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Nonprofiteer
← PIH HEALTH GOOD SAMARITAN HOSPITAL

Form 990 for tax year 2023

Filed by PIH HEALTH GOOD SAMARITAN HOSPITAL.

Totals

Total revenue
$391,227,253
Total expenses
$412,060,951
Contributions and grants received
$7,694,857
Grants paid
$5,169,509
Program service revenue
$368,107,801
Investment income
$8,917,861
Other revenue
$6,506,734
Total assets, end of year
$602,884,520
Total liabilities, end of year
$196,891,669
Net assets or fund balances, end of year
$405,992,851
Program services expenses (Part IX)
$390,776,710
Management and general expenses
$21,058,815
Fundraising expenses
$225,426
Program service expenses (Part III)
$390,776,710

Program services were 94.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

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.

  • 1d · Related organizations

    $226,634

  • 1e · Government grants (contributions)

    $5,956,587

  • 1f · All other contributions, gifts and grants

    $1,511,636

  • 2a · Program service revenue: PATIENT REVENUE

    total $294,825,780 · related or exempt $294,825,780

  • 2b · Program service revenue: HOSPITAL FEE PROGRAM

    total $70,553,811 · related or exempt $70,553,811

  • 2c · Program service revenue: LAMBERT RADIOLOGY

    total $2,606,258 · related or exempt $2,606,258

  • 2d · Program service revenue: RENTAL INCOME

    total $121,952 · related or exempt $121,952

  • 2f · All other program service revenue

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

  • 3 · Investment income

    total $9,357,885 · excluded $9,357,885

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    securities $20,274,699 · other assets $50,693

  • 7b · Less cost or other basis and sales expenses

    securities $20,765,416

  • 7c · Gain or loss

    securities -$490,717 · other assets $50,693

  • 7d · Net gain or loss

    total -$440,024 · excluded -$440,024

  • 11a · Other revenue: PARKING LOT

    total $2,288,363 · unrelated business $80,010 · excluded $2,208,353

  • 11b · Other revenue: VIVITY EARNING DISTRIBUTIONS

    total $1,688,158 · excluded $1,688,158

  • 11c · Other revenue: PHYSICIAN MANAGEMENT SERVICES

    total $47,625 · unrelated business $47,625

  • 11d · All other revenue

    total $2,482,588 · related or exempt $0 · unrelated business $49,261 · excluded $2,433,327

  • 11e · Other revenue, total

    $6,506,734

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $5,169,509 · program services $5,169,509

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 5 · Compensation of officers, directors and key employees

    total $401,805 · program services $281,264 · management and general $120,541

  • 7 · Other salaries and wages

    total $122,445,607 · program services $117,637,669 · management and general $4,807,938

  • 8 · Pension plan contributions

    total $4,484,980 · program services $4,326,757 · management and general $158,223

  • 9 · Other employee benefits

    total $38,665,303 · program services $36,836,055 · management and general $1,829,248

  • 10 · Payroll taxes

    total $10,199,469 · program services $9,998,014 · management and general $201,455

  • 11b · Fees: legal

    total $103,917 · management and general $103,917

  • 11d · Fees: lobbying

    total $67,168 · management and general $67,168

  • 11f · Fees: investment management

    total $159,407 · management and general $159,407

  • 11g · Fees: other

    total $84,665,691 · program services $79,317,987 · management and general $5,347,704 · fundraising $0

  • 12 · Advertising and promotion

    total $269,422 · program services $5,772 · management and general $263,650

  • 16 · Occupancy

    total $2,809,679 · program services $2,790,200 · management and general $19,479

  • 20 · Interest

    total $23,441 · program services $23,441

  • 22 · Depreciation, depletion and amortization

    total $7,432,030 · program services $5,808,707 · management and general $1,623,323

  • 23 · Insurance

    total $4,802,462 · program services $1,499,373 · management and general $3,303,089

  • 24a · Other expenses: Supplies

    total $58,086,724 · program services $57,899,724 · management and general $187,000

  • 24b · Other expenses: Hospital Fee Program

    total $41,860,503 · program services $41,860,503

  • 24c · Other expenses: Bad Debt Expense

    total $12,896,382 · program services $12,896,382

  • 24d · Other expenses: Utilities

    total $5,923,400 · program services $5,905,095 · management and general $18,305

  • 24e · All other expenses

    total $11,594,052 · program services $8,520,258 · management and general $2,848,368 · fundraising $225,426

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,974,969 · end of year $4,268,938

  • 3 · Pledges and grants receivable

    beginning of year $1,528,905 · end of year $1,643,091

  • 4 · Accounts receivable

    beginning of year $102,437,233 · end of year $95,411,919

  • 5 · Loans and receivables from officers and key people

    end of year $0

  • 6 · Loans and receivables from disqualified persons

    end of year $0

  • 8 · Inventories for sale or use

    beginning of year $5,692,298 · end of year $5,331,206

  • 9 · Prepaid expenses and deferred charges

    beginning of year $2,545,308 · end of year $2,904,864

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

    $360,946,016

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

    $38,671,148

  • 10c · Land, buildings and equipment, net

    beginning of year $314,510,195 · end of year $322,274,868

  • 11 · Investments: publicly traded securities

    beginning of year $87,141,966 · end of year $103,061,276

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $50,818,475 · end of year $67,988,358

  • 17 · Accounts payable and accrued expenses

    beginning of year $83,892,137 · end of year $76,420,683

  • 22 · Loans and payables to officers and key people

    end of year $0

  • 25 · Other liabilities

    beginning of year $71,917,003 · end of year $120,470,986

  • 27 · Net assets without donor restrictions

    beginning of year $336,324,802 · end of year $329,457,526

  • 28 · Net assets with donor restrictions

    beginning of year $74,515,407 · end of year $76,535,325

Mission and programs · 2023

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.

Activities or mission (Part I)

Provide high-quality healthcare, without discrimination, and contribute to the health and well-being.

  • Financial Assistance and Means-Tested Government Programs: Financial Assistance, also known as charity care, is defined as free or discounted health services provided to individuals who cannot afford to pay and who meet the eligibility criteria of the organization's financial assistance policy. PIH Health Good Samaritan Hospital offers a generous Financial Assistance Program, providing charity care to those with family income(s) at or below 400% of Federal Poverty Level guidelines. The hospital has a policy to treat emergency and certain other patients regardless of their ability to pay. Under the charity care policy, charity care may be provided to people who are uninsured or underinsured and cannot afford to pay for their own medical care. In providing services to those patients participating in means-tested government health programs, such as Medi-Cal, PIH Health Good Samaritan Hospital realizes a collective net loss each fiscal year due to the shortfall created when the payments received from these programs are less than the cost of caring for public program beneficiaries. Number of persons served by financial assistance and means-tested government programs: 40,696

    Expenses $198,364,179 · Revenue $137,341,570

  • Patient Care: Founded in 1885, PIH Health Good Samaritan Hospital became part of PIH Health in December 2019. As a 501(c) (3) nonprofit, 408-bed acute care hospital, the downtown Los Angeles campus serves the healthcare needs of a growing and diverse community. Patient Care in Fiscal Year 2023-2024 Employees: 1,412 Volunteers: 271 Number of Emergency Department (ED) visits: 48,063 Number of Births: 1,457 Medical Staff: 615

    Expenses $183,416,656 · Grants $5,169,509 · Revenue $230,082,698

  • Other Community Benefit Services: Community health improvement services and community benefit operations, health professions education, subsidized services, research, community building and cash and in-kind contributions for community benefit are comprised of the following: COMMUNITY HEALTH IMPROVEMENT SERVICES: Defined as community health improvement activities, which extend beyond patient care activities. This category includes community health education, community social service helpline, flu and vaccination clinics, Medi-Cal eligibility workers and transportation services. Snapshot of Outcomes: * 22,789 community members were reached through a variety of community health improvement activities. HEALTH PROFESSIONS EDUCATION: This category includes educational programs for physicians, nurses, chaplain and other health professional students when education is necessary or required by state law, accrediting body or health profession society. Snapshot of Outcomes: * 68 medical residents, nursing, and ancillary professions students were provided with mentorship, internship, and training opportunities. SUBSIDIZED HEALTH SERVICES: Subsidized services are clinical programs, which are provided despite a financial loss so significant that negative margins remain after removing the effects of financial assistance, bad debt and Medi-Cal shortfalls. Nevertheless, the service is provided because it meets an identified community need and, if no longer offered, would either be unavailable in the area or fall to the responsibility of government or another nonprofit organization to provide. PIH Health Good Samaritan Hospital subsidized Emergency Department On-Call Physicians and the Neonatal Intensive Care Unit (NICU). Snapshot of Outcomes: * $1,068,936 in expenses were incurred in subsidized services in Fiscal Year 2023-2024. RESEARCH: Research that may be reported as community benefit includes clinical and community health research as well as studies on healthcare delivery that are generalizable and shared with the public. PIH Health Good Samaritan Hospital has been offering clinical trials and research studies aimed at improving health. Snapshot of Outcomes: * Over $378,083 in expenses have been incurred in research in Fiscal Year 2023-2024. CASH & IN-KIND CONTRIBUTIONS: This category includes funds and in-kind services donated by PIH Health Good Samaritan Hospital to community organizations or to the community-at-large for a community benefit purpose. These donations include cash donations to community organizations, in-kind hours contributed by staff to the community while on PIH Health work time, the cost of office and meeting space provided to community groups, and the donations of equipment, medications, supplies and services. Snapshot of Outcomes: *8,985 at-risk individuals were provided with in-kind durable medical equipment, transportation, or other healthcare support services, such as skilled nursing or mental healthcare. Total number of persons served by other community benefit services: 23,364 For additional information, please refer to PIH Health's community benefit report at: PIHHealth.org/CBAAnnualReport

    Expenses $8,995,875 · Revenue $683,533

As filed on the 2023 return.

Listed in Part VII

  • Alex Alvarez

    DIRECTOR & TREASURER

    Total calculated
    $0
    Hours/week
    1.5 + 6 related

  • CHARLOTTE WEAVER PhD

    DIRECTOR & CHAIR

    Total calculated
    $0
    Hours/week
    1.5 + 6 related

  • Patrick Monroe

    DIRECTOR & VICE CHAIR

    Total calculated
    $0
    Hours/week
    1.5 + 6 related

  • Paul Treinen

    DIRECTOR & SECRETARY

    Total calculated
    $0
    Hours/week
    1.5 + 6 related

  • BLAYNE CUTLER MD PhD THRU 92724

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.5 + 6 related

  • Jane Dicus Thru 92724

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.5 + 6 related

  • Jay Brown Thru 92724

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.5 + 6 related

  • Jeff Hamar

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.5 + 6 related

  • Kenton Woods

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.5 + 6 related

  • Marissa Goldberg

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.5 + 6 related

  • Melanie Batiste

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.5 + 6 related

  • Moez Khorsandi Do

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.5

  • Peter Greaney MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.5 + 6 related

  • Richard Atwood

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.5 + 7.5 related

  • Robert Maloney MD Thru 111623

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.5 + 6 related

  • Thurso Barendse Start 2824

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.5 + 6 related

  • Tracea Saraliev Start 2824

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.5 + 6 related

  • Wesley Heartfield MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.5

  • William Roth

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.5 + 6 related

  • Irena Zuanic

    CNO & CO-SITE ADMIN

    Total calculated
    $654,681
    From this org
    $0
    From related orgs
    $526,078
    Other
    $128,603
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $413,237 related
    Bonus
    $0 + $23,596 related
    Other
    $0 + $89,245 related
    Deferred
    $0 + $110,933 related
    Nontaxable benefits
    $0 + $17,670 related
    Filer's total
    $0 + $654,681 related

  • 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
    10 + 42.2 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
    10 + 42.2 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

    CSO

    Total calculated
    $1,414,663
    From this org
    $0
    From related orgs
    $1,366,325
    Other
    $48,338
    Hours/week
    10 + 36.2 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

    SYSTEM CFO & ASST TREASURER

    Total calculated
    $1,081,174
    From this org
    $0
    From related orgs
    $884,098
    Other
    $197,076
    Hours/week
    10 + 42.2 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

  • Mohammed Ghonim

    REGIONAL VP

    Total calculated
    $558,658
    From this org
    $0
    From related orgs
    $480,593
    Other
    $78,065
    Hours/week
    15 + 25 related

    Schedule J breakdown matched by us

    Base
    $0 + $361,193 related
    Bonus
    $0 + $47,607 related
    Other
    $0 + $71,793 related
    Deferred
    $0 + $76,020 related
    Nontaxable benefits
    $0 + $2,045 related
    Filer's total
    $0 + $558,658 related

  • Benjamin Ly

    Supervisor, Inpatient Pharmacy

    Total calculated
    $280,142
    From this org
    $253,766
    From related orgs
    $0
    Other
    $26,376
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $204,576
    Bonus
    $0
    Other
    $49,190
    Deferred
    $6,202
    Nontaxable benefits
    $20,174
    Filer's total
    $280,142

  • David Won-Suk Choi

    DIR INPATIENT PHARMACY

    Total calculated
    $257,789
    From this org
    $225,612
    From related orgs
    $0
    Other
    $32,177
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $225,612
    Bonus
    $0
    Other
    $0
    Deferred
    $9,000
    Nontaxable benefits
    $23,177
    Filer's total
    $257,789

  • Ira Meiselman

    DIRECTOR MANAGED CARE

    Total calculated
    $343,943
    From this org
    $307,856
    From related orgs
    $0
    Other
    $36,087
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $283,542
    Bonus
    $8,403
    Other
    $15,911
    Deferred
    $17,317
    Nontaxable benefits
    $18,770
    Filer's total
    $343,943

  • Jorge Gamez

    DIR PREOPERATIVE SVCS

    Total calculated
    $273,845
    From this org
    $258,196
    From related orgs
    $0
    Other
    $15,649
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $257,196
    Bonus
    $1,000
    Other
    $0
    Deferred
    $9,000
    Nontaxable benefits
    $6,649
    Filer's total
    $273,845

  • Kelvin Matute

    DIR CARE MGMT

    Total calculated
    $276,104
    From this org
    $266,906
    From related orgs
    $0
    Other
    $9,198
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $134,790
    Bonus
    $0
    Other
    $132,116
    Deferred
    $8,618
    Nontaxable benefits
    $580
    Filer's total
    $276,104

  • 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

  • Kevin Brown

    FORMER -VP, CARDIOLOGY SERVICES (THRU 5/23)

    Total calculated
    $496,230
    From this org
    $0
    From related orgs
    $434,841
    Other
    $61,389

    Schedule J breakdown matched by us

    Base
    $0 + $144,836 related
    Bonus
    $0 + $20,600 related
    Other
    $0 + $269,405 related
    Deferred
    $0 + $53,308 related
    Nontaxable benefits
    $0 + $8,081 related
    Filer's total
    $0 + $496,230 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

  • 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 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 and Kevin Brown received a severance payment during the calendar year. The payment is included in Part VII, Column D (E) and Schedule J, Part II, Column B(iii). The terms and conditions of the confidential severance agreement are available to the Internal Revenue Service upon request.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
PIH Health Inc. and its affiliates provides a supplemental executive retirement plan for certain executives. The following individuals participate in the plan: JAMES WEST PEGGY CHULACK VID SHIVARAMAN IRENA ZUNIAC MOHAMMED GHONIM ROSALIO LOPEZ KEVIN BROWN 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 Irena Zuanic: $81,298 Mohammed Ghonim: $63,416 KEVIN BROWN: $132,205 Rosalio Lopez: $215,904 Brian Smolskis: $721,922

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

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
202532259349301438

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