2014-05-08T12:34:11-05:00 2013-06-30 GRANT THORNTON LLP ONE CALIFORNIA STREET SUITE 2300 SAN FRANCISCO CA 94111 990 2012-07-01 912145484 Daughters of Charity Health System % MIKE STUART DAUG 6509174501 26000 Altamont Road Suite Los Altos Hills CA 940224317 MIKE STUART 6509174501 2014-04-28 true JOSEPH S DE TRANE 4159863900 2012 2015-11-30 17:44:51Z Robert Issai 26000 Altamont Road Los Altos Hills CA 940224317 91937185 false 0928 X www.dochs.org X 2001 CA SEE ATTACHMENT 1 8 8 92 8 53982 10154000 17637009 59370596 67444150 7315780 6856026 0 0 76840376 91937185 11967933 24129010 0 0 18925969 19185866 0 0 0 63759681 54676558 94653583 97991434 -17813207 -6054249 559438225 548327734 513511412 505564615 45926813 42763119 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 79525828 24129010 67444150 The Daughters of Charity Health System (System) is a regional heath 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. 79525828 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 100 0 true 92 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 true true true true true true true true true true CA X MIKE STUART 6509174500 26000 ALTAMONT ROAD Los Altos Hills CA 940224317 X Sr Marjory Ann Baez DC 1.0 0.0 X X 0 0 0 Sr Marion Bill DC 1.0 9.0 X X 0 0 0 Sr Betty Marie Dunkel DC 1.0 0.0 X 0 0 0 Sr Judith Lynn Gardenhire DC 1.0 0.0 X 0 0 0 Sr Christina Maggi DC 1.0 0.0 X 0 0 0 Sr Janet Barrett DC 1.0 0.0 X X 0 0 0 S Daniel Higgins MD 1.0 1.0 X 0 0 0 William Del Biaggio 1.0 0.0 X 0 0 0 Robert Issai 40.0 10.0 X 2942542 0 396586 Mike Stuart 40.0 0.0 X 836480 0 108041 Conway Collis 40.0 0.0 X 1012606 0 137293 Richard Hutsell 40.0 2.0 X 408509 0 178315 Nancy Carragee 40.0 0.0 X 313004 0 42259 Gerald Kozai 0.0 40.0 X 1334388 0 186157 Margaret Catherine Fickes 0.0 42.0 X 535691 0 123772 James F Dover 0.0 41.0 X 549681 0 56447 Joanne Evelyn Allen 0.0 44.0 X 640610 0 173997 Lorraine Auerbach 0.0 40.0 X 558094 0 4893 9131605 0 1407760 53 false true false Ropes Gray LLP 800 Boylston Street BOSTON MA 02199 Consulting 5060924 Huron Consulting Services LLC 3005 Momentum Place CHICAGO IL 60689 Consulting 3359817 McDermott Will Emery LLP 227 West Monroe Street CHICAGO IL 60606 Consulting 2331559 Deloitte Touche LLP 4022 Sells Drive HERMITAGE TN 37076 Auditing Services 1444903 Catholic Healthcare Audit Network 231 South Bemiston Avenue 300 ST LOUIS MO 63105 Consulting 1181988 27 17637009 17637009 REGIONAL LEADERSHIP AND ADMINISTRATION 900099 65236872 65236872 PARTNERSHIP INCOME - PROGRAM SERVICES 541900 1852725 1798743 53982 OTHER OPERATING REVENUE 900099 354553 354553 67444150 6856026 6856026 0 0 0 0 0 0 0 0 0 0 91937185 67390168 53982 6856026 24129010 24129010 0 0 0 6363849 4772887 1590962 0 9372705 7029528 2343177 1217795 913346 304449 1491696 1118772 372924 739821 554866 184955 10602869 7952152 2650717 2481641 1861231 620410 2286312 1714734 571578 948353 711265 237088 0 0 1797065 1347799 449266 243507 182630 60877 403461 302596 100865 31322399 23491799 7830600 0 715227 536420 178807 569043 426782 142261 0 79853 59890 19963 58200 43650 14550 0 1116821 837616 279205 437948 328461 109487 DUES & SUBSCRIPTIONS 1344216 1008162 336054 RECRUITING 54149 40612 13537 CATERING 39256 29442 9814 SALES TAXES 36537 27403 9134 139701 104775 34926 97991434 79525828 18465606 0 0 0 15762039 4119973 0 0 0 0 220833 58333 0 0 86625 103950 0 0 18266834 14830757 7637597 3259618 3632289 4377979 786931 828340 0 0 3101305 2824118 0 0 517581369 521184284 559438225 548327734 10947339 17247947 0 0 0 0 449076000 438748000 0 0 0 0 0 0 0 0 53488073 49568668 513511412 505564615 X 43555548 40646454 2371265 2116665 0 0 45926813 42763119 559438225 548327734 X -6054249 -426843 3317398 X X false true X true true true X X X false false false O'CONNOR HOSPITAL 912154436 03 true 0 SAINT LOUISE REGIONAL HOSPITAL 912154437 03 true 0 SETON MEDICAL CENTER 912154441 03 true 0 ST FRANCIS MEDICAL CENTER 912154439 03 true 0 ST VINCENT MEDICAL CENTER 912154438 03 true 0 ROBERT F KENNEDY MEDICAL CENTER 912154440 03 true 0 DCHS MEDICAL FOUNDATION 413691852 09 true 0 7 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 0 997812 997812 78528016 79525828 1000000 250000 1000000 1000000 1500000 997812 997812 250000 250000 375000 0 0 613195 613195 0 3591851 2646423 945428 3432551 3432551 4377979 DUE FROM RELATED PARTIES 468978742 UNDER BOND INDENTURE AGREEMENT 40858671 2005 DEF COST OF ISSUANCE 741457 2005 DEF UNDERWRITTER FEE 1409157 2008A DEF COST OF ISSUANCE 756046 2008A DEF UNDERWRITER FEE 803033 OTHER RECEIVABLES 7603485 DEPOSITS 33693 521184284 0 PENSION OBLIGATION 17373000 LONG-TERM DEBT 17570291 OTHER ACCRUED LIABILITIES 1274611 DUE TO RELATED PARTIES 13350766 49568668 X SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE 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, 2013. AS SUCH, THERE WAS NO FIN 48 (ASC 740) DISCLOSURE IN THE FOOTNOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS OF DAUGHTERS OF CHARITY HEALTH SYSTEM. DCHS Medical Foundation 400 Race Street San Jose CA 95126 453691852 501(c)(3) 22935000 1152010 fmv IT hardware General Support St Vincent Foundation 2200 W Third St Ste 200 LA CA 90057 953922511 501(c)(3) 15000 Fundraising Event Marian Outreach Center 2344 Cota Avenue Long Beach CA 908103230 951661070 501(c)(3) 20000 CHARITY 3 Grants paid by the daughters of charity health system Schedule I, Parts I & II Daughters of Charity Health System is part of a related group of tax exempt organizations, which includes DCHS Medical Foundation and St. Vincent Foundation. Grants are made to support these related tax exempt organization's exempt purpose. X true true X X X X X true true false false false false false false false Robert Issai 890548 0 0 0 2051994 0 347019 0 49567 0 3339128 0 503215 0 Mike Stuart 442322 0 0 0 394158 0 71310 0 36731 0 944521 0 184147 0 Conway Collis 510507 0 0 0 502099 0 97742 0 39551 0 1149899 0 187804 0 Richard Hutsell 365057 0 0 0 43452 0 143281 0 35034 0 586824 0 0 0 Nancy Carragee 293819 0 0 0 19185 0 20625 0 21634 0 355263 0 0 0 Gerald Kozai 633240 0 0 0 701148 0 148420 0 37737 0 1520545 0 205493 0 Margaret Catherine Fickes 470860 0 0 0 64831 0 94744 0 29028 0 659463 0 0 0 James F Dover 470571 0 0 0 79110 0 36303 0 20144 0 606128 0 0 0 Joanne Evelyn Allen 430872 0 0 0 209738 0 110887 0 63110 0 814607 0 96350 0 Lorraine Auerbach 151516 0 0 0 406578 0 4556 0 337 0 562987 0 0 0 BENEFITS PROVIDED BY DCHS 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. 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. THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT THAT IS INCLUDED IN COMPENSATION ON SCHEDULE J, PART II, COLUMN (B)(III): Lorraine Auerbach $398,310 Nonqualified retirement plan 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 $149,219 Mike Stuart $ 51,216 Conway Collis $ 40,315 Richard Hutsell $ 13,833 Nancy Carragee $ 1,400 Gerald Kozai $ 52,095 Margaret Catherine Fickes $ 6,874 James F. Dover $ 7,031 Joanne Evelyn Allen $ 51,820 Compensation Information Schedule J, Part II Other Reportable Compensation in Schedule J, Part II, column (B)(iii) includes a one-time reporting of compensation related to termination of a non-qualified retirement plan for certain listed individuals. The annual accrual for this amount was reported in prior years as Deferred Compensation in Schedule J, Part II, column (D) and is being reported on the Form W-2 again as a result of the termination of the plan. The total of the prior year accruals is reported in Schedule J, Part II, column {F) and should be subtracted from the total compensation reported in Schedule J, Part II, column (E) to arrive at the true total compensation for the reporting year. A CA STATEWIDE COMMUNITIES DEV AUTHY (2005 bond) 680164610 130911A83 2005-03-18 507644195 EQUIPMENT ACQ. & REFUND 2001 BONDS false false false B CA STATEWIDE COMMUNITIES DEV AUTHY (2008 Bond) 680164610 130795ZS9 2008-11-18 143655000 REFUND 2005 SERIES B BONDS false false false A 0 0 509644228 25141262 0 2000033 5329545 0 0 30000000 447173388 0 2005 false true true true B 0 0 143721022 13717376 0 0 3646 0 0 0 130000000 0 true false true true A false false false false 0.00000 0.00000 0.00000 false false false true B false false false false 0.00000 0.00000 0.00000 false false false true A false true true false 0 false 0 false true B false true false false 0 false 0 false true A true B true Schedule K, Part I 0 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 0 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 and proceeds released from reserve funds. James F Dover Compensated employee Home Purchase X 250000 58333 false true true 58333 Form 990, Part IV, Line 12a, 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 System's 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 System's finance staff, and the Chief Financial Officer. After the return is discussed and reviewed, recommended changes are reflected on the return and a draft tax return is prepared. The return is then presented to and reviewed with the full Board of Directors of the organization prior to the return being filed. 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 3,317,398 see part vii DCHS see part vii N/A see part vii N/A see part vii N/A false true true true true true false false false false false false false true true true true true true CARITAS BUSINESS SERVICES p 209825 COST CARITAS BUSINESS SERVICES q 321962 COST DCHS MEDICAL FOUNDATION b 24087010 COST DCHS MEDICAL FOUNDATION o 1005159 COST DCHS MEDICAL FOUNDATION q 475154 COST MARILLAC INSURANCE COMPANY LTD f 6000000 COST MARILLAC INSURANCE COMPANY LTD r 13556865 COST O'CONNOR HOSPITAL c 4252196 COST O'CONNOR HOSPITAL o 233417 COST O'CONNOR HOSPITAL q 31073290 COST O'CONNOR HOSPITAL r 65643 COST ST FRANCIS MEDICAL CENTER c 4496072 COST ST FRANCIS MEDICAL CENTER d 8231992 COST ST FRANCIS MEDICAL CENTER o 147237 COST ST FRANCIS MEDICAL CENTER q 49508527 COST ST FRANCIS MEDICAL CENTER r 3828841 COST SAINT LOUISE REGIONAL HOSPITAL c 1275427 COST SAINT LOUISE REGIONAL HOSPITAL d 822094 COST SAINT LOUISE REGIONAL HOSPITAL q 10368556 COST SETON MEDICAL CENTER c 4149694 COST SETON MEDICAL CENTER e 3000000 COST SETON MEDICAL CENTER q 25794431 COST SETON MEDICAL CENTER r 98436 COST ST VINCENT MEDICAL CENTER c 3463620 COST ST VINCENT MEDICAL CENTER d 9030543 COST ST VINCENT MEDICAL CENTER q 23050457 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 - $(501,178) Col (E): End-of-year assets - $1,054,162 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 - $735,080 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 - $214,656 Col (F): Direct Controlling Entity Name - DePaul Ventures, LLC Schedule R, Part II The following organizations listed below are related to the filing organization including the organization itself: 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 Daughters of Charity Health System 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 91-2145484 Col (B): Primary Activity - Health System leadership and support to health ministries. Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11b Col (F): Direct Controlling Entity Name - Daughters of Charity Ministry Services Corporation 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 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 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 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 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 Robert F. Kennedy Medical Center Foundation 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 95-3745227 Line (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 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 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 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 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 St. Vincent Medical Center 2131 West 3rd 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 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 St. Vincent Dialysis Center 2131 West 3rd 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 St. Vincent Foundation 2200 W. Third St, Ste 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 St. Vincent Senior Center Nutrition Program, Inc. 2131 West 3rd 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 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 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 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 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 - $564,699 Col (G): Share of end-of-year assets - $3,627,804 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 - $763,148 Col (G): Share of end-of-year assets - $5,997,347 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 - $20,335 Col (G): Share of end-of-year assets - $68,201,871 Col (H): Percentage ownership - 100%