STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

VERITY HEALTH SYSTEM OF CALIFORNIA INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
VERITY HEALTH SYSTEM OF CALIFORNIA INC (EIN 91-2145484)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-12
IRS object ID
201631339349304708
Schema version
2014v6.0
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

FieldValueIRS element (for citing)
Return2016-05-12T15:19:33-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 CALIFORNIA STREET SUITE 2700AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94111ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN912145484EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Daughters of Charity Health SystemBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% STPEHEN FORNEYInCareOfNm
Business Name ControlDAUGBusinessNameControlTxt
Phone6505516650PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1203 Redwood Shores Pkwy Suite 800AddressLine1Txt
CityRedwood CityCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94065ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonStephey ForneyPersonNm
Person TitleCFOPersonTitleTxt
Phone6505516650PhoneNum
Signature2016-05-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBETHANN LONDYNSKYPreparerPersonNm
PTINP00847678PTIN
Phone4159863900PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerMitch CreamPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1203 Redwood Shores Suite 800AddressLine1Txt
CityRedwood CityCityNm
State AbbreviationCAStateAbbreviationCd
ZIP940651199ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$84,151,230GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.verity.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionSee Attachment 1ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee81TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI-$459TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$14,319NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$142,408,683PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$73,774,208PYProgramServiceRevenueAmt
CY Program Service Revenue$77,331,307CYProgramServiceRevenueAmt
PY Investment Income$9,309,574PYInvestmentIncomeAmt
CY Investment Income$6,819,923CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$225,492,465PYTotalRevenueAmt
CY Total Revenue$84,151,230CYTotalRevenueAmt
PY Grants And Similar Paid$162,120,131PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$909,101CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$18,715,677PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$15,635,742CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$56,583,234PYOtherExpensesAmt
CY Other Expenses$62,446,190CYOtherExpensesAmt
PY Total Expenses$237,419,042PYTotalExpensesAmt
CY Total Expenses$78,991,033CYTotalExpensesAmt
PY Revenues Less Expenses-$11,926,577PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,160,197CYRevenuesLessExpensesAmt
Total Assets BOY$355,277,598TotalAssetsBOYAmt
Total Assets EOY$480,216,424TotalAssetsEOYAmt
Total Liabilities BOY$322,771,571TotalLiabilitiesBOYAmt
Total Liabilities EOY$440,922,914TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$32,506,027NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$39,293,510NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIN THE SPIRIT OF OUR FOUNDERS, ST. VINCENT DE PAUL, ST. LOUISE DE MARILLAC, AND ST. ELIZABETH ANN SETON, THE DAUGHTERS OF CHARITY HEALTH SYSTEM IS COMMITTED TO SERVING THE SICK AND THE POOR. WITH JESUS CHRIST AS OUR MODEL, WE ADVANCE AND STRENGTHEN THE HEALING MISSION OF THE CATHOLIC CHURCH BY PROVIDING COMPREHENSIVE, EXCELLENT HEALTH CARE THAT IS COMPASSIONATE AND ATTENTIVE TO THE WHOLE PERSON: BODY, MIND AND SPIRIT. WE PROMOTE HEALTHY FAMILIES, RESPONSIBLE STEWARDSHIP OF THE ENVIRONMENT, AND A JUST SOCIETY THROUGH VALUE-BASED RELATIONSHIPS AND COMMUNITY-BASED COLLABORATION.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$59,470,550ExpenseAmt
Grant$909,101GrantAmt
Revenue$77,331,307RevenueAmt
DescThe Daughters of Charity Health System ("System") is a regional health system in California. The System provides acute, long-term, community health, psychiatric, rehabilitation, and residential care through hospitals ("local health ministries") located in Northern California and Southern California. Through its accounting, finance, and patient financial services departments, the organization provides leadership for the System and support for the local health ministries. This support includes providing strategic and financial planning for the local health ministries, information reporting, negotiating and managing certain System-wide contracts with vendors to reduce costs, insurance verification, and customer service for patients with billing questions.Desc
Total Program Service Expenses$59,470,550TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document90IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee81EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSTPEHEN FORNEYPersonNm
Phone6505516650PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1203 REDWOOD SHORES SUITE 800AddressLine1Txt
CityREDWOOD CITYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94065ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Sr Marjory Ann Baez DC
Board Chair1.00.0Yes (X)Yes (X)$0$0$0
Sr Marion Bill DC
Vice Chairperson1.08.0Yes (X)Yes (X)$0$0$0
Sr Janet Barrett DC
Treasurer/Secretary1.00.0Yes (X)Yes (X)$0$0$0
Sr Betty Marie Dunkel DC
Board Member1.00.0Yes (X)$0$0$0
Sr Judith Lynn Gardenhire DC
Board Member1.00.0Yes (X)$0$0$0
Sr Christina Maggi DC
Board Member1.00.0Yes (X)$0$0$0
Daniel S Higgins MD
Board Member1.01.0Yes (X)$0$0$0
William Del Biaggio
Board Member1.00.0Yes (X)$0$0$0
Robert Issai
President and CEO40.08.0Yes (X)$1,553,079$0$326,419
Annie Melikian
CFO40.03.0Yes (X)$659,601$0$32,264
Conway Collis
Sr Counselor/CPP/Advo Officer40.00.0$281,243$0$51,517Yes (X)
Richard Hutsell
VP of IT and CIO40.02.0$603,210$0$201,373Yes (X)
Nancy Carragee
VP, Quality40.00.0$257,863$0$32,115Yes (X)
Gerald Kozai
President and CEO, SFMC0.040.0$911,272$0$196,384Yes (X)
James Dover
President and CEO, OCH & SLRH0.042.0$864,646$0$82,939Yes (X)
Margaret Catherine Fickes
President and CEO, SVMC0.042.0$784,145$0$133,075Yes (X)
Joanne Evelyn Allen
President and CEO, SMC0.044.0$756,404$0$131,969Yes (X)
Ernest Wallerstein
President and CEO, DCHS MF0.040.0$575,987$0$94,298Yes (X)
Mike Stuart
Former CFO0.00.0$386,639$0$53,973Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,634,089TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,336,326TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K38IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ROPES GRAY
PO BOX 414265BOSTONMA02241LEGAL SERVICES$6,532,722
ERNST AND YOUNG
PO BOX 846793LOS ANGELESCA90084AUDITING SERVICES$1,110,275
CATHOLIC HEALTHCARE AUDITORS LLC
231 SOUTH BEMISTON AVENUE SUITE 30CLAYTONMO63105AUDITING SERVICES$785,676
SEYFARTH SHAW LLP
131 SOUTH DEARBORN STCHICAGOIL60603LEGAL SERVICES$756,586
JEFFER MANGELS BUTLER MITCHELL
PO BOX 513267LOS ANGELESCA90051LEGAL SERVICES$720,020
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K29CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
REGIONAL LEADERSHIP AND ADMINISTRATION900099$73,887,997$73,887,997
OTHER OPERATING REVENUE900099$2,528,975$2,528,975
PARTNERSHIP INCOME - PROGRAM SERVICES541900$914,335$914,794-$459
FieldValueIRS element (for citing)
Total Program Service Revenue$77,331,307TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,819,923TotalRevenueColumnAmt
Exclusion$6,819,923ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$84,151,230TotalRevenueColumnAmt
Related Or Exempt Func Income$77,331,766RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$459UnrelatedBusinessRevenueAmt
Exclusion$6,819,923ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$909,101TotalAmt
Program Services$909,101ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,290,879TotalAmt
Program Services$2,468,159ProgramServicesAmt
Management And General$822,720ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,671,667TotalAmt
Program Services$7,253,750ProgramServicesAmt
Management And General$2,417,917ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,076,816TotalAmt
Program Services$807,612ProgramServicesAmt
Management And General$269,204ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,175,541TotalAmt
Program Services$881,656ProgramServicesAmt
Management And General$293,885ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$420,839TotalAmt
Program Services$315,629ProgramServicesAmt
Management And General$105,210ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$11,462,070TotalAmt
Program Services$8,596,553ProgramServicesAmt
Management And General$2,865,518ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$6,942,975TotalAmt
Program Services$5,207,231ProgramServicesAmt
Management And General$1,735,744ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,426,976TotalAmt
Program Services$1,820,232ProgramServicesAmt
Management And General$606,744ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,219,647TotalAmt
Program Services$1,664,735ProgramServicesAmt
Management And General$554,912ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$10,611TotalAmt
Program Services$7,958ProgramServicesAmt
Management And General$2,653ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$252,233TotalAmt
Program Services$189,175ProgramServicesAmt
Management And General$63,058ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$36,074,257TotalAmt
Program Services$27,055,693ProgramServicesAmt
Management And General$9,018,564ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$705,851TotalAmt
Program Services$529,388ProgramServicesAmt
Management And General$176,463ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$336,334TotalAmt
Program Services$252,251ProgramServicesAmt
Management And General$84,084ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$670TotalAmt
Program Services$503ProgramServicesAmt
Management And General$168ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$35,382TotalAmt
Program Services$26,537ProgramServicesAmt
Management And General$8,846ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$25,376TotalAmt
Program Services$19,032ProgramServicesAmt
Management And General$6,344ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,149,433TotalAmt
Program Services$862,075ProgramServicesAmt
Management And General$287,358ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
RECRUITING$711,587$533,690$177,897
DUES AND SUBSCRIPTIONS$56,467$42,350$14,117
LICENSE & TAXES$8,986$6,740$2,247
CATERING$3,893$2,920$973

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$23,442TotalAmt
Program Services$17,582ProgramServicesAmt
Management And General$5,861ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$78,991,033TotalAmt
Program Services$59,470,550ProgramServicesAmt
Management And General$19,520,483ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$32,928,205BOYAmt
EOY$14,003,412EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$8,333BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$170,363BOYAmt
EOY$125,837EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,811,998BOYAmt
EOY$6,721,722EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,237,184LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,191,562LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$144,792BOYAmt
EOY$45,622EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$926,388BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$4,417,033BOYAmt
EOY$3,709,126EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$314,870,486BOYAmt
EOY$455,610,705EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$355,277,598BOYAmt
EOY$480,216,424EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,625,997BOYAmt
EOY$8,208,131EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$289,225,000BOYAmt
EOY$406,926,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,920,574BOYAmt
EOY$25,788,783EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$322,771,571BOYAmt
EOY$440,922,914EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$32,506,027BOYAmt
EOY$39,293,510EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$32,506,027BOYAmt
EOY$39,293,510EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$355,277,598BOYAmt
EOY$480,216,424EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,160,197ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,741,142NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,113,856OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (7 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
O'CONNOR HOSPITAL
9121444363Yes (true)$0$0
SAINT LOUISE REGIONAL HOSPITAL
9121544373Yes (true)$0$0
SETON MEDICAL CENTER
9121544413Yes (true)$0$0
ST FRANCIS MEDICAL CENTER
9121544393Yes (true)$0$0
ST VINCENT MEDICAL CENTER
9121544383Yes (true)$0$0
ROBERT F KENNEDY MEDICAL CENTER
9121544403Yes (true)$0$0
DCHS MEDICAL FOUNDATION
4536918529Yes (true)$892,934$0
FieldValueIRS element (for citing)
Supported Organizations Total7SupportedOrganizationsTotalCnt
Support Sum$892,934SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgfalseMajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Part I, Line 11h:O'Connor Hospital, Saint Louise Regional Hospital, Seton Medical Center, St. Francis Medical Center, St. Vincent Medical Center, Robert F. Kennedy Medical Center, and DCHS Medical Foundation are affiliated corporations with Daughters of Charity Health System ("DCHS"), as defined in its bylaws. Each local health ministry and DCHS Medical Foundation is controlled by DCHS by oepration of DCHS being the sole member corporation of each supported organization and being named as such in the bylaws of each listed supported organization. See Form 990, Part III, line 4a (and the related attachment) for a description of support provided to each of the affiliated corporations.
Schedule A, Part IV, Section D, Line 1Daughters of Charity Health System and its supported organizations are both supervised by Daughters of Charity Ministry Services Corproation ("Ministry Services"). Ministry Services is the sole corporate member of Daughters of Charity Health System. Daughters of Charity Health System is the sole corporate member of the supporting organizations, all of which are not-for-profit religious corporations that operate acute care hospitals and other facilities.

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$78,991,033FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$78,991,033FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Affiliated Group Total$0AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Affiliated Group Total$0AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$3,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$4,500,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus2$997,812CurrentYearMinus2Amt
Current Year Minus1$84,614CurrentYearMinus1Amt
Current Year$0CurrentYearAmt
Total$1,082,426TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$750,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,125,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus2$0CurrentYearMinus2Amt
Current Year$0CurrentYearAmt
Total$0TotalAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceExplanation of Lobbying ActivitiesFormAndLineReferenceDesc
ExplanationSchedule C, Part II-A: Daughters of Charity Health System did not incur any lobbying expenditures or conduct lobbying activities during the tax year ending June 30, 2015. Schedule C is being completed as the organization had an IRC Section 501(h) election in effect during the year.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$33,700OtherCostOrOtherBasisAmt
Depreciation$33,700DepreciationAmt
Book Value$0BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$579,495OtherCostOrOtherBasisAmt
Depreciation$579,495DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,623,989OtherCostOrOtherBasisAmt
Depreciation$3,578,367DepreciationAmt
Book Value$45,622BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$45,622TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
DUE FROM RELATED PARTIES$426,817,506
UNDER BOND INDENTURE AGREEMENT$25,871,425
DEPOSITS$798,109
2005 DEF UNDERWRITER FEES$1,245,759
OTHER RECEIVABLE$222,517
2005 DEF COST OF ISSUANCE$655,384
INTEREST RECIEVABLE$5
FieldValueIRS element (for citing)
Total Book Value Other Assets$455,610,705TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
PENSION OBLIGATION$18,880,000
TAIL LIABILITY$5,593,573
DUE TO RELATED PARTIES$378,489
OTHER LIABILITIES$936,721
FieldValueIRS element (for citing)
Total Liability$25,788,783TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFIN 48 (ASC 740) FootnoteFormAndLineReferenceDesc
ExplanationSchedule D, Part X, Line 2: Daughters of Charity Health System and its affiliates do not have a liability for uncertain tax positions under FIN 48 (ASC 740) on their consolidated financial statements for the year ended June 30, 2015. As such, there was no FIN 48 (ASC 740) disclosure in the footnotes to the consolidated financial statements of Daughters of Charity Health System.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
DCHS Medical Foundation
400 Race StreetSan JoseCA95126453691852501(c)(3)$892,934General Support
Catholic Relief Service
228 W Lexington StBaltimoreMD21201135563422501(c)(3)$16,167Charity
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrants Paid by Daughters of Charity Health SystemFormAndLineReferenceDesc
ExplanationSchedule I, Part I, Line 2: Daughters of Charity Health System is part of a related group of tax exempt organizations, which includes DCHS Medical Foundation. Grants are made to support DCHS Medical Foundation's exempt purpose. Additionally, a grant was made to Catholic Relief Services, which is the official international humanitarian agency of the Catholic community in the United States. The grant was made to assist with the organization's mission of providing assistance to the poor overseas by responding to emergencies and fighting poverty.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Discretionary Spending AcctYes (X)DiscretionarySpendingAcctInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Robert Issai
President and CEO$937,792$0$0$0$615,287$0$303,132$0$23,287$0$1,879,498$0$0$0
Annie Melikian
CFO$411,393$0$0$0$248,208$0$28,530$0$3,734$0$691,865$0$0$0
Conway Collis
Sr Counselor/CPP/Advo Officer$275,243$0$0$0$6,000$0$32,980$0$18,537$0$332,760$0$0$0
Richard Hutsell
VP of IT and CIO$354,315$0$0$0$248,895$0$162,892$0$38,481$0$804,583$0$0$0
Nancy Carragee
VP, Quality$194,660$0$0$0$63,203$0$15,882$0$16,233$0$289,978$0$0$0
Gerald Kozai
President and CEO, SFMC$551,165$0$0$0$360,107$0$154,220$0$42,164$0$1,107,656$0$0$0
James Dover
President and CEO, OCH & SLRH$524,243$0$0$0$340,403$0$45,993$0$36,946$0$947,585$0$0$0
Margaret Catherine Fickes
President and CEO, SVMC$486,084$0$0$0$298,061$0$102,810$0$30,265$0$917,220$0$0$0
Joanne Evelyn Allen
President and CEO, SMC$468,170$0$0$0$288,234$0$91,531$0$40,438$0$888,373$0$0$0
Ernest Wallerstein
President and CEO, DCHS MF$347,124$0$0$0$228,863$0$62,895$0$31,403$0$670,285$0$0$0
Mike Stuart
Former CFO$238,780$0$92,541$0$55,318$0$24,152$0$29,821$0$440,612$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Questions Regarding CompensationSchedule J, Part I, Line 1a: Discretionary spending account: The President and CEO of DCHS is provided a discretionary spending account with an annual limit of $25,000 as part of his employment contract. The payments are reported as taxable compensation and reported on Form W-2. Additionally, all of the compensated individuals listed in Part VII receive an auto allowance. The payments are reported as taxable compensation and reported on Form W-2.
Severance ArrangementsSchedule J, Part I, Line 4a: Some of the listed individuals have a severance provision as part of their employment arrangement. The severance provision ranges from 6 months to 2 years.
Nonqualified Retirement PlansSchedule J, Part I, Line 4b: The following individuals participated in supplemental nonqualified retirement plans, which are included in compensation reported on Schedule J, Part II, Column (c): Robert Issai $104,257 Annie Melikian $11,180 Conway Collis $216 Richard Hutsell $32,169 Gerald Kozai $52,445 James Dover $16,246 Margaret Catherine Fickes $14,465 Joanne Evelyn Allen $31,589 Ernest Wallerstein $29,745 Mike Stuart $4,570
Explanation of Other Reportable CompensationSchedule J, Part II Certain individuals listed on Schedule J, Part II received a retention payment during the 2014 calendar year, which is reported as "Other Reportable Compensation" on Schedule J, Part II, Column (b)(iii). The payments were made to retain employees whose continuity of employment was essential during the transaction period of solicitation of proposals for the sale of the Daughters of Charity Health System, which includes this filing organization. These payments were approved in advance by the Board of Directors of Daughters of Charity Health System.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1California Statewide Communities Development AuthBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN680164610BondIssuerEIN
CUSIP130911A83CUSIPNum
Bond Issued2005-03-18BondIssuedDt
Issue Price$507,644,195IssuePriceAmt
PurposeEquipment Acq. & Refund 2001 BondsPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$0RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$509,644,273TotalProceedsAmt
In Reserve Fund$23,871,347InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$2,000,078RefundingEscrowAmt
Issuance Costs From Proceeds$5,329,545IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$30,000,000CapitalExpendituresAmt
Other Spent Proceeds$448,443,303OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2005SubstantialCompletionYr
Current RefundingfalseCurrentRefundingInd
Advance RefundingYes (true)AdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Private Bus Use By Others0PrivateBusUseByOthersPct

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebateYes (true)ExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part IThe tax-exempt bonds were issued for the purpose of borrowing funds to (1) acquire property, plant, and equipment of certain acute health care hospitals owned by Daughters of Charity Health System or its affiliates, (2) fund certain routine capital expenditures of the members, and (3) pay the cost of insuring the bonds.
Schedule K, Part I, Column EThe difference in the issue price reported in Part I, Column E and total proceeds reported in Part II, Line 3 relates to investment earnings on net proceeds released from reserve funds.
Schedule K, Part I, Column FThe date of the issue for the 2001 bonds refunded by this issue was 12/31/2001.
Schedule K, Part IIISchedule K, Part III is left blank as the 2005 bond was used to refund bonds issued before January 1, 2003.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 12b, and Part XII, Line 2b and 2c:The financial statements of the organization are consolidated by the Daughters of Charity Health System and include each of the affiliated Local Health Ministries, their related fundraising Foundations and other related organizations (as listed on form 990 Schedule R) in accordance with GAAP and audited by an independent public accounting firm. The Daughters of Charity Health System's Board and Audit Committee of the Board have responsibility for oversight of the audit of the consolidated financial statements and selection of the independent public accounting firm.
Form 990, Part VI, Line 6:The Daughters of Charity Health System has only one member, the Daughters of Charity Ministry Services Corporation, a California nonprofit religious corporation.
Form 990, Part VI, Line 7a:The member's Board of Directors may appoint the organization's directors and officers.
Form 990, Part VI, Line 7b:The sole member has broad powers including the power to amend the Bylaws and Articles of Incorporation, and approve, interpret and change any statement of mission, philosophy, role or purpose of Daughters of Charity Health System. The member has the right to approve any merger, dissolution, consolidation or reorganization of Daughters of Charity Health System. In addition, the member has the right to approve capital and operating budgets, approve debt incurred or guaranteed, approve the disposition of the assets, and establish policy concerning quality of care, finance and resources. Finally, the member has such other powers and rights as provided by the California Nonprofit Corporation Law.
Form 990, Part VI, Line 11b:Grant Thornton LLP and the Daughters of Charity Health System ("DCHS") finance staff work together to gather the required tax information necessary to complete the tax returns. The initial draft return is reviewed by Grant Thornton and the DCHS finance staff. After the return is discussed and reviewed, recommended changes are reflected on the return and a draft tax return is prepared. The Form 990 is then reviewed with the organization's board of directors before filing with the Internal Revenue Service.
Form 990, Part VI, Line 12c:The Daughters of Charity Health System ("DCHS") has a Conflict of Interest Policy that covers DCHS and all of its affiliates. The policy provides for a systematic and ongoing method of requiring individuals who have decision making responsibility to disclose and address potential and actual conflicts of interest. Covered individuals are required to complete an annual statement disclosing any conflicts of interest and have a duty to update the disclosure for any potential conflicts of interest that arise during the year. The Presidents/CEOs of the Local Health Ministries report the conflict of interest findings and resolutions to their respective Board of Directors. This policy is reviewed annually for compliance by the DCHS's Corporate Responsibility Officer.
Form 990, Part VI, Line 15a and 15b:The Daughters of Charity Health System ("DCHS") compensation programs cover DCHS and all of its affiliated Local Health Ministries. The CEO of each Local Health Ministry is employed by DCHS. The DCHS 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 the Daughters of Charity Health System and its affiliated Local Health Ministries. All of the Local Health Ministry CEOs are paid directly by the Daughters of Charity Health System and covered by the Daughters of Charity Health System compensation programs. 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 organization market compensation. Base pay is established for all executive positions to target the median range of comparable organization market compensation. The Daughters of Charity Health System utilizes a benefits committee to review compensation and benefits. The Daughters of Charity Health System Board of Directors reviews and approves compensation recommended by the benefits committee, and documents its conclusion that the proposed compensation is reasonable. In evaluating and finalizing its determination of base pay and total compensation for comparable positions at comparable organizations in comparable markets, DCHS utilizes available market data analyses including the DCHS benefits committee, independent compensation consultant, Form 990 of other organizations, written employment contracts, compensation survey or study, recommendation of the benefits committee and approval by the DCHS Board of Directors.
Form 990, Part VI, Line 19:The Daughters of Charity Health System makes its Form 990 available upon request.
Form 990, Part XI, Line 9:The other changes in net assets or fund balances consist of the following: Change in Minimum Pension Liabilty $(1,860,000) Tail Liability True-Up $ 620,760 Premier Revaluation Capital Contribution $ (874,382) Other Comprehensive Income True-Up $ (234) Total $(2,113,856)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1see part viiBusinessNameLine1Txt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1DCHSBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1see part viiBusinessNameLine1Txt

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1see part viiBusinessNameLine1Txt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1see part viiBusinessNameLine1Txt
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (true)DivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (20 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Marillac Insurance Company LTD
f$4,000,000Cost
Marillac Insurance Company LTD
r$14,516,792Cost
Caritas Business Services
p$64,485Cost
Caritas Business Services
q$622,441Cost
DCHS Medical Foundation
b$892,934Cost
DCHS Medical Foundation
o$1,080,745Cost
DCHS Medical Foundation
q$596,520Cost
O'Connor HOspital
d$3,061,388Cost
O'Connor Hospital
o$237,201Cost
O'Connor Hospital
q$66,117,274Cost
St Francis Medical Center
d$7,328,004Cost
St Francis Medical Center
o$131,107Cost
St Francis Medical Center
q$44,232,315Cost
Saint Louise Regional Hospital
d$1,854,341Cost
Saint Louise Regional Hospital
q$11,972,002Cost
Seton Medical Center
d$3,752,300Cost
Seton Medical Center
q$26,924,839Cost
St Vincent Medical Center
d$3,427,026Cost
St Vincent Medical Center
p$6,331,965Cost
St Vincent Medical Center
q$31,376,435Cost

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule R, Part I:De Paul Ventures, LLC 203 Redwood Shores Parkway, Suite 800 Redwood City, CA 94065 EIN: 27-3340398 Col (B): Primary Activity - To support the mission of the System by providing for the multiple needs of the poor, particularly for housing, health, and social services. Col (C): Legal Domicile - CA Col (D): Total Income - $699,369 Col (E): End-of-year assets - $2,145,564 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System De Paul Ventures - San Jose ASC, LLC 203 Redwood Shores Parkway, Suite 800 Redwood City, CA 94065 EIN: 27-3340453 Col (B): Primary Activity - To support the mission of the System by providing for the multiple needs of the poor, particularly for housing, health, and social services. Col (C): Legal Domicile - CA Col (D): Total Income - $0 Col (E): End-of-year assets - $873,095 Col (F): Direct Controlling Entity Name - DePaul Ventures, LLC De Paul Ventures - San Jose Dialysis, LLC 203 Redwood Shores Parkway, Suite 800 Redwood City, CA 94065 EIN: 37-1732430 Col (B): Primary Activity - To support the mission of the System by providing for the multiple needs of the poor, particularly for housing, health, and social services. Col (C): Legal Domicile - CA Col (D): Total Income - $0 Col (E): End-of-year assets - $34,437 Col (F): Direct Controlling Entity Name - DePaul Ventures, LLC
Schedule R, Part II:The following organizations listed below are related to the filing organization: Daughters of Charity Ministry Services Corporation 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 77-0482943 Col (B): Primary Activity - Managerial and consulting services in the areas of finance, administration and facilities to the Daughters of Charity of St. Vincent de Paul Province of the West ministries. Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 1 Col (F): Direct Controlling Entity Name - Daughters of Charity of St. Vincent de Paul Province of the West Col (G): Section 512(b)(13) Controlled Entity - No Caritas Business Services 203 Redwood Shores Parkway, Suite 800 Redwood City, CA 94065 EIN: 51-0659139 Col (B): Primary Activity - Promote and support the activities of the Daughters of Charity Health System and its local health ministries by performing accounting, budgeting and patient financial services on a centralized basis, all of which must be provided internally by each hospital for its exempt operations if not provided by Caritas Business Services. Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - Yes Hotel Dieu, Inc. 203 REDWOOD SHORES PARKWAY, SUITE 800 REDWOOD CITY, CA 94065 EIN: 95-475156 Col (B): Primary Activity - Low-Income residence for fragile senior citizens Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 9 Col (F): Direct Controlling Entity Name - Daughters of Charity Ministry Services Corporation Col (G): Section 512(b)(13) Controlled Entity - No O'Connor Hospital 2105 Forest Avenue San Jose, CA 95128 EIN: 91-2154436 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - Yes O'Connor Hospital Foundation 2105 Forest Avenue San Jose, CA 95128 EIN: 77-0006295 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - O'Connor Hospital Col (G): Section 512(b)(13) Controlled Entity - Yes Robert F. Kennedy Medical Center 203 Redwood Shores Parkway, Suite 800 Redwood City, CA 94065 EIN: 91-2154440 Col (B): Primary Activity - Hospital - Inactive Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - Yes Robert F. Kennedy Medical Center Foundation 203 Redwood Shores Parkway, Suite 800 Redwood City, CA 94065 EIN: 95-3745227 Col (B): Primary Activity - Fundraising - Inactive Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Robert F. Kennedy Medical Center Col (G): Section 512(b)(13) Controlled Entity - Yes St. Francis Medical Center 3630 East Imperial Highway Lynwood, CA 90262 EIN: 91-2154439 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - Yes St. Francis Medical Center of Lynwood Foundation 3630 East Imperial Highway, Suite 400 Lynwood, CA 90262-2636 EIN: 95-3190773 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - St. Francis Medical Center Col (G): Section 512(b)(13) Controlled Entity - Yes Saint Louise Regional Hospital 9400 No Name Uno Gilroy, CA 95020 EIN: 91-2154437 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - Yes Saint Louise Regional Hospital Foundation 9400 No Name Uno Gilroy, CA 95020 EIN: 56-2384735 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Saint Louise Regional Hospital Col (G): Section 512(b)(13) Controlled Entity - Yes St. Vincent Medical Center 2131 West Third Street Los Angeles, CA 90057 EIN: 91-2154438 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - Yes St. Vincent de Paul Ethics Corporation 3630 East Imperial Hwy Lynwood, CA 90262 EIN: 95-4426405 Col (B): Primary Activity - Supports DCHS Ministries Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - St. Francis Medical Center Col (G): Section 512(b)(13) Controlled Entity - Yes St. Vincent Dialysis Center 2131 West Third Street Los Angeles, CA 90057 EIN: 95-3749293 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - St. Vincent Medical Center Col (G): Section 512(b)(13) Controlled Entity - Yes St. Vincent Foundation 2200 West Third St, Suite 200 Los Angeles, CA 90057 EIN: 95-3922511 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - St. Vincent Medical Center Col (G): Section 512(b)(13) Controlled Entity - Yes St. Vincent Senior Center Nutrition Program, Inc. 2131 West Third Street Los Angeles, CA 90057-1901 EIN: 95-3696693 Col (B): Primary Activity - Nutrition Program Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 9 Col (F): Direct Controlling Entity Name - Daughters of Charity Ministry Services Corporation Col (G): Section 512(b)(13) Controlled Entity - Yes Seton Medical Center 1900 Sullivan Avenue Daly City, CA 94015 EIN: 91-2154441 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - Yes Seton Medical Center Foundation 1900 Sullivan Avenue Daly City, CA 94015 EIN: 94-2824033 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Seton Medical Center Col (G): Section 512(b)(13) Controlled Entity - Yes DCHS Medical Foundation 400 Race Street San Jose, CA 95126 EIN: 41-3691852 Col (B): Primary Activity - Medical Foundation Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 9 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - Yes
Schedule R, Part III:O'Connor Health Center 1, A California Limited Partnership 1960 The Alameda, Suite 20 San Jose, CA 95126 EIN: 77-0419045 Col (B): Primary Activity - Development and Rental Col (C): Legal Domicile - CA Col (D): Direct Controlling Entity Name - O'Connor Hospital Col (E): Predominant Income - Investment or other income excluded from tax under section 512, 513, or 514 Col (F): Share of Total Income - $618,450 Col (G): Share of end-of-year assets - $1,114,285 Col (H): Disproportionate Allocations - No Col (I): Code V - UBI Amount in Box 20 of Schedule K-1 (Form 1065) - $0 Col (J): General or Managing Partner - No Col (K): Percentage of Ownership - 75%
Schedule R, Part IV:Marillac Insurance Company, Ltd. c/o Aon Insurance Managers (Cayman), Ltd. P.O. Box 69, Grand Cayman KY1-1102 EIN: 98-0417930 Col (B): Primary Activity - Insurance Col (C): Legal Domicile - CJ Col (D): Direct Controlling Entity Name - Daughters of Charity Health System Col (E): Type of Entity - C Corporation Col (F): Share of Total Income - $(471,550) Col (G): Share of end-of-year assets - $59,117,311 Col (H): Percentage ownership - 100% Col (i): Section 512(b)(13) Controlled Entity - Yes