HAYWARD SISTERS HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
HAYWARD SISTERS HOSPITAL (EIN 94-1668344)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-08
IRS object ID
202402219349300520
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-08-08T07:30:13-07:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN862066657PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JDT & AssociatesBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1212 E Crossroads Blvd Ste 179AddressLine1Txt
CitySARATOGA SPRINGSCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84045ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN941668344EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HAYWARD SISTERS HOSPITALBusinessNameLine1Txt
Business Name Line2DBA ST ROSE HOSPITALBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlHAYWBusinessNameControlTxt
Phone5102644107PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line127200 CALAROGA AVENUEAddressLine1Txt
CityHAYWARDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94545ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMatt WilliamsPersonNm
Person TitleCFOPersonTitleTxt
Signature2024-08-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNathan DotyPreparerPersonNm
PTINP01935377PTIN
Phone8013882664PhoneNum
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMatt WilliamsPrincipalOfficerNm
Gross Receipts$121,138,528GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.strosehospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1962FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionSt Rose Hospital provides quality health care to our community with respect, compassion, and professionalism. We work in partnership with our highly valued physicians and employees to heal and comfort all those we serve.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee848TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,000,000PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$103,219,764PYProgramServiceRevenueAmt
CY Program Service Revenue$96,705,913CYProgramServiceRevenueAmt
PY Investment Income$37,804PYInvestmentIncomeAmt
CY Investment Income$216,157CYInvestmentIncomeAmt
PY Other Revenue$18,298,269PYOtherRevenueAmt
CY Other Revenue$24,216,458CYOtherRevenueAmt
PY Total Revenue$123,555,837PYTotalRevenueAmt
CY Total Revenue$121,138,528CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$78,879,550PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$81,383,123CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$47,671,535PYOtherExpensesAmt
CY Other Expenses$48,581,793CYOtherExpensesAmt
PY Total Expenses$126,551,085PYTotalExpensesAmt
CY Total Expenses$129,964,916CYTotalExpensesAmt
PY Revenues Less Expenses-$2,995,248PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$8,826,388CYRevenuesLessExpensesAmt
Total Assets BOY$57,667,276TotalAssetsBOYAmt
Total Assets EOY$59,843,046TotalAssetsEOYAmt
Total Liabilities BOY$49,080,950TotalLiabilitiesBOYAmt
Total Liabilities EOY$60,083,108TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,586,326NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$240,062NetAssetsOrFundBalancesEOYAmt
MissionSt Rose Hospital provides quality health care to our community with respect, compassion, and professionalism. We work in partnership with our highly valued physicians and employees to heal and comfort all those we serve.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$105,287,009ExpenseAmt
DescHayward Sisters Hospital dba St. Rose Hospital The Hospital owns and operates a general acute care hospital located in Hayward, California, and is the sole corporate member of St. Rose Foundation and Saint Rose Medical Building, Inc. Founded in 1962, the hospital is currently licensed for 171 beds and has an active medical staff of over 284. The Hospital's primary service area is in the southern sub-region of Alameda County, with a population of nearly 800,000, which includes the cities of Fremont, Hayward, Newark, San Leandro, San Lorenzo, and Union City. The Hospital is situated in a predominantly working-class section of Hayward, and its primary service area encompasses the cities of Hayward and Union City.Desc
Total Program Service Expenses$105,287,009TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document147IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee848EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonROSARIO EUGENIOPersonNm
Phone5102644107PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line127200 CALAROGA AVENUEAddressLine1Txt
CityHAYWARDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94545ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Michael Sarrao
Secretary40.000.00Yes (X)$405,291$0$0
Jesus Castaneda
Cardiac Cath Lab40.000.00$324,551$0$9,839
Hubert Neri
RN II40.000.00$292,065$0$10,074
Ferdinand Morales
RN II40.000.00$282,308$0$5,204
Rozanne O'Keefe
Director of Nursing40.000.00$261,044$0$16,146
Riti Patel Desai
RN II40.000.00$261,352$0$8,047
Concesa G Umali
Charge RN II40.000.00$243,018$0$7,341
Michael Marchiano MD
Trustee1.000.00$0$0$13,057Yes (X)
Fred Naranjo
Trustee1.000.00$0$0$12,477Yes (X)
Katrina Rosseini
Trustee1.000.00$0$0$5,761Yes (X)
John P Jay Harris
Trustee1.000.00$0$0$0Yes (X)
Chief Garrett Contreras
Chairman1.000.00$0$0$0Yes (X)
Li Kuo Kong MD
Trustee1.000.00$0$0$0Yes (X)
Lex Reddy
President & CEO40.000.00Yes (X)$0$0$0
Jeremy Redin
CFO40.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,069,629TotalReportableCompFromOrgAmt
Total Other Compensation$87,946TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K229IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Alecto Healthcare Hayward LLC
101 N Brand Blvd Suite 1789GlendaleCA91203Management Services$3,524,337
Regional Anesthesia Associates Inc
7370 N Palm Ave Suite 102FresnoCA93711Anesthesiology Services$1,316,049
California Hospital Medical Group
2333 Mowry Ave Suite 300FremontCA94538Physicians$1,072,500
United Healthcare Insurance Company
PO Box 94017PalatineIL60094Health and Dental serv.$4,428,512
Medline Industries Inc
Dept LA 21558PasadenaCA91185Non-medical supply$2,252,631
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K73CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNet Patient RevenueDesc
Business621110BusinessCd
Total Revenue Column$96,705,913TotalRevenueColumnAmt
Related Or Exempt Func Income$96,705,913RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$96,705,913TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$216,157TotalRevenueColumnAmt
Exclusion$216,157ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Asset Donation$1,760,000$1,760,000
Other Operating Revenue$22,456,325$22,456,325
Other Revenue$133$133
FieldValueIRS element (for citing)
Other Revenue Total$24,216,458OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$121,138,528TotalRevenueColumnAmt
Related Or Exempt Func Income$120,922,371RelatedOrExemptFuncIncomeAmt
Exclusion$216,157ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$769,692TotalAmt
Management And General$769,692ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$65,996,648TotalAmt
Program Services$60,318,068ProgramServicesAmt
Management And General$5,678,580ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$975,051TotalAmt
Program Services$975,051ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,928,621TotalAmt
Program Services$8,530,959ProgramServicesAmt
Management And General$397,662ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,713,111TotalAmt
Program Services$4,713,111ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,197,281TotalAmt
Management And General$3,197,281ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,786,875TotalAmt
Program Services$1,008,000ProgramServicesAmt
Management And General$778,875ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$185,193TotalAmt
Program Services$14,592ProgramServicesAmt
Management And General$170,601ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,117,060TotalAmt
Program Services$3,719,825ProgramServicesAmt
Management And General$1,397,235ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,878TotalAmt
Management And General$4,878ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$617,128TotalAmt
Program Services$218,792ProgramServicesAmt
Management And General$398,336ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,861,852TotalAmt
Program Services$85,392ProgramServicesAmt
Management And General$1,776,460ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,707,811TotalAmt
Program Services$1,548,715ProgramServicesAmt
Management And General$159,096ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$157,698TotalAmt
Management And General$157,698ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$15,089TotalAmt
Management And General$15,089ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,607,980TotalAmt
Management And General$1,607,980ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,866,580TotalAmt
Management And General$3,866,580ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$988,490TotalAmt
Management And General$988,490ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Supplies$11,998,045$11,290,727$707,318
HQAF Fees$7,738,171$7,738,171
Professional Fees$6,409,368$5,125,606$1,283,762
Other$1,322,294$1,322,294

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$129,964,916TotalAmt
Program Services$105,287,009ProgramServicesAmt
Management And General$24,677,907ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,257,634BOYAmt
EOY$4,356,203EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,229,897BOYAmt
EOY$3,371,426EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,709,932BOYAmt
EOY$11,226,436EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$8,304,325BOYAmt
EOY$9,350,286EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,493,289BOYAmt
EOY$2,367,266EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$99,377,591LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$72,277,036LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$26,293,327BOYAmt
EOY$27,100,555EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,378,872BOYAmt
EOY$2,070,874EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$57,667,276BOYAmt
EOY$59,843,046EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,374,887BOYAmt
EOY$19,435,081EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$24,298,284BOYAmt
EOY$31,366,081EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,407,779BOYAmt
EOY$9,281,946EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$49,080,950BOYAmt
EOY$60,083,108EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,586,326BOYAmt
EOY-$240,062EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,586,326BOYAmt
EOY-$240,062EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$57,667,276BOYAmt
EOY$59,843,046EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$8,826,388ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$40,843OtherActivitiesAmt
Total Lobbying Expenditures$40,843TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part II-B, Line 1i - Other Activities DescriptionA portion of annual dues allocated to lobbying expenses.
Part IV - Additional Information

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$155,087OtherCostOrOtherBasisAmt
Book Value$155,087BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$57,731,160OtherCostOrOtherBasisAmt
Depreciation$36,779,794DepreciationAmt
Book Value$20,951,366BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,628,038OtherCostOrOtherBasisAmt
Depreciation$35,497,242DepreciationAmt
Book Value$4,130,796BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,863,306OtherCostOrOtherBasisAmt
Book Value$1,863,306BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$27,100,555TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Intercompany Due To$977,988
Operating Lease Liability$1,393,882
Retention Liability$6,910,076
FieldValueIRS element (for citing)
Total Liability$9,281,946TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
ExplanationSt. Rose is exempt from income taxes under Section 501c3 of the Internal Revenue Code IRC. Thus, no provision for income taxes is included in the accompanying consolidated financial statements. St. Rose follows the accounting guidance for accounting for uncertainty in income taxes. St. Rose is subject to federal and state income taxes to the extent it has unrelated business income. In accordance with the guidance for uncertainty in income taxes, management has evaluated its material tax positions and determined that there are no income tax effects with respect to its financial statements.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent350Yes (X)Percent350Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$639,245TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$639,245NetCommunityBenefitExpnsAmt
Total Expense0.00520TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$61,817,379TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$46,984,157DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,833,222NetCommunityBenefitExpnsAmt
Total Expense0.12000TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,064,620TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$235,276DirectOffsettingRevenueAmt
Net Community Benefit Expns$829,344NetCommunityBenefitExpnsAmt
Total Expense0.00670TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$63,521,244TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$47,219,433DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,301,811NetCommunityBenefitExpnsAmt
Total Expense0.13190TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,284,088TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,284,088NetCommunityBenefitExpnsAmt
Total Expense0.01040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,284,088TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,284,088NetCommunityBenefitExpnsAmt
Total Expense0.01040TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$64,805,332TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$47,219,433DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,585,899NetCommunityBenefitExpnsAmt
Total Expense0.14230TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$4,748,270BadDebtExpenseAmt
Bad Debt Expense Attributable$2,412,926BadDebtExpenseAttributableAmt
Reimbursed By Medicare$21,220,127ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$26,465,533CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$5,245,406MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Hayward Sisters HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line127200 CALAROGA AVENUEAddressLine1Txt
CityHAYWARDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94545ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.strosehospital.orgWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Hayward Sisters HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.strosehospital.orgOwnWebsiteURLTxt
Implementation Strategy AdoptfalseImplementationStrategyAdoptInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care350.0000FPGFamilyIncmLmtDscntCarePct
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.strosehospital.orgFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.strosehospital.orgFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.strosehospital.orgFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Facility: Hayward Sisters Hospital - Part V, Section B, Line 5Community input was provided by a broad range of community members via key informant interviews and focus groups. Individuals with the knowledge, information, and expertise relevant to the health needs of the community were consulted. These individuals included representatives from public health and other public agencies, community organizations, and members of medically underserved, lowincome, and racial/ethnic populations.
Facility: Hayward Sisters Hospital - Part V, Section B, Line 6aHayward Sisters Hospital - St. Rose Hospital, John Muir Health, Sutter Heath, Stanford Health Care Valley Care, and UCSF Benioff Children's Hospitals.
Facility: Hayward Sisters Hospital - Part V, Section B, Line 11The data gathered for the CHNA report is to inform the hospital community about the health status of the county and city residents to identify gaps in services and to assist in developing programs and services that guide decision making in regards to the health needs of our community. St. Rose has been faithful in its mission of providing access to health care to our community. Many of the critical issues identified by the CHNA are issues that St. Rose Hospital is attempting to address. St. Rose has addressed three of the critical community health needs through targeted programs and community partnerships: Behavioral Health, Economic Stability, and Healthcare Access and Delivery. St Rose provides mental health services to ED patients and allocates resources to support FACES for the Future partnership with La Familia Counseling Services to provide psychological support to at-risk student interns and families. FACES builds job skills and support mental health to maximize participant readiness for careers and/or higher education. Although St. Rose put plans in place to conduct The FACES program, it was suspended in 2020, 2021 and 2022 due to COVID-19 pandemic safety regulations. St. Rose Youth and Senior Volunteer and Skills Development programs provide students and older adults opportunities to volunteer at St. Rose to build job skills and professional contacts SHINE program, Auxiliary Volunteers, other volunteer opportunities. In addition, volunteers receive a free meal during each shift. Although St. Rose put plans in place to conduct their volunteer programs, these were suspended in 2020, 2021 and 2022 due to COVID-19 pandemic safety regulations. Vaccinations are provided in kind space, staffing and security to Alameda County to deliver COVID -19 vaccines to community members to prevent COVID-19 hospitalizations, deaths and transmission. Invested a total of 648 hours and $37,560 in staff time over 2020 and 2021. St. Rose assisted underserved patients in determining if they qualify for health insurance or financial aid to ensure coverage. Approved 278 charity applications and facilitated 149 Medi Cal applications from October 1, 2020 to September 30, 2021.
Facility: Hayward Sisters Hospital - Part V, Section B, Line 13hFPG is used ranging from 200-500

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)FPG is used ranging from 200-500
Part III, Line 4 - Bad Debt ExpenseSt. Rose reports patient accounts receivable for services rendered at net realizable amounts from third-party payers, patients and others. St. Rose provides an allowance for doubtful accounts based upon a review of outstanding receivables, historical collection information and existing economic conditions. As a service to the patient, St. Rose bills third-party payors directly and bills the patient when the patient's liability is determined. Patient accounts receivable are due in full when billed. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account.
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsOur written debt collection policy and practice are that once the charity care application has been received, the collection practice is stopped until the patient is approved and notified in writing.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmount
Concesa G Umali
Charge RN II$243,018$7,341$250,359
Ferdinand Morales
RN II$282,308$5,204$287,512
Hubert Neri
RN II$292,065$10,074$302,139
Jesus Castaneda
Cardiac Cath Lab$324,551$9,839$334,390
Michael Sarrao
Secretary$405,291$405,291
Riti Patel Desai
RN II$261,352$8,047$269,399
Rozanne O'Keefe
Director of Nursing$261,044$16,146$277,190

Schedule M IRS990ScheduleM

Real Estate Commercial RealEstateCommercialGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$1,760,000NoncashContributionsRptF990Amt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 3The CEO and CFO duties are carried out by employees of Alecto, an unrelated management company. Compensation is included in the management fee paid to Alecto.
Form 990, Part VI, Section B, Line 11bInformation is gathered by the accounting staff and reviewed by the Chief Financial Officer. The final Form 990 is presented to the voting members of the Board of Trustees prior to filing with the Internal Revenue Service.
Form 990, Part VI, Section B, Line 12cThe purpose of the Conflicts of Interest Policy is to protect the interests of St. Rose Hospital when it is contemplating entering into a transaction or arrangement that might benefit the private interest of an officer or trustee of the Hospital. The policy is established to assure compliance with the requirements of all applicable laws, rules and regulations that govern the tax exempt status of St. Rose Hospital. Interested Person: An interested person is any trustee, principal officer, or member of a committee with board-delegated powers, who has a direct or indirect financial interest. Disclosure Statement: During the appointment process and annually thereafter at the annual meeting of the organization, all interested persons shall complete a disclosure statement which affirms that such person: 1 Received a copy of the Conflict of Interest Policy. 2 Read, understands and agrees to comply with the policy. 3 Agrees to disclose transactions or arrangements which may constitute an actual or potential conflict of interest. If a conflict of interest has been declared, the interested person may make a presentation at the board or committee meeting, but after such presentation, he/she shall leave the meeting and not participate in the discussions of, or vote on, the transaction or arrangement that results in the conflict of interest.
Form 990, Part VI, Section C, Line 19Available upon request

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Saint Rose Medical Office Building
27200 CALAROGA AVENUEHAYWARDCA94545942856700Rental of Office SpaceCA501c311 Type 1Hayward Sisters HospitalYes (true)
St Rose Hospital Foundation
27200 CALAROGA AVENUEHAYWARDCA94545942428886Support Mission of HospitalCA501c311 Type 1Hayward Sisters HospitalYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Saint Rose Medical Office Building
p$16Reimb. to MOB
Saint Rose Medical Office Building
q$205,864Reimb. from MOB
Saint Rose Medical Office Building
r$520,000Cash to MOB
Saint Rose Medical Office Building
s$720,000Cash from MOB
St Rose Hospital Foundation
q$1,652,568Reimb. from SRF
St Rose Hospital Foundation
r$3,807Cash to SRF

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