PIH HEALTH INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- PIH HEALTH INC (EIN 95-3619388)
- Tax period
- 2022-10-01 to 2023-09-30
- Filed
- 2024-08-06
- IRS object ID
- 202432199349300443
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-08-06T13:53:39-05:00 | ReturnTs |
| Tax Period End | 2023-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 MAIN STREET SUITE 2150 | AddressLine1Txt |
| City | BATON ROUGE | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953619388 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIH HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PIHH | BusinessNameControlTxt |
| Phone | 5626980811 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12401 WASHINGTON BOULEVARD | AddressLine1Txt |
| City | WHITTIER | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90602 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VID SHIVARAMAN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5626980811 | PhoneNum |
| Signature | 2024-07-31 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRITTANY ELLISER | PreparerPersonNm |
| PTIN | P01284594 | PTIN |
| Phone | 2253444000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2024-08-08 14:25:15Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAMES WEST | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12401 WASHINGTON BOULEVARD | AddressLine1Txt |
| City | WHITTIER | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $20,428,879 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PIHHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO SUPPORT AND TO OPERATE FOR THE BENEFIT OF ITS TAX-EXEMPT AFFILIATES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,355,190 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,425,162 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $3,717 | CYOtherRevenueAmt |
| PY Total Revenue | $20,355,190 | PYTotalRevenueAmt |
| CY Total Revenue | $20,428,879 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,624,071 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,638,264 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,998,900 | PYOtherExpensesAmt |
| CY Other Expenses | $13,387,452 | CYOtherExpensesAmt |
| PY Total Expenses | $15,622,971 | PYTotalExpensesAmt |
| CY Total Expenses | $15,025,716 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,732,219 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,403,163 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $134,148,676 | TotalAssetsBOYAmt |
| Total Assets EOY | $132,342,452 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $182,947,392 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $175,738,005 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$48,798,716 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$43,395,553 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PIH HEALTH, INC.'S PRIMARY EXEMPT PURPOSE IS TO SUPPORT AND OPERATE FOR THE BENEFIT OF ITS TAX-EXEMPT AFFILIATES: PIH HEALTH WHITTIER HOSPITAL, PIH HEALTH FOUNDATION, PIH HEALTH PHYSICIANS, PIH HEALTH MANAGEMENT CORP., PIH HEALTH ADULT DAY HEALTHCARE, PIH HEALTH HOME HEALTHCARE, PIH HEALTH DOWNEY HOSPITAL, AND PIH HEALTH GOOD SAMARITAN HOSPITAL. PIH HEALTH, INC. IS THE SOLE CORPORATE MEMBER OF THE ABOVE LISTED ENTITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $13,051,839 | ExpenseAmt |
| Revenue | $20,157,167 | RevenueAmt |
| Desc | PROVIDING TECHNICAL, FACILITY AND SUPPORT SERVICES FOR TAX-EXEMPT AFFILIATES WHOSE CHARITABLE PURPOSE IS TO PROVIDE A BROAD RANGE OF HEALTH CARE SERVICES TO THEIR COMMUNITY BY WAY OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. | Desc |
| Total Program Service Expenses | $13,051,839 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARK KAWAUCHI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5626980811 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12102 WASHINGTON BOULEVARD | AddressLine1Txt |
| City | WHITTIER | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90606 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| ALEX ALVAREZ | ||||||||
| DIRECTOR & TREASURER | 1.50 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BLAYNE CUTLER MD PHD | ||||||||
| DIRECTOR | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| CHARLOTTE WEAVER PHD | ||||||||
| DIRECTOR & VICE CHAIR | 1.50 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JANE DICUS | ||||||||
| DIRECTOR | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| JAY BROWN AS OF 3123 | ||||||||
| DIRECTOR | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| JEFF HAMAR | ||||||||
| DIRECTOR | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| KENTON WOODS | ||||||||
| DIRECTOR | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| MARISSA GOLDBERG | ||||||||
| DIRECTOR | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| MELANIE BATISTE | ||||||||
| DIRECTOR | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| PATRICK MONROE | ||||||||
| DIRECTOR & CHAIR | 1.50 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PAUL TREINEN | ||||||||
| DIRECTOR | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| PAULA COWAN UNTIL 9222023 | ||||||||
| DIRECTOR | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| PETER GREANEY MD | ||||||||
| DIRECTOR & SECRETARY | 1.50 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RICHARD ATWOOD | ||||||||
| DIRECTOR | 1.50 | 7.50 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT MALONEY MD | ||||||||
| DIRECTOR | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM ROTH AS OF 3123 | ||||||||
| DIRECTOR | 1.50 | 6.00 | Yes (X) | $0 | $0 | $0 | ||
| ROSALIO LOPEZ MD | ||||||||
| SYSTEM CSO/CMO | 1.50 | 44.70 | Yes (X) | $0 | $1,114,134 | $46,447 | ||
| JAMES WEST | ||||||||
| SYSTEM PRESIDENT & CEO | 1.50 | 50.70 | Yes (X) | $0 | $2,046,653 | $355,723 | ||
| BRIAN SMOLSKIS UNTIL 9282023 | ||||||||
| SYSTEM COO | 1.50 | 46.20 | Yes (X) | $0 | $1,034,811 | $219,042 | ||
| PEGGY CHULACK | ||||||||
| SYSTEM CAO & ASST SECRETARY | 1.50 | 50.70 | Yes (X) | $0 | $995,412 | $192,712 | ||
| VID SHIVARAMAN | ||||||||
| SYSTEM CFO & ASST TREASURER | 1.50 | 50.70 | Yes (X) | $0 | $749,812 | $150,468 | ||
| ANITA CHOU | ||||||||
| FORMER CFO & ASST TREASURER | 0.00 | 0.00 | $0 | $119,014 | $14 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,059,836 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $964,406 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| RSM US LLP | |||||
| 5155 PAYSHERE CIRCLE | CHICAGO | IL | 60674 | PROFESSIONAL SERVICES | $572,594 |
| ENCORE MAINTENANCE SERVICE INC | |||||
| 580-B W CENTRAL AVENUE | BREA | CA | 92821 | MAINTENANCE SERVICES | $490,820 |
| SERVI-TEK INC | |||||
| 3970 SORRENTO VALLEY BLVD SUITE 4 | SAN DIEGO | CA | 92121 | JANITORIAL SERVICES | $253,579 |
| BEACON SECURITY INC | |||||
| 2970 E LA PALMA AVE STE F | ANAHEIM | CA | 92806 | SECURITY SERVICES | $230,794 |
| VINCOR CONSTRUCTION INC | |||||
| 2651 SATURN STREET | BREA | CA | 92821 | CONSTRUCTION SERVICES | $155,690 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| RELATED RENTAL INCOME | 531120 | $20,157,167 | $20,157,167 | |
| CAFE REVENUE | 722515 | $267,995 | $267,995 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,425,162 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISC REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $3,717 | TotalRevenueColumnAmt |
| Exclusion | $3,717 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,717 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,428,879 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,157,167 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $271,712 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,326,204 | TotalAmt |
| Program Services | $1,140,535 | ProgramServicesAmt |
| Management And General | $185,669 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,895 | TotalAmt |
| Program Services | $171,910 | ProgramServicesAmt |
| Management And General | $27,985 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,165 | TotalAmt |
| Program Services | $96,462 | ProgramServicesAmt |
| Management And General | $15,703 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $493,305 | TotalAmt |
| Management And General | $493,305 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,554,244 | TotalAmt |
| Program Services | $2,342,504 | ProgramServicesAmt |
| Management And General | $211,740 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,570 | TotalAmt |
| Program Services | $82,702 | ProgramServicesAmt |
| Management And General | $17,868 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,507,825 | TotalAmt |
| Program Services | $4,324,928 | ProgramServicesAmt |
| Management And General | $182,897 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,745 | TotalAmt |
| Management And General | $43,745 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,174 | TotalAmt |
| Management And General | $1,174 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,436,859 | TotalAmt |
| Program Services | $4,675,699 | ProgramServicesAmt |
| Management And General | $761,160 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT | $25,636 | $25,636 | |
| EQUIPMENT R&M | $17,353 | $505 | $16,848 |
| LICENSES & FEES | $13,337 | $7,280 | $6,057 |
| EDUCATION | $1,920 | $1,920 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,484 | TotalAmt |
| Program Services | $183,678 | ProgramServicesAmt |
| Management And General | $7,806 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,025,716 | TotalAmt |
| Program Services | $13,051,839 | ProgramServicesAmt |
| Management And General | $1,973,877 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,225 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $473,773 | BOYAmt |
| EOY | $518,583 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,546 | BOYAmt |
| EOY | $7,731 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $202,268,208 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $70,452,070 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,663,132 | BOYAmt |
| EOY | $131,816,138 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $134,148,676 | BOYAmt |
| EOY | $132,342,452 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,720,575 | BOYAmt |
| EOY | $1,441,309 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,219,008 | BOYAmt |
| EOY | $1,143,992 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,007,809 | BOYAmt |
| EOY | $173,152,704 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,947,392 | BOYAmt |
| EOY | $175,738,005 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$48,798,716 | BOYAmt |
| EOY | -$43,395,553 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$48,798,716 | BOYAmt |
| EOY | -$43,395,553 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $134,148,676 | BOYAmt |
| EOY | $132,342,452 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $5,403,163 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Supported Organizations | 5 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (5 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| PIH HEALTH WHITTIER HOSPITAL | ||||
| 951934652 | 3 | 0 | $0 | $4,895,439 |
| PIH HEALTH FOUNDATION | ||||
| 953761274 | 7 | 0 | $0 | $95,859 |
| PIH HEALTH PHYSICIANS | ||||
| 953942828 | 10 | 0 | $0 | $13,688,336 |
| PIH HEALTH DOWNEY HOSPITAL | ||||
| 951903935 | 3 | 0 | $0 | $0 |
| PIH HEALTH GOOD SAMARITAN HOSPITAL | ||||
| 951656366 | 3 | 0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 5 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $18,679,634 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | 0 | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | Yes (1) | MajorityDirTrstSupportedOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART IV, SECTION A, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PIH HEALTH INC.'S GOVERNING DOCUMENTS PROVIDE THAT THE ORGANIZATION WILL SUPPORT THE EXISTENCE, ACTIVITIES, AND OPERATIONS OF ITS RELATED CHARITABLE, TAX-EXEMPT ORGANIZATIONS. THE SUPPORTED ORGANIZATIONS ARE DESIGNATED BY CLASS OR PURPOSE WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986 ("THE CODE") BY CONDUCTING OR SUPPORTING ACTIVITIES FOR THE BENEFIT OF, PERFORMING THE FUNCTIONS OF, OR CARRYING OUT THE PURPOSES OF QUALIFIED ORGANIZATIONS PROMOTING THE HEALTH OF THE COMMUNITY WITHIN THE MEANING OF SECTION 501(C)(3) OF THE CODE. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $45,115,362 | OtherCostOrOtherBasisAmt |
| Book Value | $45,115,362 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $94,923,105 | OtherCostOrOtherBasisAmt |
| Depreciation | $37,178,753 | DepreciationAmt |
| Book Value | $57,744,352 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $58,152,294 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,770,825 | DepreciationAmt |
| Book Value | $28,381,469 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,077,447 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,502,492 | DepreciationAmt |
| Book Value | $574,955 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $131,816,138 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTERCOMPANY PAYABLES | Desc |
| Amt | $173,152,704 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $173,152,704 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE PRINCIPAL OPERATIONS OF THE COMPANY ARE EXEMPT FROM INCOME TAXES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) AND THE LAWS OF THE STATES IN WHICH IT OPERATES AND, AS SUCH, IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, THE COMPANY IS SUBJECT TO INCOME TAXES ON NET INCOME DERIVED FROM A TRADE OR BUSINESS REGULARLY CARRIED ON THAT DOES NOT FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. FURTHER, THE COMPANY IS ALSO SUBJECT TO FEDERAL EXCISE TAXES PURSUANT TO THE TAX CUTS AND JOBS ACT. NO SIGNIFICANT INCOME TAX PROVISION HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR NET INCOME DERIVED FROM UNRELATED TRADE OR BUSINESS AND EXCISE TAXES. THE COMPANY MEASURES LIABILITIES FOR UNRECOGNIZED TAX UNCERTAINTIES IN ACCORDANCE WITH ASC 740, INCOME TAXES, WHICH PRESCRIBES A COMPREHENSIVE MODEL FOR HOW A COMPANY SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE IN ITS FINANCIAL STATEMENTS UNCERTAIN TAX POSITIONS THAT A COMPANY HAS TAKEN OR EXPECTS TO TAKE ON A TAX RETURN. THE GUIDANCE IS APPLICABLE TO PROFIT-ORIENTED ENTITIES, PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. MANAGEMENT BELIEVES IT HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS AND, AS SUCH, NO TAX LIABILITY, BENEFITS, INTEREST OR PENALTIES WERE ACCRUED AT SEPTEMBER 30, 2023 OR 2022. THE COMPANY IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE COMPANY BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2019 FOR FEDERAL PURPOSES AND 2017 FOR CALIFORNIA PURPOSES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES WEST | ||||||||||||||
| SYSTEM PRESIDENT & CEO | $0 | $1,506,821 | $0 | $0 | $0 | $539,832 | $0 | $335,520 | $0 | $20,325 | $0 | $2,402,498 | $0 | $517,243 |
| BRIAN SMOLSKIS UNTIL 9282023 | ||||||||||||||
| SYSTEM COO | $0 | $838,304 | $0 | $0 | $0 | $196,507 | $0 | $196,657 | $0 | $22,507 | $0 | $1,253,975 | $0 | $188,312 |
| PEGGY CHULACK | ||||||||||||||
| SYSTEM CAO & ASST SECRETARY | $0 | $826,709 | $0 | $0 | $0 | $168,703 | $0 | $178,274 | $0 | $14,760 | $0 | $1,188,446 | $0 | $120,897 |
| ROSALIO LOPEZ MD | ||||||||||||||
| SYSTEM CSO/CMO | $0 | $907,438 | $0 | $0 | $0 | $206,696 | $0 | $36,700 | $0 | $9,869 | $0 | $1,160,703 | $0 | $0 |
| VID SHIVARAMAN | ||||||||||||||
| SYSTEM CFO & ASST TREASURER | $0 | $681,460 | $0 | $0 | $0 | $68,352 | $0 | $141,186 | $0 | $9,404 | $0 | $900,402 | $0 | $61,131 |
| ANITA CHOU | ||||||||||||||
| FORMER CFO & ASST TREASURER | $0 | -$14 | $0 | $0 | $0 | $119,028 | $0 | $0 | $0 | $14 | $0 | $119,028 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | COMPENSATION FOR THE CEO WAS ESTABLISHED AND PAID BY PIH HEALTH WHITTIER HOSPITAL (PHWH), A RELATED ORGANIZATION. PHWH USED THE FOLLOWING TO ESTABLISH THE CEO'S COMPENSATION (1) COMPENSATION COMMITTEE, (2) INDEPENDENT COMPENSATION CONSULTANT, (3) FORM 990 OF OTHER ORGANIZATIONS, (4) COMPENSATION SURVEY OR STUDY, (5) APPROVAL BY THE BOARD. |
| PART I, LINES 4A-B | ANITA CHOU RECEIVED A SEVERANCE PAYMENT DURING THE CALENDAR YEAR. THE PAYMENT IS INCLUDED IN PART VII, COLUMN E AND SCHEDULE J, PART II, COLUMN B(III). THE TERMS AND CONDITIONS OF THE CONFIDENTIAL SEVERANCE AGREEMENT ARE AVAILABLE TO THE INTERNAL REVENUE SERVICE UPON REQUEST. PIH HEALTH INC. AND ITS AFFILIATES PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR CERTAIN EXECUTIVES. THE FOLLOWING INDIVIDUALS PARTICIPATE IN THE PLAN: JAMES WEST BRIAN SMOLSKIS PEGGY CHULACK ROSALIO LOPEZ VID SHIVARAMAN THE FOLLOWING AMOUNTS BECAME VESTED OR WERE PAID-OUT IN 2022 AND ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III): JAMES WEST $517,243 BRIAN SMOLSKIS $188,312 PEGGY CHULACK $120,897 VID SHIVARAMAN $61,131 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | PIH HEALTH, INC. IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM. THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP BY VIRTUE OF THEIR POSITIONS AS OFFICER OR DIRECTORS OF RELATED ENTITIES WITHIN THE SYSTEM: RICHARD ATWOOD, JEFF HAMAR, PAULA COWAN, ALEX ALVAREZ, BLAYNE CUTLER, JANE DICUS, PATRICK MONROE, PAUL TREINEN, CHARLOTTE WEAVER, KENTON WOODS, PETER GREANEY, MARISSA GOLDBERG, MELANIE BATISTE, ROBERT MALONEY, JAMES WEST, PEGGY CHULACK, VID SHIVARAMAN, ROSALIO LOPEZ, AND BRIAN SMOLSKIS. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE OF PIH HEALTH, INC., 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 CHIEF ADMINISTRATIVE OFFICER AND GENERAL COUNSEL. EACH POSITIVE RESPONSE IS CONSIDERED IN LIGHT OF MAGNITUDE OF OWNERSHIP INTEREST, FINANCIAL TRANSACTION(S), ETC. IF DEEMED NECESSARY, CONFLICTS OF INTEREST COULD BE RESOLVED BY INSISTING THAT THE INCUMBENT EITHER DIVEST THEIR OWNERSHIP INTEREST, THAT THE ORGANIZATION TERMINATE THE BUSINESS RELATIONSHIP, OR EVEN THAT THE DIRECTOR RESIGN. DIRECTORS WITH POTENTIAL CONFLICTS OF INTEREST MAY RECUSE THEMSELVES FROM VOTING ON CERTAIN MATTERS AND/OR MAY EXCUSE THEMSELVES FROM MEETINGS DURING THE DISCUSSION, DELIBERATION, AND VOTING ON OF MATTERS. |
| FORM 990, PART VI, 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 VI, SECTION B, LINE 16B: | PIH HEALTH, INC. HOLDS A 12.5% INTEREST IN A JOINT VENTURE ARRANGEMENT THAT EXISTS TO FURTHER THE CHARITABLE AND COMMUNITY-BASED HEALTH CARE PURPOSES, MISSION, VISION, AND VALUES OF ITS CONTROLLING TAX EXEMPT MEMBERS. PIH HEALTH, INC. ANNUALLY EVALUATES ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS. |
| FORM 990, PART IX, LINE 11G | R&M BUILDING: PROGRAM SERVICE EXPENSES 960,502. MANAGEMENT AND GENERAL EXPENSES 38,017. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 998,519. GROUND MAINTENANCE: PROGRAM SERVICE EXPENSES 178,679. MANAGEMENT AND GENERAL EXPENSES 5,295. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 183,974. OTHER: PROGRAM SERVICE EXPENSES 1,203,323. MANAGEMENT AND GENERAL EXPENSES 168,428. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,371,751. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| PIH HEALTH REAL ESTATE SERVICES LLC | |||||||||
| 12401 WASHINGTON BOULEVARD | WHITTIER | CA | 90602 | 464560794 | REAL ESTATE | CA | $1,931,154 | $14,213,324 | PIH HEALTH INC |
| KDW REAL ESTATE INVESTMENTS LLC | |||||||||
| 12401 WASHINGTON BOULEVARD | WHITTIER | CA | 90602 | 472604215 | REAL ESTATE | CA | $0 | $0 | PIH HEALTH INC |
| PUTNAM REAL ESTATE PROPERTIES LLC | |||||||||
| 12401 WASHINGTON BOULEVARD | WHITTIER | CA | 90602 | 472596628 | REAL ESTATE | CA | $0 | $0 | PIH HEALTH INC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| PIH HEALTH FOUNDATION | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 953761274 | FUNDRAISING | CA | 501(C)(3) | LINE 7 | PIH HEALTH INC | Yes (1) |
| PIH HEALTH WHITTIER HOSPITAL | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 951934652 | HEALTHCARE | CA | 501(C)(3) | LINE 3 | PIH HEALTH INC | Yes (1) |
| PIH HEALTH PHYSICIANS | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 953942828 | HEALTHCARE | CA | 501(C)(3) | LINE 10 | PIH HEALTH INC | Yes (1) |
| PIH HEALTH DOWNEY HOSPITAL | ||||||||||
| 11500 BROOKSHIRE AVENUE | DOWNEY | CA | 90241 | 951903935 | HEALTHCARE | CA | 501(C)(3) | LINE 12B, II | PIH HEALTH INC | Yes (1) |
| PIH HEALTH MANAGEMENT CORP | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 954016278 | SUPPORT OF TAX-EXEMPT AFFILIATES | CA | 501(C)(3) | LINE 12B, II | PIH HEALTH INC | Yes (1) |
| PIH HEALTH HOME HEALTHCARE | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 953036281 | HEALTHCARE | CA | 501(C)(3) | LINE 12B, II | PIH HEALTH INC | Yes (1) |
| PIH HEALTH ADULT DAY HEALTHCARE | ||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 953643829 | HEALTHCARE | CA | 501(C)(3) | LINE 12B, II | PIH HEALTH INC | Yes (1) |
| PIH HEALTH GOOD SAMARITAN HOSPITAL | ||||||||||
| 1225 WILSHIRE BOULEVARD | LOS ANGELES | CA | 90017 | 951656366 | HEALTHCARE | CA | 501(C)(3) | LINE 3 | PIH HEALTH INC | Yes (1) |
| GOOD SAMARITAN INSTITUTE FOR RESEARCH AND EDUCATION | ||||||||||
| 1225 WILSHIRE BLVD | LOS ANGELES | CA | 90017 | 954077161 | RESEARCH | CA | 501(C)(3) | LINE 4 | PIH HEALTH GOOD SAMARITAN HOSPITAL | Yes (1) |
| ORTHOPEDIC INSTITUTE OF THE GOOD SAMARITAN HOSPITAL | ||||||||||
| 1225 WILSHIRE BLVD | LOS ANGELES | CA | 90017 | 954346048 | RESEARCH | CA | 501(C)(3) | LINE 12A, I | PIH HEALTH GOOD SAMARITAN HOSPITAL | Yes (1) |
| SAMARITAN IMAGING CENTER | ||||||||||
| 1225 WILSHIRE BLVD | LOS ANGELES | CA | 90017 | 954252321 | HEALTHCARE | CA | 501(C)(3) | LINE 10 | PIH HEALTH GOOD SAMARITAN HOSPITAL | Yes (1) |
| GOOD SAMARITAN MEDICAL OFFICE BUILDING INC | ||||||||||
| 1225 WILSHIRE BLVD | LOS ANGELES | CA | 90017 | 953244046 | MEDICAL OFFICES | CA | 501(C)(3) | LINE 12A, I | PIH HEALTH GOOD SAMARITAN HOSPITAL | Yes (1) |
| KATE VAN NUYS PAGE FOUNDATION | ||||||||||
| 1225 WILSHIRE BLVD | LOS ANGELES | CA | 90017 | 956028032 | GRANTS INCOME TO GOOD SAMARITAN HOSPITAL | CA | 501(C)(3) | LINE 12A, I | PIH HEALTH GOOD SAMARITAN HOSPITAL | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PIH INSURANCE CO A RECIPROCAL RISK RETENTION GROUP | |||||||||||||
| 1003 BISHOP STREET | HONOLULU | HI | 96813 | 263760243 | CAPTIVE INSURANCE | HI | PIH HEALTH INC | T | -$71,173 | $42,240,223 | 1.00000 | Yes (1) | |
| PIH HEALTH CARE SOLUTIONS | |||||||||||||
| 6557 GREENLEAF AVENUE | WHITTIER | CA | 90601 | 462072342 | HEALTHCARE | CA | PIH HEALTH INC | C | $87,110,233 | $4,897,154 | 1.00000 | Yes (1) | |
| DRMC PROPERTIES INC | |||||||||||||
| 11500 BROOKSHIRE AVE | DOWNEY | CA | 90241 | 954769768 | REAL ESTATE | CA | PIH HEALTH INC | C | $2,502,571 | $13,316,140 | 1.00000 | Yes (1) | |
| PIH HEALTH RE | |||||||||||||
| 1003 BISHOP STREET 11500 BROOKSHIRE | HONOLULU | HI | 96813 | 472501390 | CAPTIVE INSURANCE | HI | PIH HEALTH INC | T | $1,320,241 | $10,213,387 | 1.00000 | Yes (1) | |
| HEALTHMED SERVICES INC | |||||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 300831225 | HEALTHCARE | CA | PIH HEALTH INC | C | $11,847,379 | $100 | 1.00000 | Yes (1) | |
| PIONEER MEDICAL GROUP INC | |||||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 330927283 | MEDICAL SERVICES | CA | C | 0 | N/A | ||||
| PIONEER PROVIDER NETWORK A MEDICAL GROUP INC | |||||||||||||
| 12401 WASHINGTON BLVD | WHITTIER | CA | 90602 | 330922631 | MANAGEMENT SERVICES | CA | C | 0 | N/A | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PIH HEALTH PHYSICIANS | ||
| A | $13,688,336 | FMV |
| PIH HEALTH WHITTIER HOSPITAL | ||
| A | $4,895,439 | FMV |
| PIH HEALTH FOUNDATION | ||
| A | $95,859 | FMV |
| HEALTHMED SERVICES | ||
| A | $190,214 | FMV |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, COLUMN (E): | PIH INSURANCE COMPANY IS AN UNINCORPORATED RISK RETENTION GROUP. |
| PART IV, COLUMN (E): | PIH HEALTH CARE SOLUTIONS IS A NONPROFIT MUTUAL BENEFIT CORPORATION. |