PIH HEALTH DOWNEY HOSPTIAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: PIH HEALTH DOWNEY HOSPTIAL (EIN 95-1903935)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-14
IRS object ID: 202622269349303232
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 J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-14T18:34:39+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	951903935	EIN

Business Name BusinessName

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

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11500 BROOKSHIRE AVE	AddressLine1Txt
City	DOWNEY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90241	ZIPCd

Business Officer BusinessOfficerGrp

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

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

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	$225,585,010	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	1956	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE QUALITY HEALTHCARE AND CONTRIBUTE TO THE COMMUNITY'S HEALTH AND WELL-BEING.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	1472	TotalEmployeeCnt
Total Volunteers	324	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$32,249,261	PYContributionsGrantsAmt
CY Contributions Grants	$7,994,467	CYContributionsGrantsAmt
PY Program Service Revenue	$221,905,015	PYProgramServiceRevenueAmt
CY Program Service Revenue	$213,939,572	CYProgramServiceRevenueAmt
PY Investment Income	$6,347,315	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$1,692,265	PYOtherRevenueAmt
CY Other Revenue	$3,576,181	CYOtherRevenueAmt
PY Total Revenue	$262,193,856	PYTotalRevenueAmt
CY Total Revenue	$225,510,220	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$119,257,309	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$135,004,907	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$102,109,447	PYOtherExpensesAmt
CY Other Expenses	$95,419,146	CYOtherExpensesAmt
PY Total Expenses	$221,366,756	PYTotalExpensesAmt
CY Total Expenses	$230,424,053	CYTotalExpensesAmt
PY Revenues Less Expenses	$40,827,100	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$4,913,833	CYRevenuesLessExpensesAmt
Total Assets BOY	$205,809,905	TotalAssetsBOYAmt
Total Assets EOY	$242,369,730	TotalAssetsEOYAmt
Total Liabilities BOY	$254,381,320	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$295,854,978	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$48,571,415	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$53,485,248	NetAssetsOrFundBalancesEOYAmt
Mission	MISSION: WE PROVIDE HIGH QUALITY HEALTHCARE WITHOUT DISCRIMINATION AND CONTRIBUTE TO THE HEALTH AND WELL-BEING OF OUR COMMUNITIES IN AN ETHICAL, SAFE, AND FISCALLY PRUDENT MANNER IN RECOGNITION OF OUR CHARITABLE PURPOSE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$130,055,652	ExpenseAmt
Revenue	$160,611,766	RevenueAmt
Desc	PATIENT CARE: PIH HEALTH DOWNEY HOSPITAL OFFICIALLY BECAME PART OF PIH HEALTH IN OCTOBER 2013. AS A 501 (C)(3) NONPROFIT, 199-BED HOSPITAL, THE DOWNEY CAMPUS HAS PROVIDED QUALITY CARE IN A WELCOMING ENVIRONMENT FOR ALMOST 105 YEARS. PATIENT CARE IN FISCAL YEAR 2024-2025 EMPLOYEES: 1,361 VOLUNTEERS: 324 NUMBER OF EMERGENCY DEPARTMENT (ED) VISITS: 62,731 MEDICAL STAFF: 487	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$63,895,604	ExpenseAmt
Revenue	$51,944,966	RevenueAmt
Desc	FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS: FINANCIAL ASSISTANCE, ALSO KNOWN AS CHARITY CARE, IS DEFINED AS FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO INDIVIDUALS WHO CANNOT AFFORD TO PAY AND WHO MEET THE ELIGIBILITY CRITERIA OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PIH HEALTH OFFERS A GENEROUS FINANCIAL ASSISTANCE PROGRAM, PROVIDING CHARITY CARE TO THOSE WITH FAMILY INCOME(S) AT OR BELOW 400% OF FEDERAL POVERTY LEVEL GUIDELINES. 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 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. TOTAL NUMBER OF PERSONS SERVED BY FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS: 32,334.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$9,277,745	ExpenseAmt
Revenue	$1,382,840	RevenueAmt
Desc	OTHER COMMUNITY BENEFIT SERVICES: COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, AND CASH AND IN-KIND CONTRIBUTIONS ARE COMPRISED OF THE FOLLOWING: COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS: COMMUNITY HEALTH IMPROVEMENT SERVICES IS DEFINED AS COMMUNITY HEALTH IMPROVEMENT ACTIVITIES, WHICH EXTEND BEYOND PATIENT CARE ACTIVITIES. THESE PROGRAMS INCLUDE: COMMUNITY EDUCATION, COMMUNITY-BASED CLINICAL SERVICES, A COMMUNITY HELPLINE, A MEDICATION-ASSISTED TREATMENT PROGRAM, HEALTH INSURANCE ENROLLMENT ASSISTANCE, AND PURCHASED SERVICES FOR AT-RISK PATIENTS. COMMUNITY BENEFIT OPERATIONS IS DEFINED AS COSTS ASSOCIATED WITH ASSIGNED STAFF AND COMMUNITY HEALTH NEEDS ASSESSMENTS, AND COMMUNITY BENEFIT STRATEGY AND OPERATIONS. SNAPSHOT OF OUTCOMES: * 11,556 COMMUNITY MEMBERS WERE REACHED THROUGH A VARIETY OF COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY BENEFIT OPERATIONS 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. PIH HEALTH PROGRAMS INCLUDE THE FAMILY MEDICINE RESIDENCY PROGRAM AND STUDENT EDUCATION. SNAPSHOT OF OUTCOMES: * 67 MEDICAL RESIDENTS, NURSING, AND ANCILLARY PROFESSIONS STUDENTS WERE PROVIDED WITH MENTORSHIP, INTERNSHIP AND TRAINING OPPORTUNITIES. SUBSIDIZED HEALTH SERVICES: SUBSIDIZED HEALTH 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 SUBSIDIZED SERVICES INCLUDE EMERGENCY DEPARTMENT ON-CALL PHYSICIANS. SNAPSHOT OF OUTCOMES: * SOME 3 INDIVIDUALS WERE SERVED BY SUBSIDIZED HEALTH SERVICES. CASH & IN-KIND CONTRIBUTIONS: THIS CATEGORY INCLUDES FUNDS AND IN-KIND SERVICES DONATED BY PIH HEALTH TO COMMUNITY ORGANIZATIONS OR TO THE COMMUNITY-AT-LARGE FOR A COMMUNITY BENEFIT PURPOSE. THESE DONATIONS INCLUDE CASH DONATIONS TO COMMUNITY ORGANIZATIONS, HOURS CONTRIBUTED BY STAFF TO THE COMMUNITY WHILE ON PIH HEALTH WORK TIME, THE COST OF MEETING SPACE PROVIDED TO COMMUNITY GROUPS, AND THE DONATIONS OF EQUIPMENT, MEDICATIONS, SUPPLIES, AND SERVICES. SNAPSHOT OF OUTCOMES: * 100 INDIVIDUALS BENEFITTED FROM DONATED STAFF TIME OR MEETING SPACE. TOTAL NUMBER OF PERSONS SERVED BY ALL OTHER COMMUNITY BENEFIT SERVICES CATEGORIES: 11,726 FOR ADDITIONAL INFORMATION, PLEASE REFER TO PIH HEALTH'S COMMUNITY BENEFIT REPORT AT PIHHEALTH.ORG/CBANNUALREPORT	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$203,229,001	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	false	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	false	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	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	47	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1472	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
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	19	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	false	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 (34 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
MARK DUBIN MD
DIRECTOR	3.5	0	Yes (X)		$13,200	$0	$0
MARK MINKES MD
DIRECTOR (UNTIL 9/26/2025)	1.5	0	Yes (X)		$0	$0	$0
MELANIE BATISTE
DIRECTOR	1.5	6.0	Yes (X)		$0	$0	$0
PATRICK MONROE
DIRECTOR	1.5	6.0	Yes (X)		$0	$0	$0
PAUL YOSHINO MD
DIRECTOR	1.5	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
ALEXIS ZAMARRIPA
CNO	40.0	0.0		Yes (X)	$0	$314,302	$64,163
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
MOHAMMED GHONIM
REGIONAL VP (THRU 12/06/2024)	15.0	25.0			$0	$501,701	$95,238	Yes (X)
ELLEN MORANDO
SR DIRECTOR, HR OPERATIONS	40.0	0			$231,610	$0	$38,065		Yes (X)
ISELA PEREZ
RN CLINICAL DIRECTOR	40.0	0			$235,796	$0	$23,489		Yes (X)
LIBERTY ROSALES
RN CHARGE NURSE	40.0	0			$290,606	$0	$32,923		Yes (X)
LUZ ONG
RN, BSN	40.0	0			$242,177	$0	$24,336		Yes (X)
TUNG NGUYEN
DIRECTOR, INPATIENT PHARMACY	40.0	0			$230,533	$0	$4,490		Yes (X)
BRIAN SMOLSKIS
FORMER - SYSTEM COO	0.0	0.0			$0	$1,089,063	$16,973			Yes (X)
MARIE-DIANNE SAUCO
COO, CARE MGMT & MGMT SVC ORG	40.0	40.0			$0	$459,940	$146,065			Yes (X)
RAMONA PRATT
FORMER CNO	40.0	40.0			$0	$541,901	$56,681			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,243,922	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,226,685	TotReportableCompRltdOrgAmt
Total Other Compensation	$843,991	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	354	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
SODEXO INC & AFFILIATES-PA
PO BOX 360170	PITTSBURGH	PA	152516170	DIETARY SERVICES	$2,384,988
ALLIED UNIVERSAL SEC SERV
161 WASHINGTON ST	CONSHOHOKEN	PA	19428	SECURITY SERVICES	$1,490,570	STE 600 8 TOWER BRIDGE
DLS BUILDERS
1975 N BATAVIA STREET	ORANGE	CA	92665	CONSTRUCTION	$1,262,978
AYA HEALTHCARE INC
DRAWE 1334	TROY	MI	48007	STAFFING SERVICES	$1,002,563	POBOX 5935
EMERGENCY ASSOCIATES CORP
PO BOX 9350	RANCHO SANTA FE	CA	92067	PROFESSIONAL SERVICES	$774,831

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	15	CntrctRcvdGreaterThan100KCnt
Related Organizations	$55,399	RelatedOrganizationsAmt
Government Grants	$7,939,068	GovernmentGrantsAmt
Total Contributions	$7,994,467	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	622110	$186,722,774	$186,722,774
HOSPITAL FEE PROGRAM	900099	$27,216,798	$27,216,798

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	$213,939,572	TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$265,428	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$74,790	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$190,638	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$190,638	TotalRevenueColumnAmt
Exclusion	$190,638	ExclusionAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	PURCHASE DISCOUNTS	Desc
Business	900099	BusinessCd
Total Revenue Column	$1,266,008	TotalRevenueColumnAmt
Exclusion	$1,266,008	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,119,535	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,119,535	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,385,543	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$225,510,220	TotalRevenueColumnAmt
Related Or Exempt Func Income	$213,939,572	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,576,181	ExclusionAmt

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$336,946	TotalAmt
Program Services	$235,862	ProgramServicesAmt
Management And General	$101,084	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$104,796,258	TotalAmt
Program Services	$89,705,597	ProgramServicesAmt
Management And General	$15,090,661	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,418,677	TotalAmt
Program Services	$2,926,388	ProgramServicesAmt
Management And General	$492,289	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,352,655	TotalAmt
Program Services	$15,709,873	ProgramServicesAmt
Management And General	$2,642,782	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,100,371	TotalAmt
Program Services	$6,933,918	ProgramServicesAmt
Management And General	$1,166,453	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$59,359	TotalAmt
Management And General	$59,359	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$57,886	TotalAmt
Management And General	$57,886	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$31,208,819	TotalAmt
Program Services	$28,561,413	ProgramServicesAmt
Management And General	$2,647,406	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,482,979	TotalAmt
Program Services	$4,303,612	ProgramServicesAmt
Management And General	$179,367	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,453	TotalAmt
Program Services	$6,380	ProgramServicesAmt
Management And General	$1,073	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,935,312	TotalAmt
Program Services	$3,714,563	ProgramServicesAmt
Management And General	$220,749	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,926	TotalAmt
Program Services	$3,852	ProgramServicesAmt
Management And General	$1,074	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$64,317	TotalAmt
Program Services	$48,555	ProgramServicesAmt
Management And General	$15,762	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$120,664	TotalAmt
Program Services	$120,664	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,447,901	TotalAmt
Program Services	$5,519,403	ProgramServicesAmt
Management And General	$928,498	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,861,578	TotalAmt
Management And General	$2,861,578	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$25,585,600	$25,232,849	$352,751
QUALITY ASSURANCE FEE (CHA HOSPITAL FEE)	$14,766,301	$14,766,301
EQUIPMENT R&M AND LEASE	$2,594,412	$2,594,412

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,197,639	TotalAmt
Program Services	$2,845,359	ProgramServicesAmt
Management And General	$352,280	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$230,424,053	TotalAmt
Program Services	$203,229,001	ProgramServicesAmt
Management And General	$27,195,052	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$220,184	BOYAmt
EOY	$248,188	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$36,470,203	BOYAmt
EOY	$43,705,993	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	$2,783,551	BOYAmt
EOY	$3,121,300	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$535,781	BOYAmt
EOY	$1,247,540	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$206,947,093	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$74,924,144	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$119,940,116	BOYAmt
EOY	$132,022,949	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	$45,860,070	BOYAmt
EOY	$62,023,760	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$205,809,905	BOYAmt
EOY	$242,369,730	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$20,387,836	BOYAmt
EOY	$25,386,394	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	$233,993,484	BOYAmt
EOY	$270,468,584	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$254,381,320	BOYAmt
EOY	$295,854,978	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$48,571,415	BOYAmt
EOY	-$53,485,248	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$48,571,415	BOYAmt
EOY	-$53,485,248	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$205,809,905	BOYAmt
EOY	$242,369,730	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$4,913,833	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	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	$57,886	OtherActivitiesAmt
Total Lobbying Expenditures	$57,886	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	EXPLANATION: A PORTION OF DUES PAID TO HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA AND AMERICAN HOSPITAL ASSOCIATION IS RELATED TO LOBBYING. PIH HEALTH DOWNEY HOSPITAL DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS), ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,687,365	OtherCostOrOtherBasisAmt
Book Value	$11,687,365	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$103,691,678	OtherCostOrOtherBasisAmt
Depreciation	$14,234,921	DepreciationAmt
Book Value	$89,456,757	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,161,486	OtherCostOrOtherBasisAmt
Depreciation	$17,371,590	DepreciationAmt
Book Value	$7,789,896	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$53,775,465	OtherCostOrOtherBasisAmt
Depreciation	$42,777,745	DepreciationAmt
Book Value	$10,997,720	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,631,099	OtherCostOrOtherBasisAmt
Depreciation	$539,888	DepreciationAmt
Book Value	$12,091,211	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$132,022,949	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
HOSPITAL FEE PROGRAM RECEIVABLE	$46,969,069
OTHER RECEIVABLES	$1,899,636
ROU ASSETS	$3,207,690
EAAS PROJECT FUND	$9,947,365

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$62,023,760	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
FEDERAL INCOME TAXES
INTERCOMPANY PAYABLE	$219,431,301
HOSPITAL FEE PAYABLE	$22,497,011
SELF-INSURANCE RESERVES	$5,357,823
ESTIMATED THIRD PARTY PAYOR SETTLEMENT	-$971,786
ROU LIABILITY	$2,974,153
EAAS DEFERRED INCOME	$21,180,082
GOVERNMENT ADVANCES

Field	Value	IRS element (for citing)
Total Liability	$270,468,584	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

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE	FormAndLineReferenceDesc
Explanation	THE PRINCIPAL OPERATIONS OF THE COMPANY ARE EXEMPT FROM INCOME TAXES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) AND THE LAWS OF THE STATES IN WHICH IT OPERATES AND, AS SUCH, IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, THE COMPANY IS SUBJECT TO INCOME TAXES ON NET INCOME DERIVED FROM A TRADE OR BUSINESS REGULARLY CARRIED ON THAT DOES NOT FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. FURTHER, THE COMPANY IS ALSO SUBJECT TO FEDERAL EXCISE TAXES PURSUANT TO THE TAX CUTS AND JOBS ACT. NO SIGNIFICANT INCOME TAX PROVISION HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR NET INCOME DERIVED FROM UNRELATED TRADE OR BUSINESS AND EXCISE TAXES. THE COMPANY MEASURES LIABILITIES FOR UNRECOGNIZED TAX UNCERTAINTIES IN ACCORDANCE WITH ASC 740, INCOME TAXES, WHICH PRESCRIBES A COMPREHENSIVE MODEL FOR HOW A COMPANY SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE IN ITS FINANCIAL STATEMENTS UNCERTAIN TAX POSITIONS THAT A COMPANY HAS TAKEN OR EXPECTS TO TAKE ON A TAX RETURN. THE GUIDANCE IS APPLICABLE TO PROFIT-ORIENTED ENTITIES, PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. MANAGEMENT BELIEVES IT HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS AND, AS SUCH, NO TAX LIABILITY, BENEFITS, INTEREST OR PENALTIES WERE ACCRUED AT SEPTEMBER 30, 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.	ExplanationTxt

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
Percent100	Yes (X)	Percent100Ind
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	114	PersonsServedCnt
Total Community Benefit Expns	$299,553	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$77,498	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$222,055	NetCommunityBenefitExpnsAmt
Total Expense	0.00096	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	31968	PersonsServedCnt
Total Community Benefit Expns	$62,914,888	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,867,468	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,047,420	NetCommunityBenefitExpnsAmt
Total Expense	0.04794	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	252	PersonsServedCnt
Total Community Benefit Expns	$681,162	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$681,162	NetCommunityBenefitExpnsAmt
Total Expense	0.00296	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	32334	PersonsServedCnt
Total Community Benefit Expns	$63,895,603	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,944,966	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,950,637	NetCommunityBenefitExpnsAmt
Total Expense	0.05186	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	11556	PersonsServedCnt
Total Community Benefit Expns	$2,438,011	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,438,011	NetCommunityBenefitExpnsAmt
Total Expense	0.01058	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	67	PersonsServedCnt
Total Community Benefit Expns	$5,486,735	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,382,840	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,103,895	NetCommunityBenefitExpnsAmt
Total Expense	0.01781	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	3	PersonsServedCnt
Total Community Benefit Expns	$1,305,963	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,305,963	NetCommunityBenefitExpnsAmt
Total Expense	0.00567	TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	100	PersonsServedCnt
Total Community Benefit Expns	$47,036	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,036	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	11726	PersonsServedCnt
Total Community Benefit Expns	$9,277,745	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,382,840	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,894,905	NetCommunityBenefitExpnsAmt
Total Expense	0.03426	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	44060	PersonsServedCnt
Total Community Benefit Expns	$73,173,348	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,327,806	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,845,542	NetCommunityBenefitExpnsAmt
Total Expense	0.08613	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	2	PersonsServedCnt
Total Community Benefit Expns	$2,277	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,277	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	383	PersonsServedCnt
Total Community Benefit Expns	$3,141	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,141	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	385	PersonsServedCnt
Total Community Benefit Expns	$5,418	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,418	NetCommunityBenefitExpnsAmt
Total Expense	0.00002	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$18,584,514	BadDebtExpenseAmt
Reimbursed By Medicare	$42,334,170	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$32,376,990	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$9,957,180	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 DOWNEY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11500 BROOKSHIRE AVE	AddressLine1Txt
City	DOWNEY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90241	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.PIHHEALTH.ORG	WebsiteAddressTxt
State License	930000048	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 DOWNEY 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/CHNA	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://pihhealth.org/CHIS	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	100.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
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
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
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, PHDH 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 DOWNEY 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 DOWNEY HOSPITAL. 2025 COMMUNITY HEALTH NEEDS ASSESSMENT: INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY PIH HEALTH DOWNEY 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. FIFTEEN (15) 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 WELLBEING IN LOS ANGELES COUNTY SPA 6 AND SPA 7 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 SOUTHEAST LOS ANGELES (SELA) COLLABORATIVE, LYNWOOD PARTNERS EDUCATIONAL FOUNDATION, LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, HUMAN SERVICES ASSOCIATION, HELPLINE YOUTH COUNSELING, INC., FOODHELP, CERRITOS COLLEGE FOUNDATION, OLIVE CREST, LYNWOOD UNIFIED SCHOOL DISTRICT, BETHEL CHURCH, CARING CONNECTIONS, TLC FAMILY RESOURCE CENTER/DOWNEY UNIFIED SCHOOL DISTRICT, KINGDOM CAUSES BELLFLOWER, LOS ANGELES COUNTY OFFICE OF EDUCATION, PARTNERS IN CARE FOUNDATION, AND DOWNEY POLICE DEPARTMENT. 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 29.2% FOR CLEAN ENVIRONMENT. THE FULL COMMUNITY HEALTH NEEDS ASSESSMENT, CAN BE FOUND AT HTTPS://WWW.PIHHEALTH.ORG/APP/FILES/PUBLIC/C3F4D0BF-BC35-40CC-A528-05D68DE6B283/CHNA%202025%20-%20PIH%20HEALTH%20DOWNEY%20HOSPITAL%20FINAL.PDF ATTACHMENT 1 LISTS THE STAKEHOLDER INTERVIEW RESPONDENTS, THEIR TITLES, AND ORGANIZATIONS. ATTACHMENT 2 PROVIDES STAKEHOLDER RESPONSES TO THE INTERVIEW QUESTIONS.
SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 1	FACILITY , 1 - PIH HEALTH DOWNEY HOSPITAL. PIH HEALTH DOWNEY HOSPITAL PARTICIPATED IN A COLLABORATIVE PROCESS FOR THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT WITH PIH HEALTH GOOD SAMARITAN 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 DOWNEY 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 DOWNEY HOSPITAL. PIH HEALTH'S IMPLEMENTATION STRATEGY ENSURES ALIGNMENT OF CHNA FINDINGS, OUR COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND PIH HEALTH'S ORGANIZATIONAL STRATEGY. PIH HEALTH DOWNEY 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 DOWNEY 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 DOWNEY HOSPITAL WILL NOT ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA, INCLUDING DENTAL CARE AND ECONOMIC INSECURITY. TO VIEW THE 2026-2028 IMPLEMENTATION STRATEGY AND THE INITIATIVES IDENTIFIED TO ADDRESS AREAS OF FOCUS, VISIT HTTPS://WWW.PIHHEALTH.ORG/APP/FILES/PUBLIC/AC65B616-8B77-4B7B-A82E-87BE23FDCB4F/COMMUNITY%20HEALTH%20IMPROVEMENT%20PLAN%202025_PHDH%20FINAL.PDF
SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY , 1	FACILITY , 1 - PIH HEALTH DOWNEY 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 UNDERINSURED. THIS IS ALSO CONSIDERED 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	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	OUTPATIENT REHABILITATION PIH HEALTH DOWNEY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11420 BROOKSHIRE AVE	AddressLine1Txt
City	DOWNEY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90241	ZIPCd

Field	Value	IRS element (for citing)
Facility	OUTPATIENT THERAPY	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (18 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 IMPROVE THE HEALTH OF THE COMMUNITY AND ENHANCE ACCESS TO CARE. THE REPORT SEPARATES OUT COMMUNITY BENEFIT INVESTMENT FIGURES FOR EACH HOSPITAL. STANDALONE COMMUNITY BENEFIT REPORTS ARE ALSO PREPARED FOR EACH PIH HEALTH HOSPITAL ENTITY. IN ADDITION, A COMMUNITY BENEFIT REPORT FOR PIH HEALTH DOWNEY HOSPITAL WAS SUBMITTED TO THE CALIFORNIA DEPARTMENT OF HEALTH CARE ACCESS AND INFORMATION (HCAI).
SCHEDULE H, PART I, LINE 6B	THE COMMUNITY BENEFIT REPORT WAS MADE WIDELY AVAILABLE TO THE PUBLIC VIA PIH HEALTH'S WEBSITE, SOCIAL MEDIA AND COMMUNITY E-NEWSLETTER. THE REPORT IS ALSO SHARED WITH CERTAIN INTERNAL AND COMMUNITY STAKEHOLDERS VIA EMAIL AND PRESENTATIONS. TO VIEW THE FULL REPORT FOR PIH HEALTH DOWNEY HOSPITAL, VISIT HTTPS://WWW.PIHHEALTH.ORG/APP/FILES/PUBLIC/C4363730-273E-47B0-A415-DC7B1541FC21/PIH%20HEALTH%20DOWNEY%20HOSPITAL%20FY24%20COMMUNITY%20BENEFIT%20ANNUAL%20REPORT%20AND%20PLAN.PDF
SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE	PATIENT CARE COST-TO-CHARGES RATIO DERIVED FROM WORKSHEET 2 WAS USED TO CALCULATE THE FINANCIAL ASSISTANCE. FOR ALL OTHERS, WE UTILIZED INTERNAL COSTING SYSTEM AND ACCOUNTS FOR THE VARIOUS PAYOR MIX.
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	THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE COMPANY FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE THE COMPANY ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY. AS A RESULT OF THE ADOPTION OF ASC 606, PIH HEALTH WHITTIER HOSPITAL IS REPORTING IMPLICIT PRICE CONCESSIONS, WHICH IS ESTABLISHED BASED ON MANY FACTORS, INCLUDING PAYER MIX, AGE OF RECIEVABLES, HISTORICAL CASH COLLECTION EXPERIENCE, OTHER RELEVANT INFORMATION.
SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY	PIH HEALTH DOWNEY HOSPITAL ACTIVELY PROVIDES ALL PATIENTS THE OPTION TO APPLY FOR FINANCIAL ASSISTANCE, THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE	AS PART OF THE COMPANY'S MISSION TO SERVE THE COMMUNITY, THE COMPANY PROVIDES CARE TO PATIENTS EVEN THOUGH THEY MAY LACK ADEQUATE INSURANCE OR MAY PARTICIPATE IN PROGRAMS WITH NEGOTIATED OR REGULATED PAYMENT AMOUNTS. THE COMPANY MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR CHARITY CARE UPON ADMISSION, THOUGH DETERMINATION MAY ALSO BE MADE AT A LATER TIME. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE APPLICATION OF ANY FINANCIAL, UNINSURED OR OTHER DISCOUNTS OR PAYMENTS RECEIVED ON THE ACCOUNT, AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE COMPANY FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE COMPANY. THE COMPANY MANAGES ITS COLLECTION RISK BY REGULARLY REVIEWING ITS ACCOUNTS AND CONTRACTS, AND BY PROVIDING APPROPRIATE ALLOWANCES THAT ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEETS. IMPLICIT PRICE CONCESSIONS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE IMPLICIT PRICE CONCESSIONS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE COMPANY FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. IMPLICIT PRICE CONCESSIONS IS INCLUDED AS A DEDUCTION FROM PATIENT SERVICES REVENUES SINCE THE COMPANY GENERALLY ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY.
SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS	THE COMPANY DOES NOT TAKE THE POSITION THAT MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THE STATE HAS SPECIFICALLY ASKED US TO REPORT THIS SEPARATELY FROM OUR COMMUNITY BENEFIT TOTALS. THE COMPANY USES A COST-TO-CHARGE (C2C) RATIO TO DETERMINE MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENT RECEIVED FROM MEDICARE, WHICH IS SIMILAR TO THE IRS SCHEDULE H METHOD. HOWEVER, THE PIH HEALTH SYSTEM IS MORE REFINED AND EXACTING, SINCE IT IS GENERATED AT THE DEPARTMENT LEVEL AND INCLUDES BOTH DIRECT COSTS AND ALLOCATED COMPANY-WIDE INDIRECT COSTS. ALL PERIOD INDIRECT COSTS ARE ALLOCATED BETWEEN PIH HEALTH DEPARTMENTS BASED ON THEIR RELATIVE GROSS CHARGES. THE SUM OF THE DIRECT AND ALLOCATED INDIRECT COSTS OF EACH DEPARTMENT ARE DIVIDED BY THE TOTAL DEPARTMENT GROSS PROCEDURE CHARGES. THE RESULTING DEPARTMENT SPECIFIC PERCENTAGE, I.E.. DEPARTMENT C2C %, IS LOADED INTO PIH HEALTH'S ERP SOFTWARE EACH QUARTER. THE COST SYSTEM APPLIES THE DEPARTMENT'S C2C% TO ALL PROCEDURE CHARGES ORIGINATING WITHIN THE DEPARTMENT IN ORDER TO COMPUTE THE RELATED PROCEDURE COSTS. AS SUCH, ALL COST INFORMATION REFLECTED IN PIH HEALTH'S REGULATORY REPORTING AND FINANCIAL ANALYSIS IS BASED ON THE ABOVE DEPARTMENT C2C METHODOLOGY.
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 DOWNEY 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 DOWNEY 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 DOWNEY 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 / COLLABORATIVES - THROUGH PARTICIPATION IN VARIOUS COMMUNITY COLLABORATIVES 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 HEALTH'S FAP IS ALSO PUBLISHED ON OUR WEBSITE.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION	PIH HEALTH DOWNEY HOSPITAL (PHDH) IS LOCATED AT 11500 BROOKSHIRE AVE., DOWNEY, CA 90241. THE HOSPITAL'S SERVICE AREA ENCOMPASSES 11 ZIP CODES IN 10 CITIES/COMMUNITIES, INCLUDING BELL/BELL GARDENS, BELLFLOWER, DOWNEY, HUNTINGTON PARK, LYNWOOD, MAYWOOD, NORWALK, PARAMOUNT, AND SOUTH GATE. THE SERVICE AREA IS SERVED BY THE LOS ANGELES COUNTY 4TH SUPERVISORIAL DISTRICTS AND THE MAJORITY OF THE CITIES/COMMUNITIES FALL WITHIN THE LOS ANGELES COUNTY SERVICE PLANNING AREA (SPA) 7. PHDH TRACKS ZIP CODES OF ORIGIN FOR PATIENT ADMISSIONS. THE SERVICE AREA WAS DETERMINED FROM THE ZIP CODES THAT REFLECT A MAJORITY (79%) OF HOSPITAL INPATIENT DISCHARGES FROM THE LOCAL GEOGRAPHIC AREA. THE POPULATION OF PHDH'S PRIMARY SERVICE AREA IS 687,848. CHILDREN AND YOUTH, AGES 0-17, ARE 24.3% OF THE POPULATION, 63.9% ARE ADULTS, AGES 18-64, AND 11.8% OF THE POPULATION ARE SENIORS, AGES 65 AND OLDER. THE LARGEST PORTION OF THE POPULATION IN THE SERVICE AREA ARE HISPANIC AND LATINO RESIDENTS (82.8%). WHITE RESIDENTS MAKE UP 6.5% OF THE POPULATION. ASIAN RESIDENTS COMPRISE 4.9% OF THE POPULATION, AND BLACK OR AFRICAN AMERICAN RESIDENTS ARE 4.2% OF THE POPULATION. NATIVE AMERICAN RESIDENTS, HAWAIIANS OR PACIFIC ISLANDER RESIDENTS, MULTIRACIAL AND OTHER RACE RESIDENTS COMBINED TOTAL 1.6% OF THE POPULATION. AMONG THE RESIDENTS IN THE PRIMARY SERVICE AREA, 14.4% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 38.5% ARE AT 200% OF FPL OR BELOW. EDUCATIONAL ATTAINMENT IS A KEY DRIVER OF HEALTH. IN THE PRIMARY SERVICE AREA, 33.1% OF ADULTS, AGES 25 AND OLDER, LACK A HIGH SCHOOL DIPLOMA, AND 15.5% OF AREA ADULTS HAVE A BACHELOR'S DEGREE OR HIGHER. THE CALIFORNIA HEALTHY PLACES INDEX (HPI) IS A MEASURE OF SOCIOECONOMIC NEED THAT IS CORRELATED WITH POOR HEALTH OUTCOMES. FOR COMMUNITY BENEFIT PURPOSES, CALIFORNIA DEFINES VULNERABLE POPULATIONS ACCORDING TO SPECIFIC CRITERIA, INCLUDING INADEQUATE ACCESS TO CLEAN AIR AND SAFE DRINKING WATER, AS DEFINED BY AN ENVIRONMENTAL HPI SCORE OF 50 PERCENT OR LOWER. THE SERVICE AREA ZIP CODES HAVE AN HPI SCORE OF 29.2% FOR CLEAN ENVIRONMENT. AMONG RESIDENTS IN THE PRIMARY SERVICE AREA, 14.4% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 38.5% ARE AT OR BELOW 200% OF FPL. THE WEIGHTED AVERAGE OF THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS $76,049. WHEN INSURANCE COVERAGE WAS EXAMINED BY SPA, 40% OF SPA 6 AND 29.8% OF SPA 7 RESIDENTS HAVE MEDI-CAL COVERAGE WHILE 9.9% OF SPA 6 AND 8.2% OF SPA 7 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. PROMOTING EARLY LITERACY: EACH YEAR OUR PEDIATRICS DEPARTMENT PARTNERS WITH REACH OUT AND READ TO DISTRIBUTE NEW BOOKS TO PATIENTS TO PROMOTE LITERACY AND SCHOOL READINESS. OVER 5,200 BOOKS WERE GIVEN TO FAMILIES DURING FISCAL YEAR 2025. IN ADDITION, OUR NICU PARTNERS WITH THE WHITTIER PUBLIC LIBRARY TO PROVIDE BOOKS TO SUPPORT BABIES AND FAMILIES AS AN IMPORTANT WAY OF CONNECTING THROUGH READING AND TALKING. 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 WHITTIER HOSPITAL; 3) PIH HEALTH GOOD SAMARITAN HOSPITAL; 4) PIH HEALTH PHYSICIANS, A NONPROFIT MEDICAL FOUNDATION; 5) PIH HEALTH POST-ACUTE CARE SERVICES 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 HEALTHCARE DELIVERY SYSTEM. 2) PIH HEALTH WHITTIER HOSPITAL OPENED IN 1959. AS A 501 (C)(3) NONPROFIT, 523-BED HOSPITAL, THE WHITTIER CAMPUS HAS DEVELOPED INTO A HEALTH SYSTEM OFFERING A MULTITUDE OF SERVICES. AS A NONPROFIT HOSPITAL WITH A CHARITABLE MISSION, PIH HEALTH HOSPITAL WHITTIER IS A DEDICATED COMMUNITY HEALTH AND WELLNESS PARTNER, GIVING BACK TO THE COMMUNITY THROUGH CHARITY CARE, MEDICAL RESEARCH, DONATIONS, HEALTH PROFESSIONS EDUCATION, COMMUNITY EDUCATION, AND MORE. 3) PIH HEALTH GOOD SAMARITAN HOSPITAL WAS FOUNDED IN 1885 AND 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 PHYSICIANS (PHP) IS A 501(C)(3) NONPROFIT MEDICAL GROUP THAT IS EXCLUSIVELY AFFILIATED WITH PIH HEALTH. THE GROUP IS COMPRISED OF MORE THAN 355 PRIMARY CARE PHYSICIANS AND SPECIALISTS WHO COORDINATE CARE FROM DIAGNOSIS TO RECOVERY. PHP SUPPORTS THE LOCAL COMMUNITY THROUGH ITS FINANCIAL ASSISTANCE PROGRAM, WHITTIER FIRST DAY HEALTH & WELLNESS CENTER FOR THE HOMELESS AND THOSE AT-RISK FOR HOMELESSNESS, HEALTH PROFESSIONS EDUCATION, AND OTHER COMMUNITY HEALTH IMPROVEMENT SERVICES. 5) THE PIH HEALTH FOUNDATION IS A 501(C)(3) NONPROFIT ORGANIZATION WITH THE SOLE MISSION TO RAISE FUNDS THROUGH PHILANTHROPY TO BENEFIT PIH HEALTH AND ITS AFFILIATES. LED BY A VOLUNTEER BOARD OF DIRECTORS, THE PIH HEALTH FOUNDATION RAISES VITAL FUNDS TO PROVIDE THE TOOLS AND RESOURCES PIH HEALTH'S MEDICAL PROFESSIONALS REQUIRE TO DELIVER EXCEPTIONAL CARE. 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 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 (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RAMONA PRATT
FORMER CNO	$0	$449,451	$0	$0	$0	$92,450	$0	$41,300	$0	$15,381	$0	$598,582	$0	$82,500
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
ALEXIS ZAMARRIPA
CNO	$0	$280,869	$0	$0	$0	$33,433	$0	$42,098	$0	$22,065	$0	$378,465	$0	$0
MARIE-DIANNE SAUCO
COO, CARE MGMT & MGMT SVC ORG	$0	$453,760	$0	$0	$0	$6,180	$0	$120,800	$0	$25,265	$0	$606,005	$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
ELLEN MORANDO
SR DIRECTOR, HR OPERATIONS	$225,543	$0	$0	$0	$6,067	$0	$13,800	$0	$24,265	$0	$269,675	$0	$0	$0
TUNG NGUYEN
DIRECTOR, INPATIENT PHARMACY	$222,084	$0	$0	$0	$8,449	$0	$4,490	$0	$0	$0	$235,023	$0	$0	$0
LUZ ONG
RN, BSN	$242,177	$0	$0	$0	$0	$0	$9,872	$0	$14,464	$0	$266,513	$0	$0	$0
ISELA PEREZ
RN CLINICAL DIRECTOR	$218,322	$0	$0	$0	$17,474	$0	$14,253	$0	$9,236	$0	$259,285	$0	$0	$0
LIBERTY ROSALES
RN CHARGE NURSE	$290,606	$0	$0	$0	$0	$0	$17,542	$0	$15,381	$0	$323,529	$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 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	A RELATED ORGANIZATION, PIH HEALTH, INC., PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR CERTAIN EXECUTIVES. THE FOLLOWING INDIVIDUALS PARTICIPATE IN THE PLAN: JAMES WEST PEGGY CHULACK VID SHIVARAMAN ROSALIO LOPEZ, MD ALEXIS ZAMARRIPA THE FOLLOWING AMOUNTS BECAME VESTED OR WERE PAID-OUT IN 2024 AND ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III): MOHAMMED GHONIM: $62,037 RAMONA PRATT: $82,500 ROSALIO LOPEZ, MD: $338,214 PEGGY CHULACK: $600,326 BRIAN SMOLSKIS: $197,952

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, LINE 15B PROCESS FOR DETERMINING COMPENSATION FOR OTHER OFFICERS OR KEY EMPLOYEES	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 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS	PIH HEALTH DOWNEY HOSPITAL IS A MEMBER OF AN INTEGRATED HEALTHCARE SYSTEM. THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP BY VIRTUE OF THEIR POSITIONS AS OFFICER OR DIRECTORS OF RELATED ENTITIES WITHIN THE SYSTEM: RICHARD ATWOOD - BUSINESS RELATIONSHIP ALEX ALVAREZ - BUSINESS RELATIONSHIP JEFF HAMAR - BUSINESS RELATIONSHIP PATRICK MONROE - BUSINESS RELATIONSHIP PAUL TREINEN - BUSINESS RELATIONSHIP CHARLOTTE WEAVER - BUSINESS RELATIONSHIP KENTON WOODS - BUSINESS RELATIONSHIP PETER GREANEY - BUSINESS RELATIONSHIP MARISSA GOLDBERG - BUSINESS RELATIONSHIP MELANIE BATISTE - BUSINESS RELATIONSHIP THURSO BARENDSE - BUSINESS RELATIONSHIP TRACEA SARALIEV - BUSINESS RELATIONSHIP WILLIAM ROTH - BUSINESS RELATIONSHIP DEBORAH MEDRANO - BUSINESS RELATIONSHIP REGINE LAWTON - BUSINESS RELATIONSHIP SCOTT KROG - BUSINESS RELATIONSHIP SCOTT SOUTHRON - BUSINESS RELATIONSHIP JAMES WEST - BUSINESS RELATIONSHIP PEGGY CHULACK - BUSINESS RELATIONSHIP VID SHIVARAMAN - BUSINESS RELATIONSHIP ROSALIO LOPEZ - BUSINESS RELATIONSHIP
FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS	PIH HEALTH, INC. IS THE SOLE MEMBER OF PIH HEALTH DOWNEY 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 DOWNEY 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 DOWNEY HOSPITAL.
FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY	FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION, WHICH IS MADE UP OF INDEPENDENT DIRECTORS. THE FORM 990 IS THEN PROVIDED TO THE BOARD FOR ITS INFORMATION 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 CHIEF ADMINISTRATIVE OFFICER AND GENERAL COUNSEL. EACH POSITIVE RESPONSE IS CONSIDERED IN LIGHT OF MAGNITUDE OF OWNERSHIP INTEREST, FINANCIAL TRANSACTION(S), ETC. IF DEEMED NECESSARY, CONFLICTS OF INTEREST COULD BE RESOLVED BY INSISTING THAT THE INCUMBENT EITHER DIVEST THEIR OWNERSHIP INTEREST, THAT THE ORGANIZATION TERMINATE THE BUSINESS RELATIONSHIP, OR EVEN THAT THE DIRECTOR RESIGN. DIRECTORS WITH POTENTIAL CONFLICTS OF INTEREST MAY RECUSE THEMSELVES FROM VOTING ON CERTAIN MATTERS AND/OR MAY EXCUSE THEMSELVES FROM MEETINGS DURING THE DISCUSSION, DELIBERATION, AND VOTING ON ALL MATTERS.
FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC	THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990 IS AVAILABLE UPON REQUEST. THE ORGANIZATION IS NOT REQUIRED TO MAKE FORM 1023 AVAILABLE FOR PUBLIC INSPECTION AS IT RECEIVED ITS TAX EXEMPTION PRIOR TO JULY 15, 1987.
FORM 990, PART VII, SECTION A, LINE 1A	ONE OF THE FILING ORGANIZATION'S DIRECTORS, MARK MINKES, IS AN EMPLOYEE OF PIH HEALTH MEDICAL GROUP, INC. (PMG), WHICH HAS A PROFESSIONAL SERVICE AGREEMENT WITH PIH HEALTH PHYSICIANS, AN AFFILIATE OF THE FILING ORGANIZATION, TO PROVIDE PHYSICIAN SERVICES. THE INDIVIDUALS RECEIVED COMPENSATION FROM DMG, AS FOLLOWS: MARK MINKES REPORTABLE BASE COMPENSATION - $77,071 BONUS & INCENTIVE COMPENSATION - $25,000 OTHER COMPENSATION - $0
FORM 990, PART VIII, LINE 11D OTHER MISCELLANEOUS REVENUE	ALL OTHER REVENUE - TOTAL REVENUE: 2119535, RELATED OR EXEMPT FUNCTION REVENUE: , UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: 2119535;
FORM 990, PART IX, LINE 11G OTHER FEES	PROFESSIONAL FEES - PHYSICIANS - TOTAL EXPENSE: 10308675, PROGRAM SERVICE EXPENSE: 10308675, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; PROFESSIONAL FEES - OTHERS - TOTAL EXPENSE: 18633715, PROGRAM SERVICE EXPENSE: 16860788, MANAGEMENT AND GENERAL EXPENSES: 1772927, FUNDRAISING EXPENSES: ; R&M BUILDING - TOTAL EXPENSE: 1521301, PROGRAM SERVICE EXPENSE: 1391950, MANAGEMENT AND GENERAL EXPENSES: 129351, FUNDRAISING EXPENSES: ; COLLECTION AGENCY SERVICES - TOTAL EXPENSE: 745128, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 745128, FUNDRAISING EXPENSES: ;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
PIH HEALTH FOUNDATION
12401 WASHINGTON BLVD	WHITTIER	CA	90602	953761274	FUNDRAISING	CA	501(C)(3)	7	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 HOME HEALTH CARE
12401 WASHINGTON BLVD	WHITTIER	CA	90602	953036281	HEALTHCARE	CA	501(C)(3)	TYPE II	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	PIH HEALTH INC	false
PIH HEALTH ADULT DAY HEALTHCARE
12401 WASHINGTON BLVD	WHITTIER	CA	90602	953643829	HEALTHCARE	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 WHITTIER HOSPITAL
12401 WASHINGTON BLVD	WHITTIER	CA	90602	951934652	HEALTHCARE	CA	501(C)(3)	3	PIH HEALTH INC	false
PIH HEALTH GOOD SAMARITAN HOSPITAL
1225 WILSHIRE BLVD	LOS ANGELES	CA	90017	951656366	HEALTHCARE	CA	501(C)(3)	3	PIH HEALTH INC	false
GOOD SAMARITAN INSTITUTE FOR RESEARCH AND EDUCATION
1225 WILSHIRE BLVD	LOS ANGELES	CA	90017	954077161	RESEARCH	CA	501(C)(3)	4	PIH HEALTH GOOD SAMARITAN HOSPITAL	false
ORTHOPEDIC INSTITUTE OF THE GOOD SAMARITAN HOSPITAL
1225 WILSHIRE BLVD	LOS ANGELES	CA	90017	954346048	RESEARCH	CA	501(C)(3)	TYPE I	PIH HEALTH GOOD SAMARITAN HOSPITAL	false
SAMARITAN IMAGING CENTER
1225 WILSHIRE BLVD	LOS ANGELES	CA	90017	954252321	HEALTHCARE	CA	501(C)(3)	10	PIH HEALTH GOOD SAMARITAN HOSPITAL	false
GOOD SAMARITAN MEDICAL OFFICE BUILDING INC
1225 WILSHIRE BLVD	LOS ANGELES	CA	90017	953244046	MEDICAL OFFICES	CA	501(C)(3)	TYPE I	PIH HEALTH GOOD SAMARITAN HOSPITAL	false
KATE VAN NUYS PAGE FOUNDATION
1225 WILSHIRE BLVD	LOS ANGELES	CA	90017	956028032	GRANTS INCOME TO GOOD SAMARITAN HOSPITAL	CA	501(C)(3)	TYPE I	PIH HEALTH GOOD SAMARITAN HOSPITAL	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 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
PIH INSURANCE CO A RECIPROCAL RISK RETENTION GROUP
733 BISHOP STREET SUITE 1555	HONOLULU	HI	96813	263760243	CAPTIVE INSURANCE	HI	NA	TRUST	false
PIH HEALTH CARE SOLUTIONS
6557 GREENLEAF AVENUE	WHITTIER	CA	90601	462072342	HEALTHCARE	CA	NA	C CORPORATION	false
DRMC PROPERTIES INC
12401 WASHINGTON BLVD	WHITTIER	CA	90602	954769768	REAL ESTATE	CA	NA	C CORPORATION	false
PIH HEALH RE
733 BISHOP STREET SUITE 1555	HONOLULU	HI	96813	472501390	CAPTIVE INSURANCE	HI	NA	TRUST	false
HEALTHMED SERVICES INC
12401 WASHINGTON BLVD	WHITTIER	CA	90602	300831225	HEALTHCARE	CA	NA	C CORPORATION	false
PIONEER MEDICAL GROUP INC
6557 GREENLEAF AVE	WHITTIER	CA	90601	330927283	MEDICAL SERVICES	CA	NA	C CORPORATION	false
PIONEER PROVIDER NETWORK A MEDICAL GROUP INC
6557 GREENLEAF AVE	WHITTIER	CA	90601	330922631	MANAGEMENT SERVICES	CA	NA	C CORPORATION	false
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	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	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