2024-08-06T13:53:39-05:00 2023-09-30 135565207 KPMG LLP 301 MAIN STREET SUITE 2150 BATON ROUGE LA 70801 990EZ 2022-10-01 953036281 PIH HEALTH HOME HEALTHCARE PIHH 5626980811 12401 WASHINGTON BOULEVARD WHITTIER CA 90602 VID SHIVARAMAN CFO 5626980811 2024-07-31 1 0 BRITTANY ELLISER P01284594 2139724000 2024-07-22 2022 2024-08-08 14:25:15Z X X N/A X X 0 X 0 25 25 -25 -1806 0 -1831 X 0 0 1806 1831 -1806 -1831 X PIH HEALTH HOME HEALTHCARE'S MISSION IS TO PROVIDE COMMUNITY MEMBERS HIGH-QUALITY, SKILLED HEALTHCARE SERVICES AT HOME AND OFFER OPTIONS FOR COMPASSIONATE END-OF-LIFE CARE AND FAMILY SUPPORT. PIH HEALTH HOME HEALTHCARE HAS CEASED ITS OPERATION AND ALL ACTIVITIES ARE CURRENTLY BEING CARRIED OUT BY A RELATED TAX-EXEMPT ORGANIZATION. PIH HEALTH HOME HEALTHCARE EXPECTS TO RESUME ACTIVITIES IN FISCAL YEAR 2024. ALL ACTIVITES OF PIH HEALTH HOME HEALTHCARE ARE CURRENTLY BEING CARRIED OUT BY A RELATED TAX-EXEMPT ORGANIZATION. 0 0 0 JAMES WEST CHAIRMAN 0.10 0 0 0 PEGGY CHULACK SECRETARY 0.10 0 0 0 VID SHIVARAMAN TREASURER 0.10 0 0 0 BRIAN SMOLSKIS THRU 9282023 SYSTEM COO 0.10 0 0 0 ROSALIO LOPEZ MD SYSTEM CSO/CMO 0.10 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CA MARK KAWAUCHI 12102 WASHINGTON BOULEVARD WHITTIER CA 90606 5626980811 0 0 0 0 0 1 0 0 0 0 0 NONE NONE 1 X X 5 PIH HEALTH PHYSICIANS 953942828 10 0 0 0 PIH HEALTH DOWNEY HOSPITAL 951903935 3 0 0 0 PIH HEALTH WHITTIER HOSPITAL 951934652 3 0 0 0 PIH HEALTH FOUNDATION 953761274 7 0 0 0 PIH HEALTH GOOD SAMARITAN HOSPITAL 951656366 3 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION A, LINE 1: PIH HEALTH HOME HEALTHCARE HAS A HISTORIC AND CONTINUING RELATIONSHIP WITH ITS SUPPORTED ORGANIZATIONS, AS THE ENTITIES ARE ALL MEMBERS OF AN INTEGRATED HEALTHCARE SYSTEM. THE SYSTEM IS CONTROLLED BY PIH HEALTH INC., THE SOLE MEMBER OF PIH HEALTH HOME HEALTHCARE. THE SUPPORTED ORGANIZATIONS OF PIH HEALTH HOME HEALTHCARE ARE DESIGNATED BY CLASS OR PURPOSE WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986 ("THE CODE") BY CONDUCTING OR SUPPORTING ACTIVITIES FOR THE BENEFIT OF, PERFORMING THE FUNCTIONS OF, OR CARRYING OUT THE PURPOSES OF QUALIFIED ORGANIZATIONS PROMOTING THE HEALTH OF THE COMMUNITY WITHIN THE MEANING OF SECTION 501(C)(3) OF THE CODE. PART IV, SECTION C, LINE 1: THE MAJORITY OF THE BOARD OF DIRECTORS OF PIH HEALTH HOME HEALTHCARE ALSO SERVE AS OFFICERS OF ITS SOLE MEMBER PIH HEALTH, INC. AS OFFICERS OF ITS SOLE MEMBER, THE INDIVIDUALS WHO COMPRISE THE MAJORITY OF THE BOARD OF DIRECTORS OF PIH HEALTH HOME HEALTHCARE ALSO SHARE IN THE RESPONSIBILITY OF MANAGING, SUPERVISING AND CONTROLLING BOTH SUPPORTING AND SUPPORTED ORGANIZATION(S). FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: LICENSES & FEES. AMOUNT: 25. FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES DESCRIPTION: INTERCOMPANY PAYABLE. BEG. OF YEAR AMOUNT: 1,806. END OF YEAR AMOUNT: 1,831. THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.