PIH HEALTH GOOD SAMARITAN HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: PIH HEALTH GOOD SAMARITAN HOSPITAL (EIN 95-1656366)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-14
IRS object ID: 202622269349300012
Schema version: 2024v5.1
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-14T19:08:37+00:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	55 SECOND STREET SUITE 1400	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94105	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	951656366	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PIH HEALTH GOOD SAMARITAN HOSPITAL	BusinessNameLine1Txt

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	VID SHIVARAMAN	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2026-08-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ALISON LAKRITZ	PreparerPersonNm
PTIN	P01935980	PTIN
Phone	4159635100	PhoneNum
Preparation	2026-08-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JAMES WEST	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	12401 WASHINGTON BLVD	AddressLine1Txt
City	WHITTIER	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90602	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$373,821,593	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PIHHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1885	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	PROVIDE HIGH-QUALITY HEALTHCARE, WITHOUT DISCRIMINATION, AND CONTRIBUTE TO THE HEALTH AND WELL-BEING.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	1768	TotalEmployeeCnt
Total Volunteers	263	TotalVolunteersCnt
Total Gross UBI	$156,862	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,694,857	PYContributionsGrantsAmt
CY Contributions Grants	$17,735,583	CYContributionsGrantsAmt
PY Program Service Revenue	$368,107,801	PYProgramServiceRevenueAmt
CY Program Service Revenue	$320,227,054	CYProgramServiceRevenueAmt
PY Investment Income	$8,917,861	PYInvestmentIncomeAmt
CY Investment Income	$11,895,738	CYInvestmentIncomeAmt
PY Other Revenue	$6,506,734	PYOtherRevenueAmt
CY Other Revenue	$10,644,155	CYOtherRevenueAmt
PY Total Revenue	$391,227,253	PYTotalRevenueAmt
CY Total Revenue	$360,502,530	CYTotalRevenueAmt
PY Grants And Similar Paid	$5,169,509	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,055,493	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$176,197,164	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$173,236,288	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$126,012	CYTotalFundraisingExpenseAmt
PY Other Expenses	$230,694,278	PYOtherExpensesAmt
CY Other Expenses	$253,654,276	CYOtherExpensesAmt
PY Total Expenses	$412,060,951	PYTotalExpensesAmt
CY Total Expenses	$429,946,057	CYTotalExpensesAmt
PY Revenues Less Expenses	-$20,833,698	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$69,443,527	CYRevenuesLessExpensesAmt
Total Assets BOY	$602,884,520	TotalAssetsBOYAmt
Total Assets EOY	$685,780,667	TotalAssetsEOYAmt
Total Liabilities BOY	$196,891,669	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$344,389,192	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$405,992,851	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$341,391,475	NetAssetsOrFundBalancesEOYAmt
Mission	WE PROVIDE HIGH-QUALITY HEALTHCARE, WITHOUT DISCRIMINATION, AND CONTRIBUTE TO THE HEALTH AND WELL-BEING OF OUR COMMUNITIES IN AN ETHICAL, SAFE AND FISCALLY PRUDENT MANNER, IN RECOGNITION OF OUR CHARITABLE PURPOSE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$196,376,007	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$116,176,350	RevenueAmt
Desc	FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS: FINANCIAL ASSISTANCE, ALSO KNOWN AS CHARITY CARE, IS DEFINED AS FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO INDIVIDUALS WHO CANNOT AFFORD TO PAY AND WHO MEET THE ELIGIBILITY CRITERIA OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PIH HEALTH GOOD SAMARITAN HOSPITAL OFFERS A GENEROUS FINANCIAL ASSISTANCE PROGRAM, PROVIDING CHARITY CARE TO THOSE WITH FAMILY INCOME(S) AT OR BELOW 400% OF FEDERAL POVERTY LEVEL GUIDELINES. THE HOSPITAL HAS A POLICY TO TREAT EMERGENCY AND CERTAIN OTHER PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. UNDER THE CHARITY CARE POLICY, CHARITY CARE MAY BE PROVIDED TO PEOPLE WHO ARE UNINSURED OR UNDERINSURED AND CANNOT AFFORD TO PAY FOR THEIR OWN MEDICAL CARE. IN PROVIDING SERVICES TO THOSE PATIENTS PARTICIPATING IN MEANS-TESTED GOVERNMENT HEALTH PROGRAMS, SUCH AS MEDI-CAL, PIH HEALTH GOOD SAMARITAN HOSPITAL REALIZES A COLLECTIVE NET LOSS EACH FISCAL YEAR DUE TO THE SHORTFALL CREATED WHEN THE PAYMENTS RECEIVED FROM THESE PROGRAMS ARE LESS THAN THE COST OF CARING FOR PUBLIC PROGRAM BENEFICIARIES. NUMBER OF PERSONS SERVED BY FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS: 41,342	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$178,204,513	ExpenseAmt
Grant	$3,055,493	GrantAmt
Revenue	$193,390,664	RevenueAmt
Desc	PATIENT CARE: FOUNDED IN 1885, PIH HEALTH GOOD SAMARITAN HOSPITAL IS THE OLDEST HOSPITAL IN LOS ANGELES. IT BECAME PART OF PIH HEALTH IN DECEMBER 2019. AS A NONPROFIT, 408-BED ACUTE CARE HOSPITAL, THE DOWNTOWN LOS ANGELES CAMPUS INCLUDES A HOSPITAL AND A MEDICAL OFFICE BUILDING, WHICH PROVIDE COMPASSIONATE HEALTHCARE SERVICES TO MEET THE NEEDS OF OUR PATIENTS, THEIR FAMILIES, AND A GROWING AND DIVERSE COMMUNITY. PATIENT CARE IN FISCAL YEAR 2024-2025 EMPLOYEES - 1,455 VOLUNTEERS - 263 NUMBER OF EMERGENCY DEPARTMENT (ED) VISITS - 45,793 NUMBER OF BIRTHS - 1,103 MEDICAL STAFF - 611	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$21,565,279	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$10,660,040	RevenueAmt
Desc	OTHER COMMUNITY BENEFIT SERVICES: COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED SERVICES, RESEARCH, AND CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT ARE COMPRISED OF THE FOLLOWING: COMMUNITY HEALTH IMPROVEMENT SERVICES: DEFINED AS COMMUNITY HEALTH IMPROVEMENT ACTIVITIES, WHICH EXTEND BEYOND PATIENT CARE ACTIVITIES. THIS CATEGORY INCLUDES COMMUNITY HEALTH EDUCATION, COMMUNITY SOCIAL SERVICE HELPLINE, MEDICATION-ASSISTED TREATMENT PROGRAM, MEDI-CAL ELIGIBILITY WORKERS AND TRANSPORTATION SERVICES. SNAPSHOT OF OUTCOMES: * 29,040 COMMUNITY MEMBERS WERE REACHED THROUGH A VARIETY OF COMMUNITY HEALTH IMPROVEMENT ACTIVITIES. HEALTH PROFESSIONS EDUCATION: THIS CATEGORY INCLUDES INTERNSHIP, EXTERNSHIP, PRECEPTORSHIP, AND MENTORING PROGRAMS (EMPLOYEES EXCLUDED) , SUPPORTING THE NEXT GENERATION OF HEALTHCARE PROVIDERS BY EDUCATING AND MENTORING STUDENTS IN CLINICAL, ANCILLARY, AND ADMINISTRATIVE SETTINGS. SNAPSHOT OF OUTCOMES: * 77 MEDICAL RESIDENTS, NURSING AND ANCILLARY PROFESSIONS STUDENTS WERE PROVIDED WITH MENTORSHIP, INTERNSHIP AND TRAINING OPPORTUNITIES. SUBSIDIZED HEALTH SERVICES: SUBSIDIZED SERVICES ARE CLINICAL PROGRAMS, WHICH ARE PROVIDED DESPITE A FINANCIAL LOSS SO SIGNIFICANT THAT NEGATIVE MARGINS REMAIN AFTER REMOVING THE EFFECTS OF FINANCIAL ASSISTANCE, BAD DEBT AND MEDI-CAL SHORTFALLS. NEVERTHELESS, THE SERVICE IS PROVIDED BECAUSE IT MEETS AN IDENTIFIED COMMUNITY NEED AND, IF NO LONGER OFFERED, WOULD EITHER BE UNAVAILABLE IN THE AREA OR FALL TO THE RESPONSIBILITY OF GOVERNMENT OR ANOTHER NONPROFIT ORGANIZATION TO PROVIDE. PIH HEALTH GOOD SAMARITAN HOSPITAL SUBSIDIZED EMERGENCY DEPARTMENT OPERATIONS. SNAPSHOT OF OUTCOMES: * $2,541,622 IN EXPENSES WERE INCURRED IN SUBSIDIZED SERVICES IN FISCAL YEAR 2024-2025 RESEARCH: RESEARCH THAT MAY BE REPORTED AS COMMUNITY BENEFIT INCLUDES CLINICAL AND COMMUNITY HEALTH RESEARCH AS WELL AS STUDIES ON HEALTHCARE DELIVERY THAT ARE GENERALIZABLE AND SHARED WITH THE PUBLIC. PIH HEALTH GOOD SAMARITAN HOSPITAL HAS BEEN OFFERING CLINICAL TRIALS AND RESEARCH STUDIES AIMED AT IMPROVING HEALTH. SNAPSHOT OF OUTCOMES: * OVER $228,061 IN EXPENSES HAVE BEEN INCURRED IN RESEARCH IN FISCAL YEAR 2024-2025 CASH & IN-KIND CONTRIBUTIONS: THIS CATEGORY INCLUDES FUNDS AND IN-KIND SERVICES DONATED BY PIH HEALTH GOOD SAMARITAN HOSPITAL TO COMMUNITY ORGANIZATIONS OR TO THE COMMUNITY-AT-LARGE FOR A COMMUNITY BENEFIT PURPOSE. THESE DONATIONS INCLUDE IN-KIND HOURS CONTRIBUTED BY STAFF TO THE COMMUNITY ORGANIZATIONS WHILE ON PIH HEALTH WORK TIME, THE COST OF OFFICE AND MEETING SPACE PROVIDED TO COMMUNITY GROUPS, AND THE DONATIONS OF EQUIPMENT, MEDICATIONS, SUPPLIES AND SERVICES. SNAPSHOT OF OUTCOMES: $42,450 IN EXPENSES HAVE BEEN INCURRED IN THE CASH AND IN-KIND CONTRIBUTIONS CATEGORY IN FISCAL YEAR 2024-2025. TOTAL NUMBER OF PERSONS SERVED BY OTHER COMMUNITY BENEFIT SERVICES: 75,471 FOR ADDITIONAL INFORMATION, PLEASE REFER TO PIH HEALTH'S COMMUNITY BENEFIT REPORT AT PIHHEALTH.ORG/CBAANNUALREPORT	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$396,145,799	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	482	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1768	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARK KAWAUCHI	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5626980811	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	12401 WASHINGTON BLVD	AddressLine1Txt
City	WHITTIER	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90602	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ALEX ALVAREZ
DIRECTOR & VICE CHAIR	1.5	6.0	Yes (X)	Yes (X)	$0	$0	$0
CHARLOTTE WEAVER PHD
DIRECTOR & CHAIR	1.5	6.0	Yes (X)	Yes (X)	$0	$0	$0
PAUL TREINEN
DIRECTOR & SECRETARY	1.5	6.0	Yes (X)	Yes (X)	$0	$0	$0
WILLIAM ROTH
DIRECTOR & TREASURER	1.5	6.0	Yes (X)	Yes (X)	$0	$0	$0
DEBORAH MEDRANO
DIRECTOR (AS OF 12/13/2024)	1.5	6.0	Yes (X)		$0	$0	$0
JEFFREY HAMAR
DIRECTOR	1.5	6.0	Yes (X)		$0	$0	$0
KENTON WOODS
DIRECTOR	1.5	6.0	Yes (X)		$0	$0	$0
MARISSA GOLDBERG
DIRECTOR	1.5	4.5	Yes (X)		$0	$0	$0
MELANIE BATISTE
DIRECTOR	1.5	6.0	Yes (X)		$0	$0	$0
MOEZ KHORSANDI DO
DIRECTOR	1.5	0	Yes (X)		$0	$0	$0
PATRICK MONROE
DIRECTOR	1.5	6.0	Yes (X)		$0	$0	$0
PETER GREANEY MD
DIRECTOR	1.5	6.0	Yes (X)		$0	$0	$0
REGINE LAWTON
DIRECTOR (AS OF 12/13/2024)	1.5	6.0	Yes (X)		$0	$0	$0
RICHARD ATWOOD
DIRECTOR	1.5	7.5	Yes (X)		$0	$0	$0
SCOTT KROG
DIRECTOR (AS OF 12/13/2024)	1.5	6.0	Yes (X)		$0	$0	$0
SCOTT SOUTHRON
DIRECTOR (AS OF 12/13/2024)	1.5	6.0	Yes (X)		$0	$0	$0
THURSO BARENDSE
DIRECTOR	1.5	6.0	Yes (X)		$0	$0	$0
TRACEA SARALIEV
DIRECTOR	1.5	6.0	Yes (X)		$0	$0	$0
WESLEY HEARTFIELD MD
DIRECTOR	1.5	0	Yes (X)		$0	$0	$0
IRENA ZUANIC
CNO & CO-SITE ADMIN	40.0	0.0		Yes (X)	$0	$477,595	$118,635
JAMES WEST
SYSTEM PRESIDENT & CEO	10.0	42.2		Yes (X)	$0	$1,623,596	$40,183
PEGGY CHULACK
SYSTEM CAO & ASST SECRETARY	10.0	42.2		Yes (X)	$0	$1,481,245	$33,880
ROSALIO LOPEZ MD
SYSTEM CSO/CMO	10.0	36.0		Yes (X)	$0	$1,344,833	$51,655
VID SHIVARAMAN
SYSTEM CFO & ASST TREASURER	10.0	42.2		Yes (X)	$0	$870,104	$215,850
JASON FISCHER
VP, OPERATONS FOR PHGSH	40.0	0.0			$0	$484,256	$90,764	Yes (X)
MOHAMMED GHONIM
REGIONAL VP (THRU 12/06/2024)	15.0	25.0			$0	$501,701	$95,238	Yes (X)
IRA MEISELMAN
DIRECTOR MANAGED CARE	40.0	0			$311,334	$0	$36,568		Yes (X)
JING CHEUNG
RN	40.0	0			$247,537	$0	$19,468		Yes (X)
KATHLEEN YOSHIMURA
DIRECTOR, LAB AND PATHOLOGY	40.0	0			$249,158	$0	$31,996		Yes (X)
MATILDA HERNANDEZ
DEPT SUPERVISOR-12HR	40.0	0			$291,167	$0	$32,754		Yes (X)
TRACEY COGHLAN
CLINICAL DIRECTOR	40.0	0			$250,786	$0	$27,331		Yes (X)
BRIAN SMOLSKIS
FORMER - SYSTEM COO	0.0	0.0			$0	$1,089,063	$16,973			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,349,982	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,872,393	TotReportableCompRltdOrgAmt
Total Other Compensation	$811,295	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	586	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AYA HEALTHCARE INC
5930 CORNERSTONE CT W	SUITE 300	SAN DIEGO	CA	92121	NURSING REGISTRY SERVICES	$15,939,362
SODEXO AMERICA LLC
9801 WASHINGTON BLVD		GAITHERSBURG	MD	20878	DIETARY SERVICES	$10,096,054
REHABCARE GROUP OF CALIFORNIA LLC
P O BOX 502096		ST LOUIS	MO	63150	REHABILITATION SERVICES	$3,279,330
INNOVATIVE HEALTH ASSOCIATES
13886 PLUMROSE PLACE		CHINO HILLS	CA	91709	HEALTHCARE PROFESSIONALS	$2,125,385
ROCKPORT HEALTHCARE SERVICES
505 N BRAND BLVD SUITE 600		GLENDALE	CA	91203	HEALTHCARE SERVICES	$2,081,450

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	83	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,939	RelatedOrganizationsAmt
Government Grants	$16,632,855	GovernmentGrantsAmt
All Other Contributions	$1,099,789	AllOtherContributionsAmt
Noncash Contributions	$25,676	NoncashContributionsAmt
Total Contributions	$17,735,583	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE	622110	$254,897,000	$254,897,000
HOSPITAL FEE PROGRAM	900099	$61,009,820	$61,009,820
LAMBERT RADIOLOGY	622110	$2,423,323	$2,423,323
FOOD SERVICES	722514	$1,848,911	$1,848,911
RENTAL INCOME FROM AFFILIATES	531120	$48,000	$48,000

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$320,227,054	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,411,620	TotalRevenueColumnAmt
Exclusion	$9,411,620	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$15,776,623	SecuritiesAmt
Other	$26,558	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$13,319,063	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,457,560	SecuritiesAmt
Other	$26,558	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,484,118	TotalRevenueColumnAmt
Exclusion	$2,484,118	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PARKING LOT	812930	$2,470,477	$80,328	$2,390,149
VIVITY EARNING DISTRIBUTIONS	900099	$629,664		$629,664
PHYSICIAN MANAGEMENT SERVICES	621110	$47,100	$47,100

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,496,914	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$29,434	UnrelatedBusinessRevenueAmt
Exclusion	$7,467,480	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$10,644,155	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$360,502,530	TotalRevenueColumnAmt
Related Or Exempt Func Income	$320,227,054	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$156,862	UnrelatedBusinessRevenueAmt
Exclusion	$22,383,031	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$3,055,493	TotalAmt
Program Services	$3,055,493	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$424,149	TotalAmt
Program Services	$296,904	ProgramServicesAmt
Management And General	$127,245	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$130,993,032	TotalAmt
Program Services	$126,996,814	ProgramServicesAmt
Management And General	$3,996,218	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,328,768	TotalAmt
Program Services	$5,179,129	ProgramServicesAmt
Management And General	$149,639	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$25,639,329	TotalAmt
Program Services	$23,850,726	ProgramServicesAmt
Management And General	$1,788,603	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,851,010	TotalAmt
Program Services	$10,751,122	ProgramServicesAmt
Management And General	$99,888	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$86,999	TotalAmt
Management And General	$86,999	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$177,350	TotalAmt
Management And General	$177,350	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$112,211,651	TotalAmt
Program Services	$95,072,507	ProgramServicesAmt
Management And General	$17,139,144	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$335,053	TotalAmt
Program Services	$575	ProgramServicesAmt
Management And General	$334,478	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,881,498	TotalAmt
Program Services	$2,881,498	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$21,647	TotalAmt
Program Services	$21,647	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,172,497	TotalAmt
Program Services	$5,447,185	ProgramServicesAmt
Management And General	$2,725,312	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,136,387	TotalAmt
Program Services	$1,758,344	ProgramServicesAmt
Management And General	$3,378,043	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SUPPLIES	$62,042,632	$61,757,937	$284,695
HOSPITAL FEE PROGRAM	$38,918,191	$38,918,191
UTILITIES	$6,714,098	$6,712,926	$1,172
OTHER EXPENSE	$16,956,273	$13,444,801	$3,385,460	$126,012

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$429,946,057	TotalAmt
Program Services	$396,145,799	ProgramServicesAmt
Management And General	$33,674,246	ManagementAndGeneralAmt
Fundraising	$126,012	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,268,938	BOYAmt
EOY	$1,642,558	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,643,091	BOYAmt
EOY	$1,645,814	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$95,411,919	BOYAmt
EOY	$74,364,348	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,331,206	BOYAmt
EOY	$6,036,616	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,904,864	BOYAmt
EOY	$3,135,646	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$412,789,410	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$46,843,645	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$322,274,868	BOYAmt
EOY	$365,945,765	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$103,061,276	BOYAmt
EOY	$152,349,380	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$67,988,358	BOYAmt
EOY	$80,660,540	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$602,884,520	BOYAmt
EOY	$685,780,667	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$76,420,683	BOYAmt
EOY	$71,655,464	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$120,470,986	BOYAmt
EOY	$272,733,728	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$196,891,669	BOYAmt
EOY	$344,389,192	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	$329,457,526	BOYAmt
EOY	$263,835,893	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$76,535,325	BOYAmt
EOY	$77,555,582	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$405,992,851	BOYAmt
EOY	$341,391,475	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$602,884,520	BOYAmt
EOY	$685,780,667	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$69,443,527	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,132,009	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$710,142	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$86,999	OtherActivitiesAmt
Total Lobbying Expenditures	$86,999	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	LOBBYING EXPENSES REPRESENT A PORTION OF THE DUES PIH HEALTH GOOD SAMARITAN HOSPITAL PAYS TO THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA AND TO AMERICAN HOSPITAL ASSOCIATION. PIH HEALTH GOOD SAMARITAN HOSPITAL DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$78,375,517	BeginningYearBalanceAmt
Contributions	$600	ContributionsAmt
Investment Earnings Or Losses	$10,485,794	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,645,538	OtherExpendituresAmt
Administrative Expenses	$689,752	AdministrativeExpensesAmt
End Year Balance	$85,526,621	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.1328	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.605	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.2622	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$66,410,868	OtherCostOrOtherBasisAmt
Depreciation	$10,253,190	DepreciationAmt
Book Value	$56,157,678	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$82,151,815	OtherCostOrOtherBasisAmt
Depreciation	$34,207,167	DepreciationAmt
Book Value	$47,944,648	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$60,077,254	OtherCostOrOtherBasisAmt
Depreciation	$2,383,288	DepreciationAmt
Book Value	$57,693,966	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$365,945,765	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
HOSPITAL FEE PROGRAM RECEIVABLE	$75,664,127
SELF-INSURANCE RECEIVABLE - CURRENT PORTION	$2,380,390
OTHER NOTES AND LOAN RECEIVABLE	$2,157,489
RIGHT OF USE ASSETS	$458,534

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$80,660,540	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (13 entries)

DescDesc	AmtAmt
FEDERAL INCOME TAXES
CARES ACT PROVIDER RELIEF FUNDS	$320,006
HOSPITAL FEE PROGRAM PAYABLE	$53,760,057
RESERVE FOR SELF-INSURED PROGRAMS	-$123,587
PENSION PLAN	$4,539,078
ADVANCES FROM THIRD PARTY PAYORS	$5,328,277
OTHER ANNUITY PAYMENT LIABILITY	$15,155,342
OTHER LONG TERM RESERVES	$8,843,670
OTHER LIABILITIES
RIGHT-OF-USE LIABILITY	$467,140
INTERCOMPANY PAYABLES	$87,368,374
RESERVE FOR ASSET RETIREMENT OBLIGATION
LT DEFERRED REVENUE - EAAS PROJ	$97,075,371

Field	Value	IRS element (for citing)
Total Liability	$272,733,728	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS

THE ORGANIZATION'S ENDOWMENT CONSISTS OF FUNDS ESTABLISHED FOR HEALTH CARE SERVICES, AS SPECIFIED BY DONORS OR THE ORGANIZATION'S BOARD OF DIRECTORS.

SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE

THE PRINCIPAL OPERATIONS OF THE COMPANY ARE EXEMPT FROM INCOME TAXES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) AND THE LAWS OF THE STATES IN WHICH IT OPERATES AND, AS SUCH, IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, THE COMPANY IS SUBJECT TO INCOME TAXES ON NET INCOME DERIVED FROM A TRADE OR BUSINESS REGULARLY CARRIED ON THAT DOES NOT FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. FURTHER, THE COMPANY IS ALSO SUBJECT TO FEDERAL EXCISE TAXES PURSUANT TO THE TAX CUTS AND JOBS ACT. NO SIGNIFICANT INCOME TAX PROVISION HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR NET INCOME DERIVED FROM UNRELATED TRADE OR BUSINESS AND EXCISE TAXES. THE COMPANY MEASURES LIABILITIES FOR UNRECOGNIZED TAX UNCERTAINTIES IN ACCORDANCE WITH ASC 740, INCOME TAXES, WHICH PRESCRIBES A COMPREHENSIVE MODEL FOR HOW A COMPANY SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE IN ITS FINANCIAL STATEMENTS UNCERTAIN TAX POSITIONS THAT A COMPANY HAS TAKEN OR EXPECTS TO TAKE ON A TAX RETURN. THE GUIDANCE IS APPLICABLE TO PROFIT-ORIENTED ENTITIES, PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. MANAGEMENT BELIEVES IT HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS AND, AS SUCH, NO TAX LIABILITY, BENEFITS, INTEREST OR PENALTIES WERE ACCRUED AT SEPTEMBER 30, 2025 OR 2024. 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 2021 FOR FEDERAL PURPOSES AND 2019 FOR CALIFORNIA PURPOSES.

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	8318	PersonsServedCnt
Total Community Benefit Expns	$10,703,351	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,703,351	NetCommunityBenefitExpnsAmt
Total Expense	0.02489	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	33024	PersonsServedCnt
Total Community Benefit Expns	$185,672,656	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$116,176,350	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$69,496,306	NetCommunityBenefitExpnsAmt
Total Expense	0.16164	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	41342	PersonsServedCnt
Total Community Benefit Expns	$196,376,007	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$116,176,350	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$80,199,657	NetCommunityBenefitExpnsAmt
Total Expense	0.18653	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	29040	PersonsServedCnt
Total Community Benefit Expns	$6,169,764	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$101,748	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,068,016	NetCommunityBenefitExpnsAmt
Total Expense	0.01411	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	77	PersonsServedCnt
Total Community Benefit Expns	$2,758,526	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$733,436	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,025,090	NetCommunityBenefitExpnsAmt
Total Expense	0.00471	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	45793	PersonsServedCnt
Total Community Benefit Expns	$12,366,478	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,824,856	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,541,622	NetCommunityBenefitExpnsAmt
Total Expense	0.00591	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	510	PersonsServedCnt
Total Community Benefit Expns	$228,061	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$228,061	NetCommunityBenefitExpnsAmt
Total Expense	0.00053	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	51	PersonsServedCnt
Total Community Benefit Expns	$42,450	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,450	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	75471	PersonsServedCnt
Total Community Benefit Expns	$21,565,279	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,660,040	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,905,239	NetCommunityBenefitExpnsAmt
Total Expense	0.02536	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	116813	PersonsServedCnt
Total Community Benefit Expns	$217,941,286	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$126,836,390	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$91,104,896	NetCommunityBenefitExpnsAmt
Total Expense	0.21190	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	3	PersonsServedCnt
Total Community Benefit Expns	$3,399	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,399	NetCommunityBenefitExpnsAmt
Total Expense	0.00001	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	16	PersonsServedCnt
Total Community Benefit Expns	$3,052	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,052	NetCommunityBenefitExpnsAmt
Total Expense	0.00001	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	19	PersonsServedCnt
Total Community Benefit Expns	$6,451	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,451	NetCommunityBenefitExpnsAmt
Total Expense	0.00002	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,219,076	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$81,500,322	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$81,864,381	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$364,059	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PIH HEALTH GOOD SAMARITAN HOSPITAL	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
Website Address	WWW.PIHHEALTH.ORG/PATIENTS-VISITORS/WELCOME-TO-PIH-HEALTH-GOOD-SAMARITAN-HOSPITAL/	WebsiteAddressTxt
State License	930000071	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	PIH HEALTH GOOD SAMARITAN HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.pihhealth.org/about-us/community-benefit/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.pihhealth.org/about-us/community-benefit/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.pihhealth.org/patients-visitors/billing-financial-assistance/financial-assistance/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.pihhealth.org/patients-visitors/billing-financial-assistance/financial-assistance/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.pihhealth.org/patients-visitors/billing-financial-assistance/financial-assistance/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3E	SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED THROUGH A REVIEW OF CHNA SECONDARY HEALTH DATA, WHICH WERE THEN PRIORITIZED WITH COMMUNITY STAKEHOLDER INPUT THROUGH INTERVIEWS WITH COMMUNITY-BASED ORGANIZATIONS AND AGENCIES. THE PRIORITIZED NEEDS WERE THEN EXAMINED BY HOSPITAL LEADERS AND THE COMMUNITY BENEFIT OVERSIGHT COMMITTEE TO DETERMINE WHICH SIGNIFICANT NEEDS COULD BE ADDRESSED, CONSIDERING SCOPE AND SEVERITY, EXISTING INFRASTRUCTURE, ESTABLISHED RELATIONSHIPS, AND ONGOING INVESTMENT. THE CHNA SERVED AS THE RESOURCE DOCUMENT AS IT PROVIDED DATA ON THE SCOPE AND SEVERITY OF ISSUES AND COMMUNITY INPUT. AS A RESULT, PHGSH WILL ADDRESS 1) ACCESS TO HEALTHCARE (PRIMARY CARE AND MENTAL HEALTH CARE); 2) CHRONIC DISEASES (INCLUDING OVERWEIGHT AND OBESITY, HEALTHY EATING, AND PHYSICAL ACTIVITY); 3) PREVENTIVE PRACTICES (VACCINES AND SCREENINGS); 4) SOCIAL DRIVERS OF HEALTH (FOOD INSECURITY, HOUSING AND HOMELESSNESS); AND 5) SUBSTANCE USE.
SCHEDULE H, PART V, SECTION B, LINE 3 FACILITY , 1	FACILITY , 1 - PIH HEALTH GOOD SAMARITAN HOSPITAL. THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES DATA AND INFORMATION REGARDING COMMUNITY DEMOGRAPHICS, SOCIAL DRIVERS OF HEALTH, ACCESS TO HEALTHCARE, BIRTH INDICATORS, LEADING CAUSES OF DEATH, ACUTE AND CHRONIC DISEASES, HEALTH BEHAVIORS, MENTAL HEALTH, SUBSTANCE USE, PREVENTIVE PRACTICES, COMMUNITY PERSPECTIVES GATHERED FROM FOCUS GROUPS AND INTERVIEWS, AND PROGRESS ON THE IMPLEMENTATION STRATEGY. INFOGRAPHICS DEPICT KEY DATA SETS FOR THE SERVICE AREA, AND 10 HEAT MAPS FURTHER ILLUSTRATE SELECTED COMMUNITY HEALTH INDICATORS.
SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1	FACILITY , 1 - PIH HEALTH GOOD SAMARITAN HOSPITAL. PIH HEALTH GOOD SAMARITAN HOSPITAL CONDUCTED INTERVIEWS WITH COMMUNITY STAKEHOLDERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY TO OBTAIN INPUT ON HEALTH NEEDS, BARRIERS TO CARE, AND RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED SIGNIFICANT HEALTH NEEDS. SEVENTEEN (17) INTERVIEWS WERE CONDUCTED BY TELEPHONE DURING FEBRUARY AND MARCH 2025. 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. INTERVIEW PARTICIPANTS INCLUDED A BROAD RANGE OF STAKEHOLDERS CONCERNED WITH HEALTH AND WELL-BEING IN LOS ANGELES COUNTY SPA 4 AND SPA 6 WHO SPOKE ABOUT ISSUES AND NEEDS IN THE COMMUNITIES SERVED BY THE HOSPITAL. 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. THE INTERVIEWS WERE STRUCTURED TO OBTAIN GREATER DEPTH OF INFORMATION AND BUILD ON THE SECONDARY DATA REVIEW. DURING THE INTERVIEWS, PARTICIPANTS WERE ASKED TO IDENTIFY MAJOR HEALTH ISSUES IN THE COMMUNITY AND SOCIOECONOMIC, BEHAVIORAL, ENVIRONMENTAL, OR CLINICAL FACTORS CONTRIBUTING TO POOR HEALTH. THEY WERE ASKED TO SHARE THEIR PERSPECTIVES ON THE ISSUES, CHALLENGES, AND BARRIERS RELATED TO THE SIGNIFICANT HEALTH NEEDS, AND IDENTIFY RESOURCES TO ADDRESS THESE HEALTH NEEDS, SUCH AS SERVICES, PROGRAMS, AND/OR COMMUNITY EFFORTS. THE COMMUNITY AGENCIES AND ORGANIZATIONS INCLUDED PROJECT ANGEL FOOD, LOS ANGELES POLICE DEPARTMENT RAMPART COMMUNITY POLICE STATION, PEACE OVER VIOLENCE, QUEENSCARE, ANDERSON MUNGER FAMILY YMCA, HOMEBOY INDUSTRIES, LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, OLIVE CREST, THE PEOPLE CONCERN, L.A. CADA, LA TRUST FOR CHILDREN'S HEALTH, CULTIVALA, LOS ANGELES COUNTY OFFICE OF EDUCATION, PARTNERS IN CARE FOUNDATION, AND KOREATOWN YOUTH AND COMMUNITY CENTER. THE VULNERABLE POPULATIONS REPRESENTED BY THESE GROUPS INCLUDED THOSE EXPOSED TO MEDICAL OR FINANCIAL RISK BY VIRTUE OF BEING UNINSURED, UNDERINSURED, OR ELIGIBLE FOR MEDI-CAL AND/OR MEDICARE, RACIAL AND ETHNIC GROUPS EXPERIENCING POOR HEALTH OUTCOMES, THE UNHOUSED, INDIVIDUALS IDENTIFYING AS LGBTQ, PEOPLE WITH DISABILITIES, PEOPLE WITH LIMITED ENGLISH PROFICIENCY, INDIVIDUALS AND FAMILIES EXPERIENCING FOOD INSECURITY, AND SERVICE AREA COMMUNITIES WITH A CALIFORNIA HEALTHY PLACES INDEX SCORE OF 14.9% FOR CLEAN ENVIRONMENT. THE FULL COMMUNITY HEALTH NEEDS ASSESSMENT, CAN BE FOUND AT HTTPS://WWW.PIHHEALTH.ORG/APP/FILES/PUBLIC/D723F005-D64C-43BB-A34B-67402E8FFDBE/CHNA%202025%20-%20PIH%20HEALTH%20GOOD%20SAMARITAN%20HOSPITAL%20FINAL.PDF ATTACHMENT 1 LISTS THE STAKEHOLDER INTERVIEW RESPONDENTS, THEIR TITLES, AND ORGANIZATIONS. ATTACHMENT 2 PROVIDES STAKEHOLDER RESPONSES TO THE INTERVIEW OVERVIEW QUESTIONS.
SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 1	FACILITY , 1 - PIH HEALTH GOOD SAMARITAN HOSPITAL. PIH HEALTH GOOD SAMARITAN HOSPITAL PARTICIPATED IN A COLLABORATIVE PROCESS FOR THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT WITH PIH HEALTH DOWNEY HOSPITAL AND PIH HEALTH WHITTIER HOSPITAL. GIVEN THAT THESE HOSPITALS SHARE COLLABORATIVE PARTNERS WHO SERVE THE REGION, THE COLLABORATIVE EFFORT REDUCED REDUNDANCIES AND INCREASED DATA COLLECTION EFFICIENCY.
SCHEDULE H, PART V, SECTION B, LINE 7 FACILITY , 1	FACILITY , 1 - PIH HEALTH GOOD SAMARITAN HOSPITAL. THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT WAS MADE AVAILABLE TO THE PUBLIC BY POSTING ON THE HOSPITAL WEBSITE. PUBLIC COMMENT IS ENCOURAGED. A PAPER COPY OF THE REPORT IS AVAILABLE UPON REQUEST. ADDITIONALLY, THE 2025 CHNA WAS SHARED WITH PIH HEALTH'S COMMUNITY BENEFIT OVERSIGHT COMMITTEE, COMPRISED OF COMMUNITY PARTNERS, LEGISLATIVE REPRESENTATIVES, AND COMMUNITY-AT-LARGE REPRESENTATIVES, AS WELL AS LOS ANGELES DEPARTMENT OF PUBLIC HEALTH STAFF. ASSESSMENT FINDINGS WERE ALSO DISTRIBUTED TO KEY STAKEHOLDERS VIA EMAIL WITH EMPHASIS ON SUPPORTING PROGRAM PLANNING AND FUND-DEVELOPMENT ENDEAVORS, SHARING ORGANIZATIONS THE EXPENSE OF DUPLICATIVE DATA COLLECTION EFFORTS. ASSESSMENT FINDINGS ARE ALSO SHARED ON AN ON-GOING BASIS VIA PRESENTATIONS AT COMMUNITY EVENTS AND COMMUNITY COLLABORATIVE MEETINGS, THROUGH SOCIAL MEDIA CHANNELS, AND VIA PIH HEALTH'S E-NEWSLETTER AND MAILED MAGAZINE.
SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1	FACILITY , 1 - PIH HEALTH GOOD SAMARITAN HOSPITAL. PIH HEALTH'S IMPLEMENTATION STRATEGY ENSURES ALIGNMENT OF CHNA FINDINGS, OUR COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND PIH HEALTH'S ORGANIZATIONAL STRATEGY. PIH HEALTH GOOD SAMARITAN HOSPITAL WILL ADDRESS THE FOLLOWING PRIORITY HEALTH NEEDS: ACCESS TO HEALTHCARE (INCLUDING PRIMARY CARE AND MENTAL HEALTH CARE); CHRONIC DISEASE (INCLUDING OVERWEIGHT AND OBESITY, HEALTHY EATING, AND PHYSICAL ACTIVITY); PREVENTIVE PRACTICES (INCLUDING VACCINES AND SCREENINGS); SOCIAL DRIVERS OF HEALTH (INCLUDING FOOD INSECURITY AND HOUSING AND HOMELESSNESS); AND SUBSTANCE USE. PIH HEALTH GOOD SAMARITAN HOSPITAL CANNOT ADDRESS ALL THE HEALTH NEEDS PRESENT IN THE COMMUNITY, BUT IT WILL CONCENTRATE ON THOSE PRIORITY HEALTH NEEDS THAT IT CAN MOST EFFECTIVELY ADDRESS GIVEN ITS AREAS OF FOCUS AND EXPERTISE. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, PIH HEALTH GOOD SAMARITAN HOSPITAL WILL NOT ADDRESS THE REMAINING HEALTH NEED IDENTIFIED IN THE CHNA, INCLUDING BIRTH INDICATORS, DENTAL CARE, ECONOMIC INSECURITY, EDUCATION, SEXUALLY TRANSMITTED INFECTIONS, AND VIOLENCE AND INJURY PREVENTION. TO VIEW THE 2026-2028 IMPLEMENTATION STRATEGY AND THE INITIATIVES IDENTIFIED TO ADDRESS AREAS OF FOCUS, VISIT HTTPS://WWW.PIHHEALTH.ORG/APP/FILES/PUBLIC/CC35C765-D97E-471A-98BE-C91DA3B5D706/COMMUNITY%20HEALTH%20IMPROVEMENT%20PLAN%202025_PHGSH%20FINAL.PDF.
SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY , 1	FACILITY , 1 - PIH HEALTH GOOD SAMARTIAN HOSPITAL. ASSISTANCE IS PROVIDED FREE OR DISCOUNTED FOR THOSE PATIENTS ELIGIBLE 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 UNINSURED. THERE ARE ALSO CONSIDERATIONS FOR PATIENTS WHERE THE FPG IS NOT APPLICABLE AND THE PATIENT IS INSURED WITH INADEQUATE COVERAGE OR EXCESSIVE LIABILITY.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 6A	PIH HEALTH'S COMMUNITY BENEFIT REPORT, PREPARED ANNUALLY, ACCOUNTS FOR THE ORGANIZATION'S PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITY. THE REPORT SEPARATES OUT COMMUNITY BENEFIT INVESTMENT FIGURES FOR EACH HOSPITAL. THE REPORT WAS MADE WIDELY AVAILABLE TO THE PUBLIC BY POSTING ON THE HOSPITAL WEBSITE. PUBLIC COMMENT IS ENCOURAGED. A PAPER COPY OF THE REPORT IS AVAILABLE UPON REQUEST. ADDITIONALLY, THE REPORT WAS SHARED WITH PIH HEALTH'S COMMUNITY BENEFIT OVERSIGHT COMMITTEE, COMPRISED OF COMMUNITY PARTNERS, LEGISLATIVE REPRESENTATIVES, AND COMMUNITY-AT-LARGE REPRESENTATIVES, AS WELL AS LOS ANGELES DEPARTMENT OF PUBLIC HEALTH STAFF, AND WAS ALSO SHARED THROUGH SOCIAL MEDIA CHANNELS, AND VIA PIH HEALTH'S E-NEWSLETTER AND MAILED MAGAZINE. A COMMUNITY BENEFIT REPORT FOR PIH HEALTH GOOD SAMARITAN HOSPITAL WAS ALSO SUBMITTED TO THE CALIFORNIA DEPARTMENT OF HEALTH CARE ACCESS AND INFORMATION HCAI). TO VIEW THE FULL PIH HEALTH REPORT, VISIT PIHHEALTH.ORG/CBANNUALREPORT. HTTPS://WWW.PIHHEALTH.ORG/APP/FILES/PUBLIC/B428917B-1ABE-4FE4-8D6E-3A504E0F835F/PIH%20HEALTH%20GOOD%20SAMARITAN%20HOSPITAL%20COMMUNITY%20BENEFIT%20ANNUAL%20REPORT%20AND%20PLAN%20FY2025.PDF
SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE	PATIENT CARE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS USED TO CALCULATE THE FINANCIAL ASSISTANCE AND MEDI-CAL COST. ACTUAL COSTS FROM GENERAL LEDGER OR DEPARTMENTS WERE USED FOR ALL OTHER COSTS.
SCHEDULE H, PART 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. IN ADDITION, THROUGH CREATIVE WORKFORCE DEVELOPMENT PARTNERSHIPS WITH SCHOOLS, PIH HEALTH'S HEALTHCARE TEAMS SHARE KNOWLEDGE AND EXPERTISE TO INTRODUCE YOUNG MINDS TO THE REWARDING WORLD OF HEALTHCARE. 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.
SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT	BAD DEBT EXPENSE IS DETERMINED BY SUBTRACTING MEDICARE BAD DEBT REIMBURSEMENT IN THE MEDICARE COST REPORT FROM TOTAL BAD DEBT TRANSFERS NET OF RECOVERIES. THIS EXPENSE WAS NOT INCLUDED IN COMMUNITY BENEFIT EXPENSE.
SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE	FROM THE AUDITED FINANCIAL STATEMENTS OF PIH HEALTH, INC. AND SUBSIDIARIES FOR THE YEAR ENDED SEPTEMBER 30, 2025: "IMPLICIT PRICE CONCESSIONS ARE BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE IMPLICIT PRICE CONCESSIONS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. IMPLICIT PRICE CONCESSIONS ARE INCLUDED AS A DEDUCTION FROM PATIENT SERVICES REVENUES SINCE THE COMPANY GENERALLY ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY." THE BAD DEBT EXPENSE ON LINE 2 IS CALCULATED BY SUBTRACTING MEDICARE BAD DEBT REIMBURSEMENT IN THE MEDICARE COST REPORT FROM TOTAL BAD DEBT TRANSFERS NET OF RECOVERIES, AND NONE OF THE BAD DEBT EXPENSE IS INCLUDED IN COMMUNITY BENEFIT EXPENSE.
SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS	THE AMOUNTS ON LINES 5 AND 6 ARE FROM THE FY 2025 MEDICARE COST REPORT.
SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE	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.
SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE	- PIH HEALTH GOOD SAMARITAN HOSPITAL: LINE 16A URL: HTTPS://WWW.PIHHEALTH.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE/;
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE	- PIH HEALTH GOOD SAMARITAN HOSPITAL: LINE 16B URL: HTTPS://WWW.PIHHEALTH.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE/;
SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE	- PIH HEALTH GOOD SAMARITAN HOSPITAL: LINE 16C URL: HTTPS://WWW.PIHHEALTH.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE/;
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT	IN ADDITION TO THE HOSPITAL'S CHNA, PIH HEALTH UTILIZES THE FOLLOWING METHODS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES: COMMUNITY BENEFIT OVERSIGHT COMMITTEE- IN 2006, PIH HEALTH'S BOARD OF DIRECTORS ESTABLISHED THE COMMUNITY BENEFIT OVERSIGHT COMMITTEE (CBOC), WHICH IS COMPRISED OF COMMUNITY STAKEHOLDERS AND KEY PUBLIC HEALTH AND LEGISLATIVE REPRESENTATIVES. THIS COMMITTEE MEETS REGULARLY, AND ITS MEMBERS SHARE HEALTHCARE-RELATED NEEDS/CONCERNS EXPERIENCED BY THE COMMUNITY MEMBERS THEY REPRESENT AS WELL AS ASSETS OR POTENTIAL PARTNERS FOR THE HOSPITAL TO ENGAGE IN ADDRESSING THE IDENTIFIED NEEDS. FEEDBACK FROM COMMUNITY ORGANIZATIONS / COLLABORATIVE- THROUGH PARTICIPATION IN VARIOUS COMMUNITY COLLABORATIVE AND NETWORKING MEETINGS, PIH HEALTH IS ABLE TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITY AND IDENTIFY PARTNERSHIP OPPORTUNITIES.
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	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'S FAP IS ALSO PUBLISHED ON OUR WEBSITE
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION	PIH HEALTH GOOD SAMARITAN HOSPITAL (PHGSH) IS LOCATED AT 1225 WILSHIRE BLVD., LOS ANGELES, CALIFORNIA 90017. THE HOSPITAL SERVICE AREA INCLUDES 17 ZIP CODES IN THE CITY OF LOS ANGELES. THE SERVICE AREA IS SERVED BY THE LOS ANGELES COUNTY 1ST AND 2ND SUPERVISORIAL DISTRICTS AND FALLS WITHIN THE LOS ANGELES COUNTY SERVICE PLANNING AREAS (SPAS) 4 AND 6. PHGSH TRACKS ZIP CODES OF ORIGIN FOR ALL PATIENTS. THE SERVICE AREA WAS DETERMINED FROM THE ZIP CODES THAT REFLECT A MAJORITY (67%) OF HOSPITAL INPATIENT DISCHARGES FROM THE LOCAL GEOGRAPHIC AREA. BASED ON THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT, THE POPULATION FOR THE PHGSH SERVICE AREA IS 891,7856. CHILDREN AND YOUTH, AGES 0-17, MAKE UP 21% OF THE POPULATION, 68% ARE 18-64 YEARS OF AGE, AND 11% ARE SENIORS, 65 YEARS AND OLDER. IN THE SERVICE AREA, 61.1% OF THE POPULATION ARE HISPANIC/LATINO, 13.5% ARE ASIAN, 12.1% BLACK/AFRICAN AMERICAN, 10% ARE WHITE, AND THE REMAINING 3.2% ARE NATIVE AMERICAN RESIDENTS, HAWAIIAN OR PACIFIC ISLANDER, AND OTHER RACES. AMONG THE SERVICE AREA POPULATION, AGES FIVE AND OLDER, 37.8% ARE LINGUISTICALLY ISOLATED. IN THE SERVICE AREA, 24.7% OF THE POPULATION IS AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL. 11.8% OF THE POPULATION HAS A DISABILITY. THE SERVICE AREA HAS A STATE RANK OF 14.9% FOR CLEAN ENVIRONMENT PER THE CALIFORNIA HEALTHY PLACES INDEX. AMONG THE RESIDENTS IN THE PRIMARY SERVICE AREA, 24.7% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 49.9% ARE AT 200% OF FPL OR BELOW. THE WEIGHTED AVERAGE OF THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS $58,073. WHEN INSURANCE COVERAGE WAS EXAMINED BY SPA, 40% OF SPA 6 AND 30.3% OF SPA 4 RESIDENTS HAVE MEDI-CAL COVERAGE WHILE 9.9% OF SPA 6 AND 8.3% OF SPA 4 RESIDENTS HAVE NO INSURANCE. FOR ADDITIONAL DATA REGARDING THE SERVICE AREA, PLEASE SEE THE CHNA AT PIHHEALTH.ORG/CHNA
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH	COMMUNITY BOARD: PIH HEALTH'S COMMUNITY BOARD OF DIRECTORS WORKS TO ADVANCE PIH HEALTH'S COMMITMENT TO HELPING OUR COMMUNITIES GET WELL AND STAY HEALTHY. OPEN MEDICAL STAFF: PIH HEALTH EXTENDS MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. USE OF SURPLUS FUNDS: PIH 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 TIME: MANY PIH HEALTH PROVIDERS ARE LIVING OUT THEIR PASSION TO SERVE PEOPLE IN NEED BY DONATING THEIR TIME AND TALENTS BOTH IN PIH HEALTH COMMUNITIES AND OVERSEAS. EMPLOYEE GIVING: EACH YEAR, PIH HEALTH EMPLOYEES, PHYSICIANS, AND VOLUNTEERS GENEROUSLY SUPPORT VARIOUS CHARITABLE GIVING INITIATIVES. DURING FISCAL YEAR 2025, HOLIDAY WISH LISTS WERE FULFILLED FOR 184 FAMILIES SERVED BY THE WHOLE CHILD, 213 DUFFLE BAGS WITH ESSENTIAL ITEMS WERE DONATED TO SUPPORT THOSE AFFECTED BY SOUTHERN CALIFORNIA WILDFIRES, AND OVER 375 BACKPACKS FILLED WITH SCHOOL SUPPLIES WERE COLLECTED FOR DISTRIBUTION BY HELPLINE YOUTH COUNSELING TO STUDENTS ACROSS OUR SERVICE AREA. ENVIRONMENTAL AND SUSTAINABILITY PROJECTS: PIH HEALTH CONTINUES TO IMPLEMENT "GREEN" INITIATIVES, INCLUDING INCREASED USAGE OF LED LIGHTING TO DECREASE CONSUMPTION OF ELECTRICITY, EXPANSION OF A PROJECT WITH THE CITY OF WHITTIER TO CONVERT METHANE GAS INTO ELECTRICITY, AND PURCHASE OF REPROCESSED INSTRUMENTS THROUGH A VENDOR AGREEMENT THAT RESULTS IN NATIONAL FOREST RESTORATION. IN ADDITION, EYEGLASSES AND HEARING AIDS ARE COLLECTED FOR RECYCLING AND REDISTRIBUTION BY AREA LIONS CLUBS TO THOSE IN NEED. VOLUNTEER CONTRIBUTIONS: SOME 1,364 PIH HEALTH VOLUNTEERS COLLECTIVELY CONTRIBUTED 111,102 HOURS OF SERVICE, SUPPORTING DEPARTMENTS THROUGHOUT THE ORGANIZATION. THROUGH THE PIH HEALTH MEDICAL CAREERS PROGRAM, WHICH GIVES STUDENT VOLUNTEERS A HEAD START IN DISCOVERING PRODUCTIVE AND MEANINGFUL CAREERS IN HEALTHCARE, 40 INDIVIDUALS SPENT 756 HOURS SHADOWING MEDICAL CAREER PROFESSIONALS. PIH HEALTH'S COMMUNITY BOARD OF DIRECTORS WORKS TO ADVANCE PIH HEALTH'S COMMITMENT TO HELPING OUR COMMUNITIES GET WELL AND STAY HEALTHY. MANY BOARD MEMBERS RESIDE IN PIH HEALTH'S PRIMARY SERVICE. BOARD MEMBERS ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM	HOSPITAL AFFILIATES INCLUDE: 1) PIH HEALTH, INC., PIH HEALTH'S PARENT COMPANY; 2) PIH HEALTH DOWNEY HOSPITAL; 3) PIH HEALTH GOOD SAMARITAN HOSPITAL; 4) PIH HEALTH WHITTIER HOSPITAL; 5) PIH HEALTH PHYSICIANS, A NONPROFIT MEDICAL FOUNDATION; 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 MORE THAN 105 YEARS, GIVING BACK TO THE COMMUNITY THROUGH CHARITY CARE, HEALTH PROFESSIONS EDUCATION AND MORE. 3) PIH HEALTH GOOD SAMARITAN HOSPITAL WAS FOUNDED IN 1885, PIH HEALTH GOOD SAMARITAN HOSPITAL BECAME PART OF PIH HEALTH IN DECEMBER 2019. AS A 501(C)(3) NONPROFIT, 408-BED ACUTE CARE HOSPITAL, THE DOWNTOWN LOS ANGELES CAMPUS SERVES THE HEALTHCARE NEEDS OF A GROWING AND DIVERSE COMMUNITY, GIVING BACK TO THE COMMUNITY THROUGH CHARITY CARE, MEDICAL RESEARCH, HEALTH PROFESSIONS EDUCATION AND MORE. 4) PIH HEALTH WHITTIER HOSPITAL OPENED IN 1959. AS A 501 (C)(3) NONPROFIT, 523-BED HOSPITAL, THE WHITTIER CAMPUS HAS DEVELOPED INTO A HEALTH SYSTEM OFFERING A MULTITUDE OF SERVICES, GIVING BACK TO THE COMMUNITY THROUGH CHARITY CARE, MEDICAL RESEARCH, DONATIONS, HEALTH PROFESSIONS EDUCATION AND MORE. 5) PIH HEALTH PHYSICIANS (PHP) A 501(C)(3) NONPROFIT MEDICAL GROUP THAT IS EXCLUSIVELY AFFILIATED WITH PIH HEALTH, THE GROUP IS COMPRISED OF MORE THAN 380 PRIMARY CARE PHYSICIANS, SPECIALISTS, AND ADVANCED PRACTICE PROVIDERS WHO COORDINATE CARE FROM DIAGNOSIS TO RECOVERY. PHP SUPPORTS THE LOCAL COMMUNITY THROUGH ITS FINANCIAL ASSISTANCE PROGRAM, WHITTIER FIRST DAY HEALTH & WELLNESS CENTER FOR THE HOMELESS AND THOSE AT-RISK FOR HOMELESSNESS, HEALTH PROFESSIONS EDUCATION, AND OTHER COMMUNITY HEALTH IMPROVEMENT SERVICES. 6) THE PIH HEALTH FOUNDATION IS A 501(C)(3) NONPROFIT ORGANIZATION WITH THE SOLE MISSION TO RAISE FUNDS THROUGH PHILANTHROPHY TO BENEFIT PIH HEALTH AND ITS AFFILIATES. DOLLARS RAISED ARE REINVESTED INTO THE COMMUNITIES WE SERVE THROUGH QUALITY HEALTHCARE, HEALTH-BASED PROGRAMS, AND SERVICES OFFERED THROUGH PIH HEALTH. FOR DETAILED INFORMATION REGARDING THESE PIH HEALTH AFFILIATES' ADDITIONAL ACTIVITIES TO SUPPORT AND PROMOTE COMMUNITY HEALTH, PLEASE SEE EACH RESPECTIVE ORGANIZATION'S IRS FORM 990.
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT	CA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
GOOD SAMARITAN INSTITUTE FOR RESEARCH AND EDUCATION
1225 WILSHIRE BLVD	LOS ANGELES	CA	90017	954077161	501(C) (3)	$210,399	EXPENSES PAID BY THE ORGANIZATION
PIH HEALTH PHYSICIANS
6557 GREENLEAF AVE	WHITTIER	CA	90601	953942828	501(C) (3)	$2,845,094	GRANT TO RELATED ORGANIZATION

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS	FormAndLineReferenceDesc
Explanation	PIH HEALTH PROVIDES FINANCIAL ASSISTANCE TO BOTH NOT-FOR-PROFIT ORGANIZATIONS AND INDIVIDUALS. PIH HEALTH PROVIDES FINANCIAL SUPPORT TO NONPROFIT ORGANIZATIONS IN OUR SERVICE AREA CITIES THROUGH ITS COMMUNITY SUPPORT AND SPONSORSHIPS PROGRAM, WITH EMPHASIS ON COMMUNITY HEALTH NEEDS/AREAS OF CONCERN AS IDENTIFIED BY PIH HEALTH'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS. FINANCIAL SUPPORT MAY BE PROVIDED IF THE REQUESTING ORGANIZATION ADDRESSES ONE OR MORE OF THESE AREAS AND IS RESPONSIVE TO THE HEALTH AND WELLNESS NEEDS OF THE COMMUNITIES WE SERVE, ALLOWING PIH HEALTH TO BUILD UPON THE IMPACT OF EXISTING COMMUNITY HEALTH IMPROVEMENT EFFORTS. FOR CONTRIBUTIONS MADE TO CHARITABLE ORGANIZATIONS, PIH HEALTH HAS ADOPTED A POLICY WHICH GUIDES THE PROCESS TO ENSURE GOOD STEWARDSHIP OF PIH HEALTH'S CHARITABLE RESOURCES AS A FEDERALLY REGISTERED NONPROFIT ENTITY. TO ENSURE ACCURATE COMMUNITY BENEFIT REPORTING, THIS POLICY SETS FORTH THAT DIRECT FINANCIAL CONTRIBUTIONS MADE TO COMMUNITY ORGANIZATIONS MUST BE APPROPRIATELY CLASSIFIED AS EITHER A) COMMUNITY BENEFIT OR B) A SPONSORSHIP (A MARKETING COMMUNICATIONS DEPARTMENT EXPENSE NOT REPORTABLE AS COMMUNITY BENEFIT). IN COMPLIANCE WITH THIS POLICY, INFORMATION IS GATHERED FROM THE GRANTEE REGARDING THE INTENDED USE OF FUNDS AND A RESTRICTION LETTER IS SENT, NOTING THE INTENDED USE OF FUNDS. ORGANIZATIONS RECEIVING COMMUNITY SUPPORT FUNDING IN THE AMOUNT OF $2,500 OR MORE ARE REQUIRED TO SUBMIT A SUMMARY REPORT OF PROGRAM OR SERVICE IMPACT, WITHIN 90 DAYS AFTER EVENT OR RECEIPT OF PROGRAM FUNDING, UNLESS AN ALTERNATE DATE IS DESIGNATED. FOR CONTRIBUTIONS MADE TO INDIVIDUALS, PIH HEALTH HAS ESTABLISHED A DEDICATED BUDGET WHICH SUBSIDIZES VITAL ASSISTANCE SUCH AS PURCHASE OF DURABLE MEDICAL EQUIPMENT OR NON-ACUTE CARE NOT COVERED BY INSURANCE UPON HOSPITAL DISCHARGE, INCLUDING PAID PLACEMENT IN SKILLED NURSING OR MENTAL HEALTH FACILITIES. IN THESE INSTANCES, A SPECIFIC SERVICE IS BEING PURCHASED, AND RECEIPT OF PROPER SERVICE IS ENSURED THROUGH FOLLOW-UP BY PIH HEALTH DISCHARGE PLANNERS OR SOCIAL WORKERS.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRIAN SMOLSKIS
FORMER - SYSTEM COO	$0	$0	$0	$0	$0	$1,089,063	$0	$0	$0	$16,973	$0	$1,106,036	$0	$197,952
PEGGY CHULACK
SYSTEM CAO & ASST SECRETARY	$0	$872,084	$0	$0	$0	$609,161	$0	$18,300	$0	$15,580	$0	$1,515,125	$0	$600,326
ROSALIO LOPEZ MD
SYSTEM CSO/CMO	$0	$987,835	$0	$0	$0	$356,998	$0	$41,300	$0	$10,355	$0	$1,396,488	$0	$338,214
VID SHIVARAMAN
SYSTEM CFO & ASST TREASURER	$0	$862,548	$0	$0	$0	$7,556	$0	$190,785	$0	$25,065	$0	$1,085,954	$0	$0
JAMES WEST
SYSTEM PRESIDENT & CEO	$0	$1,603,998	$0	$0	$0	$19,598	$0	$18,300	$0	$21,883	$0	$1,663,779	$0	$0
IRENA ZUANIC
CNO & CO-SITE ADMIN	$0	$394,660	$0	$0	$0	$82,935	$0	$93,721	$0	$24,914	$0	$596,230	$0	$74,976
JASON FISCHER
VP, OPERATONS FOR PHGSH	$0	$292,015	$0	$0	$0	$192,241	$0	$84,709	$0	$6,055	$0	$575,020	$0	$0
MOHAMMED GHONIM
REGIONAL VP (THRU 12/06/2024)	$0	$431,232	$0	$0	$0	$70,469	$0	$93,850	$0	$1,388	$0	$596,939	$0	$62,037
JING CHEUNG
RN	$247,537	$0	$0	$0	$0	$0	$12,395	$0	$7,073	$0	$267,005	$0	$0	$0
TRACEY COGHLAN
CLINICAL DIRECTOR	$244,899	$0	$0	$0	$5,887	$0	$10,232	$0	$17,099	$0	$278,117	$0	$0	$0
MATILDA HERNANDEZ
DEPT SUPERVISOR-12HR	$291,167	$0	$0	$0	$0	$0	$15,655	$0	$17,099	$0	$323,921	$0	$0	$0
IRA MEISELMAN
DIRECTOR MANAGED CARE	$306,887	$0	$0	$0	$4,447	$0	$17,627	$0	$18,941	$0	$347,902	$0	$0	$0
KATHLEEN YOSHIMURA
DIRECTOR, LAB AND PATHOLOGY	$243,271	$0	$0	$0	$5,887	$0	$14,897	$0	$17,099	$0	$281,154	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION	COMPENSATION FOR THE CEO WAS ESTABLISHED AND PAID BY PIH HEALTH WHITTIER HOSPITAL (PHWH), A RELATED ORGANIZATION. PHWH USED THE FOLLOWING TO ESTABLISH THE CEO'S COMPENSATION: 1) COMPENSATION COMMITTEE; 2) INDEPENDENT COMPENSATION CONSULTANT; 3) FORM 990 OF OTHER ORGANIZATIONS; 4) COMPENSATION SURVEY OR STUDY; 5) APPROVAL BY THE BOARD.
SCHEDULE J, PART I, LINE 4A SEVERANCE OR CHANGE-OF-CONTROL PAYMENT	BRIAN SMOLSKIS RECEIVED A SEVERANCE PAYMENT DURING THE CALENDAR YEAR. THE PAYMENT IS INCLUDED IN PART VII, COLUMN D (E) AND SCHEDULE J, PART II, COLUMN B(III). THE TERMS AND CONDITIONS OF THE CONFIDENTIAL SEVERANCE AGREEMENT ARE AVAILABLE TO THE INTERNAL REVENUE SERVICE UPON REQUEST.
SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	PIH HEALTH INC. AND ITS AFFILIATES PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR CERTAIN EXECUTIVES. THE FOLLOWING INDIVIDUALS PARTICIPATE IN THE PLAN: JAMES WEST PEGGY CHULACK ROSALIO LOPEZ VID SHIVARAMAN IRENA ZUANIC MOHAMMED GHONIM JASON FISCHER THE FOLLOWING AMOUNTS BECAME VESTED OR WERE PAID-OUT IN 2024 AND ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III): PEGGY CHULACK $600,326 IRENA ZUANIC $74,976 MOHAMMED GHONIM $62,037 ROSALIO LOPEZ $338,214 BRIAN SMOLSKIS $197,952

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$25,676	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I EXPLANATIONS OF REPORTING METHOD FOR NUMBER OF CONTRIBUTIONS	FormAndLineReferenceDesc
Explanation	SECURITIES - PUBLICLY TRADED - NUMBER OF CONTRIBUTIONS	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, LINE 16B	PIH HEALTH GOOD SAMARITAN HOSPITAL HOLDS A 2.69% INTEREST A JOINT VENTURE ARRANGEMENT THAT EXISTS TO FURTHER THE CHARITABLE AND COMMUNITY-BASED HEALTH CARE PURPOSES, MISSION, VISION, AND VALUES OF ITS CONTROLLING TAX EXEMPT MEMBERS. PIH HEALTH GOOD SAMARITAN HOSPITAL ANNUALLY EVALUATES ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS.
FORM 990, PART VI, LINE 15B	DURING THE TAX YEAR ENDED SEPTEMBER 30, 2025, NO OFFICERS, DIRECTORS, OR TRUSTEES RECEIVED COMPENSATION FROM THIS ORGANIZATION. THE COMPENSATION REPORTED IS PAID BY A RELATED ORGANIZATION AND IS DETERMINED BASED ON THE COMPENSATION REVIEW PRACTICES AND POLICIES OF THAT RELATED ORGANIZATION.
FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS	PIH HEALTH, INC. IS THE SOLE MEMBER OF PIH HEALTH GOOD SAMARITAN HOSPITAL.
FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY	PIH HEALTH, INC. HAS AUTHORITY TO ELECT ALL THE MEMBERS OF THE BOARD OF DIRECTORS OF PIH HEALTH GOOD SAMARITAN HOSPITAL.
FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS	PIH HEALTH, INC. HAS ALL VOTING RIGHTS AND THE POWER TO ELECT THE BOARD OF DIRECTORS OF PIH HEALTH GOOD SAMARITAN HOSPITAL.
FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY	THE ORGANIZATION WORKS WITH AN INDEPENDENT ACCOUNTANT, KPMG LLP, TO PREPARE THE FORM 990. ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND VP OF FINANCE. FORM 990 IS THEN REVIEWED BY THE AUDIT COMMITTEE OF PIH HEALTH, INC., WHICH IS MADE UP OF INDEPENDENT DIRECTORS. KPMG LLP MAKES ALL CHANGES NECESSARY. THE FINAL FORM 990 IS PROVIDED TO THE BOARD PRIOR TO FILING.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY	EACH YEAR, ALL MANAGEMENT AND BOARD OF DIRECTORS MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. ALL POSITIVE RESPONSES ARE REVIEWED BY THE GENERAL COUNSEL AND CHIEF ADMINISTRATIVE OFFICER OF PIH HEALTH, INC. EACH POSITIVE RESPONSE IS CONSIDERED IN LIGHT OF MAGNITUDE OF OWNERSHIP INTEREST, FINANCIAL TRANSACTION(S), ETC. IF DEEMED NECESSARY, CONFLICTS OF INTEREST COULD BE RESOLVED BY INSISTING THAT THE INCUMBENT EITHER DIVEST THEIR OWNERSHIP INTEREST, THAT THE ORGANIZATION TERMINATE THE BUSINESS RELATIONSHIP, OR EVEN THAT THE DIRECTOR RESIGN. DIRECTORS WITH POTENTIAL CONFLICTS OF INTEREST MAY RECUSE THEMSELVES FROM VOTING ON CERTAIN MATTERS AND/OR MAY EXCUSE THEMSELVES FROM MEETINGS DURING THE DISCUSSION, DELIBERATION, AND VOTING ON OF MATTERS.
FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC	PIH HEALTH GOOD SAMARITAN HOSPITAL'S ORGANIZING AND GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. THE FINANCIAL INFORMATION FROM THE FINANCIAL STATEMENTS IS INCLUDED IN THE ORGANIZATION'S FORM 990, WHICH IS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART VIII, LINE 11D OTHER MISCELLANEOUS REVENUE	ALL OTHER REVENUE - TOTAL REVENUE: 7496914, RELATED OR EXEMPT FUNCTION REVENUE: , UNRELATED BUSINESS REVENUE: 29434, REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: 7467480;
FORM 990, PART IX, LINE 11G OTHER FEES	PHYSICIAN FEES - TOTAL EXPENSE: 13547570, PROGRAM SERVICE EXPENSE: 13547570, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONSULTING AND MANAGEMENT FEES - TOTAL EXPENSE: 80013, PROGRAM SERVICE EXPENSE: 38309, MANAGEMENT AND GENERAL EXPENSES: 41704, FUNDRAISING EXPENSES: ; OTHER CONTRACTED SERVICES - TOTAL EXPENSE: 3390925, PROGRAM SERVICE EXPENSE: 3389182, MANAGEMENT AND GENERAL EXPENSES: 1743, FUNDRAISING EXPENSES: ; OTHER PROFESSIONAL SERVICES - TOTAL EXPENSE: 131, PROGRAM SERVICE EXPENSE: 131, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; MEDICAL PURCHASED SERVICES - TOTAL EXPENSE: 1637293, PROGRAM SERVICE EXPENSE: 1621493, MANAGEMENT AND GENERAL EXPENSES: 15800, FUNDRAISING EXPENSES: ; REPAIRS AND MAINTENANCE - TOTAL EXPENSE: 5142887, PROGRAM SERVICE EXPENSE: 4861569, MANAGEMENT AND GENERAL EXPENSES: 281318, FUNDRAISING EXPENSES: ; SOFTWARE MAINTENANCE - TOTAL EXPENSE: 2426449, PROGRAM SERVICE EXPENSE: 2426449, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; OTHER PURCHASED SERVICES - TOTAL EXPENSE: 44101926, PROGRAM SERVICE EXPENSE: 27303347, MANAGEMENT AND GENERAL EXPENSES: 16798579, FUNDRAISING EXPENSES: ; OUTSIDE PROVIDER COST - TOTAL EXPENSE: 28940553, PROGRAM SERVICE EXPENSE: 28940553, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; PURCHASED LABOR - TOTAL EXPENSE: 12943904, PROGRAM SERVICE EXPENSE: 12943904, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ;
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES	ACCRUED MINIMUM PENSION LIABILITY - 499743; OTHER INTERCOMPANY TRANSFERS (EXPENSES PAID BY GSH) - 210399; TOTAL - 710142;
FORM 990, PART VI, LINE 2 - FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS	PIH HEALTH GOOD SAMARITAN 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: JAMES WEST - BUSINESS RELATIONSHIP PEGGY CHULACK - BUSINESS RELATIONSHIP VID SHIVARAMAN - BUSINESS RELATIONSHIP ROSALIO LOPEZ - BUSINESS RELATIONSHIP ALEX ALVAREZ - BUSINESS RELATIONSHIP CHARLOTTE WEAVER - BUSINESS RELATIONSHIP JEFF HAMAR - BUSINESS RELATIONSHIP KENTON WOODS - BUSINESS RELATIONSHIP MARISSA GOLDBERG - BUSINESS RELATIONSHIP MELANIE BATISTE - BUSINESS RELATIONSHIP PATRICK MONROE - BUSINESS RELATIONSHIP PAUL TREINEN - BUSINESS RELATIONSHIP PETER GREANEY - BUSINESS RELATIONSHIP WILLIAM ROTH - BUSINESS RELATIONSHIP RICHARD ATWOOD - BUSINESS RELATIONSHIP THURSO BARENDSE - BUSINESS RELATIONSHIP TRACEA SARALIEV - BUSINESS RELATIONSHIP DEBORAH MEDRANO - BUSINESS RELATIONSHIP REGINE LAWTON - BUSINESS RELATIONSHIP SCOTT SOUTHRON - BUSINESS RELATIONSHIP

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
GOOD SAMARITAN INSTITUTE FOR RESEARCH AND EDUCATION
1225 WILSHIRE BLVD	LOS ANGELES	CA	90017	954077161	HEART RESEARCH	CA	501(C)(3)	4	PIH HEALTH GOOD SAMARITAN HOSPITAL	Yes (true)
ORTHOPEDIC INSTITUTE OF THE GOOD SAMARITAN HOSPITAL
1225 WILSHIRE BLVD	LOS ANGELES	CA	90017	954346048	ORTHOPEDIC RESEARCH	CA	501(C)(3)	TYPE I	PIH HEALTH GOOD SAMARITAN HOSPITAL	Yes (true)
SAMARITAN IMAGING CENTER
1225 WILSHIRE BLVD	LOS ANGELES	CA	90017	954252321	OUTPATIENT IMAGING SERVICES	CA	501(C)(3)	10	PIH HEALTH GOOD SAMARITAN HOSPITAL	Yes (true)
GOOD SAMARITAN MEDICAL OFFICE BUILDING INC
1225 WILSHIRE BLVD	LOS ANGELES	CA	90017	953244046	PHYSICIANS MEDICAL OFFICES	CA	501(C)(3)	TYPE I	PIH HEALTH GOOD SAMARITAN HOSPITAL	Yes (true)
KATE VAN NUYS PAGE FOUNDATION
12401 WASHINGTON BLVD	WHITTIER	CA	90602	956028032	GRANTS INCOME TO GOOD SAMARITAN HOSPITAL	CA	501(C)(3)	TYPE I	PIH HEALTH GOOD SAMARITAN HOSPITAL	Yes (true)
PIH HEALTH ADULT DAY HEALTHCARE
12401 WASHINGTON BLVD	WHITTIER	CA	90602	953643829	SUPPORT OF TAX-EXEMPT AFFILIATES	CA	501(C)(3)	TYPE II	PIH HEALTH INC	false
PIH HEALTH FOUNDATION
12401 WASHINGTON BLVD	WHITTIER	CA	90602	953761274	FUNDRAISING	CA	501(C)(3)	7	PIH HEALTH INC	false
PIH HEALTH HOME HEALTHCARE
12401 WASHINGTON BLVD	WHITTIER	CA	90602	953036281	SUPPORT OF TAX-EXEMPT AFFILIATES	CA	501(C)(3)	TYPE II	PIH HEALTH INC	false
PIH HEALTH DOWNEY HOSPITAL
11500 BROOKSHIRE AVE	DOWNEY	CA	90241	951903935	HEALTHCARE	CA	501(C)(3)	3	PIH HEALTH INC	false
PIH HEALTH WHITTIER HOSPITAL
12401 WASHINGTON BLVD	WHITTIER	CA	90602	951934652	HEALTHCARE	CA	501(C)(3)	3	PIH HEALTH INC	false
PIH HEALTH MANAGEMENT CORP
12401 WASHINGTON BLVD	WHITTIER	CA	90602	954016278	SUPPORT OF TAX-EXEMPT AFFILIATES	CA	501(C)(3)	TYPE II	PIH HEALTH INC	false
PIH HEALTH PHYSICIANS
6557 GREENLEAF AVE	WHITTIER	CA	90601	953942828	HEALTHCARE	CA	501(C)(3)	10	PIH HEALTH INC	false
PIH HEALTH INC
12401 WASHINGTON BLVD	WHITTIER	CA	90602	953619388	SUPPORT OF TAX-EXEMPT AFFILIATES	CA	501(C)(3)	TYPE II	NA	false
AUXILIARY OF THE HOSPITAL OF THE GOOD SAMARITAN
1225 WILSHIRE BLVD	LOS ANGELES	CA	90017	956051253	WELFARE OF THE GOOD SAMARITAN HOSPITAL	CA	501(C)(3)	TYPE III-FI	NA	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line2USAddress/AddressLine2Txt
DRMC PROPERTIES INC
12401 WASHINGTON BLVD	WHITTIER	CA	90602	954769768	REAL ESTATE	CA	NA	C CORPORATION	false
HEALTHMED SERVICES INC
12401 WASHINGTON BLVD	WHITTIER	CA	90602	300831225	HEALTHCARE	CA	NA	C CORPORATION	false
PIH HEALTH CARE SOLUTIONS
6557 GREENLEAF AVE	WHITTIER	CA	90601	462072342	HEALTHCARE	CA	NA	C CORPORATION	false
PIH INSURANCE CO A RECIPROCAL RISK RETENTION GROUP
733 BISHOP STREET	HONOLULU	HI	96813	263760243	CAPTIVE INSURANCE	HI	NA	TRUST	false	SUITE 1555
PIH HEALTH RE
733 BISHOP STREET	HONOLULU	HI	96813	472501390	CAPTIVE INSURANCE	HI	NA	TRUST	false	STE 1555
PIONEER MEDICAL GROUP INC
6557 GREENLEAF AVE	WHITTIER	CA	90601	330927283	MEDICAL SERVICES	CA	NA	C CORPORATION	false
TEXASCONNECT INC
3223 S LOOP 289 SUITE 600 6339	LUBBOCK	TX	79423	335000461	MANAGEMENT SERVICES	TX	NA	C CORPORATION	false

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

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GOOD SAMARITAN HOSPITAL MEDICAL OFFICE BUILDING INC
A	$6,234,997	FMV
GOOD SAMARITAN HOSPITAL MEDICAL OFFICE BUILDING INC
K	$2,881,498	FMV
GOOD SAMARITAN INSTITUTE FOR RESEARCH AND EDUCATION
B	$210,399	FMV