Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 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): |
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| 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 | ||||
| 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 2019 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-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990-EZ, PART III | ORGANIZATION'S PRIMARY ACTIVITY AND PROGRAM SERVICE ACCOMPLISHMENTS Keck Medical Center of USC (the Organization) was organized on June 24, 2020 as a California nonprofit corporation FOR EXCLUSIVELY CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE INCLUDING; TO ESTABLISH, EQUIP, MAINTAIN, AND OPERATE ONE OR MORE NONPROFIT HOSPITALS, INCLUDING KECK HOSPITAL OF USC AND USC NORRIS CANCER HOSPITAL, AS PART OF THE INTEGRATED HEALTH CARE SYSTEM OF THE UNIVERSITY OF SOUTHERN CALIFORNIA, KECK MEDICINE OF USC ("KECK MEDICINE"); TO COORDINATE THE ACTIVITIES OF THE ORGANIZATION WITH OTHER ACTIVITIES OF KECK MEDICINE IN A MANNER THAT ENHANCES THE ACCESSIBILITY, QUALITY AND COST EFFECTIVENESS OF HEALTH CARE SERVICES RELATED TO THE COMMUNITIES SERVED BY THE ORGANIZATION, PROVIDES ASSOCIATED SERVICES INCLUDING, BUT NOT LIMITED TO, OUTPATIENT CARE AND EMERGENCY CARE, TO ALL PERSONS WITHOUT REGARD TO SEX, RACE, AGE, RELIGION, CREED, COLOR OR NATIONAL ORIGIN, SEXUAL ORIENTATION, OR PHYSICAL OR MENTAL DISABILITY, AND SUPPORTS THE EDUCATIONAL AND RESEARCH MISSIONS OF THE KECK SCHOOL OF MEDICINE OF THE UNIVERSITY OF SOUTHERN CALIFORNIA; TO PARTICIPATE IN ACTIVITIES DESIGNED AND CARRIED ON TO PROVIDE AND IMPROVE THE GENERAL PUBLIC HEALTH AND HEALTH OF PATIENTS SERVED BY KECK MEDICINE; AND IN FURTHERANCE OF THE PURPOSE, MISSION AND ACTIVITIES OF KECK MEDICINE, TO PROVIDE OTHER FORMS OF AID AND ASSISTANCE TO, FOR THE BENEFIT OF, OR IN CONNECTION WITH THE NONPROFIT COMPONENTS OF KECK MEDICINE. FOR THE TAX YEAR STARTING JUNE 24, 2020 AND ENDING JUNE 30, 2020 (TY2019) OPERATIONS TO BE UNDERTAKEN BY THE ORGANIZATION WERE CARRIED OUT BY THE UNIVERSITY OF SOUTHERN CALIFORNIA (USC) THROUGH ITS UNINCORPORATED DIVISIONS KNOWN AS KECK HOSPITAL OF USC (KECK) AND USC NORRIS CANCER HOSPITAL (NORRIS). ACCORDINGLY, THE ORGANIZATION DID NOT HAVE PROGRAM SERVICE ACCOMPLISHMENTS IN TY2019. USC SUBSEQUENTLY TRANSFERRED KECK AND NORRIS HOSPITAL OPERATIONS TO THE ORGANIZATION AFTER THE CLOSE OF THE TAX YEAR. KECK IS A TERTIARY, QUATERNARY CARE HOSPITAL THAT PROVIDES CARE TO THE MOST ACUTELY ILL PATIENTS. ITS SPECIALTIES INCLUDE HEAD AND NECK ONCOLOGY, INPATIENT REHABILITATION, AND KIDNEY TRANSPLANT SERVICES, AMONG OTHERS. ITS INTERNATIONALLY RENOWNED PHYSICIANS CARE FOR PATIENTS, AND TEACH AND CONDUCT RESEARCH AT THE KECK SCHOOL OF MEDICINE OF USC, THE REGION'S FIRST MEDICAL SCHOOL. KECK PROVIDES INNOVATIVE CARE FOR COMPLEX MEDICAL AND SURGICAL ISSUES. HIGHLY TRAINED SPECIALISTS IN EACH AREA PROVIDE EVERY PATIENT WITH AN INDIVIDUALIZED, YET EXTENSIVE CARE PLAN. HUNDREDS OF CLINICAL TRIALS ARE CURRENTLY TAKING PLACE AT KECK AND ITS AFFILIATED RESEARCH INSTITUTIONS, GIVING PARTICIPANTS ACCESS TO NOVEL AND PROMISING THERAPIES THAT GENERALLY ARE NOT AVAILABLE ELSEWHERE. NORRIS IS ONE OF THE NATION'S FIFTY-ONE COMPREHENSIVE CANCER CENTERS, DEDICATED TO THE RESEARCH AND DEVELOPMENT OF APPROACHES TO THE PREVENTION, DIAGNOSIS, AND TREATMENT OF CANCER. IT IS ONE OF THE EIGHT ORIGINAL COMPREHENSIVE CANCER CENTERS DESIGNATED BY THE NATIONAL CANCER INSTITUTE AND HAS A MISSION TO TRANSLATE SCIENTIFIC DISCOVERIES INTO INNOVATIVE THERAPIES FOR ITS PATIENTS. NORRIS'S RESEARCH BREAKTHROUGHS HAVE LED THE WAY TO A GREATER UNDERSTANDING OF THE UNDERLYING CAUSES OF CANCER AND NEW METHODS OF PREVENTION, DETECTION AND TREATMENT. NORRIS FOCUSES ON THIRTEEN KEY AREAS OF CANCER TREATMENT: BREAST CANCER, GASTROINTESTINAL CANCER, GENETIC COUNSELING, GYNECOLOGICAL CANCERS, HEAD AND NECK CANCERS, HEMATOLOGY, LUNG CANCER, MELANOMA, NEURO-ONCOLOGY, RADIATION ONCOLOGY, SARCOMA, SKIN CANCER AND UROLOGIC ONCOLOGY. USING A MULTIDISCIPLINARY TEAM APPROACH, THE MORE THAN 250 DEDICATED PHYSICIANS AND SCIENTISTS OF NORRIS TREAT AND PREVENT CANCER BY DEVELOPING NEW THERAPIES, ENHANCING EXISTING PROTOCOLS AND PROVIDING PERSONALIZED, PRECISION CARE THAT IS THE MOST ADVANCED AVAILABLE. AS AN INTEGRAL PART OF A UNIVERSITY-BASED MEDICAL CENTER, NORRIS OFFERS ACCESS TO HUNDREDS OF INNOVATIVE CLINICAL TRIALS AND EXTENSIVE PATIENT EDUCATION, EMPOWERING PATIENTS TO TAKE AN ACTIVE ROLE IN THEIR HEALTH CARE. |
| FORM 990-EZ, PART V, LINE 44B | THE ORGANIZATION WAS ESTABLISHED ON JUNE 24, 2020 TO OPERATE ONE OR MORE NONPROFIT HOSPITALS, INCLUDING KECK HOSPITAL OF USC AND USC NORRIS CANCER HOSPITAL. FOR THE TAX YEAR BEGINNING JUNE 24, 2020 AND ENDING JUNE 30, 2020 (TY2019) OPERATIONS TO BE UNDERTAKEN BY THE ORGANIZATION WERE CARRIED OUT BY THE UNIVERSITY OF SOUTHERN CALIFORNIA (USC) THROUGH ITS UNINCORPORATED DIVISIONS KNOWN AS KECK HOSPITAL OF USC (KECK) AND USC NORRIS CANCER HOSPITAL (NORRIS) THROUGH JUNE 30, 2020. USC SUBSEQUENTLY TRANSFERRED KECK AND NORRIS HOSPITAL OPERATIONS TO THE ORGANIZATION AFTER THE CLOSE OF THE TAX YEAR. BECAUSE THE ORGANIZATION DID NOT OPERATE A HOSPITAL FACILITY DURING TY2019, THE ORGANIZATION IS NOT REQUIRED TO COMPLETE SCHEDULE H FOR TY2019. |
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