TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) Sr Joyce Weller DC...................................................................... Board Chair through Dec. 2015	1.0 ................. 0.0	X	X			0	0	0
(2) Sr Marion Bill DC...................................................................... Board Member through Dec. 2015	1.0 ................. 7.0	X				0	0	0
(3) Sr Jo-Anne Laviolette DC...................................................................... Secretary through Dec. 2015	1.0 ................. 0.0	X	X			0	0	0
(4) Sr Patricia Miguel DC...................................................................... Board Member through Dec. 2015	1.0 ................. 1.0	X				0	0	0
(5) Robert Issai...................................................................... Board Member through Dec. 2015	1.0 ................. 46.0	X				0	3,832,601	282,571
(6) Mitch Creem...................................................................... Board Member start Dec. 2015	1.0 ................. 45.0	X				0	0	0
(7) Charles Chad Druten...................................................................... Board Chair	1.0 ................. 1.0	X	X			0	0	0
(8) Carlos Gomez...................................................................... Board Member start May 2016	1.0 ................. 0.0	X				0	0	0
(9) Ursula Hyman...................................................................... Vice Chair and Secretary	1.0 ................. 0.0	X	X			0	0	0
(10) Andy Moosa MD...................................................................... Board Member	1.0 ................. 1.0	X				148,550	0	0
(11) Louis Rubino...................................................................... Board Member	1.0 ................. 0.0	X				0	0	0
(12) Samuel Ynzunza...................................................................... Board Member	1.0 ................. 0.0	X				0	0	0
(13) Harding Young MD...................................................................... Board Member	1.0 ................. 0.0	X				46,360	0	0
(14) Gerald Kozai...................................................................... President & CEO	40.0 ................. 1.0		X			0	990,446	163,970
(15) Nancy Wilson...................................................................... Interim CFO	40.0 ................. 1.0		X			289,189	0	24,324
(16) Mary Lynne Knighten...................................................................... VP Patient Care Services	40.0 ................. 0.0			X		242,290	0	23,499
(17) Linda Camino...................................................................... Registered Nurse II	40.0 ................. 0.0				X	252,167	0	44,511

(A) Name and business address	(B) Description of services	(C) Compensation
Applecare Medical Group, 6131 Orangethorpe Ave BUENA PARK,CA90620	Medical Services	6,984,684
Compspec, 425 E Colorado Street GLENDALE,CA91205	Collection Services	3,275,168
St Francis Medical Center GAS Inc, 153 Ashdale Ave LOS ANGELES,CA90049	Medical Services	3,224,987
Applecare Medical Management LLC, 6131 Orangethorpe Ave BUENA PARK,CA90620	Medical Services	2,954,277
Omnicare Medical Group, 3880 E Imperial Highway LYNWOOD,CA90262	Medical Services	2,794,264
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 54

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

St Francis Medical Center

Employer identification number

91-2154439

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

St Francis Medical Center

Employer identification number

91-2154439

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization St Francis Medical Center

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization St Francis Medical Center		Employer identification number 91-2154439

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization St Francis Medical Center			Employer identification number 91-2154439
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

St Francis Medical Center

Employer identification number

91-2154439

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	1,819,699		1,819,699
b	Buildings	190,440,251	105,996,484	84,443,767
c	Leasehold improvements
d	Equipment ...	118,586,851	107,631,593	10,955,258
e	Other ...	5,609,755	4,595,096	1,014,659
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				98,233,383

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DUE FROM RELATED ORGANIZATIONS				262,631,093
(2) OTHER RECEIVABLES				31,963,198
(3) DUE FROM GOVERNMENT AGENCIES				10,443,573
(4) DEPOSITS				59,980
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				305,097,844

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
PENSION OBLIGATION	117,726,134
DUE TO RELATED ORGANIZATIONS	75,717,230
ASSET RETIREMENT OBLIGATION	173,622
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	193,616,986
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Schedule D, Part X, Line 2:	Verity Health System of California, Inc. and its affiliates do not have a liability for uncertain tax positions under FIN 48 (ASC 740) on their consolidated financial statements for the year ended June 30, 2016. As such, there was no FIN 48 (ASC 740) disclosure in the footnotes to the consolidated financial statements of Verity Health System of California, Inc.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

St Francis Medical Center

Employer identification number

91-2154439

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	9,656	11,040,280	0	11,040,280	2.550 %
b	Medicaid (from Worksheet 3, column a) . . . . .	123,102	234,877,527	162,004,097	72,873,430	16.850 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0	0	0	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	132,758	245,917,807	162,004,097	83,913,710	19.400 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	64,912	3,946,288	3,440,290	505,998	0.120 %
f	Health professions education (from Worksheet 5) . . .	676	190,089	0	190,089	0.040 %
g	Subsidized health services (from Worksheet 6) . . . .	0	2,030,418	0	2,030,418	0.470 %
h	Research (from Worksheet 7) .	0	0	0	0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	2,185	1,129,270	1,875	1,127,395	0.260 %
j	Total. Other Benefits . .	67,773	7,296,065	3,442,165	3,853,900	0.890 %
k	Total. Add lines 7d and 7j .	200,531	253,213,872	165,446,262	87,767,610	20.290 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other	593	209,822	0	209,822	0.050 %
10	Total	593	209,822	0	209,822	0.050 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

9,210,290

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

63,181,435

Enter Medicare allowable costs of care relating to payments on line 5.....

117,131,979

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-53,950,544

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Other (Describe)
1	St Francis Medical Center 3630 East Imperial Highway Lynwood,CA90262 https://stfrancis.verity.org/ 930000157	X	X	X	Trauma Center

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	St Francis Medical Center
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): See Part V, Section C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): See Part V, Section C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	St Francis Medical Center
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 350.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

See Part V, Section C

The FAP application form was widely available on a website (list url):

See Part V, Section C

A plain language summary of the FAP was widely available on a website (list url):
See Part V, Section C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	St Francis Medical Center
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Part V, Section B, Lines 2, 3j, 6a, 6b, 7d, 10a, 13b, 13h, 15e, 16i, 18d,	19d, 20e, 21c, 21d, 22d, 23, and 24: N/A
Part V, Section B, Line 5:	See disclosure for Part VI, Question 2: Needs Assessment
Part V, Section B, Line 7a:	St. Francis Medical Centers most recent Community Health Needs Assessment ("CHNA") can be accessed on the organization's website at https://stfrancis.verity.org/about-us/community-benefit/
Part V, Section B, Line 10a:	St. Francis Medical Centers most recently adopted implementation strategy is posted on its website via the organizations Community Benefit Plan for the fiscal year-ending June 30, 2017, which can be found at: http://stfrancis.verity.org/about-us/community-benefit/
Part V, Section B, Line 11:	SFMCs Community Benefit Plan targets the following priority health needs: 1. Health Care Access 2. Coronary Heart Disease 3. Stroke 4. Hypertension 5. Diabetes 6. Low Breastfeeding Rates 7. Poor Overall Health Status These issues are addressed through specific hospital services and community outreach programs developed in direct response to current needs. To target the health need of access to health care and overall health improvement, SFMC has various programs to achieve its identified objectives, including: 1. The Health Benefits Resource Center (HBRC) serves as a full-service, one-stop hub that effectively links individuals and families to health care and social services, as well as health care education and resources to meet essential needs. HBRC provides health benefits enrollment assistance, physician referral, and community education registration. Through the HBRC, SFMC hopes to increase access to health care by linking families to medical coverage offered by government-sponsored programs and/or private agencies; increase access to nutritious food and fight hunger by linking families to the CalFresh Program; provide uninsured/self-pay patients who received medical care at SFMC the opportunity to explore health care options to increase access to the continuum of health care, reduce the financial burden to the patient, and contribute to hospital cost savings and reimbursement; offer information about available programs and/or resources for which families may be eligible; increase awareness and understanding of the Affordable Care Act and its health care options and assist eligible community members to enroll; and refer individuals to the Legal Support Services, which provides legal services at no cost to HBRC clients who need assistance regarding issues which may affect health and wellness. SFMC has set-up various benchmarks and outcome indicators to measure the success of the HBRC. 2. SFMCs Community Health Clinics (located in Lynwood, Compton, Downey, and Huntington Park) bring primary health care services to children and families who have limited access to its main campus and essential health care services. The clinics provide general family practice and pediatric health care services. Additionally, the South Los Angeles Access to Care program (within the SFMC Community Health Clinic in Compton) provides bilingual/bi-cultural preventive, primary, acute and chronic comprehensive health care services to adults, infants, and children who reside in specified South Los Angeles communities recognized as having limited access to health care. The South Los Angeles Access to Care program seeks to reduce the number of families who, due to a lack of preventative and primary care, fail to seek medical attention until a condition worsens to the point of requiring costly emergency care at SFMC. Through these Clinics, SFMC hopes to increase the communitys access to primary health care services, measuring its success by various benchmarks and outcome indicators outlined in the full implementation strategy. (Note: The South Los Angeles Access to Care program concluded with the expiration of the grant funding period in June 2015. Also, due to financial challenges, plans to transition the clinics to the health systems Medical Foundation did not materialize. As a result, clinic operations were consolidated, and the Compton and Huntington Park clinics were closed in June and October 2015, respectively. In February 2016, management and operations of the Lynwood and Downey clinics were assumed by the St. Francis Multi-Specialty Group, which could provide the necessary organizational structure to ensure continued access to community-based care at these locations. Patients are provided with the same level of care and access to the hospitals services as before). 3. Welcome Baby is a program, initiated through a grant from First 5 LA, which offers personalized prenatal, post-partum, and hospital visits with a professionally trained Parent Coach, from pregnancy through the babys first 9 months. The objective of the Welcome Baby program is to improve access to primary health prevention, parent education, and linkage to social services for SFMCs maternity patients. SFMC has set-up various benchmarks and outcome indicators outlined in the full implementation strategy to measure the success of the Welcome Baby Program. 4. Patient Transportation is provided to individuals without any means of transportation for outpatient care and treatment, which improves health care outcomes by enabling patients who lack the resources for reliable transportation to keep scheduled health screenings, treatment, and court appearances, and after discharge. To target the health needs of high rates of heart disease, stroke, hypertension, diabetes, and obesity, SFMC has various programs established to achieve its identified objectives, including: 1. Healthy Community Initiatives (HCI) brings health screenings, immunizations, and health education directly to area schools, churches, businesses and community organizations via its HCI nurse, educator, staff, and mobile unit. For individuals and families without access to primary care, HCI provides them with important preventive services and health care resources. Through the HCI program, SFMC seeks to (i) empower residents to lower their behavioral risk factors for certain conditions including heart disease, stroke hypertension, obesity, and diabetes by increasing the number of low income, underserved children, adults and seniors who receive culturally and linguistically appropriate health education, (ii) prevent the spread of communicable disease by increasing immunization rates for low-income, underserved and uninsured children in Southeast Los Angeles, and (iii) promote community health by offering childbirth education, parenting classes, behavioral risk factor educational programs in schools, and a series of wellness classes. Outcomes will be measured by various benchmarks and outcome indicators outlined in the full implementation strategy. 2. The Vida Sana/Healthy Life Community Wellness Program promotes healthier communities through a six-month, coordinated program that advances heart health, diabetes, and obesity awareness; disease prevention and education; diet and nutrition; stress reduction; and physical fitness activities to establish healthy lifestyle habits. The purpose of Vida Sana is to create a community and family environment that promotes and supports family participants to adopt healthier lifestyles. Through the program, SFMC aims to increase the physical activity of participants, increase consumption of fruits and vegetables, reduce weight or pace of weight gain, and improve behaviors for a healthy lifestyle. Outcomes will be measured by various benchmarks and outcome indicators outlined in the full implementation strategy. 3. To address the health need of stroke awareness and prevention, SFMC dedicated a comprehensive array of resources, integrated with long-range planning and partnerships, to become an approved STEMI Receiving Center and approved Primary Stroke Center for Los Angeles. As part of the hospitals coordinated effort, the Vida Sana, HCI, and SeniorCircle Wellness programs have integrated specific classes and seminars on Stroke Awareness and Prevention into their ongoing health education series. To address the need of low breastfeeding rates, SFMC continues to implement the Ten Steps of Successful Breastfeeding within its facilities, which aims to increase breastfeeding rates through the education of health care providers, maternity patients, and programs that support exclusive breastfeeding. These Ten Steps include: 1. Having a written breastfeeding policy that is routinely communicated to all health care staff 2. Training all health care staff in skills necessary to implement the policy 3. Informing all pregnant women about the benefits and management of breastfeeding 4. Helping mothers initiate breastfeeding within one hour of birth 5. Showing mothers how to breastfeed and how to maintain lactation even if they are separated from their infants. 6. Giving new born infants no food or drink other than breast milk, unless medically indicated 7. Practicing "room-in"-allowing mothers and infants to remain together 24 hours a day 8. Encouraging breastfeeding on demand 9. Giving no pacifiers or artificial nipples to breastfeeding infants 10. Fostering the establishment of breastfeeding support groups and referring mothers to them on discharge from the hospital or clinic To address the poor overall health status of its community, SFMC has outlined various strategies to accomplish its objectives of (i) improving the health and well-being of seniors through age-specific health education and opportunities to socialize with seniors, (ii) increase education and awareness among the communitys youth about choices they can make to help prevent trauma and injury to themselves and others, (iii) to decrease sympt
Part V, Section B, Lines 16a, 16b, and 16c:	The organizations FAP, FAP application form, and the plain language summary of the FAP can be found on the organizations website at https://stfrancis.verity.org/patients-and-visitors/financial-assistance-2/ . 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.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for 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 financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities 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.).
6	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.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Part I, Line 3c:	N/A
Part I, Line 6a:	St. Francis Medical Center (SFMC) prepares an annual Community Benefit Report. It is developed in conjunction with SFMCs strategic planning process that is based on the Community Health Needs Assessment, organizational capacity, and resource allocation. Reports on community benefit activities and outcomes are provided by managers and directors responsible for specific community benefit programs. Quarterly reports are presented to the SFMC Board of Directors and Verity Health System of California, Inc. (VHS) corporate officers. An annual update is prepared and presented to the SFMC Board of Directors for approval. The annual update is made available to medical center leadership, the medical staff, key stakeholders, VHS, and the community through the organizations website. The annual update is presented to the California Office of Statewide Planning and Development, in accordance with SB697. SFMCs Community Benefit Report is developed using results from the Community Health Needs Assessment, data and input provided by the managers and directors responsible for specific community benefit programs, and direction from SFMCs Management Council. SFMC's Board of Directors reviews and gives final approval of the Community Benefit Report. Continual monitoring and evaluation of SFMCs current community health initiatives provide vital information to the strategic planning process for community benefit programs.
Part I, Line 7, column (f):	Form 990, Part IX, line 25, Column A for SFMC reflects a bad debt expense of $9,210,290 which is not included in the line 7 calculation.
Part I, Line 7g:	SFMC's Subsidized Services include its community clinics in Lynwood, Compton, Downey, and Huntington Park. The mission of these clinics is to bring primary health care services to children and families who have limited access to its main campus and essential health care services. SFMCs Community Clinics provide general medicine, obstetrics and pediatric health care services to children and families in its service area. They also offer Child Health Disability Program (CHDP) Examinations and Immunizations (i.e., TB, Hepatitis B, polio, diphtheria, and hepatitis) for newborns and children up to 18 years old. In addition, the Comprehensive Perinatal Services Program (CPSP) is offered to pregnant women. This program assesses a mothers financial, medical and psychosocial needs; provides comprehensive education; and makes referrals to social services, counselors, and nutritionists, as well as to medical and mental health professionals to ensure a healthy start for mom and baby. Due to ongoing financial challenges, clinic operations were phased down in fiscal year 2016. As described in Part V, Section B, Line 11, the Compton and Huntington Park clinics were closed in June and October 2015, respectively. In February 2016, management and operations of the Lynwood and Downey clinics were assumed by the St. Francis Multi-Specialty Group, which could provide the necessary organizational structure to ensure continued access to community-based care at these locations. As a result of the transition, the clinics had a decrease in patient visits, totaling 6,443 in FY 2016.
Part I, Line 7:	SFMC utilizes a cost accounting system that determines costs for providing medical services based on the organizations relationship of costs to charges.
Part II:	See Part VI, Question 5
Part III, Line 2:	Bad debt expense is estimated by utilizing historical collections data of self-pay patients. In making this estimate, Management also considers business and general economic conditions in its service area.
Part III, Line 3:	N/A
Part III, Line 4:	SFMC is included in Verity Health System of California, Inc.'s ("VHS") consolidated audited financial statements. The financial statements for the 6/30/2016 fiscal year does not contain a separate footnote on bad debts.
Part III, Line 8:	As a not-for-profit hospital it is SFMC's mission to improve the health status of all people within its community and provide healthcare to all patients regardless of their ability to pay or their insurance status. SFMC accepts Medicare which results in shortfalls in the costs for caring for patients utilizing this program. SFMC utilizes a cost accounting system that determines costs for providing medical services based on the organizations relationship of costs to charges. The entire shortfall shown on Part III, Line 7 should be reflected as a community benefit.
Part III, line 9b:	SFMC 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, SFMC provides the patient with a written notice prior to commencing collection activities. The notice states that nonprofit counseling services may be available in the area and provides information concerning state and federal law requirements for debt collectors. SFMC does not pursue legal action for non-payment of bills against any household where the primary wage earner(s) is unemployed or there are not significant income sources. SFMC does not assign patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SFMC does not report adverse information to a consumer credit agency or commence civil action for nonpayment of a patient debt prior to 150 days after the initial billing of the patient. SFMC does not use wage garnishments or liens on real property as a means of collecting unpaid hospital bills for eligible patients. SFMC expects its external collection agencies to not pursue legal action against an eligible patient without prior approval from SFMC. SFMC expects its external collection agencies to follow Fair Debt and Collection Practices, Assembly Bill AB774, and act in a manner that treats individuals with dignity, respect and compassion. In addition, for patients who qualify for financial assistance, SFMC does not pursue legal action for non-payment of bills against any household where the primary wage earner(s) is unemployed, uninsured or there are not significant income sources or assets. SFMC does not assign eligible patients meeting an agreed upon monthly payment plan to a collection agency and does not report the patient to credit bureaus. SFMC does not use liens on real property as a means of collecting unpaid hospital bills for eligible patients.
Part VI, Question 2:	In an effort to identify the most critical health care needs in SFMCs service area, a Community Health Needs Assessment is conducted every three years. The most recent assessment was completed and made widely available to the public in fiscal year 2014 (tax year 2013). It is an integral part of the Medical Centers Strategic Planning process, which is managed by the Medical Center's Management Council. The results of the Needs Assessment are integrated into the Medical Center's long-range planning activity, as well as program specific planning. During the annual update of the Medical Centers strategic plan, data derived from the Community Health Needs Assessment is integrated with the external environment analysis and the organizational analysis. METHODOLOGY: To ensure differing perspectives and thoroughness, the Community Health Needs Assessment used a variety of methods to collect information about health and social characteristics of the community served by SFMC. The assessment drew primarily from the following information sources: Key Indicators of Health reports from 2002/2003, 2007, 2009 and 2013, the Los Angeles County Department of Public Health Office of Health Assessment and Epidemiology, California Health Interview Survey from 2003, 2005, 2007, and 2009, the U.S. Census Bureau, American Community Survey 2010, Public Use Microdata Sample, the Los Angeles County Department of Public Health, California Department of Public Health, and focus groups with SFMC stakeholders, service providers, and beneficiaries. For the purposes of the fiscal year 2014 report, the SFMC service area corresponds to Service Provider Areas (SPAs) 6, 7, and 8. Focus Groups: Focus groups were conducted to collect qualitative information on health care issues that could elaborate and enhance information gleaned from secondary data sources. Four focus groups were conducted with key stakeholders in the SFMC service area. Participants were identified and recruited by SFMC staff. The groups were mixed by age, race/ethnicity and gender. Sixty-seven individuals participated in separate focus groups, including: 1. Beneficiaries Individuals or family members of individuals who received care or services from SFMC. Separate groups were conducted for English-speaking (N=7) and Spanish-speaking beneficiaries (N=30), with a moderator fluent in Spanish conducting the latter 2. Providers Physicians, nurses, technicians and support personnel who provide health care and social services to the community on a daily basis at SFMC and in the community (N=18) 3. Stakeholders St. Francis Medical Center board members, representatives from local elected officials offices an d local chambers of commerce, and community, education, and health care leaders (N=12) The focus group discussions with these participants assessed: 1. The most important current health care and social concerns in the community that SFMC serves 2. Community assets including health care services available in the community and services that support health and wellness 3. Personal experiences with SFMC services and perceptions of service quality 4. Barriers to accessing health care and SFMC services, and ways to improve access The results from the focus groups are a rich source of perceptions and impressions of SFMC, its programs and services, and knowledge of the surrounding community. This data was used to support secondary data and identify unique aspects of the SFMC community related to health and well-being. OVERALL RESULTS AND PRIORITY NEEDS: All data showed that the needs of children and families in the SFMC service area are great, and in fact often greater than most segments of Los Angeles County and the state of California. Priority Needs were identified as follows: 1. Lack of access to affordable health insurance coverage and health services 2. High rates of coronary heart disease, stroke, lung cancer/emphysema, diabetes, obesity, hypertension, sexually transmitted diseases, respiratory disease among children, low breastfeeding rates, lack of access to affordable, quality childcare, poor overall health status, and high rate of teen births One of the most prominent health care issues and concerns highlighted in the Needs Assessment are that residents of the SFMC service area continue to face significant barriers in accessing needed health care. SFMC has been designated as a Disproportionate Share Hospital because of the high number of patients who are uninsured and underinsured. It is of note that approximately 75% of SFMCs reimbursements for service are derived from Medi-Cal, Medicare, and LA County. In addition, communities within SFMCs Service Area have been designated as Medically Underserved Areas and Health Profession Shortage Areas by the Federal Government. According to stakeholder and provider focus group participants, among the primary health concerns in the SFMC service area over the last two to three years are diabetes, obesity, high blood pressure, and pulmonary disease. Stakeholder participants felt that African-American and Latino community members continue to be disproportionately affected by these health concerns. Focus group participants believe that chronic conditions are related to a lack of access to affordable, healthy foods and nutrition education, and cultural factors impacting food preferences, meal preparation, and diet. Stakeholder and provider focus group participants noted that the primary barriers to health care access and general healthy living in the SFMC service area are linguistic isolation and illiteracy among immigrant communities; lack of free or low-cost services; long waiting periods for specialty care among low income populations; lack of adequate transportation; lack of childcare; and lack of trust. While the community surrounding St. Francis Medical Center has attempted to address many of these issues, a crucial lack of resources coupled with the decline in the economy threaten the stability of the already fragile health care environment. Many social and health concerns remain pressing, and new challenges brought on by future uncertainty in health care reform exacerbate existing needs.
Part VI Question 3:	Patients who present at SFMCs Emergency Department and SFMCs Admitting Department are provided with a financial assistance packet that consists of an informational flyer on various programs for which they may be eligible, along with the contact number for SFMCs Health Benefits Resource Center (HBRC). The flyer is in English and Spanish. The packet includes a Medi-Cal application, as well as a Charity Care application. Should they make an appointment with HBRC, patients can fill out the forms prior to their appointment. HBRC staff visits Cash/Self-Pay patients at bedside, screens patients and identifies the programs for which they are eligible. If they have no linkage, HBRC provides information about other programs for which they may qualify such as Charity Care. In addition, there are signs posted in English and Spanish in the Patient Financial Services department and at every point of registration stating that SFMC has financial assistance and charitable programs available for qualified low income, uninsured patients who may not have the ability to meet the financial obligation of their hospital services and a contact number to call. After discharge, the back of the monthly patient bills includes this same statement.
Part VI Question 4:	Hispanics comprise the largest ethnic group in SFMCs service area at 56.8%, followed by Whites at 16.3%, Blacks at 13.0%, Asians at 9.9% and others at 4%. According to projections of race/ethnicity in the SFMC SPAs, the Hispanic population will comprise 59.8 percent of the total population by 2021. All other major ethnic groups will comprise less of the total population by 2021, with whites decreasing from 16.3 percent to 14.2 percent, blacks decreasing from 13 percent to 11.8 percent, and Asian/Pacific Islanders increasing from 9.9 percent to 10.3 percent over the same time period. This is significant because some ethnicities have higher rates of incidence of certain diseases. For example, heart disease is the number one cause of death in Latino communities, which makes up the largest percentage of SFMCs service area population. SFMC is addressing this through its Vida Sana/Healthy Life Community Wellness program. The largest age group within the service area is age 15-34 at 30.8%. However, the population in the SFMC service area, similar to county, state, and national trends, is aging. From 2011 to 2016 in the SFMC service area, the most rapidly growing age groups are those between the ages of 55 and 64 and 65 and over. According to projections on age, those within the 65 and over age group will comprise 13.5 percent of the SFMC service area population by 2021, compared to 9.8 percent in 2011. Similarly, those within the combined age groups of 45 to 54 and 55 to 64 will comprise 24.1 percent of the SFMC service area population by 2021, compared to 23.4 percent in 2011. In contrast, it is projected that the population within the lower age groups will see a decrease. SFMC has a long established Senior Program that includes Senior Wellness education, flu immunizations, and Senior Dinners that promote social interaction, staying active, and mental and emotional well-being. By working in collaboration with the city sponsored Senior Centers, SFMC is making efforts to expand participation, and in conjunction with its Health Benefits Resource Center will help to link seniors to needed health and social services. Economic Well-Being: In SFMCs primary service area, including the cities of Huntington Park, Bell, Cudahy, Bell Gardens, Compton, Downey, Lynwood, Maywood, South Gate, and South Los Angeles, an average of 23.5% of households were below 100% of the Federal Poverty Level. Poor economic status is an underlying cause of lower health status due to decreased access to health care, affordable nutritious food, and fitness options. Education/Workforce Readiness: In SFMCs primary service area, 52% of the population did not graduate from high school as compared with 24% in Los Angeles County. Higher education is linked to improved job opportunities, which in turn, impacts economic well-being and overall health status. St. Francis Career College (SFCC) addressed the obstacles which prevented students from advancing their education for 25 years. The Career College offered training for careers in health care and support services to help ensure a students successful completion of the program, along with career advancement training. Unfortunately, over the past few years SFCC faced ongoing challenges with the high cost to subsidize its operations. The college worked hard to streamline expenses and made notable gains; however, rising costs and decreasing resources required further evaluation of the colleges ability to continue its programs. Following a thorough discernment process, it was determined necessary to identify a new collaborative sponsor to operate SFCC. On July 1, 2013, American Career College assumed sponsorship of SFCC. With values in alignment with St. Francis Medical Centers, American Career College at St. Francis (ACCSF), as it is now known, continues to provide high quality career training in the Lynwood community. St. Francis Medical Center enjoys a collaborative relationship with ACCSF and remains committed to supporting educational opportunities for the communitys youth. Health Status: The percent of adults 18-64 years old with reported fair to poor health status was highest among Latinos followed by African-Americans. St. Francis Medical Centers Healthy Community Initiatives (HCI) addresses poor health status by bringing health screenings, immunizations, and health education directly to area schools, churches, businesses, and community organizations via its HCI nurse, educator, staff, and mobile health unit. For individuals and families without access to primary care, HCI provides them with important preventive services and health care resources. Access to Health Care: Uninsured In 2011, 38.2% of adults in SPA 6 and 32.4% in SPA 7 had no health insurance. This is compared to 20.9% of adults in California and 28.5% in LA County. This represents an increase in both SPAs since 2007 and is likely related to the economic downturn and increase in joblessness that the area experienced beginning in 2008. Many individuals access health insurance through their places of employment. SFMCs Health Benefits Resource Center increases access to health care by linking families to medical coverage offered by government-sponsored programs and/or private agencies. The Center assesses health benefit eligibility for individuals and families, assists them with health benefits enrollment, and provides referrals to health education and social services. Chronic Disease Compared to L.A. County, SPAs 6, 7, and 8 had higher overall percentages for most chronic conditions in adults. Obesity was at 23.6% for LA County, and averaged 28.5% for the three SPAs. Overweight percentages were at 37.1% for LA County and 40.1% for the SPAs. Diabetes data showed 9.5% for LA County and 11.6% for SPAs 6, 7, and 8. Hypertension was 24.0% and 25.8%, respectively. Two chronic conditions did, however, reflect lower percentages, with LA County at 25.6% and the SPAs at 24.9% for high cholesterol, and LA County at 12.2% and the SPAs averaging 11.1% for depression. In children, obesity percentages were 22.4% in LA County and 25.1% in SPAs 6, 7, and 8. Asthma rates were 9.0% in LA County and averaged 10.3% in the SPAs. SFMCs Vida Sana/Healthy Life Community Wellness program, which addresses heart health, diabetes prevention and management, and obesity awareness, include adults, seniors, teens and children in its nutrition education and fitness activities. This enhanced scope builds upon a key community asset - a strong family focus within the Latino culture. By including parents and children in the wellness program, family members are able to support one another. This improves the likelihood of their maintaining healthy lifestyle changes. Leading Causes of Death The leading causes of death in SPAs 6 and 7 from 2000 to 2009 were coronary heart disease, stroke, lung cancer/emphysema, and diabetes. In SPA 6, the leading causes of death were coronary heart disease, lung cancer, stroke, and emphysema. In fiscal year 2014, St. Francis Medical Center received designation as an Approved STEMI Receiving Center (providing live-saving intervention for patients undergoing a heart attack) and an Approved Primary Stroke Care Center by the Los Angeles County Emergency Medical Services Agency.
Part VI Question 5:	SFMC provides hospital, medical, and surgical care, including emergency services, to members of the public without regard to age, sex, race, religion, or national origin, or to the individuals ability to pay. SFMC operates a full-time emergency department. Emergency medical services are available to all individuals regardless of their ability to pay. SFMC operates one of the busiest Emergency Departments in Southern California treating more than 84,400 patients last year. In 1996, in response to a dramatic lack of Trauma services in Southeast Los Angeles, SFMC established its Trauma Center. The Level II Trauma Center is verified by the American College of Surgeons and cared for 2,420 patients in FY 2016. SFMC has an Open Medical Staff and provides staff privileges in the medical center to community practitioners. In 2016, SFMCs board of directors was comprised of members with financial, legal, business, and health care backgrounds who understand the vision and values of SFMC, as well as the needs of the community and the resources required to meet those needs. SFMC reinvests its surplus funds in capital replacement or expansion of facilities and equipment, debt amortization, improvement in patient care and services, and other community benefit services including charity care. SFMC is committed to serving those who are vulnerable and living in poverty, respecting the dignity of each patient, and meeting the health care needs of the whole person body, mind, and spirit. Community Building Activities: SFMCs Community Building Activities address some of the key root causes of health issues, including education and job skills training. The hospital provides programs that advance learning and work place skills, and that introduce students and youth to jobs that can lead to fulfilling careers and self-sufficiency. As productive, working adults, many of the problems related to unemployment, such as homelessness, lack of health insurance, and poverty, can be prevented. Programs also help to cultivate a community service orientation in students and youth, the future leaders who will be the health improvement advocates in the years to come. In addition, SFMC participates in collaborative partnerships with other public and private organizations that advance health and wellness within the community. VOLUNTEER SERVICES: The Volunteer Services Program delivers orientation, training and supervision for volunteers to support SFMCs operations. With a focus on imparting and improving customer service and support service skills, the program enhances service delivery to patients, patients families, visitors, and SFMC employees. The program also introduces student volunteers to possible future health care careers and provides job skills training opportunities. Senior volunteers are provided with opportunities to contribute their skills and experience in various departments, which supports their mental, emotional and spiritual health. Collaborative partners include Local colleges and high schools; Hub Cities Consortium; Archdiocese Youth Employment Services; Lynwood Unified School District; and Elevate Your G.A.M.E. In fiscal year 2016, 484 volunteers performed more than 46,965 hours of service to assist 35 departments. STUDENT AND COMMUNITY ORGANIZATION TOURS: Throughout the year, St. Francis Medical Center receives requests from various schools and community organizations for tours of the hospital. The Community Affairs Department responds to these requests and coordinates tours that educate students and community members on the function of various departments and the roles of the doctors, nurses, and staff members in each unit. The tours also introduce them to a variety of health care career options. Tour groups have included elementary school groups, high school health and safety classes, international medical students, girl and boy scout troops, and girls and boys clubs. In FY 2016, 61 students and international health care delegates received educational tours of SFMC, visiting departments including the Health Benefits Resource Center, Neonatal Intensive Care Unit, Emergency Department, Mobile Health Unit, Trauma Center, Imaging Radiology, Surgery, Orthopedic Clinic, Intensive Care Unit, and Hyperbaric Oxygen Therapy. COMMUNITY BOARD PARTICIPATION: SFMC employees represent the medical center on boards of community agencies and organizations, and through this participation, help build a healthier community. Boards and organizations include LA Immunization, Lynwood Safe and Healthy Communities Coalition, Huntington Park Chamber of Commerce, and Lynwood Chamber of Commerce. In FY 2016, SFMC employees contributed more than 142 hours to community boards and organizations.
Part VI Question 6:	St. Francis Medical Center is a part of Verity Health System of California, Inc. ("VHS"). VHS seeks to build upon the rich legacy left by the Daughters of Charity Health System through a transformation of its health care practices. That work includes a focus on more efficient delivery of quality health care and an enhanced alignment with its physician partners. VHS is a non-profit, non-religious health care system committed to providing community benefit through a variety of community-based outreach programs and wellness activities. Under the leadership of VHS, St. Francis Medical Center is building a bright, vibrant future that will allow it to transform the ways in which excellent medical care is delivered to its community. The hospital is forging strategic partnerships, restoring facilities, growing programs, and enhancing service to its patients and their families. The hospital employees and physicians who are known for their compassion and caring are working together to increase effectiveness and efficiency. SFMC is enjoying renewed relationships with long-time supporters and new relationships with individuals who have been eager to join SFMC. As SFMC looks to the future, it looks forward to expanding and creating new clinical programs and to making health care more accessible and affordable in every market its serve, while remaining committed to providing quality, compassionate care to the patients and community the hospital is privileged to serve. The ultimate goal is to position St. Francis Medical Center and the VHS hospitals to serve their communities for generations to come, to engage their workforce in meaningful ways and to align professional staff in those efforts. The strategic focus will be on implementing sound business practices while providing compassionate care, building new clinical programs with physician partners who share the organizations commitment to serving the health care needs of residents, and engaging collaborative partners dedicated with SFMC to improving the health and wellness of the community. SFMC is the only comprehensive, non-profit health care institution serving the one million residents of Southeast Los Angeles. A 384-bed facility, SFMC offers a full range of diagnostic and treatment services provided by more than 1,800 associates and 380 affiliated physicians. With 20,072 inpatient admissions in FY2016 and 150,595 outpatient visits, SFMC operates one of the largest and busiest private emergency trauma centers in Los Angeles County. Our Family Life Center delivered 4,955 babies in FY2016, 783 of whom were cared for in the state-of-the-art Neonatal Intensive Care Unit. Our Heart and Vascular Center, Maternal-Child Health Program, orthopedics/Joint Replacement Program, Imaging Services, Behavioral Health and Wound Care facilities offer comprehensive services to the community. Our Primary Stroke Care Center and STEMI Receiving Center, both approved by the Los Angeles County Emergency Medical Services Agency, fill a major gap in Southeast Los Angeles. In addition to our acute and outpatient health care services, SFMC operates a broad range of educational and community service programs. SFMC is dedicated to nurturing healthy children and families, fostering self-sufficiency, enhancing individual and community well-being, and achieving excellence in facilities and technology. SFMCs ultimate goal is to dramatically improve the health and well-being of the community.
Part VI Question 7:	SFMC annually updates its Community Benefit Report and SFMC files a copy of its Community Benefit Report on an annual basis with the State of California.

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
St Francis Medical Center

Employer identification number
91-2154439

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) Verity Medical Foundation
400 Race Street
San Jose,CA95126

45-3691852

501(c)(3)

2,472,080

General Support

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of non-cash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of non-cash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

Schedule I, Part I, Line 2:

St. Francis 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, St. Francis 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.

Schedule I (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

St Francis Medical Center

Employer identification number

91-2154439

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Robert IssaiBoard Member through Dec. 2015	(i) (ii)	0 ------------- 1,123,278	0 ------------- 0	0 ------------- 2,709,323	0 ------------- 233,622	0 ------------- 48,949	0 ------------- 4,115,172	0 ------------- 0
2Gerald KozaiPresident & CEO	(i) (ii)	0 ------------- 595,180	0 ------------- 0	0 ------------- 395,266	0 ------------- 111,112	0 ------------- 52,858	0 ------------- 1,154,416	0 ------------- 0
3Nancy WilsonInterim CFO	(i) (ii)	239,575 ------------- 0	22,804 ------------- 0	26,810 ------------- 0	12,588 ------------- 0	11,736 ------------- 0	313,513 ------------- 0	0 ------------- 0
4Mary Lynne KnightenVP Patient Care Services	(i) (ii)	166,679 ------------- 0	24,499 ------------- 0	51,112 ------------- 0	11,763 ------------- 0	11,736 ------------- 0	265,789 ------------- 0	0 ------------- 0
5Linda CaminoRegistered Nurse II	(i) (ii)	242,461 ------------- 0	0 ------------- 0	9,706 ------------- 0	27,187 ------------- 0	17,324 ------------- 0	296,678 ------------- 0	0 ------------- 0
6Uchenna EnewallyRegistered Nurse III	(i) (ii)	223,090 ------------- 0	0 ------------- 0	0 ------------- 0	19,520 ------------- 0	0 ------------- 0	242,610 ------------- 0	0 ------------- 0
7Mary Eileen DreesVP Dev. & CEO SFF	(i) (ii)	171,546 ------------- 0	20,072 ------------- 0	31,147 ------------- 0	10,956 ------------- 0	17,705 ------------- 0	251,426 ------------- 0	0 ------------- 0
8Judith BindermanVP Chief Medical Info Officer	(i) (ii)	153,582 ------------- 0	24,334 ------------- 0	42,396 ------------- 0	10,687 ------------- 0	9,784 ------------- 0	240,783 ------------- 0	0 ------------- 0
9Grace Belinda CasupangRegistered Nurse II	(i) (ii)	186,300 ------------- 0	0 ------------- 0	33,060 ------------- 0	22,540 ------------- 0	10,618 ------------- 0	252,518 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Discretionary Spending Account	Schedule J, Part I, Line 1: Mary Eileen Drees received a discretionary spending account in the form of an auto allowance (as there was no accountable plan or substantiation of expenses). The amount is reported as taxable compensation on Form 990, Part VII, Section A, Column (D) and Schedule J, Part II, Column (b)(iii).
Methods Used to Establish Compensation for CEO by a Related Organization	Schedule J, Part I, Line 3: The President & CEO is an employee of Verity Health System of California, Inc. ("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 contracts.
Severance Payments	Schedule J, Part I, Line 4a: The following individual received a severance payment from a related organization during the 2015 calendar year, which is reported as taxable compensation on Form 990, Part VII, Section A, Column (E) and Schedule J, Part II, Column (b)(iii): Robert Issai $1,893,008 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.
Nonqualified Retirement Plan	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 reported on Form 990, Part VII, Section A, Column (F) and Schedule J, Part II, Column (c): Robert Issai $58,059 Gerald Kozai $32,649
Explanation of Other Reportable Compensation	Schedule J, Part II, Column (b)(iii): Two individuals 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).

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

St Francis Medical Center

Employer identification number

91-2154439

Return Reference	Explanation
Form 990, Part VI, Section A, Line 4:	During the June 30, 2016 fiscal year, the organization amended its mission and exempt purpose in its Articles of Incorporation to reflect language indicative of the Health Systems change from religious corporations to public benefit corporations under the California Nonprofit Corporation Law. In addition, the organization made similar changes to its bylaws, as well as the following additional changes: (1) changes to the composition of its Board of Directors, including mandating that no more than twenty percent of the members of the Board of Directors should have any financial relationship with BlueMountain Capital Management, LLC (which infused VHS with financing in exchange for an option to acquire the assets VHS), or Integrity Healthcare, LLC (its wholly owned subsidiary); (2) provided that VHS, as the sole corporate member of the organization, has the authority to appoint and remove the chairperson, president, and chief executive officer of the organization and its direct subsidiaries; (3) provided that VHS has the authority to dissolve the organizations audit committee and direct its responsibilities to the audit committee of VHS; (4) included restrictions on transactions with interested directors; (5) provided that Directors may receive reasonable compensation fixed by VHS; and (6) provided that members of the audit committee may receive compensation not to exceed the compensation paid to Directors, but may not be employees of the organization or have a material financial interest in entities doing business with the organization.
Form 990, Part VI, Section A, Line 6:	St. Francis Medical Center ("SFMC") has one member, Verity Health System of California, Inc. (formerly known as Daughters of Charity Health System through December 14, 2015), a California nonprofit corporation.
Form 990, Part VI, Section A, Line 7a:	The organization's sole member, Verity Health System of California, Inc. ("VHS") has the power to fix the number and appoint and remove the Trustees of St. Francis Medical Center ("SFMC").
Form 990, Part VI, Section A, Line 7b:	As the sole member of SFMC, VHS has the power to take or approve the following actions as it relates to SFMC: (1) approve or change the mission, role, and purpose of this organization; (2) amend the Bylaws and Articles of Incorporation (or authorize the Board of Trustee to do so); (3) approve the formation, merger, dissolution, consolidation, divestiture, closure, change in corporate membership or control and reorganization of each direct Affiliate of this Corporation; (4) fix the number and appoint and remove the Trustees of this Corporation; (5) appoint and remove the Chairperson of the Board and President and Chief Executive Officer of this Corporation and of each direct Affiliate or Subsidiary of this Corporation; (6) approve the merger, consolidation, reorganization, dissolution, or disposition of assets of this Corporation or any direct Affiliate of this Corporation; (7) approve the acquisition, sale, lease, mortgage, transfer or other alienation of real or personal property of this Corporation; (8) approve the capital and operating budgets; (9) approve the incurrence of debt or guaranties; (10) establish policy concerning quality of care and services for the Corporation; (11) establish policy and procedures concerning finance and resources; (12) establish criteria for the long-range financial and strategic plans of the Corporation; (13) establish an internal auditing program and approve any material element of the internal auditing program; (14) approve capital expenditures; (15) approve the transfer of funds, by gift or loan, between this Corporation and one or more other Affiliates of Verity health System; (16) approve any other action by this Corporation or for any Affiliate controlled by this Corporation that has been established by resolution of the Corporate Member as requiring its approval, including, but not limited to, any approvals of authority necessary to ensure compliance with any credit agreement, master indenture or loan agreement to which this Corporation is a party.
Form 990, Part VI, Section B, Line 11b:	The organizations independent tax preparers and finance staff work together to gather the required information necessary to complete the Form 990. The initial draft Form 990 is reviewed by the organizations finance and legal department. After the Form 990 is reviewed, recommended changes are discussed and a final Form 990 is prepared. Prior to filing with the Internal Revenue Service, the final version Form 990 is distributed to the organizations Board of Directors for review.
Form 990, Part VI, Section B, Line 12c:	VHS has a Conflict of Interest Policy that covers VHS and all of its affiliates. The policy provides for a systematic and ongoing method of requiring individuals who have decision making responsibilities 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 President & CEOs of the individual hospitals within the health system report the conflict of interest findings and resolutions to their respective Board of Directors. This policy is reviewed annually for compliance by VHSs Corporate Responsibility Officer.
Form 990, Part VI, Section B, Lines 15a and 15b:	The VHS compensation programs cover VHS and all of its affiliates. The President & CEO of each hospital is employed by VHS; as such, Form 990, Part VI, Section B, Line 15a has been answered "no" as mandated by the Form 990 instructions. The VHS 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 VHS and its affiliated hospitals. All of the hospital President & CEOs are paid directly by VHS and covered by the VHS compensation programs. Market data analyses are made of comparable organizations within the industry and within the region. Total compensation is established for all executive positiions to target similar total compensation of comparable organization's market compensation. Base pay is established for all executive positions to target the median range of comparable organization market compensation. VHS utilized a Benefits committee to review compensation and benefits. The VHS 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, VHS utilizes available market data analyses which includes independent compensation consultants, Form 990s of other organizations, written employment contracts, compensation surveys or studies, and recommendations from the Benefits Committee and approval by the VHS Board of Directors.
Form 990, Part VI, Section C, Line 19:	The audited financial statements are made available to the public upon request. The Articles of Incorporation, Bylaws, and Conflict of Interest Policy are not made available to the public.
Form 990, Part XI, Line 9:	The other changes in net assets or fund balance consists of a change in the funded status of pension plans of ($23,590,000) and a net transfer of medical office buildings to Verity Health System of California, Inc., a related organization, of ($420,302).
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCH. SRVCS: OUT-OF-NETWORK TOTAL FEES:48033861
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCH. SRVCS: OUTSIDE ORGS TOTAL FEES:24786645
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER MEDICAL FEES TOTAL FEES:14039914
FORM 990 PART IX LINE 11G	DESCRIPTION:REGISTRY & CONTRACT LABOR TOTAL FEES:4789487
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTANTS TOTAL FEES:1245583

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

St Francis Medical Center

Employer identification number

91-2154439

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)Daughters of Charity Ministry Svcs Corp 26000 Altamont Rd Los Altos Hills,CA94022 77-0482943	Outreach	CA	501(c)(3)	1	DOC SVDP		No
(2)Verity Health System of California Inc 203 Redwood Shores Pkwy 800 Redwood City,CA94065 91-2145484	Hosp Ldrship	CA	501(c)(3)	11-III FI	N/A		No
(3)O'Connor Hospital 2105 Forest Avenue San Jose,CA95128 91-2154436	Healthcare	CA	501(c)(3)	3	VHS		No
(4)O'Connor Hospital Foundation 2105 Forest Avenue San Jose,CA95128 77-0006295	Fundraising	CA	501(c)(3)	11-I	OCH		No
(5)Robert F Kennedy Medical Center Found 203 Redwood Shores Pkwy 800 Redwood City,CA94065 95-3745227	Inactive	CA	501(c)(3)	11-I	RFKMC		No
(6)St Francis Med Center of Lynwood Found 3630 East Imperial Highway Lynwood,CA90262 95-3190773	Fundraising	CA	501(c)(3)	11-I	SFMC	Yes
(7)Saint Louise Regional Hospital 9400 No Name Uno Gilroy,CA95020 91-2154437	Healthcare	CA	501(c)(3)	3	VHS		No
(8)Saint Louise Regional Hospital Found 9400 No Name Uno Gilroy,CA95020 56-2384735	Fundraising	CA	501(c)(3)	11-I	SLRH		No
(9)St Vincent Foundation 2131 West Third Street Los Angeles,CA90057 95-3922511	Fundraising	CA	501(c)(3)	11-I	SVMC		No
(10)St Vincent Dialysis Center 2131 West Third Street Los Angeles,CA90057 95-3749293	Healthcare	CA	501(c)(3)	3	SVMC		No
(11)St Vincent Medical Center 2131 West Third Street Los Angeles,CA90057 91-2154438	Healthcare	CA	501(c)(3)	3	VHS		No
(12)Seton Medical Center 1900 Sullivan Avenue Daly City,CA94015 91-2154441	Healthcare	CA	501(c)(3)	3	VHS		No
(13)Seton Medical Center Foundation 1900 Sullivan Avenue Daly City,CA94015 94-2824033	Fundraising	CA	501(c)(3)	11-I	SMC		No
(14)Verity Business Services 203 Redwood Shores Pkwy 800 Redwood City,CA94065 51-0659139	Hosp Support	CA	501(c)(3)	11-II	VHS		No
(15)Verity Medical Foundation 400 Race Street San Jose,CA95126 45-3691852	Healthcare	CA	501(c)(3)	9	VHS		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) O'Connor Health Center 1 1960 The Alameda Suite 20 San Jose,CA95126 77-0419045	Rental	CA	VHS							No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) Marillac Insurance Company LTD PO Box 69 Grand Cayman KY1-1102 CJ 98-0417930	Captive Insurance	CJ	VHS					No
(2) Robert F Kennedy Medical Center 203 Redwood Shores Pkwy 800 Redwood City,CA94065 91-2154440	Inactive	CA	VHS					No

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) St Francis Medical Center of Lynwood Fdn	c	3,997,029	Cost
(2) St Francis Medical Center of Lynwood Fnd	o	313,853	Cost

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference

Explanation

Schedule R, Part II:

Daughters of Charity Ministry Services Corporation was a related organization of Verity Health System of California, Inc., formerly known as Daughters of Charity Health System ("Parent"), until December 14, 2015 by reason of Daughters of Charity Ministry Services Corporation being the sole member of the Parent with the power to appoint the majority of the Board of Directors. On December 14, 2015, the California Attorney General approved a System Restructuring and Support Agreement to change the governance of and recapitalize the Parent and its subsidiaries. Under the Restructuring Agreement, the Parent and other members were converted from religious corporations to public benefit corporations. Effective December 14, 2015, the Board of Directors of the Parent resigned and Daughters of Charity Ministry Services Corporation, acting as sole corporate member of the Parent, appointed an independent board of the Parent and amended the bylaws of the Parent to eliminate the corporate membership rights of Daughters of Charity Ministry Services Corporation, effectively converting the Parent into a nonprofit corporation without members.

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: St. Francis Medical Center is dedicated to serving the healthcare needs of Southeast Los Angeles. Our vision is to be a values-driven integrated health care delivery system.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	8
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	6
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	2,291
6	Total number of volunteers (estimate if necessary) .............	6	484
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	6,382,569	5,178,952
9	Program service revenue (Part VIII, line 2g) .........	512,749,039	460,336,879
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,912,483	13,361
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,984,398	2,275,592
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	525,028,489	467,804,784
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,379,218	2,472,080
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	194,164,999	190,115,090
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	257,983,336	248,793,046
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	454,527,553	441,380,216
19	Revenue less expenses. Subtract line 18 from line 12.......	70,500,936	26,424,568
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	484,809,778	494,721,414
21	Total liabilities (Part X, line 26).............	250,083,950	257,581,320
22	Net assets or fund balances. Subtract line 21 from line 20.....	234,725,828	237,140,094

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 357,095,872 including grants of $ 2,472,080 ) (Revenue $ 460,336,879 )
	St. Francis Medical Center ("SFMC") is the only comprehensive, non-profit health care institution serving the one million residents of Southeast Los Angeles. A 384-bed facility, SFMC offers a full range of diagnostic and treatment services provided by more than 1,900 associates and 380 affiliated physicians. With 20,072 inpatient admissions and 150,595 outpatient visits during the June 30, 2016 fiscal year, SFMC operates one of the largest and busiest private emergency/trauma centers in Los Angeles County. Our Family Life Center delivered 4,955 babies, 783 of whom were cared for in the state-of-the-art Neonatal Intensive Care Unit. Our Heart and Vascular Center, Maternal-Child Health Program, Orthopedics/Joint Replacement Program, Imaging Services, Beahvioral Health and Wound Care facilities offer comprehensive services to the community. Our Primary Stroke Care Center and STEMI Receiving Center, both approved by the Los Angeles County Emergency Medical Services Agency, fills a major gap in critical services in Los Angeles. In addition to our accute and outpatient health care services, SFMC operates a broad range of educational and community services programs. During the June 30, 2016 fiscal year, SFMC provided over $87 million in community benefit programs to the community in addition to the more than $53 million in care for the elderly.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses357,095,872

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) Uchenna Enewally........................................................................ Registered Nurse III	40.0 .......................0.0	X	223,090	0	19,520
(19) Mary Eileen Drees........................................................................ VP Dev. & CEO SFF	0.0 .......................40.0	X	222,765	0	28,661
(20) Judith Binderman........................................................................ VP Chief Medical Info Officer	40.0 .......................0.0	X	220,312	0	20,471
(21) Grace Belinda Casupang........................................................................ Registered Nurse II	40.0 .......................0.0	X	219,360	0	33,158

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	1,864,083	4,823,047	640,685

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	3,997,029
e	Government grants (contributions)		1e	93,000

f	All other contributions, gifts, grants, and similar amounts not included above		1f	1,088,923

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		5,178,952

			Business Code
2a	NET PATIENT REVENUE	621110	381,145,909	381,145,909
b	PREMIUM REVENUE	621110	79,190,970	79,190,970
c
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			460,336,879

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			69			69
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss)......			0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	13,292
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	13,292
d	Net gain or (loss).....			13,292			13,292
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	CAFETERIA		722514	899,195			899,195
b	GIFT SHOP		453220	322,186			322,186
c	MEDICAL RECORD ABSTRACTS		900099	138,345			138,345
d	All other revenue ....			915,866			915,866
e	Total. Add lines 11a–11d ......			2,275,592
12	Total revenue. See Instructions......			467,804,784	460,336,879		2,288,953

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	2,472,080	2,472,080
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	774,212	460,699	313,513
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	147,192,688	116,459,802	30,732,886
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	12,805,541	10,123,852	2,681,689
9	Other employee benefits .......	18,626,346	14,721,620	3,904,726
10	Payroll taxes ...........	10,716,303	8,465,879	2,250,424
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	689,799		689,799
c	Accounting ...........	34,960		34,960
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	92,895,490	87,588,657	5,306,833	0
12	Advertising and promotion ....	0
13	Office expenses .......	2,244,200	1,301,636	942,564
14	Information technology ......	10,288,377	7,510,515	2,777,862
15	Royalties ..	0
16	Occupancy ...........	4,459,795	3,255,650	1,204,145
17	Travel ............	107,803		107,803
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	68,505	25,347	43,158
20	Interest ...........	4,022,233		4,022,233
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	13,956,909	13,259,064	697,845
23	Insurance ...	8,564,290	6,590,239	1,974,051
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	35,842,879	35,842,879
b	PROVIDER FEES	35,531,592	35,531,592
c	ALLOCATED HEALTH SYSTEM EXP.	25,070,900		25,070,900
d	BAD DEBT EXPENSE	9,210,290	9,210,290
e	All other expenses	5,805,024	4,276,071	1,528,953
25	Total functional expenses. Add lines 1 through 24e	441,380,216	357,095,872	84,284,344	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			0	1	0
2	Savings and temporary cash investments .........			36,462,664	2	21,597,838
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			56,190,535	4	58,838,032
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net ....			740,967	7	386,582
8	Inventories for sale or use ........			5,397,308	8	5,480,032
9	Prepaid expenses and deferred charges ......			4,640,993	9	5,087,703
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	316,456,556
b	Less: accumulated depreciation	10b	218,223,173	111,174,084	10c	98,233,383
11	Investments—publicly traded securities .			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			270,203,227	15	305,097,844
16	Total assets. Add lines 1 through 15 (must equal line 34)...			484,809,778	16	494,721,414

17	Accounts payable and accrued expenses .....	72,005,666	17	63,964,334
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	178,078,284	25	193,616,986
26	Total liabilities. Add lines 17 through 25..	250,083,950	26	257,581,320

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	234,637,243	27	237,088,358
28	Temporarily restricted net assets ...........	88,585	28	51,736
29	Permanently restricted net assets	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	234,725,828	33	237,140,094
34	Total liabilities and net assets/fund balances ........	484,809,778	34	494,721,414