PIH HEALTH GOOD SAMARITAN HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: PIH HEALTH GOOD SAMARITAN HOSPITAL (EIN 95-1656366)
Tax period: 2023-10-01 to 2024-09-30
Filed: 2025-08-13
IRS object ID: 202532259349301438
Schema version: 2023v6.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-08-13T11:41:20+00:00	ReturnTs
Tax Period End	2024-09-30	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	2023-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	951656366	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	PIHH	BusinessNameControlTxt
Phone	2139772121	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1225 Wilshire Blvd	AddressLine1Txt
City	Los Angeles	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	900172395	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Vid Shivaraman	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2025-08-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	BRITTANY ELLISER	PreparerPersonNm
PTIN	P01284594	PTIN
Phone	2253444000	PhoneNum
Preparation	2025-08-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	James West	BusinessNameLine1Txt

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	$411,992,669	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.pihhealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1885	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	Provide high-quality healthcare, without discrimination, and contribute to the health and well-being.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	1824	TotalEmployeeCnt
Total Volunteers	271	TotalVolunteersCnt
Total Gross UBI	$176,896	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,322,305	PYContributionsGrantsAmt
CY Contributions Grants	$7,694,857	CYContributionsGrantsAmt
PY Program Service Revenue	$361,265,554	PYProgramServiceRevenueAmt
CY Program Service Revenue	$368,107,801	CYProgramServiceRevenueAmt
PY Investment Income	$8,797,284	PYInvestmentIncomeAmt
CY Investment Income	$8,917,861	CYInvestmentIncomeAmt
PY Other Revenue	$5,753,362	PYOtherRevenueAmt
CY Other Revenue	$6,506,734	CYOtherRevenueAmt
PY Total Revenue	$379,138,505	PYTotalRevenueAmt
CY Total Revenue	$391,227,253	CYTotalRevenueAmt
PY Grants And Similar Paid	$300,100	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$5,169,509	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$171,842,791	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$176,197,164	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$225,426	CYTotalFundraisingExpenseAmt
PY Other Expenses	$239,274,805	PYOtherExpensesAmt
CY Other Expenses	$230,694,278	CYOtherExpensesAmt
PY Total Expenses	$411,417,696	PYTotalExpensesAmt
CY Total Expenses	$412,060,951	CYTotalExpensesAmt
PY Revenues Less Expenses	-$32,279,191	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$20,833,698	CYRevenuesLessExpensesAmt
Total Assets BOY	$566,649,349	TotalAssetsBOYAmt
Total Assets EOY	$602,884,520	TotalAssetsEOYAmt
Total Liabilities BOY	$155,809,140	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$196,891,669	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$410,840,209	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$405,992,851	NetAssetsOrFundBalancesEOYAmt
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	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$198,364,179	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$137,341,570	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 Good Samaritan Hospital offers a generous Financial Assistance Program, providing charity care to those with family income(s) at or below 400% of Federal Poverty Level guidelines. The hospital has a policy to treat emergency and certain other patients regardless of their ability to pay. Under the charity care policy, charity care may be provided to people who are uninsured or underinsured and cannot afford to pay for their own medical care. In providing services to those patients participating in means-tested government health programs, such as Medi-Cal, PIH Health Good Samaritan Hospital 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: 40,696	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$183,416,656	ExpenseAmt
Grant	$5,169,509	GrantAmt
Revenue	$230,082,698	RevenueAmt
Desc	Patient Care: Founded in 1885, PIH Health Good Samaritan Hospital 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. Patient Care in Fiscal Year 2023-2024 Employees: 1,412 Volunteers: 271 Number of Emergency Department (ED) visits: 48,063 Number of Births: 1,457 Medical Staff: 615	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$8,995,875	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$683,533	RevenueAmt
Desc	Other Community Benefit Services: Community health improvement services and community benefit operations, health professions education, subsidized services, research, community building and cash and in-kind contributions for community benefit are comprised of the following: COMMUNITY HEALTH IMPROVEMENT SERVICES: Defined as community health improvement activities, which extend beyond patient care activities. This category includes community health education, community social service helpline, flu and vaccination clinics, Medi-Cal eligibility workers and transportation services. Snapshot of Outcomes: * 22,789 community members were reached through a variety of community health improvement activities. HEALTH PROFESSIONS EDUCATION: This category includes educational programs for physicians, nurses, chaplain and other health professional students when education is necessary or required by state law, accrediting body or health profession society. Snapshot of Outcomes: * 68 medical residents, nursing, and ancillary professions students were provided with mentorship, internship, 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 Good Samaritan Hospital subsidized Emergency Department On-Call Physicians and the Neonatal Intensive Care Unit (NICU). Snapshot of Outcomes: * $1,068,936 in expenses were incurred in subsidized services in Fiscal Year 2023-2024. RESEARCH: Research that may be reported as community benefit includes clinical and community health research as well as studies on healthcare delivery that are generalizable and shared with the public. PIH Health Good Samaritan Hospital has been offering clinical trials and research studies aimed at improving health. Snapshot of Outcomes: * Over $378,083 in expenses have been incurred in research in Fiscal Year 2023-2024. CASH & IN-KIND CONTRIBUTIONS: This category includes funds and in-kind services donated by PIH Health Good Samaritan Hospital to community organizations or to the community-at-large for a community benefit purpose. These donations include cash donations to community organizations, in-kind hours contributed by staff to the community while on PIH Health work time, the cost of office and meeting space provided to community groups, and the donations of equipment, medications, supplies and services. Snapshot of Outcomes: *8,985 at-risk individuals were provided with in-kind durable medical equipment, transportation, or other healthcare support services, such as skilled nursing or mental healthcare. Total number of persons served by other community benefit services: 23,364 For additional information, please refer to PIH Health's community benefit report at: PIHHealth.org/CBAAnnualReport	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$390,776,710	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	530	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1824	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	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	12401 Washington Blvd	AddressLine1Txt
City	Whittier	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90602	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 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	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ALEX ALVAREZ
DIRECTOR & TREASURER	1.5	6.0	Yes (X)	Yes (X)	$0	$0	$0
CHARLOTTE WEAVER PhD
DIRECTOR & CHAIR	1.5	6.0	Yes (X)	Yes (X)	$0	$0	$0
PATRICK MONROE
DIRECTOR & VICE CHAIR	1.5	6.0	Yes (X)	Yes (X)	$0	$0	$0
PAUL TREINEN
DIRECTOR & SECRETARY	1.5	6.0	Yes (X)	Yes (X)	$0	$0	$0
BLAYNE CUTLER MD PhD THRU 92724
DIRECTOR	1.5	6.0	Yes (X)		$0	$0	$0
JANE DICUS THRU 92724
DIRECTOR	1.5	6.0	Yes (X)		$0	$0	$0
JAY BROWN THRU 92724
DIRECTOR	1.5	6.0	Yes (X)		$0	$0	$0
JEFF HAMAR
DIRECTOR	1.5	6.0	Yes (X)		$0	$0	$0
KENTON WOODS
DIRECTOR	1.5	6.0	Yes (X)		$0	$0	$0
MARISSA GOLDBERG
DIRECTOR	1.5	6.0	Yes (X)		$0	$0	$0
MELANIE BATISTE
DIRECTOR	1.5	6.0	Yes (X)		$0	$0	$0
MOEZ KHORSANDI DO
DIRECTOR	1.5	0	Yes (X)		$0	$0	$0
PETER GREANEY MD
DIRECTOR	1.5	6.0	Yes (X)		$0	$0	$0
RICHARD ATWOOD
DIRECTOR	1.5	7.5	Yes (X)		$0	$0	$0
ROBERT MALONEY MD THRU 111623
DIRECTOR	1.5	6.0	Yes (X)		$0	$0	$0
THURSO BARENDSE START 2824
DIRECTOR	1.5	6.0	Yes (X)		$0	$0	$0
TRACEA SARALIEV START 2824
DIRECTOR	1.5	6.0	Yes (X)		$0	$0	$0
WESLEY HEARTFIELD MD
DIRECTOR	1.5	0	Yes (X)		$0	$0	$0
WILLIAM ROTH
DIRECTOR	1.5	6.0	Yes (X)		$0	$0	$0
IRENA ZUANIC
CNO & CO-SITE ADMIN	40.0	0.0		Yes (X)	$0	$526,078	$128,603
JAMES WEST
SYSTEM PRESIDENT & CEO	10.0	42.2		Yes (X)	$0	$2,523,533	$38,737
PEGGY CHULACK
SYSTEM CAO & ASST SECRETARY	10.0	42.2		Yes (X)	$0	$1,619,441	$32,543
ROSALIO LOPEZ MD
CSO	10.0	36.2		Yes (X)	$0	$1,366,325	$48,338
VID SHIVARAMAN
SYSTEM CFO & ASST TREASURER	10.0	42.2		Yes (X)	$0	$884,098	$197,076
MOHAMMED GHONIM
REGIONAL VP	15.0	25.0			$0	$480,593	$78,065	Yes (X)
BENJAMIN LY
Supervisor, Inpatient Pharmacy	40.0	0			$253,766	$0	$26,376		Yes (X)
DAVID WON-SUK CHOI
DIR INPATIENT PHARMACY	40.0	0			$225,612	$0	$32,177		Yes (X)
IRA MEISELMAN
DIRECTOR MANAGED CARE	40.0	0			$307,856	$0	$36,087		Yes (X)
JORGE GAMEZ
DIR PREOPERATIVE SVCS	40.0	0			$258,196	$0	$15,649		Yes (X)
KELVIN MATUTE
DIR CARE MGMT	40.0	0			$266,906	$0	$9,198		Yes (X)
BRIAN SMOLSKIS
FORMER - SYSTEM COO		0.0			$0	$1,928,328	$264,451			Yes (X)
KEVIN BROWN
FORMER -VP, CARDIOLOGY SERVICES (THRU 5/23)		0.0			$0	$434,841	$61,389			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,312,336	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,763,237	TotReportableCompRltdOrgAmt
Total Other Compensation	$968,689	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	578	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
SODEXO AMERICA LLC
9801 Washington Blvd	GAITHERSBURG	MD	20878	DIETARY SERVICES	$12,158,245
AYA HEALTHCARE INC
5930 Cornerstone Ct W	SAN DIEGO	CA	92121	Nursing Registry Services	$10,829,344	Suite 300
REHABCARE GROUP OF CALIFORNIA LLC
P O Box 502096	ST LOUIS	MO	63150	Rehabilitation Services	$3,482,288
MILES & KELLY CONSTRUCTION COMPANY INC
23691 Via Del Rio	YORBA LINDA	CA	92887	Construction Services	$2,659,373
INNOVATIVE HEALTH ASSOCIATES
13886 Plumrose Place	CHINO HILLS	CA	91709	Healthcare Professionals	$1,913,600

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	97	CntrctRcvdGreaterThan100KCnt
Related Organizations	$226,634	RelatedOrganizationsAmt
Government Grants	$5,956,587	GovernmentGrantsAmt
All Other Contributions	$1,511,636	AllOtherContributionsAmt
Total Contributions	$7,694,857	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE	622110	$294,825,780	$294,825,780
HOSPITAL FEE PROGRAM	900099	$70,553,811	$70,553,811
LAMBERT RADIOLOGY	622110	$2,606,258	$2,606,258
RENTAL INCOME	532000	$121,952	$121,952

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$368,107,801	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,357,885	TotalRevenueColumnAmt
Exclusion	$9,357,885	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$20,274,699	SecuritiesAmt
Other	$50,693	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$20,765,416	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$490,717	SecuritiesAmt
Other	$50,693	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$440,024	TotalRevenueColumnAmt
Exclusion	-$440,024	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PARKING LOT	812930	$2,288,363	$80,010	$2,208,353
VIVITY EARNING DISTRIBUTIONS	900099	$1,688,158		$1,688,158
PHYSICIAN MANAGEMENT SERVICES	621110	$47,625	$47,625

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,482,588	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$49,261	UnrelatedBusinessRevenueAmt
Exclusion	$2,433,327	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,506,734	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$391,227,253	TotalRevenueColumnAmt
Related Or Exempt Func Income	$368,107,801	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$176,896	UnrelatedBusinessRevenueAmt
Exclusion	$15,247,699	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$5,169,509	TotalAmt
Program Services	$5,169,509	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$401,805	TotalAmt
Program Services	$281,264	ProgramServicesAmt
Management And General	$120,541	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$122,445,607	TotalAmt
Program Services	$117,637,669	ProgramServicesAmt
Management And General	$4,807,938	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,484,980	TotalAmt
Program Services	$4,326,757	ProgramServicesAmt
Management And General	$158,223	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$38,665,303	TotalAmt
Program Services	$36,836,055	ProgramServicesAmt
Management And General	$1,829,248	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,199,469	TotalAmt
Program Services	$9,998,014	ProgramServicesAmt
Management And General	$201,455	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$103,917	TotalAmt
Management And General	$103,917	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$67,168	TotalAmt
Management And General	$67,168	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$159,407	TotalAmt
Management And General	$159,407	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$84,665,691	TotalAmt
Program Services	$79,317,987	ProgramServicesAmt
Management And General	$5,347,704	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$269,422	TotalAmt
Program Services	$5,772	ProgramServicesAmt
Management And General	$263,650	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,809,679	TotalAmt
Program Services	$2,790,200	ProgramServicesAmt
Management And General	$19,479	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$23,441	TotalAmt
Program Services	$23,441	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,432,030	TotalAmt
Program Services	$5,808,707	ProgramServicesAmt
Management And General	$1,623,323	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,802,462	TotalAmt
Program Services	$1,499,373	ProgramServicesAmt
Management And General	$3,303,089	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Supplies	$58,086,724	$57,899,724	$187,000
Hospital Fee Program	$41,860,503	$41,860,503
Bad Debt Expense	$12,896,382	$12,896,382
Utilities	$5,923,400	$5,905,095	$18,305

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,594,052	TotalAmt
Program Services	$8,520,258	ProgramServicesAmt
Management And General	$2,848,368	ManagementAndGeneralAmt
Fundraising	$225,426	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$412,060,951	TotalAmt
Program Services	$390,776,710	ProgramServicesAmt
Management And General	$21,058,815	ManagementAndGeneralAmt
Fundraising	$225,426	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,974,969	BOYAmt
EOY	$4,268,938	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,528,905	BOYAmt
EOY	$1,643,091	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$102,437,233	BOYAmt
EOY	$95,411,919	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,692,298	BOYAmt
EOY	$5,331,206	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,545,308	BOYAmt
EOY	$2,904,864	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$360,946,016	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$38,671,148	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$314,510,195	BOYAmt
EOY	$322,274,868	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$87,141,966	BOYAmt
EOY	$103,061,276	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$50,818,475	BOYAmt
EOY	$67,988,358	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$566,649,349	BOYAmt
EOY	$602,884,520	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$83,892,137	BOYAmt
EOY	$76,420,683	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$71,917,003	BOYAmt
EOY	$120,470,986	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$155,809,140	BOYAmt
EOY	$196,891,669	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	$336,324,802	BOYAmt
EOY	$329,457,526	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$74,515,407	BOYAmt
EOY	$76,535,325	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$410,840,209	BOYAmt
EOY	$405,992,851	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$566,649,349	BOYAmt
EOY	$602,884,520	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$20,833,698	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$15,039,613	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$946,727	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

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	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$67,168	OtherActivitiesAmt
Total Lobbying Expenditures	$67,168	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	Lobbying expenses represent a portion of the dues PIH Health Good Samaritan Hospital pays to the Hospital Association of Southern California and to American Hospital Association. PIH Health Good Samaritan 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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$70,007,051	BeginningYearBalanceAmt
Contributions	$1,552	ContributionsAmt
Investment Earnings Or Losses	$12,254,517	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,761,503	OtherExpendituresAmt
Administrative Expenses	$1,126,100	AdministrativeExpensesAmt
End Year Balance	$78,375,517	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$69,931,515	BeginningYearBalanceAmt
Contributions	$593	ContributionsAmt
Investment Earnings Or Losses	$3,371,694	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,575,117	OtherExpendituresAmt
Administrative Expenses	$721,634	AdministrativeExpensesAmt
End Year Balance	$70,007,051	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$70,136,969	BeginningYearBalanceAmt
Contributions	$18,931	ContributionsAmt
Investment Earnings Or Losses	$3,493,226	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,963,821	OtherExpendituresAmt
Administrative Expenses	$753,790	AdministrativeExpensesAmt
End Year Balance	$69,931,515	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$68,288,340	BeginningYearBalanceAmt
Contributions	$35,438	ContributionsAmt
Investment Earnings Or Losses	$5,607,660	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,656,123	OtherExpendituresAmt
Administrative Expenses	$138,346	AdministrativeExpensesAmt
End Year Balance	$70,136,969	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$68,269,283	BeginningYearBalanceAmt
Investment Earnings Or Losses	$20,070	InvestmentEarningsOrLossesAmt
Administrative Expenses	$1,013	AdministrativeExpensesAmt
End Year Balance	$68,288,340	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.145	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.6773	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.1777	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$204,149,473	OtherCostOrOtherBasisAmt
Book Value	$204,149,473	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$64,852,562	OtherCostOrOtherBasisAmt
Depreciation	$7,781,624	DepreciationAmt
Book Value	$57,070,938	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$78,012,538	OtherCostOrOtherBasisAmt
Depreciation	$28,506,236	DepreciationAmt
Book Value	$49,506,302	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,931,443	OtherCostOrOtherBasisAmt
Depreciation	$2,383,288	DepreciationAmt
Book Value	$11,548,155	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$322,274,868	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Hospital Fee Program Receivable	$64,002,412
SELF-INSURANCE RECEIVABLE - CURRENT PORTION	$1,888,085
Other notes and loan receivable	$1,587,565
Right of use Assets	$510,296

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$67,988,358	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDesc	AmtAmt
Cares Act Provider Relief Funds	$2,195,953
Hospital Fee Program Payable	$40,551,927
Reserve for Self-Insured Programs	$6,246,544
Pension Plan	$5,788,931
Advances from Third Party Payors	$8,018,540
Other Annuity Payment Liability	$1,327,299
Other Long Term Reserves	$7,647,881
Other Liabilities	$314,668
Right-of-Use Liability	$519,320
Intercompany Payable	$33,632,577
Reserve for Asset Retirement Obligation	$14,227,346

Field	Value	IRS element (for citing)
Total Liability	$120,470,986	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4 Intended uses of endowment funds

The organization's endowment consists of funds established for health care services, as specified by donors or the organization's board of directors.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

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, 2024 or 2023. 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 2020 for federal purposes and 2018 for California purposes.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	6457	PersonsServedCnt
Total Community Benefit Expns	$6,849,649	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,849,649	NetCommunityBenefitExpnsAmt
Total Expense	0.0172	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	34239	PersonsServedCnt
Total Community Benefit Expns	$188,512,246	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$137,341,570	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,170,676	NetCommunityBenefitExpnsAmt
Total Expense	0.1282	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	40696	PersonsServedCnt
Total Community Benefit Expns	$195,361,895	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$137,341,570	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$58,020,325	NetCommunityBenefitExpnsAmt
Total Expense	0.1454	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	22789	PersonsServedCnt
Total Community Benefit Expns	$4,746,448	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,746,448	NetCommunityBenefitExpnsAmt
Total Expense	0.0119	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	68	PersonsServedCnt
Total Community Benefit Expns	$2,759,109	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$683,533	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,075,576	NetCommunityBenefitExpnsAmt
Total Expense	0.0052	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	123	PersonsServedCnt
Total Community Benefit Expns	$1,068,936	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,068,936	NetCommunityBenefitExpnsAmt
Total Expense	0.0027	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	271	PersonsServedCnt
Total Community Benefit Expns	$378,083	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$378,083	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	94	PersonsServedCnt
Total Community Benefit Expns	$43,299	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,299	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	23345	PersonsServedCnt
Total Community Benefit Expns	$8,995,875	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$683,533	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,312,342	NetCommunityBenefitExpnsAmt
Total Expense	0.0208	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	64041	PersonsServedCnt
Total Community Benefit Expns	$204,357,770	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$138,025,103	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$66,332,667	NetCommunityBenefitExpnsAmt
Total Expense	0.1662	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	3	PersonsServedCnt
Total Community Benefit Expns	$2,338	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,338	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	16	PersonsServedCnt
Total Community Benefit Expns	$1,986	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,986	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	19	PersonsServedCnt
Total Community Benefit Expns	$4,324	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,324	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,779,567	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$85,280,361	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$85,206,841	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$73,520	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	false	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 GOOD SAMARITAN HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1225 WILSHIRE BLVD	AddressLine1Txt
City	LOS ANGELES	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	900172395	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.pihhealth.org/patients-visitors/welcome-to-pih-health-good-samaritan-hospital/	WebsiteAddressTxt
State License	930000071	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
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 GOOD SAMARITAN HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	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 (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.pihhealth.org/about-us/community-benefit/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.pihhealth.org/patients-visitors/billing-financial-assistance/financial-assistance/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.pihhealth.org/patients-visitors/billing-financial-assistance/financial-assistance/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.pihhealth.org/patients-visitors/billing-financial-assistance/financial-assistance/	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 (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	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 (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - PIH HEALTH GOOD SAMARITAN HOSPITAL. The Community Health Needs Assessment includes data 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. Infographics depict key data sets for the service area, and 10 heat maps further illustrate selected community health indicators.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - PIH HEALTH GOOD SAMARITAN HOSPITAL. PIH Health Good Samaritan Hospital conducted targeted interviews to gather information and opinions from persons who represent the broad interests of the community served by the medical center. Forty-three (43) telephone interviews were conducted during December 2021 and January 2022. Interview participants included a broad range of stakeholders concerned with health and wellbeing in the Los Angeles service area who spoke to issues and needs in the communities served by the hospital. The identified stakeholders were invited by email to participate in the phone interview. Appointments for the interviews were made on dates and times convenient to the stakeholders. At the beginning of each interview, the purpose of the interview in the context of the assessment was explained, the stakeholders were assured their responses would remain confidential, and consent to proceed was given. Interview questions focused on the following topics: * Biggest health issues in the community * Groups most impacted by community issues * Where people access routine healthcare services * Reasons for not having health coverage/insurance * Reasons for delaying needed healthcare * COVID-19 pandemic impact and the vaccine * Priority ranking of community needs * Whether they have received any cancer screenings and reasons for delaying * Barriers experienced while receiving cancer treatment * Additional comments and concerns A list of the stakeholder interview respondents, their titles and organizations can be found in Attachment 2. The full Community Health Needs Assessment, can be found at: https://www.pihhealth.org/about-us/community-benefit/
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - PIH HEALTH GOOD SAMARITAN HOSPITAL. PIH Health Good Samaritan Hospital participated in a collaborative process for the 2022 Community Health Needs Assessment, in partnership with California Hospital Medical Center.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - PIH HEALTH GOOD SAMARITAN HOSPITAL. The 2022 Community Health Needs Assessment was shared with PIH Health's Community Benefit Oversight Committee, comprised of community partners, legislative representatives, and community-at-large representatives, as well as Los Angeles Department of Public Health staff. The report was also shared with area nonprofit partners to support their program planning and grant-writing efforts.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - PIH HEALTH GOOD SAMARITAN HOSPITAL. PIH Health's Implementation Strategy ensures alignment of CHNA findings, our community health improvement programs and PIH Health's organizational strategy. To view the 2023-2025 Implementation Strategy and the initiatives identified to address areas of focus (access to health care - primary care, dental care and mental health, 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), visit: https://www.pihhealth.org/app/files/public/7fb79b0d-deb2-42e7-a1b6-da7400c7f211/Community%20Health%20Improvement%20Plan%202022_PHGSH.pdf Since PIH Health Good Samaritan Hospital cannot directly address all the health needs present in the community, we will concentrate on those health needs that can most effectively be addressed given our areas of focus and expertise. Taking existing hospital and community resources into consideration, PIH Health Good Samaritan Hospital will not directly address the remaining health needs identified in the CHNA, including: birth indicators, COVID-19, economic insecurity, education, and violence and injury prevention. While the hospital does not intend to emphasize community COVID-19 interventions at this point in the pandemic, PIH Health Good Samaritan Hospital will continue to deliver vaccines, testing, and acute medical care to address COVID-19.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - PIH HEALTH GOOD SAMARTIAN HOSPITAL. Assistance is provided free or discounted for those patients eligible under the 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 uninsured. There are also considerations for patients where the FPG is not applicable, and the patient is insured with inadequate coverage or excessive liability.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, 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 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.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	12896382
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	Patient care cost to charge ratio derived from Worksheet 2 was used to calculate the financial assistance and Medi-Cal cost. Actual costs from general ledger or departments were used for all other Costs.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	Bad debt expense is determined by subtracting Medicare bad debt reimbursement in the Medicare Cost Report from total bad debt transfers net of recoveries. This expense was not included in community benefit expense.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	PIH Health Good Samaritan Hospital actively provides all patients the option to apply for financial assistance, therefore, no estimate is made for bad debt attributable to patients eligible under the financial assistance policy.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	From the audited financial statements of PIH Health, Inc. and Subsidiaries for the year ended September 30, 2024: "Implicit price concessions are 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. Implicit price concessions are included as a deduction from patient services revenues since the Company generally accepts and treats all patients without regard to the ability to pay." The bad debt expense on line 2 is calculated by subtracting Medicare bad debt reimbursement in the Medicare Cost Report from total bad debt transfers net of recoveries, and none of the bad debt expense is included in community benefit expense.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	The amounts on lines 5 and 6 are from the FY 2024 Medicare cost report.
Schedule H, Part V, Section B, Line 16a FAP website	- PIH HEALTH GOOD SAMARITAN HOSPITAL: Line 16a URL: https://www.pihhealth.org/patients-visitors/billing-financial-assistance/financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- PIH HEALTH GOOD SAMARITAN HOSPITAL: Line 16b URL: https://www.pihhealth.org/patients-visitors/billing-financial-assistance/financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- PIH HEALTH GOOD SAMARITAN HOSPITAL: Line 16c URL: https://www.pihhealth.org/patients-visitors/billing-financial-assistance/financial-assistance/;
Schedule H, Part VI, Line 2 Needs assessment	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.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Uninsured patients are screened for Medi-Cal linkage and if they meet the criteria, the patient is referred to RISARC and COMSPEC to assist with the application and eligibility process. If the patient does not have Medi-Cal linkage, they are screened for Queens Care which is a program for uninsured patients that reside within specific zip codes in Los Angeles County and meet income qualification. Financial Assistance Applications are provided to all patients who are unisured, underinsured, financial hardship, have catastrophic illness or have excessive medical expenses. The following hospital policies are available on our website; Charity Care / Discount Policy, Financial Assistance Application and Cash Price Policy. The statements mailed to patients provides information regarding Financial Assistance, Covered California Health Benefits, Medi-Cal and Medicare.
Schedule H, Part VI, Line 4 Community information	PIH Health Good Samaritan Hospital (PHGSH) is located at 1225 Wilshire Blvd., Los Angeles, California 90017. The hospital service area includes 17 ZIP Codes in Los Angeles. The service area is served by the Los Angeles County 1st and 2nd Supervisorial Districts and falls within the Los Angeles County Service Planning Areas (SPAs) 4 and 6. *PIH Health Good Samaritan Hospital tracks ZIP codes of origin for patient admissions. The service area was determined from the ZIP codes that reflect a majority (59%) of patient admissions from the local geographic area. Based on the 2022 Community Health Needs Assessment, the population for the PHGSH service area is 930,016. Children and youth, ages 0-17, make up 22.8% of the population, 67.6% are 18-64 years of age, and 9.6% are seniors, 65 years and older. In the service area, 62.4% of the population are Hispanic/Latino, 13.3% are Asian, 13.2% Black/African American, 9.0% are White, and the remaining 2.1% are Native American residents, Hawaiian or Pacific Islander. Among the service area population, ages five and older, 58.1% speak Spanish, 27.9% speak only English, 11.6% speak an Asian or Pacific Islander language, 1.7% speak other Indo-European languages, and 0.7% speak other languages in their home. English is spoken in the home among 32.8% of the service area population. In the service area, 27.1% of the population is at or below 100% of the federal poverty level. Among service area adults, ages 25 and older, 22.3% have less than a 9th grade education. 36.8% of area adults are high school graduates, and 27.9% have an associate, bachelor's, or graduate/professional degree. Area residents have lower educational levels than adults in the county and state.
Schedule H, Part VI, Line 5 Promotion of community health	Community Board PIH Health's community Board of Directors works to advance the commitment to helping our communities get well and stay healthy. Open Medical Staff PIH Health extends medical staff privileges to all qualified physicians in its community for some or all of its departments or specialties. Donation of Time Many PIH Health providers and staff are living out their passion to serve people in need by donating their time and talents both in our community and overseas. Employee Giving Each year, PIH Health employees, physicians, and volunteers generously support various charitable giving initiatives. During Fiscal Year 2024, holiday wish lists were fulfilled for 175 families served by The Whole Child, over 250 duffle bags with essential items were donated for youth in the foster care system through a partnership with Foster Love, and over 300 backpacks filled with school supplies were collected for distribution by Helpline Youth Counseling to low-income students across our service area. Environmental and Recycling Projects PIH Health continues to implement "green" initiatives, including increased usage of LED lighting to decrease consumption of electricity, expansion of a project with the City of Whittier to convert methane gas into electricity, and purchase of reprocessed instruments through a vendor agreement that results in national forest restoration. In addition, eyeglasses and hearing aids are collected for recycling and redistribution by the East Whittier Lions Club to those in need. Volunteer Contributions Some 1,380 PIH Health volunteers collectively contributed 108,326 hours of service, supporting departments throughout the organization. Through the PIH Health Medical Careers Program, which gives student volunteers a head start in discovering productive and meaningful careers in healthcare, 42 individuals spent 828 hours shadowing medical career professionals.
Schedule H, Part VI, Line 6 Affiliated health care system	Hospital affiliates include: 1) PIH Health, Inc., PIH Health's parent company; 2) PIH Health Downey Hospital; 3) PIH Health Good Samaritan Hospital; 4) PIH Health Whittier Hospital; 5) PIH Health Physicians, a nonprofit medical foundation; 6) PIH Health Home Healthcare and 7) the PIH Health Foundation, a nonprofit organization that exists to raise philanthropic funds in support of PIH Health'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 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 more than 100 years. As a non-profit hospital with a charitable mission, PIH Health Hospital Downey is a dedicated community health and wellness partner. This commitment and leadership gives back to the community through charity care, health professions education and more. 3) PIH Health Good Samaritan Hospital was founded in 1885, PIH Health Good Samaritan Hospital 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, giving back to the community through charity care, health professions education and more. 4) 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 nonprofit 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. 5) 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 270 primary care physicians and 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. 6) 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. 7) The PIH Health Foundation is a 501(c)(3) nonprofit organization with the sole mission to raise funds through philanthropy to benefit PIH Health and its affiliates. Dollars raised are reinvested into the communities we serve through quality healthcare, health-based programs and services offered through PIH Health. 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.
Schedule H, Part VI, Line 7 State filing of community benefit report	CA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
GOOD SAMARITAN INSTITUTE FOR RESEARCH AND EDUCATION
1225 WILSHIRE BLVD	LOS ANGELES	CA	90017	954077161	501(c)(3)	$323,092	Expenses paid by the Organization
PIH Health Physicians
6557 Greenleaf Ave	Whittier	CA	90601	953942828	501(c)(3)	$4,846,417	Grant to related organization

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds	FormAndLineReferenceDesc
Explanation	PIH Health provides financial assistance to both not-for-profit organizations and individuals. PIH Health provides financial support to nonprofit organizations in our service area cities through its Community Support and Sponsorships Program, with emphasis on community health needs/areas of concern as identified by PIH Health's most recent Community Health Needs Assessment findings. Financial support may be provided if the requesting organization addresses one or more of these areas and is responsive to the health and wellness needs of the communities we serve, allowing PIH Health to build upon the impact of existing community health improvement efforts. For contributions made to charitable organizations, PIH Health has adopted a policy which guides the process to ensure good stewardship of PIH Health's charitable resources as a federally registered nonprofit entity. To ensure accurate community benefit reporting, this policy sets forth that direct financial contributions made to community organizations must be appropriately classified as either a) Community Benefit or b) a Sponsorship (a Marketing Communications Department expense not reportable as community benefit). In compliance with this policy, information is gathered from the grantee regarding the intended use of funds and a restriction letter is sent, noting the intended use of funds. Organizations receiving Community Support funding in the amount of $2,500 or more are required to submit a summary report of program or service impact, within 90 days after event or receipt of program funding, unless an alternate date is designated. For contributions made to individuals, PIH Health has established a dedicated budget which subsidizes vital assistance such as purchase of durable medical equipment or non-acute care not covered by insurance upon hospital discharge, including paid placement in skilled nursing or mental health facilities. In these instances, a specific service is being purchased, and receipt of proper service is ensured through follow-up by PIH Health discharge planners or social workers.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 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
BRIAN SMOLSKIS
FORMER - SYSTEM COO	$0	$833,329	$0	$160,594	$0	$934,405	$0	$241,053	$0	$23,398	$0	$2,192,779	$0	$721,922
JAMES WEST
SYSTEM PRESIDENT & CEO	$0	$1,565,657	$0	$383,472	$0	$574,404	$0	$18,000	$0	$20,737	$0	$2,562,270	$0	$552,201
ROSALIO LOPEZ MD
CSO	$0	$1,028,860	$0	$104,954	$0	$232,511	$0	$40,500	$0	$7,838	$0	$1,414,663	$0	$215,904
PEGGY CHULACK
SYSTEM CAO & ASST SECRETARY	$0	$909,522	$0	$151,215	$0	$558,704	$0	$18,000	$0	$14,543	$0	$1,651,984	$0	$545,719
VID SHIVARAMAN
SYSTEM CFO & ASST TREASURER	$0	$782,967	$0	$93,639	$0	$7,492	$0	$176,607	$0	$20,469	$0	$1,081,174	$0	$0
IRENA ZUANIC
CNO & CO-SITE ADMIN	$0	$413,237	$0	$23,596	$0	$89,245	$0	$110,933	$0	$17,670	$0	$654,681	$0	$81,298
KEVIN BROWN
FORMER -VP, CARDIOLOGY SERVICES (THRU 5/23)	$0	$144,836	$0	$20,600	$0	$269,405	$0	$53,308	$0	$8,081	$0	$496,230	$0	$132,205
MOHAMMED GHONIM
REGIONAL VP	$0	$361,193	$0	$47,607	$0	$71,793	$0	$76,020	$0	$2,045	$0	$558,658	$0	$63,416
IRA MEISELMAN
DIRECTOR MANAGED CARE	$283,542	$0	$8,403	$0	$15,911	$0	$17,317	$0	$18,770	$0	$343,943	$0	$0	$0
KELVIN MATUTE
DIR CARE MGMT	$134,790	$0	$0	$0	$132,116	$0	$8,618	$0	$580	$0	$276,104	$0	$0	$0
JORGE GAMEZ
DIR PREOPERATIVE SVCS	$257,196	$0	$1,000	$0	$0	$0	$9,000	$0	$6,649	$0	$273,845	$0	$0	$0
BENJAMIN LY
Supervisor, Inpatient Pharmacy	$204,576	$0	$0	$0	$49,190	$0	$6,202	$0	$20,174	$0	$280,142	$0	$0	$0
DAVID WON-SUK CHOI
DIR INPATIENT PHARMACY	$225,612	$0	$0	$0	$0	$0	$9,000	$0	$23,177	$0	$257,789	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	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.
Schedule J, Part I, Line 4a Severance or change-of-control payment	Brian Smolskis and Kevin Brown 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.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	PIH Health Inc. and its affiliates provides a supplemental executive retirement plan for certain executives. The following individuals participate in the plan: JAMES WEST PEGGY CHULACK VID SHIVARAMAN IRENA ZUNIAC MOHAMMED GHONIM ROSALIO LOPEZ KEVIN BROWN The following amounts became vested or were paid-out in 2023 and are included in Schedule J, Part II, Column (b)(iii): James West: $552,201 Peggy Chulack: $545,719 Irena Zuanic: $81,298 Mohammed Ghonim: $63,416 KEVIN BROWN: $132,205 Rosalio Lopez: $215,904 Brian Smolskis: $721,922

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 16b	PIH Health Good Samaritan Hospital holds a 10.8% interest 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 Good Samaritan Hospital annually evaluates its participation in joint venture arrangements.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	James West - Business relationship, Peggy Chulack - Business relationship, Vid Shivaraman - Business relationship, Rosalio Lopez - Business relationship, Alex Alvarez - Business relationship, Charlotte Weaver - Business relationship, Jeff Hamar - Business relationship, Kenton Woods - Business relationship, Marissa Goldberg - Business relationship, Melanie Batiste - Business relationship, Patrick Monroe - Business relationship, Paul Treinen - Business relationship, Peter Greaney - Business relationship, WIlliam Roth - Business relationship, Richard Atwood - Business relationship, Blayne Cutler - Business relationship, Jane Dicus - Business relationship, Jay Brown - Business relationship, Robert Maloney - Business relationship, THURSO BARENDSE - Business relationship, TRACEA SARALIEV - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholders	PIH Health, Inc. is the sole member of PIH Health Good Samaritan Hospital.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	PIH Health, Inc. has authority to elect all the members of the board of directors of PIH Health Good Samaritan Hospital.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	PIH Health, Inc. has all voting rights and the power to elect the board of directors of PIH Health Good Samaritan Hospital.
Form 990, Part VI, Line 11b Review of form 990 by governing body	The Organization works with an independent accountant, KPMG 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. KPMG LLP makes all changes necessary. The final Form 990 is provided to the board prior to filing.
Form 990, Part VI, Line 12c Conflict of interest policy	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, Line 19 Required documents available to the public	PIH Health Good Samaritan Hospital's organizing and governing documents and the Conflict of Interest Policy are not made available to the public. The financial information from the financial statements is included in the Organization's Form 990, which is available for public inspection upon request.
Form 990, Part VII, Section A, Line 1a	One of the filing organization's officers, Rosalio Lopez, receives compensation for Directorship from PIH Health Downey Medical Group, Inc. (DMG), 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: Rosalio Lopez: Reportable Base Compensation - $0 Other Compensation - $5,376
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	ALL OTHER REVENUE - Total Revenue: 2482588, Related or Exempt Function Revenue: , Unrelated Business Revenue: 49261, Revenue Excluded from Tax Under Sections 512, 513, or 514: 2433327;
Form 990, Part IX, Line 11g Other Fees	Physician Fees - Total Expense: 12325218, Program Service Expense: 12325218, Management and General Expenses: , Fundraising Expenses: ; Consulting and Management Fees - Total Expense: 39641, Program Service Expense: 103925, Management and General Expenses: -64284, Fundraising Expenses: ; Other Contracted Services - Total Expense: 3723401, Program Service Expense: 3634001, Management and General Expenses: 89400, Fundraising Expenses: ; Other Professional Services - Total Expense: 54758, Program Service Expense: 54758, Management and General Expenses: , Fundraising Expenses: ; Medical Purchased Services - Total Expense: 2113166, Program Service Expense: 2011781, Management and General Expenses: 101385, Fundraising Expenses: ; Repairs and Maintenance - Total Expense: 4988445, Program Service Expense: 4618706, Management and General Expenses: 369739, Fundraising Expenses: ; Software Maintenance - Total Expense: 2637167, Program Service Expense: 2637167, Management and General Expenses: , Fundraising Expenses: ; Other Purchased Services - Total Expense: 30672663, Program Service Expense: 25817699, Management and General Expenses: 4854964, Fundraising Expenses: ; Outside Provider Cost - Total Expense: 13455540, Program Service Expense: 13455540, Management and General Expenses: , Fundraising Expenses: ; Purchased Labor - Total Expense: 14655692, Program Service Expense: 14659192, Management and General Expenses: -3500, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Accrued Minimum Pension Liability - 631132; Net Assets released from restrictions - operations - -7497; Other Intercompany transfers (expenses paid by GSH) - 323092;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 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
Good Samaritan Institute for Research and Education
1225 Wilshire Blvd	Los Angeles	CA	90017	954077161	Heart Research	CA	501(c)(3)	4	PIH Health Good Samaritan Hospital	Yes (true)
Orthopedic Institute of the Good Samaritan Hospital
1225 Wilshire Blvd	Los Angeles	CA	90017	954346048	Orthopedic Research	CA	501(c)(3)	Type I	PIH Health Good Samaritan Hospital	Yes (true)
Samaritan Imaging Center
1225 Wilshire Blvd	Los Angeles	CA	90017	954252321	Outpatient Imaging Services	CA	501(c)(3)	10	PIH Health Good Samaritan Hospital	Yes (true)
Good Samaritan Medical Office Building Inc
1225 Wilshire Blvd	Los Angeles	CA	90017	953244046	Physicians Medical Offices	CA	501(c)(3)	Type I	PIH Health Good Samaritan Hospital	Yes (true)
Kate Van Nuys Page Foundation
12401 Washington Blvd	Whittier	CA	90602	956028032	Grants Income to Good Samaritan Hospital	CA	501(c)(3)	Type I	PIH Health Good Samaritan Hospital	Yes (true)
PIH Health Adult Day Healthcare
12401 Washington Blvd	Whittier	CA	90602	953643829	Support of Tax-Exempt Affiliates	CA	501(c)(3)	Type II	PIH Health Inc	false
PIH Health Foundation
12401 Washington Blvd	Whittier	CA	90602	953761274	Fundraising	CA	501(c)(3)	7	PIH Health Inc	false
PIH Health Home Healthcare
12401 Washington Blvd	Whittier	CA	90602	953036281	Support of Tax-Exempt Affiliates	CA	501(c)(3)	Type II	PIH Health Inc	false
PIH Health Downey Hospital
11500 Brookshire Ave	Downey	CA	90241	951903935	Healthcare	CA	501(c)(3)	3	PIH Health Inc	false
PIH Health Whittier Hospital
12401 Washington Blvd	Whittier	CA	90602	951934652	Healthcare	CA	501(c)(3)	3	PIH Health Inc	false
PIH Health Management Corp
12401 Washington Blvd	Whittier	CA	90602	954016278	Support of Tax-Exempt Affiliates	CA	501(c)(3)	Type II	PIH Health Inc	false
PIH Health Physicians
6557 Greenleaf Ave	Whittier	CA	90601	953942828	Healthcare	CA	501(c)(3)	10	PIH Health Inc	false
PIH Health Inc
12401 Washington Blvd	Whittier	CA	90602	953619388	Support of Tax-Exempt Affiliates	CA	501(c)(3)	Type II	NA	false
Auxiliary of the Hospital of the Good Samaritan
1225 Wilshire Blvd	Los Angeles	CA	90017	956051253	Welfare of the Good Samaritan Hospital	CA	501(c)(3)	Type III-FI	NA	false

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	Controlled OrganizationControlledOrganizationInd	Address Line2USAddress/AddressLine2Txt
DRMC Properties Inc
12401 Washington Blvd	Whittier	CA	90602	954769768	Real Estate	CA	NA	C Corporation	false
HealthMed Services Inc
12401 Washington Blvd	Whittier	CA	90602	300831225	Healthcare	CA	NA	C Corporation	false
PIH Health Care Solutions
6557 Greenleaf Ave	Whittier	CA	90601	462072342	Healthcare	CA	NA	C Corporation	false
PIH Insurance Co A Reciprocal Risk Retention Group
733 Bishop Street	Honolulu	HI	96813	263760243	Captive Insurance	HI	NA	Trust	false	Suite 1555
PIH Health RE
733 Bishop Street	Honolulu	HI	96813	472501390	Captive Insurance	HI	NA	Trust	false	Ste 1555
Pioneer Medical Group Inc
6557 Greenleaf Ave	Whittier	CA	90601	330927283	Medical Services	CA	NA	C Corporation	false
Pioneer Provider Network A Medical Group Inc
6557 Greenleaf Ave	Whittier	CA	90601	330922631	Management Services	CA	NA	C Corporation	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GOOD SAMARITAN HOSPITAL MEDICAL OFFICE BUILDING INC
A	$5,931,500	FMV
Good Samaritan Hospital Medical Office Building Inc
K	$2,784,297	FMV
Good Samaritan Institute for Research and Education
B	$323,092	FMV