ST FRANCIS MEDICAL CENTER: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ST FRANCIS MEDICAL CENTER (EIN 91-2154439)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-14
- IRS object ID
- 201331349349307083
- Schema version
- 2011v1.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-14T19:12:44-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT THORNTON LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE CALIFORNIA STREET SUITE 2300 | AddressLine1 |
| City | SAN FRANCISCO | City |
| State | CA | State |
| ZIP Code | 94111 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 912154439 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Francis Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % WAHID CHOUDHURY | InCareOfName |
| Name Control | STFR | NameControl |
| Phone | 3109007307 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3630 East Imperial Highway | AddressLine1 |
| City | Lynwood | City |
| State | CA | State |
| ZIP Code | 90262 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jesse Guevara | Name |
| Title | CFO | Title |
| Date Signed | 2013-05-13 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOSEPH S DE TRANE | Name |
| Phone | 4159863900 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Gerald Kozai | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3630 East Imperial Highway | AddressLine1 |
| City | Lynwood | City |
| State | CA | State |
| ZIP Code | 90262 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 389901470 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.stfrancismedicalcenter.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2001 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | See Attachment 1 | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2360 | TotalNbrEmployees |
| Total Nbr Volunteers | 416 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 6387922 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 5369651 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 396717492 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 378583535 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 8440899 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5218745 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1426592 | OtherRevenuePriorYear |
| Other Revenue Current Year | 729539 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 412972905 | TotalRevenuePriorYear |
| Total Revenue Current Year | 389901470 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 10763746 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 191135 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 184906859 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 190070345 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 182707297 | OtherExpensePriorYear |
| Other Expenses Current Year | 189904060 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 378377902 | TotalExpensesPriorYear |
| Total Expenses Current Year | 380165540 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 34595003 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 9735930 | RevenuesLessExpensesCY |
| Total Assets BOY | 387150274 | TotalAssetsBOY |
| Total Assets EOY | 398540790 | TotalAssetsEOY |
| Total Liabilities BOY | 220272776 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 287411753 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 166877498 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 111129037 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | ST. FRANCIS MEDICAL CENTER'S PRIMARY EXEMPT PURPOSE IS THE PROVISION OF HEALTH CARE SERVICE. THE ORGANIZATION'S MISSION IS TO BECOME THE LEADING HEALTHCARE PROVIDER IN SOUTHEAST LOS ANGELES PROVIDING COMPASSIONATE AND SPIRITUALLY CENTERED HEALTHCARE AND COMMUNITY SERVICES TO BRING RENEWED HOPE AND WELL BEING TO ALL WHO TURN TO US IN NEED. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 295444310 | Expense |
| Grants | 191135 | Grants |
| Revenue | 378583535 | Revenue |
| Description | ST. FRANCIS MEDICAL Center (SFMC) SERVICES THE HEALTHCARE AND SOCIAL NEEDS OF THE COMMUNIITIES OF SOUTHEAST LOS ANGELES. IT OPERATES A 384-BED ACUTE CARE HOSPITAL, 5 COMMUNITY-BASED HEALTH CLINICS, AND THE LARGEST AND BUSIEST PRIVATE EMERGENCY TRAUMA CENTER IN LOS ANGELES COUNTY. IN ADDITION, SFMC OPERATES A STATE-OF-THe-ART NEONATAL INTENSIVE CARE CENTER, CHILDRENS' COUNSELING CENTER FOR ABUSED AND NEGLECTED CHILDREN, ST. FRANCIS CAREER COLLEGE, AND A BROAD RANGE OF EDUCATIONAL AND COMMUNITY SERVICE PROGRAMS. ADDITIONAL INFORMATION ABOUT ST. FRANCIS MEDICAL CENTER'S CHARITABLE ACTIVITIES CAN BE FOUND ON SCHEDULE O. | Description |
| Total Program Service Expense | 295444310 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 247 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2360 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | WAHID CHOUDHURY | NamePerson |
| Telephone Number | 6505516601 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 203 REDWOOD SHORES PKWY 800 | AddressLine1 |
| City | Redwood City | City |
| State | CA | State |
| ZIP Code | 94065 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Charles Druten | ||||||||
| Vice Chair and Lay Member | 3.0 | X | X | 0 | 0 | 0 | ||
| Sister Joanne Laviolette DC | ||||||||
| Secretary | 3.0 | X | X | 0 | 0 | 0 | ||
| Victor Caballero | ||||||||
| Treasurer and Lay Member | 3.0 | X | X | 0 | 0 | 0 | ||
| Louis Rubino PHD | ||||||||
| Lay Member | 3.0 | X | 0 | 0 | 0 | |||
| Robert Issai | ||||||||
| Ex Officio Voting Member | 3.0 | X | 0 | 2935191 | 290391 | |||
| Sister Francis Sullivan DC | ||||||||
| Board Member | 3.0 | X | 0 | 0 | 0 | |||
| Amod Moosa MD | ||||||||
| Lay Member | 3.0 | X | 150000 | 0 | 0 | |||
| Sister Joyce Weller DC | ||||||||
| Board Chair | 4.0 | X | X | 0 | 0 | 0 | ||
| Sister Marion Bill DC | ||||||||
| Board Member | 2.0 | X | 0 | 0 | 0 | |||
| Sister Patricia Miguel DC | ||||||||
| Board Member | 2.0 | X | 0 | 0 | 0 | |||
| Samuel P Ynzunza | ||||||||
| Lay Member | 3.0 | X | 0 | 0 | 0 | |||
| Harding Young MD | ||||||||
| Lay Member | 3.0 | X | 71199 | 0 | 0 | |||
| Sister Mary Joseph Sutter | ||||||||
| Board Member | 2.0 | X | ||||||
| Jesse Guevara | ||||||||
| CFO | 40.0 | X | 429369 | 0 | 28546 | |||
| Gerald Kozai | ||||||||
| CEO | 40.0 | X | 0 | 1430731 | 140713 | |||
| Marsha C Chan | ||||||||
| SR Vice President CQO | 40.0 | 297466 | 0 | 25219 | X | |||
| Beverly S Quaye | ||||||||
| VP Patient Care Services | 40.0 | 248263 | 0 | 25227 | X | |||
| Patricia E Baesemann | ||||||||
| VP Business Development | 40.0 | 261435 | 0 | 28435 | X | |||
| Lawrence Stahl | ||||||||
| VP Ambulatory and Support Svs | 40.0 | 232967 | 0 | 19880 | X | |||
| Laura S Kato | ||||||||
| VP Human Resources | 40.0 | 226714 | 0 | 21377 | X | |||
| Gerald Boden | ||||||||
| Sen Dir-Pharmacy & Lab Svs | 40.0 | 215296 | 0 | 21747 | X | |||
| Linda Camino | ||||||||
| RN II | 40.0 | 188685 | 0 | 19720 | X | |||
| Adam Garcia | ||||||||
| Tech, Cath Lab CVRT 10hr | 40.0 | 175764 | 0 | 24033 | X | |||
| Mary Eileen Drees | ||||||||
| VP of Dev't & CEO Foundation | 185682 | 0 | 22319 | X | ||||
| Patricia Whaley | ||||||||
| RN II | 40.0 | 178001 | 0 | 21382 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2860841 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4365922 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 688989 | TotalOtherCompensation |
| Number Individuals GT100 K | 567 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Applecare Medical Group | |||||
| 6131 Orangethorpe Ave Ste 280 | BUENA PARK | CA | 90620 | Physican Med Grp | 4990128 |
| St Francis Medical Medical Center | |||||
| 153 Ashdale Ave | LOS ANGELES | CA | 90049 | Physican Med Grp | 3048288 |
| Comforce Technical Services Inc | |||||
| PO Box 9695 | UNIONDALE | NY | 11555 | Nursing Services | 1936955 |
| Applecare Medical Management | |||||
| 6131 Orangethorpe Ave Ste 280 | BUENA PARK | CA | 90620 | Physican Med Grp | 1171448 |
| Compspec | |||||
| 425 E Colorado St Ste 410 | GLENDALE | CA | 91205 | Collections Services | 996387 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 57 | NumberOfContractorsGT100K |
| Related Organizations | 2895760 | RelatedOrganizations |
| Government Grants | 209211 | GovernmentGrants |
| All Other Contributions | 2264680 | AllOtherContributions |
| Noncash Contributions | 226978 | NoncashContributions |
| Total Contributions | 5369651 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUE | 900099 | 369356735 | 369356735 |
| CLINIC REVENUE | 621400 | 5496796 | 5496796 |
| EDUCATIONAL REVENUE | 900099 | 2780655 | 2780655 |
| OTHER OPERATING REVENUE | 900099 | 858709 | 858709 |
| MEDICAL OFFICE BUILDING REVENUE | 531120 | 90640 | 90640 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 378583535 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5218745 | TotalRevenueColumn |
| Exclusion | $5,218,745 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| GIFT SHOP | 722210 | 403785 | $403,785 |
| VENDING MACHINE | 453220 | 203414 | $203,414 |
| MEDICAL RECORDS | 900099 | 112266 | $112,266 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10074 | TotalRevenueColumn |
| Exclusion | $10,074 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 729539 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 389901470 | TotalRevenueColumn |
| Related Or Exempt Function Income | 378583535 | RelatedOrExemptFunctionIncome |
| Exclusion | $5,948,284 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 191135 | Total |
| Program Services | 191135 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1801999 | Total |
| Program Services | 752513 | ProgramServices |
| Management And General | 1049486 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 146698521 | Total |
| Program Services | 115629505 | ProgramServices |
| Management And General | 31069016 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13464945 | Total |
| Program Services | 10794793 | ProgramServices |
| Management And General | 2670152 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17224705 | Total |
| Program Services | 13808106 | ProgramServices |
| Management And General | 3416599 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10880175 | Total |
| Program Services | 8704140 | ProgramServices |
| Management And General | 2176035 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 671841 | Total |
| Program Services | 15553 | ProgramServices |
| Management And General | 656288 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2019618 | Total |
| Management And General | 2019618 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131440 | Total |
| Management And General | 131440 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56564427 | Total |
| Program Services | 33180693 | ProgramServices |
| Management And General | 23383734 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 234417 | Total |
| Program Services | 17317 | ProgramServices |
| Management And General | 217100 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1434822 | Total |
| Program Services | 806919 | ProgramServices |
| Management And General | 627903 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7254562 | Total |
| Program Services | 5300183 | ProgramServices |
| Management And General | 1954379 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7301073 | Total |
| Program Services | 3710024 | ProgramServices |
| Management And General | 3591049 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 289625 | Total |
| Program Services | 21106 | ProgramServices |
| Management And General | 268519 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 156056 | Total |
| Program Services | 61828 | ProgramServices |
| Management And General | 94228 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6976161 | Total |
| Program Services | 5092598 | ProgramServices |
| Management And General | 1883563 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17059334 | Total |
| Program Services | 17059334 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7981277 | Total |
| Program Services | 135137 | ProgramServices |
| Management And General | 7846140 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVIDER FEES | 43809214 | 43809214 | |
| MEDICAL SUPPLIES | 29210973 | 29210973 | |
| BAD DEBTS | 6936420 | 6936420 | |
| LICENSE AND TAXES | 390806 | 33453 | 357353 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1481994 | Total |
| Program Services | 173366 | ProgramServices |
| Management And General | 1308628 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 380165540 | Total |
| Program Services | 295444310 | ProgramServices |
| Management And General | 84721230 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 154248626 | BOY |
| EOY | 117891016 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 100000 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63208314 | BOY |
| EOY | 49344983 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155779 | BOY |
| EOY | 48345907 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4675353 | BOY |
| EOY | 4598832 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14316287 | BOY |
| EOY | 1591244 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 295513782 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 152899653 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 149760661 | BOY |
| EOY | 142614129 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 785254 | BOY |
| EOY | 34054679 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 387150274 | BOY |
| EOY | 398540790 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51455575 | BOY |
| EOY | 58712024 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 165734 | BOY |
| EOY | 16676 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 168651467 | BOY |
| EOY | 228683053 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 220272776 | BOY |
| EOY | 287411753 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 166877498 | BOY |
| EOY | 108889337 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 2239700 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 166877498 | BOY |
| EOY | 111129037 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 387150274 | BOY |
| EOY | 398540790 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 9735930 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -65484391 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2156721 | OtherCostOrOtherBasis |
| Book Value | 2156721 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 198298474 | OtherCostOrOtherBasis |
| Depreciation | 92401760 | Depreciation |
| Book Value | 105896714 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 93419945 | OtherCostOrOtherBasis |
| Depreciation | 60497893 | Depreciation |
| Book Value | 32922052 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1638642 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 1638642 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 142614129 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER LONG-TERM ASSETS | 110537 |
| DUE FROM RELATED PARTIES | 23310148 |
| DUE FROM GOVERNMENT AGENCIES | 10633994 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 34054679 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| OTHER NON-CURRENT LIABILITIES | $139,802 |
| PENSION OBLIGATION | $92,691,000 |
| DUE TO GOVERNMENTAL AGENCIES | $5,462,295 |
| DUE TO RELATED PARTIES | $130,377,438 |
| OTHER ACCRUED LIABILITIES | $12,518 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 228683053 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part X Line 2 | Identifier |
| Explanation | 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, 2012. As such, there was no FIN 48 (ASC 740) disclosure in the footnotes to the consolidated financial statements of Daughters of Charity Health System. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 19208 | PersonsServed |
| Total Community Benefit Expense | 16704035 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 16704035 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04480 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 72626 | PersonsServed |
| Total Community Benefit Expense | 158843558 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 153454562 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5388996 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01440 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 91834 | PersonsServed |
| Total Community Benefit Expense | 175547593 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 153454562 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22093031 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05920 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 16 | NumberOfActivitiesOrPrograms |
| Persons Served | 71596 | PersonsServed |
| Total Community Benefit Expense | 3793308 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3793308 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01020 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 1479 | PersonsServed |
| Total Community Benefit Expense | 2535964 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2535964 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00680 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 8585008 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 8585008 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02300 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 13 | NumberOfActivitiesOrPrograms |
| Persons Served | 3336 | PersonsServed |
| Total Community Benefit Expense | 29333 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 29333 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 39 | NumberOfActivitiesOrPrograms |
| Persons Served | 76411 | PersonsServed |
| Total Community Benefit Expense | 14943613 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 14943613 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04010 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 39 | NumberOfActivitiesOrPrograms |
| Persons Served | 168245 | PersonsServed |
| Total Community Benefit Expense | 190491206 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 153454562 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 37036644 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09930 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 208 | PersonsServed |
| Total Community Building Expense | 8268 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 8268 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 50 | PersonsServed |
| Total Community Building Expense | 2633 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2633 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 16225 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 16225 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 472 | PersonsServed |
| Total Community Building Expense | 240844 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 240844 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 10 | NumberOfActivitiesOrPrograms |
| Persons Served | 730 | PersonsServed |
| Total Community Building Expense | 267970 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 267970 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $6,936,420 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 79042841 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 81612612 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2569771 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Francis Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3630 E IMPERIAL HIGHWAY | AddressLine1 |
| City | Lynwood | City |
| State | CA | State |
| ZIP Code | 90262 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | Trauma Center | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Francis Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 200. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Collection Activities | true | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part I, line 3c | N/A |
| Part I, line 6a | St. Francis Medical Center (SFMC) prepares an annual Community Benefit Report. It is developed in conjunction with SFMC's strategic planning process that is based on the Community Health Needs Assessment, organizational capacity, and resource allocation. Reports on community benefit activities and outcomes are provided by managers and directors responsible for specific community benefit programs. Quarterly reports are presented to the SFMC Board of Directors and Daughters of Charity Health System (DCHS) corporate offices. An annual update is prepared and presented to the SFMC 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. SFMC's Community Benefit Report is developed using results from the Community Health Needs Assessment, data and input provided by the managers and directors responsible for specific community benefit programs, feedback from the Community Benefits Committee, and direction from the vice president of Mission Integration. St. Francis Medical Center's Board of Directors reviews and gives final approval of SFMC's Community Benefit Report. Continual monitoring and evaluation of existing Healthy Community Initiatives provide vital information to the strategic planning process for community benefit programs. |
| Part I, line 7g | St. Francis Medical Center's Subsidized Services include its community clinics in Lynwood, Compton, Downey, and Huntington Park. The mission of these clinics is to bring primary health care services to children and families who have limited access to its main campus and essential health care services. The clinics' operations are substantial. In FY 2012 alone, the clinics received 42,952 patient visits. SFMC's Community Clinics provide general medicine, obstetrics and pediatric health care services to children and families in its service area. They also offer Child Health Disability Program (CHDP) Examinations and Immunizations (i.e., TB, Hepatitis B, polio, diphtheria, and hepatitis) for newborns and children up to 18 years old. In addition, the Comprehensive Perinatal Services Program (CPSP) is offered to pregnant women. This program assesses a mother's financial, medical and psychosocial needs; provides comprehensive education; and makes referrals to social services, counselors, and nutritionists, as well as to medical and mental health professionals to ensure a healthy start for mom and baby. SFMC's Subsidized Services also include stipends to physicians to ensure Trauma, Obstetric, and Safety Net coverage for the community. SFMC plays a critical role in the Los Angeles County Trauma Network and Hospital Safety Net. It operates one of the busiest private Emergency/Trauma Centers in Los Angeles County, treating more than 70,138 Emergency Department patients and 1,706 Trauma Patients in fiscal year 2012. |
| Part I, line 7, column (f) | Form 990, Part IX, line 25, Column A for SFMC reflects a bad debt expense of $6,936,420 which is not included in the line 7 calculation. |
| Part I, Line 7 | SFMC utilizes a cost accounting system that determines costs for providing medical services based on the organization's relationship of costs to charges. |
| Part II | N/A |
| Part III, line 4 | SFMC is included in the DCHS Consolidated Audited Financial Statements. The financial statements for FY 2012 do not contain a separate footnote on bad debts. Bad debt expense is estimated by utilizing historical collections data of self-pay patients. |
| Part III, line 8 | SFMC utilizes a cost accounting system that determines costs for providing medical services based on the organization's relationship of costs to charges. |
| Part III, line 9b | SFMC 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, SFMC 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. SFMC 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. SFMC does not assign patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SFMC 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. SFMC does not use wage garnishments or liens on real property as a means of collecting unpaid hospital bills for eligible patients. SFMC expects its external collection agencies to not pursue legal action against an eligible patient without prior approval from SFMC. SFMC 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, SFMC 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. SFMC 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. SFMC 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 SFMC's service area, a Community Health Needs Assessment is conducted every three years. The most recent assessment was completed in 2010. It is an integral part of the Medical Center's Strategic Planning process, which is managed by the Medical Center's Management Council. The results of the Needs Assessment are integrated into the Medical Center's long-range planning activity, as well as program specific planning. During the annual update of the Medical Center's strategic plan, data derived from the Community Health Needs Assessment is integrated with the external environment analysis and the organizational analysis. METHODOLOGY To ensure differing perspectives and thoroughness, the Community Health Needs Assessment used a variety of methods to collect information about health and social characteristics of the community served by SFMC. The assessment drew primarily from the following information sources: the SFMC 2007 Needs Assessment, the U.S. Census Bureau American Community Survey, the Los Angeles County Department of Public Health, and focus groups with SFMC stakeholders, service providers, and beneficiaries. For the purposes of the 2010 report, the SFMC service area corresponds to Service Provider Areas (SPAs) 6, 7, and 8. Secondary Demographic and Health-Related Data was obtained from a number of secondary public health reports and health databases including L.A. HealthDataNow!, Los Angeles County Health Survey (2007; 2005), The California Health Interview Survey (CHIS) Ask CHIS!, Mortality in Los Angeles County 2007: Leading causes of death and premature death with trends for 1998-2007, Key Indicators of Public Health (2009; 2007; 2005, Health Indicators for Women in Los Angeles County Highlighting Disparities by Ethnicity and Poverty Level, An Epidemiologic Profile of HIV and AIDS in Los Angeles County 2009, U.S. Census Bureau American Community Survey (ACS), Bureau of Labor Statistics (www.bls.gov/data), L.A. County Seniors Count! Survey of the Older Adult Population, Acute Communicable Disease Control Program Annual Morbidity Report And Special Studies Report 2008 Los Angeles County Department of Public Health, Death Profiles by Zip Code (2007; 2005; 2002-03), Current Population Reports Population Projections of the United States by Age, Sex, Race, and Hispanic Origin: 1995 to 2050 P25-1130 Issued February 1996. Focus Groups Focus groups were conducted to collect qualitative information on health care issues that could elaborate and enhance information gleaned from secondary data sources. Five focus groups were conducted with key stakeholders in the SFMC service area. Participants were identified and recruited by SFMC staff. The groups were mixed by age, race/ethnicity and gender. Forty-six individuals participated in separate focus groups, including: o Beneficiaries - Individuals or family members of individuals who receive care or services from SFMC. Separate groups were conducted for English-speaking (N=4) and Spanish-speaking beneficiaries (N=12), with a moderator fluent in Spanish conducting the latter o Seniors - Senior and elderly community members who participate in activities at the SFMC Center for Senior Services (N=8) o Providers - Physicians, nurses, technicians and support personnel who provide health care and social services to the community on a daily basis at SFMC (N=9) o Stakeholders - St. Francis Medical Center staff, SFMC board and SFMC Foundation board of trustee members, community, education, and church leaders, and representatives from local public agencies and private organizations (N=13) The focus group discussions with these participants assessed: o The most important current health care and social concerns in the community that SFMC serves o The availability of health care services and specific areas of service need o Personal experiences with SFMC services and perceptions of service quality o Barriers to accessing health care and SFMC services, and ways to improve access The results from the focus groups are a rich source of perceptions and impressions of SFMC, its programs and services, and knowledge of the surrounding community. This data were used to support secondary data and identify unique aspects of the SFMC community related to health and well-being. |
| Part VI Question 3 | Patients who present at SFMC's Emergency Department and SFMC's Admitting Department are provided with a financial assistance packet that consists of an informational flyer on various programs for which they may be eligible, along with the contact number for SFMC's Health Benefits Resource Center (HBRC). The flyer is in English and Spanish. The packet includes a Medi-Cal application, as well as a Charity Care application. Should they make an appointment with HBRC, patients can fill out the forms prior to their appointment. HBRC staff visits Cash/Self-Pay patients at bedside, screens patients and identifies the programs for which they are eligible. If they have no linkage, HBRC provides information about other programs for which they may qualify such as Charity Care. In addition, there are signs posted in English and Spanish in the Patient Financial Services department and at every point of registration stating that SFMC 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 | DEMOGRAPHICS AND HEALTH AND SOCIAL INDICATORS Age & Ethnicity Hispanics comprise the largest ethnic group in SFMC's service area at 55.36%, followed by Whites at 17.79%, Blacks at 13.93%, Asians at 9.53% and other at 3.38%. According to projections of race/ethnicity in the SFMC SPAs, the Hispanic population will comprise 59.72 percent of the total population by 2020. All other major ethnic groups will comprise less of the total population by 2020, with whites decreasing from 17.79 percent to 15.25 percent, blacks decreasing from 13.93 percent to 12.60 percent, and Asian/Pacific Islanders decreasing from 9.53 percent to 9.27 percent over the same time period. This is significant because some ethnicities have higher rates of incidence of certain diseases. For example, heart disease is the number one cause of death in Latino communities, which makes up the largest percentage of SFMC's service area population. SFMC is addressing this through its Vida Sana/Healthy Life Community Wellness program. The largest age group within the service area is age 15-34 at 29.95%. However, the population in the SFMC service area, similar to county, state, and national trends, is aging. From 2008 to 2015 in the SFMC service area, the most rapidly growing age groups are those between the ages of 55 and 64 and 65 and over. According to projections on age, those within the 65 and over age group will comprise 12.15 percent of the SFMC service area population by 2020, compared to 9.27 percent in 2008. Similarly, those within the combined age groups of 45 to 54 and 55 to 64 will comprise 24.02 percent of the SFMC service area population by 2020, compared to 21.77 percent in 2008. In contrast, it is projected that the population within the lower age groups will see a decrease. SFMC has a long established Senior Program that includes Senior Wellness education, flu immunizations, and Senior Dinners that promote social interaction, staying active, and mental and emotional well-being. By working in collaboration with the city sponsored Senior Centers, SFMC is making efforts to expand participation, and in conjunction with its Health Benefits Resource Center will help to link seniors to needed health and social services. Economic Well-Being In 2008, both SPAs 6 and 7 had higher estimated percentages of individuals with incomes below 300% of the Federal Poverty Level (FPL) than L.A. County, and SPA 6 by a large margin. Overcrowded housing negatively impacts both quality of life as well as the incidence of health problems. In 2008, SPAs 6 and 7 also had higher estimated percentages of overcrowded households than L.A. County, with SPA 6 having the highest percentage. The cities of Lynwood, Compton, Paramount, Huntington Park, Bell, Downey, South Gate, Maywood, and Bell Gardens are part of SPAs 6 and 7, communities which comprise a major portion of SFMC's service area. Education/Workforce Readiness Compounding the problem of unemployment, SPA 6 had the highest percentage of population without a high school diploma (47%) and the lowest percentage of population with any level of college education (26% some college or above) by considerable margins. Thus, SPA 6 is least likely to experience any significant job recovery under circumstances of economic improvement in the near term. SPA 7 had the second highest percentage of population without a high school diploma (36.7%). St. Francis Career College continues to address the obstacles which prevent students from advancing their education. The Career College offers training for careers in health care and support services to help ensure a student's successful completion of the program, along with career advancement training. Access to Health Care Uninsured According to a report by the UCLA Center for Health Policy Research that was published at the time of our 2010 Needs Assessment, nearly two million Californians lost their health insurance in 2008 and 2009, and 8.2 million Californians (nearly one-quarter of the nonelderly population) lacked health insurance for all or part of the year in 2009. L.A. County, in which SFMC resides, had the largest total number of uninsured residents, with 2.7 million nonelderly adults and children (28.9 percent of the total population) experiencing some period of uninsurance in 2009 compared to 24.3 percent for the state. SFMC's Health Benefits Resource Center assesses health benefit eligibility for individuals and families, assists them with health benefits enrollment, and provides linkages to education and social services. Although insurance coverage rates in the SFMC SPAs showed higher rates of job-based coverage and Medi-Cal/Healthy Families and lower rates of uninsured than the county from 2001 to 2007, it should be noted that these percentages have likely changed considerably in the SFMC SPAs since 2008 with the increase in joblessness, data for which was not yet available for the most recent Needs Assessment that was completed by SFMC in 2010. Chronic Disease Compared to other SFMC SPAs and L.A. County, SPA 6 has the highest percentages of adults living with at least one of several chronic health conditions. Hypertension is by far the most prevalent among adults within all SFMC SPAs and the county overall, with SPA 6 reporting the highest percentage at 29 percent. The next most prevalent chronic condition among adults is diabetes, followed by asthma. The percentage of obese children in SFMC SPAs 6 and 7 remains higher than for those in L.A. County and SPA 8, increasing from 26.8 percent and 24.5 percent, respectively in 2002-03, to 28.9 percent and 26 percent, respectively in 2007. Moreover, in 2007, the percentages of obese children in SPAs 6 and 7 were significantly higher than percentages of all other SPAs combined. For adults in SFMC SPAs 6, 7, and 8, percentages of obesity remained higher than those for L.A. County from 2002-03 to 2007, and the percentages for SPAs 6 and 7 were significantly higher than the percentages for all other SPAs combined during the 2002-03 to 2007 time period. Percentages of adults diagnosed with diabetes in SFMC SPAs 6 and 7 remained higher than the percentages for L.A. County over the same time period, and were significantly higher than the percentages of all other SPAs combined in both 2005 and 2007. SFMC's Vida Sana/Healthy Life Community Wellness program, which addresses heart health, diabetes prevention and management, and obesity awareness, expanded last year to include teens and children in its nutrition education and fitness activities. This enhanced scope builds upon a key community asset - a strong family focus within the Latino culture. By including parents and children in the wellness program, family members are able to support one another. This improves the likelihood of their maintaining healthy lifestyle changes. Leading Causes of Death The leading causes of mortality in L.A. County from 2000 to 2007 were heart disease, cancer, stroke, chronic lower-respiratory diseases, and diabetes. Trends for the leading causes of mortality in the SFMC service area for the 2000-2007 period mirrored those for the county, but with higher rates for each leading cause of death. OVERALL RESULTS AND PRIORITY NEEDS All data showed that the needs of children and families in the SFMC service area are great, and in fact often greater than most segments of Los Angeles County and the state of California. The communities served by SFMC are characterized by: Significant poverty High teen pregnancy rates High unemployment Prevalent crime and violence Educational deficiencies A lack of health insurance coverage The most prominent health care issues and concerns highlighted in the Needs Assessment are that residents of the SFMC service area continue to face significant barriers in accessing needed health care. SFMC has been designated as a Disproportionate Share Hospital because of the high number of patients who are uninsured and underinsured. It is of note that approximately 80% of SFMC's reimbursements for service are derived from Medi-Cal, Medicare, and LA County. In addition, communities within SFMC's Service Area have been designated as Medically Underserved Areas and Health Profession Shortage Areas by the Federal Government. Lack of insurance and cost of care, and the lack of access to information about available health care services are among the most pressing concerns articulated by stakeholder, service provider, and beneficiary focus group participants. The consensus among focus group participants is that centralized information outlets about available health care services, including grocery stores, schools, churches, and community centers, would be an effective step toward improving health care access. Regarding primary health issues, data show that major health concerns remain in the SFMC service area, especially chronic conditions and diseases such as heart disease, diabetes, obesity, asthma. The SFMC service area also reported a high prevalence of teen |
| Part VI Question 5 | SFMC provides hospital, medical, and surgical care, including emergency services, to members of the public without regard to age, sex, race, religion, or national origin, or to the individual's ability to pay. SFMC operates a full-time emergency department. Emergency medical services are available to all individuals regardless of their ability to pay. SFMC operates one of the busiest Emergency Departments in Southern California treating over 70,000 patients last year. In 1996, in response to a dramatic lack of Trauma services in Southeast Los Angeles, SFMC established its Trauma Center. The Level II Trauma Center is designated by the Los Angeles County Emergency Medical Services Agency and cared for 1,706 trauma victims last year. SFMC has an Open Medical Staff and provides staff privileges in the medical center to community practitioners. SFMC's board of directors is comprised primarily of members of the Daughters of Charity, a religious order and members from the community which SFMC serves. SFMC reinvests its surplus funds in capital replacement or expansion of facilities and equipment, debt amortization, improvement in patient care and services, and other community benefit services including charity care. SFMC is committed to serving those who are vulnerable and living in poverty, respecting the dignity of each patient, and meeting the health care needs of the whole person - body, mind, and spirit. |
| Part VI Question 6 | The Daughters of Charity Health System (DCHS) is a regional health care system of hospitals and medical centers ("Local Health Ministries') spanning the California coast from the San Francisco Bay Area to Los Angeles. In the spirit of its founders, St. Vincent de Paul, St. Louise de Marillac and St. Elizabeth Ann Seton, the Daughters of Charity Health System is committed to serving the sick and the poor. With Jesus Christ as its model, DCHS advances and strengthens the healing mission of the Catholic Church by providing comprehensive, excellent health care that is compassionate and attentive to the whole person: body, mind and spirit. DCHS promotes healthy families, responsible stewardship of the environment, and a just society through values-based relationships and community based collaboration. Every day in DCHS Local Health Ministries, dedicated associates, physicians and volunteers provide quality, compassionate care. These thousands of people are the hands and hearts of the Daughters of Charity, reaching out to provide comfort and holistic healing - body, mind and spirit - to the people of California, just as the first Daughters did more than 160 years ago. As a member of the Daughters of Charity Health System, SFMC continues to uphold its mission of providing quality medical services to the most vulnerable populations, the sick, the poor, the elderly, and children. SFMC 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 | SFMC annually updates its Community Benefit Report and SFMC files a copy of its Community Benefit Report on an annual basis with the State of California. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | Students of St. Francis Center Career College | TypeOfGrant |
| Number Of Recipients | 165 | NumberOfRecipients |
| Amount Of Cash Grant | 191135 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | GRANTS PAID BY ST. FRANCIS MEDICAL CENTER | Identifier |
| Return Reference | SCHEDULE I, PARTS 1 & 3 | ReturnReference |
| Explanation | ST. FRANCIS CAREER COLLEGE AT ST. FRANCIS MEDICAL CENTER RECEIVES APPLICATIONS FOR SCHOLARSHIPS AND IDENTIFIES THE SCHOLARSHIP RECIPIENT. The scholarships are applied directly to the students' tuition account to ensure it is spent on its intended purpose. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Account | X | DiscretionarySpendingAccount |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Jesse Guevara | |||||||||||||
| 413156 | 0 | 0 | 0 | 16213 | 0 | 8156 | 0 | 20390 | 0 | 457915 | 0 | 0 | 0 |
| Gerald Kozai | |||||||||||||
| 0 | 578568 | 0 | 0 | 0 | 852163 | 0 | 104302 | 0 | 36411 | 0 | 1571444 | 0 | 801679 |
| Marsha C Chan | |||||||||||||
| 287044 | 0 | 0 | 0 | 10422 | 0 | 8156 | 0 | 17063 | 0 | 322685 | 0 | 0 | 0 |
| Beverly S Quaye | |||||||||||||
| 248263 | 0 | 0 | 0 | 0 | 0 | 8156 | 0 | 17071 | 0 | 273490 | 0 | 0 | 0 |
| Patricia E Baesemann | |||||||||||||
| 250105 | 0 | 0 | 0 | 11330 | 0 | 8156 | 0 | 20279 | 0 | 289870 | 0 | 0 | 0 |
| Lawrence Stahl | |||||||||||||
| 232038 | 0 | 0 | 0 | 929 | 0 | 8156 | 0 | 11724 | 0 | 252847 | 0 | 0 | 0 |
| Laura S Kato | |||||||||||||
| 225044 | 0 | 0 | 0 | 1670 | 0 | 8156 | 0 | 13221 | 0 | 248091 | 0 | 0 | 0 |
| Gerald Boden | |||||||||||||
| 210853 | 0 | 0 | 0 | 4443 | 0 | 8156 | 0 | 13591 | 0 | 237043 | 0 | 0 | 0 |
| Linda Camino | |||||||||||||
| 188401 | 0 | 0 | 0 | 284 | 0 | 8156 | 0 | 11564 | 0 | 208405 | 0 | 0 | 0 |
| Adam Garcia | |||||||||||||
| 175764 | 0 | 0 | 0 | 0 | 0 | 8156 | 0 | 15877 | 0 | 199797 | 0 | 0 | 0 |
| Mary Eileen Drees | |||||||||||||
| 177007 | 0 | 0 | 0 | 8675 | 0 | 8156 | 0 | 14163 | 0 | 208001 | 0 | 0 | 0 |
| Patricia Whaley | |||||||||||||
| 177526 | 0 | 0 | 0 | 475 | 0 | 8156 | 0 | 13226 | 0 | 199383 | 0 | 0 | 0 |
| Robert Issai | |||||||||||||
| 0 | 964428 | 0 | 0 | 0 | 1970763 | 0 | 238693 | 0 | 51698 | 0 | 3225582 | 0 | 1686618 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Auto Allowance | Schedule J, Part I, Line 1 | The CFO, Senior Vice President CQO, and VP of Business Development receive an auto allowance. The payments are reported as taxable compensation and reported on Form W-2. Compensation Schedule J, Part I, Line 3 The CEO is an employee of Daughters of Charity Health System. DCHs uses one or more of the following methods to establish top management officials' compensation: independent compensation consultant, compensation survey or study, and approval by the board or compensation committee, form 990 of other organizations, and written contracts. |
| Severance Arrangements | Schedule J, Part I, Line 4a | Some of the listed individuals have a severance provision as part of their employment arrangement. The severance provision ranges from 6 months to 2 years. |
| RETIREMENT PLAN | SCHEDULE J, PART I, LINE 4B | The following individuals participated in supplemental nonqualified retirement plans that are included in compensation reported on Form 990, Part VII, Section A, Column C: Robert Issai $46,330 Gerald Kozai $8,427 |
| Compensation Information | Schedule J, Part II | Other Reportable Compensation in Schedule J, Part II, column B(iii) includes a one-time reporting of compensation related to termination of a non-qualified retirement plan for certain listed individuals. The annual accrual for this amount was reported in prior years as Deferred Compensation in Schedule J, Part II, column D and is being reported on the Form W-2 again as a result of the termination of the plan. The total of the prior year accruals is reported in Schedule J, Part II, column F and should be subtracted from the total compensation reported in Schedule J, Part II, column E to arrive at the true total compensation for the reporting year. |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArt | |
| Art Historical Treasures | ArtHistoricalTreasures | |
| Art Fractional Interest | ArtFractionalInterest | |
| Books And Publications | BooksAndPublications | |
| Clothing And Household Goods | ClothingAndHouseholdGoods | |
| Cars And Other Vehicles | CarsAndOtherVehicles | |
| Boats And Planes | BoatsAndPlanes | |
| Intellectual Property | IntellectualProperty | |
| Securities Publicly Traded | SecuritiesPubliclyTraded | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStock | |
| Securities Prtnrshp Trust Intrsts | SecuritiesPrtnrshpTrustIntrsts | |
| Securities Miscellaneous | SecuritiesMiscellaneous | |
| Qualified Contrib Hist Struct | QualifiedContribHistStruct | |
| Qualified Contrib Other | QualifiedContribOther | |
| Real Estate Residential | RealEstateResidential | |
| Real Estate Commercial | RealEstateCommercial | |
| Real Estate Other | RealEstateOther | |
| Collectibles | Collectibles | |
| Food Inventory | FoodInventory | |
| Drugs And Medical Supplies | DrugsAndMedicalSupplies | |
| Taxidermy | Taxidermy | |
| Historical Artifacts | HistoricalArtifacts | |
| Scientific Specimens | ScientificSpecimens | |
| Archaeological Artifacts | ArchaeologicalArtifacts |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | Equipment | Description |
| Number Of Contributions | 5 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 226978 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | cost | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | true | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (20 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part III, Line 4a | The Daughters of Charity Health System ("DCHS") is a regional health care system of hospitals and medical centers ("Local Health Ministries") spanning the California coast from the San Francisco Bay Area to Los Angeles. In the spirit of our founders, St. Vincent de Paul, St. Louise de Marillac and St. Elizabeth Ann Seton, the Daughters of Charity Health System is committed to serving the sick and the poor. With Jesus Christ as our model, we advance and strengthen the healing mission of the Catholic Church by providing comprehensive, excellent health care that is compassionate and attentive to the whole person: body, mind and spirit. We promote healthy families, responsible stewardship of the environment, and a just society through values-based relationships and community based collaboration. Every day in DCHS Local Health Ministries, dedicated associates, physicians and volunteers provide quality, compassionate care. These thousands of people are the hands and hearts of the Daughters of Charity, reaching out to provide comfort and holistic healing - body, mind and spirit - to the people of California, just as the first Daughters did more than 150 years ago. As a member of the Daughters of Charity Health System, St. Francis Medical Center continues to uphold its mission of providing quality medical services to the most vulnerable populations, the sick, the poor, the elderly, and children. St. Francis 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, 2012, St. Francis Medical Center provided total quantifiable community benefits of $272.4 million. After offsetting direct revenue, St. Francis Medical Center provided unsponsored community benefits of $39.9 million, at cost. Total unsponsored community benefits of $39.9 million, at cost consisted of quantifiable unsponsored benefits for the poor at a cost of $36.4 million, and quantifiable unsponsored benefits to the broader community at a cost of $0.9 million and quantifiable unsponsored benefits to beneficiaries of the Medicare program at a cost of $2.6 million. | |
| Form 990 Part IV, Line 12A, and Part XII, Line 2b and 2c | The financial statements of the organization are consolidated by the Daughters of Charity Health System and include each of the affiliated Local Health Ministries, their related fundraising Foundations and other related organizations (as listed on Form 990 Schedule R) in accordance with GAAP and audited by an independent public accounting firm. The Daughters of Charity Health System's Board and Audit Committee of the Board have responsibility for oversight of the audit of the consolidated financial statements and selection of the independent public accounting firm. | |
| Form 990 Part VI, Line 6 | St. Francis Medical Center has one member, Daughters of Charity Health System, a California nonprofit religious corporation. | |
| Form 990 Part VI, Line 7a | The Member's Board of Directors may appoint the organization's directors and officers. | |
| Form 990 Part VI, Line 7b | The sole member has broad powers including the power to amend the Bylaws and Articles of Incorporation, and approve, interpret and change any statement of mission, philosophy, role or purpose of St. Francis Medical Center. The member has the right to approve any merger, dissolution, consolidation or reorganization of St. Francis Medical Center. In addition, the member has the right to approve capital and operating budgets, approve debt incurred or guaranteed, approve the disposition of the assets, and establish policy concerning quality of care, finance and resources. Finally, the member has such other powers and rights as provided by the California Nonprofit Corporation Law. | |
| Form 990, Part VI, Line 11b | Grant Thornton LLP and the System's finance staff work together to gather the required tax information necessary to complete the tax returns. The initial draft return is reviewed by Grant Thornton and the System's finance staff. After the return is discussed and reviewed, recommended changes are reflected on the return and a draft tax return is prepared. The draft tax return is presented to and reviewed with the Finance Committee of the Board. After approval of the tax return by the Finance Committee of the Board, a final version of the draft return is prepared. The full Board of Directors of the organization receives the final version of the draft return prior to the return being filed. | |
| 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 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 | St. Francis Medical Center makes its Form 990 available upon request. | |
| Form 990, Part XI, Line 5 | The other changes in net assets or fund balance consist of the following: Change in Unrealized Loss on Investments ($5,661,885) Change in Funded Status of Pension Plans ($59,822,506) | |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:Charles Druten TITLE:Vice Chair and Lay Member HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:Victor Caballero TITLE:Treasurer and Lay Member HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:Robert Issai TITLE:Ex Officio Voting Member HOURS:52 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:Sister Francis Sullivan DC TITLE:Board Member HOURS:2 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:Amod Moosa MD TITLE:Lay Member HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:Sister Marion Bill DC TITLE:Board Member HOURS:8 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:Sister Patricia Miguel DC TITLE:Board Member HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:Harding Young MD TITLE:Lay Member HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:Jesse Guevara TITLE:CFO HOURS:2 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:Mary Eileen Drees TITLE:VP of Dev't & CEO Foundation HOURS:41 | FORM 990 PART VII |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | See Part VII | BusinessNameLine1 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | See Part VII | BusinessNameLine1 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | See Part VII | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Caritas Business Services | ||
| L | 945571 | Cost |
| Daughters of Charity Health System | ||
| R | 84103 | Cost |
| Daughters of Charity Health System | ||
| O | 37326223 | Cost |
| St Francis Foundation | ||
| C | 2895760 | Cost |
| Seton Medical Center | ||
| D | 5226480 | Cost |
| Seton Medical Center | ||
| Q | 8697624 | Cost |
| St Vincent Medical Center | ||
| D | 3509622 | Cost |
| O'connor Hospital | ||
| D | 2580674 | Cost |
| SAINT Louise Regional Hospital | ||
| D | 4756503 | Cost |
| St Francis Foundation | ||
| M | 32686 | Cost |
| St Francis Foundation | ||
| N | 634651 | Cost |
| St Francis Foundation | ||
| P | 374347 | Cost |
Form990 Schedule R Part VII Form990ScheduleRPartVII (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Schedule R, Part II | The following organizations listed below are related to the filing organization including the organization itself: 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 Daughters of Charity Health System 26000 Altamont Road Los Altos Hills, CA 94022-4317 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 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 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 Col (F): Direct Controlling Entity Name - Daughters of Charity Ministry Services Corporation 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 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 Robert F. Kennedy Medical Center 26000 Altamont Road Los Altos Hills, CA 94022-4317 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 Robert F. Kennedy Medical Center Foundation 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 95-3745227 Line (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 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 St. Francis Medical Center of Lynwood Foundation 3630 East Imperial Highway 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 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 Saint Louise Regional Hospital Foundation 18550 De Paul Drive Morgan Hill, CA 95037 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 St. Vincent Medical Center 2131 West 3rd 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 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 St. Vincent Dialysis Center 2131 West 3rd 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 St. Vincent Foundation 2131 West 3rd Street 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 St. Vincent Senior Center Nutrition Program, Inc. 2131 West 3rd 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 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 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 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 |
| 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 - $493,967 Col (G): Share of end-of-year assets - $3,709,538 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% Campbell-Gateway Square, A California Limited Partnership 1960 The Alameda, Suite 20 San Jose, CA 95126 EIN: 77-0313494 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 - Unrelated Business Income Col (F): Share of Total Income - $783,476 Col (G): Share of end-of-year assets - $6,037,758 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 - 65% |
| Schedule R, Part IV | Marillac Insurance Company, Ltd. c/o Aon Insurance Managers (Cayman), Ltd. P.O. Box 69GT, B.W.I., Cayman Islands 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 - ($39,851) Col (G): Share of end-of-year assets - $81,806,018 Col (H): Percentage ownership - 100% |
Comments