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COMMUNITYBENEFITREPORT2016

A HEALTHIER FUTURE IS WITHIN OUR REACH

COLLABORATION.COMMUNITY.CONNECTION

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Leadership Message

COLLABORATION. COMMUNITY. CONNECTION.

“It’s more than what we do – it’s who we are.”PIH Health has been dedicated to serving the community for nearly 100 years. Today, amidst a dynamic healthcare landscape, our mission spans across two hospitals, 20 medical offices, countless community programs in partnership with those who share our vision to improve health and wellness, and our generous donors. Collaboration runs deep within our organization, and we are proud to be an integral part of so many thriving partnerships in our local communities.

When it comes to caring for our communities, PIH Health offers prevention-focused programs and nurtures meaningful community relationships that promote health and wellness. Three new grants have strengthened PIH Health’s ability to improve health outcomes and extend our collaboration. Support from the UniHealth Foundation will fund a two-year project at PIH Health Hospital - Downey to reduce low-acuity emergency department visits through a case management model. PIH Health will connect patients who lack primary care doctors to a medical home through Wesley Health Center-Downey, a nearby federally-qualified health clinic. A grant from the California Community Foundation will help PIH Health bring together community-based organizations in the region and foster coordinated approaches to address identified community health needs and reduce health disparities. Finally, PIH Health is proud to be one of five U.S. organizations selected to participate in a two-year international project supported by the Robert Wood Johnson Foundation Global Ideas Fund at CAF America. Selected organizations will exchange information and learn from approaches used in other countries as a basis for enhancing local community participation and decision-making about health initiatives.

As we begin another year, we welcome even greater opportunities to join together for community health. It’s more than what we do – it’s who we are.

James R. WestPresident and Chief Executive OfficerPIH Health

Jane B. DicusChairPIH Health Board of DirectorsFiscal Year 2016-17

To view the full Community Benefit Annual Report, please visit PIHHealth.org/CBAnnualReport

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Community benefit programs and services are designed to provide treatment and promote health as a response to identified community needs, with specific objectives to:

• Improve access to healthcare services

• Enhance the health and wellness of the community

• Advance medical or healthcare knowledge that provides public benefit

• Relieve or reduce the burden of government or other community efforts

Our Community Benefit Investment

BY THE NUMBERS…

Further examples are detailed in pages 6-9.

• More than $4.9 million in free or discounted care (charity care) was provided to patients lacking financial resources to pay for needed healthcare services.

• 23,499 community members were reached through evidence-based health education programs and free community-based clinical services.

• 2,551 community members secured health insurance coverage via PIH Health-contracted agencies specializing in Medi-Cal and other publicly funded health insurance programs.

• 1,460 student nurses, physician residents and other individuals studying to become healthcare professionals were mentored and trained for their future careers by dedicated PIH Health employees.

• 10 cancer clinical trials were conducted with approximately 62 individuals participating.

• $96,070 in cash donations was provided to 33 organizations to address significant health needs in our service area communities.

• 40 nonprofit organizations were convened for a coalition development series aimed at improving health. Four workgroups with an average of six community based organizations participating in each were formed around the topics of education, food insecurity, chronic disease and mental health/substance use.

$70.8 million

$4.9 MILLION CHARITY CARE (FINANCIAL ASSISTANCE)

$46.5 MILLION UNPAID COSTS OF PUBLIC HEALTH INSURANCE PROGRAMS

• $44.4 million Medi-Cal

• $2.1 million Other Public Health Insurance Programs

$19.3 MILLION OTHER COMMUNITY BENEFIT SERVICES

• $2.6 million Community Health Improvement Services

• $6.8 million Health Professions Education

• $8.4 million Subsidized Health Services

• $169,264 Research

• $906,278 Cash & In-Kind Contributions

• $16,838 Community-Building Activities

• $435,631 Community Benefit Operations

8.5% OF ENTERPRISE EXPENSES

PIH Health Hospital - Downey, PIH Health Hospital - Whittier, PIH Health Physicians and PIH Health Foundation

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Our Community Benefit Investment

PIH Health Physicians - $3,629,931

• Charity Care (Financial Assistance) - $155,061 and 733 Persons Served

• Unpaid Costs of Public Health Insurance Programs - $1.9 Million and 3,285 Persons Served

• Other Community Benefit Services - $1.6 Million and 9,367 Persons Served

PIH Health Foundation - $19,075

Charity Care (Financial Assistance) $488,364 and 433 Persons Served

Unpaid Costs of Public Health Insurance Programs $18,141,708 and 31,622 Persons Served

• Medi-Cal - $18,030,680• Other Public Health Insurance Programs - $111,028

Community Health Improvement Services $501,073 and 4,185 Persons Served

Health Professions Education $1,856,280 and 70 Persons Served

Subsidized Health Services $2,390,288 and 609 Persons Served

Cash & In-kind Contributions $69,851 and 569 Persons Served

Community-Building$2,124

Community Benefit Operations $14,249

Charity Care (Financial Assistance) $4,289,531 and 1,341 Persons Served

Unpaid Costs of Public Health Insurance Programs $26,452,135 and 41,054 Persons Served

• Medi-Cal - $24,432,844• Other Public Health Insurance Programs - $2,019,291

Community Health Improvement Services $2,111,499 and 31,954 Persons Served

Health Professions Education $4,276,097 and 1,401 Persons Served

Subsidized Health Services $5,100,711 and 15,108 Persons Served

Research$169,264 and 62 Persons Served

Cash & In-kind Contributions $833,427 and 1,103 Persons Served

Community-Building$12,062

Community Benefit Operations $420,366

PIH Health Hospital - Downey Fiscal Year 2015-2016

Other PIH Health Entities - $3,649,006

PIH Health Hospital - Whittier Fiscal Year 2015-2016

Total Community Benefit$23,463,937

15.5% of Organization’s Expenses

Total Community Benefit$43,665,0928.3% of Organization’s Expenses

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PROFILE OF OUR COMMUNITIES

PIH Health conducts a Community Health Needs Assessment (CHNA) every three years as part of our ongoing efforts to address our communities most significant health needs. The CHNA features a wide variety of demographic and health-related statistics for a geography that represents more than 1.6 million residents in 26 communities across Los Angeles and Orange Counties, including the San Gabriel Valley region.

2017-2019 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP)

Through a structured prioritization process, PIH Health has determined the below areas of focus, which serve as the framework for our Community Health Improvement Plan.

Understanding our Communities, Planning for Impact

To view the full Community Health Needs Assessment reports and resulting Community Health Improvement Plan, visit PIHHealth.org/CHNA.

• Preventative Screenings & Immunizations

• Overweight/Obesity

• Diabetes

• Heart Disease

• Education

• Food Insecurity

• Homelessness

Overarching CHIP Strategies• Provide financial support and/or technical assistance to community-based organizations and collaboratives

• Serve as convener of community-based organizations and provide support for the development of coalitions to advance equity and reduce health disparities

Additional CHIP StrategiesPreventative Screenings & Immunizations• Provide education and implement public awareness campaign

Obesity, Diabetes and Heart Disease• Provide and/or support the development of evidence-based chronic disease management and prevention

programs

Education• Provide internships and job shadowing opportunities for youth

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The following pages describe PIH Health’s comprehensive community benefit programs and services, which strive to enhance the overall health of our communities.

Information is organized according to Internal Revenue Service-recognized community benefit categories.

Investing in Health, Strengthening Communities

Defined as free/discounted health services for individuals who cannot afford to pay and who meet financial assistance eligibility criteria. PIH Health offers a generous program, providing charity care to those with family income(s) at or below 400% of Federal Poverty Level* guidelines.

*For 2015, the Federal Poverty Level for one person was $11,770 and for a family of four $24,250.

PIH Health Hospital - Downey$488,364 | 433 served

PIH Health Hospital - Whittier$4,289,531 | 1,341 served

PIH Health Physicians$155,061 | 733 served

UNPAID COSTS OF PUBLIC HEALTH INSURANCE PROGRAMS$46,498,251 | 75,961 served

Defined as the shortfall (or unpaid cost) that is created when insurance payments are less than the cost of care, specifically for individuals with healthcare coverage through means-tested public programs (including Medi-Cal).

PIH Health Hospital - Downey$18,141,708 | 31,622 served

PIH Health Hospital - Whittier$26,452,135 | 41,054 served

PIH Health Physicians$1,904,408 | 3,285 served

FINANCIAL ASSISTANCE (CHARITY CARE)$4,932,956 | 2,507 served

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COMMUNITY HEALTH IMPROVEMENT SERVICES$2,621,975 | 37,064 served

The Healthy Los Nietos collaborative was highlighted by the Health Research & Educational Trust in a guide

on building effective partnerships, 2016.

Defined as activities that extend beyond patient care and are typically subsidized by the healthcare organization, although the activities may involve a nominal fee (but no patient care bill is generated).

Community CollaborativesPIH Health partners with those who have a shared vision for improving community health, with an emphasis on leveraging and sharing resources to maximize impact. PIH Health is proud to partner with:

Programs and ScreeningsPIH Health Hospital - Downey, PIH Health Hospital - Whittier, PIH Health PhysiciansA variety of free health education programs focus on addressing identified community health needs, with emphasis on both prevention and health management. Low-cost screenings and immunizations are also provided.

Enrollment AssistancePIH Health Hospital - Downey, PIH Health Hospital - Whittier Agencies specializing in health insurance enrollment, including Medi-Cal, are contracted to ensure that all those eligible are assisted with obtaining coverage and access to care.

Health & Wellness Center at Whittier First DayPIH Health Hospital - Whittier, PIH Health PhysiciansA successful collaboration with Whittier First Day, an emergency transitional shelter, the Center meets the healthcare needs of First Day residents and those who are chronically homeless or at-risk.

Light Rail Transit Coalition PIH Health Hospital - WhittierParticipation in this coalition is focused on bringing light rail public transit to the area.

Support GroupsPIH Health Hospital - Downey, PIH Health Hospital - WhittierA variety of free support groups provide emotional support and education.

Transportation ResourcesPIH Health Hospital - WhittierFree shuttle transportation is provided to patients with no alternative means. In addition, taxi vouchers are provided for patients based upon need.

For more information on our community health improvement programs, visit PIHHealth.org/Wellness.

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HEALTH PROFESSIONS EDUCATION$6,758,380 | 1,566 served

Includes educational programs for physicians, nurses, students and other health professionals when education is necessary or required by state law, accrediting body or health profession society.

Family Medicine Residency ProgramPIH Health Hospital - Downey, PIH Health Hospital - WhittierTrains resident physicians in primary care and offers rotations in specialty care, as well as tropical medicine, palliative care, hospice, home care, chronic disease management and community health.

Paramedic Base Station Training PIH Health Hospital - WhittierProvides continuing education for regional personnel who work with PIH Health’s Paramedic Base Station, including Fire Department personnel, Mobile Intensive Care Nurses and Emergency Medical Technicians.

Student Education: Internship, Externship, Preceptorship & Mentoring ProgramsPIH Health Hospital - Downey, PIH Health Hospital - Whittier, PIH Health PhysiciansPIH Health supports the development of the next generation of healthcare providers by educating and mentoring students from local schools and colleges in clinical, ancillary and administrative settings.

Defined as clinical programs provided despite a financial loss (after removing the effects of financial assistance, bad debt and Medi-Cal shortfalls) because the program meets an identified community need and, if no longer offered, would either be unavailable or fall to the responsibility of others to provide.

Diabetes Education CenterPIH Health Hospital - WhittierOffers free education programs, screenings and resources to those looking for help with managing their diabetes and living a healthy lifestyle.

Emergency Department (ED) On-Call Physicians PIH Health Hospital - Downey, PIH Health Hospital - Whittier PIH Health’s EDs are some of the busiest in Los Angeles County, with over 100,000 visits annually. On-call physicians ensure that eligible patients, regardless of health insurance status, have access to specialty care. PIH Health Hospital - Whittier’s ED is a STEMI (Heart Attack) receiving center, an Acute Stroke Center and features the area’s paramedic base station, ensuring access to emergency services.

High-Risk Infant Follow-Up ClinicPIH Health Hospital - WhittierA California Children’s Services approved Special Care Center that provides developmental follow-up for optimum health and development.

PIH Health Hospice HomesPIH Health Hospital - Whittier Provides community members with the option for compassionate end-of-life care and family support at two PIH Health hospice homes.

PIH Health Urgent Care PIH Health PhysiciansAs an alternative to the emergency room, urgent care providers treat a variety of illnesses and injuries.

SUBSIDIZED HEALTH SERVICES$8,419,387 | 24,062 served

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RESEARCH$169,264 | 62 served

Includes health research and studies that are shared with the public.

PIH Health Clinical Trials ProgramPIH Health Hospital - WhittierClinical trials and research studies have been aimed at improving health and cancer care since 2001. Research has focused on breast, colon, kidney and lung cancers, as well as leukemia.

CASH & IN-KIND CONTRIBUTIONS$906,278 | 1,672 served

Includes funds and in-kind services donated to community organizations and community-at-large.

Support of Community OrganizationsPIH Health Hospital - Downey, PIH Health Hospital - Whittier, PIH Health PhysiciansLocal nonprofit organizations are supported through financial contributions to programs and services that address identified health needs and in-kind donations. Dedicated space is provided for American Cancer Society and the area’s Sexual Assault Response Team. PIH Health and Wesley Health Center-Downey have partnered to offer a Federally Qualified Health Center with PIH Health subsidizing clinic lease costs.

Purchased Services (At-Risk Patients)PIH Health Hospital - WhittierUninsured and underinsured patients are at times provided with therapy services, skilled nursing, mental healthcare services and durable medical equipment, based upon needs.

Service on Community Health Boards PIH Health Hospital - WhittierDesignated staff dedicate time to serving on community boards or committees.

COMMUNITY-BUILDING ACTIVITIES$16,838

Defined as activities that improve the community’s health and safety by addressing the root causes of health problems, such as poverty and homelessness.

Coalition BuildingPIH Health Hospital - WhittierPIH Health works with a variety of community stakeholders to enhance the collective capacity to address identified community health needs, with emphasis on social determinants of health.

COMMUNITY BENEFIT OPERATIONS$435,631

Includes costs associated with assigned staff and community health needs assessments, as well as other costs associated with community benefit strategy and operations.

Community Benefit OperationsPIH Health Hospital - Downey, PIH Health Hospital - WhittierThe Community Benefit Department serves as the liaison for PIH Health’s Community Benefit Oversight Committee and is charged with ensuring successful fulfillment of community benefit mandates, as required of nonprofit hospitals, as well as establishing linkages with community partners.

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Community and Health Screenings Chester Cheng OD, Deep Dudeja MD and Nathan Hinds OD partnered with local Lions Clubs to provide approximately 500 individuals with services such as free vision screenings. Those most in need were connected with resources for free eyeglasses.

Emergency and Disaster Preparedness/Disaster Resource Center (DRC)PIH Health Hospital - Whittier is one of 13 Los Angeles County designated DRC’s established by the County to ensure that the community has access to resources and the highly skilled staff needed to respond to a large-scale disaster or other public health emergency. As a DRC, PIH Health’s Whittier campus is the umbrella hospital for 10 other local hospital facilities, including PIH Health Hospital - Downey.

Emergency Clothing for At-Risk PatientsPatients who are unable to return home in the same clothes in which they arrived receive clothing from PIH Health’s Emergency Clothes Bank, donated by PIH Health employees or purchased through PIH Health Foundation funds.

Environmental and Recycling Projects PIH Health is implementing implementing more “green” initiatives, including increased usage of LED lighting to decrease consumption of electricity, and expanding a methane gas project with the City of Whittier, whereby methane gas is converted into electricity.

Every 15 Minutes Program Joined the California Highway Patrol, Los Angeles Coroner, police departments and emergency responders to hold Every 15 Minutes Programs with local high schools, simulating a fatal crash scene to create awareness of the consequences of driving under the influence of drugs or alcohol.

Eyeglass Recycling for Lions ClubThe PIH Health Eye Care Center collects used eyeglasses from the community and donates them to the Whittier Lions Club, which in turn sponsors missions to distribute eyeglasses to those in need world-wide.

Medical MissionsSy Oang MD traveled on a medical mission to provide health services in the remote countryside of Cambodia, with the team seeing approximately 5,000 individuals in a one-week period. Yong Park MD traveled to Vietnam with a team of missionaries to meet the medical needs of over 200 individuals, ranging from needy families to the elderly, and also taught at local universities. Kennith Thompson MD traveled to the Philippines with a surgical team to provide services in a remote region, completing 94 major surgeries and 146 minor procedures.

PIH Health Volunteer Contributions Some 1,030 PIH Health volunteers collectively contributed 103,468 hours of service, supporting departments throughout the organization.

Reach Out and Read ProgramPIH Health Physicians’ Department of Pediatrics has partnered with Reach Out and Read, an evidence-based initiative that promotes early literacy and school readiness. Upon each regular check-up from the age of six months to five years-old, physicians provide patients with a children’s book and discuss with parents the importance of reading aloud. Each year, over 6,000 new books are distributed.

Leadership JournalWhile the below programs and activities are not reported as community benefit, they still describe the creative and innovative ways that PIH Health collaborates and connects with the community.

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PIH Health’s CBOC is comprised of community stakeholders, including key public health and legislative representatives. The CBOC 1) reviews and validates compliance with respect to community benefit mandates, 2) reviews and validates that PIH Health’s community benefit programs and services effectively meet identified community health needs and 3) increases public awareness of community benefit activities and community value.

Ron Carruth EdDWhittier City School District

Amy CattInterfaith Food Center

Charlene Dimas-Peinado LCSW EMLLos Angeles Child Guidance Clinic

Darren DunawayHuman Services Association

Richard EspinosaLos Angeles County Department of Mental Health

Ted Knoll MA CDS CHHPCommunity-at-Large

Lindsey Lastra MPH MCHESLos Angeles County Department of Public Health

Hillary Mennella DNP FNP-BCCerritos Community College District

Jim OrtizMy Friend’s House, AG

Luz PerezTLC Family Resource Center, Downey Unified School District

Irene Redondo-ChurchwardCommunity-at-Large

Raymond L. Schmidt PhDCommunity-at-Large

Drew SonesCommunity-at-Large

Anne UllstromDowney Family YMCA

Community Benefit Oversight Committee (CBOC)

This report is submitted to the Office of Statewide Health Planning & Development in fulfillment of California Senate Bill 697, which defines community benefit as “a hospital’s activities that are intended to address community needs and priorities primarily through disease prevention and improvement of health status.”

This report also informs PIH Health’s IRS Form 990 Schedule H tax filing, which reports a hospital’s benefit to the community through free or discounted care, health research, health improvement programs and financial support of nonprofit organizations addressing identified community health needs.

We invite you to contact us to share comments or request additional information.

PIH Health Community Benefit

Community.Benefit@PIHHealth.org

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PIH Health Hospital - Whittier12401 Washington Blvd., Whittier, CA 90602

PIH Health Hospital - Downey11500 Brookshire Ave., Downey, CA 90241

562.698.0811PIHHealth.org

@PIHHealth .com/PIHHealth