SETON MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
SETON MEDICAL CENTER (EIN 91-2154441)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-12
IRS object ID
201631339349305183
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-12T15:21:46-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 CALIFORNIA STREET SUITE 2700AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94111ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN912154441EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Seton Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JACK SPENCERInCareOfNm
Business Name ControlSETOBusinessNameControlTxt
Phone6509174528PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 Sullivan AvenueAddressLine1Txt
CityDaly CityCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94015ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonStephen ForneyPersonNm
Person TitleCFOPersonTitleTxt
Phone6509924000PhoneNum
Signature2016-05-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBETHANN LONDYNSKYPreparerPersonNm
PTINP00847678PTIN
Phone4159863900PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJohn FerrelliPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 Sullivan AvenueAddressLine1Txt
CityDaly CityCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94015ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$277,956,734GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.seton.verity.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionProvision of healthcare services.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee1703TotalEmployeeCnt
Total Volunteers132TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$43,406,887PYContributionsGrantsAmt
CY Contributions Grants$15,414,004CYContributionsGrantsAmt
PY Program Service Revenue$257,036,116PYProgramServiceRevenueAmt
CY Program Service Revenue$257,118,411CYProgramServiceRevenueAmt
PY Investment Income$133,369PYInvestmentIncomeAmt
CY Investment Income$2,448,619CYInvestmentIncomeAmt
PY Other Revenue$4,075,739PYOtherRevenueAmt
CY Other Revenue$2,882,354CYOtherRevenueAmt
PY Total Revenue$304,652,111PYTotalRevenueAmt
CY Total Revenue$277,863,388CYTotalRevenueAmt
PY Grants And Similar Paid$352,609PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,170,780CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$166,230,529PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$165,513,959CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$127,237,508PYOtherExpensesAmt
CY Other Expenses$132,438,840CYOtherExpensesAmt
PY Total Expenses$293,820,646PYTotalExpensesAmt
CY Total Expenses$300,123,579CYTotalExpensesAmt
PY Revenues Less Expenses$10,831,465PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$22,260,191CYRevenuesLessExpensesAmt
Total Assets BOY$110,787,128TotalAssetsBOYAmt
Total Assets EOY$131,548,219TotalAssetsEOYAmt
Total Liabilities BOY$128,570,947TotalLiabilitiesBOYAmt
Total Liabilities EOY$171,212,627TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$17,783,819NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$39,664,408NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionProvision of healthcare services.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$218,529,397ExpenseAmt
Grant$2,170,780GrantAmt
Revenue$239,272,967RevenueAmt
DescSeton Medical Center, an accredited non-profit 357-bed hospital with over 400 physicians, offers the most advanced surgical procedures, treatment, and comprehensive healthcare available. Seton Medical Center offers exemplary medical, surgical, and specialty programs for cardiovascular services, oncology, orthopedics and joint replacement, spine care, and respiratory care, in addition to many specialty services such as diabetes services, urgent care, and care for those without health insurance. Additional information about Seton Medical Center's charitable activities can be found on Schedule O.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$17,211,037ExpenseAmt
Revenue$18,259,018RevenueAmt
DescSeton Medical Center Coastside meets the medical needs of the community of Half Moon Bay, California by offering skilled nursing care to 116 inpatient residents year-round. Key medical services include physical, occupational and speech therapies, radiology/mammography and laboratory, along with full emergency room and other hospital services.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$235,740,434TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document207IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1703EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJACK SPENCERPersonNm
Phone6505516650PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1203 REDWOOD SHORES PKWY SUITE 800AddressLine1Txt
CityRedwood CityCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94065ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Sr Patricia Geoghegan DC
Board Chair1.00.0Yes (X)Yes (X)$0$0$0
Colman Ryan MD
Vice Chair1.01.0Yes (X)Yes (X)$107,563$0$0
Deacon Eugene Smith
Secretary/Treasurer1.00.0Yes (X)Yes (X)$0$0$0
Sr Marion Bill DC
Board Member1.08.0Yes (X)$0$0$0
Sr Linda Ann Cahill DC
Board Member1.02.0Yes (X)$0$0$0
Sr Michele Randall DC
Board Member1.01.0Yes (X)$0$0$0
Sr Rachela Silvestri DC
Board Member1.01.0Yes (X)$0$0$0
Catherine Hamilton MD
Board Member1.00.0Yes (X)$0$0$0
Michael J Crilly
Board Member1.00.0Yes (X)$0$0$0
James Rumack MD
Board Member1.00.0Yes (X)$80,640$0$0
Kathy Shapiro MD
Board Member1.00.0Yes (X)$0$0$0
Robert Issai
Board Member1.047.0Yes (X)$0$1,553,079$326,419
Michael Pacelli
Board Member through Nov. 20141.00.0Yes (X)$0$0$0
Joanne Evelyn Allen
President & CEO40.04.0Yes (X)$0$756,404$131,969
Anthony Rispoli
Interim CFO through Jan. 201540.02.0Yes (X)$0$0$0
Irwin Shelub
Chief Med Offcr thru July 201440.00.0$259,294$0$35,273Yes (X)
Beverly Fick
VP of Patient Care/CNE40.00.0$296,062$0$29,463Yes (X)
Evelyn Nuque
Staff Nurse II40.00.0$285,738$0$24,712Yes (X)
Dolly Chan
Staff Nurse IV40.00.0$270,436$0$34,313Yes (X)
Anna Wojdyla
Lead Echo Technician II40.00.0$269,106$0$22,750Yes (X)
Carol Carmichael
Staff Nurse II40.00.0$266,584$0$24,712Yes (X)
Corazon Yabut
Staff Nurse IV40.00.0$255,008$0$24,625Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,090,431TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,309,483TotReportableCompRltdOrgAmt
Total Other Compensation$654,236TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K465IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Peninsula Anesthesia Consultants
PO Box 39000SAN FRANCISCOCA94139Physician Services$1,385,556
Healthcare Transformation
70 W MadisonCHICAGOIL60602Medical Services$1,168,122
CA Emergency Physicians Medical Gro
2100 Powell StreetEMERYVILLECA94608Physician Services$1,056,431
Shared Imaging
801 Phoenix Lake AvenueSTREAMWOODIL60107Medical Services$918,425
Action Therapeutics
3b South Linden AveSOUTH SAN FRANCISCOCA94080Medical Services$898,769
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K28CntrctRcvdGreaterThan100KCnt
Related Organizations$814,004RelatedOrganizationsAmt
Government Grants$14,600,000GovernmentGrantsAmt
Total Contributions$15,414,004TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE621110$253,393,179$253,393,179
MEDICAL OFFICE BUILDING REVENUE531120$3,247,226$3,247,226
OTHER HOSPITAL OPERATING REVENUE900099$478,006$478,006
FieldValueIRS element (for citing)
Total Program Service Revenue$257,118,411TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,541,965TotalRevenueColumnAmt
Exclusion$2,541,965ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$93,346OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$93,346OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$93,346TotalRevenueColumnAmt
Exclusion-$93,346ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ELECTRONIC HEALTH RECORDS INCENTIVE REVENUE900099$1,522,716$1,522,716
PHYSICIAN BILLING541200$413,574$413,574
PHARMACY446110$361,350$361,350

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$584,714TotalRevenueColumnAmt
Exclusion$584,714ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,882,354OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$277,863,388TotalRevenueColumnAmt
Related Or Exempt Func Income$257,531,985RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,917,399ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,170,780TotalAmt
Program Services$2,170,780ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$527,666TotalAmt
Program Services$527,666ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$122,764,644TotalAmt
Program Services$88,303,744ProgramServicesAmt
Management And General$34,460,900ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$11,100,000TotalAmt
Program Services$7,989,555ProgramServicesAmt
Management And General$3,110,445ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$22,381,489TotalAmt
Program Services$16,108,868ProgramServicesAmt
Management And General$6,272,621ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,740,160TotalAmt
Program Services$6,292,915ProgramServicesAmt
Management And General$2,447,245ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$678,466TotalAmt
Management And General$678,466ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$32,439,722TotalAmt
Program Services$25,776,299ProgramServicesAmt
Management And General$6,663,423ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,031,746TotalAmt
Program Services$1,828,571ProgramServicesAmt
Management And General$203,175ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,171,415TotalAmt
Program Services$6,603,419ProgramServicesAmt
Management And General$2,567,996ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,267,802TotalAmt
Program Services$3,072,817ProgramServicesAmt
Management And General$1,194,985ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$28,603TotalAmt
Program Services$20,594ProgramServicesAmt
Management And General$8,009ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$31,279TotalAmt
Program Services$22,521ProgramServicesAmt
Management And General$8,758ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,761,613TotalAmt
Management And General$3,761,613ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,334,564TotalAmt
Program Services$9,507,799ProgramServicesAmt
Management And General$826,765ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,549,864TotalAmt
Program Services$2,305,078ProgramServicesAmt
Management And General$1,244,786ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$32,391,798$32,391,798
PROVIDER FEES$21,821,264$21,821,264
BAD DEBTS$6,844,166$6,844,166
EQUIPMENT RENTAL EXPENSE$2,723,732$2,451,359$272,373

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,362,806TotalAmt
Program Services$1,701,221ProgramServicesAmt
Management And General$661,585ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$300,123,579TotalAmt
Program Services$235,740,434ProgramServicesAmt
Management And General$64,383,145ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,737,751BOYAmt
EOY$11,936,272EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$33,960,295BOYAmt
EOY$29,855,619EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,953,859BOYAmt
EOY$3,252,827EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,641,531BOYAmt
EOY$321,772EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$264,778,628LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$225,674,897LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$46,888,772BOYAmt
EOY$39,103,731EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$17,604,920BOYAmt
EOY$47,077,998EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$110,787,128BOYAmt
EOY$131,548,219EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,272,392BOYAmt
EOY$7,519,403EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$15,692,428EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$119,298,555BOYAmt
EOY$148,000,796EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$128,570,947BOYAmt
EOY$171,212,627EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$17,783,819BOYAmt
EOY-$39,664,408EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$17,783,819BOYAmt
EOY-$39,664,408EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$110,787,128BOYAmt
EOY$131,548,219EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$22,260,191ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,396NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$380,998OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$300,123,579FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$300,123,579FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
FieldValueIRS element (for citing)
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$3,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$4,500,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus2$780,694CurrentYearMinus2Amt
Current Year Minus1$0CurrentYearMinus1Amt
Current Year$0CurrentYearAmt
Total$780,694TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$750,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,125,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus1$0CurrentYearMinus1Amt
Current Year$0CurrentYearAmt
Total$0TotalAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceExplanation of Lobbying ActivitiesFormAndLineReferenceDesc
ExplanationSchedule C, Part II-A: Seton Medical Center did not incur any lobbying expenditures or conduct lobbying activities during the tax year ending June 30, 2015. 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

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,452,823OtherCostOrOtherBasisAmt
Book Value$5,452,823BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$146,220,692OtherCostOrOtherBasisAmt
Depreciation$128,765,569DepreciationAmt
Book Value$17,455,123BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$91,512OtherCostOrOtherBasisAmt
Depreciation$91,512DepreciationAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$108,288,468OtherCostOrOtherBasisAmt
Depreciation$94,641,301DepreciationAmt
Book Value$13,647,167BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,725,133OtherCostOrOtherBasisAmt
Depreciation$2,176,515DepreciationAmt
Book Value$2,548,618BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$39,103,731TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
DUE FROM RELATED PARTIES$20,878,369
OTHER RECEIVABLES$14,452,456
OTHER RESTRICTED ASSETS$9,656,048
DUE FROM GOVERNMENT AGENCIES$1,760,994
DEPOSITS$276,095
RENTS RECEIVABLE$54,036
FieldValueIRS element (for citing)
Total Book Value Other Assets$47,077,998TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
DUE TO RELATED ORGANIZATIONS$116,073,007
OTHER ACCRUED LIABILITIES$18,839,346
ACCRUED PROVIDER FEES$9,424,747
PENSION OBLIGATION$1,517,000
ASSET RETIREMENT OBLIGATION$991,545
DUE TO GOVERNMENT AGENCIES$901,484
DEPOSITS$253,667
FieldValueIRS element (for citing)
Total Liability$148,000,796TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2FormAndLineReferenceDesc
ExplanationDaughters 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.ExplanationTxt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$810,860TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$810,860NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$94,351,509TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$63,120,823DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,230,686NetCommunityBenefitExpnsAmt
Total Expense0.10650TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$95,162,369TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$63,120,823DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,041,546NetCommunityBenefitExpnsAmt
Total Expense0.10930TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,657TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$805DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,852NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,156TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,156NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,199,434TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$749,591DirectOffsettingRevenueAmt
Net Community Benefit Expns$449,843NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$700TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$700NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,222,947TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$750,396DirectOffsettingRevenueAmt
Net Community Benefit Expns$472,551NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$96,385,316TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$63,871,219DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,514,097NetCommunityBenefitExpnsAmt
Total Expense0.11110TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,445TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,445NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,445TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,445NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$6,844,166BadDebtExpenseAmt
Reimbursed By Medicare$76,737,023ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$110,561,745CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$33,824,722MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
Seton Medical Center
11900 Sullivan AvenueDaly CityCA94015www.seton.verity.org220000026Yes (X)Yes (X)Yes (X)A
Seton Medical Center Coastside
2600 Marine BlvdMoss BeachCA94038www.setoncoastside.verity.org220000026Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Section COwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSee Part V, Section COtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt12ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Section CStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care350.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Section B, Lines 2, 3j, 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:Seton Medical Center's ("SMC") Community Health Needs Assessment ("CHNA") was conducted in conjunction with the following hospitals: Sequoia Hospital, Kaiser Permanente (San Mateo Area), Lucile Packard Children's Hospital at Stanford, Mills-Peninsula Health Services, San Mateo Medical Center, and Stanford Hospital & Clinics.
Part V, Section B, Line 6b:SMC's CHNA was conducted in conjunction with the following organizations (other than hospitals): San Mateo County Health Department, Health Plan of San Mateo, Hospital Consortium of San Mateo County, Peninsula Health Care District, San Mateo County Human Services Agency, and Silicon Valley Community Foundation.
Part V, Section B, Line 7a:The CHNA report can be accessed on the hospital's website at: https://seton.verity.org/aboutus/community-benefit/
Part V, Section B, Line 7b:The CHNA report can be accessed on website's (other than the hospital's own), including: o www.smchealth.org o www.plsinfo.org/healthysmc o www.hospitalcosrt.org
Part V, Section B, Line 10a:SMC's most recently adopted implementation strategy can be accessed on the hospital's website at: https://seton.verity.org/aboutus/community-benefit/
Part V, Section B, Line 11:Seton Medical Center ("SMC") and Seton Medical Center Coastside's ("SMCC") 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 2013 implementation plan was developed based on the San Mateo County Community Needs Assessment and a review of the hospital's existing community benefit plan. The CAC reviewed the summary of the 2013 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 SMCC 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 SMCC have outlined the following strategies: o Promote exercise and "Instant Recess" at health events, local faith based organizations, schools, community centers, Community Day, Streets Alive, and Parks Alive. o Provide low cost cholesterol and diabetes laboratory screenings at SMC and community events. o Provide blood pressure screenings and educational presentations at health fairs o Provide diabetes education (including tips to manage diabetes), diabetes support groups, nutrition information, glucose monitoring information, diabetes meter instructions, and wound care education o 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. o Promote development and implementation of work place/school wellness policies Through these actions, SMC and SMCC 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 SMCC have outlined the following strategies: o Continue to promote healthy behaviors o Promote early detection screenings internally and at health events o Identify low cost screening opportunities in the community o Identify and establish additional cancer support groups, as needed. Through these actions, SMC and SMCC 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. Births is a health need as 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. SMC's 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, Women's 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. Health Center.

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:N/A
Part I, Line 6a:Seton Medical Center ("SMC") prepares an annual Community Benefit Report. The report includes both the SMC location and the Seton Medical Center Coastside ("SMCC") location. The Community Benefit Plan ("CBP") is driven by the commitment to the SMC mission by the SMC Executive Team and the CAC. Committee members consist of leaders in the communities representing schools, places of worship, community services and businesses. These committee members meet semi-annually 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/SMCC Board of Directors, Finance and Audit Committee, and Daughters of Charity Health System ("DCHS") corporate offices. An annual update is prepared and presented to the SMC/SMCC Board of Directors for approval. The annual update is made available to medical center leadership, key stakeholders, DCHS, 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):Form 990, Part IX, line 25, Column A for SMC/SMCC reflects a bad debt expense of $6,844,166 which is not included in the line 7 calculation.
Part I, Line 7:SMC/SMCC 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 data and expected net collections of self-pay patients. In making this estimate, Management also considers business and general economic conditions in its service area.
Part III, line 3:N/A
Part III, Line 4:SMC/SMCC is included in the DCHS Consolidated Audited Financial Statements. The financial statements for FY 2015 do not contain a separate footnote on bad debts.
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. SMC and SMCC accepts 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:SMC/SMCC 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, SMC/SMCC 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/SMCC 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/SMCC 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/SMCC 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/SMCC does not use wage garnishments or liens on real property as a means of collecting unpaid hospital bills for eligible patients. SMC/SMCC expects its external collection agencies to not pursue legal action against an eligible patient without prior approval from SMC/SMCC. SMC/SMCC 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/SMCC 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/SMCC 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/SMCC does not use liens on real property as a means of collecting unpaid hospital bills for eligible patients.
Part VI, Question 2:In an effort to identify the most critical health care needs in SMC/SMCC's service area, a Community Needs Assessment is conducted every three years. The annual SMC/SMCC 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 SMCC 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 2013 (tax year 2012) Community Health Needs Assessment: Health and Quality of Life in San Mateo County, a group of San Mateo County organizations interested in the community's health, worked together to conduct the FY 2013 Community Needs Assessment of San Mateo County as follow-up to assessments conducted in 1995, 1998, 2001, 2004, 2008 and 2011. 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 FY2013 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: o Sequoia Hospital o San Mateo County Health Department o Health Plan of San Mateo o Hospital Consortium of San Mateo County o Kaiser Permanente, San Mateo Area o Lucile Packard Children's Hospital at Stanford o Mills-Peninsula Health Services o Peninsula Health Care District o San Mateo County Health Department o San Mateo County Human Services Agency o San Mateo Medical Center o Seton Medical Center o Silicon Valley Community Foundation o Stanford Hospital & Clinics The FY2013 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. Seton Medical Center's 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 blood cholesterol, blood pressure, diabetes, smoking, diet, no exercise, alcohol consumption, and family history). Action: o 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. o Low costs cholesterol and diabetes laboratory screenings at Seton and at community events. o Blood pressure screening at health fairs and educational presentations. o Diabetes education, managing your diabetes, support group, nutrition information, glucose monitoring, diabetes meter instruction, and wound care education. o 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. o 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: o Number of presentations made to chamber of commerce and city government officials o More business and employers will promote healthy living o Providing health education and screenings at 12 community events. 4) Cancer: Need: Breast, Cervical, Colorectal and prostate cancer incidence are all failing benchmarks. Action: o Promote healthy behaviors. o Promoting early detection screenings internally and at health events. o Identify low cost screening opportunities in community. o Identify and establish additional cancer support group as needed. Outcome: People will adopt health lifestyles and access early detection screenings. Measurement: o Prostate Cancer support group meeting consistently o Number of people attending Prostate Cancer Support Group o Number of low cost screening opportunities in community 5) Births: Need: Women of some ethnicities continue to receive inadequate prenatal care. Action: o 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:Patients who present at SMC/SMCC's Emergency Department and SMC/SMCC'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. The flyer is in English and Spanish. 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/SMCC 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: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 Coastside's 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 California's 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:Our promotion of community health includes ongoing health education about healthy habits. SMC/SMCC 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/SMCC 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/SMCC 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/SMCC 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/SMCC has consistently shown support with the following chamber of commerce boards, Daly City - Colma, Brisbane, Half Moon Bay, Pacifica, and South San Francisco. SMC/SMCC is also members of the Chairman's 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: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, SMC/SMCC continues to uphold its mission of providing quality medical services to the most vulnerable populations, the sick, the poor, the elderly, and children. SMC/SMCC 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:SMC/SMCC annually updates its Community Benefits Report and SMC/SMCC files a copy of its Community Benefits Report on an annual basis with the State of California.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1DCHS Medical FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 Race StreetAddressLine1Txt
CitySan JoseCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95126ZIPCd
FieldValueIRS element (for citing)
Recipient EIN413691852RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$2,170,780CashGrantAmt
Purpose Of GrantProgram SupportPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrant to DCHS Medical FoundationFormAndLineReferenceDesc
ExplanationSchedule I, Parts I & II: Seton Medical Center is part of a related group of tax exempt organizations, which includes DCHS Medical Foundation. Grants are made to support this related tax exempt organization's exempt purpose.ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Robert Issai
Board Member$0$937,792$0$0$0$615,287$0$303,132$0$23,287$0$1,879,498$0$0
Joanne Evelyn Allen
President & CEO$0$468,170$0$0$0$288,234$0$91,531$0$40,438$0$888,373$0$0
Irwin Shelub
Chief Med Offcr thru July 2014$226,564$0$0$0$32,730$0$12,349$0$22,924$0$294,567$0$0$0
Beverly Fick
VP of Patient Care/CNE$280,004$0$0$0$16,058$0$8,733$0$20,730$0$325,525$0$0$0
Evelyn Nuque
Staff Nurse II$282,681$0$0$0$3,057$0$4,550$0$20,162$0$310,450$0$0$0
Dolly Chan
Staff Nurse IV$266,416$0$0$0$4,020$0$4,550$0$29,763$0$304,749$0$0$0
Anna Wojdyla
Lead Echo Technician II$268,454$0$0$0$652$0$22,750$0$0$0$291,856$0$0$0
Carol Carmichael
Staff Nurse II$263,463$0$0$0$3,121$0$4,550$0$20,162$0$291,296$0$0$0
Corazon Yabut
Staff Nurse IV$255,008$0$0$0$0$0$4,463$0$20,162$0$279,633$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Methods Used to Establish Compensation for CEO by a Related OrganizationSchedule J, Part I, Line 3: The President & CEO is an employee of Daughters of Charity Healthy 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 ArrangementsSchedule J, Part I, Line 4a: Some of the listed individuals may have a severance provision as part of their employment arrangement. The severance provision ranges from 6 months to 2 years.
Nonqualified Retirement PlanSchedule J, Part I, Line 4b: The following individuals participated in a supplemental nonqualified retirement plan, which is included in compensation reported on Schedule J, Part II, Column (c): Robert Issai $104,257 Joanne Evelyn Allen $ 31,589 Beverly Fick $ 933
Explanation of Other Reportable CompensationSchedule 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CA Statewide Communities Development Authority
A68016461013080SCV42014-07-30$110,000,000Working CapitalfalsefalseYes (true)
CA Statewide Communities Development Authority
B68016461013080SCX02014-08-27$15,000,000Working CapitalfalsefalseYes (true)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$13,937,000$0$0$0$253,400$0$13,683,600$0$0$0falsefalseYes (true)Yes (true)
B$0$0$1,900,500$0$0$0$0$0$1,900,500$0$0$0falsefalseYes (true)false

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0.000000.000000.00000falsefalsefalseYes (true)
Bfalsefalsefalsefalse0.000000.000000.00000falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)
0
BfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule K, Part I, Column (e)FormAndLineReferenceDesc
ExplanationThe issue price for the bond dated 7/30/2014 is $110,000,000 (as declared on the filed Form 8038); Seton Medical Center benefited from $13,937,000 of these funds. The issue price for the bond dated 8/27/2014 is $15,000,000 (as declared on the filed Form 8038); Seton Medical CenterExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, Seton 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. Seton 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, Seton Medical Center provided total quantifiable community benefits of $206.9 million. After offsetting direct revenue, Seton Medical Center provided unsponsored community benefits of $66.4 million, at cost. Total unsponsored community benefits of $66.4 million, at cost consisted of quantifiable unsponsored benefits for the poor at a cost of $32.5 million, quantifiable unsponsored benefits to the broader community at a cost of $0.1 million, and quantifiable unsponsored benefits to beneficiaries of the medicare program at a cost of $33.8 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 3 and Part VII, Section A and Line 5:The management duties of Interim Chief Financial Officer (until January 2015) were delegated to Anthony Rispoli, a consultant with Healthcare Transformation LLC, an unrelated organization that works exclusively with a number of hospitals providing consulting services and temporary executive staffing, during tax year ended June 30, 2015.
Form 990, Part VI, Line 6:Seton 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 Seton Medical Center. The member has the right to approve any merger, dissolution, consolidation or reorganization of Seton 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. Prior to filing with the internal revenue service, the final version of the Form 990 is distributed to the organization's board of directors.
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:Seton Medical Center makes its Form 990 available upon request.
Form 990, Part XI, Line 9:The other changes in net assets or fund balance consist of the following: Change in Funded Status of Pension Plan $ 626,000 Change in Fair Value of Pension Retirement Plan $(245,002)
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:20619347
FORM 990 PART IX LINE 11GDESCRIPTION:MEDICAL FEES TOTAL FEES:7192214
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT LABOR TOTAL FEES:4103804
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING & MANAGEMENT TOTAL FEES:277671
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:246686

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SEE PART VIIBusinessNameLine1Txt

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1See Part VIIBusinessNameLine1Txt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1See Part VIIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Seton Medical Center Foundation
c$783,349Cost
Seton Medical Center Foundation
o$198,345Cost
Seton Medical Center Foundation
q$66,604Cost

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 - 3 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 MEDICAL CENTER 2131 WEST THIRD STREET LOS ANGELES, CA 90057 EIN: 91-2154438 COL (B): PRIMARY ACTIVITY - HOSPITAL COL (C): LEGAL DOMICILE - CA COL (D): EXEMPT CODE SECTION - 501(C)(3) COL (E): PUBLIC CHARITY STATUS - 3 COL (F): DIRECT CONTROLLING ENTITY NAME - DAUGHTERS OF CHARITY HEALTH SYSTEM 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 - NO 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 - NO 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 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 Col (I): Section 512(b)(13) Controlled Entity: No

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