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94038"}],"facility_policies":[{"business_name_line1":"A","chna_conducted":true,"community_definition":true,"community_demographics":true,"existing_resources":true,"how_data_obtained":true,"community_health_needs":true,"other_health_issues":true,"community_health_needs_identification_process":true,"consulting_process":true,"chna_conducted_year":11,"took_into_account_others_input":true,"chna_conducted_with_other_facilities":true,"chna_report_widely_available":true,"report_available_on_own_website":true,"paper_copy_public_inspection":true,"implementation_strategy_adopted":true,"strategy_posted_website":true,"organization_incurred_excise_tax":false,"adopt_budget":true,"all_needs_addressed":false,"eligibility_criteria_explained":true,"fpg_family_income_limit_free_discounted":true,"fpg_family_income_limit_free_care_percentage":200.0,"fpg_family_income_limit_discounted_care_percentage":350.0,"fpg_used_determine_discounted_care":true,"income_level_criteria":true,"asset_level_criteria":true,"medical_indigency_criteria":true,"insurance_status_criteria":true,"basis_explained":true,"application_financial_assistance_explanation":true,"includes_publicity_measures":true,"fap_available_on_website":true,"fap_available_on_request_no_charge":true,"fap_notified_all_patients":true,"fap_actions_on_nonpayment":true,"attached_to_invoice":true,"posted_in_admission_office":true,"posted_in_emergency_room":true,"provided_on_admission":true,"collection_activities":false,"provided_written_notice":true,"made_effort_orally_notify":true,"processed_fap_application":true,"nondiscriminatory_emergency_care_policy":true,"lookback_medicare":true,"medicaid_medicare":true,"state_regulation":true,"uninsured_discount":true,"amounts_generally_billed":false,"gross_charges":false,"develop_community_wide_plan":true,"exec_community_wide_plan":true,"include_operational_plan":true,"information_gaps":true,"prioritize_health_needs":true,"prioritize_services":true,"name":"A"}],"supplemental_information":[{"explanation":"Seton Medical Center (SMC) prepares an annual Community Benefit Report. The report includes both the SMC location and the Seton Medical Center Coastside (SMCC) location. The Community Benefit Plan (CBP) is driven by the commitment to the Daughters of Charity's mission by the Seton Medical Center Executive Team and the Community Advisory Committee (CAC). Committee members consisting of leaders in the communities represent schools, places of worship, community services and businesses, meet quarterly to discuss our community benefit plan and receive updates on the accomplishments of the CBP goals and objectives. Quarterly reports are presented to the SMC/SMCC Board of Directors and Daughters of Charity Health System (DCHS) corporate offices. An annual update is prepared and presented to the SMC/SMCC Board of Directors for approval. The annual update is made available to medical center leadership, key stakeholders, DCHS, and the community. The annual update is presented to the California Office of Statewide Planning and Development, in accordance with SB697."},{"explanation":"Form 990, Part IX, line 25, Column A for SMC/SMCC reflects a bad debt expense of $9,721,971 which is not included in the line 7 calculation."},{"explanation":"SMC/SMCC utilizes a cost accounting system that determines costs for providing medical services based on the organizations relationship of costs to charges."},{"explanation":"SMC/SMCC is included in the DCHS Consolidated Audited Financial Statements. The financial statements for FY 2013 do not contain a separate footnote on bad debts. Bad debt expense is estimated by utilizing historical collections data of self-pay patients."},{"explanation":"SMC/SMCC utilizes a cost accounting system that determines costs for providing medical services based on the organizations relationship of costs to charges."},{"explanation":"SMC/SMCC follows the Collection Practices as outlined in DCHS Charity Care and Financial Discount and Financial Assistance operating policies. For patients who qualify for charity care and financial discount, SMC/SMCC provides the patient with a written notice prior to commencing collection activities. The notice states that nonprofit counseling services may be available in the area and provides information concerning state and federal law requirements for debt collectors. SMC/SMCC does not pursue legal action for non-payment of bills against any household where the primary wage earner(s) is unemployed or there are not significant income sources. SMC/SMCC does not assign patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SMC/SMCC does not report adverse information to a consumer credit agency or commence civil action for nonpayment of a patient debt prior to 150 days after the initial billing of the patient. SMC/SMCC does not use wage garnishments or liens on real property as a means of collecting unpaid hospital bills for eligible patients. SMC/SMCC expects its external collection agencies to not pursue legal action against an eligible patient without prior approval from SMC/SMCC. SMC/SMCC expects its external collection agencies to follow Fair Debt and Collection Practices, Assembly Bill AB774 and act in a manner that treats individuals with dignity, respect and compassion. In addition, for patients who qualify for financial assistance, SMC/SMCC does not pursue legal action for non-payment of bills against any household where the primary wage earner(s) is unemployed, uninsured or there are not significant income sources or assets. SMC/SMCC does not assign eligible patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SMC/SMCC does not use liens on real property as a means of collecting unpaid hospital bills for eligible patients."},{"explanation":"See disclosure for Part VI, Question 2."},{"explanation":"The CHNA report can be accessed at: http://seton.dochs.org/aboutus/community-benefit"},{"explanation":"Seton Medical Center Implementation plan does not address all of the health priorities needs because of lack of resources. Additionally Seton refers to programs offered in the community addressing these identified needs. The community asset mapping identifies resources and services for top community health needs. Seton will continue to collaborate with the community services and resources that address these top community health needs. Asthma & Respiratory: Not identified as one of the top five priorities by CAC due to lack of resources to expand services. Seton Medical Center provides asthma and respiratory direct service programs that address these health needs health and refers to community resources. Substance Abuse: Seton does not have the resources to provide direct services for substance abuse treatment/ prevention. Seton provides referrals to the following community partners/programs addressing substance abuse. o Alcoholic, Alanon, Alateen Recovery o Asian American Recovery Services o Catholic Charities o El Centro de Libertad o Pyramid Alternatives o StarVISTA o Sitike Counseling Center o Pyramid Alternative o Women's Recovery Association Poor Oral Health: Seton does not have the resources to provide a dental program. Seton provides referrals to community based programs (Sonrisas and County Health Department). Violence: Seton does not have the resources to provide direct services. Seton partners with the following community programs that provide counseling and address violence: o Community Overcoming Relationship Abuse: CORA o ALICE: Filipino organization domestic violence prevention education o Freedom House o Rape Trauma Services o Fatherhood Collaborative and Cleo Eulau Center o Police Activities League o Bay Area Legal Aide Infectious Disease: Seton has an infection control program within the hospital and educates the community about hand hygiene during the flu season. Seton refers people seeking Tb screenings to the County Health Department. STDs, including HIV-AIDS: Seton does not have the resources to provide an STD program, Seton refers to community programs and services including, County Health Clinic, Clinic by the Bay, and the Daly City Youth Health Center."},{"explanation":"The Community Assessment: Health & Quality of Life in San Mateo County is designed to serve as a tool for guiding policy and planning efforts, and to formulate strategies to improve the quality of life. For participating hospitals, the information in the assessment will serve to assist in developing Community Benefit Plans pursuant to SB 697. In an effort to identify the most critical health care needs in SMC/SMCC's service area, a Community Needs Assessment is conducted every three years. The annual SMC/SMCC Community Benefit Plan (CBP) is developed through (1) analysis of San Mateo County health indicators and (2) review of the accomplishments of CBP goals. SMC and SMCC Community Advisory Committee (CAC) members meet quarterly to receive updates on the accomplishments on the CBP goals and participate in discussions concerning community health. Annual CBP reports are presented to the SMC Board for review, discussion and approval. Analysis of State, County and local health indicators are conducted through the review of the 2011 San Mateo County Needs Assessment: Health and Quality of Life. The Healthy Community Collaborative of San Mateo County, a group of San Mateo County organizations interested in the community's health, worked together to conduct the 2011 Community Needs Assessment of San Mateo County as follow-up to assessments conducted in 1995, 1998, 2001, 2004 and 2008. A copy of the complete Community Needs Assessment, is available on the Internet on the County Website or Peninsula Library System website at http://plsinfo.org/healthysmc. The 2011 Community Assessment: Health & Quality of Life in San Mateo County is designed to serve as a tool for guiding policy and planning efforts, and to formulate strategies to improve the quality of life. For participating hospitals, the information in this assessment will serve to assist in developing Community Benefit Plans pursuant to Legislative Bill 697. The goals of the Community Collaborative are twofold: 1. To produce a functional, comprehensive, triennial community needs assessment that can be used for strategic planning of community programs throughout the County and as a guideline for policy and advocacy efforts; and 2. To promote collaborative efforts in the community to develop projects to improve the health of our communities based on the data, community input, and group consensus. Healthy Community Collaborative Members: o Health Plan of San Mateo o San Mateo Co. Health Dept. o Hospital Consortium of San Mateo Co. o San Mateo Medical Center o Hospital Council of North & Central CA o Sequoia Hospital o Kaiser Permanente, San Mateo Area o Seton Medical Center o Lucille Packard Children's Hospital o Seton Medical Center Coastside o Mills Peninsula Health Services o Silicon Valley Community o Peninsula Family YMCA o Stanford Hospital and Clinics o Peninsula Library System Services o Youth and Family Enrichment The following are key findings from the 2011 Community Assessment: Health & Quality of Life in San Mateo reflect the disturbing fact that the percentage of uninsured continues to rise and an ongoing trend of unhealthy behaviors that result in overweight and obesity in adults and children. Excess weight leads to higher risk of cardiovascular disease, type 2 diabetes, hypertension, stroke and certain types of cancer, as well as mental, emotional and social stress. o San Mateo County is among the most culturally and ethnically diverse counties. Asian and Hispanic residents, along with seniors, are expected to continue to become increasingly greater proportions of the population. We are not adequately prepared for this enormous demographic shift. o There are two San Mateo Counties: one for the economic \"haves\" and one for the economic \"have nots.\" The gap between these two is growing. o The actual causes of premature death are rooted in behavior, and it is estimated that as many as 50% of premature deaths are due to health risk behaviors such as tobacco use, poor diet, a lack of exercise, alcohol use, etc. Despite this, the vast majority of our community does not exhibit the most basic healthy behaviors. o Individual health behaviors are deeply influenced by public policy and place (i.e., neighborhood conditions) to a far greater degree than we recognize. The health of San Mateo County can be improved through a greater focus by all organizations on public policy changes and place-based strategies. o Quality health care services in the county are, for the most part, not a problem. Access and affordability are a significant problem. The lack of a comprehensive healthcare \"system\" is a failing, unsustainable model. o More than one out of four San Mateo County adults believes access to mental health, substance abuse, and dental services in the county are \"fair\" or \"poor.\" o The Internet is likely to replace physicians in the near future as the place where most people get most of their healthcare information. o The proportion of births with adequate prenatal care has risen steadily among Black and Hispanic women, lessening the racial health disparities that have persisted in prenatal care. o The rise in C-section rates is a disturbing trend. o Our children are not doing much better than adults in exhibiting healthy behaviors. This will severely impact their future health. o Adolescents engage in a variety of risky behaviors such as alcohol and drug use, tobacco use, violence, and sexual behavior. It is important to encourage in our children and adolescents those assets which will deter harmful behaviors and promote healthy development. o Key adolescent assets where additional effort should be placed are: 1) increasing the amount of sustained caring and supportive adult/youth relationships; and 2) increasing meaningful participation of youth in community activities. o The proportion of adults aged 60 and older is expected to roughly double over the next four decades, and Hispanics and Asians are projected to increase their representation considerably in the older population. As the fastest-growing population segment, the health and social needs of older adults require increasing attention. o Falls are a key issue leading to hospitalization, loss on independence, and death among seniors. More resources should be directed toward this preventable condition. o Looking at mortality rates, we are healthier now than any time in the past. However, there are storm clouds on the horizon and, unless things change, our children will lead shorter lives than ours. o Cancers are a leading cause of death in San Mateo County. Area incidence and mortality rates vary dramatically by race/ethnicity. o Few residents consume adequate amounts of fruits/vegetables; however, this appears to be slowly improving. Access to fresh fruits and vegetables is still an issue in some areas. o Heart disease and stroke death rates continue to decline, while reported prevalence of high blood pressure and high blood cholesterol continues to rise. o Since 1998, there have been significant increases in the prevalence of asthma, chronic lung disease and diabetes among San Mateo County adults. o After decreasing for several years, we are beginning to see a disturbing rise in both gonorrhea and Chlamydia. o Poisonings (including drug overdoses), firearms and motor vehicle accidents are the leading causes of injury deaths in San Mateo County. o Substance use (alcohol, tobacco and other drugs) is one of the most serious threats to the health of our community. Substance use carries a significant social impact, contributing to such social conditions as homelessness, violence, poverty and disease. Youth substance use is a particular concern. o Binge drinking among young adults, especially males aged 18 to 24, has increased significantly over the last several years. Seton Medical Center's Prioritized Community Needs are: 1) Obesity 2) Diabetes 3) Cardiovascular disease, heart attack, stroke 4) Cancer 5) Births Description of What Seton Medical Center Will Do To Address Community Needs: Language capacity and cultural sensitivity will be a component of all action items. Cross Cutting Drivers: Access to Health Care and Health Information Prevention & Healthy Communities Action: o Seton Medical Center will provide space for the RotaCare Free Clinic at Seton and support for Coastside RotaCare Free Clinic. These clinics provide basic urgent medical care for the uninsured one evening each week. Outcome: More community members will gain access to urgent health care needs and follow up health care through referrals. Measurement: 1,500 patient visits o Seton Medical Center Health Benefits Resource Center (HBRC) information and referral service located on-site will provide free confidential assessments, referrals to community resources and assistance in completing applications for free or low cost health resources and assistance in completing applications for free or low cost health insurance programs. Outcome: More community members wi"},{"explanation":"Patients who present at SMC/SMCC's Emergency Department and SMC/SMCC's Admitting Department are provided with a financial assistance packet that consists of an informational flyer on various programs for which they may be eligible. The flyer is in English and Spanish. The packet includes a Medi-Cal application, as well as a Charity Care application. In addition, there are signs posted in English and Spanish in the Patient Financial Services department and at every point of registration stating that SMC/SMCC has financial assistance and charitable programs available for qualified low income, uninsured patients who may not have the ability to meet the financial obligation of their hospital services and a contact number to call. After discharge, the back of the monthly patient bills includes this same statement."},{"explanation":"DEMOGRAPHICS Seton Medical Center is a major tertiary care center; serving northern and central San Mateo County and the most southern part of San Francisco County. Seton Coastside in Moss Beach provides the only 24-hour physician-staffed standby emergency department on the coast between Daly City and Santa Cruz. Seton Coastside also provides a skilled nursing unit, an acute-care unit, radiology, laboratory, and rehabilitative services. Seton Coastside's service area constitutes a large geographic area that extends 45 miles from Montara south to the Santa Cruz County line. San Mateo County is clearly one of California's richly ethnically diverse counties. The Asian/Pacific Islander population and Hispanic/Latino population are primarily clustered in Northern San Mateo County and along the Coast. In Daly City, a primary service area of Seton, 52% of the residents are foreign born and 68.1% of persons over the age of five speak a language other than English at home. South San Francisco, the second largest service area of Seton has 42.9% foreign born and 60.3% of persons over the age of five speak a language other than English at home. While other age groups will decrease in terms of percent of county population (0-19 years, 20-39 years, 40-59 years) from 2010 to 2050, those 60 years and older will increase from 18.9 percent to 30.9 percent. Asian/Pacific Islander and Hispanic seniors will comprise the largest proportion of seniors in San Mateo County in 2050. At the other end of the age spectrum, the ethnic makeup of children under the age of 15 years is projected to be Hispanic, Asian/Pacific Islander, White, Black and multi-race in 2050 (percent of population). In 2010, median earnings for San Mateo County residents aged 25 years and older was $47,060. Real per capita income in San Mateo County in 2010 was $68,582, and the average weekly wages in 2010 were $1,450, down 13% from 2000. According to the American Community Survey (U.S. Census Bureau), from 2006-2010, the percentage of SMC individuals below poverty level was 7 percent with 9.1 percent of children under the age of 18 below the poverty level. According to the Family Economic Self- Sufficiency Standard, a more realistic measure of poverty in SMC takes local conditions like cost of living into consideration; a single parent with two children must earn approximately $78,000 annually to meet the family's basic needs, the equivalent of nearly five, full-time minimum wage jobs. According to the Elder Index, 36 percent of seniors struggle to cover basic expenses and, if their annual income exceeds federal poverty guidelines ($10,830), they may be ineligible for public assistance programs. Community Building Activities Collaboration with the community enables SMC/SMCC to successfully reach the annual CBP goals and objectives. Participating on various committees throughout the county is another avenue to learn about community needs, which services are provided and to avoid duplication of the services. Partners include local schools and school districts, businesses, community service clubs, churches, foundations and State, County and City elected officials and agencies. Additionally, community volunteers, Seton Medical Staff and Seton Associates routinely donate time and resources. Chamber of Commerce Boards: SMC/SMCC consistently show support through participation on the following chamber of commerce boards, Daly City - Colma, Brisbane, Half Moon Bay, Pacifica, and South San Francisco. SMC/SMCC is also members of the Chairman's Circle on the following chambers: Daly City - Colma, Brisbane, Half Moon Bay and Pacifica. The Chairman's Circles support the local graduating high school senior scholarship programs. Additionally, SMC is a major sponsor of the State of the Cities addresses for Daly City - Colma and Brisbane Chambers. The State of the City events provides Mayors the opportunity to present updates and have interactive discussions with businesses and community members Daly City-Peninsula Partnership Collaborative Program: A collaborative of 100 organizations, agencies, schools and parent groups which promote academic achievement for youth in Northern San Mateo County. Community collaboration enables SMC/SMCC to successfully reach the CBP goals and objectives. Participating on various committees throughout the county is another avenue to learn about community needs, which services are provided and to avoid duplication of the services. Partners include local schools and school districts, businesses, community service clubs, churches, foundations and State, County and City elected officials and agencies. Additionally, community volunteers, Seton Medical Staff and Seton Associates routinely donate time and resources. Many of the safety nets for families and community members have been cut back due to the economy. Some of the services are in collaboration with each other and event sharing staff to keep programs operating at a minimum."},{"explanation":"Our promotion of community health includes ongoing health education about healthy habits. SMC/SMCC participated in over 12 annual community events and focuses on small venues to further this health education effort. Nurses and physicians volunteering at these events talk individually with community members about blood pressure management, nutrition and healthy habits. SMC/SMCC physicians, nurses and medical staff routinely volunteer their time to make presentations on healthy heart practices, stroke awareness and nutrition at schools, community centers and places of worship. Within the hospital, health related support groups are provided. To address the uninsured, SMC/SMCC continues to support free urgent care to the uninsured at two RotaCare Clinics. Monday night RotaCare Clinic is located at Seton Medical Center in Daly City and Wednesday night RotaCare Clinic is located in Half Moon Bay. The Clinics provide medical care, certain medications, laboratory and diagnostics, x-rays, immunizations, referrals to Seton Ophthalmologist services, social needs referrals within the community, health education and health care referrals. The medical care is provided primarily by volunteer physicians, physician assistants, nurse practitioners, and nurses. We reach even further into the community on Mondays, when KRON 4 television partners with Seton Medical Center to present \"Medical Mondays.\" Each week, this interactive program features Seton physicians who discuss different medical concerns ranging from back pain to heart disease to joint replacement. The partnership with Daly City ACCESS serves as the catalyst to promote community outreach with cultural sensitivity and language capacity at health fairs. Representatives of family service agencies and healthcare facilities work together to provide language interpretation, as needed at the health fairs. SMCC participates on the El Centro de Libertad Advisory Committee for the methamphetamine grant. The grant addresses increasing substance abuse awareness and provides treatment to patients, and education to medical personnel and concerned citizens. To further this work, SMCC partners with Youth Leadership Institute and El Centro Libertad in the Environmental Prevention grant to identify a strategic plan to expand collaborative participation in the prevention of substance abuse on the coast. The St. Elizabeth Ann Seton New Life Center established at Seton Medical Center in 2003, provides all-inclusive peri-natal services for low-income, pregnant women in our community. In order to achieve its goal of decreasing the incidence of pre-term and low birth-weight babies of mothers in the program, the New Life Center provides quality prenatal care and delivery, education and appropriate referrals to each mother for entire pregnancy and 60 days post-partum, and expedites enrollment of pregnant women into the Medi-Cal program. The Center offers physician services and health education, as well as nutritional, social and support services, all in one location. Seton Medical Center supports the New Life Center by providing comprehensive birthing facilities for new mothers. There is a direct correlation between the economic distressed clients and the increase of the variety of challenges they face, e.g. potential homelessness, drug use, domestic violence, poor access to food and clothing, lack of transportation, noninvolvement of the fathers of the babies, joblessness, and low education. This year there has been a significant increase in the percentage of clients that complete the program along with an increase of clinic visits."},{"explanation":"The Daughters of Charity Health System (DCHS) is a regional health care system of hospitals and medical centers (\"Local Health Ministries\") spanning the California coast from the San Francisco Bay Area to Los Angeles. In the spirit of our founders, St. Vincent de Paul, St. Louise de Marillac and St. Elizabeth Ann Seton, the Daughters of Charity Health System is committed to serving the sick and the poor. With Jesus Christ as our model, we advance and strengthen the healing mission of the Catholic Church by providing comprehensive, excellent health care that is compassionate and attentive to the whole person: body, mind and spirit. We promote healthy families, responsible stewardship of the environment, and a just society through values-based relationships and community based collaboration. Every day in DCHS Local Health Ministries, dedicated associates, physicians and volunteers provide quality, compassionate care. These thousands of people are the hands and hearts of the Daughters of Charity, reaching out to provide comfort and holistic healing - body, mind and spirit - to the people of California, just as the first Daughters did more than 150 years ago. As a member of the Daughters of Charity Health System, SMC/SMCC continues to uphold its mission of providing quality medical services to the most vulnerable populations, the sick, the poor, the elderly, and children. SMC/SMCC is committed to the fulfillment of the mission of its founding sisters through the delivery of charitable services and care to the community."},{"explanation":"SMC/SMCC annually updates its Community Benefits Report and SMC/SMCC files a copy of its Community Benefits Report on an annual basis with the State of California."},{"explanation":"SMC and SMCC are reported under facility reporting group A. All of the responses reported under Part V Section B apply to both SMC and SMCC."}]},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":4149694,"reported_domestic_individual_grants":0,"reported_domestic_org_grants_program_services":4149694,"total_501c3_and_government_organizations":1,"total_other_organizations":0,"grants":[{"ein":912145484,"irc_section":"501(C)(3)","cash":4149694,"purpose":"general support","address_line1":"26000 ALTAMONT RD LOS ALTOS HILLS","city":"LOS ALTOS HILLS","state":"CA","zip":"94022","name":"DAUGHTERS OF CHARITY HEALTH SYSTEM","address":"26000 ALTAMONT RD LOS ALTOS HILLS, LOS ALTOS HILLS, CA, 94022"}],"total_domestic_grants":4149694,"total_domestic_program_services":4149694,"detail_org_grants_total":4149694,"detail_domestic_grants_total":4149694,"supplemental_information":[{"identifier":"GRANT TO DAUGHTERS OF CHARITY HEALTH SYSTEM","form_and_line_reference":"SCHEDULE I, PARTS I & II","explanation":"SETON Medical Center is part of a related group of tax exempt organizations, which includes Daughters of Charity Health System. Grants are made to support this related tax exempt organization's exempt purpose."}],"grant_monitoring":{"claims_monitoring_procedures":false,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false}},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"benefits_and_procedures":{"discretionary_spending_account":true,"substantiation_required":true,"written_policy_travel_and_entertainment":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":true,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Michael Glasberg","title":"VP / COO","base_compensation_filing_org":301230,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":11022,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":14026,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":2027,"other_compensation_related_orgs":0,"total_compensation_filing_org":328305,"total_compensation_related_orgs":0,"name":"Michael Glasberg"},{"person_name":"Stephanie Mearns","title":"CNE/VP, Patient 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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, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE, FORM 990 OF OTHER ORGANIZATIONS, AND WRITTEN EMPLOYMENT CONTRACTS."},{"identifier":"Severance Arrangements","form_and_line_reference":"Schedule J, Part I, Line 4a","explanation":"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. THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT THAT IS INCLUDED IN COMPENSATION ON SCHEDULE J, PART II, COLUMN (B)(III): LORRAINE AUERBACH $398,310"},{"identifier":"NONQUALIFIED RETIREMENT PLAN","form_and_line_reference":"SCHEDULE J, PART I, LINE 4B","explanation":"THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, WHICH IS INCLUDED IN COMPENSATION REPORTED ON SCHEDULE J, PART II, COLUMN (C): ROBERT ISSAI $149,219 JOANNE ALLEN $51,820"},{"identifier":"Compensation Information","form_and_line_reference":"Schedule J, Part II","explanation":"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 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."}]},"ScheduleR":{"tax_exempt_organizations":[{"business_name_line1":"SEE PART VII","name":"SEE PART VII"}],"taxable_partnerships":[{"business_name_line1":"SEE PART VII","name":"SEE PART VII"}],"taxable_corporations_and_trusts":[{"business_name_line1":"SEE PART VII","name":"SEE PART VII"}],"transaction_flags":{"dividends_from_related_organization":false,"gift_grant_or_capital_contribution_from_other_org":true,"gift_grant_or_capital_contribution_to_other_org":true,"loans_or_guarantees_from_other_org":true,"loans_or_guarantees_to_other_org":true,"performance_of_services_by_other_orgs":true,"performance_of_services_for_other_orgs":false,"sharing_of_facilities":true,"sharing_of_paid_employees":true,"reimbursement_paid_by_other_org":true,"reimbursement_paid_to_other_org":true,"rental_of_facilities_from_other_orgs":false,"rental_of_facilities_to_other_orgs":false,"purchase_of_assets_from_other_org":false,"sale_of_assets_to_other_org":false,"exchange_of_assets":false,"receipt_of_interest_annuities_rents_royalties":false,"other_transfer_from_other_org":true,"other_transfer_to_other_org":false},"transactions":[{"business_name_line1":"Seton Medical Center Foundation","amount_involved":680129,"method_of_amount_determination":"cost","transaction_type":"o","name":"Seton Medical Center Foundation"},{"business_name_line1":"Seton Medical Center Foundation","amount_involved":572053,"method_of_amount_determination":"cost","transaction_type":"q","name":"Seton Medical Center Foundation"},{"business_name_line1":"Seton Medical Center Foundation","amount_involved":198476,"method_of_amount_determination":"cost","transaction_type":"c","name":"Seton Medical Center Foundation"}],"supplemental_information":[{"identifier":"Schedule R, Part II","explanation":"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, Suite 400 Lynwood, CA 90262-2636 EIN: 95-3190773 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - St. Francis Medical Center 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 9400 No Name Uno Gilroy, CA 95020 EIN: 56-2384735 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Saint Louise Regional Hospital 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 2200 W. Third St, Ste 200 Los Angeles, CA 90057 EIN: 95-3922511 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - St. Vincent Medical Center 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"},{"identifier":"Schedule R, Part III","explanation":"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 - $564,699 Col (G): Share of end-of-year assets - $3,627,804 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 - $763,148 Col (G): Share of end-of-year assets - $5,997,347 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%"},{"identifier":"Schedule R, Part IV","explanation":"Marillac Insurance Company, Ltd. c/o Aon Insurance Managers (Cayman), Ltd. P.O. Box 69, Grand Cayman KY1-1102 EIN: 98-0417930 Col (B): Primary Activity - Insurance Col (C): Legal Domicile - CJ Col (D): Direct Controlling Entity Name - Daughters of Charity Health System Col (E): Type of Entity - C Corporation Col (F): Share of Total Income - $20,335 Col (G): Share of end-of-year assets - $68,201,871 Col (H): Percentage ownership - 100%"}]},"source_xml":"201441289349301269_public.xml"},{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"Provision of healthcare services","primary_activities":"Seton medical center, an accredited non-profit 357-bed hospital with over 600 physicians, offers the most advanced surgical procedures, treatment, and comprehensive healthcare available. Seton medical offers exemplary medical, surgical, and speciality programs for cardiovascular services, spine care, orthopedics, and respiratory care, in addition to many specialty services such as diabetes services, urgent care, and care for those without health insurance. Additional information about seton medical center's charitable activities can be found on schedule o.\n\nSeton medical center coastside meets the medical needs of the community of half moon bay, california by offering skilled nursing care to 116 inpatient residents year-round. Key medical services include physical, occupational and speech therapies, radiology/mammography and laboratory, along with full emergency room and other hospital services.\n\nThe Daughters of Charity Health System (DCHS) is a regional health care system of hospitals and medical centers (\"Local Health Ministries') spanning the California coast from the San Francisco Bay Area to Los Angeles. In the spirit of our founders, St. Vincent de Paul, St. Louise de Marillac and St. Elizabeth Ann Seton, the Daughters of Charity Health System is committed to serving the sick and the poor. With Jesus Christ as our model, we advance and strengthen the healing mission of the Catholic Church by providing comprehensive, excellent health care that is compassionate and attentive to the whole person: body, mind and spirit. We promote healthy families, responsible stewardship of the environment, and a just society through values-based relationships and community based collaboration. Every day in DCHS Local Health Ministries, dedicated associates, physicians and volunteers provide quality, compassionate care. These thousands of people are the hands and hearts of the Daughters of Charity, reaching out to provide comfort and holistic healing - body, mind and spirit - to the people of California, just as the first Daughters did more than 150 years ago. As a member of the Daughters of Charity Health System, Seton Medical Center continues to uphold its mission of providing quality medical services to the most vulnerable populations, the sick, the poor, the elderly, and children. Seton Medical Center is committed to the fulfillment of the mission of its founding sisters through the delivery of charitable services and care to the community. During fiscal year ended June 30, 2010, Seton Medical Center provided total quantifiable community benefits of $179.5 million. After offsetting direct revenue, Seton Medical Center provided unsponsored community benefits of $62 million, at cost. Total unsponsored community benefits of $62 million, at cost consisted of quantifiable unsponsored benefits for the poor at a cost of $31.9 million, quantifiable unsponsored benefits to the broader community at a cost of $0.3 million, and quantifiable unsponsored benefits to beneficiaries of the Medicare program at a cost of $ 29.8 million. Form 990 Part IV, Line 12A, and Part XI, Line 2b and 2c The financial statements of the organization are consolidated with the Daughters of Charity Health System in accordance with GAAP and audited by an independent public accounting firm. The Daughters of Charity Health System's Board and Audit Committee of the Board have responsibility for oversight of the audit of the consolidated financial statements and selection of the independent public accounting firm. Form 990, Part VI, Line 3 and Part VII, Section A The management duties of the Chief Financial Officer during fiscal year ended June 30, 2010 was delegated to Robert DeVey, a consultant with Tatum LLC. Form 990 Part VI, Line 6 Seton Medical Center has one member, Daughters of Charity Health System, a California nonprofit religious corporation. Form 990 Part VI, Line 7a The Member's Board of Directors may appoint the organization's directors and officers. Form 990 Part VI, Line 7b The sole member has broad powers including the power to amend the Bylaws and Articles of Incorporation, and approve, interpret and change any statement of mission, philosophy, role or purpose of Seton Medical Center. The member has the right to approve any merger, dissolution, consolidation or reorganization of Seton Medical Center. In addition, the member has the right to approve capital and operating budgets, approve debt incurred or guaranteed, approve the disposition of the assets, and establish policy concerning quality of care, finance and resources. Finally, the member has such other powers and rights as provided by the California Nonprofit Corporation Law. Form 990, Part VI, Line 11A 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 full Board of Directors of the organization receives the final version of the draft return and the return is reviewed with and approved by the Board of Directors 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 Seton Medical Center makes its Form 990 available upon request.","year":2009,"name":"SETON MEDICAL CENTER","phone":"6505516601","website":"WWW.SETONMEDICALCENTER.ORG","type":"990","principal_officer":"Lorraine Auerbach","year_formation":2001,"state_legal_domicile":"CA","total_volunteers":325,"tax_period_begin":"2009-07-01T00:00:00","tax_period_end":"2010-06-30T00:00:00","address":"1900 SULLIVAN AVENUE, DALY CITY, CA, 94015, USA","city":"DALY CITY","state":"CA","country":"USA","zip_code":"94015"},"Governance":{"501c determination":true,"Number of voting members":13,"Number of independent voting members":10,"Number of employees total":1984,"Total Gross UBI":0,"Net unrelated business taxable income":0,"Number of employees":1984,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":false,"Family or business relationship":false,"Delegation of management duties":true,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":true,"Compensation process for other employees":true,"Changes to organizing documents":false,"Material diversion or misuse":false,"Members or stockholders":true,"Election of board members":true,"Decisions subject to approval":true,"Minutes of governing body":true,"Local chapters":false,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":false,"Consolidated audit financial statements":true,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":true,"Federal grant audit required":false,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":true,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":false,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":296320299,"Contributions":{"value":2624615,"Other contributions":2001291,"Related organizations":623324},"Program revenue":{"value":289165196,"Total revenue":{"value":289165196,"VARIOUS":289165196},"Unrelated business revenue":0},"Investment income":{"value":2467131,"Investment income total":2467131,"Net investment gain":0,"Income from invest bond proceeds":0},"Other revenues":{"value":2063357,"Other total":2063357,"Royalties revenue":0,"Net income from fundraising events":0,"Net income from gaming":0,"Net income":0}},"Expenses":{"value":310622118,"Grant expense":{"value":0,"Grants to domestic orgs":0,"Grants to domestic individuals":0,"Foreign grants":0},"Total professional fundraising expense":{"value":0,"Fundraising professional":0},"Benefits paid to members":{"value":0,"Benefits paid to members Total":0},"Salaries":{"value":188649863,"Current officers":1175212,"Disqualified persons":0,"Other salaries and wages":139793728,"Pension plan contributions":11507184,"Other employee benefits":26268694,"Payroll taxes":9905045},"Other expenses":{"value":121972255,"Management services":0,"Legal":1400289,"Accounting":0,"Lobbying services":0,"Investment management fees":0,"Other services":27239905,"Advertising":319958,"Office expenses":4750695,"Information technology":7096679,"Royalties":0,"Occupancy":4310681,"Travel":40132,"Conferences and meetings":102318,"Interest":5850831,"Payments to affiliates":0,"Depreciation and depletion":10953059,"Insurance":5017527,"Travel entertainment public officials":0,"Itemized Expenses":{"value":54890181,"VARIOUS":54890181}}},"Assets":{"value":143410761,"Savings and temp cash investments":40111637,"Pledges and grants receivable":1000000,"Accounts receivable":38622371,"Inventories for sale or use":3181892,"Prepaid expenses deferred charges":970059,"Land, building, equipment":56593516,"Investments program related":321174,"Other assets":2610112},"Liabilities":{"value":133739469,"Accounts payable, accrued":4444942,"Other liabilities":129294527},"Fund balance":{"value":9671292},"Form990Details":{"program_service_accomplishments":[{"description":"SETON MEDICAL CENTER, AN ACCREDITED NON-PROFIT 357-BED HOSPITAL WITH OVER 600 PHYSICIANS, OFFERS THE MOST ADVANCED SURGICAL PROCEDURES, TREATMENT, AND COMPREHENSIVE HEALTHCARE AVAILABLE. SETON MEDICAL OFFERS EXEMPLARY MEDICAL, SURGICAL, AND SPECIALITY PROGRAMS FOR CARDIOVASCULAR SERVICES, SPINE CARE, ORTHOPEDICS, AND RESPIRATORY CARE, IN ADDITION TO MANY SPECIALTY SERVICES SUCH AS DIABETES SERVICES, URGENT CARE, AND CARE FOR THOSE WITHOUT HEALTH INSURANCE. ADDITIONAL INFORMATION ABOUT SETON MEDICAL CENTER'S CHARITABLE ACTIVITIES CAN BE FOUND ON SCHEDULE O.","expense":236871240,"grants":0,"revenue":271038336},{"description":"SETON MEDICAL CENTER COASTSIDE MEETS THE MEDICAL NEEDS OF THE COMMUNITY OF HALF MOON BAY, CALIFORNIA BY OFFERING SKILLED NURSING CARE TO 116 INPATIENT RESIDENTS YEAR-ROUND. KEY MEDICAL SERVICES INCLUDE PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES, RADIOLOGY/MAMMOGRAPHY AND LABORATORY, ALONG WITH FULL EMERGENCY ROOM AND OTHER HOSPITAL SERVICES.","expense":15841789,"grants":0,"revenue":18126860}],"program_service_revenue_detail":[{"business_code":"622110","description":"NET PATIENT REVENUE","total_revenue":284985942,"related_or_exempt_function_income":284985942},{"business_code":"531120","description":"BUILDING REVENUE","total_revenue":3920097,"related_or_exempt_function_income":3920097},{"business_code":"900099","description":"OTHER HOSPITAL OPERATING 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94144"},{"person_name":"CORPORATE SECURITY SERVICES","compensation":704373,"services_description":"SECURITY SERVICES","address_line1":"THE HEARST BLDG THIRD AND MARKET ST","city":"SAN FRANCISCO","state":"CA","zip":"94103","name":"CORPORATE SECURITY SERVICES","address":"THE HEARST BLDG THIRD AND MARKET ST, SAN FRANCISCO, CA, 94103"}],"officers_directors_key_employees":[{"title":"BOARD CHAIR","average_hours_per_week":4.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"officer":true},{"title":"BOARD MEMBER","average_hours_per_week":4.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"BOARD 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MEDICAL CENTER","address_line1":"1900 SULLIVAN AVENUE","city":"DALY CITY","state":"CA","zip":"94015","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"name":"SETON MEDICAL CENTER","address":"1900 SULLIVAN AVENUE, DALY CITY, CA, 94015"},{"business_name_line1":"SETON MEDICAL CENTER COASTSIDE","address_line1":"600 MARINE BLVD","city":"MOSS BEACH","state":"CA","zip":"94038","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"name":"SETON MEDICAL CENTER COASTSIDE","address":"600 MARINE BLVD, MOSS BEACH, CA, 94038"}],"part_vi_explanations":{"affiliated_health_care_system":"If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served. The Daughters of Charity Health System (DCHS) is a regional health care system of hospitals and medical centers (\"Local Health Ministries') spanning the California coast from the San Francisco Bay Area to Los Angeles. In the spirit of our founders, St. Vincent de Paul, St. Louise de Marillac and St. Elizabeth Ann Seton, the Daughters of Charity Health System is committed to serving the sick and the poor. With Jesus Christ as our model, we advance and strengthen the healing mission of the Catholic Church by providing comprehensive, excellent health care that is compassionate and attentive to the whole person: body, mind and spirit. We promote healthy families, responsible stewardship of the environment, and a just society through values-based relationships and community based collaboration. Every day in DCHS Local Health Ministries, dedicated associates, physicians and volunteers provide quality, compassionate care. These thousands of people are the hands and hearts of the Daughters of Charity, reaching out to provide comfort and holistic healing - body, mind and spirit - to the people of California, just as the first Daughters did more than 150 years ago. As a member of the Daughters of Charity Health System, SMC/SMCC continues to uphold its mission of providing quality medical services to the most vulnerable populations, the sick, the poor, the elderly, and children. SMC/SMCC is committed to the fulfillment of the mission of its founding sisters through the delivery of charitable services and care to the community.","annual_community_benefit":"Seton Medical Center (SMC) prepares an annual Community Benefit Report. The report includes both the SMC location and the Seton Medical Center Coastside (SMCC) location. It is developed in conjunction with SMC/SMCC'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 SMC/SMCC Board of Directors and Daughters of Charity Health System (DCHS) corporate offices. An annual update is prepared and presented to the SMC/SMCC Board of Directors for approval. The annual update is made available to medical center leadership, key stakeholders, DCHS, and the community. The annual update is presented to the California Office of Statewide Planning and Development, in accordance with SB697. SMC/SMCC'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. Seton Medical Center's Board of Directors reviews and gives final approval of SMC/SMCC'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.","bad_debt_footnote":"SMC/SMCC is included in the DCHS Consolidated Audited Financial Statements. The financial statements for FY 2010 do not contain a separate footnote on bad debts. Bad debt expense is estimated by utilizing historical collections data of self-pay patients.","community_building_activities":"Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves. Collaboration with the community enables SMC/SMCC to successfully reach the annual CBP goals and objectives. Participating on various committees throughout the county is another avenue to learn about community needs, which services are provided and to avoid duplication of the services. Partners include local schools and school districts, businesses, community service clubs, churches, foundations and State, County and City elected officials and agencies. Additionally, community volunteers, Seton Medical Staff and Seton Associates routinely donate time and resources. Since 1993, in the tradition of caring for the sick and the poor, SMC/SMCC have sponsored two RotaCare Clinics that provide free urgent healthcare on a weekly basis to the uninsured. RotaCare Clinic at Seton Medical Center is open every Monday evenings from 5:00 - 7:00 pm. Coastside RotaCare Clinic at Shoreline Station in Half Moon Bay is open Wednesday evenings 5:00 - 7:30 pm. Coastside RotaCare Clinic also partners with Sonrisas Dental Clinic to provide dental screenings twice a month. At Coastside RotaCare Clinic bilingual presentations are provided to educate clients about asthma, hypertension, diabetes and nutrition. The RotaCare Clinics would not be possible without community support and the volunteer physicians, nurse practitioners, nurses, pharmacists, registrars, translators and registration clerks. The Clinics provide medical care for basic illnesses, minor injuries and sprains, prescriptions and certain medications, laboratory and diagnostics, x-rays, immunizations, referrals to Seton Medical Center ophthalmologist services. The Clinics have a one time visit policy and refer patients to health care related services within the local community for ongoing needs. SMC contributes free clinic space at the Daly City location, free ancillary services and dedicated office space, computer, and certain medical and office supplies. In addition, SMC & SMCC dedicate staff time for planning, administration, coordination, volunteer recruitment, fundraising activities, participating on SMC/Coastside Clinic Administrative Councils. Community presentations about RotaCare Clinics have been made at community meetings, Rotary Clubs, health fairs and City Councils. Coastside Family Medical Center, in Half Moon Bay, closed its doors in March 2009, and will not be re-opening. The facility reportedly could not keep up with the economic downturn and absorb the costs associated with caring for the uninsured. The medical center opened in 1989 and served 8,000 patients a year. The medical facility was an important source of health care for the coastside, particularly for the underinsured and the uninsured, who represented 40 percent the clinic patients. SMC/SMCC participates in the National Uninsured Week Campaign. Fact sheets are distributed containing information about the uninsured in California and San Mateo to community members, elected officials, Seton Associates, and medical staff. Additional advocacy for the uninsured includes community presentations, media coverage, and prayers and devotions.","community_information":"Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves. DEMOGRAPHICS AND HEALTH AND SOCIAL INDICATORS: San Mateo County, located on the San Francisco Peninsula is made up of twenty cities and towns, bordered by the City of San Francisco on the north, the Bay on the east, Santa Clara County on the south and the Pacific Ocean on the west. Among the richest counties in ethnic diversity nationally, San Mateo County offers residents a mix of urban development, redwood forests and one of the best preserved coastlines in the world. Today, Seton Medical Center is a major tertiary care center; serving northern and central San Mateo County and select zip codes in southern San Francisco County. Northern and central San Mateo County is a mix of urban/suburban industrial, small business and residential use and includes the communities of Daly City, Colma, Broadmoor, South San Francisco, San Bruno, Brisbane, Millbrae, Burlingame, Pacifica and the coastside communities. As the healthcare needs of our communities grow and change SMC provides excellent services by providing leading edge health care. Operational plans to enhance the medical care provided to the community include research, acquiring state of the art equipment and introducing advanced medical practices. SMC is the only hospital in Northern California to offer cardiac robotics, the next generation of heart surgery. Surgical robotics provides surgeons with an alternative to both traditional open surgery and conventional laparoscopy, putting a surgeon's hands at the controls of a robotic platform. Seton opened the comprehensive Cancer Center with a state of the art linear accelerator and implemented advanced imaging techniques in ophthalmology for progressive, age related problems. SMC initiated the Joint Replacement Center with a Stryker Computerized Navigation System to help ensure successful outcomes for minimally invasive treatment of hip and knee arthritis. A renowned specialist at Seton's San Francisco Spine Institute performed the Bay Area's first total posterior arthroplasty, using a spine motion device as an alternative to fusion for the treatment of spinal stenosis. Seton Coastside in Moss Beach provides the only 24-hour physician-staffed standby emergency department on the coast between Daly City and Santa Cruz. Seton Coastside also provides a skilled nursing unit, an acute-care unit, radiology, laboratory, and rehabilitative services. Seton Coastside's service area constitutes a large geographic area that extends 45 miles from Montara south to the Santa Cruz County line, along Highway 1. The area is a mix of suburban and rural areas with significant agricultural, fishing, small business and tourism land use. There remain radical differences by community within this overall service area in terms of racial and ethnic composition. Asian and Hispanic residents are expected to continue to become an increasingly greater proportion of the population. The Asian/Pacific Islander population is primarily clustered in Daly City while the Hispanic population is primarily clustered in South San Francisco and 50 percent of the coastside, both Seton and Seton Coastside service areas. Housing affordability in San Mateo County and the Bay continues to be an over-whelming challenge for many residents. The National Low Income Housing Coalition (NLIHC) analysis of newly released 2009 data shows that more families at every income level are facing housing cost burdens, while households with the lowest incomes continue to be disproportionately affected by the shortage of affordable rental housing. The Fair Market Rent (FMR) for a two bedroom apartment in San Mateo County rose in 2009 to $1,658 from $1,592 one year prior. In order to afford this level of rent, without paying more than 30% of income on housing, a household must earn $66,625 annually, an increase of nearly $3,000 from $63,680 in 2008. In order to afford the FMR for a two bedroom apartment, a minimum wage worker earning $8.00 per hour must work 159 hours per week year-round. Families are left with the options of living in another county and facing long commutes, paying more than they can comfortably afford for housing, living in overcrowded conditions or moving out of the area entirely. More than 700 houses in Daly City entered foreclosure during 2009. NLIHC estimates that 40% of families facing eviction from foreclosure are renters when the owner of the home they are renting goes into foreclosure. After foreclosure, renters often have little or no notice before being evicted from their homes. Silicon Valley Community Foundation and San Mateo County issued a press release in March 2009 to announce that they will distribute $1 million to 32 non-profit organizations as part of a unique collaboration to help residents through the economic recession. As part of the unique partnership, the community foundation will award $1 million to food and shelter providers in San Mateo and Santa Clara counties. The announcement marks the second round of safety net grants from the community foundation since December 2008, when $3 million was awarded to 47 organizations in the two counties. While the community foundation's grants target food and shelter services only, the county will consider grants to additional safety net services, such as health care or financial, employment and other counseling, to help individuals and families affected by the recession. \"Our region's safety net is strained to the breaking point,\" said Emmett D. Carson, Ph.D., CEO and president of the community foundation.\" People who have never before sought help are showing up at food pantries and shelters. The length and breadth of this recession require new ways of thinking and responding, new collaborations and new funding sources. We're extremely pleased to partner with San Mateo County and believe that this is the kind of innovative public-private collaboration our region needs now.\" San Mateo County Manager, Dave Boesch, noted that while government programs provide a social safety net, the county is trying to help residents before they need county services. The recession, Boesch said, has driven up demand for help within the county. In January, for instance, about 1,200 residents requested food stamps - a 44 percent increase from the same time in 2008. San Mateo County's unemployment rate, meanwhile, has nearly doubled over the past year to 8.3 percent in March 2009 from 4.2 percent in March 2008.\" (www.siliconvalleycf.org.)","costing_method_used":"SMC/SMCC utilizes a cost accounting system that determines costs for providing medical services based on the organizations relationship of costs to charges.","debt_collection_policy":"SMC/SMCC follows the Collection Practices as outlined in DCHS Charity Care and Financial Discount and Financial Assistance operating policies. For patients who qualify for charity care and financial discount, SMC/SMCC provides the patient with a written notice prior to commencing collection activities. The notice states that nonprofit counseling services may be available in the area and provides information concerning state and federal law requirements for debt collectors. SMC/SMCC does not pursue legal action for non-payment of bills against any household where the primary wage earner(s) is unemployed or there are not significant income sources. SMC/SMCC does not assign patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SMC/SMCC does not report adverse information to a consumer credit agency or commence civil action for nonpayment of a patient debt prior to 150 days after the initial billing of the patient. SMC/SMCC does not use wage garnishments or liens on real property as a means of collecting unpaid hospital bills for eligible patients. SMC/SMCC expects its external collection agencies to not pursue legal action against an eligible patient without prior approval from SMC/SMCC. SMC/SMCC expects its external collection agencies to follow Fair Debt and Collection Practices, Assembly Bill AB774 and act in a manner that treats individuals with dignity, respect and compassion. In addition, for patients who qualify for financial assistance, SMC/SMCC does not pursue legal action for non-payment of bills against any household where the primary wage earner(s) is unemployed, uninsured or there are not significant income sources or assets. SMC/SMCC does not assign eligible patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SMC/SMCC does not use liens on real property as a means of collecting unpaid hospital bills for eligible patients.","needs_assessment":"Describe how the organization assesses the health care needs of the communities it serves. In an effort to identify the most critical health care needs in SMC/SMCC's service area, a Community Needs Assessment is conducted every three years. The annual SMC/SMCC Community Benefit Plan (CBP) is developed through (1) analysis of San Mateo County health indicators and (2) review of the accomplishments of CBP goals. SMC and SMCC Community Advisory Committee (CAC) members meet quarterly to receive updates on the accomplishments on the CBP goals and participate in discussions concerning community health. Annual CBP reports are presented to the SMC Board for review, discussion and approval. Analysis of State, County and local health indicators are conducted through the review of the 2008 San Mateo County Needs Assessment: Health and Quality of Life. The Healthy Community Collaborative of San Mateo County, a group of San Mateo County organizations interested in the community's health, worked together to conduct the 2008 Community Needs Assessment of San Mateo County as follow-up to assessments conducted in 1995, 1998, 2001 and 2004. A copy of the complete 2008 Community Needs Assessment, is available on the Internet on the Peninsula Library System website at http://plsinfo.org/healthysmc. The 2008 Community Assessment: Health & Quality of Life in San Mateo County is designed to serve as a tool for guiding policy and planning efforts, and to formulate strategies to improve the quality of life. For participating hospitals, the information in this assessment will serve to assist in developing Community Benefit Plans pursuant to Legislative Bill 697. The goals of the Community Collaborative are twofold: 1. To produce a functional, comprehensive, triennial community needs assessment that can be used for strategic planning of community programs throughout the County and as a guideline for policy and advocacy efforts; and 2. To promote collaborative efforts in the community to develop projects to improve the health of our communities based on the data, community input, and group consensus. Healthy Community Collaborative Members: Health Plan of San Mateo San Mateo Co. Health Dept. Hospital Consortium of San Mateo Co. San Mateo Medical Center Hospital Council of North & Central CA Sequoia Hospital Kaiser Permanente, San Mateo Area Seton Medical Center Lucille Packard Children's Hospital Seton Medical Center Coastside Mills Peninsula Health Services Silicon Valley Community Peninsula Family YMCA Stanford Hospital and Clinics Peninsula Library System Services Youth and Family Enrichment The following indicators from the 2008 Community Assessment: Health & Quality of Life in San Mateo County reflect the disturbing fact that the percentage of uninsured continues to rise and there is an ongoing trend of unhealthy behaviors that result in weight problems and obesity in adults and children. Last year the unemployment rate doubled leaving many people uninsured. For the first time in San Mateo County, there is a waiting list for the Healthy Children Health Coverage and the San Mateo Wellness Program. o Uninsured: 14% (67,000) San Mateo County adults aged 18 - 64 years are uninsured. o Cost of Medications: 9% of survey respondents say they were unable to purchase a needed medication in the past year because of the cost. This number has increased significantly. o Cardiovascular Risk Factors: More than 50% of the San Mateo County respondents do not participate in regular, vigorous physical activity. o Healthy Behaviors: Less than 10% of San Mateo County survey respondents report a combination of healthy behaviors that limit cardiovascular and cancer risk. o Adults who are Overweight: 56.7% of San Mateo County respondents are overweight; having a body mass index (ratio of height to weight) equal to or greater than 25. o Trying to Lose Weight: In all, 31.8% of overweight adult respondents are currently trying to lose weight by using both diet and exercise (similar to previous findings). o Children who are Overweight: 25.1% of low-income children aged 5 - 19 who participated in the San Mateo County Child Health and Disability Prevention program were overweight. o Television/Video Watching & Video Gaming: Overall usage appears to be decreasing in comparison with previous years. o Childhood Immunization: Currently, only eight in 10 San Mateo County children are current on their immunizations. o Senior Health: There has been a statistically significant trend in higher prevalence of diabetes, asthma and chronic lung disease specifically among San Mateo Seniors since 1998. More than one out of three area seniors lives alone. o Maternal & Infant Health: The proportion of low-weight births and C-section births has increased in the county over the past decade. o Health Education through the Computer: 25% of survey respondents get most of their health care information from the Internet. o Spirituality: 46.7% of the survey participants say that spirituality is \"very important.\" The SMC/SMCC Community Benefit Plan addresses the following prioritized community needs: Community Need #1: Healthcare and health resources for uninsured and underserved people. The number of uninsured is expected to continue to rise as more people become unemployed and lose benefits. Many of those losing their insurance have chronic care conditions. A total of 14.15% of adults in San Mateo County aged 18 to 64 do not have any type of job based, privately purchased or government sponsored health insurance (representing 67,000 adults aged 18 to 64). Other barriers to access of health services include difficulty getting an appointment, cost of medical care, cost of medications, lack of transportation and treatment based on race. Limitations in access have a discernible impact on the health status of county residents. 20.3% of uninsured respondents report \"fair/poor\" health verses 11% of insured respondents. Those without health insurance coverage report notably lower prevalence of preventive health services when compared to privately insured individuals. Community Need #2: Increase adults' activity levels and health education to decrease cardiovascular risk factors. Most San Mateo County respondents (54.0%) do not participate in regular, vigorous physical activity, meaning they do not engage in activities that cause heavy sweating or large increases in breathing or heart rate at least three times a week for 20 or more minutes on each occasion. This finding is significantly better than the 64.1% found in 2001 but similar to 2004 findings. 85.3% of San Mateo County adults exhibit one or more risk factor for heart disease and stroke, marking an unfavorable increase in cardiovascular risk since the initial 1998 assessment. Community Need #3: Activities that support children and youth and promote healthy life style habits. More San Mateo County low-income children aged 5 through 19 are overweight than low-income children statewide. On a positive note, San Mateo County children appear to be spending less time watching television or playing video games than found in previous assessments. Overall 25% of San Mateo County students in grades 5 - 9 are overweight. In a 2006 Kids Data survey, 72.25% of San Mateo County parents said their child was about right weight with 9.8% saying their child was overweight. The percentage of 5th, 7th and 9th grade students who meet fitness standards has improved since 1999, with students in 9th grade making the highest improvement from 18.55 in 1999 to 35.9% in 2007. Although this is better than nationwide, it means six in ten students do not meet the basic requirements. Community Need #4: Access to pre-natal and post-partum care for low-income and underserved pregnant women. Regarding infant health in San Mateo County, mortality and prenatal care indicators are improving, especially among Blacks, lessening the racial disparity between certain racial and ethnic subgroups. Still, Black women and Hispanic women have some of the highest proportions of births receiving less than adequate prenatal care, late or no prenatal care and higher infant mortality rates. On a less favorable note, the proportion of low weight births and C-section births has increased in the county over the past decade. There has been a steady increase in the percentage of mothers encountering gestational diabetes.","other_information":"Provide any other information important to describing how the organization's hospitals or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.). The Community Outreach Departments of SMC/SMCC participate in community health fairs and local health related events where the target population lacks access to healthcare and is at high risk for cardiac disease and/or diabetes. Health fairs and other community events provide the venue for one-on-one contact with community members. SMC/SMCC Associates and nurses routinely donate their time at the community events. Blood pressure screenings are provided at the health fairs allowing each person served an opportunity to talk with a nurse, ask questions and learn more about heart healthy lifestyles and healthy nutrition. Health fairs also provide an opportunity to gather information for identifying community outreach strategies. A direct result of a recent health fair was evidence that 90% of the blood pressure screenings were 140/90 or higher for the largely Chinese population attending the fair. Another health fair revealed that many people that are on blood pressure regulating medicines are not taking the medicine as directed. The partnership with Daly City ACCESS serves as the catalyst to promote community outreach with cultural sensitivity and language capacity at health fairs. Representatives of family service agencies and healthcare facilities work together to provide language interpretation, as needed at the health fairs. SMCC participates on the El Centro de Libertad Advisory Committee for the methamphetamine grant. The grant addresses increasing substance abuse awareness and provides treatment to patients, and education to medical personnel and concerned citizens. To further this work, SMCC partners with Youth Leadership Institute and El Centro Libertad in the Environmental Prevention grant to identify a strategic plan to expand collaborative participation in the prevention of substance abuse on the coast. SMCC participates on the Coastside Health Committee which serves the community by providing information on all health related organizations and events on the coast, with an emphasis on the underserved in the community. Seton Coastside Community Advisory Committee formed a task force to support local healthy lifestyle choices for all to increase cardiovascular health and to encourage healthy eating, healthy food systems and to promote support of locally grown vegetables and local fishing. The St. Elizabeth Ann Seton New Life Center established at Seton Medical Center in 2003, provides all-inclusive peri-natal services for low-income, pregnant women in our community. In order to achieve its goal of decreasing the incidence of pre-term and low birth-weight babies of mothers in the program, the New Life Center provides quality prenatal care and delivery, education and appropriate referrals to each mother for entire pregnancy and 60 days post-partum, and expedites enrollment of pregnant women into the Medi-Cal program. The Center offers physician services and health education, as well as nutritional, social and support services, all in one location. Seton Medical Center supports the New Life Center by providing comprehensive birthing facilities for new mothers. There is a direct correlation between the economic distressed clients and the increase of the variety of challenges they face, e.g. potential homelessness, drug use, domestic violence, poor access to food and clothing, lack of transportation, noninvolvement of the fathers of the babies, joblessness, and low education. This year there has been a significant increase in the percentage of clients that complete the program along with an increase of clinic visits.","patient_education_assistance":"Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's charity care policy. Patients who present at SMC/SMCC's Emergency Department and SMC/SMCC's Admitting Department are provided with a financial assistance packet that consists of an informational flyer on various programs for which they may be eligible. The flyer is in English and Spanish. The packet includes a Medi-Cal application, as well as a Charity Care application. In addition, there are signs posted in English and Spanish in the Patient Financial Services department and at every point of registration stating that SMC/SMCC has financial assistance and charitable programs available for qualified low income, uninsured patients who may not have the ability to meet the financial obligation of their hospital services and a contact number to call. After discharge, the back of the monthly patient bills includes this same statement.","percent_of_total_expense":"Form 990, Part IX, line 25, Column A for SMC/SMCC reflects a bad debt expense of $9,014,480 which is not included in the line 7 calculation.","reports_filed_with_states":"CA","shortfall_as_community_benefit":"SMC/SMCC utilizes a cost accounting system that determines costs for providing medical services based on the organizations relationship of costs to charges."}},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"benefits_and_procedures":{"housing_allowance_or_residence":true,"substantiation_required":true,"written_policy_travel_and_entertainment":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":true,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"ROBERT 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PEDROZA","base_compensation_filing_org":244221,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":8091,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":25984,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":310,"other_compensation_related_orgs":0,"total_compensation_filing_org":278606,"total_compensation_related_orgs":0,"name":"JUAN M PEDROZA"},{"person_name":"MICHAEL 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BARBA","base_compensation_filing_org":234491,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":8091,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":28810,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":276,"other_compensation_related_orgs":0,"total_compensation_filing_org":271668,"total_compensation_related_orgs":0,"name":"JENNIFER BARBA"},{"person_name":"BERNADETTE 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THE AMOUNTS ARE INCLUDED IN COMPENSATION REPORTED ON SCHEDULE J, PART II, COLUMN B(iii)."},{"identifier":"COMPENSATION","form_and_line_reference":"Schedule J, Part I, Line 3","explanation":"THE CEO IS AN EMPLOYEE OF DAUGHTERS OF CHARITY HEALTH SYSTEM. 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System."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"policy_applied_to_all_hospitals":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":true,"discounted_care_percent_200":true,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":7822604,"reimbursed_by_medicare":94129224,"cost_of_care_reimbursed_by_medicare":137353353,"medicare_surplus_or_shortfall":-43224129,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"activities_or_programs":1,"persons_served":2441,"total_community_benefit_expense":1230398,"net_community_benefit_expense":1230398,"total_expense_percentage":0.0042},"unreimbursed_medicaid":{"activities_or_programs":1,"persons_served":32336,"total_community_benefit_expense":61271710,"direct_offsetting_revenue":35937884,"net_community_benefit_expense":25333826,"total_expense_percentage":0.0874},"total_financial_assistance":{"activities_or_programs":2,"persons_served":34777,"total_community_benefit_expense":62502108,"direct_offsetting_revenue":35937884,"net_community_benefit_expense":26564224,"total_expense_percentage":0.0916},"community_health_services":{"activities_or_programs":39,"persons_served":8843,"total_community_benefit_expense":189803,"direct_offsetting_revenue":12676,"net_community_benefit_expense":177127,"total_expense_percentage":0.0006},"health_professions_education":{"activities_or_programs":9,"persons_served":9,"total_community_benefit_expense":212341,"direct_offsetting_revenue":50801,"net_community_benefit_expense":161540,"total_expense_percentage":0.0006},"subsidized_health_services":{"activities_or_programs":4,"persons_served":8446,"total_community_benefit_expense":1662994,"direct_offsetting_revenue":816048,"net_community_benefit_expense":846946,"total_expense_percentage":0.0029},"cash_and_inkind_contributions":{"activities_or_programs":8,"persons_served":5876,"total_community_benefit_expense":36002,"net_community_benefit_expense":36002,"total_expense_percentage":0.0001},"total_other_benefits":{"activities_or_programs":60,"persons_served":23174,"total_community_benefit_expense":2101140,"direct_offsetting_revenue":879525,"net_community_benefit_expense":1221615,"total_expense_percentage":0.0042},"total_community_benefits":{"activities_or_programs":62,"persons_served":57951,"total_community_benefit_expense":64603248,"direct_offsetting_revenue":36817409,"net_community_benefit_expense":27785839,"total_expense_percentage":0.0958}},"community_building":{"other_community_building_activities":{"activities_or_programs":18,"persons_served":3276,"total_community_benefit_expense":124067,"net_community_benefit_expense":124067,"total_expense_percentage":0.0004},"total_community_building_activities":{"activities_or_programs":18,"persons_served":3276,"total_community_benefit_expense":124067,"net_community_benefit_expense":124067,"total_expense_percentage":0.0004}},"hospital_facility_count":2,"hospital_facilities":[{"facility_number":1,"business_name_line1":"Seton Medical Center","address_line1":"1900 Sullivan Avenue","city":"Daly City","state":"CA","zip":"94015","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"name":"Seton Medical Center","address":"1900 Sullivan Avenue, Daly City, CA, 94015"},{"facility_number":2,"business_name_line1":"Seton Medical Center Coastside","address_line1":"600 Marine Bvld","city":"Moss Beach","state":"CA","zip":"94038","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"name":"Seton Medical Center Coastside","address":"600 Marine Bvld, Moss Beach, CA, 94038"}],"facility_policies":[{"business_name_line1":"Seton Medical Center","facility_number":1,"eligibility_criteria_explained":true,"fpg_family_income_limit_free_discounted":true,"fpg_family_income_limit_free_care_percentage":200.0,"fpg_family_income_limit_discounted_care_percentage":200.0,"fpg_used_determine_discounted_care":true,"income_level_criteria":true,"asset_level_criteria":true,"medical_indigency_criteria":true,"insurance_status_criteria":true,"basis_explained":true,"application_financial_assistance_explanation":true,"includes_publicity_measures":true,"fap_available_on_website":true,"fap_available_on_request_no_charge":true,"fap_notified_all_patients":true,"fap_actions_on_nonpayment":true,"attached_to_invoice":true,"posted_in_admission_office":true,"posted_in_emergency_room":true,"provided_on_admission":true,"permit_report_to_credit_agency":true,"permit_legal_judicial_process":true,"collection_activities":true,"reporting_to_credit_agency":true,"engaged_legal_judicial_process":true,"provided_written_notice":true,"made_effort_orally_notify":true,"processed_fap_application":true,"nondiscriminatory_emergency_care_policy":true,"average_negotiated_rates":true,"medicaid_medicare":true,"state_regulation":true,"uninsured_discount":true,"amounts_generally_billed":false,"gross_charges":false,"name":"Seton Medical Center"},{"business_name_line1":"Seton Medical Center Coastside","facility_number":2,"eligibility_criteria_explained":true,"fpg_family_income_limit_free_discounted":true,"fpg_family_income_limit_free_care_percentage":200.0,"fpg_family_income_limit_discounted_care_percentage":200.0,"fpg_used_determine_discounted_care":true,"income_level_criteria":true,"asset_level_criteria":true,"medical_indigency_criteria":true,"insurance_status_criteria":true,"basis_explained":true,"application_financial_assistance_explanation":true,"includes_publicity_measures":true,"fap_available_on_website":true,"fap_available_on_request_no_charge":true,"fap_notified_all_patients":true,"fap_actions_on_nonpayment":true,"attached_to_invoice":true,"posted_in_admission_office":true,"posted_in_emergency_room":true,"provided_on_admission":true,"permit_report_to_credit_agency":true,"permit_legal_judicial_process":true,"collection_activities":true,"reporting_to_credit_agency":true,"engaged_legal_judicial_process":true,"provided_written_notice":true,"made_effort_orally_notify":true,"processed_fap_application":true,"nondiscriminatory_emergency_care_policy":true,"average_negotiated_rates":true,"medicaid_medicare":true,"state_regulation":true,"uninsured_discount":true,"amounts_generally_billed":false,"gross_charges":false,"name":"Seton Medical Center Coastside"}],"supplemental_information":[{"explanation":"Seton Medical Center (SMC) prepares an annual Community Benefit Report. The report includes both the SMC location and the Seton Medical Center Coastside (SMCC) location. It is developed in conjunction with SMC/SMCC'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 SMC/SMCC Board of Directors and Daughters of Charity Health System (DCHS) corporate offices. An annual update is prepared and presented to the SMC/SMCC Board of Directors for approval. The annual update is made available to medical center leadership, key stakeholders, DCHS, and the community. The annual update is presented to the California Office of Statewide Planning and Development, in accordance with SB697. SMC/SMCC'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. Seton Medical Center's Board of Directors reviews and gives final approval of SMC/SMCC'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."},{"explanation":"Form 990, Part IX, line 25, Column A for SMC/SMCC reflects a bad debt expense of $7,822,604 which is not included in the line 7 calculation."},{"explanation":"SMC/SMCC utilizes a cost accounting system that determines costs for providing medical services based on the organizations relationship of costs to charges."},{"explanation":"SMC/SMCC 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."},{"explanation":"SMC/SMCC utilizes a cost accounting system that determines costs for providing medical services based on the organizations relationship of costs to charges."},{"explanation":"SMC/SMCC follows the Collection Practices as outlined in DCHS Charity Care and Financial Discount and Financial Assistance operating policies. For patients who qualify for charity care and financial discount, SMC/SMCC provides the patient with a written notice prior to commencing collection activities. The notice states that nonprofit counseling services may be available in the area and provides information concerning state and federal law requirements for debt collectors. SMC/SMCC does not pursue legal action for non-payment of bills against any household where the primary wage earner(s) is unemployed or there are not significant income sources. SMC/SMCC does not assign patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SMC/SMCC does not report adverse information to a consumer credit agency or commence civil action for nonpayment of a patient debt prior to 150 days after the initial billing of the patient. SMC/SMCC does not use wage garnishments or liens on real property as a means of collecting unpaid hospital bills for eligible patients. SMC/SMCC expects its external collection agencies to not pursue legal action against an eligible patient without prior approval from SMC/SMCC. SMC/SMCC expects its external collection agencies to follow Fair Debt and Collection Practices, Assembly Bill AB774 and act in a manner that treats individuals with dignity, respect and compassion. In addition, for patients who qualify for financial assistance, SMC/SMCC does not pursue legal action for non-payment of bills against any household where the primary wage earner(s) is unemployed, uninsured or there are not significant income sources or assets. SMC/SMCC does not assign eligible patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SMC/SMCC does not use liens on real property as a means of collecting unpaid hospital bills for eligible patients."},{"explanation":"In an effort to identify the most critical health care needs in SMC/SMCC's service area, a Community Needs Assessment is conducted every three years. The annual SMC/SMCC Community Benefit Plan (CBP) is developed through (1) analysis of San Mateo County health indicators and (2) review of the accomplishments of CBP goals. SMC and SMCC Community Advisory Committee (CAC) members meet quarterly to receive updates on the accomplishments on the CBP goals and participate in discussions concerning community health. Annual CBP reports are presented to the SMC Board for review, discussion and approval. Analysis of State, County and local health indicators are conducted through the review of the 2011 San Mateo County Needs Assessment: Health and Quality of Life. The Healthy Community Collaborative of San Mateo County, a group of San Mateo County organizations interested in the community's health, worked together to conduct the 2011 Community Needs Assessment of San Mateo County as follow-up to assessments conducted in 1995, 1998, 2001, 2004 and 2008. A copy of the complete Community Needs Assessment, is available on the Internet on the County Website or Peninsula Library System website at http://plsinfo.org/healthysmc. The 2011 Community Assessment: Health & Quality of Life in San Mateo County is designed to serve as a tool for guiding policy and planning efforts, and to formulate strategies to improve the quality of life. For participating hospitals, the information in this assessment will serve to assist in developing Community Benefit Plans pursuant to Legislative Bill 697. The goals of the Community Collaborative are twofold: 1. To produce a functional, comprehensive, triennial community needs assessment that can be used for strategic planning of community programs throughout the County and as a guideline for policy and advocacy efforts; and 2. To promote collaborative efforts in the community to develop projects to improve the health of our communities based on the data, community input, and group consensus. Healthy Community Collaborative Members: Health Plan of San Mateo San Mateo Co. Health Dept. Hospital Consortium of San Mateo Co. San Mateo Medical Center Hospital Council of North & Central CA Sequoia Hospital Kaiser Permanente, San Mateo Area Seton Medical Center Lucille Packard Children's Hospital Seton Medical Center Coastside Mills Peninsula Health Services Silicon Valley Community Peninsula Family YMCA Stanford Hospital and Clinics Peninsula Library System Services Youth and Family Enrichment The following are key findings from the 2011 Community Assessment: Health & Quality of Life in San Mateo reflect the disturbing fact that the percentage of uninsured continues to rise and an ongoing trend of unhealthy behaviors that result in overweight and obesity in adults and children. Excess weight leads to higher risk of cardiovascular disease, type 2 diabetes, hypertension, stroke and certain types of cancer, as well as mental, emotional and social stress. o San Mateo County is among the most culturally and ethnically diverse counties. Asian and Hispanic residents, along with seniors, are expected to continue to become increasingly greater proportions of the population. We are not adequately prepared for this enormous demographic shift. o There are two San Mateo Counties: one for the economic \"haves\" and one for the economic \"have nots.\" The gap between these two is growing. o The actual causes of premature death are rooted in behavior, and it is estimated that as many as 50% of premature deaths are due to health risk behaviors such as tobacco use, poor diet, a lack of exercise, alcohol use, etc. Despite this, the vast majority of our community does not exhibit the most basic healthy behaviors. o Individual health behaviors are deeply influenced by public policy and place (i.e., neighborhood conditions) to a far greater degree than we recognize. The health of San Mateo County can be improved through a greater focus by all organizations on public policy changes and place-based strategies. o Quality health care services in the county are, for the most part, not a problem. Access and affordability are a significant problem. The lack of a comprehensive healthcare \"system\" is a failing, unsustainable model. o More than one out of four San Mateo County adults believes access to mental health, substance abuse, and dental services in the county are \"fair\" or \"poor.\" o The Internet is likely to replace physicians in the near future as the place where most people get most of their healthcare information. o The proportion of births with adequate prenatal care has risen steadily among Black and Hispanic women, lessening the racial health disparities that have persisted in prenatal care. o The rise in C-section rates is a disturbing trend. o Our children are not doing much better than adults in exhibiting healthy behaviors. This will severely impact their future health. o Adolescents engage in a variety of risky behaviors such as alcohol and drug use, tobacco use, violence, and sexual behavior. It is important to encourage in our children and adolescents those assets which will deter harmful behaviors and promote healthy development. o Key adolescent assets where additional effort should be placed are: 1) increasing the amount of sustained caring and supportive adult/youth relationships; and 2) increasing meaningful participation of youth in community activities. o The proportion of adults aged 60 and older is expected to roughly double over the next four decades, and Hispanics and Asians are projected to increase their representation considerably in the older population. As the fastest-growing population segment, the health and social needs of older adults require increasing attention. o Falls are a key issue leading to hospitalization, loss on independence, and death among seniors. More resources should be directed toward this preventable condition. o Looking at mortality rates, we are healthier now than any time in the past. However, there are storm clouds on the horizon and, unless things change, our children will lead shorter lives than ours. o Cancers are a leading cause of death in San Mateo County. Area incidence and mortality rates vary dramatically by race/ethnicity. o Few residents consume adequate amounts of fruits/vegetables; however, this appears to be slowly improving. Access to fresh fruits and vegetables is still an issue in some areas. o Heart disease and stroke death rates continue to decline, while reported prevalence of high blood pressure and high blood cholesterol continues to rise. o Since 1998, there have been significant increases in the prevalence of asthma, chronic lung disease and diabetes among San Mateo County adults. o After decreasing for several years, we are beginning to see a disturbing rise in both gonorrhea and Chlamydia. o Poisonings (including drug overdoses), firearms and motor vehicle accidents are the leading causes of injury deaths in San Mateo County. o Substance use (alcohol, tobacco and other drugs) is one of the most serious threats to the health of our community. Substance use carries a significant social impact, contributing to such social conditions as homelessness, violence, poverty and disease. Youth substance use is a particular concern. o Binge drinking among young adults, especially males aged 18 to 24, has increased significantly over the last several years. In addition, the detailed data from 2008 Community Assessment reported the following: o Uninsured: 14% (67,000) San Mateo County adults aged 18 - 64 years are uninsured. o Cost of Medications: 9% of survey respondents say they were unable to purchase a needed medication in the past year because of the cost. This number has increased significantly. o Cardiovascular Risk Factors: More than 50% of the San Mateo County respondents do not participate in regular, vigorous physical activity. o Healthy Behaviors: Less than 10% of San Mateo County survey respondents report a combination of healthy behaviors that limit cardiovascular and cancer risk. o Adults who are Overweight: 56.7% of San Mateo County respondents are overweight; having a body mass index (ratio of height to weight) equal to or greater than 25. o Trying to Lose Weight: In all, 31.8% of overweight adult respondents are currently trying to lose weight by using both diet and exercise (similar to previous findings). o Children who are Overweight: 25.1% of low-income children aged 5 - 19 who participated in the San Mateo County Child Health and Disability Prevention program were overweight. o Television/Video Watching & Video Gaming: Overall usage appears to be decreasing in comparison with previous years. o Childhood Immunization: Currently, only eight in 10 San Mateo County children are current on their immunizations. o Senior Health: There has been a statistically significant trend in higher prevalence of diabetes, asthma and chronic lung disease specifically among San Mateo Se"},{"explanation":"Patients who present at SMC/SMCC's Emergency Department and SMC/SMCC's Admitting Department are provided with a financial assistance packet that consists of an informational flyer on various programs for which they may be eligible. The flyer is in English and Spanish. The packet includes a Medi-Cal application, as well as a Charity Care application. In addition, there are signs posted in English and Spanish in the Patient Financial Services department and at every point of registration stating that SMC/SMCC has financial assistance and charitable programs available for qualified low income, uninsured patients who may not have the ability to meet the financial obligation of their hospital services and a contact number to call. After discharge, the back of the monthly patient bills includes this same statement."},{"explanation":"DEMOGRAPHICS Seton Medical Center is a major tertiary care center; serving northern and central San Mateo County and the most southern part of San Francisco County. Seton Coastside in Moss Beach provides the only 24-hour physician-staffed standby emergency department on the coast between Daly City and Santa Cruz. Seton Coastside also provides a skilled nursing unit, an acute-care unit, radiology, laboratory, and rehabilitative services. Seton Coastside's service area constitutes a large geographic area that extends 45 miles from Montara south to the Santa Cruz County line. San Mateo County is clearly one of California's richly ethnically diverse counties. The Asian/Pacific Islander population and Hispanic/Latino population are primarily clustered in Northern San Mateo County and along the Coast. In Daly City, a primary service area of Seton, 52% of the residents are foreign born and 68.1% of persons over the age of five speak a language other than English at home. South San Francisco, the second largest service area of Seton has 42.9% foreign born and 60.3% of persons over the age of five speak a language other than English at home. While other age groups will decrease in terms of percent of county population (0-19 years, 20-39 years, 40-59 years) from 2010 to 2050, those 60 years and older will increase from 18.9 percent to 30.9 percent. Asian/Pacific Islander and Hispanic seniors will comprise the largest proportion of seniors in San Mateo County in 2050. At the other end of the age spectrum, the ethnic makeup of children under the age of 15 years is projected to be Hispanic, Asian/Pacific Islander, White, Black and multi-race in 2050 (percent of population). In 2010, median earnings for San Mateo County residents aged 25 years and older was $47,060. Real per capita income in San Mateo County in 2010 was $68,582, and the average weekly wages in 2010 were $1,450, down 13% from 2000. According to the American Community Survey (U.S. Census Bureau), from 2006-2010, the percentage of SMC individuals below poverty level was 7 percent with 9.1 percent of children under the age of 18 below the poverty level. According to the Family Economic Self- Sufficiency Standard, a more realistic measure of poverty in SMC takes local conditions like cost of living into consideration; a single parent with two children must earn approximately $78,000 annually to meet the family's basic needs, the equivalent of nearly five, full-time minimum wage jobs. According to the Elder Index, 36 percent of seniors struggle to cover basic expenses and, if their annual income exceeds federal poverty guidelines ($10,830), they may be ineligible for public assistance programs. Community Building Activities Collaboration with the community enables SMC/SMCC to successfully reach the annual CBP goals and objectives. Participating on various committees throughout the county is another avenue to learn about community needs, which services are provided and to avoid duplication of the services. Partners include local schools and school districts, businesses, community service clubs, churches, foundations and State, County and City elected officials and agencies. Additionally, community volunteers, Seton Medical Staff and Seton Associates routinely donate time and resources. o Chamber of Commerce Boards: SMC/SMCC consistently show support through participation on the following chamber of commerce boards, Daly City - Colma, Brisbane, Half Moon Bay, Pacifica, and South San Francisco. SMC/SMCC is also members of the Chairman's Circle on the following chambers: Daly City - Colma, Brisbane, Half Moon Bay and Pacifica. The Chairman's Circles support the local graduating high school senior scholarship programs. Additionally, SMC is a major sponsor of the State of the Cities addresses for Daly City - Colma and Brisbane Chambers. The State of the City events provides Mayors the opportunity to present updates and have interactive discussions with businesses and community membersDaly City-Peninsula Partnership Collaborative Program: A collaborative of 100 organizations, agencies, schools and parent groups which promote academic achievement for youth in Northern San Mateo County. o Youth Related: - Police Athletic League (P.A.L.) raises funds for uniforms, coaches and other adult volunteers. P.A.L. makes it possible for over 2,500 local youths the opportunity to participate in sports. - Coastside Health Committee: Established in 1978 to focus on identifying avenues to increase health resources available to low-income children and families. - Healthy Community Collaborative of San Mateo County: Hospital Consortium of San Mateo County, San Mateo Community Assessment and Adolescent Asset Program, Get Healthy San Mateo Task Force - Sober Grad Nights, sober drinking campaigns, anti-smoking campaigns, and youth forums - Volunteer opportunities at SMC/SMCC for 200+ teens - Jobs for Youth Program Annual Fundraising Breakfast - Daly City Youth Health Center Annual Fundraising Dinner - Chamber of Commerce high school senior scholarship awards - Rethink your Drink campaign - San Mateo County Youth Summit o Economic Development - Food Banks - Daly City Emergency Food Pantry - Shelter Network - Domestic Violence Prevention"},{"explanation":"Our promotion of community health includes ongoing health education about healthy habits. SMC/SMCC participated in over 12 annual community events and focuses on small venues to further this health education effort. Nurses and physicians volunteering at these events talk individually with community members about blood pressure management, nutrition and healthy habits. SMC/SMCC physicians, nurses and medical staff routinely volunteer their time to make presentations on healthy heart practices, stroke awareness and nutrition at schools, community centers and places of worship. Within the hospital, health related support groups are provided. To address the uninsured, SMC/SMCC continues to support free urgent care to the uninsured at two RotaCare Clinics. Monday night RotaCare Clinic is located at Seton Medical Center in Daly City and Wednesday night RotaCare Clinic is located in Half Moon Bay. The Clinics provide medical care, certain medications, laboratory and diagnostics, x-rays, immunizations, referrals to Seton Ophthalmologist services, social needs referrals within the community, health education and health care referrals. The medical care is provided primarily by volunteer physicians, physician assistants, nurse practitioners, and nurses. We reach even further into the community on Mondays, when KRON 4 television partners with Seton Medical Center to present \"Medical Mondays.\" Each week, this interactive program features Seton physicians who discuss different medical concerns ranging from back pain to heart disease to joint replacement. The partnership with Daly City ACCESS serves as the catalyst to promote community outreach with cultural sensitivity and language capacity at health fairs. Representatives of family service agencies and healthcare facilities work together to provide language interpretation, as needed at the health fairs. SMCC participates on the El Centro de Libertad Advisory Committee for the methamphetamine grant. The grant addresses increasing substance abuse awareness and provides treatment to patients, and education to medical personnel and concerned citizens. To further this work, SMCC partners with Youth Leadership Institute and El Centro Libertad in the Environmental Prevention grant to identify a strategic plan to expand collaborative participation in the prevention of substance abuse on the coast. The St. Elizabeth Ann Seton New Life Center established at Seton Medical Center in 2003, provides all-inclusive peri-natal services for low-income, pregnant women in our community. In order to achieve its goal of decreasing the incidence of pre-term and low birth-weight babies of mothers in the program, the New Life Center provides quality prenatal care and delivery, education and appropriate referrals to each mother for entire pregnancy and 60 days post-partum, and expedites enrollment of pregnant women into the Medi-Cal program. The Center offers physician services and health education, as well as nutritional, social and support services, all in one location. Seton Medical Center supports the New Life Center by providing comprehensive birthing facilities for new mothers. There is a direct correlation between the economic distressed clients and the increase of the variety of challenges they face, e.g. potential homelessness, drug use, domestic violence, poor access to food and clothing, lack of transportation, noninvolvement of the fathers of the babies, joblessness, and low education. This year there has been a significant increase in the percentage of clients that complete the program along with an increase of clinic visits."},{"explanation":"The Daughters of Charity Health System (DCHS) is a regional health care system of hospitals and medical centers (\"Local Health Ministries\") spanning the California coast from the San Francisco Bay Area to Los Angeles. In the spirit of our founders, St. Vincent de Paul, St. Louise de Marillac and St. Elizabeth Ann Seton, the Daughters of Charity Health System is committed to serving the sick and the poor. With Jesus Christ as our model, we advance and strengthen the healing mission of the Catholic Church by providing comprehensive, excellent health care that is compassionate and attentive to the whole person: body, mind and spirit. We promote healthy families, responsible stewardship of the environment, and a just society through values-based relationships and community based collaboration. Every day in DCHS Local Health Ministries, dedicated associates, physicians and volunteers provide quality, compassionate care. These thousands of people are the hands and hearts of the Daughters of Charity, reaching out to provide comfort and holistic healing - body, mind and spirit - to the people of California, just as the first Daughters did more than 150 years ago. As a member of the Daughters of Charity Health System, SMC/SMCC continues to uphold its mission of providing quality medical services to the most vulnerable populations, the sick, the poor, the elderly, and children. SMC/SMCC is committed to the fulfillment of the mission of its founding sisters through the delivery of charitable services and care to the community."},{"explanation":"SMC/SMCC annually updates its Community Benefits Report and SMC/SMCC files a copy of its Community Benefits Report on an annual basis with the State of California."}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"benefits_and_procedures":{"discretionary_spending_account":true,"substantiation_required":true,"written_policy_travel_and_entertainment":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Michael 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DCHS USES ONE OR MORE OF THE FOLLOWING METHODS TO ESTABLISH TOP MANAGEMENT OFFICIALS' COMPENSATION: INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE, FORM 990 OF OTHER ORGANIZATIONS, AND WRITTEN EMPLOYMENT CONTRACTS."},{"identifier":"Severance Arrangements","form_and_line_reference":"Schedule J, Part I, Line 4a","explanation":"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."},{"identifier":"NONQUALIFIED RETIREMENT PLAN","form_and_line_reference":"SCHEDULE J, PART I, LINE 4B","explanation":"THE FOLLOWING INDIVIDUAL PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, WHICH IS INCLUDED IN COMPENSATION REPORTED ON SCHEDULE J, PART II, COLUMN C: ROBERT ISSAI $46,330"},{"identifier":"Compensation Information","form_and_line_reference":"Schedule J, Part II","explanation":"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 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."}]},"ScheduleM":{"policies":{"any_property_that_must_be_held":false,"review_process_unusual_noncash_gifts":true,"third_parties_used":false},"noncash_contributions":{"real_estate_residential":{"reported":true,"revenue_reported_on_990":380000,"contribution_count":1,"method_of_determining_revenues":"Appraised value"},"other_noncash_contributions":[{"description":"RENOVATION PROJECTS","reported":true,"revenue_reported_on_990":1872707,"contribution_count":4,"method_of_determining_revenues":"COST"},{"description":"MEDICAL EQUIPMENT","reported":true,"revenue_reported_on_990":20788,"contribution_count":1,"method_of_determining_revenues":"Cost"}]}},"ScheduleR":{"tax_exempt_organizations":[{"business_name_line1":"SEE PART VII","name":"SEE PART VII"}],"taxable_partnerships":[{"business_name_line1":"SEE PART VII","name":"SEE PART VII"}],"taxable_corporations_and_trusts":[{"business_name_line1":"SEE PART VII","name":"SEE PART VII"}],"transaction_flags":{"gift_grant_or_capital_contribution_from_other_org":true,"gift_grant_or_capital_contribution_to_other_org":false,"loans_or_guarantees_from_other_org":true,"loans_or_guarantees_to_other_org":false,"performance_of_services_by_other_orgs":true,"performance_of_services_for_other_orgs":false,"sharing_of_facilities":true,"sharing_of_paid_employees":true,"reimbursement_paid_by_other_org":true,"reimbursement_paid_to_other_org":true,"rental_of_facilities_from_other_orgs":false,"rental_of_facilities_to_other_orgs":false,"purchase_of_assets_from_other_org":false,"sale_of_assets_to_other_org":false,"exchange_of_assets":false,"receipt_of_interest_annuities_rents_royalties":false,"other_transfer_from_other_org":true,"other_transfer_to_other_org":false},"transactions":[{"business_name_line1":"Caritas Business Services","amount_involved":6511123,"method_of_amount_determination":"Cost","transaction_type":"L","name":"Caritas Business Services"},{"business_name_line1":"O'Connor Hospital","amount_involved":59221,"method_of_amount_determination":"Cost","transaction_type":"P","name":"O'Connor Hospital"},{"business_name_line1":"O'Connor Hospital","amount_involved":115403,"method_of_amount_determination":"Cost","transaction_type":"O","name":"O'Connor Hospital"},{"business_name_line1":"Seton Medical Center Foundation","amount_involved":2556870,"method_of_amount_determination":"Cost","transaction_type":"c","name":"Seton Medical Center Foundation"},{"business_name_line1":"Seton Medical Center Foundation","amount_involved":60497,"method_of_amount_determination":"Cost","transaction_type":"m","name":"Seton Medical Center Foundation"},{"business_name_line1":"Seton Medical Center Foundation","amount_involved":481884,"method_of_amount_determination":"Cost","transaction_type":"n","name":"Seton Medical Center Foundation"},{"business_name_line1":"Seton Medical Center Foundation","amount_involved":465089,"method_of_amount_determination":"Cost","transaction_type":"p","name":"Seton Medical Center Foundation"},{"business_name_line1":"St Francis Medical Center","amount_involved":5226480,"method_of_amount_determination":"Cost","transaction_type":"e","name":"St Francis Medical Center"},{"business_name_line1":"St Francis Medical Center","amount_involved":8697624,"method_of_amount_determination":"Cost","transaction_type":"r","name":"St Francis Medical Center"},{"business_name_line1":"Daughters of Charity Health System","amount_involved":24395846,"method_of_amount_determination":"Cost","transaction_type":"o","name":"Daughters of Charity Health System"},{"business_name_line1":"Daughters of Charity Health System","amount_involved":83808,"method_of_amount_determination":"Cost","transaction_type":"r","name":"Daughters of Charity Health System"}],"supplemental_information":[{"identifier":"Schedule R, Part II","explanation":"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"},{"identifier":"Schedule R, Part III","explanation":"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%"},{"identifier":"Schedule R, Part IV","explanation":"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%"}]},"source_xml":"201331349349307623_public.xml"},{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"Provision of healthcare services.","primary_activities":"Seton Medical Center, an accredited non-profit 357-bed hospital with over 400 physicians, offers the most advanced surgical procedures, treatment, and comprehensive healthcare available. Seton Medical Center offers exemplary medical, surgical, and specialty programs for cardiovascular services, oncology, orthopedics and joint replacement, spine care, and respiratory care, in addition to many specialty services such as diabetes services, urgent care, and care for those without health insurance. Additional information about Seton Medical Center's charitable activities can be found on Schedule O.\n\nThe Daughters of Charity Health System (\"DCHS\") is a regional health care system of hospitals and medical centers (\"Local Health Ministries\") spanning the California coast from the San Francisco Bay Area to Los Angeles. In the spirit of our founders, St. Vincent de Paul, St. Louise de Marillac and St. Elizabeth Ann Seton, the Daughters of Charity Health System is committed to serving the sick and the poor. With Jesus Christ as our model, we advance and strengthen the healing mission of the Catholic Church by providing comprehensive, excellent health care that is compassionate and attentive to the whole person: body, mind and spirit. We promote healthy families, responsible stewardship of the environment, and a just society through values-based relationships and community based collaboration. Every day in DCHS Local Health Ministries, dedicated associates, physicians and volunteers provide quality, compassionate care. These thousands of people are the hands and hearts of the Daughters of Charity, reaching out to provide comfort and holistic healing - body, mind and spirit - to the people of California, just as the first Daughters did more than 150 years ago. As a member of the Daughters of Charity Health System, Seton Medical Center continues to uphold its mission of providing quality medical services to the most vulnerable populations, the sick, the poor, the elderly, and children. Seton Medical Center is committed to the fulfillment of the mission of its founding sisters through the delivery of charitable services and care to the community. During fiscal year ended June 30, 2014, Seton Medical Center provided total quantifiable community benefits of $203.8 million. After offsetting direct revenue, Seton Medical Center provided unsponsored community benefits of $72.1 million, at cost. Total unsponsored community benefits of $72.1 million, at cost consisted of quantifiable unsponsored benefits for the poor at a cost of $26.9 million, quantifiable unsponsored benefits to the broader community at a cost of $0.2 million, and quantifiable unsponsored benefits to beneficiaries of the Medicare program at a cost of $45.0 million.","year":2013,"name":"Seton Medical Center","phone":"6509924000","website":"www.seton.dochs.org","type":"990","principal_officer":"Joanne E Allen","year_formation":2001,"state_legal_domicile":"CA","total_volunteers":102,"tax_period_begin":"2013-07-01T00:00:00","tax_period_end":"2014-06-30T00:00:00","address":"1900 Sullivan Avenue, Daly City, CA, 94015, USA","city":"Daly City","state":"CA","country":"USA","zip_code":"94015"},"Governance":{"501c3 determination":true,"Number of voting members":13,"Number of independent voting members":11,"Number of employees total":1628,"Total Gross UBI":0,"Number of employees":1628,"Prohibited tax shelter 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C","organization_incurred_excise_tax":false,"adopt_budget":true,"adopt_implementation_strategy":true,"all_needs_addressed":false,"eligibility_criteria_explained":true,"fpg_family_income_limit_free_care_percentage":200.0,"fpg_family_income_limit_discounted_care_percentage":350.0,"fpg_used_determine_free_care":true,"fpg_used_determine_discounted_care":true,"income_level":true,"asset_level":true,"medical_indigency":true,"insurance_status":true,"residency":true,"basis_explained":true,"application_financial_assistance_explanation":true,"includes_publicity_measures":true,"available_on_request":true,"fap_notified_all_patients":true,"fap_notified_before_discharge":true,"fap_notified_upon_admission":true,"fap_actions_on_nonpayment":true,"attached_to_invoice":true,"posted_in_admission_office":true,"posted_in_emergency_room":true,"posted_on_website":true,"provided_on_admission":true,"collection_activities":false,"nondiscriminatory_emergency_care_policy":true,"medicaid_medicare":true,"medicare_rates":true,"state_regulation":true,"uninsured_discount":true,"amounts_generally_billed":false,"gross_charges":false,"develop_community_wide_plan":true,"exec_community_wide_plan":true,"exec_implementation_strategy":true,"include_operational_plan":true,"information_gaps":true,"prioritize_health_needs":true,"prioritize_services":true,"report_available_upon_request":true,"documented_eligibility_determination":true,"name":"A"}],"supplemental_information":[{"form_and_line_reference":"Part I, Line 3c:"},{"form_and_line_reference":"Part I, Line 6a:"},{"form_and_line_reference":"Part I, Line 7, Column (f):"},{"form_and_line_reference":"Part I, Line 7:"},{"form_and_line_reference":"Part II:"},{"form_and_line_reference":"Part III, Lines 2, 3, and 4:"},{"form_and_line_reference":"Part III, Line 8:"},{"form_and_line_reference":"Part III, Line 9b:"},{"form_and_line_reference":"Part VI, Question 2:"},{"form_and_line_reference":"Part VI, Question 3:"},{"form_and_line_reference":"Part VI, Question 4:"},{"form_and_line_reference":"Part VI, Question 5:"},{"form_and_line_reference":"Part VI, Question 6:"},{"form_and_line_reference":"Part VI, Question 7:"},{"form_and_line_reference":"Part V, Lines 1j, 5d, 6i, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d,","explanation":"21 AND 22: N/A"},{"form_and_line_reference":"Part V, Lines 3 and 4:","explanation":"See disclosure for Part VI, Question 2: Needs Assessment"},{"form_and_line_reference":"Part V, Line 5a:","explanation":"THE CHNA REPORT CAN BE ACCESSED AT: HTTP://SETON.DOCHS.ORG/ABOUTUS/COMMUNITY-BENEFIT/"},{"form_and_line_reference":"Part V, Line 5b:","explanation":"The CHNA is made available to the public via the following external websites: www.smchealth.org www.plsinfo.org/healthysmc www.hospitalconsort.org"},{"form_and_line_reference":"Part V, Line 7:","explanation":"Seton Medical Center's Implementation plan does not address all of the health priorities needs because of lack of resources. Additionally Seton refers to programs offered in the community addressing these identified needs. The community asset mapping identifies resources and services for top community health needs. Seton will continue to collaborate with the community services and resources that address these top community health needs. Asthma & Respiratory: Not identified as one of the top five priorities by the Community Advisory Committee (\"CAC\") due to lack of resources to expand services. Seton Medical Center provides asthma and respiratory direct service programs that address these health needs health and refers to community resources. Substance Abuse: Seton does not have the resources to provide direct services for substance abuse treatment/prevention. Seton provides referrals to the following community partners/programs addressing substance abuse. o Alcoholic, Alanon, Alateen Recovery o Asian American Recovery Services o Catholic Charities o El Centro de Libertad o Pyramid Alternatives o StarVISTA o Sitike Counseling Center o Pyramid Alternative o Women's Recovery Association Poor Oral Health: Seton does not have the resources to provide a dental program. Seton provides referrals to community based programs. (Sonrisas Community Dental Center and County Health Department) Violence: Seton does not have the resources to provide direct services. Infectious Disease: Seton has an infection control program within the hospital and educates the community about hand hygiene during the flu season. Seton refers people seeking Tb screenings to the County Health Department. STDs, including HIV-AIDS: Seton does not have the resources to provide an STD program. Seton provides referrals to community programs and services including County Health Clinic, Clinic by the Bay, and the Daly City Youth Health Center."}]},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":352609,"reported_domestic_individual_grants":0,"reported_domestic_org_grants_program_services":352609,"total_501c3_and_government_organizations":1,"grants":[{"ein":413691852,"irc_section":"501(c)(3)","cash":352609,"purpose":"Program Support","address_line1":"400 Race Street","city":"San Jose","state":"CA","zip":"95126","name":"DCHS Medical Foundation","address":"400 Race Street, San Jose, CA, 95126"}],"total_domestic_grants":352609,"total_domestic_program_services":352609,"detail_org_grants_total":352609,"detail_domestic_grants_total":352609,"supplemental_information":[{"form_and_line_reference":"GRANT TO DCHS Medical Foundation","explanation":"Schedule I, Parts I & II: Seton Medical Center is part of a related group of tax exempt organizations, which includes DCHS Medical Foundation. Grants are made to support this related tax exempt organization's exempt purpose."}],"grant_monitoring":{"claims_monitoring_procedures":false,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false}},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"benefits_and_procedures":{"discretionary_spending_account":true,"substantiation_required":true,"written_policy_travel_and_entertainment":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":true,"initial_contract_exception":false,"severance_payment":true,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Irwin Shelub","title":"Chief Medical 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Organization:","explanation":"Schedule J, Part I, Line 3: The CEO is an employee of Daughters of Charity Health System (\"DCHS\"). DCHS uses one or more of the following methods to establish top management officials' compensation: independent compensation consultant, compensation survey or study, approval by the Board or Compensation Committee, Form 990 of other organizations, and written employment contracts."},{"form_and_line_reference":"Severance Arrangements","explanation":"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. The following individuals received a severance payment that is included in compensation on Schedule J, Part II, Column (b)(iii): Michael Glasberg $153,749 Stephanie Mearns $146,063"},{"form_and_line_reference":"Nonqualified Retirement Plan","explanation":"The following individuals participated in a supplemental nonqualified retirement plan, which is included in compensation reported on Schedule J, Part II, Column (c): Joanne E. Allen $19,546 Robert Issai $138,258 Mike Stuart $22,944"},{"form_and_line_reference":"Non-Fixed Payments","explanation":"Schedule J, Part I, Line 7: Beverly Fick received a non-fixed payment in the form of a retention bonus."},{"form_and_line_reference":"Other Reportable Compensation","explanation":"Schedule J, Part II: Schedule J, Part II, Column (B)(iii) includes a one-time payout of accrued Paid Time Off (\"PTO\") (i.e. vacation and holiday) for individuals that are employees of the Daughters of Charity Health System (\"DCHS\") System Office. In order to reduce future year expenses and liabilities, DCHS eliminated the benefit of any future accrual of vacation expenses for all employees at DCHS System Office at the Vice President and above position levels in the organization as well as the Local Health Ministry Chief Executive Officers and paid out the accrued PTO that had been earned in prior years for these employees. This payout was approved by the DCHS System Board. Schedule J, Part II, Column (b)(iii), other reportable compensation, for individuals compensated by Daughters of Charity Health System is comprised of the following: JOANNE E. ALLEN: ONE-TIME PTO PAYOUT OF PREVIOUSLY ACCRUED BENEFIT ON TERMINATION OF VACATION BENEFIT: $78,893 LONG TERM DISABILITY INSURANCE: $19,867 OTHER COMPENSATION: $20,240 TOTAL: $119,000 Robert Issai: One-Time PTO Payout of Previously Accrued Benefit on Termination of Vacation Benefit: $869,695 Long-Term Disability Insurance: $140,736 Other Compensation: $59,657 Total: $1,070,088 MIKE STUART: ONE-TIME PTO PAYOUT OF PREVIOUSLY ACCRUED BENEFIT ON TERMINATION OF VACATION BENEFIT: $209,745 LONG TERM DISABILITY INSURANCE: $23,572 OTHER COMPENSATION: $17,249 TOTAL: $250,566"}]},"ScheduleR":{"tax_exempt_organizations":[{"business_name_line1":"SEE PART VII","name":"SEE PART VII"}],"taxable_partnerships":[{"business_name_line1":"See Part VII","name":"See Part VII"}],"taxable_corporations_and_trusts":[{"business_name_line1":"See Part VII","name":"See Part VII"}],"transaction_flags":{"dividends_from_related_organization_indicator":false,"gift_grant_or_capital_contribution_from_other_org":true,"gift_grant_or_capital_contribution_to_other_org":true,"loans_or_guarantees_from_other_org":true,"loans_or_guarantees_to_other_org":true,"performance_of_services_by_other_orgs":true,"performance_of_services_for_other_orgs":false,"sharing_of_facilities":true,"sharing_of_paid_employees":true,"reimbursement_paid_by_other_org":true,"reimbursement_paid_to_other_org":true,"rental_of_facilities_from_other_orgs":false,"rental_of_facilities_to_other_orgs":false,"purchase_of_assets_from_other_org":false,"sale_of_assets_to_other_org":false,"exchange_of_assets":false,"receipt_of_interest_annuities_rents_royalties":false,"other_transfer_from_other_org":false,"other_transfer_to_other_org":false},"transactions":[{"business_name_line1":"Seton Medical Center Foundation","amount_involved":784113,"method_of_amount_determination":"Cost","transaction_type":"c","name":"Seton Medical Center Foundation"},{"business_name_line1":"Seton Medical Center Foundation","amount_involved":61295,"method_of_amount_determination":"Cost","transaction_type":"n","name":"Seton Medical Center Foundation"},{"business_name_line1":"Seton Medical Center Foundation","amount_involved":245058,"method_of_amount_determination":"Cost","transaction_type":"o","name":"Seton Medical Center Foundation"},{"business_name_line1":"Seton Medical Center Foundation","amount_involved":128370,"method_of_amount_determination":"Cost","transaction_type":"q","name":"Seton Medical Center Foundation"}],"supplemental_information":[{"form_and_line_reference":"Schedule R, Part II:","explanation":"The following organizations listed below are related to the filing organization: Daughters of Charity Ministry Services Corporation 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 77-0482943 Col (B): Primary Activity - Managerial and consulting services in the areas of finance, administration and facilities to the Daughters of Charity of St. Vincent de Paul Province of the West ministries. Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 1 Col (F): Direct Controlling Entity Name - Daughters of Charity of St. Vincent de Paul Province of the West Col (G): Section 512(b)(13) Controlled Entity - No Daughters of Charity Health System 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 Col (G): Section 512(b)(13) Controlled Entity - No Caritas Business Services 203 Redwood Shores Parkway, Suite 800 Redwood City, CA 94065 EIN: 51-0659139 Col (B): Primary Activity - Promote and support the activities of the Daughters of Charity Health System and its local health ministries by performing accounting, budgeting and patient financial services on a centralized basis, all of which must be provided internally by each hospital for its exempt operations if not provided by Caritas Business Services. Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - No Hotel Dieu, Inc. 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 95-475156 Col (B): Primary Activity - Low-Income residence for fragile senior citizens Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 9 Col (F): Direct Controlling Entity Name - Daughters of Charity Ministry Services Corporation Col (G): Section 512(b)(13) Controlled Entity - No O'Connor Hospital 2105 Forest Avenue San Jose, CA 95128 EIN: 91-2154436 Col (B): Primary Activity - Hospital Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 3 Col (F): Direct Controlling Entity Name - Daughters of Charity Health System Col (G): Section 512(b)(13) Controlled Entity - No O'Connor Hospital Foundation 2105 Forest Avenue San Jose, CA 95128 EIN: 77-0006295 Col (B): Primary Activity - Fundraising Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - O'Connor Hospital Col (G): Section 512(b)(13) Controlled Entity - No Robert F. Kennedy Medical Center 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 Col (G): Section 512(b)(13) Controlling Entiy - No Robert F. Kennedy Medical Center Foundation 26000 Altamont Road Los Altos Hills, CA 94022-4317 EIN: 95-3745227 Col (B): Primary Activity - Fundraising - Inactive Col (C): Legal Domicile - CA Col (D): Exempt Code Section - 501(c)(3) Col (E): Public Charity Status - 11a Col (F): Direct Controlling Entity Name - Robert F. 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As such, there was no FIN 48 (ASC 740) disclosure in the footnotes to the consolidated financial statements of Daughters of Charity Health System."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"policy_applied_to_all_hospitals":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":true,"discounted_care_percent_200":true,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":true,"unable_to_provide_care":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":6594352,"reimbursed_by_medicare":103430894,"cost_of_care_reimbursed_by_medicare":150900238,"medicare_surplus_or_shortfall":-47469344,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"activities_or_programs":1,"persons_served":2583,"total_community_benefit_expense":1729236,"net_community_benefit_expense":1729236,"total_expense_percentage":0.0055},"unreimbursed_medicaid":{"activities_or_programs":1,"persons_served":30304,"total_community_benefit_expense":65561868,"direct_offsetting_revenue":37365532,"net_community_benefit_expense":28196336,"total_expense_percentage":0.0897},"total_financial_assistance":{"activities_or_programs":2,"persons_served":32887,"total_community_benefit_expense":67291104,"direct_offsetting_revenue":37365532,"net_community_benefit_expense":29925572,"total_expense_percentage":0.0952},"community_health_services":{"activities_or_programs":12,"persons_served":9373,"total_community_benefit_expense":154949,"direct_offsetting_revenue":8643,"net_community_benefit_expense":146306,"total_expense_percentage":0.0005},"health_professions_education":{"activities_or_programs":3,"persons_served":336,"total_community_benefit_expense":237202,"direct_offsetting_revenue":71123,"net_community_benefit_expense":166079,"total_expense_percentage":0.0005},"subsidized_health_services":{"activities_or_programs":1,"persons_served":7824,"total_community_benefit_expense":1782077,"direct_offsetting_revenue":1016539,"net_community_benefit_expense":765538,"total_expense_percentage":0.0024},"cash_and_inkind_contributions":{"activities_or_programs":1,"persons_served":1190,"total_community_benefit_expense":4342,"net_community_benefit_expense":4342,"total_expense_percentage":0.0001},"total_other_benefits":{"activities_or_programs":17,"persons_served":18723,"total_community_benefit_expense":2178570,"direct_offsetting_revenue":1096305,"net_community_benefit_expense":1082265,"total_expense_percentage":0.0035},"total_community_benefits":{"activities_or_programs":19,"persons_served":51610,"total_community_benefit_expense":69469674,"direct_offsetting_revenue":38461837,"net_community_benefit_expense":31007837,"total_expense_percentage":0.0987}},"community_building":{"other_community_building_activities":{"activities_or_programs":6,"persons_served":18,"total_community_benefit_expense":132705,"net_community_benefit_expense":132705,"total_expense_percentage":0.0004},"total_community_building_activities":{"activities_or_programs":6,"persons_served":18,"total_community_benefit_expense":132705,"net_community_benefit_expense":132705,"total_expense_percentage":0.0004}},"hospital_facility_count":2,"hospital_facilities":[{"facility_number":1,"business_name_line1":"Seton Medical Center","address_line1":"1900 Sullivan Avenue","city":"Daly City","state":"CA","zip":"94015","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"name":"Seton Medical Center","address":"1900 Sullivan Avenue, Daly City, CA, 94015"},{"facility_number":2,"business_name_line1":"Seton Medical Center Coastside","address_line1":"600 Marine Blvd","city":"Moss Beach","state":"CA","zip":"94038","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"name":"Seton Medical Center Coastside","address":"600 Marine Blvd, Moss Beach, CA, 94038"}],"facility_policies":[{"business_name_line1":"Seton Medical Center","facility_number":1,"eligibility_criteria_explained":true,"fpg_family_income_limit_free_discounted":true,"fpg_family_income_limit_free_care_percentage":200.0,"fpg_family_income_limit_discounted_care_percentage":200.0,"fpg_used_determine_discounted_care":true,"income_level_criteria":true,"asset_level_criteria":true,"medical_indigency_criteria":true,"insurance_status_criteria":true,"basis_explained":true,"application_financial_assistance_explanation":true,"includes_publicity_measures":true,"fap_available_on_website":true,"fap_available_on_request_no_charge":true,"fap_notified_all_patients":true,"fap_actions_on_nonpayment":true,"attached_to_invoice":true,"posted_in_admission_office":true,"posted_in_emergency_room":true,"provided_on_admission":true,"permit_report_to_credit_agency":true,"permit_legal_judicial_process":true,"collection_activities":true,"reporting_to_credit_agency":true,"engaged_legal_judicial_process":true,"provided_written_notice":true,"made_effort_orally_notify":true,"processed_fap_application":true,"nondiscriminatory_emergency_care_policy":true,"average_negotiated_rates":true,"medicaid_medicare":true,"state_regulation":true,"uninsured_discount":true,"amounts_generally_billed":false,"gross_charges":false,"name":"Seton Medical Center"},{"business_name_line1":"Seton Medical Center Coastside","facility_number":2,"eligibility_criteria_explained":true,"fpg_family_income_limit_free_discounted":true,"fpg_family_income_limit_free_care_percentage":200.0,"fpg_family_income_limit_discounted_care_percentage":200.0,"fpg_used_determine_discounted_care":true,"income_level_criteria":true,"asset_level_criteria":true,"medical_indigency_criteria":true,"insurance_status_criteria":true,"basis_explained":true,"application_financial_assistance_explanation":true,"includes_publicity_measures":true,"fap_available_on_website":true,"fap_available_on_request_no_charge":true,"fap_notified_all_patients":true,"fap_actions_on_nonpayment":true,"attached_to_invoice":true,"posted_in_admission_office":true,"posted_in_emergency_room":true,"provided_on_admission":true,"permit_report_to_credit_agency":true,"permit_legal_judicial_process":true,"collection_activities":true,"reporting_to_credit_agency":true,"engaged_legal_judicial_process":true,"provided_written_notice":true,"made_effort_orally_notify":true,"processed_fap_application":true,"nondiscriminatory_emergency_care_policy":true,"average_negotiated_rates":true,"medicaid_medicare":true,"state_regulation":true,"uninsured_discount":true,"amounts_generally_billed":false,"gross_charges":false,"name":"Seton Medical Center Coastside"}],"supplemental_information":[{"explanation":"Seton Medical Center (SMC) prepares an annual Community Benefit Report. The report includes both the SMC location and the Seton Medical Center Coastside (SMCC) location. It is developed in conjunction with SMC/SMCC'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 SMC/SMCC Board of Directors and Daughters of Charity Health System (DCHS) corporate offices. An annual update is prepared and presented to the SMC/SMCC Board of Directors for approval. The annual update is made available to medical center leadership, key stakeholders, DCHS, and the community. The annual update is presented to the California Office of Statewide Planning and Development, in accordance with SB697. SMC/SMCC'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. Seton Medical Center's Board of Directors reviews and gives final approval of SMC/SMCC'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."},{"explanation":"Form 990, Part IX, line 25, Column A for SMC/SMCC reflects a bad debt expense of $6,594,352 which is not included in the line 7 calculation."},{"explanation":"SMC/SMCC utilizes a cost accounting system that determines costs for providing medical services based on the organizations relationship of costs to charges."},{"explanation":"SMC/SMCC 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."},{"explanation":"SMC/SMCC utilizes a cost accounting system that determines costs for providing medical services based on the organizations relationship of costs to charges."},{"explanation":"SMC/SMCC follows the Collection Practices as outlined in DCHS Charity Care and Financial Discount and Financial Assistance operating policies. For patients who qualify for charity care and financial discount, SMC/SMCC provides the patient with a written notice prior to commencing collection activities. The notice states that nonprofit counseling services may be available in the area and provides information concerning state and federal law requirements for debt collectors. SMC/SMCC does not pursue legal action for non-payment of bills against any household where the primary wage earner(s) is unemployed or there are not significant income sources. SMC/SMCC does not assign patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SMC/SMCC does not report adverse information to a consumer credit agency or commence civil action for nonpayment of a patient debt prior to 150 days after the initial billing of the patient. SMC/SMCC does not use wage garnishments or liens on real property as a means of collecting unpaid hospital bills for eligible patients. SMC/SMCC expects its external collection agencies to not pursue legal action against an eligible patient without prior approval from SMC/SMCC. SMC/SMCC expects its external collection agencies to follow Fair Debt and Collection Practices, Assembly Bill AB774 and act in a manner that treats individuals with dignity, respect and compassion. In addition, for patients who qualify for financial assistance, SMC/SMCC does not pursue legal action for non-payment of bills against any household where the primary wage earner(s) is unemployed, uninsured or there are not significant income sources or assets. SMC/SMCC does not assign eligible patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SMC/SMCC does not use liens on real property as a means of collecting unpaid hospital bills for eligible patients."},{"explanation":"In an effort to identify the most critical health care needs in SMC/SMCC's service area, a Community Needs Assessment is conducted every three years. The annual SMC/SMCC Community Benefit Plan (CBP) is developed through (1) analysis of San Mateo County health indicators and (2) review of the accomplishments of CBP goals. SMC and SMCC Community Advisory Committee (CAC) members meet quarterly to receive updates on the accomplishments on the CBP goals and participate in discussions concerning community health. Annual CBP reports are presented to the SMC Board for review, discussion and approval. Analysis of State, County and local health indicators are conducted through the review of the 2008 San Mateo County Needs Assessment: Health and Quality of Life. The Healthy Community Collaborative of San Mateo County, a group of San Mateo County organizations interested in the community's health, worked together to conduct the 2008 Community Needs Assessment of San Mateo County as follow-up to assessments conducted in 1995, 1998, 2001 and 2004. A copy of the complete 2008 Community Needs Assessment, is available on the Internet on the Peninsula Library System website at http://plsinfo.org/healthysmc. The 2008 Community Assessment: Health & Quality of Life in San Mateo County is designed to serve as a tool for guiding policy and planning efforts, and to formulate strategies to improve the quality of life. For participating hospitals, the information in this assessment will serve to assist in developing Community Benefit Plans pursuant to Legislative Bill 697. The goals of the Community Collaborative are twofold: 1. To produce a functional, comprehensive, triennial community needs assessment that can be used for strategic planning of community programs throughout the County and as a guideline for policy and advocacy efforts; and 2. To promote collaborative efforts in the community to develop projects to improve the health of our communities based on the data, community input, and group consensus. Healthy Community Collaborative Members: Health Plan of San Mateo San Mateo Co. Health Dept. Hospital Consortium of San Mateo Co. San Mateo Medical Center Hospital Council of North & Central CA Sequoia Hospital Kaiser Permanente, San Mateo Area Seton Medical Center Lucille Packard Children's Hospital Seton Medical Center Coastside Mills Peninsula Health Services Silicon Valley Community Peninsula Family YMCA Stanford Hospital and Clinics Peninsula Library System Services Youth and Family Enrichment The following indicators from the 2008 Community Assessment: Health & Quality of Life in San Mateo County reflect the disturbing fact that the percentage of uninsured continues to rise and there is an ongoing trend of unhealthy behaviors that result in weight problems and obesity in adults and children. Last year the unemployment rate doubled leaving many people uninsured. For the first time in San Mateo County, there is a waiting list for the Healthy Children Health Coverage and the San Mateo Wellness Program. o Uninsured: 14% (67,000) San Mateo County adults aged 18 - 64 years are uninsured. o Cost of Medications: 9% of survey respondents say they were unable to purchase a needed medication in the past year because of the cost. This number has increased significantly. o Cardiovascular Risk Factors: More than 50% of the San Mateo County respondents do not participate in regular, vigorous physical activity. o Healthy Behaviors: Less than 10% of San Mateo County survey respondents report a combination of healthy behaviors that limit cardiovascular and cancer risk. o Adults who are Overweight: 56.7% of San Mateo County respondents are overweight; having a body mass index (ratio of height to weight) equal to or greater than 25. o Trying to Lose Weight: In all, 31.8% of overweight adult respondents are currently trying to lose weight by using both diet and exercise (similar to previous findings). o Children who are Overweight: 25.1% of low-income children aged 5 - 19 who participated in the San Mateo County Child Health and Disability Prevention program were overweight. o Television/Video Watching & Video Gaming: Overall usage appears to be decreasing in comparison with previous years. o Childhood Immunization: Currently, only eight in 10 San Mateo County children are current on their immunizations. o Senior Health: There has been a statistically significant trend in higher prevalence of diabetes, asthma and chronic lung disease specifically among San Mateo Seniors since 1998. More than one out of three area seniors lives alone. o Maternal & Infant Health: The proportion of low-weight births and C-section births has increased in the county over the past decade. o Health Education through the Computer: 25% of survey respondents get most of their health care information from the Internet. o Spirituality: 46.7% of the survey participants say that spirituality is \"very important.\" The SMC/SMCC Community Benefit Plan addresses the following prioritized community needs: Community Need #1: Healthcare and health resources for uninsured and underserved people. The number of uninsured is expected to continue to rise as more people become unemployed and lose benefits. Many of those losing their insurance have chronic care conditions. A total of 14.15% of adults in San Mateo County aged 18 to 64 do not have any type of job based, privately purchased or government sponsored health insurance (representing 67,000 adults aged 18 to 64). Other barriers to access of health services include difficulty getting an appointment, cost of medical care, cost of medications, lack of transportation and treatment based on race. Limitations in access have a discernible impact on the health status of county residents. 20.3% of uninsured respondents report \"fair/poor\" health verses 11% of insured respondents. Those without health insurance coverage report notably lower prevalence of preventive health services when compared to privately insured individuals. Community Need #2: Increase adults' activity levels and health education to decrease cardiovascular risk factors. Most San Mateo County respondents (54.0%) do not participate in regular, vigorous physical activity, meaning they do not engage in activities that cause heavy sweating or large increases in breathing or heart rate at least three times a week for 20 or more minutes on each occasion. This finding is significantly better than the 64.1% found in 2001 but similar to 2004 findings. 85.3% of San Mateo County adults exhibit one or more risk factor for heart disease and stroke, marking an unfavorable increase in cardiovascular risk since the initial 1998 assessment. Community Need #3: Activities that support children and youth and promote healthy life style habits. More San Mateo County low-income children aged 5 through 19 are overweight than low-income children statewide. On a positive note, San Mateo County children appear to be spending less time watching television or playing video games than found in previous assessments. Overall 25% of San Mateo County students in grades 5 - 9 are overweight. In a 2006 Kids Data survey, 72.25% of San Mateo County parents said their child was about right weight with 9.8% saying their child was overweight. The percentage of 5th, 7th and 9th grade students who meet fitness standards has improved since 1999, with students in 9th grade making the highest improvement from 18.55 in 1999 to 35.9% in 2007. Although this is better than nationwide, it means six in ten students do not meet the basic requirements. Community Need #4: Access to pre-natal and post-partum care for low-income and underserved pregnant women. Regarding infant health in San Mateo County, mortality and prenatal care indicators are improving, especially among Blacks, lessening the racial disparity between certain racial and ethnic subgroups. Still, Black women and Hispanic women have some of the highest proportions of births receiving less than adequate prenatal care, late or no prenatal care and higher infant mortality rates. On a less favorable note, the proportion of low weight births and C-section births has increased in the county over the past decade. There has been a steady increase in the percentage of mothers encountering gestational diabetes."},{"explanation":"Patients who present at SMC/SMCC's Emergency Department and SMC/SMCC's Admitting Department are provided with a financial assistance packet that consists of an informational flyer on various programs for which they may be eligible. The flyer is in English and Spanish. The packet includes a Medi-Cal application, as well as a Charity Care application. In addition, there are signs posted in English and Spanish in the Patient Financial Services department and at every point of registration stating that SMC/SMCC has financial assistance and charitable programs available for qualified low income, uninsured patients who may not have the ability to meet the financial obligation of their hospital services and a contact number to call. After discharge, the back of the monthly patient bills includes this same statement."},{"explanation":"DEMOGRAPHICS AND HEALTH AND SOCIAL INDICATORS San Mateo County, located on the San Francisco Peninsula is made up of twenty cities and towns, bordered by the City of San Francisco on the north, the Bay on the east, Santa Clara County on the south and the Pacific Ocean on the west. Among the richest counties in ethnic diversity nationally, San Mateo County offers residents a mix of urban development, redwood forests and one of the best preserved coastlines in the world. Today, Seton Medical Center is a major tertiary care center; serving northern and central San Mateo County and select zip codes in southern San Francisco County. Northern and central San Mateo County is a mix of urban/suburban industrial, small business and residential use and includes the communities of Daly City, Colma, Broadmoor, South San Francisco, San Bruno, Brisbane, Millbrae, Burlingame, Pacifica and the coastside communities. As the healthcare needs of our communities grow and change SMC provides excellent services by providing leading edge health care. Operational plans to enhance the medical care provided to the community include research, acquiring state of the art equipment and introducing advanced medical practices. SMC is the only hospital in Northern California to offer cardiac robotics, the next generation of heart surgery. Surgical robotics provides surgeons with an alternative to both traditional open surgery and conventional laparoscopy, putting a surgeon's hands at the controls of a robotic platform. Seton opened the comprehensive Cancer Center with a state of the art linear accelerator and implemented advanced imaging techniques in ophthalmology for progressive, age related problems. SMC initiated the Joint Replacement Center with a Stryker Computerized Navigation System to help ensure successful outcomes for minimally invasive treatment of hip and knee arthritis. A renowned specialist at Seton's San Francisco Spine Institute performed the Bay Area's first total posterior arthroplasty, using a spine motion device as an alternative to fusion for the treatment of spinal stenosis. Seton Coastside in Moss Beach provides the only 24-hour physician-staffed standby emergency department on the coast between Daly City and Santa Cruz. Seton Coastside also provides a skilled nursing unit, an acute-care unit, radiology, laboratory, and rehabilitative services. Seton Coastside's service area constitutes a large geographic area that extends 45 miles from Montara south to the Santa Cruz County line, along Highway 1. The area is a mix of suburban and rural areas with significant agricultural, fishing, small business and tourism land use. There remain radical differences by community within this overall service area in terms of racial and ethnic composition. Asian and Hispanic residents are expected to continue to become an increasingly greater proportion of the population. The Asian/Pacific Islander population is primarily clustered in Daly City while the Hispanic population is primarily clustered in South San Francisco and 50 percent of the coastside, both Seton and Seton Coastside service areas. Housing affordability in San Mateo County and the Bay continues to be an over-whelming challenge for many residents. The National Low Income Housing Coalition (NLIHC) analysis of newly released 2009 data shows that more families at every income level are facing housing cost burdens, while households with the lowest incomes continue to be disproportionately affected by the shortage of affordable rental housing. The Fair Market Rent (FMR) for a two bedroom apartment in San Mateo County rose in 2009 to $1,658 from $1,592 one year prior. In order to afford this level of rent, without paying more than 30% of income on housing, a household must earn $66,625 annually, an increase of nearly $3,000 from $63,680 in 2008. In order to afford the FMR for a two bedroom apartment, a minimum wage worker earning $8.00 per hour must work 159 hours per week year-round. Families are left with the options of living in another county and facing long commutes, paying more than they can comfortably afford for housing, living in overcrowded conditions or moving out of the area entirely. More than 700 houses in Daly City entered foreclosure during 2009. NLIHC estimates that 40% of families facing eviction from foreclosure are renters when the owner of the home they are renting goes into foreclosure. After foreclosure, renters often have little or no notice before being evicted from their homes. Silicon Valley Community Foundation and San Mateo County issued a press release in March 2009 to announce that they will distribute $1 million to 32 non-profit organizations as part of a unique collaboration to help residents through the economic recession. As part of the unique partnership, the community foundation will award $1 million to food and shelter providers in San Mateo and Santa Clara counties. The announcement marks the second round of safety net grants from the community foundation since December 2008, when $3 million was awarded to 47 organizations in the two counties. While the community foundation's grants target food and shelter services only, the county will consider grants to additional safety net services, such as health care or financial, employment and other counseling, to help individuals and families affected by the recession. \"Our region's safety net is strained to the breaking point,\" said Emmett D. Carson, Ph.D., CEO and president of the community foundation.\" People who have never before sought help are showing up at food pantries and shelters. The length and breadth of this recession require new ways of thinking and responding, new collaborations and new funding sources. We're extremely pleased to partner with San Mateo County and believe that this is the kind of innovative public-private collaboration our region needs now.\" San Mateo County Manager, Dave Boesch, noted that while government programs provide a social safety net, the county is trying to help residents before they need county services. The recession, Boesch said, has driven up demand for help within the county. In January, for instance, about 1,200 residents requested food stamps - a 44 percent increase from the same time in 2008. San Mateo County's unemployment rate, meanwhile, has nearly doubled over the past year to 8.3 percent in March 2009 from 4.2 percent in March 2008.\" (www.siliconvalleycf.org.) Community Building Activities. Collaboration with the community enables SMC/SMCC to successfully reach the annual CBP goals and objectives. Participating on various committees throughout the county is another avenue to learn about community needs, which services are provided and to avoid duplication of the services. Partners include local schools and school districts, businesses, community service clubs, churches, foundations and State, County and City elected officials and agencies. Additionally, community volunteers, Seton Medical Staff and Seton Associates routinely donate time and resources. Since 1993, in the tradition of caring for the sick and the poor, SMC/SMCC have sponsored two RotaCare Clinics that provide free urgent healthcare on a weekly basis to the uninsured. RotaCare Clinic at Seton Medical Center is open every Monday evenings from 5:00 - 7:00 pm. Coastside RotaCare Clinic at Shoreline Station in Half Moon Bay is open Wednesday evenings 5:00 - 7:30 pm. Coastside RotaCare Clinic also partners with Sonrisas Dental Clinic to provide dental screenings twice a month. At Coastside RotaCare Clinic bilingual presentations are provided to educate clients about asthma, hypertension, diabetes and nutrition. The RotaCare Clinics would not be possible without community support and the volunteer physicians, nurse practitioners, nurses, pharmacists, registrars, translators and registration clerks. The Clinics provide medical care for basic illnesses, minor injuries and sprains, prescriptions and certain medications, laboratory and diagnostics, x-rays, immunizations, referrals to Seton Medical Center ophthalmologist services. The Clinics have a one time visit policy and refer patients to health care related services within the local community for ongoing needs. SMC contributes free clinic space at the Daly City location, free ancillary services and dedicated office space, computer, and certain medical and office supplies. In addition, SMC & SMCC dedicate staff time for planning, administration, coordination, volunteer recruitment, fundraising activities, participating on SMC/Coastside Clinic Administrative Councils. Community presentations about RotaCare Clinics have been made at community meetings, Rotary Clubs, health fairs and City Councils. Coastside Family Medical Center, in Half Moon Bay, closed its doors in March 2009, and will not be re-opening. The facility reportedly could not keep up with the economic downturn and absorb the costs associated with caring for the uninsured. The medical center opened"},{"explanation":"The Community Outreach Departments of SMC/SMCC participate in community health fairs and local health related events where the target population lacks access to healthcare and is at high risk for cardiac disease and/or diabetes. Health fairs and other community events provide the venue for one-on-one contact with community members. SMC/SMCC Associates and nurses routinely donate their time at the community events. Blood pressure screenings are provided at the health fairs allowing each person served an opportunity to talk with a nurse, ask questions and learn more about heart healthy lifestyles and healthy nutrition. Health fairs also provide an opportunity to gather information for identifying community outreach strategies. A direct result of a recent health fair was evidence that 90% of the blood pressure screenings were 140/90 or higher for the largely Chinese population attending the fair. Another health fair revealed that many people that are on blood pressure regulating medicines are not taking the medicine as directed. The partnership with Daly City ACCESS serves as the catalyst to promote community outreach with cultural sensitivity and language capacity at health fairs. Representatives of family service agencies and healthcare facilities work together to provide language interpretation, as needed at the health fairs. SMCC participates on the El Centro de Libertad Advisory Committee for the methamphetamine grant. The grant addresses increasing substance abuse awareness and provides treatment to patients, and education to medical personnel and concerned citizens. To further this work, SMCC partners with Youth Leadership Institute and El Centro Libertad in the Environmental Prevention grant to identify a strategic plan to expand collaborative participation in the prevention of substance abuse on the coast. SMCC participates on the Coastside Health Committee which serves the community by providing information on all health related organizations and events on the coast, with an emphasis on the underserved in the community. Seton Coastside Community Advisory Committee formed a task force to support local healthy lifestyle choices for all to increase cardiovascular health and to encourage healthy eating, healthy food systems and to promote support of locally grown vegetables and local fishing. The St. Elizabeth Ann Seton New Life Center established at Seton Medical Center in 2003, provides all-inclusive peri-natal services for low-income, pregnant women in our community. In order to achieve its goal of decreasing the incidence of pre-term and low birth-weight babies of mothers in the program, the New Life Center provides quality prenatal care and delivery, education and appropriate referrals to each mother for entire pregnancy and 60 days post-partum, and expedites enrollment of pregnant women into the Medi-Cal program. The Center offers physician services and health education, as well as nutritional, social and support services, all in one location. Seton Medical Center supports the New Life Center by providing comprehensive birthing facilities for new mothers. There is a direct correlation between the economic distressed clients and the increase of the variety of challenges they face, e.g. potential homelessness, drug use, domestic violence, poor access to food and clothing, lack of transportation, noninvolvement of the fathers of the babies, joblessness, and low education. This year there has been a significant increase in the percentage of clients that complete the program along with an increase of clinic visits."},{"explanation":"The Daughters of Charity Health System (DCHS) is a regional health care system of hospitals and medical centers (\"Local Health Ministries') spanning the California coast from the San Francisco Bay Area to Los Angeles. In the spirit of our founders, St. Vincent de Paul, St. Louise de Marillac and St. Elizabeth Ann Seton, the Daughters of Charity Health System is committed to serving the sick and the poor. With Jesus Christ as our model, we advance and strengthen the healing mission of the Catholic Church by providing comprehensive, excellent health care that is compassionate and attentive to the whole person: body, mind and spirit. We promote healthy families, responsible stewardship of the environment, and a just society through values-based relationships and community based collaboration. Every day in DCHS Local Health Ministries, dedicated associates, physicians and volunteers provide quality, compassionate care. These thousands of people are the hands and hearts of the Daughters of Charity, reaching out to provide comfort and holistic healing - body, mind and spirit - to the people of California, just as the first Daughters did more than 150 years ago. As a member of the Daughters of Charity Health System, SMC/SMCC continues to uphold its mission of providing quality medical services to the most vulnerable populations, the sick, the poor, the elderly, and children. SMC/SMCC is committed to the fulfillment of the mission of its founding sisters through the delivery of charitable services and care to the community."},{"explanation":"SMC/SMCC annually updates its Community Benefits Report and SMC/SMCC files a copy of its Community Benefits Report on an annual basis with the State of 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PEDROZA","base_compensation_filing_org":250744,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":10795,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":23953,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":310,"other_compensation_related_orgs":0,"total_compensation_filing_org":285802,"total_compensation_related_orgs":0,"name":"JUAN M PEDROZA"}],"supplemental_information":[{"identifier":"DISCRETIONARY SPENDING","form_and_line_reference":"SCHEDULE J, PART I, QUESTION 1A","explanation":"THE FOLLOWING INDIVIDUAL RECEIVED A DISCRETIONARY SPENDING ACCOUNT IN THE FORM OF A CAR ALLOWANCE AS PART OF HIS EMPLOYMENT CONTRACT, WHICH IS INCLUDED IN COMPENSATION REPORTED IN SCHEDULE J, PART II, COLUMN B(III): TIMOTHY MCMURDO $2,400 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, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE, FORM 990 OF OTHER ORGANIZATIONS, AND WRITTEN EMPLOYMENT CONTRACTS. SEVERANCE PAYMENT SCHEDULE J, PART I, LINE 4A THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT, WHICH IS INCLUDED IN COMPENSATION REPORTED ON PART VII, SECTION A, LINE 1A, COLUMN F: BERNADETTE M SMITH $139,280 NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, WHICH IS INCLUDED IN COMPENSATION REPORTED ON SCHEDULE J, PART II, COLUMN C: ROBERT ISSAI $88,572 JOANNE ALLEN $38,496"}]},"ScheduleM":{"policies":{"any_property_that_must_be_held":false,"review_process_unusual_noncash_gifts":true,"third_parties_used":false},"noncash_contributions":{"other_noncash_contributions":[{"description":"Patient Simulator","reported":true,"revenue_reported_on_990":40474,"contribution_count":1,"method_of_determining_revenues":"Cost"},{"description":"Computers","reported":true,"revenue_reported_on_990":12179,"contribution_count":12,"method_of_determining_revenues":"Cost"},{"description":"Lobby Furniture","reported":true,"revenue_reported_on_990":6997,"contribution_count":10,"method_of_determining_revenues":"Cost"}]}},"ScheduleR":{"tax_exempt_organizations":[{"business_name_line1":"SEE PART VII","name":"SEE PART VII"}],"taxable_partnerships":[{"business_name_line1":"SEE PART VII","name":"SEE PART VII"}],"taxable_corporations_and_trusts":[{"business_name_line1":"SEE PART VII","name":"SEE PART VII"}],"transaction_flags":{"gift_grant_or_capital_contribution_from_other_org":true,"gift_grant_or_capital_contribution_to_other_org":false,"loans_or_guarantees_from_other_org":false,"loans_or_guarantees_to_other_org":false,"performance_of_services_by_other_orgs":true,"performance_of_services_for_other_orgs":false,"sharing_of_facilities":true,"sharing_of_paid_employees":true,"reimbursement_paid_by_other_org":true,"reimbursement_paid_to_other_org":true,"rental_of_facilities_from_other_orgs":false,"rental_of_facilities_to_other_orgs":false,"purchase_of_assets_from_other_org":false,"sale_of_assets_to_other_org":false,"exchange_of_assets":false,"receipt_of_interest_annuities_rents_royalties":false,"other_transfer_from_other_org":false,"other_transfer_to_other_org":false},"transactions":[{"business_name_line1":"Caritas Business Services","amount_involved":8894729,"transaction_type":"l","name":"Caritas Business Services"},{"business_name_line1":"Caritas Business Services","amount_involved":67328,"transaction_type":"m","name":"Caritas Business Services"},{"business_name_line1":"Seton Medical Center Foundation","amount_involved":131952,"transaction_type":"c","name":"Seton Medical Center Foundation"},{"business_name_line1":"Seton Medical Center Foundation","amount_involved":60497,"transaction_type":"m","name":"Seton Medical Center Foundation"},{"business_name_line1":"Seton Medical Center Foundation","amount_involved":534902,"transaction_type":"n","name":"Seton Medical Center Foundation"},{"business_name_line1":"Seton Medical Center Foundation","amount_involved":372388,"transaction_type":"p","name":"Seton Medical Center Foundation"},{"business_name_line1":"St Vincent Medical Center","amount_involved":4003483,"transaction_type":"o","name":"St Vincent Medical Center"},{"business_name_line1":"O'Connor Hospital","amount_involved":8118035,"transaction_type":"p","name":"O'Connor Hospital"},{"business_name_line1":"Saint Louise Regional Hospital","amount_involved":1703237,"transaction_type":"p","name":"Saint Louise Regional Hospital"},{"business_name_line1":"St Francis Medical Center","amount_involved":749798,"transaction_type":"o","name":"St Francis Medical Center"},{"business_name_line1":"St Francis Medical Center","amount_involved":5778412,"transaction_type":"p","name":"St Francis Medical Center"},{"business_name_line1":"Daughters of Charity Health System","amount_involved":20533055,"transaction_type":"o","name":"Daughters of Charity Health System"}],"supplemental_information":[{"identifier":"Schedule R, Part II","explanation":"The 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"},{"identifier":"Schedule R, Part III","explanation":"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 - $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%"},{"identifier":"Schedule R, Part IV","explanation":"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 - $10,484,306 Col (G): Share of end-of-year assets - $67,958,395 Col (H): Percentage ownership - 100%"}]},"source_xml":"201231319349302033_public.xml"},{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"Provision of healthcare services.","primary_activities":"Seton Medical Center, an accredited non-profit 357-bed hospital with over 400 physicians, offers the most advanced surgical procedures, treatment, and comprehensive healthcare available. Seton Medical Center offers exemplary medical, surgical, and specialty programs for cardiovascular services, oncology, orthopedics and joint replacement, spine care, and respiratory care, in addition to many specialty services such as diabetes services, urgent care, and care for those without health insurance. Additional information about Seton Medical Center's charitable activities can be found on Schedule O.\n\nThe Daughters of Charity Health System (\"DCHS\") is a regional health care system of hospitals and medical centers (\"Local Health Ministries\") spanning the California coast from the San Francisco Bay Area to Los Angeles. In the spirit of our founders, St. Vincent de Paul, St. Louise de Marillac and St. Elizabeth Ann Seton, the Daughters of Charity Health System is committed to serving the sick and the poor. With Jesus Christ as our model, we advance and strengthen the healing mission of the Catholic Church by providing comprehensive, excellent health care that is compassionate and attentive to the whole person: body, mind and spirit. We promote healthy families, responsible stewardship of the environment, and a just society through values-based relationships and community based collaboration. Every day in DCHS Local Health Ministries, dedicated associates, physicians and volunteers provide quality, compassionate care. These thousands of people are the hands and hearts of the Daughters of Charity, reaching out to provide comfort and holistic healing - body, mind and spirit - to the people of California, just as the first Daughters did more than 150 years ago. As a member of the Daughters of Charity Health System, Seton Medical Center continues to uphold its mission of providing quality medical services to the most vulnerable populations, the sick, the poor, the elderly, and children. Seton Medical Center is committed to the fulfillment of the mission of its founding sisters through the delivery of charitable services and care to the community. During fiscal year ended June 30, 2015, Seton Medical Center provided total quantifiable community benefits of $206.9 million. After offsetting direct revenue, Seton Medical Center provided unsponsored community benefits of $66.4 million, at cost. Total unsponsored community benefits of $66.4 million, at cost consisted of quantifiable unsponsored benefits for the poor at a cost of $32.5 million, quantifiable unsponsored benefits to the broader community at a cost of $0.1 million, and quantifiable unsponsored benefits to beneficiaries of the medicare program at a cost of $33.8 million.","year":2014,"name":"Seton Medical Center","phone":"6509174528","website":"www.seton.verity.org","type":"990","principal_officer":"John Ferrelli","year_formation":2001,"state_legal_domicile":"CA","total_volunteers":132,"tax_period_begin":"2014-07-01T00:00:00","tax_period_end":"2015-06-30T00:00:00","address":"1900 Sullivan Avenue, Daly City, CA, 94015, USA","city":"Daly City","state":"CA","country":"USA","zip_code":"94015"},"Governance":{"501c3 determination":true,"Number of voting members":12,"Number of independent voting members":9,"Number of employees total":1703,"Total Gross UBI":0,"Net unrelated business taxable income":0,"Number of 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I, Line 3c:"},{"form_and_line_reference":"Part I, Line 6a:"},{"form_and_line_reference":"Part I, Line 7, Column (f):"},{"form_and_line_reference":"Part I, Line 7:"},{"form_and_line_reference":"Part II:"},{"form_and_line_reference":"Part III, Line 2:"},{"form_and_line_reference":"Part III, line 3:"},{"form_and_line_reference":"Part III, Line 4:"},{"form_and_line_reference":"Part III, Line 8:"},{"form_and_line_reference":"Part III, Line 9b:"},{"form_and_line_reference":"Part VI, Question 2:"},{"form_and_line_reference":"Part VI, Question 3:"},{"form_and_line_reference":"Part VI, Question 4:"},{"form_and_line_reference":"Part VI, Question 5:"},{"form_and_line_reference":"Part VI, Question 6:"},{"form_and_line_reference":"Part VI, Question 7:"},{"form_and_line_reference":"Part V, Section B, Lines 2, 3j, 7d, 13b, 13h, 15e, 16i, 18d, 19d, 20e,","explanation":"21c, 21d, 22d, 23, and 24: N/A"},{"form_and_line_reference":"Part V, Section B, Line 5:","explanation":"See disclosure for Part VI, Question 2: Needs Assessment"},{"form_and_line_reference":"Part V, Section B, Line 6a:","explanation":"Seton Medical Center's (\"SMC\") Community Health Needs Assessment (\"CHNA\") was conducted in conjunction with the following hospitals: Sequoia Hospital, Kaiser Permanente (San Mateo Area), Lucile Packard Children's Hospital at Stanford, Mills-Peninsula Health Services, San Mateo Medical Center, and Stanford Hospital & Clinics."},{"form_and_line_reference":"Part V, Section B, Line 6b:","explanation":"SMC's CHNA was conducted in conjunction with the following organizations (other than hospitals): San Mateo County Health Department, Health Plan of San Mateo, Hospital Consortium of San Mateo County, Peninsula Health Care District, San Mateo County Human Services Agency, and Silicon Valley Community Foundation."},{"form_and_line_reference":"Part V, Section B, Line 7a:","explanation":"The CHNA report can be accessed on the hospital's website at: https://seton.verity.org/aboutus/community-benefit/"},{"form_and_line_reference":"Part V, Section B, Line 7b:","explanation":"The CHNA report can be accessed on website's (other than the hospital's own), including: o www.smchealth.org o www.plsinfo.org/healthysmc o www.hospitalcosrt.org"},{"form_and_line_reference":"Part V, Section B, Line 10a:","explanation":"SMC's most recently adopted implementation strategy can be accessed on the hospital's website at: https://seton.verity.org/aboutus/community-benefit/"},{"form_and_line_reference":"Part V, Section B, Line 11:","explanation":"Seton Medical Center (\"SMC\") and Seton Medical Center Coastside's (\"SMCC\") Community Benefit Implementation Plan is driven by the Seton Medical Center Executive Team and the Community Advisory Committee. The Seton Medical Center Community Advisory Committee (\"CAC\") members have been meeting quarterly for nearly 20 years to review community needs and identifying the community benefit plan. CAC members are leaders in the community representing schools, places of worship, community services and businesses, who meet quarterly to discuss the community benefit plan and receive updates on the accomplishments of the CBP goals and objectives. The plan was also presented to the SMC Board for review, discussion and approval. The 2013 implementation plan was developed based on the San Mateo County Community Needs Assessment and a review of the hospital's existing community benefit plan. The CAC reviewed the summary of the 2013 San Mateo Community Needs Assessment and participated in the San Mateo County Healthy Community Collaborative Focus Group health needs prioritization. The Health Needs SMC and SMCC will address include: 1. Obesity 2. Diabetes 3. Cardiovascular disease, heart attack, stroke 4. Cancer 5. Births Obesity, diabetes, cardiovascular disease, heart attack, and stroke are health needs as: the percentage of people who have diabetes is rising; there are a low and declining percentage of people who exhibit healthy behaviors, and the percentage of people who exhibit more than one risk factor cardiovascular disease is increasing (high blood cholesterol, blood pressure, diabetes, smoking, diet, no exercise, alcohol consumption, and family history). To combat these factors, SMC and SMCC have outlined the following strategies: o Promote exercise and \"Instant Recess\" at health events, local faith based organizations, schools, community centers, Community Day, Streets Alive, and Parks Alive. o Provide low cost cholesterol and diabetes laboratory screenings at SMC and community events. o Provide blood pressure screenings and educational presentations at health fairs o Provide diabetes education (including tips to manage diabetes), diabetes support groups, nutrition information, glucose monitoring information, diabetes meter instructions, and wound care education o Provide nutrition education regarding: the sugar content in food and beverages, reducing salt intake, education for health Filipino and African American cooking, healthy food choices, and an over eaters support group. o Promote development and implementation of work place/school wellness policies Through these actions, SMC and SMCC seek to decrease the percentage of people that exhibit one or more risk factors for cardiovascular disease and increase the percentage of community members which exhibit the four health behaviors: exercise, maintaining a healthy weight, eating 5 fruits and vegetables a day, and not smoking. Success in this area will be measured by benchmarks and outcome indicators outlined in the full implementation strategy. Cancer is a health need as breast, cervical, colorectal, and prostate cancer incidences are all failing benchmarks in San Mateo County. To combat this, SMC and SMCC have outlined the following strategies: o Continue to promote healthy behaviors o Promote early detection screenings internally and at health events o Identify low cost screening opportunities in the community o Identify and establish additional cancer support groups, as needed. Through these actions, SMC and SMCC seek to encourage individuals to adopt healthy lifestyles and increase access to early detection screenings. Success in this area will be measured by benchmarks and outcome indicators outlined in the full implementation strategy. Births is a health need as women of some ethnicities continue to receive inadequate prenatal care. To combat this, SMC turns to the Elizabeth Ann Seton New Life Center, which will provide (with language capacity and culturally sensitivity) all inclusive perinatal services for low income, pregnant women. Additionally, the Elizabeth Ann Seton New Life Center provides quality pre-natal care and delivery, education and appropriate referrals to each mother during the entire pregnancy and 60 days post-partum. Looking forward, SMC seeks to increase outreach to the Pacific Islander population about the importance of pre-natal care and the New Life Center. In doing so, more pregnant women that are Pacific Islander will access pre-natal care. Success in this area will be measured by benchmarks and outcome indicators outlined in the full implementation strategy. SMC's implementation strategy does not target as actionable for intervention by SMC all of the health priority needs that were identified during the assessment because of limited resources and the availability of other providers in the community with more capacity/expertise to address those needs. SMC provides referrals to programs offered in the community addressing these identified needs and will continue to collaborate with the community services and resources that address these top community health needs. (1) Asthma & Respiratory: was not identified as one of the top five priorities by CAC due to a lack of resources to expand services. SMC provides asthma and respiratory direct service programs that address these health needs and refers to community resources. (2) Substance Abuse: SMC does not have the resources to provide direct services for substance abuse treatment/prevention. SMC provides referrals to community partners/programs addressing substance abuse, including: Alcoholic, Alanon, Alateen Recovery; Asian American Recovery Services; Catholic Charities; El Centro de Libertad; Pyramid Alternatives; StarVISTA; Sitike Counseling Center, Women's Recovery Association. (3) Poor Oral Health: SMC does not have the resources to provide a dental program. Referrals are made to community based programs, including Sonrisas and the County Health Department. (4) Violence: SMC does not have the resources to provide direct services. SMC partners with community programs that provide counseling and address violence, including: Community Overcoming Relationship Abuse (CORA); ALICE; Freedom House; Rape Trauma Services; Fatherhood Collaborative and Cleo Eulau Center; Police Activities League; and Bay Area Legal Aide. (5) Infectious Diseases: SMC has an infection control program within the hospital and educates the community about hand hygiene during the flu season. SMC refers people seeking TB screenings to the County Health Department. (6) STDs, including HIV-AIDS: SMC does not have the resources to provide a STD program. SMC refers to community programs and services, including: County Health Clinic, Clinic by the Bay; Daly City Youth Health Center. Health Center."}]},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":2170780,"reported_domestic_individual_grants":0,"reported_domestic_org_grants_program_services":2170780,"total_501c3_and_government_organizations":1,"total_other_organizations":0,"grants":[{"ein":413691852,"irc_section":"501(c)(3)","cash":2170780,"purpose":"Program Support","address_line1":"400 Race Street","city":"San Jose","state":"CA","zip":"95126","name":"DCHS Medical Foundation","address":"400 Race Street, San Jose, CA, 95126"}],"total_domestic_grants":2170780,"total_domestic_program_services":2170780,"detail_org_grants_total":2170780,"detail_domestic_grants_total":2170780,"supplemental_information":[{"form_and_line_reference":"Grant to DCHS Medical Foundation","explanation":"Schedule I, Parts I & II: Seton Medical Center is part of a related group of tax exempt organizations, which includes DCHS Medical Foundation. Grants are made to support this related tax exempt organization's exempt purpose."}],"grant_monitoring":{"claims_monitoring_procedures":false,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false}},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Robert Issai","title":"Board 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II","base_compensation_filing_org":282681,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":4550,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":20162,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":3057,"other_compensation_related_orgs":0,"total_compensation_filing_org":310450,"total_compensation_related_orgs":0,"name":"Evelyn Nuque"},{"person_name":"Dolly Chan","title":"Staff Nurse IV","base_compensation_filing_org":266416,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":4550,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":29763,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":4020,"other_compensation_related_orgs":0,"total_compensation_filing_org":304749,"total_compensation_related_orgs":0,"name":"Dolly Chan"},{"person_name":"Anna Wojdyla","title":"Lead Echo Technician II","base_compensation_filing_org":268454,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":22750,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":652,"other_compensation_related_orgs":0,"total_compensation_filing_org":291856,"total_compensation_related_orgs":0,"name":"Anna Wojdyla"},{"person_name":"Carol Carmichael","title":"Staff Nurse II","base_compensation_filing_org":263463,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":4550,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":20162,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":3121,"other_compensation_related_orgs":0,"total_compensation_filing_org":291296,"total_compensation_related_orgs":0,"name":"Carol Carmichael"},{"person_name":"Corazon Yabut","title":"Staff Nurse IV","base_compensation_filing_org":255008,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":4463,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":20162,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":279633,"total_compensation_related_orgs":0,"name":"Corazon Yabut"}],"supplemental_information":[{"form_and_line_reference":"Methods Used to Establish Compensation for CEO by a Related Organization","explanation":"Schedule J, Part I, Line 3: The President & CEO is an employee of Daughters of Charity Healthy System (\"DCHS\"). DCHS uses one or more of the following methods to establish top management officials' compensation: independent compensation consultant, compensation survey or study, approval by the Board or Compensation Committee, Form 990 of other organizations, and written employment contracts."},{"form_and_line_reference":"Severance Arrangements","explanation":"Schedule J, Part I, Line 4a: Some of the listed individuals may have a severance provision as part of their employment arrangement. The severance provision ranges from 6 months to 2 years."},{"form_and_line_reference":"Nonqualified Retirement Plan","explanation":"Schedule J, Part I, Line 4b: The following individuals participated in a supplemental nonqualified retirement plan, which is included in compensation reported on Schedule J, Part II, Column (c): Robert Issai $104,257 Joanne Evelyn Allen $ 31,589 Beverly Fick $ 933"},{"form_and_line_reference":"Explanation of Other Reportable Compensation","explanation":"Schedule J, Part II: Certain individuals listed on Schedule J, Part II received a retention payment during the 2014 calendar year, which is reported as \"Other Reportable Compensation\" on Schedule J, Part II, Column (b)(iii). The payments were made to retain employees whose continuity of employment was essential during the transaction period of solicitation of proposals for the sale of the Daughters of Charity Health System, which includes this filing organization. These payments were approved in advance by the Board of Directors of Daughters of Charity Health System."}]},"ScheduleK":{"bond_issues":[{"bond_reference":"A","issuer_ein":680164610,"business_name_line1":"CA Statewide Communities Development Authority","cusip_number":"13080SCV4","date_issued":"2014-07-30T00:00:00","issue_price":110000000,"purpose":"Working Capital","defeased":false,"on_behalf_of_issuer":false,"pool_financing":true,"name":"CA Statewide Communities Development Authority"},{"bond_reference":"B","issuer_ein":680164610,"business_name_line1":"CA Statewide Communities Development Authority","cusip_number":"13080SCX0","date_issued":"2014-08-27T00:00:00","issue_price":15000000,"purpose":"Working Capital","defeased":false,"on_behalf_of_issuer":false,"pool_financing":true,"name":"CA Statewide Communities Development Authority"}],"bond_proceeds":[{"bond_reference":"A","total_proceeds":13937000,"gross_proceeds_in_reserve_funds":0,"capitalized_interest":0,"issuance_costs_from_proceeds":253400,"credit_enhancement":0,"working_capital_expenditures":13683600,"capital_expenditures":0,"other_spent_proceeds":0,"refunding_escrow":0,"amount_defeased":0,"amount_retired":0,"amount_unspent":0,"current_refunding":false,"advance_refunding":false,"final_allocation_made":true,"adequate_books_and_records_maintained":true},{"bond_reference":"B","total_proceeds":1900500,"gross_proceeds_in_reserve_funds":0,"capitalized_interest":0,"issuance_costs_from_proceeds":0,"credit_enhancement":0,"working_capital_expenditures":1900500,"capital_expenditures":0,"other_spent_proceeds":0,"refunding_escrow":0,"amount_defeased":0,"amount_retired":0,"amount_unspent":0,"current_refunding":false,"advance_refunding":false,"final_allocation_made":true,"adequate_books_and_records_maintained":false}],"private_business_use":[{"bond_reference":"A","private_security_or_payment_test":false,"private_business_use_by_others_percentage":0.0,"private_business_concerning_ubi_percentage":0.0,"total_private_business_use_percentage":0.0,"management_contract":false,"research_agreements":false,"lease_arrangements":false,"partnership_or_llc_owning_property":false,"change_in_use_bond_financed_property":false,"remedial_action_taken":false,"nonqualified_bond_remediated_procedures":true},{"bond_reference":"B","private_security_or_payment_test":false,"private_business_use_by_others_percentage":0.0,"private_business_concerning_ubi_percentage":0.0,"total_private_business_use_percentage":0.0,"management_contract":false,"research_agreements":false,"lease_arrangements":false,"partnership_or_llc_owning_property":false,"change_in_use_bond_financed_property":false,"remedial_action_taken":false,"nonqualified_bond_remediated_procedures":true}],"arbitrage":[{"bond_reference":"A","gross_proceeds_invested":false,"gross_proceeds_invested_in_gic":false,"gic_provider_business_name_line1":"0","hedge_identified_in_books_and_records":false,"hedge_provider_business_name_line1":"0","variable_rate_issue":false,"written_procedures_to_monitor_requirements":true,"rebate_not_due_yet":true,"exception_to_rebate":false,"no_rebate_due":false,"form_8038t_filed":false},{"bond_reference":"B","gross_proceeds_invested":false,"gross_proceeds_invested_in_gic":false,"gic_provider_business_name_line1":"0","hedge_identified_in_books_and_records":false,"hedge_provider_business_name_line1":"0","variable_rate_issue":false,"written_procedures_to_monitor_requirements":true,"rebate_not_due_yet":true,"exception_to_rebate":false,"no_rebate_due":false,"form_8038t_filed":false}],"corrective_action_procedures":[{"bond_reference":"A","procedures_corrective_action":true},{"bond_reference":"B","procedures_corrective_action":true}],"supplemental_information":[{"form_and_line_reference":"Schedule K, Part I, Column (e)","explanation":"The issue price for the bond dated 7/30/2014 is $110,000,000 (as declared on the filed Form 8038); Seton Medical Center benefited from $13,937,000 of these funds. The issue price for the bond dated 8/27/2014 is $15,000,000 (as declared on the filed Form 8038); Seton Medical Center"}]},"ScheduleR":{"tax_exempt_organizations":[{"business_name_line1":"SEE PART VII","name":"SEE PART VII"}],"taxable_partnerships":[{"business_name_line1":"See Part VII","name":"See Part VII"}],"taxable_corporations_and_trusts":[{"business_name_line1":"See Part VII","name":"See Part VII"}],"transaction_flags":{"dividends_from_related_organization_indicator":false,"gift_grant_or_capital_contribution_from_other_org":true,"gift_grant_or_capital_contribution_to_other_org":true,"loans_or_guarantees_from_other_org":true,"loans_or_guarantees_to_other_org":true,"performance_of_services_by_other_orgs":true,"performance_of_services_for_other_orgs":false,"sharing_of_facilities":true,"sharing_of_paid_employees":true,"reimbursement_paid_by_other_org":true,"reimbursement_paid_to_other_org":true,"rental_of_facilities_from_other_orgs":false,"rental_of_facilities_to_other_orgs":false,"purchase_of_assets_from_other_org":false,"sale_of_assets_to_other_org":false,"exchange_of_assets":false,"receipt_of_interest_annuities_rents_royalties":false,"other_transfer_from_other_org":false,"other_transfer_to_other_org":false},"transactions":[{"business_name_line1":"Seton Medical Center Foundation","amount_involved":783349,"method_of_amount_determination":"Cost","transaction_type":"c","name":"Seton Medical Center Foundation"},{"business_name_line1":"Seton Medical Center Foundation","amount_involved":198345,"method_of_amount_determination":"Cost","transaction_type":"o","name":"Seton Medical Center Foundation"},{"business_name_line1":"Seton Medical Center Foundation","amount_involved":66604,"method_of_amount_determination":"Cost","transaction_type":"q","name":"Seton Medical Center Foundation"}],"supplemental_information":[{"form_and_line_reference":"Schedule R, Part II:","explanation":"THE FOLLOWING ORGANIZATIONS LISTED BELOW ARE RELATED TO THE FILING ORGANIZATION: DAUGHTERS OF CHARITY MINISTRY SERVICES CORPORATION 26000 ALTAMONT ROAD LOS ALTOS HILLS, CA 94022-4317 EIN: 77-0482943 COL (B): PRIMARY ACTIVITY - MANAGERIAL AND CONSULTING SERVICES IN THE AREAS OF FINANCE, ADMINISTRATION AND FACILITIES TO THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL PROVINCE OF THE WEST MINISTRIES. COL (C): LEGAL DOMICILE - CA COL (D): EXEMPT CODE SECTION - 501(C)(3) COL (E): PUBLIC CHARITY STATUS - 1 COL (F): DIRECT CONTROLLING ENTITY NAME - DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL PROVINCE OF THE WEST COL (G): SECTION 512(B)(13) CONTROLLED ENTITY - NO DAUGHTERS OF CHARITY HEALTH SYSTEM 203 REDWOOD SHORES PARKWAY, SUITE 800 REDWOOD CITY, CA 94065 EIN: 91-2145484 COL (B): PRIMARY ACTIVITY - HEALTH SYSTEM LEADERSHIP AND SUPPORT TO HEALTH MINISTRIES. COL (C): LEGAL DOMICILE - CA COL (D): EXEMPT CODE SECTION - 501(C)(3) COL (E): PUBLIC CHARITY STATUS - 11B COL (F): DIRECT CONTROLLING ENTITY NAME - DAUGHTERS OF CHARITY MINISTRY SERVICES CORPORATION COL (G): SECTION 512(B)(13) CONTROLLED ENTITY - NO CARITAS BUSINESS SERVICES 203 REDWOOD SHORES PARKWAY, SUITE 800 REDWOOD CITY, CA 94065 EIN: 51-0659139 COL (B): PRIMARY ACTIVITY - PROMOTE AND SUPPORT THE ACTIVITIES OF THE DAUGHTERS OF CHARITY HEALTH SYSTEM AND ITS LOCAL HEALTH MINISTRIES BY PERFORMING ACCOUNTING, BUDGETING AND PATIENT FINANCIAL SERVICES ON A CENTRALIZED BASIS, ALL OF WHICH MUST BE PROVIDED INTERNALLY BY EACH HOSPITAL FOR ITS EXEMPT OPERATIONS IF NOT PROVIDED BY CARITAS BUSINESS SERVICES. 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Exe","average_hours_per_week":40.0,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":305847,"reportable_comp_from_related_orgs":0,"other_compensation":43295,"key_employee":true,"name":"Kim Pardini-Kiely"},{"person_name":"Timothy Ranney","title":"Chief Medical Officer","average_hours_per_week":40.0,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":318288,"reportable_comp_from_related_orgs":0,"other_compensation":21863,"key_employee":true,"name":"Timothy Ranney"},{"person_name":"James Brown","title":"Staff Nurse IV","average_hours_per_week":40.0,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":328552,"reportable_comp_from_related_orgs":0,"other_compensation":41885,"highest_compensated_employee":true,"name":"James Brown"},{"person_name":"Dolly Chan","title":"Staff Nurse IV","average_hours_per_week":40.0,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":334587,"reportable_comp_from_related_orgs":0,"other_compensation":42066,"highest_compensated_employee":true,"name":"Dolly Chan"},{"person_name":"Evelyn Nuque","title":"RN","average_hours_per_week":40.0,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":306896,"reportable_comp_from_related_orgs":0,"other_compensation":29009,"highest_compensated_employee":true,"name":"Evelyn Nuque"},{"person_name":"Derek Devries","title":"Staff Nurse II","average_hours_per_week":40.0,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":339299,"reportable_comp_from_related_orgs":0,"other_compensation":14657,"highest_compensated_employee":true,"name":"Derek Devries"},{"person_name":"Florinda Guinto","title":"Staff Nurse","average_hours_per_week":40.0,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":402048,"reportable_comp_from_related_orgs":0,"other_compensation":22392,"highest_compensated_employee":true,"name":"Florinda Guinto"}]},"ScheduleA":{"public_charity_status":{"hospital_170b1_aiii":true}},"ScheduleB":{"attached":true,"required":true},"ScheduleC":{"lobbying_501h_election":{"current_year":{"other_exempt_purpose_expenditures":{"filing_organization_total":171264538},"total_exempt_purpose_expenditures":{"filing_organization_total":171264538},"lobbying_nontaxable_amount":{"filing_organization_total":1000000},"grassroots_nontaxable_amount":{"filing_organization_total":250000}},"rolling_average":{"lobbying_nontaxable_amount":{"current_year_minus3":1000000,"current_year_minus2":1000000,"current_year_minus1":1000000,"current_year":1000000,"total":4000000},"total_lobbying_expenditures":{"current_year_minus3":0,"current_year_minus2":0,"current_year_minus1":0,"current_year":0,"total":0},"grassroots_nontaxable_amount":{"current_year_minus3":250000,"current_year_minus2":250000,"current_year_minus1":250000,"current_year":250000,"total":1000000},"grassroots_lobbying_expenditures":{"current_year_minus3":0,"current_year_minus2":0,"current_year_minus1":0,"current_year":0,"total":0},"lobbying_ceiling":6000000,"grassroots_ceiling":1500000}},"supplemental_information":[{"form_and_line_reference":"SCHEDULE C, PART II-A:","explanation":"SETON MEDICAL CENTER DID NOT INCUR ANY LOBBYING EXPENDITURES OR CONDUCT LOBBYING ACTIVITIES DURING THE TAX YEAR ENDING JUNE 30, 2017. SCHEDULE C IS BEING COMPLETED AS THE ORGANIZATION HAD AN IRC SECTION 501(H) ELECTION IN EFFECT DURING THE TAX YEAR."}]},"ScheduleD":{"land_buildings_equipment":{"land":{"other_cost_or_other_basis":722422,"book_value":722422},"buildings":{"other_cost_or_other_basis":61086198,"book_value":7634859,"depreciation":53451339},"leasehold_improvements":{"other_cost_or_other_basis":91512,"depreciation":91512},"equipment":{"other_cost_or_other_basis":161586669,"book_value":17127233,"depreciation":144459436},"other_land_buildings":{"other_cost_or_other_basis":12291153,"book_value":10322027,"depreciation":1969126},"total_book_value":35806541},"other_assets":{"assets":[{"description":"DUE FROM RELATED ORGANIZATIONS","book_value":24873888}],"total_book_value":24873888},"other_liabilities":{"federal_income_tax_liability":0,"liabilities":[{"description":"DUE TO RELATED ORGANIZATIONS","amount":135767423},{"description":"LONG-TERM DEBT","amount":98914483},{"description":"PENSION & RETIREMENT OBLIGATION","amount":1745224},{"description":"OPTION LIABILITY","amount":1130751}],"total_liability":237557881,"footnote_text":true},"supplemental_information":[{"form_and_line_reference":"SCHEDULE D, PART X, LINE 2:","explanation":"Verity Health System and its affiliated not-for-profit entities have received favorable determination letters from the Internal Revenue Service, stating that they are exempt from federal income tax under the provisions of Section 501(a) of the Internal Revenue Code of 1986 (IRC) as organizations described in Sections 501(c)(3), except from income taxes pertaining to unrelated business income. Verity Heath System has for-profit partnerships and LLC entities. Income taxes by either the for-profit or not-for-profit entities are immaterial to the consolidated financial statements. Uncertain tax positions are recorded if the positions are more likely than not to be sustained on the basis of the technical merits of the positions. For the year-ended June 30, 2017, there are no material uncertain positions under Fin 48 (ASC 740) disclosed in the footnotes to the consolidated financial statements of Verity Health Systems of California, Inc.."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":true,"discounted_care_percent_350":true,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":true,"unable_to_provide_care":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":3526062,"reimbursed_by_medicare":76100258,"cost_of_care_reimbursed_by_medicare":116615937,"medicare_surplus_or_shortfall":-40515679,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"activities_or_programs":1,"persons_served":653,"total_community_benefit_expense":617322,"net_community_benefit_expense":617322,"total_expense_percentage":0.0022},"unreimbursed_medicaid":{"activities_or_programs":1,"persons_served":27804,"total_community_benefit_expense":83323929,"direct_offsetting_revenue":68870330,"net_community_benefit_expense":14453599,"total_expense_percentage":0.0513},"total_financial_assistance":{"activities_or_programs":2,"persons_served":28457,"total_community_benefit_expense":83941251,"direct_offsetting_revenue":68870330,"net_community_benefit_expense":15070921,"total_expense_percentage":0.0535},"community_health_services":{"activities_or_programs":13,"persons_served":44031,"total_community_benefit_expense":365629,"net_community_benefit_expense":365629,"total_expense_percentage":0.0013},"health_professions_education":{"activities_or_programs":6,"persons_served":126,"total_community_benefit_expense":731580,"net_community_benefit_expense":731580,"total_expense_percentage":0.0026},"subsidized_health_services":{"activities_or_programs":1,"persons_served":393,"total_community_benefit_expense":2924,"net_community_benefit_expense":2924},"cash_and_inkind_contributions":{"activities_or_programs":6,"persons_served":15,"total_community_benefit_expense":31814,"net_community_benefit_expense":31814,"total_expense_percentage":0.0001},"total_other_benefits":{"activities_or_programs":26,"persons_served":44565,"total_community_benefit_expense":1131947,"net_community_benefit_expense":1131947,"total_expense_percentage":0.004},"total_community_benefits":{"activities_or_programs":28,"persons_served":73022,"total_community_benefit_expense":85073198,"direct_offsetting_revenue":68870330,"net_community_benefit_expense":16202868,"total_expense_percentage":0.0575}},"community_building":{"other_community_building_activities":{"activities_or_programs":5,"persons_served":11,"total_community_benefit_expense":30795,"net_community_benefit_expense":30795,"total_expense_percentage":0.0001},"total_community_building_activities":{"activities_or_programs":5,"persons_served":11,"total_community_benefit_expense":30795,"net_community_benefit_expense":30795,"total_expense_percentage":0.0001}},"hospital_facility_count":2,"hospital_facilities":[{"facility_number":1,"business_name_line1":"Seton Medical Center","address_line1":"1900 Sullivan Avenue","city":"Daly City","state":"CA","zip":"94015","website":"https://seton.verity.org/","state_license_number":"220000026","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"facility_reporting_group":"A","name":"Seton Medical Center","address":"1900 Sullivan Avenue, Daly City, CA, 94015"},{"facility_number":2,"business_name_line1":"Seton Coastside","address_line1":"600 Marine Blvd","city":"Moss Beach","state":"CA","zip":"94038","website":"https://seton.verity.org/","state_license_number":"220000026","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"other_description":"Skilled Nursing","facility_reporting_group":"A","name":"Seton Coastside","address":"600 Marine Blvd, Moss Beach, CA, 94038"}],"facility_policies":[{"business_name_line1":"A","facility_number":2,"first_licensed_current_or_prior_year":false,"tax_exempt_current_or_prior_year":false,"chna_conducted":true,"community_definition":true,"community_demographics":true,"existing_resources":true,"how_data_obtained":true,"community_health_needs":true,"other_health_issues":true,"community_health_needs_identification_process":true,"consulting_process":true,"prior_chna_impact":true,"chna_conducted_year":16,"took_into_account_others_input":true,"chna_conducted_with_other_facilities":true,"chna_conducted_with_non_facilities":true,"chna_report_widely_available":true,"report_available_on_own_website":true,"own_website_url":"see part v, section c","paper_copy_public_inspection":true,"implementation_strategy_adopted":false,"strategy_website_url":"SEE PART V, SECTION C","organization_incurred_excise_tax":false,"eligibility_criteria_explained":true,"fpg_family_income_limit_free_discounted":true,"fpg_family_income_limit_free_care_percentage":200.0,"fpg_family_income_limit_discounted_care_percentage":350.0,"asset_level_criteria":true,"medical_indigency_criteria":true,"insurance_status_criteria":true,"underinsurance_status_criteria":true,"residency_criteria":true,"basis_explained":true,"application_financial_assistance_explanation":true,"described_information":true,"described_supporting_documentation":true,"provided_hospital_contact":true,"includes_publicity_measures":true,"fap_available_on_website":true,"fap_available_on_website_url":"See Part V, Section C","fap_application_available_on_website":true,"fap_application_available_on_website_url":"See Part V, Section C","fap_summary_on_website":true,"fap_summary_on_website_url":"See Part V, Section C","fap_available_on_request_no_charge":true,"fap_application_available_on_request_no_charge":true,"fap_summary_available_on_request_no_charge":true,"notified_fap_copy_bill_display":true,"community_notified_fap":true,"fap_translated":true,"fap_actions_on_nonpayment":true,"permit_no_actions":true,"collection_activities":false,"provided_written_notice":true,"made_effort_orally_notify":true,"processed_fap_application":true,"made_presumptive_eligibility_determination":true,"nondiscriminatory_emergency_care_policy":true,"lookback_medicare":true,"amounts_generally_billed":false,"gross_charges":false,"name":"A"}],"supplemental_information":[{"form_and_line_reference":"PART I, LINE 6A: ANNUAL COMMUNITY BENEFIT REPORT","explanation":"SETON MEDICAL CENTER (\"SMC\") PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THE REPORT INCLUDES BOTH THE SMC LOCATION AND THE SETON COASTSIDE (\"SC\") LOCATION. THE COMMUNITY BENEFIT PLAN (\"CBP\") IS DRIVEN BY THE COMMITMENT TO THE SMC MISSION BY THE SMC EXECUTIVE TEAM, THE COMMUNITY BENEFIT ADVISORY COMMITTEE, THE LOCAL GOVERNING BOARD (\"LGB\") AND THE HOSPITAL BOARD OF DIRECTORS. THE LGB CONSISTS OF LEADERS IN THE COMMUNITIES REPRESENTING SCHOOLS, PLACES OF WORSHIP, COMMUNITY SERVICES AND BUSINESSES, PHYSICIANS, HEALTH PLAN OF SAN MATEO AND SAN MATEO COUNTY BOARD OF SUPERVISORS AS STIPULATED BY THE CALIFORNIA ATTORNEY GENERAL. THE LGB MEETS QUARTERLY TO DISCUSS OUR COMMUNITY BENEFIT PLAN AND RECEIVE UPDATES ON THE ACCOMPLISHMENTS OF THE CBP GOALS AND OBJECTIVES. SEMI-ANNUAL REPORTS ARE PRESENTED TO THE SMC/SC BOARD OF DIRECTORS AND VERITY HEALTH SYSTEM OF CALIFORNIA, INC. (\"VHS\") CORPORATE OFFICERS. AN ANNUAL UPDATE IS PREPARED AND PRESENTED TO THE LOCAL GOVERNING BOARD AND SMC/SC BOARD OF DIRECTORS FOR APPROVAL. THE ANNUAL UPDATE IS MADE AVAILABLE TO MEDICAL CENTER LEADERSHIP, KEY STAKEHOLDERS, VHS, AND THE COMMUNITY. THE ANNUAL UPDATE IS PRESENTED TO THE CALIFORNIA OFFICE OF STATEWIDE PLANNING AND DEVELOPMENT, IN ACCORDANCE WITH SB697."},{"form_and_line_reference":"PART I, LINE 7, COLUMN (F): BAD DEBT EXPENSE","explanation":"FORM 990, PART IX, LINE 25, COLUMN A FOR SMC/SC REFLECTS A BAD DEBT EXPENSE OF $3,211,775 WHICH IS NOT INCLUDED IN THE LINE 7 CALCULATION."},{"form_and_line_reference":"PART I, LINE 7: COSTING METHODOLOGY","explanation":"SMC/SC UTILIZES A COST ACCOUNTING SYSTEM THAT DETERMINES COSTS FOR PROVIDING MEDICAL SERVICES BASED ON THE ORGANIZATIONS RELATIONSHIP OF COSTS TO CHARGES."},{"form_and_line_reference":"PART III, LINE 2: BAD DEBT EXPENSE","explanation":"Bad debt expense is estimated by utilizing historical data (based on zero balance study) and the expected net collections of self-pay patients. In making this estimate, Management also considers business and general economic conditions of the communities in its service area."},{"form_and_line_reference":"PART III, LINE 4: BAD DEBT EXPENSE","explanation":"SMC is included in the VHS consolidated audited financial statements. Health care services are provided free of charge or at a significant discount based on a sliding scale to individuals who meet certain financial criteria. VHS makes an effort to determine if a patient qualifies for charity care upon admission. If a patient is determined to qualify for charity care, services are rendered to the patient free of cost. The costs of providing these services are included in unsponsored community benefit expense and included as a deduction to net patient service revenue in the consolidated statement of operations. VHS estimates the cost of charity care by calculating a ratio of cost to usual and customary charges and applying that ratio to the usual and customary uncompensated charges associated with providing care to patients that qualify for charity care. The amount of charity care at cost was $10,444 and $13,981 for the years ended June 30, 2017 and 2016, respectively. After satisfaction of amounts due from insurance and the application of financial discounts to patients balances, and after exhausting all reasonable efforts to collect from the patients, a significant portion of VHSs uninsured and self-pay patient accounts are referred to third-party agencies based on VHSs established guidelines for further collection activities. As a result, VHS records a significant provision for doubtful accounts related to these uninsured patients in the period the services are rendered based on historical collection experience. As part of VHSs mission to serve the community, VHS provides care to patients even though they may lack adequate insurance or may participate in programs that do not pay full charges. Reserves for charity care and uncollectible amounts have been established and are netted against patient accounts receivable in the consolidated balance sheets."},{"form_and_line_reference":"PART III, LINE 8: MEDICARE","explanation":"As a not-for-profit hospital it is our mission to improve the health status of all people within our community and provide healthcare to all patients regardless of their ability to pay or their insurance status. SMC and SC accept Medicare which results in shortfalls in the costs for caring for patients utilizing this program. We utilize a cost accounting system that determines costs for providing medical services based on the organizations relationship of costs to charges. The entire shortfall shown on Part III, Line 7 should be reflected as a community benefit."},{"form_and_line_reference":"PART III, LINE 9B: COLLECTION POLICY","explanation":"SMC/SC follows the Collection Practices as outlined in VHS Charity Care and Financial Discount and Financial Assistance operating policies. For patients who qualify for charity care and financial discount, SMC/SC provides the patient with a written notice prior to commencing collection activities. The notice states that nonprofit counseling services may be available in the area and provides information concerning state and federal law requirements for debt collectors. SMC/SC does not pursue legal action for non-payment of bills against any household where the primary wage earner(s) is unemployed or there are not significant income sources. SMC/SC does not assign patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SMC/SC does not report adverse information to a consumer credit agency or commence civil action for nonpayment of a patient debt prior to 150 days after the initial billing of the patient. SMC/SC does not use wage garnishments or liens on real property as a means of collecting unpaid hospital bills for eligible patients. SMC/SC expects its external collection agencies to not pursue legal action against an eligible patient without prior approval from SMC/SC. SMC/SC expects its external collection agencies to follow Fair Debt and Collection Practices, Assembly Bill AB774 and act in a manner that treats individuals with dignity, respect and compassion. In addition, for patients who qualify for financial assistance, SMC/SC does not pursue legal action for non-payment of bills against any household where the primary wage earner(s) is unemployed, uninsured or there are not significant income sources or assets. SMC/SC does not assign eligible patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SMC/SC does not use liens on real property as a means of collecting unpaid hospital bills for eligible patients."},{"form_and_line_reference":"PART VI, QUESTION 2: NEEDS ASSESSMENT","explanation":"In an effort to identify the most critical health care needs in SMC/SCs service area, a Community Needs Assessment is conducted every three years. The annual SMC/SC Community Benefit Plan (\"CBP\") is developed through (1) analysis of San Mateo County health indicators, and (2) review of the accomplishments of CBP goals. SMC and SC Community Advisory Committee (\"CAC\") members meet semi-annually to receive updates on the accomplishments on the CBP goals and participate in discussions concerning community health. Annual CBP reports are presented to the SMC Board and Finance and Audit Committee for review, discussion and approval. Analysis of State, County and local health indicators are conducted through the review of the Fiscal Year 2016 (tax year 2015) Community Health Needs Assessment: Health and Quality of Life in San Mateo County, a group of San Mateo County organizations interested in the communitys health, worked together to conduct the FY 2016 Community Needs Assessment of San Mateo County as follow-up to assessments conducted in 1995, 1998, 2001, 2004, 2008, 2011 and 2013. A copy of the complete Community Needs Assessment, is available on the Internet on the County Website or Peninsula Library System website at http://plsinfo.org/healthysmc. The FY2016 Community Health Needs Assessment: Health & Quality of Life in San Mateo County is designed to serve as a tool for guiding policy and planning efforts, and to formulate strategies to improve the quality of life. For participating hospitals, the information in this assessment will serve to assist in developing Community Benefit Plans pursuant to Legislative Bill 697. The goals of the Community Collaborative are twofold: 1. To produce a functional, comprehensive, triennial community needs assessment that can be used for strategic planning of community programs throughout the County and as a guideline for policy and advocacy efforts; and 2. To promote collaborative efforts in the community to develop projects to improve the health of our communities based on the data, community input, and group consensus. Healthy Community Collaborative Members: - Sequoia Hospital - San Mateo County Health Department - Health Plan of San Mateo - Hospital Consortium of San Mateo County - Kaiser Permanente, San Mateo Area - Lucile Packard Childrens Hospital at Stanford - Mills-Peninsula Health Services - Peninsula Health Care District - San Mateo County Health Department - San Mateo County Human Services Agency - San Mateo Medical Center - Seton Medical Center - Silicon Valley Community Foundation - Stanford Hospital & Clinics The FY2016 Community Health Needs Assessment: Health & Quality of Life in San Mateo County highlights that in many areas San Mateo County residents are healthier than in many other places. However, the data also demonstrates that preventable diseases are on the rise and so we must do more to prevent these diseases from occurring in the first place. It also shows that health is not distributed evenly across the population and there are many communities that still do not experience good health and a high quality of life. The following health needs were generated from the primary and secondary data as well as input from focus group participants. The focus groups and interviews occurred in August 2016. Seton Medical Centers Prioritized Community Needs are: 1) Obesity 2) Diabetes 3) Cardiovascular disease, heart attack, stroke 4) Cancer 5) Births Health Needs: 1) Obesity 2) Diabetes 3) Cardiovascular disease, heart attack, stroke Need: The percentage of people who have diabetes is rising. There are a low and declining percentage of people who exhibit healthy behaviors. The percentage of people who exhibit more than one risk factor for cardiovascular disease is increasing. (High cholesterol, high blood pressure, diabetes, smoking, wrong diet, no exercise, alcohol consumption, and family history). Action: - Promoting exercise and \"Instant Recess\" at health events, local faith based organizations, schools, community centers, Community Day, Streets Alive, and Parks Alive. Supporting exercise weekly community shopping center walking program Walkabout/TalkAbout. Heart Healthy Exercise Program and Cardiac Rehabilitation. - Low costs cholesterol and diabetes laboratory screenings at Seton and at community events. - Blood pressure screening at health fairs and educational presentations. - Diabetes education, managing your diabetes, support group, nutrition information, glucose monitoring, diabetes meter instruction, and wound care education. - Nutrition education: Sugar content in food and beverages, reducing salt intake, healthy Filipino and African American cooking, healthy food choice, and Over Eaters support group. - Advocacy: Promote development and implementation of work place/school wellness policies. Community Advisory Committee Members presenting Community Needs Assessment and Community Benefit Implementation Plan to City Mayors and City Mangers, businesses in service area. Outcome: An increase of the percentage of community members will exhibit the four healthy behaviors: exercise, maintaining healthy weight, eating 5 fruits and vegetables, not smoking. Decrease in the percentage people that exhibit more than one risk factor for cardiovascular disease. Measurement: - Number of presentations made to chamber of commerce and city government officials. - More business and employers will promote healthy living. - Providing health education and screenings at 12 community events. 4) Cancer Need: Breast, Cervical, Colorectal and prostate cancer incidence are all failing benchmarks. Action: - Promote healthy behaviors. - Promoting early detection screenings internally and at health events. - Identify low cost screening opportunities in community. - Identify and establish additional cancer support group as needed. Outcome: People will adopt health lifestyles and access early detection screenings. Measurement: - Prostate Cancer support group meeting consistently. - Number of people attending Prostate Cancer Support Group. - Number of low cost screening opportunities in community. 5) Births Need: Women of some ethnicities continue to receive inadequate prenatal care. Action: - Elizabeth Ann Seton New Life Center will provide with language capacity and cultural sensitivity all inclusive perinatal services for low income, pregnant women. Provide quality pre-natal care and delivery, education and appropriate referrals to each mother during the entire pregnancy and 60 days post-partum. Increase outreach to the Pacific Islander population about the importance of pre-natal care and the New Life Center. Outcome: More pregnant women that are Pacific Islanders will access pre-natal care. Measurement: number of pregnant women that are Pacific Islanders that received pre-natal care."},{"form_and_line_reference":"PART VI, QUESTION 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE","explanation":"Patients who present at SMC/SCs Emergency Department and SMC/SCs Admitting Department are provided with a financial assistance packet that consists of an informational flyer on various programs for which they may be eligible. The flyer is in English, Spanish, Tagalog, and simplified Chinese. The packet includes a Medi-Cal application, as well as a Charity Care application. In addition, there are signs posted in English and Spanish in the Patient Financial Services department and at every point of registration stating that SMC/SC 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."},{"form_and_line_reference":"PART VI, QUESTION 4: COMMUNITY INFORMATION","explanation":"DEMOGRAPHICS Seton Medical Center is a major tertiary care center; serving northern and central San Mateo County and the most southern part of San Francisco County. Seton Coastside in Moss Beach provides the only 24-hour physician-staffed standby emergency department on the coast between Daly City and Santa Cruz. Seton Coastside also provides a skilled nursing unit, an acute-care unit, radiology, laboratory, and rehabilitative services. Seton Coastsides service area constitutes a large geographic area that extends 45 miles from Montara south to the Santa Cruz County line. San Mateo County is clearly one of Californias richly ethnically diverse counties. The Asian/Pacific Islander population and Hispanic/Latino population are primarily clustered in Northern San Mateo County and along the Coast. In Daly City, a primary service area of Seton, 52% of the residents are foreign born residents and 68.1% of persons over the age of five speak a language other than English at home. South San Francisco, the second largest service area of Seton has 42.9% foreign born and 60.3% of persons over the age of five speak a language other than English at home. While other age groups will decrease in terms of percent of county population (0-19 years, 20-39 years, 40-59 years) from 2010 to 2050, those 60 years and older will increase from 18.9 percent to 30.9 percent. Asian/Pacific Islander and Hispanic seniors will comprise the largest proportion of seniors in San Mateo County in 2050. At the other end of the age spectrum, the ethnic makeup of children under the age of 15 years is projected to be Hispanic, Asian/Pacific Islander, White, Black and multi-race in 2050. In 2010, median earnings for San Mateo County residents aged 25 years and older was $47,060. Real per capita income in San Mateo County in 2010 was $68,582, and the average weekly wages in 2010 were $1,450, down 13% from 2000. According to the American Community Survey (U.S. Census Bureau), from 2006-2010, the percentage of SMC individuals below poverty level was 7 percent with 9.1 percent of children under the age of 18 below the poverty level. According to the Family Economic Self- Sufficiency Standard, a more realistic measure of poverty in SMC takes local conditions like cost of living into consideration; a single parent with two children must earn approximately $78,000 annually to meet the family's basic needs, the equivalent of nearly five, full-time minimum wage jobs. According to the Elder Index, 36 percent of seniors struggle to cover basic expenses and, if their annual income exceeds federal poverty guidelines ($10,830), they may be ineligible for public assistance programs."},{"form_and_line_reference":"PART VI, QUESTION 5: PROMOTION OF COMMUNITY HEALTH","explanation":"Our promotion of community health includes ongoing health education about healthy habits. SMC/SC participated in over 12 annual community events and focuses on small venues to further this health education effort. Nurses and physicians volunteering at these events talk individually with community members about blood pressure management, nutrition and healthy habits. SMC/SC physicians, nurses and medical staff routinely volunteer their time to make presentations on healthy heart practices, stroke awareness and nutrition at schools, community centers and places of worship. Within the hospital, health related support groups are provided. To address the uninsured, SMC/SC continues to support free urgent care to the uninsured at two RotaCare Clinics. Monday night RotaCare Clinic is located at Seton Medical Center in Daly City and Wednesday night RotaCare Clinic is located in Half Moon Bay. The Clinics provide medical care, certain medications, laboratory and diagnostics, x-rays, immunizations, referrals to Seton Ophthalmologist services, social needs referrals within the community, health education and health care referrals. The medical care is provided primarily by volunteer physicians, physician assistants, nurse practitioners, and nurses. The partnership with Daly City ACCESS serves as the catalyst to promote community outreach with cultural sensitivity and language capacity at health fairs. Representatives of family service agencies and healthcare facilities work together to provide language interpretation, as needed at the health fairs. The St. Elizabeth Ann Seton New Life Center established at Seton Medical Center in 2003, provides all-inclusive peri-natal services for low-income, pregnant women in our community. In order to achieve its goal of decreasing the incidence of pre-term and low birth-weight babies of mothers in the program, the New Life Center provides quality prenatal care and delivery, education and appropriate referrals to each mother for entire pregnancy and 60 days post-partum, and expedites enrollment of pregnant women into the Medi-Cal program. The Center offers physician services and health education, as well as nutritional, social and support services, all in one location. Seton Medical Center supports the New Life Center by providing comprehensive birthing facilities for new mothers. There is a direct correlation between the economic distressed clients and the increase of the variety of challenges they face, e.g. potential homelessness, drug use, domestic violence, poor access to food and clothing, lack of transportation, noninvolvement of the fathers of the babies, joblessness, and low education. This year there has been a significant increase in the percentage of clients that complete the program along with an increase of clinic visits. Community Building Activities Collaboration with the community enables SMC/SC to successfully reach the annual CBP goals and objectives. Participating on various committees throughout the county is another avenue to learn about community needs, which services are provided and to avoid duplication of the services. Partners include local schools and school districts, businesses, community service clubs, churches, foundations and State, County and City elected officials and agencies. Additionally, community volunteers, Seton Medical Staff and Seton Associates routinely donate time and resources. Chamber of Commerce Boards: SMC/SC has consistently shown support with the following chamber of commerce boards, Daly City Colma, Brisbane, Half Moon Bay, Pacifica, and South San Francisco. SMC/SC is also members of the Chairmans Circle on the following chambers: Daly City Colma, Brisbane, Half Moon Bay and Pacifica. Many of the safety nets for families and community members have been cut back due to the economy. Some of the services are in collaboration with each other and event sharing staff to keep programs operating at a minimum."},{"form_and_line_reference":"PART VI, QUESTION 6: AFFILIATED HEALTH CARE SYSTEM","explanation":"Prior to December 14, 2015, Seton Medical Center was a part of Daughters of Charity Health System (\"DCHS\"), a regional health care system of hospitals and medical centers spanning the California coast from the San Francisco Bay Area to Los Angeles, formed and operated as religious corporations. In July 2015, DCHS selected Blue Mountain Capital Management LLC, a private investment firm, to recapitalize its operations and transition leadership of the hospital system to the new Verity Health System. In July 2017, Nantworks took over the management of the Verity Health System. The transaction was approved by the California Attorney General on December 14, 2015, whereby Daughters of Charity Health System amended its name to Verity Health System of California, Inc. (VHS), and Verity Health System and all of its nonprofit corporate affiliates (including OCH) changed status from religious corporations to public benefit corporations under the California Nonprofit Corporation Law. As a non-profit, non-religious health care system, Verity Health System seeks to build on the rich legacy left by the Daughters of Charity Health System. Today, Seton Medical Center continues the tradition of patient-centric, quality health care to our entire community. Recognized for its stroke treatment, cardio-vascular excellence, including STEMI certification, Seton offers a comprehensive range of medical specialties on both an inpatient and outpatient basis, as well as emergency services. For FY 2017, Seton had 3,988 surgeries, 45,242 patient days, 5,695 discharges, 23,478 ED visits. There are 830 FTEs. Seton Coastside continues to offer skilled nursing care to 116 inpatient residents year-round, in addition to meeting the healthcare needs of our patients, and the surrounding coastal community. Our dedicated staff of interdisciplinary healthcare team professionals provide excellent and comprehensive healthcare. Seton Coastside operates the only 24-hour standby Emergency Department from Daly City to Santa Cruz, which is well-equipped and staffed to serve the needs of our community. Key medical services include physical, occupational and speech therapies, radiology, mammography and laboratory."},{"form_and_line_reference":"PART VI, QUESTION 7: STATE FILING OF COMMUNITY BENEFIT REPORT","explanation":"SMC/SC ANNUALLY UPDATES ITS COMMUNITY BENEFITS REPORT AND SMC/SC FILES A COPY OF ITS COMMUNITY BENEFITS REPORT ON AN ANNUAL BASIS WITH THE STATE OF CALIFORNIA."},{"form_and_line_reference":"PART V, SECTION B, LINE 5:","explanation":"SEE DISCLOSURE FOR PART VI, QUESTION 2: NEEDS ASSESSMENT"},{"form_and_line_reference":"PART V, SECTION B, LINE 6A:","explanation":"SETON MEDICAL CENTER'S (\"SMC\") COMMUNITY HEALTH NEEDS ASSESSMENT (\"CHNA\") WAS CONDUCTED IN CONJUNCTION WITH THE FOLLOWING HOSPITALS: KAISER PERMANENTE (SAN MATEO AREA), LUCILE PACKARD CHILDRENS HOSPITAL AT STANFORD, SAN MATEO COUNTY HEALTH SYSTEM, SEQUOIA HOSPITAL (A PART OF DIGNITY HEALTH SYSTEM), STANFORD HEALTH CARE, AND SUTTER HEALTH PENINSULA COASTAL REGION."},{"form_and_line_reference":"PART V, SECTION B, LINE 6B:","explanation":"SMCS CHNA WAS CONDUCTED IN CONJUNCTION WITH THE FOLLOWING ORGANIZATIONS (OTHER THAN HOSPITALS): COUNTY OF SAN MATEO HUMAN SERVICES AGENCY, HOSPITAL CONSORTIUM OF SAN MATEO COUNTY, AND PENINSULA HEALTH CARE DISTRICT."},{"form_and_line_reference":"PART V, SECTION B, LINE 7A:","explanation":"THE CHNA REPORT CAN BE ACCESSED ON THE HOSPITALS WEBSITE AT: HTTPS://SETON.VERITY.ORG/ABOUT-US/COMMUNITY-BENEFIT/"},{"form_and_line_reference":"PART V, SECTION B, LINE 10A:","explanation":"SMC has recently adopted a community benefit plan which can be found on the hospital's website at: HTTPS://SETON.VERITY.ORG/ABOUT-US/COMMUNITY-BENEFIT/ SMC has recently adopted a community benefit plan which can be found on the hospital's website at:"},{"form_and_line_reference":"PART V, SECTION B, LINE 11:","explanation":"SMC and SC's Community Benefit Implementation Plan is driven by the Seton Medical Center Executive Team and the Community Advisory Committee. The Seton Medical Center Community Advisory Committee (\"CAC\") members have been meeting quarterly for nearly 20 years to review community needs and identifying the community benefit plan. CAC members are leaders in the community representing schools, places of worship, community services and businesses, who meet quarterly to discuss the community benefit plan and receive updates on the accomplishments of the CBP goals and objectives. The plan was also presented to the SMC Board for review, discussion and approval. The 2016 implementation plan was developed based on the San Mateo County Community Needs Assessment and a review of the hospitals existing community benefit plan. The CAC reviewed the summary of the 2016 San Mateo Community Needs Assessment and participated in the San Mateo County Healthy Community Collaborative Focus Group health needs prioritization. The Health Needs SMC and SC will address include: 1. Obesity 2. Diabetes 3. Cardiovascular disease, heart attack, stroke 4. Cancer 5. Births Obesity, diabetes, cardiovascular disease, heart attack, and stroke are health needs as: the percentage of people who have diabetes is rising; there are a low and declining percentage of people who exhibit healthy behaviors, and the percentage of people who exhibit more than one risk factor cardiovascular disease is increasing (high blood cholesterol, blood pressure, diabetes, smoking, diet, no exercise, alcohol consumption, and family history). To combat these factors, SMC and SC have outlined the following strategies: - Promote exercise and \"Instant Recess\" at health events, local faith based organizations, schools, community centers, Community Day, Streets Alive, and Parks Alive. - Provide low cost cholesterol and diabetes laboratory screenings at SMC and community events. - Provide blood pressure screenings and educational presentations at health fairs - Provide diabetes education (including tips to manage diabetes), diabetes support groups, nutrition information, glucose monitoring information, diabetes meter instructions, and wound care education - Provide nutrition education regarding: the sugar content in food and beverages, reducing salt intake, education for health Filipino and African American cooking, healthy food choices, and an over eaters support group. - Promote development and implementation of work place/school wellness policies Through these actions, SMC and SC seek to decrease the percentage of people that exhibit one or more risk factors for cardiovascular disease and increase the percentage of community members which exhibit the four health behaviors: exercise, maintaining a healthy weight, eating 5 fruits and vegetables a day, and not smoking. Success in this area will be measured by benchmarks and outcome indicators outlined in the full implementation strategy. Cancer is a health need as breast, cervical, colorectal, and prostate cancer incidences are all failing benchmarks in San Mateo County. To combat this, SMC and SC have outlined the following strategies: - Continue to promote healthy behaviors - Promote early detection screenings internally and at health events - Identify low cost screening opportunities in the community - Identify and establish additional cancer support groups, as needed. Through these actions, SMC and SC seek to encourage individuals to adopt healthy lifestyles and increase access to early detection screenings. Success in this area will be measured by benchmarks and outcome indicators outlined in the full implementation strategy. Women of some ethnicities continue to receive inadequate prenatal care. To combat this, SMC turns to the Elizabeth Ann Seton New Life Center, which will provide (with language capacity and culturally sensitivity) all inclusive perinatal services for low income, pregnant women. Additionally, the Elizabeth Ann Seton New Life Center provides quality pre-natal care and delivery, education and appropriate referrals to each mother during the entire pregnancy and 60 days post-partum. Looking forward, SMC seeks to increase outreach to the Pacific Islander population about the importance of pre-natal care and the New Life Center. In doing so, more pregnant women that are Pacific Islander will access pre-natal care. Success in this area will be measured by benchmarks and outcome indicators outlined in the full implementation strategy. SMCs implementation strategy does not target as actionable for intervention by SMC all of the health priority needs that were identified during the assessment because of limited resources and the availability of other providers in the community with more capacity/expertise to address those needs. SMC provides referrals to programs offered in the community addressing these identified needs and will continue to collaborate with the community services and resources that address these top community health needs. (1) Asthma & Respiratory: was not identified as one of the top five priorities by CAC due to a lack of resources to expand services. SMC provides asthma and respiratory direct service programs that address these health needs and refers to community resources. (2) Substance Abuse: SMC does not have the resources to provide direct services for substance abuse treatment/prevention. SMC provides referrals to community partners/programs addressing substance abuse, including: Alcoholic, Alanon, Alateen Recovery; Asian American Recovery Services; Catholic Charities; El Centro de Libertad; Pyramid Alternatives; StarVISTA; Sitike Counseling Center, Womens Recovery Association. (3) Poor Oral Health: SMC does not have the resources to provide a dental program. Referrals are made to community based programs, including Sonrisas and the County Health Department. (4) Violence: SMC does not have the resources to provide direct services. SMC partners with community programs that provide counseling and address violence, including: Community Overcoming Relationship Abuse (CORA); ALICE; Freedom House; Rape Trauma Services; Fatherhood Collaborative and Cleo Eulau Center; Police Activities League; and Bay Area Legal Aide. (5) Infectious Diseases: SMC has an infection control program within the hospital and educates the community about hand hygiene during the flu season. SMC refers people seeking TB screenings to the County Health Department. (6) STDs, including HIV-AIDS: SMC does not have the resources to provide a STD program. SMC refers to community programs and services, including: County Health Clinic, Clinic by the Bay; Daly City Youth Health Center."},{"form_and_line_reference":"PART V, SECTION B, LINES 16A, 16B, AND 16C:","explanation":"THE ORGANIZATIONS FAP, FAP APPLICATION FORM, AND THE PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND ON THE ORGANIZATIONS WEBSITE AT HTTPS://SETON.VERITY.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/. THESE DOCUMENTS WERE NOT ON THE WEBSITE AT THE START OF THE JUNE 30, 2017 TAX YEAR (THE TAX YEAR STARTING IN 2016, WHEN THE IRC SECTION 501R REGULATIONS CAME INTO EFFECT), BUT HAS SINCE BEEN CORRECTED AT THE TIME OF THE FILING OF THIS RETURN."}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"form_990_of_other_organizations":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"John Ferrelli","title":"President & 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C","organization_incurred_excise_tax":false,"eligibility_criteria_explained":true,"fpg_family_income_limit_free_discounted":true,"fpg_family_income_limit_free_care_percentage":200.0,"fpg_family_income_limit_discounted_care_percentage":350.0,"income_level_criteria":true,"asset_level_criteria":true,"medical_indigency_criteria":true,"insurance_status_criteria":true,"underinsurance_status_criteria":true,"residency_criteria":true,"basis_explained":true,"application_financial_assistance_explanation":true,"described_information":true,"described_supporting_documentation":true,"provided_hospital_contact":true,"provided_nonprofit_contact":true,"includes_publicity_measures":true,"fap_available_on_website":true,"fap_available_on_website_url":"See Part V, Section C","fap_application_available_on_website":true,"fap_application_available_on_website_url":"See Part V, Section C","fap_summary_on_website":true,"fap_summary_on_website_url":"See Part V, Section C","fap_available_on_request_no_charge":true,"fap_application_available_on_request_no_charge":true,"fap_summary_available_on_request_no_charge":true,"fap_notice_displayed":true,"fap_notified_all_patients":true,"fap_notified_before_discharge":true,"fap_notified_upon_admission":true,"community_notified_fap":true,"fap_actions_on_nonpayment":true,"permit_no_actions":true,"collection_activities":false,"nondiscriminatory_emergency_care_policy":true,"medicare_rates":true,"amounts_generally_billed":false,"gross_charges":false,"information_gaps":true,"documented_eligibility_determination":true,"name":"A"}],"supplemental_information":[{"form_and_line_reference":"Part I, Line 3c:"},{"form_and_line_reference":"Part I, Line 6a:"},{"form_and_line_reference":"Part I, Line 7, Column (f):"},{"form_and_line_reference":"Part I, Line 7:"},{"form_and_line_reference":"Part II:"},{"form_and_line_reference":"Part III, Line 2:"},{"form_and_line_reference":"Part III, Line 3:"},{"form_and_line_reference":"Part III, Line 4:"},{"form_and_line_reference":"Part III, Line 8:"},{"form_and_line_reference":"Part III, Line 9b:"},{"form_and_line_reference":"Part VI, Question 2:"},{"form_and_line_reference":"Part VI, Question 3:"},{"form_and_line_reference":"Part VI, Question 4:"},{"form_and_line_reference":"Part VI, Question 5:"},{"form_and_line_reference":"Part VI, Question 6:"},{"form_and_line_reference":"Part VI, Question 7:"},{"form_and_line_reference":"Part V, Section B, Lines 2, 3j, 7d, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c","explanation":"21d, 22d, 23, and 24: N/A"},{"form_and_line_reference":"Part V, Section B, Line 5:","explanation":"See disclosure for Part VI, Question 2: Needs Assessment"},{"form_and_line_reference":"Part V, Section B, Line 6a:","explanation":"Seton Medical Center's (\"SMC\") Community Health Needs Assessment (\"CHNA\") was conducted in conjunction with the following hospitals: Kaiser Permanente (San Mateo Area), Lucile Packard Childrens Hospital at Stanford, San Mateo County Health System, Sequoia Hospital (a part of Dignity Health System), Stanford Health Care, and Sutter Health Peninsula Coastal Region."},{"form_and_line_reference":"Part V, Section B, Line 6b:","explanation":"SMCs CHNA was conducted in conjunction with the following organizations (other than hospitals): County of San Mateo Human Services Agency, Hospital Consortium of San Mateo County, and Peninsula Health Care District."},{"form_and_line_reference":"Part V, Section B, Line 7a:","explanation":"SMC's CHNA report can be accessed on the hospitals website at: https://seton.verity.org/about-us/community-benefit/"},{"form_and_line_reference":"Part V, Section B, Line 10a:","explanation":"SMCs most recently adopted implementation strategy can be accessed on the hospitals website at: https://seton.verity.org/about-us/community-benefit/"},{"form_and_line_reference":"Part V, Section B, Line 11:","explanation":"Seton Medical Center charged its Community Benefit Advisory Committee (CBAC) with the task of reviewing, prioritizing, and addressing the health needs identified in the CHNA. In May 2016, the CBAC received a presentation of the data related to each of the 16 health needs found by the CHNA. Next, they scored each health need using three criteria: 1) The Communitys prioritization of the need (i.e. the number of times it was mentioned in focus groups or key informant interviews); 2) SMCs capacity to address the need; and 3) experts prioritization of the need. For each health need, each of the three criteria was scored on a 1-3 scale, with 3 being the highest and 1 being the lowest. Based off these results, the CBAC determined that SMC will address the top five of those prioritized needs, which are as follows: 1) Obesity/Diabetes (including fitness, nutrition) 2) Access & Delivery 3) Behavioral Health 4) Heart Disease & Stroke 5) Cancer To address the health need of Obesity/Diabetes (including fitness and nutrition), SMC plans to continue to utilize its Diabetes Screening and Education Program, which provides early detection, prevention, screening, education, management, and support services for those at-risk for diabetes or already suffering from diabetes. The Program also improves outcomes and reduces complications for diabetics and pre-diabetics. SMC plans to dedicate $55,000 worth of resources during both FY2016-2017 and FY2017-2018 to this program. To address the health need of Access & Delivery, SMC plans to continue to utilize or increase funding of many programs already in place. During FY2016-2017 and FY2017-2018, SMC plans to provide a $25,500 cash grant for operations each year to RotaCare Daly City and a $10,000 cash grant to RotaCare Coastside, which provides access to urgent care for the uninsured, improves health outcomes, and reduces emergency department visits. Additionally, SMC plans to provide a $10,000 grant plus in-kind services to Clinic by The Bay, which provides access to comprehensive primary care for the uninsured, improves health outcomes, and reduces emergency department visits. Aside from providing grants to outside organizations, SMC also plans to utilize its own Health Benefit Resource Center (HBRC), which provides information and referral services to link families to government-sponsored health benefits and social services, including Medi-Cal, food banks, and Cal Fresh. The HBRC also assists the uninsured and underinsured enroll in health insurance and have other basic need met. SMC plans to devote $100,000 of resources during both FY2016-2017 and FY2018 (an increase from the $77,205 of resources utilized during FY2015-2016). Lastly, SMC plans to continue to provide shuttle service to/from the hospital to BART for residents, thus increasing access to health services. To address the health need of Heart Disease and Stroke, SMC has created a Cardiac and Pulmonary Rehabilitation Program (new for FY2016-2017), which provides education, awareness, and rehabilitation services. SMC has allocated $250,000 of hospital resources to this program. In addition, SMC will continue to provide blood pressure screenings, community health education and outreach to isolated members of the community. To address the health need of Cancer, SMC plans to provide a clinical education activity on the topic, in addition to continuing to provide meeting space for a cancer support group. Strategies to address Behavioral Health, which was identified as a health need in the 2016 CHNA, was not specifically outlined in the adopted implementation strategy, but is currently being developed. In addition to the items outlined above, SMC has in place many current programs that, while dont directly address a specific health need, do so indirectly. These include: its Annual Community Health Fair, which it anticipates will increase health awareness and education in all of the 5 identified priority needs; its Community Lecture Series, which increases community awareness and education on specific health topics; provision of meeting space for community groups; and providing small grants to non-profit agencies providing health, social, and educational services in the SMC service area. The CBAC determined that the following 11 needs identified as a health need in the CHNA would not or could not be addressed by SMC, either due to a lack of resources or expertise, the availability of other resources outside of SMC which already address the need, or due to the consideration of community resident priority: 1) Respiratory Conditions; 2) Economic Security; 3) Oral & Dental Health; 4) Communicable Disease; 5) Violence & Abuse; 6) Transportation & Traffic; 7) Alzheimers; 8) Air Quality/Climate Change; 9) Unintended Injuries (Falls); 10) Birth Outcomes; and 11) Arthritis."},{"form_and_line_reference":"Part V, Section B, Lines 16a, 16b, and 16c:","explanation":"The organizations FAP, FAP application form, and the plain language summary of the FAP can be found on the organizations website at https://seton.verity.org/patients-and-visitors/financial-assistance/. These documents were not on the website at the start of the June 30, 2017 tax year (the tax year starting in 2016, when the IRC Section 501r regulations came into effect), but has since been corrected at the time of the filing of this return."}]},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":401374,"reported_domestic_individual_grants":0,"reported_domestic_org_grants_program_services":401374,"total_501c3_and_government_organizations":1,"grants":[{"ein":453691852,"irc_section":"501(c)(3)","cash":401374,"purpose":"Program Support","address_line1":"400 Race Street","city":"San Jose","state":"CA","zip":"95126","name":"Verity Medical Foundation","address":"400 Race Street, San Jose, CA, 95126"}],"total_domestic_grants":401374,"total_domestic_program_services":401374,"detail_org_grants_total":401374,"detail_domestic_grants_total":401374,"supplemental_information":[{"form_and_line_reference":"Schedule I, Part I, Line 2:","explanation":"Seton Medical Center is a part of a group of related tax-exempt organizations, which includes Verity Medical Foundation. During the June 30, 2016 fiscal year, Seton Medical Center made equity transfers to Verity Medical Foundation, whose sole corporate member is also Verity Health System of California, Inc. Proper use of transferred amounts is monitored through common control throughout the health system."}],"grant_monitoring":{"claims_monitoring_procedures":true,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false,"monitoring_description":"Seton Medical Center is a part of a group of related tax-exempt organizations, which includes Verity Medical Foundation. During the June 30, 2016 fiscal year, Seton Medical Center made equity transfers to Verity Medical Foundation, whose sole corporate member is also Verity Health System of California, Inc. Proper use of transferred amounts is monitored through common control throughout the health system.","form_and_line_reference":"Schedule I, Part I, Line 2:"}},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":true,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Robert Issai","title":"Board Member through Dec. 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(\"VHS\"). VHS uses the following methods to establish top management officials' compensation: independent compensation consultant, compensation survey or study, approval by the Board or Compensation Committee, Form 990 of other organizations, and written employment contracts."},{"form_and_line_reference":"Severance Payments","explanation":"Schedule J, Part I, Line 4a: The following individuals received a severance payment from the organization or a related organization during the 2015 calendar year, which is reported as taxable compensation on Form 990, Part VII and Schedule J, Part II, Column (b)(iii): Robert Issai $1,893,008 Joanne Evelyn Allen $ 720,387 Beverly Fick $ 48,077 Additionally, some of the individuals listed on Schedule J, Part II have a severance provision as a part of their employment arrangement. The severance provision ranges from 6 months to 2 years, dependent on the job title, length of service, and reason for termination."},{"form_and_line_reference":"Nonqualified Retirement Plan","explanation":"Schedule J, Part I, Line 4b: The following individuals participated in a supplemental nonqualified retirement plan provided by a related organization, which is included in compensation on Form 990, Part VII, Section A, Column (F) and Schedule J, Part II, Column (c): Robert Issai $58,059 Joanne Evelyn Allen $ 6,983"},{"form_and_line_reference":"Explanation of Other Reportable Compensation","explanation":"Schedule J, Part II, Column (b)(iii): An individual listed on Schedule J, Part II received a one-time payout of a 401(a)(17) plan; the taxable amount of that payout is reflected as other reportable compensation on Schedule J, Part II, Column (b)(iii)."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":770482943,"business_name_line1":"Daughters of Charity Ministry Svcs 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CENTER","first_licensed_current_or_prior_year":false,"tax_exempt_current_or_prior_year":false,"chna_conducted":true,"community_definition":true,"community_demographics":true,"existing_resources":true,"how_data_obtained":true,"community_health_needs":true,"other_health_issues":true,"community_health_needs_identification_process":true,"consulting_process":true,"prior_chna_impact":true,"chna_conducted_year":18,"took_into_account_others_input":true,"chna_conducted_with_other_facilities":true,"chna_conducted_with_non_facilities":true,"chna_report_widely_available":false,"implementation_strategy_adopted":true,"implementation_strategy_adopted_year":18,"strategy_posted_website":false,"strategy_attached":true,"organization_incurred_excise_tax":false,"eligibility_criteria_explained":true,"fpg_family_income_limit_free_discounted":true,"fpg_family_income_limit_free_care_percentage":200.0,"fpg_family_income_limit_discounted_care_percentage":350.0,"asset_level_criteria":true,"medical_indigency_criteria":true,"insurance_status_criteria":true,"underinsurance_status_criteria":true,"residency_criteria":true,"basis_explained":true,"application_financial_assistance_explanation":true,"described_information":true,"described_supporting_documentation":true,"provided_hospital_contact":true,"includes_publicity_measures":true,"fap_available_on_website":true,"fap_available_on_website_url":"SEE PART V, SECTION C","fap_application_available_on_website":true,"fap_application_available_on_website_url":"SEE PART V, SECTION C","fap_summary_on_website":true,"fap_summary_on_website_url":"SEE PART V, SECTION C","fap_available_on_request_no_charge":true,"fap_application_available_on_request_no_charge":true,"fap_summary_available_on_request_no_charge":true,"notified_fap_copy_bill_display":true,"community_notified_fap":true,"fap_translated":true,"fap_actions_on_nonpayment":true,"permit_no_actions":true,"collection_activities":false,"provided_written_notice":true,"made_effort_orally_notify":true,"processed_fap_application":true,"made_presumptive_eligibility_determination":true,"nondiscriminatory_emergency_care_policy":true,"lookback_medicare":true,"amounts_generally_billed":false,"gross_charges":false,"name":"SETON MEDICAL CENTER"}],"supplemental_information":[{"form_and_line_reference":"PART I, LINE 7:","explanation":"COSTING METHODOLOGYPRIOR TO CEASING TO OPERATE THE HOSPITALS, SETON MEDICAL CENTER AND SETON COASTSIDE UTILIZED A COST ACCOUNTING SYSTEM THAT DETERMINED COSTS FOR PROVIDING MEDICAL SERVICES BASED ON THE HOSPITAL'S RELATIONSHIP OF COSTS TO CHARGES.PART II: COMMUNITY BUILDING ACTIVITIESSETON MEDICAL CENTER ACKNOWLEDGES THERE ARE MANY PRESSING COMMUNITY NEEDS. ACTIVITIES SELECTED THAT BUILT UPON THE FOUNDATION SET BY OUR PREVIOUS COMMUNITY BENEFIT INITIATIVES (SERVING THE POOR, MINORITY POPULATIONS, ELDERLY AND UNINSURED). THE ACTIVITIES SETON FOCUSED ON DURING FISCAL YEAR 2020 FALL INTO TWO REPORTING AREAS: BENEFITS FOR VULNERABLE POPULATIONS AND BENEFITS FOR THE BROADER COMMUNITY.THE PROGRAMS AND ACTIVITIES WE SUPPORTED ARE BASED ON THE FOLLOWING:- SERVING THE SICK AND THOSE LIVING IN POVERTY WHO LACK BASIC RESOURCES.- DEVELOPING AND IMPLEMENTING COMMUNITY-BASED PROGRAMS TARGETED TOWARDS IMPROVING HEALTH AND LIFESTYLE BEHAVIORS AND ILLNESS PREVENTION.- PROMOTING AND SPONSORING EVENTS THAT OFFER HEALTHCARE SERVICES AND EDUCATION TO THE COMMUNITY AT-LARGE.- PROVIDING INFORMATION AND ADVOCATING FOR LOW-INCOME, UNINSURED OR UNDERINSURED PEOPLE TO GAIN ACCESS TO MEDICAL INSURANCE, GOVERNMENT ASSISTANCE PROGRAMS, HEALTH CARE SERVICES AND CONTINUUM OF CARE.SETON MEDICAL CENTER PRIORITIES IN FISCAL YEAR 2020 WERE REPORTED AND CATEGORIZED AS FOLLOWS:BENEFITS FOR VULNERABLE POPULATIONS:THESE ACTIVITIES ARE INTENDED TO IMPROVE ACCESS TO CARE FOR LOW-INCOME INDIVIDUALS, THE MEDICALLY UNDERSERVED AND OTHER VULNERABLE POPULATIONS. THESE ACTIVITIES INCLUDED PROVIDING HEALTH CARE SERVICES TO THE UNDERINSURED AND UNINSURED COMMUNITY MEMBERS, OPERATING THE HEALTH BENEFITS RESOURCE CENTER, AND PARTNERING WITH COMMUNITY PROGRAMS THAT CARE FOR THE HOMELESS.HEALTH BENEFITS RESOURCE CENTERTHE SETON MEDICAL CENTER HEALTH BENEFITS RESOURCE CENTER (HBRC) PROVIDES A ONE-STOP INFORMATIONAL AND REFERRAL SERVICE THAT ADVOCATES FOR THOSE LIVING IN POVERTY. THE CENTER HELPS LOW-INCOME INDIVIDUALS WITH HEALTH INSURANCE ENROLLMENT ASSISTANCE, CALFRESH (FOOD STAMPS) ENROLLMENT AND REPORTING AND LINKAGE TO ADDITIONAL COMMUNITY RESOURCES. SERVICES ARE PROVIDED IN ENGLISH, SPANISH AND VIETNAMESE.BENEFITS FOR BROADER COMMUNITY:SETON MEDICAL CENTER SUPPORTED A WIDE RANGE OF PROGRAMS AND ACTIVITIES THAT PROVIDED INFORMATION AND RESOURCES TO IMPROVE THE HEALTH AND WELFARE OF THE BROADER COMMUNITY, ACTIVITIES INCLUDED PRESENTING COMMUNITY HEALTH EDUCATION CLASSES, PARTICIPATING IN COMMUNITY HEALTH FAIRS AND SCREENINGS, PROVIDING HEALTH PROFESSIONS EDUCATION, AND PARTNERSHIPS WITHCOMMUNITY ORGANIZATIONS.SETON MEDICAL CENTER ALSO PROVIDED A VARIETY OF SUPPORT GROUPS WITH A SAFE, HEALING ENVIRONMENT WHERE COMMUNITY MEMBERS GATHERED TOGETHER TO COPE WITH THEIR ILLNESS OR LEARN ABOUT AN ILLNESS IN SUPPORT OF A LOVED ONE. IN FISCAL YEAR 2021, SUPPORT GROUPS MEETING AT SETON MEDICAL CENTER INCLUDED DIABETES SUPPORT GROUP AND WEIGHT LOSS PROGRAM. SETON ALSO DONATED MEETING ROOM SPACE TO COMMUNITY-BASED ORGANIZATIONS.COMMUNITY HEALTH FAIRS AND SCREENINGS: ACTIVITIES WERE HALTED IN EARLY 2020 DUE TO COVID-19 PANDEMIC. SETON MEDICAL CENTER WAS PLEASED TO PARTNER WITH AND PARTICIPATE IN COMMUNITY EVENTS AND HEALTH FAIRS BY PROVIDING HEALTH EDUCATION INFORMATION AND SCREENINGS.OUR COMMUNITY HEALTH TEAM PROVIDED A VARIETY OF HEALTH SCREENINGS AT MONTHLY EVENTS SUCH AS WALK ABOUT TALK ABOUT HELD AT A LOCAL SHOPPING MALL. REGISTERED NURSING STAFF PROVIDED FREE BLOOD PRESSURE SCREENINGS. SETON CLINICAL LEADERS ALSO PROVIDED BRIEF TALKS TO THE COMMUNITY IN ATTENDANCE ON HEALTHCARE TOPICS OF INTEREST.SETON MEDICAL CENTER BELIEVED IN COMMUNITY-BASED COLLABORATION AND WAS COMMITTED TO WORKING WITH PARTNERS TO BUILD A HEALTHIER COMMUNITY DURING THE TIME SETON OPERATED THE HOSIPATLS. WE WORKED WITH THE AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, AND HEP B FREE SAN MATEO COUNTY AND OTHER ORGANIZATIONS TO ACHIEVE GOALS THAT ARE GREATER THAN WHAT THE HOSPITAL OR ORGANIZATION COULD ACCOMPLISH ALONE."},{"form_and_line_reference":"PART III, LINES 2, 3, AND 4: BAD DEBT EXPENSE","explanation":"SETON MEDICAL CENTER IS PART OF THE CONSOLIDATED FINANCIAL STATEMENTS OF VERITY HEALTH SYSTEM OF CALIFORNIA, INC., WHICH INCLUDE ENTITIES OTHER THAN THOSE INCLUDED IN THIS FILING.ON AUGUST 31, 2018, VERITY HEALTH SYSTEM OF CALIFORNIA, INC. (\"VHS\") AND MOST OF ITS AFFILIATED COMPANIES, INCLUDING THE HOSPITAL, FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE. THE BANKRUPTCY CASES ARE JOINTLY ADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA. ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. COURT FILINGS ARE AVAILABLE AT KCCLLC.NET/VERITYHEALTH.DUE TO THE CHAPTER 11 FILING, A FORMAL AUDIT WAS NOT COMPLETED FOR FISCAL YEAR 2018, 2019, 2020, OR 2021. INSTEAD, THE VHS \"MONTHLY OPERATING REPORTS\" REQUIRED BY THE U.S. TRUSTEE'S OFFICE CAN BE OBTAINED FROM KCCLLC.NET/VERITYHEALTH. PLEASE NOTE THAT THE FISCAL YEAR 2017 AUDIT FOOTNOTE REGARDING BAD DEBT FOR THE CONSOLIDATED FINANCIAL STATEMENTS REMAINS TRUE AND ACCURATE. THE FIGURE IN LINE 2 OF PART III IS ONLY SETON MEDICAL CENTER'S PORTION OF THE CONSOLIDATED BAD DEBT EXPENSE."},{"form_and_line_reference":"PART III, LINE 2: METHODOLOGY TO ESTIMATE BAD DEBT EXPENSE","explanation":"BAD DEBT EXPENSE WAS ESTIMATED BY UTILIZING HISTORICAL COLLECTIONS OF DATA OF SELF-PAY PATIENTS. IN MAKING THIS ESTIMATE, MANAGEMENT ALSO CONSIDERED BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA.PART III, LINE 3: BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER FAP METHODOLOGYTHE ESTIMATED AMOUNT OF SETON MEDICAL CENTER'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS UNDETERMINABLE AND THUS RECORDED AS ZERO."},{"form_and_line_reference":"PART III, LINE 4: BAD DEBT EXPENSE FOOTNOTE","explanation":"ON AUGUST 31, 2018, VERITY HEALTH SYSTEM OF CALIFORNIA, INC. (\"VHS\") AND MOST OF ITS AFFILIATED COMPANIES, INCLUDING THE HOSPITAL, FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE. THE BANKRUPTCY CASES ARE JOINTLY ADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA. ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. COURT FILINGS ARE AVAILABLE AT KCCLLC.NET/VERITYHEALTH. DUE TO THE CHAPTER 11 FILING, A FORMAL AUDIT WAS NOT COMPLETED FOR FISCAL YEAR 2018, 2019 OR 2020. INSTEAD, THE VHS \"MONTHLY OPERATING REPORTS\" REQUIRED BY THE U.S. TRUSTEE'S OFFICE CAN BE OBTAINED FROM KCCLLC.NET/VERITYHEALTH. PLEASE NOTE THAT THE FISCAL YEAR 2017 AUDIT FOOTNOTE REGARDING BAD DEBT FOR THE CONSOLIDATED FINANCIAL STATEMENTS REMAINS TRUE AND ACCURATE.UNDER VERITY HEALTH SYSTEM'S FINANCIAL ASSISTANCE POLICY, HEALTH CARE SERVICES WERE PROVIDED FREE OF CHARGE OR AT A SIGNIFICANT DISCOUNT BASED ON A SLIDING SCALE TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL CRITERIA. VHS MADE AN EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR CHARITY CARE UPON ADMISSION. IF A PATIENT WAS DETERMINED TO QUALIFY FOR CHARITY CARE, SERVICES WERE RENDERED TO THE PATIENT FREE OF COST. THE COSTS OF PROVIDING THESE SERVICES ARE INCLUDED IN UNSPONSORED COMMUNITY BENEFIT EXPENSE AND INCLUDED AS A DEDUCTION TO NET PATIENT SERVICE REVENUE IN THE CONSOLIDATED STATEMENT OF OPERATIONS. VHS ESTIMATED PRIOR TO CEASING TO OPERATE THE HOSPITALS, THE COST OF CHARITY CARE BY CALCULATING A RATIO OF COST TO USUAL AND CUSTOMARY CHARGES AND APPLYING THAT RATIO TO THE USUAL AND CUSTOMARY UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO PATIENTS THAT QUALIFY FOR CHARITY CARE.AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND THE APPLICATION OF FINANCIAL DISCOUNTS TO PATIENTS' BALANCES, AND AFTER EXHAUSTING ALL REASONABLE EFFORTS TO COLLECT FROM THE PATIENTS, A SIGNIFICANT PORTION OF VHS' UNINSURED AND SELF-PAY PATIENT ACCOUNTS WERE REFERRED TO THIRD-PARTY AGENCIES BASED ON VHS' ESTABLISHED GUIDELINES FOR FURTHER COLLECTION ACTIVITIES. AS A RESULT, VHS RECORDED A PROVISION FOR DOUBTFUL ACCOUNTS RELATED TO THESE UNINSURED PATIENTS IN THE PERIOD THE SERVICES WERE RENDERED BASED ON HISTORICAL COLLECTION EXPERIENCE.AS PART OF VERITY HEALTH SYSTEM'S MISSION TO SERVE THE COMMUNITY, VHS PROVIDED CARE TO PATIENTS EVEN THOUGH THEY MAY HAVE LACKED ADEQUATE INSURANCE OR MAY HAVE PARTICIPATED IN PROGRAMS THAT DO NOT PAY FULL CHARGES. RESERVES FOR CHARITY CARE AND UNCOLLECTIBLE AMOUNTS HAVE BEEN ESTABLISHED AND ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEETS.PART III, LINE 8: MEDICAREAS A NONPROFIT HOSPITAL, IT WAS OUR MISSION TO IMPROVE THE HEALTH STATUS OF ALL PEOPLE WITHIN OUR COMMUNITY AND PROVIDE HEALTHCARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE STATUS. SETON MEDICAL CENTER AND SETON COASTSIDE ACCEPTED MEDICARE WHICH RESULTED IN SHORTFALLS IN THE COSTS FOR CARING FOR PATIENTS UTILIZING THIS PROGRAM. SETON MEDICAL CENTER UTILIZED AN ACCOUNTING SYSTEM THAT DETERMINED COSTS FOR PROVIDING MEDICAL SERVICES BASED ON THE HOSPITAL'S RELATIONSHIP OF COSTS TO CHARGES. THE ENTIRE SHORTFALL SHOWN ON PART III, LINE 7 IS REFLECTED AS A COMMUNITY BENEFIT.PART III, LINE 9B: COLLECTION POLICYSETON MEDICAL CENTER AND SETON COASTSIDE FOLLOWED THE COLLECTION PRACTICES AS OUTLINED IN THE VERITY HEALTH SYSTEM FINANCIAL ASSISTANCE POLICY AND BILLING COLLECTION POLICY.FOR PATIENTS WHO QUALIFIED FOR CHARITY CARE AND FINANCIAL DISCOUNT, SETON MEDICAL CENTER AND SETON COASTSIDE PROVIDED THE PATIENT WITH A WRITTEN NOTICE PRIOR TO COMMENCING COLLECTION ACTIVITIES. THE NOTICE STATED THAT NONPROFIT COUNSELING SERVICES MAY BE AVAILABLE IN THE AREA AND PROVIDED INFORMATION CONCERNING STATE AND FEDERAL LAW REQUIREMENTS FOR DEBT COLLECTORS. SETON MEDICAL CENTER AND SETON COASTSIDE DO 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. SETON MEDICAL CENTER AND SETON COASTSIDE DO NOT ASSIGN PATIENTS MEETING AN AGREED UPON MONTHLY PAYMENT PLAN TO A COLLECTION AGENCY AND DO NOT REPORT THE PATIENT TO CREDIT BUREAUS. SETON MEDICAL CENTER AND SETON COASTSIDE DO 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. SETON MEDICAL CENTER AND SETON COASTSIDE DO NOT USE WAGE GARNISHMENTS OR LIENS ON REAL PROPERTY AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS FOR ELIGIBLE PATIENTS. SETON MEDICAL CENTER AND SETON COASTSIDE HAVE AGREEMENTS WITH EXTERNAL COLLECTION AGENCIES TO NOT PURSUE LEGAL ACTION AGAINST AN ELIGIBLE PATIENT WITHOUT PRIOR APPROVAL FROM SETON MEDICAL CENTER OR SETON COASTSIDE. SETON MEDICAL CENTER AND SETON COASTSIDE HAVE AGREEMENTS WITH THEIR 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."},{"form_and_line_reference":"PART VI, QUESTION 2: NEEDS ASSESSMENT","explanation":"IN ADDITION TO THE FORMAL CHNA, SETON MEDICAL CENTER ASSESSED THE NEEDS OF THE COMMUNITIES IT SERVES THROUGH THE COMMUNITY BENEFIT REPORT. SETON MEDICAL CENTER PREPARED AN ANNUAL COMMUNITY BENEFIT REPORT. IT HIGHLIGHTED THE COMMUNITY'S NEEDS AND SETON MEDICAL CENTER'S PROGRAMS AND ACTIVITIES THAT DIRECTLY RESPONDED TO THE NEEDS. REPORTS ON COMMUNITY BENEFIT ACTIVITIES AND OUTCOMES WERE PROVIDED BY MANAGERS AND DIRECTORS RESPONSIBLE FOR SPECIFIC COMMUNITY BENEFIT PROGRAMS.THE ANNUAL REPORT WAS MADE AVAILABLE TO HOSPITAL LEADERSHIP, KEY STAKEHOLDERS, VHS, AND COMMUNITY ORGANIZATIONS AND MEMBERS. THE ANNUAL REPORT WAS PRESENTED TO THE CALIFORNIA OFFICE OF STATEWIDE PLANNING AND DEVELOPMENT, IN ACCORDANCE WITH SB 697.SETON MEDICAL CENTER'S COMMUNITY BENEFIT REPORT WAS DEVELOPED USING RESULTS FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT, DATA AND INPUT PROVIDED BY THE MANAGERS AND DIRECTORS RESPONSIBLE FOR SPECIFIC COMMUNITY BENEFIT PROGRAMS AND FEEDBACK FROM THE LOCAL GOVERNING BOARD. SETON MEDICAL CENTER'S HOSPITAL BOARD OF DIRECTORS REVIEWED AND GAVE FINAL APPROVAL OF SETON MEDICAL CENTER'S COMMUNITY BENEFIT REPORT. CONTINUAL MONITORING AND EVALUATION OF SETON MEDICAL CENTER'S CURRENT COMMUNITY HEALTH INITIATIVES PROVIDED VITAL INFORMATION TO THE STRATEGIC PLANNING PROCESS FOR COMMUNITY BENEFIT PROGRAMS, WHILE SETON OPERATED THE HOSPITALS."},{"form_and_line_reference":"PART VI, QUESTION 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE","explanation":"PATIENTS WHO PRESENTED AT SETON MEDICAL CENTER OR SETON COASTSIDE'S EMERGENCY DEPARTMENT OR ADMITTING DEPARTMENT WERE PROVIDED WITH A FINANCIAL ASSISTANCE PACKET THAT CONSISTED OF AN INFORMATIONAL FLYER ON VARIOUS PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE. THE FLYER WAS IN ENGLISH, SPANISH, TAGALOG, AND SIMPLIFIED CHINESE. THE PACKET INCLUDED A MEDICAL APPLICATION, AS WELL AS A CHARITY CARE APPLICATION.IN ADDITION, WHILE SETON OPERATED THE HOSPITALS, THERE WERE SIGNS POSTED IN ENGLISH AND SPANISH IN THE PATIENT FINANCIAL SERVICES DEPARTMENT AND AT EVERY POINT OF REGISTRATION STATING THAT SETON MEDICAL CENTER AND SETON COASTSIDE HAVE 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 INCLUDED THIS SAME STATEMENT. THE HEALTH BENEFIT RESOURCE CENTER (HBRC) LOCATED AT SETON MEDICAL CENTER, WHILE SETON OPERATED THE HOSPITALS, PROVIDED ACCESS TO HEALTH BENEFITS AND OTHER RESOURCES THAT PROMOTED HEALTHY FAMILIES, THE HBRC WAS A CENTRALLY LOCATED INFORMATION AND REFERRAL SERVICE THAT LINKED FAMILIES TO GOVERNMENT-SPONSORED HEALTH BENEFITS AND SOCIAL SERVICES, INCLUDING MEDI-CAL, FOOD BANK AND CAL FRESH (FORMERLY FOOD STAMPS). FAMILIES WERE ASSISTED REGARDLESS OF IMMIGRATION STATUS OR INCOME. HBRC PROVIDED FREE CONFIDENTIAL ASSESSMENTS, REFERRALS TO COMMUNITY RESOURCES, AND ASSISTANCE IN COMPLETING APPLICATIONS FOR FREE OR LOW-COST HEALTH INSURANCE PROGRAMS. SERVICES WERE AVAILABLE IN ENGLISH, SPANISH AND TAGALOG."},{"form_and_line_reference":"PART VI, QUESTION 4: COMMUNITY INFORMATION","explanation":"ALL COMMUNITY INFORMATION INDICATED BELOW IS SOURCED FROM THE 2019 CHNA. SETON MEDICAL CENTER'S SERVICE AREA INCLUDES, BUT IS NOT LIMITED TO, THE CITIES OF SOUTH SAN FRANCISCO, DALY CITY, COLMA, BRISBANE, SAN BRUNO, PACIFICA, MONTARA, MOSS BEACH, HALF MOON BAY AND CERTAIN AREAS OF SAN FRANCISCO. SETON SERVES THE NORTH COUNTY/COASTAL SERVICE AREA IN WHICH THE U.S. CENSUS COUNTED A POPULATION OF 284,838 IN 2013. FEWER THAN ONE QUARTER (20%) OF THE RESIDENTS IN SERVICE AREA ARE UNDER THE AGE OF 18, WHILE ONE THIRD (37%) ARE BETWEEN THE AGES OF 18 AND 44. FOURTEEN PERCENT ARE 65 YEARS OR OLDER. THE NORTH COUNTY/COASTAL SERVICE AREA CITIES HAVE A DIVERSE RACE/ETHNIC PROFILE. THE TWO LARGEST RACIAL SUBPOPULATIONS IN THE SERVICE AREA ARE WHITE (41%) AND ASIAN (39%). ACROSS ALL RACIAL GROUPS, MORE THAN A QUARTER (26%) REPORTED BEING OF HISPANIC/ LATINO DESCENT (THE US CENSUS BUREAU DOES NOT CONSIDER HISPANIC/ LATINO TO BE A RACIAL CATEGORY). DATA ALSO INDICATE THAT NEARLY 8% OF RESIDENTS IN THE SERVICE AREA ARE LIVING IN POVERTY (100% OF FEDERAL POVERTY LEVEL, OR FPL), SIMILAR TO THE PROPORTION ACROSS SAN MATEO COUNTY AS A WHOLE. NEARLY ONE IN FIVE NORTH COUNTY/COASTAL SERVICE AREA RESIDENTS (19%) LIVE BELOW 200% OF THE FPL, AND MORE THAN TWO IN FIVE (44%) HOUSEHOLDS ARE OVERBURDENED BY HOUSING COSTS (I.E., HOUSING COSTS EXCEED 30% OF TOTAL HOUSEHOLD INCOME).THE HOSPITAL'S SERVICE AREA, WITH APPROXIMATELY 451,000 RESIDENTS, INCLUDES THE COMMUNITIES OF DALY CITY, SOUTH SAN FRANCISCO, SAN FRANCISCO, PACIFICA, SAN BRUNO, HALF MOON BAY, MOSS BEACH, BRISBANE, EL GRANADA, AND MONTARA. IN ADDITION TO THE HOSPITAL AND SETON COASTSIDE, KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO IS THE ONLY OTHER GENERAL ACUTE CARE HOSPITAL LOCATED WITHIN THE SERVICE AREA. THE HOSPITAL RANKS SECOND IN INPATIENT MARKET SHARE WITH 12.6% MARKET SHARE. THE HOSPITAL'S AND SETON COASTSIDE'S PAYOR MIX FOR FY 2018 CONSISTED OF A LARGE PROPORTION OF MEDICARE PATIENTS THAT ACCOUNTED FOR NEARLY 47% OF ALL INPATIENT HOSPITAL DISCHARGES WITH MEDICARE TRADITIONAL AT 38% AND MEDICARE MANAGED CARE AT 9%. MEDI-CAL PATIENTS ACCOUNTED FOR 17% OF ALL INPATIENT DISCHARGES. THIRD-PARTY MANAGED CARE (32%) AND THIRD-PARTY TRADITIONAL (3%) ACCOUNTED FOR 35% OF ALL INPATIENT HOSPITAL DISCHARGES.SAN MATEO COUNTY HAS A COUNTY ORGANIZED HEALTH SYSTEMS MODEL THAT OFFERS ONE MANAGED CARE PLAN. THE SAN MATEO COUNTY ORGANIZED HEALTH SYSTEM MODEL IS PROVIDED BY HEALTH PLAN OF SAN MATEO. IN THE COUNTY ORGANIZED HEALTH SYSTEMS MODEL, THE DEPARTMENT OF HEALTH CARE SERVICES CONTRACTS WITH A HEALTH PLAN CREATED BY THE COUNTY BOARD OF SUPERVISORS. THE PERCENTAGE OF SAN MATEO COUNTY RESIDENTS WITH MEDI-CAL MANAGED CARE COVERAGE HAS INCREASED SIGNIFICANTLY AS A RESULT OF THE ACA AND CALIFORNIA INITIATIVES TO EXPAND MANAGED CARE. CURRENTLY, THE HOSPITAL IS CONTRACTED WITH HEALTH PLAN OF SAN MATEO TO PROVIDE HEALTHCARE SERVICES FOR MEDI-CAL MANAGED CARE PATIENTS. THE PERCENTAGE OF SAN MATEO COUNTY RESIDENTS WITH MEDI-CAL MANAGED CARE COVERAGE HAS INCREASED SIGNIFICANTLY AS A RESULT OF THE AFFORDABLE CARE ACT (ACA) AND CALIFORNIA INITIATIVES TO EXPAND MANAGED CARE. THE MEDI-CAL ELIGIBLES COUNT IN SAN MATEO COUNTY HAS INCREASED MARGINALLY FROM 140,459 MEDI-CAL ELIGIBLES IN 2014 TO 142,985 MEDI-CAL ELIGIBLES IN 2018."},{"form_and_line_reference":"PART VI, QUESTION 5: PROMOTING THE HEALTH OF THE COMMUNITY","explanation":"SETON MEDICAL CENTER'S PAYOR MIX INCLUDED A LARGE NUMBER OF MEDICARE (40%) AND MEDI-CAL (20%) PATIENTS. THE HOSPITAL WAS, WHILE OPERATED BY SETON, GOVERNED BY A BOARD OF DIRECTORS COMPOSED OF COMMUNITY MEMBERS, MANY RETIRED ELECTED OFFICIALS AND GOVERNMENT EMPLOYEES, IN ADDITION TO COMMUNITY-BASED PHYSICIANS. THE LOCAL GOVERNING BOARD, WHICH SERVES AS A COMMUNITY ADVISORY BOARD, IS COMPOSED OF COMMUNITY MEMBERS AFFILIATED WITH LOCAL GOVERNMENT, SCHOOL DISTRICT AND HEALTH SERVICES FOR THE UNINSURED. THE SETON FOUNDATION BOARD WAS ALSO COMPOSED OF COMMUNITY MEMBERS AND PHYSICIANS. THE FOCUS WAS TO PROVIDE GRANT FUNDING TO THE HOSPITAL. THESE VARIOUS BOARD MEMBERS HAVE DIRECT KNOWLEDGE OF THE MANY PRESSING COMMUNITY NEEDS FOR OUR VULNERABLE POPULATIONS AND THE BROADER COMMUNITY.SETON COASTSIDE CONTINUED TO OFFER SKILLED NURSING CARE TO 116 INPATIENT RESIDENTS YEAR-ROUND, IN ADDITION TO MEETING THE HEALTHCARE NEEDS OF OUR PATIENTS, AND THE SURROUNDING COASTAL COMMUNITY. SETON COASTSIDE'S DEDICATED STAFF OF INTERDISCIPLINARY HEALTHCARE TEAM PROFESSIONALS PROVIDED EXCELLENT AND COMPREHENSIVE HEALTHCARE. SETON COASTSIDE OPERATED THE ONLY 24-HOUR STANDBY EMERGENCY DEPARTMENT FROM DALY CITY TO SANTA CRUZ. KEY MEDICAL SERVICES INCLUDED PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES, RADIOLOGY, MAMMOGRAPHY AND LABORATORY."},{"form_and_line_reference":"PART VI, QUESTION 6: AFFILIATED HEALTHCARE SYSTEM","explanation":"VERITY HEALTH SYSTEM OF CALIFORNIA, INC. (\"VHS\"), IS A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION, AND IS THE SOLE CORPORATE MEMBER OF THE FOLLOWING CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATIONS THAT OPERATED SIX ACUTE CARE HOSPITALS: O'CONNOR HOSPITAL, SAINT LOUISE REGIONAL HOSPITAL, ST. FRANCIS MEDICAL CENTER, ST. VINCENT MEDICAL CENTER, AND SETON MEDICAL CENTER (INCLUDING THE SETON MEDICAL CENTER COASTSIDE CAMPUS) (COLLECTIVELY, THE \"HOSPITALS\") AND OTHER FACILITIES IN THE STATE OF CALIFORNIA. SETON MEDICAL CENTER AND SETON MEDICAL CENTER COASTSIDE OPERATED UNDER ONE CONSOLIDATED ACUTE CARE LICENSE. THE ASSETS OF O'CONNOR HOSPITAL AND ST. LOUISE REGIONAL HOSPITAL WERE SOLD TO SANTA CLARA COUNTY ON FEBRUARY 28, 2019. THE ASSETS OF ST. VINCENT MEDICAL CENTER WERE SOLD TO DR. PATRICK SOON-SHIONG ON APRIL 16, 2020. AFTER FY2020 THE ASSETS OF ST. FRANCIS MEDICAL CENTER WERE SOLD TO PRIME HEALTHCARE AND SETON MEDICAL CENTER AND SETON COASTSIDE TO AHMC HEALTHCARE INC.ON AUGUST 31, 2018, VHS AND THE HOSPITALS (ALONG WITH OTHER VHS-AFFILIATED ENTITIES) EACH FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE (THE \"BANKRUPTCY CODE\"). THE CASES (COLLECTIVELY, THE \"BANKRUPTCY CASES\") ARE JOINTLY ADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA (THE \"BANKRUPTCY COURT\"). ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. FOR ALL BANKRUPTCY CASE FILINGS AND MORE DETAIL REGARDING VHS, PLEASE SEE KCCLLC.NET/VERITYHEALTH AND THE DECLARATION OF RICHARD G. ADCOCK IN SUPPORT OF EMERGENCY FIRST-DAY MOTIONS [DOCKET NOS. 8 AND 12].THE HOSPITALS WERE ORIGINALLY SPONSORED BY THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, PROVINCE OF THE WEST (THE \"DAUGHTERS OF CHARITY\"), TO SUPPORT THE MISSION OF THE CATHOLIC CHURCH THROUGH A COMMITMENT TO THE SICK AND POOR. THE DAUGHTERS OF CHARITY BEGAN THEIR HEALTHCARE MISSION IN CALIFORNIA IN 1858 WITH THE OPENING OF LOS ANGELES INFIRMARY, SUBSEQUENTLY KNOWN AS ST. VINCENT MEDICAL CENTER. THE DAUGHTERS OF CHARITY EXPANDED ITS HOSPITALS TO SAN JOSE IN 1889 AND SAN FRANCISCO IN 1893. THE DAUGHTERS OF CHARITY MINISTERED TO ILL, POVERTY-STRICKEN INDIVIDUALS FOR MORE THAN 150 YEARS.IN MARCH 1995, THE DAUGHTERS OF CHARITY MERGED THEIR HOSPITALS WITH CATHOLIC HEALTHCARE WEST (\"CHW\"). IN JUNE 2001, THE DAUGHTERS OF CHARITY HEALTH SYSTEM (\"DCHS\") WAS FORMED. IN OCTOBER 2001, THE DAUGHTERS OF CHARITY WITHDREW FROM CHW. IN 2002, DCHS COMMENCED OPERATIONS AND WAS THE SOLE CORPORATE MEMBER OF THE HOSPITALS, WHICH AT THAT TIME WERE CALIFORNIA NONPROFIT RELIGIOUS CORPORATIONS.IN JULY 2015, THE DCHS BOARD OF DIRECTORS SELECTED BLUEMOUNTAIN CAPITAL MANAGEMENT LLC (\"BLUEMOUNTAIN\"), A PRIVATE INVESTMENT FIRM, TO RECAPITALIZE THE HOSPITAL OPERATIONS. THE PARTIES ENTERED INTO A SYSTEM RESTRUCTURING AND SUPPORT AGREEMENT, DCHS' NAME WAS CHANGED TO \"VERITY HEALTH SYSTEM OF CALIFORNIA, INC., AND BLUEMOUNTAIN FORMED INTEGRITY HEALTHCARE, LLC (\"INTEGRITY\") TO PROVIDE MANAGEMENT SERVICES UNDER A NEW MANAGEMENT SERVICES AGREEMENT, WHICH WAS APPROVED BY THE CALIFORNIA ATTORNEY GENERAL CHARITABLE TRUST DIVISION. IN JULY 2017, NANTWORKS, LLC ACQUIRED A CONTROLLING INTEREST IN INTEGRITY.THROUGHOUT THEIR HISTORY AND CONTINUING THROUGH AUGUST 13, 2020, THE HOSPITALS CONTINUED THE RICH TRADITION OF SERVING THE UNDER-SERVED AND PROVIDING ESSENTIAL HEALTH CARE SERVICES TO THEIR COMMUNITIES. THESE EXPANSIVE SERVICES ARE DETAILED IN MULTIPLE SECTIONS OF THIS FORM 990."},{"form_and_line_reference":"PART VI, QUESTION 7: STATE FILING OF COMMUNITY BENEFIT REPORT","explanation":"THE COMMUNITY BENEFIT REPORT IS TYPICALLY FILED WITH THE STATE OF CALIFORNIA. THE ORGANIZATION LAST FILED THE COMMUNITY BENEFIT REPORT IN FISCAL YEAR 2019."},{"form_and_line_reference":"PART V, SECTION B, LINE 5: ASSESSMENT PROCESS AND METHODS","explanation":"IN AN EFFORT TO IDENTIFY THE MOST CRITICAL HEALTH CARE NEEDS IN SETON MEDICAL CENTER'S SERVICE AREA, A COMMUNITY HEALTHCARE NEEDS ASSESSMENT (\"CHNA\") IS CONDUCTED EVERY THREE YEARS. THE MOST RECENT ASSESSMENT WAS COMPLETED IN FISCAL YEAR 2019 (TAX YEAR 2018). THE CHNA BUILDS UPON THOSE EARLIER ASSESSMENTS.SETON MEDICAL CENTER AND SETON COASTSIDE ARE MEMBERS OF THE HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY (HCC). THROUGH THIS COLLABORATIVE EFFORT, THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS PRODUCED.THE GOALS OF THE 2019 CHNA ARE TO PROVIDE INSIGHT INTO THE HEALTH OF THE COMMUNITY, PRIORITIZE LOCAL HEALTH NEEDS, AND IDENTIFY AREAS FOR IMPROVEMENT. WITH THIS INFORMATION, HCC MEMBERS INDIVIDUALLY AND COLLECTIVELY DEVELOPED STRATEGIES TO TACKLE CRITICAL HEALTH NEEDS, AS WELL AS IMPROVE THE HEALTH AND WELL-BEING OF COMMUNITY MEMBERS. THE ASSESSMENT FINDINGS ARE ALSO USED AS A GUIDELINE FOR POLICY AND ADVOCACY EFFORTS. IN ADDITION, THE HOSPITAL CONSORTIUM OF SAN MATEO COUNTY, WHICH INCLUDES THE LEADERSHIP OF LOCAL HOSPITALS AND HEALTH DEPARTMENT, PROVIDED DIRECTION TO THE HCC TO ENSURE ALIGNMENT WITH COUNTYWIDE PRIORITY HEALTH INITIATIVES. THE 2019 CHNA REPORT DOCUMENTS HOW THE CURRENT CHNA WAS CONDUCTED, DESCRIBES THE RELATED FINDINGS, AND SHARES THE RESULTS OF STRATEGIES IMPLEMENTED BY SETON MEDICAL CENTER AND SETON COASTSIDE TO ADDRESS THE NEEDS IDENTIFIED BY THE PREVIOUS ASSESSMENT. PLEASE NOTE THAT THE MAJORITY OF ACTIVITIES FOR COMMUNITY BENEFIT WERE HALTED DUE TO COVID-19 PANDEMIC.THE LATEST CHNA, COMPLETED IN FISCAL YEAR 2019 AND DESCRIBED HERE, WAS CONDUCTED COLLABORATIVELY BY HCC MEMBERS IN COMPLIANCE WITH CURRENT FEDERAL REQUIREMENTS.SET TO GATHER INFORMATION FOR ITS LOCAL PLANNING NEEDS AND TO MEET STATE AND FEDERAL MANDATES, THE HCC TOOK THE FOLLOWING APPROACH TO COMPLETE THE 2019 CHNA:TO ASSESS COMMUNITY HEALTH TRENDS, THE HCC DIRECTED ITS CONSULTANT, ACTIONABLE INSIGHTS (AI), TO OBTAIN SECONDARY DATA FROM A VARIETY OF SOURCES. PRIMARY DATA WERE OBTAINED THROUGH DIRECT COMMUNITY INPUT: (A) KEY INFORMANT INTERVIEWS WITH LOCAL HEALTH EXPERTS, (B) FOCUS GROUPS WITH COMMUNITY LEADERS AND REPRESENTATIVES, AND (C) RESIDENT FOCUS GROUPS.TO DETERMINE PARTICIPANTS' HEALTH PRIORITIES, FOCUS GROUP MEMBERS VOTED ON THEIR COMMUNITY'S NEEDS FROM A LIST DERIVED FROM THE PREVIOUS CHNA, AND KEY INFORMANTS STATED WHAT THEY BELIEVED WERE THEIR COMMUNITY'S TOP NEEDS. AI THEN TABULATED HOW MANY FOCUS GROUPS AND KEY INFORMANTS CITED EACH HEALTH NEED AS A PRIORITY.TO ACQUIRE PRIMARY HEALTH DATA SOURCES INTERVIEWS INCLUDED INDIVIDUALS WHO ARE FAMILIAR WITH THE HEALTH NEEDS AND CHALLENGES IN THE COMMUNITY THAT SETON MEDICAL CENTER AND SETON COASTSIDE SERVES. IN ADDITION, KEY INTERVIEWS WERE CONDUCTED WITH MEMBERS OF THE SAN MATEO COUNTY PUBLIC HEALTH DEPARTMENT AND LOCAL COMMUNITY CLINICS.ACTIONABLE INSIGHTS (AI) ALSO ANALYZED DATA ON A VARIETY OF ISSUES, INCLUDING DATA FROM THE 2018 SAN MATEO COUNTY HEALTH AND QUALITY OF LIFE SURVEY, PROVIDED BY SAN MATEO COUNTY HEALTH, AS WELL AS OTHER SECONDARY DATA AND QUALITATIVE DATA FROM FOCUS GROUPS OR KEY INFORMANT INTERVIEWS. AI THEN SYNTHESIZED THESE DATA FOR EACH ISSUE AND APPLIED THE CRITERIA LISTED ABOVE TO EVALUATE WHETHER EACH ISSUE QUALIFIED AS A PRIORITIZED HEALTH NEED. IN 2019, THIS PROCESS LED TO THE IDENTIFICATION OF 12 COMMUNITY HEALTH NEEDS THAT FIT ALL THREE CRITERIA."},{"form_and_line_reference":"PART V, SECTION B, LINE 6A:","explanation":"SETON MEDICAL CENTER'S CHNA WAS CONDUCTED IN PARTNERSHIP WITH THE HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY WHICH INCLUDES THE FOLLOWING HOSPITALS:1. DIGNITY HEALTH SEQUOIA HOSPITAL2. SAN MATEO COUNTY HEALTH3. KAISER PERMANENTE, SAN MATEO AREA4. LUCILE PACKARD CHILDREN'S HOSPITAL STANFORD5. STANFORD HEALTH CARE6. SUTTER HEALTH (MILLS-PENINSULA MEDICAL CENTER AND MENLO PARK SURGICAL HOSPITAL)"},{"form_and_line_reference":"PART V, SECTION B, LINE 6B:","explanation":"THE NON-HOSPITAL ORGANIZATIONS INCLUDED IN THE HEALTHY COMMUNITY COLLABORTIVE OF SAN MATEO COUNTY, WHICH SETON MEDICAL CENTER WORKED IN CONJUNCTION WITH TO COMPLETE ITS CHNA, INCLUDE THE COUNTY OF SAN MATEO HUMAN SERVICES AGENCY, AND PENINSULA HEALTH CARE DISTRICT.PART V, SECTION B, LINES 7A AND 10A:ON AUGUST 31, 2018, VERITY HEALTH SYSTEM OF CALIFORNIA, INC. (\"VHS OR \"VERITY HEALTH SYSTEM\") AND MOST OF ITS AFFILIATED COMPANIES, INCLUDING THE HOSPITAL, FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE. THE BANKRUPTCY CASES ARE JOINTLY ADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA. ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. COURT FILINGS ARE AVAILABLE AT KCCLLC.NET/VERITYHEALTH.ON AUGUST 14, 2020, THE SETON MEDICAL CENTER ASSETS WERE SOLD TO AHMC HEALTHCARE AND SMC CEASED TO OPERATE ANY HOSPITALS. THEREFORE, THE SETON MEDICAL CENTER WEBSITE HOSTED BY VHS WAS TERMINATED IN AUGUST 2020. THE CHNA REPORT WAS AVAILABLE AT HTTPS://SETON.VERITY.ORG/SMC/ABOUT.PHP#ABOUT-PANEL4. AS SUCH, THE LINK IS NO LONGER VALID. A COPY OF THE REPORT IS AVAILABLE UPON REQUEST TO THE LIQUIDATING TRUSTEE."},{"form_and_line_reference":"PART V, SECTION B, LINE 11:","explanation":"SIGNIFICANT HEALTH NEEDS THE HOSPITAL ADDRESSED PRIOR TO SMC CEASING TO OPERATE THE HOSPITALSHEALTH CARE ACCESS AND DELIVERY COMMUNITY INPUT SUGGESTS THAT HEALTH CARE IS OFTEN UNAFFORDABLE. THERE ARE DOWNWARD TRENDS IN THE PROPORTION OF CHILDREN WHO HAVE A USUAL PLACE FOR MEDICAL CHECK-UPS, THE PROPORTION OF EMPLOYED COUNTY RESIDENTS WHOSE JOBS OFFER HEALTH BENEFITS, AND RESIDENTS' PERCEPTIONS OF THE EASE OF ACCESS TO SPECIALTY CARE. LOW SOCIOECONOMIC STATUS RESIDENTS ARE MORE LIKELY THAN HIGHER-STATUS GROUPS TO HAVE HEALTH CARE ACCESS ISSUES.HEALTHY LIFESTYLES - THIS NEED INCLUDES CONCERNS ABOUT DIABETES, OBESITY, AND FITNESS, DIET, AND NUTRITION. DIABETES RANKS AMONG THE LEADING CAUSES OF DEATH IN THE COUNTY. THE PREVALENCE OF DIABETES AND OBESITY ARE BOTH ON THE RISE IN THE COUNTY. STATISTICS FOR ADULT DIABETES PREVALENCE AND YOUTH FRUIT/VEGETABLE CONSUMPTION ARE SIGNIFICANTLY WORSE THAN STATE AVERAGES. ADULTS OF LOW SOCIOECONOMIC STATUS FAIL BENCHMARKS FOR OBESITY AND OVERWEIGHT.NEIGHBORHOOD AND BUILT ENVIRONMENT - THIS NEED INCLUDES ACCESS TO FOOD AND RECREATION, COMMUNITY AND FAMILY SAFETY, COMMUNITY INFRASTRUCTURE AND HOUSING QUALITY, NATURAL ENVIRONMENT/CLIMATE, AND TRANSPORTATION AND TRAFFIC. PROPORTIONS OF HEALTHY FOOD STORES AND WIC-AUTHORIZED FOOD STORES, DRINKING WATER VIOLATIONS, AS WELL AS STATISTICS FOR PUBLIC TRANSIT ACCESS, ROAD NETWORK DENSITY, AND FLOOD VULNERABILITY ARE ALL SIGNIFICANTLY WORSE THAN STATE AVERAGES. FAST FOOD RESTAURANT CHAINS ARE ALSO ON THE RISE IN THE COUNTY. ETHNIC AND INCOME DISPARITIES ARE EVIDENT IN ALMOST ALL ASPECTS OF THIS HEALTH NEED.CANCER - CANCER IS THE LEADING CAUSE OF DEATH IN THE COUNTY. OVERALL CANCER PREVALENCE AS WELL AS INCIDENCE RATES FOR CANCERS, SUCH AS MELANOMA, PROSTATE, AND BREAST CANCERS, ARE SIGNIFICANTLY HIGHER IN THE COUNTY THAN THE STATE. CERTAIN ETHNIC GROUPS IN THE COUNTY EXPERIENCE DISPARITIES, INCLUDING AFRICAN ANCESTRY AND LATINX POPULATIONS. RESPIRATORY CONDITIONS - ASTHMA PREVALENCE IS INCREASING AND IS SIGNIFICANTLY WORSE THAN BENCHMARKS. CONDITIONS CORRELATED WITH HIGHER RATES OF ASTHMA (E.G., VERWEIGHT/OBESITY AND SMOKING) ARE SIGNIFICANTLY HIGHER AMONG THE LOW SOCIOECONOMIC STATUS POPULATION. COPD, BRONCHITIS, AND EMPHYSEMA ARE ALSO RISING AND ARE TWICE AS HIGH AS THE STATE AVERAGE. CHRONIC LOWER RESPIRATORY DISEASE AND INFLUENZA/PNEUMONIA WERE BOTH AMONG THE LEADING CAUSES OF DEATH IN THE COUNTY."},{"form_and_line_reference":"PART V, SECTION B, LINES 16A, 16B AND 16C:","explanation":"ON AUGUST 31, 2018, VERITY HEALTH SYSTEM OF CALIFORNIA, INC. (\"VHS\") AND MOST OF ITS AFFILIATED COMPANIES, INCLUDING THE HOSPITAL, FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE. THE BANKRUPTCY CASES ARE JOINTLY ADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA. ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. COURT FILINGS ARE AVAILABLE AT KCCLLC.NET/VERITYHEALTH. IN ADDITION, AS OF AUGUST 14, 2020, SETON MEDICAL CENTER HOSPITAL ASSETS WERE SOLD TO AHMC HEALTHCARE INC., WHICH CONTINUES TO OPERATE THE HOSPITAL. THEREFORE, THE SETON MEDICAL CENTER WEBSITE HOSTED BY VHS WAS TERMINATED. THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY WERE AVAILABLE AT HTTPS://VERITY.ORG/SMC/FINANCIALASSISTANCE.PHP PRIOR TO THE WEBSTIE TERMINATION. A COPY OF THE REPORT IS AVAILABLE UPON REQUEST TO THE LIQUIDATING TRUSTEE."}]},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":58790323,"reported_domestic_org_grants_program_services":58790323,"total_501c3_and_government_organizations":1,"grants":[{"ein":912145484,"irc_section":"501(C)(3)","cash":55161497,"noncash":3628826,"purpose":"DISSOLUTION TRANSFER","address_line1":"6300 CANOGA AVE SUITE 1500W","city":"WOODLAND HILLS","state":"CA","zip":"91367","name":"VERITY HEALTH SYSTEM OF CALIFORNIA INC","address":"6300 CANOGA AVE SUITE 1500W, WOODLAND HILLS, CA, 91367"}],"total_domestic_grants":58790323,"total_domestic_program_services":58790323,"detail_org_grants_total":58790323,"detail_domestic_grants_total":58790323,"supplemental_information":[{"form_and_line_reference":"PART I, LINE 2:","explanation":"THE GRANT TO VERITY HEALTH SYSTEM OF CALIFORNIA, INC. REPRESENTS LIQUIDATING DISTRIBUTIONS MADE AS PART OF THE ORGANIZATION'S WIND DOWN."}],"grant_monitoring":{"claims_monitoring_procedures":true,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false,"monitoring_description":"THE GRANT TO VERITY HEALTH SYSTEM OF CALIFORNIA, INC. REPRESENTS LIQUIDATING DISTRIBUTIONS MADE AS PART OF THE ORGANIZATION'S WIND DOWN.","form_and_line_reference":"PART I, LINE 2:"}},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"RICHARD ADCOCK","title":"EX-OFFICIO (THRU 9/2020)","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":1250000,"compensation_based_on_related_orgs":908923,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":11789,"other_compensation_filing_org":0,"other_compensation_related_orgs":908,"total_compensation_filing_org":0,"total_compensation_related_orgs":2171620,"name":"RICHARD ADCOCK"},{"person_name":"ANTHONY ARMADA - 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MEDICAL CENTER AND SETON COASTSIDE UTILIZED A COST ACCOUNTING SYSTEM THAT DETERMINED COSTS FOR PROVIDING MEDICAL SERVICES BASED ON THE HOSPITAL'S RELATIONSHIP OF COSTS TO CHARGES.PART II: COMMUNITY BUILDING ACTIVITIESSETON MEDICAL CENTER ACKNOWLEDGES THERE ARE MANY PRESSING COMMUNITY NEEDS. ACTIVITIES SELECTED THAT BUILT UPON THE FOUNDATION SET BY OUR PREVIOUS COMMUNITY BENEFIT INITIATIVES (SERVING THE POOR, MINORITY POPULATIONS, ELDERLY AND UNINSURED). THE ACTIVITIES SETON FOCUSED ON DURING FISCAL YEAR 2020 FALL INTO TWO REPORTING AREAS: BENEFITS FOR VULNERABLE POPULATIONS AND BENEFITS FOR THE BROADER COMMUNITY.THE PROGRAMS AND ACTIVITIES WE SUPPORTED ARE BASED ON THE FOLLOWING:- SERVING THE SICK AND THOSE LIVING IN POVERTY WHO LACK BASIC RESOURCES.- DEVELOPING AND IMPLEMENTING COMMUNITY-BASED PROGRAMS TARGETED TOWARDS IMPROVING HEALTH AND LIFESTYLE BEHAVIORS AND ILLNESS PREVENTION.- PROMOTING AND SPONSORING EVENTS THAT OFFER HEALTHCARE SERVICES AND EDUCATION TO THE COMMUNITY AT-LARGE.- PROVIDING INFORMATION AND ADVOCATING FOR LOW-INCOME, UNINSURED OR UNDERINSURED PEOPLE TO GAIN ACCESS TO MEDICAL INSURANCE, GOVERNMENT ASSISTANCE PROGRAMS, HEALTH CARE SERVICES AND CONTINUUM OF CARE.SETON MEDICAL CENTER PRIORITIES IN FISCAL YEAR 2020 WERE REPORTED AND CATEGORIZED AS FOLLOWS:BENEFITS FOR VULNERABLE POPULATIONS:THESE ACTIVITIES ARE INTENDED TO IMPROVE ACCESS TO CARE FOR LOW-INCOME INDIVIDUALS, THE MEDICALLY UNDERSERVED AND OTHER VULNERABLE POPULATIONS. THESE ACTIVITIES INCLUDED PROVIDING HEALTH CARE SERVICES TO THE UNDERINSURED AND UNINSURED COMMUNITY MEMBERS, OPERATING THE HEALTH BENEFITS RESOURCE CENTER, AND PARTNERING WITH COMMUNITY PROGRAMS THAT CARE FOR THE HOMELESS.HEALTH BENEFITS RESOURCE CENTERTHE SETON MEDICAL CENTER HEALTH BENEFITS RESOURCE CENTER (HBRC) PROVIDES A ONE-STOP INFORMATIONAL AND REFERRAL SERVICE THAT ADVOCATES FOR THOSE LIVING IN POVERTY. THE CENTER HELPS LOW-INCOME INDIVIDUALS WITH HEALTH INSURANCE ENROLLMENT ASSISTANCE, CALFRESH (FOOD STAMPS) ENROLLMENT AND REPORTING AND LINKAGE TO ADDITIONAL COMMUNITY RESOURCES. SERVICES ARE PROVIDED IN ENGLISH, SPANISH AND VIETNAMESE.BENEFITS FOR BROADER COMMUNITY:SETON MEDICAL CENTER SUPPORTED A WIDE RANGE OF PROGRAMS AND ACTIVITIES THAT PROVIDED INFORMATION AND RESOURCES TO IMPROVE THE HEALTH AND WELFARE OF THE BROADER COMMUNITY, ACTIVITIES INCLUDED PRESENTING COMMUNITY HEALTH EDUCATION CLASSES, PARTICIPATING IN COMMUNITY HEALTH FAIRS AND SCREENINGS, PROVIDING HEALTH PROFESSIONS EDUCATION, AND PARTNERSHIPS WITHCOMMUNITY ORGANIZATIONS.SETON MEDICAL CENTER ALSO PROVIDED A VARIETY OF SUPPORT GROUPS WITH A SAFE, HEALING ENVIRONMENT WHERE COMMUNITY MEMBERS GATHERED TOGETHER TO COPE WITH THEIR ILLNESS OR LEARN ABOUT AN ILLNESS IN SUPPORT OF A LOVED ONE. IN FISCAL YEAR 2021, SUPPORT GROUPS MEETING AT SETON MEDICAL CENTER INCLUDED DIABETES SUPPORT GROUP AND WEIGHT LOSS PROGRAM. SETON ALSO DONATED MEETING ROOM SPACE TO COMMUNITY-BASED ORGANIZATIONS.COMMUNITY HEALTH FAIRS AND SCREENINGS: ACTIVITIES WERE HALTED IN EARLY 2020 DUE TO COVID-19 PANDEMIC. SETON MEDICAL CENTER WAS PLEASED TO PARTNER WITH AND PARTICIPATE IN COMMUNITY EVENTS AND HEALTH FAIRS BY PROVIDING HEALTH EDUCATION INFORMATION AND SCREENINGS.OUR COMMUNITY HEALTH TEAM PROVIDED A VARIETY OF HEALTH SCREENINGS AT MONTHLY EVENTS SUCH AS WALK ABOUT TALK ABOUT HELD AT A LOCAL SHOPPING MALL. REGISTERED NURSING STAFF PROVIDED FREE BLOOD PRESSURE SCREENINGS. SETON CLINICAL LEADERS ALSO PROVIDED BRIEF TALKS TO THE COMMUNITY IN ATTENDANCE ON HEALTHCARE TOPICS OF INTEREST.SETON MEDICAL CENTER BELIEVED IN COMMUNITY-BASED COLLABORATION AND WAS COMMITTED TO WORKING WITH PARTNERS TO BUILD A HEALTHIER COMMUNITY DURING THE TIME SETON OPERATED THE HOSIPATLS. WE WORKED WITH THE AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, AND HEP B FREE SAN MATEO COUNTY AND OTHER ORGANIZATIONS TO ACHIEVE GOALS THAT ARE GREATER THAN WHAT THE HOSPITAL OR ORGANIZATION COULD ACCOMPLISH ALONE."},{"form_and_line_reference":"PART III, LINES 2, 3, AND 4: BAD DEBT EXPENSE","explanation":"SETON MEDICAL CENTER IS PART OF THE CONSOLIDATED FINANCIAL STATEMENTS OF VERITY HEALTH SYSTEM OF CALIFORNIA, INC., WHICH INCLUDE ENTITIES OTHER THAN THOSE INCLUDED IN THIS FILING.ON AUGUST 31, 2018, VERITY HEALTH SYSTEM OF CALIFORNIA, INC. (\"VHS\") AND MOST OF ITS AFFILIATED COMPANIES, INCLUDING THE HOSPITAL, FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE. THE BANKRUPTCY CASES ARE JOINTLY ADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA. ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. COURT FILINGS ARE AVAILABLE AT KCCLLC.NET/VERITYHEALTH.DUE TO THE CHAPTER 11 FILING, A FORMAL AUDIT WAS NOT COMPLETED FOR FISCAL YEAR 2018, 2019, 2020, OR 2021. INSTEAD, THE VHS \"MONTHLY OPERATING REPORTS\" REQUIRED BY THE U.S. TRUSTEE'S OFFICE CAN BE OBTAINED FROM KCCLLC.NET/VERITYHEALTH. PLEASE NOTE THAT THE FISCAL YEAR 2017 AUDIT FOOTNOTE REGARDING BAD DEBT FOR THE CONSOLIDATED FINANCIAL STATEMENTS REMAINS TRUE AND ACCURATE. THE FIGURE IN LINE 2 OF PART III IS ONLY SETON MEDICAL CENTER'S PORTION OF THE CONSOLIDATED BAD DEBT EXPENSE."},{"form_and_line_reference":"PART III, LINE 2: METHODOLOGY TO ESTIMATE BAD DEBT EXPENSE","explanation":"BAD DEBT EXPENSE WAS ESTIMATED BY UTILIZING HISTORICAL COLLECTIONS OF DATA OF SELF-PAY PATIENTS. IN MAKING THIS ESTIMATE, MANAGEMENT ALSO CONSIDERED BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA.PART III, LINE 3: BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER FAP METHODOLOGYTHE ESTIMATED AMOUNT OF SETON MEDICAL CENTER'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS UNDETERMINABLE AND THUS RECORDED AS ZERO."},{"form_and_line_reference":"PART III, LINE 4: BAD DEBT EXPENSE FOOTNOTE","explanation":"ON AUGUST 31, 2018, VERITY HEALTH SYSTEM OF CALIFORNIA, INC. (\"VHS\") AND MOST OF ITS AFFILIATED COMPANIES, INCLUDING THE HOSPITAL, FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE. THE BANKRUPTCY CASES ARE JOINTLY ADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA. ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. COURT FILINGS ARE AVAILABLE AT KCCLLC.NET/VERITYHEALTH. DUE TO THE CHAPTER 11 FILING, A FORMAL AUDIT WAS NOT COMPLETED FOR FISCAL YEAR 2018, 2019 OR 2020. INSTEAD, THE VHS \"MONTHLY OPERATING REPORTS\" REQUIRED BY THE U.S. TRUSTEE'S OFFICE CAN BE OBTAINED FROM KCCLLC.NET/VERITYHEALTH. PLEASE NOTE THAT THE FISCAL YEAR 2017 AUDIT FOOTNOTE REGARDING BAD DEBT FOR THE CONSOLIDATED FINANCIAL STATEMENTS REMAINS TRUE AND ACCURATE.UNDER VERITY HEALTH SYSTEM'S FINANCIAL ASSISTANCE POLICY, HEALTH CARE SERVICES WERE PROVIDED FREE OF CHARGE OR AT A SIGNIFICANT DISCOUNT BASED ON A SLIDING SCALE TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL CRITERIA. VHS MADE AN EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR CHARITY CARE UPON ADMISSION. IF A PATIENT WAS DETERMINED TO QUALIFY FOR CHARITY CARE, SERVICES WERE RENDERED TO THE PATIENT FREE OF COST. THE COSTS OF PROVIDING THESE SERVICES ARE INCLUDED IN UNSPONSORED COMMUNITY BENEFIT EXPENSE AND INCLUDED AS A DEDUCTION TO NET PATIENT SERVICE REVENUE IN THE CONSOLIDATED STATEMENT OF OPERATIONS. VHS ESTIMATED PRIOR TO CEASING TO OPERATE THE HOSPITALS, THE COST OF CHARITY CARE BY CALCULATING A RATIO OF COST TO USUAL AND CUSTOMARY CHARGES AND APPLYING THAT RATIO TO THE USUAL AND CUSTOMARY UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO PATIENTS THAT QUALIFY FOR CHARITY CARE.AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND THE APPLICATION OF FINANCIAL DISCOUNTS TO PATIENTS' BALANCES, AND AFTER EXHAUSTING ALL REASONABLE EFFORTS TO COLLECT FROM THE PATIENTS, A SIGNIFICANT PORTION OF VHS' UNINSURED AND SELF-PAY PATIENT ACCOUNTS WERE REFERRED TO THIRD-PARTY AGENCIES BASED ON VHS' ESTABLISHED GUIDELINES FOR FURTHER COLLECTION ACTIVITIES. AS A RESULT, VHS RECORDED A PROVISION FOR DOUBTFUL ACCOUNTS RELATED TO THESE UNINSURED PATIENTS IN THE PERIOD THE SERVICES WERE RENDERED BASED ON HISTORICAL COLLECTION EXPERIENCE.AS PART OF VERITY HEALTH SYSTEM'S MISSION TO SERVE THE COMMUNITY, VHS PROVIDED CARE TO PATIENTS EVEN THOUGH THEY MAY HAVE LACKED ADEQUATE INSURANCE OR MAY HAVE PARTICIPATED IN PROGRAMS THAT DO NOT PAY FULL CHARGES. RESERVES FOR CHARITY CARE AND UNCOLLECTIBLE AMOUNTS HAVE BEEN ESTABLISHED AND ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEETS.PART III, LINE 8: MEDICAREAS A NONPROFIT HOSPITAL, IT WAS OUR MISSION TO IMPROVE THE HEALTH STATUS OF ALL PEOPLE WITHIN OUR COMMUNITY AND PROVIDE HEALTHCARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE STATUS. SETON MEDICAL CENTER AND SETON COASTSIDE ACCEPTED MEDICARE WHICH RESULTED IN SHORTFALLS IN THE COSTS FOR CARING FOR PATIENTS UTILIZING THIS PROGRAM. SETON MEDICAL CENTER UTILIZED AN ACCOUNTING SYSTEM THAT DETERMINED COSTS FOR PROVIDING MEDICAL SERVICES BASED ON THE HOSPITAL'S RELATIONSHIP OF COSTS TO CHARGES. THE ENTIRE SHORTFALL SHOWN ON PART III, LINE 7 IS REFLECTED AS A COMMUNITY BENEFIT.PART III, LINE 9B: COLLECTION POLICYSETON MEDICAL CENTER AND SETON COASTSIDE FOLLOWED THE COLLECTION PRACTICES AS OUTLINED IN THE VERITY HEALTH SYSTEM FINANCIAL ASSISTANCE POLICY AND BILLING COLLECTION POLICY.FOR PATIENTS WHO QUALIFIED FOR CHARITY CARE AND FINANCIAL DISCOUNT, SETON MEDICAL CENTER AND SETON COASTSIDE PROVIDED THE PATIENT WITH A WRITTEN NOTICE PRIOR TO COMMENCING COLLECTION ACTIVITIES. THE NOTICE STATED THAT NONPROFIT COUNSELING SERVICES MAY BE AVAILABLE IN THE AREA AND PROVIDED INFORMATION CONCERNING STATE AND FEDERAL LAW REQUIREMENTS FOR DEBT COLLECTORS. SETON MEDICAL CENTER AND SETON COASTSIDE DO 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. SETON MEDICAL CENTER AND SETON COASTSIDE DO NOT ASSIGN PATIENTS MEETING AN AGREED UPON MONTHLY PAYMENT PLAN TO A COLLECTION AGENCY AND DO NOT REPORT THE PATIENT TO CREDIT BUREAUS. SETON MEDICAL CENTER AND SETON COASTSIDE DO 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. SETON MEDICAL CENTER AND SETON COASTSIDE DO NOT USE WAGE GARNISHMENTS OR LIENS ON REAL PROPERTY AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS FOR ELIGIBLE PATIENTS. SETON MEDICAL CENTER AND SETON COASTSIDE HAVE AGREEMENTS WITH EXTERNAL COLLECTION AGENCIES TO NOT PURSUE LEGAL ACTION AGAINST AN ELIGIBLE PATIENT WITHOUT PRIOR APPROVAL FROM SETON MEDICAL CENTER OR SETON COASTSIDE. SETON MEDICAL CENTER AND SETON COASTSIDE HAVE AGREEMENTS WITH THEIR 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."},{"form_and_line_reference":"PART VI, QUESTION 2: NEEDS ASSESSMENT","explanation":"IN ADDITION TO THE FORMAL CHNA, SETON MEDICAL CENTER ASSESSED THE NEEDS OF THE COMMUNITIES IT SERVES THROUGH THE COMMUNITY BENEFIT REPORT. SETON MEDICAL CENTER PREPARED AN ANNUAL COMMUNITY BENEFIT REPORT. IT HIGHLIGHTED THE COMMUNITY'S NEEDS AND SETON MEDICAL CENTER'S PROGRAMS AND ACTIVITIES THAT DIRECTLY RESPONDED TO THE NEEDS. REPORTS ON COMMUNITY BENEFIT ACTIVITIES AND OUTCOMES WERE PROVIDED BY MANAGERS AND DIRECTORS RESPONSIBLE FOR SPECIFIC COMMUNITY BENEFIT PROGRAMS.THE ANNUAL REPORT WAS MADE AVAILABLE TO HOSPITAL LEADERSHIP, KEY STAKEHOLDERS, VHS, AND COMMUNITY ORGANIZATIONS AND MEMBERS. THE ANNUAL REPORT WAS PRESENTED TO THE CALIFORNIA OFFICE OF STATEWIDE PLANNING AND DEVELOPMENT, IN ACCORDANCE WITH SB 697.SETON MEDICAL CENTER'S COMMUNITY BENEFIT REPORT WAS DEVELOPED USING RESULTS FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT, DATA AND INPUT PROVIDED BY THE MANAGERS AND DIRECTORS RESPONSIBLE FOR SPECIFIC COMMUNITY BENEFIT PROGRAMS AND FEEDBACK FROM THE LOCAL GOVERNING BOARD. SETON MEDICAL CENTER'S HOSPITAL BOARD OF DIRECTORS REVIEWED AND GAVE FINAL APPROVAL OF SETON MEDICAL CENTER'S COMMUNITY BENEFIT REPORT. CONTINUAL MONITORING AND EVALUATION OF SETON MEDICAL CENTER'S CURRENT COMMUNITY HEALTH INITIATIVES PROVIDED VITAL INFORMATION TO THE STRATEGIC PLANNING PROCESS FOR COMMUNITY BENEFIT PROGRAMS, WHILE SETON OPERATED THE HOSPITALS."},{"form_and_line_reference":"PART VI, QUESTION 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE","explanation":"PATIENTS WHO PRESENTED AT SETON MEDICAL CENTER OR SETON COASTSIDE'S EMERGENCY DEPARTMENT OR ADMITTING DEPARTMENT WERE PROVIDED WITH A FINANCIAL ASSISTANCE PACKET THAT CONSISTED OF AN INFORMATIONAL FLYER ON VARIOUS PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE. THE FLYER WAS IN ENGLISH, SPANISH, TAGALOG, AND SIMPLIFIED CHINESE. THE PACKET INCLUDED A MEDICAL APPLICATION, AS WELL AS A CHARITY CARE APPLICATION.IN ADDITION, WHILE SETON OPERATED THE HOSPITALS, THERE WERE SIGNS POSTED IN ENGLISH AND SPANISH IN THE PATIENT FINANCIAL SERVICES DEPARTMENT AND AT EVERY POINT OF REGISTRATION STATING THAT SETON MEDICAL CENTER AND SETON COASTSIDE HAVE 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 INCLUDED THIS SAME STATEMENT. THE HEALTH BENEFIT RESOURCE CENTER (HBRC) LOCATED AT SETON MEDICAL CENTER, WHILE SETON OPERATED THE HOSPITALS, PROVIDED ACCESS TO HEALTH BENEFITS AND OTHER RESOURCES THAT PROMOTED HEALTHY FAMILIES, THE HBRC WAS A CENTRALLY LOCATED INFORMATION AND REFERRAL SERVICE THAT LINKED FAMILIES TO GOVERNMENT-SPONSORED HEALTH BENEFITS AND SOCIAL SERVICES, INCLUDING MEDI-CAL, FOOD BANK AND CAL FRESH (FORMERLY FOOD STAMPS). FAMILIES WERE ASSISTED REGARDLESS OF IMMIGRATION STATUS OR INCOME. HBRC PROVIDED FREE CONFIDENTIAL ASSESSMENTS, REFERRALS TO COMMUNITY RESOURCES, AND ASSISTANCE IN COMPLETING APPLICATIONS FOR FREE OR LOW-COST HEALTH INSURANCE PROGRAMS. SERVICES WERE AVAILABLE IN ENGLISH, SPANISH AND TAGALOG."},{"form_and_line_reference":"PART VI, QUESTION 4: COMMUNITY INFORMATION","explanation":"ALL COMMUNITY INFORMATION INDICATED BELOW IS SOURCED FROM THE 2019 CHNA. SETON MEDICAL CENTER'S SERVICE AREA INCLUDES, BUT IS NOT LIMITED TO, THE CITIES OF SOUTH SAN FRANCISCO, DALY CITY, COLMA, BRISBANE, SAN BRUNO, PACIFICA, MONTARA, MOSS BEACH, HALF MOON BAY AND CERTAIN AREAS OF SAN FRANCISCO. SETON SERVES THE NORTH COUNTY/COASTAL SERVICE AREA IN WHICH THE U.S. CENSUS COUNTED A POPULATION OF 284,838 IN 2013. FEWER THAN ONE QUARTER (20%) OF THE RESIDENTS IN SERVICE AREA ARE UNDER THE AGE OF 18, WHILE ONE THIRD (37%) ARE BETWEEN THE AGES OF 18 AND 44. FOURTEEN PERCENT ARE 65 YEARS OR OLDER. THE NORTH COUNTY/COASTAL SERVICE AREA CITIES HAVE A DIVERSE RACE/ETHNIC PROFILE. THE TWO LARGEST RACIAL SUBPOPULATIONS IN THE SERVICE AREA ARE WHITE (41%) AND ASIAN (39%). ACROSS ALL RACIAL GROUPS, MORE THAN A QUARTER (26%) REPORTED BEING OF HISPANIC/ LATINO DESCENT (THE US CENSUS BUREAU DOES NOT CONSIDER HISPANIC/ LATINO TO BE A RACIAL CATEGORY). DATA ALSO INDICATE THAT NEARLY 8% OF RESIDENTS IN THE SERVICE AREA ARE LIVING IN POVERTY (100% OF FEDERAL POVERTY LEVEL, OR FPL), SIMILAR TO THE PROPORTION ACROSS SAN MATEO COUNTY AS A WHOLE. NEARLY ONE IN FIVE NORTH COUNTY/COASTAL SERVICE AREA RESIDENTS (19%) LIVE BELOW 200% OF THE FPL, AND MORE THAN TWO IN FIVE (44%) HOUSEHOLDS ARE OVERBURDENED BY HOUSING COSTS (I.E., HOUSING COSTS EXCEED 30% OF TOTAL HOUSEHOLD INCOME).THE HOSPITAL'S SERVICE AREA, WITH APPROXIMATELY 451,000 RESIDENTS, INCLUDES THE COMMUNITIES OF DALY CITY, SOUTH SAN FRANCISCO, SAN FRANCISCO, PACIFICA, SAN BRUNO, HALF MOON BAY, MOSS BEACH, BRISBANE, EL GRANADA, AND MONTARA. IN ADDITION TO THE HOSPITAL AND SETON COASTSIDE, KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO IS THE ONLY OTHER GENERAL ACUTE CARE HOSPITAL LOCATED WITHIN THE SERVICE AREA. THE HOSPITAL RANKS SECOND IN INPATIENT MARKET SHARE WITH 12.6% MARKET SHARE. THE HOSPITAL'S AND SETON COASTSIDE'S PAYOR MIX FOR FY 2018 CONSISTED OF A LARGE PROPORTION OF MEDICARE PATIENTS THAT ACCOUNTED FOR NEARLY 47% OF ALL INPATIENT HOSPITAL DISCHARGES WITH MEDICARE TRADITIONAL AT 38% AND MEDICARE MANAGED CARE AT 9%. MEDI-CAL PATIENTS ACCOUNTED FOR 17% OF ALL INPATIENT DISCHARGES. THIRD-PARTY MANAGED CARE (32%) AND THIRD-PARTY TRADITIONAL (3%) ACCOUNTED FOR 35% OF ALL INPATIENT HOSPITAL DISCHARGES.SAN MATEO COUNTY HAS A COUNTY ORGANIZED HEALTH SYSTEMS MODEL THAT OFFERS ONE MANAGED CARE PLAN. THE SAN MATEO COUNTY ORGANIZED HEALTH SYSTEM MODEL IS PROVIDED BY HEALTH PLAN OF SAN MATEO. IN THE COUNTY ORGANIZED HEALTH SYSTEMS MODEL, THE DEPARTMENT OF HEALTH CARE SERVICES CONTRACTS WITH A HEALTH PLAN CREATED BY THE COUNTY BOARD OF SUPERVISORS. THE PERCENTAGE OF SAN MATEO COUNTY RESIDENTS WITH MEDI-CAL MANAGED CARE COVERAGE HAS INCREASED SIGNIFICANTLY AS A RESULT OF THE ACA AND CALIFORNIA INITIATIVES TO EXPAND MANAGED CARE. CURRENTLY, THE HOSPITAL IS CONTRACTED WITH HEALTH PLAN OF SAN MATEO TO PROVIDE HEALTHCARE SERVICES FOR MEDI-CAL MANAGED CARE PATIENTS. THE PERCENTAGE OF SAN MATEO COUNTY RESIDENTS WITH MEDI-CAL MANAGED CARE COVERAGE HAS INCREASED SIGNIFICANTLY AS A RESULT OF THE AFFORDABLE CARE ACT (ACA) AND CALIFORNIA INITIATIVES TO EXPAND MANAGED CARE. THE MEDI-CAL ELIGIBLES COUNT IN SAN MATEO COUNTY HAS INCREASED MARGINALLY FROM 140,459 MEDI-CAL ELIGIBLES IN 2014 TO 142,985 MEDI-CAL ELIGIBLES IN 2018."},{"form_and_line_reference":"PART VI, QUESTION 5: PROMOTING THE HEALTH OF THE COMMUNITY","explanation":"SETON MEDICAL CENTER'S PAYOR MIX INCLUDED A LARGE NUMBER OF MEDICARE (40%) AND MEDI-CAL (20%) PATIENTS. THE HOSPITAL WAS, WHILE OPERATED BY SETON, GOVERNED BY A BOARD OF DIRECTORS COMPOSED OF COMMUNITY MEMBERS, MANY RETIRED ELECTED OFFICIALS AND GOVERNMENT EMPLOYEES, IN ADDITION TO COMMUNITY-BASED PHYSICIANS. THE LOCAL GOVERNING BOARD, WHICH SERVES AS A COMMUNITY ADVISORY BOARD, IS COMPOSED OF COMMUNITY MEMBERS AFFILIATED WITH LOCAL GOVERNMENT, SCHOOL DISTRICT AND HEALTH SERVICES FOR THE UNINSURED. THE SETON FOUNDATION BOARD WAS ALSO COMPOSED OF COMMUNITY MEMBERS AND PHYSICIANS. THE FOCUS WAS TO PROVIDE GRANT FUNDING TO THE HOSPITAL. THESE VARIOUS BOARD MEMBERS HAVE DIRECT KNOWLEDGE OF THE MANY PRESSING COMMUNITY NEEDS FOR OUR VULNERABLE POPULATIONS AND THE BROADER COMMUNITY.SETON COASTSIDE CONTINUED TO OFFER SKILLED NURSING CARE TO 116 INPATIENT RESIDENTS YEAR-ROUND, IN ADDITION TO MEETING THE HEALTHCARE NEEDS OF OUR PATIENTS, AND THE SURROUNDING COASTAL COMMUNITY. SETON COASTSIDE'S DEDICATED STAFF OF INTERDISCIPLINARY HEALTHCARE TEAM PROFESSIONALS PROVIDED EXCELLENT AND COMPREHENSIVE HEALTHCARE. SETON COASTSIDE OPERATED THE ONLY 24-HOUR STANDBY EMERGENCY DEPARTMENT FROM DALY CITY TO SANTA CRUZ. KEY MEDICAL SERVICES INCLUDED PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES, RADIOLOGY, MAMMOGRAPHY AND LABORATORY."},{"form_and_line_reference":"PART VI, QUESTION 6: AFFILIATED HEALTHCARE SYSTEM","explanation":"VERITY HEALTH SYSTEM OF CALIFORNIA, INC. (\"VHS\"), IS A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION, AND IS THE SOLE CORPORATE MEMBER OF THE FOLLOWING CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATIONS THAT OPERATED SIX ACUTE CARE HOSPITALS: O'CONNOR HOSPITAL, SAINT LOUISE REGIONAL HOSPITAL, ST. FRANCIS MEDICAL CENTER, ST. VINCENT MEDICAL CENTER, AND SETON MEDICAL CENTER (INCLUDING THE SETON MEDICAL CENTER COASTSIDE CAMPUS) (COLLECTIVELY, THE \"HOSPITALS\") AND OTHER FACILITIES IN THE STATE OF CALIFORNIA. SETON MEDICAL CENTER AND SETON MEDICAL CENTER COASTSIDE OPERATED UNDER ONE CONSOLIDATED ACUTE CARE LICENSE. THE ASSETS OF O'CONNOR HOSPITAL AND ST. LOUISE REGIONAL HOSPITAL WERE SOLD TO SANTA CLARA COUNTY ON FEBRUARY 28, 2019. THE ASSETS OF ST. VINCENT MEDICAL CENTER WERE SOLD TO DR. PATRICK SOON-SHIONG ON APRIL 16, 2020. AFTER FY2020 THE ASSETS OF ST. FRANCIS MEDICAL CENTER WERE SOLD TO PRIME HEALTHCARE AND SETON MEDICAL CENTER AND SETON COASTSIDE TO AHMC HEALTHCARE INC.ON AUGUST 31, 2018, VHS AND THE HOSPITALS (ALONG WITH OTHER VHS-AFFILIATED ENTITIES) EACH FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE (THE \"BANKRUPTCY CODE\"). THE CASES (COLLECTIVELY, THE \"BANKRUPTCY CASES\") ARE JOINTLY ADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA (THE \"BANKRUPTCY COURT\"). ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. FOR ALL BANKRUPTCY CASE FILINGS AND MORE DETAIL REGARDING VHS, PLEASE SEE KCCLLC.NET/VERITYHEALTH AND THE DECLARATION OF RICHARD G. ADCOCK IN SUPPORT OF EMERGENCY FIRST-DAY MOTIONS [DOCKET NOS. 8 AND 12].THE HOSPITALS WERE ORIGINALLY SPONSORED BY THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, PROVINCE OF THE WEST (THE \"DAUGHTERS OF CHARITY\"), TO SUPPORT THE MISSION OF THE CATHOLIC CHURCH THROUGH A COMMITMENT TO THE SICK AND POOR. THE DAUGHTERS OF CHARITY BEGAN THEIR HEALTHCARE MISSION IN CALIFORNIA IN 1858 WITH THE OPENING OF LOS ANGELES INFIRMARY, SUBSEQUENTLY KNOWN AS ST. VINCENT MEDICAL CENTER. THE DAUGHTERS OF CHARITY EXPANDED ITS HOSPITALS TO SAN JOSE IN 1889 AND SAN FRANCISCO IN 1893. THE DAUGHTERS OF CHARITY MINISTERED TO ILL, POVERTY-STRICKEN INDIVIDUALS FOR MORE THAN 150 YEARS.IN MARCH 1995, THE DAUGHTERS OF CHARITY MERGED THEIR HOSPITALS WITH CATHOLIC HEALTHCARE WEST (\"CHW\"). IN JUNE 2001, THE DAUGHTERS OF CHARITY HEALTH SYSTEM (\"DCHS\") WAS FORMED. IN OCTOBER 2001, THE DAUGHTERS OF CHARITY WITHDREW FROM CHW. IN 2002, DCHS COMMENCED OPERATIONS AND WAS THE SOLE CORPORATE MEMBER OF THE HOSPITALS, WHICH AT THAT TIME WERE CALIFORNIA NONPROFIT RELIGIOUS CORPORATIONS.IN JULY 2015, THE DCHS BOARD OF DIRECTORS SELECTED BLUEMOUNTAIN CAPITAL MANAGEMENT LLC (\"BLUEMOUNTAIN\"), A PRIVATE INVESTMENT FIRM, TO RECAPITALIZE THE HOSPITAL OPERATIONS. THE PARTIES ENTERED INTO A SYSTEM RESTRUCTURING AND SUPPORT AGREEMENT, DCHS' NAME WAS CHANGED TO \"VERITY HEALTH SYSTEM OF CALIFORNIA, INC., AND BLUEMOUNTAIN FORMED INTEGRITY HEALTHCARE, LLC (\"INTEGRITY\") TO PROVIDE MANAGEMENT SERVICES UNDER A NEW MANAGEMENT SERVICES AGREEMENT, WHICH WAS APPROVED BY THE CALIFORNIA ATTORNEY GENERAL CHARITABLE TRUST DIVISION. IN JULY 2017, NANTWORKS, LLC ACQUIRED A CONTROLLING INTEREST IN INTEGRITY.THROUGHOUT THEIR HISTORY AND CONTINUING THROUGH AUGUST 13, 2020, THE HOSPITALS CONTINUED THE RICH TRADITION OF SERVING THE UNDER-SERVED AND PROVIDING ESSENTIAL HEALTH CARE SERVICES TO THEIR COMMUNITIES. THESE EXPANSIVE SERVICES ARE DETAILED IN MULTIPLE SECTIONS OF THIS FORM 990."},{"form_and_line_reference":"PART VI, QUESTION 7: STATE FILING OF COMMUNITY BENEFIT REPORT","explanation":"THE COMMUNITY BENEFIT REPORT IS TYPICALLY FILED WITH THE STATE OF CALIFORNIA. THE ORGANIZATION LAST FILED THE COMMUNITY BENEFIT REPORT IN FISCAL YEAR 2019."},{"form_and_line_reference":"PART V, SECTION B, LINE 5: ASSESSMENT PROCESS AND METHODS","explanation":"IN AN EFFORT TO IDENTIFY THE MOST CRITICAL HEALTH CARE NEEDS IN SETON MEDICAL CENTER'S SERVICE AREA, A COMMUNITY HEALTHCARE NEEDS ASSESSMENT (\"CHNA\") IS CONDUCTED EVERY THREE YEARS. THE MOST RECENT ASSESSMENT WAS COMPLETED IN FISCAL YEAR 2019 (TAX YEAR 2018). THE CHNA BUILDS UPON THOSE EARLIER ASSESSMENTS.SETON MEDICAL CENTER AND SETON COASTSIDE ARE MEMBERS OF THE HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY (HCC). THROUGH THIS COLLABORATIVE EFFORT, THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS PRODUCED.THE GOALS OF THE 2019 CHNA ARE TO PROVIDE INSIGHT INTO THE HEALTH OF THE COMMUNITY, PRIORITIZE LOCAL HEALTH NEEDS, AND IDENTIFY AREAS FOR IMPROVEMENT. WITH THIS INFORMATION, HCC MEMBERS INDIVIDUALLY AND COLLECTIVELY DEVELOPED STRATEGIES TO TACKLE CRITICAL HEALTH NEEDS, AS WELL AS IMPROVE THE HEALTH AND WELL-BEING OF COMMUNITY MEMBERS. THE ASSESSMENT FINDINGS ARE ALSO USED AS A GUIDELINE FOR POLICY AND ADVOCACY EFFORTS. IN ADDITION, THE HOSPITAL CONSORTIUM OF SAN MATEO COUNTY, WHICH INCLUDES THE LEADERSHIP OF LOCAL HOSPITALS AND HEALTH DEPARTMENT, PROVIDED DIRECTION TO THE HCC TO ENSURE ALIGNMENT WITH COUNTYWIDE PRIORITY HEALTH INITIATIVES. THE 2019 CHNA REPORT DOCUMENTS HOW THE CURRENT CHNA WAS CONDUCTED, DESCRIBES THE RELATED FINDINGS, AND SHARES THE RESULTS OF STRATEGIES IMPLEMENTED BY SETON MEDICAL CENTER AND SETON COASTSIDE TO ADDRESS THE NEEDS IDENTIFIED BY THE PREVIOUS ASSESSMENT. PLEASE NOTE THAT THE MAJORITY OF ACTIVITIES FOR COMMUNITY BENEFIT WERE HALTED DUE TO COVID-19 PANDEMIC.THE LATEST CHNA, COMPLETED IN FISCAL YEAR 2019 AND DESCRIBED HERE, WAS CONDUCTED COLLABORATIVELY BY HCC MEMBERS IN COMPLIANCE WITH CURRENT FEDERAL REQUIREMENTS.SET TO GATHER INFORMATION FOR ITS LOCAL PLANNING NEEDS AND TO MEET STATE AND FEDERAL MANDATES, THE HCC TOOK THE FOLLOWING APPROACH TO COMPLETE THE 2019 CHNA:TO ASSESS COMMUNITY HEALTH TRENDS, THE HCC DIRECTED ITS CONSULTANT, ACTIONABLE INSIGHTS (AI), TO OBTAIN SECONDARY DATA FROM A VARIETY OF SOURCES. PRIMARY DATA WERE OBTAINED THROUGH DIRECT COMMUNITY INPUT: (A) KEY INFORMANT INTERVIEWS WITH LOCAL HEALTH EXPERTS, (B) FOCUS GROUPS WITH COMMUNITY LEADERS AND REPRESENTATIVES, AND (C) RESIDENT FOCUS GROUPS.TO DETERMINE PARTICIPANTS' HEALTH PRIORITIES, FOCUS GROUP MEMBERS VOTED ON THEIR COMMUNITY'S NEEDS FROM A LIST DERIVED FROM THE PREVIOUS CHNA, AND KEY INFORMANTS STATED WHAT THEY BELIEVED WERE THEIR COMMUNITY'S TOP NEEDS. AI THEN TABULATED HOW MANY FOCUS GROUPS AND KEY INFORMANTS CITED EACH HEALTH NEED AS A PRIORITY.TO ACQUIRE PRIMARY HEALTH DATA SOURCES INTERVIEWS INCLUDED INDIVIDUALS WHO ARE FAMILIAR WITH THE HEALTH NEEDS AND CHALLENGES IN THE COMMUNITY THAT SETON MEDICAL CENTER AND SETON COASTSIDE SERVES. IN ADDITION, KEY INTERVIEWS WERE CONDUCTED WITH MEMBERS OF THE SAN MATEO COUNTY PUBLIC HEALTH DEPARTMENT AND LOCAL COMMUNITY CLINICS.ACTIONABLE INSIGHTS (AI) ALSO ANALYZED DATA ON A VARIETY OF ISSUES, INCLUDING DATA FROM THE 2018 SAN MATEO COUNTY HEALTH AND QUALITY OF LIFE SURVEY, PROVIDED BY SAN MATEO COUNTY HEALTH, AS WELL AS OTHER SECONDARY DATA AND QUALITATIVE DATA FROM FOCUS GROUPS OR KEY INFORMANT INTERVIEWS. AI THEN SYNTHESIZED THESE DATA FOR EACH ISSUE AND APPLIED THE CRITERIA LISTED ABOVE TO EVALUATE WHETHER EACH ISSUE QUALIFIED AS A PRIORITIZED HEALTH NEED. IN 2019, THIS PROCESS LED TO THE IDENTIFICATION OF 12 COMMUNITY HEALTH NEEDS THAT FIT ALL THREE CRITERIA."},{"form_and_line_reference":"PART V, SECTION B, LINE 6A:","explanation":"SETON MEDICAL CENTER'S CHNA WAS CONDUCTED IN PARTNERSHIP WITH THE HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY WHICH INCLUDES THE FOLLOWING HOSPITALS:1. DIGNITY HEALTH SEQUOIA HOSPITAL2. SAN MATEO COUNTY HEALTH3. KAISER PERMANENTE, SAN MATEO AREA4. LUCILE PACKARD CHILDREN'S HOSPITAL STANFORD5. STANFORD HEALTH CARE6. SUTTER HEALTH (MILLS-PENINSULA MEDICAL CENTER AND MENLO PARK SURGICAL HOSPITAL)"},{"form_and_line_reference":"PART V, SECTION B, LINE 6B:","explanation":"THE NON-HOSPITAL ORGANIZATIONS INCLUDED IN THE HEALTHY COMMUNITY COLLABORTIVE OF SAN MATEO COUNTY, WHICH SETON MEDICAL CENTER WORKED IN CONJUNCTION WITH TO COMPLETE ITS CHNA, INCLUDE THE COUNTY OF SAN MATEO HUMAN SERVICES AGENCY, AND PENINSULA HEALTH CARE DISTRICT.PART V, SECTION B, LINES 7A AND 10A:ON AUGUST 31, 2018, VERITY HEALTH SYSTEM OF CALIFORNIA, INC. (\"VHS OR \"VERITY HEALTH SYSTEM\") AND MOST OF ITS AFFILIATED COMPANIES, INCLUDING THE HOSPITAL, FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE. THE BANKRUPTCY CASES ARE JOINTLY ADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA. ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. COURT FILINGS ARE AVAILABLE AT KCCLLC.NET/VERITYHEALTH.ON AUGUST 14, 2020, THE SETON MEDICAL CENTER ASSETS WERE SOLD TO AHMC HEALTHCARE AND SMC CEASED TO OPERATE ANY HOSPITALS. THEREFORE, THE SETON MEDICAL CENTER WEBSITE HOSTED BY VHS WAS TERMINATED IN AUGUST 2020. THE CHNA REPORT WAS AVAILABLE AT HTTPS://SETON.VERITY.ORG/SMC/ABOUT.PHP#ABOUT-PANEL4. AS SUCH, THE LINK IS NO LONGER VALID. A COPY OF THE REPORT IS AVAILABLE UPON REQUEST TO THE LIQUIDATING TRUSTEE."},{"form_and_line_reference":"PART V, SECTION B, LINE 11:","explanation":"SIGNIFICANT HEALTH NEEDS THE HOSPITAL ADDRESSED PRIOR TO SMC CEASING TO OPERATE THE HOSPITALSHEALTH CARE ACCESS AND DELIVERY COMMUNITY INPUT SUGGESTS THAT HEALTH CARE IS OFTEN UNAFFORDABLE. THERE ARE DOWNWARD TRENDS IN THE PROPORTION OF CHILDREN WHO HAVE A USUAL PLACE FOR MEDICAL CHECK-UPS, THE PROPORTION OF EMPLOYED COUNTY RESIDENTS WHOSE JOBS OFFER HEALTH BENEFITS, AND RESIDENTS' PERCEPTIONS OF THE EASE OF ACCESS TO SPECIALTY CARE. LOW SOCIOECONOMIC STATUS RESIDENTS ARE MORE LIKELY THAN HIGHER-STATUS GROUPS TO HAVE HEALTH CARE ACCESS ISSUES.HEALTHY LIFESTYLES - THIS NEED INCLUDES CONCERNS ABOUT DIABETES, OBESITY, AND FITNESS, DIET, AND NUTRITION. DIABETES RANKS AMONG THE LEADING CAUSES OF DEATH IN THE COUNTY. THE PREVALENCE OF DIABETES AND OBESITY ARE BOTH ON THE RISE IN THE COUNTY. STATISTICS FOR ADULT DIABETES PREVALENCE AND YOUTH FRUIT/VEGETABLE CONSUMPTION ARE SIGNIFICANTLY WORSE THAN STATE AVERAGES. ADULTS OF LOW SOCIOECONOMIC STATUS FAIL BENCHMARKS FOR OBESITY AND OVERWEIGHT.NEIGHBORHOOD AND BUILT ENVIRONMENT - THIS NEED INCLUDES ACCESS TO FOOD AND RECREATION, COMMUNITY AND FAMILY SAFETY, COMMUNITY INFRASTRUCTURE AND HOUSING QUALITY, NATURAL ENVIRONMENT/CLIMATE, AND TRANSPORTATION AND TRAFFIC. PROPORTIONS OF HEALTHY FOOD STORES AND WIC-AUTHORIZED FOOD STORES, DRINKING WATER VIOLATIONS, AS WELL AS STATISTICS FOR PUBLIC TRANSIT ACCESS, ROAD NETWORK DENSITY, AND FLOOD VULNERABILITY ARE ALL SIGNIFICANTLY WORSE THAN STATE AVERAGES. FAST FOOD RESTAURANT CHAINS ARE ALSO ON THE RISE IN THE COUNTY. ETHNIC AND INCOME DISPARITIES ARE EVIDENT IN ALMOST ALL ASPECTS OF THIS HEALTH NEED.CANCER - CANCER IS THE LEADING CAUSE OF DEATH IN THE COUNTY. OVERALL CANCER PREVALENCE AS WELL AS INCIDENCE RATES FOR CANCERS, SUCH AS MELANOMA, PROSTATE, AND BREAST CANCERS, ARE SIGNIFICANTLY HIGHER IN THE COUNTY THAN THE STATE. CERTAIN ETHNIC GROUPS IN THE COUNTY EXPERIENCE DISPARITIES, INCLUDING AFRICAN ANCESTRY AND LATINX POPULATIONS. RESPIRATORY CONDITIONS - ASTHMA PREVALENCE IS INCREASING AND IS SIGNIFICANTLY WORSE THAN BENCHMARKS. CONDITIONS CORRELATED WITH HIGHER RATES OF ASTHMA (E.G., VERWEIGHT/OBESITY AND SMOKING) ARE SIGNIFICANTLY HIGHER AMONG THE LOW SOCIOECONOMIC STATUS POPULATION. COPD, BRONCHITIS, AND EMPHYSEMA ARE ALSO RISING AND ARE TWICE AS HIGH AS THE STATE AVERAGE. CHRONIC LOWER RESPIRATORY DISEASE AND INFLUENZA/PNEUMONIA WERE BOTH AMONG THE LEADING CAUSES OF DEATH IN THE COUNTY."},{"form_and_line_reference":"PART V, SECTION B, LINES 16A, 16B AND 16C:","explanation":"ON AUGUST 31, 2018, VERITY HEALTH SYSTEM OF CALIFORNIA, INC. (\"VHS\") AND MOST OF ITS AFFILIATED COMPANIES, INCLUDING THE HOSPITAL, FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE. THE BANKRUPTCY CASES ARE JOINTLY ADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA. ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. COURT FILINGS ARE AVAILABLE AT KCCLLC.NET/VERITYHEALTH. IN ADDITION, AS OF AUGUST 14, 2020, SETON MEDICAL CENTER HOSPITAL ASSETS WERE SOLD TO AHMC HEALTHCARE INC., WHICH CONTINUES TO OPERATE THE HOSPITAL. THEREFORE, THE SETON MEDICAL CENTER WEBSITE HOSTED BY VHS WAS TERMINATED. THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY WERE AVAILABLE AT HTTPS://VERITY.ORG/SMC/FINANCIALASSISTANCE.PHP PRIOR TO THE WEBSTIE TERMINATION. A COPY OF THE REPORT IS AVAILABLE UPON REQUEST TO THE LIQUIDATING TRUSTEE."}]},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":58790323,"reported_domestic_org_grants_program_services":58790323,"total_501c3_and_government_organizations":1,"grants":[{"ein":912145484,"irc_section":"501(C)(3)","cash":55161497,"noncash":3628826,"purpose":"DISSOLUTION TRANSFER","address_line1":"6300 CANOGA AVE SUITE 1500W","city":"WOODLAND HILLS","state":"CA","zip":"91367","name":"VERITY HEALTH SYSTEM OF CALIFORNIA INC","address":"6300 CANOGA AVE SUITE 1500W, WOODLAND HILLS, CA, 91367"}],"total_domestic_grants":58790323,"total_domestic_program_services":58790323,"detail_org_grants_total":58790323,"detail_domestic_grants_total":58790323,"supplemental_information":[{"form_and_line_reference":"PART I, LINE 2:","explanation":"THE GRANT TO VERITY HEALTH SYSTEM OF CALIFORNIA, INC. REPRESENTS LIQUIDATING DISTRIBUTIONS MADE AS PART OF THE ORGANIZATION'S WIND DOWN."}],"grant_monitoring":{"claims_monitoring_procedures":true,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false,"monitoring_description":"THE GRANT TO VERITY HEALTH SYSTEM OF CALIFORNIA, INC. REPRESENTS LIQUIDATING DISTRIBUTIONS MADE AS PART OF THE ORGANIZATION'S WIND DOWN.","form_and_line_reference":"PART I, LINE 2:"}},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"RICHARD ADCOCK","title":"EX-OFFICIO (THRU 9/2020)","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":1250000,"compensation_based_on_related_orgs":908923,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":11789,"other_compensation_filing_org":0,"other_compensation_related_orgs":908,"total_compensation_filing_org":0,"total_compensation_related_orgs":2171620,"name":"RICHARD ADCOCK"},{"person_name":"ANTHONY ARMADA - CHIEF","title":"EXECUTIVE OFFICER (THRU 8/2020)","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":300000,"compensation_based_on_related_orgs":384998,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":12489,"other_compensation_filing_org":0,"other_compensation_related_orgs":4919,"total_compensation_filing_org":0,"total_compensation_related_orgs":702406,"name":"ANTHONY ARMADA - CHIEF"},{"person_name":"TY CONNER","title":"DIRECTOR (THRU 4/2021)","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":177040,"compensation_based_on_related_orgs":358566,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":6413,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":20210,"other_compensation_filing_org":0,"other_compensation_related_orgs":524,"total_compensation_filing_org":0,"total_compensation_related_orgs":562753,"name":"TY CONNER"},{"person_name":"JAMES JACKSON - CHIEF","title":"OPERATING OFFICER (THRU 8/2020)","base_compensation_filing_org":228766,"bonus_filing_org":87000,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":6086,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":18290,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":1950,"other_compensation_related_orgs":0,"total_compensation_filing_org":342092,"total_compensation_related_orgs":0,"name":"JAMES JACKSON - CHIEF"},{"person_name":"DOLLY CHAN","title":"STAFF NURSE IV (THRU 8/2020)","base_compensation_filing_org":297018,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":13272,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":4737,"other_compensation_related_orgs":0,"total_compensation_filing_org":315027,"total_compensation_related_orgs":0,"name":"DOLLY CHAN"},{"person_name":"JAMES BROWN","title":"STAFF NURSE IV (THRU 8/2020)","base_compensation_filing_org":284481,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":19096,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":336,"other_compensation_related_orgs":0,"total_compensation_filing_org":303913,"total_compensation_related_orgs":0,"name":"JAMES BROWN"},{"person_name":"KEUNG BACK","title":"STAFF NURSE II (THRU 8/2020)","base_compensation_filing_org":263269,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":19096,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":3197,"other_compensation_related_orgs":0,"total_compensation_filing_org":285562,"total_compensation_related_orgs":0,"name":"KEUNG BACK"},{"person_name":"SHAFIN ALI - CHIEF","title":"BIOMEDICAL ENGINEER (THRU 8/2020)","base_compensation_filing_org":270361,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":270361,"total_compensation_related_orgs":0,"name":"SHAFIN ALI - CHIEF"},{"person_name":"EVELYN NUQUE","title":"STAFF NURSE II 10 HR (THRU 8/2020)","base_compensation_filing_org":256216,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":6320,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":4943,"other_compensation_related_orgs":0,"total_compensation_filing_org":267479,"total_compensation_related_orgs":0,"name":"EVELYN NUQUE"},{"person_name":"ESTRELLA A DAYAO","title":"STAFF NURSE II (THRU 8/2020)","base_compensation_filing_org":248391,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":12936,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":1570,"other_compensation_related_orgs":0,"total_compensation_filing_org":262897,"total_compensation_related_orgs":0,"name":"ESTRELLA A DAYAO"},{"person_name":"CHARLES ANTONINI JR MD","title":"CHIEF MEDICAL OFFICER (THRU 8/2020)","base_compensation_filing_org":251248,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":371,"other_compensation_related_orgs":0,"total_compensation_filing_org":251619,"total_compensation_related_orgs":0,"name":"CHARLES ANTONINI JR MD"},{"person_name":"KERIANNE CALIGIURE - INTERIM","title":"CHIEF NURSE OFFICER (THRU 8/2020)","base_compensation_filing_org":159212,"bonus_filing_org":63000,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":6413,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":2285,"other_compensation_related_orgs":0,"total_compensation_filing_org":230910,"total_compensation_related_orgs":0,"name":"KERIANNE CALIGIURE - INTERIM"}],"supplemental_information":[{"form_and_line_reference":"PART I, LINE 3","explanation":"METHODS USED TO ESTABLISH COMPENSATION OF CEO BY RELATED ORGANIZATION THE CEO RESPONSIBLE FOR THE FILING ORGANIZATION WAS AN EMPLOYEE OF VHS, A RELATED ORGANIZATION FOR THE 2020 CALENDAR YEAR. THE CEO RESPONSIBLE FOR THE FILING ORGANIZATION IS PAID THROUGH A COMMON PAYMASTER, VHS. COMPENSATION IS REVIEWED AND APPROVED BY THE VHS COMPENSATION COMMITTEE AND BOARD OF DIRECTORS. THE BOARD UTILIZES COMPARABLE MARKET DATA WHERE AVAILABLE."}]},"ScheduleN":{"successor_relationships":{"director_of_successor":true,"employee_of_successor":false,"owner_of_successor":false,"received_compensation":false},"dispositions":[{"business_name_line1":"VERITY HEALTH SYSTEM","ein":912145484,"irc_section":"501(C)(3)","description":"ACCOUNTS RECEIVABLE","fair_market_value":2311352,"method_of_fmv_determination":"TAX BASIS","address_line1":"6300 CANOGA AVE SUITE 1500W","city":"WOODLAND HILLS","state":"CA","zip":"91367","name":"VERITY HEALTH SYSTEM","address":"6300 CANOGA AVE SUITE 1500W, WOODLAND HILLS, CA, 91367"},{"business_name_line1":"VERITY HEALTH SYSTEM","ein":912145484,"irc_section":"501(C)(3)","description":"PREPAID EXPENSES","fair_market_value":94818,"method_of_fmv_determination":"TAX BASIS","address_line1":"6300 CANOGA AVE SUITE 1500W","city":"WOODLAND HILLS","state":"CA","zip":"91367","name":"VERITY HEALTH SYSTEM","address":"6300 CANOGA AVE SUITE 1500W, WOODLAND HILLS, CA, 91367"},{"business_name_line1":"VERITY HEALTH SYSTEM","ein":912145484,"irc_section":"501(C)(3)","description":"LOCKBOX CASH","fair_market_value":807838,"method_of_fmv_determination":"TAX BASIS","address_line1":"6300 CANOGA AVE SUITE 1500W","city":"WOODLAND HILLS","state":"CA","zip":"91367","name":"VERITY HEALTH SYSTEM","address":"6300 CANOGA AVE SUITE 1500W, WOODLAND HILLS, CA, 91367"},{"business_name_line1":"VERITY HEALTH SYSTEM","ein":912145484,"irc_section":"501(C)(3)","description":"DEPOSITS","fair_market_value":1310438,"method_of_fmv_determination":"TAX BASIS","address_line1":"6300 CANOGA AVE SUITE 1500W","city":"WOODLAND HILLS","state":"CA","zip":"91367","name":"VERITY HEALTH SYSTEM","address":"6300 CANOGA AVE SUITE 1500W, WOODLAND HILLS, CA, 91367"},{"business_name_line1":"VERITY HEALTH SYSTEM","ein":912145484,"irc_section":"501(C)(3)","description":"DUE FROM AHMC","fair_market_value":7036,"method_of_fmv_determination":"TAX BASIS","address_line1":"6300 CANOGA AVE SUITE 1500W","city":"WOODLAND HILLS","state":"CA","zip":"91367","name":"VERITY HEALTH SYSTEM","address":"6300 CANOGA AVE SUITE 1500W, WOODLAND HILLS, CA, 91367"},{"business_name_line1":"VERITY HEALTH SYSTEM","ein":912145484,"irc_section":"501(C)(3)","description":"CASH APPLICATION IN PROCESS (DUE TO SMC)","fair_market_value":427852,"method_of_fmv_determination":"TAX BASIS","address_line1":"6300 CANOGA AVE SUITE 1500W","city":"WOODLAND HILLS","state":"CA","zip":"91367","name":"VERITY HEALTH SYSTEM","address":"6300 CANOGA AVE SUITE 1500W, WOODLAND HILLS, CA, 91367"}],"supplemental_information":[{"form_and_line_reference":"SCHEDULE N, PART II:","explanation":"IN ADDITION TO THE ASSETS REPORTED ON PART II, CERTAIN TRANSACTIONS WITHIN THE HEALTH SYSTEM WERE WRITTEN-OFF AS PART OF THE BANKRUPTCY PLAN. PLEASE SEE FORM 990, PART XI, LINE 9 AND SCHEDULE O FOR MORE INFORMATION. SCHEDULE N, PART II, LINE 2A: THE DIRECTORS OF THE ORGANIZATION WERE ALSO THE DIRECTORS OF THE TRANSFEREE ORGANIZATION, VERITY HEALTH SYSTEM OF CALIFORNIA IN FISCAL YEAR 2021 AND CONTINUED AS DIRECTORS OF BOTH ENTITIES AFTER THE TRANSFER OF ASSETS OCCURRED."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":953745227,"business_name_line1":"ROBERT F KENNEDY MEDICAL CENTER FOUNDATION","primary_activities_text":"INACTIVE","exempt_code_section_text":"501(C)(3)","public_charity_status_text":"LINE 7","controlled_organization_indicator":false,"legal_domicile_state":"CA","direct_controlling_business_name_line1":"VHS","address_line1":"6300 CANOGA AVE SUITE 1500W","city":"WOODLAND HILLS","state":"CA","zip":"91367","name":"ROBERT F KENNEDY MEDICAL CENTER FOUNDATION","address":"6300 CANOGA AVE SUITE 1500W, WOODLAND HILLS, CA, 91367"},{"ein":953190773,"business_name_line1":"ST FRANCIS MEDICAL CENTER FOUNDATION","primary_activities_text":"HOSPITAL 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