2016-05-12T15:23:00-05:00 2015-06-30 GRANT THORNTON LLP 101 CALIFORNIA STREET SUITE 2700 SAN FRANCISCO CA 94111 990 2014-07-01 912154438 St Vincent Medical Center % JACK SPENCER STVI 2134847111 2131 West Third Street Los Angeles CA 90057 Stephen Forney CFO 2134847111 2016-05-09 true BETHANN LONDYNSKY P00847678 4159863900 2014 2016-08-17 19:52:53Z Frank J Cracolici 2131 West Third Street Los Angeles CA 90057 223550093 false 0928 X www.stvincent.verity.org X 2001 CA See Attachment 1 11 8 1301 125 0 33078330 4060505 193087317 217154946 8138012 -210513 2982420 2331611 237286079 223336549 352609 339653 0 0 102406257 98534358 0 0 0 135711907 160480327 238470773 259354338 -1184694 -36017789 141320111 172030587 234119099 319198961 -92798988 -147168374 X IN THE SPIRIT OF OUR FOUNDERS, ST. VINCENT DE PAUL, ST. LOUISE DE MARILLAC, AND ST. ELIZABETH ANN SETON, THE DAUGHTERS OF CHARITY HEALTH SYSTEM IS DEDICATED TO SERVING THE SICK AND THE POOR. WITH JESUS CHRIST AS OUR MODEL, WE ADVANCE AND STRENGTHEN THE HEALING MISSION OF THE CATHOLIC CHURCH BY PROVIDING COMPREHENSIVE, EXCELLENT HEALTHCARE THAT IS COMPASSIONATE AND ATTENTIVE TO THE WHOLE PERSON: BODY, MIND, AND SPIRIT. WE PROMOTE HEALTHY FAMILIES, RESPONSIBLE STEWARDSHIP OF THE ENVIRONMENT, AND A JUST SOCIETY THROUGH VALUE-BASED RELATIONSHIPS AND COMMUNITY-BASED COLLABORATION. false false 208541266 339653 217154946 St. Vincent Medical Center ("SVMC") is a 366-bed regional acute and referral care center which serves the 2.9 million residents in downtown Los Angeles. The staff includes approximately 475 physicians and more than 1,300 employees, who annually oversee inpatient admissions, surgical cases, and emergency visits. Key services performed at SVMC include the cancer treatment center, cardiac catherization lab, cardiovascular services, neurology services, orthopaedics and joint replacement, spine care, as well as various other specialty services. Additional information about SVMC's charitable activities can be found on Schedule O. 208541266 true true false false false false false false false true true false false true true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true true true false false true 155 0 true 1301 true false false false false false false false false false false X 11 8 false false false false true true true true true false false true true true true true true true true false CA X JACK SPENCER 6505516650 203 REDWOOD SHORES PKWY SUITE 800 Redwood City CA 94065 Sr Mary Hale DC Board Chair 1.0 0.0 X X 0 0 0 William Barrett Jr Vice Chair 1.0 0.0 X X 0 0 0 Sr Margaret Louise Brown DC Secretary/Treas. thru Sept '14 1.0 0.0 X X 0 0 0 Sr Marjorie Shelvy DC Secretary/Treasurer 1.0 0.0 X X 0 0 0 Sr Sylvia Parks DC Board Member 1.0 0.0 X 0 0 0 Sr Marion Bill DC Board Member 1.0 8.0 X 0 0 0 Sr Martha Garcia DC Board Member 1.0 1.0 X 0 0 0 Robert Issai Board Member 1.0 47.0 X 0 1553079 326419 Frederick McKnight Board Member 1.0 0.0 X 0 0 0 Jeffrey Whitman Board Member 1.0 0.0 X 0 0 0 Randal P Arase MD Board Member 1.0 0.0 X 64042 0 0 Faye Montegrande MD Board Member 1.0 0.0 X 14700 0 0 Margaret Catherine Fickes President and CEO 40.0 2.0 X 0 784145 133075 Michael Garko Chief Financial Officer 40.0 3.0 X 356840 0 38184 Christine S Carson VP, Human Resources 40.0 0.0 X 249234 0 16912 Norman Willis Director Pharmacy thru Oct '14 40.0 0.0 X 167678 0 21942 Jay Rindenau Coordinator, Clinical Affairs 24.0 0.0 X 491089 0 43363 Jan Stein VP, Exec. Director SVMC Fdn. 0.0 40.0 X 243850 0 60955 Judith McCurdy VP, Patient Care Services 40.0 0.0 X 240811 0 0 Henry Monroe Jr Physician Assistant 40.0 0.0 X 225992 0 10678 Rajinder Singh Radiation Physicist 40.0 0.0 X 202760 0 38409 2256996 2337224 689937 268 false true false Rehab Care Group of CA PO Box 502096 ST LOUIS MO 63150 Medical Services 2706192 Rehab Alliance 22995 Mill Creek Drive LAGUNA HILLS CA 92653 Medical Services 2349856 St Vincent Anesthesia Med Group 7032 Collection Center Dr CHICAGO IL 60693 Physician Services 1574992 House Ear Clinic Med Group 2100 West Third Street LOS ANGELES CA 90057 Physician Services 1526700 Shiftwise PO Box 70870 ST PAUL MN 55170 Nurse Registry 785230 27 3983130 39000 38375 4060505 NET PATIENT REVENUE 621110 213707641 213707641 MEDICAL OFFICE BUILDING REVENUE 531120 2971928 2971928 OTHER OPERATING REVENUE 900099 473405 473405 EDUCATION REVENUE 900099 1972 1972 217154946 3031 3031 0 0 0 0 0 213544 -213544 -213544 -213544 0 0 0 ELECTRONIC RECORDS INCENTIVE REVENUE 900099 1616728 1616728 PARKING REVENUE 812930 236209 236209 RETAIL OPERATIONS - GIFT SHOP 453220 154245 154245 324429 324429 2331611 223336549 217154946 2121098 339653 339653 0 0 0 736695 138747 597948 0 74578899 58917330 15661569 7584456 5991720 1592736 9848992 7780704 2068288 5785316 4570400 1214916 6159493 6159493 418122 418122 0 0 0 0 42495490 32518041 9977449 0 67643 67643 1811362 1358521 452841 6580493 4935370 1645123 0 5320991 3990743 1330248 60944 45708 15236 0 16893 12670 4223 6942542 6942542 0 12609441 11821351 788090 3566367 2748130 818237 MEDICAL SUPPLIES 38560714 38560714 PROVIDER FEES 24845738 24845738 BAD DEBTS 5012173 5012173 ORGRAN PROCUREMENT 1778450 1778450 4233471 3175103 1058368 259354338 208541266 50813072 0 0 0 10885755 11938112 0 0 23441081 25965817 0 0 0 0 758713 645795 5469897 5868061 2114345 538761 327161867 265427078 79647416 61734789 0 0 0 0 0 0 0 0 19002904 65339252 141320111 172030587 28946280 31038974 0 0 0 0 0 59153148 0 0 0 0 0 0 0 0 205172819 229006839 234119099 319198961 X -96918519 -150522072 1160347 619952 2959184 2733746 -92798988 -147168374 141320111 172030587 X -36017789 -26702 -18324895 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2959184 -225438 2733746 2772966 186218 2959184 2648598 124368 2772966 2624498 24100 2648598 2316357 308141 2624498 0.00000 1.00000 0.00000 true false 13856934 13856934 108945706 84544501 24401205 3259217 2688854 570363 200979792 178193723 22786069 120218 120218 61734789 OTHER RESTRICTED ASSETS 36398805 DUE FROM RELATED PARTIES 13937009 DUE FROM GOVERNMENT AGENCIES 8025052 OTHER RECEIVABLES 6716001 DEPOSITS 262385 65339252 0 DUE TO RELATED PARTIES 152133718 PENSION OBLIGATION 73964000 DUE TO GOVERNMENT AGENCIES 673471 ASSET RETIREMENT OBLIGATION 2096305 DEPOSITS 139345 229006839 Intended Use of Endowment Funds Schedule D, Part V, Line 4: Income funds may be used for unrestricted hospital purposes. Schedule D, Part X, Line 2 Daughters of Charity Health System and its affiliates do not have a liability for uncertain tax positions under FIN 48 (ASC 740) on their consolidated financial statements for the year ended June 30, 2015. As such, there was no FIN 48 (ASC 740) disclosure in the footnotes to the consolidated financial statements of Daughters of Charity Health System. the sale of the Daughters of Charity Health System, which includes this filing organization. These payments were approved in advance by the Board of Directors of Daughters of Charity Health System. true true X true X true X true true true false true true 49564 49564 0.00020 36313123 12134913 24178210 0.09510 36362687 12134913 24227774 0.09530 555807 107955 447852 0.00180 27100 27100 0.00010 582907 107955 474952 0.00190 36945594 12242868 24702726 0.09720 true 5012173 76845205 107674000 -30828795 X true true 1 1 St Vincent Medical Center 2131 West Third Street Los Angeles CA 90057 www.stvincent.verity.org 930000161 X X X See Form 990, Page 2 St Vincent Medical Center 1 false false true X X X X X X X X X 13 true true false true X See Part V, Section C X true 14 true See Part V, Section C false false true X 200. 350. X X X X X true true X X X X true X X X X X true X false X X X X true X false false Part V, Section B, Lines 2, 3j, 6b, 7d, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24: N/A Part V, Section B, Line 5: See disclosure for Part VI, Question 2: Needs Assessment Part V, Section B, Line 6a: St. Vincent Medical Center's ("SVMC") Community Health Needs Assessment ("CHNA") was conducted in conjunction with the Los Angeles Metropolitan Hospital Collaborative, which includes St. Vincent Medical Center as well as California Hospital Medical Center and Good Samaritan Hospital. Part V, Section B, Line 7a: The CHNA report can be accessed at: https://stvincent.verity.org/about-us/our-community/ Part V, Section B, Line 10a: The most recently adopted Implementation Strategy can be found within the organization's Community Benefit Plan for the 2014-2015 tax year, which can be accessed at: https://stvincent.verity.org/about-us/our-community/ Part V, Section B, Line 11: St. Vincent Medical Center is committed to providing quality care to the community we serve. Through our comprehensive Community Health Needs Assessment ("CHNA") we identify health issues that are most evident and of the greatest concern in the community and build programs to address them in accordance with its resources and expertise. St. Vincent Medical Center has prioritized from among the priority health needs and drivers identified in the community health needs assessment the areas it can have the greatest impact: (1) access to health care, preventive care and specialty care, (2) cultural and social barriers, (3) disease management, (4) health education and awareness, (5) transportation, (6) coordinated care, (7) physical activity, (8) diabetes/obesity, (9) cardiovascular disease including hypertension and high cholesterol risk factors, and (10) breast cancer. The organization's Health Benefit Resource Center ("HBRC") is a major initiative to increase access to health care through enrollment in public and low-cost insurance and related benefit programs and referral for medical social services. HBRC provides individuals and families with enrollment assistance for health insurance through the state exchanges Covered CA, Medi-Cal, CalFresh and other programs. The program also facilitates access to the patients of SVMC by working directly with the emergency room and inpatient admission departments. Due to the pending sale of the hospital, the Health Benefits Resource Center was closed in Spring 2015. In an effort to reduce cultural and social barriers as well as to provide the community with health education and awareness, SVMC continues to utilize the Multicultural Health Awareness and Prevention ("MHAP") Center. MHAP's Center focus is on health education, disease prevention, early detection and information, and referral services for high-risk ethnic communities including Latino, Korean, Filipino, Thai, and other vulnerable populations in the central Los Angeles area. MHAP Center's health education and outreach staff works directly in the community through a collaborative network of community- and faith-based organizations, government agencies, consulates and health care providers. All services are offered at no charge to eligible individuals, including educational programs, health screening tests, follow-up services, and referrals. During 2014-2015, MHAP provided information about breast cancer screening and early detection, obesity and nutrition, diabetes screening, and other chronic diseases through one-to-one educational contacts made by outreach staff; group workshops or other educational sessions, and messages through the media and community event advertising. Additionally, MHAP Center's organized and sponsored the 2014 St. Vincent Medical Center Multicultural Health Fair on September 27, 2014 in the SVMC Oceanview Building parking lot. The annual health fair supports SVMC's mission to serve low-income and uninsured individuals within the local community by providing access to basic preventive services and screenings, an opportunity to enroll in low-cost or free health insurance programs, and encourages patients to make positive lifestyle and behavior changes to improve their health. Over 1,500 were served by 30 community, medical and social service organizations with free health services. Due to the pending sale of the hospital, the MHAP Center was closed in Spring 2015. In response to the health need of disease management, SVMC has targeted the Asian American population, which is disproportionately affected by chronic hepatitis B ("CHB") infection. While Asian Americans make up less than 5% of the total US population, they account for more than 50% of Americans living with CHB. Within SVMC's service area, 13.3% of the service area population identifies as Asian. This health needed is being addressed directly by SVMC's Asian Pacific Liver Center ("APLC") through education events given in English and native languages targeted to the lay community, as well as free screenings which are offered to the public. Since its inception in 2007, the APLC has screened over 22,000 individuals by conducting over 250 free hepatitis screening events and providing hepatitis and liver cancer education to several thousand Asian-Pacific Island ("API") communities. Through these events, over 1,100 individuals were diagnosed with CHB, 99.2% of which were foreign-born APIs. Approximately 400 of these individuals have been linked to care and additional treatment services. In addition to community partnerships, the APLC collaborates with state and county agencies to implement strategic plans to control the spread of hepatitis B in Southern California. Lack of access to transportation is a major barrier to health care for many residents living in SVMC's primary service area. This problem is being addressed through the provision of patient shuttle vans directly operated by SVMC between the patient's home and the hospital. Service is provided at no charge within a 15-mile radius of SVMC. When use of the shuttle vans is not feasible, patients in need of transportation are issued taxi vouchers. These transportation resources are funded in part by generous grants from the Daughters of Charity Foundation and QueensCare. During 2014-2015, a total of 6,322 patients were provided transportation services. To address the health need of physical activity, SVMC's Casa de Amigos ("Casa") in the heavily populated Pico-Union/Westlake area of Central Los Angeles provides services for both youth and their families. Casa's provides an array of program activities at the community center, including indoor and outdoor co-educational recreation, indoor and outdoor soccer leagues, karate, and attendance at professional sporting events (in addition to various other services such as after-school and weekend tutoring, academic counseling, music education and instrument practice, computer instruction, arts and crafts, health and nutrition education, mentoring activities concerning gang prevention, tobacco and drug prevention). Due to the pending sale of the hospital, the Casa de Amigos program was closed in Spring 2015. To address the health need of diabetes/obesity, SVMC continues to utilize The Community Diabetes Education Training Program ("CDEP"), which was established in July 2007. Generously funded by the Carrie Estelle Doheny Foundation, the program has two main objectives: (1) provide comprehensive Diabetes Self-Management Education and Training for underserved people with diabetes or prediabetes. In these classes, participants learn to acquire the skills and knowledge necessary to manage/control their diabetes in order to live healthier or productive lives. They also learn to prevent and manage acute complications and prevent or delay long-term complications of diabetes. (2) Provide diabetes awareness and diabetes prevention education to community members at high risk of developing diabetes. This is achieved through multiple blood glucose screenings, lectures, workshops, and presentations on lifestyle, nutrition, exercise and awareness of diabetes epidemic. To address the health need of breast cancer, SVMC continues to utilize the SVMC Community Mammography Program, which reduces the barriers for access to breast cancer screening services for medically-underserved women in the central Los Angeles area. Through its collaboration with different community clinics such as Women's Breast Center, KHEIR Community Clinic, Asian Pacific Health Care Venture, Susan G. Komen Foundation and the State's Cancer Detection Programs-Every Women Counts (formerly BCEDP), this program offers quality breast health services including mammography, clinical breast exams, breast self-examination instruction, follow-up treatment services and patient tracking at no charge to the patient. Additionally, during 2014-2015, SVMC in collaboration with the American Cancer Society and other local cancer organizations, continued to provide cancer support services to patients and their family members through programs designed to address both their psychosocial and physiological needs. The assessment also uncovered other health needs that SVMC's implementation strategy does not target as actionable for intervention by SVMC including mental health, oral health, substance abuse, Alzheimer's Disease, Alcoholism, STDs, allergies, asthma, vision, colorectal cancer, arthritis, HIV/AIDS, poverty, housing, homelessness, immigrant status, and community violence. The primary factors contributing to this decision include: (1) lack of expertise (mental health and dental care services; HIV and STD education); (2) limited resources; and, (3) the availability of other providers in the community with more capacity/expertise to address these needs. St. Vincent Medical Center has established referral and collaborative relationships with other organizations that have capabilities to provide these services. Part I, Line 3c: N/A Part I, Line 6a: St. Vincent Medical Center ("SVMC") prepares a Community Benefit Report annually. The report includes information about the institution, its community benefit planning process, community profile, progress and results from the prior fiscal year and a detail description of plans for the current fiscal year including objectives, evaluation indicators and collaborators. Reports on community benefit activities and outcomes are provided by managers and directors responsible for specific community benefit programs. Initiatives described in the plan are developed based on organizational resources and expertise and a Community Needs Assessment is conducted every three years. The Community Benefit Plan is reviewed and approved by the SVMC Board and submitted to the California Office of Statewide Planning and Development in accordance with SB697. Quarterly Community Benefit reports are submitted to the Daughters of Charity Health System. A Community Benefit Committee ("CAC"), chaired by a member of senior management, meets monthly to address and discuss how the medical center is fulfilling its role in the community. This group is comprised of staff whose departments or programs are involved in a wide-range of community benefit activities and projects. The CAC: o reviews and monitors activities spelled out in the plan; o discusses, initiates and prioritizes plans for future projects in response to community needs; o ensures proper reporting and tracking of community benefit activities; o determines and assesses the financial value of certain hospital resources for community benefit purposes, as appropriate; and o ensures quarterly and annual community benefit reports are submitted to the State. The SVMC Community Benefit Plan is reviewed by the Community Benefit Committee and submitted to the SVMC Board of Directors for final adoption. Upon completion, the plan is shared with the hospital's management team. The plan is shared with the Board of Directors of the St. Vincent Medical Center Foundation, a group responsible for generating revenue to support many of the community benefit initiatives in the plan. The plan is also disseminated to external constituencies. Collaborators are informed about the plan through our various program steering committees, which include representation of outside organizations or affiliates that partner with SVMC to implement community benefit programs. Efforts are made to share the plan with community networks and coordinating groups that bring together representatives of key health and social service organizations of our community. The SVMC Foundation publication "The View" serves as a vehicle to disseminate the information about SVMC Community Benefit Programs to the hospital's diverse external constituencies. Part I, Line 7, Column (f): Form 990, Part IX, line 25, Column A for SVMC reflects a bad debt expense of $5,012,173 which is not included in the line 7 calculation. Part I, Line 7: SVMC utilizes a cost accounting system that determines costs for providing medical services based on the organizations relationship of costs to charges. Part II: N/A Part III, Line 2: Bad debt expense is estimated by utilizing historical collections data of self-pay patients. Management also considers business and general economic conditions in its service area. Part III, Line 3: N/A Part III, Line 8: 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. SVMC accepts Medicare which results in shortfalls in the costs for caring for patients utilizing this program. SVMC utilizes 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: SVMC follows the Collection Practices as outlined in DCHS Charity Care and Financial Discount and Financial Assistance operating policies. For patients who qualify for charity care and financial discount, SVMC 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. SVMC 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. SVMC does not assign patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SVMC 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. SVMC does not use wage garnishments or liens on real property as a means of collecting unpaid hospital bills for eligible patients. SVMC expects its external collection agencies to not pursue legal action against an eligible patient without prior approval from SVMC. SVMC 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, SVMC 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. SVMC 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. SVMC does not use liens on real property as a means of collecting unpaid hospital bills for eligible patients. Part VI, Question 2: Assessment Process In 1994, the California State Legislature enacted Senate Bill 697 (SB 697) requiring non-profit hospitals to conduct a needs assessment every three years. In order to complete the 2013 Community Needs Assessment, St. Vincent Medical Center and two other hospitals pooled resources to collect information about the health and well-being of residents in their service community. This group, called the Los Angeles Metropolitan Hospital Collaborative, includes: o California Hospital Medical Center o Good Samaritan Hospital o St. Vincent Medical Center Methods: To ensure a level of consistency across the Metro Hospitals Collaborative, the CNM team included a list of over 100 indicators of secondary data that, when looked at together, help illustrate the health of a community. California data sources were used whenever possible. When California data sources weren't available, national data sources were used. In addition to reviewing the secondary data available, the CNM CHNA team collected primary data through 10 focus groups and 29 individuals to discuss and identify key issues that most impact the health of the communities served by the three hospitals. The identified health needs and drivers of health were then presented during a community forum to allow for a richer discussion of secondary data and additional considerations. The focus groups, interviews, and community forum engaged a spectrum of local public health experts, community leaders, and residents. The CNM evaluation team identified a minimum set of required indicators for each of the data categories to be used for the CHNAs. Data sets were accessed electronically through local sources. When data were available by ZIP Code, the data from the ZIP Codes of the service area were compiled for a hospital's service area indicator. For geographic comparisons across SPAs within the hospital service area, if the source provided data by ZIP Code, then ZIP Codes were aggregated into respective SPAs; when the data were not available by ZIP Code, then the data for the entire SPA was utilized. Information and opinions were gathered directly from persons who represent the broad interests of the community served by the hospital. Between August and October 2013, 10 focus groups and 29 telephone interviews were conducted with a broad range of community stakeholders, including area residents. The purpose for the primary data collection component of the CHNA is to identify broad health needs and key drivers, as well as assets and gaps in resources, through the perceptions and knowledge of varied and multiple stakeholders. Focus groups took place in a range of locations throughout the service area, with translation and interpretation services provided when appropriate. Focus group sessions were 45 to 60 minutes each. As with the interviews, the focus group topics also were designed to collect representative information about health care utilization, preventive and primary care, health insurance, access and barriers to care, emergency room use, chronic disease management and other community issues. Participants included residents and representative groups from African-American, Latino and Asian-Pacific Islander communities. Interpretation services were provided in Spanish and Mandarin. The stakeholders engaged through the 10 focus groups and 29 interviews represent a broad range of individuals from the community, including health care professionals, government officials, social service providers, local residents, leaders, and other relevant community representatives, as per the IRS requirement. Summary of Key Findings: o For the 2013 CHNA, a process to prioritize health needs and drivers was introduced for the first time. This consisted of a facilitated group session that engaged participants from the first phase of collecting community input as well as other stakeholders in a review and discussion of secondary and primary data (compiled and presented in the scorecards and accompanying health need profiles) and an online survey. At the prioritization session, participants were provided with a brief overview of the CHNA process, a list of identified health needs and drivers in the scorecard format, and brief narrative summary descriptions (health need profiles) of the health needs identified through the data analysis process described above. Then, participants considered the scorecards and health needs profiles in discussing the data and identifying key issues or considerations. o The following needs were identified and prioritized through the analysis of primary and secondary data: 1) Mental Health, 2) Oral Health, 3) Substance Abuse, 4) Diabetes, 5) Obesity/Overweight, 6) Alzheimer's Disease, 7) Cardiovascular Disease, 8) Alcoholism, 9) Sexually Transmitted Diseases, 10) Allergies, 11) Asthma, 12) Hypertension, 13) Vision, 14) Cholesterol, 15) Cancer (general), 16) Colorectal Cancer, 17) Arthritis, 18) Breast Cancer, and 19) HIV/AIDs. o The following prioritized health drivers were identified through the analysis of primary and secondary data: 1) Poverty (including unemployment), 2) Housing, 3) Specialty Care Access, 4) Homelessness, 5) Disease Management, 6) Health Care Access, 7) Cultural Barriers, 8) Immigrant Status, 9) Social Barriers, 10) Alcohol and Substance Abuse, 11) Community Violence, 12) Coordinated Healthcare, 13) Transportation, 14) Healthy Eating, 15) Physical Activity, 16) Preventive Care Services, and 17) Health Education and Awareness. o In accordance with its resources and expertise, St. Vincent Medical Center has prioritized from among the priority health needs and drivers identified in the community health needs assessment the areas it can have the greatest impact: (1) access to health care, preventive care and specialty care, (2) cultural and social barriers, (3) disease management, (4) health education and awareness, (5) transportation, (6) coordinated care, (7) physical activity, (8) diabetes/obesity, (9) cardiovascular disease including hypertension and high cholesterol risk factors, and (10) breast cancer. Part VI, Question 3: Patients who present at SVMC's Emergency Department and SVMC's Admitting Department are provided with a financial assistance packet that consists of an informational flyer on various programs for which they may be eligible, along with the contact number for SVMC's Health Benefits Resource Center ("HBRC"). The flyer is in English and Spanish. The packet includes a Medi-Cal application, as well as a Charity Care application. Should they make an appointment with HBRC, patients can fill out the forms prior to their appointment. HBRC staff visits Cash/Self-Pay patients at bedside, screens patients and identifies the programs for which they are eligible. If they have no linkage, HBRC provides information about other programs for which they may qualify such as Charity Care. In addition, there are signs posted in English and Spanish in the Patient Financial Services department and at every point of registration stating that SVMC 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: The following data provides a snapshot of the community served by St. Vincent Medical Center ("SVMC"): Demographics: o In 2013, the total population within the SVMC service area is 1,044,500, making up 10.5% of the population of Los Angeles County. This represents an increase of 7.0% between 2010 and 2013 in the SVMC service area. o In 2013, most of the population in the SVMC service area is Hispanic (56.2%, n=586,786) or White (15.1%, n=157,657), larger when compared to the percent of Hispanics in Los Angeles County (48.5%) and lower than the percent of Whites in Los Angeles County (27.1%). The third largest population in the SVMC service area is Black or African American (13.5%, n=140,835), more than in Los Angeles County (8.0%). o In 2011, half of the residents in Los Angeles County were born outside of the United States and had not become U.S. Citizens (54.5%) similar to the percentage in California (54.4%). o In 2013, over half of the population in the SVMC service area speaks Spanish (53.4%), far more than in Los Angeles County (39.7%). Another third of the population in the SVMC service area speaks English only (30.1%), a smaller percentage than in Los Angeles County (42.5%). Another 11.3% speak an Asian/Pacific Island language, a slightly smaller percentage than in Los Angeles County (10.9%). Slightly less speak an Indo-European language in the SVMC service area (4.3%) than in Los Angeles County (5.3%). o Nearly half the population in the SVMC service area is between the ages of 25 and 54 (46.3%), similar to Los Angeles County (43.0%). Nearly a quarter (23.1%) is under the age of 18, which is slightly lower when compared to Los Angeles County (23.8%). Another 9.6% are 65 and older, slightly lower when compared to Los Angeles County (11.6%). o Half of the population in the SVMC service area has never been married (50.8%), more when compared to Los Angeles County (40.6%). Over a quarter (28.0%) of the population in the SVMC service area is married with a spouse living in the home, a much smaller percentage than in Los Angeles County (39.2%). o Overall, over a third (35.5%) of the population in the SVMC service area does not have any formal education-did not graduate from high school or has less than a ninth-grade education-more than in Los Angeles County (24.2%). In SVMC's service area, a fifth (20.4%) of the population graduated from high school, similar to Los Angeles County (20.4%). Another 15.9% attended college but did not graduate, lower than in Los Angeles County (19.5%). Over a quarter graduated from college in the SVMC service area (28.1%), also lower when compared to Los Angeles County (36.0%). o In 2013, there are a total of 365,433 households in the SVMC service area-an increase of about 1.7% since 2010 and making up about 11.1% of the households in Los Angeles County. o In the SVMC service area, the median household income is $33,301, much lower than the median household income in Los Angeles County ($53,880). Similarly, the average household income in the SVMC service area ($51,461) is much lower (about 34.5% lower) than the Los Angeles County average ($78,598). o In 2013, over half the population in the SVMC service area is employed (57.8%), the same as in Los Angeles County (57.8%). In addition, 8.9% are unemployed, which is higher than the 7.4% unemployment rate in Los Angeles County. o In 2013, a slightly higher percentage of families in the SVMC service area live below the poverty level (16.5%) when compared to Los Angeles County (13.5%). Also, a higher percentage of families with children in the service area live below the poverty level (13.4%) than in the county (10.7%). o In the SVMC service area, there are 381,429 Medi-Cal beneficiaries who make up 15.6% of the total Medi-Cal beneficiaries in Los Angeles County. In the SVMC service area, the largest percentage of Medi-Cal beneficiaries live in ZIP Codes 90011 (15.1%) and 90044 (12.5%). o In 2011, just under a third (30.7%) of the population 65 years older in the SVMC primary service area was enrolled in Medicare, slightly lower than in Los Angeles County (36.9%). SPA 4 had a larger percentage (33.6%) of people enrolled in Medicare when compared to the SVMC primary service area average, but lower than Los Angeles County (36.9%). o In 2011, close to a quarter (23.2%) of the SVMC service area population was uninsured, a higher percentage when compared to Los Angeles County (17.4%) and the Healthy People 2020 goal of 0.0%. SPA 4 (23.4%) had a slightly higher percentage of its population who were uninsured. o In 2011, a larger percentage (7.6%) of children in the SVMC service area did not have health insurance (or were uninsured) when compared to Los Angeles County (5.0%), and the service area did not meet the goal of Healthy People 2020 (0.0%). o In 2011, the percentage of adults who lacked a consistent source of primary care was slightly greater (24.7%) in the SVMC service area when compared to Los Angeles County (20.9%). Specifically, SPA 6 (26.5%) had greater percentages of those who lacked a consistent source of primary care when compared to the overall SVMC service area (24.7%) and Los Angeles County (20.9%). o In addition, a much larger percentage of adults (41.3%) in the SVMC service area had difficulty accessing medical care when compared to Los Angeles County (31.7%). Specifically, a greater percentage of adults in SPA 6 (44.6%) had difficulty accessing medical care when compared to the overall SVMC service area (41.3%) and Los Angeles County (31.7%). o A larger percentage (14.9%) of children between the ages of 0 and 17 in the SVMC service area has difficulty accessing medical care when compared to Los Angeles County (12.3%). An even larger percentage of children in SPA 6 (17.7%) have a difficult time accessing medical care than those in the overall SVMC service area (14.9%) and Los Angeles County (12.3%). o In 2011, a much smaller percentage (38.0%) of adults in the SVMC service areas have dental coverage when compared to Los Angeles County (48.2%) and, specifically, a smaller percentage of adults in SPA 6 (37.1%). Births and Deaths: o In 2011, there were a total of 14,901 births in the SVMC service area, making up 11.5% of the births in Los Angeles County (n=129,087). Most births in SVMC's service area occurred in ZIP Codes 90011 (n=2,269) and 90044 (n=1,698). o In 2010, the 5,265 deaths in the SVMC service area comprised 9.1% of the total deaths in Los Angeles County. In the SVMC service area, most deaths occurred in ZIP Code 90044 (9.4%). o In 2010, there were a total of 5,265 deaths in the SVMC service area. The highest percentage of deaths occurred among those 85 years old and older (27.8%) and those between 75 and 85 years old (22.6%), similar percentages when compared to Los Angeles County (32.2% and 24.4%, respectively). Slightly more deaths occurred among those 65 and 74 years old (15.7%) in the SVMC service area when compared to Los Angeles County (15.5%). Similarly, slightly more deaths also occurred among those between 55 and 64 years old (14.8%) in the SVMC service area when compared to Los Angeles County (12.6%). o In 2010, the most common cause of death in the SVMC service area (28.8%) was heart disease, also the leading cause of death in Los Angeles County (27.9%). The second leading cause of death in the SVMC service area (23.6%) was cancer, also the second leading cause of death in Los Angeles County (24.6%). The third leading cause of death in the SVMC service area (5.7%) was nephritis, nephrotic syndrome, and nephrosis which is the tenth leading cause of death in Los Angeles County (1.7%). Community Building Activities: SVMC Community Benefit initiatives reflect Vincentian values of Respect, Compassionate Service, Simplicity, Advocacy for the Poor, and Inventiveness to Infinity. SVMC has an unwavering commitment to building a healthier community and in developing strong relationships with collaborative partners both internally and externally. Internal collaboration involves the medical center administration, SVMC associates, physicians, volunteers and donors. Community partners include clinics, churches, community organizations, public agencies, public and private schools, consulates, local businesses and individuals from throughout our service areas who share our vision and commitment to our community. In keeping with this mission, SVMC's contributions to the community include the provision of quality affordable health services with a special concern for vulnerable populations. Our benefit to the community is extended through our commitment of resources and collaboration with both community and faith-based organizations (clinics, churches, etc.) for which the high-risk populations in the central Los Angeles Region are the primary focus. SVMC's benefits to the community extend beyond the traditional area of health care and include job skills training, literacy, gang diversion and other family and youth-oriented activities. Part VI, Question 5: SVMC provides hospital, medical, and surgical care, including emergency services, to members of the public without regard to age, sex, race, religion, or national origin, or to the individual's ability to pay. SVMC operates a full-time emergency department. Emergency medical services are available to all individuals regardless of their ability to pay. SVMC has an Open Medical Staff and provides staff privileges in the medical center to community practitioners. SVMC's board of directors is comprised primarily of members of the Daughters of Charity, a religious order, members of the Medical Staff, and members from the community. SVMC reinvests its surplus funds in capital replacement or expansion of facilities and equipment, debt amortization, improvement in patient care and services, and other community benefit services including charity care. SVMC is committed to serving those who are vulnerable and living in poverty, respecting the dignity of each patient, and meeting the health care needs of the whole person - body, mind, and spirit. Part VI, Question 6: The Daughters of Charity Health System ("DCHS") is a regional health care system of hospitals and medical centers ("Local Health Ministries") spanning the California coast from the San Francisco Bay Area to Los Angeles. In the spirit of its founders, St. Vincent de Paul, St. Louise de Marillac and St. Elizabeth Ann Seton, the Daughters of Charity Health System is committed to serving the sick and the poor. With Jesus Christ as its model, DCHS advances and strengthens the healing mission of the Catholic Church by providing comprehensive, excellent health care that is compassionate and attentive to the whole person: body, mind and spirit. DCHS promotes healthy families, responsible stewardship of the environment, and a just society through values-based relationships and community based collaboration. Every day in DCHS Local Health Ministries, dedicated associates, physicians and volunteers provide quality, compassionate care. These thousands of people are the hands and hearts of the Daughters of Charity, reaching out to provide comfort and holistic healing - body, mind and spirit - to the people of California, just as the first Daughters did more than 150 years ago. As a member of the DCHS, SVMC continues to uphold its mission of providing quality medical services to the most vulnerable populations, the sick, the poor, the elderly, and children. SVMC is committed to the fulfillment of the mission of its founding sisters through the delivery of charitable services and care to the community. Part VI, Question 7: SVMC annually updates its Community Benefits Report and SVMC files a copy of its Community Benefits Report on an annual basis with the State of California. true DCHS Medical Foundation 400 Race Street San Jose CA 95126 453691852 501(c)(3) 339653 General Support 1 Grants Paid by St. Vincent Medical Center Schedule I, Parts I & II: St. Vincent Medical Center is part of a related group of tax exempt organizations, which includes DCHS Medical Foundation. Grants are made to support DCHS Medical Foundation's exempt purpose. false true false false false false false false false Robert Issai Board Member 0 937792 0 0 0 615287 0 303132 0 23287 0 1879498 0 0 Margaret Catherine Fickes President and CEO 0 486084 0 0 0 298061 0 102810 0 30265 0 917220 0 0 Michael Garko Chief Financial Officer 312462 0 0 0 44378 0 22016 0 16168 0 395024 0 0 0 Christine S Carson VP, Human Resources 229473 0 0 0 19761 0 11879 0 5033 0 266146 0 0 0 Norman Willis Director Pharmacy thru Oct '14 150427 0 0 0 17251 0 8468 0 13474 0 189620 0 0 0 Jay Rindenau Coordinator, Clinical Affairs 488467 0 0 0 2622 0 19495 0 23868 0 534452 0 0 0 Jan Stein VP, Exec. Director SVMC Fdn. 210337 0 0 0 33513 0 37087 0 23868 0 304805 0 0 0 Judith McCurdy VP, Patient Care Services 240091 0 0 0 720 0 0 0 0 0 240811 0 0 0 Henry Monroe Jr Physician Assistant 222731 0 0 0 3261 0 10678 0 0 0 236670 0 0 0 Rajinder Singh Radiation Physicist 198206 0 0 0 4554 0 14541 0 23868 0 241169 0 0 0 Process for Determining Compensation of CEO by a Related Organization Schedule J, Part I, Line 3: The President and CEO is an employee of Daughters of Charity Health System ("DCHS"). DCHS uses one or more of the following methods to establish top management officials' compensation: independent compensation consultant, compensation survey or study, approval by the board or compensation committee, Form 990 of other organizations, and written employment contracts. Severance Arrangements Schedule J, Part I, Line 4a: Some of the listed individuals have a severance provision as part of their employment arrangement. The severance provision ranges from 6 months to 2 years. Nonqualified Retirement Plan Schedule J, Part I, Line 4b: The following individuals participated in a supplemental nonqualified retirement plan that is included in compensation reported on Schedule J, Part II, Column (c): Robert Issai $104,257 Margaret Catherine Fickes $ 14,465 Michael Garko $ 4,466 Jay Rindenau $ 7,145 Jan Stein $ 4,476 Explanation of Other Reportable Compensation Schedule J, Part II: Certain individuals listed on Schedule J, Part II received a retention payment during the 2014 calendar year, which is reported as "Other Reportable Compensation" on Schedule J, Part II, Column (b)(iii). The payments were made to retain employees whose continuity of employment was essential during the transaction period of solicitation of proposals for the sale of the Daughters of Charity Health System, which includes this filing organization. These payments were approved in advance by the Board of Directors of Daughters of Charity Health System. A CA Statewide Communities Development Authority 680164610 13080SCV4 2014-07-30 110000000 Working Capital false false true B CA Statewide Communities Development Authority 680164610 13080SCX0 2014-08-27 15000000 Working Capital false false true A 0 0 52536000 0 0 0 955200 0 51580800 0 0 0 false false true true B 0 0 7164000 0 0 0 0 0 7164000 0 0 0 false false true true A false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true B false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true A true B true Schedule K, Part I, Column (e) The issue price for the bond dated 7/30/2014 is $110,000,000 (as declared on the filed Form 8038); St. Vincent Medical Center benefited from $52,536,000 of these funds. The issue price for the bond dated 8/27/2014 is $15,000,000 (as declared on the filed Fomr 8038); St. Vincent Medical Center benefited from $7,164,000 of these funds. Form 990, Part III, Line 4a: The Daughters of Charity Health System ("DCHS") is a regional health care system of hospitals and medical centers ("Local Health Ministries") spanning the California coast from the San Francisco Bay Area to Los Angeles. In the spirit of our founders, St. Vincent de Paul, St. Louise de Marillac and St. Elizabeth Ann Seton, the Daughters of Charity Health System is committed to serving the sick and the poor. With Jesus Christ as our model, we advance and strengthen the healing mission of the Catholic Church by providing comprehensive, excellent health care that is compassionate and attentive to the whole person: body, mind and spirit. We promote healthy families, responsible stewardship of the environment, and a just society through values-based relationships and community based collaboration. Every day in DCHS Local Health Ministries, dedicated associates, physicians and volunteers provide quality, compassionate care. These thousands of people are the hands and hearts of the Daughters of Charity, reaching out to provide comfort and holistic healing - body, mind and spirit - to the people of California, just as the first Daughters did more than 150 years ago. As a member of the Daughters of Charity Health System, St. Vincent Medical Center continues to uphold its mission of providing quality medical services to the most vulnerable populations, the sick, the poor, the elderly, and children. St. Vincent Medical Center is committed to the fulfillment of the mission of its founding sisters through the delivery of charitable services and care to the community. During fiscal year ended June 30, 2015, St. Vincent Medical Center provided total quantifiable community benefits of $144.6 million. After offsetting direct revenue, St. Vincent Medical Center provided unsponsored community benefits of $55.5 million, at cost. Total unsponsored community benefits of $55.5 million, at cost consisted of quantifiable unsponsored benefits for the poor at a cost of $24.4 million, quantifiable unsponsored benefits to the broader community at a cost of $0.3 million, and quantifiable unsponsored benefits to beneficiaries of the Medicare program at a cost of $30.8 million. Form 990, Part IV, Line 12b and Part XII, Line 2b and 2c: The financial statements of the organization are consolidated by the Daughters of Charity Health System and include each of the affiliated Local Health Ministries, their related fundraising Foundations and other related organizations (as listed on Form 990, Schedule R) in accordance with GAAP and audited by an independent public accounting firm. The Daughters of Charity Health System's Board and Audit Committee of the Board have responsibility for oversight of the audit of the consolidated financial statements and selection of the independent public accounting firm. Form 990, Part VI, Line 6: St. Vincent Medical Center has one member, Daughters of Charity Health System, a California nonprofit religious corporation. Form 990, Part VI, Line 7a: The Member's Board of Directors may appoint the organization's directors and officers. Form 990, Part VI, Line 7b: The sole member has broad powers including the power to amend the Bylaws and Articles of Incorporation, and approve, interpret and change any statement of mission, philosophy, role or purpose of St. Vincent Medical Center. The member has the right to approve any merger, dissolution, consolidation or reorganization of St. Vincent Medical Center. In addition, the member has the right to approve capital and operating budgets, approve debt incurred or guaranteed, approve the disposition of the assets, and establish policy concerning quality of care, finance and resources. Finally, the member has such other powers and rights as provided by the California Nonprofit Corporation Law. Form 990, Part VI, Line 11b: Grant Thornton LLP and the System's finance staff work together to gather the required tax information necessary to complete the tax returns. The initial draft return is reviewed by Grant Thornton and the System's finance staff. After the return is discussed and reviewed, recommended changes are reflected on the return and a draft tax return is prepared. The draft tax return is then circulated to the Board of Directors prior to filing with the Internal Revenue Service. Form 990, Part VI, Line 12c: Daughters of Charity Health System ("DCHS") has a Conflict of Interest Policy that covers DCHS and all of its affiliates. The policy provides for a systematic and ongoing method of requiring individuals who have decision making responsibility to disclose and address potential and actual conflicts of interest. Covered individuals are required to complete an annual statement disclosing any conflicts of interest and have a duty to update the disclosure for any potential conflicts of interest that arise during the year. The Presidents/CEOs of the health ministries report the conflict of interest findings and resolutions to their respective Board of Directors. This policy is reviewed annually for compliance by the DCHS's Corporate Responsibility Officer. Form 990, Part VI, Line 15a and 15b: The Daughters of Charity Health System ("DCHS") compensation programs cover DCHS and all of its affiliated Local Health Ministries. The CEO of each Local Health Ministry is employed by DCHS. The DCHS compensation programs are designed to recruit, retain, and motivate qualified executives. The programs are designed for positions that have a significant impact on the high-level strategic and policy direction of DCHS and its affiliated Local Health Ministries. All of the Local Health Ministry CEOs are paid directly by DCHS and covered by the DCHS compensation programs. Market data analyses are made of comparable organizations within the industry and within the region. Total compensation is established for all executive positions to target similar total compensation of comparable organization market compensation. Base pay is established for all executive positions to target the median range of comparable organization market compensation. DCHS utilizes a benefits committee to review compensation and benefits. The DCHS Board of Directors reviews and approves compensation recommended by the benefits committee, and documents its conclusion that the proposed compensation is reasonable. In evaluating and finalizing its determination of base pay and total compensation for comparable positions at comparable organizations in comparable markets, DCHS utilizes available market data analyses including the DCHS benefits committee, independent compensation consultant, Form 990 of other organizations, written employment contracts, compensation survey or study, recommendation of the benefits committee and approval by the DCHS Board of Directors. Form 990, Part VI, Line 19: St. Vincent Medical Center makes its Form 990 available upon request. Form 990, Part XI, Line 9: The other changes in net assets or fund balances consist of the following: Asset Impairment $(10,000,000) Change in Funded Status of Pension Plan $ (7,968,000) Reversal of Prior Year Pledges $ (283,464) Change in Beneficial Interest in Trusts $ (73,431) FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL FEES TOTAL FEES:6450097 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:32895655 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION AGENCIES TOTAL FEES:1407803 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTANT FEES TOTAL FEES:233748 FORM 990 PART IX LINE 11G DESCRIPTION:REG. NURSING / CONTRACT LABOR TOTAL FEES:1508187 See Part VII See Part VII See Part VII false true true true true false false false false true false false true true true true true false false St Vincent Foundation c 3949498 Cost St Vincent Foundation j 129888 Cost St Vincent Foundation o 680213 Cost St Vincent Foundation q 101440 Cost St Vincent Dialysis Center j 150784 Cost St Vincent Dialysis Center o 1076040 Cost St Vincent Dialysis Center q 3186358 Cost Schedule R, Part II The following organizations listed below are related to the filing organization: Daughters of Charity Ministry Services Corporation 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 77-0482943 Col (B): Primary Activity - Managerial and consulting services in the areas of finance, administration and facilities to the Daughters of Charity of St. Vincent de Paul Province of the West ministries. Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 1 Col (F): Direct Controlling Entity Name - Daughters of Charity of St. Vincent de Paul Province of the West Col (G): Section 512(b)(13) Controlled Entity - No Daughters of Charity Health System 203 Redwood Shores Parkway, Suite 800 Redwood City, CA 94065 EIN: 91-2145484 Col (B): Primary Activity - Health System leadership and support to health ministries. Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11b Col (F): Direct Controlling Entity Name - Daughters of Charity Ministry Services Corporation Col (G): Section 512(b)(13) Controlled Entity - No Caritas Business Services 203 Redwood Shores Parkway, Suite 800 Redwood City, CA 94065 EIN: 51-0659139 Col (B): Primary Activity - Promote and support the activities of the Daughters of Charity Health System and its local health ministries by performing accounting, budgeting and patient financial services on a centralized basis, all of which must be provided internally by each hospital for its exempt operations if not provided by Caritas Business Services. Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - No Hotel Dieu, Inc. 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 95-475156 Col (B): Primary Activity - Low-Income residence for fragile senior citizens Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 9 C Col (F): Direct Controlling Entity Name - Daughters of Charity Ministry Services Corporation Col (G): Section 512(b)(13) Controlled Entity - No O'Connor Hospital 2105 Forest Avenue San Jose, CA 95128 EIN: 91-2154436 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - No O'Connor Hospital Foundation 2105 Forest Avenue San Jose, CA 95128 EIN: 77-0006295 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - O'Connor Hospital Col (G): Section 512(b)(13) Controlled Entity - No Robert F. Kennedy Medical Center 203 Redwood Shores Parkway, Suite 800 Redwood City, CA 94065 EIN: 91-2154440 Col (B): Primary Activity - Hospital - Inactive Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - No Robert F. Kennedy Medical Center Foundation 203 Redwood Shores Parkway, Suite 800 Redwood City, CA 94065 EIN: 95-3745227 Col (B): Primary Activity - Fundraising - Inactive Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Robert F. Kennedy Medical Center Col (G): Section 512(b)(13) Controlled Entity - No St. Francis Medical Center 3630 East Imperial Highway Lynwood, CA 90262-2636 EIN: 91-2154439 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - No St. Francis Medical Center of Lynwood Foundation 3630 East Imperial Highway, Suite 400 Lynwood, CA 90262-2636 EIN: 95-3190773 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - St. Francis Medical Center Col (G): Section 512(b)(13) Controlled Entity - No Saint Louise Regional Hospital 9400 No Name Uno Gilroy, CA 95020 EIN: 91-2154437 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - No Saint Louise Regional Hospital Foundation 9400 No Name Uno Gilroy, CA 95020 EIN: 56-2384735 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Saint Louise Regional Hospital Col (G): Section 512(b)(13) Controlled Entity - No St. Vincent de Paul Ethics Corporation 3630 East Imperial Highway Lynwood, CA 90262 EIN: 95-4426405 Col (B): Primary Activity - Supports DCHS Ministries Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - St. Francis Medical Center Col (G): Section 512(b)(13) Controlled Entity - No St. Vincent Dialysis Center 2131 West Third Street Los Angeles, CA 90057 EIN: 95-3749293 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - St. Vincent Medical Center Col (G): Section 512(b)(13) Controlled Entity - Yes St. Vincent Foundation 2200 West Third Street, Suite 200 Los Angeles, CA 90057 EIN: 95-3922511 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - St. Vincent Medical Center Col (G): Section 512(b)(13) Controlled Entity - Yes St. Vincent Senior Center Nutrition Program, Inc. 2131 West Third Street Los Angeles, CA 90057 EIN: 95-3696693 Col (B): Primary Activity - Nutrition Program Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 9 Col (F): Direct Controlling Entity Name - Daughters of Charity Ministry Services Corporation Col (G): Section 512(b)(13) Controlled Entity - No Seton Medical Center 1900 Sullivan Avenue Daly City, CA 94015 EIN: 91-2154441 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - No Seton Medical Center Foundation 1900 Sullivan Avenue Daly City, CA 94015 EIN: 94-2824033 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Seton Medical Center Col (G): Section 512(b)(13) Controlled Entity - No DCHS Medical Foundation 400 Race Street San Jose, CA 95126 EIN: 41-3691852 Col (B): Primary Activity - Medical Foundation Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 9 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - No Schedule R, Part III O'Connor Health Center 1, A California Limited Partnership 1960 The Alameda, Suite 20 San Jose, CA 95126 EIN: 77-0419045 Col (B): Primary Activity - Development and Rental Col (C): Legal Domicile - CA Col (D): Direct Controlling Entity Name - N/A Col (E): Predominant Income - N/A Col (F): Share of Total Income - N/A Col (G): Share of End-of-Year Assets - N/A Col (H): Disproportionate Allocations - NO Col (I): Code V - UBI Amount in Box 20 of Schedule K-1 (Form 1065) - N/A Col (J): General or Managing Partner - No Col (K): Percentage of Ownership - N/A Schedule R, Part IV Marillac Insurance Company, LTD. C/O AON Insurance Managers (Cayman), LTD. P.O. Box 69, Grand Cayman KY1-1102 EIN: 98-0417930 Col (B): Primary Activity - Insurance Col (C): Legal Domicile - CJ Col (D): Direct Controlling Entity Name - N/A Col (E): Type of Entity - C Corporation Col (F): Share of Total Income - N/A Col (G): Share of End-of-Year Assets - N/A Col (H): Percentage Ownership - N/A