2021-05-05T12:03:13-05:00 2020-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2019-07-01 942941245 St Joseph's Foundation STJO 6024061038 124 WEST THOMAS ROAD SUITE 250 PHOENIX AZ 85013 Jeffrey Jackson CFO 2021-05-05 true MARK STOCKI P00642127 3032989100 2021-05-04 2019 2022-09-23 18:48:47Z X JEFFREY JACKSON 350 WEST THOMAS RD PHOENIX AZ 85013 11569055 false X WWW.SUPPORTSTJOSEPHS.ORG X 1981 AZ TO FUND THE WORK OF DIGNITY HEALTH, DBA ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, A NONPROFIT PUBLIC BENEFIT CORPORATION, A CHARITABLE ORGANIZATION AS DESCRIBED IN SECT 501(C)(3). 24 21 0 30 0 0 5623808 5243017 0 0 3891845 2141633 -97123 -67072 9418530 7317578 14425426 5268780 0 0 0 0 5000 22000 292863 1786165 1920017 16216591 7210797 -6798061 106781 87092362 87506771 1455959 1847404 85636403 85659367 TO RAISE FUNDS AND PROVIDE SUPPORT SERVICES FOR PATIENT CARE, MEDICAL EDUCATION, COMMUNITY OUTREACH, RESEARCH, AND CARE FOR THOSE IN NEED AT DIGNITY HEALTH, DBA ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER. false false 5268780 5268780 0 THE FOUNDATION IS AN IRC SEC 509(A)(3) SUPPORTING ORGANIZATION TO DIGNITY HEALTH, DBA ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER ("HOSPITAL"). AS A SUPPORTING ORGANIZATION, THE FOUNDATION OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF THE HOSPITAL WHICH INCLUDE MAKING PAYMENTS DIRECTLY TO THE HOSPITAL. 5268780 true true false true false false false false true false true false false true true true true false false true false false true true true false true false true false false false false false false false false true true false false false true true false false false true X 0 0 0 false true CJ false false false true true false false false false false false X 24 21 true false false false true true true true true false false false true true true true true false false false X RANDY BRADLEY 6023072546 3033 NORTH 3RD AVENUE Phoenix AZ 85013 Kathleen Graham Vice Chair 0.3 0 X X 0 0 0 Kim Sterling-Heflin Grants Chair 0.3 0 X X 0 0 0 Michael O'Connor Chair 0.3 0 X X 0 0 0 Roger Stevenson Secretary/Treasurer 0.3 0 X X 0 0 0 Saundra Schrock Treasurer 0.3 0 X X 0 0 0 Terri Hoffman Ex-officio/ Foundation CEO 40.0 10.0 X X 0 260324 49565 Anne Burns MD Director 0.3 5.0 X 0 4800 0 Cullen Maxey Director 0.3 0 X 0 0 0 David McCaleb Director 0.3 0 X 0 0 0 David Zowine Director 0.3 0 X 0 0 0 Dennis Mullen Director 0.3 0 X 0 0 0 Earl Petznick Jr Director 0.3 0 X 0 0 0 Gabrielle Finley-Hazle Ex-officio Board Member 2.5 50.0 X 0 0 0 Greg Valladao Director 0.3 0 X 0 0 0 Jaime Northam Director 0.3 0 X 0 0 0 Jennifer Davis Lunt Director 0.3 0 X 0 0 0 John Anton Director 0.3 0 X 0 0 0 L Jane Wilbershide Director 0.3 0 X 0 0 0 Ollie J Harper MD Director 0.3 0 X 0 0 0 Ralph Drosten MD Director 0.3 50.0 X 0 635902 92139 Richard Burnham Director 0.3 0 X 0 0 0 Ross Bremner MD Ex-officio Director 0.3 50.0 X 0 1052431 131167 Shelby Butterfield Director 0.3 0 X 0 0 0 Thomas Batson Director 0.3 0 X 0 0 0 Victor Casebolt Director 0.3 0 X 0 0 0 Jeffrey Jackson CFO (VP-CFO SJHMC) 2.5 50.0 X 0 354923 57274 0 2308381 330145 0 false true false 0 270436 1876162 11200 3085219 302323 5243017 0 0 0 0 0 1904481 1904481 0 0 4382227 4145075 237152 0 237152 237152 18040 270436 106402 -88362 -88362 21290 21290 21290 0 0 0 0 0 7317578 0 0 2074561 X 5268780 5268780 15000 15000 25 25 22000 22000 162991 162991 1469990 0 1364184 105806 37114 6366 30748 48109 19821 28288 3649 3649 58655 58655 13785 5135 8650 7330 4028 3302 Dues and Subscriptions 5525 5463 62 Donor Cultivation/Recognition 6585 6585 Food costs 4272 769 3503 Mailing 2745 1345 1400 84242 0 1748 82494 7210797 5268780 1649154 292863 580729 1778698 2902338 3297777 0 0 7625 0 0 0 0 67830556 61775880 15488000 20517000 0 283114 137416 87092362 87506771 96929 102059 1087779 1518951 0 271251 226394 1455959 1847404 40817911 41945232 44818492 43714135 85636403 85659367 87092362 87506771 X 106781 -58359 -25458 X false true X true false X X X 1 DIGNITY HEALTH (DBA ST JOSEPH'S HOSPITAL & MEDICAL CTR) 941196203 3 true 4999367 2211430 1 4999367 2211430 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 HEALTH DBA ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, VARIOUS SERVICES, FACILITIES AND GOODS. SEE FORM 990, PART IX FOR FURTHER DETAILS RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 25 25 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING PORTION FOR ANNUAL MEMBERSHIP DUES: ASSOCIATION OF FUNDRAISING PROFESSIONALS; $25 34712100 1043822 626361 1003407 35378876 36260016 1864967 781958 586129 3608712 34712100 29481258 1153316 5942726 317284 36260016 26464788 1003225 2828936 815691 29481258 26770922 1041007 -529101 818040 26464788 0.5 0.4 0.1 false false Pooled Investments 20517000 F 20517000 Other non-current liabilities 158958 Due to related parties 67436 226394 X 7173553 -58359 0 -58359 7231912 178406 -92740 85666 7317578 7150587 0 0 7150587 178406 -118196 60210 7210797 Schedule D, Part V, Line 4 Intended uses of endowment funds ENDOWMENT FUNDS ARE USED TO SUPPORT THE HOSPITAL BUILDING PROJECTS, COMMUNITY CLINICS, RESEARCH, MEDICAL EDUCATION AND OTHER VARIOUS OUTREACH HOSPITAL PROGRAMS. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE FILING ORGANIZATION REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements GIFT IN KIND EXPENSE - -1400 SPECIAL EVENT EXPENSES - -106402 GIFTS IN KIND excluded for tax purposes - -2909 SPLIT INTEREST - 9670 OTHER - 8301 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements Transfers excluded for tax purposes - -11794 special event expenses - -106402 Central America and the Caribbean 0 0 Investments N/A 350280 0 0 0 0 0 0 350280 0 350280 false false false false false false Schedule F, Part I, Line 3 ACCURAL METHOD THE ORGANIZATION USES THE ACCRUAL METHOD OF ACCOUNTING TO DETERMINE THE AMOUNTS IN SCHEDULE F, PART I, LINE 3, COLUMN (F). X X X X X X X true Perry Consulting 12280 W Indian School Road 163 Litchfield Park AZ 85340 Event Planning false 6000 -6000 THE GIVING COLLABORATIVE 53 MORGAN AVE EAST HAVE CT 06512 CONSULTANT false 16000 -16000 0 22000 -22000 AZ Signature Event 2019 288476 270436 18040 0 0 10513 58257 0 37632 Golf tournament - cancelled 0 0 0 0 0 0 0 0 0 0 288476 270436 18040 0 0 10513 58257 0 37632 106402 -88362 0 0 0 0 0 false 0 0 0 0 0 false 21290 0 0 0 0 false 21290 0 0 0 0 0 21290 AZ false No License required as a not for profit organization. The foundation is not required to register their raffle with the Arizona Attorney General's office since they meet the following exceptions: No insider receives a direct or indirect pecuniary benefit other than participation on an equal basis with all other participants, and no person directly or indirectly in the management, sale, or operation of the raffle other than the non profit's employees and agents. false false false 1.0 0.0 Terri Hoffman 124 WEST THOMAS ROAD Suite 250 PHOENIX AZ 85013 false Terri Hoffman President and Chief Philanthropy Officer 0 Supervise gaming activities, recordkeeping, and hiring and firing of workers. X false 0 true Dignity Health dba St Joseph's Hospital and Medical Center 350 W Thomas Road Phoenix AZ 85013 941196203 501(c)(3) 4999367 269412 FMV COVID supplies and food Hospital Support 1 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 HEALTH DBA ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER), WHICH INCLUDES MAKING PAYMENTS DIRECTLY TO THE BENEFICIARY ORGANIZATION, TRANSFERRING AND MONITORING THAT RESTRICTIONS ARE MET BEFORE RELEASE OF FUNDS AND EXPENDITURE OF SUCH FUNDS. false true false false false false false false false Terri Hoffman Ex-officio/ Foundation CEO 0 213127 0 44575 0 2622 0 31439 0 18127 0 309890 0 0 Ross Bremner MD Ex-officio Director 0 643992 0 384933 0 23507 0 99946 0 31221 0 1183599 0 18605 Ralph Drosten MD Director 0 433977 0 189122 0 12802 0 64014 0 28125 0 728040 0 10668 Jeffrey Jackson CFO (VP-CFO SJHMC) 0 296004 0 56297 0 2622 0 39768 0 17506 0 412197 0 0 Schedule J, Part III SUPPLEMENTAL DISCLOSURES THE ORGANIZATION DOES NOT DIRECTLY 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 THE ORGANIZATION'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. Schedule J, Part I, Line 4a severance CERTAIN LISTED PERSONS PARTICIPATE IN A DIGNITY HEALTH SEVERANCE PLAN THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 2 WEEKS TO 36 WEEKS 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 I, Line 3 Arrangement used to establish the top management official's compensation THE FOUNDATION 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 COMPENSATION OF THE PERSON WHO IS THE TOP MANAGEMENT OFFICIAL FOR THIS ORGANIZATION. THE COMPENSATION WAS FOR SERVICES PROVIDED TO THE RELATED ORGANIZATION. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan CERTAIN LISTED PERSONS ARE ELIGIBLE TO PARTICIPATE IN NON-QUALIFIED 457(F) PLANS THAT ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR EXECUTIVES HIRED PRIOR TO JUNE 30, 2006. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICE NOT BEEN FROZEN AT JANUARY 1, 2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NON-QUALIFIED PLANS. BENEFITS VEST UNDER THIS 457(F) PLAN AT THE LATER OF THE DATE THE PARTICIPANT ATTAINS AGE 62 OR IS CREDITED WITH 15 YEARS OF SERVICE. THE 2010 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR CERTAIN OFFICERS AND KEY EMPLOYEES, PRIMARILY THOSE WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN OR THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN DESCRIBED ABOVE. THIS BENEFIT PROVIDES AN ANNUAL ACCRUAL OF 10% OF TOTAL COMPENSATION AND IS PAYABLE ANNUALLY ON JULY 1 ONCE VESTED, WHICH IS AGE 62 WITH 5 YEARS OF SERVICE; THE PLAN ALSO ALLOWS FOR SPECIAL AWARDS. PAYMENTS PURSUANT TO THE PLAN ARRANGEMENTS OCCURRED DURING 2019 INCLUDE R BREMNER, MD; $18,605 AND R DROSTEN, MD; $10,668. COMPENSATION AMOUNTS FOR THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR ACCRUED (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS REPORTABLE COMPENSATION IN THE YEAR PAID (SCHEDULE J, PART II, COLUMN B(III)). X 7 5650 Other - Comparable Sale X 400 Other X 2800 Selling cost X 1 26055 Market value X 1 150 Other - Comparable Sale X Gift Certificates/Tickets (Entertainment) 1008 12402 Other - Comparable Sale X Food and Wine 1817 37702 Other - Comparable Sale X Medical Equipment 5 152764 Other - Comparable Sale X Toys 10 100 Other - Comparable Sale X Medical supplies 6887 57200 Other - Comparable Sale X WIGS 1 400 Other - Comparable Sale X Floral Arrangements 100 2100 Other - Comparable Sale X Gift Basket 100 4000 Other - Comparable Sale X Face Care Packets 1 100 Other - Comparable Sale X Kitchen Classes 1 500 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 RECEIVED Securities - Publicly traded - THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED Collectibles - THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED Other - Gift Certificates/Tickets (Entertainment) THE FOUNDATION IS REPORTING A COMBINATION OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED Other - Food and Wine THE FOUNDATION IS REPORTING A COMBINATION OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED Other - Medical Equipment THE FOUNDATION IS REPORTING THE NUMBER OF ITEMS RECEIVED. Other - Toys THE FOUNDATION IS REPORTING THE NUMBER OF ITEMS RECEIVED. Other - Medical supplies THE FOUNDATION IS REPORTING A COMBINATION OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Other - WIGS THE FOUNDATION IS REPORTING A COMBINATION OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Other - Floral Arrangements THE FOUNDATION IS REPORTING A COMBINATION OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Other - Gift Basket THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. Other - Face Care Packets THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. Other - Kitchen Classes THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS 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 THE ORGANIZATION DOES NOT EMPLOY PERSONNEL; HOWEVER, THE TOP MANAGEMENT OFFICIAL IS COMPENSATED BY DIGNITY HEALTH. FOR 2019 COMPENSATION, COMMONSPIRIT HEALTH'S 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 2 Family/business relationships amongst interested persons R STEVENSON and O HARPER - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders THE ORGANIZATION HAS A SOLE CORPORATE MEMBER, DIGNITY HEALTH, 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"). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body DIGNITY HEALTH, AS THE SOLE CORPORATE MEMBER, RATIFIES THE SELECTION OF MEMBERS AND THE DIGNITY HEALTH BOARD APPROVES NEW BOARD MEMBERS OF THE FOUNDATION. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders 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. THE SOLE CORPORATE MEMBER MAY APPOINT AND REMOVE ANY DIRECTOR OF THE FOUNDATION. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FOUNDATION'S CHIEF PHILANTHROPY OFFICER AND HOSPITAL CFO REVIEWED THE FORM 990 IN DETAIL PRIOR TO FILING. DUE TO TIMING OF BOARD COMMITTEE AND FULL BOARD MEETINGS, THE COMMITTEES NOR FULL BOARD RECEIVED A COPY OF THE FORM 990 PRIOR TO FILING. HOWEVER, THE FORM WILL BE PROVIDED TO THE FINANCE COMMITTEE AND FULL BOARD AT THE FIRST MEETING SUBSEQUENT TO THE FILING DATE. 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 BOARD MEMBERS/OFFICERS R BREMNER, MD, A BURNS, MD, R DROSTEN, MD, T HOFFMAN AND J JACKSON FOR THEIR SERVICES AS CURRENT BOARD MEMBERS OR OFFICERS. ALL COMPENSATION AND BENEFITS REPORTED REPRESENT COMPENSATION AS EMPLOYEES TO THE RELATED ORGANIZATION. Form 990, Part IX, Line 11g Other Fees Other Purchased Services - Total Expense: 13924, Program Service Expense: , Management and General Expenses: 12922, Fundraising Expenses: 1002; Admin Services - Total Expense: 1428645, Program Service Expense: , Management and General Expenses: 1325815, Fundraising Expenses: 102830; Professional Fees - Total Expense: 23245, Program Service Expense: , Management and General Expenses: 21572, Fundraising Expenses: 1673; Florist - Total Expense: 4176, Program Service Expense: , Management and General Expenses: 3875, Fundraising Expenses: 301; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Change in value of split interest agreements - -9700; PY pledge adjustments - -15758; 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 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943006034 Self Insurance CA 501(c)(3) Type I Dignity Health false Dignity Health Insurance Nevada Ltd 185 BERRY STREET STE 200 San Francisco NV 94107 813800752 Self Insurance NV 501(c)(3) Type I Dignity Health false Dignity Health Medical Foundation 3400 Data Drive Rancho Cordova CA 95670 680220314 MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC CA 501(c)(3) Type I Dignity Community Care false Dignity Health Workers Comp Self-Insurance Trust 185 BERRY STREET STE 200 San Francisco CA 94107 946612446 Self Insurance CA 501(c)(3) Type I Dignity Health false Dominican Health Services 1555 Soquel Drive Santa Cruz CA 95065 770056778 Community Health System CA 501(c)(3) Type I Dignity Health false Dominican Hospital Foundation 1555 Soquel Drive Santa Cruz CA 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 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