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Nonprofiteer
← PIH HEALTH MANAGEMENT CORP

Form 990 for tax year 2023

Filed by PIH HEALTH MANAGEMENT CORP.

Totals

Total revenue
$3,205,632
Total expenses
$2,106,261
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$2,106,261
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$2,106,261

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JAMES WEST

    DIRECTOR & CHAIR

    Total calculated
    $2,562,270
    From this org
    $0
    From related orgs
    $2,523,533
    Other
    $38,737
    Hours/week
    1.5 + 50.7 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,565,657 related
    Bonus
    $0 + $383,472 related
    Other
    $0 + $574,404 related
    Deferred
    $0 + $18,000 related
    Nontaxable benefits
    $0 + $20,737 related
    Filer's total
    $0 + $2,562,270 related

  • PEGGY CHULACK

    DIRECTOR & SECRETARY

    Total calculated
    $1,651,984
    From this org
    $0
    From related orgs
    $1,619,441
    Other
    $32,543
    Hours/week
    1.5 + 50.7 related

    Schedule J breakdown matched by us

    Base
    $0 + $909,522 related
    Bonus
    $0 + $151,215 related
    Other
    $0 + $558,704 related
    Deferred
    $0 + $18,000 related
    Nontaxable benefits
    $0 + $14,543 related
    Filer's total
    $0 + $1,651,984 related

  • ROSALIO LOPEZ MD

    SYSTEM CSO/CMO

    Total calculated
    $1,414,663
    From this org
    $0
    From related orgs
    $1,366,325
    Other
    $48,338
    Hours/week
    1.5 + 44.7 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,028,860 related
    Bonus
    $0 + $104,954 related
    Other
    $0 + $232,511 related
    Deferred
    $0 + $40,500 related
    Nontaxable benefits
    $0 + $7,838 related
    Filer's total
    $0 + $1,414,663 related

  • VID SHIVARAMAN

    DIRECTOR & TREASURER

    Total calculated
    $1,081,174
    From this org
    $0
    From related orgs
    $884,098
    Other
    $197,076
    Hours/week
    1.5 + 50.7 related

    Schedule J breakdown matched by us

    Base
    $0 + $782,967 related
    Bonus
    $0 + $93,639 related
    Other
    $0 + $7,492 related
    Deferred
    $0 + $176,607 related
    Nontaxable benefits
    $0 + $20,469 related
    Filer's total
    $0 + $1,081,174 related

  • BRIAN SMOLSKIS

    FORMER - SYSTEM COO

    Total calculated
    $2,192,779
    From this org
    $0
    From related orgs
    $1,928,328
    Other
    $264,451

    Schedule J breakdown matched by us

    Base
    $0 + $833,329 related
    Bonus
    $0 + $160,594 related
    Other
    $0 + $934,405 related
    Deferred
    $0 + $241,053 related
    Nontaxable benefits
    $0 + $23,398 related
    Filer's total
    $0 + $2,192,779 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 4a Severance or change-of-control payment
BRIAN SMOLSKIS RECEIVED SEVERANCE PAYMENTS DURING THE CALENDAR YEAR. THE PAYMENT IS INCLUDED IN PART VII, COLUMN E AND SCHEDULE J, PART II, COLUMN B(III). THE TERMS AND CONDITIONS OF THE CONFIDENTIAL SEVERANCE AGREEMENTS ARE AVAILABLE TO THE INTERNAL REVENUE SERVICES UPON REQUEST.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
PIH HEALTH INC. AND ITS AFFILIATES PROVIDE A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR CERTAIN EXECUTIVES. THE FOLLOWING INDIVIDUALS PARTICIPATE IN THE PLAN: BRIAN SMOLSKIS JAMES WEST PEGGY CHULACK ROSALIO LOPEZ VID SHIVARAMAN THE FOLLOWING AMOUNTS BECAME VESTED OR WERE PAID-OUT IN 2023 AND ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B) (III): BRIAN SMOLSKIS - $721,922 JAMES WEST - $552,201 PEGGY CHULACK - $545,719 ROSALIO LOPEZ - $215,904

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
13 August 2025
IRS schema version
2023v6.0
Source object
202532259349302268

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