SETON MEDICAL CENTER: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SETON MEDICAL CENTER (EIN 91-2154441)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-15
- IRS object ID
- 201841359349308854
- Schema version
- 2016v3.1
- 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 H
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-15T14:04:26-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT THORNTON LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 171 N CLARK ST SUITE 200 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 912154441 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Seton Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MUKESH SANGHVI | InCareOfNm |
| Business Name Control | SETO | BusinessNameControlTxt |
| Phone | 6509924000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 Sullivan Avenue | AddressLine1Txt |
| City | Daly City | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94015 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANITA CHOU | PersonNm |
| Person Title | svp/acting cfo | PersonTitleTxt |
| Phone | 6505516501 | PhoneNum |
| Signature | 2018-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Bridget t roche cpa | PreparerPersonNm |
| PTIN | P00666837 | PTIN |
| Phone | 3128560200 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 209.220.136.124 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 36941220181355000006 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2018-05-15 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | E080D33B574C2560907B5646297CE9C73A0C7512 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 04723B140884A68F403C8436F180167607B0B333 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | John Ferrelli | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 Sullivan Avenue | AddressLine1Txt |
| City | daly city | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94015 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $257,633,090 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 6153 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://seton.verity.org/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2001 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | SETON MEDICAL CENTER AND ITS SISTER FACILITY, SETON COASTSIDE, OFFER PATIENT-CENTRIC, QUALITY HEALTH CARE TO THE COMMUNITIES IN WHICH THEY SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 1387 | TotalEmployeeCnt |
| Total Volunteers | 263 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,057,741 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,052,038 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $218,294,687 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $252,177,793 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,458,377 | PYOtherRevenueAmt |
| CY Other Revenue | $1,403,259 | CYOtherRevenueAmt |
| PY Total Revenue | $220,810,805 | PYTotalRevenueAmt |
| CY Total Revenue | $257,633,090 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $401,374 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $153,458,354 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $145,194,868 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $129,560,605 | PYOtherExpensesAmt |
| CY Other Expenses | $119,842,176 | CYOtherExpensesAmt |
| PY Total Expenses | $283,420,333 | PYTotalExpensesAmt |
| CY Total Expenses | $265,037,044 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$62,609,528 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$7,403,954 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $80,673,077 | TotalAssetsBOYAmt |
| Total Assets EOY | $159,118,926 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $190,281,179 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $301,323,864 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$109,608,102 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$142,204,938 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SETON MEDICAL CENTER IS ORGANIZED AND OPERATED FOR THE PURPOSES OF (I) MAINTAINING ACUTE CARE HOSPITALS AND RELATED FACILITIES, (II) PROMOTING RESEARCH RELATED TO HEALTHCARE SERVICES, (III) MAINTAINING HEALTH PLANS USING SYSTEMS DESIGNED TO MAXIMIZE BENEFITS TO THE COMMUNITIES SERVED, (IV) PROMOTING THE GENERAL HEALTH OF THE COMMUNITY, AND (V) PROVIDING FINANCIAL AND OTHER FORMS OF ASSISTANCE FOR THE BENEFIT OF OTHER HEALTHCARE FACILITIES AFFILIATED WITH VERITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $155,940,942 | ExpenseAmt |
| Revenue | $230,626,081 | RevenueAmt |
| Desc | SETON MEDICAL CENTER ("SMC") IS A 357-BED HOSPITAL WHICH CONTINUES THE TRADITION OF PATIENT-CENTRIC, QUALITY HEALTH CARE. RECOGNIZED FOR ITS STROKE TREATMENT, CARDIO-VASCULAR EXCELLENCE (INCLUDING STEMI CERTIFICATION), SMC OFFERS A COMPREHENSIVE RANGE OF MEDICAL SPECIALTIES ON BOTH AN INPATIENT AND OUTPATIENT BASIS, AS WELL AS EMERGENCY SERVICES. ANNUALLY, SMC OVERSEES APPROXIMATELY 6,000 INPATIENT ADMISSIONS, 4,500 SURGICAL CASES, AND 31,000 EMERGENCY VISITS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $15,323,596 | ExpenseAmt |
| Revenue | $21,551,712 | RevenueAmt |
| Desc | SETON COASTSIDE ("SC") OFFERS SKILLED NURSING CARE TO 116 INPATIENT RESIDENTS YEAR-ROUND, IN ADDITION TO MEETING THE HEALTHCARE NEEDS THE SURROUNDING COMMUNITY. THE DEDICATED STAFF OF INTERDISCIPLINARY HEALTHCARE TEAM PROFESSIONALS PROVIDE EXCELLENT AND COMPREHENSIVE HEALTHCARE, WHICH INCLUDES THE ONLY 24-HOUR STANDBY EMERGENCY DEPARTMENT FROM DALY CITY TO SANTA CRUZ. KEY MEDICAL SERVICES INCLUDE PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES, RADIOLOGY, MAMMOGRAPHY AND LABORATORY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $171,264,538 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 1459 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1387 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MUKESH SANGHVI | PersonNm |
| Phone | 6505516502 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 SOUTHGATE AVENUE | AddressLine1Txt |
| City | DALY CITY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94015 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Charles Antonini MD | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Warren Chang MD | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Mitch Creem | |||||||||
| Board Member thru July 2016 | 1.0 | 45.0 | Yes (X) | $0 | $0 | $0 | |||
| Michael Crilly | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Dale Kocienski MD | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Patricia Martel | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Thomas Nuris | |||||||||
| Board Chair | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Kathy Shapiro MD | |||||||||
| Secretary/Treasurer | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| James Rumack MD | |||||||||
| Board Member thru Oct. 2016 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Colman Ryan MD | |||||||||
| Vice Chair | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| John Ferrelli | |||||||||
| President & CEO | 40.0 | 1.0 | Yes (X) | $676,496 | $0 | $20,295 | Yes (X) | ||
| Andrei Soran | |||||||||
| Board Member (Ex-Officio) | 1.0 | 7.0 | Yes (X) | $0 | $0 | $0 | |||
| Jim Ruane | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Robert Perez MD | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Gene Mullin | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Peter Verrecchia | |||||||||
| CFO | 40.0 | 0.0 | $384,298 | $0 | $1,615 | Yes (X) | |||
| Tina Ahn | |||||||||
| VP of Development | 40.0 | 0.0 | $191,674 | $0 | $24,844 | Yes (X) | |||
| Kim Pardini-Kiely | |||||||||
| Chief Oper OFC/Chief Nurse Exe | 40.0 | 0.0 | $305,847 | $0 | $43,295 | Yes (X) | |||
| Timothy Ranney | |||||||||
| Chief Medical Officer | 40.0 | 0.0 | $318,288 | $0 | $21,863 | Yes (X) | |||
| James Brown | |||||||||
| Staff Nurse IV | 40.0 | 0.0 | $328,552 | $0 | $41,885 | Yes (X) | |||
| Dolly Chan | |||||||||
| Staff Nurse IV | 40.0 | 0.0 | $334,587 | $0 | $42,066 | Yes (X) | |||
| Evelyn Nuque | |||||||||
| RN | 40.0 | 0.0 | $306,896 | $0 | $29,009 | Yes (X) | |||
| Derek Devries | |||||||||
| Staff Nurse II | 40.0 | 0.0 | $339,299 | $0 | $14,657 | Yes (X) | |||
| Florinda Guinto | |||||||||
| Staff Nurse | 40.0 | 0.0 | $402,048 | $0 | $22,392 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,587,985 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $261,921 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 422 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BAY AREA HOSPITAL ASSOCIATION | |||||
| 395 YERBA BUENA AVE | SAN FRANCISCO | CA | 94127 | PHYSICIAN SERVICES | $2,428,248 |
| FASTAFF LLC | |||||
| PO BOX 911452 | DENVER | CO | 80291 | REGISTRY SERVICES | $1,218,947 |
| ANESTHESIA CARE CONSULTANTS INC | |||||
| PO BOX 33285 | LOS GATOS | CA | 95031 | PHYSICIAN SERVICES | $1,043,551 |
| CEP AMERICA CALIFORNIA | |||||
| 1601 CUMMINS DR | MODESTO | CA | 95358 | PHYSICIAN SERVICES | $973,589 |
| MEDPARTNERS HIM LLC | |||||
| PO BOX 740490 | ATLANTA | GA | 30374 | MEDICAL SERVICES | $774,274 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 31 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,423,692 | RelatedOrganizationsAmt |
| Government Grants | $2,628,346 | GovernmentGrantsAmt |
| Noncash Contributions | $62,930 | NoncashContributionsAmt |
| Total Contributions | $4,052,038 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $252,177,793 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $252,177,793 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $252,177,793 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $51,600 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $51,600 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $51,600 | TotalRevenueColumnAmt |
| Exclusion | $51,600 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| PHARMACY | 446110 | $838,303 | $838,303 |
| CAFETERIA | 722514 | $368,718 | $368,718 |
| GIFT SHOP | 453220 | $4,912 | $4,912 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $139,726 | TotalRevenueColumnAmt |
| Exclusion | $139,726 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,351,659 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $257,633,090 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $252,177,793 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,403,259 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,281,194 | TotalAmt |
| Program Services | $1,089,015 | ProgramServicesAmt |
| Management And General | $192,179 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,140,216 | TotalAmt |
| Program Services | $74,616,749 | ProgramServicesAmt |
| Management And General | $33,523,467 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,890,569 | TotalAmt |
| Program Services | $5,444,493 | ProgramServicesAmt |
| Management And General | $2,446,076 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,079,742 | TotalAmt |
| Program Services | $13,855,022 | ProgramServicesAmt |
| Management And General | $6,224,720 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,803,147 | TotalAmt |
| Program Services | $5,384,171 | ProgramServicesAmt |
| Management And General | $2,418,976 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $509,591 | TotalAmt |
| Management And General | $509,591 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,251,319 | TotalAmt |
| Program Services | $11,481,085 | ProgramServicesAmt |
| Management And General | $13,770,234 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,252 | TotalAmt |
| Program Services | $98,844 | ProgramServicesAmt |
| Management And General | $44,408 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $475,065 | TotalAmt |
| Program Services | $327,795 | ProgramServicesAmt |
| Management And General | $147,270 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $478,859 | TotalAmt |
| Program Services | $330,413 | ProgramServicesAmt |
| Management And General | $148,446 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,384,389 | TotalAmt |
| Program Services | $2,335,228 | ProgramServicesAmt |
| Management And General | $1,049,161 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $175,039 | TotalAmt |
| Program Services | $120,777 | ProgramServicesAmt |
| Management And General | $54,262 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,570 | TotalAmt |
| Program Services | $153,573 | ProgramServicesAmt |
| Management And General | $68,997 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,435,285 | TotalAmt |
| Management And General | $3,435,285 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,179,426 | TotalAmt |
| Program Services | $4,325,598 | ProgramServicesAmt |
| Management And General | $1,853,828 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,346,052 | TotalAmt |
| Program Services | $928,776 | ProgramServicesAmt |
| Management And General | $417,276 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $33,386,650 | $33,386,650 | |
| PATIENT BAD DEBTS | $3,526,062 | $3,526,062 | |
| ALLOCATED HEALTH SYSTEM EXP | $41,328,617 | $41,328,617 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,087,371 | TotalAmt |
| Program Services | $13,860,287 | ProgramServicesAmt |
| Management And General | $6,227,084 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $285,124,415 | TotalAmt |
| Program Services | $171,264,538 | ProgramServicesAmt |
| Management And General | $113,859,877 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,130,611 | BOYAmt |
| EOY | $8,146,127 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,627,693 | BOYAmt |
| EOY | $47,068,737 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,517 | BOYAmt |
| EOY | $348,828 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,213,618 | BOYAmt |
| EOY | $3,173,045 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,395,990 | BOYAmt |
| EOY | $1,042,558 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $235,777,954 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $199,971,413 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,595,781 | BOYAmt |
| EOY | $35,806,541 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $38,659,202 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,648,867 | BOYAmt |
| EOY | $24,873,888 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,673,077 | BOYAmt |
| EOY | $159,118,926 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,700,053 | BOYAmt |
| EOY | $63,765,983 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,581,126 | BOYAmt |
| EOY | $237,557,881 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $190,281,179 | BOYAmt |
| EOY | $301,323,864 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$109,608,102 | BOYAmt |
| EOY | -$142,204,938 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$109,608,102 | BOYAmt |
| EOY | -$142,204,938 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,673,077 | BOYAmt |
| EOY | $159,118,926 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$27,491,325 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$5,105,511 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $171,264,538 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $171,264,538 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $0 | CurrentYearMinus3Amt |
| Current Year Minus2 | $0 | CurrentYearMinus2Amt |
| Current Year Minus1 | $0 | CurrentYearMinus1Amt |
| Current Year | $0 | CurrentYearAmt |
| Total | $0 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $0 | CurrentYearMinus3Amt |
| Current Year Minus2 | $0 | CurrentYearMinus2Amt |
| Current Year Minus1 | $0 | CurrentYearMinus1Amt |
| Current Year | $0 | CurrentYearAmt |
| Total | $0 | TotalAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-A: | FormAndLineReferenceDesc |
| Explanation | SETON MEDICAL CENTER DID NOT INCUR ANY LOBBYING EXPENDITURES OR CONDUCT LOBBYING ACTIVITIES DURING THE TAX YEAR ENDING JUNE 30, 2017. SCHEDULE C IS BEING COMPLETED AS THE ORGANIZATION HAD AN IRC SECTION 501(H) ELECTION IN EFFECT DURING THE TAX YEAR. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $722,422 | OtherCostOrOtherBasisAmt |
| Book Value | $722,422 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $61,086,198 | OtherCostOrOtherBasisAmt |
| Depreciation | $53,451,339 | DepreciationAmt |
| Book Value | $7,634,859 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $91,512 | OtherCostOrOtherBasisAmt |
| Depreciation | $91,512 | DepreciationAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $161,586,669 | OtherCostOrOtherBasisAmt |
| Depreciation | $144,459,436 | DepreciationAmt |
| Book Value | $17,127,233 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,291,153 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,969,126 | DepreciationAmt |
| Book Value | $10,322,027 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $35,806,541 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM RELATED ORGANIZATIONS | Desc |
| Book Value | $24,873,888 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $24,873,888 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED ORGANIZATIONS | $135,767,423 |
| LONG-TERM DEBT | $98,914,483 |
| PENSION & RETIREMENT OBLIGATION | $1,745,224 |
| OPTION LIABILITY | $1,130,751 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $237,557,881 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | Verity Health System and its affiliated not-for-profit entities have received favorable determination letters from the Internal Revenue Service, stating that they are exempt from federal income tax under the provisions of Section 501(a) of the Internal Revenue Code of 1986 (IRC) as organizations described in Sections 501(c)(3), except from income taxes pertaining to unrelated business income. Verity Heath System has for-profit partnerships and LLC entities. Income taxes by either the for-profit or not-for-profit entities are immaterial to the consolidated financial statements. Uncertain tax positions are recorded if the positions are more likely than not to be sustained on the basis of the technical merits of the positions. For the year-ended June 30, 2017, there are no material uncertain positions under Fin 48 (ASC 740) disclosed in the footnotes to the consolidated financial statements of Verity Health Systems of California, Inc.. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 653 | PersonsServedCnt |
| Total Community Benefit Expns | $617,322 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $617,322 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 27804 | PersonsServedCnt |
| Total Community Benefit Expns | $83,323,929 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $68,870,330 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,453,599 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05130 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 28457 | PersonsServedCnt |
| Total Community Benefit Expns | $83,941,251 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $68,870,330 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,070,921 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05350 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 13 | ActivitiesOrProgramsCnt |
| Persons Served | 44031 | PersonsServedCnt |
| Total Community Benefit Expns | $365,629 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $365,629 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 126 | PersonsServedCnt |
| Total Community Benefit Expns | $731,580 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $731,580 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 393 | PersonsServedCnt |
| Total Community Benefit Expns | $2,924 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,924 | NetCommunityBenefitExpnsAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 15 | PersonsServedCnt |
| Total Community Benefit Expns | $31,814 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $31,814 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 26 | ActivitiesOrProgramsCnt |
| Persons Served | 44565 | PersonsServedCnt |
| Total Community Benefit Expns | $1,131,947 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,131,947 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 28 | ActivitiesOrProgramsCnt |
| Persons Served | 73022 | PersonsServedCnt |
| Total Community Benefit Expns | $85,073,198 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $68,870,330 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,202,868 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05750 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 11 | PersonsServedCnt |
| Total Community Benefit Expns | $30,795 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $30,795 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 11 | PersonsServedCnt |
| Total Community Benefit Expns | $30,795 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $30,795 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,526,062 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $76,100,258 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $116,615,937 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$40,515,679 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Seton Medical Center | |||||||||||
| 1 | 1900 Sullivan Avenue | Daly City | CA | 94015 | https://seton.verity.org/ | 220000026 | Yes (X) | Yes (X) | Yes (X) | A | |
| Seton Coastside | |||||||||||
| 2 | 600 Marine Blvd | Moss Beach | CA | 94038 | https://seton.verity.org/ | 220000026 | Yes (X) | Yes (X) | Yes (X) | A | Skilled Nursing |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | see part v, section c | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | false | ImplementationStrategyAdoptInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V, Section C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V, Section C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V, Section C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 5: | SEE DISCLOSURE FOR PART VI, QUESTION 2: NEEDS ASSESSMENT |
| PART V, SECTION B, LINE 6A: | SETON MEDICAL CENTER'S ("SMC") COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS CONDUCTED IN CONJUNCTION WITH THE FOLLOWING HOSPITALS: KAISER PERMANENTE (SAN MATEO AREA), LUCILE PACKARD CHILDRENS HOSPITAL AT STANFORD, SAN MATEO COUNTY HEALTH SYSTEM, SEQUOIA HOSPITAL (A PART OF DIGNITY HEALTH SYSTEM), STANFORD HEALTH CARE, AND SUTTER HEALTH PENINSULA COASTAL REGION. |
| PART V, SECTION B, LINE 6B: | SMCS CHNA WAS CONDUCTED IN CONJUNCTION WITH THE FOLLOWING ORGANIZATIONS (OTHER THAN HOSPITALS): COUNTY OF SAN MATEO HUMAN SERVICES AGENCY, HOSPITAL CONSORTIUM OF SAN MATEO COUNTY, AND PENINSULA HEALTH CARE DISTRICT. |
| PART V, SECTION B, LINE 7A: | THE CHNA REPORT CAN BE ACCESSED ON THE HOSPITALS WEBSITE AT: HTTPS://SETON.VERITY.ORG/ABOUT-US/COMMUNITY-BENEFIT/ |
| PART V, SECTION B, LINE 10A: | SMC has recently adopted a community benefit plan which can be found on the hospital's website at: HTTPS://SETON.VERITY.ORG/ABOUT-US/COMMUNITY-BENEFIT/ SMC has recently adopted a community benefit plan which can be found on the hospital's website at: |
| PART V, SECTION B, LINE 11: | SMC and SC's Community Benefit Implementation Plan is driven by the Seton Medical Center Executive Team and the Community Advisory Committee. The Seton Medical Center Community Advisory Committee ("CAC") members have been meeting quarterly for nearly 20 years to review community needs and identifying the community benefit plan. CAC members are leaders in the community representing schools, places of worship, community services and businesses, who meet quarterly to discuss the community benefit plan and receive updates on the accomplishments of the CBP goals and objectives. The plan was also presented to the SMC Board for review, discussion and approval. The 2016 implementation plan was developed based on the San Mateo County Community Needs Assessment and a review of the hospitals existing community benefit plan. The CAC reviewed the summary of the 2016 San Mateo Community Needs Assessment and participated in the San Mateo County Healthy Community Collaborative Focus Group health needs prioritization. The Health Needs SMC and SC will address include: 1. Obesity 2. Diabetes 3. Cardiovascular disease, heart attack, stroke 4. Cancer 5. Births Obesity, diabetes, cardiovascular disease, heart attack, and stroke are health needs as: the percentage of people who have diabetes is rising; there are a low and declining percentage of people who exhibit healthy behaviors, and the percentage of people who exhibit more than one risk factor cardiovascular disease is increasing (high blood cholesterol, blood pressure, diabetes, smoking, diet, no exercise, alcohol consumption, and family history). To combat these factors, SMC and SC have outlined the following strategies: - Promote exercise and "Instant Recess" at health events, local faith based organizations, schools, community centers, Community Day, Streets Alive, and Parks Alive. - Provide low cost cholesterol and diabetes laboratory screenings at SMC and community events. - Provide blood pressure screenings and educational presentations at health fairs - Provide diabetes education (including tips to manage diabetes), diabetes support groups, nutrition information, glucose monitoring information, diabetes meter instructions, and wound care education - Provide nutrition education regarding: the sugar content in food and beverages, reducing salt intake, education for health Filipino and African American cooking, healthy food choices, and an over eaters support group. - Promote development and implementation of work place/school wellness policies Through these actions, SMC and SC seek to decrease the percentage of people that exhibit one or more risk factors for cardiovascular disease and increase the percentage of community members which exhibit the four health behaviors: exercise, maintaining a healthy weight, eating 5 fruits and vegetables a day, and not smoking. Success in this area will be measured by benchmarks and outcome indicators outlined in the full implementation strategy. Cancer is a health need as breast, cervical, colorectal, and prostate cancer incidences are all failing benchmarks in San Mateo County. To combat this, SMC and SC have outlined the following strategies: - Continue to promote healthy behaviors - Promote early detection screenings internally and at health events - Identify low cost screening opportunities in the community - Identify and establish additional cancer support groups, as needed. Through these actions, SMC and SC seek to encourage individuals to adopt healthy lifestyles and increase access to early detection screenings. Success in this area will be measured by benchmarks and outcome indicators outlined in the full implementation strategy. Women of some ethnicities continue to receive inadequate prenatal care. To combat this, SMC turns to the Elizabeth Ann Seton New Life Center, which will provide (with language capacity and culturally sensitivity) all inclusive perinatal services for low income, pregnant women. Additionally, the Elizabeth Ann Seton New Life Center provides quality pre-natal care and delivery, education and appropriate referrals to each mother during the entire pregnancy and 60 days post-partum. Looking forward, SMC seeks to increase outreach to the Pacific Islander population about the importance of pre-natal care and the New Life Center. In doing so, more pregnant women that are Pacific Islander will access pre-natal care. Success in this area will be measured by benchmarks and outcome indicators outlined in the full implementation strategy. SMCs implementation strategy does not target as actionable for intervention by SMC all of the health priority needs that were identified during the assessment because of limited resources and the availability of other providers in the community with more capacity/expertise to address those needs. SMC provides referrals to programs offered in the community addressing these identified needs and will continue to collaborate with the community services and resources that address these top community health needs. (1) Asthma & Respiratory: was not identified as one of the top five priorities by CAC due to a lack of resources to expand services. SMC provides asthma and respiratory direct service programs that address these health needs and refers to community resources. (2) Substance Abuse: SMC does not have the resources to provide direct services for substance abuse treatment/prevention. SMC provides referrals to community partners/programs addressing substance abuse, including: Alcoholic, Alanon, Alateen Recovery; Asian American Recovery Services; Catholic Charities; El Centro de Libertad; Pyramid Alternatives; StarVISTA; Sitike Counseling Center, Womens Recovery Association. (3) Poor Oral Health: SMC does not have the resources to provide a dental program. Referrals are made to community based programs, including Sonrisas and the County Health Department. (4) Violence: SMC does not have the resources to provide direct services. SMC partners with community programs that provide counseling and address violence, including: Community Overcoming Relationship Abuse (CORA); ALICE; Freedom House; Rape Trauma Services; Fatherhood Collaborative and Cleo Eulau Center; Police Activities League; and Bay Area Legal Aide. (5) Infectious Diseases: SMC has an infection control program within the hospital and educates the community about hand hygiene during the flu season. SMC refers people seeking TB screenings to the County Health Department. (6) STDs, including HIV-AIDS: SMC does not have the resources to provide a STD program. SMC refers to community programs and services, including: County Health Clinic, Clinic by the Bay; Daly City Youth Health Center. |
| PART V, SECTION B, LINES 16A, 16B, AND 16C: | THE ORGANIZATIONS FAP, FAP APPLICATION FORM, AND THE PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND ON THE ORGANIZATIONS WEBSITE AT HTTPS://SETON.VERITY.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/. THESE DOCUMENTS WERE NOT ON THE WEBSITE AT THE START OF THE JUNE 30, 2017 TAX YEAR (THE TAX YEAR STARTING IN 2016, WHEN THE IRC SECTION 501R REGULATIONS CAME INTO EFFECT), BUT HAS SINCE BEEN CORRECTED AT THE TIME OF THE FILING OF THIS RETURN. |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: ANNUAL COMMUNITY BENEFIT REPORT | SETON MEDICAL CENTER ("SMC") PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THE REPORT INCLUDES BOTH THE SMC LOCATION AND THE SETON COASTSIDE ("SC") LOCATION. THE COMMUNITY BENEFIT PLAN ("CBP") IS DRIVEN BY THE COMMITMENT TO THE SMC MISSION BY THE SMC EXECUTIVE TEAM, THE COMMUNITY BENEFIT ADVISORY COMMITTEE, THE LOCAL GOVERNING BOARD ("LGB") AND THE HOSPITAL BOARD OF DIRECTORS. THE LGB CONSISTS OF LEADERS IN THE COMMUNITIES REPRESENTING SCHOOLS, PLACES OF WORSHIP, COMMUNITY SERVICES AND BUSINESSES, PHYSICIANS, HEALTH PLAN OF SAN MATEO AND SAN MATEO COUNTY BOARD OF SUPERVISORS AS STIPULATED BY THE CALIFORNIA ATTORNEY GENERAL. THE LGB MEETS QUARTERLY TO DISCUSS OUR COMMUNITY BENEFIT PLAN AND RECEIVE UPDATES ON THE ACCOMPLISHMENTS OF THE CBP GOALS AND OBJECTIVES. SEMI-ANNUAL REPORTS ARE PRESENTED TO THE SMC/SC BOARD OF DIRECTORS AND VERITY HEALTH SYSTEM OF CALIFORNIA, INC. ("VHS") CORPORATE OFFICERS. AN ANNUAL UPDATE IS PREPARED AND PRESENTED TO THE LOCAL GOVERNING BOARD AND SMC/SC BOARD OF DIRECTORS FOR APPROVAL. THE ANNUAL UPDATE IS MADE AVAILABLE TO MEDICAL CENTER LEADERSHIP, KEY STAKEHOLDERS, VHS, AND THE COMMUNITY. THE ANNUAL UPDATE IS PRESENTED TO THE CALIFORNIA OFFICE OF STATEWIDE PLANNING AND DEVELOPMENT, IN ACCORDANCE WITH SB697. |
| PART I, LINE 7, COLUMN (F): BAD DEBT EXPENSE | FORM 990, PART IX, LINE 25, COLUMN A FOR SMC/SC REFLECTS A BAD DEBT EXPENSE OF $3,211,775 WHICH IS NOT INCLUDED IN THE LINE 7 CALCULATION. |
| PART I, LINE 7: COSTING METHODOLOGY | SMC/SC UTILIZES A COST ACCOUNTING SYSTEM THAT DETERMINES COSTS FOR PROVIDING MEDICAL SERVICES BASED ON THE ORGANIZATIONS RELATIONSHIP OF COSTS TO CHARGES. |
| PART III, LINE 2: BAD DEBT EXPENSE | Bad debt expense is estimated by utilizing historical data (based on zero balance study) and the expected net collections of self-pay patients. In making this estimate, Management also considers business and general economic conditions of the communities in its service area. |
| PART III, LINE 4: BAD DEBT EXPENSE | SMC is included in the VHS consolidated audited financial statements. Health care services are provided free of charge or at a significant discount based on a sliding scale to individuals who meet certain financial criteria. VHS makes an effort to determine if a patient qualifies for charity care upon admission. If a patient is determined to qualify for charity care, services are rendered to the patient free of cost. The costs of providing these services are included in unsponsored community benefit expense and included as a deduction to net patient service revenue in the consolidated statement of operations. VHS estimates the cost of charity care by calculating a ratio of cost to usual and customary charges and applying that ratio to the usual and customary uncompensated charges associated with providing care to patients that qualify for charity care. The amount of charity care at cost was $10,444 and $13,981 for the years ended June 30, 2017 and 2016, respectively. After satisfaction of amounts due from insurance and the application of financial discounts to patients balances, and after exhausting all reasonable efforts to collect from the patients, a significant portion of VHSs uninsured and self-pay patient accounts are referred to third-party agencies based on VHSs established guidelines for further collection activities. As a result, VHS records a significant provision for doubtful accounts related to these uninsured patients in the period the services are rendered based on historical collection experience. As part of VHSs mission to serve the community, VHS provides care to patients even though they may lack adequate insurance or may participate in programs that do not pay full charges. Reserves for charity care and uncollectible amounts have been established and are netted against patient accounts receivable in the consolidated balance sheets. |
| PART III, LINE 8: MEDICARE | As a not-for-profit hospital it is our mission to improve the health status of all people within our community and provide healthcare to all patients regardless of their ability to pay or their insurance status. SMC and SC accept Medicare which results in shortfalls in the costs for caring for patients utilizing this program. We utilize a cost accounting system that determines costs for providing medical services based on the organizations relationship of costs to charges. The entire shortfall shown on Part III, Line 7 should be reflected as a community benefit. |
| PART III, LINE 9B: COLLECTION POLICY | SMC/SC follows the Collection Practices as outlined in VHS Charity Care and Financial Discount and Financial Assistance operating policies. For patients who qualify for charity care and financial discount, SMC/SC provides the patient with a written notice prior to commencing collection activities. The notice states that nonprofit counseling services may be available in the area and provides information concerning state and federal law requirements for debt collectors. SMC/SC does not pursue legal action for non-payment of bills against any household where the primary wage earner(s) is unemployed or there are not significant income sources. SMC/SC does not assign patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SMC/SC does not report adverse information to a consumer credit agency or commence civil action for nonpayment of a patient debt prior to 150 days after the initial billing of the patient. SMC/SC does not use wage garnishments or liens on real property as a means of collecting unpaid hospital bills for eligible patients. SMC/SC expects its external collection agencies to not pursue legal action against an eligible patient without prior approval from SMC/SC. SMC/SC expects its external collection agencies to follow Fair Debt and Collection Practices, Assembly Bill AB774 and act in a manner that treats individuals with dignity, respect and compassion. In addition, for patients who qualify for financial assistance, SMC/SC does not pursue legal action for non-payment of bills against any household where the primary wage earner(s) is unemployed, uninsured or there are not significant income sources or assets. SMC/SC does not assign eligible patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SMC/SC does not use liens on real property as a means of collecting unpaid hospital bills for eligible patients. |
| PART VI, QUESTION 2: NEEDS ASSESSMENT | In an effort to identify the most critical health care needs in SMC/SCs service area, a Community Needs Assessment is conducted every three years. The annual SMC/SC Community Benefit Plan ("CBP") is developed through (1) analysis of San Mateo County health indicators, and (2) review of the accomplishments of CBP goals. SMC and SC Community Advisory Committee ("CAC") members meet semi-annually to receive updates on the accomplishments on the CBP goals and participate in discussions concerning community health. Annual CBP reports are presented to the SMC Board and Finance and Audit Committee for review, discussion and approval. Analysis of State, County and local health indicators are conducted through the review of the Fiscal Year 2016 (tax year 2015) Community Health Needs Assessment: Health and Quality of Life in San Mateo County, a group of San Mateo County organizations interested in the communitys health, worked together to conduct the FY 2016 Community Needs Assessment of San Mateo County as follow-up to assessments conducted in 1995, 1998, 2001, 2004, 2008, 2011 and 2013. A copy of the complete Community Needs Assessment, is available on the Internet on the County Website or Peninsula Library System website at http://plsinfo.org/healthysmc. The FY2016 Community Health Needs Assessment: Health & Quality of Life in San Mateo County is designed to serve as a tool for guiding policy and planning efforts, and to formulate strategies to improve the quality of life. For participating hospitals, the information in this assessment will serve to assist in developing Community Benefit Plans pursuant to Legislative Bill 697. The goals of the Community Collaborative are twofold: 1. To produce a functional, comprehensive, triennial community needs assessment that can be used for strategic planning of community programs throughout the County and as a guideline for policy and advocacy efforts; and 2. To promote collaborative efforts in the community to develop projects to improve the health of our communities based on the data, community input, and group consensus. Healthy Community Collaborative Members: - Sequoia Hospital - San Mateo County Health Department - Health Plan of San Mateo - Hospital Consortium of San Mateo County - Kaiser Permanente, San Mateo Area - Lucile Packard Childrens Hospital at Stanford - Mills-Peninsula Health Services - Peninsula Health Care District - San Mateo County Health Department - San Mateo County Human Services Agency - San Mateo Medical Center - Seton Medical Center - Silicon Valley Community Foundation - Stanford Hospital & Clinics The FY2016 Community Health Needs Assessment: Health & Quality of Life in San Mateo County highlights that in many areas San Mateo County residents are healthier than in many other places. However, the data also demonstrates that preventable diseases are on the rise and so we must do more to prevent these diseases from occurring in the first place. It also shows that health is not distributed evenly across the population and there are many communities that still do not experience good health and a high quality of life. The following health needs were generated from the primary and secondary data as well as input from focus group participants. The focus groups and interviews occurred in August 2016. Seton Medical Centers Prioritized Community Needs are: 1) Obesity 2) Diabetes 3) Cardiovascular disease, heart attack, stroke 4) Cancer 5) Births Health Needs: 1) Obesity 2) Diabetes 3) Cardiovascular disease, heart attack, stroke Need: The percentage of people who have diabetes is rising. There are a low and declining percentage of people who exhibit healthy behaviors. The percentage of people who exhibit more than one risk factor for cardiovascular disease is increasing. (High cholesterol, high blood pressure, diabetes, smoking, wrong diet, no exercise, alcohol consumption, and family history). Action: - Promoting exercise and "Instant Recess" at health events, local faith based organizations, schools, community centers, Community Day, Streets Alive, and Parks Alive. Supporting exercise weekly community shopping center walking program Walkabout/TalkAbout. Heart Healthy Exercise Program and Cardiac Rehabilitation. - Low costs cholesterol and diabetes laboratory screenings at Seton and at community events. - Blood pressure screening at health fairs and educational presentations. - Diabetes education, managing your diabetes, support group, nutrition information, glucose monitoring, diabetes meter instruction, and wound care education. - Nutrition education: Sugar content in food and beverages, reducing salt intake, healthy Filipino and African American cooking, healthy food choice, and Over Eaters support group. - Advocacy: Promote development and implementation of work place/school wellness policies. Community Advisory Committee Members presenting Community Needs Assessment and Community Benefit Implementation Plan to City Mayors and City Mangers, businesses in service area. Outcome: An increase of the percentage of community members will exhibit the four healthy behaviors: exercise, maintaining healthy weight, eating 5 fruits and vegetables, not smoking. Decrease in the percentage people that exhibit more than one risk factor for cardiovascular disease. Measurement: - Number of presentations made to chamber of commerce and city government officials. - More business and employers will promote healthy living. - Providing health education and screenings at 12 community events. 4) Cancer Need: Breast, Cervical, Colorectal and prostate cancer incidence are all failing benchmarks. Action: - Promote healthy behaviors. - Promoting early detection screenings internally and at health events. - Identify low cost screening opportunities in community. - Identify and establish additional cancer support group as needed. Outcome: People will adopt health lifestyles and access early detection screenings. Measurement: - Prostate Cancer support group meeting consistently. - Number of people attending Prostate Cancer Support Group. - Number of low cost screening opportunities in community. 5) Births Need: Women of some ethnicities continue to receive inadequate prenatal care. Action: - Elizabeth Ann Seton New Life Center will provide with language capacity and cultural sensitivity all inclusive perinatal services for low income, pregnant women. Provide quality pre-natal care and delivery, education and appropriate referrals to each mother during the entire pregnancy and 60 days post-partum. Increase outreach to the Pacific Islander population about the importance of pre-natal care and the New Life Center. Outcome: More pregnant women that are Pacific Islanders will access pre-natal care. Measurement: number of pregnant women that are Pacific Islanders that received pre-natal care. |
| PART VI, QUESTION 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | Patients who present at SMC/SCs Emergency Department and SMC/SCs Admitting Department are provided with a financial assistance packet that consists of an informational flyer on various programs for which they may be eligible. The flyer is in English, Spanish, Tagalog, and simplified Chinese. The packet includes a Medi-Cal application, as well as a Charity Care application. In addition, there are signs posted in English and Spanish in the Patient Financial Services department and at every point of registration stating that SMC/SC has financial assistance and charitable programs available for qualified low income, uninsured patients who may not have the ability to meet the financial obligation of their hospital services and a contact number to call. After discharge, the back of the monthly patient bills includes this same statement. |
| PART VI, QUESTION 4: COMMUNITY INFORMATION | DEMOGRAPHICS Seton Medical Center is a major tertiary care center; serving northern and central San Mateo County and the most southern part of San Francisco County. Seton Coastside in Moss Beach provides the only 24-hour physician-staffed standby emergency department on the coast between Daly City and Santa Cruz. Seton Coastside also provides a skilled nursing unit, an acute-care unit, radiology, laboratory, and rehabilitative services. Seton Coastsides service area constitutes a large geographic area that extends 45 miles from Montara south to the Santa Cruz County line. San Mateo County is clearly one of Californias richly ethnically diverse counties. The Asian/Pacific Islander population and Hispanic/Latino population are primarily clustered in Northern San Mateo County and along the Coast. In Daly City, a primary service area of Seton, 52% of the residents are foreign born residents and 68.1% of persons over the age of five speak a language other than English at home. South San Francisco, the second largest service area of Seton has 42.9% foreign born and 60.3% of persons over the age of five speak a language other than English at home. While other age groups will decrease in terms of percent of county population (0-19 years, 20-39 years, 40-59 years) from 2010 to 2050, those 60 years and older will increase from 18.9 percent to 30.9 percent. Asian/Pacific Islander and Hispanic seniors will comprise the largest proportion of seniors in San Mateo County in 2050. At the other end of the age spectrum, the ethnic makeup of children under the age of 15 years is projected to be Hispanic, Asian/Pacific Islander, White, Black and multi-race in 2050. In 2010, median earnings for San Mateo County residents aged 25 years and older was $47,060. Real per capita income in San Mateo County in 2010 was $68,582, and the average weekly wages in 2010 were $1,450, down 13% from 2000. According to the American Community Survey (U.S. Census Bureau), from 2006-2010, the percentage of SMC individuals below poverty level was 7 percent with 9.1 percent of children under the age of 18 below the poverty level. According to the Family Economic Self- Sufficiency Standard, a more realistic measure of poverty in SMC takes local conditions like cost of living into consideration; a single parent with two children must earn approximately $78,000 annually to meet the family's basic needs, the equivalent of nearly five, full-time minimum wage jobs. According to the Elder Index, 36 percent of seniors struggle to cover basic expenses and, if their annual income exceeds federal poverty guidelines ($10,830), they may be ineligible for public assistance programs. |
| PART VI, QUESTION 5: PROMOTION OF COMMUNITY HEALTH | Our promotion of community health includes ongoing health education about healthy habits. SMC/SC participated in over 12 annual community events and focuses on small venues to further this health education effort. Nurses and physicians volunteering at these events talk individually with community members about blood pressure management, nutrition and healthy habits. SMC/SC physicians, nurses and medical staff routinely volunteer their time to make presentations on healthy heart practices, stroke awareness and nutrition at schools, community centers and places of worship. Within the hospital, health related support groups are provided. To address the uninsured, SMC/SC continues to support free urgent care to the uninsured at two RotaCare Clinics. Monday night RotaCare Clinic is located at Seton Medical Center in Daly City and Wednesday night RotaCare Clinic is located in Half Moon Bay. The Clinics provide medical care, certain medications, laboratory and diagnostics, x-rays, immunizations, referrals to Seton Ophthalmologist services, social needs referrals within the community, health education and health care referrals. The medical care is provided primarily by volunteer physicians, physician assistants, nurse practitioners, and nurses. The partnership with Daly City ACCESS serves as the catalyst to promote community outreach with cultural sensitivity and language capacity at health fairs. Representatives of family service agencies and healthcare facilities work together to provide language interpretation, as needed at the health fairs. The St. Elizabeth Ann Seton New Life Center established at Seton Medical Center in 2003, provides all-inclusive peri-natal services for low-income, pregnant women in our community. In order to achieve its goal of decreasing the incidence of pre-term and low birth-weight babies of mothers in the program, the New Life Center provides quality prenatal care and delivery, education and appropriate referrals to each mother for entire pregnancy and 60 days post-partum, and expedites enrollment of pregnant women into the Medi-Cal program. The Center offers physician services and health education, as well as nutritional, social and support services, all in one location. Seton Medical Center supports the New Life Center by providing comprehensive birthing facilities for new mothers. There is a direct correlation between the economic distressed clients and the increase of the variety of challenges they face, e.g. potential homelessness, drug use, domestic violence, poor access to food and clothing, lack of transportation, noninvolvement of the fathers of the babies, joblessness, and low education. This year there has been a significant increase in the percentage of clients that complete the program along with an increase of clinic visits. Community Building Activities Collaboration with the community enables SMC/SC to successfully reach the annual CBP goals and objectives. Participating on various committees throughout the county is another avenue to learn about community needs, which services are provided and to avoid duplication of the services. Partners include local schools and school districts, businesses, community service clubs, churches, foundations and State, County and City elected officials and agencies. Additionally, community volunteers, Seton Medical Staff and Seton Associates routinely donate time and resources. Chamber of Commerce Boards: SMC/SC has consistently shown support with the following chamber of commerce boards, Daly City Colma, Brisbane, Half Moon Bay, Pacifica, and South San Francisco. SMC/SC is also members of the Chairmans Circle on the following chambers: Daly City Colma, Brisbane, Half Moon Bay and Pacifica. Many of the safety nets for families and community members have been cut back due to the economy. Some of the services are in collaboration with each other and event sharing staff to keep programs operating at a minimum. |
| PART VI, QUESTION 6: AFFILIATED HEALTH CARE SYSTEM | Prior to December 14, 2015, Seton Medical Center was a part of Daughters of Charity Health System ("DCHS"), a regional health care system of hospitals and medical centers spanning the California coast from the San Francisco Bay Area to Los Angeles, formed and operated as religious corporations. In July 2015, DCHS selected Blue Mountain Capital Management LLC, a private investment firm, to recapitalize its operations and transition leadership of the hospital system to the new Verity Health System. In July 2017, Nantworks took over the management of the Verity Health System. The transaction was approved by the California Attorney General on December 14, 2015, whereby Daughters of Charity Health System amended its name to Verity Health System of California, Inc. (VHS), and Verity Health System and all of its nonprofit corporate affiliates (including OCH) changed status from religious corporations to public benefit corporations under the California Nonprofit Corporation Law. As a non-profit, non-religious health care system, Verity Health System seeks to build on the rich legacy left by the Daughters of Charity Health System. Today, Seton Medical Center continues the tradition of patient-centric, quality health care to our entire community. Recognized for its stroke treatment, cardio-vascular excellence, including STEMI certification, Seton offers a comprehensive range of medical specialties on both an inpatient and outpatient basis, as well as emergency services. For FY 2017, Seton had 3,988 surgeries, 45,242 patient days, 5,695 discharges, 23,478 ED visits. There are 830 FTEs. Seton Coastside continues to offer skilled nursing care to 116 inpatient residents year-round, in addition to meeting the healthcare needs of our patients, and the surrounding coastal community. Our dedicated staff of interdisciplinary healthcare team professionals provide excellent and comprehensive healthcare. Seton Coastside operates the only 24-hour standby Emergency Department from Daly City to Santa Cruz, which is well-equipped and staffed to serve the needs of our community. Key medical services include physical, occupational and speech therapies, radiology, mammography and laboratory. |
| PART VI, QUESTION 7: STATE FILING OF COMMUNITY BENEFIT REPORT | SMC/SC ANNUALLY UPDATES ITS COMMUNITY BENEFITS REPORT AND SMC/SC FILES A COPY OF ITS COMMUNITY BENEFITS REPORT ON AN ANNUAL BASIS WITH THE STATE OF CALIFORNIA. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| John Ferrelli | ||||||||||||||
| President & CEO | $676,496 | $0 | $0 | $0 | $0 | $0 | $20,295 | $0 | $0 | $0 | $696,791 | $0 | $0 | $0 |
| Peter Verrecchia | ||||||||||||||
| CFO | $384,298 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,615 | $0 | $385,913 | $0 | $0 | $0 |
| James Brown | ||||||||||||||
| Staff Nurse IV | $328,552 | $0 | $0 | $0 | $0 | $0 | $9,857 | $0 | $32,028 | $0 | $370,437 | $0 | $0 | $0 |
| Dolly Chan | ||||||||||||||
| Staff Nurse IV | $334,587 | $0 | $0 | $0 | $0 | $0 | $10,038 | $0 | $32,028 | $0 | $376,653 | $0 | $0 | $0 |
| Evelyn Nuque | ||||||||||||||
| RN | $306,896 | $0 | $0 | $0 | $0 | $0 | $9,207 | $0 | $19,802 | $0 | $335,905 | $0 | $0 | $0 |
| Derek Devries | ||||||||||||||
| Staff Nurse II | $339,299 | $0 | $0 | $0 | $0 | $0 | $6,784 | $0 | $7,873 | $0 | $353,956 | $0 | $0 | $0 |
| Tina Ahn | ||||||||||||||
| VP of Development | $191,674 | $0 | $0 | $0 | $0 | $0 | $5,750 | $0 | $19,094 | $0 | $216,518 | $0 | $0 | $0 |
| Florinda Guinto | ||||||||||||||
| Staff Nurse | $402,048 | $0 | $0 | $0 | $0 | $0 | $12,061 | $0 | $10,331 | $0 | $424,440 | $0 | $0 | $0 |
| Kim Pardini-Kiely | ||||||||||||||
| Chief Oper OFC/Chief Nurse Exe | $305,847 | $0 | $0 | $0 | $0 | $0 | $9,175 | $0 | $34,120 | $0 | $349,142 | $0 | $0 | $0 |
| Timothy Ranney | ||||||||||||||
| Chief Medical Officer | $318,288 | $0 | $0 | $0 | $0 | $0 | $2,769 | $0 | $19,094 | $0 | $340,151 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp | |
| Securities Publicly Traded | SecuritiesPubliclyTradedGrp | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | Medical Supplies | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $62,930 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Number of Contributions | FormAndLineReferenceDesc |
| Explanation | Schedule M, Part I, Line 9, Column (B) The organization is reporting the number of contributions in column (B). | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3: | THE ORGANIZATION ENTERED INTO A MANAGEMENT AGREEMENT WITH INTEGRITY HEALTHCARE, LLC, A WHOLLY-OWNED SUBSIDIARY OF BLUEMOUNTAIN CAPITAL MANAGEMENT, LLC (WHICH PROVIDED FINANCING IN EXCHANGE FOR AN OPTION TO PURCHASE THE ASSETS OF VERITY HEALTH SYSTEM OF CALIFORNIA, INC. ("VHS")), EFFECTIVE ON DECEMBER 14, 2015. THE MANAGEMENT AGREEMENT PROVIDES THAT, SUBJECT TO THE SUPERVISION OF THE BOARD OF DIRECTORS, VHS EXCLUSIVELY DESIGNATES AND APPOINTS INTEGRITY HEALTHCARE, LLC AS ITS SOLE AND EXCLUSIVE AGENT TO PROVIDE AND ASSUME RESPONSIBILITY FOR THE MANAGEMENT AND ADMINISTRATIVE AND SUPPORT SERVICES OF THE ORGANIZATION. DURING THE JUNE 30, 2017 FISCAL YEAR, THE OFFICER POSITIONS (AS DEFINED BY THE FORM 990 INSTRUCTIONS AND BYLAWS OF THE ORGANIZATION) OF THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER WERE PROVIDED BY INTEGRITY HEALTHCARE, LLC FOR THE FULL FISCAL YEAR. IN ADDITION, THE KEY EMPLOYEE POSITIONS (AS DEFINED BY THE FORM 990 INSTRUCTIONS) OF CHIEF OPERATING OFFICER AND CHIEF MEDICAL OFFICER WERE ALSO PROVIDED BY INTEGRITY HEALTHCARE, LLC. As part of this arrangement, Mitch Creem (Board Member of SMC) received $1,102,000 and Andrei Soran (ex-officio of SMC) received $1,875,229. Form 990, part vi, section a, line 4: During the June 30, 2017 fiscal year, the organization amended its bylaws to explain the new corporate structure of Verity Health System, of which the organization is a part of. |
| FORM 990, PART VI, SECTION A, LINE 6: | SETON MEDICAL CENTER HAS ONE MEMBER, VERITY HEALTH SYSTEM OF CALIFORNIA, INC. (FORMERLY KNOWN AS DAUGHTERS OF CHARITY HEALTH SYSTEM THROUGH DECEMBER 14, 2015), A CALIFORNIA NONPROFIT CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A: | THE ORGANIZATION'S SOLE MEMBER, VHS, HAS THE POWER TO FIX THE NUMBER AND APPOINT AND REMOVE THE TRUSTEES OF SETON MEDICAL CENTER ("SMC"). |
| FORM 990, PART VI, SECTION A, LINE 7B: | AS THE SOLE MEMBER OF SMC, VHS HAS THE POWER TO TAKE OR APPROVE THE FOLLOWING ACTIONS AS IT RELATES TO SMC: (1) APPROVE OR CHANGE THE MISSION, ROLE, AND PURPOSE OF THIS ORGANIZATION; (2) AMEND THE BYLAWS AND ARTICLES OF INCORPORATION (OR AUTHORIZE THE BOARD OF TRUSTEE TO DO SO); (3) APPROVE THE FORMATION, MERGER, DISSOLUTION, CONSOLIDATION, DIVESTITURE, CLOSURE, CHANGE IN CORPORATE MEMBERSHIP OR CONTROL AND REORGANIZATION OF EACH DIRECT AFFILIATE OF THIS CORPORATION; (4) FIX THE NUMBER AND APPOINT AND REMOVE THE TRUSTEES OF THIS CORPORATION; (5) APPOINT AND REMOVE THE CHAIRPERSON OF THE BOARD AND PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THIS CORPORATION AND OF EACH DIRECT AFFILIATE OR SUBSIDIARY OF THIS CORPORATION; (6) APPROVE THE MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION, OR DISPOSITION OF ASSETS OF THIS CORPORATION OR ANY DIRECT AFFILIATE OF THIS CORPORATION; (7) APPROVE THE ACQUISITION, SALE, LEASE, MORTGAGE, TRANSFER OR OTHER ALIENATION OF REAL OR PERSONAL PROPERTY OF THIS CORPORATION; (8) APPROVE THE CAPITAL AND OPERATING BUDGETS; (9) APPROVE THE INCURRENCE OF DEBT OR GUARANTIES; (10) ESTABLISH POLICY CONCERNING QUALITY OF CARE AND SERVICES FOR THE CORPORATION; (11) ESTABLISH POLICY AND PROCEDURES CONCERNING FINANCE AND RESOURCES; (12) ESTABLISH CRITERIA FOR THE LONG-RANGE FINANCIAL AND STRATEGIC PLANS OF THE CORPORATION; (13) ESTABLISH AN INTERNAL AUDITING PROGRAM AND APPROVE ANY MATERIAL ELEMENT OF THE INTERNAL AUDITING PROGRAM; (14) APPROVE CAPITAL EXPENDITURES; (15) APPROVE THE TRANSFER OF FUNDS, BY GIFT OR LOAN, BETWEEN THIS CORPORATION AND ONE OR MORE OTHER AFFILIATES OF VERITY HEALTH SYSTEM; (16) APPROVE ANY OTHER ACTION BY THIS CORPORATION OR FOR ANY AFFILIATE CONTROLLED BY THIS CORPORATION THAT HAS BEEN ESTABLISHED BY RESOLUTION OF THE CORPORATE MEMBER AS REQUIRING ITS APPROVAL, INCLUDING, BUT NOT LIMITED TO, ANY APPROVALS OF AUTHORITY NECESSARY TO ENSURE COMPLIANCE WITH ANY CREDIT AGREEMENT, MASTER INDENTURE OR LOAN AGREEMENT TO WHICH THIS CORPORATION IS A PARTY. |
| FORM 990, PART VI, SECTION B, LINE 11B: | THE ORGANIZATIONS INDEPENDENT TAX PREPARERS AND FINANCE STAFF WORK TOGETHER TO GATHER THE REQUIRED INFORMATION NECESSARY TO COMPLETE THE FORM 990. THE INITIAL DRAFT FORM 990 IS REVIEWED BY THE ORGANIZATIONS FINANCE AND LEGAL DEPARTMENT. AFTER THE FORM 990 IS REVIEWED, RECOMMENDED CHANGES ARE DISCUSSED AND A FINAL FORM 990 IS PREPARED. PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE, THE FINAL VERSION FORM 990 IS DISTRIBUTED TO THE ORGANIZATIONS BOARD OF DIRECTORS FOR REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 12C: | VHS HAS A CONFLICT OF INTEREST POLICY THAT COVERS VHS AND ALL OF ITS AFFILIATES. THE POLICY PROVIDES FOR A SYSTEMATIC AND ONGOING METHOD OF REQUIRING INDIVIDUALS WHO HAVE DECISION MAKING RESPONSIBILITIES 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 & CEOS OF THE INDIVIDUAL HOSPITALS WITHIN THE HEALTH SYSTEM REPORT THE CONFLICT OF INTEREST FINDINGS AND RESOLUTIONS TO THEIR RESPECTIVE BOARD OF DIRECTORS. THIS POLICY IS REVIEWED ANNUALLY FOR COMPLIANCE BY VHSS CORPORATE RESPONSIBILITY OFFICER. |
| FORM 990, PART VI, SECTION B, LINE 15A AND 15B: | Seton Medical Center is paid through a common paymaster, Verity Health System (VHS), the president and & CEO of each hospital is employed by VHS. The VHS 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 VHS and its affiliated hospitals, including Seton Medical Center. THE VHS 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 VHS AND ITS AFFILIATED HOSPITALS. ALL OF THE HOSPITAL PRESIDENT & CEOS ARE PAID DIRECTLY BY VHS AND COVERED BY THE VHS COMPENSATION PROGRAMS. MARKET DATA ANALYSES ARE MADE OF COMPARABLE ORGANIZATIONS WITHIN THE INDUSTRY AND WITHIN VERITY MARKETS. TOTAL COMPENSATION IS ESTABLISHED FOR ALL EXECUTIVE POSITIIONS TO TARGET SIMILAR TOTAL COMPENSATION OF COMPARABLE ORGANIZATION'S MARKET COMPENSATION. BASE PAY IS ESTABLISHED FOR ALL EXECUTIVE POSITIONS TO TARGET THE MEDIAN RANGE OF COMPARABLE ORGANIZATION MARKET COMPENSATION. VHS UTILIZED A BENEFITS COMMITTEE TO REVIEW COMPENSATION AND BENEFITS. THE VHS 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, VHS UTILIZES AVAILABLE MARKET DATA ANALYSES WHICH INCLUDES INDEPENDENT COMPENSATION CONSULTANTS, FORM 990S OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEYS OR STUDIES, AND RECOMMENDATIONS FROM THE BENEFITS COMMITTEE AND APPROVAL BY THE VHS BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19: | THE AUDITED FINANCIAL STATEMENTS and Form 1023 ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ARTICLES OF INCORPORATION, BYLAWS, AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9: | THE OTHER CHANGES IN NET ASSETS OR FUND BALANCES CONSISTS OF A CHANGE IN THE FUNDED STATUS OF PENSION PLANS OF ($5,105,511). |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Robert F Kennedy Medical Center Found | ||||||||||
| 2040 E MARIPOSA AVENUE | El Segundo | CA | 90245 | 953745227 | Inactive | CA | 501(c)(3) | 12-I | VHS | false |
| St Francis Medical Center Foundation | ||||||||||
| 2300 E Imperial Hwy 5th Fl | El Segundo | CA | 90245 | 953190773 | Hosp Support | CA | 501(c)(3) | 12-I | VHS | false |
| St Vincent Foundation | ||||||||||
| 2300 E Imperial Hwy 5th fl | el segundo | CA | 90245 | 953922511 | hosp support | CA | 501(c)(3) | 12-I | VHS | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Marillac Insurance Company LTD | ||||||||||||||
| PO Box 69 | Grand Cayman | CJ | KY1-1102 | 980417930 | CAPTIVE INSURANCE | CJ | VHS | c corp | false | |||||
| ROBERT F KENNEDY MEDICAL CENTER | ||||||||||||||
| 912154440 | INACTIVE | VHS | c corp | false | 2040 E MARIPOSA AVENUE | El Segundo | CA | 90245 | CA | |||||
| St Vincent De Paul ethics corporation | ||||||||||||||
| 954426405 | inactive | SFMC | C CORP | false | 2040 E MARIPOSA AVENUE | lynwood | CA | 90262 | CA | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Seton Medical Center Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | c | TransactionTypeTxt |
| Involved | $1,423,692 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |
Comments