2016-05-12T15:19:33-05:00 2015-06-30 GRANT THORNTON LLP 101 CALIFORNIA STREET SUITE 2700 SAN FRANCISCO CA 94111 990 2014-07-01 912145484 Daughters of Charity Health System % STPEHEN FORNEY DAUG 6505516650 203 Redwood Shores Pkwy Suite 800 Redwood City CA 94065 Stephey Forney CFO 6505516650 2016-05-09 true BETHANN LONDYNSKY P00847678 4159863900 2014 2016-08-17 19:52:53Z X Mitch Cream 203 Redwood Shores Suite 800 Redwood City CA 940651199 84151230 false X www.verity.org X 2001 CA See Attachment 1 8 8 81 8 -459 -14319 142408683 0 73774208 77331307 9309574 6819923 0 0 225492465 84151230 162120131 909101 0 0 18715677 15635742 0 0 0 56583234 62446190 237419042 78991033 -11926577 5160197 355277598 480216424 322771571 440922914 32506027 39293510 X IN THE SPIRIT OF OUR FOUNDERS, ST. VINCENT DE PAUL, ST. LOUISE DE MARILLAC, AND ST. ELIZABETH ANN SETON, THE DAUGHTERS OF CHARITY HEALTH SYSTEM IS 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 VALUE-BASED RELATIONSHIPS AND COMMUNITY-BASED COLLABORATION. false false 59470550 909101 77331307 The Daughters of Charity Health System ("System") is a regional health system in California. The System provides acute, long-term, community health, psychiatric, rehabilitation, and residential care through hospitals ("local health ministries") located in Northern California and Southern California. Through its accounting, finance, and patient financial services departments, the organization provides leadership for the System and support for the local health ministries. This support includes providing strategic and financial planning for the local health ministries, information reporting, negotiating and managing certain System-wide contracts with vendors to reduce costs, insurance verification, and customer service for patients with billing questions. 59470550 true false false true false false false false false false true false false true true false false true false false false false false false false false false true false true true false false false false false false false false false false false false false false true true true true false false true 90 0 true 81 true true true true CJ false false false false false false false false X 8 8 false false false false true true true true true false true true true true true true true true true true true true CA X STPEHEN FORNEY 6505516650 203 REDWOOD SHORES SUITE 800 REDWOOD CITY CA 94065 X Sr Marjory Ann Baez DC Board Chair 1.0 0.0 X X 0 0 0 Sr Marion Bill DC Vice Chairperson 1.0 8.0 X X 0 0 0 Sr Janet Barrett DC Treasurer/Secretary 1.0 0.0 X X 0 0 0 Sr Betty Marie Dunkel DC Board Member 1.0 0.0 X 0 0 0 Sr Judith Lynn Gardenhire DC Board Member 1.0 0.0 X 0 0 0 Sr Christina Maggi DC Board Member 1.0 0.0 X 0 0 0 Daniel S Higgins MD Board Member 1.0 1.0 X 0 0 0 William Del Biaggio Board Member 1.0 0.0 X 0 0 0 Robert Issai President and CEO 40.0 8.0 X 1553079 0 326419 Annie Melikian CFO 40.0 3.0 X 659601 0 32264 Conway Collis Sr Counselor/CPP/Advo Officer 40.0 0.0 X 281243 0 51517 Richard Hutsell VP of IT and CIO 40.0 2.0 X 603210 0 201373 Nancy Carragee VP, Quality 40.0 0.0 X 257863 0 32115 Gerald Kozai President and CEO, SFMC 0.0 40.0 X 911272 0 196384 James Dover President and CEO, OCH & SLRH 0.0 42.0 X 864646 0 82939 Margaret Catherine Fickes President and CEO, SVMC 0.0 42.0 X 784145 0 133075 Joanne Evelyn Allen President and CEO, SMC 0.0 44.0 X 756404 0 131969 Ernest Wallerstein President and CEO, DCHS MF 0.0 40.0 X 575987 0 94298 Mike Stuart Former CFO 0.0 0.0 X 386639 0 53973 7634089 0 1336326 38 true true false ROPES GRAY PO BOX 414265 BOSTON MA 02241 LEGAL SERVICES 6532722 ERNST AND YOUNG PO BOX 846793 LOS ANGELES CA 90084 AUDITING SERVICES 1110275 CATHOLIC HEALTHCARE AUDITORS LLC 231 SOUTH BEMISTON AVENUE SUITE 30 CLAYTON MO 63105 AUDITING SERVICES 785676 SEYFARTH SHAW LLP 131 SOUTH DEARBORN ST CHICAGO IL 60603 LEGAL SERVICES 756586 JEFFER MANGELS BUTLER MITCHELL PO BOX 513267 LOS ANGELES CA 90051 LEGAL SERVICES 720020 29 0 REGIONAL LEADERSHIP AND ADMINISTRATION 900099 73887997 73887997 OTHER OPERATING REVENUE 900099 2528975 2528975 PARTNERSHIP INCOME - PROGRAM SERVICES 541900 914335 914794 -459 77331307 6819923 6819923 0 0 0 0 0 0 0 0 0 0 84151230 77331766 -459 6819923 909101 909101 0 0 0 3290879 2468159 822720 0 9671667 7253750 2417917 1076816 807612 269204 1175541 881656 293885 420839 315629 105210 11462070 8596553 2865518 6942975 5207231 1735744 2426976 1820232 606744 0 0 0 2219647 1664735 554912 10611 7958 2653 252233 189175 63058 36074257 27055693 9018564 0 705851 529388 176463 336334 252251 84084 0 670 503 168 35382 26537 8846 0 25376 19032 6344 1149433 862075 287358 RECRUITING 711587 533690 177897 DUES AND SUBSCRIPTIONS 56467 42350 14117 LICENSE & TAXES 8986 6740 2247 CATERING 3893 2920 973 23442 17582 5861 78991033 59470550 19520483 0 0 0 32928205 14003412 0 0 0 0 8333 0 0 0 170363 125837 0 0 1811998 6721722 4237184 4191562 144792 45622 926388 0 0 0 4417033 3709126 0 0 314870486 455610705 355277598 480216424 10625997 8208131 0 0 0 0 289225000 406926000 0 0 0 0 0 0 0 0 22920574 25788783 322771571 440922914 X 32506027 39293510 0 0 0 0 32506027 39293510 355277598 480216424 X 5160197 3741142 -2113856 X X false true X true true true X X 1 O'CONNOR HOSPITAL 912144436 3 true 0 0 SAINT LOUISE REGIONAL HOSPITAL 912154437 3 true 0 0 SETON MEDICAL CENTER 912154441 3 true 0 0 ST FRANCIS MEDICAL CENTER 912154439 3 true 0 0 ST VINCENT MEDICAL CENTER 912154438 3 true 0 0 ROBERT F KENNEDY MEDICAL CENTER 912154440 3 true 0 0 DCHS MEDICAL FOUNDATION 453691852 9 true 892934 0 7 892934 0 true false false false false false false false false false false false false false false false Schedule A, Part I, Line 11h: O'Connor Hospital, Saint Louise Regional Hospital, Seton Medical Center, St. Francis Medical Center, St. Vincent Medical Center, Robert F. Kennedy Medical Center, and DCHS Medical Foundation are affiliated corporations with Daughters of Charity Health System ("DCHS"), as defined in its bylaws. Each local health ministry and DCHS Medical Foundation is controlled by DCHS by oepration of DCHS being the sole member corporation of each supported organization and being named as such in the bylaws of each listed supported organization. See Form 990, Part III, line 4a (and the related attachment) for a description of support provided to each of the affiliated corporations. Schedule A, Part IV, Section D, Line 1 Daughters of Charity Health System and its supported organizations are both supervised by Daughters of Charity Ministry Services Corproation ("Ministry Services"). Ministry Services is the sole corporate member of Daughters of Charity Health System. Daughters of Charity Health System is the sole corporate member of the supporting organizations, all of which are not-for-profit religious corporations that operate acute care hospitals and other facilities. 0 0 0 0 0 0 78991033 0 78991033 0 1000000 0 250000 0 0 0 1000000 1000000 1000000 3000000 4500000 997812 84614 0 1082426 250000 250000 250000 750000 1125000 0 0 0 Explanation of Lobbying Activities Schedule C, Part II-A: Daughters of Charity Health System 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 year. 33700 33700 0 579495 579495 0 3623989 3578367 45622 45622 DUE FROM RELATED PARTIES 426817506 UNDER BOND INDENTURE AGREEMENT 25871425 DEPOSITS 798109 2005 DEF UNDERWRITER FEES 1245759 OTHER RECEIVABLE 222517 2005 DEF COST OF ISSUANCE 655384 INTEREST RECIEVABLE 5 455610705 0 PENSION OBLIGATION 18880000 TAIL LIABILITY 5593573 DUE TO RELATED PARTIES 378489 OTHER LIABILITIES 936721 25788783 FIN 48 (ASC 740) Footnote Schedule D, Part X, Line 2: Daughters of Charity Health System and its affiliates do not have a liability for uncertain tax positions under FIN 48 (ASC 740) on their consolidated financial statements for the year ended June 30, 2015. As such, there was no FIN 48 (ASC 740) disclosure in the footnotes to the consolidated financial statements of Daughters of Charity Health System. true DCHS Medical Foundation 400 Race Street San Jose CA 95126 453691852 501(c)(3) 892934 General Support Catholic Relief Service 228 W Lexington St Baltimore MD 21201 135563422 501(c)(3) 16167 Charity 2 Grants Paid by Daughters of Charity Health System Schedule I, Part I, Line 2: Daughters of Charity Health System is part of a related group of tax exempt organizations, which includes DCHS Medical Foundation. Grants are made to support DCHS Medical Foundation's exempt purpose. Additionally, a grant was made to Catholic Relief Services, which is the official international humanitarian agency of the Catholic community in the United States. The grant was made to assist with the organization's mission of providing assistance to the poor overseas by responding to emergencies and fighting poverty. X true true X X X X X false true false false false false false false false Robert Issai President and CEO 937792 0 0 0 615287 0 303132 0 23287 0 1879498 0 0 0 Annie Melikian CFO 411393 0 0 0 248208 0 28530 0 3734 0 691865 0 0 0 Conway Collis Sr Counselor/CPP/Advo Officer 275243 0 0 0 6000 0 32980 0 18537 0 332760 0 0 0 Richard Hutsell VP of IT and CIO 354315 0 0 0 248895 0 162892 0 38481 0 804583 0 0 0 Nancy Carragee VP, Quality 194660 0 0 0 63203 0 15882 0 16233 0 289978 0 0 0 Gerald Kozai President and CEO, SFMC 551165 0 0 0 360107 0 154220 0 42164 0 1107656 0 0 0 James Dover President and CEO, OCH & SLRH 524243 0 0 0 340403 0 45993 0 36946 0 947585 0 0 0 Margaret Catherine Fickes President and CEO, SVMC 486084 0 0 0 298061 0 102810 0 30265 0 917220 0 0 0 Joanne Evelyn Allen President and CEO, SMC 468170 0 0 0 288234 0 91531 0 40438 0 888373 0 0 0 Ernest Wallerstein President and CEO, DCHS MF 347124 0 0 0 228863 0 62895 0 31403 0 670285 0 0 0 Mike Stuart Former CFO 238780 0 92541 0 55318 0 24152 0 29821 0 440612 0 0 0 Questions Regarding Compensation Schedule J, Part I, Line 1a: Discretionary spending account: The President and CEO of DCHS is provided a discretionary spending account with an annual limit of $25,000 as part of his employment contract. The payments are reported as taxable compensation and reported on Form W-2. Additionally, all of the compensated individuals listed in Part VII receive an auto allowance. The payments are reported as taxable compensation and reported on Form W-2. Severance Arrangements Schedule J, Part I, Line 4a: Some of the listed individuals have a severance provision as part of their employment arrangement. The severance provision ranges from 6 months to 2 years. Nonqualified Retirement Plans Schedule J, Part I, Line 4b: The following individuals participated in supplemental nonqualified retirement plans, which are included in compensation reported on Schedule J, Part II, Column (c): Robert Issai $104,257 Annie Melikian $11,180 Conway Collis $216 Richard Hutsell $32,169 Gerald Kozai $52,445 James Dover $16,246 Margaret Catherine Fickes $14,465 Joanne Evelyn Allen $31,589 Ernest Wallerstein $29,745 Mike Stuart $4,570 Explanation of Other Reportable Compensation Schedule J, Part II Certain individuals listed on Schedule J, Part II received a retention payment during the 2014 calendar year, which is reported as "Other Reportable Compensation" on Schedule J, Part II, Column (b)(iii). The payments were made to retain employees whose continuity of employment was essential during the transaction period of solicitation of proposals for the sale of the Daughters of Charity Health System, which includes this filing organization. These payments were approved in advance by the Board of Directors of Daughters of Charity Health System. A California Statewide Communities Development Auth 680164610 130911A83 2005-03-18 507644195 Equipment Acq. & Refund 2001 Bonds false false false A 0 0 509644273 23871347 0 2000078 5329545 0 0 30000000 448443303 0 2005 false true true true A 0 A false false true false true false 0 false 0 false true A true Schedule K, Part I The tax-exempt bonds were issued for the purpose of borrowing funds to (1) acquire property, plant, and equipment of certain acute health care hospitals owned by Daughters of Charity Health System or its affiliates, (2) fund certain routine capital expenditures of the members, and (3) pay the cost of insuring the bonds. Schedule K, Part I, Column E The difference in the issue price reported in Part I, Column E and total proceeds reported in Part II, Line 3 relates to investment earnings on net proceeds released from reserve funds. Schedule K, Part I, Column F The date of the issue for the 2001 bonds refunded by this issue was 12/31/2001. Schedule K, Part III Schedule K, Part III is left blank as the 2005 bond was used to refund bonds issued before January 1, 2003. Form 990, Part VI, Line 12b, and Part XII, Line 2b and 2c: The financial statements of the organization are consolidated by the Daughters of Charity Health System and include each of the affiliated Local Health Ministries, their related fundraising Foundations and other related organizations (as listed on form 990 Schedule R) in accordance with GAAP and audited by an independent public accounting firm. The Daughters of Charity Health System's Board and Audit Committee of the Board have responsibility for oversight of the audit of the consolidated financial statements and selection of the independent public accounting firm. Form 990, Part VI, Line 6: The Daughters of Charity Health System has only one member, the Daughters of Charity Ministry Services Corporation, 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 Daughters of Charity Health System. The member has the right to approve any merger, dissolution, consolidation or reorganization of Daughters of Charity Health System. 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 Daughters of Charity Health System ("DCHS") 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 DCHS finance staff. After the return is discussed and reviewed, recommended changes are reflected on the return and a draft tax return is prepared. The Form 990 is then reviewed with the organization's board of directors before filing with the Internal Revenue Service. Form 990, Part VI, Line 12c: The 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 Local 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 the Daughters of Charity Health System and its affiliated Local Health Ministries. All of the Local Health Ministry CEOs are paid directly by the Daughters of Charity Health System and covered by the Daughters of Charity Health System 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. The Daughters of Charity Health System utilizes a benefits committee to review compensation and benefits. The Daughters of Charity Health System 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: The Daughters of Charity Health System makes its Form 990 available upon request. Form 990, Part XI, Line 9: The other changes in net assets or fund balances consist of the following: Change in Minimum Pension Liabilty $(1,860,000) Tail Liability True-Up $ 620,760 Premier Revaluation Capital Contribution $ (874,382) Other Comprehensive Income True-Up $ (234) Total $(2,113,856) see part vii DCHS see part vii see part vii see part vii false true false true true true false false false false false false false true true true true true true Marillac Insurance Company LTD f 4000000 Cost Marillac Insurance Company LTD r 14516792 Cost Caritas Business Services p 64485 Cost Caritas Business Services q 622441 Cost DCHS Medical Foundation b 892934 Cost DCHS Medical Foundation o 1080745 Cost DCHS Medical Foundation q 596520 Cost O'Connor HOspital d 3061388 Cost O'Connor Hospital o 237201 Cost O'Connor Hospital q 66117274 Cost St Francis Medical Center d 7328004 Cost St Francis Medical Center o 131107 Cost St Francis Medical Center q 44232315 Cost Saint Louise Regional Hospital d 1854341 Cost Saint Louise Regional Hospital q 11972002 Cost Seton Medical Center d 3752300 Cost Seton Medical Center q 26924839 Cost St Vincent Medical Center d 3427026 Cost St Vincent Medical Center p 6331965 Cost St Vincent Medical Center q 31376435 Cost Schedule R, Part I: De Paul Ventures, LLC 203 Redwood Shores Parkway, Suite 800 Redwood City, CA 94065 EIN: 27-3340398 Col (B): Primary Activity - To support the mission of the System by providing for the multiple needs of the poor, particularly for housing, health, and social services. Col (C): Legal Domicile - CA Col (D): Total Income - $699,369 Col (E): End-of-year assets - $2,145,564 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System De Paul Ventures - San Jose ASC, LLC 203 Redwood Shores Parkway, Suite 800 Redwood City, CA 94065 EIN: 27-3340453 Col (B): Primary Activity - To support the mission of the System by providing for the multiple needs of the poor, particularly for housing, health, and social services. Col (C): Legal Domicile - CA Col (D): Total Income - $0 Col (E): End-of-year assets - $873,095 Col (F): Direct Controlling Entity Name - DePaul Ventures, LLC De Paul Ventures - San Jose Dialysis, LLC 203 Redwood Shores Parkway, Suite 800 Redwood City, CA 94065 EIN: 37-1732430 Col (B): Primary Activity - To support the mission of the System by providing for the multiple needs of the poor, particularly for housing, health, and social services. Col (C): Legal Domicile - CA Col (D): Total Income - $0 Col (E): End-of-year assets - $34,437 Col (F): Direct Controlling Entity Name - DePaul Ventures, LLC 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 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 - Yes Hotel Dieu, Inc. 203 REDWOOD SHORES PARKWAY, SUITE 800 REDWOOD CITY, CA 94065 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 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 - Yes 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 - Yes 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 - Yes 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 - Yes St. Francis Medical Center 3630 East Imperial Highway Lynwood, CA 90262 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 - Yes 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 - Yes 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 - Yes 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 - Yes 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 - Yes St. Vincent de Paul Ethics Corporation 3630 East Imperial Hwy 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 - Yes St. Vincent Dialysis Center 2131 West Third Street Los Angeles, CA 90057 EIN: 95-3749293 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - St. Vincent Medical Center Col (G): Section 512(b)(13) Controlled Entity - Yes St. Vincent Foundation 2200 West Third St, Suite 200 Los Angeles, CA 90057 EIN: 95-3922511 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - St. Vincent Medical Center Col (G): Section 512(b)(13) Controlled Entity - Yes St. Vincent Senior Center Nutrition Program, Inc. 2131 West Third Street Los Angeles, CA 90057-1901 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 - Yes Seton Medical Center 1900 Sullivan Avenue Daly City, CA 94015 EIN: 91-2154441 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - Yes 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 - Yes 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 - Yes 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 - O'Connor Hospital Col (E): Predominant Income - Investment or other income excluded from tax under section 512, 513, or 514 Col (F): Share of Total Income - $618,450 Col (G): Share of end-of-year assets - $1,114,285 Col (H): Disproportionate Allocations - No Col (I): Code V - UBI Amount in Box 20 of Schedule K-1 (Form 1065) - $0 Col (J): General or Managing Partner - No Col (K): Percentage of Ownership - 75% 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 - Daughters of Charity Health System Col (E): Type of Entity - C Corporation Col (F): Share of Total Income - $(471,550) Col (G): Share of end-of-year assets - $59,117,311 Col (H): Percentage ownership - 100% Col (i): Section 512(b)(13) Controlled Entity - Yes