911 BELLFLOWER BLVD BELLFLOWER CA 90706 952877102 501(C)(3) 7500 FUNDS SUPPORTED OLIVE CREST'S PROVISION OF CHILD SEX TRAFFICKING AWARENESS WORKSHOPS ACROSS LOS ANGELES COUNTY AND SUPPORTED OLIVE CREST'S MISSION TO PREVENT CHILD ABUSE BY STRENGTHENING, EQUIPPING, AND RESTORING CHILDREN AND FAMILIES IN CRISIS - ONE LIFE AT A TIME. THE WHOLE CHILD 10155 COLIMA ROAD WHITTIER CA 90603 952031148 501(C)(3) 7000 FUNDS SUPPORTED THE WHOLE CHILD'S FAMILY HOUSING PROGRAMS AND SERVICES. HELPLINE YOUTH COUNSELING INC 14181 TELEGRAPH ROAD WHITTIER CA 90604 237113824 501(C)(3) 6500 FUNDS SUPPORTED HELPLINE YOUTH COUNSELING'S COUNSELING, PREVENTION AND EARLY INTERVENTION MENTAL HEALTH SERVICES FOR LOW-INCOME CHILDREN, INDIVIDUALS AND FAMILIES. 8 0 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS PIH HEALTH PROVIDES FINANCIAL ASSISTANCE TO BOTH NOT-FOR-PROFIT ORGANIZATIONS AND INDIVIDUALS. PIH HEALTH PROVIDES FINANCIAL SUPPORT TO TAX-EXEMPT, NONPROFIT ORGANIZATIONS IN OUR SERVICE AREA CITIES THROUGH ITS COMMUNITY SUPPORT AND SPONSORSHIPS PROGRAM, WITH EMPHASIS ON COMMUNITY HEALTH NEEDS/AREAS OF CONCERN AS IDENTIFIED BY PIH HEALTH'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS. FINANCIAL SUPPORT MAY BE PROVIDED IF THE REQUESTING ORGANIZATION ADDRESSES ONE OR MORE OF THESE AREAS AND IS RESPONSIVE TO THE HEALTH AND WELLNESS NEEDS OF THE COMMUNITIES WE SERVE, ALLOWING PIH HEALTH TO BUILD UPON THE IMPACT OF EXISTING COMMUNITY HEALTH IMPROVEMENT EFFORTS. FOR CONTRIBUTIONS MADE TO CHARITABLE ORGANIZATIONS, PIH HEALTH HAS ADOPTED A POLICY WHICH GUIDES THE PROCESS TO ENSURE GOOD STEWARDSHIP OF PIH HEALTH'S CHARITABLE RESOURCES AS A FEDERALLY REGISTERED NONPROFIT ENTITY. TO ENSURE ACCURATE COMMUNITY BENEFIT REPORTING, THIS POLICY SETS FORTH THAT DIRECT FINANCIAL CONTRIBUTIONS MADE TO COMMUNITY ORGANIZATIONS MUST BE APPROPRIATELY CLASSIFIED AS EITHER A) COMMUNITY BENEFIT OR B) A SPONSORSHIP (A MARKETING COMMUNICATIONS DEPARTMENT EXPENSE NOT REPORTABLE AS COMMUNITY BENEFIT). IN COMPLIANCE WITH THIS POLICY, INFORMATION IS GATHERED FROM THE GRANTEE REGARDING THE INTENDED USE OF FUNDS AND A RESTRICTION LETTER IS SENT, NOTING THE INTENDED USE OF FUNDS. ORGANIZATIONS RECEIVING COMMUNITY SUPPORT FUNDING IN THE AMOUNT OF $2,500 OR MORE ARE REQUIRED TO SUBMIT A SUMMARY REPORT OF PROGRAM OR SERVICE IMPACT, WITHIN 90 DAYS AFTER EVENT OR RECEIPT OF PROGRAM FUNDING, UNLESS AN ALTERNATE DATE IS DESIGNATED. X X X X X true true false false false false false false false BRIAN SMOLSKIS FORMER - SYSTEM COO 0 0 0 0 1089063 0 0 0 16973 0 1106036 0 197952 0 JAMES WEST SYSTEM PRESIDENT & CEO 1603998 0 0 0 19598 0 18300 0 21883 0 1663779 0 0 0 PEGGY CHULACK SYSTEM CAO & ASST SECRETARY 872084 0 0 0 609161 0 18300 0 15580 0 1515125 0 600326 0 ROSALIO LOPEZ MD SYSTEM CSO/CMO 987835 0 0 0 356998 0 41300 0 10355 0 1396488 0 338214 0 VID SHIVARAMAN SYSTEM CFO & ASST TREASURER 862548 0 0 0 7556 0 190785 0 25065 0 1085954 0 0 0 RAMONA PRATT CNO 449451 0 0 0 92450 0 41300 0 15381 0 598582 0 82500 0 DAVIS LEE CMIO & CIO 538261 0 0 0 111013 0 121592 0 17028 0 787894 0 108315 0 CAROL SALAS SYSTEM CHIEF HR OFFICER 529578 0 0 0 91506 0 154364 0 25142 0 800590 0 84085 0 DEBRA LEGAN VP MKTG & PLANNING 435432 0 0 0 168544 0 40623 0 17099 0 661698 0 161356 0 JUDY PUGACH VP REGULATORY AFFAIRS 392550 0 0 0 150906 0 41300 0 6802 0 591558 0 139457 0 MOHAMMED GHONIM REGIONAL VP (THRU 12/06/2024) 431232 0 0 0 70469 0 93850 0 1388 0 596939 0 62037 0 MARK KAWAUCHI VP OF FINANCE 412035 0 0 0 85493 0 82623 0 24486 0 604637 0 78719 0 CHICO MANNING VP, SUPPLY CHAIN 411545 0 0 0 71702 0 95127 0 0 0 578374 0 62549 0 MARIE-DIANNE SAUCO COO, CARE MGMT & MGMT SVC ORG 453760 0 0 0 6180 0 120800 0 25265 0 606005 0 0 0 SHELLY NECKE VP POST ACUTE CR SVS 420479 0 0 0 10047 0 116258 0 17099 0 563883 0 0 0 BRENT MELTON VP SUPPORT SERVICES 368672 0 0 0 41886 0 81926 0 24417 0 516901 0 34478 0 RON EICKHOFF VP, RESPIRATORY 340327 0 0 0 55841 0 74650 0 16881 0 487699 0 48126 0 ANUP PATEL VP ENT RSK MGMT & CORP COMP 341858 0 0 0 46914 0 97870 0 24486 0 511128 0 39900 0 LUCINDA PLACE VP OF QUALITY MGMT 369359 0 0 0 7736 0 108302 0 17099 0 502496 0 0 0 NOEL COPPINGER VP, REVENUE CYCLE 315007 0 0 0 7188 0 69150 0 8574 0 399919 0 0 0 SARAH MERKLE VP, NURSING OPERATIONS 258546 0 0 0 5180 0 52229 0 22002 0 337957 0 0 0 HILARION CASTILLO DIR OF FINANCE, CONTROLLER 306065 0 0 0 8173 0 18300 0 10140 0 342678 0 0 0 SCOTT BREMER SYS DIR COMPENSATION, BENEFITS 305570 0 0 0 7075 0 18300 0 20099 0 351044 0 0 0 JUNG HO MEDICAL PHYSICIST 296599 0 0 0 2582 0 17951 0 8055 0 325187 0 0 0 DIANE MCCOWAN DIR PHARMACY 288933 0 0 0 9373 0 17794 0 1189 0 317289 0 0 0 JEANETTE ABUNDIS SR DIRECTOR, NURSING 288408 0 0 0 9373 0 14897 0 3567 0 316245 0 0 0 SCHEDULE J, PART I, LINE 4A SEVERANCE OR CHANGE-OF-CONTROL PAYMENT BRIAN SMOLSKIS RECEIVED A SEVERANCE PAYMENT DURING THE CALENDAR YEAR. THE PAYMENT IS INCLUDED IN PART VII, COLUMN D AND SCHEDULE J PART II, COLUMN B(III). THE TERMS AND CONDITIONS OF THE CONFIDENTIAL SEVERANCE AGREEMENT ARE AVAILABLE TO THE INTERNAL REVENUE SERVICE UPON REQUEST. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PIH HEALTH INC. AND ITS AFFILIATES PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR CERTAIN EXECUTIVES. THE FOLLOWING INDIVIDUALS PARTICIPATE IN THE PLAN: JAMES WEST PEGGY CHULACK ROSALIO LOPEZ, MD VID SHIVARAMAN DAVIS LEE CAROL SALAS DEBRA LEGAN JUDY PUGACH RAMONA PRATT MARK KAWAUCHI JASON FISCHER CHICO MANNING MARIE-DIANNE SAUCO SHELLY NECKE BRENT MELTON RON EICKHOFF ANUP PATEL LUCINDA PLACE NOEL COPPINGER SARAH MERKLE THE FOLLOWING AMOUNTS BECAME VESTED OR WERE PAID-OUT IN 2024 AND ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III): PEGGY CHULACK $600,326 ROSALIO LOPEZ, MD $338,214 DAVIS LEE $108,315 CAROL SALAS $84,085 DEBRA LEGAN $161,356 JUDY PUGACH $139,457 RAMONA PRATT $82,500 MOHAMMED GHONIM $62,037 MARK KAWAUCHI $78,719 CHICO MANNING $62,549 BRENT MELTON $34,478 RON EICKHOFF $48,126 ANUP PATEL $39,900 STACY JOHNSON $37,078 BRIAN SMOLSKIS $197,952 A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13032UWP9 2020-10-08 197721474 CONSTRUCTION AND EQUIPMENT & REFUND BONDS 2009 AND 2012C false false false B CALIFORNIA PUBLIC FINANCE AUTHORITY 474447476 13057EJN5 2024-07-05 172590664 REFUND SERIES 2014, SERIES 2018, AND SERIES 2022 BONDS false false false A 4965000 197721474 2170191 86626695 108924588 0 true false true true B 4820000 172590664 1173336 171417328 true false true true A false false true true false false 0 0 0.0 false false 0 false true B false false true true false false 0 0 0.0 false false 0 false true A false false true false false false 0 false false false 0 false false true B false false true false false true BANK OF AMERCA 7.0 false false false 0 false false true A true B true SCHEDULE K, PART IV, LINE 2C 2020 SERIES BOND 2020 SERIES - MET ANNUAL EXCEPTION REPORT DATED OCTOBER 23, 2024. SCHEDULE K, PART IV, LINE 2C 2024 SERIES BOND 2024 SERIES - MET 6-MONTH EXCEPTION REPORT DATED AUGUST 12, 2025 JAMES WEST PRESIDENT & CEO SPLIT DOLLAR LIFE AGREEMENT BENEFIT PLAN X 13250000 13250000 false true true 13250000 MARY WARGO FAMILY MEMBER OF PEGGY CHULACK 119522 MARY WARGO IS EMPLOYED BY PIH. false ANDREW PRATT FAMILY MEMBER OF RAMONA PRATT 157449 ANDREW PRATT IS EMPLOYED BY PHWH false JIMMY WEST FAMILY MEMBER OF JAMES WEST 135326 JIMMY WEST IS EMPLOYED BY PHWH false FORM 990, PART VI, LINE 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS PIH HEALTH WHITTIER HOSPITAL IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM. THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP BY VIRTUE OF THEIR POSITIONS AS OFFICER OR DIRECTORS OF RELATED ENTITIES WITHIN THE SYSTEM: RICHARD ATWOOD - BUSINESS RELATIONSHIP ALEX ALVAREZ - BUSINESS RELATIONSHIP JEFF HAMAR - BUSINESS RELATIONSHIP PATRICK MONROE - BUSINESS RELATIONSHIP PAUL TREINEN - BUSINESS RELATIONSHIP CHARLOTTE WEAVER - BUSINESS RELATIONSHIP KENTON WOODS - BUSINESS RELATIONSHIP PETER GREANEY - BUSINESS RELATIONSHIP MARISSA GOLDBERG - BUSINESS RELATIONSHIP MELANIE BATISTE - BUSINESS RELATIONSHIP THURSO BARENDSE - BUSINESS RELATIONSHIP TRACEA SARALIEV - BUSINESS RELATIONSHIP WILLIAM ROTH - BUSINESS RELATIONSHIP JAMES WEST - BUSINESS RELATIONSHIP PEGGY CHULACK - BUSINESS RELATIONSHIP VID SHIVARAMAN - BUSINESS RELATIONSHIP ROSALIO LOPEZ - BUSINESS RELATIONSHIP DEBORAH MEDRANO - BUSINESS RELATIONSHIP REGINE LAWTON - BUSINESS RELATIONSHIP SCOTT KROG - BUSINESS RELATIONSHIP SCOTT SOUTHRON - BUSINESS RELATIONSHIP FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS PIH HEALTH, INC. IS THE SOLE MEMBER OF PIH HEALTH WHITTIER HOSPITAL FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY PIH HEALTH, INC. HAS AUTHORITY TO ELECT ALL THE MEMBERS OF THE BOARD OF DIRECTORS OF PIH HEALTH WHITTIER HOSPITAL. FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS PIH HEALTH, INC. HAS ALL VOTING RIGHTS AND THE POWER TO ELECT THE BOARD OF DIRECTORS OF PIH HEALTH WHITTIER HOSPITAL. FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION, WHICH IS MADE UP OF INDEPENDENT DIRECTORS. THE FORM 990 IS THEN PROVIDED TO THE BOARD FOR ITS INFORMATION. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY EACH YEAR, ALL MANAGEMENT AND BOARD OF DIRECTORS MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. ALL POSITIVE RESPONSES ARE REVIEWED BY THE CHIEF ADMINISTRATIVE OFFICER AND GENERAL COUNSEL. 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, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S EXECUTIVE COMPENSATION COMMITTEE ENGAGES AN INDEPENDENT, THIRD-PARTY, EXPERT COMPENSATION CONSULTANT TO REVIEW ITS EXECUTIVE SALARIES. THE CONSULTANT OBTAINS SPECIFIC ORGANIZATIONAL DATA FROM WHICH TO BASE ITS ANALYSIS (REVENUES, EXPENSES, EMPLOYEES, SERVICE AREA, JOB DESCRIPTIONS, ETC.). THE CONSULTANT'S ANALYSIS INCLUDES A REVIEW OF COMPENSATION TRENDS, REGULATORY ISSUES, THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY, THE METHODOLOGY USED FOR THE ASSESSMENT, THE BASE SALARY ANALYSIS, THE INCENTIVE COMPENSATION ANALYSIS, THE TOTAL CASH COMPENSATION ANALYSIS, AND THE TOTAL COMPENSATION ANALYSIS. SALARY MOVEMENT, INCENTIVE COMPENSATION, MARKET BENEFIT, AND RECRUITMENT AND RETENTION TRENDS ARE REVIEWED. THIS ANALYSIS IS PROVIDED TO THE ORGANIZATION'S EXECUTIVE COMPENSATION COMMITTEE, WHICH IS COMPRISED OF INDEPENDENT DIRECTORS. THE EXECUTIVE COMPENSATION COMMITTEE HAS APPROVED A REGIONAL PEER GROUP THAT INCLUDES HIGH-PERFORMING, COMPARABLY-SIZED CALIFORNIA HOSPITALS AND HEALTH SYSTEMS. THE CONSULTANT COMPILES COMPARABILITY DATA FROM NATIONAL AND REGIONAL PEERS; COMPARES THE ORGANIZATION'S EXECUTIVE COMPENSATION WITH PEER GROUP COMPENSATION LEVELS; AND PREPARES A REPORT THAT INCLUDES ALL OF THE BACK-UP DATA ON COMPARABILITY, PEER GROUPS, AND JOB MATCHES. THE METHODOLOGY USED BY THE CONSULTANT INCLUDES TWO PEER GROUPS: A NATIONAL PEER GROUP OF COMPARABLY-SIZED HOSPITALS AND SINGLE HOSPITAL SYSTEMS AND A REGIONAL PEER GROUP OF HOSPITALS AND SYSTEMS IN SOUTHERN CALIFORNIA, THE DATA OF WHICH IS PROVIDED TO THE COMMITTEE IN ITS REPORT. THE NATIONAL DATA IS USED AS THE PRIMARY COMPARATOR FOR THE ANALYSIS. THE COMMITTEE IS PRESENTED WITH CHARTS THAT COMPARE ORGANIZATION SALARIES TO THE LEVEL TARGETED IN THE COMPENSATION PHILOSOPHY. NEITHER PERFORMANCE NOR QUALIFICATIONS OF THE INCUMBENT IS CONSIDERED WHEN PROVIDING THE MARKET DATA. THE COMMITTEE IS PROVIDED WITH A REVIEW OF THE BASE SALARY ANALYSIS, A REVIEW OF THE INCENTIVE COMPENSATION ANALYSIS, A REVIEW OF THE TOTAL CASH COMPENSATION ANALYSIS (BASE SALARY PLUS INCENTIVE), AND A REVIEW OF THE TOTAL COMPENSATION ANALYSIS (BASE SALARY PLUS INCENTIVE PLUS BENEFITS/PERQUISITES). BASED UPON ALL OF THE ABOVE INFORMATION, THE CONSULTANT PROVIDES THE COMMITTEE WITH RECOMMENDED SALARY RANGES FOR THE PERIOD ASSESSED. THE EXECUTIVE COMPENSATION COMMITTEE DELIBERATES ON THE COMPARABILITY DATA TO ENSURE THAT IT IS APPROPRIATE IN REPRESENTING LIKE ORGANIZATIONS, LIKE POSITIONS, AND LIKE CIRCUMSTANCES, AND THAT IT COULD REALISTICALLY RELY ON THE COMPARABILITY DATA IN REACHING ITS DECISION THAT THE COMPENSATION IS REASONABLE AND REPRESENTS FAIR MARKET VALUE FOR SERVICES RENDERED. THE EXECUTIVE COMPENSATION COMMITTEE AFFIRMS THIS PROCESS TO THE BOARD OF DIRECTORS. FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES THE ORGANIZATION'S EXECUTIVE COMPENSATION COMMITTEE ENGAGES AN INDEPENDENT, THIRD-PARTY, EXPERT COMPENSATION CONSULTANT TO REVIEW ITS EXECUTIVE SALARIES. THE CONSULTANT OBTAINS SPECIFIC ORGANIZATIONAL DATA FROM WHICH TO BASE ITS ANALYSIS (REVENUES, EXPENSES, EMPLOYEES, SERVICE AREA, JOB DESCRIPTIONS, ETC.). THE CONSULTANT'S ANALYSIS INCLUDES A REVIEW OF COMPENSATION TRENDS, REGULATORY ISSUES, THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY, THE METHODOLOGY USED FOR THE ASSESSMENT, THE BASE SALARY ANALYSIS, THE INCENTIVE COMPENSATION ANALYSIS, THE TOTAL CASH COMPENSATION ANALYSIS, AND THE TOTAL COMPENSATION ANALYSIS. SALARY MOVEMENT, INCENTIVE COMPENSATION, MARKET BENEFIT, AND RECRUITMENT AND RETENTION TRENDS ARE REVIEWED. THIS ANALYSIS IS PROVIDED TO THE ORGANIZATION'S EXECUTIVE COMPENSATION COMMITTEE, WHICH IS COMPRISED OF INDEPENDENT DIRECTORS. THE EXECUTIVE COMPENSATION COMMITTEE HAS APPROVED A REGIONAL PEER GROUP THAT INCLUDES HIGH-PERFORMING, COMPARABLY-SIZED CALIFORNIA HOSPITALS AND HEALTH SYSTEMS. THE CONSULTANT COMPILES COMPARABILITY DATA FROM NATIONAL AND REGIONAL PEERS; COMPARES THE ORGANIZATION'S EXECUTIVE COMPENSATION WITH PEER GROUP COMPENSATION LEVELS; AND PREPARES A REPORT THAT INCLUDES ALL OF THE BACK-UP DATA ON COMPARABILITY, PEER GROUPS, AND JOB MATCHES. THE METHODOLOGY USED BY THE CONSULTANT INCLUDES TWO PEER GROUPS: A NATIONAL PEER GROUP OF COMPARABLY-SIZED HOSPITALS AND SINGLE HOSPITAL SYSTEMS AND A REGIONAL PEER GROUP OF HOSPITALS AND SYSTEMS IN SOUTHERN CALIFORNIA, THE DATA OF WHICH IS PROVIDED TO THE COMMITTEE IN ITS REPORT. THE NATIONAL DATA IS USED AS THE PRIMARY COMPARATOR FOR THE ANALYSIS. THE COMMITTEE IS PRESENTED WITH CHARTS THAT COMPARE ORGANIZATION SALARIES TO THE LEVEL TARGETED IN THE COMPENSATION PHILOSOPHY. NEITHER PERFORMANCE NOR QUALIFICATIONS OF THE INCUMBENT IS CONSIDERED WHEN PROVIDING THE MARKET DATA. THE COMMITTEE IS PROVIDED WITH A REVIEW OF THE BASE SALARY ANALYSIS, A REVIEW OF THE INCENTIVE COMPENSATION ANALYSIS, A REVIEW OF THE TOTAL CASH COMPENSATION ANALYSIS (BASE SALARY PLUS INCENTIVE), AND A REVIEW OF THE TOTAL COMPENSATION ANALYSIS (BASE SALARY PLUS INCENTIVE PLUS BENEFITS/PERQUISITES). BASED UPON ALL OF THE ABOVE INFORMATION, THE CONSULTANT PROVIDES THE COMMITTEE WITH RECOMMENDED SALARY RANGES FOR THE PERIOD ASSESSED. THE EXECUTIVE COMPENSATION COMMITTEE DELIBERATES ON THE COMPARABILITY DATA TO ENSURE THAT IT IS APPROPRIATE IN REPRESENTING LIKE ORGANIZATIONS, LIKE POSITIONS, AND LIKE CIRCUMSTANCES, AND THAT IT COULD REALISTICALLY RELY ON THE COMPARABILITY DATA IN REACHING ITS DECISION THAT THE COMPENSATION IS REASONABLE AND REPRESENTS FAIR MARKET VALUE FOR SERVICES RENDERED. THE EXECUTIVE COMPENSATION COMMITTEE AFFIRMS THIS PROCESS TO THE BOARD OF DIRECTORS. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC 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, SECTION A, LINE 1A TWO OF THE FILING ORGANIZATION'S OFFICER AND DIRECTORS, SUDHAKER H. NAYAK AND EDUARDO TOVAR, ARE EMPLOYEES OF PIH HEALTH MEDICAL GROUP, INC. (PMG), WHICH HAS A PROFESSIONAL SERVICE AGREEMENT WITH PIH HEALTH PHYSICIANS, AN AFFILIATE OF THE FILING ORGANIZATION, TO PROVIDE PHYSICIAN SERVICES. THE INDIVIDUALS RECEIVED COMPENSATION FROM PMG, AS FOLLOWS: SUDHAKER H. NAYAK MD REPORTABLE BASE COMPENSATION $1,607,729 BONUS & INCENTIVE COMPENSATION $243,611 OTHER COMPENSATION $- EDUARDO TOVAR MD REPORTABLE BASE COMPENSATION $1,202,696 BONUS & INCENTIVE COMPENSATION $8,712 OTHER COMPENSATION $- FORM 990, PART VIII, LINE 2F OTHER PROGRAM SERVICE REVENUE ALL OTHER PROGRAM SERVICE REVENUE - TOTAL REVENUE: 19613208, RELATED OR EXEMPT FUNCTION REVENUE: 19613208, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; FORM 990, PART VIII, LINE 11D OTHER MISCELLANEOUS REVENUE ALL OTHER REVENUE - TOTAL REVENUE: 1885725, RELATED OR EXEMPT FUNCTION REVENUE: , UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: 1885725; FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES SWAP MARKET VALUE ADJUSTMENT - 3168083; PENSION ADJUSTMENT - 3773999; TOTAL - 6942082; PIH HEALTH COMMUNITY PHARMACY LLC 12401 WASHINGTON BLVD WHITTIER CA 90602 264390142 PHARMACY CA 19931563 465548 PIH HEALTH WHITTIER HOSPITAL PIH HEALTH FOUNDATION 12401 WASHINGTON BLVD WHITTIER CA 90602 953761274 FUNDRAISING CA 501(C)(3) 7 PIH HEALTH INC false PIH HEALTH MANAGEMENT CORP 12401 WASHINGTON BLVD WHITTIER CA 90602 954016278 SUPPORT OF TAX-EXEMPT AFFILIATES CA 501(C)(3) TYPE II PIH HEALTH INC false PIH HEALTH HOME HEALTHCARE 12401 WASHINGTON BLVD WHITTIER CA 90602 953036281 HEALTHCARE CA 501(C)(3) TYPE II PIH HEALTH INC false PIH HEALTH INC 12401 WASHINGTON BLVD WHITTIER CA 90602 953619388 SUPPORT OF TAX-EXEMPT AFFILIATES CA 501(C)(3) TYPE II NA false PIH HEALTH ADULT DAY HEALTHCARE 12401 WASHINGTON BLVD WHITTIER CA 90602 953643829 HEALTHCARE CA 501(C)(3) TYPE II PIH HEALTH INC false PIH HEALTH PHYSICIANS 6557 GREENLEAF AVE WHITTIER CA 90601 953942828 HEALTHCARE CA 501(C)(3) 10 PIH HEALTH INC false PIH HEALTH DOWNEY HOSPITAL 11500 BROOKSHIRE AVE DOWNEY CA 90241 951903935 HEALTHCARE CA 501(C)(3) 3 PIH HEALTH INC false PIH HEALTH GOOD SAMARITAN HOSPITAL 1225 WILSHIRE BLVD LOS ANGELES CA 90017 951656366 HEALTHCARE CA 501(C)(3) 3 PIH HEALTH INC false GOOD SAMARITAN INSTITUTE FOR RESEARCH AND EDUCATION 1225 WILSHIRE BLVD LOS ANGELES CA 90017 954077161 HEART RESEARCH CA 501(C)(3) 4 PIH HEALTH GOOD SAMARITAN HOSPITAL false ORTHOPEDIC INSTITUTE OF THE GOOD SAMARITAN HOSPITAL 1225 WILSHIRE BLVD LOS ANGELES CA 90017 954346048 ORTHOPEDIC RESEARCH CA 501(C)(3) TYPE I PIH HEALTH GOOD SAMARITAN HOSPITAL false SAMARITAN IMAGING CENTER 1225 WILSHIRE BLVD LOS ANGELES CA 90017 954252321 HEALTHCARE CA 501(C)(3) 10 PIH HEALTH GOOD SAMARITAN HOSPITAL false GOOD SAMARITAN MEDICAL OFFICE BUILDING INC 1225 WILSHIRE BLVD LOS ANGELES CA 90017 953244046 MEDICAL OFFICES CA 501(C)(3) TYPE I PIH HEALTH GOOD SAMARITAN HOSPITAL false KATE VAN NUYS PAGE FOUNDATION 1225 WILSHIRE BLVD LOS ANGELES CA 90017 956028032 GRANTS INCOME TO PIH HEALTH GOOD SAMARITAN HOSPITAL CA 501(C)(3) TYPE I PIH HEALTH GOOD SAMARITAN HOSPITAL false PIH INSURANCE CO A RECIPROCAL RISK RETENTION GROUP 733 BISHOP STREET SUITE 1555 HONOLULU HI 96813 263760243 CAPTIVE INSURANCE HI NA TRUST false PIH HEALTH CARE SOLUTIONS 6557 GREENLEAF AVE WHITTIER CA 90601 462072342 HEALTHCARE CA NA C CORPORATION false DRMC PROPERTIES INC 12401 WASHINGTON BLVD WHITTIER CA 90602 954769768 REAL ESTATE CA NA C CORPORATION false PIH HEALTH RE 733 BISHOP STREET SUITE 1555 HONOLULU HI 96813 472501390 CAPTIVE INSURANCE HI NA TRUST false HEALTHMED SERVICES INC 12401 WASHINGTON BLVD WHITTIER CA 90602 300831225 HEALTHCARE CA NA C CORPORATION false PIONEER MEDICAL GROUP INC 6557 GREENLEAF AVE WHITTIER CA 90601 330927283 MEDICAL SERVICES CA NA C CORPORATION false TEXASCONNECT INC 3223 S LOOP 289 SUITE 600 6339 LUBBOCK TX 79423 335000461 MANAGEMENT SERVICES TX PIH HEALTH INC C CORPORATION false false false true false false false false false false false true true true false true false false false false PIH HEALTH FOUNDATION C 443228 FMV PIH HEALTH PHYSICIANS L 12836483 FMV PIH HEALTH MANAGEMENT CORP M 2555225 FMV SCHEDULE R, PART IV, COLUMN (E) PIH INSURANCE COMPANY IS AN UNINCORPORATED RISK RETENTION GROUP. SCHEDULE R, PART IV, COLUMN (E) PIH HEALTH CARE SOLUTIONS IS A NONPROFIT MUTUAL BENEFIT CORPORATION.