PIH HEALTH DOWNEY HOSPTIAL: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: PIH HEALTH DOWNEY HOSPTIAL (EIN 95-1903935)
Tax period: 2020-10-01 to 2021-09-30
Filed: 2022-08-12
IRS object ID: 202212249349302046
Schema version: 2020v4.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-08-12T16:47:24-05:00	ReturnTs
Tax Period End	2021-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	420714325	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	RSM US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	30 S Wacker Drive Ste 3300	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	606063392	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	951903935	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PIH Health Downey Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	PIHH	BusinessNameControlTxt
Phone	5629045000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11500 Brookshire Avenue	AddressLine1Txt
City	Downey	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90241	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Vid Shivaraman	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	5626980811	PhoneNum
Signature	2022-08-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Vid	PersonFirstNm
Person Last	Shivaraman	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rebekuh Eley	PreparerPersonNm
PTIN	P01247672	PTIN
Phone	3126343400	PhoneNum
Preparation	2022-08-12	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Change	Yes (X)	NameChangeInd
Amended Return	Yes (X)	AmendedReturnInd
Principal Officer	James West	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	12401 Washington Blvd	AddressLine1Txt
City	Whittier	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90602	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$190,107,791	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	1956	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	To provide quality healthcare and contribute to the community's health and well-being.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	1551	TotalEmployeeCnt
Total Volunteers	287	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$13,928,066	PYContributionsGrantsAmt
CY Contributions Grants	$5,870,397	CYContributionsGrantsAmt
PY Program Service Revenue	$173,080,155	PYProgramServiceRevenueAmt
CY Program Service Revenue	$183,463,593	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$120,746	PYOtherRevenueAmt
CY Other Revenue	$543,682	CYOtherRevenueAmt
PY Total Revenue	$187,128,967	PYTotalRevenueAmt
CY Total Revenue	$189,877,672	CYTotalRevenueAmt
PY Grants And Similar Paid	$515,553	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	$107,400,801	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$115,711,771	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$76,192,182	PYOtherExpensesAmt
CY Other Expenses	$82,502,122	CYOtherExpensesAmt
PY Total Expenses	$184,108,536	PYTotalExpensesAmt
CY Total Expenses	$198,213,893	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,020,431	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$8,336,221	CYRevenuesLessExpensesAmt
Total Assets BOY	$167,862,077	TotalAssetsBOYAmt
Total Assets EOY	$167,649,888	TotalAssetsEOYAmt
Total Liabilities BOY	$247,295,300	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$255,419,332	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$79,433,223	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$87,769,444	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Mission: We provide high quality healthcare without discrimination, and contribute to the health and well-being of our communities in an ethical, safe, and fiscally prudent manner in recognition of our charitable purpose.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$99,006,606	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$131,138,390	RevenueAmt
Desc	Patient Care: PIH Health Downey Hospital officially became part of PIH Health in October 2013. As a 501 (c)(3) nonprofit, 199-bed hospital, the Downey campus has provided quality care in a welcoming environment for almost 100 years.Patient Care in Fiscal Year 2020-2021Employees 1,146Volunteers 270Number of Emergency Department (ED) Visits 45,817Medical Staff 420	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$70,217,972	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$51,150,163	RevenueAmt
Desc	Financial Assistance and Means-Tested Government Programs: Financial Assistance, also known as charity care, is defined as free or discounted health services provided to individuals who cannot afford to pay and who meet the eligibility criteria of the organization's financial assistance policy. PIH Health offers a generous Financial Assistance Program, providing charity care to those with family income(s) at or below 400% of Federal Poverty Level guidelines.In providing services to those patients participating in means-tested government health programs, such as Medi-Cal, PIH Health realizes a collective net loss each fiscal year due to the shortfall created when the payments received from these programs are less than the cost of caring for public program beneficiaries. Number of persons served by financial assistance and means-tested government programs: 28,855	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$5,946,297	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,175,040	RevenueAmt
Desc	See Schedule OOther Community Benefit Services: Community health improvement services and community benefit operations, Health professions education, Subsidized health services, cash and in-kind contributions are comprised of the following: COMMUNITY HEALTH IMPROVEMENT SERVICES: Defined as community health improvement activities, which extend beyond patient care activities. These programs include: Community Helpline and Enrollment Assistance.Snapshot of Outcomes:1,244 community members were reached through a variety of community health improvement activities.HEALTH PROFESSIONS EDUCATION: This category 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. PIH Health programs include the Family Medicine Residency Program, and Student Education (internship, externship, preceptorship and mentoring programs).Snapshot of Outcomes:66 student nurses, physician residents and other individuals studying to become healthcare professionals were provided with mentorship, preceptorship and training opportunities.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 Emergency Department On-Call Physicians.Snapshot of Outcomes:Some 87 individuals were served by subsidized health services. CASH & IN-KIND CONTRIBUTIONS: This category includes funds and in-kind services donated by PIH Health to community organizations or to the community-at-large for a community benefit purpose. These donations include cash donations to community organizations, hours contributed by staff to the community while on PIH Health work time, the cost of meeting space provided to community groups, and the donations of equipment, medications, supplies and services. Snapshot of Outcomes:656 at-risk individuals were provided with in-kind durable medical equipment, clothing or services, such as skilled nursing or mental healthcare.For additional information, please refer to PIH Health's community benefit report at: PIHHealth.org/CBAnnualReport	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$175,170,875	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	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	Yes (1)	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	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
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	0	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	51	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1551	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
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	14	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	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	0	InvestmentInJointVentureInd
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 Blvd	AddressLine1Txt
City	Whittier	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90606	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Jung Yong Park MD
Medical Director	5.00	1.50	Yes (X)	$62,655	$0	$0
Mark Minkes MD
Director	6.50	0.00	Yes (X)	$47,250	$0	$0
Jeff Hamar
Director & Chair	1.50	6.00	Yes (X)	$0	$0	$0	Yes (X)
Patrick Monroe
Director & Vice Chair	1.50	6.00	Yes (X)	$0	$0	$0	Yes (X)
Charlotte Weaver PhD
Director & Secretary	1.50	6.00	Yes (X)	$0	$0	$0	Yes (X)
Alex Alvarez
Director & Treasurer	1.50	6.00	Yes (X)	$0	$0	$0	Yes (X)
Richard Atwood
Director	1.50	7.50	Yes (X)	$0	$0	$0
Paula Cowan
Director	1.50	6.00	Yes (X)	$0	$0	$0
Blayne Cutler MD PhD
Director	1.50	6.00	Yes (X)	$0	$0	$0
Jane Dicus
Director	1.50	6.00	Yes (X)	$0	$0	$0
Peter Greaney MD
Director	1.50	6.00	Yes (X)	$0	$0	$0
Sushil Ojha MD
Director	1.50	0.00	Yes (X)	$0	$0	$0
Paul Treinen
Director	1.50	6.00	Yes (X)	$0	$0	$0
Kenton Woods
Director	1.50	6.00	Yes (X)	$0	$0	$0
James West
President and CEO	10.00	43.20		$0	$2,804,484	$309,663	Yes (X)
Rosalio Lopez MD
CSO/CMO	10.00	33.00		$0	$1,635,578	$205,137	Yes (X)
Peggy Chulack
CAO & Asst. Secretary	10.00	43.20		$0	$911,398	$150,543	Yes (X)
Anita Chou
CFO & Asst. Treasurer (Until 2/3/21)	10.00	43.10		$0	$732,572	$21,929	Yes (X)
Richard Trogman
President & Sys. COO (Until 10/23/20)	40.00	0.00		$0	$607,420	$128,293	Yes (X)
Vid Shivaraman
CFO & Asst. Treasurer	10.00	43.10		$0	$360,336	$70,274	Yes (X)
Ceonne Houston-Rassikh
CNO	40.00	0.00		$0	$284,308	$86,685		Yes (X)
Jaime Diaz MD
CMO (until 6/8/20)	20.00	20.00		$476,480	$0	$28,770		Yes (X)
Lela Rosales
RN Charge Nurse	40.00	0.00		$273,581	$0	$23,823			Yes (X)
Linda Buddine
RN Charge Nurse	40.00	0.00		$252,495	$0	$36,457			Yes (X)
Rosalie Madden
RN Charge Nurse	40.00	0.00		$227,271	$0	$27,927			Yes (X)
Sandra Torres
RN Charge Nurse	40.00	0.00		$200,664	$0	$5,618			Yes (X)
Muriel Moyo
RN Clinical Dir. (Until 8/27/21)	40.00	0.00		$195,092	$0	$7,452			Yes (X)
Ramona Pratt
Former CNO	0.00	40.00		$0	$406,749	$99,542				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,735,488	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,742,845	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,202,113	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	279	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
Sodexo Inc & Affiliates
PO Box 360170	Pittsburgh	PA	15251	Dietary Services	$1,963,745
Emergency Associates Corp
PO Box 9350	Rancho Santa Fe	CA	92067	Professional Services	$1,523,013
Cross Country Staffing
PO Box 404689	Atlanta	GA	30384	Staffing Services	$1,477,743
DLS Builders Inc
1975 N Batavia Street	Orange	CA	92665	Construction Services	$1,213,428
Allied Universal
161 Washington Street Ste 600	Conshohocken	PA	19428	Security Services	$1,075,481

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	13	CntrctRcvdGreaterThan100KCnt
Related Organizations	$121,033	RelatedOrganizationsAmt
Government Grants	$5,749,364	GovernmentGrantsAmt
Total Contributions	$5,870,397	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue	622110	$161,951,952	$161,951,952
Hospital Fee Program	900099	$21,425,433	$21,425,433
Food Services	722514	$86,208	$86,208

Field	Value	IRS element (for citing)
Total Program Service Revenue	$183,463,593	TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$230,070	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$230,119	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$49	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$49	TotalRevenueColumnAmt
Exclusion	-$49	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
Medical Training	900099	$18,500	$18,500
Settlements, Purch. Discounts	900099	$4,713	$4,713

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$520,518	TotalRevenueColumnAmt
Exclusion	$520,518	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$543,731	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$189,877,672	TotalRevenueColumnAmt
Related Or Exempt Func Income	$183,463,593	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$543,682	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,603,153	TotalAmt
Program Services	$1,018,404	ProgramServicesAmt
Management And General	$584,749	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$86,489,054	TotalAmt
Program Services	$73,515,696	ProgramServicesAmt
Management And General	$12,973,358	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,471,953	TotalAmt
Program Services	$2,101,160	ProgramServicesAmt
Management And General	$370,793	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,594,172	TotalAmt
Program Services	$15,805,046	ProgramServicesAmt
Management And General	$2,789,126	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,553,439	TotalAmt
Program Services	$5,570,423	ProgramServicesAmt
Management And General	$983,016	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$24,000	TotalAmt
Management And General	$24,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$25,714	TotalAmt
Management And General	$25,714	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$19,571,664	TotalAmt
Program Services	$18,202,857	ProgramServicesAmt
Management And General	$1,368,807	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$9,344	TotalAmt
Program Services	$9,218	ProgramServicesAmt
Management And General	$126	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,297,183	TotalAmt
Program Services	$2,981,844	ProgramServicesAmt
Management And General	$315,339	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$54,261	TotalAmt
Management And General	$54,261	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,319,778	TotalAmt
Program Services	$3,146,470	ProgramServicesAmt
Management And General	$173,308	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,029	TotalAmt
Program Services	$4,029	ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$15,259	TotalAmt
Program Services	$15,204	ProgramServicesAmt
Management And General	$55	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,250,946	TotalAmt
Program Services	$4,250,946	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,887,377	TotalAmt
Program Services	$5,854,270	ProgramServicesAmt
Management And General	$1,033,107	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,367,674	TotalAmt
Management And General	$1,367,674	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$22,919,452	$22,688,250	$231,202
Quality Assurance Fee	$11,132,634	$11,132,634
Bad Debt Expense	$5,768,007	$5,768,007
Equipment R&M and Lease	$2,484,546	$2,212,849	$271,697

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,370,254	TotalAmt
Program Services	$893,568	ProgramServicesAmt
Management And General	$476,686	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$198,213,893	TotalAmt
Program Services	$175,170,875	ProgramServicesAmt
Management And General	$23,043,018	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,097,345	BOYAmt
EOY	$33,503	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$22,067,159	BOYAmt
EOY	$23,401,792	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,399,618	BOYAmt
EOY	$2,930,420	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$421,120	BOYAmt
EOY	$531,249	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$169,468,853	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$48,391,367	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$118,361,383	BOYAmt
EOY	$121,077,486	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$21,515,452	BOYAmt
EOY	$19,675,438	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$167,862,077	BOYAmt
EOY	$167,649,888	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$19,022,794	BOYAmt
EOY	$19,540,998	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$228,272,506	BOYAmt
EOY	$235,878,334	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$247,295,300	BOYAmt
EOY	$255,419,332	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	-$79,433,223	BOYAmt
EOY	-$87,769,444	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$79,433,223	BOYAmt
EOY	-$87,769,444	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$167,862,077	BOYAmt
EOY	$167,649,888	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$8,336,221	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)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$25,714	OtherActivitiesAmt
Total Lobbying Expenditures	$25,714	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1, Lobbying Activities:	FormAndLineReferenceDesc
Explanation	Explanation: A portion of dues paid to Hospital Association of Southern California and American Hospital Association is related to lobbying. PIH Health Downey Hospital does not participate in or intervene in (including the publishing or distributing of statements), any political campaign on behalf of (or in opposition to) any candidate for public office.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,497,365	OtherCostOrOtherBasisAmt
Book Value	$14,497,365	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$57,638,020	OtherCostOrOtherBasisAmt
Depreciation	$7,854,405	DepreciationAmt
Book Value	$49,783,615	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,158,406	OtherCostOrOtherBasisAmt
Depreciation	$10,389,392	DepreciationAmt
Book Value	$14,769,014	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$45,675,421	OtherCostOrOtherBasisAmt
Depreciation	$29,918,306	DepreciationAmt
Book Value	$15,757,115	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,499,641	OtherCostOrOtherBasisAmt
Depreciation	$229,264	DepreciationAmt
Book Value	$26,270,377	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$121,077,486	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
Hospital Fee Program Receivable	$19,088,767
Other Receivables	$586,671

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$19,675,438	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Intercompany Payable	$206,655,758
Hospital Fee Payable	$10,135,693
Self-Insurance Reserves	$6,289,252
Estimated Third Party Payor Settlement	$541,283
Government Advances	$12,256,348

Field	Value	IRS element (for citing)
Total Liability	$235,878,334	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, 2021 or 2020. 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 2017 for federal purposes and 2015 for California purposes.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	304	PersonsServedCnt
Total Community Benefit Expns	$1,115,692	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$339,327	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$776,365	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	28551	PersonsServedCnt
Total Community Benefit Expns	$69,102,280	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,810,836	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,291,444	NetCommunityBenefitExpnsAmt
Total Expense	0.09500	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	28855	PersonsServedCnt
Total Community Benefit Expns	$70,217,972	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,150,163	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,067,809	NetCommunityBenefitExpnsAmt
Total Expense	0.09900	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	1244	PersonsServedCnt
Total Community Benefit Expns	$256,394	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$256,394	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	66	PersonsServedCnt
Total Community Benefit Expns	$3,639,692	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,175,040	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,464,652	NetCommunityBenefitExpnsAmt
Total Expense	0.01280	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	87	PersonsServedCnt
Total Community Benefit Expns	$1,819,789	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,819,789	NetCommunityBenefitExpnsAmt
Total Expense	0.00950	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	658	PersonsServedCnt
Total Community Benefit Expns	$230,422	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$230,422	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	2055	PersonsServedCnt
Total Community Benefit Expns	$5,946,297	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,175,040	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,771,257	NetCommunityBenefitExpnsAmt
Total Expense	0.02480	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	30910	PersonsServedCnt
Total Community Benefit Expns	$76,164,269	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,325,203	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,839,066	NetCommunityBenefitExpnsAmt
Total Expense	0.12380	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$168	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$168	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	2	PersonsServedCnt
Total Community Benefit Expns	$1,117	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,117	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	3	PersonsServedCnt
Total Community Benefit Expns	$1,285	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,285	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,768,007	BadDebtExpenseAmt
Reimbursed By Medicare	$26,520,203	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$24,689,983	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,830,220	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PIH Health Downey Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11500 Brookshire Ave	AddressLine1Txt
City	Downey	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90241	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.pihhealth.org	WebsiteAddressTxt
State License	License #930000048	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	PIH Health Downey Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.pihhealth.org/about-us/community-benefit/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.pihhealth.org/about-us/community-benefit/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V, Page 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Page 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V, Page 8	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PIH Health Downey Hospital	Part V, Section B, Line 3j: The community health needs assessment includes data, maps and information regarding social determinants of health, health status and life expectancy, access to healthcare, mental health, alcohol, substance and tobacco use, physical activity, nutrition and weight status, reproductive health, acute and chronic disease, leading causes of death, community perspectives gathered from focus groups and interviews, and progress on the implementation strategy.
PIH Health Downey Hospital	Part V, Section B, Line 5: Primary data collection consisted of 23 key stakeholder interviews and 14 community focus groups (138 participants) regarding perceptions and opinions of those representing the broad interests of the communities in our primary service area. Interview participants included agencies representing a broad range of health and social services, including leaders and representatives of medically underserved, low-income and minority populations as well the local health department that have current information relevant to the health needs of the communities we serve. Focus group participants included members of medically underserved, low-income and minority populations, individuals or organizations serving the interests of these populations, and persons representing the broad interest of the community. Focus groups were conducted in both English and Spanish.The full listing of interview and focus groups can be found in Appendix B of the assessment found here: https://www.pihhealth.org/app/files/public/5021/2019-CHNA-Downey.pdf
PIH Health Downey Hospital	Part V, Section B, Line 6a: PIH Health Downey Hospital's CHNA was conducted with PIH Health Whittier Hospital, St. Francis Medical Center and Kaiser Permanente Downey Medical Center. Shared service areas and community partners allowed for coordinated interviews and focus groups and sharing of data/results.
PIH Health Downey Hospital	Part V, Section B, Line 7d: Assessment findings were also distributed to key stakeholders via email with emphasis on supporting program planning and fund-development endeavors, sharing organizations the expense of duplicative data collection efforts. Assessment findings are also shared on an on-going basis via presentations at community events and community collaborative meetings, through social media channels and via our organization's e-newsletter and mailed magazine that reaches over 350,000 residents collectively.
PIH Health Downey Hospital	Part V, Section B, Line 11: PIH Health's Community Health Improvement Plan (CHIP) ensures alignment of CHNA findings, our community health improvement programs and PIH Health's organizational strategy. To view the 2020-2022 CHIP and the initiatives identified to address areas of focus (cancer incidence/mortality, diabetes incidence/mortality, heart disease/stroke incidence/mortality, overweight/obesity, substance use and misuse, preventative screenings and immunizations with emphasis on flu and pneumonia vaccines and cancer screenings, food insecurity, housing/homelessness, dental care and mental health), visit https://www.pihhealth.org/about-us/community-benefit/. For the health needs not prioritized as areas of focus - access to healthcare, asthma incidence, birth indicators, economic insecurity, education, kidney disease mortality, liver disease mortality, sexually transmitted infections, violence and injury - it was determined that PIH Health has neither the expertise nor the infrastructure to lead efforts in these areas. As these health needs are still very important to PIH Health and the community it serves, emphasis will be placed on referral relationships with community-based agencies already working in these areas.
PIH Health Downey Hospital	Part V, Section B, Line 13b: Assistance is provided free or discounted for those patients eligible for FAP. The criteria for FAP is if the patient is uninsured and does not have the ability to pay, has restricted Medi-Cal benefits, or is underinsured. This is also considerations for patients where the FPG is not applicable and the patient is insured with inadequate coverage or excessive liability.
PIH Health Downey Hospital	Part V, line 16a, FAP website: https://www.pihhealth.org/patients-visitors/billing-financial-assistance/financial-assistance/
PIH Health Downey Hospital	Part V, line 16b, FAP Application Website: https://www.pihhealth.org/patients-visitors/billing-financial-assistance/financial-assistance/
PIH Health Downey Hospital	Part V, line 16c, FAP Plain Language Summary Website: https://www.pihhealth.org/patients-visitors/billing-financial-assistance/financial-assistance/

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	1 - PIH Health Downey Hosp Rehabilitation	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11420 Brookshire Ave	AddressLine1Txt
City	Downey	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90241	ZIPCd

Field	Value	IRS element (for citing)
Facility	Outpatient Therapy	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 6a:	PIH Health's Community Benefit Report, prepared annually, accounts for the organization's programs and services that promote the health of the community. The report separates out community benefit investment figures for each hospital. The report was made widely available to the public via social media, our organization's website and a community e-newsletter. It will also be shared with certain internal and community stakeholders via presentation.To view the full report, visit PIHHealth.org/cbannualreport
Part I, Line 7:	Patient care cost-to-charges ratio derived from worksheet 2 was used to calculate the financial assistance. For all others, we utilized internal costing system and accounts for the various payer mix.
Part I, Line 7, Column (f):	The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 5,768,007.
Part II, Community Building Activities:	PIH Health works with a variety of community stakeholders to enhance the collective capacity for addressing the root causes of health problems. PIH Health staff supported a local community service club by participating in their meetings/activities. Civic clubs improve the civic and cultural wellbeing of the community. PIH Health also undertakes disaster preparedness training above and beyond licensure requirements to ensure we are effectively prepared to serve the community in a disaster.
Part III, Line 2:	The provision for bad debts is based upon management's assessment of historical and expected net collections, taking into consideration historical business and economic conditions, trends in health care coverage, and other collection indicators. Management routinely assesses the adequacy of the allowances for uncollectible accounts based upon historical write-off experience by payor category. The company follows established guidelines for placing certain patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by each facility. The provision for bad debts is presented on the consolidated statements of operations as a deduction from patient services revenues (net of contractual allowances and discounts) since the company accepts and treats all patients without regard to the ability to pay.
Part III, Line 4:	As part of the Company's mission to serve the community, the Company provides care to patients even though they may lack adequate insurance or may participate in programs with negotiated or regulated payment amounts. The Company makes every effort to determine if a patient qualifies for charity care upon admission, though determination may also be made at a later time. After satisfaction of amounts due from insurance, the application of any financial, uninsured or other discounts or payments received on the account, and reasonable efforts to collect from the patient have been exhausted, the Company follows established guidelines for placing certain past-due patient balances with collection agencies, subject to certain restrictions on collection efforts as determined by the Company. The Company manages its collection risk by regularly reviewing its accounts and contracts, and by providing appropriate allowances that are netted against patient accounts receivable in the consolidated balance sheets.Implicit price concessions is based upon management's assessment of historical and expected net collections, taking into consideration historical business and economic conditions, trends in healthcare coverage and other collection indicators. Management routinely assesses the adequacy of the implicit price concessions based upon historical write-off experience by payor category. The Company follows established guidelines for placing certain patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by each facility. Implicit price concessions is included as a deduction from patient services revenues since the Company generally accepts and treats all patients without regard to the ability to pay.
Part III, Line 8:	The Company does not take the position that Medicare shortfall should be treated as community benefit. The State has specifically asked us to report this separately from our community benefit totals. The Company uses a cost-to-charge (C2C) ratio to determine Medicare allowable costs of care relating to payment received from Medicare, which is similar to the IRS Form 990, Schedule H method. However, the PIH Health system is more refined and exacting, since it is generated at the department level and includes both direct costs and allocated company-wide indirect costs. All period indirect costs are allocated between PIH Health departments based on their relative gross charges. The sum of the direct and allocated indirect costs of each department are divided by the total department gross procedure charges. The resulting department specific percentage, i.e., department C2C %, is loaded into PIH Health's ERP software each quarter. The cost system applies the department's C2C % to all procedure charges originating within the department in order to compute the related procedure costs. As such, all cost information reflected in PIH Health's regulatory reporting and financial analysis is based on the above department C2C methodology.
Part III, Line 9b:	The hospital encourages all self-pay patients to apply for financial assistance or other programs. 1. All uninsured patients are assumed to need financial assistance and automatically receive discounted bills that reflect the contract rate or less of a Medicare Advantage contract.2. All uninsured patients are provided with a financial assistance and Medicaid application at the time of registration thereby giving them the opportunity to apply for assistance.3. There are signs through the facility that educate patients and visitors about the availability of financial assistance.4. The hospital's website publishes the financial assistance policy and applications.5. Self-pay inpatients also may be contacted by a vendor to offer assistance in applying for Medicaid, if eligible.6. Statements (which reflect a reduction in charges to the rates at or lower than contracted rates for Medicare Advantage members) promote the hospital's financial assistance program.7. Only patients who do not qualify for further financial assistance (after discounts) or who do not apply for programs and do not pay are referred to collection. In addition, if a patient is referred to collection and later applies for charity and qualifies, the patient's account is returned to the hospital and financial assistance is extended.
Part VI, Line 2:	In addition to the hospital's CHNA, PIH Health utilizes the following methods to assess the health care needs of the communities it serves: Community Benefit Oversight Committee- In 2006, PIH Health's Board of Directors established the Community Benefit Oversight Committee (CBOC), which is comprised of community stakeholders and key public health and legislative representatives. This committee meets regularly and its members share healthcare-related needs/concerns experienced by the community members they represent as well as assets or potential partners for the hospital to engage in addressing the identified needs.Feedback from Community Organizations / Collaborative- Through participation in various community collaborative and networking meetings, PIH Health is able to assess the healthcare needs of the community and identify partnership opportunities.
Part VI, Line 3:	There are many avenues PIH Health takes in educating patients and family members about the various financial assistance programs. Patient are advised at the time of service, during in-house care and post discharges. Free handouts of the FAP application are provided in both english and spanish. There ae postings throughout the hospital in both english and spanish with information about our FAP program. We have an eligibility vendor that is conveniently available to assist our patients in the emergency room or in-house patients with determining eligibility for various governmental programs, as well as, advise and assist the patient with the FAP. Post discharge, our Business Office staff takes the initiative to advise the patient of our FAP program. Also, with the initial statement sent to patients, an application is included. PIH Health's FAP is also published on our website.
Part VI, Line 4:	PIH Health Downey Hospital is located in a mostly suburban area of southeastern Los Angeles County. The hospital's primary service area includes 11 zip codes in 11 cities / communities. Primary service area cities include:Bell / Bell Gardens / Cudahy 90201Bellflower 90706Downey 90240, 90241, 90242Huntington Park 90255Lynwood 90262Norwalk 90650Paramount 90723Pico Rivera 90660South Gate 90280Primary Service Area ProfileThe population for PIH Health Downey Hospital's primary service area is 760,867.Population demographics: Children and youth (ages 0-17) make up 27.4% of the population; older adults (ages 65+) make up 9.5% of the population. The largest population by race and ethnicity in the service area is Hispanic or Latino (82.4%). White/Caucasians make up 7.5% of the population. Asians comprise 4.9% of the population, and African Americans, Native Americans, Hawaiians, and other races combined total 5.3% of the population.Income & Poverty: The median household income in the service area is $50,712. Some 19.4% of the service area population lives below 100% of the Federal Poverty Level and 47.8% live below 200%. Health Insurance: 82.6% of the service area is insured, 92.4% of children 0-18 are insured and 75.8% of adults ages 19-64 are insured. There are nine other hospitals providing care in the service area population and one federally-designated medically underserved areas present in the service area. For additional data regarding the service area, please see the CHNA at https://www.pihhealth.org/about-us/community-benefit/
Part VI, Line 5:	Community BoardPIH Health's community Board of Directors works to advance PIH Health's commitment to helping our communities get well and stay healthy.Open Medical StaffPIH Health extends medical staff privileges to all qualified physicians in its community for some or all of its departments or specialties.Use of Surplus FundsPIH Health applies surplus funds toward improvements in patient care, technology, and medical education.Community Benefit Oversight Committee (CBOC)In 2006, PIH Health's Board of Directors established the CBOC, comprised of community stakeholders and a public health representative. The CBOC promotes the health of the community by 1) reviewing and validating legal and regulatory compliance with respect to community benefit mandates, 2) reviewing and validating that PIH Health's community benefit programs and services effectively meet identified community health needs, with emphasis on vulnerable populations, as an essential expression of PIH Health's charitable mission and 3) increasing public awareness of community benefit activities and community value.Donation of TimeMany PIH Health providers are living out their passion to serve people in need by donating their time and talents both in our community and overseas. Emergency and Disaster Preparedness/Disaster Resource Center (DRC) PIH Health Whittier Hospital is one of 13 Los Angeles County designated DRC's that ensure the community has access to resources and the highly skilled staff needed to respond to a large-scale disaster or other public health emergencies.Environmental and Recycling ProjectsPIH Health continues to implement "green" initiatives, including increased usage of LED lighting to decrease consumption of electricity and, expanding a methane gas project with the City of Whittier to convert methane gas into electricity. Eyeglasses and hearing aids are also collected and recycled for redistribution by the East Whittier Lions Club to those in need.Volunteer Contributions Some 1,282 PIH Health System volunteers collectively contributed 111,535 hours of service, supporting departments throughout the organization.Reach Out and Read Program Our Pediatrics Department partners with Reach Out and Read to promote early literacy and school readiness. Physicians provide patients with a children's book and discuss with parents the importance of reading aloud. Each year, over 4,912 new books are distributed.
Part VI, Line 6:	PIH Health Downey Hospital is a member of an integrated healthcare system controlled by PIH Health, Inc. As such, the hospital has several affiliates, as outlined in Schedule R, which conduct, support, and promote the health of the community within the meaning of Section 501(c)(3) of the code. Key affiliates include: 1) PIH Health, Inc., PIH Health Downey Hospital's parent company; 2) PIH Health Good Samaritan Hospital; 3) PIH Health Whittier Hospital 4) PIH Health Physicians, a nonprofit medical foundation; 5) PIH Health Home Healthcare and 6) the PIH Health Foundation, a nonprofit organization that exists to raise philanthropic funds in support of PIH's charitable mission.1) PIH Health, Inc. provides technical, facility and support services for tax-exempt affiliates whose charitable purpose is to provide a broad range of healthcare services to their community by way of an integrated health care delivery system.2) PIH Health Good Samaritan Hospital founded in 1885, became part of PIH Health in December 2019. As a 501 (c)(3) nonprofit, 408-bed acute care hospital, the downtown Los Angeles campus serves the healthcare needs of a growing and diverse community. As a nonnprofit hospital with a charitable mission, PIH Health Good Samaritan Hospital is a dedicated community health and wellness partner. This commitment and leadership gives back to the community through charity care, medical research, donations, health professions education and more.3) PIH Health Whittier Hospital opened in 1959. As a 501 (c)(3) nonprofit, 523-bed hospital, the Whittier campus has developed into a health system offering a multitude of services. As a nonnprofit hospital with a charitable mission, PIH Health Whittier Hospital is a dedicated community health and wellness partner. This commitment and leadership gives back to the community through charity care, medical research, donations, health professions education and more.4) PIH Health Physicians (PHP) A 501(c)(3) nonprofit medical group that is exclusively affiliated with PIH Health, the group is comprised of more than 150 primary care physicians and over 245 specialists who coordinate care from diagnosis to recovery. PHP supports the local community through its financial assistance program, Whittier First Day Health & Wellness Center for the homeless and those at-risk for homelessness, health professions education, and other community health improvement services.5) PIH Health Home Healthcare provides around-the-clock, quality care for patients in their own home. PIH Health Home Healthcare is certified by the Centers for Medicare and Medicaid Services.6) The PIH Health Foundation raises funds in support of PIH Health to ensure the health and well-being of our communities for years to come through supporting programs that directly impact the community, including PIH Health's community benefit programs. Healthy Living Healthy Giving is an opportunity for everyone to play a role in the overall health of their friends, family, neighbors and everyone who lives, works, learns and plays in our community. Gifts big, small and all will support PIH Health's work to provide access to quality healthcare, screenings, preventative care, prevention-focused education and other important initiatives.For detailed information regarding these PIH Health affiliates' additional activities to support and promote community health, please see each respective organization's IRS Form 990.
Part VI, Line 7, Reports Filed With States	CA

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 (14 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
President and CEO	$0	$1,347,488	$0	$275,638	$0	$1,181,358	$0	$290,280	$0	$19,383	$0	$3,114,147	$0	$1,168,584
Rosalio Lopez MD
CSO/CMO	$0	$837,160	$0	$107,647	$0	$690,771	$0	$195,921	$0	$9,216	$0	$1,840,715	$0	$397,219
Peggy Chulack
CAO & Asst. Secretary	$0	$698,611	$0	$82,933	$0	$129,854	$0	$136,456	$0	$14,087	$0	$1,061,941	$0	$122,666
Anita Chou
CFO & Asst. Treasurer (Until 2/3/21)	$0	$675,702	$0	$50,000	$0	$6,870	$0	$7,800	$0	$14,129	$0	$754,501	$0	$0
Richard Trogman
President & Sys. COO (Until 10/23/20	$0	$453,234	$0	$0	$0	$154,186	$0	$128,141	$0	$152	$0	$735,713	$0	$19,604
Ramona Pratt
Former CNO	$0	$360,192	$0	$39,783	$0	$6,774	$0	$80,111	$0	$19,431	$0	$506,291	$0	$0
Jaime Diaz MD
CMO (until 6/8/20)	$419,160	$0	$0	$0	$57,320	$0	$7,800	$0	$20,970	$0	$505,250	$0	$0	$0
Vid Shivaraman
CFO & Asst. Treasurer	$0	$354,174	$0	$0	$0	$6,162	$0	$64,019	$0	$6,255	$0	$430,610	$0	$0
Ceonne Houston-Rassikh
CNO	$0	$277,340	$0	$0	$0	$6,968	$0	$68,654	$0	$18,031	$0	$370,993	$0	$0
Lela Rosales
RN Charge Nurse	$273,581	$0	$0	$0	$0	$0	$10,348	$0	$13,475	$0	$297,404	$0	$0	$0
Linda Buddine
RN Charge Nurse	$248,813	$0	$0	$0	$3,682	$0	$12,786	$0	$23,671	$0	$288,952	$0	$0	$0
Rosalie Madden
RN Charge Nurse	$226,221	$0	$0	$0	$1,050	$0	$6,764	$0	$21,163	$0	$255,198	$0	$0	$0
Sandra Torres
RN Charge Nurse	$196,717	$0	$1,500	$0	$2,447	$0	$1,822	$0	$3,796	$0	$206,282	$0	$0	$0
Muriel Moyo
RN Clinical Dir. (Until 8/27/21)	$184,100	$0	$2,500	$0	$8,492	$0	$6,032	$0	$1,420	$0	$202,544	$0	$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 (PIH), a related organization. PIH 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

Part I, Line 4A: Richard Trogman received a severance payment during the calendar year. The payment is included in Part VII, Column D (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. Part I, Line 4B: PIH Health Inc. and its affiliates provides a Supplemental Executive Retirement Plan for certain executives. The following individuals participate in the plan: Peggy Chulack James West Anita Chou Vid Shivaraman Rosalio Lopez Richard Trogman Ramona Pratt Ceonne Houston-Rassikh The following amounts became vested or were paid-out in 2020 and are included in Schedule J, Part II, Column (b)(iii): James West $1,168,584 Rosalio Lopez $397,219 Peggy Chulack $122,666 Richard Trogman $19,604

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Explanation for filing Amended Form 990:	PIH Health Downey Hospital is amending the Form 990 with year ended September 30, 2021 to attach a copy of the amendment to the articles of incorporation and proof of filing with the appropriate state authority as required for a legal name change that hasn't been reported to the Internal Revenue Service. The amended Form 990 is being filed before the extended due date of August 15, 2022.
Form 990, Part VI, Section A, line 2	PIH Health Downey Hospital is a member of an integrated healthcare system controlled by PIH Health, Inc. 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, James West, Peggy Chulack, Anita Chou, Rosalio Lopez, Vid Shivaraman.
Form 990, Part VI, Section A, line 4	On May 6, 2021, the organization changed its name to PIH Health Downey Hospital.
Form 990, Part VI, Section A, line 6	PIH Health, Inc. Is the sole member of PIH Health Downey Hospital.
Form 990, Part VI, Section A, line 7a	PIH Health, Inc. has authority to elect all the members of the Board of Directors of PIH Health Downey Hospital.
Form 990, Part VI, Section A, line 7b	PIH Health, Inc. has all voting rights and the power to elect the Board of Directors of PIH Health Downey Hospital.
Form 990, Part VI, Section B, line 11b	The Organization works with an independent accountant, RSM US LLP, to prepare the Form 990. Once the return is prepared, the return is reviewed by the Chief Financial Officer and VP of Finance. Form 990 is then reviewed by the Audit Committee of PIH Health, Inc., which is made up of independent directors. RSM US LLP makes all changes necessary. The final Form 990 is provided to the board prior to filing.
Form 990, Part VI, Section B, line 12c	Each year, all management and board of directors members are required to complete a conflict of interest disclosure form. All positive responses are reviewed by the General Counsel and Chief Administrative Officer of PIH Health, Inc. Each positive response is considered in light of magnitude of ownership interest, financial transaction(s), etc. If deemed necessary, conflicts of interest could be resolved by insisting that the incumbent either divest their ownership interest, that the organization terminate the business relationship, or even that the director resign. Directors with potential conflicts of interest may recuse themselves from voting on certain matters and/or may excuse themselves from meetings during the discussion, deliberation, and voting on of matters.
Form 990, Part VI, Section C, line 19	The organization does not make its governing documents, conflict of interest policy, and financial statements available to the public. Form 990 is available upon request. The organization is not required to make form 1023 available for public inspection as it received its tax exemption prior to July 15, 1987.
Form 990, Part VII, Section A, Line 1:	Three of the filing organization's directors, Mark Minkes, Jung Yong Park and Rosalio Lopez, are employees of PIH Health Downey Medical Group (DMG), Inc. which has a professional service agreement with PIH Health Physicians, an affiliate of the filing organization, to provide physician services. The individuals received compensation from DMG as follows: Mark Minkes: Reportable Base Compensation - $543,573 Other Compensation - $50,647 Jung Yong Park: Reportable Base Compensation - $569,577 Other Compensation - $29,331 Rosalio Lopez: Reportable Base Compensation - $63,985 Other Compensation - $0

Schedule R IRS990ScheduleR

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	Direct Controlling NADirectControllingNACd
PIH Health Foundation
12401 Washington Blvd	Whittier	CA	90602	953761274	Fundraising	CA	501(c)(3)	Line 7	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	Support of Tax-Exempt Affiliates	CA	501(c)(3)	Line 12b, II	PIH Health Inc	Yes (1)
PIH Health Inc
12401 Washington Blvd	Whittier	CA	90602	953619388	Support of Tax-Exempt Affiliates	CA	501(c)(3)	Line 12b, II		0	N/A
PIH Health Adult Day Healthcare
12401 Washington Blvd	Whittier	CA	90602	953643829	Support of Tax-Exempt Affiliates	CA	501(c)(3)	Line 12b, II	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
6557 Greenleaf Ave	Whittier	CA	90601	953942828	Healthcare	CA	501(c)(3)	Line 10	PIH Health Inc	Yes (1)
PIH Health Good Samaritan Hospital
1225 Wilshire Blvd	Los Angeles	CA	90017	951656366	Hospital	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	Heart 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	Orthopedic 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	Outpatient Imaging Services	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	Physicians 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	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
DRMC Properties Inc
11500 Brookshire Avenue	Downey	CA	90241	954769768	Real Estate	CA	N/A	C	Yes (1)
PIH Health RE
1003 Bishop Street	Honolulu	HI	96813	472501390	Captive Insurance	HI	N/A	T	Yes (1)
PIH Insurance Co A Reciprocal Risk Retention Group
1003 Bishop Street	Honolulu	HI	96813	263760243	Captive Insurance	HI	N/A	T	Yes (1)
PIH Health Care Solutions
6557 Greenleaf Avenue	Whittier	CA	90601	462072342	Healthcare	CA	N/A	C	Yes (1)
Healthmed Services Inc
12401 Washington Blvd	Whittier	CA	90602	300831225	Healthcare	CA	N/A	C	Yes (1)
Pioneer Medical Group Inc
12401 Washington Blvd	Whittier	CA	90602	330927283	Medical Services	CA	N/A	C	Yes (1)
Pioneer Provider Network A Medical GroupInc
12401 Washington Blvd	Whittier	CA	90602	330922631	Management Services	CA	N/A	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	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	Yes (1)	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	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	PIH Health Foundation	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionTypeTxt
Involved	$121,033	InvolvedAmt
Method Of Amount Determination	Cash	MethodOfAmountDeterminationTxt