Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 3,666,897 | 1,303,739 | 0 | 0 | 4,846,417 | 9,817,053 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 204,948,033 | 240,536,596 | 292,822,207 | 334,079,518 | 344,720,063 | 1,417,106,417 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | 0 | 0 | 0 | 0 | 0 | 0 |
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | 0 | 0 | 0 | 0 | 0 |
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | 0 | 0 | 0 | 0 | 0 | 0 |
| 6 | Total. Add lines 1 through 5 | 208,614,930 | 241,840,335 | 292,822,207 | 334,079,518 | 349,566,480 | 1,426,923,470 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | 0 | 0 | 0 | 0 | 0 |
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | 0 | 0 | 0 | 0 | 0 |
| c | Add lines 7a and 7b.. | 0 | 0 | 0 | 0 | 0 | 0 |
| 8 | Public support. (Subtract line 7c from line 6.) | 1,426,923,470 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 208,614,930 | 241,840,335 | 292,822,207 | 334,079,518 | 349,566,480 | 1,426,923,470 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 4,340 | 1,464 | 389 | 108 | 0 | 6,301 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 97,933 | 20,093 | 0 | 0 | 0 | 118,026 |
| c | Add lines 10a and 10b. | 102,273 | 21,557 | 389 | 108 | 0 | 124,327 |
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | 0 | 0 | 0 | 0 | 0 | 0 |
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 194,616 | 10,510,841 | 364,209 | 0 | 0 | 11,069,666 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 208,911,819 | 252,372,733 | 293,186,805 | 334,079,626 | 349,566,480 | 1,438,117,463 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2023 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2024. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Schedule A, Part III, Line 12 Other Income | DESCRIPTION - OTHER INCOME, COLUMN A - 194616.0, COLUMN B - 10510841.0, COLUMN C - 364209.0, COLUMN D - , COLUMN E - , COLUMN F - 11069666.0; |
| Software ID: | 23017437 |
| Software Version: | 2023v6.0 |
| Return Reference | Explanation |
|---|---|
| Form 990, Part III, Line 1 DESCRIPTION OF ORGANIZATION MISSION | PIH HEALTH PHYSICIANS ("PHP") IS PART OF AN INTEGRATED DELIVERY SYSTEM (IDS) TO PROVIDE HIGH-QUALITY HEALTHCARE WITHOUT DISCRIMINATION AND CONTRIBUTE TO THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. IN ADDITION TO DIRECT CLINICAL CARE, PIH HEALTH PHYSICIANS ("PHP") ALSO SERVES THE COMMUNITY THROUGH RESEARCH ACTIVITIES, COMMUNITY HEALTH SCREENINGS AND EVENTS, AND HEALTH EDUCATION CLASSES PROVIDED AT NO COST TO PARTICIPANTS. IN ADDITION TO A SENIOR OUTREACH PROGRAM, PHP OFFERS A WIDE VARIETY OF HEALTH AND WELLNESS EDUCATION TO THE COMMUNITY FREE OF CHARGE OR AT A NOMINAL COST. FURTHERMORE, ALL PHP FACILITIES OFFER HEALTH CARE SERVICES HONORING A CHARITY CARE POLICY THAT PROVIDES SERVICES TO THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. |
| Form 990, Part III, Line 4c | Other Community Benefit Services: Community Health Improvement services and Community Benefit Operations, Health Professions Education, and Subsidized Health Services are comprised of the following: COMMUNITY HEALTH IMPROVEMENT SERVICES: Defined as community health improvement activities, which extend beyond patient care activities. These programs include: Community education, support groups, COVID-19 vaccination clinic and the Health and Wellness Center at Whittier First Day. Snapshot of Outcomes: * 193 community members were reached through a variety of community health improvement activities. HEALTH PROFESSIONS EDUCATION: This category includes educational programs for physicians, nurses, students and other health professionals when education is necessary or required by state law, accrediting body or health profession society. PIH Health Physician programs include the Student Education (ancillary and resident preceptorship). Snapshot of Outcomes: * 66 student interns and physician residents studying to become healthcare professionals were provided with mentorship, preceptorship and training opportunities. SUBSIDIZED HEALTH SERVICES: Subsidized services are clinical programs, which are provided despite a financial loss so significant that negative margins remain after removing the effects of financial assistance, bad debt and Medi-Cal shortfalls. Nevertheless, the service is provided because it meets an identified community need and, if no longer offered, would either be unavailable in the area or fall to the responsibility of government or another nonprofit organization to provide. PIH Health Physician services provided include Palliative Care Program, and Urgent Cares. Snapshot of Outcomes: * 7,157 individuals were served by PIH Health Physicians Subsidized Health Services. Total number of persons served by all categories: 7,416 For additional information, please refer to PIH Health's community benefit report at PIHHealth.org/CBAnnualReport |
| Form 990, Part VI, Line 2 Family/business relationships amongst interested persons | 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, James West - Business relationship, Peggy Chulack - Business relationship, Vid Shivaraman - Business relationship, Rosalio Lopez - Business relationship, Blayne Cutler - Business relationship, Jane Dicus - Business relationship |
| Form 990, Part VI, Line 6 Classes of members or stockholders | PIH Health, Inc. is the sole member of PIH Health Physicians ("PHP"). |
| 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 Physicians ("PHP"). |
| 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 Physicians ("PHP"). |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE ORGANIZATION WORKS WITH AN INDEPENDENT ACCOUNTANT, KPMG LLP, TO PREPARE THE FORM 990. ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND VP OF FINANCE. FORM 990 IS THEN REVIEWED BY THE AUDIT COMMITTEE OF PIH HEALTH, INC., WHICH IS MADE UP OF INDEPENDENT DIRECTORS. KPMG LLP MAKES ALL CHANGES NECESSARY. THE FINAL FORM 990 IS PROVIDED TO THE BOARD PRIOR TO FILING. |
| Form 990, Part VI, Line 12c Conflict of interest policy | Each year, all management and board of directors members are required to complete a conflict of interest disclosure form. All positive responses are reviewed by the 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 of matters. |
| Form 990, Part VI, Line 19 Required documents available to the public | The organization does not make its governing documents, conflict of interest policy, and financial statements available to the public. Form 990 and form 990-T are available upon request. The organization is not required to make form 1023 available for public inspection as it received its tax exemption prior to July 15, 1987. |
| Form 990, Part VII, Section A, Line 1a | Five of the filing organization's Directors, Rosalio Lopez, Brent Gray, Jerry Floro, Mark Magged, and Sanatkumar Patel, are employees 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 PMG, as follows: BRENT GRAY, MD Reportable Base Compensation - $670,235 Other Compensation - $40,133 SANATKUMAR PATEL, MD Reportable Base Compensation - $425,651 Other Compensation - $37,104 JERRY FLORO, MD Reportable Base Compensation - $632,879 Other Compensation - $37,038 MARK MAGGED, MD Reportable Base Compensation - $437,439 Other Compensation - $40,154 ONE OF THE FILING ORGANIZATION'S DIRECTORS IS AN EMPLOYEE OF PIH HEALTH DOWNEY MEDICAL GROUP, INC. (DMG), WHICH HAS A PROFESSIONAL SERVICE AGREEMENT WITH THE FILING ORGANIZATION, TO PROVIDE PHYSICIAN SERVICES. THE INDIVIDUAL RECEIVED COMPENSATION FROM DMG AS FOLLOWS: ROSALIO LOPEZ: REPORTABLE BASE COMPENSATION - $5,376 OTHER COMPENSATION - $0 |
| Form 990, Part VIII, Line 2f Other Program Service Revenue | All Other Program Service Revenue - Total Revenue: 6327094, Related or Exempt Function Revenue: 6327094, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part IX, Line 11g Other Fees | Professional Fees - Physicians - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; Capitation Expense - Total Expense: 26821925, Program Service Expense: 26821925, Management and General Expenses: , Fundraising Expenses: ; Professional Fees - Consultants/Other - Total Expense: 9769765, Program Service Expense: 1958951, Management and General Expenses: 7810814, Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Transfer from PIH - 5000000; |
| Software ID: | 23017437 |
| Software Version: | 2023v6.0 |