ST FRANCIS MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ST FRANCIS MEDICAL CENTER (EIN 91-2154439)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-10
IRS object ID
201221319349302442
Schema version
2010v3.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-10T15:36:23-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1ONE CALIFORNIA STREET SUITE 2300AddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94111ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN912154439EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Francis Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTFRNameControl
Phone3109007307Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13630 East Imperial HighwayAddressLine1
CityLynwoodCity
StateCAState
ZIP Code90262ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJESSE GUEVARAName
TitleCFOTitle
Date Signed2012-05-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOE DETRANEName
Phone4159863900Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGerald KozaiNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13630 East Imperial HighwayAddressLine1
CityLynwoodCity
StateCAState
ZIP Code90262ZIPCode
FieldValueIRS element (for citing)
Gross Receipts412972905GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.stfrancismedicalcenter.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionSee attachment 1ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees2392TotalNbrEmployees
Total Nbr Volunteers379TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8960926ContributionsGrantsPriorYear
Contributions Grants Current Year6387922ContributionsGrantsCurrentYear
Program Service Revenue Prior Year305552863ProgramServiceRevenuePriorYear
Program Service Revenue CY396717492ProgramServiceRevenueCY
Investment Income Prior Year6484240InvestmentIncomePriorYear
Investment Income Current Year8440899InvestmentIncomeCurrentYear
Other Revenue Prior Year1952695OtherRevenuePriorYear
Other Revenue Current Year1426592OtherRevenueCurrentYear
Total Revenue Prior Year322950724TotalRevenuePriorYear
Total Revenue Current Year412972905TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1566087GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY10763746GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year177469470SalariesEtcPriorYear
Salaries Etc Current Year184906859SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year138337085OtherExpensePriorYear
Other Expenses Current Year182707297OtherExpensesCurrentYear
Total Expenses Prior Year317372642TotalExpensesPriorYear
Total Expenses Current Year378377902TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5578082RevenuesLessExpensesPriorYear
Revenues Less Expenses CY34595003RevenuesLessExpensesCY
Total Assets BOY332461538TotalAssetsBOY
Total Assets EOY387150274TotalAssetsEOY
Total Liabilities BOY205674265TotalLiabilitiesBOY
Total Liabilities EOY220272776TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY126787273NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY166877498NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionST. 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense291781751Expense
Grants10763746Grants
Revenue396717492Revenue
DescriptionST. FRANCIS MEDICAL Center (SFMC) SERVICES THE HEALTHCARE AND SOCIAL NEEDS OF THE COMMUNITIES 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 Expense291781751TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096230NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2392NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonWAHID CHOUDHURYNamePerson
Telephone Number6505516601TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1203 REDWOOD SHORES PKWY 800AddressLine1
CityRedwood CityCity
StateCAState
ZIP Code94065ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
CHARLES DRUTEN
VICE CHAIR AND LAY MEMBER3.0XX000
SISTER PAULE FREEBURG DC
BOARD MEMBER - CYPT3.0X000
SISTER JOANNE LAVIOLETTE DC
SECRETARY3.0XX000
VICTOR CABALLERO
TREASURER AND LAY MEMBER3.0XX000
LOUIS RUBINO PHD
LAY MEMBER3.0X000
ROBERT ISSAI
EX OFFICIO VOTING MEMBER3.0X01108923284616
SISTER WILLIAM EILEEN DUNN DC
BOARD MEMBER - CYPT3.0X000
SISTER FRANCIS SULLIVAN DC
BOARD MEMBER3.0X000
AMOD MOOSA MD
LAY MEMBER3.0X15020000
SISTER JOYCE WELLER DC
BOARD CHAIR4.0XX000
SISTER MARION BILL DC
BOARD MEMBER2.0X000
SISTER PATRICIA MIGUEL DC
BOARD MEMBER2.0X000
SAMUEL P YNZUNZA
LAY MEMBER3.0X000
HARDING YOUNG MD
LAY MEMBER3.0X5111100
SISTER MARY JOSEPH SUTTER
BOARD MEMBER2.0X000
JESSE GUEVARA
CFO40.0X312690018404
GERALD T KOZAI
CEO40.0X0596899119008
MARSHA C CHAN
SR VICE PRESIDENT CQO40.0266555021404X
PATRICIA E BAESEMANN
VP BUSINESS DEVELOPMENT40.0256001021404X
BEVERLY S QUAYE
VP PATIENT CARE SERVICES40.0227045018404X
LAWRENCE STAHL
VP AMBULATORY AND SUPPORT SVCS40.0233148018404X
LAURA S KATO
VP HUMAN RESOURCES40.0205717018404X
GERARDO MERCADO
RN II40.0213020018404X
Adam Garcia
TECH, CATH LAB CVRT 10HR40.0199761018404X
Nina WASUTA-MOORE
RN II40.0192491018404X
gerald boden
Sen Director-Pharmacy & Lab Sv40.0192409022563X
Susan Gabayeron
RN III40.0190695018404X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2690843TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1705822TotalReportableCompFrmRltdOrgs
Total Other Compensation616227TotalOtherCompensation
Number Individuals GT100 K452NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Apple Care Medical Group
6131 Orangethorpe AveBUENA PARKCA90620Physician services3126333
St Francis Medical Center Gas Inc
163 Ashdale PlLOS ANGELESCA90049Physician services2940364
COMFORCE TECHNICAL SERVICES INC
PO BOX 9695UNIONDALENY11555registry/temp serv.2617845
Omnicare Medical Group
3680 E Imperial HwyLYNWOODCA90262Physician services1639876
Comspec
425 E Colorado StGLENDALECA91205Collection Agency1008673
FieldValueIRS element (for citing)
Number Of Contractors GT100 K59NumberOfContractorsGT100K
Related Organizations4412555RelatedOrganizations
Government Grants71767GovernmentGrants
All Other Contributions1903600AllOtherContributions
Noncash Contributions310413NoncashContributions
Total Contributions6387922TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CLINIC REVENUE621400612403612403
NET PATIENT REVENUE622110391959995391959995
EDUCATIONAL REVENUE90009934543813454381
OTHER PROGRAM REVENUE900099546456546456
MEDICAL OFFICE BUILDING REVENUE531120144257144257
FieldValueIRS element (for citing)
Total Program Service Revenue396717492TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8440899TotalRevenueColumn
Exclusion$8,440,899ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA722210721368$721,368
GIFT SHOP453220345971$345,971
VENDING MACHINE900099232337$232,337

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column126916TotalRevenueColumn
Exclusion$126,916ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1426592TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column412972905TotalRevenueColumn
Related Or Exempt Function Income396717492RelatedOrExemptFunctionIncome
Exclusion$9,867,491ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total10555576Total
Program Services10555576ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total208170Total
Program Services208170ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1743666Total
Program Services665998ProgramServices
Management And General1077668ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total140724911Total
Program Services111556424ProgramServices
Management And General29168487ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total14738570Total
Program Services11813911ProgramServices
Management And General2924659ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total16910093Total
Program Services13556550ProgramServices
Management And General3353543ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total10789619Total
Program Services8631695ProgramServices
Management And General2157924ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total180085Total
Management And General180085ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1399933Total
Management And General1399933ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total136955Total
Management And General136955ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total55840564Total
Program Services32756682ProgramServices
Management And General23083882ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total186208Total
Program Services8731ProgramServices
Management And General177477ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5499727Total
Program Services1665309ProgramServices
Management And General3834418ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total6294019Total
Program Services4598189ProgramServices
Management And General1695830ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7631213Total
Program Services3935218ProgramServices
Management And General3695995ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total313806Total
Program Services47071ProgramServices
Management And General266735ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total148754Total
Program Services9780ProgramServices
Management And General138974ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total7565335Total
Program Services5522695ProgramServices
Management And General2042640ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total13419040Total
Program Services9795899ProgramServices
Management And General3623141ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total8321136Total
Program Services6074429ProgramServices
Management And General2246707ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVIDER FEES3528720835287208
MEDICAL SUPPLIES2873329428733294
BAD DEBTS881160660592742752332
LICENSES AND TAXES1141467977431043724
RECRUITING58939960643528756

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1207548Total
Program Services141262ProgramServices
Management And General1066286ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total378377902Total
Program Services291781751ProgramServices
Management And General86596151ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY102452314BOY
EOY154248626EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY66777315BOY
EOY63208314EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY303727BOY
EOY155779EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4704076BOY
EOY4675353EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1347139BOY
EOY14316287EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis285648567LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec135887906LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY156137939BOY
EOY149760661EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY739028BOY
EOY785254EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY332461538BOY
EOY387150274EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY31377199BOY
EOY51455575EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY251746BOY
EOY165734EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY174045320BOY
EOY168651467EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY205674265BOY
EOY220272776EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY126787273BOY
EOY166877498EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY126787273BOY
EOY166877498EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY332461538BOY
EOY387150274EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses34595003ReconcilationRevenueExpenses
Reconcilation Other Changes5495222ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2156721OtherCostOrOtherBasis
Book Value2156721BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis190828132OtherCostOrOtherBasis
Depreciation86660383Depreciation
Book Value104167749BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis126285OtherCostOrOtherBasis
Depreciation85141Depreciation
Book Value41144BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis78702556OtherCostOrOtherBasis
Depreciation49142382Depreciation
Book Value29560174BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13834873OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value13834873BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings149760661TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
OTHER NON-CURRENT LIABILITIES$132,379
PENSION OBLIGATION$37,395,820
DUE TO GOVERNMENT AGENCIES$1,194,964
DUE TO RELATED PARTIES$129,696,803
OTHER LIABILITIES$231,501
FieldValueIRS element (for citing)
Total Of Amounts168651467TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart X Line 2Identifier
ExplanationDaughters of Charity Health System and its affiliates do not have a liability for uncertain tax positions under FIN 48 (ASC 740) on their consolidated financial statements for the year ended June 30, 2011. 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

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served15486PersonsServed
Total Community Benefit Expense15406204TotalCommunityBenefitExpense
Direct Offsetting Revenue1903597DirectOffsettingRevenue
Net Community Benefit Expense13502607NetCommunityBenefitExpense
Percent Of Total Expense0.03650PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served50633PersonsServed
Total Community Benefit Expense147702909TotalCommunityBenefitExpense
Direct Offsetting Revenue142666201DirectOffsettingRevenue
Net Community Benefit Expense5036708NetCommunityBenefitExpense
Percent Of Total Expense0.01360PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served66119PersonsServed
Total Community Benefit Expense163109113TotalCommunityBenefitExpense
Direct Offsetting Revenue144569798DirectOffsettingRevenue
Net Community Benefit Expense18539315NetCommunityBenefitExpense
Percent Of Total Expense0.05010PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served81026PersonsServed
Total Community Benefit Expense4016783TotalCommunityBenefitExpense
Net Community Benefit Expense4016783NetCommunityBenefitExpense
Percent Of Total Expense0.01090PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served1522PersonsServed
Total Community Benefit Expense2723057TotalCommunityBenefitExpense
Net Community Benefit Expense2723057NetCommunityBenefitExpense
Percent Of Total Expense0.00740PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense8121440TotalCommunityBenefitExpense
Net Community Benefit Expense8121440NetCommunityBenefitExpense
Percent Of Total Expense0.02200PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Persons Served3575PersonsServed
Total Community Benefit Expense55728TotalCommunityBenefitExpense
Net Community Benefit Expense55728NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served86123PersonsServed
Total Community Benefit Expense14917008TotalCommunityBenefitExpense
Net Community Benefit Expense14917008NetCommunityBenefitExpense
Percent Of Total Expense0.04050PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served152242PersonsServed
Total Community Benefit Expense178026121TotalCommunityBenefitExpense
Direct Offsetting Revenue144569798DirectOffsettingRevenue
Net Community Benefit Expense33456323NetCommunityBenefitExpense
Percent Of Total Expense0.09060PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Persons Served182PersonsServed
Total Community Building Expense4033TotalCommunityBuildingExpense
Net Community Building Expense4033NetCommunityBuildingExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Persons Served182PersonsServed
Total Community Building Expense4033TotalCommunityBuildingExpense
Net Community Building Expense4033NetCommunityBuildingExpense
Percent Of Total Expense0.00060PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$8,811,606BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare72472202AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare76530645CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-4058443MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line13630 E IMPERIAL HIGHWAYAddressLine1
CityLYNWOODCity
StateCAState
ZIP Code90262ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherTRAUMA CENTEROther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent200.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Average Negotiated RatesXAverageNegotiatedRates
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifierExplanationExplanation
Part I, line 3cN/A
Part I, line 6aSt. 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 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 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 7gSt. 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 2011 alone, the clinics received 48,497 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 69,363 Emergency Department patients and 1,339 Trauma Patients in fiscal year 2011.
Part I, line 7, column (f)Form 990, Part IX, line 25, Column A for SFMC reflects a bad debt expense of $8,811,606 which is not included in the line 7 calculation.
Part I, Line 7SFMC utilizes a cost accounting system that determines costs for providing medical services based on the organization's relationship of costs to charges.
Part IIN/A
Part III, line 4SFMC is included in the DCHS Consolidated Audited Financial Statements. The financial statements for FY 2011 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 8SFMC 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 9bSFMC 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 2In an effort to identify the most critical health care needs in SFMC's service area, a Community 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 Needs Assessment is integrated with the external environment analysis and the organizational analysis. METHODOLOGY To ensure differing perspectives and thoroughness, the Community 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 3Patients 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 4DEMOGRAPHICS 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 comprise SPAs 6 and 7, communities which comprise a major portion of SFMC's service area. Education/Workforce Readiness Compounding the problem of unemployment, among the SFMC SPAs in 2008, 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%) among SFMC SPAs. 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 recent report by the UCLA Center for Health Policy Research, 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 assists individuals and families 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 expanded this year to include teens and children in its nutrition education and fitness activities. Its primary focuses are heart health, diabetes prevention and management, and obesity awareness. SFMC's new Diabetes Intervention Program directly addresses this disease (page 21). 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 (Figure 11). 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 births. More opportunities are needed for education advancement, and in SPA 6, safety and violence remain key concerns, with homicide consistently ranking as the sixth leading cause of death from 2000 to 2007. While the community surrounding St
Part VI, Question 5SFMC 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 69,000 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 1,339 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 6The Daughters of Charity Health System (DCHS) is a regional health care system of hospitals and medical centers ("Local Health Ministries') spanning the California coast from the San Francisco Bay Area to Los Angeles. In the spirit of its founders, St. Vincent de Paul, St. Louise de Marillac and St. Elizabeth Ann Seton, the Daughters of Charity Health System is committed to serving the sick and the poor. With Jesus Christ as its model, DCHS advances and strengthens the healing mission of the Catholic Church by providing comprehensive, excellent health care that is compassionate and attentive to the whole person: body, mind and spirit. DCHS promotes healthy families, responsible stewardship of the environment, and a just society through values-based relationships and community based collaboration. Every day in DCHS Local Health Ministries, dedicated associates, physicians and volunteers provide quality, compassionate care. These thousands of people are the hands and hearts of the Daughters of Charity, reaching out to provide comfort and holistic healing - body, mind and spirit - to the people of California, just as the first Daughters did more than 150 years ago. As a member of the 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 7SFMC annually updates its Community Benefits Report and SFMC files a copy of its Community Benefits Report on an annual basis with the State of California.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
daughters of charity health System
26000 Altamont RdLos Altos HillsCA94022912145484501(c)(3)1679631General support
O'Connor Hospital
2105 Forest AvenueSan JoseCA95128912154436501(c)(3)8875945General Support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of Grantstudents of st francis career collegeTypeOfGrant
Number Of Recipients111NumberOfRecipients
Amount Of Cash Grant208170AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGRANTS PAID BY ST FRANCIS MEDICAL CENTERIdentifier
Return ReferenceSCHEDULE I, PARTS 1 & 3ReturnReference
ExplanationST 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

FieldValueIRS element (for citing)
Discretionary Spending AccountXDiscretionarySpendingAccount
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT ISSAI
088405500022486802637850208310139353900
AMOD MOOSA MD
150200000000000150200000
JESSE GUEVARA
29690400015786082340101700331094000
GERALD T KOZAI
057771700019182090660028348071590700
MARSHA C CHAN
25613300010422082340131700287959000
PATRICIA E BAESEMANN
2463130009688082340131700277405000
BEVERLY S QUAYE
2270450000082340101700245449000
LAWRENCE STAHL
232219000929082340101700251552000
LAURA S KATO
2041660001551082340101700224121000
GERARDO MERCADO
212849000171082340101700231424000
Adam Garcia
1997610000082340101700218165000
Nina WASUTA-MOORE
192187000304082340101700210895000
gerald boden
1897520002657082340143290214972000
Susan Gabayeron
1906950000082340101700209099000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Auto AllowanceSchedule J, Part I, Line 1The 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.
RETIREMENT PLANSCHEDULE J, PART I, LINE 4BThe 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 $88,572 Gerald Kozai $16,835

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionMedical EquipmentDescription
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990310413NoncashContribsRptdF990
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (19 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part III, Line 4aThe 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, 2011, St. Francis Medical Center provided total quantifiable community benefits of $254.8 million. After offsetting direct revenue, St. Francis Medical Center provided unsponsored community benefits of $37.7 million, at cost. Total unsponsored community benefits of $37.7 million, at cost consisted of quantifiable unsponsored benefits for the poor at a cost of $32.9 million, and quantifiable unsponsored benefits to the broader community at a cost of $0.8 million and quantifiable unsponsored benefits to beneficiaries of the Medicare program at a cost of $4.0 million.
Form 990 Part IV, Line 12A, and Part XII, Line 2b and 2cThe 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 6St. Francis Medical Center has one member, Daughters of Charity Health System, a California nonprofit religious corporation.
Form 990 Part VI, Line 7aThe Member's Board of Directors may appoint the organization's directors and officers.
Form 990 Part VI, Line 7bThe 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 11bGrant 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 12cDaughters 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 15bThe 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 19St. Francis Medical Center makes its Form 990 available upon request.
Form 990, Part XI, Line 5The other changes in net assets or fund balance consist of the following: Change in Unrealized Gain on Investments $5,495,222
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:CHARLES DRUTEN TITLE:VICE CHAIR AND LAY MEMBER HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:SISTER PAULE FREEBURG, DC TITLE:BOARD MEMBER - CYPT HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:VICTOR CABALLERO TITLE:TREASURER AND LAY MEMBER HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:ROBERT ISSAI TITLE:EX OFFICIO VOTING MEMBER HOURS:50FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:SISTER WILLIAM EILEEN DUNN, DC TITLE:BOARD MEMBER - CYPT HOURS:4FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:SISTER FRANCIS SULLIVAN DC TITLE:BOARD MEMBER HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:AMOD MOOSA MD TITLE:LAY MEMBER HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:SISTER MARION BILL DC TITLE:BOARD MEMBER HOURS:10FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:HARDING YOUNG MD TITLE:LAY MEMBER HOURS:1FORM 990 PART VII

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1See Part VIIBusinessNameLine1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1See Part VIIBusinessNameLine1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SEe Part VIIBusinessNameLine1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
ST LOUISE REGIONAL HOSPITAL
p1373409
SETON MEDICAL CENTER
o5778412
SETON MEDICAL CENTER
p749798
Caritas Business Services
l362539
O'Connor Hospital
o9185630
O'Connor Hospital
p6387673
O'Connor Hospital
b8875945
SAINT VINCENT MEDICAL CENTER
o8967945
SAINT VINCENT MEDICAL CENTER
p10495111
St Francis medical center of lynwood fdn
c4412555
St Francis medical center of lynwood fdn
n775224
St Francis medical center of lynwood fdn
p613896
Daughters of Charity health system
o30435409
Daughters of Charity health system
b1679631

Form990 Schedule R Part VII Form990ScheduleRPartVII (3 entries)

IdentifierIdentifierExplanationExplanation
Schedule R, Part IIThe following organizations listed below are related to the filing organization including the organization itself: Daughters of Charity Ministry Services Corporation 3663 Martin Luther King Jr. Blvd. Lynwood, CA 90262 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): Director Controlling Entity Name - Daughters of Charity Health System Hotel Dieu, Inc. 3663 Martin Luther King Blvd. Lynwood, California 90262 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): Director 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 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 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
Schedule R, Part IIIO'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 - $523,745 Col (G): Share of end-of-year assets - $3,856,536 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 - $733,880 Col (G): Share of end-of-year assets - $6,055,051 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 IVMarillac 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 - $10,484,306 Col (G): Share of end-of-year assets - $67,958,395 Col (H): Percentage ownership - 100%

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.