Civic Intelligence

Pih Health Home Healthcare

EIN 95-3036281 • 501(c)3 • Whittier, CA

Profile

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 2025.

12401 Washington BlvdWhittier, CA 90602

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2024

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2024

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2024

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Asset Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2023 to 2024

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2023 to 2024

Assets

Flat

$0

Flat from 2023

Liabilities

Up

$1,856

Up $25 (+1.4%) from 2023

Net Assets

Down

-$1,856

Down $25 (-1.4%) from 2023

Revenue

Flat

$0

Flat from 2023

Expenses

Flat

$25

Flat from 2023

Net Income

Flat

-$25

Flat from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$2.0K$1.0K$0-$1.0K-$2.0KAssets 2011: $1Liabilities 2011: $1,7062011Assets 2012: $0Liabilities 2012: $1,7162012Assets 2013: $0Liabilities 2013: $1,7312013Assets 2014: $0Liabilities 2014: $1,7412014Assets 2015: $1Liabilities 2015: $1,7512015Assets 2016: $0Liabilities 2016: $1,761Net Assets 2016: -$1,7612016Assets 2017: $0Liabilities 2017: $1,771Net Assets 2017: -$1,7712017Assets 2018: $0Liabilities 2018: $1,781Net Assets 2018: -$1,7812018Assets 2019: $0Liabilities 2019: $1,781Net Assets 2019: -$1,7812019Assets 2020: $0Liabilities 2020: $1,781Net Assets 2020: -$1,7812020Assets 2021: $0Liabilities 2021: $1,781Net Assets 2021: -$1,7812021Assets 2022: $0Liabilities 2022: $1,806Net Assets 2022: -$1,8062022Assets 2023: $0Liabilities 2023: $1,831Net Assets 2023: -$1,8312023Assets 2024: $0Liabilities 2024: $1,856Net Assets 2024: -$1,8562024

Highlighted filing

2024

Assets$0
Liabilities$1,856
Net Assets-$1,856

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40$20$0-$20-$40Revenue 2011: $0Expenses 2011: $10Net Income 2011: -$102011Revenue 2012: $0Expenses 2012: $10Net Income 2012: -$102012Revenue 2013: $0Expenses 2013: $15Net Income 2013: -$152013Revenue 2014: $0Expenses 2014: $10Net Income 2014: -$102014Revenue 2015: $0Expenses 2015: $10Net Income 2015: -$102015Revenue 2016: $0Expenses 2016: $10Net Income 2016: -$102016Revenue 2017: $0Expenses 2017: $10Net Income 2017: -$102017Revenue 2018: $0Expenses 2018: $10Net Income 2018: -$102018Revenue 2019: $0Expenses 2019: $0Net Income 2019: $02019Revenue 2020: $0Expenses 2020: $0Net Income 2020: $02020Revenue 2021: $0Expenses 2021: $0Net Income 2021: $02021Revenue 2022: $0Expenses 2022: $25Net Income 2022: -$252022Revenue 2023: $0Expenses 2023: $25Net Income 2023: -$252023Revenue 2024: $0Expenses 2024: $25Net Income 2024: -$252024

Highlighted filing

2024

Revenue$0
Expenses$25
Net Income-$25

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$0$1,856$1,856$0$25$25
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0$1,831$1,831$0$25$25
2022Detailed filing. Detailed filing data is available for this year.$0$1,806$1,806$0$25$25
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0$1,781$1,781$0$0$0
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0$1,781$1,781$0$0$0
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0$1,781$1,781$0$0$0
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0$1,781$1,781$0$10$10
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0$1,771$1,771$0$10$10
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0$1,761$1,761$0$10$10
2015Summary only. Only limited summary data is available for this year.$1$1,751$0$10$10
2014Summary only. Only limited summary data is available for this year.$0$1,741$0$10$10
2013Summary only. Only limited summary data is available for this year.$0$1,731$0$15$15
2012Summary only. Only limited summary data is available for this year.$0$1,716$0$10$10
2011Summary only. Only limited summary data is available for this year.$1$1,706$0$10$10
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 13, 2025
Return Version
2023v6.0
Gross Receipts
$0
Mission and Program Overview

Mission

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 2023.

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 2025.

Program Services

DescriptionGrantsExpenses
ALL ACTIVITES OF PIH HEALTH HOME HEALTHCARE ARE CURRENTLY BEING CARRIED OUT BY A RELATED TAX-EXEMPT ORGANIZATION.--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
JAMES WESTSystem President & CEO-$0--
ROSALIO LOPEZ MDSystem CSO/CMO-$0--
PEGGY CHULACKSystem CAO & Asst Secretary-$0--
VID SHIVARAMANSystem CFO & Asst Treasurer-$0--
Filing and Contact Details

Filer

Filer Name
PIH Health Home Healthcare
EIN
95-3036281
Phone
5626980811
Address
12401 Washington Blvd, Whittier, CA 90602

Signing Officer

Name
Vid Shivaraman
Title
CFO
Signed
2025-08-13
Discuss with paid preparer
Yes

Preparer

Firm
Kpmg Llp
Address
301 Main Street Suite 2150, Baton Rouge, LA 70801
Preparer
Brittany Elliser
Phone
2253444000
Supplemental Narrative

Additional Explanations

Form 990-EZ, Part I, Line 16 Other Expenses

LICENSES & FEES - 25;

Form 990-EZ, Part II, Line 26B Total Liabilities

Intercompany payable - boy:1831,eoy:1856;

Form 990-EZ, Part III, Exempt Purpose PRIMARY EXEMPT PURPOSE

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 2025.

FORM 990-EZ, PART V, INFORMATION REGARDING PERSONAL BENEFIT CONTRACTS:

The organization did not, during the year, receive any funds, directly, or indirectly, to pay premiums on a personal benefit contract.

Raw XML Appendix180 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990EZ/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0Mark Kawauchi
IRS990EZ/BooksInCareOfDetail/PhoneNum05626980811
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt012401 Washington Blvd
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0Whittier
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0CA
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd090602
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IRS990EZ/FiledScheduleAInd0true
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IRS990EZ/GrantsAndSimilarAmountsPaidAmt00
IRS990EZ/GrossProfitLossSlsOfInvntryAmt00
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IRS990EZ/InfoInScheduleOPartIIIInd0X
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IRS990EZ/MethodOfAccountingAccrualInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt0-1831
IRS990EZ/NetAssetsOrFundBalancesEOYAmt0-1856
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt0-1831
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt0-1856
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt00.100
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt10.100
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt00
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt00
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0JAMES WEST
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1ROSALIO LOPEZ MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2PEGGY CHULACK
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3VID SHIVARAMAN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0SYSTEM PRESIDENT & CEO
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1SYSTEM CSO/CMO
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2SYSTEM CAO & ASST SECRETARY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3SYSTEM CFO & ASST TREASURER
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd0false
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherAssetsTotalDetail/BOYAmt00
IRS990EZ/OtherAssetsTotalDetail/EOYAmt00
IRS990EZ/OtherChangesInNetAssetsAmt00
IRS990EZ/OtherEmployeePaidOver100kCnt00
IRS990EZ/OtherExpensesTotalAmt025
IRS990EZ/OtherRevenueTotalAmt00
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0HEALTHCARE'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 2025.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0ALL ACTIVITES OF PIH HEALTH HOME HEALTHCARE ARE CURRENTLY BEING CARRIED OUT BY A RELATED TAX-EXEMPT ORGANIZATION.
IRS990EZ/ProhibitedTaxShelterTransInd0false
IRS990EZ/RelatedOrganizationCtrlEntInd0false
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd0false
IRS990EZ/SpecialEventsNetIncomeLossAmt00
IRS990EZ/StatesWhereCopyOfReturnIsFldCd0CA
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt01831
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt01856
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TaxImposedUnderIRC4911Amt00
IRS990EZ/TaxImposedUnderIRC4912Amt00
IRS990EZ/TaxImposedUnderIRC4955Amt00
IRS990EZ/TotalExpensesAmt025
IRS990EZ/TotalProgramServiceExpensesAmt00
IRS990EZ/TotalRevenueAmt00
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0N/A
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd0false
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0PIH 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.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1THE 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).
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1Schedule A, Part IV, Section C, Line 1 Majority director detail
IRS990ScheduleA/MajorityDirTrstSupportedOrgInd0false
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt05
IRS990ScheduleA/SupportedOrganizationsTotalCnt05
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0953942828
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IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd09
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IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd43
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt10
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt20
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt30
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt40
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt10
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt20
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt30
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt40
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0PIH HEALTH PHYSICIANS
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt1PIH HEALTH DOWNEY HOSPITAL
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt2PIH HEALTH WHITTIER HOSPITAL
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt3PIH HEALTH FOUNDATION
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt4PIH HEALTH GOOD SAMARITAN HOSPITAL
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType2Ind0X
IRS990ScheduleA/SupportSumAmt00
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0LICENSES & FEES - 25;
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1INTERCOMPANY PAYABLE - BOY:1831,EOY:1856;
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2HEALTHCARE'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 2025.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY, OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990-EZ, Part I, Line 16 Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990-EZ, Part II, Line 26b Total Liabilities
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990-EZ, Part III, Exempt Purpose PRIMARY EXEMPT PURPOSE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990-EZ, PART V, INFORMATION REGARDING PERSONAL BENEFIT CONTRACTS:
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0Vid Shivaraman
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CFO
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-08-13
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0PIH Health Home Healthcare
ReturnHeader/Filer/BusinessNameControlTxt0PIHH
ReturnHeader/Filer/EIN0953036281
ReturnHeader/Filer/PhoneNum05626980811
ReturnHeader/Filer/USAddress/AddressLine1Txt012401 Washington Blvd
ReturnHeader/Filer/USAddress/CityNm0Whittier
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd090602
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0135565207
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0KPMG LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0301 Main Street Suite 2150
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Baton Rouge
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0LA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd070801
ReturnHeader/PreparerPersonGrp/PhoneNum02253444000
ReturnHeader/PreparerPersonGrp/PreparationDt02025-08-13
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Brittany Elliser
ReturnHeader/ReturnTs02025-08-13T13:57:56+00:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02023-10-01
ReturnHeader/TaxPeriodEndDt02024-09-30
ReturnHeader/TaxYr02023

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