VERITY HEALTH SYSTEM OF CALIFORNIA INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- VERITY HEALTH SYSTEM OF CALIFORNIA INC (EIN 91-2145484)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-10
- IRS object ID
- 201201319349302440
- Schema version
- 2010v3.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-10T15:36:23-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT THORNTON LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE CALIFORNIA STREET SUITE 2300 | AddressLine1 |
| City | SAN FRANCISCO | City |
| State | CA | State |
| ZIP Code | 94111 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 912145484 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Daughters of Charity Health System | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | DAUG | NameControl |
| Phone | 6509174501 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 26000 Altamont Road | AddressLine1 |
| City | Los Altos Hills | City |
| State | CA | State |
| ZIP Code | 940224317 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL STUART | Name |
| Title | CFO | Title |
| Phone | 6509174501 | Phone |
| Date Signed | 2012-05-07 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOE DETRANE | Name |
| Phone | 4159863900 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Robert Issai | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 26000 Altamont Road | AddressLine1 |
| City | Los Altos Hills | City |
| State | CA | State |
| ZIP Code | 940224317 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 98755387 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.dochs.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2001 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | SEE ATTACHMENT 1 | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 74 | TotalNbrEmployees |
| Total Nbr Volunteers | 8 | TotalNbrVolunteers |
| Total Gross UBI | 3832 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -5218 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4873739 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4246764 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 54247369 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 57060468 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3481328 | InvestmentIncomePriorYear |
| Investment Income Current Year | 8974835 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1105907 | OtherRevenuePriorYear |
| Other Revenue Current Year | 28473320 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 63708343 | TotalRevenuePriorYear |
| Total Revenue Current Year | 98755387 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 17500 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 619661 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 16615728 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 17154937 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 73626321 | OtherExpensePriorYear |
| Other Expenses Current Year | 57276889 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 90259549 | TotalExpensesPriorYear |
| Total Expenses Current Year | 75051487 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -26551206 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 23703900 | RevenuesLessExpensesCY |
| Total Assets BOY | 580175167 | TotalAssetsBOY |
| Total Assets EOY | 567660169 | TotalAssetsEOY |
| Total Liabilities BOY | 661248589 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 622843685 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -81073422 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -55183516 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 56443529 | Expense |
| Grants | 619661 | Grants |
| Revenue | 57060468 | Revenue |
| Description | 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 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. | Description |
| Total Program Service Expense | 56443529 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | true | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 58 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 74 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MIKE STUART | NamePerson |
| Telephone Number | 6509174500 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 26000 ALTAMONT ROAD | AddressLine1 |
| City | Los Altos Hills | City |
| State | CA | State |
| ZIP Code | 940224317 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Sr Marjory Ann Baez DC | |||||||||
| BOARD CHAIR | 1.0 | X | X | 0 | 0 | 0 | |||
| Sr Marion Bill DC | |||||||||
| VICE CHAIRPERSON | 1.0 | X | X | 0 | 0 | 0 | |||
| Sr Betty Marie Dunkel DC | |||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | ||||
| Sr Judith Lynn Gardenhire DC | |||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | ||||
| Sr Christina Maggi DC | |||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | ||||
| Sr Janet Barrett DC | |||||||||
| TREASURER/SECRETARY | 1.0 | X | X | 0 | 0 | 0 | |||
| S Daniel Higgins MD | |||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | ||||
| William Del Biaggio | |||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | ||||
| Robert Issai | |||||||||
| PRESIDENT AND CEO | 40.0 | X | 1108923 | 0 | 284616 | ||||
| Mike Stuart | |||||||||
| CFO | 40.0 | X | 412410 | 0 | 92382 | ||||
| Conway Collis | |||||||||
| VP, ADVOCACY | 40.0 | 476264 | 0 | 85351 | X | ||||
| Richard Hutsell | |||||||||
| VP OF IT AND CIO | 40.0 | 357037 | 0 | 144401 | X | ||||
| Nancy Carragee | |||||||||
| VP, Quality | 40.0 | 243064 | 0 | 29102 | X | ||||
| Gerry Kozai | |||||||||
| PRESIDENT AND CEO, SFMC | 0.0 | 596899 | 0 | 119008 | X | ||||
| Lorraine Auerbach | |||||||||
| PRESIDENT AND CEO, SMC | 0.0 | 499770 | 0 | 62938 | X | ||||
| Margaret Catherine Fickes | |||||||||
| PRESIDENT AND CEO, SVMC | 0.0 | 478601 | 0 | 119879 | X | ||||
| James Dover | |||||||||
| PRESIDENT AND CEO, OCH | 0.0 | 491432 | 0 | 65301 | X | ||||
| Joanne Evelyn Allen | |||||||||
| PRESIDENT AND CEO, SLRH | 0.0 | 396040 | 0 | 107903 | X | ||||
| Hayden Klaeveman | |||||||||
| FORMER VP, Quality | 0.0 | 324536 | 0 | 508 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5384976 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1111389 | TotalOtherCompensation |
| Number Individuals GT100 K | 45 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ROPES GRAY LLP | |||||
| ONE INTERNATIONAL PLACE | BOSTON | MA | 02110 | LEGAL & CONSULTING | 3638676 |
| JONES DAY | |||||
| 1755 EMBARCADERO ROAD | PALO ALTO | CA | 94303 | LEGAL | 1768933 |
| DELOITTE TOUCHE LLP | |||||
| 555 MISSION STREET SUITE 1400 | SAN FRANCISCO | CA | 94105 | AUDITING SERVICES | 1246245 |
| XROADS SOLUTIONS GROUP LLC | |||||
| 1821 EAST DYER RD SUITE 225 | SANTA ANA | CA | 92705 | CONSULTING | 885702 |
| THE ALTOS GROUP | |||||
| 13100 SKYLINE BLVD | OAKLAND | CA | 84619 | CONSULTING | 644474 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 13 | NumberOfContractorsGT100K |
| Related Organizations | 3606764 | RelatedOrganizations |
| All Other Contributions | 640000 | AllOtherContributions |
| Total Contributions | 4246764 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| REGIONAL LEADERSHIP AND ADMINISTRATION | 900099 | 54833544 | 54833544 | |
| PARTNERSHP INCOME - PROGRAM SERVICES | 541900 | 1950096 | 1946264 | 3832 |
| OTHER OPERATING REVENUE | 900099 | 276828 | 276828 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 57060468 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8974835 | TotalRevenueColumn |
| Exclusion | $8,974,835 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| SYSTEM ACTUARIAL PENSION | 900099 | 26787943 | $26,787,943 |
| SYSTEM PENSION ACCRUAL REVERSAL | 900099 | 1685377 | $1,685,377 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 28473320 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 98755387 | TotalRevenueColumn |
| Related Or Exempt Function Income | 57056636 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 3832 | UnrelatedBusinessRevenue |
| Exclusion | $37,448,155 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 619661 | Total |
| Program Services | 619661 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3118141 | Total |
| Program Services | 2338606 | ProgramServices |
| Management And General | 779535 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10134307 | Total |
| Program Services | 7600730 | ProgramServices |
| Management And General | 2533577 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1974808 | Total |
| Program Services | 1481106 | ProgramServices |
| Management And General | 493702 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1395812 | Total |
| Program Services | 1046859 | ProgramServices |
| Management And General | 348953 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 531869 | Total |
| Program Services | 398902 | ProgramServices |
| Management And General | 132967 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23378247 | Total |
| Program Services | 17533685 | ProgramServices |
| Management And General | 5844562 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 536829 | Total |
| Program Services | 402622 | ProgramServices |
| Management And General | 134207 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2306625 | Total |
| Program Services | 1729969 | ProgramServices |
| Management And General | 576656 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 278683 | Total |
| Program Services | 209012 | ProgramServices |
| Management And General | 69671 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1416511 | Total |
| Program Services | 1062383 | ProgramServices |
| Management And General | 354128 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 73655 | Total |
| Program Services | 55241 | ProgramServices |
| Management And General | 18414 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 322592 | Total |
| Program Services | 241944 | ProgramServices |
| Management And General | 80648 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26124071 | Total |
| Program Services | 19593053 | ProgramServices |
| Management And General | 6531018 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 682747 | Total |
| Program Services | 512060 | ProgramServices |
| Management And General | 170687 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 438003 | Total |
| Program Services | 328502 | ProgramServices |
| Management And General | 109501 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 141539 | Total |
| Program Services | 106154 | ProgramServices |
| Management And General | 35385 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 372508 | Total |
| Program Services | 279381 | ProgramServices |
| Management And General | 93127 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 239919 | Total |
| Program Services | 179939 | ProgramServices |
| Management And General | 59980 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SALES TAXES | 180615 | 135461 | 45154 |
| RECRUITING | 78268 | 58701 | 19567 |
| OUTSIDE TRAINING SESSIONS | 51632 | 38724 | 12908 |
| CATERING | 40381 | 30286 | 10095 |
| GIFTS & ENTERTAINMENT | 17476 | 13107 | 4369 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 596588 | Total |
| Program Services | 447441 | ProgramServices |
| Management And General | 149147 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75051487 | Total |
| Program Services | 56443529 | ProgramServices |
| Management And General | 18607958 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62762001 | BOY |
| EOY | 41421252 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1001510 | BOY |
| EOY | 729921 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6142635 | BOY |
| EOY | 16489403 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 4782650 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1006440 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50642 | BOY |
| EOY | 3776210 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1874382 | BOY |
| EOY | 3442250 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 508343997 | BOY |
| EOY | 501801133 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 580175167 | BOY |
| EOY | 567660169 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10630666 | BOY |
| EOY | 10791245 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 462515000 | BOY |
| EOY | 453174000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 188102923 | BOY |
| EOY | 158878440 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 661248589 | BOY |
| EOY | 622843685 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -83125015 | BOY |
| EOY | -57719417 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2051593 | BOY |
| EOY | 2535901 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -81073422 | BOY |
| EOY | -55183516 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 580175167 | BOY |
| EOY | 567660169 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 23703900 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 2186006 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type2 | X | SupportingOrg509a3Type2 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (6 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | AmountAmount |
|---|---|---|---|
| ROBERT F KENNEDY MEDICAL CENTER | |||
| 912154440 | 03 | true | $0 |
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 6 | TotalNumberOfSupportedOrgs |
| General Explanation | Robert F. Kennedy Medical Center, O' Connor Hospital, Saint Louise Regional Hospital, Seton Medical Center, St. Francis Medical Center and St. Vincent Medical Center are affiliated corporations with Daughters of Charity Health System ("DCHS"), as defined in its bylaws. Each local health ministry 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 Attachment 2 for a description of support provided to each of the affiliated corporations. | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $214,672 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $64,011 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 278683 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule C, Part II-B, Line 1i | Identifier |
| Explanation | The majority of the lobbying expenditures for FY 2011 regarded the state hospital provider fee program, including legislation required to conform the fee to applicable federal requirements as determined by the federal government and legislation extending the fee an additional 6 months. The original fee program, and extension, yielded $75 million to the Daughters of Charity Health System in FY 2011 on the basis of DCHS' service to Medi-Cal patients. A smaller portion of the expenditures were spent on other legislative matters, specifically the state budget. We have not engaged in any lobbying expenditures to influence general public opinion. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Land | Land |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 33700 | OtherCostOrOtherBasis |
| Depreciation | 33700 | Depreciation |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 579495 | OtherCostOrOtherBasis |
| Depreciation | 576821 | Depreciation |
| Book Value | 2674 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3493211 | OtherCostOrOtherBasis |
| Depreciation | 395919 | Depreciation |
| Book Value | 3097292 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 676244 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 676244 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3776210 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (9 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM RELATED PARTIES | 453031552 |
| UNDER BOND INDENTURE AGREEMENT | 42807818 |
| 2005 DEF COST OF ISSUANCE | 840165 |
| 2005 DEF UNDERWRITER FEE | 1596676 |
| 2008A DEF COST OF ISSUANCE | 838660 |
| 2008A DEF UNDERWRITER FEE | 890781 |
| TRF - BANK OF AMERICA | 1609507 |
| OTHER RECEIVABLES | 148548 |
| DEPOSITS | 37426 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 501801133 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PENSION OBLIGATION | $139,210,219 |
| LONG-TERM DEBT | $18,919,799 |
| OTHER ACCRUED LIABILITIES | $747,591 |
| DUE TO GOVERNMENT AGENCIES | $831 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 158878440 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE D, PART X, LINE 2 | Identifier |
| Return Reference | FIN 48 (ASC 740) FOOTNOTE | ReturnReference |
| Explanation | 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, 2011. AS SUCH, THERE WAS NO FIN 48 (ASC 740) DISCLOSURE IN THE FOOTNOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS OF DAUGHTERS OF CHARITY HEALTH SYSTEM. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Robert F Kennedy Medical Center | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 26000 Altamont Rd | AddressLine1 |
| City | Los Altos Hills | City |
| State | CA | State |
| ZIP Code | 94022 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 912145484 | EINOfRecipient |
| IRC Section | 501(c)(3) | IRCSection |
| Amount Of Cash Grant | 606561 | AmountOfCashGrant |
| Purpose Of Grant | PROGRAM SERVICE | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | GRANTS PAID BY THE DAUGHTERS OF CHARITY HEALTH SYSTEM | Identifier |
| Return Reference | SCHEDULE I, PARTS I & II | ReturnReference |
| Explanation | As a result of diminished patient volume and continuing financial losses, Robert F. Kennedy Medical Center suspended its hospital operations on December 9, 2004, and is no longer performing patient activities. As of June 30, 2011, remaining net assets, including receivable recoveries recorded during the year, were transferred to Daughters of Charity Health System, its sole corporate member. Included in the transfer were wind-down liabilities of $606,561 that have been assumed by DCHS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Account | X | DiscretionarySpendingAccount |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Robert Issai | |||||||||||||
| 884055 | 0 | 0 | 0 | 224868 | 0 | 263785 | 0 | 20831 | 0 | 1393539 | 0 | 0 | 0 |
| Mike Stuart | |||||||||||||
| 398505 | 0 | 0 | 0 | 13905 | 0 | 52808 | 0 | 39574 | 0 | 504792 | 0 | 0 | 0 |
| Conway Collis | |||||||||||||
| 454329 | 0 | 0 | 0 | 21935 | 0 | 78050 | 0 | 7301 | 0 | 561615 | 0 | 0 | 0 |
| Richard Hutsell | |||||||||||||
| 335022 | 0 | 0 | 0 | 22015 | 0 | 101861 | 0 | 42540 | 0 | 501438 | 0 | 0 | 0 |
| Nancy Carragee | |||||||||||||
| 239831 | 0 | 0 | 0 | 3233 | 0 | 11572 | 0 | 17530 | 0 | 272166 | 0 | 0 | 0 |
| Gerry Kozai | |||||||||||||
| 577717 | 0 | 0 | 0 | 19182 | 0 | 90660 | 0 | 28348 | 0 | 715907 | 0 | 0 | 0 |
| Lorraine Auerbach | |||||||||||||
| 426118 | 0 | 0 | 0 | 73652 | 0 | 17692 | 0 | 45246 | 0 | 562708 | 0 | 0 | 0 |
| Margaret Catherine Fickes | |||||||||||||
| 436843 | 0 | 0 | 0 | 41758 | 0 | 80283 | 0 | 39596 | 0 | 598480 | 0 | 0 | 0 |
| James Dover | |||||||||||||
| 424703 | 0 | 0 | 0 | 66729 | 0 | 21684 | 0 | 43617 | 0 | 556733 | 0 | 0 | 0 |
| Joanne Evelyn Allen | |||||||||||||
| 380666 | 0 | 0 | 0 | 15374 | 0 | 79976 | 0 | 27927 | 0 | 503943 | 0 | 0 | 0 |
| Hayden Klaeveman | |||||||||||||
| 0 | 0 | 0 | 0 | 324536 | 0 | 0 | 0 | 508 | 0 | 325044 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | BENEFITS PROVIDED BY DCHS | Identifier |
| Return Reference | SCHEDULE J, PART I, LINE 1A | ReturnReference |
| Explanation | 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 the compensated individuals listed in Part VII, except the Former VP of Quality, receive an auto allowance. The payments are reported as taxable compensation and reported on Form W-2. Severance Payment Schedule J, Part I, Line 4A The following individual received a severance payment, which is included in compensation reported on schedule J, Part II, column B(III): Hayden Klaeveman $141,844 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 $88,572 Mike Stuart $40,301 Conway Collis $32,500 Gerry Kozai $16,835 Joanne Evelyn Allen $38,496 | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| CA STATEWIDE COMMUNITIES DEV AUTHY | |||||||
| 680164610 | 130911A83 | 2005-03-18 | 507644195 | EQUIPMENT ACQ. & REFUND 2001 BONDS | false | false | false |
| CA STATEWIDE COMMUNITIES DEV AUTHY | |||||||
| 680164610 | 130795ZS9 | 2008-11-18 | 143655000 | REFUND 2005 SERIES B BONDS | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|
| 509644195 | 27092736 | 2000000 | 5329545 | 30000000 | 445221914 | 2005 | false | true | true | true |
| 143718230 | 13714584 | 3646 | 130000000 | true | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| false | false | false | false | true | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | true | 0.00000 | 0.00000 | 0.00000 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| false | true | false | false | false | true |
| false | false | false | false | false | true |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| 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, 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 and proceeds released from reserve funds. |
Schedule L IRS990ScheduleL
Loan Table LoanTable (3 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| ROBERT ISSAI | ||||||
| HOME PURCHASE | X | $912,000 | 182838 | false | true | true |
| LORRAINE AUERBACH | ||||||
| HOME PURCHASE | X | $500,000 | 388750 | false | true | true |
| JAMES DOVER | ||||||
| HOME PURCHASE | X | $250,000 | 158333 | false | true | true |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 729921 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (18 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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 reviewed by the Audit, Risk and Compliance Committee of the Board. The full Board of Directors of the organization receives the final version of the draft return 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 5 | The other changes in net assets or fund balance consists of the following: Change in Unrealized Gain on Investments $2,186,006 | |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:Sr. Marion Bill, D.C. TITLE:VICE CHAIRPERSON HOURS:11 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:Robert Issai TITLE:PRESIDENT AND CEO HOURS:13 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:Mike Stuart TITLE:CFO HOURS:2 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:Richard Hutsell TITLE:VP OF IT AND CIO HOURS:2 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:Gerry Kozai TITLE:PRESIDENT AND CEO, SFMC HOURS:40 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:Lorraine Auerbach TITLE:PRESIDENT AND CEO, SMC HOURS:44 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:Margaret Catherine Fickes TITLE:PRESIDENT AND CEO, SVMC HOURS:45 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:James Dover TITLE:PRESIDENT AND CEO, OCH HOURS:40 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:Joanne Evelyn Allen TITLE:PRESIDENT AND CEO, SLRH HOURS:40 | FORM 990 PART VII |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE PART VII | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE PART VII | BusinessNameLine1 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE PART VII | BusinessNameLine1 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE PART VII | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Caritas Business Services | |
| P | 2957647 |
| O'Connor Hospital | |
| n | 60156 |
| O'Connor Hospital | |
| p | 16707765 |
| Saint Louise Regional Hospital | |
| p | 6606264 |
| Seton Medical Center | |
| p | 20533055 |
| St Francis Medical Center | |
| p | 30435409 |
| Saint Vincent Medical Center | |
| p | 16988361 |
| Marillac Insurance Company | |
| b | 15774950 |
| Marillac Insurance Company | |
| r | 6000000 |
| De Paul Ventures LLC | |
| b | 1170250 |
| Robert F Kennedy Medical Center | |
| b | 606561 |
| Robert F Kennedy Medical Center Foundation | |
| c | 1609507 |
| St Francis Medical Center | |
| c | 1679631 |
| ROBERT F KENNEDY MEDICAL CENTER | |
| C | 317626 |
Form990 Schedule R Part VII Form990ScheduleRPartVII (4 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| 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 - $0 Col (E): End-of-year assets - $1,568,121 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 - $1,568,121 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 3663 Martin Luther King Jr. Blvd. Lynwood, CA 90262 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): Director Controlling Entity Name - Daughters of Charity Health System Hotel Dieu, Inc. 3663 Martin Luther King Blvd. Lynwood, California 90262 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): Director 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 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 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 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 18550 De Paul Drive Morgan Hill, CA 95037 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 2131 West 3rd Street 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 |
| 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 - $523,745 Col (G): Share of end-of-year assets - $3,856,536 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 - $733,880 Col (G): Share of end-of-year assets - $6,055,051 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 69GT, B.W.I., Cayman Islands 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 - $10,484,306 Col (G): Share of end-of-year assets - $67,958,395 Col (H): Percentage ownership - 100% |