VERITY HEALTH SYSTEM OF CALIFORNIA INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
VERITY HEALTH SYSTEM OF CALIFORNIA INC (EIN 91-2145484)
Tax period
2021-07-01 to 2022-06-30
Filed
2022-11-14
IRS object ID
202213189349316936
Schema version
2021v4.2
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)
Return2022-11-14T16:46:28-06:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN461955807PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GROBSTEIN TEEPLE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line16300 CANOGA AVENUE SUITE 1500WAddressLine1Txt
CityWOODLAND HILLSCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91367ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN912145484EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VERITY HEALTH SYSTEM OF CALIFORNIA INCBusinessNameLine1Txt
Business Name Line2HOWARD B GROBSTEIN LIQUIDATING TRUSTEEBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlVERIBusinessNameControlTxt
Phone8185321020PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16300 CANOGA AVENUE 1500WAddressLine1Txt
CityWOODLAND HILLSCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91367ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonHOWARD B GROBSTEINPersonNm
Person TitleLIQUIDATING TRUSTEEPersonTitleTxt
Phone8185321020PhoneNum
Signature2022-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstHOWARDPersonFirstNm
Person LastGROBSTEINPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKERMITH BOFFILLPreparerPersonNm
PTINP00958329PTIN
Phone8185321020PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Final ReturnYes (X)FinalReturnInd
Principal OfficerHOWARD B GROBSTEINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16300 CANOGA AVENUE 1500WAddressLine1Txt
CityWOODLAND HILLSCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91367ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$0GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionVERITY HEALTH SYSTEM OF CALIFORNIA, INC. IS THE HEALTH SYSTEM'S PARENT ORGANIZATION PROVIDING LEADERSHIP AND SUPPORT FOR THE ORGANIZATION'S AFFILIATES.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body1VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$0PYTotalRevenueAmt
CY Total Revenue$0CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$0PYOtherExpensesAmt
CY Other Expenses$2,401,937CYOtherExpensesAmt
PY Total Expenses$0PYTotalExpensesAmt
CY Total Expenses$2,401,937CYTotalExpensesAmt
PY Revenues Less Expenses$0PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,401,937CYRevenuesLessExpensesAmt
Total Assets BOY$49,558,037TotalAssetsBOYAmt
Total Assets EOY$0TotalAssetsEOYAmt
Total Liabilities BOY$53,746,143TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$4,188,106NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionVERITY HEALTH SYSTEM OF CALIFORNIA, INC. ("VHS") WAS ORGANIZED AND OPERATED TO SUPPORT THE AFFILIATED HEALTHCARE FACILITIES BY 1) MAINTAINING ACUTE CARE HOSPITALS, MEDICAL CLINICS, MEDICAL FOUNDATIONS AND RELATED FACILITIES AND ENTERPRISES. 2) PROMOTED SCIENTIFIC RESEARCH RELATED TO HEALTHCARE SERVICES, 3) MAINTAINED HEALTHCARE ENTERPRISES USING SYSTEMS DESIGNED TO MAXIMIZE BENEFITS TO THE COMMUNITIES SERVED, 4) PROMOTED THE GENERAL HEALTH OF THE COMMUNITIES SERVED BY VERITY AND ITS AFFILIATED HEALTHCARE FACILITIES, AND, 5) PROVIDED FINANCIAL AND OTHER FORMS OF ASSISTANCE FOR THE BENEFIT OF ITS AFFILIATED HEALTHCARE FACILITIES AND THE COMMUNITIES THEY SERVED.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$2,401,937ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescTHE ENTITY HAS BEEN WOUND DOWN FOR EVENTUAL DISSOLUTION.Desc
Total Program Service Expenses$2,401,937TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate OperationsYes (1)TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members1GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VHS LIQUIDATING TRUST CO HOWARD B GROBSTEIN TRUSTEEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8185321020PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16300 CANOGA AVENUE SUITE 1500WAddressLine1Txt
CityWOODLAND HILLSCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91367ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp

FieldValueIRS element (for citing)
PersonHOWARD B GROBSTEINPersonNm
TitleLIQUIDATING TRUSTEETitleTxt
Average Hours Per Week1.00AverageHoursPerWeekRt
Average Hours Per Week Rltd Org13.00AverageHoursPerWeekRltdOrgRt
Individual Trustee Or DirectorYes (X)IndividualTrusteeOrDirectorInd
Reportable Comp From Org$0ReportableCompFromOrgAmt
Reportable Comp From Rltd Org$0ReportableCompFromRltdOrgAmt
Other Compensation$0OtherCompensationAmt
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescBAD DEBT EXPENSEDesc
Total$2,401,937TotalAmt
Management And General$2,401,937ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,401,937TotalAmt
Program Services$0ProgramServicesAmt
Management And General$2,401,937ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$12,536,223BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,401,937BOYAmt
EOY$0EOYAmt

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)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

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$34,619,877BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$49,558,037BOYAmt
EOY$0EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,861,503BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$47,884,640BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$53,746,143BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$4,188,106BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$4,188,106BOYAmt
EOY$0EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$49,558,037BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,401,937ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$6,590,043OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations7SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (7 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
O'CONNOR HOSPITAL
9121544363Yes (1)$0$0
SAINT LOUISE REGIONAL HOSPITAL
9121544373Yes (1)$0$0
SETON MEDICAL CENTER
9131544413Yes (1)$0$0
ST FRANCIS MEDICAL CENTER
9121544393Yes (1)$0$0
ST VINCENT MEDICAL CENTER
2121544383Yes (1)$0$0
VERITY MEDICAL FOUNDATION
45369185210Yes (1)$0$0
VERITY BUSINESS SERVICES
51065913910Yes (1)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total7SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported Org0MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART IV SECTION C LINE 1:FormAndLineReferenceDesc
ExplanationTHE BOARD OF DIRECTORS OF ALL THE SUPPORTED ORGANIZATIONS OF VERITY HEALTH SYSTEM OF CALIFORNIA, INC.. ("VHS"): (O'CONNOR HOSPITAL, SAINT LOUISE REGIONAL HOSPITAL, SETON MEDICAL CENTER, ST. FRANCIS MEDICAL CENTER, ST. VINCENT MEDICAL CENTER, VERITY MEDICAL FOUNDATION AND VERITY BUSINESS SERVICES) ARE APPOINTED BY VHS, THEIR SOLE CORPORATE MEMBER.ExplanationTxt

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail (2 entries)

Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDescDistributionDistributionDtFair Market Value Of AssetFairMarketValueOfAssetAmtMethod Of FMV DeterminationMethodOfFMVDeterminationTxtEINEINAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdIRC SectionIRCSectionTxt
VHS LIQUIDATING TRUST
SAVINGS AND CASH INVESTMENTS2022-06-30$6,729,590BOOK VALUE8527628526300 CANOGA AVENUE SUITE 1500WWOODLAND HILLSCA91367671 - 679
VHS LIQUIDATING TRUST
ASSETS HELD ON BEHALF OF LIQUIDATING TRUSTEE2022-06-30$34,619,877BOOK VALUE8527628526300 CANOGA AVENUE SUITE 1500WWOODLAND HILLSCA91367671 - 679
FieldValueIRS element (for citing)
Director Of SuccessorYes (1)DirectorOfSuccessorInd
Employee Of Successor0EmployeeOfSuccessorInd
Owner Of Successor0OwnerOfSuccessorInd
Receive Compensation0ReceiveCompensationInd
Assets DistributedYes (1)AssetsDistributedInd
Required To Notify AGYes (1)RequiredToNotifyAGInd
Attorney General Notified0AttorneyGeneralNotifiedInd
Liabilities Paid0LiabilitiesPaidInd
Bonds Outstanding0BondsOutstandingInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 2E:PERSON(S) INVOLVED: HOWARD B. GROBSTEIN, LIQUIDATING TRUSTEE
PART I, LINE 2E:EXPLANATION OF INVOLVEMENT: THE DIRECTOR OF THE ORGANIZATION WAS ALSO THE DIRECTOR OF THE TRANFEREE ORGANIZATON VHS LIQUIDATING TRUST IN FISCAL YEAR 2021 AND CONTINUED AS DIRECTOR OF BOTH ENTITITES AFTER TRANSFER OF ASSETS OCCURED.
SCHEDULE N, PART ION AUGUST 31, 2018, VERITY HEALTH SYSTEMS AND 16 OF ITS AFFILIATED COMPANIES, INCLUDING VERITY HEALTH SYSTEM OF CALIFORNIA, INC., EACH FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE. THE BANKRUPTCY CASES ARE JOINTLY ADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA. ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. COURT FILINGS ARE AVAILABLE AT KCCLLC.NET/VERITYHEALTH.
SCHEDULE N, PART IIN ADDITION TO THE ASSETS REPORTED IN PART I CERTAIN TRANSACTIONS WITHIN THE HEALTH SYSTEM WERE WRITTEN OFF AS PART OF THE BANKRUPTCY PLAN. PLEASE SEE FORM 990, PART XI, LINE 9 OF SCHEDULE O FOR MORE INFORMATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 3ON AUGUST 31, 2018, VERITY HEALTH SYSTEMS AND 16 OF ITS AFFILIATED COMPANIES, INCLUDING VERITY HEALTH SYSTEM OF CALIFORNIA, INC. EACH FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE. THE BANKRUPTCY CASES ARE JOINTLY ADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA. ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. COURT FILINGS ARE AVAILABLE AT KCCLLC.NET/VERITYHEALTH.
FORM 990, PART VI, SECTION A, LINE 2MEMBERS OR STOCKHOLDERS WITH THE POWER TO APPOINT CERTAIN LISTED OFFICERS (NAMELY THE LIQUIDATING TRUSTEE) ALSO SERVES AS THE LIQUIDATING TRUSTEE OF A RELATED ENTITY.
FORM 990, PART VI, SECTION A, LINE 3THE LIQUIDATING TRUSTEE OF VHS, HOWARD B. GROBSTEIN, IS A PARTNER AT GROBSTEIN TEEPLE, LLP. DURING THE FISCAL YEAR 2021, MR. GROBSTEIN PERFORMED MANAGEMENT DUTIES ON BEHALF OF VHS IN HIS CAPACITY AS LIQUIDATING TRUSTEE. VHS DID NOT DIRECTLY COMPENSATE HOWARD B. GROBSTEIN FOR HIS SERVICES AS LIQUIDATING TRUSTEE.
FORM 990, PART VI, SECTION B, LINE 11BTHE TAX PREPARERS AND STAFF OF THE LIQUIDATING TRUSTEE OF VHS AND ITS AFFILIATED COMPANIES (THE ORGANIZATION") WORK TO GATHER THE REQUIRED INFORMATION NECESSARY TO COMPLETE THE FORM 990. THE INITIAL DRAFT IS REVIEWED BY THE TAX PREPARERS AND STAFF OF THE LIQUIDATING TRUSTEE. AFTER THE REVIEW, RECOMMENDED CHANGES ARE DISCUSSED AND THE FINAL 990 IS PREPARED. PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE, THE FINAL FORM 990 IS REVIEWED BY THE LIQUIDATING TRUSTEE. CHANGES RECOMMENDED BY THE LIQUIDATING TRUSTEE, IF ANY, TO THE FORM 990 ARE MADE PRIOR TO SIGNING BY THE LIQUIDATING TRUSTEE AND SUBSEQUENT FILING. ON SEPTEMBER 4, 2020, EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH PLAN AND THE CONFIRMATION ORDER.
FORM 990, PART VI, SECTION B, LINE 12CVHS HAS A WRITTEN CONFLICT OF INTEREST POLICY THAT COVERS VHS AND ALL OF ITS AFFILIATES. THE POLICY PROVIDES FOR A SYSTEMATIC AND ONGOING METHOD REQUIRING ALL INDIVIDUALS WHO HAVE DECISION MAKING RESPONSIBILTY 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 PRESIDENT AND CEO OF EACH INDIVIDUAL HOSPITAL WITHIN THE HEALTH SYSTEM REPORTS THE CONFLICT OF INTEREST FINDINGS AND RESOLUTIONS TO THE BOARD OF DIRECTORS. THIS POLICY WAS REVIEWED ANNUALLY FOR COMPLIANCE BY THE LIQUIDATING TRUSTEE.
FORM 990, PART VI, SECTION C, LINE 19NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:DISSOLUTION TRANSFER TO VHS LIQUIDATING TRUST - SAVINGS AND CASH INVESTMENT -6,674,720. DISSOLUTION TRANSFER TO VHS LIQUIDATING TRUST - ASSETS HELD ON BEHALF OF LT -34,619,877. DISSOLUTION TRANSFER TO VHS LIQUIDATING TRUST - DUE TO LIQUIDATING TRUSTEE 47,884,640.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
DE PAUL VENTURES LLC
6300 CANOGA AVENUE SUITE 1500WWOODLAND HILLSCA91367273340398DISSOLVEDCA$0$0VHS
DE PAUL VENTURES-SAN JOSE ASC LLC
6300 CANOGA AVENUE SUITE 1500WWOODLAND HILLSCA91367273340453DISSOLVEDCA$0$0DPV LLC
DE PAUL VENTURES-SAN JOSE DIALYSIS LLC
6300 CANOGA AVENUE SUITE 1500WWOODLAND HILLSCA91367371732430DISSOLVEDCA$0$0DPV LLC
VERITY HOLDINGS LLC
6300 CANOGA AVENUE SUITE 1500WWOODLAND HILLSCA91367813038177DISSOLVEDCA$0$0VHS
VHOLDINGS MOB LLC (END 42021)
6300 CANOGA AVENUE SUITE 1500WWOODLAND HILLSCA91367611812110DISSOLVEDCA$0$0DPV LLC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ROBERT F KENNEDY MEDICAL CENTER FOUNDATION
6300 CANOGA AVENUE SUITE 1500WWOODLAND HILLSCA91367953745227INACTIVECA501(C)(3)LINE 7VHS0
ST FRANCIS MEDICAL CENTER FOUNDATION
6300 CANOGA AVENUE SUITE 1500WWOODLAND HILLSCA91367953190773INACTIVECA501(C)(3)LINE 12A, IVHS0
SAINT LOUISE REGIONAL HOSPITAL FOUNDATION
6300 CANOGA AVENUE SUITE 1500WWOODLAND HILLSCA91367562384735INACTIVECA501(C)(3)LINE 12A, IVHS0
SETON MEDICAL CENTER FOUNDATION
6300 CANOGA AVENUE SUITE 1500WWOODLAND HILLSCA91367942824033INACTIVECA501(C)(3)LINE 12A, IVHS0
O'CONNOR HOSPITAL FOUNDATION
6300 CANOGA AVENUE SUITE 1500WWOODLAND HILLSCA91367770006295INACTIVECA501(C)(3)LINE 12A, IVHS0
ST FRANCIS MEDICAL CENTER
6300 CANOGA AVENUE SUITE 1500WWOODLAND HILLSCA91367912154439INACTIVECA501(C)(3)LINE 3VHSYes (1)
ST VINCENT MEDICAL CENTER
6300 CANOGA AVENUE SUITE 1500WWOODLAND HILLSCA91367912154438INACTIVECA501(C)(3)LINE 3VHSYes (1)
SAINT LOUISE REGIONAL HOSPITAL
6300 CANOGA AVENUE SUITE 1500WWOODLAND HILLSCA91367912154437INACTIVECA501(C)(3)LINE 3VHSYes (1)
SETON MEDICAL CENTER
6300 CANOGA AVENUE SUITE 1500WWOODLAND HILLSCA91367912154441INACTIVECA501(C)(3)LINE 3VHSYes (1)
O'CONNOR HOSPITAL
6300 CANOGA AVENUE SUITE 1500WWOODLAND HILLSCA91367912154436INACTIVECA501(C)(3)LINE 3VHSYes (1)
ST VINCENT DIALYSIS CENTER
6300 CANOGA AVENUE SUITE 1500WWOODLAND HILLSCA91367953749293INACTIVECA501(C)(3)LINE 3VHS0
VERITY BUSINESS SERVICES
6300 CANOGA AVENUE SUITE 1500WWOODLAND HILLSCA91367510659139INACTIVECA501(C)(3)LINE 12A, IVHSYes (1)
VERITY MEDICAL FOUNDATION
6300 CANOGA AVENUE SUITE 1500WWOODLAND HILLSCA91367453691852INACTIVECA501(C)(3)LINE 10VHSYes (1)
ST VINCENT FOUNDATION
6300 CANOGA AVENUE SUITE 1500WWOODLAND HILLSCA91367953922511INACTIVECA501(C)(3)LINE 12A, IVHS0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
VERITY LIQUIDATING TRUST
R$41,294,597BOOK VALUE
SAINT FRANCIS MEDICAL CENTER
S$54,870BOOK VALUE

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART II, COLUMN GFormAndLineReferenceDesc
ExplanationALTHOUGH THE REPORTING FOR PART II, COLUMN G REFLECTS THE ORGANIZATIONAL STRUCTURE AS PRESENTED IN THE FILING ORGANIZATION'S GOVERNING DOCUMENTS, IN ACCORDANCE WITH THE WIND-DOWN AND PENDING DISSOLUTION, THE LIQUIDATING TRUSTEE HAD CONTROL OF ALL OF THE ENTITIES IN PART II.ExplanationTxt

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