2020-06-28T12:46:38-05:00 2019-06-30 KPMG LLP 55 SECOND STREET SUITE 1400 SAN FRANCISCO CA 94105 990 2018-07-01 237444901 Northridge Hospital Foundation % RANDY BRADLEY NORT 8188858500 18300 ROSCOE BOULEVARD NORTHRIDGE CA 91328 DOUGLAS BROWN CFO 8185022204 2020-06-26 true LISA M MEYER MANAGER P01490170 4159635100 2020-06-27 162.135.0.60 94661320201805000008 2020-06-28 P 373E0D25CA1BF1D541EBEAD0EC1DA5140FC1C530 A26228B005BD8F0E6AA549909595F1DFF8FE8F13 2018 2020-09-23 17:36:50Z BRIAN HAMMEL PRESIDENT 18300 ROSCOE BLVD NORTHRIDGE CA 91328 10160484 false X www.supportnorthridge.org/ X 1974 CA To advance the mission, vision and values of Dignity Health AND DIGNITY COMMUNITY CARE DBA NORTHRIDGE HOSPITAL MEDICAL CENTER THROUGH PHILANTHROPIC INITIATIVES AND FINANCIAL SUPPORT 31 27 0 32 0 0 5046215 4352240 0 0 1326859 1461715 -19431 -17810 6353643 5796145 3600991 3638323 0 0 0 0 0 0 276035 1059380 1127537 4660371 4765860 1693272 1030285 23605795 24126335 104167 64734 23501628 24061601 X NORTHRIDGE HOSPITAL FOUNDATION'S MISSION IS TO SUPPORT, FINANCIALLY AND OTHERWISE, THE CHARITABLE PURPOSES AND ACTIVITIES OF DIGNITY HEALTH AND DIGNITY COMMUNITY CARE DBA, NORTHRIDGE HOSPITAL MEDICAL CENTER, WHICH PROVIDES HIGH-VALUE AND QUALITY HEALTHCARE SERVICES AND PROGRAMS TO THE RESIDENTS OF THE SAN FERNANDO VALLEY. false false 3638323 3638323 0 THE FOUNDATION IS AN IRC SEC 509(A)(3) SUPPORTING ORGANIZATION TO DIGNITY HEALTH DBA NORTHRIDGE HOSPITAL 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. 3638323 true true false true false false false false false true false false false true true true false true false false false false false false 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 false false false false true true false false false false false false X 31 27 true false false false true true true true true false false false true true true true true false false false CA X RANDY BRADLEY 6023072546 3033 NORTH 3RD AVENUE PHEONIX AZ 85013 X Robert Bob Allen Board Member 1.0 0.0 X 0 0 0 John Beck Board Member 1.0 0.0 X 0 0 0 Linnea Benning Board Member 1.0 0.0 X 0 0 0 Melanie Coto Board Member 1.0 0.0 X 0 0 0 Michael Gardner Board Member 1.0 0.0 X 0 0 0 Joan Geisbush Ex-officio Member 4.0 0.0 X 0 0 0 Mary Grim Board Member 1.0 40.0 X 0 161495 27650 Jeremy Grosser MD Board Member 1.0 0.0 X 0 0 0 Carlos Gutierrez Jr Board Member 1.0 0.0 X 0 0 0 Sierra Gutierrez Board Member (JAN-MAY 2019) 1.0 0.0 X X 0 0 0 Meredith S Hale MD Chairman Emeretus thru 8/2018 0.01 0.0 X 0 0 0 Barbara Hawthorne Board Member 1.0 0.0 X 0 0 0 Patrick Hawthorne Board Member 4.0 0.0 X 0 0 0 Marcia Hoffer Board Member 1.0 0.0 X 0 0 0 Shaun Hummel-Kane Board Member 1.0 0.0 X 0 0 0 Valerie Kohler Board Member 4.0 0.0 X 0 0 0 Dorothy Lake Board Member 1.0 0.0 X 0 0 0 Grace LeLand Board Member 1.0 40.0 X 0 147786 18024 Moufid Nemeh MD Ex-officio Member thru 12/2018 1.0 0.0 X 0 0 0 Darell F Norris Director Emeritus 2.0 0.0 X 0 0 0 Dana Pump Board Member 1.0 0.0 X 0 0 0 David Pump Board Member 1.0 0.0 X 0 0 0 Anthony Restivo Board Member 1.0 0.0 X 0 0 0 Oscar Rivas Board Member 1.0 0.0 X 0 0 0 Afshin Safa MD Board Member 1.0 0.5 X 0 6000 0 Jody Sherman Board Member 1.0 0.0 X 0 0 0 Julie Sprengel Ex-officio Member thru 11/2018 1.0 0.0 X 0 1540066 142914 Tony Torres Board Member 1.0 0.0 X 0 0 0 Paul H Watkins Ex-officio Member 1.0 40.0 X 0 34446 2640 Bessie Wilson Board Member 1.0 0.0 X 0 0 0 Maurice Zeitlin MD Board Member 1.0 0.0 X 0 0 0 Dorothy Benveniste Vice Chairperson 1.0 0.0 X X 0 0 0 Donald G Gloistein Treasurer (thru 5/2019) 2.0 0.0 X X 0 0 0 Brian P Hammel Foundation President 40.0 0.0 X X 0 301382 59156 Bill Newbold Secretary 1.0 0.0 X X 0 0 0 Daren Schlecter Chairperson 1.0 0.0 X X 0 0 0 Michael S Taylor CFO 1.0 40.0 X X 0 394563 66829 0 2585738 317213 0 false true false 0 397348 1330502 1258150 1366240 112226 4352240 0 418581 418581 0 0 0 0 0 5144485 4101351 1043134 1043134 1043134 219692 397348 262988 -43296 -43296 25486 0 25486 25486 0 0 0 0 5796145 1443905 X 3638323 3638323 0 0 0 0 0 0 0 0 0 0 0 0 8 8 0 68694 68694 929972 723781 206191 6009 6009 40855 6164 34691 31681 31681 0 0 8091 6147 1944 0 125 125 0 0 0 0 IN-KIND DISBURSEMENTS 32362 6667 25695 FOOD 4488 925 3563 DUES & SUBSCRIPTION 2393 606 1787 BUSINESS GIFTS 1181 243 938 1678 452 1226 4765860 3638323 851502 276035 X 0 0 1290905 917220 214047 0 0 0 0 0 0 0 0 0 0 0 0 18784 0 0 19767558 20816163 0 0 0 0 0 0 2333285 2374168 23605795 24126335 0 25483 101858 35813 0 0 0 0 0 0 0 0 0 0 0 0 2309 3438 104167 64734 X 11366434 12532038 11912431 11306550 222763 223013 23501628 24061601 23605795 24126335 X 1030285 -496767 105525 -139581 60511 X false true X true false X X X 1 DIGNITY HEALTH (DBA NORTHRIDGE HOSPITAL MED CTR) 941196203 3 true 534609 165678 DIGNITY COMMUNITY CARE (DBA NORTHRIDGE HOSP MED CTR) 815009488 3 true 3062752 997319 2 3597361 1162997 true false false false true true false false false false false false false false false false true false SCHEDULE A, PART I, LINE 12G THE FOUNDATION PROVIDED OR PURCHASED FOR THE BENEFIT OF DIGNITY HEALTH AND DIGNITY COMMUNITY CARE DBA NORTHRIDGE HOSPITAL MEDICAL CENTER, VARIOUS SERVICES, FACILITIES AND GOODS. SEE FORM 990, PART IX FOR FURTHER DETAILS. SCHEDULE A, PART IV, LINE 5A 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. EFFECTIVE FEBRUARY 1, 2019, THE ORGANIZATION'S SOLE CORPORATE MEMBER IS DIGNITY COMMUNITY CARE, A 501(C)(3) EXEMPT ORGANIZATION. PRIOR TO FEBRUARY 1, 2019, THE ORGANIZATION'S SOLE CORPORATE MEMBER WAS DIGNITY HEALTH, A 501(C)(3) EXEMPT ORGANIZATION. THE EIN OF THE SUPPORTED ORGANIZATIONS CHANGED FROM 94-1196203 TO 81-5009488. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 8 8 false SCH C, PART II-B, LINE I LOBBYING PORTION FOR ANNUAL MEMBERSHIP DUES: ASSOCIATION FOR HEALTHCARE PHILANTHROPY; $8. 4257124 250 178031 44 4435361 3491378 525 771290 6069 4257124 3504256 -12878 3491378 3514708 -10189 263 3504256 3594821 -35214 44899 3514708 0.92000 0.05000 0.03000 false false BENEFICIAL INTEREST IN CRUT 2372505 INVESTMENT IN ANNUITY 1663 2374168 0 CHARITABLE REMAINDER TRUSTS 1994 DUE TO RELATED PARTIES 1444 3438 X SCH D, PART V, LINE 4 - ENDOWMENT FUNDS ENDOWMENT FUNDS ARE USED TO PROVIDE AWARDS FOR OUTSTANDING RESIDENCY NURSES AND DOCTORS. THE INCOME FROM RETURN ON THE INVESTED BOARD DESIGNATED QUASI ENDOWMENT FUNDS ARE USED TO SUPPORT THE CAPITAL AND PROGRAM NEEDS AT THE HOSPITAL. SCHEDULE D, PART X, LINE 2 - FIN 48 (ASC 740)FOOTNOTE COMMONSPIRIT HEALTH 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. 2018 Steppin Ou 430399 267356 163043 1000 1202 26293 105712 8000 58115 2019 Golf 161290 111761 49529 1000 7950 13420 13916 0 13646 1 23695 16925 6770 0 0 0 4846 0 7887 615384 396042 219342 2000 9152 39713 124474 8000 79648 262987 -43645 25486 false 25486 25486 CA true false false false 1.00000 Brian Hammel 18300 Roscoe Blvd Northridge CA 91328 false Brian Hammel 0 SUPERVISE GAMING ACTIVITIES, RECORDKEEPING, HIRING X X true 22937 true Dignity Health DBA Northridge Hospital Medical Ctr 18300 Roscoe Blvd Northridge CA 91328 941196203 501(c)(3) 534609 n/a n/a Hospital Support Dignity Community Care DBA as Northridge Hospital 18300 Roscoe Blvd NORTHRIDGE CA 91328 815009488 501(c)(3) 3062752 36762 FMV TOYS,SOUND PANELS,QU HOSPITAL SUPPORT 2 0 SCH I, PART 1, LINE 2 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 AND 2 (DIGNITY HEALTH AND DIGNITY COMMUNITY CARE DBA NORTHRIDGE HOSPITAL MEDICAL CENTER), WHICH INCLUDE MAKING PAYMENTS DIRECTLY TO THE BENEFICIARY ORGANIZATION. AS SUCH, THE FOUNDATION DOES NOT MONITOR THE HOSPITAL'S USE OF THE GRANT FUNDS. false true false false false false false false false Mary Grim Board Member 0 127246 0 28680 0 5569 0 16975 0 10675 0 189145 0 0 Grace LeLand Board Member 0 123692 0 18138 0 5956 0 15600 0 2424 0 165810 0 0 Julie Sprengel Ex-officio Member thru 11/2018 0 644571 0 881868 0 13627 0 127480 0 15434 0 1682980 0 0 Brian P Hammel Foundation President 0 231906 0 41026 0 28450 0 30196 0 28960 0 360538 0 0 Michael S Taylor CFO 0 302094 0 89530 0 2939 0 39082 0 27747 0 461392 0 0 Part I, Line 3 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 CERTAIN OFFICERS PARTICIPATE IN A DIGNITY HEALTH SEVERANCE PLAN THAT PROVIDES FAIR 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 OCCURRED DURING 2018 PURSUANT TO THIS PLAN. SCHEDULE J, PART I, LINE 4B 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. NO PAYMENTS OCCURRED DURING 2018 PURSUANT TO THIS PLAN. CERTAIN LISTED PERSONS PARTICIPATE IN DIGNITY HEALTH'S EXCESS BENEFIT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. NO PAYMENTS WERE MADE TO ANY LISTED PERSONS DURING 2018 PURSUANT TO THIS PLAN. 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)). PART III, SUPPLEMENTAL DISCLOSURES ALTHOUGH THE ORGANIZATION DOES NOT DIRECTLY EMPLOY ANY PERSONNEL, THE SUPPORTED ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE DIGNITY HEALTH 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 DIGNITY HEALTH 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 HEALTH CARE QUALITY STANDARDS AND DIGNITY HEALTH'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 2018. X 16 13385 COMPARABLE SALE X 13406 RESALE VALUE X 1 5031 Average market value X 13 2862 COMPARABLE SALE X GIFT CERTIFICATES/TICKETS 49 9990 COMPARABLE SALE X FOOD AND WINE 202 13726 COMPARABLE SALE X JEWELRY 18 4005 COMPARABLE SALE X SPORTING GOODS 6 1170 COMPARABLE SALE X TOYS 13 5766 COMPARABLE SALE X ELECTRONICS 6 1270 COMPARABLE SALE X GIFT BASKETS AND SWAG BAG 17 2280 COMPARABLE SALE X SOUND PANELS 2 32735 COMPARABLE SALE X JUMPSTARTER PORTABLE POWER 1 100 COMPARABLE SALE X VACATION PACKAGES 3 6500 COMPARABLE SALE 0 false true false SCH M, PART I, COLUMN B ART-WORKS OF ART: THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS. SECURITIES-PUBLICLY TRADED: THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS. COLLECTIBLES: THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS. GIFT CERT/TICKETS: THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. FOOD & WINE: THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. JEWELRY: THE FOUNDATION IS REPORTING THE NUMBER OF ITEMS RECEIVED. ELECTRONICS: THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS. SPORTING GOODS: THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS. TOYS: THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS. GIFT BASKETS: THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS. SWAG BAG: THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS. SOUND PANELS AND JUMPSTARTER PORTABLE POWER: THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS. VACATION PACKAGES: THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS. FORM 990, PART V, LINE 2A 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, SECTION A, LINE 2 BOARD MEMBERS DANA PUMP AND DAVID PUMP - FAMILY RELATIONSHIP BOARD MEMBERS PATRICK HAWTHORNE AND BARBARA HAWTHORNE - FAMILY RELATIONSHIP BOARD MEMBERS PAUL WATKINS AND MICHAEL TAYLOR - BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 4 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. 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. FORM 990, PART VI, SECTION A, LINE 6 EFFECTIVE FEBRUARY 1, 2019, THE ORGANIZATION'S SOLE CORPORATE MEMBER IS DIGNITY COMMUNITY CARE, A 501(C)(3) EXEMPT ORGANIZATION. PRIOR TO FEBRUARY 1, 2019, THE ORGANIZATION'S SOLE CORPORATE MEMBER WAS DIGNITY HEALTH, A 501(C)(3) EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A EFFECTIVE FEBRUARY 1, 2019, 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. PRIOR TO FEBRUARY 1, 2019, 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, SECTION A, LINE 7B 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, SECTION B, LINE 11B THE HOSPITAL'S ACCOUNTING DEPARTMENT HAS WORKED CLOSELY WITH DIGNITY HEALTH'S TAX DEPARTMENT AND AN INDEPENDENT ACCOUNTING FIRM ENGAGED TO REVIEW THE RETURN. IT PRESENTED THE FINAL DRAFT OF THE FORM 990 TO THE CHAIR OF THE FINANCE AND INVESTMENT COMMITTEE EXCLUDING COMPENSATION SCHEDULES AND SCHEDULE B. COMPENSATION INFORMATION WERE REVIEWED BY CFO FOR THE FINAL DRAFT. IN ADDITION TO CONSULTING WITH THE CFO, THE FINANCE COMMITTEE CHAIR MET WITH THE FOUNDATION CEO AND ITS STAFF. DIGNITY HEALTH'S TAX DEPARTMENT ALSO MET WITH THE ACCOUNTING FIRM HIRED TO REVIEW THE FORM 990. DUE TO TIMING, THE FINAL FORM 990 WILL BE REVIEWED BY THE FINANCE AND INVESTMENT COMMITTEE AND WILL REPORT BACK TO THE BOARD REGARDING ITS OVERSIGHT OF THE FORM 990, AGAIN EXCLUDING COMPENSATION SCHEDULES AND SCHEDULE B, SUBSEQUENT TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION HAS ADOPTED DIGNITY HEALTH'S CONFLICTS OF INTEREST POLICY. UNDER SUCH POLICIES, THE GENERAL COUNSEL IS DESIGNATED AS THE ORGANIZATION'S FILING OFFICER AND RESPONSIBLE FOR COLLECTING, REVIEWING AND VALIDATING ANNUAL DISCLOSURES OF ALL COVERED PERSONS INCLUDING THE 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 PERSONNEL DESIGNATED BY THE FILING OFFICER ("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 AND TO 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 POLICIES, INCLUDING COMPLETING THE CONFLICTS OF INTEREST DISCLOSURE SURVEY AS REQUIRED BY THE COI POLICIES. USING THE INFORMATION FROM THE ANNUAL DISCLOSURE SURVEY, THE FILING OFFICER PREPARES ANNUAL REPORTS OF REPORTED CONFLICTS OF INTEREST AND DISTRIBUTES THOSE REPORTS TO THE GOVERNING BODY CHAIRS, INCLUDING THE CHAIR OF THE BOARD OF DIRECTORS AND THE CHAIR OF DIGNITY HEALTH BOARD COMMITTEES, AS WELL AS TO KEY LEADERS OF THE ORGANIZATION TO ENABLE THE RESPONSIBLE INDIVIDUALS 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 INCLUDE, BUT ARE NOT LIMITED TO: (1) THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST IS FULLY DISCLOSED TO THE APPLICABLE GOVERNING BODY AND ANY OTHER RELEVANT DECISION-MAKERS; (2) THE INTERESTED PERSON RESPONDS TO FACTUAL QUESTIONS RELATED TO THE SUBSTANCE OF THE TRANSACTION OR ARRANGEMENT BEING CONSIDERED, AFTER WHICH HE/SHE SHALL LEAVE THE MEETING; (3) THE INTERESTED PERSON MAY BE EXCLUDED FROM THE DISCUSSION AND MUST BE EXCUSED FROM THE MEETING PRIOR TO AND DURING THE APPROVAL OF SUCH TRANSACTION; (4) IF WARRANTED, ALTERNATIVES TO THE PROPOSED TRANSACTION ARE INVESTIGATED, AND COMPETITIVE BIDS OR COMPARABLE VALUATIONS ARE OBTAINED; (5) THE TRANSACTION OR ACTION IS APPROVED BY A MAJORITY OF DISINTERESTED MEMBERS OF THE GOVERNING BODIES, CONSISTENT WITH ANY REQUIREMENTS OF BYLAWS AND COI POLICIES; AND (6) ANY CONFLICTING ISSUES ARISING DURING THE COURSE OF A GOVERNING BODY MEETING WHICH CANNOT BE RESOLVED MAY BE REFERRED TO AN INDEPENDENT COMMITTEE OF THE APPLICABLE GOVERNING BODY. THERE ARE SIMILAR CONFLICTS OF INTEREST PROVISIONS UNDER DIGNITY HEALTH'S STANDARDS OF CONDUCT, WHICH ARE APPLICABLE TO ALL EMPLOYEES AND WHICH ARE ADMINISTERED BY THE EVP/CHIEF COMPLIANCE OFFICER WHO HAS REPORTING RESPONSIBILITY TO THE PRESIDENT/CEO AS WELL AS TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE FOUNDATION PRESIDENT IS COMPENSATED BY DIGNITY HEALTH DBA NORTHRIDGE HOSPITAL AND MEDICAL CENTER. FOR 2018 COMPENSATION, DIGNITY HEALTH'S BOARD OF DIRECTORS APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE, COMPRISED OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR SETTING REASONABLE COMPENSATION PACKAGES FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL. 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 THE TOP MANAGEMENT OFFICIAL. 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 TRANSACTION APPROVED AND THE DATE APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DISCUSSION OF THE APPROVED TRANSACTION 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, SECTION C, LINE 19 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 MAKES ITS FINANCIAL STATEMENTS AVAILABLE ON ITS WEBSITE AND UPON REQUEST. FORM 990, PART VII, SECTION A THE SUPPORTED ORGANIZATION DOES NOT COMPENSATE DIRECTORS, MARY GRIM, GRACE LELAND, AFSHIN SAFA, MD, BRIAN HAMMEL, JULIE SPRENGEL, PAUL WATKINS AND MICHAEL TAYLOR FOR THEIR SERVICES AS BOARD MEMBERS. ALL COMPENSATION AND BENEFITS REPORTED FOR DIRECTORS REPRESENT COMPENSATION AS EITHER AN EMPLOYEE OF THE SUPPORTED ORGANIZATION OR FOR PHYSICIAN SERVICES FOR THE SUPPORTED ORGANIZATION. FORM 990, PART XI, LINE 9 CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS; $60,511. FORM 990 PART IX LINE 11G DESCRIPTION:ADMIN SERVICES TOTAL FEES:856375 FORM 990 PART IX LINE 11G DESCRIPTION:CATERING TOTAL FEES:39893 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:19430 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:14274 Bakersfield Memorial Hospital 420 34TH Street Bakersfield CA 93301 951802779 Hospital CA 501(c)(3) 3 DHDCC false Community Hospital of San Bernardino 1805 Medical Center Drive San Bernardino CA 92411 951643373 Hospital CA 501(c)(3) 3 DHDCC false Dignity Community Care 185 Berry Street Suite 300 San Francisco CA 94107 815009488 Hospital CO 501(c)(3) 3 CSH false Dignity Health 185 Berry Street Suite 300 San Francisco CA 94107 941196203 Hospital CA 501(c)(3) 3 CSH false Dignity Health Connected Living 200 Mercy Oaks Drive Redding CA 96003 237115371 Senior Center CA 501(c)(3) 7 Dignity Hlth false Dignity Health HPL Self-Insurance Trust 185 Berry Street San Francisco CA 94107 943006034 Administratio CA 501(c)(3) 12A-I Dignity Hlth false Dignity Health Insurance Nevada Ltd 185 Berry Street San Francisco NV 94107 813800752 Self Ins Fund NV 501(c)(3) 12A-I Dignity Hlth false Dignity Health Medical Foundation 3400 Data Drive Rancho Cordova CA 95670 680220314 Multi-sp CLIN CA 501(c)(3) 12A-I DHDCC false Dignity Health Workers' Comp Self-Insura 185 Berry Street San Francisco CA 94107 946612446 Administratio CA 501(c)(3) 12A-I Dignity Hlth false Dominican Health Services 1555 Soquel Drive Santa Cruz CA 95065 770056778 Community Hlt CA 501(c)(3) 12A-I Dignity Hlth false Dominican Oaks Corporation 1555 Soquel Drive Santa Cruz CA 95065 770127719 SR HOUSING CA 501(c)(3) 10 DHS false Mark Twain Medical Center 768 Mountain Ranch Road San Andreas CA 95249 680127677 Hospital CA 501(c)(3) 3 DHDCC false Mercy McMahon Terrace 3865 J Street Sacramento CA 95816 680117340 SR HOUSING CA 501(c)(3) 10 Dignity Hlth false Pacific Central Coast Health Centers 1400 E Church Street Santa Maria CA 93454 770447575 Clinic CA 501(c)(3) 3 DHDCC false Port City Operating Company LLC 3400 Data Drive Rancho Cordova CA 95670 465322209 Hospital CA 501(c)(3) 3 Dignity Hlth false Saint Francis Memorial Hospital 900 Hyde Street San Francisco CA 94109 941156295 Hospital CA 501(c)(3) 3 DHDCC false Sierra Nevada Memorial-Miners Hospital 155 Glasson Way Grass Valley CA 95945 941439787 Hospital CA 501(c)(3) 3 DHDCC false St Francis Hospital Support Corporation 601 E Micheltorena Street Santa Barbara CA 93103 770022302 INACTIVE CA 501(c)(3) 12A-I Dignity Hlth false St Mary Professional Building Inc 1050 Linden Avenue Long Beach CA 90813 237373088 INACTIVE CA 501(c)(3) 12A-I Dignity Hlth false Arroyo Grande Community Hospital Foundat 345 S Halcyon Rd Arroyo Grande CA 93420 203256066 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false Barrow Foundation UK 13 CHURCH STREET NUNNEY ENGLAND UK BA11 4LW 311724184 FNDRSING FND UK 501(c)(3) 12D-III-NFI NA false Barrow Neurological Foundation 350 West Thomas Road Phoenix AZ 85013 860174371 FNDRSING FND AZ 501(c)(3) 7 Dignity Hlth false California Hospital Medical Center Found 1401 South Grand Avenue Los Angeles CA 90015 954000909 FNDRSING FND CA 501(c)(3) 12A-I DHDCC false Dignity Health Foundation 185 Berry Street San Francisco CA 94107 462037641 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false Dignity Health Foundation - Inland Empir 2101 N Waterman Avenue San Bernardino CA 92404 237440086 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false Dignity Health Foundation East Valley 475 South Dobson Road Chandler AZ 85224 742418514 FNDRSING FND AZ 501(c)(3) 12A-I Dignity Hlth false Dominican Hospital Foundation 1555 Soquel Drive Santa Cruz CA 95065 942450442 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false French Hospital Medical Center Foundatio 1911 Johnson Avenue San Luis Obispo CA 93401 203256125 FNDRSING FND CA 501(c)(3) 12A-I DHDCC false Glendale Memorial Health Foundation 1420 South Central Avenue Glendale CA 91204 953625651 FNDRSING FND CA 501(c)(3) 12A-I DHDCC false Marian Regional Medical Center Foundatio 1400 E Church Street Santa Maria CA 93454 953818027 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false Mercy Foundation Bakersfield PO Box 119 Bakersfield CA 93302 770201321 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false Mercy Foundation North 2625 Edith Avenue Suite E Redding CA 96001 943136799 FNDRSING FND CA 501(c)(3) 12A-I NA false Mercy Foundation Sacramento 3400 Data Drive 3rd Flr Rancho Cordova CA 95670 237072762 FNDRSING FND CA 501(c)(3) 12A-I NA false Mercy Medical Center Merced Foundation 301 E 13th Street Merced CA 95340 770035928 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false San Gabriel Valley Medical Center Founda 438 West Las Tunas Drive San Gabriel CA 91776 953430341 INACTIVE CA 501(c)(3) 12A-I Dignity Hlth false Sequoia Hospital Foundation 170 Alameda de las Pulgas Redwood City CA 94062 942909990 FNDRSING FND CA 501(c)(3) 12D-III-NFI NA false St Francis Foundation of Santa Barbara 2323 De La Vina St Suite 104 Santa Barbara CA 93105 237137119 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false St John's Healthcare Foundation 1600 North Rose Avenue Oxnard CA 93030 202865781 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false St Joseph's Foundation 350 West Thomas Road Phoenix AZ 85013 942941245 FNDRSING FND AZ 501(c)(3) 12A-I Dignity Hlth false St Joseph's Foundation of San Joaquin 1800 N California Street Stockton CA 95204 510432777 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false St Mary Medical Center Foundation 1050 Linden Avenue Long Beach CA 90813 237153876 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false St Mary's Medical Center Foundation 450 Stanyan Street San Francisco CA 94117 943336143 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false St Rose Dominican Health Foundation 3001 St Rose Parkway Henderson NV 89052 880349432 FNDRSING FND NV 501(c)(3) 12A-I Dignity Hlth false Woodland Memorial Hospital Foundation 1321 Cottonwood Street 305 Woodland CA 95695 946167964 FNDRSING FND CA 501(c)(3) 7 NA false ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HEALTHCARE NE 501(c)(3) 3 ACH false ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - BERGAN MERCY HEALTH SYS 7500 MERCY RD OMAHA NE 68124 470484764 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - COMMUNITY MEMORIAL HOSP 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HEALTHCARE IA 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUY 104 W 17TH ST SCHUYLER NE 68661 470399853 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - MERCY HOSPITAL CORNING PO BOX 368 CORNING IA 50841 420782518 HEALTHCARE IA 501(c)(3) 3 CHI NEBRASKA false ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM 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 BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS TX 77384 274499340 PHYSICIANS TX 501(c)(3) 12A-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) 12A-I CSH false BRAZOSPORT HEALTH FOUNDATION INC 1 West Way Ct LAKE JACKSON TX 77566 760080110 FUNDRAISING TX 501(c)(3) 12A-I BRHS false BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON TX 77566 800240261 HEALTHCARE TX 501(c)(3) 3 BRHS false BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HEALTHCARE 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 CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HEALTHCARE ND 501(c)(3) 3 CSH false CATHOLIC HEALTH INITIATIVES - COLORADO 9100 East Mineral Circle Centennial CO 80112 840405257 HEALTHCARE CO 501(c)(3) 3 CSH false CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVE DES MOINES IA 50314 420680448 HEALTHCARE IA 501(c)(3) 3 CSH false CATHOLIC HEALTH INITIATIVES COLORADO FOU 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS CO 80920 840902211 FUNDRAISING CO 501(c)(3) 7 CHIC false CATHOLIC HEALTH INITIATIVES NATIONAL FOU 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS CO 80920 270930004 FUNDRAISING CO 501(c)(3) 12A-I CSH false CATHOLIC HEALTH INITIATIVES VIRTUAL HEAL 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 HEALTHCARE CO 501(c)(3) 12A-I CHINS false CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 PHYSICIANS OR 501(c)(3) 10 MMC false CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 480543724 SURGERY CENTE KS 501(c)(3) 3 CSH false CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 HEALTHCARE MN 501(c)(3) 10 CSH false CHI HEALTH FOUNDATION 12809 W DODGE RD OMAHA NE 68154 470648586 FUNDRAISING NE 501(c)(3) 7 ACH false CHI INSTITUTE FOR RESEARCH AND INNOVATIO 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 HEALTHCARE CO 501(c)(3) 12A-I CSH false CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 HEALTHCARE KY 501(c)(3) 12A-I CSH false CHI LIVING COMMUNITIES 5942 RENAISSANCE PLACE STE A TOLEDO OH 43623 341892096 HEALTHCARE OH 501(c)(3) 12A-II SFH false CHI Memorial Hospital - Georgia 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 822748395 HEALTHCARE GA 501(c)(3) 3 MHCS false CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 451261716 HEALTHCARE CO 501(c)(3) 10 CHI NS false CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HEALTHCARE CO 501(c)(3) 12A-I CSH false CHI NEBRASKA 12809 West Dodge Road Omaha NE 68510 363233121 HEALTHCARE NE 501(c)(3) 12A-I CSH false CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(c)(3) 12A-I CSH false CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(c)(3) 12A-I CSH false CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HEALTHCARE AR 501(c)(3) 3 CHISVHS false CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(c)(3) 12A-II SVIMC false CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125131 HEALTHCARE AR 501(c)(3) 3 CHISVHS false COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(c)(3) 12A-I NA false COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 237419853 HOLDING CO OH 501(c)(4) N/A GSH false COMMUNITY MEMORIAL HOSPITAL MEDICAL SERV 631 N 8TH ST MISSOURI VALLEY IA 51555 421294399 FUNDRAISING IA 501(c)(3) 12A-I AH-CMHMV false CONTINUING CARE HOSPITAL One Saint Joseph Drive LEXINGTON KY 40504 611400619 LT ACH KY 501(c)(3) 3 SJHS false East Texas Clinical Services 2801 VIA FORTUNA SUITE 500 AUSTIN TX 78746 454736213 HEALTHCARE TX 501(c)(3) 12A-I SLHS false ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1455 BATTERSBY AVE ENUMCLAW WA 98022 910715805 HEALTHCARE WA 501(c)(3) 3 FHS false FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 HEALTHCARE KY 501(c)(3) 3 KOH false FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 562351341 FUNDRAISING KY 501(c)(3) 12A-I FH false FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 341931806 HEALTHCARE OH 501(c)(3) 10 FLC false FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA WA 98405 911145592 FUNDRAISING WA 501(c)(3) 10 FHS false FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA WA 98405 910564491 HEALTHCARE WA 501(c)(3) 3 CSH false FRANCISCAN HEALTH VENTURES FKA SJMGROUP TACOMA FNC CTR BLDG 1145 BROADWAY TACOMA WA 98402 431882377 PHYSICIANS MO 501(c)(3) 10 CSH false FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA WA 98402 911939739 HEALTHCARE WA 501(c)(3) 10 FHS false FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 S CHICAGO AVE SOUTH MILWAUKEE WI 53172 391093829 HEALTHCARE WI 501(c)(3) 10 CSH false GARRISON MEMORIAL HOSPITAL 407 THIRD AVENUE SOUTHEAST GARRISON ND 58540 450227752 HEALTHCARE ND 501(c)(3) 3 SAMC false GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 201536108 MINISTRIES CO 501(c)(3) 12A-I CSH false GOOD SAMARITAN COLLEGE OF NURSING & HEAL 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311778403 EDUCATION OH 501(c)(3) 2 GSH false GOOD SAMARITAN FOUNDATION OF CINCINNATI 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311206047 FUNDRAISING OH 501(c)(3) 12A-I GSH false GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 470379755 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA false GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY NE 68847 470659443 FUNDRAISING NE 501(c)(3) 7 GSH false HARRISON MEDICAL CENTER 2520 CHERRY AVE BREMERTON WA 98310 910565546 HEALTHCARE WA 501(c)(3) 3 FHS false HARRISON MEDICAL CENTER FOUNDATION 2520 CHERRY AVE BREMERTON WA 98310 911197626 FUNDRAISING WA 501(c)(3) 7 HMC false HEALTH FOUNDATION OF KENTUCKYONE INC 1451 HARRODSBURG RD STE D-308 LEXINGTON KY 40504 832170324 FUNDRAISING KY 501(c)(3) 12A-II KOH false HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 760761782 FUNDRAISING MN 501(c)(3) 12A-I SFMC false HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN WA 98166 910712166 HEALTHCARE WA 501(c)(3) 3 FHS false HOUSE OF MERCY 1111 6TH AVE DES MOINES IA 50314 421323808 SHELTER IA 501(c)(3) 7 CHI-IA CORP false JEWISH HOSPITAL AND ST MARY'S HEALTHCARE 250 E Liberty St Ste 500 LOUISVILLE KY 40202 611029768 HEALTHCARE KY 501(c)(3) 3 KOH false KENTUCKYONE HEALTH MEDICAL GROUP INC 100 E Liberty St Ste 800 LOUISVILLE KY 40202 611352729 HEALTHCARE KY 501(c)(3) 10 JHSMH false KENTUCKYONE HEALTH INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029769 HEALTHCARE KY 501(c)(3) 12A-II CSH false LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE MN 56623 410758434 HEALTHCARE MN 501(c)(3) 3 CSH false LAKEWOOD REGIONAL HEALTHCARE FOUNDATION 600 MAIN AVE S BAUDETTE MN 56623 411893795 FUNDRAISING ND 501(c)(3) 7 LHC false LINUS OAKES INC 2700 STEWART PKWY ROSEBURG OR 97471 930821381 SENIOR LIVING OR 501(c)(3) 10 MMC false LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON ND 58054 820558836 HEALTHCARE ND 501(c)(3) 3 CSH false LUFKIN VISION ACQUISITIONS PO BOX 1447 LUFKIN TX 75901 820563768 PROPERTY MGMT TX 501(c)(3) 12A-I MHSET false MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742761145 HEALTHCARE TX 501(c)(3) 3 SJSC false MADONNA MANOR INC 2344 AMSTERDAM ROAD VILLA HILLS KY 51017 610654635 LIVING ASSIST KY 501(c)(3) 10 FLC false MEMORIAL HEALTH CARE SYSTEM FOUNDATION I 2525 DE SALES AVE CHATTANOOGA TN 37404 621839548 FUNDRAISING TN 501(c)(3) 7 MHCS false MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA TN 37404 620532345 HEALTHCARE TN 501(c)(3) 3 CSH false MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA TN 37411 300417049 HEALTHCARE TN 501(c)(3) 10 MHCS false MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN TX 75902 750755367 HEALTHCARE TX 501(c)(3) 3 SLHS false MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN TX 75902 760436439 HEALTHCARE TX 501(c)(3) 3 MHSET false MEMORIAL MEDICAL CENTER - SAN AUGUSTINE PO BOX 1447 LUFKIN TX 75902 752663904 HEALTHCARE TX 501(c)(3) 3 MHSET false MEMORIAL MULTISPECIALTY ASSOCIATES 1201 FRANK AVE LUFKIN TX 95904 752721155 PHYSICIANS TX 501(c)(3) 12A-I MHSET false MEMORIAL SPECIALTY HOSPITAL PO BOX 1447 LUFKIN TX 95902 752492741 HEALTHCARE TX 501(c)(3) 3 MHSET false MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVE DES MOINES IA 50314 426076069 AUXILIARY IA 501(c)(3) 12A-I MF-DM IA false MERCY CLINICS INC 1111 6TH AVE DES MOINES IA 50314 421193699 PHYSICIANS IA 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10073 APO Georgetown GRAND CAYMAN CJ KY1-1001 980663022 Captive Managemen CJ NA C Corp 0 0 0.00000 Catholic Health Initiatives Center for T 198 INVERNESS DRIVE WEST Englewood CO 80112 272269511 Research CO NA C Corp 0 0 0.00000 CHI St Luke's Health - Memorial Condomin 1201 W Frank Ave Lufkin TX 75904 834184717 Condo Assoc TX NA C Corp 0 0 0.00000 ClearRiver Health 198 INVERNESS DRIVE WEST Englewood CO 80112 464495960 Insurance TN NA C Corp 0 0 0.00000 Comcare Services Inc 5570 DTC Parkway Englewood CO 80111 840904813 Inactive CO NA C Corp 0 0 0.00000 CONSOLIDATED HEALTH SERVICES 1700 EDISON DR MILFORD OH 45150 311378212 HOME HEALTH OH NA C Corp 0 0 0.00000 Des Moines Medical Center Inc 1111 6TH AVE Des Moines IA 50314 420837382 Real Estate IA NA C Corp 0 0 0.00000 Diversified Health Resources Inc 100 MEDICAL DRIVE LAKE JACKSON TX 77566 760222679 Health Care TX NA C Corp 0 0 0.00000 First Initiatives Insurance LTD PO BOX 10073 APO Georgetown GRAND CAYMAN CJ KY1-1001 980203038 Insurance CJ NA C Corp 0 0 0.00000 Franciscan City Urgent Care Services PS C/O CPGUSA 1345 AVE OF THE AMERICAS NEW YORK NY 10105 812174959 Healthcare NY NA C Corp 0 0 0.00000 Franciscan Services Inc 198 INVERNESS DRIVE WEST Englewood CO 80112 232487967 Healthcare CO NA C Corp 0 0 0.00000 Good Samaritan Outreach Services PO Box 1990 Kearney NE 68848 470659440 Medical Clinic NE NA C Corp 0 0 0.00000 HarvestPlains Health of Iowa 32129 Weyerhaeuser Way S STE 201 FEDERAL WAY WA 98001 473451750 Insurance WA NA C Corp 0 0 0.00000 Health Systems Enterprises Inc PO BOX 1990 Kearney NE 68848 470664558 MGMT NE NA C Corp 0 0 0.00000 Healthcare MGMT Services Organization IN 1149 MARKET ST Tacoma WA 98402 911865474 Health Org. WA NA C Corp 0 0 0.00000 HeartlandPlains Health 198 INVERNESS DRIVE WEST Englewood CO 80112 464368223 Insurance NE NA C Corp 0 0 0.00000 Highline Medical Group 1717 S J Street Tacoma WA 98405 911407026 Medical Services WA NA C Corp 0 0 0.00000 KOMG-Louisville Region Inc 201 Abraham Flexner Way Louisville KY 40202 832481198 Healthcare KY NA C Corp 0 0 0.00000 Medical Office Building Horizontal Prope 300 Werner St Hot Springs AR 71913 710720429 Real Estate AR NA C Corp 0 0 0.00000 Medquest 1301 15TH AVENUE WEST Williston ND 58801 450392137 Sale of DME ND NA C Corp 0 0 0.00000 Memorial CV Service Line Management Comp 1201 W Frank Ave Lufkin TX 75904 463622849 Heath Care TX NA C Corp 0 0 0.00000 Mercy Park Apartments LTD 1111 6th AVE Des Moines IA 50314 421202422 Housing IA NA C Corp 0 0 0.00000 Mercy Services Corp 2700 STEWART PARKWAY Roseburg OR 97471 930824308 Retail Sales OR NA C Corp 0 0 0.00000 MHI Clinical Services 1201 W Frank Ave Lufkin TX 75904 461967952 Healthcare TX NA C Corp 0 0 0.00000 Mountain Management Services Inc 6028 Shallowford Rd Chattanooga TN 37421 621570739 MGMT SVC ORG TN NA C Corp 0 0 0.00000 North Central Health Care Alliance PO Box 5538 Bismark ND 58506 450439894 Healthcare ND NA C Corp 0 0 0.00000 PATIENT TRANSPORT SERVICES INC 1700 EDISON DR MILFORD OH 45150 311100798 HOME HEALTH OH NA C Corp 0 0 0.00000 QCA Health Plan Inc 12615 Chenal Parkway STE 300 Little Rock AR 72211 710794605 Insurance AR NA C Corp 0 0 0.00000 QualChoice Advantage 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY WA 98001 473433912 Insurance WA NA C Corp 0 0 0.00000 QualChoice Health Plan Services Inc (fka 198 INVERNESS DRIVE WEST Englewood CO 80112 461224037 Admin Services CO NA C Corp 0 0 0.00000 QualChoice Health Inc (fka CollabHealth 198 INVERNESS DRIVE WEST Englewood CO 80112 461222808 Holding Co CO NA C Corp 0 0 0.00000 QualChoice Holdings Inc 198 INVERNESS DRIVE WEST Englewood CO 80112 274075520 Holding Co AR NA C Corp 0 0 0.00000 QualChoice Life and Health Insurance Com 12615 Chenal Parkway STE 300 Little Rock AR 72211 710386640 Insurance AR NA C Corp 0 0 0.00000 QualChoice of Nebraska 2401 S 73rd St Omaha NE 68124 810738827 Inactive NE NA C Corp 0 0 0.00000 RiverLink Health 198 INVERNESS DRIVE WEST Englewood CO 80112 464380824 Insurance OH NA C Corp 0 0 0.00000 RiverLink Health of Kentucky Inc 198 INVERNESS DRIVE WEST Englewood CO 80112 464828332 Insurance KY NA C Corp 0 0 0.00000 Ross Park Pharmacy Inc 380 SUMMIT AVE STEUBENVILLE OH 43952 341832654 Pharmacy OH NA C Corp 0 0 0.00000 Saint Clare's Primary Care Inc 198 INVERNESS DRIVE WEST Englewood CO 80112 222441202 Billing Services NJ NA C Corp 0 0 0.00000 SJH Services Corporation 198 INVERNESS DRIVE WEST Englewood CO 80112 232307408 Healthcare CO NA C Corp 0 0 0.00000 SJL PHYSICIAN MANAGEMENT SERVICES INC 424 LEWIS HARGETT CR STE 160 Lexington KY 40503 270164198 Mgmt KY NA C Corp 0 0 0.00000 SoundPath Health Inc 32129 Weyerhaeuser Way S STE 201 Federal Way WA 98001 421720801 Insurance WA NA C Corp 0 0 0.00000 St Anthony Development Company 1415 Southgate Pendleton OR 97801 931216943 Athletic Club OR NA C Corp 0 0 0.00000 St Joseph Development Company Inc 1717 SOUTH J ST Tacoma WA 98405 911480569 Rental WA NA C Corp 0 0 0.00000 St Luke's Health System Holdings Inc 6624 Fannin STE 800 Houston TX 77030 760637138 Holding Co TX NA C Corp 0 0 0.00000 St Vincent Community Health Services Inc TWO ST VINCENT CIRCLE Little Rock AR 72205 710710785 Healthcare AR NA C Corp 0 0 0.00000 StableView Health Inc 198 INVERNESS DRIVE WEST Englewood CO 80112 464373713 Insurance KY NA C Corp 0 0 0.00000 STE Holdings 12809 West Dodge Rd Omaha NE 68154 822383629 Holding Co NE NA C Corp 0 0 0.00000 Sugar Land Doctor Group 1317 Lake Point Parkway Sugar Land TX 77478 454270163 Medical Clinic TX NA C Corp 0 0 0.00000 Towson Management Inc 7601 OSLER DR Towson MD 21204 521710750 Mgmt Services MD NA C Corp 0 0 0.00000 TRINITY MANAGEMENT SERVICES ORGANIZATION 380 SUMMIT AVE STEUBENVILLE OH 43952 341471026 Mgmt Services OH NA C Corp 0 0 0.00000 CHARITABLE REMAINDER UNITRUST (2) CHARTITABLE TRUST CA NHF TRUST 0 0 1.00000 true CHARITABLE REMAINDER UNITRUST (1) CHARITABLE TRUST CA NHF TRUST 0 0 0.50000 true false true true false false false false false false false false true false false false false false false false NONE SCHEDULE R, PART VII AS PART OF THE ALIGNMENT BETWEEN DIGNITY HEALTH AND CHI, 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, AS REPORTED IN PART II, TO DIGNITY COMMUNITY CARE. ENTITIES TRANSFERRED DURING THE YEAR LIST DIGNITY HEALTH AND DIGNITY COMMUNITY CARE, "DH/DCC", AS THE DIRECT CONTROLLING ENTITY ON SCHEDULES R, PART II SINCE BOTH ENTITIES HELD CONTROL AT SOME POINT DURING THE YEAR.