SAINT LOUISE REGIONAL HOSPITAL: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SAINT LOUISE REGIONAL HOSPITAL (EIN 91-2154437)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-15
- IRS object ID
- 201831359349306298
- Schema version
- 2016v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-15T12:37:06-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | 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 | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 912154437 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Saint Louise Regional Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MUKESH SANGHVI | InCareOfNm |
| Business Name Control | SAIN | BusinessNameControlTxt |
| Phone | 4088482000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9400 No Name Uno | AddressLine1Txt |
| City | Gilroy | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95020 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CARL JAMES | PersonNm |
| Person Title | vp/cfo | PersonTitleTxt |
| Phone | 6505516501 | PhoneNum |
| Signature | 2018-05-14 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | John Hennelly | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9400 No Name Uno | AddressLine1Txt |
| City | Gilroy | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95020 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $88,321,121 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 6153 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://stlouise.verity.org/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2001 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | SAINT LOUISE REGIONAL HOSPITAL IS A 93 BED ACUTE CARE HOSPITAL OFFERING A WIDE RANGE OF SERVICES TO RESIDENTS IN BOTH SANTA CLARA AND SAN BENITO COUNTIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 554 | TotalEmployeeCnt |
| Total Volunteers | 36 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $60,110 | PYContributionsGrantsAmt |
| CY Contributions Grants | $51,149 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $82,898,283 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $88,163,543 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $152,674 | PYOtherRevenueAmt |
| CY Other Revenue | $106,429 | CYOtherRevenueAmt |
| PY Total Revenue | $83,111,067 | PYTotalRevenueAmt |
| CY Total Revenue | $88,321,121 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $39,749 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $51,497,200 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $51,127,587 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $44,726,320 | PYOtherExpensesAmt |
| CY Other Expenses | $43,429,616 | CYOtherExpensesAmt |
| PY Total Expenses | $96,263,269 | PYTotalExpensesAmt |
| CY Total Expenses | $94,557,203 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$13,152,202 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$6,236,082 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $37,629,622 | TotalAssetsBOYAmt |
| Total Assets EOY | $39,413,090 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $101,287,816 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $111,153,187 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$63,658,194 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$71,740,097 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Saint Louise Regional Hospital ("SLRH"), a California nonprofit corporation, is a 93-bed acute care hospital in Gilroy, CA which serves South Santa Clara and San Benito Counties. SLRH also operates an urgent care center on its Morgan Hill campus--De Paul Health Center. The organization plays a vital role in continuing to emphasize high-quality, compassionate service to the underserved. SLRH provides the only emergency services within 30 miles, is a Certified Stroke Center and has diagnostic services, ICU, and general medical surgical services, including obstetric services. SLRH also provides minimally invasive surgical procedures, general medicine (including specialties that are not often seen in a community hospital), maternal and child health services, wound care, hyperbaric medicine with two hyperbaric oxygen chambers on site, stroke and a telemedicine program, physician referral services, and support groups. The hospital's two Breast Care Centers, one on campus and one at the De Pa | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $67,369,095 | ExpenseAmt |
| Revenue | $88,163,543 | RevenueAmt |
| Desc | During the June 30, 2017 fiscal year, SLRH provided over $14 million in community benefit programs to the community, in addition to the more than $12 million in care for the elderly. Annually, SLRH oversees approximately 3,000 inpatient discharges, 2,700 surgical cases, 350 births, 29,000 emergency visits, and 7,100 urgent care center visits. | Desc |
| Total Program Service Expenses | $67,369,095 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| 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 | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln 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 | false | 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 | 484 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 554 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 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 | false | InvestmentInJointVentureInd |
| 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 | MUKESH SANGHVI | PersonNm |
| Phone | 6509915427 | 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 (20 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Mary Cox | ||||||||||
| Board Member (BEG 06/2017) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Hon Joe Biafore BEG 022017 | ||||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Jack Fisher DPM BEG 022017 | ||||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $41,650 | ||||
| Andrei Soran | ||||||||||
| Ex - Officio | 1.0 | 7.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Mitch Creem THRU 072016 | ||||||||||
| Board Member | 1.0 | 44.0 | Yes (X) | $0 | $0 | $0 | ||||
| Mark Ahn MD | ||||||||||
| Secretary | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Scott Benninghoven MD | ||||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Allen Hayes | ||||||||||
| Chair | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| John Hennelly | ||||||||||
| President & CEO | 40.0 | 0.0 | $115,434 | $0 | $16,355 | Yes (X) | ||||
| JordAn Herget | ||||||||||
| PRESisent & CEO OCH & SLRH | 20.0 | 22.0 | $0 | $53,926 | $1,384 | Yes (X) | ||||
| Robert Minkin THRU 112016 | ||||||||||
| Former President & CEO | 20.0 | 22.0 | $0 | $536,880 | $4,013 | Yes (X) | ||||
| Eric Hardy | ||||||||||
| VP/CFO | 20.0 | 22.0 | $0 | $421,077 | $31,576 | Yes (X) | ||||
| Lori Katterhagen | ||||||||||
| VP Patient Care/Clinical Svcs | 20.0 | 22.0 | $198,565 | $0 | $21,755 | Yes (X) | ||||
| Mary Drotte | ||||||||||
| Quality Improvement Coord. | 40.0 | 0.0 | $156,639 | $0 | $40,562 | Yes (X) | ||||
| Norman Fox | ||||||||||
| Director, Pharmacy | 40.0 | 0.0 | $202,312 | $0 | $13,205 | Yes (X) | ||||
| Marc Quarles | ||||||||||
| Ultrasonographer | 40.0 | 0.0 | $185,276 | $0 | $44,578 | Yes (X) | ||||
| Elizabeth Agoo | ||||||||||
| Staff Nurse IV | 40.0 | 0.0 | $214,995 | $0 | $39,658 | Yes (X) | ||||
| Cynthia Murray | ||||||||||
| Staff Nurse III | 40.0 | 0.0 | $243,331 | $0 | $60,528 | Yes (X) | ||||
| Mary Lou Roach | ||||||||||
| Staff Nurse III | 40.0 | 0.0 | $218,215 | $0 | $42,528 | Yes (X) | ||||
| Carol Furgurson | ||||||||||
| CAO (THRU 02/2016) | 20.0 | 22.0 | $308,392 | $0 | $7,880 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,843,159 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,011,883 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $365,672 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 174 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ELITE ANESTHESIA MEDICAL GROUP INC | |||||
| 18535 SERRA AVENIDA DR | MORGAN HILL | CA | 95037 | medical services | $965,000 |
| FRITTER SCHULZ | |||||
| 9460 NO NAME UNO | GILROY | CA | 95020 | medical services | $410,762 |
| EMERGENCY PHYSICIAN ASSOCIATION | |||||
| 1321 S WINCHESTER BLVD | SAN JOSE | CA | 95128 | medical services | $312,200 |
| LAYTON CONSTRUCTION CO LLC | |||||
| 9090 SOUTH SANDY PKWY | SANDY | UT | 84070 | CONSTRUCTION | $285,023 |
| PRINCE SHAH MD | |||||
| 1134 HARKER AVE | PALO ALTO | CA | 94301 | PHYSICIAN SERVICES | $254,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 18 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $51,149 | RelatedOrganizationsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Total Contributions | $51,149 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $88,163,543 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $88,163,543 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $88,163,543 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CAFETERIA | 722514 | $117,166 | $117,166 |
| GIFT SHOP | 453220 | $31,897 | $31,897 |
| MEDICAL RECORDS | 622110 | $6,241 | $6,241 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$48,875 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$48,875 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $106,429 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $88,321,121 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $88,269,972 | RelatedOrExemptFuncIncomeAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $533,076 | TotalAmt |
| Program Services | $287,861 | ProgramServicesAmt |
| Management And General | $245,215 | ManagementAndGeneralAmt |
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 | $38,558,816 | TotalAmt |
| Program Services | $28,919,112 | ProgramServicesAmt |
| Management And General | $9,639,704 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,901,407 | TotalAmt |
| Program Services | $2,926,055 | ProgramServicesAmt |
| Management And General | $975,352 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,493,167 | TotalAmt |
| Program Services | $4,119,875 | ProgramServicesAmt |
| Management And General | $1,373,292 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,641,121 | TotalAmt |
| Program Services | $1,980,841 | ProgramServicesAmt |
| Management And General | $660,280 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,870,566 | TotalAmt |
| Management And General | $9,870,566 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,063,283 | TotalAmt |
| Program Services | $4,063,283 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,318 | TotalAmt |
| Management And General | $21,318 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $306,472 | TotalAmt |
| Program Services | $214,530 | ProgramServicesAmt |
| Management And General | $91,942 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,446,472 | TotalAmt |
| Program Services | $4,001,825 | ProgramServicesAmt |
| Management And General | $444,647 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,248,369 | TotalAmt |
| Program Services | $1,913,893 | ProgramServicesAmt |
| Management And General | $334,476 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,126 | TotalAmt |
| Management And General | $24,126 | 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 | $33 | TotalAmt |
| Management And General | $33 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,667,409 | TotalAmt |
| Program Services | $1,667,409 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,700,882 | TotalAmt |
| Program Services | $1,700,882 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $520,496 | TotalAmt |
| Program Services | $145,739 | ProgramServicesAmt |
| Management And General | $374,757 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $6,882,682 | $6,882,682 | |
| PATIENT BAD DEBT EXPENSE | $3,099,224 | $3,099,224 | |
| ALLOCATED HEALTH SYSTEM EXP | $927,115 | $927,115 | |
| DUES & SUBSCRIPTIONS | $30,450 | $30,450 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,620,719 | TotalAmt |
| Program Services | $5,415,434 | ProgramServicesAmt |
| Management And General | $2,205,285 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,557,203 | TotalAmt |
| Program Services | $67,369,095 | ProgramServicesAmt |
| Management And General | $27,188,108 | 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 | $3,934,486 | BOYAmt |
| EOY | $3,499,886 | 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 | $10,631,033 | BOYAmt |
| EOY | $12,936,560 | 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 | $24,017 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,254,409 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,224,067 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $53,471,625 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $40,605,668 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,098,804 | BOYAmt |
| EOY | $12,865,957 | 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 | $8,462,806 | BOYAmt |
| EOY | $10,110,687 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,629,622 | BOYAmt |
| EOY | $39,413,090 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,256,593 | BOYAmt |
| EOY | $9,063,785 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,031,223 | BOYAmt |
| EOY | $102,089,402 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,287,816 | BOYAmt |
| EOY | $111,153,187 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$63,658,194 | BOYAmt |
| EOY | -$71,740,097 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | -$63,658,194 | BOYAmt |
| EOY | -$71,740,097 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,629,622 | BOYAmt |
| EOY | $39,413,090 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$6,236,082 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$1,845,821 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | 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 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 | $4,616,600 | OtherCostOrOtherBasisAmt |
| Book Value | $4,616,600 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,120,674 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,686,967 | DepreciationAmt |
| Book Value | $2,433,707 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,668,998 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,795,357 | DepreciationAmt |
| Book Value | $3,873,641 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,065,353 | OtherCostOrOtherBasisAmt |
| Depreciation | $123,344 | DepreciationAmt |
| Book Value | $1,942,009 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,865,957 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED ORGANIZATIONS | $5,555,841 |
| OTHER CURRENT ASSETS | $4,548,199 |
| OTHER LONG TERM ASSETS | $6,647 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,110,687 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED ORGANIZATIONS | $95,647,402 |
| PENSION OBLIGATIONS | $6,442,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $102,089,402 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | Verity Health System and its affiliated not-for-profit entities have received favorable determination letters from the Internal Revenue Service, stating that they are exempt from federal income tax under the provisions of Section 501(a) of the Internal Revenue Code of 1986 (IRC) as organizations described in Sections 501(c)(3), except from income taxes pertaining to unrelated business income. Verity Heath System has for-profit partnerships and LLC entities. Income taxes by either the for-profit or not-for-profit entities are immaterial to the consolidated financial statements. Uncertain tax positions are recorded if the positions are more likely than not to be sustained on the basis of the technical merits of the positions. For the year-ended June 30, 2017, there are no material uncertain positions under Fin 48 (ASC 740) disclosed in the footnotes to the consolidated financial statements of Verity Health Systems of California, Inc. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $386,516 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $386,516 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,304,678 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,081,304 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,223,373 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09880 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,691,194 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,081,304 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,609,889 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10290 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 4329 | PersonsServedCnt |
| Total Community Benefit Expns | $262,698 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,997 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $251,701 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 20 | PersonsServedCnt |
| Total Community Benefit Expns | $251,920 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $251,920 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $4,927 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,927 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 166 | PersonsServedCnt |
| Total Community Benefit Expns | $10,143 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,143 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 15 | ActivitiesOrProgramsCnt |
| Persons Served | 4515 | PersonsServedCnt |
| Total Community Benefit Expns | $529,688 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,997 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $518,691 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00560 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 15 | ActivitiesOrProgramsCnt |
| Persons Served | 4515 | PersonsServedCnt |
| Total Community Benefit Expns | $33,220,882 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,092,301 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,128,580 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10850 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 285 | PersonsServedCnt |
| Total Community Benefit Expns | $146,412 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $146,412 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 285 | PersonsServedCnt |
| Total Community Benefit Expns | $146,412 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $146,412 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,099,224 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,188,393 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $23,944,622 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $37,276,482 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$13,331,860 | 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 (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT LOUISE REGIONAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9400 NO NAME UNO | AddressLine1Txt |
| City | GILROY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95020 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https://stlouise.verity.org | WebsiteAddressTxt |
| State License | 070000266 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Facility Reporting Group | 1 | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Saint Louise Regional Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | 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 | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | false | ImplementationStrategyAdoptInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Strategy Attached | Yes (true) | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350. | 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 |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | 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 (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | 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 (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Section B, Line 5: | NEEDS ASSESSMENT. DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES, IN ADDITION TO ANY NEEDS ASSESSMENTS REPORTED IN PART V, SECTION B. ASSESSMENT PROCESS IN AN EFFORT TO IDENTIFY THE MOST CRITICAL HEALTH CARE NEEDS IN SLRHS SERVICE AREA, A COMMUNITY HEALTH NEEDS ASSESSMENT IS CONDUCTED EVERY THREE YEARS. THE MOST RECENT ASSESSMENT WAS COMPLETED IN FISCAL YEAR 2016 (TAX YEAR 2015). THE 2016 SANTA CLARA COMMUNITY HEALTH ASSESSMENT NEEDS WAS DEVELOPED BY THE MEMBERS OF THE SANTA CLARA COUNTY COMMUNITY BENEFIT COALITION. MEMBERS OF THE COALITION INCLUDE: EL CAMINO HOSPITAL, HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA, KAISER PERMANENTE, LUCILE PACKARD CHILDRENS HOSPITAL AT STANFORD, OCONNOR HOSPITAL, ST. LOUISE REGIONAL HOSPITAL, SANTA CLARA COUNTY PUBLIC HEALTH DEPARTMENT, STANFORD HOSPITAL & CLINICS AND UNITED WAY SILICON VALLEY. THE COALITION CONTRACTED WITH RESOURCE DEVELOPMENT ASSOCIATES TO CREATE A COMPENDIUM OF SECONDARY DATA. THE TEAM ALSO CONTRACTED WITH APPLIED SURVEY RESEARCH TO CONDUCT PRIMARY RESEARCH, SYNTHESIZE PRIMARY AND SECONDARY DATA, FACILITATE THE PROCESS OF IDENTIFICATION AND PRIORITIZATION OF COMMUNITY HEALTH NEEDS AND ASSETS AND DOCUMENT THE PROCESS AND FINDINGS INTO A REPORT. COMMUNITY INPUT WAS OBTAINED DURING THE FALL OF 2016 VIA KEY INFORMANT INTERVIEWS WITH LOCAL HEALTH EXPERTS, FOCUS GROUPS WITH COMMUNITY LEADERS AND REPRESENTATIVES, AND RESIDENT FOCUS GROUPS. HEALTH NEEDS WERE IDENTIFIED BY SYNTHESIZING PRIMARY QUALITATIVE RESEARCH AND SECONDARY DATA, AND THEN FILTERING THOSE NEEDS AGAINST A SET OF CRITERIA. NEEDS WERE THEN PRIORITIZED BY THE COALITION USING A SECOND SET OF CRITERIA. THE ST. LOUISE 2016 COMMUNITY BENEFIT ADVISORY COMMITTEE (CBAC) MET ON APRIL 27, 2016 AND REVIEWED COUNTYWIDE HEALTH NEEDS IDENTIFIED BY THE COMMUNITY BENEFIT COALITION. THE CBAC IS COMPRISED OF HOSPITAL REPRESENTATIVES, INCLUDING SEVEN CLINICAL DIRECTORS, TWO NON-CLINICAL DIRECTORS, AND THE CHIEF NURSING EXECUTIVE. FOLLOWING THE COLLABORATIVE REVIEW OF THE COUNTY-WIDE HEALTH NEEDS, THIS GROUP IDENTIFIED HEALTH NEEDS TO BE PRIORITIZED FOR THE COMMUNITY DIRECTLY SERVED BY ST. LOUISE REGIONAL HOSPITAL. THE CRITERIA USED WERE: (I) SEVERITY OF NEED: THE POTENTIAL TO CAUSE DEATH OR DISABILITY, AND ITS DEGREE OF POOR PERFORMANCE AGAINST THE RELEVANT BENCHMARK. (II) MAGNITUDE/SCALE OF THE NEED: THE NUMBER OF PEOPLE AFFECTED BY THE HEALTH NEED. (III) CLEAR DISPARITIES OR INEQUITIES: DIFFERENCES IN HEALTH OUTCOMES BY SUBGROUPS. SUBGROUPS MAY BE BASED ON GEOGRAPHY, LANGUAGES, RACE/ETHNICITY, CULTURE, CITIZENSHIP STATUS, ECONOMIC STATUS, SEXUAL ORIENTATION, AGE, GENDER, OR OTHERS. (IV) MULTIPLIER EFFECT: A SUCCESSFUL SOLUTION TO THE HEALTH NEED HAS THE POTENTIAL TO SOLVE MULTIPLE PROBLEMS. FOR EXAMPLE, IF RATES OF OBESITY GO DOWN, DIABETES RATES COULD ALSO GO DOWN. THE CBAC DISCUSSED ALL OF THE COUNTY-WIDE HEALTH NEEDS AND DETERMINED THROUGH DISCUSSION AND GROUP CONSENSUS THE FIVE THAT WERE A PRIORITY TO THE ST. LOUISE REGIONAL HOSPITAL COMMUNITY. EACH MEMBER RANKED THEIR TOP SEVEN, FOLLOWED BY EACH INDIVIDUAL PRESENTING THEIR PRIORITIZATION AND THEIR REASONING. THIS LED TO AN ENGAGING DISCUSSION. SOME MEMBERS OF THE GROUP THEN RE-PRIORITIZED THEIR LISTS. THE FINAL LISTS WERE REVIEWED AND THE HEALTH NEEDS RANKED ACCORDING TO THE VOTES THEY RECEIVED. THE FOLLOWING TOP FIVE HEALTH NEEDS, IN ORDER OF PRIORITY, WERE DEEMED APPLICABLE TO THE COMMUNITY SERVED BY THIS HOSPITAL. 1. OBESITY AND DIABETES 2. BEHAVIORAL HEALTH 3. ACCESS TO HEALTHCARE 4. VIOLENCE & ABUSE 5. BIRTH OUTCOMES |
| Part V, Section B, Line 6a: | SAINT LOUISE REGIONAL HOSPITAL'S ("SLRH") COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS CONDUCTED IN CONJUNCTION WITH THE SANTA CLARA COUNTY COMMUNITY BENEFIT COALITION, WHICH INCLUDES SEVEN NONPROFIT HOSPITALS. THE HOSPITALS INCLUDED IN THE COALITION ARE: SAINT LOUISE REGIONAL HOSPITAL, EL CAMINO HOSPITAL, KAISER PERMANENTE SOUTH BAY (SANTA CLARA AND SAN JOSE KAISER HOSPITALS), LUCILE PACKARD CHILDRENS HOSPITAL AT STANFORD, OCONNOR HOSPITAL (PART OF VERITY HEALTH SYSTEM), STANFORD HEALTH CARE, AND SUTTER HEALTH. |
| Part V, Section B, Line 6b: | THE NON-HOSPITAL ORGANIZATIONS INCLUDED IN THE SANTA CLARA COUNTY COMMUNITY BENEFIT COALITION, WHICH SLRH WORKED IN CONJUNCTION WITH TO COMPLETE ITS CHNA, INCLUDE THE HOSPITAL COUNCIL OF NORTHERN & SOUTHERN CALIFORNIA (A NONPROFIT MULTI-SPECIALTY MEDICAL GROUP) AND THE SANTA CLARA COUNTY PUBLIC HEALTH DEPARTMENT. |
| Part V, Section B, Line 7a: | THE CHNA REPORT IS POSTED ON SAINT LOUISE REGIONAL HOSPITALS WEBSITE AT: HTTPS://STLOUISE.VERITY.ORG/ABOUT-US/COMMUNITY-BENEFIT/ |
| Part V, Section B, Line 10a: | SLRHS HAS RECENTLY ADOPTED A COMMUNITY BENEFIT PLAN WHICH CAN BE FOUND ON ITS WEBSITE AT: HTTPS://STLOUISE.VERITY.ORG/ABOUT-US/COMMUNITY-BENEFIT/ |
| Part V, Section B, Line 11: | THE ST. LOUISE 2016 COMMUNITY BENEFIT ADVISORY COMMITTEE (CBAC) MET ON APRIL 27, 2016 AND REVIEWED COUNTYWIDE HEALTH NEEDS IDENTIFIED BY THE COMMUNITY BENEFIT COALITION. THE CBAC IS COMPRISED OF HOSPITAL REPRESENTATIVES, INCLUDING SEVEN CLINICAL DIRECTORS, TWO NON-CLINICAL DIRECTORS, AND THE CHIEF NURSING EXECUTIVE. FOLLOWING THE COLLABORATIVE REVIEW OF THE COUNTY-WIDE HEALTH NEEDS, THIS GROUP IDENTIFIED HEALTH NEEDS TO BE PRIORITIZED FOR THE COMMUNITY DIRECTLY SERVED BY ST. LOUISE REGIONAL HOSPITAL. THE CRITERIA USED WERE: I)SEVERITY OF NEED: THE POTENTIAL TO CAUSE DEATH OR DISABILITY, AND ITS DEGREE OF POOR PERFORMANCE AGAINST THE RELEVANT BENCHMARK. (II) MAGNITUDE/SCALE OF THE NEED: THE NUMBER OF PEOPLE AFFECTED BY THE HEALTH NEED. (III) CLEAR DISPARITIES OR INEQUITIES: DIFFERENCES IN HEALTH OUTCOMES BY SUBGROUPS. SUBGROUPS MAY BE BASED ON GEOGRAPHY, LANGUAGES, RACE/ETHNICITY, CULTURE, CITIZENSHIP STATUS, ECONOMIC STATUS, SEXUAL ORIENTATION, AGE, GENDER, OR OTHERS. (IV) MULTIPLIER EFFECT: A SUCCESSFUL SOLUTION TO THE HEALTH NEED HAS THE POTENTIAL TO SOLVE MULTIPLE PROBLEMS. FOR EXAMPLE, IF RATES OF OBESITY GO DOWN, DIABETES RATES COULD ALSO GO DOWN. THE CBAC DISCUSSED ALL OF THE COUNTY-WIDE HEALTH NEEDS AND DETERMINED THROUGH DISCUSSION AND GROUP CONSENSUS THE FIVE THAT WERE A PRIORITY TO THE ST. LOUISE REGIONAL HOSPITAL COMMUNITY. EACH MEMBER RANKED THEIR TOP SEVEN, FOLLOWED BY EACH INDIVIDUAL PRESENTING THEIR PRIORITIZATION AND THEIR REASONING. THIS LED TO AN ENGAGING DISCUSSION. SOME MEMBERS OF THE GROUP THEN RE-PRIORITIZED THEIR LISTS. THE FINAL LISTS WERE REVIEWED AND THE HEALTH NEEDS RANKED ACCORDING TO THE VOTES THEY RECEIVED. THE FOLLOWING TOP FIVE HEALTH NEEDS, IN ORDER OF PRIORITY, WERE DEEMED APPLICABLE TO THE COMMUNITY SERVED BY THIS HOSPITAL. 1. OBESITY AND DIABETES 2. BEHAVIORAL HEALTH 3. ACCESS TO HEALTHCARE 4. VIOLENCE & ABUSE 5. BIRTH OUTCOMES OBESITY AND DIABETES IS A HEALTH NEED AS MARKED BY RELATIVELY HIGH RATES OF DIABETES AMONG ADULTS IN SANTA CLARA COUNTY. COUNTY-WIDE, DIABETES PREVALENCE IS AT 8% (NO BETTER THAN THE STATE AVERAGE), BUT FOR THE COUNTYS LATINO POPULATION, A POPULATION SERVED BY SLRH, DIABETES PREVALENCE IS 11%. A MAJOR DRIVER OF DIABETES RATE IS OBESITY, DIRECTLY LINKED TO POOR NUTRITION AND LACK OF EXERCISE, AND PHYSICAL ENVIRONMENT SUCH AS AVAILABILITY OF FRESH FOOD VERSUS CONVENIENT, FAST FOOD. OBESITY IS A HEALTH NEED AS INDICATED BY HIGH RATES OF OBESE YOUTH (24-31%) AND ADULTS (21%) IN SANTA CLARA COUNTY, AND HIGH RATES OF OVERWEIGHT AS WELL (14% AND 36% RESPECTIVELY). ST. LOUISE REGIONAL HOSPITAL PLANS TO PROVIDE EDUCATIONAL ACTIVITIES TO TARGETED POPULATIONS IN DIFFERENT LANGUAGES. BY PRESENTING INFORMATION IN A NATIVE LANGUAGE, ST. LOUISE REGIONAL HOPES TO REACH A LARGER NUMBER OF COMMUNITY MEMBERS AND ENABLE THEM TO MAKE HEALTHIER CHOICES WHEN IT COMES TO FOOD AND EXERCISE. IT IS ANTICIPATED THAT EDUCATION WILL IMPROVE THE PREVALENCE OF DIABETES AND OBESITY OVER TIME. BEHAVIORAL HEALTH IS PRIORITIZED AS A HEALTH NEED AND INCLUDES MENTAL HEALTH (INCLUDING DEPRESSION AND ANXIETY) AND SUBSTANCE ABUSE. COMMUNITY INPUT INDICATES HIGH CONCERN ABOUT STRESS AND DEPRESSION SPECIFICALLY AND THE RISING RATES OF MARIJUANA AND BINGE DRINKING AMONG YOUTH. PRIMARILY THROUGH OUR EMERGENCY DEPARTMENT, ST. LOUISE REGIONAL HOSPITAL ENCOUNTERS COMMUNITY MEMBERS WITH BEHAVIORAL HEALTH ISSUES. WHILE OVERALL, ST. LOUISE REGIONAL HOSPITAL DOES NOT HAVE THE RESOURCES OR EXPERTISE TO ADDRESS BEHAVIORAL HEALTH ISSUES, THROUGH REFERRAL SERVICES, ST. LOUISE REGIONAL HOSPITAL CAN CONTINUE TO ASSIST WITH THIS HEALTH NEED. ACCESS TO HEALTHCARE SERVICES IS A HEALTH NEED IN SANTA CLARA COUNTY BECAUSE SOCIOECONOMIC CONDITIONS (POVERTY, LOW LEVELS OF EDUCATION, LACK OF QUALITY HEALTH INSURANCE) AS WELL AS FACTORS INCLUDING LANGUAGE AND TRANSPORTATION BARRIERS ALL IMPACT ACCESS TO CARE, WHICH NEGATIVELY IMPACTS HEALTH. ST. LOUISE REGIONAL HOSPITAL WILL CONTINUE TO MEET THE COMMUNITYS HEALTH CARE NEEDS BY PROVIDING CHARITY CARE AND CARING FOR THOSE WITH PUBLIC INSURANCE. HEALTH EDUCATION PROGRAMS OFFERED BY ST. LOUISE REGIONAL WILL EXPAND TO COVER NEW TOPICS AND WILL BE PRESENTED IN LANGUAGES OTHER THAN ENGLISH. ST. LOUISE REGIONAL WILL CONTINUE TO SUPPORT PROGRAMS THAT PROVIDE HEALTH PROFESSIONS EDUCATION OPPORTUNITIES TO IMPROVE THE HEALTHCARE WORKFORCE. THROUGH THESE ACTIONS, IT IS ANTICIPATED THAT THE COMMUNITY WILL IMPROVE IN OVERALL HEALTH AND WELL-BEING. IT IS ALSO ANTICIPATED THAT THROUGH THESE ACTIONS, INDIVIDUALS WILL HAVE INCREASED ACCESS TO HEALTH CARE SERVICES. VIOLENCE AND ABUSE IS A RISING HEALTH NEED. IN ADDITION TO OTHER INDICATORS, THE RATE OF YOUTH HOMICIDE IN SANTA CLARA COUNTY IS HIGHER THAN HEALTHY PEOPLE TARGET AND THE COUNTY HAS SEEN AN INCREASE IN HOMICIDES IN RECENT YEARS. DOMESTIC VIOLENCE AND CHILD ABUSE RATES ALSO MISS THE BENCHMARK FOR SOME ETHNIC SUBGROUPS. DRIVERS OF THIS HEALTH NEED INCLUDE MENTAL HEALTH AND SOCIAL DETERMINANTS OF HEALTH SUCH AS POVERTY AND UNEMPLOYMENT. WHILE OVERALL, ST. LOUISE REGIONAL HOSPITAL DOES NOT HAVE THE RESOURCES OR EXPERTISE TO ADDRESS ISSUES OF VIOLENCE AND ABUSE, THROUGH REFERRAL SERVICES, ST. LOUISE REGIONAL HOSPITAL CAN CONTINUE TO ASSIST WITH THIS HEALTH NEED. BIRTH OUTCOMES ARE A HEALTH NEED IN SANTA CLARA COUNTY AS MARKED BY THE PERCENTAGE OF LOW BIRTH WEIGHT BABIES, WHICH IS NO BETTER THAN THE STATE AVERAGE, THOUGH BELOW HEALTHY PEOPLE 2020 TARGETS. IRONICALLY, IN THE COMMUNITY SERVED BY ST. LOUISE REGIONAL HOSPITAL, HIGH BIRTH RATES ARE ALSO A CONCERN. WHILE LOW BIRTH RATES OFTEN ACCOMPANY PREMATURE BIRTHS, HIGH BIRTH RATES ARE TYPICALLY ASSOCIATED WITH HEALTH CONCERNS FOR THE PREGNANT WOMAN, SUCH AS DIABETES. HIGH BIRTH RATES ARE DANGEROUS FOR DELIVERED INFANTS. IN ADDITION TO IMMEDIATE HEALTH CONCERNS, BABIES BORN WITH EITHER LOW OR HIGH BIRTH WEIGHTS MAY FACE DISPROPORTIONATELY MORE PEDIATRIC HEALTH ISSUES. A DRIVER OF THIS HEALTH NEED IS INADEQUATE EARLY PRENATAL CARE. ON A COUNTY-WIDE LEVEL, THE PERCENTAGE OF WOMEN WHO RECEIVE EARLY PRENATAL CARE IS WORSE THAN IN CALIFORNIA OVERALL. THE ASSESSMENT ALSO UNCOVERED OTHER HEALTH NEEDS THAT SLRHS IMPLEMENTATION STRATEGY DOES NOT TARGET AS ACTIONABLE FOR INTERVENTION BY SLRH PRIMARILY DUE TO THE LACK OF EXPERTISE, LIMITED RESOURCES, AND AVAILABILITY OF OTHER PROVIDERS IN THE COMMUNITY WITH MORE CAPACITY/EXPERTISE TO ADDRESS THE NEEDS. THESE INCLUDE: ALZHEIMER'S DISEASE AND DEMENTIA IS A HEALTH NEED BECAUSE OF THE INCREASING PROPORTION OF SANTA CLARA COUNTY RESIDENTS LIVING WITH ALZHEIMERS DISEASE, AND BECAUSE IT IS ONE OF THE TOP TEN LEADING CAUSES OF DEATH IN THE COUNTY. THIS NEED IS BEYOND THE SCOPE OF THE HOSPITALS RESOURCES AND EXPERTISE, BUT PATIENTS SEEKING SERVICES MAY RECEIVE REFERRAL INFORMATION BY STAFF MEMBERS OF CASE MANAGEMENT. CANCER WHILE NOT IDENTIFIED AS A PRIMARY TARGET OF HOSPITAL RESOURCES, CANCER IS AN IMPORTANT NEED IDENTIFIED BY THE CHNA. BREAST CANCER IS A CONCERN THAT SLRH HOPES TO ADDRESS THROUGH IMPROVED DIAGNOSTIC TOOLS. BY JANUARY OF 2017, SLRH WILL HAVE CUTTING EDGE MAMMOGRAPHY, USING BOTH DIGITAL AND TOMOGRAPHY. CEREBRAL VASCULAR DISEASE WHILE NOT IDENTIFIED AS A TOP FIVE NEED OF THE HOSPITAL COMMUNITY, SAINT LOUISE REGIONAL HOSPITAL IS CERTIFIED BY THE JOINT COMMISSION AS A PRIMARY STROKE CENTER. SLRHS TELENEUROLOGY PROGRAM ENSURES FASTER TREATMENT. ADDITIONALLY, SLRH PROVIDES STROKE SYMPTOM EDUCATION THROUGHOUT THE COMMUNITY, EMPHASIZING THE IMPORTANCE OF FAST CARE. HOSPITAL STAFF WILL CONTINUE TO PROVIDE EDUCATION TO THE COMMUNITY. COMMUNICABLE DISEASES WHILE A SIGNIFICANT HEALTH NEED, ARE BEYOND THE SCOPE OF EXPERTISE AND RESOURCES OF SLRH. ECONOMIC SECURITY IS A COMMUNITY HEALTH NEED BEYOND THE SCOPE OF EXPERTISE AND RESOURCES OF SLRH. CASE MANAGEMENT STAFF MEMBERS STAY INFORMED ON LOCAL RESOURCE FOR COMMUNITY MEMBERS IN NEED. HOUSING AS THE AVAILABILITY OF AFFORDABLE HOUSING INCREASES, THIS COMMUNITY NEEDS GROWS. IT IS NOT IN THE SCOPE OF HOSPITAL RESOURCES TO DIRECTLY ADDRESS THIS NEED. CASE MANAGEMENT STAFF MEMBERS STAY INFORMED ON LOCAL RESOURCE FOR COMMUNITY MEMBERS IN NEED. LEARNING DISABILITIES ARE BEYOND THE SCOPE OF EXPERTISE AND RESOURCES OF SLRH. POOR ORAL/DENTAL HEALTH IS A HEALTH NEED AS INDICATED BY THE PERCENTAGE OF SANTA CLARA COUNTY YOUTH REPORTING THEIR TEETH WERE IN FAIR OR POOR CONDITION (16%), WHICH IS WORSE THAN THE STATE AVERAGE (12%). ALSO, SOME ETHNIC SUBGROUPS ARE LESS LIKELY TO HAVE DENTAL INSURANCE, WHICH IS A DRIVER OF POOR ORAL HEALTH. SAINT LOUISE REGIONAL HOSPITAL RECOGNIZES THAT POOR ORAL/DENTAL HEALTH IS A GREAT NEED AND THAT DENTAL PROBLEMS CAN BE ASSOCIATED WITH OTHER MEDICAL CONDITIONS, BUT THE HOSPITAL DOES NOT HAVE THE EXPERTISE OR FINANCIAL RESOURCES TO ADDRESS THIS HEALTH NEED. CHILDREN VISITING OUR EMERGENCY DEPARTMENT ARE OFTEN GIVEN NEW TOOTHBRUSHES. RESPIRATORY CONDITIONS ARE A HEALTH NEED AS INDICATED BY THE HIGH ASTHMA HOSPITALIZATION RATE OF SANTA CLARA COUNTY CHILDREN. ASTHMA PREVALENCE AMONG COUNTY ADULTS IS NO |
| part v, section b, line 16a, 16b, and 16c | the financial assistance policy can be accessed at: https://stlouise.verity.org/patients-and-visitors/financial-assistance/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DE PAUL URGENT CARE CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18550 DE PAUL DRIVE SUITE 109 | AddressLine1Txt |
| City | MORGAN HILL | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95037 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | URGENT CARE CENTER | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: ANNUAL COMMUNITY BENEFIT REPORT | SAINT LOUISE REGIONAL HOSPITAL (SLRH) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. IT IS DEVELOPED IN CONJUNCTION WITH SLRHS STRATEGIC PLANNING PROCESS THAT IS BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT, ORGANIZATIONAL CAPACITY, AND RESOURCE ALLOCATION. REPORTS ON COMMUNITY BENEFIT ACTIVITIES AND OUTCOMES ARE PROVIDED BY MANAGERS AND DIRECTORS RESPONSIBLE FOR SPECIFIC COMMUNITY BENEFIT PROGRAMS. QUARTERLY REPORTS ARE PRESENTED TO THE SLRH BOARD OF DIRECTORS VERITY HEALTH SYSTEM (VHS) CORPORATE OFFICES. AN ANNUAL UPDATE IS PREPARED AND PRESENTED TO THE SLRH BOARD OF DIRECTORS FOR APPROVAL. THE ANNUAL UPDATE IS MADE AVAILABLE TO MEDICAL CENTER LEADERSHIP, KEY STAKEHOLDERS, VHS, AND THE COMMUNITY. THE ANNUAL UPDATE IS PRESENTED TO THE CALIFORNIA OFFICE OF STATEWIDE PLANNING AND DEVELOPMENT, IN ACCORDANCE WITH SB697. SLRHS COMMUNITY BENEFIT REPORT IS DEVELOPED USING RESULTS FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT, DATA AND INPUT PROVIDED BY THE MANAGERS AND DIRECTORS RESPONSIBLE FOR SPECIFIC COMMUNITY BENEFIT PROGRAMS, FEEDBACK FROM THE COMMUNITY BENEFITS COMMITTEE. SAINT LOUISE REGIONAL HOSPITALS BOARD OF DIRECTORS REVIEWS AND GIVES FINAL APPROVAL OF SLRH'S COMMUNITY BENEFIT REPORT. CONTINUAL MONITORING AND EVALUATION OF EXISTING HEALTHY COMMUNITY INITIATIVES PROVIDE VITAL INFORMATION TO THE STRATEGIC PLANNING PROCESS FOR COMMUNITY BENEFIT PROGRAMS. |
| PART I, LINE 7, COLUMN (F): BAD DEBT EXPENSE | FORM 990, PART IX, LINE 25, COLUMN A FOR SLRH REFLECTS A BAD DEBT EXPENSE OF $2,970,983 WHICH IS NOT INCLUDED IN THE LINE 7 CALCULATION. |
| PART I, LINE 7: COSTING METHODOLOGY | SLRH UTILIZES A COST ACCOUNTING SYSTEM THAT DETERMINES COSTS FOR PROVIDING MEDICAL SERVICES BASED ON THE ORGANIZATIONS RELATIONSHIP OF COSTS TO CHARGES. |
| PART III, LINE 2: methodology to estimate bad debt expense | BAD DEBT EXPENSE IS ESTIMATED BY UTILIZING HISTORICAL COLLECTIONS DATA OF SELF-PAY PATIENTS. MANAGEMENT ALSO CONSIDERS BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA. |
| Part III, Line 3: | BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ORGANIZATIONS FAP. |
| Part III, Line 4: BAD DEBT EXPENSE FOOTNOTE | SLRH IS INCLUDED IN THE VHS CONSOLIDATED AUDITED FINANCIAL STATEMENTS. HEALTH CARE SERVICES ARE PROVIDED FREE OF CHARGE OR AT A SIGNIFICANT DISCOUNT BASED ON A SLIDING SCALE TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL CRITERIA. VHS MAKES AN EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR CHARITY CARE UPON ADMISSION. IF A PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE, SERVICES ARE RENDERED TO THE PATIENT FREE OF COST. THE COSTS OF PROVIDING THESE SERVICES AR EINCLUDED IN UNSPONSORED COMMUNITY BENEFIT EXPENSE AND INCLUDED AS A DEDUCTION TO NET PATIENT SERVICE REVENUE IN THE CONSOLIDATED STATEMENT OF OPERATIONS. VHS ESTIMATES 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 INSRUANCE AND THE APPLICATION OF FINANCIAL DISCOUNTS TO PATIENTS BALANCES, AND AFTER EXHAUSTING ALL RESONABLE EFFORTS TO COLLECT FROM THE PATIENTS, A SIGNIFICANT PROTION OF VHSS UNINSURED AND SELF-PAY PATIENT ACOUNTS ARE REFERRED TO THIRD-PARTY AGENCIES BASED ON VHSS ESTABLISHED GUIDELINES FOR FURTHER COLLECITON ACTIVITIES. AS A RESULT, VHS RECORDS A SIGNIFICANT PROVISION FOR DOUBTFUL ACCOUNTS RELATED TO THESE UNINSURED PATIENTS IN THE PRIOR THE SERVICES ARE RENDERED BASED ON HISTORICAL COLLECTION EXPERIENCE. AS PART OF VHSS MISSION TO SERVE THE COMMUNITY, VHS PROVIDES CARE TO PATIENTS EVEN THOUGH THEY MAY LACK ADEQUATE INSURANCE OR MAY PARTICIPATE IN PROGRAMS THAT DO NOT PAY FULL CHARGES. RESERVES FOR CHARITY CARE AND UNCOLLECTIBLE AMOUNTS HAVE BEEN ESTABLISHED AND ARE NETTED AGAINST PATIENT AMOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEETS. |
| Part III, Line 8: MEDICARE | AS A NOT-FOR-PROFIT HOSPITAL IT IS 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. SLRH ACCEPTS MEDICARE WHICH RESULTS IN SHORTFALLS IN THE COSTS FOR CARING FOR PATIENTS UTILIZING THIS PROGRAM. SLRH UTILIZES A COST ACCOUNTING SYSTEM THAT DETERMINES COSTS FOR PROVIDING MEDICAL SERVICES BASED ON THE ORGANIZATIONS RELATIONSHIP OF COSTS TO CHARGES. THE ENTIRE SHORTFALL SHOWN ON PART III, LINE 7 SHOULD BE REFLECTED AS A COMMUNITY BENEFIT. |
| Part III, Line 9b: COLLECTION POLICY | SLRH FOLLOWS THE COLLECTION PRACTICES AS OUTLINED IN Daughters of Charity Health System (DCHS) CHARITY CARE AND FINANCIAL DISCOUNT AND FINANCIAL ASSISTANCE OPERATING POLICIES. SLRH FOLLOWS THE COLLECTION PRACTICES AS OUTLINED IN THE VHS CHARITY CARE AND FINANCIAL DISCOUNT AND FINANCIAL ASSISTANCE OPERATING POLICIES. FOR PATIENTS WHO QUALIFY FOR CHARITY CARE AND FINANCIAL DISCOUNT, SLRH PROVIDES THE PATIENT WITH A WRITTEN NOTICE PRIOR TO COMMENCING COLLECTION ACTIVITIES. THE NOTICE STATES THAT NONPROFIT COUNSELING SERVICES MAY BE AVAILABLE IN THE AREA AND PROVIDES INFORMATION CONCERNING STATE AND FEDERAL LAW REQUIREMENTS FOR DEBT COLLECTORS. SLRH DOES 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. SLRH DOES NOT ASSIGN PATIENTS MEETING AN AGREED UPON MONTHLY PAYMENT PLAN TO A COLLECTION AGENCY AND DOES NOT REPORT THE PATIENT TO CREDIT BUREAUS. SLRH DOES 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. SLRH DOES NOT USE WAGE GARNISHMENTS OR LIENS ON REAL PROPERTY AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS FOR ELIGIBLE PATIENTS. SLRH EXPECTS ITS EXTERNAL COLLECTION AGENCIES TO NOT PURSUE LEGAL ACTION AGAINST AN ELIGIBLE PATIENT WITHOUT PRIOR APPROVAL FROM SLRH. SLRH EXPECTS ITS 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. IN ADDITION, FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE, SLRH DOES NOT PURSUE LEGAL ACTION FOR NON-PAYMENT OF BILLS AGAINST ANY HOUSEHOLD WHERE THE PRIMARY WAGE EARNER(S) IS UNEMPLOYED, UNINSURED OR THERE ARE NOT SIGNIFICANT INCOME SOURCES OR ASSETS. SLRH DOES NOT ASSIGN ELIGIBLE PATIENTS MEETING AN AGREED UPON MONTHLY PAYMENT PLAN TO A COLLECTION AGENCY AND DOES NOT REPORT THE PATIENT TO CREDIT BUREAUS. SLRH DOES NOT USE LIENS ON REAL PROPERTY AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS FOR ELIGIBLE PATIENTS. |
| Part VI, Question 2: | SLRH ASSESSES THE NEEDS OF THE COMMUNITIES IT SERVCES THROUGH THE CHNA AND COMMUNITY BENEFIT REPORT. |
| Part VI, Question 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY. PATIENTS WHO PRESENT AT SLRH'S EMERGENCY DEPARTMENT AND SLRH'S ADMITTING DEPARTMENT ARE PROVIDED WITH A FINANCIAL ASSISTANCE PACKET THAT CONSISTS OF AN INFORMATIONAL FLYER ON VARIOUS PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE, ALONG WITH THE CONTACT NUMBER FOR SLRHS HEALTH BENEFITS RESOURCE CENTER (HBRC). THE FLYER IS IN ENGLISH, SPANISH, and vietnamese. THE PACKET INCLUDES A MEDI-CAL APPLICATION, AS WELL AS A CHARITY CARE APPLICATION. SHOULD THEY MAKE AN APPOINTMENT WITH HBRC, PATIENTS CAN FILL OUT THE FORMS PRIOR TO THEIR APPOINTMENT. HBRC STAFF VISITS CASH/SELF-PAY PATIENTS AT BEDSIDE, SCREENS PATIENTS AND IDENTIFIES THE PROGRAMS FOR WHICH THEY ARE ELIGIBLE. IF THEY HAVE NO LINKAGE, HBRC PROVIDES INFORMATION ABOUT OTHER PROGRAMS FOR WHICH THEY MAY QUALIFY SUCH AS CHARITY CARE. IN ADDITION, THERE ARE SIGNS POSTED IN ENGLISH, SPANISH, and Vietnamese IN THE PATIENT FINANCIAL SERVICES DEPARTMENT AND AT EVERY POINT OF REGISTRATION STATING THAT SLRH HAS 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 INCLUDES THIS SAME STATEMENT. |
| Part VI, Question 4: COMMUNITY INFORMATION | DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES. DEMOGRAPHICS AND HEALTH AND SOCIAL INDICATORS Saint Louise Regional Hospital serves a Primary Service Area (PSA) that includes Gilroy, Morgan Hill, and Hollister. The smaller communities of San Martin in Santa Clara County and San Juan Bautista in San Benito County are also a part of SLRHs Service Area. Benefits for Persons Living in Poverty In fiscal year 2017, St. Louise Regional Hospital provided more than $665,000 in community benefit activities, representing 1% of St. Louise Regional Hospital expenses. The activities that fall into this category intend to improve access to care for low-income individuals, the medically underserved and other vulnerable populations. These activities include 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 underinsured and uninsured. Health care services to the underinsured and uninsured In fiscal year 2017, St. Louise Regional Hospital provided more than $384,000 in costs of charity care services. Charity care is the cost of care for services provided to individuals with no means of paying. Health Benefits Resource Center The St. Louise Regional Hospital Health Benefits Resource Center (HBRC) is a one-stop informational and referral service that advocates for those living in poverty. The principle objectives of the center are to improve access to affordable healthcare by providing information and application assistance; perform outreach and education about programs and services available; conduct case management; serve as referral source for staff and affiliated physicians to provide support services for patients (such as CalFresh food stamps); and assist with Covered California enrollment needs. Services are provided in English, Spanish, and Vietnamese. In fiscal year 2017, the net cost for St. Louise Regional Hospital to operate the program, which provided services to 3295 people, was $237,232. Partnership with Gardner Family Health Network St. Louise Regional Hospital provided $42,910 in general operating support to the Gardner Family Health Network to further their mission to provide comprehensive healthcare services to low and moderate - income community members through the Gardner South County Health Center in Gilroy. The clinic provides medical (adult and pediatric), dental (adult and children 1 year and above), vision, mental health, womens health (OB/GYN), basic lab, and pharmacy. Partnership with RotaCare Bay Area St. Louise Regional Hospital provided $50,000 in grant funds to RotaCare Bay Area to further their mission to provide free medical care for those who have the greatest need and least access. Saint Louise funded the development and implementation of Diabetes/Hypertension Health Education Classes at the RotaCare Gilroy Clinic to impact patient dietary habits and practices to reduce rates of obesity, diabetes, and hypertension within our community. Benefits for the Broader Community St. Louise Regional Hospital supports a wide range of programs and activities that provide information and resources to improve the health and welfare of the broader community, providing more than $427,000 in community benefit activities in fiscal year 2017. Activities included presenting community health education classes, participating in community health fairs and screenings, providing health professions education, and partnerships with community organizations. Community Health Education St. Louise Regional Hospital presents a series of no-cost childbirth and family education classes for new families to learn more about the birthing process and how to care for newborns. In fiscal year 2017, more than 800 individuals attended. Community Health Fairs and Screenings Each year, St. Louise Regional Hospital is 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 multiple hospital events. Partnerships with Community Organizations St. Louise Regional Hospital believes in community-based collaboration and is committed to working with partners to build a healthier community. We work with the American Cancer Society, American Heart Association/American Stroke Association, Stroke Awareness Foundation, Foothill Community Health Care Center, and many more organizations to achieve goals that are greater than what the hospital or organization can accomplish alone. |
| Part VI, Question 5: PROMOTION OF COMMUNITY HEALTH | PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATIONS HOSPITALS OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G., OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.). SAINT LOUISE REGIONAL HOSPITAL (SLRH), A CALIFORNIA NONPROFIT RELIGIOUS CORPORATION, IS A 93 BED ACUTE-CARE HOSPITAL IN GILROY, CA. SLRH IS THE LARGEST HOSPITAL SERVING THE GROWING COMMUNITIES OF SOUTHERN SANTA CLARA COUNTY AND NORTHERN SAN BENITO COUNTY, WITH ONLY ONE OTHER SMALL HOSPITAL IN OUR SERVICE AREA. CURRENTLY WE ALSO OPERATE AN URGENT CARE CENTER ON OUR MORGAN HILL CAMPUS: DE PAUL HEALTH CENTER. WE BELIEVE OUR NOT-FOR-PROFIT HOSPITAL PLAYS A VITAL ROLE IN CONTINUING TO EMPHASIZE HIGH QUALITY, COMPASSIONATE SERVICE TO THE UNDERSERVED IN THIS CHANGING, CHALLENGING ENVIRONMENT. AT SLRH, WE HAVE THE BUSIEST EMERGENCY ROOM PER BED IN SANTA CLARA COUNTY. A CALSTAR EMERGENCY HELICOPTER TRANSPORT IS BASED ON OUR PREMISES. SAINT LOUISE ALSO PROVIDES THE LATEST MINIMALLY INVASIVE SURGICAL PROCEDURES AVAILABLE TODAY; GENERAL MEDICINE COVERING SPECIALTIES THAT ARE NOT OFTEN SEEN IN A SMALL COMMUNITY HOSPITAL; MATERNAL AND CHILD HEALTH SERVICES; WOUND CARE AND HYPERBARIC MEDICINE WITH TWO HYPERBARIC OXYGEN CHAMBERS ON SITE; STROKE AND TELEMEDICINE PROGRAM; PHYSICIAN REFERRAL SERVICES; PHYSICIAN HEALTH AND WELLNESS LECTURES; AND SUPPORT GROUPS. THE HOSPITALS BREAST CARE CENTER, IN A PRIVATE SUITE ON CAMPUS, PROVIDES MAMMOGRAPHY AND ADVANCED METHODS OF CANCER DETECTION. BONE DENSITY SCREENING IS ALSO AVAILABLE AT THE BREAST CARE CENTER. SLRH HAS SOME OF THE MOST ADVANCED DIAGNOSTIC EQUIPMENT AVAILABLE INCLUDING A 64 SLICE CT SCANNER, A HIGH DEFINITION MRI, ULTRA SOUND, AND NUCLEAR MEDICINE. A FULL SERVICE LABORATORY IS AVAILABLE AS WELL AS CARDIOPULMONARY DIAGNOSTIC STUDIES. THE HOSPITAL IS COMMITTED TO BEING THE CENTER FOR HEALTH AND HEALING IN THE COMMUNITY IT SERVES. STRATEGICALLY, WE ARE POISED TO BOTH EXPAND OUR EMERGENCY DEPARTMENT ON THE GILROY CAMPUS, AND PROVIDE ADDITIONAL OUTPATIENT SERVICES ON OUR MORGAN HILL CAMPUS: DE PAUL HEALTH CENTER. THE HEALTH BENEFITS RESOURCE CENTER PROVIDES A ONE STOP SERVICE CENTER FOR LOW COST INSURANCE ENROLLMENT FOR CHILDREN AND ADULTS. THE CENTER ALSO PROVIDES REFERRALS TO SANTA CLARA VALLEY MEDICAL CENTER SPECIALTY CLINICS WHEN ONGOING MEDICAL CARE IS NEEDED. SLRH PROVIDES FREE INDIVIDUAL AND GROUP CLASSES AND SUPPORT GROUPS IN ENGLISH AND SPANISH FOR PERSONS WITH DIABETES AND THEIR FAMILIES. HEALTH SCREENINGS ARE PROVIDED AT A VARIETY OF LOCATIONS AND BUSINESSES. SPONSORSHIP OF COMMUNITY HEALTH EVENTS SUCH AS THE GILROY COMMUNITY HEALTH DAY IS ONGOING. IN ADDITION, SLRH PARTICIPATES IN OTHER COMMUNITY EVENTS SUCH AS THE MUSHROOM MARDI GRAS AND TASTE OF MORGAN HILL PROVIDING FIRST AID SERVICES. SLRH ALSO SPONSORS MANY COMMUNITY EVENTS RELATED TO HEALTH AND WELLNESS. |
| Part VI, Question 6: | AFFILIATED HEALTH CARE SYSTEM. IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED. PRIOR TO DECEMBER 14, 2015, SLRH WAS A PART OF DAUGHTERS OF CHARITY HEALTH SYSTEM ("DCHS"), A REGIONAL HEALTH CARE SYSTEM OF HOSPITALS AND MEDICAL CENTERS SPANNING THE CALIFORNIA COAST FROM THE SAN FRANCISCO BAY AREA TO LOS ANGELES, FORMED AND OPERATED AS RELIGIOUS CORPORATIONS. IN JULY 2015, DCHS SELECTED BLUE MOUNTAIN CAPITAL MANAGEMENT LLC, A PRIVATE INVESTMENT FIRM, TO RECAPITALIZE ITS OPERATIONS AND TRANSITION LEADERSHIP OF THE HOSPITAL SYSTEM TO THE NEW VERITY HEALTH SYSTEM. SUBSEQUENTLY, IN JULY 2017, NATWORKS ASSUMED THE MANAGEMENT OF THE VERITY HEALTH SYSTEM. THE TRANSACTION WAS APPROVED BY THE CALIFORNIA ATTORNEY GENERAL ON DECEMBER 14, 2015, WHEREBY DAUGHTERS OF CHARITY HEALTH SYSTEM AMENDED ITS NAME TO VERITY HEALTH SYSTEM OF CALIFORNIA, INC. ("VHS"), AND VERITY HEALTH SYSTEM AND ALL OF ITS NONPROFIT CORPORATE AFFILIATES (INCLUDING SLRH) CHANGED STATUS FROM RELIGIOUS CORPORATIONS TO PUBLIC BENEFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT CORPORATION LAW. AS A NON-PROFIT, NON-RELIGIOUS HEALTH CARE SYSTEM, VERITY HEALTH SYSTEM SEEKS TO BUILD ON THE RICH LEGACY LEFT BY THE DAUGHTERS OF CHARITY HEALTH SYSTEM. SLRH IS A 93-BED ACUTE CARE HOSPITAL IN GILROY, CA< WHICH SERVES SOUTH SANTA CLARA AND SAN BENITO COUNTIES. SLRH PROVIDES THE ONLY EMERGENCY SERVICES WITHIN 30 MILES, IS A CERTIFIED STROKE CENTER AND HAS DIAGNOSTIC SERVICES, ICU, AND GENERAL MEDICAL SURGICAL SERVICES INCLUDING OBSTETRICS. A CALSTAR EMERGENCY HELICOPTER TRANSPORT IS BASED ON THE PREMISES. SLRH ALSO PROVIDES MINIMALLY INVASIVE SURGICAL PROCEDURES, GENERAL MEDICINE INCLUDING SPECIALTIES THAT ARE NOT OFTEN SEEN IN A SMALL COMMUNITY HOSPITAL, MATERNAL AND CHILD HEALTH SERVICES, WOUND CARE AND HYPERBARIC MEDICINE WITH TWO HYBER-BARIC OXYGEN CHAMPERS ON SITE, STROKE AND A TELEMEDICINE PROGRAM, PHYSICIAN REFERRAL SERVICES, AND SUPPORT GROUPS. THE HOSPITALS BREAST CARE CENTER PROVIDES MAMMOGRAPHY, OTHER METHODS OF CANCER DETECTION, AND BONE DENSITY SCREENING. SLRH HAD 2,703 DISCHARGES IN FISCAL JUNE 2017. THERE WERE 2,772 SURGERIES AND 26,431 ED VISITS. SLRH HAVE 317 FTES. |
| Part VI, Question 7: STATE FILING OF COMMUNITY BENEFIT REPORT | IF APPLICABLE, IDENTIFY ALL STATES WITH WHICH THE ORGANIZATION, OR A RELATED ORGANIZATION, FILES A COMMUNITY BENEFIT REPORT. SLRH ANNUALLY UPDATES ITS COMMUNITY BENEFITS REPORT AND FILES A COPY OF IT ON AN ANNUAL BASIS WITH THE STATE OF CALIFORNIA. |
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 (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Robert Minkin THRU 112016 | ||||||||||||
| Former President & CEO | $0 | $536,880 | $0 | $0 | $0 | $0 | $0 | $4,013 | $0 | $540,893 | ||
| Norman Fox | ||||||||||||
| Director, Pharmacy | $202,312 | $0 | $1,300 | $0 | $11,905 | $0 | $215,517 | $0 | $0 | $0 | ||
| Eric Hardy | ||||||||||||
| VP/CFO | $0 | $421,077 | $0 | $0 | $0 | $12,632 | $0 | $18,944 | $0 | $452,653 | ||
| Lori Katterhagen | ||||||||||||
| VP Patient Care/Clinical Svcs | $198,565 | $0 | $0 | $18,000 | $0 | $216,565 | $0 | |||||
| Marc Quarles | ||||||||||||
| Ultrasonographer | $185,276 | $0 | $0 | $44,578 | $0 | $229,854 | $0 | |||||
| Elizabeth Agoo | ||||||||||||
| Staff Nurse IV | $214,995 | $0 | $0 | $39,658 | $0 | $254,653 | $0 | |||||
| Cynthia Murray | ||||||||||||
| Staff Nurse III | $243,331 | $0 | $0 | $60,528 | $0 | $303,859 | $0 | |||||
| Mary Lou Roach | ||||||||||||
| Staff Nurse III | $218,215 | $0 | $0 | $42,528 | $0 | $260,743 | $0 | |||||
| Mary Drotte | ||||||||||||
| Quality Improvement Coord. | $156,639 | $0 | $0 | $37,734 | $0 | $194,373 | $0 | |||||
| Carol Furgurson | ||||||||||||
| CAO (THRU 02/2016) | $74,090 | $0 | $234,302 | $3,714 | $0 | $4,166 | $0 | $316,272 | $0 | $0 | $0 | |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | CAROL FURGUSON RECEIVED A SEVERANCE IN THE AMOUNT OF $234,302. THIS WAS INCLUDED IN HER W-2 COMPENSATION. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 3: | THE ORGANIZATION 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 THE ORGANIZATION. DURING THE JUNE 30, 2017 FISCAL YEAR, THE OFFICER POSITIONS (AS DEFINED BY THE FORM 990 INSTRUCTIONS AND BYLAWS OF THE ORGANIZATION) OF THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER WERE PROVIDED BY INTEGRITY HEALTHCARE, LLC FOR THE FULL FISCAL YEAR. IN ADDITION, THE KEY EMPLOYEE POSITIONS (AS DEFINED BY THE FORM 990 INSTRUCTIONS) OF CHIEF OPERATING OFFICER AND CHIEF MEDICAL OFFICER WERE ALSO PROVIDED BY INTEGRITY HEALTHCARE, LLC. -Andrei Soran, Ex-Officio of SLRH $1,875,229 -Mitch Creem, Board Member of SLRH $1,102,000 |
| Form 990, Part VI, Section A, Line 6a: | SAINT LOUISE REGIONAL HOSPITAL ("SLRH") HAS ONE MEMBER, VERITY HEALTH SYSTEM OF CALIFORNIA, INC., A CALIFORNIA NONPROFIT CORPORATION. |
| Form 990, Part VI, Section A, Line 7a: | THE ORGANIZATION'S SOLE MEMBER, VERITY HEALTH SYSTEM OF CALIFORNIA, INC. ("VHS") HAS THE POWER TO FIX THE NUMBER AND APPOINT AND REMOVE THE TRUSTEES OF SAINT LOUISE REGIONAL HOSPITAL ("SLRH"). |
| Form 990, Part VI, Section B, Line 7b: | AS THE SOLE MEMBER OF SLRH, VHS HAS THE POWER TO TAKE OR APPROVE THE FOLLOWING ACTIONS AS IT RELATES TO SLRH: (1) APPROVE OR CHANGE THE MISSION, ROLE, AND PURPOSE OF THIS ORGANIZATION; (2) AMEND THE BYLAWS AND ARTICLES OF INCORPORATION (OR AUTHORIZE THE BOARD OF TRUSTEE TO DO SO); (3) APPROVE THE FORMATION, MERGER, DISSOLUTION, CONSOLIDATION, DIVESTITURE, CLOSURE, CHANGE IN CORPORATE MEMBERSHIP OR CONTROL AND REORGANIZATION OF EACH DIRECT AFFILIATE OF THIS CORPORATION; (4) FIX THE NUMBER AND APPOINT AND REMOVE THE TRUSTEES OF THIS CORPORATION; (5) APPOINT AND REMOVE THE CHAIRPERSON OF THE BOARD AND PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THIS CORPORATION AND OF EACH DIRECT AFFILIATE OR SUBSIDIARY OF THIS CORPORATION; (6) APPROVE THE MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION, OR DISPOSITION OF ASSETS OF THIS CORPORATION OR ANY DIRECT AFFILIATE OF THIS CORPORATION; (7) APPROVE THE ACQUISITION, SALE, LEASE, MORTGAGE, TRANSFER OR OTHER ALIENATION OF REAL OR PERSONAL PROPERTY OF THIS CORPORATION; (8) APPROVE THE CAPITAL AND OPERATING BUDGETS; (9) APPROVE THE INCURRENCE OF DEBT OR GUARANTIES; (10) ESTABLISH POLICY CONCERNING QUALITY OF CARE AND SERVICES FOR THE CORPORATION; (11) ESTABLISH POLICY AND PROCEDURES CONCERNING FINANCE AND RESOURCES; (12) ESTABLISH CRITERIA FOR THE LONG-RANGE FINANCIAL AND STRATEGIC PLANS OF THE CORPORATION; (13) ESTABLISH AN INTERNAL AUDITING PROGRAM AND APPROVE ANY MATERIAL ELEMENT OF THE INTERNAL AUDITING PROGRAM; (14) APPROVE CAPITAL EXPENDITURES; (15) APPROVE THE TRANSFER OF FUNDS, BY GIFT OR LOAN, BETWEEN THIS CORPORATION AND ONE OR MORE OTHER AFFILIATES OF VERITY HEALTH SYSTEM; (16) 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 IS A PARTY. |
| 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 VERSION FORM 990 IS DISTRIBUTED TO THE ORGANIZATION'S BOARD OF DIRECTORS FOR REVIEW. |
| 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 & CEOS OF THE INDIVIDUAL HOSPITALS WITHIN THE HEALTH SYSTEM REPORT THE CONFLICT OF INTEREST FINDINGS AND RESOLUTIONS TO THEIR RESPECTIVE BOARD OF DIRECTORS. THIS POLICY IS REVIEWED ANNUALLY FOR COMPLIANCE BY VHS'S CORPORATE RESPONSIBILITY OFFICER. |
| Form 990, Part VI, Section B, Lines 15a and 15b: | Saint Louise Regional Hospital is paid through a common paymaster, Verity Health System (VHS), the president and CEO of each hospital is 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, including Saint Louise Regional Hospital. Market Data analyses are made of comparable organizations within the industry and within the region. Total compensation is established for all executive positions to target similar total compensation of comparable organizations market compensation. Base pay is established for all executive positions to target the median range of comparable organization market compensation. |
| Form 990, Part VI, Section C, Line 19: | THE AUDITED FINANCIAL STATEMENTS AND FORM 1023 ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ARTICLES OF INCORPORATION, BYLAWS, AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| Form 990, Part XI, Line 9: | Change in the funded status of pension plan in the amount of $(1,845,821). |
Schedule R IRS990ScheduleR
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) | 12-I | vhs | false |
| St Francis Med Center Foundation | ||||||||||
| 3630 E Imperial Highway | Lynwood | CA | 90262 | 953190773 | hosp support | CA | 501(c)(3) | 12-I | vhs | false |
| St Vincent Foundation | ||||||||||
| 2300 E Imperial HWY 5th Fl | El Segundo | CA | 90245 | 953922511 | hosp support | CA | 501(c)(3) | 12-I | vhs | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | 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 | $0 | $0 | false | |||||
| ROBERT F KENNEDY MEDICAL CENTER | ||||||||||||||||
| 912154440 | Inactive | VHS | c corp | $0 | $0 | false | 2040 E MARIPOSA AVENUE | El Segundo | CA | 90245 | CA | |||||
| ST VINCENT DEPAUL ETHICS CORPORATION | ||||||||||||||||
| 954426405 | INACTIVE | VHS | C CORP | $0 | $0 | false | 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 | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT LOUISE REGIONAL HOSPITAL FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $51,149 | InvolvedAmt |
| Method Of Amount Determination | COST | MethodOfAmountDeterminationTxt |