2015-05-11T20:17:34-05:00 2014-06-30 GRANT THORNTON LLP 101 CALIFORNIA STREET SUITE 2700 SAN FRANCISCO CA 94111 990 2013-07-01 912145484 Daughters of Charity Health System % ANNIE MELIKIAN DAUG 6509174501 26000 Altamont Road Suite Los Altos Hills CA 940224317 Annie Melikian Chief Financial Officer 6509174500 2015-05-08 true BETHANN LONDYNSKY P00847678 6509174500 2013 2016-02-25 16:41:14Z Robert Issai 26000 Altamont Road Los Altos Hills CA 940224317 225492465 false 0928 X www.dochs.org X 2001 CA See Attachment 1 8 8 91 8 -23367 -37227 17637009 142408683 67444150 73774208 6856026 9309574 0 0 91937185 225492465 24129010 162120131 0 0 19185866 18715677 0 0 0 54676558 56583234 97991434 237419042 -6054249 -11926577 548327734 355277598 505564615 322771571 42763119 32506027 X IN 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. false false 216964460 162120131 73774208 The 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. 216964460 true true false true false false false false false false true false false true true false false true false false false false false false false false false true false true true false false false false false true false false false false false false false false true true true true false false true 95 0 true 91 true true true true CJ false false false false false false false false X 8 8 false false false false true true true true true false true true false true true true true true true true true true CA X ANNIE MELIKIAN 6509174528 26000 ALTAMONT ROAD Los Altos Hills CA 940224317 X Sr Marjory Ann Baez DC Board Chair 1.0 0.0 X X 0 0 0 Sr Marion Bill DC Vice Chairperson 1.0 9.0 X X 0 0 0 Sr Betty Marie Dunkel DC Board Member 1.0 0.0 X 0 0 0 Sr Judith Lynn Gardenhire DC Board Member 1.0 0.0 X 0 0 0 Sr Christina Maggi DC Board Member 1.0 0.0 X 0 0 0 Sr Janet Barrett DC Treasurer/Secretary 1.0 0.0 X X 0 0 0 Daniel S Higgins MD Board Member 1.0 1.0 X 0 0 0 William Del Biaggio Board Member 1.0 0.0 X 0 0 0 Robert Issai President and CEO 40.0 10.0 X 1984751 0 358037 Mike Stuart CFO - CYPT 40.0 4.0 X 743558 0 82322 Annie Melikian CFO 40.0 2.0 X 465524 0 26602 Conway Collis Sr. Counselor and CPP and ADVO 40.0 0.0 X 678672 0 106216 Richard Hutsell VP of IT and CIO 40.0 2.0 X 639211 0 199281 Nancy Carragee VP, Quality 40.0 0.0 X 363914 0 44227 Gerald Kozai President and CEO, SFMC 0.0 40.0 X 991335 0 196639 Margaret Catherine Fickes President and CEO, SVMC 0.0 42.0 X 611449 0 124594 James Dover President and CEO, OCH & SLRH 0.0 42.0 X 707168 0 90493 Joanne Evelyn Allen President and CEO, SMC 0.0 44.0 X 567149 0 130331 Ernest Wallerstein President and CEO, DCHS MF 0.0 40.0 X 445726 0 72068 8198457 0 1430810 50 false true false ROPES GRAY LLP PO BOX 414265 BOSTON MA 02241 LEGAL SERVICES 5157637 FREED ASSOCIATES 412 YALE AVE KENSINGTON CA 94708 CONSULTING 1130742 CATHOLIC HEALTHCARE AUDITORS LLC 231 S BEMISTON CLAYTON MO 63105 AUDITING SERVICES 1076460 ERNST AND YOUNG LLP PO BOX 846793 LOS ANGELES CA 90084 AUDITING SERVICES 991000 RWH CONSULTING 6200 LOMITAS DR LOS ANGELES CA 90042 CONSULTING 910186 28 142408683 142408683 REGIONAL LEADERSHIP AND ADMINISTRATION 900099 72702228 72702228 PARTNERSHIP INCOME - PROGRAM SERVICES 541900 285787 309154 -23367 OTHER OPERATING REVENUE 900099 786193 786193 73774208 9309574 9309574 0 0 0 0 0 0 0 0 0 0 225492465 73797575 -23367 9309574 162120131 162120131 0 0 0 5908965 4431724 1477241 0 9882672 7412004 2470668 1268560 951420 317140 979677 734758 244919 675803 506852 168951 6518597 4888948 1629649 4669973 3502480 1167493 2173143 2173143 55524 41643 13881 0 0 628353 471265 157088 180813 135610 45203 321448 241086 80362 36445203 27333902 9111301 0 711981 533986 177995 416804 312603 104201 0 101123 75842 25281 1557133 1167850 389283 0 906567 679925 226642 50524 37893 12631 DUES & SUBSCRIPTIONS 956800 717600 239200 RECRUITING 793361 595021 198340 CATERING 25107 18830 6277 TRAINING 12271 9203 3068 58509 43884 14625 237419042 216964460 20454582 0 0 0 4119973 32928205 0 0 0 0 58333 8333 0 0 103950 170363 0 0 14830757 1811998 4310977 4166185 4377979 144792 828340 926388 0 0 2824118 4417033 0 0 521184284 314870486 548327734 355277598 17247947 10625997 0 0 0 0 438748000 289225000 0 0 0 0 0 0 0 0 49568668 22920574 505564615 322771571 X 40646454 32506027 2116665 0 0 0 42763119 32506027 548327734 355277598 X -11926577 1700525 -31040 X X false true X true true true X X X false false false O'CONNOR HOSPITAL 912144436 03 true 25939533 SAINT LOUISE REGIONAL HOSPITAL 912154437 03 true 15712071 SETON MEDICAL CENTER 912154441 03 true 31793720 ST FRANCIS MEDICAL CENTER 912154439 03 true 47096296 ST VINCENT MEDICAL CENTER 912154438 03 true 29037635 ROBERT F KENNEDY MEDICAL CENTER 912154440 03 true 0 DCHS MEDICAL FOUNDATION 453691852 09 true 12530876 7 162110131 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 OPERATION 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 SCHEDULE O ATTACHMENT 2 FOR A DESCRIPTION OF SUPPORT PROVIDED TO EACH OF THE AFFILIATED CORPORATIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 84614 84614 237334428 237419042 1000000 250000 1000000 1000000 2000000 3000000 997812 84614 1082426 250000 250000 500000 750000 0 0 33700 33700 579495 579495 3623989 3552990 70999 73793 73793 144792 DUE FROM RELATED PARTIES 284531251 UNDER BOND INDENTURE AGREEMENT 26132749 DEPOSITS 1436199 2005 DEF UNDERWRITER FEES 1327458 OTHER RECEIVABLE 744409 2005 DEF COST OF ISSUANCE 698420 314870486 0 PENSION OBLIGATION 17525000 TAIL LIABILITY 4972813 DUE TO RELATED PARTIES 369502 OTHER LIABILITIES 53259 22920574 X FIN 48 (ASC 740) FOOTNOTE SCHEDULE 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, 2014. AS SUCH, THERE WAS NO FIN 48 (ASC 740) DISCLOSURE IN THE FOOTNOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS OF DAUGHTERS OF CHARITY HEALTH SYSTEM. true DCHS Medical Foundation 400 Race Street San Jose CA 95126 453691852 501(c)(3) 12530876 General Support St Francis Medical Center 3630 East Imperial Hwy Lynwood CA 90262 912154439 501(c)(3) 47096296 General Support/Bond Redemption Alloc. St Vincent Medical Center 2131 West 3rd Street Los Angeles CA 90057 912154438 501(c)(3) 29037635 GENERAL SUPPORT/BOND REDEMPTION ALLOC. Saint Louise Regional Hospital 9400 No Name Uno Gilroy CA 95020 912154437 501(c)(3) 15712071 General Support/Bond Redemption Alloc. Seton Medical Center 1900 Sullivan Avenue Daly City CA 94015 912154441 501(c)(3) 31793720 General Support/Bond Redemption Alloc. O'Connor Hospital 2105 Forest Avenue San Jose CA 95128 912154436 501(c)(3) 25939533 General Support/Bond Redemption Alloc. St Vincent's Institution 4200 Calle Real Santa Barbara CA 93110 951643367 501(c)(3) 10000 Fundraising Event Sponsorship 7 Grants Paid by Daughters of Charity Health System Schedule 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, St. Francis Medical Center, St. Vincent Medical Center, Saint Louise Regional Hospital, Seton Medical Center, and O'Connor Hospital. Grants are made to support these related tax exempt organization's exempt purpose. Additionally, a grant was awarded to St. Vincent's Institution, an unrelated organization which is dedicated to strengthening low-income families and seniors through programs rooted in the social teachings of the Catholic Church, in support of a fundraising event. X true true X X X X X false true false false false false false false false Robert Issai President and CEO 914663 0 0 0 1070088 0 336596 0 21441 0 2342788 0 0 0 Mike Stuart CFO - CYPT 492992 0 0 0 250566 0 48375 0 33947 0 825880 0 0 0 Annie Melikian CFO 320883 0 0 0 144641 0 22883 0 3719 0 492126 0 0 0 Conway Collis Sr. Counselor and CPP and ADVO 496229 0 0 0 182443 0 69141 0 37075 0 784888 0 0 0 Richard Hutsell VP of IT and CIO 357062 0 0 0 282149 0 166251 0 33030 0 838492 0 0 0 Nancy Carragee VP, Quality 287003 0 0 0 76911 0 22221 0 22006 0 408141 0 0 0 Gerald Kozai President and CEO, SFMC 554394 0 0 0 436941 0 160461 0 36178 0 1187974 0 0 0 Margaret Catherine Fickes President and CEO, SVMC 489429 0 0 0 122020 0 97664 0 26930 0 736043 0 0 0 James Dover President and CEO, OCH & SLRH 495664 0 0 0 211504 0 38724 0 51769 0 797661 0 0 0 Joanne Evelyn Allen President and CEO, SMC 448149 0 0 0 119000 0 79051 0 51280 0 697480 0 0 0 Ernest Wallerstein President and CEO, DCHS MF 347392 0 0 0 98334 0 41920 0 30148 0 517794 0 0 0 Questions Regarding Compensation Schedule 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 Arrangements Schedule 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 Plans Schedule 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 $138,258 Mike Stuart $22,944 Annie Melikian $5,683 Conway Collis $11,564 Richard Hutsell $36,165 Nancy Carragee $2,759 Gerald Kozai $59,224 Margaret Catherine Fickes $9,556 James Dover $9,214 Joanne Evelyn Allen $19,546 Ernest Wallerstein $14,508 Other Reportable Compensation Schedule J, Part II: Schedule J, Part II, Column (B)(iii) includes a one-time payout of accrued Paid Time Off ("PTO") (i.e. vacation and holiday) for individuals that are employees of the Daughters of Charity Health System ("DCHS") System Office. In order to reduce future year expenses and liabilities, DCHS eliminated the benefit of any future accrual of vacation expenses for all employees at DCHS System Office at the Vice President and above position levels in the organization as well as the Local Health Ministry Chief Executive Officers and paid out the accrued PTO that had been earned in prior years for these employees. This payout was approved by the DCHS System Board. Schedule J, Part II, Column (b)(iii), Other Reportable Compensation, is comprised of the following: Robert Issai: One Time PTO Payout of Previously Accrued Benefit on Termination of Vacation Benefit: $869,695 Long Term Disability Insurance: $140,736 Other Compensation: $59,657 Total: $1,070,088 Mike Stuart: One Time PTO Payout of Previously Accrued Benefit on Termination of Vacation Benefit: $209,745 Long Term Disability Insurance: $23,572 Other Compensation: $17,249 Total: $250,566 Annie Melikian: One Time PTO Payout of Previously Accrued Benefit on Termination of Vacation Benefit: $120,910 Long Term Disability Insurance: $5,700 Other Compensation: $18,031 Total: $144,641 Conway Collis: One Time PTO Payout of Previously Accrued Benefit on Termination of Vacation Benefit: $144,243 Long Term Disability Insurance: $11,753 Other Compensation: $26,447 Total: $182,443 Richard Hutsell: One Time PTO Payout of Previously Accrued Benefit on Termination of Vacation Benefit: 215,474 Long Term Disability Insurance: $36,605 Other Compensation: $30,070 Total: $282,149 Nancy Carragee: One Time PTO Payout of Previously Accrued Benefit on Termination of Vacation Benefit: $56,203 Long Term Disability Insurance: $4,204 Other Compensation: $16,504 Total: $76,911 Gerald Kozai: One Time PTO Payout of Previously Accrued Benefit on Termination of Vacation Benefit: $351,235 Long Term Disability Insurance: $60,240 Other Compensation: $25,466 Total: $436,941 Margaret Catherine Fickes: One Time PTO Payout of Previously Accrued Benefit on Termination of Vacation Benefit: $78,738 Long Term Disability Insurance: $9,692 Other Compensation: $33,590 Total: $122,020 James Dover: One Time PTO Payout of Previously Accrued Benefit on Termination of Vacation Benefit: $52,373 Long Term Disability Insurance: $12,227 Other Compensation: $146,904 Total: $211,504 Joanne Evelyn Allen: One Time PTO Payout of Previously Accrued Benefit on Termination of Vacation Benefit: $78,893 Long Term Disability Insurance: $19,867 Other Compensation: $20,240 Total: $119,000 Ernest Wallerstein: One Time PTO Payout of Previously Accrued Benefit on Termination of Vacation Benefit: $62,595 Long Term Disability Insurance: $14,562 Other Compensation: $21,177 Total: $98,334 A California Statewide Communities Development Auth 680164610 130911A83 2005-03-18 507644195 Equipment Acq. & Refund 2001 Bonds false false false A 0 0 509644228 24132695 0 2000033 5329545 0 0 30000000 448181955 0 2005 false true true true A 0 A false true false false 0 false 0 false true A true Schedule K, Part I The tax-exempt bond liabilities 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 E The 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 F The date of the issue for the 2001 bonds refunded by this issue was 12/31/2001. Schedule K, Part III Schedule K, Part III is left blank as the 2005 bonds were used to refund bonds issued before January 1, 2003. James F Dover Compensated Employee Housing Loan X 250000 8333 false true true 8333 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 organization's management has routinely reviewed the Form 990 with the DCHS Board of Directors each tax year in advance of the filing of the Form 990 with the Internal Revenue Service. It has been the preference of DCHS management to review the Form 990 with the DCHS Board of Directors at an in-person DCHS Board of Directors' meeting. This has allowed the full DCHS Board of Directors the opportunity to address questions and comments on the Form 990 to the return preparer and DCHS management and to feel comfortable that the Board has exercised its fiduciary responsibility related to the Form 990. Due to the timing of in-person DCHS Board of Directors' meetings, the current year Form 990 was not reviewed with the full Board in advance of the filing of the Form 990 with the Internal Revenue Service. An in-person DCHS Board of Directors' meeting will be held shortly after the filing of the Form 990 with the Internal Revenue Service. At the in-person DCHS Board of Directors' meeting DCHS management will present the Form 990 to the full DCHS Board of Directors and review the Form 990 with the full DCHS Board of Directors. If any changes are required by the DCHS Board of Directors, an amended Form 990 will be promptly filed with the Internal Revenue Service. The return was reviewed with the Chair of the DCHS Audit Committee in advance of filing the return 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 Funded Status of Pension Plan $(691,761) Tail Liability True-Up $660,721 see part vii DCHS see part vii see part vii see part vii false true false true true true false false false false false false false true true true true true true Marillac Insurance Company LTD f 5000000 Cost Marillac Insurance Company LTD r 13746353 Cost Caritas Business Services q 82951 Cost Caritas Business Services r 446706 Cost DCHS Medical Foundation b 12530876 Cost DCHS Medical Foundation o 1109690 Cost DCHS Medical Foundation q 749433 Cost O'Connor Hospital b 25939533 Cost O'Connor Hospital o 181529 Cost O'Connor Hospital d 1800000 Cost O'Connor Hospital e 5700000 Cost O'Connor Hospital p 374333 Cost O'Connor Hospital q 48107535 Cost St Francis Medical Center b 47096296 Cost St Francis Medical Center d 1300000 Cost St Francis Medical Center e 19185000 Cost St Francis Medical Center p 401037 Cost St Francis Medical Center o 151133 Cost St Francis Medical Center q 42784553 Cost Saint Louise Regional Hospital b 15712071 Cost Saint Louise Regional Hospital d 822094 Cost Saint Louise Regional Hospital p 134773 Cost Saint Louise Regional Hospital q 10040853 Cost Seton Medical Center b 31793720 Cost Seton Medical Center d 1200000 Cost Seton Medical Center e 6800000 Cost Seton Medical Center p 699637 Cost Seton Medical Center q 25315870 Cost St Vincent Medical Center b 29037635 Cost St Vincent Medical Center d 9030543 Cost St Vincent Medical Center p 4232086 Cost St Vincent Medical Center q 42784553 Cost Schedule R, Part I: De Paul Ventures, LLC 26000 Altamont Road Los Altos Hills, CA 94022-4317 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 - $694,273 Col (E): End-of-year assets - $1,293,779 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System De Paul Ventures - San Jose ASC, LLC 26000 Altamont Road Los Altos Hills, CA 94022-4317 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 - $704,008 Col (F): Direct Controlling Entity Name - DePaul Ventures, LLC De Paul Ventures - San Jose Dialysis, LLC 26000 Altamont Road Los Altos Hills, CA 94022-4317 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 - $51,106 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. 26000 Altamont Road Los Altos Hills, CA 94022-4317 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 26000 Altamont Road Los Altos Hills, CA 94022-4317 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 26000 Altamont Road Los Altos Hills, CA 94022-4317 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 - $434,064 Col (G): Share of end-of-year assets - $3,410,831 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% Campbell-Gateway Square, A California Limited Partnership 1960 The Alameda, Suite 20 San Jose, CA 95126 EIN: 77-0313494 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 - Unrelated Business Income Col (F): Share of Total Income - $820,451 Col (G): Share of end-of-year assets - $6,011,479 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 - 65% 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 - $3,419,622 Col (G): Share of end-of-year assets - $55,033,854 Col (H): Percentage ownership - 100% Col (i): Section 512(b)(13) Controlled Entity - Yes