VERITY HEALTH SYSTEM OF CALIFORNIA INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- VERITY HEALTH SYSTEM OF CALIFORNIA INC (EIN 91-2145484)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-14
- IRS object ID
- 201911349349305351
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule F
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-14T12:35:59-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
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 SUITE 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 | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 912145484 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Verity Health System of California Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ANDREW FIERRO-PERETTI | InCareOfNm |
| Business Name Control | VERI | BusinessNameControlTxt |
| Phone | 4243670711 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2040 E MARIPOSA AVENUE | AddressLine1Txt |
| City | El SEGUNDO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90245 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANITA CHOU | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6509915427 | PhoneNum |
| Signature | 2019-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRIDGET T ROCHE | PreparerPersonNm |
| PTIN | P00666837 | PTIN |
| Phone | 3128560200 | PhoneNum |
| Preparation | 2019-05-15 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 65.229.28.136 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 36941220191345000001 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-05-14 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 9FF02605DDB28011F037B2D6F18B6026DAFD1911 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 26467613D5A281C133413C0D1F51320A6E78BD0A | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Richard Adcock | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2040 E Mariposa | AddressLine1Txt |
| City | El SEGUNDO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90245 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $192,318,591 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 6153 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://verity.org/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2001 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | VERITY HEALTH SYSTEM OF CALIFORNIA, INC. IS THE HEALTH SYSTEM'S PARENT ORGANIZATION, PROVIDING LEADERSHIP AND SUPPORT FOR THE ORGANIZATION'S AFFILIATES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 174 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | -$2,575,733 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$2,534,917 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $60,367,500 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $193,927,238 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $181,911,237 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,664,152 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,839,275 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $6,098,690 | CYOtherRevenueAmt |
| PY Total Revenue | $255,958,890 | PYTotalRevenueAmt |
| CY Total Revenue | $189,849,202 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $46,782,774 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $27,513,703 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $36,409,718 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $168,535,074 | PYOtherExpensesAmt |
| CY Other Expenses | $159,446,921 | CYOtherExpensesAmt |
| PY Total Expenses | $196,048,777 | PYTotalExpensesAmt |
| CY Total Expenses | $242,639,413 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $59,910,113 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$52,790,211 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $695,650,463 | TotalAssetsBOYAmt |
| Total Assets EOY | $942,938,461 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $631,140,993 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $923,248,273 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $64,509,470 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $19,690,188 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | VERITY HEALTH SYSTEM OF CALIFORNIA, INC. IS ORGANIZED AND OPERATED TO SUPPORT ITS AFFILIATED HEALTHCARE FACILITIES BY (I) MAINTAINING ACUTE CARE HOSPITALS, Medical Clinics, MEDICAL FOUNDATIONS AND RELATED FACILITIES AND ENTERPRISES, (II) PROMOTING SCIENTIFIC RESEARCH RELATED TO HEALTHCARE SERVICES, (III) MAINTAINING HEALTHCARE ENTERPRISES USING SYSTEMS DESIGNED TO MAXIMIZE BENEFITS TO THE COMMUNITIES SERVED, (IV) PROMOTING THE GENERAL HEALTH OF THE COMMUNITIES SERVED BY VERITY AND ITS AFFILIATED HEALTHCARE FACILITIES, AND (V) PROVIDING FINANCIAL AND OTHER FORMS OF ASSISTANCE FOR THE BENEFIT OF ITS AFFILIATED HEALTHCARE FACILITIES and the communities they serve. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $141,734,432 | ExpenseAmt |
| Grant | $46,782,774 | GrantAmt |
| Revenue | $181,911,237 | RevenueAmt |
| Desc | VHS is a non-profit regional HEALTH CARE SYSTEM WITH approximately 1,680 INPATIENT BEDS, SIX ACTIVE EMERGENCY ROOMS, a trauma center, medical office buildings, AND A HOST OF MEDICAL SPECIALTIES, including tertiary and quaternary care. VHS IS COMMITTED TO PROVIDING COMMUNITY BENEFIT THROUGH A VARIETY OF COMMUNITY BASED OUTREACH AND WELLNESS ACTIVITIES. THROUGH ITS ACCOUNTING, FINANCE, AND PATIENT FINANCIAL SERVICES DEPARTMENTS, THE ORGANIZATION PROVIDES LEADERSHIP FOR THE HEALTH SYSTEM AND SUPPORT FOR ITS AFFILIATES. THIS SUPPORT INCLUDES PROVIDING STRATEGIC AND FINANCIAL PLANNING, INFORMATION REPORTING, NEGOTIATING AND MANAGING CERTAIN SYSTEM-WIDE CONTRACTS WITH VENDORS TO REDUCE COSTS, INSURANCE VERIFICATION, AND CUSTOMER SERVICE FOR PATIENTS WITH BILLING QUESTIONS. | Desc |
| Total Program Service Expenses | $141,734,432 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | Yes (true) | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 12 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 174 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | Yes (true) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANDREW FIERRO-PERETTI | PersonNm |
| Phone | 6509915428 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 SOUTHGATE AVENUE | AddressLine1Txt |
| City | DALY CITY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94015 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (49 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Jack Krouskup | ||||||||||
| Chairman | 1.0 | 0.0 | Yes (X) | Yes (X) | $101,520 | $0 | $0 | |||
| James Pieri | ||||||||||
| Secretary | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Ernest Agatstein | ||||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $58,125 | $0 | $0 | ||||
| James Barber | ||||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $58,125 | $0 | $0 | ||||
| Terry Belmont | ||||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $73,125 | $0 | $0 | ||||
| Jeffrey Flocken | ||||||||||
| Board Member (Thru 12/2017) | 1.0 | 0.0 | Yes (X) | $75,000 | $0 | $0 | ||||
| Charles Patton | ||||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $52,500 | $0 | $0 | ||||
| Andrew Pines | ||||||||||
| Vice Chairman | 1.0 | 0.0 | Yes (X) | Yes (X) | $67,500 | $0 | $0 | |||
| Christobel Selecky | ||||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $63,750 | $0 | $0 | ||||
| Andrei Soran | ||||||||||
| President & CEO (THRU 07/2017) | 7.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Stephen Forney | ||||||||||
| CFO (Thru 08/2017) | 40.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Patrick Soon-Shiong | ||||||||||
| Interim CEO (THRU 12/2017) | 40.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Richard Adcock | ||||||||||
| CEO (BEG 12/2017) | 40.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| David Sachs | ||||||||||
| CFO (BEG 07/2017) | 40.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Tirso Del Junco Jr MD | ||||||||||
| CHIEF MED. OFFICER (BEG 9/17) | 40.0 | 0.0 | $153,094 | $492,956 | $180 | Yes (X) | ||||
| Eric Marton | ||||||||||
| chief strat/ceo vmf(Thru 4/18) | 40.0 | 0.0 | $862,849 | $0 | $780 | Yes (X) | ||||
| Michael Katz | ||||||||||
| chief hum resources(Thru 7/17) | 40.0 | 0.0 | $546,671 | $0 | $18,390 | Yes (X) | ||||
| Kate-Louise Gottfried | ||||||||||
| CHIEF COMPL/CORP RESPON OFFICR | 40.0 | 0.0 | $342,377 | $0 | $28,157 | Yes (X) | ||||
| Roy Pascale-Sonia | ||||||||||
| VP ASSOC GENERAL COUNSEL | 40.0 | 0.0 | $443,079 | $0 | $32,880 | Yes (X) | ||||
| Gaynor B Rabin | ||||||||||
| VP MANAGED CARE (Thru 03/18) | 40.0 | 0.0 | $357,253 | $0 | $25,433 | Yes (X) | ||||
| Michelle Leone | ||||||||||
| VP REVENUE CYCLE (Thru 4/17) | 40.0 | 0.0 | $300,874 | $0 | $12,020 | Yes (X) | ||||
| Jane Brust | ||||||||||
| vp marketing & comm(Thru 10/17 | 40.0 | 0.0 | $311,105 | $0 | $630 | Yes (X) | ||||
| JOHN FERRELLI | ||||||||||
| pres & ceo SMC (Thru 11/17) | 40.0 | 0.0 | $727,769 | $0 | $26,100 | Yes (X) | ||||
| JORDAN R HERGET | ||||||||||
| pres & ceo OCH/SLRH (thru 3/18 | 40.0 | 0.0 | $678,572 | $0 | $19,388 | Yes (X) | ||||
| GERALD T KOZAI | ||||||||||
| PRES. & CEO SFMC (Thru 3/18) | 40.0 | 0.0 | $619,168 | $0 | $32,100 | Yes (X) | ||||
| PATRICK H TAKAHASHI | ||||||||||
| CHIEF MED INFO OFFICER- VERITY | 40.0 | 0.0 | $458,813 | $0 | $0 | Yes (X) | ||||
| FRANK CRACOLICI | ||||||||||
| pres & CEO SVMC (thru 9/17) | 40.0 | 0.0 | $377,991 | $0 | $24,000 | Yes (X) | ||||
| TY CONNER | ||||||||||
| VP & TREASURER | 40.0 | 0.0 | $317,382 | $0 | $18,000 | Yes (X) | ||||
| ROGER D WISEMAN | ||||||||||
| CFO VMF VPN (thru 03/18) | 40.0 | 0.0 | $316,534 | $0 | $0 | Yes (X) | ||||
| ARTHUR HUBER | ||||||||||
| VP FACILITY DESIGN CONSTR. | 40.0 | 0.0 | $312,878 | $0 | $31,244 | Yes (X) | ||||
| KERIN T BASHAW | ||||||||||
| VP QUALITY (Thru 11/17) | 40.0 | 0.0 | $302,666 | $0 | $20,729 | Yes (X) | ||||
| DARREN SKOLNICK | ||||||||||
| VP INTERNAL AUDIT | 40.0 | 0.0 | $301,033 | $0 | $23,259 | Yes (X) | ||||
| SARANG TATIMATLA | ||||||||||
| VP OPERATIONAL FINANCE | 40.0 | 0.0 | $276,615 | $0 | $3,780 | Yes (X) | ||||
| JILL L HIRNEISEN | ||||||||||
| VP RISK MANAGEMENT (Thru 3/18) | 40.0 | 0.0 | $277,371 | $0 | $24,780 | Yes (X) | ||||
| ELEANOR RAMIREZ | ||||||||||
| CHIEF HOSPITAL OPERATIONS | 40.0 | 0.0 | $263,209 | $0 | $0 | Yes (X) | ||||
| MARY EILEEN DREES | ||||||||||
| VP COMMUNICATIONS/PHILANTHROPY | 40.0 | 0.0 | $256,452 | $0 | $26,394 | Yes (X) | ||||
| MUKESH J SANGHVI | ||||||||||
| VP CORPORATE CONTROLLER | 40.0 | 0.0 | $196,510 | $0 | $12,000 | Yes (X) | ||||
| CONRAD BAND | ||||||||||
| VP, IT OPERATIONS (Thru 9/17) | 40.0 | 0.0 | $159,203 | $0 | $540 | Yes (X) | ||||
| Anita Chou | ||||||||||
| SVP Hospital Finance (BEG 2/18 | 0.0 | 0.0 | $0 | $333,582 | $26,509 | Yes (X) | ||||
| Glenn Marshak | ||||||||||
| CMO | 40.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| Berge Badalian | ||||||||||
| COO (Thru 07/2017) | 40.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| Anthony Armada | ||||||||||
| COO (BEG 07/2017) | 40.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| Mitchell Creem | ||||||||||
| CAO (Thru 07/2017) | 40.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| MICHAEL FAYFEL | ||||||||||
| DIR. BUSINESS DEV. (Thru 6/18) | 40.0 | 0.0 | $256,224 | $0 | $780 | Yes (X) | ||||
| TODD SCHROEDER | ||||||||||
| DIRECTOR OF REIMBURSEMENT | 40.0 | 0.0 | $244,182 | $0 | $25,302 | Yes (X) | ||||
| MARIA KWOK | ||||||||||
| COUNSEL DEPUTY GENERAL | 40.0 | 0.0 | $235,417 | $0 | $20,065 | Yes (X) | ||||
| MANUEL CHAVIRA | ||||||||||
| DIRECTOR STRATEGY/FIN ANALYSIS | 40.0 | 0.0 | $228,824 | $0 | $1,860 | Yes (X) | ||||
| Manish Patel | ||||||||||
| Chief MED Info Officer VMF | 20.0 | 22.0 | $107,013 | $148,934 | $30,934 | Yes (X) | ||||
| Robert Minkin | ||||||||||
| President & CEO (Thru 09/2016) | 0.0 | 0.0 | $278,634 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $11,059,407 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $975,472 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $486,234 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 57 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Integrity Healthcare LLC | |||||
| 103 Carnegie Center | PRINCETON | NJ | 08540 | Management Services | $23,487,164 |
| NTT DATA Services LLC | |||||
| PO Box 677956 | DALLAS | TX | 752677956 | IT Services | $9,640,503 |
| Munger Tolles and Olson LLP | |||||
| PO Box 515065 | LOS ANGELES | CA | 900515065 | Legal Services | $4,525,809 |
| Conifer Revenue Cycle Solutions LL | |||||
| PO Box 655025 | DALLAS | TX | 752655025 | Rev. Cycle Consult | $4,329,699 |
| Deloitte Touche LLP | |||||
| PO Box 844708 | DALLAS | TX | 752844708 | Consult. & Mgmt Fees | $2,796,476 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 52 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| REGIONAL LEADERSHIP AND ADMINISTRATION | 900099 | $172,686,744 | $172,686,744 |
| MEDICAL OFFICE BUILDING REVENUE | 532000 | $9,224,493 | $9,224,493 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $181,911,237 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$13,641,336 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$2,575,733 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$11,065,603 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | $1,098,690 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $1,098,690 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,098,690 | TotalRevenueColumnAmt |
| Exclusion | $1,098,690 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $17,950,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,469,389 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $15,480,611 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,480,611 | TotalRevenueColumnAmt |
| Exclusion | $15,480,611 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE - SETTLEMENTS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $5,000,000 | TotalRevenueColumnAmt |
| Exclusion | $5,000,000 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,000,000 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $189,849,202 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $181,911,237 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$2,575,733 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,513,698 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,782,774 | TotalAmt |
| Program Services | $46,782,774 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,155,927 | TotalAmt |
| Program Services | $1,155,927 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,801,050 | TotalAmt |
| Program Services | $30,801,050 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $746,738 | TotalAmt |
| Program Services | $746,738 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,684,812 | TotalAmt |
| Program Services | $1,684,812 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,021,191 | TotalAmt |
| Program Services | $2,021,191 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,557,829 | TotalAmt |
| Management And General | $67,557,829 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,678,550 | TotalAmt |
| Program Services | $5,678,550 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $685,761 | TotalAmt |
| Management And General | $685,761 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,720,733 | TotalAmt |
| Program Services | $8,720,733 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,940 | TotalAmt |
| Program Services | $103,455 | ProgramServicesAmt |
| Management And General | $34,485 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,557,063 | TotalAmt |
| Program Services | $4,870,832 | ProgramServicesAmt |
| Management And General | $686,231 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,661,688 | TotalAmt |
| Program Services | $31,996,266 | ProgramServicesAmt |
| Management And General | $10,665,422 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,152,471 | TotalAmt |
| Program Services | $2,364,353 | ProgramServicesAmt |
| Management And General | $788,118 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $996,947 | TotalAmt |
| Program Services | $747,710 | ProgramServicesAmt |
| Management And General | $249,237 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,680 | TotalAmt |
| Management And General | $134,680 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,012,548 | TotalAmt |
| Management And General | $20,012,548 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,511,171 | TotalAmt |
| Program Services | $1,420,501 | ProgramServicesAmt |
| Management And General | $90,670 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| DUES AND SUBSCRIPTIONS | $889,129 | $889,129 | $0 | $0 |
| . | $0 | $0 | $0 | $0 |
| . | $0 | $0 | $0 | $0 |
| . | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,750,411 | TotalAmt |
| Program Services | $1,750,411 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $242,639,413 | TotalAmt |
| Program Services | $141,734,432 | ProgramServicesAmt |
| Management And General | $100,904,981 | 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 | $3,742,085 | BOYAmt |
| EOY | $14,935,720 | 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 | $3,871,460 | BOYAmt |
| EOY | $2,463,584 | 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 | $1,296,803 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,138,645 | BOYAmt |
| EOY | $10,753,387 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $135,648,252 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $94,521,809 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,017,133 | BOYAmt |
| EOY | $41,126,443 | 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 | $84,142 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,314,400 | BOYAmt |
| EOY | $2,210,611 | 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 | $655,269,937 | BOYAmt |
| EOY | $871,364,574 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $695,650,463 | BOYAmt |
| EOY | $942,938,461 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,407,803 | BOYAmt |
| EOY | $129,990,583 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,559,000 | BOYAmt |
| EOY | $27,559,000 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $416,417,962 | BOYAmt |
| EOY | $451,722,531 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $60,665,067 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $39,637,417 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,756,228 | BOYAmt |
| EOY | $213,673,675 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $631,140,993 | BOYAmt |
| EOY | $923,248,273 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,509,470 | BOYAmt |
| EOY | $17,531,114 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,159,074 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| 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 | $64,509,470 | BOYAmt |
| EOY | $19,690,188 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $695,650,463 | BOYAmt |
| EOY | $942,938,461 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$52,790,211 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,221,767 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $3,418,533 | DonatedServicesAndUseFcltsAmt |
| Other Changes In Net Assets | $2,330,629 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| IRS Written Determination | Yes (X) | IRSWrittenDeterminationInd |
| Supported Organizations | 7 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (7 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| O'CONNOR HOSPITAL | ||||
| 912154436 | 3 | Yes (true) | $44,714,071 | $0 |
| SAINT LOUISE REGIONAL HOSPITAL | ||||
| 912154437 | 3 | Yes (true) | $12,848,195 | $0 |
| SETON MEDICAL CENTER | ||||
| 912154441 | 3 | Yes (true) | $39,974,340 | $0 |
| ST FRANCIS MEDICAL CENTER | ||||
| 912154439 | 3 | Yes (true) | $60,774,315 | $0 |
| ST VINCENT MEDICAL CENTER | ||||
| 912154438 | 3 | Yes (true) | $37,545,718 | $0 |
| VERITY MEDICAL FOUNDATION | ||||
| 453691852 | 3 | Yes (true) | $46,782,774 | $0 |
| VERITY BUSINESS SERVICES | ||||
| 510659139 | 3 | Yes (true) | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 7 | SupportedOrganizationsTotalCnt |
| Support Sum | $242,639,413 | SupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | false | MajorityDirTrstSupportedOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART IV, Section C, Line 1 | FormAndLineReferenceDesc |
| Explanation | The board of directors of all of the supported organizations of Verity Health System of California, Inc. ("VHS") (O'Connor Hospital, Saint Louise Regional Hospital, Seton Medical Center, St. Francis Medical Center, St. Vincent Medical Center, Verity Medical Foundation and Verity Business Services) are appointed by VHS, their sole corporate member. | ExplanationTxt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $242,639,413 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $242,639,413 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Form4720 Filed | false | Form4720FiledInd |
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 Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $0 | CurrentYearMinus3Amt |
| Total | $0 | TotalAmt |
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 |
Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $0 | CurrentYearMinus3Amt |
| Total | $0 | TotalAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-A: | FormAndLineReferenceDesc |
| Explanation | VERITY HEALTH SYSTEM OF CALIFORNIA, INC. DID NOT INCUR ANY LOBBYING EXPENDITURES OR CONDUCT LOBBYING ACTIVITIES DURING THE TAX YEAR ENDING JUNE 30, 2018. SCHEDULE C IS BEING COMPLETED AS THE ORGANIZATION HAD AN IRC SECTION 501(H) ELECTION IN EFFECT DURING THE YEAR. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,015,232 | OtherCostOrOtherBasisAmt |
| Book Value | $11,015,232 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $94,294,153 | OtherCostOrOtherBasisAmt |
| Depreciation | $89,612,193 | DepreciationAmt |
| Book Value | $4,681,960 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $666,335 | OtherCostOrOtherBasisAmt |
| Depreciation | $72,112 | DepreciationAmt |
| Book Value | $594,223 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,218,130 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,837,504 | DepreciationAmt |
| Book Value | $1,380,626 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,454,402 | OtherCostOrOtherBasisAmt |
| Book Value | $23,454,402 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $41,126,443 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED ORGANIZATIONS | $842,406,215 |
| ASSETS LIMITED TO USE | $24,694,096 |
| OTHER RESTRICTED ASSETS | $2,159,074 |
| DEPOSITS | $1,483,864 |
| OTHER ASSETS | $621,325 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $871,364,574 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED ORGANIZATIONS | $168,795,543 |
| PENSION LIABILITIES | $14,678,000 |
| GUARANTEE LIABILITY | $14,533,333 |
| TAXABLE BOND DEBT (SERIES 2015 C) | $10,000,000 |
| SELF-INSURED LIABILITIES | $4,635,976 |
| DEFERRED RENT | $1,030,823 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $213,673,675 | TotalLiabilityAmt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | RegionTxt |
| Employee | 1 | EmployeeCnt |
| Type Of Activities Conducted | Investments | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $5,231,240 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Employees | 1 | SubtotalEmployeesCnt |
| Total Employee | 1 | TotalEmployeeCnt |
| Subtotal Spent | $5,231,240 | SubtotalSpentAmt |
| Total Spent | $5,231,240 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE F, PART I, LINE 3: | Verity Health System of California, Inc. ("VHS") OWNS 100% OF MARILLAC INSURANCE COMPANY, LTD ("MARILLAC"), AN INSURANCE CAPTIVE DOMICILED IN THE CAYMAN ISLANDS. MARILLAC IS A LEGALLY SEPARATE ENTITY FROM VHS AND IS NOT REFLECTED AS AN INVESTMENT ON THE ORGANIZATION'S BALANCE SHEET AS OF JUNE 30, 2018. HOWEVER, THE NET ASSETS AT JUNE 30, 2018 OF MARILLAC ARE REFLECTED AS AN INVESTMENT ON SCHEDULE F, PART I, COLUMN (F). |
| Schedule F, Part I, Line 3, column (F): | Method used to account for investments The organization uses the accrual method to account for the investment amount. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Verity Medical Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 Race Street | AddressLine1Txt |
| City | San Jose | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95126 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 453691852 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $46,782,774 | CashGrantAmt |
| Purpose Of Grant | General Support | 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 | Schedule I, Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Verity Health System of California, Inc. is a part of a group of related tax-exempt organizations, which includes Verity Medical Foundation. During the June 30, 2018 fiscal year, VHS made equity transfers to Verity Medical Foundation. Proper use of transferred amounts is monitored through common control throughout the health system. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (35 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Tirso Del Junco Jr MD | ||||||||||||||
| CHIEF MED. OFFICER (BEG 9/17) | $150,325 | $492,956 | $0 | $0 | $2,769 | $0 | $0 | $0 | $180 | $0 | $153,274 | $492,956 | $0 | $0 |
| Eric Marton | ||||||||||||||
| chief strat/ceo vmf(Thru 4/18) | $700,349 | $0 | $162,500 | $0 | $0 | $0 | $0 | $0 | $780 | $0 | $863,629 | $0 | $0 | $0 |
| Michael Katz | ||||||||||||||
| chief hum resources(Thru 7/17) | $216,671 | $0 | $30,000 | $0 | $300,000 | $0 | $18,000 | $0 | $390 | $0 | $565,061 | $0 | $0 | $0 |
| Kate-Louise Gottfried | ||||||||||||||
| CHIEF COMPL/CORP RESPON OFFICR | $318,998 | $0 | $0 | $0 | $23,379 | $0 | $27,377 | $0 | $780 | $0 | $370,534 | $0 | $0 | $0 |
| Roy Pascale-Sonia | ||||||||||||||
| VP ASSOC GENERAL COUNSEL | $443,079 | $0 | $0 | $0 | $0 | $0 | $32,100 | $0 | $780 | $0 | $475,959 | $0 | $0 | $0 |
| Gaynor B Rabin | ||||||||||||||
| VP MANAGED CARE (Thru 03/18) | $345,253 | $0 | $0 | $0 | $12,000 | $0 | $25,433 | $0 | $0 | $0 | $382,686 | $0 | $0 | $0 |
| Michelle Leone | ||||||||||||||
| VP REVENUE CYCLE (Thru 4/17) | $120,251 | $0 | $0 | $0 | $180,623 | $0 | $12,020 | $0 | $0 | $0 | $312,894 | $0 | $0 | $0 |
| Jane Brust | ||||||||||||||
| vp marketing & comm(Thru 10/17 | $253,490 | $0 | $0 | $0 | $57,615 | $0 | $0 | $0 | $630 | $0 | $311,735 | $0 | $0 | $0 |
| MICHAEL FAYFEL | ||||||||||||||
| DIR. BUSINESS DEV. (Thru 6/18) | $256,224 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $780 | $0 | $257,004 | $0 | $0 | $0 |
| TODD SCHROEDER | ||||||||||||||
| DIRECTOR OF REIMBURSEMENT | $244,182 | $0 | $0 | $0 | $0 | $0 | $25,302 | $0 | $0 | $0 | $269,484 | $0 | $0 | $0 |
| JOHN FERRELLI | ||||||||||||||
| pres & ceo SMC (Thru 11/17) | $429,665 | $0 | $0 | $0 | $298,104 | $0 | $26,100 | $0 | $0 | $0 | $753,869 | $0 | $0 | $0 |
| JORDAN R HERGET | ||||||||||||||
| pres & ceo OCH/SLRH (thru 3/18 | $484,264 | $0 | $180,000 | $0 | $14,308 | $0 | $19,388 | $0 | $0 | $0 | $697,960 | $0 | $0 | $0 |
| GERALD T KOZAI | ||||||||||||||
| PRES. & CEO SFMC (Thru 3/18) | $607,168 | $0 | $0 | $0 | $12,000 | $0 | $32,100 | $0 | $0 | $0 | $651,268 | $0 | $0 | $0 |
| PATRICK H TAKAHASHI | ||||||||||||||
| CHIEF MED INFO OFFICER- VERITY | $458,813 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $458,813 | $0 | $0 | $0 | |
| FRANK CRACOLICI | ||||||||||||||
| pres & CEO SVMC (thru 9/17) | $363,931 | $0 | $0 | $0 | $14,060 | $0 | $24,000 | $0 | $0 | $0 | $401,991 | $0 | $0 | $0 |
| TY CONNER | ||||||||||||||
| VP & TREASURER | $301,361 | $0 | $16,021 | $0 | $0 | $0 | $18,000 | $0 | $0 | $0 | $335,382 | $0 | $0 | $0 |
| ROGER D WISEMAN | ||||||||||||||
| CFO VMF VPN (thru 03/18) | $296,534 | $0 | $15,000 | $0 | $5,000 | $0 | $0 | $0 | $0 | $0 | $316,534 | $0 | $0 | $0 |
| ARTHUR HUBER | ||||||||||||||
| VP FACILITY DESIGN CONSTR. | $292,878 | $0 | $20,000 | $0 | $0 | $0 | $27,000 | $0 | $4,244 | $0 | $344,122 | $0 | $0 | $0 |
| KERIN T BASHAW | ||||||||||||||
| VP QUALITY (Thru 11/17) | $265,824 | $0 | $0 | $0 | $36,842 | $0 | $20,729 | $0 | $0 | $0 | $323,395 | $0 | $0 | |
| DARREN SKOLNICK | ||||||||||||||
| VP INTERNAL AUDIT | $301,033 | $0 | $0 | $0 | $0 | $0 | $23,259 | $0 | $0 | $0 | $324,292 | $0 | $0 | $0 |
| SARANG TATIMATLA | ||||||||||||||
| VP OPERATIONAL FINANCE | $253,618 | $0 | $0 | $0 | $22,997 | $0 | $0 | $0 | $3,780 | $0 | $280,395 | $0 | $0 | $0 |
| JILL L HIRNEISEN | ||||||||||||||
| VP RISK MANAGEMENT (Thru 3/18) | $271,612 | $0 | $0 | $0 | $5,759 | $0 | $24,000 | $0 | $780 | $0 | $302,151 | $0 | $0 | $0 |
| ELEANOR RAMIREZ | ||||||||||||||
| CHIEF HOSPITAL OPERATIONS | $163,209 | $0 | $100,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $263,209 | $0 | $0 | $0 |
| MARY EILEEN DREES | ||||||||||||||
| VP COMMUNICATIONS/PHILANTHROPY | $244,452 | $0 | $0 | $0 | $12,000 | $0 | $25,614 | $0 | $780 | $0 | $282,846 | $0 | $0 | $0 |
| MUKESH J SANGHVI | ||||||||||||||
| VP CORPORATE CONTROLLER | $196,510 | $0 | $0 | $0 | $0 | $0 | $12,000 | $0 | $0 | $0 | $208,510 | $0 | $0 | $0 |
| MARIA KWOK | ||||||||||||||
| COUNSEL DEPUTY GENERAL | $223,017 | $0 | $10,000 | $0 | $2,400 | $0 | $20,065 | $0 | $0 | $0 | $255,482 | $0 | $0 | $0 |
| MANUEL CHAVIRA | ||||||||||||||
| DIRECTOR STRATEGY/FIN ANALYSIS | $196,845 | $0 | $10,000 | $0 | $21,979 | $0 | $0 | $0 | $1,860 | $0 | $230,684 | $0 | $0 | $0 |
| CONRAD BAND | ||||||||||||||
| VP, IT OPERATIONS (Thru 9/17) | $159,203 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $540 | $0 | $159,743 | $0 | $0 | $0 |
| Robert Minkin | ||||||||||||||
| President & CEO (Thru 09/2016) | $0 | $0 | $0 | $278,634 | $0 | $0 | $0 | $0 | $0 | $278,634 | $0 | $0 | $0 | |
| Manish Patel | ||||||||||||||
| Chief MED Info Officer VMF | $107,013 | $143,604 | $0 | $1,482 | $0 | $3,848 | $27,207 | $3,716 | $0 | $11 | $134,220 | $152,661 | ||
| Anita Chou | ||||||||||||||
| SVP Hospital Finance (BEG 2/18 | $0 | $333,582 | $0 | $0 | $0 | $0 | $0 | $25,154 | $0 | $1,355 | $0 | $360,091 | ||
| Glenn Marshak | ||||||||||||||
| CMO | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||
| Berge Badalian | ||||||||||||||
| COO (Thru 07/2017) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||
| Anthony Armada | ||||||||||||||
| COO (BEG 07/2017) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||
| Mitchell Creem | ||||||||||||||
| CAO (Thru 07/2017) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SEVERANCE PAYMENTS | FormAndLineReferenceDesc |
| Explanation | SCHEDULE J, PART I, LINE 4A THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT FROM THE ORGANIZATION DURING THE 2017 CALENDAR YEAR, WHICH IS REPORTED AS TAXABLE COMPENSATION ON FORM 990, PART VII AND SCHEDULE J, PART II, COLUMN (B)(III): Michael Katz $300,000 Robert Minkin $278,634 John Ferrelli $247,846 MICHELLE LEONE $176,931 JANE BRUST $ 47,923 KERIN T. BASHAW $ 36,842 | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| CALIFORNIA PUBLIC FINANCE AUTHORITY | ||||||||
| A | 474447476 | 13057EAD6 | 2015-12-14 | $150,000,000 | refund prior bonds/working capital | false | false | false |
| CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTH | ||||||||
| B | 680164610 | 130911C57 | 2016-05-11 | $278,680,000 | REFUND 2005 BONDS | false | false | false |
| California Public Finance Authority | ||||||||
| C | 474447476 | 2017-09-15 | $21,000,000 | Working Capital | false | false | false | |
| California Public Finance Authority | ||||||||
| D | 474447476 | 2017-12-28 | $21,000,000 | Working Capital | false | false | false | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $150,000,000 | $0 | $0 | $0 | $987,912 | $0 | $101,101,450 | $0 | $47,910,638 | $0 | 2016 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $0 | $0 | $255,526,203 | $23,153,797 | $0 | $0 | $0 | $0 | $0 | $0 | $278,680,000 | $0 | 2005 | Yes (true) | false | Yes (true) | Yes (true) |
| C | $0 | $0 | $21,000,000 | $0 | $0 | $0 | $400,000 | $0 | $20,600,000 | $0 | $0 | $0 | 2017 | false | false | Yes (true) | Yes (true) |
| D | $0 | $0 | $21,000,000 | $0 | $0 | $0 | $400,000 | $0 | $20,600,000 | $0 | $0 | $0 | 2018 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0 | false | false | false | Yes (true) |
| B | false | false | false | false | 0 | false | false | false | Yes (true) |
| C | false | false | false | false | 0 | false | false | false | Yes (true) |
| D | false | false | false | false | 0 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||
| A | false | Yes (true) | false | false | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| B | false | Yes (true) | Yes (true) | false | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| C | false | Yes (true) | false | false | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| D | false | Yes (true) | false | false | false | false | false | 0 | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
| D | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K, GENERAL | THE CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY AND THE CALIFORNIA PUBLIC FINANCE AUTHORITY ISSUED TAX EXEMPT BONDS AND NOTES FOR THE BENEFIT OF VERITY HEALTH SYSTEM OF CALIFORNIA, INC. AND CERTAIN OTHER OBLIGATED GROUP MEMBERS OVER SEVERAL YEARS. THE TAX-EXEMPT DEBT WAS ALLOCATED TO OBLIGATED GROUP MEMBERS WITHIN VERITY'S OBLIGATED GROUP, BUT IS REPORTED FOR TAX PURPOSES ON VERITY'S FORM 990 AND SCHEDULE K. |
| SCHEDULE K, PART I, COLUMN F | Proceeds of the bond issued on 3/18/2005 were used to (1) refund a certain bond issued on 12/31/2001, (2) Acquire property, plant, and equipment for certain hospitals owned by Verity Health System of California, Inc. or its affiliates, (3) fund certain routine capital expenditures, and (4) pay the cost of insuring the bonds. As a result of certain amendments to the terms of the 2005 bonds, all the then outstanding bonds were reissued pursuant to treasury regulations 1.1001-3 on 5/11/2016. Proceeds of the bonds issued on 12/14/2015 were used to refund bonds issued on 7/30/2014 and 8/27/2014 and provide additional working capital. PROCEEDS OF THE bonds ISSUED ON 9/15/2017 and 12/28/2017 WERE USED TO PROVIDE ADDITIONAL WORKING CAPITAL. |
| Schedule K, Part II, Column B, Line 4 | Gross proceeds of the 2005 bond issue were deposited in a reasonably required reserve fund. When the then outstanding principal amount of the 2005 bond issue was reissued for federal income tax purposes on May 11, 2016 (as noted above), these amounts became transferred proceeds of the 2016 bond issue and are reflected on Line 4. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| BUSINESS RELATIONSHIP | FORM 990, PART VI, SECTION A, LINE 2 Richard Adcock Business Relationship Patrick Soon-Shiong - Business Relationship Andrei Soran Business Relationship David Sachs - Business Relationship Stephen Forney - Business Relationship |
| MANAGEMENT DUTIES | FORM 990, PART VI, SECTION A, LINE 3 VHS ENTERED INTO A MANAGEMENT AGREEMENT WITH INTEGRITY HEALTHCARE, LLC, A WHOLLY-OWNED SUBSIDIARY OF BLUEMOUNTAIN CAPITAL MANAGEMENT, LLC (WHICH PROVIDED FINANCING IN EXCHANGE FOR AN OPTION TO PURCHASE THE ASSETS OF VHS), EFFECTIVE ON DECEMBER 14, 2015. THE MANAGEMENT AGREEMENT PROVIDES THAT, SUBJECT TO THE SUPERVISION OF THE BOARD OF DIRECTORS, VHS EXCLUSIVELY DESIGNATES AND APPOINTS INTEGRITY HEALTHCARE, LLC AS ITS SOLE AND EXCLUSIVE AGENT TO PROVIDE AND ASSUME RESPONSIBILITY FOR THE MANAGEMENT AND ADMINISTRATIVE AND SUPPORT SERVICES OF VHS and its affiliates. DURING THE JUNE 30, 2018 FISCAL YEAR, THE officer POSITIONs OF CHIEF EXECUTIVE OFFICER and CHIEF financial OFFICER Were DESIGNATED PURSUANT TO THE BYLAWS OF VHS. THE INDIVIDUALS SERVING IN THIS POSITION WERE PROVIDED BY INTEGRITY HEALTHCARE, LLC. IN ADDITION, THE KEY EMPLOYEE POSITIONS (AS DEFINED BY THE FORM 990 INSTRUCTIONS) OF CHIEF OPERATING OFFICER, CHIEF MEDICAL OFFICER, and CHIEF administrative OFFICER WERE ALSO PROVIDED BY INTEGRITY HEALTHCARE, LLC. WHILE the organization did not DIRECTLY COMPENSATE THESE INDIVIDUALS (LISTED BELOW), THEY WERE COMPENSATED AS PART OF THE AFOREMENTIONED MANAGEMENT AGREEMENT FOR SERVICES AS OFFICERS OF VHS, DURING the June 30, 2018 Fiscal Year. RICHard ADCOCK, CEO of VHS $795,699 Andrei Soran, President & CEO of VHS $7,093,797 Stephen Forney, CFO of VHS $3,140,839 Glenn Marshak, CMO of VHS $5,346,374 Berge Badalian, COO of VHS $3,609,097 Mitchell Creem, CAO of VHS $6,201,272 |
| MEMBERS OR STOCKHOLDERS WITH POWER TO APPOINT | FORM 990, PART VI, SECTION A, LINE 7A DURING FISCAL YEAR ENDING JUNE 30, 2018, BLUEMOUNTAIN CAPITAL MANAGEMENT, LLC, WHICH PROVIDED VHS WITH FINANCING IN EXCHANGE FOR AN OPTION TO BUY THE ASSETS OF VHS, HAD THE RIGHT TO APPOINT NOT MORE THAN TWENTY PERCENT OF THE NUMBER OF DIRECTORS CONSTITUTING THE BOARD OF DIRECTORS AT ANY TIME DURING THE PERIOD OF TIME THAT ITS AFFILIATE, INTEGRITY HEALTHCARE, LLC IS PROVIDING MANAGEMENT SERVICES TO THE CORPORATION PURSUANT TO A MANAGEMENT SERVICES AGREEMENT. |
| FORM 990 REVIEW PROCESS | FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S INDEPENDENT TAX PREPARERS AND FINANCE STAFF WORK TOGETHER TO GATHER THE REQUIRED INFORMATION NECESSARY TO COMPLETE THE FORM 990. THE INITIAL DRAFT FORM 990 IS REVIEWED BY THE ORGANIZATION'S FINANCE AND LEGAL DEPARTMENT. AFTER THE FORM 990 IS REVIEWED, RECOMMENDED CHANGES ARE DISCUSSED AND A FINAL FORM 990 IS PREPARED. PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE, THE FINAL FORM 990 IS DISTRIBUTED TO THE ORGANIZATION'S BOARD OF DIRECTORS FOR REVIEW. |
| CONFLICT OF INTEREST POLICY | FORM 990, PART VI, SECTION B, LINE 12C VHS HAS A CONFLICT OF INTEREST POLICY THAT COVERS VHS AND ALL OF ITS AFFILIATES. THE POLICY PROVIDES FOR A SYSTEMATIC AND ONGOING METHOD OF REQUIRING INDIVIDUALS WHO HAVE DECISION MAKING RESPONSIBILITIES TO DISCLOSE AND ADDRESS POTENTIAL AND ACTUAL CONFLICTS OF INTEREST. COVERED INDIVIDUALS ARE REQUIRED TO COMPLETE AN ANNUAL STATEMENT DISCLOSING ANY CONFLICTS OF INTEREST AND HAVE A DUTY TO UPDATE THE DISCLOSURE FOR ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR. THE PRESIDENT & CEO OF each INDIVIDUAL AFFILIATE WITHIN THE HEALTH SYSTEM REPORTs THE CONFLICT OF INTEREST FINDINGS AND RESOLUTIONS TO THEIR RESPECTIVE BOARD OF DIRECTORS. THIS POLICY IS REVIEWED ANNUALLY FOR COMPLIANCE BY VHS' CORPORATE RESPONSIBILITY OFFICER. |
| PROCESS FOR DETERMINING COMPENSATION | FORM 990, PART VI, SECTION B, LINES 15A AND 15B THE VHS COMPENSATION PROGRAMS COVER VHS AND ALL OF ITS AFFILIATES. THE PRESIDENT & CEO OF EACH HOSPITAL AND VERITY MEDICAL FOUNDATION ARE EMPLOYED BY VHS. THE VHS COMPENSATION PROGRAMS ARE DESIGNED TO RECRUIT, RETAIN, AND MOTIVATE QUALIFIED EXECUTIVES. THE PROGRAMS ARE DESIGNED FOR POSITIONS THAT HAVE A SIGNIFICANT IMPACT ON THE HIGH-LEVEL STRATEGIC AND POLICY DIRECTION OF VHS AND ITS AFFILIATED HOSPITALS. VHS UTILIZED A BENEFITS COMMITTEE TO REVIEW COMPENSATION AND BENEFITS. THE VHS BOARD OF DIRECTORS REVIEWS AND APPROVES COMPENSATION RECOMMENDED BY THE BENEFITS COMMITTEE, AND DOCUMENTS ITS CONCLUSION THAT THE PROPOSED COMPENSATION IS REASONABLE. IN EVALUATING AND FINALIZING ITS DETERMINATION OF BASE PAY AND TOTAL COMPENSATION FOR COMPARABLE POSITIONS AT COMPARABLE ORGANIZATIONS IN COMPARABLE MARKETS, VHS UTILIZES AVAILABLE MARKET DATA ANALYSES WHICH INCLUDES INDEPENDENT COMPENSATION CONSULTANTS, FORM 990S OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEYS OR STUDIES, AND RECOMMENDATIONS FROM THE BENEFITS COMMITTEE AND APPROVAL BY THE VHS BOARD OF DIRECTORS. Compensation is contemporaneously documented in the minutes. |
| HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC | FORM 990, PART VI, SECTION C, LINE 19 No documents available to the public. |
| CHANGES IN NET ASSETS OR FUND BALANCES | FORM 990, PART XI, LINE 9 CHANGE IN THE FUNDED STATUS OF PENSION PLANS - $ 1,864,445 OTHER CHANGES RELATED TO PARTNERSHIP INVESTMENTS - $ 466,184 ------------ TOTAL - $2,330,629 ============ |
| Financial Statements and Reporting | Form 990, Part XII On August 31, 2018, VHS and 16 of its affiliated companies each filed voluntary petitions for relief under Chapter 11 of the United States Bankruptcy Code. The bankruptcy cases are jointly administered under Case No. 18-20151 in the United States Bankruptcy Court for the Central District of California. Court filings are available at kccllc.net/verityhealth. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| De Paul Ventures LLC | |||||||||
| 2040 E MARIPOSA AVENUE | El Segundo | CA | 90245 | 273340398 | Investing | CA | $1,756 | $3,534,291 | VHS |
| De Paul Ventures-San Jose ASC LLC | |||||||||
| 2040 E MARIPOSA AVENUE | El Segundo | CA | 90245 | 273340453 | Investing | CA | $0 | $0 | DePaul Vent |
| De Paul Ventures-San Jose Dialysis LLC | |||||||||
| 2040 E MARIPOSA AVENUE | El Segundo | CA | 90245 | 371732430 | Investing | CA | $0 | $0 | DePaul Vent |
| Verity Holdings LLC | |||||||||
| 2040 E MARIPOSA AVENUE | El Segundo | CA | 90245 | 813038177 | Property Hldg | CA | $13,643,677 | $106,725,699 | VHS |
| Vholdings MOB LLC | |||||||||
| 2040 E Mariposa Avenue | El Segundo | CA | 90245 | 611812110 | INACTIVE | CA | $0 | $0 | Verity Hldgs |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 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 Found | ||||||||||
| 2040 E MARIPOSA AVENUE | El Segundo | CA | 90245 | 953745227 | Inactive | CA | 501(c)(3) | 07 | VHS | false |
| St Francis Medical Cntr of Lynwood Fdn | ||||||||||
| 3630 E Imperial Highway | Lynwood | CA | 90262 | 953190773 | Hosp Support | CA | 501(c)(3) | 12-I | VHS | false |
| St Vincent Foundation | ||||||||||
| 2131 West Third Street | Los Angeles | CA | 90057 | 953922511 | Hosp Support | CA | 501(c)(3) | 12-I | VHS | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BASM Holdco LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1871 Martin Ave | AddressLine1Txt |
| City | SC | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95050 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 814359207 | EIN |
| Primary Activities | MGMT Company | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VHS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | UNRELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | -$2,605,185 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $84,142 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| UBI Code V | -$2,605,185 | UBICodeVAmt |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0.51000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Marillac Insurance Company LTD | |||||||||||||||||
| PO Box 69 | Grand Cayman | CJ | KY1-1102 | 980417930 | CAPTIVE INSURANCE | CJ | VHS | C Corp | $12,640,213 | $52,171,533 | 1.00000 | Yes (true) | |||||
| Robert F Kennedy Medical Center | |||||||||||||||||
| 912154440 | Inactive | VHS | C Corp | $0 | $0 | 1.00000 | Yes (true) | 2040 E MARIPOSA AVENUE | El Segundo | CA | 90245 | CA | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| O'CONNOR HOSPITAL | ||
| L | $44,714,071 | FMV |
| SAINT LOUISE REGIONAL HOSPITAL | ||
| L | $12,848,195 | FMV |
| SETON MEDICAL CENTER | ||
| L | $39,974,340 | FMV |
| ST VINCENT MEDICAL CENTER | ||
| L | $37,545,718 | FMV |
| St Francis Medical Center | ||
| L | $60,774,315 | FMV |
| Verity Medical Foundation | ||
| B | $46,782,774 | FMV |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part V, Line 2 | FormAndLineReferenceDesc |
| Explanation | VHS transacts business with the listed related organizations in the manner identified in column 2(B). VHS has chosen to reflect these transactions combined for purposes of disclosure on Schedule R, Part V, Line 2. | ExplanationTxt |