SETON MEDICAL CENTER: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- SETON MEDICAL CENTER (EIN 91-2154441)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-16
- IRS object ID
- 202211369349313941
- 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 B
- Schedule C
- Schedule H
- Schedule I
- Schedule J
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-16T16:23:01-05:00 | 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 | 912154441 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SETON MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SETO | 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 | $30,093,199 | 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 | SETON MEDICAL CENTER AND ITS SISTER FACILITY, SETON COASTSIDE, OFFERS (SEE SCHEDULE O) PATIENT-CENTRIC, QUALITY HEALTH CARE TO THE COMMUNITIES IN WHICH THEY SERVE. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 1 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 1399 | TotalEmployeeCnt |
| Total Volunteers | 46 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $17,896,633 | PYContributionsGrantsAmt |
| CY Contributions Grants | $86,217 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $196,400,515 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $30,006,666 | CYProgramServiceRevenueAmt |
| PY Investment Income | $392,037 | PYInvestmentIncomeAmt |
| CY Investment Income | -$24,185,310 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,658,830 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $216,348,015 | PYTotalRevenueAmt |
| CY Total Revenue | $5,907,573 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $58,790,323 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $163,176,705 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $16,741,247 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $132,621,348 | PYOtherExpensesAmt |
| CY Other Expenses | $20,671,255 | CYOtherExpensesAmt |
| PY Total Expenses | $295,798,053 | PYTotalExpensesAmt |
| CY Total Expenses | $96,202,825 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$79,450,038 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$90,295,252 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $156,855,657 | TotalAssetsBOYAmt |
| Total Assets EOY | $0 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $488,553,997 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$331,698,340 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SETON MEDICAL CENTER IS ORGANIZED AND OPERATED FOR THE PURPOSES OF (I) MAINTAINING ACUTE CARE HOSPITALS AND RELATED FACILITIES, (CONTINUED IN SCHEDULE O)(II) PROMOTING RESEARCH RELATED TO HEALTHCARE SERVICES, (III) MAINTAINING HEALTH PLANS USING SYSTEMS DESIGNED TO MAXIMIZE BENEFITS TO THE COMMUNITIES SERVED, (IV) PROMOTING THE GENERALHEALTH OF THE COMMUNITY, AND (V) PROVIDING FINANCIAL AND OTHER FORMS OF ASSISTANCE FOR THE BENEFIT OF OTHER HEALTHCARE FACILITIES AFFILIATED WITH VERITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $82,887,786 | ExpenseAmt |
| Grant | $58,790,323 | GrantAmt |
| Revenue | $30,006,666 | RevenueAmt |
| Desc | SETON MEDICAL CENTER ("SMC") IS A 357-BED HOSPITAL WHICH CONTINUES THE TRADITION OF PATIENT-CENTRIC, QUALITY HEALTH CARE. RECOGNIZED FOR ITS STROKE TREATMENT, CARDIO-VASCULAR EXCELLENCE (INCLUDING STEMI CERTIFICATION), SMC OFFERS A COMPREHENSIVE RANGE OF MEDICAL SPECIALTIES ON BOTH AN INPATIENT AND OUTPATIENT BASIS, AS WELL AS EMERGENCY SERVICES. THE SETON MEDICAL CENTER ASSETS WERE SOLD AND THE PROGRAMS RELATING TO PATIENT SERVICES WERE TRANSFERRED TO AHMC HEALTHCARE WITH THE ASSET SALE AS OF AUGUST 14, 2020. ANY PROGRAM SERVICE ACTIVITIES REPORTED HERE ARE THOSE INCURRED PRIOR TO AUGUST 14, 2020 AND THOSE ESSENTIAL TO TRANSITION OF THE PROGRAMS FROM SMC. THE ENTITY IS IN THE PROCESS OF WINDING DOWN FOR EVENTUAL DISSOLUTION. | Desc |
| Total Program Service Expenses | $82,887,786 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | 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 | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | 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 | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 103 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1399 | 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 | 0 | 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 | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | 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 (17 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| RICHARD ADCOCK | |||||||||
| EX-OFFICIO (THRU 9/2020) | 1.00 | 39.00 | Yes (X) | $0 | $2,159,831 | $11,789 | |||
| TY CONNER | |||||||||
| DIRECTOR (THRU 4/2021) | 1.00 | 39.00 | Yes (X) | $0 | $536,130 | $26,623 | |||
| HOWARD GROBSTEIN | |||||||||
| LIQUIDATING TRUSTEE (BEG 9/2020) | 1.00 | 13.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JACK KROUSKUP | |||||||||
| BOARD MEMBER (THRU 4/2021) | 1.00 | 13.00 | Yes (X) | $0 | $100,000 | $0 | |||
| ANDREW PINES | |||||||||
| BOARD MEMBER (THRU 4/2021) | 1.00 | 13.00 | Yes (X) | $0 | $75,000 | $0 | |||
| TERRY BELMONT | |||||||||
| BOARD MEMBER (THRU 4/2021) | 1.00 | 13.00 | Yes (X) | $0 | $75,000 | $0 | |||
| ANTHONY ARMADA - CHIEF | |||||||||
| EXECUTIVE OFFICER (THRU 8/2020) | 2.00 | 38.00 | $0 | $689,917 | $12,489 | Yes (X) | |||
| JAMES JACKSON - CHIEF | |||||||||
| OPERATING OFFICER (THRU 8/2020) | 40.00 | 0.00 | $317,716 | $0 | $24,376 | Yes (X) | |||
| SHAFIN ALI - CHIEF | |||||||||
| BIOMEDICAL ENGINEER (THRU 8/2020) | 40.00 | 0.00 | $270,361 | $0 | $0 | Yes (X) | |||
| PETER CHADWICK | |||||||||
| CFO | 5.00 | 35.00 | $0 | $0 | $0 | Yes (X) | |||
| CHARLES ANTONINI JR MD | |||||||||
| CHIEF MEDICAL OFFICER (THRU 8/2020) | 40.00 | 0.00 | $251,619 | $0 | $0 | Yes (X) | |||
| KERIANNE CALIGIURE - INTERIM | |||||||||
| CHIEF NURSE OFFICER (THRU 8/2020) | 40.00 | 0.00 | $224,497 | $0 | $6,413 | Yes (X) | |||
| DOLLY CHAN | |||||||||
| STAFF NURSE IV (THRU 8/2020) | 40.00 | 0.00 | $301,755 | $0 | $13,272 | Yes (X) | |||
| JAMES BROWN | |||||||||
| STAFF NURSE IV (THRU 8/2020) | 40.00 | 0.00 | $284,817 | $0 | $19,096 | Yes (X) | |||
| KEUNG BACK | |||||||||
| STAFF NURSE II (THRU 8/2020) | 40.00 | 0.00 | $266,466 | $0 | $19,096 | Yes (X) | |||
| EVELYN NUQUE | |||||||||
| STAFF NURSE II 10 HR (THRU 8/2020) | 40.00 | 0.00 | $261,159 | $0 | $6,320 | Yes (X) | |||
| ESTRELLA A DAYAO | |||||||||
| STAFF NURSE II (THRU 8/2020) | 40.00 | 0.00 | $249,961 | $0 | $12,936 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,428,351 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,635,878 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $152,410 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 244 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| FASTAFF LLC | |||||
| PO BOX 911452 | DENVER | CO | 802911452 | STAFFING SERVICES | $5,033,684 |
| SETON EMERGENCY PHYSICIANS INC | |||||
| 898 N PACIFIC COAST HWY | EL SEGUNDO | CA | 90245 | MEDICAL SERVICES | $1,245,553 |
| TRADITIONS BEHAVIORAL HEALTH | |||||
| 419/1580 FIRST STREET | NAPA | CA | 94559 | MEDICAL SERVICES | $1,147,778 |
| GALEN INPATIENT PHYSICIANS INC | |||||
| 2100 POWELL STREET | EMERYVILLE | CA | 946081803 | MEDICAL SERVICES | $987,423 |
| CEP AMERICA | |||||
| 2100 POWELL STREET | EMERYVILLE | CA | 946081803 | MEDICAL SERVICES | $873,155 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 27 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $69,203 | RelatedOrganizationsAmt |
| All Other Contributions | $17,014 | AllOtherContributionsAmt |
| Total Contributions | $86,217 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 622110 | $25,495,213 | $25,495,213 |
| OTHER PROGRAM REVENUE | 900099 | $4,511,453 | $4,511,453 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $30,006,666 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $316 | TotalRevenueColumnAmt |
| Exclusion | $316 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $24,185,626 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$24,185,626 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$24,185,626 | TotalRevenueColumnAmt |
| Exclusion | -$24,185,626 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,907,573 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,006,666 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$24,185,310 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,790,323 | TotalAmt |
| Program Services | $58,790,323 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $914,663 | TotalAmt |
| Program Services | $914,663 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,155,859 | TotalAmt |
| Program Services | $12,155,859 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,337,519 | TotalAmt |
| Program Services | $2,337,519 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,333,206 | TotalAmt |
| Program Services | $1,333,206 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $550,000 | TotalAmt |
| Management And General | $550,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,993,590 | TotalAmt |
| Program Services | $1,993,590 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,955 | TotalAmt |
| Program Services | $8,955 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,856 | TotalAmt |
| Program Services | $23,856 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,903,788 | TotalAmt |
| Management And General | $3,903,788 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $431,967 | TotalAmt |
| Program Services | $431,967 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,614,274 | TotalAmt |
| Management And General | $1,614,274 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| BANKRUPTCY FEES | $7,246,977 | $7,246,977 | |
| MEDICAL SUPPLIES | $2,957,183 | $2,957,183 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,940,665 | TotalAmt |
| Program Services | $1,940,665 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,202,825 | TotalAmt |
| Program Services | $82,887,786 | ProgramServicesAmt |
| Management And General | $13,315,039 | 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 | $13,643,457 | 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 | $32,582,478 | BOYAmt |
| EOY | $0 | 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 | $66,708 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,903,668 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,008,205 | 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 | $41,258,655 | 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 | $0 | 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 | $63,392,486 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,855,657 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,678,827 | BOYAmt |
| EOY | $0 | 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 | $37,947,876 | 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 | $378,927,294 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $488,553,997 | BOYAmt |
| EOY | $0 | 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 | -$331,698,340 | BOYAmt |
| EOY | $0 | 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 | -$331,698,340 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,855,657 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$90,295,252 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $421,993,592 | 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $82,887,786 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $82,887,786 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | 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 | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | 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 | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $248,658 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $248,658 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $11,181,661 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,841,490 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,340,171 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05550 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $11,430,319 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,841,490 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,588,829 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05810 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $104,569 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,871 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $95,698 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $104,569 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,871 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $95,698 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $11,534,888 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,850,361 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,684,527 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05910 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $21,649 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $21,649 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $21,649 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $21,649 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | -$117,043 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $7,721,031 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $12,116,002 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,394,971 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SETON MEDICAL CENTER | |||||||||||
| 1 | 1900 SULLIVAN AVENUE | DALY CITY | CA | 94015 | HTTPS://VERITY.ORG | 220000026 | Yes (X) | Yes (X) | Yes (X) | A | |
| SETON COASTSIDE | |||||||||||
| 2 | 600 MARINE BLVD | MOSS BEACH | CA | 94038 | HTTPS://VERITY.ORG | 220000026 | Yes (X) | Yes (X) | Yes (X) | SKILLED NURSING | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SETON MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | 0 | CHNAReportWidelyAvailableInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 5: ASSESSMENT PROCESS AND METHODS | IN AN EFFORT TO IDENTIFY THE MOST CRITICAL HEALTH CARE NEEDS IN SETON MEDICAL CENTER'S SERVICE AREA, A COMMUNITY HEALTHCARE NEEDS ASSESSMENT ("CHNA") IS CONDUCTED EVERY THREE YEARS. THE MOST RECENT ASSESSMENT WAS COMPLETED IN FISCAL YEAR 2019 (TAX YEAR 2018). THE CHNA BUILDS UPON THOSE EARLIER ASSESSMENTS.SETON MEDICAL CENTER AND SETON COASTSIDE ARE MEMBERS OF THE HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY (HCC). THROUGH THIS COLLABORATIVE EFFORT, THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS PRODUCED.THE GOALS OF THE 2019 CHNA ARE TO PROVIDE INSIGHT INTO THE HEALTH OF THE COMMUNITY, PRIORITIZE LOCAL HEALTH NEEDS, AND IDENTIFY AREAS FOR IMPROVEMENT. WITH THIS INFORMATION, HCC MEMBERS INDIVIDUALLY AND COLLECTIVELY DEVELOPED STRATEGIES TO TACKLE CRITICAL HEALTH NEEDS, AS WELL AS IMPROVE THE HEALTH AND WELL-BEING OF COMMUNITY MEMBERS. THE ASSESSMENT FINDINGS ARE ALSO USED AS A GUIDELINE FOR POLICY AND ADVOCACY EFFORTS. IN ADDITION, THE HOSPITAL CONSORTIUM OF SAN MATEO COUNTY, WHICH INCLUDES THE LEADERSHIP OF LOCAL HOSPITALS AND HEALTH DEPARTMENT, PROVIDED DIRECTION TO THE HCC TO ENSURE ALIGNMENT WITH COUNTYWIDE PRIORITY HEALTH INITIATIVES. THE 2019 CHNA REPORT DOCUMENTS HOW THE CURRENT CHNA WAS CONDUCTED, DESCRIBES THE RELATED FINDINGS, AND SHARES THE RESULTS OF STRATEGIES IMPLEMENTED BY SETON MEDICAL CENTER AND SETON COASTSIDE TO ADDRESS THE NEEDS IDENTIFIED BY THE PREVIOUS ASSESSMENT. PLEASE NOTE THAT THE MAJORITY OF ACTIVITIES FOR COMMUNITY BENEFIT WERE HALTED DUE TO COVID-19 PANDEMIC.THE LATEST CHNA, COMPLETED IN FISCAL YEAR 2019 AND DESCRIBED HERE, WAS CONDUCTED COLLABORATIVELY BY HCC MEMBERS IN COMPLIANCE WITH CURRENT FEDERAL REQUIREMENTS.SET TO GATHER INFORMATION FOR ITS LOCAL PLANNING NEEDS AND TO MEET STATE AND FEDERAL MANDATES, THE HCC TOOK THE FOLLOWING APPROACH TO COMPLETE THE 2019 CHNA:TO ASSESS COMMUNITY HEALTH TRENDS, THE HCC DIRECTED ITS CONSULTANT, ACTIONABLE INSIGHTS (AI), TO OBTAIN SECONDARY DATA FROM A VARIETY OF SOURCES. PRIMARY DATA WERE OBTAINED THROUGH DIRECT COMMUNITY INPUT: (A) KEY INFORMANT INTERVIEWS WITH LOCAL HEALTH EXPERTS, (B) FOCUS GROUPS WITH COMMUNITY LEADERS AND REPRESENTATIVES, AND (C) RESIDENT FOCUS GROUPS.TO DETERMINE PARTICIPANTS' HEALTH PRIORITIES, FOCUS GROUP MEMBERS VOTED ON THEIR COMMUNITY'S NEEDS FROM A LIST DERIVED FROM THE PREVIOUS CHNA, AND KEY INFORMANTS STATED WHAT THEY BELIEVED WERE THEIR COMMUNITY'S TOP NEEDS. AI THEN TABULATED HOW MANY FOCUS GROUPS AND KEY INFORMANTS CITED EACH HEALTH NEED AS A PRIORITY.TO ACQUIRE PRIMARY HEALTH DATA SOURCES INTERVIEWS INCLUDED INDIVIDUALS WHO ARE FAMILIAR WITH THE HEALTH NEEDS AND CHALLENGES IN THE COMMUNITY THAT SETON MEDICAL CENTER AND SETON COASTSIDE SERVES. IN ADDITION, KEY INTERVIEWS WERE CONDUCTED WITH MEMBERS OF THE SAN MATEO COUNTY PUBLIC HEALTH DEPARTMENT AND LOCAL COMMUNITY CLINICS.ACTIONABLE INSIGHTS (AI) ALSO ANALYZED DATA ON A VARIETY OF ISSUES, INCLUDING DATA FROM THE 2018 SAN MATEO COUNTY HEALTH AND QUALITY OF LIFE SURVEY, PROVIDED BY SAN MATEO COUNTY HEALTH, AS WELL AS OTHER SECONDARY DATA AND QUALITATIVE DATA FROM FOCUS GROUPS OR KEY INFORMANT INTERVIEWS. AI THEN SYNTHESIZED THESE DATA FOR EACH ISSUE AND APPLIED THE CRITERIA LISTED ABOVE TO EVALUATE WHETHER EACH ISSUE QUALIFIED AS A PRIORITIZED HEALTH NEED. IN 2019, THIS PROCESS LED TO THE IDENTIFICATION OF 12 COMMUNITY HEALTH NEEDS THAT FIT ALL THREE CRITERIA. |
| PART V, SECTION B, LINE 6A: | SETON MEDICAL CENTER'S CHNA WAS CONDUCTED IN PARTNERSHIP WITH THE HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY WHICH INCLUDES THE FOLLOWING HOSPITALS:1. DIGNITY HEALTH SEQUOIA HOSPITAL2. SAN MATEO COUNTY HEALTH3. KAISER PERMANENTE, SAN MATEO AREA4. LUCILE PACKARD CHILDREN'S HOSPITAL STANFORD5. STANFORD HEALTH CARE6. SUTTER HEALTH (MILLS-PENINSULA MEDICAL CENTER AND MENLO PARK SURGICAL HOSPITAL) |
| PART V, SECTION B, LINE 6B: | THE NON-HOSPITAL ORGANIZATIONS INCLUDED IN THE HEALTHY COMMUNITY COLLABORTIVE OF SAN MATEO COUNTY, WHICH SETON MEDICAL CENTER WORKED IN CONJUNCTION WITH TO COMPLETE ITS CHNA, INCLUDE THE COUNTY OF SAN MATEO HUMAN SERVICES AGENCY, AND PENINSULA HEALTH CARE DISTRICT.PART V, SECTION B, LINES 7A AND 10A:ON AUGUST 31, 2018, VERITY HEALTH SYSTEM OF CALIFORNIA, INC. ("VHS OR "VERITY HEALTH SYSTEM") AND MOST OF ITS AFFILIATED COMPANIES, INCLUDING THE HOSPITAL, 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.ON AUGUST 14, 2020, THE SETON MEDICAL CENTER ASSETS WERE SOLD TO AHMC HEALTHCARE AND SMC CEASED TO OPERATE ANY HOSPITALS. THEREFORE, THE SETON MEDICAL CENTER WEBSITE HOSTED BY VHS WAS TERMINATED IN AUGUST 2020. THE CHNA REPORT WAS AVAILABLE AT HTTPS://SETON.VERITY.ORG/SMC/ABOUT.PHP#ABOUT-PANEL4. AS SUCH, THE LINK IS NO LONGER VALID. A COPY OF THE REPORT IS AVAILABLE UPON REQUEST TO THE LIQUIDATING TRUSTEE. |
| PART V, SECTION B, LINE 11: | SIGNIFICANT HEALTH NEEDS THE HOSPITAL ADDRESSED PRIOR TO SMC CEASING TO OPERATE THE HOSPITALSHEALTH CARE ACCESS AND DELIVERY COMMUNITY INPUT SUGGESTS THAT HEALTH CARE IS OFTEN UNAFFORDABLE. THERE ARE DOWNWARD TRENDS IN THE PROPORTION OF CHILDREN WHO HAVE A USUAL PLACE FOR MEDICAL CHECK-UPS, THE PROPORTION OF EMPLOYED COUNTY RESIDENTS WHOSE JOBS OFFER HEALTH BENEFITS, AND RESIDENTS' PERCEPTIONS OF THE EASE OF ACCESS TO SPECIALTY CARE. LOW SOCIOECONOMIC STATUS RESIDENTS ARE MORE LIKELY THAN HIGHER-STATUS GROUPS TO HAVE HEALTH CARE ACCESS ISSUES.HEALTHY LIFESTYLES - THIS NEED INCLUDES CONCERNS ABOUT DIABETES, OBESITY, AND FITNESS, DIET, AND NUTRITION. DIABETES RANKS AMONG THE LEADING CAUSES OF DEATH IN THE COUNTY. THE PREVALENCE OF DIABETES AND OBESITY ARE BOTH ON THE RISE IN THE COUNTY. STATISTICS FOR ADULT DIABETES PREVALENCE AND YOUTH FRUIT/VEGETABLE CONSUMPTION ARE SIGNIFICANTLY WORSE THAN STATE AVERAGES. ADULTS OF LOW SOCIOECONOMIC STATUS FAIL BENCHMARKS FOR OBESITY AND OVERWEIGHT.NEIGHBORHOOD AND BUILT ENVIRONMENT - THIS NEED INCLUDES ACCESS TO FOOD AND RECREATION, COMMUNITY AND FAMILY SAFETY, COMMUNITY INFRASTRUCTURE AND HOUSING QUALITY, NATURAL ENVIRONMENT/CLIMATE, AND TRANSPORTATION AND TRAFFIC. PROPORTIONS OF HEALTHY FOOD STORES AND WIC-AUTHORIZED FOOD STORES, DRINKING WATER VIOLATIONS, AS WELL AS STATISTICS FOR PUBLIC TRANSIT ACCESS, ROAD NETWORK DENSITY, AND FLOOD VULNERABILITY ARE ALL SIGNIFICANTLY WORSE THAN STATE AVERAGES. FAST FOOD RESTAURANT CHAINS ARE ALSO ON THE RISE IN THE COUNTY. ETHNIC AND INCOME DISPARITIES ARE EVIDENT IN ALMOST ALL ASPECTS OF THIS HEALTH NEED.CANCER - CANCER IS THE LEADING CAUSE OF DEATH IN THE COUNTY. OVERALL CANCER PREVALENCE AS WELL AS INCIDENCE RATES FOR CANCERS, SUCH AS MELANOMA, PROSTATE, AND BREAST CANCERS, ARE SIGNIFICANTLY HIGHER IN THE COUNTY THAN THE STATE. CERTAIN ETHNIC GROUPS IN THE COUNTY EXPERIENCE DISPARITIES, INCLUDING AFRICAN ANCESTRY AND LATINX POPULATIONS. RESPIRATORY CONDITIONS - ASTHMA PREVALENCE IS INCREASING AND IS SIGNIFICANTLY WORSE THAN BENCHMARKS. CONDITIONS CORRELATED WITH HIGHER RATES OF ASTHMA (E.G., VERWEIGHT/OBESITY AND SMOKING) ARE SIGNIFICANTLY HIGHER AMONG THE LOW SOCIOECONOMIC STATUS POPULATION. COPD, BRONCHITIS, AND EMPHYSEMA ARE ALSO RISING AND ARE TWICE AS HIGH AS THE STATE AVERAGE. CHRONIC LOWER RESPIRATORY DISEASE AND INFLUENZA/PNEUMONIA WERE BOTH AMONG THE LEADING CAUSES OF DEATH IN THE COUNTY. |
| PART V, SECTION B, LINES 16A, 16B AND 16C: | ON AUGUST 31, 2018, VERITY HEALTH SYSTEM OF CALIFORNIA, INC. ("VHS") AND MOST OF ITS AFFILIATED COMPANIES, INCLUDING THE HOSPITAL, 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. IN ADDITION, AS OF AUGUST 14, 2020, SETON MEDICAL CENTER HOSPITAL ASSETS WERE SOLD TO AHMC HEALTHCARE INC., WHICH CONTINUES TO OPERATE THE HOSPITAL. THEREFORE, THE SETON MEDICAL CENTER WEBSITE HOSTED BY VHS WAS TERMINATED. THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY WERE AVAILABLE AT HTTPS://VERITY.ORG/SMC/FINANCIALASSISTANCE.PHP PRIOR TO THE WEBSTIE TERMINATION. A COPY OF THE REPORT IS AVAILABLE UPON REQUEST TO THE LIQUIDATING TRUSTEE. |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
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| PART I, LINE 7: | COSTING METHODOLOGYPRIOR TO CEASING TO OPERATE THE HOSPITALS, SETON MEDICAL CENTER AND SETON COASTSIDE UTILIZED A COST ACCOUNTING SYSTEM THAT DETERMINED COSTS FOR PROVIDING MEDICAL SERVICES BASED ON THE HOSPITAL'S RELATIONSHIP OF COSTS TO CHARGES.PART II: COMMUNITY BUILDING ACTIVITIESSETON MEDICAL CENTER ACKNOWLEDGES THERE ARE MANY PRESSING COMMUNITY NEEDS. ACTIVITIES SELECTED THAT BUILT UPON THE FOUNDATION SET BY OUR PREVIOUS COMMUNITY BENEFIT INITIATIVES (SERVING THE POOR, MINORITY POPULATIONS, ELDERLY AND UNINSURED). THE ACTIVITIES SETON FOCUSED ON DURING FISCAL YEAR 2020 FALL INTO TWO REPORTING AREAS: BENEFITS FOR VULNERABLE POPULATIONS AND BENEFITS FOR THE BROADER COMMUNITY.THE PROGRAMS AND ACTIVITIES WE SUPPORTED ARE BASED ON THE FOLLOWING:- SERVING THE SICK AND THOSE LIVING IN POVERTY WHO LACK BASIC RESOURCES.- DEVELOPING AND IMPLEMENTING COMMUNITY-BASED PROGRAMS TARGETED TOWARDS IMPROVING HEALTH AND LIFESTYLE BEHAVIORS AND ILLNESS PREVENTION.- PROMOTING AND SPONSORING EVENTS THAT OFFER HEALTHCARE SERVICES AND EDUCATION TO THE COMMUNITY AT-LARGE.- PROVIDING INFORMATION AND ADVOCATING FOR LOW-INCOME, UNINSURED OR UNDERINSURED PEOPLE TO GAIN ACCESS TO MEDICAL INSURANCE, GOVERNMENT ASSISTANCE PROGRAMS, HEALTH CARE SERVICES AND CONTINUUM OF CARE.SETON MEDICAL CENTER PRIORITIES IN FISCAL YEAR 2020 WERE REPORTED AND CATEGORIZED AS FOLLOWS:BENEFITS FOR VULNERABLE POPULATIONS:THESE ACTIVITIES ARE INTENDED TO IMPROVE ACCESS TO CARE FOR LOW-INCOME INDIVIDUALS, THE MEDICALLY UNDERSERVED AND OTHER VULNERABLE POPULATIONS. THESE ACTIVITIES INCLUDED PROVIDING HEALTH CARE SERVICES TO THE UNDERINSURED AND UNINSURED COMMUNITY MEMBERS, OPERATING THE HEALTH BENEFITS RESOURCE CENTER, AND PARTNERING WITH COMMUNITY PROGRAMS THAT CARE FOR THE HOMELESS.HEALTH BENEFITS RESOURCE CENTERTHE SETON MEDICAL CENTER HEALTH BENEFITS RESOURCE CENTER (HBRC) PROVIDES A ONE-STOP INFORMATIONAL AND REFERRAL SERVICE THAT ADVOCATES FOR THOSE LIVING IN POVERTY. THE CENTER HELPS LOW-INCOME INDIVIDUALS WITH HEALTH INSURANCE ENROLLMENT ASSISTANCE, CALFRESH (FOOD STAMPS) ENROLLMENT AND REPORTING AND LINKAGE TO ADDITIONAL COMMUNITY RESOURCES. SERVICES ARE PROVIDED IN ENGLISH, SPANISH AND VIETNAMESE.BENEFITS FOR BROADER COMMUNITY:SETON MEDICAL CENTER SUPPORTED A WIDE RANGE OF PROGRAMS AND ACTIVITIES THAT PROVIDED INFORMATION AND RESOURCES TO IMPROVE THE HEALTH AND WELFARE OF THE BROADER COMMUNITY, ACTIVITIES INCLUDED PRESENTING COMMUNITY HEALTH EDUCATION CLASSES, PARTICIPATING IN COMMUNITY HEALTH FAIRS AND SCREENINGS, PROVIDING HEALTH PROFESSIONS EDUCATION, AND PARTNERSHIPS WITHCOMMUNITY ORGANIZATIONS.SETON MEDICAL CENTER ALSO PROVIDED A VARIETY OF SUPPORT GROUPS WITH A SAFE, HEALING ENVIRONMENT WHERE COMMUNITY MEMBERS GATHERED TOGETHER TO COPE WITH THEIR ILLNESS OR LEARN ABOUT AN ILLNESS IN SUPPORT OF A LOVED ONE. IN FISCAL YEAR 2021, SUPPORT GROUPS MEETING AT SETON MEDICAL CENTER INCLUDED DIABETES SUPPORT GROUP AND WEIGHT LOSS PROGRAM. SETON ALSO DONATED MEETING ROOM SPACE TO COMMUNITY-BASED ORGANIZATIONS.COMMUNITY HEALTH FAIRS AND SCREENINGS: ACTIVITIES WERE HALTED IN EARLY 2020 DUE TO COVID-19 PANDEMIC. SETON MEDICAL CENTER WAS PLEASED TO PARTNER WITH AND PARTICIPATE IN COMMUNITY EVENTS AND HEALTH FAIRS BY PROVIDING HEALTH EDUCATION INFORMATION AND SCREENINGS.OUR COMMUNITY HEALTH TEAM PROVIDED A VARIETY OF HEALTH SCREENINGS AT MONTHLY EVENTS SUCH AS WALK ABOUT TALK ABOUT HELD AT A LOCAL SHOPPING MALL. REGISTERED NURSING STAFF PROVIDED FREE BLOOD PRESSURE SCREENINGS. SETON CLINICAL LEADERS ALSO PROVIDED BRIEF TALKS TO THE COMMUNITY IN ATTENDANCE ON HEALTHCARE TOPICS OF INTEREST.SETON MEDICAL CENTER BELIEVED IN COMMUNITY-BASED COLLABORATION AND WAS COMMITTED TO WORKING WITH PARTNERS TO BUILD A HEALTHIER COMMUNITY DURING THE TIME SETON OPERATED THE HOSIPATLS. WE WORKED WITH THE AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, AND HEP B FREE SAN MATEO COUNTY AND OTHER ORGANIZATIONS TO ACHIEVE GOALS THAT ARE GREATER THAN WHAT THE HOSPITAL OR ORGANIZATION COULD ACCOMPLISH ALONE. |
| PART III, LINES 2, 3, AND 4: BAD DEBT EXPENSE | SETON MEDICAL CENTER IS PART OF THE CONSOLIDATED FINANCIAL STATEMENTS OF VERITY HEALTH SYSTEM OF CALIFORNIA, INC., WHICH INCLUDE ENTITIES OTHER THAN THOSE INCLUDED IN THIS FILING.ON AUGUST 31, 2018, VERITY HEALTH SYSTEM OF CALIFORNIA, INC. ("VHS") AND MOST OF ITS AFFILIATED COMPANIES, INCLUDING THE HOSPITAL, 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.DUE TO THE CHAPTER 11 FILING, A FORMAL AUDIT WAS NOT COMPLETED FOR FISCAL YEAR 2018, 2019, 2020, OR 2021. INSTEAD, THE VHS "MONTHLY OPERATING REPORTS" REQUIRED BY THE U.S. TRUSTEE'S OFFICE CAN BE OBTAINED FROM KCCLLC.NET/VERITYHEALTH. PLEASE NOTE THAT THE FISCAL YEAR 2017 AUDIT FOOTNOTE REGARDING BAD DEBT FOR THE CONSOLIDATED FINANCIAL STATEMENTS REMAINS TRUE AND ACCURATE. THE FIGURE IN LINE 2 OF PART III IS ONLY SETON MEDICAL CENTER'S PORTION OF THE CONSOLIDATED BAD DEBT EXPENSE. |
| PART III, LINE 2: METHODOLOGY TO ESTIMATE BAD DEBT EXPENSE | BAD DEBT EXPENSE WAS ESTIMATED BY UTILIZING HISTORICAL COLLECTIONS OF DATA OF SELF-PAY PATIENTS. IN MAKING THIS ESTIMATE, MANAGEMENT ALSO CONSIDERED BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA.PART III, LINE 3: BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER FAP METHODOLOGYTHE ESTIMATED AMOUNT OF SETON MEDICAL CENTER'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS UNDETERMINABLE AND THUS RECORDED AS ZERO. |
| PART III, LINE 4: BAD DEBT EXPENSE FOOTNOTE | ON AUGUST 31, 2018, VERITY HEALTH SYSTEM OF CALIFORNIA, INC. ("VHS") AND MOST OF ITS AFFILIATED COMPANIES, INCLUDING THE HOSPITAL, 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. DUE TO THE CHAPTER 11 FILING, A FORMAL AUDIT WAS NOT COMPLETED FOR FISCAL YEAR 2018, 2019 OR 2020. INSTEAD, THE VHS "MONTHLY OPERATING REPORTS" REQUIRED BY THE U.S. TRUSTEE'S OFFICE CAN BE OBTAINED FROM KCCLLC.NET/VERITYHEALTH. PLEASE NOTE THAT THE FISCAL YEAR 2017 AUDIT FOOTNOTE REGARDING BAD DEBT FOR THE CONSOLIDATED FINANCIAL STATEMENTS REMAINS TRUE AND ACCURATE.UNDER VERITY HEALTH SYSTEM'S FINANCIAL ASSISTANCE POLICY, HEALTH CARE SERVICES WERE PROVIDED FREE OF CHARGE OR AT A SIGNIFICANT DISCOUNT BASED ON A SLIDING SCALE TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL CRITERIA. VHS MADE AN EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR CHARITY CARE UPON ADMISSION. IF A PATIENT WAS DETERMINED TO QUALIFY FOR CHARITY CARE, SERVICES WERE RENDERED TO THE PATIENT FREE OF COST. THE COSTS OF PROVIDING THESE SERVICES ARE INCLUDED IN UNSPONSORED COMMUNITY BENEFIT EXPENSE AND INCLUDED AS A DEDUCTION TO NET PATIENT SERVICE REVENUE IN THE CONSOLIDATED STATEMENT OF OPERATIONS. VHS ESTIMATED PRIOR TO CEASING TO OPERATE THE HOSPITALS, THE COST OF CHARITY CARE BY CALCULATING A RATIO OF COST TO USUAL AND CUSTOMARY CHARGES AND APPLYING THAT RATIO TO THE USUAL AND CUSTOMARY UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO PATIENTS THAT QUALIFY FOR CHARITY CARE.AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND THE APPLICATION OF FINANCIAL DISCOUNTS TO PATIENTS' BALANCES, AND AFTER EXHAUSTING ALL REASONABLE EFFORTS TO COLLECT FROM THE PATIENTS, A SIGNIFICANT PORTION OF VHS' UNINSURED AND SELF-PAY PATIENT ACCOUNTS WERE REFERRED TO THIRD-PARTY AGENCIES BASED ON VHS' ESTABLISHED GUIDELINES FOR FURTHER COLLECTION ACTIVITIES. AS A RESULT, VHS RECORDED A PROVISION FOR DOUBTFUL ACCOUNTS RELATED TO THESE UNINSURED PATIENTS IN THE PERIOD THE SERVICES WERE RENDERED BASED ON HISTORICAL COLLECTION EXPERIENCE.AS PART OF VERITY HEALTH SYSTEM'S MISSION TO SERVE THE COMMUNITY, VHS PROVIDED CARE TO PATIENTS EVEN THOUGH THEY MAY HAVE LACKED ADEQUATE INSURANCE OR MAY HAVE PARTICIPATED IN PROGRAMS THAT DO NOT PAY FULL CHARGES. RESERVES FOR CHARITY CARE AND UNCOLLECTIBLE AMOUNTS HAVE BEEN ESTABLISHED AND ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEETS.PART III, LINE 8: MEDICAREAS A NONPROFIT HOSPITAL, IT WAS OUR MISSION TO IMPROVE THE HEALTH STATUS OF ALL PEOPLE WITHIN OUR COMMUNITY AND PROVIDE HEALTHCARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE STATUS. SETON MEDICAL CENTER AND SETON COASTSIDE ACCEPTED MEDICARE WHICH RESULTED IN SHORTFALLS IN THE COSTS FOR CARING FOR PATIENTS UTILIZING THIS PROGRAM. SETON MEDICAL CENTER UTILIZED AN ACCOUNTING SYSTEM THAT DETERMINED COSTS FOR PROVIDING MEDICAL SERVICES BASED ON THE HOSPITAL'S RELATIONSHIP OF COSTS TO CHARGES. THE ENTIRE SHORTFALL SHOWN ON PART III, LINE 7 IS REFLECTED AS A COMMUNITY BENEFIT.PART III, LINE 9B: COLLECTION POLICYSETON MEDICAL CENTER AND SETON COASTSIDE FOLLOWED THE COLLECTION PRACTICES AS OUTLINED IN THE VERITY HEALTH SYSTEM FINANCIAL ASSISTANCE POLICY AND BILLING COLLECTION POLICY.FOR PATIENTS WHO QUALIFIED FOR CHARITY CARE AND FINANCIAL DISCOUNT, SETON MEDICAL CENTER AND SETON COASTSIDE PROVIDED THE PATIENT WITH A WRITTEN NOTICE PRIOR TO COMMENCING COLLECTION ACTIVITIES. THE NOTICE STATED THAT NONPROFIT COUNSELING SERVICES MAY BE AVAILABLE IN THE AREA AND PROVIDED INFORMATION CONCERNING STATE AND FEDERAL LAW REQUIREMENTS FOR DEBT COLLECTORS. SETON MEDICAL CENTER AND SETON COASTSIDE DO NOT PURSUE LEGAL ACTION FOR NON-PAYMENT OF BILLS AGAINST ANY HOUSEHOLD WHERE THE PRIMARY WAGE EARNER(S) IS UNEMPLOYED OR THERE ARE NOT SIGNIFICANT INCOME SOURCES. SETON MEDICAL CENTER AND SETON COASTSIDE DO NOT ASSIGN PATIENTS MEETING AN AGREED UPON MONTHLY PAYMENT PLAN TO A COLLECTION AGENCY AND DO NOT REPORT THE PATIENT TO CREDIT BUREAUS. SETON MEDICAL CENTER AND SETON COASTSIDE DO NOT REPORT ADVERSE INFORMATION TO A CONSUMER CREDIT AGENCY OR COMMENCE CIVIL ACTION FOR NONPAYMENT OF A PATIENT DEBT PRIOR TO 150 DAYS AFTER THE INITIAL BILLING OF THE PATIENT. SETON MEDICAL CENTER AND SETON COASTSIDE DO NOT USE WAGE GARNISHMENTS OR LIENS ON REAL PROPERTY AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS FOR ELIGIBLE PATIENTS. SETON MEDICAL CENTER AND SETON COASTSIDE HAVE AGREEMENTS WITH EXTERNAL COLLECTION AGENCIES TO NOT PURSUE LEGAL ACTION AGAINST AN ELIGIBLE PATIENT WITHOUT PRIOR APPROVAL FROM SETON MEDICAL CENTER OR SETON COASTSIDE. SETON MEDICAL CENTER AND SETON COASTSIDE HAVE AGREEMENTS WITH THEIR EXTERNAL COLLECTION AGENCIES TO FOLLOW FAIR DEBT AND COLLECTION PRACTICES, ASSEMBLY BILL AB774 AND ACT IN A MANNER THAT TREATS INDIVIDUALS WITH DIGNITY, RESPECT AND COMPASSION. |
| PART VI, QUESTION 2: NEEDS ASSESSMENT | IN ADDITION TO THE FORMAL CHNA, SETON MEDICAL CENTER ASSESSED THE NEEDS OF THE COMMUNITIES IT SERVES THROUGH THE COMMUNITY BENEFIT REPORT. SETON MEDICAL CENTER PREPARED AN ANNUAL COMMUNITY BENEFIT REPORT. IT HIGHLIGHTED THE COMMUNITY'S NEEDS AND SETON MEDICAL CENTER'S PROGRAMS AND ACTIVITIES THAT DIRECTLY RESPONDED TO THE NEEDS. REPORTS ON COMMUNITY BENEFIT ACTIVITIES AND OUTCOMES WERE PROVIDED BY MANAGERS AND DIRECTORS RESPONSIBLE FOR SPECIFIC COMMUNITY BENEFIT PROGRAMS.THE ANNUAL REPORT WAS MADE AVAILABLE TO HOSPITAL LEADERSHIP, KEY STAKEHOLDERS, VHS, AND COMMUNITY ORGANIZATIONS AND MEMBERS. THE ANNUAL REPORT WAS PRESENTED TO THE CALIFORNIA OFFICE OF STATEWIDE PLANNING AND DEVELOPMENT, IN ACCORDANCE WITH SB 697.SETON MEDICAL CENTER'S COMMUNITY BENEFIT REPORT WAS DEVELOPED USING RESULTS FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT, DATA AND INPUT PROVIDED BY THE MANAGERS AND DIRECTORS RESPONSIBLE FOR SPECIFIC COMMUNITY BENEFIT PROGRAMS AND FEEDBACK FROM THE LOCAL GOVERNING BOARD. SETON MEDICAL CENTER'S HOSPITAL BOARD OF DIRECTORS REVIEWED AND GAVE FINAL APPROVAL OF SETON MEDICAL CENTER'S COMMUNITY BENEFIT REPORT. CONTINUAL MONITORING AND EVALUATION OF SETON MEDICAL CENTER'S CURRENT COMMUNITY HEALTH INITIATIVES PROVIDED VITAL INFORMATION TO THE STRATEGIC PLANNING PROCESS FOR COMMUNITY BENEFIT PROGRAMS, WHILE SETON OPERATED THE HOSPITALS. |
| PART VI, QUESTION 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PATIENTS WHO PRESENTED AT SETON MEDICAL CENTER OR SETON COASTSIDE'S EMERGENCY DEPARTMENT OR ADMITTING DEPARTMENT WERE PROVIDED WITH A FINANCIAL ASSISTANCE PACKET THAT CONSISTED OF AN INFORMATIONAL FLYER ON VARIOUS PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE. THE FLYER WAS IN ENGLISH, SPANISH, TAGALOG, AND SIMPLIFIED CHINESE. THE PACKET INCLUDED A MEDICAL APPLICATION, AS WELL AS A CHARITY CARE APPLICATION.IN ADDITION, WHILE SETON OPERATED THE HOSPITALS, THERE WERE SIGNS POSTED IN ENGLISH AND SPANISH IN THE PATIENT FINANCIAL SERVICES DEPARTMENT AND AT EVERY POINT OF REGISTRATION STATING THAT SETON MEDICAL CENTER AND SETON COASTSIDE HAVE FINANCIAL ASSISTANCE AND CHARITABLE PROGRAMS AVAILABLE FOR QUALIFIED LOW INCOME, UNINSURED PATIENTS WHO MAY NOT HAVE THE ABILITY TO MEET THE FINANCIAL OBLIGATION OF THEIR HOSPITAL SERVICES AND A CONTACT NUMBER TO CALL. AFTER DISCHARGE, THE BACK OF THE MONTHLY PATIENT BILLS INCLUDED THIS SAME STATEMENT. THE HEALTH BENEFIT RESOURCE CENTER (HBRC) LOCATED AT SETON MEDICAL CENTER, WHILE SETON OPERATED THE HOSPITALS, PROVIDED ACCESS TO HEALTH BENEFITS AND OTHER RESOURCES THAT PROMOTED HEALTHY FAMILIES, THE HBRC WAS A CENTRALLY LOCATED INFORMATION AND REFERRAL SERVICE THAT LINKED FAMILIES TO GOVERNMENT-SPONSORED HEALTH BENEFITS AND SOCIAL SERVICES, INCLUDING MEDI-CAL, FOOD BANK AND CAL FRESH (FORMERLY FOOD STAMPS). FAMILIES WERE ASSISTED REGARDLESS OF IMMIGRATION STATUS OR INCOME. HBRC PROVIDED FREE CONFIDENTIAL ASSESSMENTS, REFERRALS TO COMMUNITY RESOURCES, AND ASSISTANCE IN COMPLETING APPLICATIONS FOR FREE OR LOW-COST HEALTH INSURANCE PROGRAMS. SERVICES WERE AVAILABLE IN ENGLISH, SPANISH AND TAGALOG. |
| PART VI, QUESTION 4: COMMUNITY INFORMATION | ALL COMMUNITY INFORMATION INDICATED BELOW IS SOURCED FROM THE 2019 CHNA. SETON MEDICAL CENTER'S SERVICE AREA INCLUDES, BUT IS NOT LIMITED TO, THE CITIES OF SOUTH SAN FRANCISCO, DALY CITY, COLMA, BRISBANE, SAN BRUNO, PACIFICA, MONTARA, MOSS BEACH, HALF MOON BAY AND CERTAIN AREAS OF SAN FRANCISCO. SETON SERVES THE NORTH COUNTY/COASTAL SERVICE AREA IN WHICH THE U.S. CENSUS COUNTED A POPULATION OF 284,838 IN 2013. FEWER THAN ONE QUARTER (20%) OF THE RESIDENTS IN SERVICE AREA ARE UNDER THE AGE OF 18, WHILE ONE THIRD (37%) ARE BETWEEN THE AGES OF 18 AND 44. FOURTEEN PERCENT ARE 65 YEARS OR OLDER. THE NORTH COUNTY/COASTAL SERVICE AREA CITIES HAVE A DIVERSE RACE/ETHNIC PROFILE. THE TWO LARGEST RACIAL SUBPOPULATIONS IN THE SERVICE AREA ARE WHITE (41%) AND ASIAN (39%). ACROSS ALL RACIAL GROUPS, MORE THAN A QUARTER (26%) REPORTED BEING OF HISPANIC/ LATINO DESCENT (THE US CENSUS BUREAU DOES NOT CONSIDER HISPANIC/ LATINO TO BE A RACIAL CATEGORY). DATA ALSO INDICATE THAT NEARLY 8% OF RESIDENTS IN THE SERVICE AREA ARE LIVING IN POVERTY (100% OF FEDERAL POVERTY LEVEL, OR FPL), SIMILAR TO THE PROPORTION ACROSS SAN MATEO COUNTY AS A WHOLE. NEARLY ONE IN FIVE NORTH COUNTY/COASTAL SERVICE AREA RESIDENTS (19%) LIVE BELOW 200% OF THE FPL, AND MORE THAN TWO IN FIVE (44%) HOUSEHOLDS ARE OVERBURDENED BY HOUSING COSTS (I.E., HOUSING COSTS EXCEED 30% OF TOTAL HOUSEHOLD INCOME).THE HOSPITAL'S SERVICE AREA, WITH APPROXIMATELY 451,000 RESIDENTS, INCLUDES THE COMMUNITIES OF DALY CITY, SOUTH SAN FRANCISCO, SAN FRANCISCO, PACIFICA, SAN BRUNO, HALF MOON BAY, MOSS BEACH, BRISBANE, EL GRANADA, AND MONTARA. IN ADDITION TO THE HOSPITAL AND SETON COASTSIDE, KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO IS THE ONLY OTHER GENERAL ACUTE CARE HOSPITAL LOCATED WITHIN THE SERVICE AREA. THE HOSPITAL RANKS SECOND IN INPATIENT MARKET SHARE WITH 12.6% MARKET SHARE. THE HOSPITAL'S AND SETON COASTSIDE'S PAYOR MIX FOR FY 2018 CONSISTED OF A LARGE PROPORTION OF MEDICARE PATIENTS THAT ACCOUNTED FOR NEARLY 47% OF ALL INPATIENT HOSPITAL DISCHARGES WITH MEDICARE TRADITIONAL AT 38% AND MEDICARE MANAGED CARE AT 9%. MEDI-CAL PATIENTS ACCOUNTED FOR 17% OF ALL INPATIENT DISCHARGES. THIRD-PARTY MANAGED CARE (32%) AND THIRD-PARTY TRADITIONAL (3%) ACCOUNTED FOR 35% OF ALL INPATIENT HOSPITAL DISCHARGES.SAN MATEO COUNTY HAS A COUNTY ORGANIZED HEALTH SYSTEMS MODEL THAT OFFERS ONE MANAGED CARE PLAN. THE SAN MATEO COUNTY ORGANIZED HEALTH SYSTEM MODEL IS PROVIDED BY HEALTH PLAN OF SAN MATEO. IN THE COUNTY ORGANIZED HEALTH SYSTEMS MODEL, THE DEPARTMENT OF HEALTH CARE SERVICES CONTRACTS WITH A HEALTH PLAN CREATED BY THE COUNTY BOARD OF SUPERVISORS. THE PERCENTAGE OF SAN MATEO COUNTY RESIDENTS WITH MEDI-CAL MANAGED CARE COVERAGE HAS INCREASED SIGNIFICANTLY AS A RESULT OF THE ACA AND CALIFORNIA INITIATIVES TO EXPAND MANAGED CARE. CURRENTLY, THE HOSPITAL IS CONTRACTED WITH HEALTH PLAN OF SAN MATEO TO PROVIDE HEALTHCARE SERVICES FOR MEDI-CAL MANAGED CARE PATIENTS. THE PERCENTAGE OF SAN MATEO COUNTY RESIDENTS WITH MEDI-CAL MANAGED CARE COVERAGE HAS INCREASED SIGNIFICANTLY AS A RESULT OF THE AFFORDABLE CARE ACT (ACA) AND CALIFORNIA INITIATIVES TO EXPAND MANAGED CARE. THE MEDI-CAL ELIGIBLES COUNT IN SAN MATEO COUNTY HAS INCREASED MARGINALLY FROM 140,459 MEDI-CAL ELIGIBLES IN 2014 TO 142,985 MEDI-CAL ELIGIBLES IN 2018. |
| PART VI, QUESTION 5: PROMOTING THE HEALTH OF THE COMMUNITY | SETON MEDICAL CENTER'S PAYOR MIX INCLUDED A LARGE NUMBER OF MEDICARE (40%) AND MEDI-CAL (20%) PATIENTS. THE HOSPITAL WAS, WHILE OPERATED BY SETON, GOVERNED BY A BOARD OF DIRECTORS COMPOSED OF COMMUNITY MEMBERS, MANY RETIRED ELECTED OFFICIALS AND GOVERNMENT EMPLOYEES, IN ADDITION TO COMMUNITY-BASED PHYSICIANS. THE LOCAL GOVERNING BOARD, WHICH SERVES AS A COMMUNITY ADVISORY BOARD, IS COMPOSED OF COMMUNITY MEMBERS AFFILIATED WITH LOCAL GOVERNMENT, SCHOOL DISTRICT AND HEALTH SERVICES FOR THE UNINSURED. THE SETON FOUNDATION BOARD WAS ALSO COMPOSED OF COMMUNITY MEMBERS AND PHYSICIANS. THE FOCUS WAS TO PROVIDE GRANT FUNDING TO THE HOSPITAL. THESE VARIOUS BOARD MEMBERS HAVE DIRECT KNOWLEDGE OF THE MANY PRESSING COMMUNITY NEEDS FOR OUR VULNERABLE POPULATIONS AND THE BROADER COMMUNITY.SETON COASTSIDE CONTINUED TO OFFER SKILLED NURSING CARE TO 116 INPATIENT RESIDENTS YEAR-ROUND, IN ADDITION TO MEETING THE HEALTHCARE NEEDS OF OUR PATIENTS, AND THE SURROUNDING COASTAL COMMUNITY. SETON COASTSIDE'S DEDICATED STAFF OF INTERDISCIPLINARY HEALTHCARE TEAM PROFESSIONALS PROVIDED EXCELLENT AND COMPREHENSIVE HEALTHCARE. SETON COASTSIDE OPERATED THE ONLY 24-HOUR STANDBY EMERGENCY DEPARTMENT FROM DALY CITY TO SANTA CRUZ. KEY MEDICAL SERVICES INCLUDED PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES, RADIOLOGY, MAMMOGRAPHY AND LABORATORY. |
| PART VI, QUESTION 6: AFFILIATED HEALTHCARE SYSTEM | VERITY HEALTH SYSTEM OF CALIFORNIA, INC. ("VHS"), IS A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION, AND IS THE SOLE CORPORATE MEMBER OF THE FOLLOWING CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATIONS THAT OPERATED SIX ACUTE CARE HOSPITALS: O'CONNOR HOSPITAL, SAINT LOUISE REGIONAL HOSPITAL, ST. FRANCIS MEDICAL CENTER, ST. VINCENT MEDICAL CENTER, AND SETON MEDICAL CENTER (INCLUDING THE SETON MEDICAL CENTER COASTSIDE CAMPUS) (COLLECTIVELY, THE "HOSPITALS") AND OTHER FACILITIES IN THE STATE OF CALIFORNIA. SETON MEDICAL CENTER AND SETON MEDICAL CENTER COASTSIDE OPERATED UNDER ONE CONSOLIDATED ACUTE CARE LICENSE. THE ASSETS OF O'CONNOR HOSPITAL AND ST. LOUISE REGIONAL HOSPITAL WERE SOLD TO SANTA CLARA COUNTY ON FEBRUARY 28, 2019. THE ASSETS OF ST. VINCENT MEDICAL CENTER WERE SOLD TO DR. PATRICK SOON-SHIONG ON APRIL 16, 2020. AFTER FY2020 THE ASSETS OF ST. FRANCIS MEDICAL CENTER WERE SOLD TO PRIME HEALTHCARE AND SETON MEDICAL CENTER AND SETON COASTSIDE TO AHMC HEALTHCARE INC.ON AUGUST 31, 2018, VHS AND THE HOSPITALS (ALONG WITH OTHER VHS-AFFILIATED ENTITIES) EACH FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE (THE "BANKRUPTCY CODE"). THE CASES (COLLECTIVELY, THE "BANKRUPTCY CASES") ARE JOINTLY ADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA (THE "BANKRUPTCY COURT"). 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. FOR ALL BANKRUPTCY CASE FILINGS AND MORE DETAIL REGARDING VHS, PLEASE SEE KCCLLC.NET/VERITYHEALTH AND THE DECLARATION OF RICHARD G. ADCOCK IN SUPPORT OF EMERGENCY FIRST-DAY MOTIONS [DOCKET NOS. 8 AND 12].THE HOSPITALS WERE ORIGINALLY SPONSORED BY THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, PROVINCE OF THE WEST (THE "DAUGHTERS OF CHARITY"), TO SUPPORT THE MISSION OF THE CATHOLIC CHURCH THROUGH A COMMITMENT TO THE SICK AND POOR. THE DAUGHTERS OF CHARITY BEGAN THEIR HEALTHCARE MISSION IN CALIFORNIA IN 1858 WITH THE OPENING OF LOS ANGELES INFIRMARY, SUBSEQUENTLY KNOWN AS ST. VINCENT MEDICAL CENTER. THE DAUGHTERS OF CHARITY EXPANDED ITS HOSPITALS TO SAN JOSE IN 1889 AND SAN FRANCISCO IN 1893. THE DAUGHTERS OF CHARITY MINISTERED TO ILL, POVERTY-STRICKEN INDIVIDUALS FOR MORE THAN 150 YEARS.IN MARCH 1995, THE DAUGHTERS OF CHARITY MERGED THEIR HOSPITALS WITH CATHOLIC HEALTHCARE WEST ("CHW"). IN JUNE 2001, THE DAUGHTERS OF CHARITY HEALTH SYSTEM ("DCHS") WAS FORMED. IN OCTOBER 2001, THE DAUGHTERS OF CHARITY WITHDREW FROM CHW. IN 2002, DCHS COMMENCED OPERATIONS AND WAS THE SOLE CORPORATE MEMBER OF THE HOSPITALS, WHICH AT THAT TIME WERE CALIFORNIA NONPROFIT RELIGIOUS CORPORATIONS.IN JULY 2015, THE DCHS BOARD OF DIRECTORS SELECTED BLUEMOUNTAIN CAPITAL MANAGEMENT LLC ("BLUEMOUNTAIN"), A PRIVATE INVESTMENT FIRM, TO RECAPITALIZE THE HOSPITAL OPERATIONS. THE PARTIES ENTERED INTO A SYSTEM RESTRUCTURING AND SUPPORT AGREEMENT, DCHS' NAME WAS CHANGED TO "VERITY HEALTH SYSTEM OF CALIFORNIA, INC., AND BLUEMOUNTAIN FORMED INTEGRITY HEALTHCARE, LLC ("INTEGRITY") TO PROVIDE MANAGEMENT SERVICES UNDER A NEW MANAGEMENT SERVICES AGREEMENT, WHICH WAS APPROVED BY THE CALIFORNIA ATTORNEY GENERAL CHARITABLE TRUST DIVISION. IN JULY 2017, NANTWORKS, LLC ACQUIRED A CONTROLLING INTEREST IN INTEGRITY.THROUGHOUT THEIR HISTORY AND CONTINUING THROUGH AUGUST 13, 2020, THE HOSPITALS CONTINUED THE RICH TRADITION OF SERVING THE UNDER-SERVED AND PROVIDING ESSENTIAL HEALTH CARE SERVICES TO THEIR COMMUNITIES. THESE EXPANSIVE SERVICES ARE DETAILED IN MULTIPLE SECTIONS OF THIS FORM 990. |
| PART VI, QUESTION 7: STATE FILING OF COMMUNITY BENEFIT REPORT | THE COMMUNITY BENEFIT REPORT IS TYPICALLY FILED WITH THE STATE OF CALIFORNIA. THE ORGANIZATION LAST FILED THE COMMUNITY BENEFIT REPORT IN FISCAL YEAR 2019. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VERITY HEALTH SYSTEM OF CALIFORNIA INC | BusinessNameLine1Txt |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 912145484 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $55,161,497 | CashGrantAmt |
| Non Cash Assistance | $3,628,826 | NonCashAssistanceAmt |
| Purpose Of Grant | DISSOLUTION TRANSFER | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE GRANT TO VERITY HEALTH SYSTEM OF CALIFORNIA, INC. REPRESENTS LIQUIDATING DISTRIBUTIONS MADE AS PART OF THE ORGANIZATION'S WIND DOWN. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (12 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 | ||||||||||||||
| EX-OFFICIO (THRU 9/2020) | $0 | $908,923 | $0 | $1,250,000 | $0 | $908 | $0 | $0 | $0 | $11,789 | $0 | $2,171,620 | $0 | $0 |
| ANTHONY ARMADA - CHIEF | ||||||||||||||
| EXECUTIVE OFFICER (THRU 8/2020) | $0 | $384,998 | $0 | $300,000 | $0 | $4,919 | $0 | $0 | $0 | $12,489 | $0 | $702,406 | $0 | $0 |
| TY CONNER | ||||||||||||||
| DIRECTOR (THRU 4/2021) | $0 | $358,566 | $0 | $177,040 | $0 | $524 | $0 | $6,413 | $0 | $20,210 | $0 | $562,753 | $0 | $0 |
| JAMES JACKSON - CHIEF | ||||||||||||||
| OPERATING OFFICER (THRU 8/2020) | $228,766 | $0 | $87,000 | $0 | $1,950 | $0 | $6,086 | $0 | $18,290 | $0 | $342,092 | $0 | $0 | $0 |
| DOLLY CHAN | ||||||||||||||
| STAFF NURSE IV (THRU 8/2020) | $297,018 | $0 | $0 | $0 | $4,737 | $0 | $0 | $0 | $13,272 | $0 | $315,027 | $0 | $0 | $0 |
| JAMES BROWN | ||||||||||||||
| STAFF NURSE IV (THRU 8/2020) | $284,481 | $0 | $0 | $0 | $336 | $0 | $0 | $0 | $19,096 | $0 | $303,913 | $0 | $0 | $0 |
| KEUNG BACK | ||||||||||||||
| STAFF NURSE II (THRU 8/2020) | $263,269 | $0 | $0 | $0 | $3,197 | $0 | $0 | $0 | $19,096 | $0 | $285,562 | $0 | $0 | $0 |
| SHAFIN ALI - CHIEF | ||||||||||||||
| BIOMEDICAL ENGINEER (THRU 8/2020) | $270,361 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $270,361 | $0 | $0 | $0 |
| EVELYN NUQUE | ||||||||||||||
| STAFF NURSE II 10 HR (THRU 8/2020) | $256,216 | $0 | $0 | $0 | $4,943 | $0 | $0 | $0 | $6,320 | $0 | $267,479 | $0 | $0 | $0 |
| ESTRELLA A DAYAO | ||||||||||||||
| STAFF NURSE II (THRU 8/2020) | $248,391 | $0 | $0 | $0 | $1,570 | $0 | $0 | $0 | $12,936 | $0 | $262,897 | $0 | $0 | $0 |
| CHARLES ANTONINI JR MD | ||||||||||||||
| CHIEF MEDICAL OFFICER (THRU 8/2020) | $251,248 | $0 | $0 | $0 | $371 | $0 | $0 | $0 | $0 | $0 | $251,619 | $0 | $0 | $0 |
| KERIANNE CALIGIURE - INTERIM | ||||||||||||||
| CHIEF NURSE OFFICER (THRU 8/2020) | $159,212 | $0 | $63,000 | $0 | $2,285 | $0 | $6,413 | $0 | $0 | $0 | $230,910 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | METHODS USED TO ESTABLISH COMPENSATION OF CEO BY RELATED ORGANIZATION THE CEO RESPONSIBLE FOR THE FILING ORGANIZATION WAS AN EMPLOYEE OF VHS, A RELATED ORGANIZATION FOR THE 2020 CALENDAR YEAR. THE CEO RESPONSIBLE FOR THE FILING ORGANIZATION IS PAID THROUGH A COMMON PAYMASTER, VHS. COMPENSATION IS REVIEWED AND APPROVED BY THE VHS COMPENSATION COMMITTEE AND BOARD OF DIRECTORS. THE BOARD UTILIZES COMPARABLE MARKET DATA WHERE AVAILABLE. | ExplanationTxt |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail (6 entries)
| Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc | Fair Market Value Of AssetFairMarketValueOfAssetAmt | Method Of FMV DeterminationMethodOfFMVDeterminationTxt | EINEIN | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | IRC SectionIRCSectionTxt |
|---|---|---|---|---|---|---|---|---|
| VERITY HEALTH SYSTEM | ||||||||
| ACCOUNTS RECEIVABLE | $2,311,352 | TAX BASIS | 912145484 | 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 501(C)(3) |
| VERITY HEALTH SYSTEM | ||||||||
| PREPAID EXPENSES | $94,818 | TAX BASIS | 912145484 | 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 501(C)(3) |
| VERITY HEALTH SYSTEM | ||||||||
| LOCKBOX CASH | $807,838 | TAX BASIS | 912145484 | 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 501(C)(3) |
| VERITY HEALTH SYSTEM | ||||||||
| DEPOSITS | $1,310,438 | TAX BASIS | 912145484 | 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 501(C)(3) |
| VERITY HEALTH SYSTEM | ||||||||
| DUE FROM AHMC | $7,036 | TAX BASIS | 912145484 | 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 501(C)(3) |
| VERITY HEALTH SYSTEM | ||||||||
| CASH APPLICATION IN PROCESS (DUE TO SMC) | $427,852 | TAX BASIS | 912145484 | 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 501(C)(3) |
| 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 3 | MANAGEMENT DUTIES THE CFO OF SMC, 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 SMC IN HIS CAPACITY AS CFO. NEITHER VHS NOR SMC DIRECTLY COMPENSATED PETER CHADWICK FOR HIS SERVICES AS CFO TO SMC, HIS COMPENSATION FOR THESE SERVICES ARE PART OF THE FEE VHS PAYS TO BRG AS AN INDEPENDENT CONTRACTOR. |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS OR STOCKHOLDERS SMC HAS ONE MEMBER, VHS, A CALIFORNIA NONPROFIT CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | SMC'S SOLE MEMBER, VHS HAS THE AUTHORITY TO APPOINT, ELECT OR APPROVE THE GOVERNING BODY OF SMC. |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS SUBJECT TO APPROVAL AS THE SOLE MEMBER OF SMC, VHS HAS THE POWER TO TAKE OR APPROVE THE FOLLOWING ACTIONS AS IT RELATES TO SMC: (A) APPROVE OR CHANGE THE MISSION, ROLE AND PURPOSE OF THIS CORPORATION; (B) AMEND THE BYLAWS AND ARTICLES OF INCORPORATION OF THIS CORPORATION; (C) AUTHORIZE THE BOARD OF DIRECTORS TO AMEND THE BYLAWS, ARTICLES OF INCORPORATION OR OTHER ORGANIZATIONAL DOCUMENTS OF ANY AFFILIATE; (D) APPROVE THE FORMATION, MERGER, DISSOLUTION, CONSOLIDATION, DIVESTITURE, CLOSURE, CHANGE IN CORPORATE MEMBERSHIP OR CONTROL AND REORGANIZATION OF EACH DIRECT AFFILIATE OF THIS CORPORATION; (E) FIX THE NUMBER AND APPOINT AND REMOVE THE DIRECTORS OF THIS CORPORATION; (F) APPOINT AND REMOVE THE CHAIRPERSON OF THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THIS CORPORATION AND OF EACH DIRECT AFFILIATE OR SUBSIDARY OF THIS CORPORATION. (G) APPROVE THE MERGER, CONSOLIDATION, REORGANIZATION OR DISSOLUTION OF THIS CORPORATION AND THE DISPOSITION OF THE ASSETS OF THIS CORPORATION UPON DISSOLUTION; (H) APPROVE THE ACQUISITION, SALE, LEASE, MORTGAGE, TRANSFER OR OTHER ALIENATION OF REAL OR PERSONAL PROPERTY OF THIS CORPORATION OTHER THAN IN ACCORDANCE WITH THE SYSTEM AUTHORITY MATRIX; (I) APPROVE THE CAPITAL AND OPERATING BUDGETS OF THIS CORPORATION OR OF ANY AFFILIATE CONTROLLED BY THIS CORPORATION; (J) APPROVE THE INCURRENCE OF DEBT OR GUARANTIES OF THIS CORPORATION OTHER THAN IN ACCORDANCE WITH THE SYSTEM AUTHORITY MATRIX; (K) ESTABLISH POLICY CONCERNING QUALITY OF CARE AND SERVICES FOR THE CORPORATION AND TO APPROVE ANY SUCH POLICIES OF THIS CORPORATION THAT ARE INCONSISTENT WITH THE SYSTEM AUTHORITY MATRIX; (L) ESTABLISH POLICY AND PROCEDURES CONCERNING FINANCE AND RESOURCES FOR THE CORPORATION AND TO APPROVE ANY SUCH POLICIES OR PROCEDURES THAT ARE INCONSISTENT WITH SUCH POLICIES OR PROCEDURES; (M) ESTABLISH CRITERIA FOR THE LONG-RANGE FINANCIAL AND STRATEGIC PLANS OF THE CORPORATION AND TO APPROVE ANY SUCH PLANS; (N) ESTABLISH AN INTERNAL AUDITING PROGRAM AND APPROVE ANY MATERIAL ELEMENT OF THE INTERNAL AUDITING PROGRAM FOR THIS CORPORATION THAT IS INCONSISTENT WITH THE INTERNAL AUDITING PROGRAM ESTABLISHED BY THE CORPORATE MEMBER; (O) APPROVE CAPITAL EXPENDITURES BY THIS CORPORATION OR FOR ANY AFFILIATE CONTROLLED BY THIS CORPORATION OTHER THAN IN ACCORDANCE WITH THE SYSTEM AUTHORITY MATRIX; (P) APPROVE THE TRANSFER OF FUNDS, BY GIFT OR LOAN, BETWEEN THIS CORPORATION AND ONE OR MORE OTHER AFFILIATES OF VERITY AND THIS CORPORATION OR TO ANY OTHER PERSON OR ENTITY OTHER THAN IN ACCORDANCE WITH SYSTEM AUTHORITY MATRIX; AND (Q) APPROVE ANY OTHER ACTION BY THIS CORPORATION OR FOR ANY AFFILIATE CONTROLLED BY THIS CORPORATION THAT HAS BEEN ESTABLISHED BY RESOLUTION OF THE CORPORATE MEMBER AS REQUIRING ITS APPROVAL, INCLUDING, BUT NOT LIMITED TO, ANY APPROVALS OF AUTHORITY NECESSARY TO ENSURE COMPLIANCE WITH ANY CREDIT AGREEMENT, MASTER INDENTURE OR LOAN AGREEMENT TO WHICH THIS CORPORATION OR ANY AFFILIATE CONTROLLED BY THIS CORPORATION IS A PARTY. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 REVIEW PROCESS THE INDEPENDENT TAX PREPARERS AND FINANCE STAFF OF VHS AND ITS AFFILIATED COMPANIES (THE ORGANIZATION") WORK 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 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 RESPONSIBILITY 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 HOSPITAL 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 C, LINE 19 | 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 XI, LINE 9: | INTERCOMPANY TRANSFER TO WRITE OFF BALANCES DUE 421,993,592. |
| FORM 990, PART XII: | FINANCIAL STATEMENTS AND REPORTING ON AUGUST 31, 2018, VHS AND 16 OF ITS AFFILIATED COMPANIES, INCLUDING SMC, 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 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 | Yes (1) |
| 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 | 0 |
| ST VINCENT MEDICAL CENTER | ||||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 912154438 | HOSPITAL | CA | 501(C)(3) | LINE 3 | VHS | 0 |
| SAINT LOUISE REGIONAL HOSPITAL | ||||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 912154437 | HOSPITAL | CA | 501(C)(3) | LINE 3 | VHS | 0 |
| O'CONNOR HOSPITAL | ||||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 912154436 | HOSPITAL | CA | 501(C)(3) | LINE 3 | VHS | 0 |
| 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 | 0 |
| VERITY MEDICAL FOUNDATION | ||||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 453691852 | SUPPORT | CA | 501(C)(3) | LINE 10 | VHS | 0 |
| VERITY HEALTH SYSTEM OF CALIFORNIA INC | ||||||||||
| 6300 CANOGA AVE SUITE 1500W | WOODLAND HILLS | CA | 91367 | 912145484 | SUPPORT | CA | 501(C)(3) | LINE 12B, II | VHS | 0 |
| 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
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VHS LIQUIDATING TRUST | BusinessNameLine1Txt |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 852762852 | EIN |
| Primary Activities | LIQUIDATION | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Entity Type | T | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| 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 | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SETON MEDICAL CENTER FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $69,203 | InvolvedAmt |
| Method Of Amount Determination | COST | MethodOfAmountDeterminationTxt |
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 |