2022-05-16T15:48:13-05:00 2021-06-30 366055558 GRANT THORNTON LLP 171 N CLARK ST STE 200 CHICAGO IL 60601 990 2020-07-01 912145484 VERITY HEALTH SYSTEM OF CALIFORNIA INC VERI 8185321020 6300 CANOGA AVE NO 1500W WOODLAND HILLS CA 91367 HOWARD GROBSTEIN LIQUIDATING TRUSTEE 8185321020 2022-05-16 1 HOWARD GROBSTEIN XXX-XX-XXXX BRIDGET T ROCHE P00666837 3128560200 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z X HOWARD GROBSTEIN 6300 CANOGA AVE NO 1500W WOODLAND HILLS CA 91367 34470055 0 X HTTPS://VERITY.ORG/ X 2001 CA 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. X 1 0 147 0 0 0 0 0 131211232 0 49342185 8802130 5217362 25667925 185770779 34470055 3061408 0 0 0 28055571 2811925 0 0 0 141191407 18960138 172308386 21772063 13462393 12697992 1122086987 49558037 1130825695 53746143 -8738708 -4188106 X 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. 0 0 9291139 0 0 THE ENTITY IS IN THE PROCESS OF WINDING DOWN FOR EVENTUAL DISSOLUTION. 9291139 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 1 137 0 1 147 1 0 0 0 0 0 0 0 0 0 0 1 0 X 1 0 1 1 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 CA X VHS LIQUIDATING TRUST CO HOWARD GROBSTEIN TRUSTEE 8185321020 6300 CANOGA AVE SUITE 1500W WOODLAND HILLS CA 91367 RICHARD ADCOCK CEO (THRU 9/2020) 35.00 5.00 X 2159831 0 11789 TIRSO DEL JUNCO CHIEF MEDICAL OFFICER (THRU 8/2020) 40.00 0.00 X 727563 0 8466 ANTHONY ARMADA - CHIEF OPERATING OFFICER (THRU 8/2020) 36.00 4.00 X 689917 0 12489 ELEANOR RAMIREZ - CHIEF HOSPITAL OPERATIONS (THRU 8/2020) 39.00 1.00 X 632695 0 13512 TY CONNER - INTERIM CONTROLLER (THRU 9/20); TREASURER (THRU 4/21) 27.00 13.00 X 536130 0 26623 STEVEN SHARRER CHIEF HR OFFICER (THRU 8/2020) 40.00 0.00 X 479064 0 5795 ELSPETH PAUL GENERAL COUNSEL (THRU 6/2020) 0.00 0.00 X 450978 0 360 BRENDA L BUCHAS - SR DIRECTOR APPLICATIONS (THRU 9/2020) 40.00 0.00 X 348714 0 9119 JAMES DUONG - DIRECTOR DECISION SUPPORT/FIN. (THRU 9/2020) 40.00 0.00 X 324759 0 11546 MARGARET PFEIFFER - VP PROGRAM DEVELOPMENT (THRU 8/2020) 40.00 0.00 X 304989 0 3380 MICHAEL DAY - EXECUTIVE DIR IT & OPERATIONS (THRU 9/2020) 40.00 0.00 X 300622 0 6413 LORI SEARGEANT - EXECUTIVE DIRECTOR, HIM - PD (THRU 9/2020) 40.00 0.00 X 209538 0 10652 NAMQUYEN NGUYEN - SR DIRECTOR SPECIAL PROJECTS (THRU 9/2020) 40.00 0.00 X 187957 0 8592 ROY PASCALE-SONIA - VP ASSOC GENERAL COUNSEL (THRU 3/2020) 0.00 0.00 X 180059 0 12350 JACK KROUSKUP CHAIRMAN (THRU 4/2021) 1.00 13.00 X X 100000 0 0 ANDREW PINES VICE CHAIRMAN (THRU 4/2021) 1.00 13.00 X X 75000 0 0 TERRY BELMONT SECRETARY (THRU 4/2021) 1.00 13.00 X X 75000 0 0 CHRISTOBEL SELECKY BOARD MEMBER (THRU 9/2020) 1.00 2.00 X 56250 0 0 CHARLES PATTON BOARD MEMBER (THRU 9/2020) 1.00 0.00 X 45000 0 0 ERNEST AGATSTEIN BOARD MEMBER (THRU 9/2020) 1.00 0.00 X 45000 0 0 JAMES BARBER BOARD MEMBER (THRU 9/2020) 1.00 0.00 X 45000 0 0 HOWARD GROBSTEIN LIQUIDATING TRUSTEE (BEG 9/2020) 1.00 13.00 X X 0 0 0 PETER CHADWICK CFO 35.00 5.00 X 0 0 0 7974066 0 141086 45 1 1 0 BERKELEY RESEARCH GROUP LLC 2200 POWELL STREET STE 1200 EMERYVILLE CA 94608 CONSULTANT 11368561 DENTONS US LLP 601 S FIGUEROA ST STE 2500 LOS ANGELES CA 901894579 CONSULTANT 10037184 MILBANK TWEED HADLEY AND MCCLOY LLP 55 HUDSON YARDS NEW YORK NY 100012163 CONSULTANT 4282943 PACHULSKI STANG ZIEHL & JONES LLP 150 CALIFONIA STREET SAN FRANCISCO CA 94111 LEGAL 2145539 MICROSOFT LICENSING GP 1950 N STEMMONS FWY DALLAS TX 75207 INFORMATION TECHNOLOGY 1643538 31 X 499384 499384 747095 0 747095 747095 747095 2706594 5596152 0 0 2706594 5596152 8302746 8302746 REGIONAL ADMIN. 900099 22212612 22212612 MISCELLANEOUS REVENUE 900099 2454903 2454903 TRANSITION REVENUE 900099 253315 253315 24920830 34470055 0 0 34470055 X 1900851 1900851 485257 485257 50395 50395 32394 32394 343028 343028 5279977 5279977 144945 144945 2495333 2495333 628370 471278 157092 1980744 1485558 495186 352919 352919 28773 28773 155 155 6070460 6070460 140336 131916 8420 87942 87942 MEDICAL SUPPLIES 710678 710678 REORGANIZATION COSTS 272406 272406 PROPERTY TAXES 88555 88555 ASSET IMPAIRMENT 43651 43651 634894 634894 21772063 9291139 12480924 0 0 0 154726928 12536223 0 0 1757335 2401937 0 0 0 0 0 0 0 0 3934420 0 0 0 9185900 0 0 0 0 0 1790169 0 0 0 950692235 34619877 1122086987 49558037 177909750 5861503 0 0 27559000 0 451934094 0 0 0 0 0 66011319 0 40000000 0 367411532 47884640 1130825695 53746143 X -8738708 -4188106 0 0 -8738708 -4188106 1122086987 49558037 X 12697992 -8147390 X X 0 0 0 X X X 7 O'CONNOR HOSPITAL 912154436 3 1 151397 0 SAINT LOUISE REGIONAL HOSPITAL 912154437 3 1 48422 0 SETON MEDICAL CENTER 912154441 3 1 34768014 0 ST FRANCIS MEDICAL CENTER 912154439 3 1 103379415 0 ST VINCENT MEDICAL CENTER 212154438 3 1 2576575 0 VERITY MEDICAL FOUNDATION 453691852 10 1 2569575 0 VERITY BUSINESS SERVICES 510659139 10 1 4371215 0 7 147864613 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE A, PART IV, SECTION C, LINE 1: 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. 9291139 9291139 614557 153639 0 0 1000000 1000000 1000000 614557 3614557 5421836 250000 250000 250000 153639 903639 1355459 SCHEDULE C, PART II-A: 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. 0 ASSETS HELD ON BEHALF OF THE LIQUIDATING TRUSTEE 34619877 34619877 DUE TO THE LIQUIDATING TRUSTEE 47884640 47884640 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENT 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 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: X X X 0 0 0 0 0 0 0 0 0 RICHARD ADCOCK CEO (THRU 9/2020) 908923 0 1250000 0 908 0 0 0 11789 0 2171620 0 0 0 TIRSO DEL JUNCO CHIEF MEDICAL OFFICER (THRU 8/2020) 402563 0 325000 0 0 0 0 0 8466 0 736029 0 0 0 ANTHONY ARMADA - CHIEF OPERATING OFFICER (THRU 8/2020) 384998 0 300000 0 4919 0 0 0 12489 0 702406 0 0 0 ELEANOR RAMIREZ - CHIEF HOSPITAL OPERATIONS (THRU 8/2020) 458069 0 168000 0 6626 0 6413 0 7099 0 646207 0 0 0 TY CONNER - INTERIM CONTROLLER (THRU 9/20); TREASURER (THRU 4/21) 358566 0 177040 0 524 0 6413 0 20210 0 562753 0 0 0 STEVEN SHARRER CHIEF HR OFFICER (THRU 8/2020) 269064 0 210000 0 0 0 0 0 5795 0 484859 0 0 0 ELSPETH PAUL GENERAL COUNSEL (THRU 6/2020) 320604 0 130000 0 374 0 0 0 360 0 451338 0 0 0 BRENDA L BUCHAS - SR DIRECTOR APPLICATIONS (THRU 9/2020) 292314 0 56400 0 0 0 2000 0 7119 0 357833 0 0 0 JAMES DUONG - DIRECTOR DECISION SUPPORT/FIN. (THRU 9/2020) 285159 0 39600 0 0 0 6413 0 5133 0 336305 0 0 0 MARGARET PFEIFFER - VP PROGRAM DEVELOPMENT (THRU 8/2020) 219989 0 85000 0 0 0 0 0 3380 0 308369 0 0 0 MICHAEL DAY - EXECUTIVE DIR IT & OPERATIONS (THRU 9/2020) 229156 0 69000 0 2466 0 6413 0 0 0 307035 0 0 0 LORI SEARGEANT - EXECUTIVE DIRECTOR, HIM - PD (THRU 9/2020) 148970 0 60000 0 568 0 3997 0 6655 0 220190 0 0 0 NAMQUYEN NGUYEN - SR DIRECTOR SPECIAL PROJECTS (THRU 9/2020) 133581 0 54292 0 84 0 3459 0 5133 0 196549 0 0 0 ROY PASCALE-SONIA - VP ASSOC GENERAL COUNSEL (THRU 3/2020) 126911 0 53148 0 0 0 5433 0 6917 0 192409 0 0 0 SALE OF HOSPITAL (SMC) 2021-06-30 3102061 TAX BASIS 510519157 AHMC HEALTHCARE 500 E MAIN ST ALHAMBRA CA 91801 CORPORATION SALE OF HOSPITAL (SFMC) 2021-06-30 2494091 TAX BASIS 330943449 PRIME HELATHCARE SERVICES INC 3480E GUASTI RD ONTARIO CA 91761 CORPORATION 1 0 0 0 SCHEDULE N, PART II: 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. 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. DE PAUL VENTURES LLC 6300 CANOGA AVE SUITE 1500W WOODLAND HILLS CA 91367 273340398 INVESTING CA -3595059 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 -18533718 0 VHS VHOLDINGS MOB LLC (END 42021) 6300 CANOGA AVE SUITE 1500W WOODLAND HILLS CA 91367 611812110 INACTIVE CA 0 0 DPV LLC 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 1 ST VINCENT MEDICAL CENTER 6300 CANOGA AVE SUITE 1500W WOODLAND HILLS CA 91367 912154438 HOSPITAL CA 501(C)(3) LINE 3 VHS 1 SAINT LOUISE REGIONAL HOSPITAL 6300 CANOGA AVE SUITE 1500W WOODLAND HILLS CA 91367 912154437 HOSPITAL CA 501(C)(3) LINE 3 VHS 1 SETON MEDICAL CENTER 6300 CANOGA AVE SUITE 1500W WOODLAND HILLS CA 91367 912154441 HOSPITAL CA 501(C)(3) LINE 3 VHS 1 O'CONNOR HOSPITAL 6300 CANOGA AVE SUITE 1500W WOODLAND HILLS CA 91367 912154436 HOSPITAL CA 501(C)(3) LINE 3 VHS 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 1 VERITY MEDICAL FOUNDATION 6300 CANOGA AVE SUITE 1500W WOODLAND HILLS CA 91367 453691852 SUPPORT CA 501(C)(3) LINE 10 VHS 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 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 6300 CANOGA AVE SUITE 1500W WOODLAND HILLS CA 91367 912154440 INACTIVE CA VHS C 1.00000 1 VHS LIQUIDATING TRUST 6300 CANOGA AVE SUITE 1500W WOODLAND HILLS CA 91367 852762852 LIQUIDATION CA T 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 O'CONNOR HOSPITAL C 3114964 COST SAINT LOUISE REGIONAL HOSPTIAL C 3054137 COST SETON MEDICAL CENTER C 58790323 COST ST FRANCIS MEDICAL CENTER C 2818767 COST ST VINCENT MEDICAL CENTER C 29999782 COST VERITY MEDICAL FOUNDATION C 487255 COST SCHEDULE R, PART II, COLUMN (G) 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.