2021-05-08T23:02:13-05:00 2020-06-30 470617373 CommonSpirit Health 198 Inverness Drive West Englewood CO 80112 990 2019-07-01 953625651 Glendale Memorial Health Foundation GLEN 8185021900 1420 SOUTH CENTRAL AVENUE GLENDALE CA 91204 Kora Guoyavatin CFO 2021-05-08 true MARK STOCKI P00642127 3032989100 2021-05-07 2019 2022-09-23 18:48:47Z Kora Guoyavatin 1420 SOUTH CENTRAL AVENUE GLENDALE CA 91204 8209465 false X WWW.DIGNITYHEALTH.ORG X 1981 CA TO PROVIDE FINANCIAL ASSISTANCE AND SUPPORTING SERVICES FOR DIGNITY COMMUNITY CARE (DBA: GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER). 18 14 0 19 0 0 1755605 1862064 0 0 246731 214759 -84217 -42954 1918119 2033869 849093 1977132 0 0 0 0 91517 13059 94994 892046 650782 1832656 2640973 85463 -607104 7578784 7550165 177131 1221546 7401653 6328619 PROVIDE DIRECT SERVICES TO THE POOR AND ADVOCATE ON THEIR BEHALF AND CREATE PARTNERSHIPS THAT IMPROVE COMMUNITY HEALTH. false false 1977132 1977132 0 THE FOUNDATION IS AN IRC SEC 509(A)(3), TYPE 1, SUPPORTING ORGANIZATION TO DIGNITY COMMUNITY CARE, DBA GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER. AS A SUPPORTING ORGANIZATION, THE FOUNDATION OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTION OF, OR TO CARRY OUT THE PURPOSES OF THE SUPPORTED ORGANIZATION WHICH INCLUDES MAKING PAYMENTS DIRECTLY TO THE BENEFICIARY ORGANIZATION. 1977132 true true false false false false false false true false true false false true true false true false false false false false false true false false true false true false false false false false false false false true true false false false true false false true X 0 0 0 false false false false false true true false false false false false false X 18 14 false false false false true true true true true false false true true true true true true false false false CA X Randy Bradley 6023072546 3033 N 3rd Avenue Phoenix AZ 85013 George William Ott III Vice - Chair 2.0 0 X X 0 0 0 Joseph Daniel Murphy Interim Vice President of Philanthropy 50.0 0.0 X X 0 325295 61421 Kathleen Dennis-Zarate MD Vice-Chair 2.0 0 X X 0 0 0 Kora Guoyavatin Director/CFO 10.0 40.0 X X 0 335068 47516 Markus Mettler Secretary 1.0 0 X X 0 0 0 Santo Polito MD Chair of the Board 2.0 0.0 X X 0 0 0 Craig Farestveit Director 1.0 0 X 0 0 0 David E Rogers MD Director 1.0 20.0 X 0 107620 0 David Kim JD Director 1.0 0 X 0 0 0 Douglas W Kawamura Director 1.0 0 X 0 0 0 Edgar Mehdikhani MD Director 1.0 0 X 0 0 0 Jill Welton BSN MSN Director 1.0 50.0 X 0 735068 106518 Liviu Chindris MD Director 1.0 0 X 0 0 0 Raana Hasnat Director 1.0 0 X 0 0 0 Rob Mikitarian Director 1.0 0 X 0 0 0 Sevag Balikian MD Director 1.0 0 X 0 0 0 Tim Lewis Director 1.0 0 X 0 0 0 Zara Ashikyan PhD QME Director 1.0 0 X 0 0 0 Rebecca Cheng Former officer 0.0 50.0 X 0 429189 58244 0 1932240 273699 0 true true false 0 158248 766603 335 936878 407889 1862064 0 0 0 0 0 54678 54678 0 0 6203443 6043362 160081 0 160081 160081 88530 158248 132234 -43704 -43704 750 750 750 0 0 0 0 0 2033869 0 0 171805 X 1977132 1977132 3063 3063 13059 13059 14906 14906 593409 0 517994 75415 7800 4063 3737 15133 10571 4562 4083 4075 8 495 495 Dues and subscriptions 1391 0 1391 0 Annuity Trust 6400 0 7554 -1154 Food 1100 0 1298 -198 licenses and taxes 590 0 590 0 2412 0 2847 -435 2640973 1977132 568847 94994 21930 378464 2123838 2019897 0 0 0 0 0 2840164 2238474 2588943 2913330 0 3909 0 7578784 7550165 94139 1134235 0 80000 80000 2992 7311 177131 1221546 X 364114 -54304 7037539 6382923 7401653 6328619 7578784 7550165 X -607104 -179869 -286061 X false true X true false X X X 1 DIGNITY COMMUNITY CARE (DBA GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER) 815009488 3 true 1606126 1034847 1 1606126 1034847 true false false false false false false false false false false false false false false true false Schedule A, Part I, Line 12g amount of support THE FOUNDATION PROVIDED OR PURCHASED FOR THE BENEFIT OF DIGNITY COMMUNITY CARE DBA GLENDALE MEMORIAL HOSPITAL, VARIOUS SERVICES, FACILITIES AND GOODS. SEE FORM 990, PART IX FOR FURTHER DETAILS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2318568 -150238 31479 5711 2194098 2165137 8748 199034 54351 2318568 2022716 57777 203661 119017 2165137 1783538 11395 265339 37556 2022716 1794736 57682 271318 340198 1783538 0.0 0.65 0.35 false false Pooled Investments 2913330 F 2913330 Due to Related Parties 7311 7311 X Schedule D, Part V, Line 4 Intended uses of endowment funds ENDOWMENT FUNDS ARE USED TO SUPPORT THE VARIOUS HOSPITAL PROGRAMS SUCH AS EYE DISEASE MANAGEMENT, RESPIRATORY CARE, PHARMACY EDUCATION AND CARDIAC NURSING SCHOLARSHIP PROGRAMS. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE ORGANIZATION REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. Wine & Roses Gala 223283 143360 79923 0 28353 43742 450 7500 26966 Charity Golf 20030 13431 6599 0 0 0 558 0 24665 3 3465 1457 2008 246778 158248 88530 0 28353 43742 1008 7500 51631 132234 -43704 true Dignity Community Care dba Glendale Memorial Hospital and Healthcare Center 1420 S Central Avenue GLENDALE CA 91204 815009488 501(c)(3) 1606126 371006 Book bibles/flowers/toy/food/apparel HOSPITAL SUPPORT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. AS A SEC. 509(A)(3) SUPPORTING ORGANIZATION, THE FOUNDATION OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF THE GRANTEE LISTED IN PART II, ITEM 1 DIGNITY COMMUNITY CARE (DBA GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER) WHICH INCLUDE MAKING PAYMENTS DIRECTLY TO THE BENEFICIARY ORGANIZATION, TRANSFERRING AND MONITORING THAT RESTRICTIONS ARE MET BEFORE RELEASE OF FUNDS AND EXPENDITURE OF SUCH FUNDS. false false false false false false false false false Kora Guoyavatin Director/CFO 0 259840 0 74988 0 240 0 38011 0 9505 0 382584 0 0 Joseph Daniel Murphy Interim Vice President of Philanthropy 0 249815 0 59376 0 16104 0 35794 0 25627 0 386716 0 0 Jill Welton BSN MSN Director 0 398705 0 305278 0 31085 0 70668 0 35851 0 841586 0 0 Rebecca Cheng Former officer 0 321969 0 90493 0 16727 0 45042 0 13202 0 487433 0 0 Schedule J, Part I, Line 3 compensation of top management THE ORGANIZATION RELIED ON A RELATED ORGANIZATION, DIGNITY HEALTH, THAT USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3, TO ESTABLISH THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION. Schedule J, Part I, Line 4a Health severance plan CERTAIN LISTED PERSONS PARTICIPATE IN DIGNITY HEALTH'S SEVERANCE PLAN THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 6 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE PLAN. NO PAYMENTS WERE MADE TO ANY LISTED PERSONS DURING 2019 PURSUANT TO THIS PLAN. Schedule J, Part II SUPPLEMENTAL DISCLOSURES THE ORGANIZATION DOES NOT EMPLOY ANY PERSONNEL, HOWEVER, THE SUPPORTED ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES IT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND IT'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2019. X 3 1285 Other - Comparable Sale X 330 Market value X 2351 Market value X 1 150 Other - Comparable Sale X 33244 294940 Other - Comparable Sale X Gift Certificates/Tickets (Entertainment) 20 11299 Other - Comparable Sale X Food and Wine 2590 69481 Other - Comparable Sale X Electronics 1 110 Other - Comparable Sale X Toys 189 3980 Other - Comparable Sale X FLOWERS 9 3963 Other - Comparable Sale X gas 1 10000 Other - comparable sale X golf package 1 400 Other - comparable sale X vacation packages 2 9500 Other - comparable sale X gift basket 1 100 Other - comparable sale 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Art - Works of art - THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Collectibles - THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. Drugs and medical supplies - THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Other - Gift Certificates/Tickets (Entertainment) THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Other - Food and Wine THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Other - Electronics THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Other - Toys THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. Other - FLOWERS THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Other - gas THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Other - golf package THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Other - vacation packages THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Other - gift basket THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Form 990, Part V, Line 2a number of employees THE ORGANIZATION DOES NOT HAVE EMPLOYEES. AS A SUPPORTING ORGANIZATION, THE FOUNDATION OPERATES FOR THE BENEFIT OF THE HOSPITAL AND UTILIZES THE EMPLOYEES OF THAT HOSPITAL. THE PROPORTIONATE SALARIES AND BENEFITS FOR THESE INDIVIDUALS ARE ALLOCATED TO THE FOUNDATION. THE SALARIES OF THESE EMPLOYEES ARE INCLUDED IN THE HOSPITAL ENTITY'S FORM W-3 AND FEDERAL EMPLOYMENT TAX RETURNS. Form 990, Part VI, Line 15 process to determine compensation FOR 2019 COMPENSATION, COMPENSATION LEVELS FOR THE FOUNDATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS WERE ESTABLISHED AFTER UTILIZING COMPARABLE MARKET DATA FOR ORGANIZATIONAL SIZE, PRESENCE, AND DEMONSTRATED PAST PERFORMANCE IN SAID POSITION. THE RELATED ORGANIZATION, COMMONSPIRIT HEALTH'S BOARD OF STEWARDSHIP TRUSTEES, APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE, COMPRISED OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR SETTING REASONABLE COMPENSATION PACKAGES FOR THE TOP MANAGEMENT OFFICIALS. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR OFFICERS AND KEY EXECUTIVES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES OUTSIDE LEGAL COUNSEL AS NECESSARY AND QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED FROM THE INDEPENDENT EXPERTS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). KEY DELIBERATIONS OF THE COMMITTEE ARE DOCUMENTED IN MEETING MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING AND PROVIDED TO THE BOARD OF DIRECTORS. THE DOCUMENTATION OF THE DELIBERATIONS INCLUDES (A) THE TERMS OF THE AGREEMENT APPROVED AND THE DATE APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DISCUSSION OF THE APPROVED AGREEMENT AND THOSE WHO VOTED ON IT; AND (C) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMMITTEE AND HOW THE DATA WAS OBTAINED. Form 990, Part VI, Line 6 Classes of members or stockholders EFFECTIVE FEBRUARY 1, 2019, THE ORGANIZATION'S SOLE CORPORATE MEMBER IS DIGNITY COMMUNITY CARE, A 501(C)(3) EXEMPT ORGANIZATION. ON FEBRUARY 1, 2019, DIGNITY HEALTH AND CATHOLIC HEALTH INITIATIVES ("CHI"), A COLORADO NONPROFIT CORPORATION, EFFECTED A BUSINESS COMBINATION. ON THAT DATE, CHI CHANGED ITS NAME TO COMMONSPIRIT HEALTH AND BECAME THE SOLE CORPORATE MEMBER OF DIGNITY HEALTH. COMMONSPIRIT HEALTH IS A CATHOLIC HEALTHCARE SYSTEM SPONSORED BY THE PUBLIC JURIDIC PERSON, CATHOLIC HEALTH CARE FEDERATION (CHCF"). AS PART OF THE ALIGNMENT, ON THE EFFECTIVE DATE OF FEBRUARY 1, 2019, DIGNITY HEALTH CAUSED TO TRANSFER NON-CATHOLIC OWNED COMMUNITY HOSPITALS, NON-CATHOLIC SUBSIDIARY HOSPITALS, AND CERTAIN OTHER NON-CATHOLIC OPERATIONS TO DIGNITY COMMUNITY CARE, A COLORADO NONPROFIT CORPORATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body DIGNITY COMMUNITY CARE, AS THE SOLE CORPORATE MEMBER, RATIFIES THE SELECTION OF MEMBERS AND THE DIGNITY COMMUNITY CARE BOARD APPROVES NEW BOARD MEMBERS OF THE FOUNDATION. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE FOUNDATION IS SUBJECT TO THE GOVERNANCE REQUIREMENTS OF THE COMMONSPIRIT HEALTH GOVERNANCE MATRIX. THUS, MANY KEY DECISIONS ADDRESSED IN THE BYLAWS REQUIRE THE FOUNDATION TO ACT BY MAKING A "RECOMMENDATION," WHICH IS THEN FORMALLY ACTED ON BY THE DIGNITY COMMUNITY CARE BOARD. EXAMPLES INCLUDE AMENDING CORPORATE DOCUMENTS, APPROVING MEMBERS OF GOVERNING BOARD, APPROVING REMOVAL OF MEMBERS OF GOVERNING BOARD, APPROVAL OF DISSOLUTION AND SELLING OR DISPOSING OF ASSETS. RESERVED RIGHTS OF THE CORPORATE MEMBER INCLUDE ADOPTION OF MISSION AND PHILOSOPHY STATEMENTS, AMENDMENT OR RESTATEMENT OF ARTICLES OF INCORPORATION AND BYLAWS, DISSOLUTION OF THE CORPORATION, ACQUISITION OF ANOTHER CORPORATION, CREATION OF A NEW SUBSIDIARY, MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION, PARTICIPATION AS A GENERAL OR LIMITED PARTNER IN ANY VENTURE, INCURRING LONG-TERM INDEBTEDNESS IN EXCESS OF NORMAL OPERATING REQUIREMENTS, RATIFICATION OF BOARD MEMBER APPOINTMENTS AND DISMISSALS, SELECTION AND REMOVAL OF INDEPENDENT AUDITORS, AND TRANSACTIONS OUTSIDE THE ORDINARY COURSE OF BUSINESS. Form 990, Part VI, Line 11b Review of form 990 by governing body THE BOARD OF DIRECTORS DELEGATED THE REVIEW OF THE FORM 990 TO THE HOSPITAL CFO. THE RETURN WAS REVIEWED BY THE CFO AND THE RELATED ORGANIZATION'S TAX DEPARTMENT TO PREPARE AND REVIEW THE RETURN. THE CFO REVIEWED ALL SECTIONS OF THE FINAL DRAFT OF THE FORM 990 PRIOR TO ISSUANCE AND REPORTED BACK TO THE BOARD REGARDING THE FORM 990. A COMPLETE COPY OF THE FINAL DRAFT WAS PROVIDED TO THE ENTIRE VOTING BOARD BEFORE THE RETURN WAS FILED. Form 990, Part VI, Line 12c Conflict of interest policy THE FOUNDATION HAS ADOPTED DIGNITY HEALTH'S CONFLICTS OF INTEREST POLICY. DURING THE PERIOD JULY 1, 2019 - JUNE 30, 2020, DIGNITY HEALTH WAS SUBJECT TO WRITTEN CONFLICT OF INTEREST POLICIES (THE "COI POLICIES."). THESE POLICIES, PROVIDE FOR THE DISCLOSURE AND SUBSEQUENT REVIEW AND MANAGEMENT OF CONFLICTS OF INTEREST THAT MAY EXIST FOR MEMBERS OF DIGNITY HEALTH'S GOVERNING BODIES, INCLUDING ITS BOARD OF DIRECTORS AND BOARD COMMITTEES, AS WELL AS DIGNITY HEALTH'S OFFICERS AND EXECUTIVE LEADERS, KEY EMPLOYEES, MANAGEMENT PERSONNEL AT THE VICE PRESIDENT LEVEL AND ABOVE, AND ANY OTHER DESIGNATED PERSONNEL ("COVERED PERSONS"). ALL COVERED PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS ARISING FROM THE BUSINESS, OWNERSHIP, FINANCIAL AND PERSONAL INTERESTS HELD BY SUCH COVERED PERSONS OR THEIR FAMILY MEMBERS. COVERED PERSONS ARE REQUIRED TO DISCLOSE TO THEIR SUPERVISORS OR RELEVANT DECISION MAKERS ANY INTEREST THAT MAY PRESENT A CONFLICT OF INTEREST, OR THE APPEARANCE OF A CONFLICT OF INTEREST. SUCH DISCLOSURE IS REQUIRED ON A TRANSACTIONAL BASIS AT THE TIME SUCH CONFLICTS ARISE, WHEN AN INDIVIDUAL BECOMES A COVERED PERSON (E.G. UPON HIRING OR UPON PROMOTION), AND ANNUALLY THEREAFTER. AS PART OF THE ANNUAL DISCLOSURE SURVEY CONDUCTED PURSUANT TO THE COI POLICIES, EACH COVERED PERSON IS REQUIRED TO CERTIFY THAT HE/SHE: (1) HAS RECEIVED A COPY OF THE COI POLICY OR COI POLICIES APPLICABLE TO HIS/HER POSITION; (2) HAS READ THE COI POLICY AND UNDERSTANDS SAID POLICY; AND (3) AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE COI POLICY, INCLUDING COMPLETING THE CONFLICTS OF INTEREST DISCLOSURE SURVEY AS REQUIRED BY THE COI POLICIES. THE INFORMATION FROM THE ANNUAL DISCLOSURE SURVEY IS USED TO MONITOR AND MANAGE DISCLOSED CONFLICTS OF INTEREST AND ASSURE DECISIONS ARE MADE IN THE ORGANIZATION'S BEST INTERESTS. THE PROCEDURES FOR ADDRESSING A CONFLICT OF INTEREST RELATED TO A PROPOSED TRANSACTION IN THE CASE OF GOVERNING BODIES REQUIRE THAT THE BOARD SHALL CAREFULLY SCRUTINIZE AND MUST IN GOOD FAITH EITHER APPROVE OR DISAPPROVE ANY TRANSACTION IN WHICH DIGNITY HEALTH OR A DIGNITY HEALTH ENTITY IS A PARTY AND IN WHICH THE DIRECTOR EITHER: HAS A MATERIAL FINANCIAL INTEREST OR IS A DIRECTOR OR CORPORATE OFFICER OF THE OTHER PARTY (OTHER THAN A DIGNITY HEALTH-AFFILIATED ORGANIZATION). THE BOARD MUST APPROVE THE TRANSACTION BY MAJORITY OF THE DIRECTORS ON THE BOARD, WITHOUT COUNTING THE VOTE OF ANY INDIVIDUAL WHO HAS AN INTEREST IN THE TRANSACTION. IN REVIEWING SUCH TRANSACTIONS BETWEEN DIGNITY HEALTH OR DIGNITY HEALTH ENTITIES AND VENDORS OR OTHER CONTRACTORS WHO ARE, OR ARE AFFILIATED WITH, DIRECTORS, THE BOARD SHALL ACT NO MORE OR LESS FAVORABLY THAN IT WOULD IN REVIEWING TRANSACTIONS WITH UNRELATED THIRD PARTIES. THE TRANSACTION WILL NOT BE APPROVED UNLESS THE BOARD DETERMINES THAT THE TRANSACTION IS FAIR TO DIGNITY HEALTH OR THE DIGNITY HEALTH ENTITY. Form 990, Part VI, Line 19 Required documents available to the public FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION IS INCLUDED IN COMMONSPIRITS HEALTHS' CONSOLIDATED FINANCIAL STATEMENTS WHICH ARE AVAILABLE ON BOTH COMMONSPIRIT HEALTH'S AND DIGNITY HEALTH'S WEBSITES AND UPON REQUEST. Form 990, Part VII, Section A compensation THE ORGANIZATION DOES NOT COMPENSATE D E ROGERS, MD, J WELTON, J D MURPHY, K GUOYAVATIN AND R CHENG FOR THEIR SERVICES AS BOARD MEMBERS OR OFFICERS. THE COMPENSATION REPORTED REPRESENT COMPENSATION AS EMPLOYEES OF THE SUPPORTED ORGANIZATION. Form 990, Part IX, Line 11g Other Fees Admin Services - Total Expense: 582496, Program Service Expense: , Management and General Expenses: 508468, Fundraising Expenses: 74028; Catering - Total Expense: 1770, Program Service Expense: , Management and General Expenses: 1545, Fundraising Expenses: 225; Professional Fees - Total Expense: 8878, Program Service Expense: , Management and General Expenses: 7750, Fundraising Expenses: 1128; Other Purchased Services - Total Expense: 265, Program Service Expense: , Management and General Expenses: 231, Fundraising Expenses: 34; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS - -102570; ADJUSTMENT TO PY PLEDGE WRITE-OFFS - -183491; Form 990, Part XII, Line 2c no changes to oversight THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HOSPITAL NE 501(c)(3) 3 ACH false ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HOSPITAL IA 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH-COMMUNITY MEMORIAL HOSP OF MISSOURI VALLEY IA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HOSPITAL IA 501(c)(3) 3 CHI NEBRASKA false ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 Long-TERM CARE MN 501(c)(3) 10 CSH false APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(c)(3) 10 SFH false Arroyo Grande Community Hospital Foundation 345 S Halcyon Rd Arroyo Grande CA 93420 203256066 FUNDRAISING FOUNDATION CA 501(c)(3) Type I Dignity Health false Bakersfield Memorial Hospital 420 34TH Street Bakersfield CA 93301 951802779 HOSPITAL CA 501(c)(3) 3 Dignity Community Care false Barrow Foundation UK 13 CHURCH STREET Nunney ENGLAND UK BA114LW 311724184 Fundraising Foundation 501(c)(3) Type III-O NA false Barrow Neurological Foundation 350 West Thomas Road Phoenix AZ 85013 860174371 Fundraising Foundation AZ 501(c)(3) 7 Dignity Health false BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS TX 77384 274499340 PHYSICIANS TX 501(c)(3) Type I SLCHS false BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(c)(3) 3 SLHS false BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232187242 HEALTHCARE PA 501(c)(3) Type I CSH false BRAZOSPORT HEALTH FOUNDATION INC 1 West Way Ct LAKE JACKSON TX 77566 760080110 FUNDRAISING FOUNDATION TX 501(c)(3) Type I BRHS false BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON TX 77566 800240261 PHYSICIANS TX 501(c)(3) 3 BRHS false BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HOSPITAL TX 501(c)(3) 3 SJSC false BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 HEALTHCARE TX 501(c)(3) 10 SJSC false California Hospital Medical Center Foundation 1401 South Grand Avenue Los Angeles CA 90015 954000909 FUNDRAISING FOUNDATION CA 501(c)(3) Type I Dignity Community Care false CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HOSPITAL ND 501(c)(3) 3 CSH false CATHOLIC HEALTH INITIATIVES - COLORADO 9100 East Mineral Circle Centennial CO 80112 840405257 HOSPITAL CO 501(c)(3) 3 CSH false CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVE DES MOINES IA 50314 420680448 HOSPITAL IA 501(c)(3) 3 CSH false CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS CO 80920 840902211 FUNDRAISING FOUNDATION CO 501(c)(3) 7 CHIC false CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS CO 80920 270930004 HEALTHCARE CO 501(c)(3) Type I CSH false CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 PHYSICIANS CO 501(c)(3) Type I CHINS false CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 SURGERY CENTER OR 501(c)(3) 10 MMC false CENTRAL CALIFORNIA HEALTH CENTERS 300 OLD RIVER ROAD STE 200 BAKERSFIELD CA 93311 844171789 CLINIC CA 501(c)(3) 3 Dignity Community Care false CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 480543724 HOSPITAL KS 501(c)(3) 3 CSH false CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 HOME HEALTH MN 501(c)(3) 10 CSH false CHI HEALTH FOUNDATION 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95065 942450442 FUNDRAISING FOUNDATION CA 501(c)(3) Type I Dignity Health false Dominican Oaks Corporation 1555 Soquel Drive Santa Cruz CA 95065 770127719 Operation and management of housing complex to elderly persons CA 501(c)(3) 10 DHS false East Texas Clinical Services 2801 VIA FORTUNA SUITE 500 AUSTIN TX 78746 454736213 HEALTHCARE TX 501(c)(3) Type I SLHS false ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1455 BATTERSBY AVE ENUMCLAW WA 98022 910715805 HOSPITAL WA 501(c)(3) 3 FHS false FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 HOSPITAL KY 501(c)(3) 3 KOH false FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 562351341 FUNDRAISING FOUNDATION KY 501(c)(3) Type I FH false FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 341931806 HEALTHCARE OH 501(c)(3) 10 CHILC false FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA WA 98405 911145592 FUNDRAISING FOUNDATION WA 501(c)(3) 10 FHS false FRANCISCAN HEALTH SYSTEM 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