USC CARE MEDICAL GROUP INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- USC CARE MEDICAL GROUP INC (EIN 95-4540991)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-15
- IRS object ID
- 202441369349305514
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-05-15T09:50:13-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PWC US TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 655 NEW YORK AVE NW SUITE 1100 | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 954540991 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | USC CARE MEDICAL GROUP INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % UNIV OF SOUTHERN CALIFORNIA | InCareOfNm |
| Business Name Control | USCC | BusinessNameControlTxt |
| Phone | 3234425955 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1510 SAN PABLO ST Suite 649 | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 900334613 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEREMY CHURCH | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2138211900 | PhoneNum |
| Signature | 2024-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JEREMY | PersonFirstNm |
| Person Last | CHURCH | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TRAVIS L PATTON | PreparerPersonNm |
| PTIN | P00369623 | PTIN |
| Phone | 2024141000 | PhoneNum |
| Preparation | 2024-05-14 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JEREMY CHURCH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1510 SAN PABLO ST649 | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 900334613 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $403,651,809 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.KECKMEDICINE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 21 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $392,397,925 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $403,651,809 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $392,397,925 | PYTotalRevenueAmt |
| CY Total Revenue | $403,651,809 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $87,933,733 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $108,430,407 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $344,840,643 | PYOtherExpensesAmt |
| CY Other Expenses | $342,077,486 | CYOtherExpensesAmt |
| PY Total Expenses | $432,774,376 | PYTotalExpensesAmt |
| CY Total Expenses | $450,507,893 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$40,376,451 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$46,856,084 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $90,532,347 | TotalAssetsBOYAmt |
| Total Assets EOY | $87,556,190 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $107,515,597 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $155,264,561 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$16,983,250 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$67,708,371 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $450,507,893 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $403,651,809 | RevenueAmt |
| Desc | PATIENT CARE - SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $450,507,893 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 21 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | UNIV OF SOUTHERN CALIFORNIA | PersonNm |
| Phone | 2138211900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | UNIVERSITY GARDENS | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90089 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| VAUGHN STARNES MD | ||||||||||
| Director | 0.5 | 50.0 | Yes (X) | $0 | $3,729,112 | $72,413 | ||||
| INDERBIR SINGH GILL MD | ||||||||||
| Director | 0.5 | 39.5 | Yes (X) | $0 | $2,779,735 | $73,326 | ||||
| ROD HANNERS | ||||||||||
| Chair | 0.5 | 57.0 | Yes (X) | $0 | $2,006,403 | $58,277 | Yes (X) | |||
| JAMES M STATEN | ||||||||||
| Director (UNTIL 1/20/23) | 0.5 | 60.0 | Yes (X) | $0 | $1,916,188 | $78,971 | ||||
| JAY LIEBERMAN | ||||||||||
| Director | 0.5 | 39.5 | Yes (X) | $0 | $1,497,778 | $62,122 | ||||
| CAROLYN MELTZER MD | ||||||||||
| Vice Chair | 0.5 | 54.0 | Yes (X) | $0 | $1,287,546 | $28,361 | Yes (X) | |||
| DAVID PENG MD | ||||||||||
| Director | 0.5 | 48.0 | Yes (X) | $0 | $1,049,978 | $140,400 | ||||
| ERIC STRUCKO | ||||||||||
| Director (UNTIL 2/17/23) | 0.5 | 44.0 | Yes (X) | $0 | $1,093,318 | $46,026 | ||||
| ROBERT RYU | ||||||||||
| Director | 0.5 | 39.5 | Yes (X) | $0 | $1,067,647 | $71,152 | ||||
| LAURA MOSQUEDA | ||||||||||
| Former Chair | 0.5 | 50.0 | $0 | $1,050,551 | $54,721 | Yes (X) | ||||
| JOHN OGHALAI | ||||||||||
| Director | 0.5 | 39.5 | Yes (X) | $0 | $910,201 | $123,452 | ||||
| JOSEPH OUZOUNIAN | ||||||||||
| Director | 0.5 | 52.0 | Yes (X) | $0 | $763,796 | $227,451 | ||||
| ERIC CHANG | ||||||||||
| Director | 0.5 | 39.5 | Yes (X) | $0 | $846,256 | $135,909 | ||||
| CARL CHUDNOFSKY | ||||||||||
| Director | 0.5 | 39.5 | Yes (X) | $0 | $908,302 | $54,421 | ||||
| STEVEN SIEGEL | ||||||||||
| Director | 0.5 | 39.5 | Yes (X) | $0 | $830,629 | $75,196 | ||||
| MARK TODD | ||||||||||
| Director | 0.5 | 39.5 | Yes (X) | $0 | $705,981 | $153,476 | ||||
| SMITHA Ravipudi | ||||||||||
| CEO | 0.5 | 39.5 | $0 | $757,660 | $50,316 | Yes (X) | ||||
| MICHAEL SELSTED | ||||||||||
| Director | 0.5 | 39.5 | Yes (X) | $0 | $738,503 | $68,922 | ||||
| STEVEN L GIANNOTTA | ||||||||||
| Director | 0.5 | 39.5 | Yes (X) | $0 | $730,987 | $64,093 | ||||
| HOLLY MUIR | ||||||||||
| Director | 0.5 | 39.5 | Yes (X) | $0 | $682,318 | $53,842 | ||||
| VIVIAN MO | ||||||||||
| CMO | 50.0 | 0.0 | $0 | $557,316 | $63,174 | Yes (X) | ||||
| JEHNI ROBINSON | ||||||||||
| President | 0.5 | 39.5 | Yes (X) | $0 | $553,971 | $53,472 | Yes (X) | |||
| KRIST AZIZIAN | ||||||||||
| Chief Pharmacy Officer | 25.0 | 25.0 | $0 | $532,543 | $48,192 | Yes (X) | ||||
| MARTIN HEUR | ||||||||||
| Director | 0.5 | 39.5 | Yes (X) | $0 | $516,852 | $53,550 | ||||
| TED BUDGE | ||||||||||
| Director | 0.5 | 38.0 | Yes (X) | $0 | $457,596 | $66,561 | ||||
| HELEN CHUI | ||||||||||
| Director | 0.5 | 39.5 | Yes (X) | $0 | $413,604 | $63,355 | ||||
| LAURIE JOHNSON | ||||||||||
| Chief, Ambulatory Operation | 50.0 | 0.0 | $0 | $421,422 | $42,472 | Yes (X) | ||||
| NATHAN YORK | ||||||||||
| DIRECTOR, MEDICAL | 50.0 | 0.0 | $0 | $366,750 | $39,742 | Yes (X) | ||||
| CINDY NAVEIRA | ||||||||||
| Chief Nursing Officer | 50.0 | 0.0 | $0 | $363,763 | $31,953 | Yes (X) | ||||
| JEREMY CHURCH | ||||||||||
| Treasurer | 0.5 | 39.5 | $0 | $382,049 | $1,614 | Yes (X) | ||||
| MARY ROSE PATEJAK | ||||||||||
| EXECUTIVE DIRECTOR | 50.0 | 0.0 | $0 | $308,321 | $54,718 | Yes (X) | ||||
| SHARON LEE | ||||||||||
| Assoc. Admin, Ambulatory Care | 50.0 | 0.0 | $0 | $296,639 | $52,423 | Yes (X) | ||||
| DOUGLAS MILLER | ||||||||||
| DIRECTOR, ADMIN SENIOR | 50.0 | 0.0 | $0 | $286,353 | $58,022 | Yes (X) | ||||
| BRENT DEVERA | ||||||||||
| PHYSICIAN | 50.0 | 0.0 | $0 | $299,920 | $38,083 | Yes (X) | ||||
| HSIU-TSING EMILY LIANG-MARI | ||||||||||
| Secretary | 10.0 | 30.0 | $0 | $198,415 | $27,211 | Yes (X) | ||||
| JOHN KUSMIERSKY | ||||||||||
| Director | 0.5 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $27,971,167 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,977,796 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| UNIVERSITY OF SOUTHERN CALIFORNIA | |||||
| UNIVERSITY GARDENS - UGB203 | LOS ANGELES | CA | 90089 | PHYSICIAN SERVICES | $282,720,277 |
| SUMMERBIO LLC | |||||
| 980 OBRIEN DR | MENLO PARK | CA | 94025 | COVID TESTING | $3,727,095 |
| MEDIREVV LLC ACCLARA SOLUTIONS LL | |||||
| 10713 W SAM HOUSTON PKWY NORTH STE | HOUSTON | TX | 77064 | COLLECTIONS | $1,704,085 |
| VVC HOLDING CORP | |||||
| 95 PINE ST STE 110 | BURLINGTON | VT | 05401 | IT APPLICATION SUPP | $1,360,903 |
| DELOITTE CONSULTING LLP | |||||
| 4022 SELLS DRIVE | HERMITAGE | TN | 37076 | BUSINESS MGMT CONS | $1,125,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 76 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT CARE | 900099 | $324,319,733 | $324,319,733 |
| PSA REVENUE | 900099 | $40,598,946 | $40,598,946 |
| STUDENT HEALTH FEES | 900099 | $31,674,090 | $31,674,090 |
| MANAGEMENT FEES | 900099 | $6,035,323 | $6,035,323 |
| OTHER REVENUE | 900099 | $1,023,717 | $1,023,717 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $403,651,809 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $403,651,809 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $403,651,809 | RelatedOrExemptFuncIncomeAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,874,609 | TotalAmt |
| Program Services | $3,874,609 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,555,798 | TotalAmt |
| Program Services | $104,555,798 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $690,118 | TotalAmt |
| Program Services | $690,118 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,226,213 | TotalAmt |
| Program Services | $6,226,213 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| PURCHASED SERVICES AND OTHER | $50,500,859 | $50,500,859 |
| PHYSICIAN SERVICES | $273,591,122 | $273,591,122 |
| MEDICAL SUPPLIES | $11,069,174 | $11,069,174 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $450,507,893 | TotalAmt |
| Program Services | $450,507,893 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,750 | BOYAmt |
| EOY | $2,750 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,178,978 | BOYAmt |
| EOY | $32,165,012 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $39,067 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $850,710 | BOYAmt |
| EOY | $1,958,181 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $110,044,650 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $65,101,779 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,589,507 | BOYAmt |
| EOY | $44,942,871 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,275,308 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,635,094 | BOYAmt |
| EOY | $8,448,309 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,532,347 | BOYAmt |
| EOY | $87,556,190 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,389,833 | BOYAmt |
| EOY | $41,377,310 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,125,764 | BOYAmt |
| EOY | $113,887,251 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,515,597 | BOYAmt |
| EOY | $155,264,561 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$16,983,250 | BOYAmt |
| EOY | -$67,708,371 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$16,983,250 | BOYAmt |
| EOY | -$67,708,371 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,532,347 | BOYAmt |
| EOY | $87,556,190 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$46,856,084 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$3,869,037 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $356,645,489 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $385,293,470 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $406,914,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $392,397,925 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $403,651,809 | CurrentTaxYearAmt |
| Total | $1,944,902,693 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $356,645,489 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $385,293,470 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $406,914,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $392,397,925 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $403,651,809 | CurrentTaxYearAmt |
| Total | $1,944,902,693 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $1,944,902,693 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $356,645,489 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $385,293,470 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $406,914,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $392,397,925 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $403,651,809 | CurrentTaxYearAmt |
| Total | $1,944,902,693 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $110,044,650 | OtherCostOrOtherBasisAmt |
| Depreciation | $65,101,779 | DepreciationAmt |
| Book Value | $44,942,871 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Equipment | EquipmentGrp | |
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $44,942,871 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM USC | $1,348 |
| OTHER CURRENT ASSETS | $7,781,546 |
| OTHER ASSETS | $665,415 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $8,448,309 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| ASSET RETIREMENT OBLIGATIONS | $237,161 |
| DUE TO USC | $45,237,837 |
| DUE TO AFFILIATES | $34,216,068 |
| OTHER LIABILITIES | $34,196,185 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $113,887,251 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED AS PART OF CONSOLIDATED FINANCIAL STATEMENTS WHICH DO NOT HAVE A FIN 48 FOOTNOTE AS ANY UNCERTAIN TAX POSITIONS WERE DEEMED IMMATERIAL. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (35 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KRIST AZIZIAN | ||||||||||||||
| Chief Pharmacy Officer | $0 | $438,469 | $0 | $71,832 | $0 | $22,242 | $0 | $30,500 | $0 | $17,692 | $0 | $580,735 | $0 | $0 |
| TED BUDGE | ||||||||||||||
| Director | $0 | $396,872 | $0 | $25,000 | $0 | $35,724 | $0 | $30,500 | $0 | $36,061 | $0 | $524,157 | $0 | $0 |
| ERIC CHANG | ||||||||||||||
| Director | $0 | $754,924 | $0 | $20,000 | $0 | $71,332 | $0 | $30,500 | $0 | $105,409 | $0 | $982,165 | $0 | $0 |
| CARL CHUDNOFSKY | ||||||||||||||
| Director | $0 | $736,692 | $0 | $50,000 | $0 | $121,610 | $0 | $30,500 | $0 | $23,921 | $0 | $962,723 | $0 | $0 |
| HELEN CHUI | ||||||||||||||
| Director | $0 | $401,984 | $0 | $0 | $0 | $11,620 | $0 | $30,500 | $0 | $32,855 | $0 | $476,959 | $0 | $0 |
| JEREMY CHURCH | ||||||||||||||
| Treasurer | $0 | $344,642 | $0 | $36,825 | $0 | $582 | $0 | $0 | $0 | $1,614 | $0 | $383,663 | $0 | $0 |
| BRENT DEVERA | ||||||||||||||
| PHYSICIAN | $0 | $299,200 | $0 | $0 | $0 | $720 | $0 | $10,384 | $0 | $27,699 | $0 | $338,003 | $0 | $0 |
| STEVEN L GIANNOTTA | ||||||||||||||
| Director | $0 | $650,555 | $0 | $40,000 | $0 | $40,432 | $0 | $30,500 | $0 | $33,593 | $0 | $795,080 | $0 | $0 |
| INDERBIR SINGH GILL MD | ||||||||||||||
| Director | $0 | $2,551,322 | $0 | $0 | $0 | $228,413 | $0 | $30,500 | $0 | $42,826 | $0 | $2,853,061 | $0 | $0 |
| ROD HANNERS | ||||||||||||||
| Chair | $0 | $1,176,716 | $0 | $596,612 | $0 | $233,075 | $0 | $30,500 | $0 | $27,777 | $0 | $2,064,680 | $0 | $37,500 |
| MARTIN HEUR | ||||||||||||||
| Director | $0 | $476,092 | $0 | $0 | $0 | $40,760 | $0 | $30,500 | $0 | $23,050 | $0 | $570,402 | $0 | $0 |
| LAURIE JOHNSON | ||||||||||||||
| Chief, Ambulatory Operation | $0 | $326,510 | $0 | $62,710 | $0 | $32,202 | $0 | $30,500 | $0 | $11,972 | $0 | $463,894 | $0 | $0 |
| SHARON LEE | ||||||||||||||
| Assoc. Admin, Ambulatory Care | $0 | $256,235 | $0 | $39,387 | $0 | $1,017 | $0 | $30,281 | $0 | $22,142 | $0 | $349,062 | $0 | $0 |
| HSIU-TSING EMILY LIANG-MARI | ||||||||||||||
| Secretary | $0 | $182,695 | $0 | $15,000 | $0 | $720 | $0 | $20,028 | $0 | $7,183 | $0 | $225,626 | $0 | $0 |
| JAY LIEBERMAN | ||||||||||||||
| Director | $0 | $1,342,833 | $0 | $0 | $0 | $154,945 | $0 | $30,500 | $0 | $31,622 | $0 | $1,559,900 | $0 | $0 |
| CAROLYN MELTZER MD | ||||||||||||||
| Vice Chair | $0 | $1,070,879 | $0 | $216,667 | $0 | $0 | $0 | $0 | $0 | $28,361 | $0 | $1,315,907 | $0 | $0 |
| VIVIAN MO | ||||||||||||||
| CMO | $0 | $512,579 | $0 | $0 | $0 | $44,737 | $0 | $30,500 | $0 | $32,674 | $0 | $620,490 | $0 | $0 |
| LAURA MOSQUEDA | ||||||||||||||
| Former Chair | $0 | $836,431 | $0 | $125,000 | $0 | $89,120 | $0 | $30,500 | $0 | $24,221 | $0 | $1,105,272 | $0 | $0 |
| HOLLY MUIR | ||||||||||||||
| Director | $0 | $564,197 | $0 | $50,000 | $0 | $68,121 | $0 | $30,500 | $0 | $23,342 | $0 | $736,160 | $0 | $0 |
| CINDY NAVEIRA | ||||||||||||||
| Chief Nursing Officer | $0 | $271,581 | $0 | $66,328 | $0 | $25,854 | $0 | $30,315 | $0 | $1,638 | $0 | $395,716 | $0 | $0 |
| JOHN OGHALAI | ||||||||||||||
| Director | $0 | $749,711 | $0 | $50,000 | $0 | $110,490 | $0 | $30,500 | $0 | $92,952 | $0 | $1,033,653 | $0 | $0 |
| JOSEPH OUZOUNIAN | ||||||||||||||
| Director | $0 | $683,347 | $0 | $0 | $0 | $80,449 | $0 | $30,500 | $0 | $196,951 | $0 | $991,247 | $0 | $0 |
| MARY ROSE PATEJAK | ||||||||||||||
| EXECUTIVE DIRECTOR | $0 | $279,047 | $0 | $27,197 | $0 | $2,077 | $0 | $25,238 | $0 | $29,480 | $0 | $363,039 | $0 | $0 |
| DAVID PENG MD | ||||||||||||||
| Director | $0 | $905,418 | $0 | $75,000 | $0 | $69,560 | $0 | $30,500 | $0 | $109,900 | $0 | $1,190,378 | $0 | $0 |
| SMITHA Ravipudi | ||||||||||||||
| CEO | $0 | $582,798 | $0 | $132,277 | $0 | $42,585 | $0 | $30,500 | $0 | $19,816 | $0 | $807,976 | $0 | $0 |
| JEHNI ROBINSON | ||||||||||||||
| President | $0 | $502,586 | $0 | $0 | $0 | $51,385 | $0 | $30,500 | $0 | $22,972 | $0 | $607,443 | $0 | $0 |
| ROBERT RYU | ||||||||||||||
| Director | $0 | $834,127 | $0 | $0 | $0 | $233,520 | $0 | $30,500 | $0 | $40,652 | $0 | $1,138,799 | $0 | $0 |
| MICHAEL SELSTED | ||||||||||||||
| Director | $0 | $676,918 | $0 | $0 | $0 | $61,585 | $0 | $30,500 | $0 | $38,422 | $0 | $807,425 | $0 | $0 |
| STEVEN SIEGEL | ||||||||||||||
| Director | $0 | $690,792 | $0 | $25,000 | $0 | $114,837 | $0 | $30,500 | $0 | $44,696 | $0 | $905,825 | $0 | $0 |
| VAUGHN STARNES MD | ||||||||||||||
| Director | $0 | $3,415,992 | $0 | $0 | $0 | $313,120 | $0 | $30,500 | $0 | $41,913 | $0 | $3,801,525 | $0 | $0 |
| JAMES M STATEN | ||||||||||||||
| Director (UNTIL 1/20/23) | $0 | $1,524,938 | $0 | $100,000 | $0 | $291,250 | $0 | $30,500 | $0 | $48,471 | $0 | $1,995,159 | $0 | $0 |
| ERIC STRUCKO | ||||||||||||||
| Director (UNTIL 2/17/23) | $0 | $808,414 | $0 | $191,580 | $0 | $93,324 | $0 | $30,500 | $0 | $15,526 | $0 | $1,139,344 | $0 | $0 |
| MARK TODD | ||||||||||||||
| Director | $0 | $412,486 | $0 | $235,100 | $0 | $58,395 | $0 | $30,500 | $0 | $122,976 | $0 | $859,457 | $0 | $0 |
| NATHAN YORK | ||||||||||||||
| DIRECTOR, MEDICAL | $0 | $366,057 | $0 | $0 | $0 | $693 | $0 | $13,101 | $0 | $26,641 | $0 | $406,492 | $0 | $0 |
| DOUGLAS MILLER | ||||||||||||||
| DIRECTOR, ADMIN SENIOR | $0 | $260,159 | $0 | $25,474 | $0 | $720 | $0 | $29,512 | $0 | $28,510 | $0 | $344,375 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 3: | THE ORGANIZATION RELIES ON THE USC HEALTH SYSTEM, A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF THE CEO IN THE PROCESS DESCRIBED AS FOLLOWS. THE COMPENSATION IS DETERMINED ANNUALLY USING THE SAFE HARBOR PROCESS DESCRIBED IN TREASURY REGULATION SECTION 53.4958-6. NAMELY, A COMMITTEE OF THE USC HEALTH SYSTEMS'S BOARD OF DIRECTORS TAKES THE FOLLOWING THREE STEPS: (1) IT ENSURES THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT BEING REVIEWED, (2) IT LOOKS TO COMPARABILITY DATA AND SPECIALIZED COMPENSATION REPORTS (AND IN SOME CASES OPINIONS) PREPARED FOR THE USC HEALTH SYSTEM BY COMPENSATION CONSULTANTS WITH RESPECT TO SIMILARLY QUALIFIED INDIVIDUALS IN COMPARABLE POSITIONS AT SIMILARLY SITUATED HEALTHCARE ORGANIZATIONS, AND (3) IT MAINTAINS A CONTEMPORANEOUS RECORD OF ITS DELIBERATIONS AND DECISIONS. THE COMPENSATION FOR THE PRESIDENT OF USC CARE MEDICAL GROUP IS SET VIA THE ANNUAL REVIEW PROCESS FOR FACULTY (AS THE PRESIDENT IS A FACULTY PHYSICIAN OF THE UNIVERSITY OF SOUTHERN CALIFORNIA) THROUGH THE OFFICE OF THE VICE PROVOST FOR ACADEMIC AND FACULTY AFFAIRS. |
| SCHEDULE J, PART I, LINE 4B: | ROD HANNERS: DURING CALENDAR YEAR 2022, CEO OF KECK MEDICINE OF USC, PARTICIPATED IN A RETENTION PROGRAM. THE RETENTION AWARDS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. A PAYMENT OF $250,000 VESTED IN DECEMBER 2021 AND WAS PAID IN FEBRUARY 2022. THE PAYMENT AMOUNT HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(II). ANOTHER PAYMENT OF $250,000 WAS SCHEDULED TO VEST IN DECEMBER 2022 AND BE PAYABLE IN JANUARY 2023. A RATABLE ACCRUAL OF $0 HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN (C) AS THE PAYMENT WAS MADE WITHIN TWO AND A HALF MONTHS AFTER THE END OF CALENDAR YEAR 2022. OTHER: IN 1994 USC CREATED A 457(F) SUPPLEMENTAL RETIREMENT PLAN TO PROVIDE MAKE-UP BENEFITS TO EMPLOYEES WHOSE COMPENSATION EXCEEDS THE EARNINGS LIMITATION FOR CONTRIBUTIONS TO THE USC DEFINED CONTRIBUTION RETIREMENT PLAN. AS OF JANUARY 1, 2005, THE PLAN WAS FROZEN AND PARTICIPANTS, WITH RESPECT TO FUTURE MAKE UP BENEFITS, WERE NO LONGER PERMITTED TO DEFER THESE BENEFITS. |
| SCHEDULE J, PART II: | DURING 2022, THE INDIVIDUALS REPORTED ON SCHEDULE J, PART II WERE PAID BY THE UNIVERSITY OF SOUTHERN CALIFORNIA ("USC"), A RELATED ORGANIZATION. CERTAIN DIRECTORS OF USC CARE MEDICAL GROUP ARE FULL-TIME EMPLOYEES OF THE USC ADMINISTRATION. THESE INDIVIDUALS ARE NOT COMPENSATED FOR THEIR ROLE AS DIRECTORS OF USC CARE MEDICAL GROUP. FOR PURPOSES OF FORM 990 REPORTING, A COMMON LAW EMPLOYEE ANALYSIS HAS BEEN COMPLETED BY THE FILING ORGANIZATION TO DETERMINE ITS KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1 & PART III, LINE 1 AND 4A: | TO PROMOTE HEALTH BY ENGAGING IN THE PRACTICE OF MEDICINE FOR PATIENTS OF HOSPITALS AFFILIATED WITH THE UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE AND ELSEWHERE. TO PROVIDE MEDICAL CARE TO THE SICK AND INJURED WHO MAY COME TO THIS CORPORATION FOR DIAGNOSIS, TREATMENT AND CARE WITHOUT REGARD TO RACE, COLOR, CREED, SEX, AGE OR ABILITY TO PAY FOR SERVICES AND PARTICULARLY TO PROVIDE SUCH MEDICAL CARE FOR PERSONS WHO SEEK SUCH CARE AT HOSPITALS AND OTHER HEALTH CARE FACILITIES AFFILIATED WITH THE UNIVERSITY. |
| FORM 990, PART VI, LINE 2: | CERTAIN INDIVIDUALS LISTED IN PART VII ARE OFFICERS AND DIRECTORS OF THE UNIVERSITY OF SOUTHERN CALIFORNIA, A RELATED ORGANIZATION. ALL INDIVIDUALS LISTED WITH RELATED ORGANIZATION COMPENSATION ARE COMPENSATED BY THE UNIVERSITY. |
| FORM 990, PART VI, LINES 6, 7A AND 7B: | THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS THE USC HEALTH SYSTEM, A CALIFORNIA TAX-EXEMPT ORGANIZATION. THE CORPORATE MEMBER HAS THE AUTHORITY TO APPROVE DIRECTORS ELECTED BY THE BOARD AND REMOVE DIRECTORS AND THE AUTHORITY TO APPROVE CHANGES TO THE BYLAWS. ACTIONS REQUIRING APPROVAL OF THE CORPORATE MEMBER INCLUDE ANY CHANGES TO THE COMPOSITION OF THE BOARD OF DIRECTORS, BYLAW CHANGES, CERTAIN PROPERTY TRANSACTIONS, BUDGET APPROVAL, AND APPROVAL OF CERTAIN CONTRACTS AND PURCHASE AGREEMENTS. |
| FORM 990, PART VI, LINE 11B: | USC CARE MEDICAL GROUP'S FORM 990 IS REVIEWED AT SEVERAL LEVELS. THE MEDICAL GROUP ENGAGES AN EXTERNAL PUBLIC ACCOUNTING FIRM TO ASSIST IN THE PREPARATION AND REVIEW OF ITS FORM 990 AND TO SIGN AS PAID PREPARER. AMONG THOSE WHO CONDUCT THE REVIEW OF THE FINAL FORM 990 AT THE MEDICAL GROUP INCLUDE MANAGEMENT, AND THE AUDIT, COMPLIANCE, AND RISK COMMITTEE OF THE USC HEALTH SYSTEM. THE REVIEW OF FORM 990 IS CONDUCTED PRIOR TO IT BEING FILED AND A FINAL COPY OF THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS OF THE USC HEALTH SYSTEM BEFORE IT IS FILED. |
| FORM 990, PART VI, LINE 12 | AS A RELATED ORGANIZATION OF THE USC HEALTH SYSTEM, THE ORGANIZATION FOLLOWS THE HEALTH SYSTEM'S POLICIES INCLUDING THE CONFLICT OF INTEREST POLICY. THE CONFLICT OF INTEREST POLICY COVERS ALL INTERESTED PERSONS EMPLOYEES AND THEIR CLOSE RELATIONS. INTERESTED PERSONS WILL CONTINUE TO BE SUBJECT TO THE POLICY FOR FIVE YEARS AFTER CEASING TO BE AN INTERESTED PERSON. AN "INTERESTED PERSON" MEANS ANY DIRECTOR, MEMBER OF ANY COMMITTEE APPOINTED BY THE BOARD (WHETHER OR NOT SUCH PERSON IS A DIRECTOR), PRINCIPAL OFFICER, OR KEY EMPLOYEE WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST IN A CONTEMPLATED TRANSACTION OR ARRANGEMENT. IN CONNECTION WITH ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST, AN INTERESTED PERSON MUST FULLY DISCLOSE THE EXISTENCE OF AND ALL MATERIAL FACTS RELATED TO THE FINANCIAL INTEREST THAT GIVES RISE TO THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST. SUCH DISCLOSURE SHALL BE MADE TO THE CHAIR OF THE BOARD, THE CHAIR OF THE EXECUTIVE COMMITTEE, OR THE CHAIR OF SUCH OTHER COMMITTEE OF THE BOARD AS IS AUTHORIZED TO REVIEW SUCH TRANSACTION OR ARRANGEMENT REFERRED TO AS AN "APPROPRIATE COMMITTEE". IF A DIRECTOR, COMMITTEE MEMBER, PRINCIPAL OFFICER, OR KEY EMPLOYEE BECOMES AWARE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST RELATED TO ANOTHER DIRECTOR, COMMITTEE MEMBER, PRINCIPAL OFFICER, OR KEY EMPLOYEE, SUCH PERSON SHALL PROMPTLY BRING IT TO THE ATTENTION OF THE CHAIR OF THE BOARD, THE CHAIR OF THE EXECUTIVE COMMITTEE, OR THE CHAIR OF AN APPROPRIATE COMMITTEE. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, THE INTERESTED PERSON SHALL BE EXCUSED FROM THE MEETING OF THE BOARD OR APPROPRIATE COMMITTEE DURING THE DISCUSSION OF THE FINANCIAL INTEREST AND THE VOTE ON WHETHER A CONFLICT OF INTEREST EXISTS, WHICH SHALL BE DETERMINED BY A MAJORITY OF A DISINTERESTED QUORUM. THE REMAINING BOARD OR COMMITTEE MEMBERS (OR THE SOLE MEMBER IF THERE ARE NO DISINTERESTED DIRECTORS) SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF THE REMAINING BOARD OR COMMITTEE MEMBERS DETERMINE THAT THE FINANCIAL INTEREST OF AN INTERESTED PERSON DOES NOT CONSTITUTE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THE REVIEW PROCESS IS COMPLETE. IF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST HAS BEEN FOUND, THE BOARD OR COMMITTEE SHALL PROCEED AS FOLLOWS: THE INTERESTED PERSON SHALL BE EXCUSED FROM THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT, PROVIDED THAT THE INTERESTED PERSON MAY WITH THE PERMISSION OR AT THE REQUEST OF THE PRESIDING OFFICER ADDRESS THE MEETING WITH RESPECT TO THE TRANSACTION OR ARRANGEMENT BEFORE LEAVING THE MEETING. THE BODY THAT CONSIDERS THE PROPOSED TRANSACTION OR ARRANGEMENT SHALL BE COMPOSED ENTIRELY OF INDIVIDUALS WITHOUT A CONFLICT OF INTEREST WITH RESPECT TO THE PROPOSED TRANSACTION OR ARRANGEMENT. THE BOARD OR APPROPRIATE COMMITTEE MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE OF DISINTERESTED PERSONS TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT BEFORE VOTING ON SUCH TRANSACTION OR ARRANGEMENT. FURTHER, LEGAL COUNSEL MAY BE CONSULTED IF DESIRED BY THE BOARD OR COMMITTEE PRIOR TO CONSIDERING THE TRANSACTION OR ARRANGEMENT. THE BOARD OR AN APPROPRIATE COMMITTEE (EXCEPT AS PROVIDED BELOW), AFTER THE EXERCISE OF REASONABLE DUE DILIGENCE, MAY AUTHORIZE OR APPROVE A TRANSACTION OR ARRANGEMENT BY VOTE OF A MAJORITY OF THE DISINTERESTED DIRECTORS ON THE BOARD OR SUCH COMMITTEE AFTER MAKING THE DETERMINATIONS SET FORTH. IF A DIRECTOR HAS A MATERIAL FINANCIAL INTEREST IN A TRANSACTION OR ARRANGEMENT, THEN THE TRANSACTION OR ARRANGEMENT MAY ONLY BE APPROVED BY ACTION TAKEN BY THE FULL BOARD, OR BY AN APPROPRIATE COMMITTEE. TO AUTHORIZE OR APPROVE A TRANSACTION OR ARRANGEMENT, THE BOARD OR APPROPRIATE COMMITTEE MUST DETERMINE THE FOLLOWING: THAT THE BOARD (OR APPROPRIATE COMMITTEE) HAS KNOWLEDGE OF ALL MATERIAL FACTS CONCERNING THE TRANSACTION OR ARRANGEMENT AND THE FINANCIAL OR OTHER INTEREST OF ANY INTERESTED PERSON IN SUCH TRANSACTION OR ARRANGEMENT; THAT THE BOARD (OR APPROPRIATE COMMITTEE) HAS OBTAINED AND RELIED ON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DETERMINATION, AS DESCRIBED IN SECTION 4958 OF THE CODE AND THE ACCOMPANYING TREASURY REGULATIONS; THAT THE BOARD (OR APPROPRIATE COMMITTEE) IS ACTING IN GOOD FAITH; THAT THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT; THAT THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AT THE TIME THE CORPORATION WILL ENTER INTO IT; THAT, AFTER REASONABLE INVESTIGATION UNDER THE CIRCUMSTANCES, THE CORPORATION CANNOT OBTAIN A MORE ADVANTAGEOUS ARRANGEMENT WITH REASONABLE EFFORT UNDER THE CIRCUMSTANCES FROM A PERSON OR ENTITY THAT DOES NOT HAVE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST; AND THAT THE BOARD (OR APPROPRIATE COMMITTEE) ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION CONCURRENTLY WITH MAKING THAT DETERMINATION, AS DESCRIBED IN SECTION 4958 OF THE CODE AND THE ACCOMPANYING TREASURY REGULATIONS. IF THE BOARD OR APPROPRIATE COMMITTEE HAS REASONABLE CAUSE TO BELIEVE ANY DIRECTOR, ANY MEMBER OF ANY COMMITTEE OF THE BOARD, ANY PRINCIPAL OFFICER, OR ANY KEY EMPLOYEE HAS FAILED TO DISCLOSE A FINANCIAL INTEREST, IT SHALL INFORM THE DIRECTOR, MEMBER OF THE COMMITTEE, PRINCIPAL OFFICER, OR KEY EMPLOYEE OF THE BASIS FOR SUCH BELIEF AND AFFORD THE PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE DIRECTOR, MEMBER OF THE COMMITTEE, PRINCIPAL OFFICER, OR KEY EMPLOYEE'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE BOARD OR APPROPRIATE COMMITTEE DETERMINES THAT THE MEMBER HAS FAILED TO DISCLOSE A FINANCIAL INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. EACH DIRECTOR, COMMITTEE MEMBER, PRINCIPAL OFFICER, AND KEY EMPLOYEE SHALL ANNUALLY SIGN A STATEMENT THAT AFFIRMS SUCH PERSON: HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE CONFLICT OF INTEREST POLICY, HAS AGREED TO COMPLY WITH THE CONFLICT OF INTEREST POLICY; UNDERSTANDS THAT THE CORPORATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES; HAS AGREED TO PROMPTLY NOTIFY THE CHAIR OF THE BOARD, THE CHAIR OF THE EXECUTIVE COMMITTEE, OR THE CHAIR ON AN APPROPRIATE COMMITTEE OF ANY CONFLICT OF INTEREST HE OR SHE MAY HAVE RELATED TO ANY TRANSACTION OR ARRANGEMENT TO WHICH THE CORPORATION IS OR MAY BECOME A PARTY; AND, EACH DIRECTOR, COMMITTEE MEMBER, PRINCIPAL OFFICER, AND KEY EMPLOYEE WILL ANNUALLY EXECUTE A STATEMENT AFFIRMING EACH OF THESE ITEMS. |
| FORM 990, PART VI, LINES 13, 14 & 16: | USC CARE MEDICAL GROUP, INC. FOLLOWS THE UNIVERSITY OF SOUTHERN CALIFORNIA'S WRITTEN DOCUMENT RETENTION, WHISTLEBLOWER, AND JOINT VENTURE POLICIES WHICH WERE PREVIOUSLY ISSUED BY UNIVERSITY MANAGEMENT AND ARE CURRENTLY IN EFFECT. ALL POLICIES GO TO THE CLINICAL PRACTICES COMMITTEE FOR APPROVAL. |
| FORM 990, PART VI, LINE 15: | AS A RELATED ORGANIZATION OF USC HEALTH SYSTEM, THE COMPENSATION OF THE ORGANIZATION'S CEO, OFFICERS AND KEY EMPLOYEES IS DETERMINED ANNUALLY BY THE USC HEALTH SYSTEM BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE USING THE SAFE HARBOR PROCESS DESCRIBED IN TREASURY REGULATION SECTION 53.4958-6. NAMELY, A COMMITTEE OF THE USC HEALTH SYSTEM'S BOARD OF DIRECTORS TAKES THE FOLLOWING THREE STEPS: (1) IT ENSURES THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT BEING REVIEWED, (2) IT LOOKS TO COMPARABILITY DATA AND SPECIALIZED COMPENSATION REPORTS (AND IN SOME CASES OPINIONS) PREPARED FOR THE ORGANIZATION BY INDEPENDENT COMPENSATION CONSULTANTS WITH RESPECT TO SIMILARLY QUALIFIED INDIVIDUALS IN COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS, AND (3) IT MAINTAINS A CONTEMPORANEOUS RECORD OF ITS DELIBERATIONS AND DECISIONS. THE COMPENSATION FOR THE PRESIDENT OF USC CARE MEDICAL GROUP IS SET VIA THE ANNUAL REVIEW PROCESS FOR FACULTY (AS THE PRESIDENT IS A FACULTY PHYSICIAN OF THE UNIVERSITY OF SOUTHERN CALIFORNIA) THROUGH THE OFFICE OF THE VICE PROVOST FOR ACADEMIC AND FACULTY AFFAIRS. |
| FORM 990, PART VI, LINE 19: | THE ORGANIZATION'S BYLAWS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION FILES UNDER CONSOLIDATED FINANCIAL STATEMENTS WITH THE UNIVERSITY OF SOUTHERN CALIFORNIA AND ALSO FOLLOWS THE UNIVERSITY'S POLICIES. THE FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICIES ARE MADE AVAILABLE TO THE PUBLIC ON THE UNIVERSITY OF SOUTHERN CALIFORNIA'S WEBSITE. |
| FORM 990, PART XI, LINE 9: | OTHER CHANGES IN NET ASSETS TRANSFER TO USC KECK SCHOOL OF MEDICINE - MISSION SUPPORT $-2,820,135 RENT FORGIVEN BY UNIVERSITY OF SOUTHERN CALIFORNIA $2,389,680 USC FUND BALANCE $-3,868,745 CONTRIBUTED CAPITAL TRANSFER $698,310 OTHER ADJUSTMENTS - FINANCIAL STATEMENT RESTATEMENT $-268,147 _____________ OTHER CHANGES IN NET ASSETS OR FUND BALANCES $-3,869,037 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | USC CARE MEDICAL NON-CONTRACTED LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1510 SAN PABLO ST STE 649 | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90033 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 270318583 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Total Income | $406,399 | TotalIncomeAmt |
| End Of Year Assets | $372,235 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | USC CARE | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY OF SOUTHERN CALIFORNIA | ||||||||||
| UNIVERSITY GARDENS - UGB203 | LOS ANGELES | CA | 90089 | 951642394 | EDUCATION | CA | 501(C)(3) | 2 | NA | false |
| ICT PRODUCTIONS INC | ||||||||||
| C/O USC UGB 203 | LOS ANGELES | CA | 90089 | 954843260 | EDUC. MEDIA | CA | 501(C)(3) | 12A | USC | Yes (true) |
| DAVID X MARKS FOUNDATION | ||||||||||
| C/O USC UGB 203 | LOS ANGELES | CA | 90089 | 956034304 | USC SUPPORT | CA | 501(C)(3) | 12A | USC | Yes (true) |
| SURVIVORS OF SHOAH VISUAL HISTORY FDN | ||||||||||
| C/O USC 650 W 35TH ST | LOS ANGELES | CA | 90089 | 954474965 | EDUC. MEDIA | CA | 501(C)(3) | 7 | USC | Yes (true) |
| USC Verdugo Hills Hospital Foundation | ||||||||||
| 1812 VERDUGO BLVD | GLENDALE | CA | 91208 | 953247823 | USC SUPPORT | CA | 501(C)(3) | 12A | VHH | Yes (true) |
| ALBEDO INSURANCE COMPANY IC | ||||||||||
| UNIVERSITY GARDENS UGB203 | LOS ANGELES | CA | 90089 | 851454978 | USC SUPPORT | VT | 501(C)(3) | 12A | USC | Yes (true) |
| USC CAPTIVE INSURANCE COMPANY | ||||||||||
| UNIVERSITY GARDENS UGB203 | LOS ANGELES | CA | 90089 | 851454519 | USC SUPPORT | VT | 501(C)(3) | 12A | USC | Yes (true) |
| GENERAL LIABILITY DEFENSE IC | ||||||||||
| UNIVERSITY GARDENS UGB203 | LOS ANGELES | CA | 90089 | 851472543 | USC SUPPORT | VT | 501(C)(3) | 12A | USC | Yes (true) |
| USC HEALTH SYSTEM | ||||||||||
| 1510 SAN PABLO STREET | LOS ANGELES | CA | 90089 | 850666499 | USC SUPPORT | CA | 501(C)(3) | 12B | USC | Yes (true) |
| KECK MEDICAL CENTER OF USC | ||||||||||
| 1510 SAN PABLO STREET | LOS ANGELES | CA | 90033 | 851644866 | HOSPITAL | CA | 501(C)(3) | 3 | USC HEALTH | Yes (true) |
| USC VERDUGO HILLS HOSPITAL | ||||||||||
| 1812 VERDUGO BOULEVARD | GLENDALE | CA | 91208 | 851634852 | HOSPITAL | CA | 501(C)(3) | 3 | USC HEALTH | Yes (true) |
| PACIFIC-12 CONFERENCE | ||||||||||
| 1350 TREAT BOULEVARD | WALNUT CREEK | CA | 94597 | 941459048 | USC SUPPORT | CA | 501(C)(3) | 12A | NA | false |
| THE ASC TRUST AT USC | ||||||||||
| C/O R FOX 1500 MARKET STREET | PHILADELPHIA | PA | 19102 | 776216147 | USC SUPPORT | PA | 501(C)(3) | 12D | NA | false |
| NAT'L HLTHCRE RESEARCH & EDUC FINANCE CO | ||||||||||
| 1445 ROSS AVENUE STE 3800 | DALLAS | TX | 75202 | 311707979 | USC SUPPORT | TX | 501(C)(3) | 12C | NA | false |
| USC ARCADIA HOSPITAL | ||||||||||
| 300 WEST HUNTINGTON DRIVE | ARCADIA | CA | 91007 | 951643336 | HOSPITAL | CA | 501(C)(3) | 3 | USC HEALTH | Yes (true) |
| USC ARCADIA HOSPITAL FOUNDATION | ||||||||||
| 300 WEST HUNTINGTON DRIVE | ARCADIA | CA | 91007 | 953407027 | FUNDRAISING | CA | 501(C)(3) | 7 | USCAH | Yes (true) |
| ALDERSGATE MEDICAL SERVICES | ||||||||||
| 300 WEST HUNTINGTON DRIVE | ARCADIA | CA | 91007 | 953702057 | SUPPORT ORG | CA | 501(C)(3) | 12A | USCAH | Yes (true) |
| WOMEN'S AUXILIARY OF METHODIST HOSPITAL | ||||||||||
| 300 WEST HUNTINGTON DRIVE | ARCADIA | CA | 91007 | 954123357 | HEALTHCARE | CA | 501(C)(3) | 12D | NA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | UBI Code VUBICodeVAmt | EINEIN |
|---|---|---|---|---|---|---|---|---|---|
| USCSCA SURGICAL HOLDINGS LLC | |||||||||
| 1510 SAN PABLO STTREET | LOS ANGELES | CA | 02210 | SURGERY CENTE | CA | USC | RELATED | $0 | |
| SUMMERTIME APARTMENTS | |||||||||
| 3990 RUFFIN ROAD SUITE 100 | SAN DIEGO | CA | 92123 | HOUSING | CA | USC | $0 | 330167146 | |
| HM FUND II LP | |||||||||
| 150 EAST 58TH STREET 33RD FL | NEW YORK | NY | 10155 | INVESTMENTS | NY | USC | $0 | 871030738 | |
| STRIPES V MEADOWS CO-INVEST LP | |||||||||
| 40 10TH AVE 5TH FLOOR | NEW YORK | NY | 10014 | INVESTMENTS | NY | USC | $0 | 862543648 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| MAY ROBERTS DEWRIGHT TRUST | |||||||||
| UNIVERSITY GARDENS - UGB203 | LOS ANGELES | CA | 900898003 | 956284845 | USC SUPPORT | CA | NA | T | Yes (true) |
| INTEGRATED DIGITAL ASSET CORPORATION | |||||||||
| UNIVERSITY GARDENS - UGB203 | LOS ANGELES | CA | 900898003 | 954680904 | 3RD PARTY CON | CA | NA | C | Yes (true) |
| CHARITABLE REMAINDER TRUSTS (353) | |||||||||
| FUNDRAISING | CA | NA | T | Yes (true) | |||||
| POOLED INCOME FUND (1) | |||||||||
| FUNDRAISING | CA | NA | T | Yes (true) | |||||
| CHARITABLE REMAINDER TRUST (1) | |||||||||
| INVESTMENT | CA | USCAHF | T | Yes (true) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV, LINE 4 COLUMN (C) | FormAndLineReferenceDesc |
| Explanation | THE LEGAL DOMICILES OF THE CHARITABLE REMAINDER TRUSTS INCLUDE: CA, CO, FL, HI, IL, IN, NV, NY, NC, PA AND WA | ExplanationTxt |