PIH HEALTH WHITTIER HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: PIH HEALTH WHITTIER HOSPITAL (EIN 95-1934652)
Tax period: 2021-10-01 to 2022-09-30
Filed: 2023-08-15
IRS object ID: 202302279349305010
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-08-15T20:08:11-05:00	ReturnTs
Tax Period End	2022-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	30 S Wacker Drive Ste 3300	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60606	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	951934652	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	PIHH	BusinessNameControlTxt
Phone	5626980811	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Vid Shivaraman	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	5626980811	PhoneNum
Signature	2023-08-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

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

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

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rebekuh Eley	PreparerPersonNm
PTIN	P01247672	PTIN
Phone	3126343400	PhoneNum
Preparation	2023-08-15	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	James West	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$995,864,673	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.PIHHealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1954	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	To provide quality healthcare and contribute to the community's health and well-being.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	4522	TotalEmployeeCnt
Total Volunteers	982	TotalVolunteersCnt
Total Gross UBI	$3,992	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,693	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$9,962,927	PYContributionsGrantsAmt
CY Contributions Grants	$2,605,263	CYContributionsGrantsAmt
PY Program Service Revenue	$725,061,366	PYProgramServiceRevenueAmt
CY Program Service Revenue	$799,429,040	CYProgramServiceRevenueAmt
PY Investment Income	$45,546,816	PYInvestmentIncomeAmt
CY Investment Income	$46,874,630	CYInvestmentIncomeAmt
PY Other Revenue	$14,321,924	PYOtherRevenueAmt
CY Other Revenue	$13,062,269	CYOtherRevenueAmt
PY Total Revenue	$794,893,033	PYTotalRevenueAmt
CY Total Revenue	$861,971,202	CYTotalRevenueAmt
PY Grants And Similar Paid	$181,244	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$155,788	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$361,221,859	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$379,216,449	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$400,680,226	PYOtherExpensesAmt
CY Other Expenses	$405,307,408	CYOtherExpensesAmt
PY Total Expenses	$762,083,329	PYTotalExpensesAmt
CY Total Expenses	$784,679,645	CYTotalExpensesAmt
PY Revenues Less Expenses	$32,809,704	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$77,291,557	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,744,842,344	TotalAssetsBOYAmt
Total Assets EOY	$1,750,782,539	TotalAssetsEOYAmt
Total Liabilities BOY	$848,837,937	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$927,328,918	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$896,004,407	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$823,453,621	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Mission: We provide high quality healthcare without discrimination, and contribute to the health and well-being of our communities in an ethical, safe, and fiscally prudent manner in recognition of our charitable purpose.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$543,492,604	ExpenseAmt
Revenue	$738,254,548	RevenueAmt
Desc	Patient Care: PIH Health Whittier Hospital began as a community hospital 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.Patient Care in Fiscal Year 2021-2022Employees 4,522Volunteers 982Number of Emergency Department (ED) visits 74,002Number of Births 1,969Medical Staff 667	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$124,224,946	ExpenseAmt
Revenue	$66,512,892	RevenueAmt
Desc	Financial Assistance and Means-Tested Government Programs: Financial Assistance, also known as charity care, is defined as free or discounted health services provided to individuals who cannot afford to pay and who meet the eligibility criteria of the organization's financial assistance policy. PIH Health offers a generous Financial Assistance Program, providing charity care to those with family income(s) at or below 400% of Federal Poverty Level guidelines.In providing services to those patients participating in means-tested government health programs, such as Medi-Cal, PIH Health realizes a collective net loss each fiscal year due to the shortfall created when the payments received from these programs are less than the cost of caring for public program beneficiaries. Number of persons served by financial assistance and means-tested government programs: 33,221	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$15,179,063	ExpenseAmt
Grant	$155,788	GrantAmt
Revenue	$3,952,707	RevenueAmt
Desc	See Schedule OOther Community Benefit Services: Community health improvement services and community benefit operations, Health professions education, Subsidized health services, Research, Cash and in-kind contributions are comprised of the following: Community Health Improvement Services: Defined as community health improvement activities, which extend beyond patient care activities. These programs include: Community Education, Community Information and Referral Support, Enrollment Assistance, Health and Wellness Center at Whittier First Day support, Community Health Messaging, Support Groups, COVID-19 Vaccination Clinics and Transportation Resources.Snapshot of Outcomes:More than 23,806 community members were reached through a variety of community health improvement activities.Health Professions Education: This category includes educational programs for physicians, nurses, students and other health professionals when education is necessary or required by state law, accrediting body or health profession society. PIH Health programs include the Family Medicine Residency Program, and Student Education (internship, externship, preceptorship and mentoring programs).Snapshot of Outcomes:More than 145 student nurses, physician residents, and other individuals studying to become healthcare professionals were provided with mentorship, preceptorship and training opportunities.Subsidized Health Services: Subsidized services are clinical programs, which are provided despite a financial loss so significant that negative margins remain after removing the effects of financial assistance, bad debt and Medi-Cal shortfalls. Nevertheless, the service is provided because it meets an identified community need and, if no longer offered, would either be unavailable in the area or fall to the responsibility of government or another nonprofit organization to provide. PIH Health services provided include Diabetes Education Center, Emergency Department On-Call Physicians, Hospice Homes and Home Health, and Paramedic Base Station.Snapshot of Outcomes:The Hospice Homes ensure access to quality, compassionate end-of-life care, regardless of ability to pay; 217 served.1,124 individuals provided with services and educational classes via the Diabetes Education Center.Total individuals served by Subsidized Health Services= 9,816Research: Research that may be reported as community benefit includes clinical and community health research as well as studies on healthcare delivery that are generalizable and shared with the public. PIH Health has been offering clinical trials and research studies aimed at improving health and cancer care since 2001. Snapshot of Outcomes:More than 52 clinical trials in various stages, enterprise wide in Oncology, Stroke, Cardiovascular, Neonatal, Peripheral Vasculature and other therapeutic areas. With a total of 39 enrolled patients in our Clinical / Registry Studies.Cash & In-Kind Contributions: This category includes funds and in-kind services donated by PIH Health to community organizations or to the community-at-large for a community benefit purpose. These donations include cash donations to community organizations, hours contributed by staff to the community while on PIH Health work time, the cost of meeting space provided to community groups, and the donations of equipment, medications, supplies and services. Snapshot of Outcomes:1,979 at-risk individuals were provided with in-kind durable medical equipment or services, such as skilled nursing or mental healthcare and transportation.For additional information, please refer to PIH Health's community benefit report at https://www.pihhealth.org/about-us/community-benefit/	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$682,896,613	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	121	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4522	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mark Kawauchi	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5626980811	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	12102 Washington Blvd	AddressLine1Txt
City	Whittier	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90606	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (51 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Brent Gray MD
Medical Director	9.00	1.50	Yes (X)	$95,520	$0	$0
Eduardo Tovar MD
Director	7.50	0.00	Yes (X)	$79,425	$0	$0
Phillip Richardson MD
Director (until 12/17/21)	9.50	0.00	Yes (X)	$88,000	$0	$0
Patrick Monroe
Director & Chair	1.50	6.00	Yes (X)	$0	$0	$0	Yes (X)
Charlotte Weaver PhD
Director & Vice Chair	1.50	6.00	Yes (X)	$0	$0	$0	Yes (X)
Jeff Hamar
Director & Treasurer	1.50	6.00	Yes (X)	$0	$0	$0	Yes (X)
Peter Greaney MD
Director & Secretary	1.50	6.00	Yes (X)	$0	$0	$0	Yes (X)
Alex Alvarez
Director	1.50	6.00	Yes (X)	$0	$0	$0
Richard Atwood
Director	1.50	7.50	Yes (X)	$0	$0	$0
Melanie Batiste
Director	1.50	6.00	Yes (X)	$0	$0	$0
Paula Cowan
Director	1.50	6.00	Yes (X)	$0	$0	$0
Adrian Crisan MD
Director	1.50	0.00	Yes (X)	$0	$0	$0
Blayne Cutler MD PhD
Director	1.50	6.00	Yes (X)	$0	$0	$0
Jane Dicus
Director	1.50	6.00	Yes (X)	$0	$0	$0
Marissa Goldberg
Director	1.50	6.00	Yes (X)	$0	$0	$0
Robert Maloney MD
Director	1.50	6.00	Yes (X)	$0	$0	$0
Sudhaker Nayak MD
Director	6.50	0.00	Yes (X)	$73,500	$2,880	$0
Paul Treinen
Director	1.50	6.00	Yes (X)	$0	$0	$0
Kenton Woods
Director	1.50	6.00	Yes (X)	$0	$0	$0
James West
System President/CEO	20.00	33.20		$2,763,938	$0	$340,079	Yes (X)
Rosalio Lopez MD
System CMO/CSO	20.00	26.20		$1,573,688	$0	$212,248	Yes (X)
Peggy Chulack
System CAO & Asst. Secretary	20.00	33.20		$1,058,662	$0	$164,469	Yes (X)
Ramona Pratt
CNO	40.00	0.00		$521,969	$0	$106,290	Yes (X)
Vid Shivaraman
System CFO & Assistant Treasurer	20.00	33.20		$702,914	$0	$118,060	Yes (X)
Brian Smolskis
System COO	20.00	27.70		$1,029,190	$0	$176,975	Yes (X)
Davis Lee
CMIO & CIO	40.00	0.00		$707,506	$0	$114,767		Yes (X)
Debra Legan
VP Mktg & Planning	40.00	0.00		$505,817	$0	$89,735		Yes (X)
Chico Manning
VP Supply Chain	40.00	0.00		$464,217	$0	$89,538		Yes (X)
Judy Pugach
VP Regulatory Affairs	40.00	0.00		$432,657	$0	$84,253		Yes (X)
Carol Salas
System Chief HR Officer	40.00	0.00		$642,825	$0	$126,537		Yes (X)
Shelly Necke
VP Post Acute Cr Svs	40.00	0.00		$429,755	$0	$76,863		Yes (X)
Anup Patel
VP Ent Rsk Mgmt & Corp Com	40.00	0.00		$372,874	$0	$79,111		Yes (X)
Brent Melton
VP Support Services	40.00	0.00		$382,784	$0	$54,577		Yes (X)
John Joyce
VP Ancillary Svs (until 8/11/21)	40.00	0.00		$458,733	$0	$55,055		Yes (X)
Lucinda Place
VP of Quality Management	40.00	0.00		$389,233	$0	$67,716		Yes (X)
Mohammed Ghonim
VP Lab, Clin Research & Pharm	40.00	0.00		$342,773	$0	$69,481		Yes (X)
Sumer Sharma
VP Oper. Finance (until 2/4/21)	40.00	0.00		$247,060	$0	$9,381		Yes (X)
Kevin Brown
VP, Cardiology Srvs	40.00	0.00		$305,463	$0	$54,755		Yes (X)
Ron Eickhoff
VP, Respiratory	40.00	0.00		$276,873	$0	$54,516		Yes (X)
Stacy Johnson
VP, Radiology & Imaging	40.00	0.00		$283,011	$0	$56,432		Yes (X)
Mark Kawauchi
VP of Finance	40.00	0.00		$190,742	$0	$24,203		Yes (X)
Noel Coppinger
VP, Revenue Cycle	40.00	0.00		$350,469	$0	$61,652		Yes (X)
Mark St Julien
VP Facility (until 8/11/21)	40.00	0.00		$267,107	$0	$38,740		Yes (X)
Diane McCowan
Director Pharmacy	40.00	0.00		$272,482	$0	$16,302			Yes (X)
Jung Ho
Medical Physicist	40.00	0.00		$269,319	$0	$22,660			Yes (X)
Rebecca Weyant
Admin Dir Surgical Svs	40.00	0.00		$264,038	$0	$30,431			Yes (X)
Michelle Flores
RN Charge Nurse	40.00	0.00		$272,814	$0	$24,652			Yes (X)
Cheri Cubero
Registered Nurse	40.00	0.00		$268,170	$0	$23,333			Yes (X)
Anita Chou
Former CFO & Asst. Treasurer	0.00	0.00		$1,100,156	$0	$21,568				Yes (X)
Greg Williams
Former CFO & Asst. Treasurer	0.00	0.00		$613,536	$0	$0				Yes (X)
Ronald Yoshihara
Former VP Fin & Analytics	0.00	0.00		$225,537	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$18,322,757	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,880	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,464,379	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1006	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Allscripts - Chicago
24630 Network Place	Chicago	IL	60673	IT Services	$34,639,333
Lambert Radiol Med Group Inc
11721 Whittier Blvd Suite 509	Whittier	CA	90601	Medical Services	$18,665,248
Intercommunity Anesth Svcs Inc
PO Box 511509	Los Angeles	CA	90051	Medical Services	$12,084,763
Cross Country Staffing - West
PO BOX 404689	Atlanta	GA	30384	Professional Staffing	$9,509,865
Whittier Pulm and Critical Care
6905 Alta Vista Drive	Rancho Palos Verdes	CA	90275	Medical Services	$8,431,791

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	56	CntrctRcvdGreaterThan100KCnt
Related Organizations	$843,700	RelatedOrganizationsAmt
Government Grants	$1,761,563	GovernmentGrantsAmt
Total Contributions	$2,605,263	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue	622110	$561,306,345	$561,306,345
Other Patient Revenue	622110	$169,285,012	$169,285,012
Hospital Fee Program	900099	$50,048,046	$50,048,046
Related Capitation	561110	$10,334,548	$10,334,548
Food Services	722514	$3,088,281	$3,088,281

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,366,808	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,366,808	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$799,429,040	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,780,070	TotalRevenueColumnAmt
Exclusion	$22,780,070	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$156,907,125	SecuritiesAmt
Other	$1,076,915	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$133,145,944	SecuritiesAmt
Other	$743,536	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$23,761,181	SecuritiesAmt
Other	$333,379	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,094,560	TotalRevenueColumnAmt
Exclusion	$24,094,560	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$7,983	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$3,991	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,992	TotalRevenueColumnAmt
Unrelated Business Revenue	$3,992	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
Community Pharmacy	446110	$9,237,418	$9,237,418
Purchase Discounts	900099	$2,587,724		$2,587,724
Parking Services	900099	$1,179,446		$1,179,446

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$53,689	TotalRevenueColumnAmt
Related Or Exempt Func Income	$53,689	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$13,058,277	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$861,971,202	TotalRevenueColumnAmt
Related Or Exempt Func Income	$808,720,147	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,992	UnrelatedBusinessRevenueAmt
Exclusion	$50,641,800	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$98,288	TotalAmt
Program Services	$98,288	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$57,500	TotalAmt
Program Services	$57,500	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$12,048,257	TotalAmt
Program Services	$7,247,488	ProgramServicesAmt
Management And General	$4,800,769	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$424,860	TotalAmt
Program Services	$373,877	ProgramServicesAmt
Management And General	$50,983	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$267,292,152	TotalAmt
Program Services	$232,539,924	ProgramServicesAmt
Management And General	$34,752,228	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$12,120,381	TotalAmt
Program Services	$10,544,731	ProgramServicesAmt
Management And General	$1,575,650	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$64,847,432	TotalAmt
Program Services	$56,417,266	ProgramServicesAmt
Management And General	$8,430,166	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$22,483,367	TotalAmt
Program Services	$19,560,529	ProgramServicesAmt
Management And General	$2,922,838	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,255,050	TotalAmt
Management And General	$4,255,050	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,132,085	TotalAmt
Management And General	$3,132,085	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$101,120	TotalAmt
Management And General	$101,120	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,500,876	TotalAmt
Management And General	$2,500,876	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$73,135,320	TotalAmt
Program Services	$66,879,001	ProgramServicesAmt
Management And General	$6,256,319	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,323,081	TotalAmt
Program Services	$2,323,081	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,623,371	TotalAmt
Program Services	$7,315,033	ProgramServicesAmt
Management And General	$5,308,338	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$40,579,204	TotalAmt
Program Services	$35,303,907	ProgramServicesAmt
Management And General	$5,275,297	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,751,725	TotalAmt
Program Services	$9,268,957	ProgramServicesAmt
Management And General	$3,482,768	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$574,856	TotalAmt
Program Services	$547,472	ProgramServicesAmt
Management And General	$27,384	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$169,039	TotalAmt
Program Services	$93,613	ProgramServicesAmt
Management And General	$75,426	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,861,200	TotalAmt
Program Services	$3,037,408	ProgramServicesAmt
Management And General	$4,823,792	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$25,556,324	TotalAmt
Program Services	$22,234,002	ProgramServicesAmt
Management And General	$3,322,322	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,728,352	TotalAmt
Management And General	$5,728,352	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$112,433,811	$111,330,731	$1,103,080
Claims Expense	$32,192,807	$32,192,807
Quality Assurance Fee	$29,324,010	$29,324,010
Bad Debt Expense	$19,155,316	$19,155,316

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$20,909,861	TotalAmt
Program Services	$17,051,672	ProgramServicesAmt
Management And General	$3,858,189	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$784,679,645	TotalAmt
Program Services	$682,896,613	ProgramServicesAmt
Management And General	$101,783,032	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$512,160	BOYAmt
EOY	$382,171	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$93,502,227	BOYAmt
EOY	$136,029,181	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$13,250,000	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,725,991	BOYAmt
EOY	$7,696,289	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,397,761	BOYAmt
EOY	$9,056,099	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$662,744,717	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$343,959,181	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$327,990,224	BOYAmt
EOY	$318,785,536	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$837,616,533	BOYAmt
EOY	$682,896,131	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,937,972	BOYAmt
EOY	$3,105,646	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$468,159,476	BOYAmt
EOY	$579,581,486	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,744,842,344	BOYAmt
EOY	$1,750,782,539	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$80,243,963	BOYAmt
EOY	$98,659,040	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$491,137,037	BOYAmt
EOY	$484,878,506	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$44,845,000	BOYAmt
EOY	$39,480,000	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$65,000,000	BOYAmt
EOY	$183,000,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$167,611,937	BOYAmt
EOY	$121,311,372	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$848,837,937	BOYAmt
EOY	$927,328,918	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	$896,004,407	BOYAmt
EOY	$823,453,621	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$896,004,407	BOYAmt
EOY	$823,453,621	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,744,842,344	BOYAmt
EOY	$1,750,782,539	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$77,291,557	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$177,593,995	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$27,751,652	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	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	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$101,120	OtherActivitiesAmt
Total Lobbying Expenditures	$101,120	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$214,611	OtherCostOrOtherBasisAmt
Book Value	$214,611	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$330,673,372	OtherCostOrOtherBasisAmt
Depreciation	$112,070,283	DepreciationAmt
Book Value	$218,603,089	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$79,971,241	OtherCostOrOtherBasisAmt
Depreciation	$41,287,749	DepreciationAmt
Book Value	$38,683,492	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$230,494,437	OtherCostOrOtherBasisAmt
Depreciation	$180,112,646	DepreciationAmt
Book Value	$50,381,791	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,391,056	OtherCostOrOtherBasisAmt
Depreciation	$10,488,503	DepreciationAmt
Book Value	$10,902,553	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$318,785,536	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
Intercompany Receivable	$524,543,573
Hospital Fee Program Receivable	$40,324,959
Other Receivables	$4,233,777
Deferred Financing Costs	$4,425,130
Right-of-Use Assets	$5,308,079
Cost Report Receivable	$745,968

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$579,581,486	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
Pension Liability	$30,268,689
Interest Rate Swap	$7,494,124
Hospital Fee Payable	$31,191,499
Deferred Compensation	$16,682,253
Self Insurance Reserves	$12,874,460
Bond Interest Payable	$6,021,482
Litigation Reserve	$7,500,000
Government Advances	$2,853,612
Affiliate Payable	$2,427,999
ROU Liability	$3,997,254

Field	Value	IRS element (for citing)
Total Liability	$121,311,372	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part X, Line 2:	FormAndLineReferenceDesc
Explanation	The principal operations of the Company are exempt from income taxes pursuant to Internal Revenue Code (IRC) Section 501(c)(3) and the laws of the states in which it operates and, as such, is generally not subject to federal or state income taxes. However, the Company is subject to income taxes on net income derived from a trade or business regularly carried on that does not further the organization's exempt purpose. Further, the Company is also subject to federal excise taxes pursuant to the Tax Cuts and Jobs Act. No significant income tax provision has been recorded in the accompanying consolidated financial statements for net income derived from unrelated trade or business and excise taxes. The Company measures liabilities for unrecognized tax uncertainties in accordance with ASC 740, Income Taxes, which prescribes a comprehensive model for how a company should recognize, measure, present and disclose in its financial statements uncertain tax positions that a company has taken or expects to take on a tax return. The guidance is applicable to profit-oriented entities, pass-through entities and tax-exempt organizations. Management believes it has no significant uncertain tax positions and, as such, no tax liability, benefits, interest or penalties were accrued at September 30, 2022 or 2021. 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 2018 for federal purposes and 2016 for California purposes.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	1046	PersonsServedCnt
Total Community Benefit Expns	$3,289,152	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$624,524	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,664,628	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	31901	PersonsServedCnt
Total Community Benefit Expns	$116,934,310	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,403,978	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,530,332	NetCommunityBenefitExpnsAmt
Total Expense	0.06860	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	274	PersonsServedCnt
Total Community Benefit Expns	$4,001,484	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,484,390	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,517,094	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	33221	PersonsServedCnt
Total Community Benefit Expns	$124,224,946	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,512,892	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$57,712,054	NetCommunityBenefitExpnsAmt
Total Expense	0.07540	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Persons Served	23806	PersonsServedCnt
Total Community Benefit Expns	$2,047,209	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,047,209	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	145	PersonsServedCnt
Total Community Benefit Expns	$5,784,111	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,531,262	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,252,849	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	9816	PersonsServedCnt
Total Community Benefit Expns	$6,367,636	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,844,119	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,523,517	NetCommunityBenefitExpnsAmt
Total Expense	0.00590	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	339	PersonsServedCnt
Total Community Benefit Expns	$834,936	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$577,326	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$257,610	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	110	PersonsServedCnt
Total Community Benefit Expns	$145,171	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$145,171	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	29	ActivitiesOrProgramsCnt
Persons Served	34216	PersonsServedCnt
Total Community Benefit Expns	$15,179,063	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,952,707	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,226,356	NetCommunityBenefitExpnsAmt
Total Expense	0.01470	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	29	ActivitiesOrProgramsCnt
Persons Served	67437	PersonsServedCnt
Total Community Benefit Expns	$139,404,009	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,465,599	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$68,938,410	NetCommunityBenefitExpnsAmt
Total Expense	0.09010	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$1,130	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,130	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	7	PersonsServedCnt
Total Community Benefit Expns	$301,354	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$215,700	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$85,654	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	4	PersonsServedCnt
Total Community Benefit Expns	$27,797	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$27,797	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$858	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$858	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	12	PersonsServedCnt
Total Community Benefit Expns	$331,139	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$215,700	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$115,439	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$19,155,316	BadDebtExpenseAmt
Reimbursed By Medicare	$82,446,248	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$88,406,322	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,960,074	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Website Address	www.pihhealth.org	WebsiteAddressTxt
State License	License #930000129	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	Skilled Nursing Facility	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Page 8	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.pihhealth.org/CHIS	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V, Page 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Page 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V, Page 8	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PIH Health Whittier Hospital	Part V, Section B, Line 3j: The community health needs assessment includes data, maps and information regarding social determinants of health, health status and life expectancy, access to healthcare, mental health, alcohol, substance and tobacco use, physical activity, nutrition and weight status, reproductive health, acute and chronic disease, leading causes of death, community perspectives gathered from focus groups and interviews, and progress on the implementation strategy.
PIH Health Whittier Hospital	Part V, Section B, Line 5: Primary Data-Community InputPIH Health Whittier Hospital conducted targeted interviews to gather information and opinions from persons who represent the broad interests of the community served by the Hospital. Eighteen (18) telephone interviews were conducted during March and April 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 participants included agencies representing a broad range of health and social services, including leaders and representatives of medically underserved, low-income and minority populations as well the local health department that have current information relevant to the health needs of the communities we serve. The full listing of interview and focus groups can be found in Attachment 2 of the assessment found here: https://www.pihhealth.org/app/files/public/73c98380-25d9-458f-abda-09c966b4fa25/FINAL_CHNA%20Report%202022-Whittier.9.23.22.pdf
PIH Health Whittier Hospital	Part V, Section B, Line 6a: PIH Health Whittier Hospital participated in a collaborative process for the Community Health Needs Assessment with PIH Health Downey Hospital.
PIH Health Whittier Hospital	Part V, Section B, Line 7d: Assessment findings were also distributed to key stakeholders via email with emphasis on supporting program planning and fund-development endeavors, and sharing organizations the expense of duplicative data collection efforts. Assessment findings are also shared on an on-going basis via presentations at community events and community collaborative meetings, through social media channels and via our organization's e-newsletter and mailed magazine.
PIH Health Whittier Hospital	Part V, Section B, Line 11: PIH Health's Community Health Implementation Strategy (CHIS) ensures alignment of CHNA findings, our community health improvement programs and PIH Health's organizational strategy. To view the 2023-2025 CHIS 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/8c2f0b48-fab8-4a2d-a03d-4b875d0a931a/Community%20Health%20Improvement%20Plan%202022_PHWH.pdfSince PIH Health Whittier 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 Whittier 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 Whittier Hospital will continue to deliver vaccines, testing and acute medical care to address COVID-19.
PIH Health Whittier Hospital	Part V, Section B, Line 13b: Assistance is provided free or discounted for those patients eligible for FAP. The criteria for FAP is if the patient is uninsured and does not have the ability to pay, has restricted Medi-Cal benefits, or is underinsured. There are also considerations for patients where the FPG is not applicable and the patient is insured with inadequate coverage or excessive liability.
PIH Health Whittier Hospital	Part V, line 16a, FAP website: https://www.pihhealth.org/patients-visitors/billing-financial-assistance/financial-assistance/
PIH Health Whittier Hospital	Part V, line 16b, FAP Application Website: https://www.pihhealth.org/patients-visitors/billing-financial-assistance/financial-assistance/
PIH Health Whittier Hospital	Part V, line 16c, FAP Plain Language Summary Website: https://www.pihhealth.org/patients-visitors/billing-financial-assistance/financial-assistance/
Part V, Section B, Line 7, CHNA Policy Website:	https://www.pihhealth.org/CHNA

Field	Value	IRS element (for citing)
Facility	13	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Same Day Surgery
12415 Washington Blvd	Whittier	CA	90602	Outpatient Surgical Services
2 - Patricia L Scheifly Breast Health Ctr
12393 Washington Blvd	Whittier	CA	90602	Breast Health Services
3 - Ernest D Wells Medical Office Building
12462 Putnam St	Whittier	CA	90602	Outpatient Services
4 - Hacienda Heights Medical Office Building
1850 Azusa Ave	Hacienda Heights	CA	91745	Outpatient Services
5 - Washington Medical Office Building
12291 Washington Blvd	Whittier	CA	90602	Wound Healing, Lab Draw Station
6 - Bloomfield Medical Office Building
12400 Bloomfield Ave	Santa Fe Springs	CA	90670	Outpatient Services
7 - Whittwood Medical Office Building
15725 E Whittier Blvd	Hacienda Heights	CA	90603	Outpatient Services
8 - La Mirada Medical Office Building
12675 S La Mirada Blvd Suite 219	La Mirada	CA	90638	Outpatient Services
9 - PIH Health Therapy Services
15088 Imperial Hwy	La Mirada	CA	90638	Outpatient Therapy
10 - Arcadia Home Health Services
351 E Foothill Blvd Suite 100	Arcadia	CA	91006	Visiting Nurses Association
11 - Hospice Homes - Dove
10736 Valley View Ave	Whittier	CA	90604	Hospice Care
12 - Hospice Homes - Rose
10742 Valley View Ave	Whittier	CA	90604	Hospice Care
13 - PIH Home Health Services
15050 Imperial Hwy	La Mirada	CA	90638	Home Health Agency

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 6a:	PIH Health's Community Benefit Report, prepared annually, accounts for the organization's programs and services that promote the health of the community. The report separates out community benefit investment figures for each hospital. The report was made widely available to the public via social media, our organization's website and a community e-newsletter. It will also be shared with certain internal and community stakeholders via presentation.To view the full report, visit https://www.pihhealth.org/app/files/public/740c3c2f-6993-4fd0-8ab5-632413ccd44e/PIH_Health_Whittier_Hospital_FY22_Community_Benefit_Annual_Report_and_Plan.pdf
Part I, Line 7:	Patient care cost-to-charges ratio derived from worksheet 2 was used to calculate the financial assistance. For all others, we utilized internal costing system and accounts for the various payer mix.
Part I, Ln 7 Col(f):	The Bad Debt expense included on Form 990, Part IX, Line 25(A), but subtracted for purposes of calculating the percentage in this $19,155,316.
Part II, Community Building Activities:	PIH Health works with a variety of community stakeholders to enhance the collective capacity for addressing the root causes of health problems. PIH Health mobilizes assets and invests resources through a variety of community-building activities designed to address identified needs, including participation on local chamber of commerce boards aimed at improving the economic, civic and cultural wellbeing of the community. PIH Health also undertakes disaster preparedness training above and beyond licensure requirements to ensure we are effectively prepared to serve the community in a disaster. In addition, PIH Health has advocated for improved public transportation solutions via extended light rail service in the community to improve funding and resources to address this need. Also, the organization's President and CEO has supported local, state, and federal health-related advocacy through participation and leadership in various healthcare associations. Lastly, PIH Health accounts for staff participation in and/or support of workforce development programs, workforce development boards, etc.
Part III, Line 2:	The provision for bad debts is based upon management's assessment of historical and expected net collections, taking into consideration historical business and economic conditions, trends in health care coverage, and other collection indicators. Management routinely assesses the adequacy of the allowances for uncollectible accounts based upon historical write-off experience by payor category. The company follows established guidelines for placing certain patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by each facility. The provision for bad debts is presented on the consolidated statements of operations as a deduction from patient services revenues (net of contractual allowances and discounts) since the company accepts and treats all patients without regard to the ability to pay. As a result of the adoption of ASC 606, PIH Health Whittier Hospital is reporting implicit price concessions, which is established based on many factors, including payer mix, age of receivables, historical cash collection experience, other relevant information.
Part III, Line 3:	PIH Health Whittier 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.
Part III, Line 4:	As part of the Company's mission to serve the community, the Company provides care to patients even though they may lack adequate insurance or may participate in programs with negotiated or regulated payment amounts. The Company makes every effort to determine if a patient qualifies for charity care upon admission, though determination may also be made at a later time. After satisfaction of amounts due from insurance, the application of any financial, uninsured or other discounts or payments received on the account, and reasonable efforts to collect from the patient have been exhausted, the Company follows established guidelines for placing certain past-due patient balances with collection agencies, subject to certain restrictions on collection efforts as determined by the Company. The Company manages its collection risk by regularly reviewing its accounts and contracts, and by providing appropriate allowances that are netted against patient accounts receivable in the consolidated balance sheets.Implicit price concessions is based upon management's assessment of historical and expected net collections, taking into consideration historical business and economic conditions, trends in healthcare coverage and other collection indicators. Management routinely assesses the adequacy of the implicit price concessions based upon historical write-off experience by payor category. The Company follows established guidelines for placing certain patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by each facility. Implicit price concessions is included as a deduction from patient services revenues since the Company generally accepts and treats all patients without regard to the ability to pay.
Part III, Line 8:	The Company does not take the position that Medicare shortfall should be treated as community benefit. The State has specifically asked us to report this separately from our community benefit totals. The Company uses a cost-to-charge (C2C) ratio to determine Medicare allowable costs of care relating to payment received from Medicare, which is similar to the IRS Form 990, Schedule H method. However, the PIH Health system is more refined and exacting, since it is generated at the department level and includes both direct costs and allocated company-wide indirect costs. All period indirect costs are allocated between PIH Health departments based on their relative gross charges. The sum of the direct and allocated indirect costs of each department are divided by the total department gross procedure charges. The resulting department specific percentage, i.e.. department C2C%, is loaded into PIH Health's ERP software each quarter. The cost system applies the department's C2C% to all procedure charges originating within the department in order to compute the related procedure costs. As such, all cost information reflected in PIH Health's regulatory reporting and financial analysis is based on the above department C2C methodology.
Part III, Line 9b:	The hospital encourages all self-pay patients to apply for financial assistance or other programs. 1. All uninsured patients are assumed to need financial assistance and automatically receive discounted bills that reflect the contract rate or less of a Medicare Advantage contract.2. All uninsured patients are provided with a financial assistance and Medicaid application at the time of registration thereby giving them the opportunity to apply for assistance.3. There are signs through the facility that educate patients and visitors about the availability of financial assistance.4. The hospital's website publishes the financial assistance policy and applications.5. Self-pay inpatients also may be contacted by a vendor to offer assistance in applying for Medicaid, if eligible.6. Statements (which reflect a reduction in charges to the rates at or lower than contracted rates for Medicare Advantage members) promote the hospital's financial assistance program.7. Only patients who do not qualify for further financial assistance (after discounts) or who do not apply for programs and do not pay are referred to collection. In addition, if a patient is referred to collection and later applies for charity and qualifies, the patient's account is returned to the hospital and financial assistance is extended.
Part VI, Line 2:	In addition to the hospital's CHNA, PIH Health utilizes the following methods to assess the health care needs of the communities it serves: Community Benefit Oversight Committee - In 2006, PIH Health's Board of Directors established the Community Benefit Oversight Committee (CBOC), which is comprised of community stakeholders and key public health and legislative representatives. This committee meets regularly and its members share healthcare-related needs/concerns experienced by the community members they represent as well as assets or potential partners for the hospital to engage in addressing the identified needs.Feedback from Community Organizations / Collaborative- Through participation in various community collaborative and networking meetings, PIH Health is able to assess the healthcare needs of the community and identify partnership opportunities.
Part VI, Line 3:	There are many avenues PIH Health takes in educating patients and family members about the various financial assistance programs. Patients are advised at the time of service, during in-house care and post discharges. Free handouts of the FAP application are provided in both English and Spanish. There are postings throughout the hospital in both English and Spanish with information about our FAP program. We have an eligibility vendor that is conveniently available to assist our patients in the emergency room or in-house patients with determining eligibility for various governmental programs, as well as, advise and assist the patient with the FAP. Post discharge, our Business Office staff takes the initiative to advise the patient of our FAP program. Also, with the initial statement sent to patients, an application is included. PIH Health's FAP is also published on our website.
Part VI, Line 4:	PIH Health Whittier Hospital is located at 12401 Washington Blvd., Whittier, CA 90602. The hospital's service area encompasses 13 ZIP codes in 9 cities/communities. The service area is served by the Los Angeles County 4th Supervisorial District and the majority of the cities/communities fall within the Los Angeles County Service Planning Area (SPA) 7.A section of La Habra ZIP code 90631 is in Orange County. PIH Health Whittier Hospital tracks ZIP codes of origin for patient admissions. The service area was determined from the ZIP codes that reflect a majority of patient admissions from the local geographic area.Based on the 2022 Community Health Needs Assessment, the population for PIH Health Whittier Hospital's service area is 616,536. Children and youth, ages 0-17, are 22.8% of the population, 67.6% are adults, ages 18-64, and 9.6% of the population are adults, ages 65 and older. In the service area, 68.0% of the population is Hispanic/Latino, 16.1% are White, 12.3% are Asian, 1.7% are Black/African American, 1.5% are Other/Multiple Races, 0.3% are Native American/Alaskan Native, and 0.2% are Native Hawaiian/Pacific Islander. Among the service area population, ages five and older, 45.7% speak Spanish in the home, 42.5% speak only English in the home, 9.7% speak an Asian or Pacific Islander language, 1.7% speak other Indo-European languages, and 0.3% speak other languages in their home. In the service area, 10.3% of the population is at or below 100% of the federal poverty level. Among service area adults, ages 25 and older, 19.2% have less than a high school diploma, 49.6% are high school graduates, and 31.1% have an associate, bachelor's, or graduate/professional degree. There are five other hospitals providing care in the service area population and no federally-designated medically underserved areas present in the service area. For additional data regarding the service area, please see the CHNA at https://PihHealth.org/CHNA
Part VI, Line 5:	Community BoardPIH Health's community Board of Directors works to advance PIH Health's commitment to helping our communities get well and stay healthy.Open Medical StaffPIH Health extends medical staff privileges to all qualified physicians in its community for some or all of its departments or specialties.Use of Surplus FundsPIH Health applies surplus funds toward improvements in patient care, technology, and medical education.Community Benefit Oversight Committee (CBOC)In 2006, PIH Health's Board of Directors established the CBOC, comprised of community stakeholders and a public health representative. The CBOC promotes the health of the community by 1) reviewing and validating legal and regulatory compliance with respect to community benefit mandates, 2) reviewing and validating that PIH Health's community benefit programs and services effectively meet identified community health needs, with emphasis on vulnerable populations, as an essential expression of PIH Health's charitable mission and 3) increasing public awareness of community benefit activities and community value.Donation of TimeMany PIH Health providers are living out their passion to serve people in need by donating their time and talents both in our community and overseas. Emergency and Disaster Preparedness/Disaster Resource Center (DRC) PIH Health Whittier Hospital is one of 13 Los Angeles County designated DRC's that ensure the community has access to resources and the highly skilled staff needed to respond to a large-scale disaster or other public health emergencies.Environmental and Recycling ProjectsPIH Health continues to implement "green" initiatives, including increased usage of LED lighting to decrease consumption of electricity and, expanding a methane gas project with the City of Whittier to convert methane gas into electricity. Eyeglasses and hearing aids are also collected and recycled for redistribution by the East Whittier Lions Club to those in need.Volunteer Contributions Some 1,282 PIH Health System volunteers collectively contributed 111,535 hours of service, supporting departments throughout the organization.Reach Out and Read Program Our Pediatrics Department partners with Reach Out and Read to promote early literacy and school readiness. Physicians provide patients with a children's book and discuss with parents the importance of reading aloud. Each year, over 4,912 new books are distributed.
Part VI, Line 6:	Hospital affiliates include: 1) PIH Health, Inc., PIH Health Whittier Hospital's parent company; 2) PIH Health Downey Hospital; 3) PIH Health Good Samaritan Hospital; 4) PIH Health Physicians, a nonprofit medical foundation; 5) PIH Health Home Healthcare and 6) the PIH Health Foundation, a nonprofit organization that exists to raise philanthropic funds in support of PIH 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 nearly 100 years. As a nonprofit hospital with a charitable mission, PIH Health Downey Hospital 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 founded in 1885, became part of PIH Health in December 2019. As a 501(c)(3) nonprofit, 408-bed acute care hospital, the downtown Los Angeles campus serves the healthcare needs of a growing and diverse community. As a nonnprofit hospital with a charitable mission, PIH Health Good Samaritan Hospital is a dedicated community health and wellness partner. This commitment and leadership gives back to the community through charity care, medical research, donations, health professions education and more. 4) PIH Health Physicians (PHP) A 501(c)(3) nonprofit medical group that is exclusively affiliated with PIH Health, the group is comprised of more than 150 primary care physicians and over 245 specialists who coordinate care from diagnosis to recovery. PHP supports the local community through its financial assistance program, Whittier First Day Health & Wellness Center for the homeless and those at-risk for homelessness, health professions education, and other community health improvement services.5) PIH Health Home Healthcare provides around-the-clock, quality care for patients in their own home. PIH Health Home Healthcare is certified by the Centers for Medicare and Medicaid Services.6) The PIH Health Foundation 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.
Part VI, Line 7, Reports Filed With States	CA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
American Heart Assoc Los Angeles
7272 Greenville Avenue	Dallas	TX	75231	135613797	501(c)(3)	$6,500	$0	The purpose of this sponsorship is to benefit the American Heart Association (AHA) and advance its not-for-profit mission to be a relentless force for a world of longer, healthier lives.
Boys Girls Club of Whittier
7905 Greenleaf Avenue	Whittier	CA	90602	956151763	501(c)(3)	$10,000	$0	Funds are intended to support Healthy Lifestyles programming, which helps fill gaps for lower-income families with physical activity, organized sports, and nutrition education for youth.
EWCSD-East Whittier City School
14535 E Whittier Blvd	Whittier	CA	90605	956001046	501(c)(3)	$5,000	$0	Funds will support the East Whittier City School District programs that support students and families who are homeless or at-risk for homelessness by providing resources to meet their basic needs.
Helpline Youth Counseling Inc
14181 Telegraph Road	Whittier	CA	90604	237113824	501(c)(3)	$7,500	$0	Funds should be restricted to Helpline Youth Counseling's provision of accessible mental health services for low-income children, individuals and families.
Kingdom Causes Bellflower
16429 Bellflower Blvd	Bellflower	CA	90706	954849998	501(c)(3)	$10,000	$0	Funds are intended to support Margaret's House, a transitional home providing short-term housing and services for families with minor dependent children.
La Cada
12070 Telegraph Road Ste207	Santa Fe Springs	CA	90670	237110152	501(c)(3)	$5,000	$0	Funds should be restricted to supporting LA CADA's 50th Anniversary Celebration and their mission to offer vital drug and alcohol rehabilitation and prevention services to the most vulnerable and underserved residents of Los Angeles County.
Little Lake City School District
10515 Pioneer Blvd	Santa Fe Springs	CA	90670	956001871	Govt Entity	$5,000	$0	Funds should be restricted to supporting Little Lake School District's Mindful Students program to increase student engagement and mental health through practicing mindfulness strategies.
Spiritt Family Services
8000 Painter Avenue	Whittier	CA	90602	952852683	501(c)(3)	$5,000	$0	Funds should be restricted to support SPIRITT"s mission "to empower families, improve health and well-being and to meet the emergency needs of the youth and families in Service Planning Area 7 served by SPIRITT to reduce food insecurity.
The Whole Child
10155 Colima Road	Whittier	CA	90603	952031148	501(c)(3)	$10,000	$0	To support of the Interim Housing and Supportive Services Center and Family Solutions Center as well as core services.
Whittier City School District
7211 S Whittier Ave	Whittier	CA	90602	956003508	Govt Entity	$10,000	$0	Funds are restricted to expenses directly related to the implementation and operation of Wellness Centers at six pilot school sites to support mental health initiatives, providing a safe environment for students to access mental health resources.

Field	Value	IRS element (for citing)
Total501c3 Org	10	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Scholarships	GrantTypeTxt
Recipient	24	RecipientCnt
Cash Grant	$57,500	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	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)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (32 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
James West
System President/CEO	$1,403,776	$0	$1,129,582	$0	$230,580	$0	$320,688	$0	$19,391	$0	$3,104,017	$0	$210,464	$0
Rosalio Lopez MD
System CMO/CSO	$848,206	$0	$336,481	$0	$389,001	$0	$203,006	$0	$9,242	$0	$1,785,936	$0	$381,303	$0
Peggy Chulack
System CAO & Asst. Secretary	$701,640	$0	$347,513	$0	$9,509	$0	$150,342	$0	$14,127	$0	$1,223,131	$0	$0	$0
Brian Smolskis
System COO	$697,337	$0	$323,736	$0	$8,117	$0	$155,902	$0	$21,073	$0	$1,206,165	$0	$0	$0
Anita Chou
Former CFO & Asst. Treasurer	$113,900	$0	$142,450	$0	$843,806	$0	$8,041	$0	$13,527	$0	$1,121,724	$0	$233,343	$0
Davis Lee
CMIO & CIO	$505,055	$0	$200,062	$0	$2,389	$0	$98,009	$0	$16,758	$0	$822,273	$0	$0	$0
Vid Shivaraman
System CFO & Assistant Treasurer	$516,146	$0	$180,469	$0	$6,299	$0	$111,770	$0	$6,290	$0	$820,974	$0	$0	$0
Carol Salas
System Chief HR Officer	$436,053	$0	$175,169	$0	$31,603	$0	$104,214	$0	$22,323	$0	$769,362	$0	$24,864	$0
Ramona Pratt
CNO	$379,010	$0	$133,457	$0	$9,502	$0	$92,663	$0	$13,627	$0	$628,259	$0	$0	$0
Greg Williams
Former CFO & Asst. Treasurer	$0	$0	$0	$0	$613,536	$0	$0	$0	$0	$0	$613,536	$0	$613,536	$0
Debra Legan
VP Mktg & Planning	$380,328	$0	$117,101	$0	$8,388	$0	$88,423	$0	$1,312	$0	$595,552	$0	$0	$0
Chico Manning
VP Supply Chain	$332,895	$0	$122,740	$0	$8,582	$0	$88,286	$0	$1,252	$0	$553,755	$0	$0	$0
Judy Pugach
VP Regulatory Affairs	$333,051	$0	$93,082	$0	$6,524	$0	$77,948	$0	$6,305	$0	$516,910	$0	$0	$0
John Joyce
VP Ancillary Svs (until 8/11/21)	$241,939	$0	$43,560	$0	$173,234	$0	$39,363	$0	$15,692	$0	$513,788	$0	$75,608	$0
Shelly Necke
VP Post Acute Cr Svs	$327,030	$0	$94,560	$0	$8,165	$0	$59,938	$0	$16,925	$0	$506,618	$0	$0	$0
Lucinda Place
VP of Quality Management	$290,040	$0	$91,576	$0	$7,617	$0	$47,143	$0	$20,573	$0	$456,949	$0	$0	$0
Anup Patel
VP Ent Rsk Mgmt & Corp Com	$282,415	$0	$83,563	$0	$6,896	$0	$57,709	$0	$21,402	$0	$451,985	$0	$0	$0
Brent Melton
VP Support Services	$286,882	$0	$81,330	$0	$14,572	$0	$33,244	$0	$21,333	$0	$437,361	$0	$0	$0
Mohammed Ghonim
VP Lab, Clin Research & Pharm	$290,191	$0	$44,554	$0	$8,028	$0	$61,784	$0	$7,697	$0	$412,254	$0	$0	$0
Noel Coppinger
VP, Revenue Cycle	$259,089	$0	$84,606	$0	$6,774	$0	$55,356	$0	$6,296	$0	$412,121	$0	$0	$0
Kevin Brown
VP, Cardiology Srvs	$256,649	$0	$41,200	$0	$7,614	$0	$47,128	$0	$7,627	$0	$360,218	$0	$0	$0
Stacy Johnson
VP, Radiology & Imaging	$238,255	$0	$38,342	$0	$6,414	$0	$48,946	$0	$7,486	$0	$339,443	$0	$0	$0
Ron Eickhoff
VP, Respiratory	$232,635	$0	$37,464	$0	$6,774	$0	$40,089	$0	$14,427	$0	$331,389	$0	$0	$0
Mark St Julien
VP Facility (until 8/11/21)	$180,880	$0	$0	$0	$86,227	$0	$20,690	$0	$18,050	$0	$305,847	$0	$12,562	$0
Michelle Flores
RN Charge Nurse	$267,890	$0	$0	$0	$4,924	$0	$11,279	$0	$13,373	$0	$297,466	$0	$0	$0
Rebecca Weyant
Admin Dir Surgical Svs	$254,555	$0	$0	$0	$9,483	$0	$15,506	$0	$14,925	$0	$294,469	$0	$0	$0
Jung Ho
Medical Physicist	$269,319	$0	$0	$0	$0	$0	$15,765	$0	$6,895	$0	$291,979	$0	$0	$0
Cheri Cubero
Registered Nurse	$259,683	$0	$0	$0	$8,487	$0	$11,700	$0	$11,633	$0	$291,503	$0	$0	$0
Diane McCowan
Director Pharmacy	$262,285	$0	$568	$0	$9,629	$0	$15,050	$0	$1,252	$0	$288,784	$0	$0	$0
Sumer Sharma
VP Oper. Finance (until 2/4/21)	$65,185	$0	$0	$0	$181,875	$0	$5,182	$0	$4,199	$0	$256,441	$0	$17,519	$0
Ronald Yoshihara
Former VP Fin & Analytics	$0	$0	$0	$0	$225,537	$0	$0	$0	$0	$0	$225,537	$0	$221,649	$0
Mark Kawauchi
VP of Finance	$186,855	$0	$0	$0	$3,887	$0	$13,505	$0	$10,698	$0	$214,945	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Lines 4a-b	FormAndLineReferenceDesc
Explanation	Part I, Line 4A: Anita Chou, John Joyce, Sumer Sharma, and Mark St. Julien received a severance payment during the calendar year. The payment is included in Part VII, Column D and Schedule J, Part II, Column B(iii). The terms and conditions of the confidential severance agreement are available to the Internal Revenue Service upon request. Part I, Line 4B: PIH Health Inc. and its affiliates provides a supplemental executive retirement plan for certain executives. The following individuals participate in the plan: James West Peggy Chulack Vid Shivaraman Brian Smolskis Rosalio Lopez Ramona Pratt Davis Lee Anup Patel Chico Manning Shelly Necke Debra Legan Judy Pugach Carol Salas Brent Melton Mark Kawauchi Lucinda Place Kevin Brown Ron Eickhoff Noel Coppinger Mohammed Ghonim Anita Chou Mark St. Julien John Joyce Greg Williams The following amounts became vested or were paid-out in 2021 and are included in Schedule J, Part II, Column (b)(iii): James West $210,464 Rosalio Lopez $381,303 Carol Salas $24,864 Mark St. Julien $12,562 Anita Chou $233,343 Greg Williams $613,536 John Joyce $75,608 Ronald Yoshihara $221,649 Sumer Sharma $17,519	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
City of Whittier
A	956000812	966769DK4	2014-08-07	$106,612,491	Acquire and Equip Hospital	0	0	0
City of Whittier
B	956000812	996769DL2	2018-11-29	$48,500,000	Refund Series 2012 B Bonds	0	0	0
California Health Facilities Financing Authority
C	521643828	13032UWP9	2020-10-08	$197,721,474	Construction and Equipment, Refund bonds 2009A and 2012C	0	0	0
City of Whittier - Series 2022A
D	956000812	NONEAVAIL	2022-04-06	$40,135,000	Refund Bond 2012A	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	UnspentUnspentAmt
A	$106,612,491	$1,880,505	$6,854,015	$97,877,971	2014	0	Yes (1)	Yes (1)
B	$48,500,000	$457,075		$48,042,925		Yes (1)	Yes (1)	Yes (1)	$8,925,000
C	$197,721,474	$2,170,191	$35,259,913	$108,924,588		Yes (1)	0	Yes (1)	$1,155,000	$51,366,782
D	$40,135,000			$40,135,000		Yes (1)	Yes (1)	Yes (1)	$2,110,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
(no name)
A	0	0	0	Yes (1)	0	0	0	Yes (1)	Yes (1)
Barclay
B	0	Yes (1)	0	0	0	Yes (1)	0	0	Yes (1)	7.000000000000	0	0
(no name)
C	0	Yes (1)	0	0	0	0	0	0	Yes (1)
(no name)
D	0	Yes (1)	0	0	Yes (1)	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule K, Part IV, Line 2c:	FormAndLineReferenceDesc
Explanation	Bond 2018 Series - Met six month exception report dated July 2, 2019.	ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	James West	PersonNm
Relationship With Org	Part V	RelationshipWithOrgTxt
Loan Purpose	Part V	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$13,250,000	OriginalPrincipalAmt
Balance Due	$13,250,000	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$13,250,000	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Mary Wargo
Sister of Officer	$96,366	See Part V	0
Andrew Pratt
Son of Officer	$111,120	See Part V	0
See Part V
See Part V	$217,374	See Part V	0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Sch L, Part II, Loans To and From Interested Persons:	(a) Name of Person: James West(b) Relationship with Organization: President & CEO(c) Purpose of Loan: Split Dollar Life Agreement Benefit plan
Sch L, Part IV, Business Transactions Involving Interested Persons:	Mary Wargo, sister of Peggy Chulack, is employed by PIH Health Whittier Hospital.
Sch L, Part IV, Business Transactions Involving Interested Persons:	Andrew Pratt, son of Ramona Pratt, is employed by PIH Health Whittier Hospital.
Sch L, Part IV, Business Transactions Involving Interested Persons:	Elizabeth Brogan-Shivaraman, family member of Officer Vid Shivaraman, is employed by PIH Health Whittier Hospital.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 2	PIH Health Whittier Hospital is a member of an integrated healthcare system. The following individuals have a business relationship by virtue of their positions as officer or directors of related entities within the system: Richard Atwood, Jeff Hamar, Paula Cowan, Alex Alvarez, Blayne Cutler, Jane Dicus, Patrick Monroe, Paul Treinen, Charlotte Weaver, Kenton Woods, Peter Greaney, Marissa Goldberg, Melanie Batiste, Robert Maloney, James West, Peggy Chulack, Vid Shivaraman, Rosalio Lopez, and Brian Smolskis.
Form 990, Part VI, Section A, line 6	PIH Health, Inc. is the sole member of PIH Health Whittier Hospital.
Form 990, Part VI, Section A, line 7a	PIH Health, Inc. has authority to elect all the members of the board of directors of PIH Health Whittier Hospital.
Form 990, Part VI, Section A, line 7b	PIH Health, Inc. has all voting rights and the power to elect the board of directors of PIH Health Whittier Hospital.
Form 990, Part VI, Section B, line 11b	The Organization works with an independent accountant, RSM US LLP, to prepare the Form 990. Once the return is prepared, the return is reviewed by the Chief Financial Officer and VP of Finance. Form 990 is then reviewed by the Audit Committee of PIH Health, Inc., which is made up of independent directors. RSM US LLP makes all changes necessary. The final Form 990 is provided to the board prior to filing.
Form 990, Part VI, Section B, line 12c	Each year, all management and board of directors members are required to complete a conflict of interest disclosure form. All positive responses are reviewed by the General Counsel and Chief Administrative Officer of PIH Health, Inc. Each positive response is considered in light of magnitude of ownership interest, financial transaction(s), etc. If deemed necessary, conflicts of interest could be resolved by insisting that the incumbent either divest their ownership interest, that the organization terminate the business relationship, or even that the director resign. Directors with potential conflicts of interest may recuse themselves from voting on certain matters and/or may excuse themselves from meetings during the discussion, deliberation, and voting on of matters.
Form 990, Part VI, Section B, line 15	The organization's executive compensation committee engages an independent, third-party, expert compensation consultant to review its executive salaries. The consultant obtains specific organizational data from which to base its analysis (revenues, expenses, employees, service area, job descriptions, etc.). The consultant's analysis includes a review of compensation trends, regulatory issues, the organization's executive compensation philosophy, the methodology used for the assessment, the base salary analysis, the incentive compensation analysis, the total cash compensation analysis, and the total compensation analysis. Salary movement, incentive compensation, market benefit, and recruitment and retention trends are reviewed. This analysis is provided to the organization's executive compensation committee, which is comprised of independent directors. The executive compensation committee has approved a regional peer group that includes high-performing, comparably-sized California hospitals and health systems. The consultant compiles comparability data from national and regional peers; compares the organization's executive compensation with peer group compensation levels; and prepares a report that includes all of the back-up data on comparability, peer groups, and job matches. The methodology used by the consultant includes two peer groups: a national peer group of comparably-sized hospitals and single hospital systems and a regional peer group of hospitals and systems in Southern California, the data of which is provided to the committee in its report. The national data is used as the primary comparator for the analysis. The committee is presented with charts that compare organization salaries to the level targeted in the compensation philosophy. Neither performance nor qualifications of the incumbent is considered when providing the market data. The committee is provided with a review of the base salary analysis, a review of the incentive compensation analysis, a review of the total cash compensation analysis (base salary plus incentive), and a review of the total compensation analysis (base salary plus incentive plus benefits/perquisites). Based upon all of the above information, the consultant provides the committee with recommended salary ranges for the period assessed. The executive compensation committee deliberates on the comparability data to ensure that it is appropriate in representing like organizations, like positions, and like circumstances, and that it could realistically rely on the comparability data in reaching its decision that the compensation is reasonable and represents fair market value for services rendered. The executive compensation committee affirms this process to the board of directors.
Form 990, Part VI, Section C, line 19	The organization does not make its governing documents, conflict of interest policy, or financial statements available to the public. Form 990 and Form 990-T are available upon request. The organization is not required to make Form 1023 available for public inspection as it received its tax exemption prior to July 15, 1987.
Form 990, Part VII, Section A, Line 1:	Three of the filing organization's directors, Sudhaker Nayak, Eduardo Tovar and Brent Gray, are employees of Intercommunity Health Associates (IHA), 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 IHA, as follows: Sudhaker Nayak: Reportable Base Compensation - $1,748,625 Other Compensation - $46,165 Eduardo Tovar: Reportable Base Compensation - $1,232,729 Other Compensation - $43,050 Brent Gray: Reportable Base Compensation - $656,624 Other Compensation - $32,841 One of the filing organization's officers, Rosalio Lopez, is an employee of 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 - $72,736 Other Compensation - $0
Form 990, Part XI, line 9:	Change in Fair Value of Interest Rate Swap 7,627,370. Pension Adjustments 20,866,763. Swap Interest -742,481.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	PIH Health Community Pharmacy LLC	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)
EIN	264390142	EIN
Primary Activities	Pharmacy	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd
Total Income	$9,237,419	TotalIncomeAmt
End Of Year Assets	$466,232	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
PIH Health Foundation
12401 Washington Blvd	Whittier	CA	90602	953761274	Fundraising	CA	501(c)(3)	Line 7	PIH Health Inc	Yes (1)
PIH Health Management Corp
12401 Washington Blvd	Whittier	CA	90602	954016278	Support of Tax-Exempt Affiliates	CA	501(c)(3)	Line 12b, II	PIH Health Inc	Yes (1)
PIH Health Home Healthcare
12401 Washington Blvd	Whittier	CA	90602	953036281	Support of Tax-Exempt Affiliates	CA	501(c)(3)	Line 12b, II	PIH Health Inc	Yes (1)
PIH Health Inc
12401 Washington Blvd	Whittier	CA	90602	953619388	Support of Tax-Exempt Affiliates	CA	501(c)(3)	Line 12b, II		0	N/A
PIH Health Adult Day Healthcare
12401 Washington Blvd	Whittier	CA	90602	953643829	Support of Tax-Exempt Affiliates	CA	501(c)(3)	Line 12b, II	PIH Health Inc	Yes (1)
PIH Health Physicians
6557 Greenleaf Avenue	Whittier	CA	90601	953942828	Healthcare	CA	501(c)(3)	Line 10	PIH Health Inc	Yes (1)
PIH Health Downey Hospital
11500 Brookshire Avenue	Downey	CA	90241	951903935	Healthcare	CA	501(c)(3)	Line 3	PIH Health Inc	Yes (1)
PIH Health Good Samaritan Hospital
1225 Wilshire Blvd	Los Angeles	CA	90017	951656366	Hospital	CA	501(c)(3)	Line 3	PIH Health Inc	Yes (1)
Good Samaritan Institute for Research and Education
1225 Wilshire Blvd	Los Angeles	CA	90017	954077161	Heart Research	CA	501(c)(3)	Line 4	PIH Health Good Samaritan Hospital	Yes (1)
Orthopedic Institute of the Good Samaritan Hospital
1225 Wilshire Blvd	Los Angeles	CA	90017	954346048	Orthopedic Research	CA	501(c)(3)	Line 12a, I	PIH Health Good Samaritan Hospital	Yes (1)
Samaritan Imaging Center
1225 Wilshire Blvd	Los Angeles	CA	90017	954252321	Outpatient Imaging Services	CA	501(c)(3)	Line 10	PIH Health Good Samaritan Hospital	Yes (1)
Good Samaritan Medical Office Building Inc
1225 Wilshire Blvd	Los Angeles	CA	90017	953244046	Physicians Medical Offices	CA	501(c)(3)	Line 12a, I	PIH Health Good Samaritan Hospital	Yes (1)
Kate Van Nuys Page Foundation
1225 Wilshire Blvd	Los Angeles	CA	90017	956028032	Grants income to Good Samaritan Hospital	CA	501(c)(3)	Line 12a, I	PIH Health Good Samaritan Hospital	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
PIH Health Insurance Company
733 Bishop Street Ste 1555	Honolulu	HI	96813	263760243	Captive Insurance	HI	N/A	T	Yes (1)
PIH Health Care Solutions
6557 Greenleaf Avenue	Whittier	CA	90601	462072342	Healthcare	CA	N/A	C	Yes (1)
DRMC Properties Inc
12401 Washington Blvd	Whittier	CA	90602	954769768	Real Estate	CA	N/A	C	Yes (1)
PIH Health RE
733 Bishop Street Ste 1555	Honolulu	HI	96813	472501390	Captive Insurance	HI	N/A	T	Yes (1)
Healthmed Services Inc
12401 Washington Blvd	Whittier	CA	90602	300831225	Healthcare	CA	N/A	C	Yes (1)
Pioneer Medical Group Inc
12401 Washington Blvd	Whittier	CA	90602	330927283	Medical Services	CA	N/A	C	Yes (1)
Pioneer Provider Network A Medical Group Inc
12401 Washington Blvd	Whittier	CA	90602	330922631	Management Services	CA	N/A	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PIH Health Physicians
L	$10,334,548	FMV
PIH Health Foundation
C	$843,700	FMV
PIH Health Management Corp
M	$1,208,994	FMV

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part IV, Column (E):	PIH Health Care Solutions is a Nonprofit Mutual Benefit Corporation.
Part IV, Column (E):	PIH Insurance Company is an Unincorporated Risk Retention Group.