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Nonprofiteer
← SAMARITAN IMAGING CENTER

Form 990 for tax year 2023

Filed by SAMARITAN IMAGING CENTER.

Totals

Total revenue
$0
Total expenses
$0
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$0
Total liabilities, end of year
$12,521,142
Net assets or fund balances, end of year
-$12,521,142
Program services expenses (Part IX)
$0
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$0

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Balance sheet

Part X, book values.

  • 5 · Loans and receivables from officers and key people

    end of year $0

  • 6 · Loans and receivables from disqualified persons

    end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $0

  • 10b · Land, buildings and equipment: accumulated depreciation

    $0

  • 10c · Land, buildings and equipment, net

    end of year $0

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    end of year $0

  • 25 · Other liabilities

    beginning of year $12,521,142 · end of year $12,521,142

  • 27 · Net assets without donor restrictions

    beginning of year -$12,521,142 · end of year -$12,521,142

Mission and programs · 2023

Mission

The primary exempt purpose of the Samaritan Imaging Center is to operate an outpatient radiology imaging center which provides radiological diagnostic services and a medical facility dedicated to the advancement of the care of sick, injured or disabled individuals requiring radiological imaging services. The Center also provides advanced education and training of members of the medical community in the area of radiological imaging technology, procedures and safety. In addition, the Center educates the public with respect to advances in radiological imaging medicine, the benefits and risks of the latest available radiological imaging procedures as well as the contributions such procedures make to the prevention and treatment of disease and injury.

Activities or mission (Part I)

OPERATE AN OUTPATIENT RADIOLOGY IMAGING CENTER WHICH PROVIDES RADIOLOGICAL DIAGNOSTIC SERVICES.

  • See Schedule O - The organization is in a transition phase and did not have any activity in the current year.

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • James West

    SYSTEM PRESIDENT & CEO

    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

    SYSTEM CAO & ASST 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

  • Vid Shivaraman

    SYSTEM CFO & ASST 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

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, and on a Form 990-PF Part VIII's — 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

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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 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; AND (5) APPROVAL BY THE BOARD.
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: JAMES WEST PEGGY CHULACK VID SHIVARAMAN THE FOLLOWING AMOUNTS BECAME VESTED OR WERE PAID-OUT IN 2023 AND ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B) (III): JAMES WEST - $552,201 PEGGY CHULACK - $545,719

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • DRMC Properties Inc

    C Corporation · Real Estate · CA

    Directly controlled by NA

  • HealthMed Services Inc

    C Corporation · Healthcare · CA

    Directly controlled by NA

  • PIH Health Care Solutions

    C Corporation · Healthcare · CA

    Directly controlled by NA

  • PIH Insurance Co A Reciprocal Risk Retention Group

    Trust · Captive Insurance · HI

    Directly controlled by NA

  • PIH Health RE

    Trust · Captive Insurance · HI

    Directly controlled by NA

  • Pioneer Medical Group Inc

    C Corporation · Medical Services · CA

    Directly controlled by NA

  • Pioneer Provider Network A Medical Group Inc

    C Corporation · Management Services · CA

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2023
Filed
13 August 2025
IRS schema version
2023v6.0
Source object
202532259349302653

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