| Form 990, Part VI, Section A, line 2 |
PIH Health Downey 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, Jeff Hamar, Paula Cowan, Alex Alvarez, Blayne Cutler, Jane Dicus, Patrick Monroe, Paul Treinen, Charlotte Weaver, Kenton Woods, Peter Greaney, Marissa Goldberg, Melanie Batiste, Robert Maloney, James West, Peggy Chulack, Vid Shivaraman, Rosalio Lopez, and Brian Smolskis. |
| Form 990, Part VI, Section A, line 6 |
PIH Health, Inc. Is the sole member of PIH Health Downey Hospital. |
| Form 990, Part VI, Section A, line 7a |
PIH Health, Inc. has authority to elect all the members of the Board of Directors of PIH Health Downey Hospital. |
| Form 990, Part VI, Section A, line 7b |
PIH Health, Inc. has all voting rights and the power to elect the Board of Directors of PIH Health Downey Hospital. |
| Form 990, Part VI, Section B, line 11b |
The Organization works with an independent accountant, RSM US LLP, to prepare the Form 990. Once the return is prepared, the return is reviewed by the Chief Financial Officer and VP of Finance. Form 990 is then reviewed by the Audit Committee of PIH Health, Inc., which is made up of independent directors. RSM US LLP makes all changes necessary. The final Form 990 is provided to the board prior to filing. |
| 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 General Counsel and Chief Administrative Officer of PIH Health, Inc. 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 C, line 19 |
The organization does not make its governing documents, conflict of interest policy, and financial statements available to the public. Form 990 is available upon request. The organization is not required to make form 1023 available for public inspection as it received its tax exemption prior to July 15, 1987. |
| Form 990, Part VII, Section A, Line 1: |
Two of the filing organization's directors, Mark Minkes and Rosalio Lopez, are employees of PIH Health Downey Medical Group (DMG), Inc. 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 DMG as follows: Mark Minkes: Reportable Base Compensation - $547,777 Other Compensation - $43,798 Rosalio Lopez: Reportable Base Compensation - $72,736 Other Compensation - $0 One of the filing organization's directors, Jung Yong Park, is an employee of Pioneer Health Associates, Inc. (PHA), which has a professional service agreement with the filing organization, to provide physician services. The individual received compensation from PHA, as follows: Jung Yong Park: Reportable Base Compensation - $488,727 Other Compensation - $43,170 |
| Form 990, Part IX, line 11g |
Professional Fees - Physicians: Program service expenses 8,698,237. Management and general expenses 0. Fundraising expenses 0. Total expenses 8,698,237. Professional Fees - Others: Program service expenses 9,571,889. Management and general expenses 941,695. Fundraising expenses 0. Total expenses 10,513,584. R&M Building: Program service expenses 1,060,264. Management and general expenses 125,257. Fundraising expenses 0. Total expenses 1,185,521. Collections Agency Services: Program service expenses 0. Management and general expenses 382,832. Fundraising expenses 0. Total expenses 382,832. |
Attach to Form 990 or 990-EZ.