VERITY HEALTH SYSTEM OF CALIFORNIA INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- VERITY HEALTH SYSTEM OF CALIFORNIA INC (EIN 91-2145484)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-16
- IRS object ID
- 202201369349312680
- Schema version
- 2020v4.2
- 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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule F
- Schedule J
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-16T15:48:13-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 366055558 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT THORNTON LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 171 N CLARK ST STE 200 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 912145484 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VERITY HEALTH SYSTEM OF CALIFORNIA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VERI | BusinessNameControlTxt |
| Phone | 8185321020 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6300 CANOGA AVE NO 1500W | AddressLine1Txt |
| City | WOODLAND HILLS | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91367 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HOWARD GROBSTEIN | PersonNm |
| Person Title | LIQUIDATING TRUSTEE | PersonTitleTxt |
| Phone | 8185321020 | PhoneNum |
| Signature | 2022-05-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | HOWARD | PersonFirstNm |
| Person Last | GROBSTEIN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRIDGET T ROCHE | PreparerPersonNm |
| PTIN | P00666837 | PTIN |
| Phone | 3128560200 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | HOWARD GROBSTEIN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6300 CANOGA AVE NO 1500W | AddressLine1Txt |
| City | WOODLAND HILLS | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91367 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $34,470,055 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://VERITY.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2001 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | VERITY HEALTH SYSTEM OF CALIFORNIA, INC. IS THE HEALTH SYSTEM'S PARENT (SEE SCHEDULE O)ORGANIZATION, PROVIDING LEADERSHIP AND SUPPORT FOR THE ORGANIZATION'S AFFILIATES. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 1 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 147 | 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 | $131,211,232 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $49,342,185 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,802,130 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,217,362 | PYOtherRevenueAmt |
| CY Other Revenue | $25,667,925 | CYOtherRevenueAmt |
| PY Total Revenue | $185,770,779 | PYTotalRevenueAmt |
| CY Total Revenue | $34,470,055 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,061,408 | 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 | $28,055,571 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,811,925 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $141,191,407 | PYOtherExpensesAmt |
| CY Other Expenses | $18,960,138 | CYOtherExpensesAmt |
| PY Total Expenses | $172,308,386 | PYTotalExpensesAmt |
| CY Total Expenses | $21,772,063 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $13,462,393 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $12,697,992 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,122,086,987 | TotalAssetsBOYAmt |
| Total Assets EOY | $49,558,037 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,130,825,695 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $53,746,143 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$8,738,708 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$4,188,106 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | VERITY HEALTH SYSTEM OF CALIFORNIA, INC. ("VHS") IS ORGANIZED AND OPERATED TO SUPPORT ITS AFFILIATED HEALTHCARE FACILITIES BY (I) MAINTAINING ACUTE CARE HOSPITALS, MEDICAL CLINICS, MEDICALFOUNDATIONS AND RELATED FACILITIES AND (CONTINUED ON SCHEDULE O)(CONTINUED FROM PART III)ENTERPRISES. (II) PROMOTING SCIENTIFIC RESEARCH RELATED TO HEALTHCARE SERVICES, (III) MAINTAINING HEALTHCARE ENTERPRISES USING SYSTEMS DESIGNED TO MAXIMIZE BENEFITS TO THE COMMUNITIES SERVED, (IV) PROMOTING THE GENERAL HEALTH OF THE COMMUNITIES SERVED BY VERITY AND ITS AFFILIATED HEALTHCARE FACILITIES, AND (V) PROVIDING FINANCIAL AND OTHER FORMS OF ASSISTANCE FOR THE BENEFIT OF ITS AFFILIATED HEALTHCARE FACILITIES AND THE COMMUNITIES THEY SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $9,291,139 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | THE ENTITY IS IN THE PROCESS OF WINDING DOWN FOR EVENTUAL DISSOLUTION. | Desc |
| Total Program Service Expenses | $9,291,139 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | Yes (1) | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | Yes (1) | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 137 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 147 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 1 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VHS LIQUIDATING TRUST CO HOWARD GROBSTEIN TRUSTEE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8185321020 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6300 CANOGA AVE SUITE 1500W | AddressLine1Txt |
| City | WOODLAND HILLS | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91367 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD ADCOCK | ||||||||||
| CEO (THRU 9/2020) | 35.00 | 5.00 | Yes (X) | $2,159,831 | $0 | $11,789 | ||||
| TIRSO DEL JUNCO | ||||||||||
| CHIEF MEDICAL OFFICER (THRU 8/2020) | 40.00 | 0.00 | $727,563 | $0 | $8,466 | Yes (X) | ||||
| ANTHONY ARMADA - CHIEF | ||||||||||
| OPERATING OFFICER (THRU 8/2020) | 36.00 | 4.00 | Yes (X) | $689,917 | $0 | $12,489 | ||||
| ELEANOR RAMIREZ - CHIEF | ||||||||||
| HOSPITAL OPERATIONS (THRU 8/2020) | 39.00 | 1.00 | $632,695 | $0 | $13,512 | Yes (X) | ||||
| TY CONNER - INTERIM CONTROLLER | ||||||||||
| (THRU 9/20); TREASURER (THRU 4/21) | 27.00 | 13.00 | $536,130 | $0 | $26,623 | Yes (X) | ||||
| STEVEN SHARRER | ||||||||||
| CHIEF HR OFFICER (THRU 8/2020) | 40.00 | 0.00 | $479,064 | $0 | $5,795 | Yes (X) | ||||
| ELSPETH PAUL | ||||||||||
| GENERAL COUNSEL (THRU 6/2020) | 0.00 | 0.00 | $450,978 | $0 | $360 | Yes (X) | ||||
| BRENDA L BUCHAS - SR DIRECTOR | ||||||||||
| APPLICATIONS (THRU 9/2020) | 40.00 | 0.00 | $348,714 | $0 | $9,119 | Yes (X) | ||||
| JAMES DUONG - DIRECTOR | ||||||||||
| DECISION SUPPORT/FIN. (THRU 9/2020) | 40.00 | 0.00 | $324,759 | $0 | $11,546 | Yes (X) | ||||
| MARGARET PFEIFFER - VP | ||||||||||
| PROGRAM DEVELOPMENT (THRU 8/2020) | 40.00 | 0.00 | $304,989 | $0 | $3,380 | Yes (X) | ||||
| MICHAEL DAY - EXECUTIVE DIR | ||||||||||
| IT & OPERATIONS (THRU 9/2020) | 40.00 | 0.00 | $300,622 | $0 | $6,413 | Yes (X) | ||||
| LORI SEARGEANT - EXECUTIVE | ||||||||||
| DIRECTOR, HIM - PD (THRU 9/2020) | 40.00 | 0.00 | $209,538 | $0 | $10,652 | Yes (X) | ||||
| NAMQUYEN NGUYEN - SR DIRECTOR | ||||||||||
| SPECIAL PROJECTS (THRU 9/2020) | 40.00 | 0.00 | $187,957 | $0 | $8,592 | Yes (X) | ||||
| ROY PASCALE-SONIA - VP ASSOC | ||||||||||
| GENERAL COUNSEL (THRU 3/2020) | 0.00 | 0.00 | $180,059 | $0 | $12,350 | Yes (X) | ||||
| JACK KROUSKUP | ||||||||||
| CHAIRMAN (THRU 4/2021) | 1.00 | 13.00 | Yes (X) | $100,000 | $0 | $0 | Yes (X) | |||
| ANDREW PINES | ||||||||||
| VICE CHAIRMAN (THRU 4/2021) | 1.00 | 13.00 | Yes (X) | $75,000 | $0 | $0 | Yes (X) | |||
| TERRY BELMONT | ||||||||||
| SECRETARY (THRU 4/2021) | 1.00 | 13.00 | Yes (X) | $75,000 | $0 | $0 | Yes (X) | |||
| CHRISTOBEL SELECKY | ||||||||||
| BOARD MEMBER (THRU 9/2020) | 1.00 | 2.00 | $56,250 | $0 | $0 | Yes (X) | ||||
| CHARLES PATTON | ||||||||||
| BOARD MEMBER (THRU 9/2020) | 1.00 | 0.00 | $45,000 | $0 | $0 | Yes (X) | ||||
| ERNEST AGATSTEIN | ||||||||||
| BOARD MEMBER (THRU 9/2020) | 1.00 | 0.00 | $45,000 | $0 | $0 | Yes (X) | ||||
| JAMES BARBER | ||||||||||
| BOARD MEMBER (THRU 9/2020) | 1.00 | 0.00 | $45,000 | $0 | $0 | Yes (X) | ||||
| HOWARD GROBSTEIN | ||||||||||
| LIQUIDATING TRUSTEE (BEG 9/2020) | 1.00 | 13.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| PETER CHADWICK | ||||||||||
| CFO | 35.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,974,066 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $141,086 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 45 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BERKELEY RESEARCH GROUP LLC | |||||
| 2200 POWELL STREET STE 1200 | EMERYVILLE | CA | 94608 | CONSULTANT | $11,368,561 |
| DENTONS US LLP | |||||
| 601 S FIGUEROA ST STE 2500 | LOS ANGELES | CA | 901894579 | CONSULTANT | $10,037,184 |
| MILBANK TWEED HADLEY AND MCCLOY LLP 55 | |||||
| HUDSON YARDS | NEW YORK | NY | 100012163 | CONSULTANT | $4,282,943 |
| PACHULSKI STANG ZIEHL & JONES LLP 150 | |||||
| CALIFONIA STREET | SAN FRANCISCO | CA | 94111 | LEGAL | $2,145,539 |
| MICROSOFT LICENSING GP | |||||
| 1950 N STEMMONS FWY | DALLAS | TX | 75207 | INFORMATION TECHNOLOGY | $1,643,538 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 31 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $499,384 | TotalRevenueColumnAmt |
| Exclusion | $499,384 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | $747,095 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | $747,095 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $747,095 | TotalRevenueColumnAmt |
| Exclusion | $747,095 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,706,594 | SecuritiesAmt |
| Other | $5,596,152 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,706,594 | SecuritiesAmt |
| Other | $5,596,152 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,302,746 | TotalRevenueColumnAmt |
| Exclusion | $8,302,746 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| REGIONAL ADMIN. | 900099 | $22,212,612 | $22,212,612 |
| MISCELLANEOUS REVENUE | 900099 | $2,454,903 | $2,454,903 |
| TRANSITION REVENUE | 900099 | $253,315 | $253,315 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $24,920,830 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,470,055 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $34,470,055 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,900,851 | TotalAmt |
| Program Services | $1,900,851 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $485,257 | TotalAmt |
| Program Services | $485,257 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,395 | TotalAmt |
| Program Services | $50,395 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,394 | TotalAmt |
| Program Services | $32,394 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $343,028 | TotalAmt |
| Program Services | $343,028 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,279,977 | TotalAmt |
| Management And General | $5,279,977 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,945 | TotalAmt |
| Program Services | $144,945 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,495,333 | TotalAmt |
| Program Services | $2,495,333 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $628,370 | TotalAmt |
| Program Services | $471,278 | ProgramServicesAmt |
| Management And General | $157,092 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,980,744 | TotalAmt |
| Program Services | $1,485,558 | ProgramServicesAmt |
| Management And General | $495,186 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $352,919 | TotalAmt |
| Management And General | $352,919 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,773 | TotalAmt |
| Management And General | $28,773 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155 | TotalAmt |
| Management And General | $155 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,070,460 | TotalAmt |
| Management And General | $6,070,460 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,336 | TotalAmt |
| Program Services | $131,916 | ProgramServicesAmt |
| Management And General | $8,420 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,942 | TotalAmt |
| Management And General | $87,942 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES | $710,678 | $710,678 |
| REORGANIZATION COSTS | $272,406 | $272,406 |
| PROPERTY TAXES | $88,555 | $88,555 |
| ASSET IMPAIRMENT | $43,651 | $43,651 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $634,894 | TotalAmt |
| Program Services | $634,894 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,772,063 | TotalAmt |
| Program Services | $9,291,139 | ProgramServicesAmt |
| Management And General | $12,480,924 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $154,726,928 | BOYAmt |
| EOY | $12,536,223 | 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 | $1,757,335 | BOYAmt |
| EOY | $2,401,937 | 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 | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,934,420 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,185,900 | BOYAmt |
| EOY | $0 | 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 | $1,790,169 | 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 | $950,692,235 | BOYAmt |
| EOY | $34,619,877 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,122,086,987 | BOYAmt |
| EOY | $49,558,037 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,909,750 | BOYAmt |
| EOY | $5,861,503 | 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 | $27,559,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $451,934,094 | 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 | $66,011,319 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,000,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $367,411,532 | BOYAmt |
| EOY | $47,884,640 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,130,825,695 | BOYAmt |
| EOY | $53,746,143 | 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 | -$8,738,708 | BOYAmt |
| EOY | -$4,188,106 | 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 | -$8,738,708 | BOYAmt |
| EOY | -$4,188,106 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,122,086,987 | BOYAmt |
| EOY | $49,558,037 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $12,697,992 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$8,147,390 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| IRS Written Determination | Yes (X) | IRSWrittenDeterminationInd |
| Supported Organizations | 7 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (7 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| O'CONNOR HOSPITAL | ||||
| 912154436 | 3 | Yes (1) | $151,397 | $0 |
| SAINT LOUISE REGIONAL HOSPITAL | ||||
| 912154437 | 3 | Yes (1) | $48,422 | $0 |
| SETON MEDICAL CENTER | ||||
| 912154441 | 3 | Yes (1) | $34,768,014 | $0 |
| ST FRANCIS MEDICAL CENTER | ||||
| 912154439 | 3 | Yes (1) | $103,379,415 | $0 |
| ST VINCENT MEDICAL CENTER | ||||
| 212154438 | 3 | Yes (1) | $2,576,575 | $0 |
| VERITY MEDICAL FOUNDATION | ||||
| 453691852 | 10 | Yes (1) | $2,569,575 | $0 |
| VERITY BUSINESS SERVICES | ||||
| 510659139 | 10 | Yes (1) | $4,371,215 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 7 | SupportedOrganizationsTotalCnt |
| Support Sum | $147,864,613 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | 0 | MajorityDirTrstSupportedOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART IV, SECTION C, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE BOARD OF DIRECTORS OF ALL OF THE SUPPORTED ORGANIZATIONS OF VERITY HEALTH SYSTEM OF CALIFORNIA, INC. ("VHS") (O'CONNOR HOSPITAL, SAINT LOUISE REGIONAL HOSPITAL, SETON MEDICAL CENTER, ST. FRANCIS MEDICAL CENTER, ST. VINCENT MEDICAL CENTER, VERITY MEDICAL FOUNDATION AND VERITY BUSINESS SERVICES) ARE APPOINTED BY VHS, THEIR SOLE CORPORATE MEMBER. | ExplanationTxt |
Schedule C IRS990ScheduleC
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $9,291,139 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $9,291,139 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $614,557 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $153,639 | FilingOrganizationsTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $614,557 | CurrentYearAmt |
| Total | $3,614,557 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $5,421,836 | LobbyingCeilingAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $153,639 | CurrentYearAmt |
| Total | $903,639 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,355,459 | GrassrootsCeilingAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-A: | FormAndLineReferenceDesc |
| Explanation | VERITY HEALTH SYSTEM OF CALIFORNIA, INC. DID NOT INCUR ANY LOBBYING EXPENDITURES OR CONDUCT LOBBYING ACTIVITIES DURING THE TAX YEAR ENDING JUNE 30, 2021. SCHEDULE C IS BEING COMPLETED AS THE ORGANIZATION HAD AN IRC SECTION 501(H) ELECTION IN EFFECT DURING THE YEAR. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ASSETS HELD ON BEHALF OF THE LIQUIDATING TRUSTEE | Desc |
| Book Value | $34,619,877 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $34,619,877 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO THE LIQUIDATING TRUSTEE | Desc |
| Amt | $47,884,640 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $47,884,640 | TotalLiabilityAmt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | INVESTMENT | TypeOfActivitiesConductedTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $0 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $0 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (1) | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3: | VERITY HEALTH SYSTEM OF CALIFORNIA, INC. ("VHS") OWNED 100% OF MARILLAC INSURANCE COMPANY, LTD ("MARILLAC"), AN INSURANCE CAPTIVE DOMICILED IN THE CAYMAN ISLANDS. DECEMBER 23, 2020 THE STOCK WAS SOLD TO RANDALL & QUILTER II HOLDINGS LTD, A UNITED KINGDOM DOMICILED HOLDING COMPANY. THEREFORE, NO INVESTMENT HAS BEEN INCLUDED ON PART I OF THIS SCHEDULE. |
| PART III ACCOUNTING METHOD: |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD ADCOCK | ||||||||||||||
| CEO (THRU 9/2020) | $908,923 | $0 | $1,250,000 | $0 | $908 | $0 | $0 | $0 | $11,789 | $0 | $2,171,620 | $0 | $0 | $0 |
| TIRSO DEL JUNCO | ||||||||||||||
| CHIEF MEDICAL OFFICER (THRU 8/2020) | $402,563 | $0 | $325,000 | $0 | $0 | $0 | $0 | $0 | $8,466 | $0 | $736,029 | $0 | $0 | $0 |
| ANTHONY ARMADA - CHIEF | ||||||||||||||
| OPERATING OFFICER (THRU 8/2020) | $384,998 | $0 | $300,000 | $0 | $4,919 | $0 | $0 | $0 | $12,489 | $0 | $702,406 | $0 | $0 | $0 |
| ELEANOR RAMIREZ - CHIEF | ||||||||||||||
| HOSPITAL OPERATIONS (THRU 8/2020) | $458,069 | $0 | $168,000 | $0 | $6,626 | $0 | $6,413 | $0 | $7,099 | $0 | $646,207 | $0 | $0 | $0 |
| TY CONNER - INTERIM CONTROLLER | ||||||||||||||
| (THRU 9/20); TREASURER (THRU 4/21) | $358,566 | $0 | $177,040 | $0 | $524 | $0 | $6,413 | $0 | $20,210 | $0 | $562,753 | $0 | $0 | $0 |
| STEVEN SHARRER | ||||||||||||||
| CHIEF HR OFFICER (THRU 8/2020) | $269,064 | $0 | $210,000 | $0 | $0 | $0 | $0 | $0 | $5,795 | $0 | $484,859 | $0 | $0 | $0 |
| ELSPETH PAUL | ||||||||||||||
| GENERAL COUNSEL (THRU 6/2020) | $320,604 | $0 | $130,000 | $0 | $374 | $0 | $0 | $0 | $360 | $0 | $451,338 | $0 | $0 | $0 |
| BRENDA L BUCHAS - SR DIRECTOR | ||||||||||||||
| APPLICATIONS (THRU 9/2020) | $292,314 | $0 | $56,400 | $0 | $0 | $0 | $2,000 | $0 | $7,119 | $0 | $357,833 | $0 | $0 | $0 |
| JAMES DUONG - DIRECTOR | ||||||||||||||
| DECISION SUPPORT/FIN. (THRU 9/2020) | $285,159 | $0 | $39,600 | $0 | $0 | $0 | $6,413 | $0 | $5,133 | $0 | $336,305 | $0 | $0 | $0 |
| MARGARET PFEIFFER - VP | ||||||||||||||
| PROGRAM DEVELOPMENT (THRU 8/2020) | $219,989 | $0 | $85,000 | $0 | $0 | $0 | $0 | $0 | $3,380 | $0 | $308,369 | $0 | $0 | $0 |
| MICHAEL DAY - EXECUTIVE DIR | ||||||||||||||
| IT & OPERATIONS (THRU 9/2020) | $229,156 | $0 | $69,000 | $0 | $2,466 | $0 | $6,413 | $0 | $0 | $0 | $307,035 | $0 | $0 | $0 |
| LORI SEARGEANT - EXECUTIVE | ||||||||||||||
| DIRECTOR, HIM - PD (THRU 9/2020) | $148,970 | $0 | $60,000 | $0 | $568 | $0 | $3,997 | $0 | $6,655 | $0 | $220,190 | $0 | $0 | $0 |
| NAMQUYEN NGUYEN - SR DIRECTOR | ||||||||||||||
| SPECIAL PROJECTS (THRU 9/2020) | $133,581 | $0 | $54,292 | $0 | $84 | $0 | $3,459 | $0 | $5,133 | $0 | $196,549 | $0 | $0 | $0 |
| ROY PASCALE-SONIA - VP ASSOC | ||||||||||||||
| GENERAL COUNSEL (THRU 3/2020) | $126,911 | $0 | $53,148 | $0 | $0 | $0 | $5,433 | $0 | $6,917 | $0 | $192,409 | $0 | $0 | $0 |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail (2 entries)
| Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc | DistributionDistributionDt | Fair Market Value Of AssetFairMarketValueOfAssetAmt | Method Of FMV DeterminationMethodOfFMVDeterminationTxt | EINEIN | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | IRC SectionIRCSectionTxt |
|---|---|---|---|---|---|---|---|---|---|
| AHMC HEALTHCARE | |||||||||
| SALE OF HOSPITAL (SMC) | 2021-06-30 | $3,102,061 | TAX BASIS | 510519157 | 500 E MAIN ST | ALHAMBRA | CA | 91801 | CORPORATION |
| PRIME HELATHCARE SERVICES INC | |||||||||
| SALE OF HOSPITAL (SFMC) | 2021-06-30 | $2,494,091 | TAX BASIS | 330943449 | 3480E GUASTI RD | ONTARIO | CA | 91761 | CORPORATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | Yes (1) | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | 0 | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | 0 | OwnerOfSuccessor2Ind |
| Receive Compensation2 | 0 | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE N, PART II: | FormAndLineReferenceDesc |
| Explanation | IN ADDITION TO THE ASSETS REPORTED ON PART II, CERTAIN TRANSACTIONS WITHIN THE HEALTH SYSTEM WERE WRITTEN-OFF AS PART OF THE BANKRUPTCY PLAN. PLEASE SEE FORM 990, PART XI, LINE 9 AND SCHEDULE O FOR MORE INFORMATION. SCHEDULE N, PART II, LINE 2A: THE DIRECTORS OF THE ORGANIZATION WERE ALSO THE DIRECTORS OF THE TRANSFEREE ORGANIZATION, VERITY HEALTH SYSTEM OF CALIFORNIA IN FISCAL YEAR 2021 AND CONTINUED AS DIRECTORS OF BOTH ENTITIES AFTER THE TRANSFER OF ASSETS OCCURRED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | MEMBERS OR STOCKHOLDERS WITH POWER TO APPOINT CERTAIN LISTED OFFICERS AND BOARD MEMBERS ALSO SERVE AS OFFICERS AND BOARD MEMBERS OF A RELATED ENTITY. |
| FORM 990, PART VI, SECTION A, LINE 3 | MANAGEMENT DUTIES THE CFO OF VHS, PETER CHADWICK, IS A CONSULTANT FROM BERKLEY RESEARCH GROUP LLC ("BRG"). BRG PROVIDES CONSULTING SERVICES TO VHS AND IS REPORTED AS AN INDEPENDENT CONTRACTOR ON THE VHS 2020 FORM 990. DURING FISCAL YEAR 2021, PETER CHADWICK PERFORMED MANAGEMENT DUTIES ON BEHALF OF VHS IN HIS CAPACITY AS CFO. VHS DID NOT DIRECTLY COMPENSATE PETER CHADWICK FOR HIS SERVICES AS CFO, HIS COMPENSATION FOR THESE SERVICES ARE PART OF THE FEE VHS PAYS TO BRG AS AN INDEPENDENT CONTRACTOR. THE LIQUIDATING TRUSTEE OF VHS, HOWARD GROBSTEIN, IS A PARTNER AT GROBSTEIN TEEPLE LLP. DURING THE FISCAL YEAR 2021, HOWARD GROBSTEIN PERFORMED MANAGEMENT DUTIES ON BEHALF OF VHS IN HIS CAPACITY AS LIQUIDATING TRUSTEE. VHS DID NOT DIRECTLY COMPENSATE HOWARD GROBSTEIN FOR HIS SERVICES AS LIQUIDATING TRUSTEE. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 REVIEW PROCESS THE ORGANIZATION'S INDEPENDENT TAX PREPARERS AND FINANCE STAFF WORK TOGETHER TO GATHER THE REQUIRED INFORMATION NECESSARY TO COMPLETE THE FORM 990. THE INITIAL DRAFT FORM 990 IS REVIEWED BY THE ORGANIZATION'S FINANCE DEPARTMENT. AFTER THE FORM 990 IS REVIEWED, RECOMMENDED CHANGES ARE DISCUSSED AND A FINAL FORM 990 IS PREPARED. PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE, THE FINAL FORM 990 IS DISTRIBUTED TO THE ORGANIZATION'S BOARD OF DIRECTORS FOR REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST POLICY VHS HAS A CONFLICT OF INTEREST POLICY THAT COVERS VHS AND ALL OF ITS AFFILIATES. THE POLICY PROVIDES FOR A SYSTEMATIC AND ONGOING METHOD OF REQUIRING INDIVIDUALS WHO HAVE DECISION MAKING RESPONSIBILITIES TO DISCLOSE AND ADDRESS POTENTIAL AND ACTUAL CONFLICTS OF INTEREST. COVERED INDIVIDUALS ARE REQUIRED TO COMPLETE AN ANNUAL STATEMENT DISCLOSING ANY CONFLICTS OF INTEREST AND HAVE A DUTY TO UPDATE THE DISCLOSURE FOR ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR. THE PRESIDENT & CEO OF EACH INDIVIDUAL AFFILIATE WITHIN THE HEALTH SYSTEM REPORTS THE CONFLICT OF INTEREST FINDINGS AND RESOLUTIONS TO THEIR RESPECTIVE BOARD OF DIRECTORS. THIS POLICY IS REVIEWED ANNUALLY FOR COMPLIANCE BY THE LIQUIDATING TRUSTEE. |
| FORM 990, PART VI, SECTION B, LINE 15 | PROCESS FOR DETREMINING COMPENSATION THE VHS COMPENSATION PROGRAMS COVER VHS AND ALL OF ITS AFFILIATES. THE PRESIDENT & CEO OF EACH HOSPITAL AND VERITY MEDICAL FOUNDATION ARE EMPLOYED BY VHS. THE VHS COMPENSATION PROGRAMS ARE DESIGNED TO RECRUIT, RETAIN, AND MOTIVATE QUALIFIED EXECUTIVES. THE PROGRAMS ARE DESIGNED FOR POSITIONS THAT HAVE A SIGNIFICANT IMPACT ON THE HIGH-LEVEL STRATEGIC AND POLICY DIRECTION OF VHS AND ITS AFFILIATED HOSPITALS. VHS UTILIZED A BENEFITS COMMITTEE TO REVIEW COMPENSATION AND BENEFITS. THE VHS BOARD OF DIRECTORS REVIEWS AND APPROVES COMPENSATION RECOMMENDED BY THE BENEFITS COMMITTEE, AND DOCUMENTS ITS CONCLUSION THAT THE PROPOSED COMPENSATION IS REASONABLE. IN EVALUATING AND FINALIZING ITS DETERMINATION OF BASE PAY AND TOTAL COMPENSATION FOR COMPARABLE POSITIONS AT COMPARABLE ORGANIZATIONS IN COMPARABLE MARKETS, VHS UTILIZES AVAILABLE MARKET DATA ANALYSIS WHICH INCLUDES FORM 990S OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEYS OR STUDIES, AND RECOMMENDATIONS FROM THE BENEFITS COMMITTEE AND APPROVAL BY THE VHS BOARD OF DIRECTORS. COMPENSATION IS CONTEMPORANEOUSLY DOCUMENTED IN THE MINUTES. FOLLOWING BANKRUPTCY, VHS IMPLEMENTED A BONUS PLAN TO RETAIN CERTAIN ELIGIBLE EMPLOYEES OF THE ORGANIZATION THROUGH THE BANKRUPTCY PROCESS. COMPENSATION RELATED TO THE BONUS PLAN WAS REVIEWED AND APPROVED BY THE VHS COMPENSATION COMMITTEE, BOARD OF DIRECTORS, AND BANKRUPTCY COURT. THIS PLAN APPLIES TO BOTH THE VHS CEO AND OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION DURING THE 2020 TAX YEAR. |
| FORM 990, PART VI, SECTION C, LINE 19 | HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC |
| PART VIII, LINE 7A: | GROSS AMOUNT FROM SALES OF ASSETS OTHER THAN INVENTORY THE ASSETS DISPOSED OF DURING THE FISCAL YEAR WERE COMMINGLED WITH RELATED ORGANIZATION ASSETS, THEREFORE, THE ORGANIZATION IS UNABLE TO DETERMINE THE GROSS SALE PROCEEDS ALLOCABLE TO THE FILING ORGANIZATION. FORM 990, PART IX, LINES 11A AND 11B: FEES FOR SERVICES LINE 11A AND 11B INCLUDE BANKRUPTCY RELATED REORGANIZATION AND MANAGEMENT EXPENSES. |
| FORM 990, PART IX, LINE 11G | REGISTRY LABOR: PROGRAM SERVICE EXPENSES 723,252. TOTAL EXPENSES 723,252. PROVIDER FEE: PROGRAM SERVICE EXPENSES 681,527. TOTAL EXPENSES 681,527. MEDICAL FEES PHYSICIANS: PROGRAM SERVICE EXPENSES 456,823. TOTAL EXPENSES 456,823. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 495,515. TOTAL EXPENSES 495,515. ALL OTHER FEES: PROGRAM SERVICE EXPENSES 138,216. TOTAL EXPENSES 138,216. |
| FORM 990, PART XI, LINE 9: | INTERCOMPANY TRANSFER TO WRITE-OFF BALANCES DUE -8,147,390. |
| FORM 990, PART XII: | FINANCIAL STATEMENTS AND REPORTING ON AUGUST 31, 2018, VHS AND 16 OF ITS AFFILIATED COMPANIES EACH FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE. THE BANKRUPTCY CASES ARE JOINTLY ADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA. ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. COURT FILINGS ARE AVAILABLE AT KCCLLC.NET/VERITYHEALTH. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| DE PAUL VENTURES LLC | |||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 273340398 | INVESTING | CA | -$3,595,059 | $0 | VHS |
| DE PAUL VENTURES-SAN JOSE ASC LLC | |||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 273340453 | INVESTING | CA | $0 | $0 | DPV LLC |
| DE PAUL VENTURES-SAN JOSE DIALYSIS LLC | |||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 371732430 | INVESTING | CA | $0 | $0 | DPV LLC |
| VERITY HOLDINGS LLC | |||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 813038177 | PROPERTY HLDG | CA | -$18,533,718 | $0 | VHS |
| VHOLDINGS MOB LLC (END 42021) | |||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 611812110 | INACTIVE | CA | $0 | $0 | DPV LLC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT F KENNEDY MEDICAL CENTER FOUNDATION | ||||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 953745227 | INACTIVE | CA | 501(C)(3) | LINE 7 | VHS | 0 |
| ST FRANCIS MEDICAL CENTER FOUNDATION | ||||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 953190773 | HOSPITAL SUPPORT | CA | 501(C)(3) | LINE 12A, I | VHS | 0 |
| SAINT LOUISE REGIONAL HOSPITAL FOUNDATION | ||||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 562384735 | HOSPITAL SUPPORT | CA | 501(C)(3) | LINE 12A, I | VHS | 0 |
| SETON MEDICAL CENTER FOUNDATION | ||||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 942824033 | HOSPITAL SUPPORT | CA | 501(C)(3) | LINE 12A, I | VHS | 0 |
| O'CONNOR HOSPITAL FOUNDATION | ||||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 770006295 | HOSPITAL SUPPORT | CA | 501(C)(3) | LINE 12A, I | VHS | 0 |
| ST FRANCIS MEDICAL CENTER | ||||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 912154439 | HOSPITAL | CA | 501(C)(3) | LINE 3 | VHS | Yes (1) |
| ST VINCENT MEDICAL CENTER | ||||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 912154438 | HOSPITAL | CA | 501(C)(3) | LINE 3 | VHS | Yes (1) |
| SAINT LOUISE REGIONAL HOSPITAL | ||||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 912154437 | HOSPITAL | CA | 501(C)(3) | LINE 3 | VHS | Yes (1) |
| SETON MEDICAL CENTER | ||||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 912154441 | HOSPITAL | CA | 501(C)(3) | LINE 3 | VHS | Yes (1) |
| O'CONNOR HOSPITAL | ||||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 912154436 | HOSPITAL | CA | 501(C)(3) | LINE 3 | VHS | Yes (1) |
| ST VINCENT DIALYSIS CENTER | ||||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 953749293 | HOSPITAL | CA | 501(C)(3) | LINE 3 | VHS | 0 |
| VERITY BUSINESS SERVICES | ||||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 510659139 | SUPPORT | CA | 501(C)(3) | LINE 12B, II | VHS | Yes (1) |
| VERITY MEDICAL FOUNDATION | ||||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 453691852 | SUPPORT | CA | 501(C)(3) | LINE 10 | VHS | Yes (1) |
| ST VINCENT FOUNDATION | ||||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 953922511 | HOSPITAL SUPPORT | CA | 501(C)(3) | LINE 12A, I | VHS | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARILLAC INSURANCE COMPANY LTD (END 1220) | |||||||||||||||
| PO BOX 69 | GRAND CAYMAN | CJ | KY1-1102 | 980417930 | CAPTIVE INSURANCE | CJ | VHS | C | 1.00000 | 0 | |||||
| ROBERT F KENNEDY MEDICAL CENTER | |||||||||||||||
| 912154440 | INACTIVE | VHS | C | 1.00000 | Yes (1) | 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | CA | |||||
| VHS LIQUIDATING TRUST | |||||||||||||||
| 852762852 | LIQUIDATION | T | 0 | 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | CA | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| O'CONNOR HOSPITAL | ||
| C | $3,114,964 | COST |
| SAINT LOUISE REGIONAL HOSPTIAL | ||
| C | $3,054,137 | COST |
| SETON MEDICAL CENTER | ||
| C | $58,790,323 | COST |
| ST FRANCIS MEDICAL CENTER | ||
| C | $2,818,767 | COST |
| ST VINCENT MEDICAL CENTER | ||
| C | $29,999,782 | COST |
| VERITY MEDICAL FOUNDATION | ||
| C | $487,255 | COST |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART II, COLUMN (G) | FormAndLineReferenceDesc |
| Explanation | THE REPORTING FOR PART II, COLUMN (G) REFLECTS THE ORGANIZATIONAL STRUCTURE AS PRESENTED IN THE FILING ORGANIZATION'S GOVERNING DOCUMENTS. HOWEVER, IN ACCORDANCE WITH THE ORGANIZATION'S WIND DOWN FOR EVENTUAL DISSOLUTION, BY THE END OF FY21 THE LIQUIDATING TRUSTEE HAD CONTROL OVER ALL OF THE ENTITIES LISTED ON PART II. | ExplanationTxt |