TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) EFRAIN ACEVES........................................................................ SECRETARY & DIRECTOR	1.50 .......................3.00	X	X	0	0
(2) DONALD ALVARADO........................................................................ DIRECTOR	1.50 .......................3.00	X		0	0
(3) RICHARD ATWOOD........................................................................ VICE CHAIR & DIRECTOR	1.50 .......................4.50	X	X	0	0
(4) JAMES BALL........................................................................ DIRECTOR	1.50 .......................3.00	X		0	0
(5) PAULA COWAN........................................................................ DIRECTOR	1.50 .......................3.00	X		0	0
(6) JANE DICUS........................................................................ TREASURER & DIRECTOR	1.50 .......................4.50	X	X	0	0
(7) J PATRICK DROHAN........................................................................ DIRECTOR	1.50 .......................3.00	X		0	0
(8) LEON M N GARCIA........................................................................ DIRECTOR	1.50 .......................3.00	X		0	0
(9) THOMAS KING........................................................................ DIRECTOR	1.50 .......................3.00	X		0	0
(10) ANGEL MUNOZ........................................................................ DIRECTOR	1.50 .......................3.00	X		0	0
(11) SUDHAKER NAYAK MD........................................................................ DIRECTOR	1.50 .......................1.50	X		0	1,704,325
(12) PARESH PATEL MD........................................................................ DIRECTOR	1.50 .......................1.50	X		10,154	0
(13) NORMA PROVENCIO........................................................................ DIRECTOR	1.50 .......................3.00	X		0	0
(14) NEAL SHINDEL MD........................................................................ DIRECTOR	1.50 .......................1.50	X		0	775,987
(15) DREW SONES........................................................................ DIRECTOR	1.50 .......................4.50	X		0	0
(16) KENTON WOODS........................................................................ CHAIRMAN & DIRECTOR	1.50 .......................3.00	X	X	0	0
(17) HUEY-MIN YU........................................................................ DIRECTOR	1.50 .......................3.00	X		0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) WILLIAM SHANAHAN MD........................................................................ DIRECTOR (THROUGH MAY 2014)	1.50 .......................0.00	X				61,875	0
(19) JAMES WEST........................................................................ PRESIDENT AND CEO	30.00 .......................16.10		X			1,227,452	15,256
(20) MITCHELL THOMAS........................................................................ CFO/SR. VP FINANCE	30.00 .......................16.00		X			634,268	35,256
(21) PEGGY CHULACK........................................................................ CAO	30.00 .......................14.60		X			626,928	4,957
(22) ROSALIO LOPEZ MD........................................................................ CMO/SR VP	40.00 .......................1.50		X			711,100	10,911
(23) REANNA THOMPSON........................................................................ COO/CNO	40.00 .......................1.50		X			417,249	0
(24) DAVID KLINGER........................................................................ VP FACILITIES	40.00 .......................0.00			X		431,924	0
(25) RONALD YOSHIHARA........................................................................ VP FINANCE	40.00 ........................10			X		330,059	18,000
(26) DAVID LEE........................................................................ CMIO	40.00 .......................0.00			X		397,429	16,675
(27) JULIA MCCONAGHY........................................................................ VP MKT & PLAN	40.00 .......................0.00			X		343,426	5,349
(28) PERRY EBELTOFT........................................................................ VP - ANCIL SERVICES	40.00 .......................0.00			X		301,809	15,556
(29) SUSANNE CARLSON........................................................................ VP REV CYC & MC	40.00 .......................0.00			X		294,053	5,273
(30) SHERREL HOLLINGSWORTH........................................................................ CHIEF HR OFFICER	40.00 .......................0.00			X		289,221	17,175
(31) JUDY PUGACH........................................................................ VP QUALITY MGMT.	40.00 .......................0.00			X		258,860	8,411
(32) PATRICIA BRAY........................................................................ VP COMM HLTH SERVICES	40.00 .......................1.50			X		247,499	7,349
(33) ROWENA STAJER........................................................................ VP CARE COORD	40.00 .......................0.00			X		222,183	12,723
(34) JOAN ROLLAND........................................................................ ADM/ED DIS SERVICES	40.00 .......................0.00			X		205,892	27,945
(35) ANUP PATEL........................................................................ VP RISK MANAGEMENT&COMPLIANCE	40.00 .......................0.00			X		152,124	15,256
(36) JUNG HO........................................................................ MEDICAL PHYS	40.00 .......................0.00				X	244,454	11,051
(37) JUDY CHIN........................................................................ INFECT DIS PHARM	40.00 .......................0.00				X	214,249	5,348
(38) ALAN ENDO........................................................................ ADM DIR PHARM	40.00 .......................0.00				X	201,669	13,223
(39) SCOTT BREMER........................................................................ DIR COMP/BEN HR	40.00 .......................0.00				X	200,739	16,875
(40) CHRISTOPHER BANDAK........................................................................ DIR KNOX KEENE	40.00 .......................0.00				X	196,549	15,685

(A) Name and business address	(B) Description of services	(C) Compensation
LAMBERT RADIOLOGY MED GRP INC11721 WHITTIER BLVD 509WHITTIERCA90601	MEDICAL SERVICES	6,561,311
WHITTIER PULM AND CRITICAL CARE6905 ALTA VISTA DRIVERANCHO PALOS VERDESCA90275	MEDICAL SERVICES	5,130,990
INTERCOMMUNITY ANESTH SERVICE INC371 VAN NESS WAY 210TORRANCECA90501	MEDICAL SERVICES	4,655,825
INTERCOM FAMILY MEDICAL ASSOC INC12291 WASHINGTON BLVD 500WHITTIERCA90606	MEDICAL SERVICES	3,495,552
ALLIEDBARTON SECURITY SERVICESPO BOX 828854PHILADELPHIAPA19182	SECURITY SERVICES	1,984,918
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 362

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	126,135	126,135
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	277,500	277,500
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	8,474,601	5,887,000	2,587,601
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	172,009,071	152,941,881	19,067,190
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	11,678,432	9,926,667	1,751,765
9	Other employee benefits .......	50,170,664	47,023,398	3,147,266
10	Payroll taxes ...........	14,396,164	12,800,125	1,596,039
11	Fees for services (non-employees):
a	Management ......	549,967		549,967
b	Legal .........	2,649,451	9,286	2,640,165
c	Accounting ...........	130,000		130,000
d	Lobbying ...........	49,884		49,884
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	72,287,394	63,826,033	8,461,361
12	Advertising and promotion ....
13	Office expenses .......	7,408,830	4,888,356	2,520,474
14	Information technology ......	27,895,349	22,874,186	5,021,163
15	Royalties ..
16	Occupancy ...........	10,588,428	8,136,213	2,452,215
17	Travel ............	760,210	464,734	295,476
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	300,505	54,520	245,985
20	Interest ...........	13,151,700	9,630,260	3,521,440
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	28,777,172	21,077,335	7,699,837
23	Insurance ..............	3,878,182	1,178,543	2,699,639
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	68,187,568	67,872,457	315,111	0
b	HOSPITAL FEE PROGRAM	4,396,051	4,396,051	0	0
c	EQUIPMENT R&M	4,021,915	3,936,115	85,800	0
d	EQUIPMENT LEASES	1,150,593	1,144,701	5,892	0
e	All other expenses	3,941,553	2,252,407	1,689,146
25	Total functional expenses. Add lines 1 through 24e	507,257,319	440,723,903	66,533,416	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	459,104	1	331,457
2	Savings and temporary cash investments .........	6,039	2	6,031
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	58,814,888	4	71,385,516
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	4,703,997	8	5,102,419
9	Prepaid expenses and deferred charges ..........	7,834,720	9	9,507,980
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	557,491,711
b	Less: accumulated depreciation .....	10b	157,792,616	394,814,262	10c	399,699,095
11	Investments—publicly traded securities ..........	383,718,336	11	405,926,617
12	Investments—other securities. See Part IV, line 11 .....		12
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............	594,192	14
15	Other assets. See Part IV, line 11 ...........	183,705,138	15	284,307,708
16	Total assets. Add lines 1 through 15 (must equal line 34)......	1,034,650,676	16	1,176,266,823
	17	Accounts payable and accrued expenses .........	43,471,937	17	43,951,268
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............	292,944,658	20	391,592,785
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	30,500,000	23	40,000,000
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	123,306,215	25	140,785,416
26	Total liabilities. Add lines 17 through 25.........	490,222,810	26	616,329,469
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	544,427,866	27	559,937,354
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	544,427,866	33	559,937,354
34	Total liabilities and net assets/fund balances ........	1,034,650,676	34	1,176,266,823

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

PRESBYTERIAN INTERCOMMUNITY HOSPITAL INC

Employer identification number

95-1934652

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

PRESBYTERIAN INTERCOMMUNITY HOSPITAL INC

Employer identification number

95-1934652

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization PRESBYTERIAN INTERCOMMUNITY HOSPITAL INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization PRESBYTERIAN INTERCOMMUNITY HOSPITAL INC

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

Name of organization
PRESBYTERIAN INTERCOMMUNITY HOSPITAL INC

Employer identification number

95-1934652

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

PRESBYTERIAN INTERCOMMUNITY HOSPITAL INC

Employer identification number

95-1934652

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2013

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2013

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

49,884

Total. Add lines 1c through 1i ...............................

49,884

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	A PORTION OF DUES PAID TO HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA AND AMERICAN HOSPITAL ASSOCIATION ARE RELATED TO LOBBYING.

Schedule C (Form 990 or 990EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

PRESBYTERIAN INTERCOMMUNITY HOSPITAL INC

Employer identification number

95-1934652

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	214,611		214,611
b	Buildings ................	362,224,021	58,438,116	303,785,905
c	Leasehold improvements ............
d	Equipment ................	129,998,876	81,639,812	48,359,064
e	Other .................	65,054,203	17,714,688	47,339,515
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				399,699,095

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DEFERRED FINANCING COSTS				4,189,023
(2) INTERCOMPANY RECEIVABLE				275,629,427
(3) OTHER RECEIVABLES				2,420,497
(4) INVESTMENTS IN AFFILIATES				1,001,900
(5) HOSPITAL FEE PROGRAM RECEIVABLE				1,066,861




Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				284,307,708

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
DEFERRED COMPENSATION		14,837,869
SELF INSURANCE RESERVES		18,163,842
ACCRUED BOND INTEREST PAYABLE		1,825,390
HOSPITAL FEE PROGRAM PAYABLE		1,231,794
INTEREST RATE SWAP		39,318,432
INTERCOMPANY PAYABLE		1,768,202
PENSION LIABILITY		58,170,023
THIRD PARTY LIABILITY: COST REPORT PAYABLE		1,603,437
OTHER LIABLITIES		3,866,427
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		140,785,416
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	THE COMPANY MEASURES LIABILITIES FOR UNRECOGNIZED TAX UNCERTAINTIES IN ACCORDANCE WITH ASC 740, INCOME TAXES, WHICH PRESCRIBES A COMPREHENSIVE MODEL FOR HOW A COMPANY SHOULD RECOGNIZE, MEASURE, PRESENT, AND DISCLOSE IN ITS FINANCIAL STATEMENTS UNCERTAIN TAX POSITIONS THAT A COMPANY HAS TAKEN OR EXPECTS TO TAKE ON A TAX RETURN. THE COMPANY HAS NOT RECORDED A LIABILITY FOR UNRECOGNIZED TAX UNCERTAINTIES IN 2014 OR 2013.

Return Reference

Explanation

PART X, LINE 2:

THE COMPANY MEASURES LIABILITIES FOR UNRECOGNIZED TAX UNCERTAINTIES IN ACCORDANCE WITH ASC 740, INCOME TAXES, WHICH PRESCRIBES A COMPREHENSIVE MODEL FOR HOW A COMPANY SHOULD RECOGNIZE, MEASURE, PRESENT, AND DISCLOSE IN ITS FINANCIAL STATEMENTS UNCERTAIN TAX POSITIONS THAT A COMPANY HAS TAKEN OR EXPECTS TO TAKE ON A TAX RETURN. THE COMPANY HAS NOT RECORDED A LIABILITY FOR UNRECOGNIZED TAX UNCERTAINTIES IN 2014 OR 2013.

Schedule D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

PRESBYTERIAN INTERCOMMUNITY HOSPITAL INC

Employer identification number

95-1934652

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	4,062	15,951,100	9,313,976	6,637,124	1.310 %
b	Medicaid (from Worksheet 3, column a) ....	33,248	61,142,186	36,917,289	24,224,897	4.780 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	832	3,977,598	1,332,594	2,645,004	0.520 %
d	Total Financial Assistance and Means-Tested Government Programs .	38,142	81,070,884	47,563,859	33,507,025	6.610 %
Other Benefits		58,922	4,942,171	208,850	4,733,321	0.930 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	58,922	4,942,171	208,850	4,733,321	0.930 %
f	Health professions education (from Worksheet 5) ..	624	3,818,855	938,456	2,880,399	0.570 %
g	Subsidized health services (from Worksheet 6) ..	16,567	5,697,849	1,699,650	3,998,199	0.790 %
h	Research (from Worksheet 7)	42	159,092		159,092	0.030 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	1,215	636,116	12,828	623,288	0.120 %
j	Total. Other Benefits ..	77,370	15,254,083	2,859,784	12,394,299	2.440 %
k	Total. Add lines 7d and 7j .	115,512	96,324,967	50,423,643	45,901,324	9.050 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing					0 %
2	Economic development					0 %
3	Community support	1	4	4,652	4,652	0 %
4	Environmental improvements	1	8	30,240	30,240	0.010 %
5	Leadership development and training for community members					0 %
6	Coalition building	1	12	10,668	10,668	0 %
7	Community health improvement advocacy					0 %
8	Workforce development					0 %
9	Other					0 %
10	Total	3	24	45,560	45,560	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

14,078,689

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

70,639,106

Enter Medicare allowable costs of care relating to payments on line 5.....

90,229,124

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-19,590,018

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2013

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Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number						Other (Describe)
1	PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD WHITTIER,CA90602 930000129	X	X	X	X	SKILLED NURSING FACILITY

Schedule H (Form 990) 2013

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Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	PRESBYTERIAN INTERCOMMUNITY HOSPITAL
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): PIHHEALTH.ORG/CHNA

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 100.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference	Explanation
PRESBYTERIAN INTERCOMMUNITY HOSPITAL	PART V, SECTION B, LINE 3: PRIMARY DATA COLLECTION FOR THIS NEEDS ASSESSMENT CONSISTED OF TARGETED INTERVIEWS, FOCUS GROUPS, AND A COMMUNITY SURVEY, WHICH WERE USED TO GATHER INFORMATION REGARDING PERCEPTIONS AND OPINIONS FROM THOSE REPRESENTING THE BROAD INTERESTS OF THE COMMUNITIES IN OUR PRIMARY SERVICE AREA. THIS REPORT INCLUDES ACTIVITIES OF PIH HEALTH HOSPITAL - WHITTIER, PIH HEALTH HOSPITAL - DOWNEY, AND PIH HEALTH PHYSICIANS.KEY STAKEHOLDER INTERVIEWSKEY COMMUNITY STAKEHOLDERS, IDENTIFIED BY PIH HEALTH AND LOCAL PARTNERS, WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT THROUGH TELEPHONE INTERVIEWS. EIGHTEEN INTERVIEWS WERE CONDUCTED IN NOVEMBER 2012. THE COMMUNITY STAKEHOLDERS WHO PARTICIPATED IN THIS NEEDS ASSESSMENT REPRESENTED A CROSS-SECTION OF AGENCIES REPRESENTING A BROAD CONTINUUM OF HEALTH AND SOCIAL SERVICES IN THE PRIMARY SERVICE AREA. INTERVIEW PARTICIPANTS INCLUDED LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, AND CHRONIC DISEASE POPULATIONS, AS WELL AS REGIONAL, STATE, OR LOCAL HEALTH DEPARTMENTS THAT HAVE "CURRENT DATA OR INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY," PER IRS REQUIREMENTS. COMMUNITY FOCUS GROUPSSIX FOCUS GROUPS WERE ALSO CONDUCTED AS PART OF THE NEEDS ASSESSMENT DURING THE MONTHS OF OCTOBER THROUGH DECEMBER 2012. ONE FOCUS GROUP WAS CONDUCTED IN SPANISH AND FIVE IN ENGLISH. ADDITIONALLY, ONE FOCUS GROUP WAS CONDUCTED IN APRIL 2012 WITH THE EAST WHITTIER CITY SCHOOL DISTRICT COMMUNITY ADVISORY AND RESOURCE EDUCATION (C.A.R.E.) COUNCIL THAT FOCUSED ON STUDENTS PERCEPTIONS ON HEALTHY EATING AND PHYSICAL ACTIVITY. ANOTHER FOCUS GROUP WAS CONDUCTED IN AUGUST 2012 AT THE UNITED FRIENDS OF THE CHILDREN HOUSING PROGRAM. THESE EIGHT FOCUS GROUPS ENGAGED 106 PARTICIPANTS. COMMUNITY SURVEYA WEB-BASED SURVEY WAS USED TO COLLECT PRIMARY DATA FROM AREA RESIDENTS. THE SURVEY LINK WAS POSTED ON THE PIH HEALTH WEBSITE AND DISTRIBUTED ELECTRONICALLY THROUGHOUT THE COMMUNITY AND PAPER COPIES WERE MADE AVAILABLE THROUGH AREA AGENCIES. THE SURVEY WAS ALSO TRANSLATED INTO SPANISH. THE SURVEY WAS AVAILABLE FOR SIX WEEKS DURING OCTOBER TO DECEMBER 2012; A TOTAL OF 391 PEOPLE RESPONDED. A LIST OF THE STAKEHOLDER INTERVIEW AND FOCUS GROUP RESPONDENTS, AND A SUMMARY OF RESULTS INCLUDING COMMUNITY SURVEY RESULTS CAN BE FOUND IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AT PIHHEALTH.ORG/CHNA.
PRESBYTERIAN INTERCOMMUNITY HOSPITAL	PART V, SECTION B, LINE 5D: IN ADDITION TO POSTING ON THE HOSPITAL'S WEBSITE, ASSESSMENT FINDINGS WERE ALSO DISTRIBUTED TO KEY STAKEHOLDERS VIA EMAIL, AS WELL AS SHARED WITH THE COMMUNITY AT-LARGE, WITH EMPHASIS ON PROVIDING COMMUNITY-BASED ORGANIZATIONS WITH INFORMATION THAT WILL SUPPORT PROGRAM PLANNING AND FUND-DEVELOPMENT ENDEAVORS, WHILE SPARING THE EXPENSE OF DUPLICATIVE DATA COLLECTION EFFORTS. ASSESSMENT FINDINGS AND IMPLEMENTATION STRATEGY INITIATIVES WERE ALSO SHARED AND COMMUNITY DIALOGUE ENCOURAGED THROUGH COMMUNITY EVENTS AND PRESENTATIONS, WITH AREA AGENCIES INVITED TO PARTNER ON INITIATIVES.
PRESBYTERIAN INTERCOMMUNITY HOSPITAL	PART V, SECTION B, LINE 7: DURING FISCAL YEAR 2013-2014, PIH HEALTH REVISED ITS IMPLEMENTATION STRATEGY, THUS ENSURING ALIGNMENT OF CHNA FINDINGS, PIH HEALTH'S COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND PIH HEALTH'S ORGANIZATIONAL STRATEGY. SOME OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS INCLUDED INSURANCE COVERAGE / AFFORDABILITY FOR DENTAL CARE, MENTAL HEALTH AND VISION CARE, ALCOHOL CONSUMPTION, CANCER, SMOKING AND YOUTH ASTHMA. PIH HEALTH WILL NOT FOCUS THE STRATEGIC EFFORTS OF THE 2014-2016 COMMUNITY HEALTH IMPROVEMENT IMPLEMENTATION STRATEGY ON THESE NEEDS. EXISTING WORK WILL CONTINUE IN THESE AREAS WHERE APPLICABLE AND REFERRAL RELATIONSHIPS WITH COMMUNITY-BASED AGENCIES ALREADY WORKING IN THESE AREAS WILL BE STRENGTHENED. PIH HEALTH MADE A DECISION TO FOCUS ON THE NEEDS THAT WERE DETERMINED TO BE EITHER MORE SIGNIFICANT WHEN COMPARED TO LOCAL AND NATIONAL BENCHMARKS AND/OR AREAS IN WHICH PIH HEALTH HAS EXPERTISE AND RESOURCES TO EFFECTIVELY ADDRESS THE NEED.ACCESS TO DENTAL CARE: PIH HEALTH HAS NEITHER THE EXPERTISE NOR THE INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS HEALTH NEED. PIH HEALTH WILL CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS THAT EFFECTIVELY ADDRESS THIS AREA OF NEED.ACCESS TO MENTAL HEALTHCARE: PIH HEALTH HAS NEITHER THE EXPERTISE NOR THE INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS HEALTH NEED. PIH HEALTH, AS PART OF ITS INTEGRATED DELIVERY SYSTEM, WILL CONTINUE TO IDENTIFY FREE OR LOW-COST MENTAL HEALTH PROVIDERS TO STRENGTHEN AND FACILITATE RELATIONSHIPS WITH THOSE ORGANIZATIONS ADDRESSING THIS AREA OF NEED. WE WILL ALSO CONTINUE TO ENSURE THAT MENTAL HEALTH IS INTEGRATED INTO EDUCATION PROGRAMS FOR EACH AREA OF FOCUS AS APPROPRIATE.ACCESS TO VISION CARE: PIH HEALTH HAS NEITHER THE EXPERTISE NOR THE INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS HEALTH NEED. PIH HEALTH WILL CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS THAT EFFECTIVELY ADDRESS THIS AREA OF NEED.ALCOHOL CONSUMPTION: PIH HEALTH HAS NEITHER THE EXPERTISE NOR THE INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS HEALTH NEED. PIH HEALTH WILL CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS THAT EFFECTIVELY ADDRESS THIS AREA OF NEED.CANCER: AS HEALTH INSURANCE COVERAGE IS ESSENTIAL TO MEETING THIS NEED, PIH HEALTH WILL FOCUS ON THIS RATHER THAN SERVING AS A LEAD AROUND CANCER-RELATED COMMUNITY-BASED PROGRAMS. IT SHOULD BE NOTED THAT PIH HEALTH HOSPITAL - WHITTIER HAS AN EXTENSIVE NETWORK OF SERVICES DESIGNED TO MEET THE NEEDS OF THOSE DIAGNOSED WITH CANCER.SMOKING: PIH HEALTH HAS NEITHER THE EXPERTISE NOR THE INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS HEALTH NEED. PIH HEALTH WILL CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS THAT EFFECTIVELY ADDRESS THIS AREA OF NEED.YOUTH ASTHMA: PIH HEALTH HAS NEITHER THE EXPERTISE NOR THE INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS HEALTH NEED. PIH HEALTH WILL CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS THAT EFFECTIVELY ADDRESS THIS AREA OF NEED.
PRESBYTERIAN INTERCOMMUNITY HOSPITAL	PART V, SECTION B, LINE 14G: FPG IS PUBLICIZED AS FOLLOWS:- SELF-PAY PATIENTS RECEIVE A PACKET WITH A COVER LETTER AND A FINANCIAL ASSISTANCE AND MEDI-CAL APPLICATION AT SERVICE;- THE HOSPITAL LIMITS ITS CHARGES FOR MEDICALLY NECESSARY CARE PROVIDED TO FINANCIAL ASSISTANCE POLICY ELIGIBLE INDIVIDUALS TO NO MORE THAN "AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE." STATEMENTS TO THE UNINSURED REFLECT SIGNIFICANT SELF-PAY DISCOUNTS THAT EQUATE TO CONTRACTED MEDICARE ADVANTAGE RATES (OR LESS) AND A NOTICE THAT THE PATIENT MAY BE ELIGIBLE FOR STATE AND/OR UNCOMPENSATED CARE PROGRAMS;- SIGNS ARE POSTED THROUGHOUT THE FACILITY TO PROVIDE EDUCATION ABOUT CHARITY POLICIES;- THE HOSPITAL WEBSITE INCLUDES A COPY OF THE POLICY AND APPLICATIONS IN ENGLISH AND SPANISH.
PRESBYTERIAN INTERCOMMUNITY HOSPITAL	PART V, SECTION B, LINE 18E: 1. SELF-PAY PATIENTS RECEIVE A FREE PACKET WITH A COVER LETTER AND FINANCIAL ASSISTANCE AND MEDI-CAL APPLICATION AT SERVICE;2. AN ELIGIBILITY VENDOR ATTEMPTS TO CONTACT UNINSURED PATIENTS TO HELP THEM APPLY FOR MEDICAID;3. THE EARLY OUT SELF-PAY VENDOR TELLS PATIENTS ABOUT CHARITY IF THEY CANNOT PAY.
PRESBYTERIAN INTERCOMMUNITY HOSPITAL	PART V, SECTION B, LINE 20D: THE HOSPITAL AUTOMATICALLY EXTENDED ITS NEGOTIATED RATES OR LOWER WITH A MEDICARE ADVANTAGE PLAN TO ALL UNINSURED PATIENTS. IN ADDITION, PATIENTS ARE PROVIDED WITH FINANCIAL ASSISTANCE AND MEDI-CAL APPLICATIONS. THOSE WHO QUALIFY FOR FINANCIAL ASSISTANCE RECEIVE FURTHER REDUCTIONS TO THEIR BILL AS OUTLINED BELOW. AMOUNT OF CHARITY CARE DETERMINATION BASED ON:1) METHODOLOGY: PIH HEALTH HOSPITAL USES THE "SLIDING SCALE METHOD" TO DETERMINE THE DOLLAR AMOUNT TO BE CONSIDERED AS CHARITY CARE/FINANCIAL ASSISTANCE FOR ELIGIBLE PATIENTS. 2) CHARITY CARE: PATIENT APPLICATIONS THAT SHOW THAT FAMILY INCOME AT OR BELOW 100% OF FEDERAL POVERTY GUIDELINES (FPL) WILL BE APPROVED FOR NO-COST TO THE PATIENT. 3) DISCOUNTED CHARITY CARE: PATIENT APPLICATIONS THAT SHOW THAT FAMILY INCOME BETWEEN 101% AND 400% FPL WILL BE GRANTED THE LESSOR OF THE SELF-PAY RATE OR A DISCOUNT BASED ON THE PATIENTS'S FPL.PATIENT LIABILITY IS BASED ON THE LESSER OF- BILLED CHARGES;- THE CASH DISCOUNT RATE (BASED ON THE RATES OF A MEDICARE ADVANTAGE AGREEMENT, OR LESS);- 10% OF THE PATIENT'S ANNUAL INCOME; OR;- THE AMOUNT OUTLINED ABOVE.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?12
Name and address		Type of Facility (describe)
1	SAME DAY SURGERY 12415 WASHINGTON BLVD WHITTIER,CA90602	OUTPATIENT SURGICAL SERVICES
2	INTERCOMMUNITY MAGNETIC RESONANCE IMAGIN 12455 WASHINGTON BLVD WHITTIER,CA90602	MRI SERVICES
3	ERNEST D WELLS MEDICAL OFFICE BUILDING 12462 PUTNAM ST WHITTIER,CA90602	OUTPATIENT SERVICES
4	PATRICIA L SCHEIFLY BREAST HEALTH CTR 12393 WASHINGTON BLVD WHITTIER,CA90602	SVCS
5	PRESBYTERIAN HEALTH MEDICAL PLAZA 12291 WASHINGTON BLVD WHITTIER,CA90602	WOUND HEALING, LAB DRAW STATION
6	ARCADIA HOME HEALTH NURSING 351 E FOOTHILL BLVD SUITE 100 ARCADIA,CA91006	VISITING NURSES ASSOCIATION
7	HOSPICE HOMES - DOVE 10736 VALLEY VIEW AVE WHITTIER,CA90604	HOSPICE CARE
8	HOSPICE HOMES - ROSE 10742 VALLEY VIEW AVE WHITTIER,CA90604	HOSPICE CARE
9	PIH HOME HEALTH 15050 IMPERIAL HWY LA MIRADA,CA90638	HOME HEALTH AGENCY
10	PRESBYTERIAN HEALTH MEDICAL PLAZA 15088 IMPERIAL HWY LA MIRADA,CA90638	OUTPATIENT THERAPY
11	BHP - LA MIRADA 12675 S LA MIRADA BLVD SUITE 219 LA MIRADA,CA90638	RADIOLOGY
12	HACIENDA HEIGHTS MEDICAL OFFICE BUILDING 1850 AZUSA AVE HACIENDA HEIGHTS,CA91745	MAMMOGRAPHY

Schedule H (Form 990) 2013

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PRESBYTERIAN INTERCOMMUNITY HOSPITAL	PART V, SECTION B, LINE 3: PRIMARY DATA COLLECTION FOR THIS NEEDS ASSESSMENT CONSISTED OF TARGETED INTERVIEWS, FOCUS GROUPS, AND A COMMUNITY SURVEY, WHICH WERE USED TO GATHER INFORMATION REGARDING PERCEPTIONS AND OPINIONS FROM THOSE REPRESENTING THE BROAD INTERESTS OF THE COMMUNITIES IN OUR PRIMARY SERVICE AREA. THIS REPORT INCLUDES ACTIVITIES OF PIH HEALTH HOSPITAL - WHITTIER, PIH HEALTH HOSPITAL - DOWNEY, AND PIH HEALTH PHYSICIANS.KEY STAKEHOLDER INTERVIEWSKEY COMMUNITY STAKEHOLDERS, IDENTIFIED BY PIH HEALTH AND LOCAL PARTNERS, WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT THROUGH TELEPHONE INTERVIEWS. EIGHTEEN INTERVIEWS WERE CONDUCTED IN NOVEMBER 2012. THE COMMUNITY STAKEHOLDERS WHO PARTICIPATED IN THIS NEEDS ASSESSMENT REPRESENTED A CROSS-SECTION OF AGENCIES REPRESENTING A BROAD CONTINUUM OF HEALTH AND SOCIAL SERVICES IN THE PRIMARY SERVICE AREA. INTERVIEW PARTICIPANTS INCLUDED LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, AND CHRONIC DISEASE POPULATIONS, AS WELL AS REGIONAL, STATE, OR LOCAL HEALTH DEPARTMENTS THAT HAVE "CURRENT DATA OR INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY," PER IRS REQUIREMENTS. COMMUNITY FOCUS GROUPSSIX FOCUS GROUPS WERE ALSO CONDUCTED AS PART OF THE NEEDS ASSESSMENT DURING THE MONTHS OF OCTOBER THROUGH DECEMBER 2012. ONE FOCUS GROUP WAS CONDUCTED IN SPANISH AND FIVE IN ENGLISH. ADDITIONALLY, ONE FOCUS GROUP WAS CONDUCTED IN APRIL 2012 WITH THE EAST WHITTIER CITY SCHOOL DISTRICT COMMUNITY ADVISORY AND RESOURCE EDUCATION (C.A.R.E.) COUNCIL THAT FOCUSED ON STUDENTS PERCEPTIONS ON HEALTHY EATING AND PHYSICAL ACTIVITY. ANOTHER FOCUS GROUP WAS CONDUCTED IN AUGUST 2012 AT THE UNITED FRIENDS OF THE CHILDREN HOUSING PROGRAM. THESE EIGHT FOCUS GROUPS ENGAGED 106 PARTICIPANTS. COMMUNITY SURVEYA WEB-BASED SURVEY WAS USED TO COLLECT PRIMARY DATA FROM AREA RESIDENTS. THE SURVEY LINK WAS POSTED ON THE PIH HEALTH WEBSITE AND DISTRIBUTED ELECTRONICALLY THROUGHOUT THE COMMUNITY AND PAPER COPIES WERE MADE AVAILABLE THROUGH AREA AGENCIES. THE SURVEY WAS ALSO TRANSLATED INTO SPANISH. THE SURVEY WAS AVAILABLE FOR SIX WEEKS DURING OCTOBER TO DECEMBER 2012; A TOTAL OF 391 PEOPLE RESPONDED. A LIST OF THE STAKEHOLDER INTERVIEW AND FOCUS GROUP RESPONDENTS, AND A SUMMARY OF RESULTS INCLUDING COMMUNITY SURVEY RESULTS CAN BE FOUND IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AT PIHHEALTH.ORG/CHNA.
PRESBYTERIAN INTERCOMMUNITY HOSPITAL	PART V, SECTION B, LINE 5D: IN ADDITION TO POSTING ON THE HOSPITAL'S WEBSITE, ASSESSMENT FINDINGS WERE ALSO DISTRIBUTED TO KEY STAKEHOLDERS VIA EMAIL, AS WELL AS SHARED WITH THE COMMUNITY AT-LARGE, WITH EMPHASIS ON PROVIDING COMMUNITY-BASED ORGANIZATIONS WITH INFORMATION THAT WILL SUPPORT PROGRAM PLANNING AND FUND-DEVELOPMENT ENDEAVORS, WHILE SPARING THE EXPENSE OF DUPLICATIVE DATA COLLECTION EFFORTS. ASSESSMENT FINDINGS AND IMPLEMENTATION STRATEGY INITIATIVES WERE ALSO SHARED AND COMMUNITY DIALOGUE ENCOURAGED THROUGH COMMUNITY EVENTS AND PRESENTATIONS, WITH AREA AGENCIES INVITED TO PARTNER ON INITIATIVES.
PRESBYTERIAN INTERCOMMUNITY HOSPITAL	PART V, SECTION B, LINE 7: DURING FISCAL YEAR 2013-2014, PIH HEALTH REVISED ITS IMPLEMENTATION STRATEGY, THUS ENSURING ALIGNMENT OF CHNA FINDINGS, PIH HEALTH'S COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND PIH HEALTH'S ORGANIZATIONAL STRATEGY. SOME OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS INCLUDED INSURANCE COVERAGE / AFFORDABILITY FOR DENTAL CARE, MENTAL HEALTH AND VISION CARE, ALCOHOL CONSUMPTION, CANCER, SMOKING AND YOUTH ASTHMA. PIH HEALTH WILL NOT FOCUS THE STRATEGIC EFFORTS OF THE 2014-2016 COMMUNITY HEALTH IMPROVEMENT IMPLEMENTATION STRATEGY ON THESE NEEDS. EXISTING WORK WILL CONTINUE IN THESE AREAS WHERE APPLICABLE AND REFERRAL RELATIONSHIPS WITH COMMUNITY-BASED AGENCIES ALREADY WORKING IN THESE AREAS WILL BE STRENGTHENED. PIH HEALTH MADE A DECISION TO FOCUS ON THE NEEDS THAT WERE DETERMINED TO BE EITHER MORE SIGNIFICANT WHEN COMPARED TO LOCAL AND NATIONAL BENCHMARKS AND/OR AREAS IN WHICH PIH HEALTH HAS EXPERTISE AND RESOURCES TO EFFECTIVELY ADDRESS THE NEED.ACCESS TO DENTAL CARE: PIH HEALTH HAS NEITHER THE EXPERTISE NOR THE INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS HEALTH NEED. PIH HEALTH WILL CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS THAT EFFECTIVELY ADDRESS THIS AREA OF NEED.ACCESS TO MENTAL HEALTHCARE: PIH HEALTH HAS NEITHER THE EXPERTISE NOR THE INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS HEALTH NEED. PIH HEALTH, AS PART OF ITS INTEGRATED DELIVERY SYSTEM, WILL CONTINUE TO IDENTIFY FREE OR LOW-COST MENTAL HEALTH PROVIDERS TO STRENGTHEN AND FACILITATE RELATIONSHIPS WITH THOSE ORGANIZATIONS ADDRESSING THIS AREA OF NEED. WE WILL ALSO CONTINUE TO ENSURE THAT MENTAL HEALTH IS INTEGRATED INTO EDUCATION PROGRAMS FOR EACH AREA OF FOCUS AS APPROPRIATE.ACCESS TO VISION CARE: PIH HEALTH HAS NEITHER THE EXPERTISE NOR THE INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS HEALTH NEED. PIH HEALTH WILL CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS THAT EFFECTIVELY ADDRESS THIS AREA OF NEED.ALCOHOL CONSUMPTION: PIH HEALTH HAS NEITHER THE EXPERTISE NOR THE INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS HEALTH NEED. PIH HEALTH WILL CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS THAT EFFECTIVELY ADDRESS THIS AREA OF NEED.CANCER: AS HEALTH INSURANCE COVERAGE IS ESSENTIAL TO MEETING THIS NEED, PIH HEALTH WILL FOCUS ON THIS RATHER THAN SERVING AS A LEAD AROUND CANCER-RELATED COMMUNITY-BASED PROGRAMS. IT SHOULD BE NOTED THAT PIH HEALTH HOSPITAL - WHITTIER HAS AN EXTENSIVE NETWORK OF SERVICES DESIGNED TO MEET THE NEEDS OF THOSE DIAGNOSED WITH CANCER.SMOKING: PIH HEALTH HAS NEITHER THE EXPERTISE NOR THE INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS HEALTH NEED. PIH HEALTH WILL CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS THAT EFFECTIVELY ADDRESS THIS AREA OF NEED.YOUTH ASTHMA: PIH HEALTH HAS NEITHER THE EXPERTISE NOR THE INFRASTRUCTURE TO SERVE AS A LEAD AROUND THIS HEALTH NEED. PIH HEALTH WILL CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS THAT EFFECTIVELY ADDRESS THIS AREA OF NEED.
PRESBYTERIAN INTERCOMMUNITY HOSPITAL	PART V, SECTION B, LINE 14G: FPG IS PUBLICIZED AS FOLLOWS:- SELF-PAY PATIENTS RECEIVE A PACKET WITH A COVER LETTER AND A FINANCIAL ASSISTANCE AND MEDI-CAL APPLICATION AT SERVICE;- THE HOSPITAL LIMITS ITS CHARGES FOR MEDICALLY NECESSARY CARE PROVIDED TO FINANCIAL ASSISTANCE POLICY ELIGIBLE INDIVIDUALS TO NO MORE THAN "AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE." STATEMENTS TO THE UNINSURED REFLECT SIGNIFICANT SELF-PAY DISCOUNTS THAT EQUATE TO CONTRACTED MEDICARE ADVANTAGE RATES (OR LESS) AND A NOTICE THAT THE PATIENT MAY BE ELIGIBLE FOR STATE AND/OR UNCOMPENSATED CARE PROGRAMS;- SIGNS ARE POSTED THROUGHOUT THE FACILITY TO PROVIDE EDUCATION ABOUT CHARITY POLICIES;- THE HOSPITAL WEBSITE INCLUDES A COPY OF THE POLICY AND APPLICATIONS IN ENGLISH AND SPANISH.
PRESBYTERIAN INTERCOMMUNITY HOSPITAL	PART V, SECTION B, LINE 18E: 1. SELF-PAY PATIENTS RECEIVE A FREE PACKET WITH A COVER LETTER AND FINANCIAL ASSISTANCE AND MEDI-CAL APPLICATION AT SERVICE;2. AN ELIGIBILITY VENDOR ATTEMPTS TO CONTACT UNINSURED PATIENTS TO HELP THEM APPLY FOR MEDICAID;3. THE EARLY OUT SELF-PAY VENDOR TELLS PATIENTS ABOUT CHARITY IF THEY CANNOT PAY.
PRESBYTERIAN INTERCOMMUNITY HOSPITAL	PART V, SECTION B, LINE 20D: THE HOSPITAL AUTOMATICALLY EXTENDED ITS NEGOTIATED RATES OR LOWER WITH A MEDICARE ADVANTAGE PLAN TO ALL UNINSURED PATIENTS. IN ADDITION, PATIENTS ARE PROVIDED WITH FINANCIAL ASSISTANCE AND MEDI-CAL APPLICATIONS. THOSE WHO QUALIFY FOR FINANCIAL ASSISTANCE RECEIVE FURTHER REDUCTIONS TO THEIR BILL AS OUTLINED BELOW. AMOUNT OF CHARITY CARE DETERMINATION BASED ON:1) METHODOLOGY: PIH HEALTH HOSPITAL USES THE "SLIDING SCALE METHOD" TO DETERMINE THE DOLLAR AMOUNT TO BE CONSIDERED AS CHARITY CARE/FINANCIAL ASSISTANCE FOR ELIGIBLE PATIENTS. 2) CHARITY CARE: PATIENT APPLICATIONS THAT SHOW THAT FAMILY INCOME AT OR BELOW 100% OF FEDERAL POVERTY GUIDELINES (FPL) WILL BE APPROVED FOR NO-COST TO THE PATIENT. 3) DISCOUNTED CHARITY CARE: PATIENT APPLICATIONS THAT SHOW THAT FAMILY INCOME BETWEEN 101% AND 400% FPL WILL BE GRANTED THE LESSOR OF THE SELF-PAY RATE OR A DISCOUNT BASED ON THE PATIENTS'S FPL.PATIENT LIABILITY IS BASED ON THE LESSER OF- BILLED CHARGES;- THE CASH DISCOUNT RATE (BASED ON THE RATES OF A MEDICARE ADVANTAGE AGREEMENT, OR LESS);- 10% OF THE PATIENT'S ANNUAL INCOME; OR;- THE AMOUNT OUTLINED ABOVE.

Schedule H (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
PRESBYTERIAN INTERCOMMUNITY HOSPITAL INC

Employer identification number
95-1934652

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) BOYS & GIRLS CLUB OF WHITTIER 7905 GREENLEAF AVENUE WHITTIER,CA90602	95-6151763	501(C)(3)	6,101	GENERAL SUPPORT
(2) RIO HONDO COLLEGE 3600 WORKMAN MILL RD WHITTIER,CA90601	95-4367487	501(C)(3)	50,000	EDUCATIONAL SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2013

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant
(1) SCHOLARSHIPS AND MEDICAL EDUCATION	53	134,000
(2) PSYCHIATRIC CARE AT INDEPENDENT FACILITY FOR UNINSURED	70	143,500

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

PIH PROVIDES FINANCIAL ASSISTANCE TO BOTH NOT-FOR-PROFIT ORGANIZATIONS AND INDIVIDUALS BASED ON 1) CHARITABLE MISSION OR PURPOSE OF THE CHARITABLE ORGANIZATION AND ITS ALIGNMENT WITH PIH'S MISSION, VALUES AND OBJECTIVES AND/OR 2) IDENTIFIED INDIVIDUAL NEED FOR HEALTH-RELATED SERVICES. FOR CONTRIBUTIONS MADE TO CHARITABLE ORGANIZATIONS, PIH ADOPTED A POLICY WHICH GUIDES THE PROCESS BY WHICH FUNDS ARE GRANTED TO ENSURE THAT PIH IS A GOOD STEWARD OF ITS RESOURCES AS A FEDERALLY REGISTERED 501(C)(3) NOT-FOR-PROFIT ENTITY. TO ENSURE ACCURATE COMMUNITY BENEFIT REPORTING, THIS POLICY ALSO SETS FORTH THAT DIRECT CONTRIBUTIONS MADE TO COMMUNITY ORGANIZATIONS MUST BE APPROPRIATELY CLASSIFIED AS EITHER A) COMMUNITY BENEFIT OR B) COMMUNITY RELATIONS/MARKETING CONTRIBUTIONS. IN COMPLIANCE WITH THIS POLICY, INFORMATION IS GATHERED FROM THE GRANTEE REGARDING THE INTENDED USE OF FUNDS AND THE PERCENT OF GRANTED FUNDS THAT WILL GO TOWARDS SUPPORTING THE ORGANIZATION'S MISSION. FOR CONTRIBUTIONS MADE TO INDIVIDUALS, PIH HAS ESTABLISHED A DEDICATED BUDGET WHICH SUBSIDIZES VITAL ASSISTANCE SUCH AS PURCHASE OF DURABLE MEDICAL EQUIPMENT OR NON-ACUTE CARE NOT COVERED BY INSURANCE UPON HOSPITAL DISCHARGE, INCLUDING PAID PLACEMENT IN SKILLED NURSING OR MENTAL HEALTH FACILITIES. IN THESE INSTANCES, A SPECIFIC SERVICE IS BEING PURCHASED AND RECEIPT OF PROPER SERVICE IS ENSURED THROUGH FOLLOW-UP BY PIH DISCHARGE PLANNERS OR SOCIAL WORKERS.

Schedule I (Form 990) 2013

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

PRESBYTERIAN INTERCOMMUNITY HOSPITAL INC

Employer identification number

95-1934652

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2013

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)SUDHAKER NAYAK MDDIRECTOR	(i) (ii)	0 1,546,135	0 140,190	0 18,000	0 0	0 0	0 1,704,325	0 0
(2)NEAL SHINDEL MDDIRECTOR	(i) (ii)	0 750,926	0 7,061	0 18,000	0 0	0 0	0 775,987	0 0
(3)JAMES WESTPRESIDENT AND CEO	(i) (ii)	890,860 0	322,035 0	14,557 0	0 0	15,256 0	1,242,708 0	0 0
(4)MITCHELL THOMASCFO/SR. VP FINANCE	(i) (ii)	427,774 0	111,191 0	95,303 0	17,500 0	17,756 0	669,524 0	89,303 0
(5)PEGGY CHULACKCAO	(i) (ii)	452,975 0	106,947 0	67,006 0	0 0	4,957 0	631,885 0	60,577 0
(6)ROSALIO LOPEZ MDCMO/SR VP	(i) (ii)	531,324 0	169,967 0	9,809 0	0 0	10,911 0	722,011 0	0 0
(7)REANNA THOMPSONCOO/CNO	(i) (ii)	312,296 0	98,025 0	6,928 0	0 0	0 0	417,249 0	0 0
(8)DAVID KLINGERVP FACILITIES	(i) (ii)	309,891 0	43,191 0	78,842 0	0 0	0 0	431,924 0	72,428 0
(9)RONALD YOSHIHARAVP FINANCE	(i) (ii)	251,013 0	34,412 0	44,634 0	17,500 0	500 0	348,059 0	36,941 0
(10)DAVID LEECMIO	(i) (ii)	340,764 0	50,000 0	6,665 0	0 0	16,675 0	414,104 0	0 0
(11)JULIA MCCONAGHYVP MKT & PLAN	(i) (ii)	261,447 0	48,834 0	33,145 0	0 0	5,349 0	348,775 0	29,145 0
(12)PERRY EBELTOFTVP - ANCIL SERVICES	(i) (ii)	222,547 0	52,800 0	26,462 0	0 0	15,556 0	317,365 0	19,639 0
(13)SUSANNE CARLSONVP REV CYC & MC	(i) (ii)	208,120 0	48,632 0	37,301 0	0 0	5,273 0	299,326 0	30,887 0
(14)SHERREL HOLLINGSWORTHCHIEF HR OFFICER	(i) (ii)	282,221 0	0 0	7,000 0	0 0	17,175 0	306,396 0	0 0
(15)JUDY PUGACHVP QUALITY MGMT.	(i) (ii)	194,760 0	32,796 0	31,304 0	0 0	8,411 0	267,271 0	24,006 0
(16)PATRICIA BRAYVP COMM HLTH SERVICES	(i) (ii)	185,653 0	35,204 0	26,642 0	0 0	7,349 0	254,848 0	19,625 0
(17)ROWENA STAJERVP CARE COORD	(i) (ii)	181,096 0	35,087 0	6,000 0	0 0	12,723 0	234,906 0	0 0
(18)JOAN ROLLANDADM/ED DIS SERVICES	(i) (ii)	161,618 0	37,176 0	7,098 0	17,500 0	10,445 0	233,837 0	0 0
(19)ANUP PATELVP RISK MANAGEMENT&COMPLIANCE	(i) (ii)	149,124 0	0 0	3,000 0	0 0	15,256 0	167,380 0	0 0
(20)JUNG HOMEDICAL PHYS	(i) (ii)	244,454 0	0 0	0 0	0 0	11,051 0	255,505 0	0 0
(21)JUDY CHININFECT DIS PHARM	(i) (ii)	214,028 0	221 0	0 0	0 0	5,348 0	219,597 0	0 0
(22)ALAN ENDOADM DIR PHARM	(i) (ii)	198,169 0	3,500 0	0 0	0 0	13,223 0	214,892 0	0 0
(23)SCOTT BREMERDIR COMP/BEN HR	(i) (ii)	182,239 0	18,500 0	0 0	0 0	16,875 0	217,614 0	0 0
(24)CHRISTOPHER BANDAKDIR KNOX KEENE	(i) (ii)	196,549 0	0 0	0 0	0 0	15,685 0	212,234 0	0 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINE 1A

ALL EMPLOYEES ARE ELIGIBLE FOR HEALTH CLUB REIMBURSEMENT AND ANY SUCH REIMBURSEMENTS WERE INCLUDED IN TAXABLE COMPENSATION, PER 2014 PLAN YEAR BENEFITS SUMMARY.

PART I, LINE 4B

IHC AND ITS AFFILIATES SPONSOR A 457F PLAN. THE PLAN PARTICIPANTS AND AMOUNTS RECEIVED (IF APPLICABLE) WERE: PATRICIA BRAY ($19,625), SUSANNE CARLSON ($30,887), PEGGY CHULACK ($60,577), PERRY EBELTOFT ($19,639), DAVID KLINGER ($72,428), ROSALIO LOPEZ, MD., JULIA MCCONAGHY ($29,145), JUDY PUGACH ($24,006), JOAN ROLLAND, ROWENA STAJER, MITCHELL THOMAS ($89,303), REANNA THOMPSON, JAMES WEST, DAVID LEE, SHERREL HOLLINGSWORTH, ANUP PATEL, RONALD YOSHIHARA ($36,941), AND SUDHAKER NAYAK.

Schedule J (Form 990) 2013

Additional Data

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- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
PRESBYTERIAN INTERCOMMUNITY HOSPITAL INC

Employer identification number
95-1934652

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CITY OF WHITTIER - SERIES 2009	95-6000812	966769DA6	05-14-2009	280,328,878	HOSPITAL FACILITIES REFUND 2007 BONDS		X		X		X
B	CITY OF WHITTIER - SERIES 2011	95-6000812	966769DH1	03-31-2011	40,828,054	CONSTRUCTION OF FACILITIES		X		X		X
C	CITY OF WHITTIER - SERIES 2012	95-6000812	NONEAVAIL	12-31-2012	148,000,000	REFUND 2009 SERIES B AND C BONDS		X		X		X
D	CITY OF WHITTIER - SERIES 2014	95-6000812	966769DK4	08-01-2014	106,149,636	PROJECT FUND		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	148,000,000
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	280,328,878		40,828,054		148,000,000		106,149,636
4 Gross proceeds in reserve funds . . . . . . . . . . . .	5,800,000		939,373
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	2,416,738		939,373				1,417,650
8 Credit enhancement from proceeds . . . . . . . . . . .	1,087,414
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	1,337,283		40,011,493
11 Other spent proceeds . . . . . . . . . . . . . .
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2013		2013		2013		2014
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X			X	X			X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0 %		0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .		X		X		X		X
c No rebate due? . . . . . . . .	X		X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .	X			X	X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X			X	X			X
b Name of provider . . . . . . . . .	GOLDMAN SACHS BANK USA				GOLDMAN SACHS BANK USA UNION BANK USA
c Term of hedge . . . . . . . . . .	29.500000000000				23.400000000000
d Was the hedge superintegrated? . . . .		X				X
e Was the hedge terminated? . . . . . .		X				X

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: CITY OF WHITTIER - SERIES 2009 DATE THE REBATE COMPUTATION WAS PERFORMED: 01/31/2013 ISSUER NAME: CITY OF WHITTIER - SERIES 2011 DATE THE REBATE COMPUTATION WAS PERFORMED: 01/31/2013 ISSUER NAME: CITY OF WHITTIER - SERIES 2012 DATE THE REBATE COMPUTATION WAS PERFORMED: 01/31/2013

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

PRESBYTERIAN INTERCOMMUNITY HOSPITAL INC

Employer identification number

95-1934652

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2013

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) SEE PART V				No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
SCHEDULE L, PART IV:	A: WILLIAM SHANAHAN, MD.B: SHAREHOLDER OF LAMBERT RADIOLOGY MEDICAL GROUPC: $6,561,311D: RADIOLOGY SERVICES PROVIDED TO PIHE: NO

Schedule L (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

PRESBYTERIAN INTERCOMMUNITY HOSPITAL INC

Employer identification number

95-1934652

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2	JANE DICUS HAS BUSINESS RELATIONSHIPS WITH DREW SONES AND ROSALIO LOPEZ, MD.
FORM 990, PART VI, SECTION A, LINE 4	PRESBYTERIAN INTERCOMMUNITY HOSPITAL BYLAWS WERE AMENDED TO REFLECT THE FOLLOWING CHANGES: 1) ARTICLE V, SECTION 1. BOARD OF DIRECTORS - AFFILIATION WITH THE SYNOD OF SOUTHERN CALIFORNIA, PRESBYTERIAN CHURCH HAS DISSOLVED AND FELT IT WAS APPROPRIATE AND NO LONGER NECESSARY TO HAVE THE REQUIREMENT OF AN ASSOCIATION WITH THE PRESBYTERIAN CHURCH INCLUDED IN THE BYLAWS. 2) ARTICLE V, SECTION 3. QUALIFICATION AND NOMINATION OF DIRECTORS - WITH THE REMOVAL OF THE ASSOCIATION WITH THE PRESBYTERIAN CHURCH, A CLASS FOR PRESBYTERIAN DIRECTORS WAS NO LONGER NECESSARY AND HAS BEEN REMOVED FROM THE BYLAWS. 3) ARTICLE V, SECTION 3. QUALIFICATION AND NOMINATION OF DIRECTORS - WITH THE ACQUISITION OF PHH - DOWNEY AND IN ACCORDANCE WITH THE ATTORNEY GENERAL'S STIPULATIONS, TWO MEMBERS OF THE BOARD SHALL EITHER RESIDE OR WORK IN THE DOWNEY PRIMARY OR SECONDARY SERVICE AREAS. 4) ARTICLE V, SECTION 10. CONFLICT OF INTEREST/CONFIDENTIALITY - MINOR CHANGE REGARDING A BOARD MEMBERS NOTICE OF ANY CONFLICT OF INTEREST SHOULD BE REPORTED TO THE CHAIR OF THE BOARD AND TO GENERAL COUNSEL. THE BYLAWS PREVIOUSLY READ THAT THE NOTICE SHOULD BE PROVIDED TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. 5) ARTICLE VIIII, SECTION 2B. COMMITTEES, CORPORATE FINANCE COMMITTEE - A MAJOR DUTY-THE DEVELOPMENT AND RECOMMENDATION OF AN OVERALL INSTITUTIONAL PLAN FOR THE CORPORATION INCLUSIVE OF AN ANNUAL OPERATING BUDGET-FOR THE CORPORATE FINANCE COMMITTEE WAS NOT PREVIOUSLY INCLUDED IN THE PIH HEALTH BYLAWS BUT RATHER THE PHH - WHITTIER BYLAWS. MANAGEMENT HAS ADDED THIS DUTY TO THE PIH HEALTH BYLAWS. 6) ARTICLE VIIII, SECTION 2E. COMMITTEES, GOVERNANCE - UNDER THE GOVERNANCE COMMITTEE, IT PREVIOUSLY IDENTIFIED THE NEED FOR A COMMUNITY DIRECTOR, PRESBYTERIAN DIRECTOR, AND MEDICAL STAFF DIRECTOR TO SERVE ON THE GOVERNANCE COMMITTEE. THIS DESIGNATION HAS BEEN REMOVED AND IS NO LONGER NECESSARY. ANY BOARD MEMBER INTERESTED IN SERVING ON THE GOVERNANCE COMMITTEE CAN SERVE.
FORM 990, PART VI, SECTION A, LINE 6	INTERHEALTH CORP. ("IHC") IS THE SOLE MEMBER OF PIH.
FORM 990, PART VI, SECTION A, LINE 7A	IHC HAS AUTHORITY TO ELECT ALL THE MEMBERS OF THE BOARD OF DIRECTORS OF PIH.
FORM 990, PART VI, SECTION A, LINE 7B	IHC HAS ALL VOTING RIGHTS AND THE POWER TO ELECT THE BOARD OF DIRECTORS OF PIH.
FORM 990, PART VI, SECTION B, LINE 11	FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION, WHICH IS MADE UP OF INDEPENDENT DIRECTORS. THE FORM 990 IS THEN PROVIDED TO THE BOARD FOR ITS INFORMATION.
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'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, 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 IX, LINE 11G	PROFESSIONAL FEES - PHYSICIANS: PROGRAM SERVICE EXPENSES 26,973,254. MANAGEMENT AND GENERAL EXPENSES 18,009. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,991,263. PURCHASED SERVICES - OTHER: PROGRAM SERVICE EXPENSES 9,339,697. MANAGEMENT AND GENERAL EXPENSES 2,904,012. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,243,709. ALL OTHER: PROGRAM SERVICE EXPENSES 27,513,082. MANAGEMENT AND GENERAL EXPENSES 5,539,340. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,052,422.
FORM 990, PART XI, LINE 9:	PENSION ADJUSTMENTS -8,636,723. NET UNREALIZED LOSS ON INTEREST RATE SWAP -3,398,924. GOODWILL IMPAIRMENT -594,192. EQUITY TRANSFER TO BHP/PHP -2,804,853.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

PRESBYTERIAN INTERCOMMUNITY HOSPITAL INC

Employer identification number

95-1934652

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) PIH COMMUNITY PHARMACY LLC 12401 WASHINGTON BLVD WHITTIER,CA90602 26-4390142	PHARMACY	CA	214,302	831,066	PRESBYTERIAN INTERCOMMUNITY HOSPITAL

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) PIH FOUNDATION 12401 WASHINGTON BLVD WHITTIER,CA90602 95-3761274	FUNDRAISING	CA	SECTION 501(C)(3)	7	INTERHEALTH CORP	Yes
(2) IHC MANAGEMENT CORP 12401 WASHINGTON BLVD WHITTIER,CA90602 95-4016278	SUPPORT OF TAX-EXEMPT AFFILIATES	CA	SECTION 501(C)(3)	11, TYPE 1	INTERHEALTH CORP	Yes
(3) INTERHEALTH HOME HEALTH CARE 12401 WASHINGTON BLVD WHITTIER,CA90602 95-3036281	HEALTHCARE	CA	SECTION 501(C)(3)	9	INTERHEALTH CORP	Yes
(4) INTERHEALTH CORP 12401 WASHINGTON BLVD WHITTIER,CA90602 95-3619388	SUPPORT OF TAX-EXEMPT AFFILIATES	CA	SECTION 501(C)(3)	11, TYPE 1	INTERHEALTH CORP		No
(5) MED SITE - HACIENDA HEIGHTS 12401 WASHINGTON BLVD WHITTIER,CA90602 95-3643829	HEALTHCARE	CA	SECTION 501(C)(3)	9	INTERHEALTH CORP	Yes
(6) BRIGHT HEALTH PHYSICIANS OF PIH 12401 WASHINGTON BLVD WHITTIER,CA90602 95-3942828	HEALTHCARE	CA	SECTION 501(C)(3)	9	INTERHEALTH CORP	Yes
(7) DOWNEY REGIONAL MEDICAL CENTER HOSPITAL INC 11500 BROOKSHIRE AVENUE DOWNEY,CA90241 95-1903935	HEALTHCARE	CA	SECTION 501(C)(3)	3	INTERHEALTH CORP	Yes
(8) DOWNEY REGIONAL MEDICAL CENTER INC 11500 BROOKSHIRE AVENUE DOWNEY,CA90241 95-4504845	SUPPORT OF TAX-EXEMPT AFFILIATES	CA	SECTION 501(C)(3)	11, TYPE 1	INTERHEALTH CORP	Yes
(9) MEMORIAL TRUST FOUNDATION OF DOWNEY REGIONAL MEDICAL CENTER 12401 WASHINGTON BLVD WHITTIER,CA90602 20-3883428	FUNDRAISING	CA	SECTION 501(C)(3)	11, TYPE 1	INTERHEALTH CORP	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2013

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) PIH INSURANCE CO A RECIPROCAL RISK RETENTION GROUP 1003 BISHOP STREET HONOLULU,HI96813 26-3760243	CAPTIVE INSURANCE	HI	INTERHEALTH CORP	T			Yes
(2) PIH HEALTH CARE SOLUTIONS 6557 GREENLEAF AVENUE WHITTIER,CA90601 46-2072342	HEALTHCARE	CA	INTERHEALTH CORP	C			Yes
(3) DRMC PROPERTIES 11500 BROOKSHIRE AVENUE DOWNEY,CA90241 95-4769768	REAL ESTATE	CA	DRMC INC	C				No
(4) DRMC INSURANCE SERVICES 11500 BROOKSHIRE AVENUE DOWNEY,CA90241 95-3967987	INSURANCE	CA	DRMC INC	C				No

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) PIH FOUNDATION	C	2,678,359	FMV
(2) INTERHEALTH CORP	K	3,787,446	FMV
(3) IHC MANAGEMENT CORP	M	549,967	FMV
(4) BRIGHT HEALTH PHYSICIANS OF PIH	P	8,648,610	FMV
(5) PIH INSURANCE COMPANY	R	2,153,283	FMV
(6) IHC MANAGEMENT CORP	S	391,075	FMV
(7) BRIGHT HEALTH PHYSICIANS OF PIH	R	2,804,853	FMV

Schedule R (Form 990) 2013

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation
SCHEDULE R, PART II:	DOWNEY REGIONAL MEDICAL CENTER, INC WAS MERGED INTO DOWNEY REGIONAL MEDICAL CENTER HOSPITAL, INC. EFFECTIVE OCTOBER 1, 2014.
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.

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE QUALITY HEALTHCARE AND CONTRIBUTE TO THE COMMUNITY'S HEALTH AND WELL-BEING.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	3,502
6	Total number of volunteers (estimate if necessary) .............	6	1,015
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	346,080
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	187,736

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,773,989	2,678,359
9	Program service revenue (Part VIII, line 2g) .........	489,569,882	502,271,574
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	23,269,127	13,007,876
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	5,732,690	7,005,320
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	521,345,688	524,963,129
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	460,244	403,635
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	239,782,776	256,728,932
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	227,108,023	250,124,752
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	467,351,043	507,257,319
19	Revenue less expenses. Subtract line 18 from line 12.......	53,994,645	17,705,810
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,034,650,676	1,176,266,823
21	Total liabilities (Part X, line 26).............	490,222,810	616,329,469
22	Net assets or fund balances. Subtract line 21 from line 20.....	544,427,866	559,937,354

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 344,398,936 including grants of $ 403,635 ) (Revenue $ 457,378,150 )
	PATIENT CARE: PIH HEALTH HOSPITAL - WHITTIER PROVIDES THE HIGH-QUALITY HEALTHCARE OUR COMMUNITIES HAVE COME TO EXPECT. FOUNDED IN 1959 AS PRESBYTERIAN INTERCOMMUNITY HOSPITAL, THE HOSPITAL WAS BUILT TO ADDRESS THE NEED FOR CARE AFTER A POST-WORLD WAR II POPULATION BOOM. PIH HEALTH HOSPITAL - WHITTIER PROVIDES OUTSTANDING AND COMPASSIONATE CARE TO PATIENTS, EVERY DAY.TODAY, THE CAMPUS IS THE AREA'S ACKNOWLEDGED LEADING HEALTHCARE CENTER. THE 548-BED, TOP-NOTCH FACILITY SERVES NEARLY 2.1 MILLION RESIDENTS IN LOS ANGELES AND ORANGE COUNTIES AND THE SAN GABRIEL VALLEY AREA. THE WHITTIER CAMPUS IS A PART OF PIH HEALTH, A COMPREHENSIVE HEALTH SYSTEM CONSISTING OF TWO HOSPITALS, 22 MEDICAL OFFICE LOCATIONS AND A HOST OF SPECIALTY SERVICES INCLUDING THE HEART & LUNG CENTER, CRITICAL CARE SERVICES, R.C. BAKER FOUNDATION EMERGENCY CENTER, THE RUBY L. GOLLEHER COMPREHENSIVE CANCER PROGRAM, PATRICIA L. SCHEIFLY BREAST HEALTH CENTER, REHABILITATION SERVICES, HOSPICE AND HOME HEALTH SERVICES AND MANY MORE.PATIENT CARE IN 2013EMPLOYEES....3,502VOLUNTEERS.......1,015NUMBER OF EMERGENCY DEPARTMENT (ED) VISITS....71,547NUMBER OF BIRTHS........4,033HOSPITAL VISITS (INCLUDES OUTPATIENT, INPATIENT, AND ED)....187,866MEDICAL OFFICE VISITS....436,748MEDICAL STAFF.....577

4b	(Code: ) (Expenses $ 81,070,884 including grants of $ ) (Revenue $ 47,563,859 )
	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. FINANCIAL ASSISTANCE IS REPORTED IN TERMS OF COSTS, NOT CHARGES, AND DOES NOT INCLUDE BAD DEBT. 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.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. THIS PAYMENT SHORTFALL IS NOT THE SAME AS A CONTRACTUAL ALLOWANCE, WHICH IS THE FULL DIFFERENCE BETWEEN CHARGES AND PAYMENTS BY GOVERNMENT PROGRAMS. NUMBER OF PERSONS SERVED BY FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS: 38,142FOR ADDITIONAL INFORMATION, PLEASE REFER TO PIH HEALTH'S COMMUNITY BENEFIT REPORT AT PIHHEALTH.ORG/CBANNUALREPORT

4c	(Code: ) (Expenses $ 15,254,083 including grants of $ ) (Revenue $ 2,859,784 )
	COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT ARE COMPRISED OF THE FOLLOWING: COMMUNITY HEALTH IMPROVEMENT SERVICES: DEFINED AS COMMUNITY HEALTH IMPROVEMENT ACTIVITIES, WHICH EXTEND BEYOND PATIENT CARE ACTIVITIES (USUALLY SUBSIDIZED BY THE HEALTHCARE ORGANIZATION AND DO NOT GENERATE PATIENT CARE BILLS, ALTHOUGH MAY INVOLVE A NOMINAL FEE). THESE PROGRAMS INCLUDE: COMMUNITY COLLABORATIVES, CARE FORCE ONE MOBILE HEALTH SERVICES, COMMUNITY EDUCATION, COMMUNITY INFORMATION AND REFERRAL SUPPORT, ENROLLMENT ASSISTANCE, HEALTH AND WELLNESS CENTER AT WHITTIER FIRST DAY, LIGHT RAIL TRANSIT COALITION, PREVENTATIVE HEALTH PROGRAMS AND SCREENINGS, SUPPORT GROUPS, AND TRANSPORTATION RESOURCES.HEALTH PROFESSIONS EDUCATION: THIS CATEGORY INCLUDES EDUCATIONAL PROGRAMS FOR PHYSICIANS, NURSES AND OTHER HEALTH PROFESSIONALS WHEN EDUCATION IS NECESSARY OR REQUIRED BY STATE LAW, ACCREDITING BODY OR HEALTH PROFESSION SOCIETY. PIH HEALTH PROGRAMS INCLUDE THE FAMILY MEDICINE RESIDENCY PROGRAM, PARAMEDIC BASE STATION TRAINING AND STUDENT EDUCATION (INTERNSHIP, EXTERNSHIP, PRECEPTORSHIP AND MENTORING PROGRAMS).SUBSIDIZED HEALTH SERVICES: SUBSIDIZED 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 SERVICES PROVIDED INCLUDE DIABETES EDUCATION CENTER, EMERGENCY DEPARTMENT AND SPECIALTY SERVICES, HIGH-RISK INFANT FOLLOW-UP CLINIC, AND HOSPICE HOMES.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. CLINICAL TRIALS OFFERED INCLUDE BREAST, COLON, KIDNEY AND LUNG CANCERS, AS WELL AS LEUKEMIA.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 WORK TIME, THE COST OF MEETING SPACE PROVIDED TO COMMUNITY GROUPS, AND THE DONATIONS OF FOOD, EQUIPMENT, MEDICATIONS, AND SUPPLIES. TOTAL NUMBER OF PERSONS SERVED BY ALL CATEGORIES: 77,370FOR ADDITIONAL INFORMATION, PLEASE REFER TO PIH HEALTH'S COMMUNITY BENEFIT REPORT AT PIHHEALTH.ORG/CBANNUALREPORT

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses440,723,903

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	8,221,165	2,480,312	278,274

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		2,678,359
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			2,678,359
			Business Code
2a	NET PATIENT REVENUE		621610	454,742,344	454,742,344
b	OTHER PATIENT REVENUE		621610	37,844,985	37,844,985
c	HOSPITAL FEE PROGRAM		900099	3,466,497	3,466,497
d	FOOD SERVICES		900099	2,802,197	2,802,197
e	ARRA INCENTIVE PAYMENT		900099	1,341,621	1,341,621
f	All other program service revenue .			2,073,930	2,073,930
g	Total. Add lines 2a–2f........			502,271,574
3	Investment income (including dividends, interest, and other similar amounts).......			11,218,184			11,218,184
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	47,892,848	16,200
b	Less: cost or other basis and sales expenses	43,288,386	2,830,970
c	Gain or (loss)	4,604,462	-2,814,770
d	Net gain or (loss)..........			1,789,692			1,789,692
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	COMMUNITY PHARMACY		624110	5,530,219	5,530,219
b	PURCHASE DISCOUNTS		900099	1,129,021			1,129,021
c	NON-PATIENT LAB		621500	317,160		317,160
d	All other revenue ....			28,920		28,920
e	Total. Add lines 11a–11d ......			7,005,320
12	Total revenue. See Instructions......			524,963,129	507,801,793	346,080	14,136,897


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			459,104	1	331,457
2	Savings and temporary cash investments .........			6,039	2	6,031
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			58,814,888	4	71,385,516
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			4,703,997	8	5,102,419
9	Prepaid expenses and deferred charges ..........			7,834,720	9	9,507,980
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	557,491,711
b	Less: accumulated depreciation .....	10b	157,792,616	394,814,262	10c	399,699,095
11	Investments—publicly traded securities ..........			383,718,336	11	405,926,617
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............			594,192	14
15	Other assets. See Part IV, line 11 ...........			183,705,138	15	284,307,708
16	Total assets. Add lines 1 through 15 (must equal line 34)......			1,034,650,676	16	1,176,266,823
17	Accounts payable and accrued expenses .........			43,471,937	17	43,951,268
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............			292,944,658	20	391,592,785
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			30,500,000	23	40,000,000
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			123,306,215	25	140,785,416
26	Total liabilities. Add lines 17 through 25.........			490,222,810	26	616,329,469
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			544,427,866	27	559,937,354
28	Temporarily restricted net assets ...........				28
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			544,427,866	33	559,937,354
34	Total liabilities and net assets/fund balances ........			1,034,650,676	34	1,176,266,823