STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

UCSF HEALTH COMMUNITY HOSPITALS: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
UCSF HEALTH COMMUNITY HOSPITALS (EIN 94-1156295)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-06-28
IRS object ID
202011809349300801
Schema version
2018v3.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-06-28T12:46:38-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line155 SECOND STREET SUITE 1400AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN941156295EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Saint Francis Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% LARA CARTOSCELLI -FINANCE DEInCareOfNm
Business Name ControlSAINBusinessNameControlTxt
Phone4153536600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1185 BERRY STREET SUITE 300AddressLine1Txt
CitySan FranciscoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94107ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHARLES THEVNINPersonNm
Person TitleCFOPersonTitleTxt
Phone4153536635PhoneNum
Signature2020-06-26SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLISA M MEYER MANAGERPreparerPersonNm
PTINP01490170PTIN
Phone4159635100PhoneNum
Preparation2020-06-27PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address162.135.0.60IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id94661320201805000007FederalOriginalSubmissionId
Federal Original Submission Id2020-06-28FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id58D2EFD71874899272368D0A62EB83F204FE69E4AtSubmissionCreationDeviceId
At Submission Filing Device IdA26228B005BD8F0E6AA549909595F1DFF8FE8F13AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerHARRIS GOODMAN MD CHAIRPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 Hyde StreetAddressLine1Txt
CitySan FranciscoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94109ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$234,376,826GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.dignityhealth.org/saintfrancisWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1938FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE COMPASSIONATE, QUALITY, COST EFFECTIVE MEDICAL AND HEALTHCARE RELATED SERVICES TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee1203TotalEmployeeCnt
Total Volunteers93TotalVolunteersCnt
Total Gross UBI$73,177TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$6,926NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$989,790PYContributionsGrantsAmt
CY Contributions Grants$2,172,756CYContributionsGrantsAmt
PY Program Service Revenue$245,496,811PYProgramServiceRevenueAmt
CY Program Service Revenue$226,428,875CYProgramServiceRevenueAmt
PY Investment Income$3,331,903PYInvestmentIncomeAmt
CY Investment Income$2,299,437CYInvestmentIncomeAmt
PY Other Revenue$2,098,040PYOtherRevenueAmt
CY Other Revenue$1,786,997CYOtherRevenueAmt
PY Total Revenue$251,916,544PYTotalRevenueAmt
CY Total Revenue$232,688,065CYTotalRevenueAmt
PY Grants And Similar Paid$5,199,219PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,113,337CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$136,552,391PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$129,545,199CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$112,196,397PYOtherExpensesAmt
CY Other Expenses$105,357,920CYOtherExpensesAmt
PY Total Expenses$253,948,007PYTotalExpensesAmt
CY Total Expenses$240,016,456CYTotalExpensesAmt
PY Revenues Less Expenses-$2,031,463PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$7,328,391CYRevenuesLessExpensesAmt
Total Assets BOY$303,239,888TotalAssetsBOYAmt
Total Assets EOY$360,226,428TotalAssetsEOYAmt
Total Liabilities BOY$93,023,323TotalLiabilitiesBOYAmt
Total Liabilities EOY$92,273,480TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$210,216,565NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$267,952,948NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE COMPASSIONATE, HIGH-QUALITY, AFFORDABLE HEALTH SERVICES FOR OUR SISTERS AND BROTHERS WHO ARE POOR AND DISENFRANCHISED; AND PARTNERING WITH OTHERS IN THE COMMUNITY TO IMPROVE THE QUALITY OF LIFE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$208,258,357ExpenseAmt
Grant$5,113,337GrantAmt
Revenue$226,428,875RevenueAmt
DescSAINT FRANCIS MEMORIAL HOSPITAL'S MISSION IS TO CONTRIBUTE TO THE HEALTH OF THE COMMUNITY THROUGH THE PROVISIONS OF QUALITY SERVICES DELIVERED IN A COMPASSIONATE AND COST EFFECTIVE MANNER. THE HOSPITAL HAS 294 BEDS AND SERVICED PATIENTS AS FOLLOWS: OUTPATIENT VISITS OF 97,674; EMERGENCY VISITS OF 32,020; INPATIENT AND OUTPATIENT OPERATING ROOM CASES OF 3,370. INPATIENT SERVICES: ACUTE MEDICAL SURGICAL CARE AND REHAB, INTENSIVE AND BURN CARE, ADULT PSYCH, PHARMACY, CARDIOPULMONARY, SURGERY AND TELEMETRY UNIT. OUTPATIENT SERVICES: EMERGENCY CARE, SPORTS MEDICINE AND OCCUPATIONAL HEALTH CLINICS, PULMONARY REHAB, OUTPATIENT BURN CARE, SPINE AND JOINT/PAIN/MS CLINIC, DIAGNOSTIC IMAGING, RADIATION ONCOLOGY, GASTROINTESTINAL SERVICES AND PHYSICAL THERAPY SERVICES, HYPERBARIC OXYGEN CLINIC. SUPPORT SERVICES: CHAPLAINCY PROGRAM, FAMILY SUPPORT SERVICES, PALLIATIVE CARE, PARKING SERVICES, NURSING EDUCATION SERVICES, HEALTH SCIENCES LIBRARY; AS WELL AS SUPPORT, TIME AND MONEY TO ORGANIZATIONS AND INDIVIDUALS THROUGHOUT THE COMMUNITY.Desc
Total Program Service Expenses$208,258,357TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document188IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1203EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLARA CARTOSCELLI -FINANCE DEPersonNm
Phone9166313334PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110901 GOLD CENTER DRIVE SUITE 300AddressLine1Txt
CityRANCHO CORDOVACityNm
State AbbreviationCAStateAbbreviationCd
ZIP95670ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
N Thomas Ahlberg MD
Board Member3.00.0Yes (X)$0$0$0
Charles Casey
Board Member (START 7/2018)3.00.0Yes (X)$0$0$0
Michaela Cassidy
Board Member3.00.0Yes (X)$0$0$0
Gary Chan MD
Board Member3.00.0Yes (X)$0$0$0
Robert Devens
Board Member3.00.0Yes (X)$0$0$0
Darragh Flynn MD
Board Member (START 7/2018)3.00.0Yes (X)$0$0$0
Clement Jones MD
Board Member (START 7/2018)3.00.0Yes (X)$0$0$0
Daniel Lentz MD
Board Member3.00.0Yes (X)$0$0$0
Man-Kit Leung MD
Board Member3.01.0Yes (X)$4,000$0$0
David J Malone MD
Board Member3.00.0Yes (X)$0$0$0
Charles McGettigan
Board Member3.03.0Yes (X)$0$0$0
Daniel Morissette
Board Member (START 7/2018)3.050.0Yes (X)$0$2,565,848$257,011
Michael Penn MD
Board Member3.00.0Yes (X)$0$0$0
Todd A Strumwasser MD
Board Member3.050.0Yes (X)$0$1,269,128$163,287
Richard Ward MD
Board Member3.00.5Yes (X)$1,692$0$0
Joseph Yang
Board Member3.00.0Yes (X)$0$0$0
Harris Goodman MD
Board Chair3.00.0Yes (X)$0$0$0Yes (X)
Robert Harvey MD
Secretary3.00.0Yes (X)$0$0$0Yes (X)
Kimberly MacPherson
Vice Chair3.00.0Yes (X)$0$0$0Yes (X)
David Klein MD
President & CEO40.00.0$0$826,755$121,421Yes (X)
George Lenzi
Interim CFO (END 3/2019)20.020.0$0$187,320$14,611Yes (X)
Charles Thevnin
CFO (START 6/2019)20.020.0$302,569$0$69,238Yes (X)
Charlene Battaglia
Senior Director - Nursing40.00.0$276,474$0$32,973Yes (X)
Bradley Grote
Senior Director-Nursing Operat40.00.0$285,334$0$45,276Yes (X)
Kathleen Jordan MD
VP CMO40.00.0$441,939$0$82,790Yes (X)
Raymond Miller
Dir Pharmacy (END 1/2019)40.00.0$263,481$0$55,172Yes (X)
Tracey Pierce
VP, HR (XFER 7/2018)20.020.0$147,349$277,389$77,876Yes (X)
Jill Welton
VP Quality/CNO (XFER 6/2018)20.020.0$164,796$387,810$72,661Yes (X)
Deborah Chew
Registered Nurse40.00.0$249,455$0$60,012Yes (X)
Albina Guerrero
Registered Nurse40.00.0$247,279$0$59,892Yes (X)
Kibrom M Tewolde
Director Nursing Burn Center40.00.0$253,523$0$63,382Yes (X)
Jerry D Wehage
Supervisor Radiology40.00.0$258,515$0$37,739Yes (X)
Yipi Yang
Registered Nurse40.00.0$244,650$0$34,695Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,141,056TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,514,250TotReportableCompRltdOrgAmt
Total Other Compensation$1,248,036TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K413IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MEDICAL SOLUTIONS LLC
1010 N 102ND STOMAHANE68114staffing services$2,336,515
SAN FRANCISCO CYBERKNIFE LLC
100 BAYVIEW CIRCLENEWPORTCA92660Medical Services$1,870,000
INPATIENT SPECIALISTS OF CALIF
PO BOX 742936LOS ANGELESCA900742936medial services$1,464,181
GALEN INPATIENT PHYSICIANS
2100 POWELL ST STE 900EMERYVILLECA946081803Medical Services$1,283,083
WOUND CARE ADVANTAGE LLC
304 W SIERRA MADRE BLVDSIERRA MADRECA91024managemnt/consultinG$1,072,582
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K49CntrctRcvdGreaterThan100KCnt
Government Grants$179,747GovernmentGrantsAmt
All Other Contributions$1,993,009AllOtherContributionsAmt
Total Contributions$2,172,756TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT NET OF CHARITY AND BAD DEBT900099$222,528,008$222,528,008
MEDICAL OFFICE BUILDING621110$2,687,038$2,687,038
PHYSICIAN PROFESSIONAL FEES900099$956,600$956,600
RALLY FAMILY VISITATION SERVICES446110$238,783$238,783
CLINIC PROFESSIONAL FEES900099

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,446TotalRevenueColumnAmt
Related Or Exempt Func Income$18,446RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$226,428,875TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,629,354TotalRevenueColumnAmt
Exclusion-$1,629,354ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$139,699RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$29,835RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$109,864RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$109,864TotalRevenueColumnAmt
Exclusion$109,864ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,956,941SecuritiesAmt
Other$2,630,776OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$208,355SecuritiesAmt
Other$1,450,571OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,748,586SecuritiesAmt
Other$1,180,205OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,928,791TotalRevenueColumnAmt
Exclusion$3,928,791ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PARKING LOT FEES812930$854,805$854,805
NON-PATIENT RETAIL OPERATION - SPORTS MED446199$73,177$73,177
CAFETERIA722514$278,240$278,240

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$470,911TotalRevenueColumnAmt
Exclusion$470,911ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,677,133OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$232,688,065TotalRevenueColumnAmt
Related Or Exempt Func Income$226,428,875RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$73,177UnrelatedBusinessRevenueAmt
Exclusion$4,013,257ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,093,723TotalAmt
Program Services$5,093,723ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$19,614TotalAmt
Program Services$19,614ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,894,081TotalAmt
Program Services$2,693,023ProgramServicesAmt
Management And General$201,058ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,365,423TotalAmt
Program Services$1,365,423ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$96,234,902TotalAmt
Program Services$89,893,479ProgramServicesAmt
Management And General$6,341,423ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,854,169TotalAmt
Program Services$7,233,690ProgramServicesAmt
Management And General$620,479ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$14,623,668TotalAmt
Program Services$13,084,744ProgramServicesAmt
Management And General$1,538,924ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,572,956TotalAmt
Program Services$6,125,995ProgramServicesAmt
Management And General$446,961ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$326,053TotalAmt
Management And General$326,053ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$56,643TotalAmt
Management And General$56,643ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$20,198TotalAmt
Management And General$20,198ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$127,694TotalAmt
Management And General$127,694ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$37,755,465TotalAmt
Program Services$26,730,342ProgramServicesAmt
Management And General$11,025,123ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,164,247TotalAmt
Program Services$19,794ProgramServicesAmt
Management And General$1,144,453ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,509,844TotalAmt
Program Services$2,692,623ProgramServicesAmt
Management And General$817,221ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,185,166TotalAmt
Program Services$526,138ProgramServicesAmt
Management And General$7,659,028ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,387,077TotalAmt
Program Services$3,359,917ProgramServicesAmt
Management And General$27,160ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$129,446TotalAmt
Program Services$86,964ProgramServicesAmt
Management And General$42,482ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$101,023TotalAmt
Program Services$75,283ProgramServicesAmt
Management And General$25,740ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$986,442TotalAmt
Program Services$986,442ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,351,082TotalAmt
Program Services$12,571,277ProgramServicesAmt
Management And General$779,805ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,107,816TotalAmt
Program Services$1,107,816ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$20,108,828$20,108,828$0$0
MEDI-CAL PROVIDER FEE$13,494,679$13,494,679$0$0
LICENSES & TAXES$634,076$364,461$269,615$0
DUES AND SUBSCRIPTION$284,485$70,521$213,964$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$627,656TotalAmt
Program Services$553,581ProgramServicesAmt
Management And General$74,075ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$240,016,456TotalAmt
Program Services$208,258,357ProgramServicesAmt
Management And General$31,758,099ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,060BOYAmt
EOY$5,060EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$91,966BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$39,685,875BOYAmt
EOY$42,231,667EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$316,890BOYAmt
EOY$57,578EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,563,185BOYAmt
EOY$4,037,209EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$28,462,609BOYAmt
EOY$19,665,715EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$153,666,529LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,814,725LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$78,954,275BOYAmt
EOY$149,851,804EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$52,607,618BOYAmt
EOY$40,211,023EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$92,288,382BOYAmt
EOY$91,577,536EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,264,028BOYAmt
EOY$12,588,836EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$303,239,888BOYAmt
EOY$360,226,428EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$61,368,182BOYAmt
EOY$64,785,668EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$36,420EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$4,731BOYAmt
EOY$4,731EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,000,000BOYAmt
EOY$10,000,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$351,946BOYAmt
EOY$209,477EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,298,464BOYAmt
EOY$17,237,184EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$93,023,323BOYAmt
EOY$92,273,480EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$119,060,023BOYAmt
EOY$177,378,010EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$75,193,869BOYAmt
EOY$74,748,759EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,962,673BOYAmt
EOY$15,826,179EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$210,216,565BOYAmt
EOY$267,952,948EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$303,239,888BOYAmt
EOY$360,226,428EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$7,328,391ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,505,801NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$42,967PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$67,613,542OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$20,198OtherActivitiesAmt
Total Lobbying Expenditures$20,198TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II - B, Line 1FormAndLineReferenceDesc
ExplanationLOBBYING EXPENDITURES PAID BY THE PARENT ORGANIZATION FOR ANNUAL MEMBERSHIP DUES WHERE EXPENSES ARE ALLOCATED TO THE HOSPITAL: AMERICAN HEALTHCARE PHILANTHROPY $ 7 CATHOLIC HEALTH ASSOCIATION $ 1,572 AMERICAN HOSPITAL ASSOCIATION $ 2,455 HOSPITAL ASSOCIATION OF SO CAL $ 15,978 340B HEALTH (FORMERLY SAFETY NET HOSPTALS)$ 186 ------- TOTAL $ 20,198 =======ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$46,326,828BeginningYearBalanceAmt
Investment Earnings Or Losses-$425,091InvestmentEarningsOrLossesAmt
End Year Balance$45,901,737EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$42,582,994BeginningYearBalanceAmt
Investment Earnings Or Losses$3,743,834InvestmentEarningsOrLossesAmt
End Year Balance$46,326,828EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$39,180,096BeginningYearBalanceAmt
Investment Earnings Or Losses$3,402,898InvestmentEarningsOrLossesAmt
End Year Balance$42,582,994EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$41,498,514BeginningYearBalanceAmt
Investment Earnings Or Losses-$1,372,418InvestmentEarningsOrLossesAmt
Other Expenditures$946,000OtherExpendituresAmt
End Year Balance$39,180,096EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$41,664,814BeginningYearBalanceAmt
Contributions$200ContributionsAmt
Investment Earnings Or Losses$970,214InvestmentEarningsOrLossesAmt
Other Expenditures$1,136,714OtherExpendituresAmt
End Year Balance$41,498,514EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.34000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.66000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,552,900OtherCostOrOtherBasisAmt
Book Value$45,552,900BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$84,853,134OtherCostOrOtherBasisAmt
Depreciation$2,486,118DepreciationAmt
Book Value$82,367,016BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$228,561OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$228,561BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,305,880OtherCostOrOtherBasisAmt
Depreciation$1,328,607DepreciationAmt
Book Value$6,977,273BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,726,054OtherCostOrOtherBasisAmt
Book Value$14,726,054BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$149,851,804TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
UNCONSOLIDATED FOUNDATION$90,574,938F
OWNERSHIP IN HEALTH-RELATED$1,002,598C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$91,577,536TotalBookValueProgramRltdAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO RELATED PARTIES$13,896,952
PENSION LIABILITY$2,759,006
OTHER NON CURRENT LIABILITIES$581,226
FieldValueIRS element (for citing)
Total Liability$17,237,184TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SchEDULE D, Part V, Line 4THE ENDOWMENT FUNDS ARE INTENDED TO BE USED TO SUPPORT THE HOSPITAL'S HEALTHCARE NEEDS AND OTHER HOSPITAL PROGRAM NEEDS.
SCHEDULE D, PART VI LAND, BUILDING, AND EQUIPMENTDUE TO THE ACQUISITION ACCOUNTING TREATMENT APPLIED TO THE AFFILIATION BETWEEN DIGNITY HEALTH AND CHI, THE ASSETS AND LIABILITIES OF DIGNITY HEALTH AND ITS RELATED ORGANIZATIONS WERE MEASURED AND RECORDED AT FAIR VALUE UPON THE EFFECTIVE DATE OF FEBRUARY 1, 2019.
SchEDULE D, Part X, Line 2 - FIN 48 (ASC 740) FOOTNOTECOMMONSPIRIT 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.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served4321PersonsServedCnt
Total Community Benefit Expns$4,546,711TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,546,711NetCommunityBenefitExpnsAmt
Total Expense0.01890TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served14767PersonsServedCnt
Total Community Benefit Expns$71,112,729TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$43,893,870DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,218,859NetCommunityBenefitExpnsAmt
Total Expense0.11340TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Persons Served156PersonsServedCnt
Total Community Benefit Expns$345,193TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$555DirectOffsettingRevenueAmt
Net Community Benefit Expns$344,638NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served19244PersonsServedCnt
Total Community Benefit Expns$76,004,633TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$43,894,425DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,110,208NetCommunityBenefitExpnsAmt
Total Expense0.13370TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served1848PersonsServedCnt
Total Community Benefit Expns$951,675TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$261,969DirectOffsettingRevenueAmt
Net Community Benefit Expns$689,706NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served630PersonsServedCnt
Total Community Benefit Expns$517,946TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$301,163DirectOffsettingRevenueAmt
Net Community Benefit Expns$216,783NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served77PersonsServedCnt
Total Community Benefit Expns$351,464TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$351,464NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served15791PersonsServedCnt
Total Community Benefit Expns$394,796TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,152DirectOffsettingRevenueAmt
Net Community Benefit Expns$367,644NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs18ActivitiesOrProgramsCnt
Persons Served18346PersonsServedCnt
Total Community Benefit Expns$2,215,881TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$590,284DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,625,597NetCommunityBenefitExpnsAmt
Total Expense0.00680TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs18ActivitiesOrProgramsCnt
Persons Served37590PersonsServedCnt
Total Community Benefit Expns$78,220,514TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$44,484,709DirectOffsettingRevenueAmt
Net Community Benefit Expns$33,735,805NetCommunityBenefitExpnsAmt
Total Expense0.14050TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served1PersonsServedCnt
Total Community Benefit Expns$2,457TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,457NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served1PersonsServedCnt
Total Community Benefit Expns$1,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,000NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served35PersonsServedCnt
Total Community Benefit Expns$13,755TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,755NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served37PersonsServedCnt
Total Community Benefit Expns$17,212TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,212NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$4,641,787BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$40,327,053ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$55,136,380CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$14,809,327MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Saint Francis Memorial HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 Hyde StAddressLine1Txt
CitySan FranciscoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94109ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.saintfrancismemorial.orgWebsiteAddressTxt
State License220000069StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Saint Francis Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
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Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SECTION CFAPAvailableOnWebsiteURLTxt
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Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART VSCHEDULE H, PART V, SECTION B, LINE 5 FOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED FROM THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, A CO-CONVENOR OF THE ASSESSMENT, AS WELL AS EXTENSIVE COMMUNITY ENGAGEMENT. THE CHNA INCLUDED FOUR CATEGORIES OF FOCUS GROUP: KEY INFORMANT GROUP INTERVIEW, EQUITY COALITION FOCUS GROUPS, FOOD INSECURE PREGNANT WOMEN FOCUS GROUPS, AND KAISER PERMANENTE FOCUS GROUPS. FOCUS GROUPS WERE CONDUCTED WITH EACH OF THE THREE HEALTH EQUITY COALITIONS IN SAN FRANCISCO: THE CHICANO / LATINO / INDIGENA HEALTH EQUITY COALITION, THE ASIAN PACIFIC ISLANDER HEALTHY PARITY COALITION, AND THE AFRICAN AMERICAN HEALTH EQUITY COALITION. THE HOMELESS PRENATAL PROGRAM HELD FOUR FOCUS GROUPS WITH WOMEN WHO EXPERIENCED FOOD INSECURITY WHILE PREGNANT. EACH FOCUS GROUP FOCUSED ON A DIFFERENT GROUP OF WOMEN: SPANISH, CHINESE, MULTI-ETHNIC ENGLISH SPEAKERS, AND AFRICAN AMERICAN. CHNA PARTNER KAISER PERMANENTE CONDUCTED FOUR FOCUS GROUPS, ONE EACH WITH KAISER PERMANENTE LEADERSHIP, KAISER PERMANENTE STAFF, SPANISH-SPEAKING PARENTS ON YOUTH HEALTHY EATING AND ACTIVE LIVING, AND HOMELESS AND/OR HIV POSITIVE YOUTH.
SCHEDULE H, PART V, SECTION B, LINE 6AST. MARY'S MEDICAL CENTER, SUTTER HEALTH CALIFORNIA PACIFIC MEDICAL CENTER, CHINESE HOSPITAL, KAISER PERMANENTE SAN FRANCISCO, UCSF MEDICAL CENTER
SCHEDULE H, PART V, SECTION B, LINE 6BSAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP MEMBERS INCLUDING: SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE'S COMMUNITY ENGAGEMENT AND HEALTH POLICY PROGRAM AT UCSF, SAN FRANCISCO UNIFIED SCHOOL DISTRICT, THE ASIAN AND PACIFIC ISLANDER HEALTH PARITY COALITION, HEALTH SERVICES NETWORK, HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA, CHICANO/LATINO/INDIGENA HEALTH EQUITY COALITION, AFRICAN AMERICAN COMMUNITY HEALTH EQUITY COUNCIL, COMMUNITY CLINIC CONSORTIUM, SAN FRANCISCO INTERFAITH COUNCIL, METTA FUND, JEWISH HOME.
SCHEDULE H, PART V, SECTION B, LINE 7AALL DIGNITY HEALTH HOSPITAL FACILITY COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS CAN BE ACCESSED AT HTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-P ROGRAMS-AND-REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS. CHNA REPORT WEB SITE LOCATION FOR THE HOSPITAL IS HTTPS://WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/SAINTFRANCIS/ABOUT-US/COMM UNITY-BENEFITS
SCHEDULE H, PART V, SECTION B, LINE 10ADIGNITY HEALTH HOSPITAL FACILITY IMPLEMENTATION STRATEGY DOCUMENTS CAN BE ACCESSED AT HTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-P ROGRAMS-AND-REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS. IMPLEMENTATION STRATEGIES ARE ALSO ON HOSPITAL FACILITY'S WEB SITE, AT THE SAME LOCATION AS THEIR CHNA REPORTS LISTED IN PART V, SECTION B, LINE 7A ABOVE.
SCHEDULE H, PART V, SECTION B, LINE 11THE SIGNIFICANT COMMUNITY HEALTH NEEDS THE HOSPITAL IS HELPING TO ADDRESS AND THAT FORM THE BASIS OF THIS DOCUMENT WERE IDENTIFIED IN THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). NEEDS BEING ADDRESSED BY STRATEGIES AND PROGRAMS ARE: ACCESS TO COORDINATED, CULTURALLY AND LINGUISTICALLY APPROPRIATE CARE AND SERVICES; FOOD SECURITY, HEALTHY EATING AND ACTIVE LIVING; HOUSING SECURITY AND AN END TO HOMELESSNESS; SAFETY FROM VIOLENCE AND TRAUMA; AND SOCIAL, EMOTIONAL AND BEHAVIORAL HEALTH. ACCESS: PATIENT FINANCIAL ASSISTANCE, HEALTHY SAN FRANCISCO, HEALTHRIGHT360 PATIENT NAVIGATOR, DELANCEY STREET FOUNDATION PARTNERSHIP, PHYSICIAN SUPPORT FOR CHARITY CARE PROGRAMS, SUPPORT FOR HEALTH PROFESSIONS EDUCATION. FOOD, HEALTHY EATING, ACTIVE LIVING: STRENGTHENING TENDERLOIN PARKS NETWORK, GRANTS TO LA COCINA MUNICIPAL MARKETPLACE AND HEALTHRIGHT360 GREEN MOBILE MEDICAL TEST KITCHEN. HOUSING SECURITY: GRANT TO DOWNTOWN STREETS TEAM, SUPPORTIVE HOUSING TENANT ENGAGEMENT. SAFETY FROM VIOLENCE: RALLY FAMILY VISITATION SERVICES, TENDERLOIN NEIGHBORHOOD SAFETY. SOCIAL, EMOTIONAL, BEHAVIORAL HEALTH: MEDICATION ASSISTED TREATMENT AND ALCOHOL & OTHER DRUGS COUNSELOR, NEIGHBORHOOD HARM-REDUCTION. THE HOSPITAL INTENDS TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS THROUGH THE TENDERLOIN HEALTH IMPROVEMENT PARTNERSHIP INITIATIVE.
SCHEDULE H, PART V, SECTION B, LINE 16A-16CHTTPS://WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/SAINTFRANCIS/PATIENTS-AND- VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16JADDITIONAL MEASURES TAKEN TO PUBLICIZE DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY INCLUDE THE PROVISION OF BROCHURES EXPLAINING AVAILABLE GOVERNMENT SPONSORED PROGRAMS AND THE FINANCIAL ASSISTANCE POLICY, A COPY OF THE FINANCIAL ASSISTANCE APPLICATION, A TELEPHONE NUMBER FOR PATIENTS TO REQUEST FURTHER INFORMATION ABOUT THE PROGRAM, AVAILABLITY OF INFORMATION IN LANGUAGES OTHER THAN ENGLISH, CONTACT INFORMATION FOR FINANCIAL COUNSELORS OR OTHER REPRESENTATIVES WHO CAN PROVIDE INFORMATION. THE FACILITY'S WEB SITE ALSO CONTAINS THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY OF THE POLICY, APPLICATION, BILLING AND COLLECTION POLICY, A DESCRIPTION OF THE AMOUNT GENERALLY BILLED AND A LISTING OF PROVIDERS AT EACH FACILITY THAT ARE COVERED AND NOT COVERED BY THE FINANCIAL ASSISTANCE POLICY. CONTACT INFORMATION CAN ALSO BE FOUND ON EACH FACILITY'S WEB PAGE. THE POLICY'S PLAIN LANGUAGE SUMMARY IS INCLUDED IN THE HOSPITAL'S ANNUAL COMMUNITY BENEFIT REPORT WHICH IS WIDELY AVAILABLE TO THE PUBLIC ONLINE, IS IN THE CHARITY CARE REPORT SUBMITTED TO THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, AND IS SHARED WITH THE HOSPITAL'S COMMUNITY HEALTH/COMMUNITY BENEFIT COMMITTEE AND MANY COMMUNITY ORGANIZATIONS INCLUDING: SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, SAN FRANCISCO CLINIC CONSORTIUM, AND TENDERLOIN HEALTH IMPROVEMENT PARTNERSHIP MEMBER AGENCIES.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Cyberknife
900 HYDE STREETSan FranciscoCA94109Oncology
GoHealth Urgent Care Mangement LLC
5555 Glenride Connector Ste 700AtlantaGA30342Clinic

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7FOR PURPOSES OF CALCULATING THE AMOUNTS PROVIDED IN THE TABLE, SFMH USES A COST ACCOUNTING SYSTEM THAT COMBINES RELATIVE VALUE UNITS (RVU) AND COST TO CHARGE RATIOS (CCR) TO ALLOCATE COSTS TO THE PATIENT LEVEL. THE COST ACCOUNTING SYSTEM ALGORITHM ALLOCATES TOTAL OPERATING EXPENSES TO THE PROCEDURE CHARGE CODE LEVEL BASED UPON AN RVU FOR PROCEDURES THAT HAVE BEEN STUDIED AND ASSIGNED AN RVU, OR BASED UPON A CCR FOR UNSTUDIED PROCEDURES THAT DO NOT HAVE AN RVU ASSIGNED. WHEN A CCR IS USED, THE SYSTEM CALCULATES THAT CCR ON A DEPARTMENTAL SPECIFIC BASIS AT WHERE THE SERVICES WERE PROVIDED. THE CALCULATION IS SIMILAR TO THE WORKSHEET 2 OF SCHEDULE H, RATIO OF PATIENT CARE COST TO CHARGES, EXCEPT IT IS CALCULATED ON A DEPARTMENTAL SPECIFIC BASIS, NOT IN THE AGGREGATE. THE ALLOCATED PROCEDURE CHARGE CODE LEVEL COSTS ARE THEN ROLLED UP TO THE PATIENT LEVEL BASED UPON THE BILLED PROCEDURE CHARGE CODES ASSOCIATED WITH THOSE SERVICES PROVIDED TO EACH SPECIFIC PATIENT. THIS IS DONE FOR ALL PATIENT SEGMENTS INCLUDING INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENT, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED AND SELF PAY. THE COST ACCOUNTING SYSTEM IS UTILIZED TO DETERMINE THE UNREIMBURSED COST OF MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THE COST OF CHARITY CARE IS CALCULATED BY APPLYING THE CCR DERIVED FROM THE COST ACCOUNTING SYSTEM ON A PER FACILITY BASIS, TO THE CHARGES INCURRED ON PATIENTS THAT QUALIFY FOR CHARITY CARE AT THE RESPECTIVE FACILITY. THE ACTUAL COST IS REPORTED FOR OTHER COMMUNITY BENEFIT ACTIVITIES SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH AND CASH AND IN-KIND DONATIONS. SCHEDULE H, PART I, LINE 7B, COLUMN (F) BEGINNING IN 2009, THE STATE OF CALIFORNIA ESTABLISHED PROVIDER FEE PROGRAMS. THESE PROGRAMS ARE FUNDED BY QUALITY ASSURANCE FEES PAID BY PARTICIPATING HOSPITALS AND MATCHING FEDERAL FUNDS. SFMH RECOGNIZED QUALITY ASSURANCE FEES DURING THE YEAR OF $13.49 MILLION WHICH ARE INCLUDED IN TOTAL COMMUNITY BENEFIT EXPENSE RELATED TO UNREIMBURSED MEDICAID (PART I, LINE 7B, COLUMN C), AND RECOGNIZED FEE-FOR-SERVICE SUPPLEMENTAL PAYMENTS OF $17.65 MILLION DURING THE YEAR REFLECTED UNDER THE MEDICAID PROGRAM AS DIRECT OFFSETTING REVENUE (PART I, LINE 7B, COLUMN D). THIS NET INCREASE IN THE COST OF THE MEDICAID PROGRAM IS DRIVING THE INCREASE IN THE OVERALL COST OF COMMUNITY BENEFIT EXPENSE AS A PERCENT OF TOTAL EXPENSES WHEN COMPARED TO PRIOR YEARS. SCHEDULE H, PART I, LINE 7I INCLUDED IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT IS $106,447 IN GRANTS TO A FUND ESTABLISHED BY THE CALIFORNIA HEALTH FOUNDATION AND TRUST ("CHFT") FOR SEVERAL PURPOSES, INCLUDING AGGREGATING AND DISTRIBUTING FINANCIAL RESOURCES TO SUPPORT CHARITABLE ACTIVITIES AT VARIOUS HOSPITALS AND HEALTH SYSTEMS IN CALIFORNIA, CONSISTENT WITH CHFT'S MISSION OF SUPPORTING HEALTH CARE, ACCESS TO HEALTH CARE, RESEARCH AND EDUCATION.
Schedule H, Part II - Community Building ActivitiesSAINT FRANCIS MEMORIAL HOSPITAL'S EFFORTS TO PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES EXTEND BEYOND PROVIDING HEALTH CARE SERVICES. SAINT FRANCIS MEMORIAL HOSPITAL TAKES A PROACTIVE APPROACH TO ADDRESSING THE SOCIAL, ECONOMIC AND ENVIRONMENTAL BARRIERS TO GOOD HEALTH, AND SUPPORTS THE WORLD HEALTH ORGANIZATION DEFINITION OF HEALTH AS A STATE OF COMPLETE PHYSICAL, MENTAL AND SOCIAL WELL-BEING, NOT MERELY THE ABSENCE OF DISEASE OR INFIRMITY. SAINT FRANCIS MEMORIAL HOSPITAL SERVES AS MEMBERS OF COMMUNITY COALITIONS THAT FOCUS ON THE WELL-BEING OF SAN FRANCISCO AND THE TENDERLOIN NEIGHBORHOOD. COALITION BUILDING - UNDER COALITION BUILDING IS THE SAN FRANCISCO HEP B FREE, WHICH IS A CITYWIDE CAMPAIGN, CREATED TO EDUCATE, TEST, VACCINATE AND TREAT SAN FRANCISCO ASIAN AND PACIFIC ISLANDER (API) RESIDENTS OF HEPATITIS B (HBV). SAINT FRANCIS MEMORIAL HOSPITAL ALONG WITH OTHER COMMUNITY ORGANIZATIONS, HOSPITAL AND THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH ARE COLLABORATING TO PROVIDE CONVENIENT, FREE OR LOW-COST TESTING OPPORTUNITES AT STREET FAIRS AND CLINICS. WORKFORCE DEVELOPMENT - SAINT FRANCIS MEMORIAL HOSPITAL HAS PARTNERSHIPS WITH LOCAL HIGH SCHOOLS, COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS HEALTH CARE WORKFORCE SHORTAGES, OFFERING HEALTH CAREER MENTORING PROJECTS AND PROVIDING SCHOOL-BASED AND COMMUNITY PROGRAMS THAT DRIVE ENTRY INTO HEALTH CAREERS AND NURSING PRACTICE.
Schedule H, Part III - BAD DEBT, MEDICARE & COLLECTION PRACTICESSCHEDULE H, PART III, LINE 2 THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE CCR (SEE SCHEDULE H, PART I, LINE 7) TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER FINANCIAL ASSISTANCE, AND ARE OTHERWISE UNINSURED. ANY PORTION OF A PATIENT BILL REMAINING AFTER APPLYING FINANCIAL, UNINSURED OR OTHER DISCOUNTS OR PAYMENTS RECEIVED ON THE ACCOUNT THAT ARE ULTIMATELY DETERMINED TO BE UNCOLLECTIBLE ARE WRITTEN OFF TO BAD DEBT. AS NOTED IN PART I, LINE 3, SFMH PROVIDES FREE OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS THAT FALL INTO THREE CATEGORIES; UNDER 250%, 251%-350% OR 351%-500% OF THE FEDERAL POVERTY LEVEL. SFMH ALSO PROVIDES PATIENTS OPTIONS FOR PROMPT PAY DISCOUNTS, AND INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS RECEIVE AN AUTOMATIC UNINSURED DISCOUNT OF 30%. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 3 SFMH MAKES EVERY EFFORT IN DETERMINING IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. SFMH FOLLOWS DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY. DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. DIGNITY HEALTH ALSO UTILIZES A PAYMENT ASSISTANCE RANK ORDERING (PARO) SCORING SYSTEM TO ASSIST IN DETERMINING IF AN UNINSURED PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. PARO IS A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL UNINSURED PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE FINANCIAL ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT NO SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE WERE REPORTED AS BAD DEBT. AS SUCH, SFMH DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE. SCHEDULE H, PART III, LINE 4 THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT HEALTH'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2019, RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCES FOR DOUBTFUL ACCOUNTS AND PATIENT REVENUE: PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS, AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES. SFMH MANAGES ITS COLLECTION RISK BY REGULARLY REVIEWING ITS ACCOUNTS AND CONTRACTS AND BY PROVIDING APPROPRIATE ALLOWANCES. RESERVES FOR CHARITY AND UNCOLLECTIBLE AMOUNTS HAVE BEEN ESTABLISHED AND ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEET. SCHEDULE H, PART III, LINE 8 SFMH PREPARES MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1, 2150FF AND PRM 15-2, 1000FF. AS SUCH, THE FOLLOWING LANGUAGE PER THE PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR TO BE CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS. COMMONSPIRIT HEALTH, INCLUDING DIGNITY HEALTH AND ITS SUBORDINATES, WHICH INCLUDES SAINT FRANCIS MEMORIAL HOSPITAL, BELIEVES THAT THE ENTIRE MEDICARE SHORTFALL OF $2.2 BILLION, AS REPORTED BELOW IN PART VI, LINE 6, CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY HOSPITAL FACILITIES IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. THIS SHORTFALL INCLUDES $14.8 MILLION REPORTED ON PART III, SECTION B, LINE 7, PRIMARILY FOR FEE FOR SERVICE MEDICARE PATIENTS, AS WELL AS THE UNREIMBURSED PORTION OF MEDICARE MANAGED CARE AND MEDICARE CAPITATED PROGRAMS FOR SFMH. SCHEDULE H, PART III, LINE 9B SFMH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. SFMH FOLLOWS DIGNITY HEALTH'S BILLING AND COLLECTION POLICY. DIGNITY HEALTH'S COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHOM THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF SFMH OR THE BILLING COMPANY RETAINED BY DIGNITY HEALTH IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED FINANCIAL ASSISTANCE OR FOR ASSISTANCE UNDER DIGNITY HEALTH'S PATIENT FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, SFMH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. LEGAL ACTION WILL NOT BE PURSUED TO COLLECT DEBTS FROM PATIENTS WHO HAVE QUALIFIED FOR CHARITY OR ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DEBT. ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY DIGNITY HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, SFMH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT.
SCHEDULE H, PART VI, LINE 2 - NEEDS ASSESSMENTIN ADDITION TO CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT AT LEAST EVERY THREE YEARS, SAINT FRANCIS MEMORIAL HOSPITAL CONTINUOUSLY ASSESSES THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES BY WORKING COLLABORATIVELY WITH LOCAL SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, FEDERALLY QUALIFIED HEALTH CENTERS, NON-PROFIT CLINICS, AND OTHER HEALTH, SOCIAL SERVICE AND COMMUNITY-BASED ORGANIZATIONS. SAINT FRANCIS MEMORIAL HOSPITAL ALSO GAINS AND MAINTAINS KNOWLEDGE OF HEALTH NEEDS IN PART THROUGH REFERRAL RELATIONSHIPS, SERVICE PLANNING ACTIVITIES, COMMUNITY HEALTH PARTNERSHIPS, AND LOCAL ADVOCACY CONDUCTED IN CONJUNCTION WITH COMMUNITY PARTNERS. SPECIFICALLY THROUGH THE TENDERLOIN HEALTH IMPROVEMENT PARTNERSHIP (TLHIP), SAINT FRANCIS MEMORIAL HOSPITAL AND THE SAINT FRANCIS FOUNDATION HOST REGULAR PARTNER ALIGNMENT CONFERENCES, CONVENING COMMUNITY-BASED ORGANIZATIONS AND REPRESENTATIVES FROM PUBLIC AND PRIVATE AGENCIES TO REVIEW SHARED CONTRIBUTIONS AND STRATEGIES TO ADDRESS HEALTH NEEDS IDENTIFIED BY TENDERLOIN RESIDENTS. TO HELP FURTHER UNDERSTAND THE NEEDS OF THE TENDERLOIN AND CENTRAL MARKET NEIGHBORHOOD AND INFORM HEALTH IMPROVEMENT STRATEGIES LED BY COMMUNITY-BASED ORGANIZATIONS, POLICY MAKERS AND RESIDENTS, THE CENTRAL MARKET TENDERLOIN DATA PORTAL (CMTL) WAS CREATED BY THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH IN PARTNERSHIP WITH TLHIP AND THE SAN FRANCISCO OFFICE OF ECONOMIC AND WORKFORCE DEVELOPMENT (OEWD). FOR MORE INFORMATION, VISIT HTTP://WWW.CMTLDATA.ORG/. SAINT FRANCIS MEMORIAL HOSPITAL CREATES AND MAKES WIDELY AVAILABLE TO THE PUBLIC ANNUAL COMMUNITY BENEFIT REPORTS THAT SUMMARIZE IDENTIFIED HEALTH NEEDS, UPDATE COMMUNITY DEMOGRAPHIC INFORMATION, AND REPORT ON RECENT AND PLANNED COMMUNITY HEALTH PROGRAMS, INCLUDING GOALS, OBJECTIVES AND MEASURABLE RESULTS. IN ADDITION, SAINT FRANCIS MEMORIAL HOSPITAL USES DATA ON ADMISSIONS FOR AMBULATORY CARE SENSITIVE CONDITIONS THAT EVIDENCE SUGGESTS COULD HAVE BEEN AVOIDED, AT LEAST IN PART, THROUGH MORE ROBUST COMMUNITY ACCESS TO OR USE OF PRIMARY AND PREVENTIVE CARE RESOURCES. SAINT FRANCIS MEMORIAL HOSPITAL ALSO MAKES FULL USE OF DIGNITY HEALTH'S COMMUNITY NEEDS INDEX (CNI), A TOOL DEVELOPED IN PARTNERSHIP WITH TRUVEN HEALTH ANALYTICS WHICH PROVIDES AN AGGREGATE SCORE OF THE SOCIOECONOMIC BARRIERS THAT PUT RESIDENTS AT GREATER RISK OF NEEDING HEALTH SERVICES. THE CNI AGGREGATES NINE INDICATORS INTO FIVE SOCIOECONOMIC FACTORS KNOWN TO CONTRIBUTE TO HEALTH DISPARITY. THE FIVE INCLUDE INCOME, CULTURE/LANGUAGE, EDUCATION, HOUSING STATUS, AND INSURANCE COVERAGE. THE INDEX IS CALCULATED ANNUALLY FOR EVERY ZIP CODE IN THE UNITED STATES. RESIDENTS OF COMMUNITIES WITH THE HIGHEST CNI SCORES WERE SHOWN TO BE TWICE AS LIKELY TO EXPERIENCE PREVENTABLE HOSPITALIZATION FOR MANAGABLE CONDITIONS AS COMMUNITIES WITH THE LOWEST CNI SCORES. THE CNI PROVIDES COMPELLING EVIDENCE FOR ADDRESSING SOCIOECONOMIC BARRIERS WHEN CONSIDERING HEALTH POLICY AND LOCAL HEALTH PLANNING. THE TOOL HIGHLIGHTS HEALTH CARE DISPARITIES AND ENABLES HEALTH CARE PROVIDERS, POLICYMAKERS, AND OTHERS TO TARGET RESOURCES WHERE THEY ARE MOST NEEDED. ADDITIONAL INFORMATION ABOUT THE CNI IS ACCESSIBLE AT HTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-P ROGRAMS-AND-REPORTS. THE DIGNITY HEALTH CNI FINDINGS ARE IN ALIGNMENT WITH THE OTHER HEALTH INDICATOR DATA FOUND ON THE SFHIP.ORG WEBSITE.
SCHEDULE H, PART VI, LINE 3 - PATIENT EDUCATIONPATIENT EDUCATION OF ELIGIBILITY FOR COMMUNICATION OF THE FINANCIAL ASSISTANCE PROGRAM TO PATIENTS AND THE PUBLIC: SFMH FOLLOWS DIGNITY HEALTH'S FINANCIAL ASSISTANCE PROGRAM. INFORMATION ABOUT DIGNITY HEALTH'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF THE SFMH'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS SFMH MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES SFMH SERVES. THE SIGNAGE INCLUDES NOTIFICATION THAT ALL UNINSURED PATIENTS RECEIVE AN UNINSURED DISCOUNT OF 30%, AND THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION OR WITH PROMPT PAYMENT. FINANCIAL ASSISTANCE INFORMATION, GOVERNMENT PROGRAM RESOURCE INFORMATION, TOOLS TO ASSIST PATIENTS IN FINDING HEALTH COVERAGE, ANSWERS TO FREQUENTLY ASKED BILLING QUESTIONS, AND OTHER SUCH INFORMATION CAN ALSO BE FOUND ON SFMH'S WEBSITE AT HTTPS://WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/SAINTFRANCIS/PATIENTS-AND- VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCE AND ALSO ON DIGNITY HEALTH'S WEBSITE AT WWW.DIGNITYHEALTH.ORG. AT THE POINT OF REGISTRATION, BROCHURES ARE MADE AVAILABLE TO ALL PATIENTS EXPLAINING THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND THE AVAILABILITY OF GOVERNMENT SPONSORED PROGRAMS. COPIES OF THE FINANCIAL ASSISTANCE APPLICATION ARE MADE AVAILABLE TO ALL UNINSURED PATIENTS IN ADDITION TO THE BROCHURE UPON ADMISSION TO THE FACILITY. IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO UNINSURED PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED, A STATEMENT INFORMING PATIENTS WITHOUT INSURANCE COVERAGE THAT THEY MAY BE ELIGIBLE FOR A GOVERNMENT SPONSORED PROGRAM OR FACILITY FUNDED FINANCIAL ASSISTANCE, INSTRUCTIONS ON HOW TO APPLY FOR A GOVERNMENT PROGRAM OR FINANCIAL ASSISTANCE AND THE PROVISION OF SUCH APPLICATIONS. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF SFMH REQUIRES ALL INITIAL STATEMENTS TO UNINSURED PATIENTS TO INCLUDE VERBIAGE INFORMING PATIENTS OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND A COPY OF THE FINANCIAL ASSISTANCE APPLICATION. ALSO, ANY MEMBER OF THE SFMH STAFF OR MEDICAL STAFF MAY MAKE REFERRALS OF PATIENTS FOR FINANCIAL ASSISTANCE. THE PATIENT, A FAMILY MEMBER, A CLOSE FRIEND OR AN ASSOCIATE OF THE PATIENT MAY ALSO MAKE A REQUEST FOR FINANCIAL ASSISTANCE.
SCHEDULE H, PART VI, LINE 4 - COMMUNITY INFORMATIONSFMH IS THE ONLY HOSPITAL LOCATED IN DOWNTOWN SAN FRANCISCO. PATIENTS ACCESSING THE HOSPITAL'S SERVICES ENCOMPASS BOTH THE CITY'S RICHEST TO POOREST RESIDENTS. THE HOSPITAL PRIMARILY SERVES SAN FRANCISCO; HOWEVER, A NUMBER OF SPECIALIZED PROGRAMS DRAW PATIENTS FROM ALL OVER NORTHERN CALIFORNIA AND BEYOND. SAN FRANCISCO IS DENSELY POPULATED AND BOASTS CULTURALLY DIVERSE NEIGHBORHOODS IN WHICH RESIDENTS SPEAK MORE THAN 12 DIFFERENT LANGUAGES. PARTS OF SAN FRANCISCO (47 CENSUS TRACTS) ARE FEDERALLY-DESIGNATED AS MEDICALLY UNDERSERVED AREAS. MANY OF THE HOSPITAL'S COMMUNITY BENEFIT PROGRAMS FOCUS ON A NEARBY UNDERSERVERD NEIGHBORHOOD CALLED THE TENDERLOIN (ZIP CODE 94102). TOTAL POPULATION: 884,998 RACE/ETHNICITY: WHITE - NON-HISPANIC 40.1%; BLACK/AFRICAN AMERICAN -NON-HISPANIC 4.8%; HISPANIC OR LATINO 15.4%; ASIAN/PACIFIC ISLANDER 35.5%; ALL OTHERS 4.2% MEDIAN INCOME: $103,876 UNEMPLOYMENT: 3.9% NO HIGH SCHOOL DIPLOMA: 12.5% MEDICAID: 19.6% UNINSURED: 6.5% OTHER AREA HOSPITALS: 8
SCHEDULE H, PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTHSAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP) - SAINT FRANCIS MEMORIAL HOSPITAL STAFF ARE ACTIVE IN THE SFHIP LEADERSHIP AND STEERING COMMITTEES. SFHIP IS MOTIVATED BY A COMMON VISION, VALUES, AND COMMUNITY-IDENTIFIED HEALTH PRIORITIES AND AS SUCH SFHIP WILL DRIVE COMMUNITY HEALTH IMPROVEMENT EFFORTS IN SAN FRANCISCO. THE ROAD MAP FOR SFHIP IS SAN FRANCISCO'S COMMUNITY HEALTH IMPROVEMENT PLAN, THE DEVELOPMENT PROCESS FOR WHICH ENGAGED COMMUNITY RESIDENTS AND LOCAL PUBLIC HEALTH SYSTEM PARTNERS. THE PLAN IDENTIFIES SAN FRANCISCO'S HEALTH PRIORITIES AS WELL AS GOALS, OBJECTIVES, MEASURES, AND STRATEGIES FOR EACH PRIORITY. THE SAINT FRANCIS MEMORIAL HOSPITAL COMMUNITY BENEFIT PLAN IS DESIGNED TO ALIGN WITH SFHIP PRIORITIES. TENDERLOIN HEALTH IMPROVEMENT PARTNERSHIP (TLHIP) - SAINT FRANCIS MEMORIAL HOSPITAL CONTINUES TO PARTNER WITH THE SAINT FRANCIS FOUNDATION AS THE BACKBONE OF TLHIP TO STRENGTHEN AND ENHANCE THE CAPACITY OF TENDERLOIN ORGANIZATIONS USING A PLACE-BASED STRATEGY AND A FRAMEWORK THAT PROVIDES BETTER COORDINATION BETWEEN GOVERNMENT, BUSINESS, AND NON-PROFIT SECTORS, AND COMMUNITY TO CO-CREATE SOLUTIONS FOR DEEPER IMPACT ACROSS THE SOCIAL DETERMINANTS OF HEALTH. THE THREE CORE COMMUNITY PRIORITIES OF SAFETY, COMMUNITY CONNECTIONS, AND OPPORTUNITIES FOR HEALTHY CHOICES, AND FIVE TLHIP FOCUS AREAS. THE FOCUS AREAS ARE: ACTIVE VIBRANT, SAFE, AND CLEAN SHARED SPACES; BEHAVIORAL HEALTH AND MENTAL HEALTH; RESIDENT HEALTH; ECONOMIC OPPORTUNITY AND AFFORDABLE RETAIL; AND HOUSING ACCESS. SAN FRANCISCO HEP B FREE - SAINT FRANCIS MEMORIAL HOSPITAL CONTINUES TO BE AN ACTIVE PARTNER IN THE SAN FRANCISCO HEPATITIS B COALITION, PARTICIPATING IN COALITION ACTIVITIES INCLUDING SPONSORING THE ANNUAL GALA TO INCREASE AWARENESS OF HEPATITIS B. SAN FRANCISCO HEP B FREE STARTED AS A CITYWIDE CAMPAIGN OVER 10 YEARS AGO TO CREATE, EDUCATE, TEST, VACCINATE AND TREAT SAN FRANCISCO ASIAN AND PACIFIC ISLANDER (API) RESIDENTS OF HEPATITIS B (HBV). PARTNERS INCLUDE COMMUNITY-BASED ORGANIZATIONS, HOSPITALS, BUSINESSES AND THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH. AS A NOT-FOR-PROFIT HOSPITAL ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE, SAINT FRANCIS MEMORIAL HOSPITAL REINVESTS ALL OF ITS SURPLUS FUNDS FROM OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, AND SUPPORT COMMUNITY HEALTH PROGRAMS. THIS ACTIVE REINVESTMENT OF FUNDS MAKES IT POSSIBLE FOR SAINT FRANCIS MEMORIAL HOSPITAL TO DELIVER ON ITS MISSION, INCLUDING ENSURING THAT EVERYONE IN THE COMMUNITIES SERVED HAS ACCESS TO HEALTH CARE. SAINT FRANCIS MEMORIAL HOSPITAL IS GOVERNED BY A BOARD OF TRUSTEES. SPECIFIC COMMITTEES, INCLUDING THE COMMUNITY ADVISORY COMMITTEE, HAVE ORGANIZATIONAL POLICY-BASED ROLES TO SET PRIORITIES AND TO OVERSEE COMMUNITY BENEFIT AND HEALTH PROGRAMS. THE BOARD OF TRUSTEES RECEIVES REGULAR REPORTS ON ACTIVITIES AND PERFORMANCE. SAINT FRANCIS MEMORIAL HOSPITAL HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. IN ADDITION, SAINT FRANCIS MEMORIAL HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY BY EXERCISING THE FOLLOWING: - OPERATING AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY; - PARTNERING WITH HEALTHRIGHT360'S TENDERLOIN HEALTH SERVICES (FORMERLY GLIDE HEALTH CLINIC), A FQHC SERVING THE UNDERSERVED IN THE TENDERLOIN NEIGHBORHOOD; - ENGAGING IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS IN THE TENDERLOIN NEIGHBORHOOD.
SCHEDULE H, PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEMSFMH IS AFFILIATED WITH DIGNITY HEALTH. AFFILIATES OF DIGNITY HEALTH ALSO PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN BAKERSFIELD, SAN BERNARDINO, SAN FRANCISCO, SAN ANDREAS, AND GRASS VALLEY/NEVADA CITY, CALIFORNIA. THESE AFFILIATES FOLLOW PRACTICES SIMILAR TO THOSE NOTED ABOVE IN DETERMINING THE UNMET HEALTHCARE NEEDS OF THEIR COMMUNITIES. TOTAL UNSPONSORED COMMUNITY BENEFIT EXPENSE FOR COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS, INCLUDING SFMH, FOR THE YEAR ENDED JUNE 30, 2019, IS AS FOLLOWS (IN MILLIONS): Persons Net Comm % of Served Benefit Exp excl Bad Debt Benefits for the Poor: Traditional Charity Care 317 289 1.4% Unpaid Costs of Medicaid/Medi-Cal 4,550 1,441 6.8% Other Means-tested Programs 23 13 0.1% Community Services: Community Health Services 58 31 0.1% Subsidized Health Services 33 32 0.2% Donations 52 50 0.2% Total Community Services for the poor 143 113 0.5% Total Benefits for the Poor 5,033 1,856 8.8% Benefits for the Broader Community: Community Services: Community Health Services 103 99 0.5% Health Professions Education 128 113 0.5% Subsidized Health Services 23 17 0.1% Research 131 95 0.4% Donations 7 6 0.0% Total Benefits for the Broader Community 392 330 1.5% Total Community Benefits 5,425 2,186 10.3% Unpaid Costs of Medicare 5,957 2,249 10.6% Total Community Benefits including Unpaid Cost of Medicare 11,382 4,435 20.9%

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
Dignity Health Medical Foundation
3400 Data DriveRancho CordovaCA95670680220314501(c)(3)$4,662,847$0N/AN/AMedical Foundation Support
California Health Foundation and Trust
1215 K St Ste 800SacramentoCA95814941498697501(c)(3)$106,447$0N/AN/ACommunity Health
Saint Francis Foundation
900 Hyde StreetSan FranciscoCA94109942597514501(c)(3)$289,458$0N/AN/AFoundation Support
HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA
1215 K ST SUITE 800SACRAMENTOCA95814941533644501(c)(6)$15,128$0N/AN/ACOMMUNITY HEALTH
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeMEALS TO LOW INCOME SENIORSGrantTypeTxt
Recipient14601RecipientCnt
Cash Grant$0CashGrantAmt
Non Cash Assistance$19,614NonCashAssistanceAmt
Valuation Method UsedBookValuationMethodUsedDesc
Non Cash AssistanceMEALS/FOODNonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSched I, Part I, Line 2FormAndLineReferenceDesc
ExplanationAS A 501(C)(3) ORGANIZATION, WE PROVIDE ASSISTANCE TO VARIOUS CHARITABLE ORGANIZATIONS TO PROMOTE DIGNITY HEALTH'S MISSION. A DESIGNATED COMMITTEE ESTABLISHES AND EVALUATES PRIORITIES AND ALLOCATION OF FUNDS WITH EMPHASIS ON PROMOTION OF HEALTHY COMMUNITIES AND COMMUNITY COLLABORATION. WE DO NOT MONITOR AND REPORT PROGRAM OUTCOMES. SPENDING IS TRACKED ON AN ONGOING BASIS TO ENSURE THAT ANNUAL SPENDING IS WITHIN THE BUDGETED AMOUNT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Daniel Morissette
Board Member (START 7/2018)$0$972,459$0$1,586,108$0$7,281$0$208,886$0$48,125$0$2,822,859$0$0
Todd A Strumwasser MD
Board Member$0$621,208$0$628,585$0$19,335$0$106,062$0$57,225$0$1,432,415$0$0
David Klein MD
President & CEO$0$440,816$0$370,178$0$15,761$0$72,063$0$49,358$0$948,176$0$0
George Lenzi
Interim CFO (END 3/2019)$0$187,320$0$0$0$0$0$14,611$0$0$0$201,931$0$0
Charles Thevnin
CFO (START 6/2019)$247,493$0$38,394$0$16,682$0$23,826$0$45,412$0$371,807$0$0$0
Charlene Battaglia
Senior Director - Nursing$226,252$0$45,895$0$4,327$0$29,453$0$3,520$0$309,447$0$0$0
Bradley Grote
Senior Director-Nursing Operat$235,509$0$47,704$0$2,121$0$30,628$0$14,648$0$330,610$0$0$0
Kathleen Jordan MD
VP CMO$347,042$0$94,063$0$834$0$43,238$0$39,552$0$524,729$0$0$0
Raymond Miller
Dir Pharmacy (END 1/2019)$218,159$0$43,925$0$1,397$0$28,576$0$26,596$0$318,653$0$0$0
Tracey Pierce
VP, HR (XFER 7/2018)$147,026$133,497$0$142,364$323$1,528$16,643$25,163$21,041$15,029$185,033$317,581$0$0
Jill Welton
VP Quality/CNO (XFER 6/2018)$154,809$213,161$9,000$95,001$987$79,648$17,264$28,335$13,531$13,531$195,591$429,676$0$0
Deborah Chew
Registered Nurse$248,955$0$500$0$0$0$23,358$0$36,654$0$309,467$0$0$0
Albina Guerrero
Registered Nurse$246,879$0$400$0$0$0$23,175$0$36,717$0$307,171$0$0$0
Kibrom M Tewolde
Director Nursing Burn Center$209,962$0$42,893$0$668$0$27,495$0$35,887$0$316,905$0$0$0
Jerry D Wehage
Supervisor Radiology$258,015$0$500$0$0$0$25,327$0$12,412$0$296,254$0$0$0
Yipi Yang
Registered Nurse$244,150$0$500$0$0$0$20,240$0$14,455$0$279,345$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3ALTHOUGH THE ORGANIZATION EMPLOYS PERSONNEL, 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 PRESIDENT'S COMPENSATION. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15A FOR ADDITIONAL INFORMATION.
SCHEDULE J, PART I, LINE 4ATHE LISTED PERSONS PAID BY THE PARENT ORGANIZATION PARTICIPATE IN A SEVERANCE PLAN PROVIDED BY DIGNITY HEALTH 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 AND DEFERRED COMPENSATION PURSUANT TO THE PLAN ARRANGEMENT OCCURRED DURING 2018. THE ORGANIZATION'S NON-CONTRACTUAL EMPLOYEES PARTICIPATE IN A SEVERANCE PLAN PROVIDED BY SAINT FRANCIS MEMORIAL HOSPITAL THAT PROVIDES FAIR COMPENSATION, RANGING FROM PAYMENTS OF 2 WEEKS TO 18 WEEKS OF BASE COMPENSATION, DEPENDING ON THE EMPLOYEE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE PLAN. SEVERANCE FOR EMPLOYEES COVERED BY COLLECTIVE BARGAINING AGREEMENTS VARIES BY AGREEMENT. NO PAYMENTS AND DEFERRED COMPENSATION PURSUANT TO THE PLAN ARRANGEMENT OCCURRED DURING 2018.
SCHEDULE J, PART I, LINE 4BCERTAIN 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. 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)).
SCHEDULE J, PART III SUPPLEMENTAL DISCLOSURESTHE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE THE ORGANIZATION 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 THE ORGANIZATION SERVES, PROMOTING 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 COMPENSATION AND BENEFITS 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 2018.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN521643828BondIssuerEIN
CUSIP13033FYE4CUSIPNum
Bond Issued2005-11-10BondIssuedDt
Issue Price$200,000,000IssuePriceAmt
PurposeSEE PART VI - BOND 1 - CUSIP 13033PurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingYes (true)PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$0RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$10,000,000TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$0IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$10,000,000CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2007SubstantialCompletionYr
Refunding Tax Exempt BondsfalseRefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsYes (true)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (true)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (true)EngageBondCounselContractsInd
Any Research AgreementsYes (true)AnyResearchAgreementsInd
Engage Bond Counsel ResearchYes (true)EngageBondCounselResearchInd
Private Bus Use By Others0.00100PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00100TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop0.00000ChangeInUseBondFinancedPropPct
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DueYes (true)NoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedYes (true)GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceBOND 1 - CUSIP 13033FYE4FormAndLineReferenceDesc
ExplanationSCHEDULE K, PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS PRIMARILY A RESULT OF THE COMPOSITE BOND ISSUE THAT WAS A POOLED FINANCING ISSUE, THE FULL ISSUE PRICE OF WHICH IS SHOWN IN PART I, COLUMN (E). IN COMPARISON, THE AMOUNT OF PROCEEDS SHOWN IN PART II, LINE 3 REFLECTS ONLY THE PORTION OF THE BOND ISSUE BORROWED BY SAINT FRANCIS MEMORIAL HOSPITAL AND CURRENTLY OUTSTANDING. A SMALL PART OF THE DIFFERENCE BETWEEN THE ISSUE PRICE AND PROCEEDS IS DUE TO INVESTMENT EARNINGS. SCHEDULE K, PART I, COLUMN (F) FINANCE ACQUISITION OF MEDICAL EQUIPMENT AND CONSTRUCTION AND RENOVATION OF HOSPITAL FACILITIES. SCHEDULE K, PART IV, LINE 2C AS OF THIS BOND ISSUE'S PRIOR REBATE COMPUTATION DATE OF 1/28/2015, IT WAS DETERMINED THAT NO REBATE WAS DUE.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Paragon Pathology Medical Assoc
H Goodman - BM (sole proprietor)$535,000medical servicesfalse
Anesthesiologists Med Group SF
Thomas Ahlberg - BM; greater than 35% ownership$729,293medical servicesfalse
Robert Harvey MD
R Harvey - BM (prof corp)$41,880Lease payments to SFMHfalse
Robert Harvey MD
R Harvey - BM (prof corp)$96,900medical servicesfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, PART I, LINE 22AFFILIATION OF CHI AND DIGNITY HEALTH ON FEBRUARY 1, 2019 CATHOLIC HEALTH INITIATIVES ("CHI") AND DIGNITY HEALTH EFFECTED A BUSINESS COMBINATION AS DISCUSSED IN NOTE 1 OF COMMONSPIRIT HEALTH'S ("COMMONSPIRIT") AUDITED FINANCIAL STATEMENTS AS OF AND FOR THE YEAR ENDED JUNE 30, 2019. DUE TO THE CIRCUMSTANCES OF THE BUSINESS COMBINATION BETWEEN CHI AND DIGNITY HEALTH, THROUGH THE ALIGNMENT UNDER CATHOLIC HEALTH CARE FEDERATION ("CHCF"), THE TRANSACTION QUALIFIED FOR ACQUISITION ACCOUNTING WITH COMMONSPIRIT HEALTH (FORMERLY KNOWN AS CHI) AS THE ACCOUNTING ACQUIRER OF DIGNITY HEALTH. NO CASH CONSIDERATION WAS INVOLVED IN THE AFFILIATION. AS PART OF THE AFFILIATION, DIGNITY HEALTH CAUSED TO TRANSFER EIGHT NON-CATHOLIC OWNED COMMUNITY HOSPITALS, NON-CATHOLIC SUBSIDIARY HOSPITALS (INCLUDING THE FILING ORGANIZATION), AND CERTAIN OTHER NON-CATHOLIC OPERATIONS TO DIGNITY COMMUNITY CARE. THE TRANSFER OF THESE NET ASSETS, STEPPED UP TO FAIR VALUE PURSUANT TO THE APPLICATION OF ACQUISITON ACCOUNTING, IS RECORDED IN NET ASSETS (SEE PART XI, LINE 9). 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 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 ORGANIZATION IS SUBJECT TO THE GOVERNANCE REQUIREMENTS OF THE COMMONSPIRIT GOVERNANCE MATRIX. THUS, MANY KEY DECISIONS ADDRESSED IN THE BYLAWS REQUIRE THE ORGANIZATION 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 7AEFFECTIVE 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 ORGANIZATION. 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 ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7BRESERVED 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 11BTHE FORM 990 WAS REVIEWED BY FINANCE AND ACCOUNTING (REGIONAL DIGNITY HEALTH MANAGEMENT AND CORPORATE TAX DEPARTMENT), WHICH WORKED CLOSELY WITH AN INDEPENDENT ACCOUNTING FIRM ENGAGED TO REVIEW THE RETURN. THE BOARD OF TRUSTEES HAS DELEGATED THE REVIEW OF THE FORM 990 TO THE FINANCE COMMITTEE. MANAGEMENT PROVIDED THE DRAFT OF THE FORM 990 TO THE FINANCE COMMITTEE BEFORE FILING THE RETURN WITH THE IRS FOR DISCUSSION AT THE COMMITTEE MEETING. THE DRAFT WAS COMPLETE EXCEPT IT EXCLUDED COMPENSATION INFORMATION. SUBSEQUENT TO ITS REVIEW, THE FINANCE COMMITTEE REPORTED BACK TO THE BOARD REGARDING ITS REVIEW AND PROVIDED A DRAFT TO THE BOARD OF TRUSTEES, AGAIN EXCLUDING COMPENSATION.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION 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 15AALTHOUGH THE ORGANIZATION EMPLOYS PERSONNEL, THE PRESIDENT IS COMPENSATED BY DIGNITY HEALTH. FOR 2018, 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 EACH OFFICER AND CERTAIN KEY EMPLOYEES (INCLUDING THE PRESIDENT/CEO). 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 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 B, LINE 15BFOR 2018, THE PARENT ORGANIZATION'S HUMAN RESOURCES DEPARTMENT CONDUCTED AN ANNUAL REVIEW AND ANALYSIS TO PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGE OF KEY EXECUTIVES. THE COMPENSATION FOR THESE INDIVIDUALS WAS BASED ON THE QUALIFICATION AND EXPERIENCE OF THE CANDIDATES. COMPENSATION IS ALSO REVIEWED ANNUALLY AS PART OF THE MERIT INCREASE PROCESS.
FORM 990, PART VI, SECTION C, LINE 19FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY BE MADE AVAILABLE FOR PUBLIC INSPECTION. FORM 990 AND THE COPY OF AUDITED FINANCIAL STATEMENTS ATTACHED TO IT ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION AT. STRUMWASSER, MD, D. KLEIN, G. LENZI AND D. MORISSETTE RECEIVED COMPENSATION FOR SERVICES PROVIDED TO A RELATED ORGANIZATION, DIGNITY HEALTH. FORM 990, PART XI, LINE 9 CHANGE IN OWNERSHIP INTEREST - JV; $ (28,049) INTEREST IN NET ASSETS OF UNCONSOLIDATED FOUNDATION; $(581,602) ADJUSTMENT OF ASSETS AND LIABILITIES, NET, TO FAIR VALUE PURSUANT TO ACQUISITION ACCOUNTING; $68,223,193
FORM 990, PART XII, LINE 3A - FINANCIAL STATEMENTS AND REPORTINGTHE ORGANIZATION'S FEDERAL AWARDS WERE INCLUDED IN DIGNITY HEALTH AND SUBORDINATE CORPORATIONS' UNIFORM GUIDANCE SCHEDULE OF FEDERAL EXPENDITURES FOR THE PERIOD OF JULY 1, 2018, TO JANUARY 1, 2019, AND COMMONSPIRIT'S CONSOLIDATED UNIFORM GUIDANCE AUDITED SCHEDULE OF FEDERAL EXPENDITURES FOR THE PERIOD OF FEBRUARY 1, 2019, TO JUNE 30, 2019.
SAFE HARBOR ELECTION DISCLOSURETANGIBLE PROPERTY REGULATION STATEMENT SECTION 1.263(A)-1(F) DE MINIMIS SAFE HARBOR ELECTION TAXPAYER IS MAKING THE DE MINIMIS SAFE HARBOR ELECTION UNDER TREASURY REGULATION 1.263(A)-1(F) FOR ALL ELIGIBLE AMOUNTS PAID OR INCURRED DURING THE TAXABLE YEAR.
FORM 990 PART IX LINE 11GDESCRIPTION:MEDICAL SERVICES TOTAL FEES:11687550
FORM 990 PART IX LINE 11GDESCRIPTION:ADMINISTRATIVE SERVICES TOTAL FEES:7827358
FORM 990 PART IX LINE 11GDESCRIPTION:REVENUE CYCLE SERVICES TOTAL FEES:6811466
FORM 990 PART IX LINE 11GDESCRIPTION:REPAIRS AND MAINTENANCE TOTAL FEES:4321021
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:7108070

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (221 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Bakersfield Memorial Hospital
420 34TH StreetBakersfieldCA93301951802779HospitalCA501(c)(3)3DHDCCfalse
Community Hospital of San Bernardino
1805 Medical Center DriveSan BernardinoCA92411951643373HospitalCA501(c)(3)3DHDCCfalse
Dignity Community Care
185 Berry Street Suite 300San FranciscoCA94107815009488HospitalCO501(c)(3)3CSHfalse
Dignity Health
185 Berry Street Suite 300San FranciscoCA94107941196203HospitalCA501(c)(3)3CSHfalse
Dignity Health Connected Living
200 Mercy Oaks DriveReddingCA96003237115371Senior CenterCA501(c)(3)7Dignity Hlthfalse
Dignity Health HPL Self-Insurance Trust
185 Berry StreetSan FranciscoCA94107943006034AdministratioCA501(c)(3)12A-IDignity Hlthfalse
Dignity Health Insurance Nevada Ltd
185 Berry StreetSan FranciscoNV94107813800752Self Ins FundNV501(c)(3)12A-IDignity Hlthfalse
Dignity Health Medical Foundation
3400 Data DriveRancho CordovaCA95670680220314Multi-sp CLINCA501(c)(3)12A-IDHDCCfalse
Dignity Health Workers' Comp Self-Insura
185 Berry StreetSan FranciscoCA94107946612446AdministratioCA501(c)(3)12A-IDignity Hlthfalse
Dominican Health Services
1555 Soquel DriveSanta CruzCA95065770056778Community HltCA501(c)(3)12A-IDignity Hlthfalse
Dominican Oaks Corporation
1555 Soquel DriveSanta CruzCA95065770127719SR HOUSINGCA501(c)(3)10DHSfalse
Mark Twain Medical Center
768 Mountain Ranch RoadSan AndreasCA95249680127677HospitalCA501(c)(3)3DHDCCfalse
Mercy McMahon Terrace
3865 J StreetSacramentoCA95816680117340SR HOUSINGCA501(c)(3)10Dignity Hlthfalse
Pacific Central Coast Health Centers
1400 E Church StreetSanta MariaCA93454770447575ClinicCA501(c)(3)3DHDCCfalse
Port City Operating Company LLC
3400 Data DriveRancho CordovaCA95670465322209HospitalCA501(c)(3)3Dignity Hlthfalse
Sierra Nevada Memorial-Miners Hospital
155 Glasson WayGrass ValleyCA95945941439787HospitalCA501(c)(3)3DHDCCfalse
St Francis Hospital Support Corporation
601 E Micheltorena StreetSanta BarbaraCA93103770022302INACTIVECA501(c)(3)12A-IDignity Hlthfalse
St Mary Professional Building Inc
1050 Linden AvenueLong BeachCA90813237373088INACTIVECA501(c)(3)12A-IDignity Hlthfalse
Arroyo Grande Community Hospital Foundat
345 S Halcyon RdArroyo GrandeCA93420203256066FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
Barrow Foundation UK
311724184FNDRSING FND501(c)(3)12D-III-NFINAfalse13 CHURCH STREETNUNNEYENGLANDUKBA11 4LWUK
Barrow Neurological Foundation
350 West Thomas RoadPhoenixAZ85013860174371FNDRSING FNDAZ501(c)(3)7Dignity Hlthfalse
California Hospital Medical Center Found
1401 South Grand AvenueLos AngelesCA90015954000909FNDRSING FNDCA501(c)(3)12A-IDHDCCfalse
Dignity Health Foundation
185 Berry StreetSan FranciscoCA94107462037641FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
Dignity Health Foundation - Inland Empir
2101 N Waterman AvenueSan BernardinoCA92404237440086FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
Dignity Health Foundation East Valley
475 South Dobson RoadChandlerAZ85224742418514FNDRSING FNDAZ501(c)(3)12A-IDignity Hlthfalse
Dominican Hospital Foundation
1555 Soquel DriveSanta CruzCA95065942450442FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
French Hospital Medical Center Foundatio
1911 Johnson AvenueSan Luis ObispoCA93401203256125FNDRSING FNDCA501(c)(3)12A-IDHDCCfalse
Glendale Memorial Health Foundation
1420 South Central AvenueGlendaleCA91204953625651FNDRSING FNDCA501(c)(3)12A-IDHDCCfalse
Marian Regional Medical Center Foundatio
1400 E Church StreetSanta MariaCA93454953818027FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
Mercy Foundation Bakersfield
PO Box 119BakersfieldCA93302770201321FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
Mercy Foundation North
2625 Edith Avenue Suite EReddingCA96001943136799FNDRSING FNDCA501(c)(3)12A-INAfalse
Mercy Foundation Sacramento
3400 Data Drive 3rd FlrRancho CordovaCA95670237072762FNDRSING FNDCA501(c)(3)12A-INAfalse
Mercy Medical Center Merced Foundation
301 E 13th StreetMercedCA95340770035928FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
Northridge Hospital Foundation
18300 Roscoe BlvdNorthridgeCA91328237444901FNDRSING FNDCA501(c)(3)12A-IDHDCCfalse
San Gabriel Valley Medical Center Founda
438 West Las Tunas DriveSan GabrielCA91776953430341INACTIVECA501(c)(3)12A-IDignity Hlthfalse
Sequoia Hospital Foundation
170 Alameda de las PulgasRedwood CityCA94062942909990FNDRSING FNDCA501(c)(3)12D-III-NFINAfalse
St Francis Foundation of Santa Barbara
2323 De La Vina St Suite 104Santa BarbaraCA93105237137119FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
St John's Healthcare Foundation
1600 North Rose AvenueOxnardCA93030202865781FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
St Joseph's Foundation
350 West Thomas RoadPhoenixAZ85013942941245FNDRSING FNDAZ501(c)(3)12A-IDignity Hlthfalse
St Joseph's Foundation of San Joaquin
1800 N California StreetStocktonCA95204510432777FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
St Mary Medical Center Foundation
1050 Linden AvenueLong BeachCA90813237153876FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
St Mary's Medical Center Foundation
450 Stanyan StreetSan FranciscoCA94117943336143FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
St Rose Dominican Health Foundation
3001 St Rose ParkwayHendersonNV89052880349432FNDRSING FNDNV501(c)(3)12A-IDignity Hlthfalse
Woodland Memorial Hospital Foundation
1321 Cottonwood Street 305WoodlandCA95695946167964FNDRSING FNDCA501(c)(3)7NAfalse
ALEGENT CREIGHTON CLINIC
12809 W DODGE RDOMAHANE68154470765154HEALTHCARENE501(c)(3)3ACHfalse
ALEGENT CREIGHTON HEALTH
12809 W DODGE RDOMAHANE68154470757164HEALTHCARENE501(c)(3)3CHI NEBRASKAfalse
ALEGENT HEALTH - BERGAN MERCY HEALTH SYS
7500 MERCY RDOMAHANE68124470484764HEALTHCARENE501(c)(3)3CHI NEBRASKAfalse
ALEGENT HEALTH - COMMUNITY MEMORIAL HOSP
631 N 8TH STMISSOURI VALLEYIA51555420776568HEALTHCAREIA501(c)(3)3CHI NEBRASKAfalse
ALEGENT HEALTH - IMMANUEL MEDICAL CENTER
6901 N 72ND STOMAHANE68122470376615HEALTHCARENE501(c)(3)3CHI NEBRASKAfalse
ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUY
104 W 17TH STSCHUYLERNE68661470399853HEALTHCARENE501(c)(3)3CHI NEBRASKAfalse
ALEGENT HEALTH - MERCY HOSPITAL CORNING
PO BOX 368CORNINGIA50841420782518HEALTHCAREIA501(c)(3)3CHI NEBRASKAfalse
ALVERNA APARTMENTS
300 SE 8TH AVELITTLE FALLSMN56345411351177LTERM CAREMN501(c)(3)10CSHfalse
APPLETREE COURT
601 OAK STBRECKENRIDGEMN56520411850500SENIOR LIVINGMN501(c)(3)10SFHfalse
BAYLOR ST LUKE'S HEALTH VENTURES
17200 ST LUKES WAY STE 170THE WOODLANDSTX77384274499340PHYSICIANSTX501(c)(3)12A-ISLCHSfalse
BAYLOR ST LUKE'S MEDICAL GROUP
6624 FANNIN ST STE 1100HOUSTONTX77030760458535PHYSICIANSTX501(c)(3)3SLHSfalse
BORNEMANN HEALTHCARE CORPORATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112232187242HEALTHCAREPA501(c)(3)12A-ICSHfalse
BRAZOSPORT HEALTH FOUNDATION INC
1 West Way CtLAKE JACKSONTX77566760080110FUNDRAISINGTX501(c)(3)12A-IBRHSfalse
BRAZOSPORT REGIONAL PHYSICIAN SERVICES
100 MEDICAL DRIVELAKE JACKSONTX77566800240261HEALTHCARETX501(c)(3)3BRHSfalse
BURLESON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802742759890HEALTHCARETX501(c)(3)3SJSCfalse
BURLESON ST JOSEPH MANOR
2801 FRANCISCAN DRIVEBRYANTX77802742913931HEALTHCARETX501(c)(3)10SJSCfalse
CARRINGTON HEALTH CENTER
800 N 4TH STCARRINGTONND58421450227311HEALTHCAREND501(c)(3)3CSHfalse
CATHOLIC HEALTH INITIATIVES - COLORADO
9100 East Mineral CircleCentennialCO80112840405257HEALTHCARECO501(c)(3)3CSHfalse
CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVEDES MOINESIA50314420680448HEALTHCAREIA501(c)(3)3CSHfalse
CATHOLIC HEALTH INITIATIVES COLORADO FOU
1150 Kelly Johnson Blvd 204COLORADO SPRINGSCO80920840902211FUNDRAISINGCO501(c)(3)7CHICfalse
CATHOLIC HEALTH INITIATIVES NATIONAL FOU
1150 Kelly Johnson Blvd 204COLORADO SPRINGSCO80920270930004FUNDRAISINGCO501(c)(3)12A-ICSHfalse
CATHOLIC HEALTH INITIATIVES VIRTUAL HEAL
198 INVERNESS DRIVE WESTENGLEWOODCO80112460992796HEALTHCARECO501(c)(3)12A-ICHINSfalse
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PKWYROSEBURGOR97471263946191PHYSICIANSOR501(c)(3)10MMCfalse
CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAYGREAT BENDKS67530480543724SURGERY CENTEKS501(c)(3)3CSHfalse
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY SFARGOND58104271966847HEALTHCAREMN501(c)(3)10CSHfalse
CHI HEALTH FOUNDATION
12809 W DODGE RDOMAHANE68154470648586FUNDRAISINGNE501(c)(3)7ACHfalse
CHI INSTITUTE FOR RESEARCH AND INNOVATIO
198 INVERNESS DRIVE WESTENGLEWOODCO80112271050565HEALTHCARECO501(c)(3)12A-ICSHfalse
CHI KENTUCKY INC
3900 OLYMPIC BLVD STE 400ERLANGERKY41018202741651HEALTHCAREKY501(c)(3)12A-ICSHfalse
CHI LIVING COMMUNITIES
5942 RENAISSANCE PLACE STE ATOLEDOOH43623341892096HEALTHCAREOH501(c)(3)12A-IISFHfalse
CHI Memorial Hospital - Georgia
100 GROSS CRESCENT CIRCLEFORT OGLETHORPEGA30742822748395HEALTHCAREGA501(c)(3)3MHCSfalse
CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WESTENGLEWOODCO80112451261716HEALTHCARECO501(c)(3)10CHI NSfalse
CHI NATIONAL SERVICES
198 INVERNESS DRIVE WESTENGLEWOODCO80112452532084HEALTHCARECO501(c)(3)12A-ICSHfalse
CHI NEBRASKA
12809 West Dodge RoadOmahaNE68510363233121HEALTHCARENE501(c)(3)12A-ICSHfalse
CHI ST JOSEPH CHILDREN'S HEALTH
1929 LINCOLN HWY E STE 150LANCASTERPA17602232342997HEALTHCAREPA501(c)(3)12A-ICSHfalse
CHI ST JOSEPH'S CHILDREN
1516 5TH ST NWALBUQUERQUENM87102710897107COMMUNITYNM501(c)(3)12A-ICSHfalse
CHI ST VINCENT HOSPITAL HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913710236913HEALTHCAREAR501(c)(3)3CHISVHSfalse
CHI ST VINCENT HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913261125064HOLDING COAR501(c)(3)12A-IISVIMCfalse
CHI ST VINCENT MEDICAL GROUP HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913261125131HEALTHCAREAR501(c)(3)3CHISVHSfalse
COMMONSPIRIT HEALTH
198 INVERNESS DRIVE WESTENGLEWOODCO80112470617373HEALTHCARECO501(c)(3)12A-INAfalse
COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206237419853HOLDING COOH501(c)(4)N/AGSHfalse
COMMUNITY MEMORIAL HOSPITAL MEDICAL SERV
631 N 8TH STMISSOURI VALLEYIA51555421294399FUNDRAISINGIA501(c)(3)12A-IAH-CMHMVfalse
CONTINUING CARE HOSPITAL
One Saint Joseph DriveLEXINGTONKY40504611400619LT ACHKY501(c)(3)3SJHSfalse
East Texas Clinical Services
2801 VIA FORTUNA SUITE 500AUSTINTX78746454736213HEALTHCARETX501(c)(3)12A-ISLHSfalse
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1455 BATTERSBY AVEENUMCLAWWA98022910715805HEALTHCAREWA501(c)(3)3FHSfalse
FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE RDBARDSTOWNKY40004611345363HEALTHCAREKY501(c)(3)3KOHfalse
FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE RDBARDSTOWNKY40004562351341FUNDRAISINGKY501(c)(3)12A-IFHfalse
FRANCISCAN CARE CENTER
4111 N HOLLAND-SYLVANIA RDTOLEDOOH43623341931806HEALTHCAREOH501(c)(3)10FLCfalse
FRANCISCAN FOUNDATION
1717 SOUTH J STTACOMAWA98405911145592FUNDRAISINGWA501(c)(3)10FHSfalse
FRANCISCAN HEALTH SYSTEM
1717 SOUTH J STTACOMAWA98405910564491HEALTHCAREWA501(c)(3)3CSHfalse
FRANCISCAN HEALTH VENTURES FKA SJMGROUP
TACOMA FNC CTR BLDG 1145 BROADWAYTACOMAWA98402431882377PHYSICIANSMO501(c)(3)10CSHfalse
FRANCISCAN MEDICAL GROUP
1313 BROADWAY STE 200TACOMAWA98402911939739HEALTHCAREWA501(c)(3)10FHSfalse
FRANCISCAN VILLA OF SOUTH MILWAUKEE INC
3601 S CHICAGO AVESOUTH MILWAUKEEWI53172391093829HEALTHCAREWI501(c)(3)10CSHfalse
GARRISON MEMORIAL HOSPITAL
407 THIRD AVENUE SOUTHEASTGARRISONND58540450227752HEALTHCAREND501(c)(3)3SAMCfalse
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WESTENGLEWOODCO80112201536108MINISTRIESCO501(c)(3)12A-ICSHfalse
GOOD SAMARITAN COLLEGE OF NURSING & HEAL
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206311778403EDUCATIONOH501(c)(3)2GSHfalse
GOOD SAMARITAN FOUNDATION OF CINCINNATI
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206311206047FUNDRAISINGOH501(c)(3)12A-IGSHfalse
GOOD SAMARITAN HOSPITAL
PO BOX 1990KEARNEYNE68848470379755HEALTHCARENE501(c)(3)3CHI NEBRASKAfalse
GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST STKEARNEYNE68847470659443FUNDRAISINGNE501(c)(3)7GSHfalse
HARRISON MEDICAL CENTER
2520 CHERRY AVEBREMERTONWA98310910565546HEALTHCAREWA501(c)(3)3FHSfalse
HARRISON MEDICAL CENTER FOUNDATION
2520 CHERRY AVEBREMERTONWA98310911197626FUNDRAISINGWA501(c)(3)7HMCfalse
HEALTH FOUNDATION OF KENTUCKYONE INC
1451 HARRODSBURG RD STE D-308LEXINGTONKY40504832170324FUNDRAISINGKY501(c)(3)12A-IIKOHfalse
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DRBRECKENRIDGEMN56520760761782FUNDRAISINGMN501(c)(3)12A-ISFMCfalse
HIGHLINE MEDICAL CENTER
16251 SYLVESTER RD SWBURIENWA98166910712166HEALTHCAREWA501(c)(3)3FHSfalse
HOUSE OF MERCY
1111 6TH AVEDES MOINESIA50314421323808SHELTERIA501(c)(3)7CHI-IA CORPfalse
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE
250 E Liberty St Ste 500LOUISVILLEKY40202611029768HEALTHCAREKY501(c)(3)3KOHfalse
KENTUCKYONE HEALTH MEDICAL GROUP INC
100 E Liberty St Ste 800LOUISVILLEKY40202611352729HEALTHCAREKY501(c)(3)10JHSMHfalse
KENTUCKYONE HEALTH INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202611029769HEALTHCAREKY501(c)(3)12A-IICSHfalse
LAKEWOOD HEALTH CENTER
600 MAIN AVE SBAUDETTEMN56623410758434HEALTHCAREMN501(c)(3)3CSHfalse
LAKEWOOD REGIONAL HEALTHCARE FOUNDATION
600 MAIN AVE SBAUDETTEMN56623411893795FUNDRAISINGND501(c)(3)7LHCfalse
LINUS OAKES INC
2700 STEWART PKWYROSEBURGOR97471930821381SENIOR LIVINGOR501(c)(3)10MMCfalse
LISBON AREA HEALTH SERVICES
905 MAIN STLISBONND58054820558836HEALTHCAREND501(c)(3)3CSHfalse
LUFKIN VISION ACQUISITIONS
PO BOX 1447LUFKINTX75901820563768PROPERTY MGMTTX501(c)(3)12A-IMHSETfalse
MADISON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802742761145HEALTHCARETX501(c)(3)3SJSCfalse
MADONNA MANOR INC
2344 AMSTERDAM ROADVILLA HILLSKY51017610654635LIVING ASSISTKY501(c)(3)10FLCfalse
MEMORIAL HEALTH CARE SYSTEM FOUNDATION I
2525 DE SALES AVECHATTANOOGATN37404621839548FUNDRAISINGTN501(c)(3)7MHCSfalse
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVECHATTANOOGATN37404620532345HEALTHCARETN501(c)(3)3CSHfalse
MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD RD STE 500CHATTANOOGATN37411300417049HEALTHCARETN501(c)(3)10MHCSfalse
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
PO BOX 1447LUFKINTX75902750755367HEALTHCARETX501(c)(3)3SLHSfalse
MEMORIAL MEDICAL CENTER - LIVINGSTON
PO BOX 1447LUFKINTX75902760436439HEALTHCARETX501(c)(3)3MHSETfalse
MEMORIAL MEDICAL CENTER - SAN AUGUSTINE
PO BOX 1447LUFKINTX75902752663904HEALTHCARETX501(c)(3)3MHSETfalse
MEMORIAL MULTISPECIALTY ASSOCIATES
1201 FRANK AVELUFKINTX95904752721155PHYSICIANSTX501(c)(3)12A-IMHSETfalse
MEMORIAL SPECIALTY HOSPITAL
PO BOX 1447LUFKINTX95902752492741HEALTHCARETX501(c)(3)3MHSETfalse
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVEDES MOINESIA50314426076069AUXILIARYIA501(c)(3)12A-IMF-DM IAfalse
MERCY CLINICS INC
1111 6TH AVEDES MOINESIA50314421193699PHYSICIANSIA501(c)(3)10CHI-IA CORPfalse
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVEDES MOINESIA50314421511682EDUCATIONIA501(c)(3)2CHI-IA CORPfalse
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVEDES MOINESIA50314237358794FUNDRAISINGIA501(c)(3)7CHI-IA CORPfalse
MERCY FOUNDATION INC
2700 STEWART PKWYROSEBURGOR97471936088946FUNDRAISINGOR501(c)(3)7MMCfalse
MERCY HEALTH CARE FOUNDATION
PO BOX 368CORNINGIA50841421461064FUNDRAISINGIA501(c)(3)12A-IAHMH-Corningfalse
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BLVDVALLEY CITYND58072450435338FUNDRAISINGND501(c)(3)12A-IMHVCfalse
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DRCOUNCIL BLUFFSIA51503421178204FUNDRAISINGIA501(c)(3)12A-IAHBMHSfalse
MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NEDEVILS LAKEND58301450227012HEALTHCAREND501(c)(3)3CSHfalse
MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 7TH ST NEDEVILS LAKEND58301352367360FUNDRAISINGND501(c)(3)7MHDLfalse
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BLVDVALLEY CITYND58072450226553HEALTHCAREND501(c)(3)3CSHfalse
MERCY MEDICAL CENTER
1301 15TH AVE WESTWILLISTONND58801450231183HEALTHCAREND501(c)(3)3CSHfalse
MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVECENTERVILLEIA52544420680308HEALTHCAREIA501(c)(3)3CHI-IA CORPfalse
MERCY MEDICAL CENTER - NEWTON DBA SKIFF
204 N 4th Ave ENewtonIA50314421470935PHYSICIANSIA501(c)(3)3CHI-IA CORPfalse
MERCY MEDICAL CENTER INC
2700 STEWART PKWYROSEBURGOR97471930386868HEALTHCAREOR501(c)(3)3CSHfalse
MERCY MEDICAL FOUNDATION
1301 15TH AVE WESTWILLISTONND58801450381803FUNDRAISINGND501(c)(3)12A-IMMCfalse
NEBRASKA HEART HOSPITAL
7500 S 91ST STLINCOLNNE68526392031968HEALTHCARENE501(c)(3)3CHI NEBRASKAfalse
Northland Healthcare Alliance
2223 East Rosser AvenueBismarckND58501911845296MANAGEMENTND501(c)(3)7NCHAfalse
OAKES COMMUNITY HOSPITAL
1200 N 7TH STOAKESND58474450231675HEALTHCAREND501(c)(3)3CSHfalse
OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH STOAKESND58474710966606FUNDRAISINGND501(c)(3)12A-IOCHfalse
PINEYWOODS MEDICAL DEVELOPMENT CORP
PO BOX 1447LUFKINTX75902752493116PROPERTY MGMTTX501(c)(3)12A-IMHSETfalse
PROVIDENCE CARE CENTER
2025 HAYES AVENUESANDUSKYOH44870341658625HEALTHCAREOH501(c)(3)10FLCfalse
PROVIDENCE CARE CENTERS
2025 HAYES AVENUESANDUSKYOH44870341826099HOLDING COOH501(c)(3)12A-IIFLCfalse
PROVIDENCE RESIDENTIAL COMMUNITY CORPORA
5055 PROVIDENCE DRIVESANDUSKYOH44870341896807LIVING COMMOH501(c)(3)10FLCfalse
PUEBLO STEPUP
1925 E ORMAN AVE STE G52PUEBLOCO81004841234295COMMUNITYCO501(c)(3)7CHICfalse
REGIONAL HOSPITAL FOR RESPIRATORY AND CO
16251 Sylvester Road SWBurienWA98166911170040HEALTHCAREWA501(c)(3)3FHSfalse
SET OF COLORADO SPRINGS INC
9100 E Mineral CircleCentennialCO80112841183335LTERM CARECO501(c)(3)7CHICfalse
SAINT CLARE'S COMMUNITY CARE INC
25 POCONO RDDENVILLENJ07834222876836HEALTHCARENJ501(c)(3)10SCHSfalse
SAINT CLARE'S FOUNDATION INC
25 POCONO RDDENVILLENJ07834222502997FUNDRAISINGNJ501(c)(3)6SCHSfalse
SAINT CLARE'S HEALTH SERVICES INC
25 POCONO RDDENVILLENJ07834223639733MANAGEMENTNJ501(c)(3)10CSHfalse
SAINT CLARE'S HOSPITAL INC
25 POCONO RDDENVILLENJ07834223319886HEALTHCARENJ501(c)(3)2SCHSfalse
SAINT ELIZABETH FOUNDATION
555 S 70TH STLINCOLNNE68510470625523FUNDRAISINGNE501(c)(3)7SERMCfalse
SAINT ELIZABETH HEALTH SERVICES
555 S 70TH STLINCOLNNE68510363233120HEALTHCARENE501(c)(3)3SERMCfalse
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 S 70TH STLINCOLNNE68510470379836HEALTHCARENE501(c)(3)3CHI NEBRASKAfalse
SAINT FRANCIS MEDICAL CENTER
2620 W FAIDLEYGRAND ISLANDNE68803470376601HEALTHCARENE501(c)(3)3CHI NEBRASKAfalse
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804GRAND ISLANDNE68802470630267FUNDRAISINGNE501(c)(3)7SFMCfalse
SAINT JOSEPH BEREA HOSPITAL FOUNDATION I
305 ESTILL STBEREAKY40403260152877FUNDRAISINGKY501(c)(3)7SJHSfalse
SAINT JOSEPH HEALTH SYSTEM INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202611334601HEALTHCAREKY501(c)(3)3KOHfalse
SAINT JOSEPH HOSPITAL FOUNDATION INC
701 Bob Olink Dr 200LEXINGTONKY40504611159649FUNDRAISINGKY501(c)(3)12A-ISJHSfalse
SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANELONDONKY40741260438748FUNDRAISINGKY501(c)(3)7SJHSfalse
SAINT JOSEPH MOUNT STERLING FOUNDATION I
225 FALCON DRMOUNT STERLINGKY40353272884584FUNDRAISINGKY501(c)(3)7SJHSfalse
SAINT JOSEPH'S HOSPITAL FOUNDATION
2500 Fairway StreetDICKINSONND58601363418207FUNDRAISINGND501(c)(3)12A-ISJHHCfalse
SCHUYLER MEMORIAL HOSPITAL FOUNDATION IN
104 W 17TH STSCHUYLERNE68661363630014FUNDRAISINGNE501(c)(3)12A-IAHMHSfalse
SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WESTENGLEWOODCO80112440545809HEALTHCAREMO501(c)(3)3CSHfalse
ST ALEXIUS MEDICAL CENTER
900 EAST BROADWAY AVENUEBISMARCKND58501450226711HEALTHCAREND501(c)(3)3CSHfalse
ST ANTHONY HOSPITAL
2801 St Anthony WayPENDLETONOR97801930391614HEALTHCAREOR501(c)(3)3CSHfalse
ST ANTHONY HOSPITAL FOUNDATION
2801 St Anthony WayPENDLETONOR97801930992727FUNDRAISINGOR501(c)(3)12A-ISAHfalse
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DRMORRILTONAR72110710245507HEALTHCAREAR501(c)(3)3SVIMCfalse
ST CATHERINE HOSPITAL
401 EAST SPRUCE STGARDEN CITYKS67846480543721HEALTHCAREKS501(c)(3)3CSHfalse
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDA
401 EAST SPRUCE STGARDEN CITYKS67846200598702FUNDRAISINGKS501(c)(3)12A-ISCHfalse
ST CLARE COMMONS
12469 Five Point RoadTOLEDOOH43551270163752LIVING COMMOH501(c)(3)10FLCfalse
ST DOMINIC OF ONTARIO OREGON
198 INVERNESS DRIVE WESTENGLEWOODCO80112930433692HEALTHCAREOR501(c)(4)N/ACSHfalse
ST FRANCIS HOME
2400 ST FRANCIS DRBRECKENRIDGEMN56520410729978LTERM CAREMN501(c)(3)10CSHfalse
ST FRANCIS LIFE CARE CORPORATION
19 POCONO RDDENVILLENJ07834222536017ELDERLY CARENJ501(c)(3)8SCHSfalse
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DRBRECKENRIDGEMN56520410695598HEALTHCAREMN501(c)(3)3CSHfalse
ST JOSEPH FOUNDATION OF BRYAN TEXAS
2801 FRANCISCAN DRIVEBRYANTX77802742351158FUNDRAISINGTX501(c)(3)12A-IISJSCfalse
ST JOSEPH MANOR
2801 FRANCISCAN DRIVEBRYANTX77802742847594HEALTHCARETX501(c)(3)10SJSCfalse
ST JOSEPH MEDICAL CENTER INC
201 INTERNATIONAL CIRCLE STE 212HUNT VALLEYMD21030520591461HEALTHCAREMD501(c)(3)3CSHfalse
ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN DRIVEBRYANTX77802203159302HEALTHCARETX501(c)(3)3SJSCfalse
ST JOSEPH PHYSICIAN ENTERPRISE INC
201 INTERNATIONAL CIRCLE STE 212HUNT VALLEYMD21030521311775PHYSICIANSMD501(c)(3)12A-ISJMCfalse
ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802741282696HEALTHCARETX501(c)(3)3SJSCfalse
ST JOSEPH REGIONAL HEALTH PARTNERS
2801 FRANCISCAN DRIVEBRYANTX77802454088170HEALTHCARETX501(c)(3)3SJSCfalse
ST JOSEPH REGIONAL HEALTH PARTNERS ACO
2801 FRANCISCAN DRIVEBRYANTX77802463265423HEALTHCARETX501(c)(3)10SJSCfalse
ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN DRIVEBRYANTX77802742455161MANAGEMENTTX501(c)(3)12A-ISLHSfalse
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVEPARK RAPIDSMN56470410695603HEALTHCAREMN501(c)(3)3CSHfalse
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
2500 Fairway StDICKINSONND58601450226429HEALTHCAREND501(c)(3)3CSHfalse
ST LEONARD
8100 CLYO ROADCENTERVILLEOH45458341940863LIVING COMMOH501(c)(3)10FLCfalse
ST LUKE'S COMMUNITY DEVELOPMENT CORPORAT
6624 FANNIN ST STE 2505HOUSTONTX77030273733278HEALTHCARETX501(c)(3)3SLHSfalse
ST LUKE'S COMMUNITY DEVELOPMENT CORPORAT
6624 FANNIN ST STE 2505HOUSTONTX77030261947374HEALTHCARETX501(c)(3)3SLHSfalse
ST LUKE'S COMMUNITY DEVELOPMENT CORPORAT
6624 FANNIN ST STE 2505HOUSTONTX77030260335902HEALTHCARETX501(c)(3)3SLHSfalse
ST LUKE'S COMMUNITY HEALTH SERVICES
6624 FANNIN ST STE 1100HOUSTONTX77030760536234HEALTHCARETX501(c)(3)3SLHSfalse
ST LUKE'S FOUNDATION
1213 HERMANN DRIVE STE 855HOUSTONTX77004453811485FUNDRAISINGTX501(c)(3)7SLHSfalse
ST LUKE'S HEALTH SYSTEM CORPORATION
PO Box 20269HOUSTONTX77225760536232MANAGEMENTTX501(c)(3)12A-ICSHfalse
ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505HOUSTONTX77030263734606HEALTHCARETX501(c)(3)3SLHSfalse
ST LUKE'S PROPERTIES CORPORATION
1213 Hermann Drive Ste 855HOUSTONTX77004760531716PROPERTY MGMTTX501(c)(3)12A-ISLHSfalse
ST LUKE'S SUGAR LAND PROPERTIES CORPORAT
6624 FANNIN ST STE 2505HOUSTONTX77030454120549PROPERTY MGMTTX501(c)(3)12A-ISLCDC-SLfalse
ST MARY'S COMMUNITY HOSPITAL
1301 Grundman BoulevardNEBRASKA CITYNE68410470443636HEALTHCARENE501(c)(3)3CHI NEBRASKAfalse
ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVENEBRASKA CITYNE68410470707604FUNDRAISINGNE501(c)(3)7SMCHfalse
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLELITTLE ROCKAR72205510169537FUNDRAISINGAR501(c)(3)12A-ISVIMCfalse
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710236917HEALTHCAREAR501(c)(3)3CSHfalse
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710830696HEALTHCAREAR501(c)(3)10SVIMCfalse
SYLVANIA FRANCISCAN HEALTH
1715 INDIAN WOOD CIR 200MAUMEEOH43537341412964HEALTHCAREOH501(c)(3)12A-ICSHfalse
SYLVANIA FRANCISCAN HEALTH FOUNDATION
1715 INDIAN WOOD CIR 200MAUMEEOH43537455357161FUNDRAISINGOH501(c)(3)12A-IFLCfalse
THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DRIVESANDUSKYOH44870341826097ASSIST LIVINGOH501(c)(3)10FLCfalse
THE COMMUNITY HOSPITAL OF BRAZOSPORT
100 MEDICAL DRIVELAKE JACKSONTX77566741385192HEALTHCARETX501(c)(3)3SLHSfalse
THE GOOD SAMARITAN HOSPITAL OF CINCINNAT
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206310537486HEALTHCAREOH501(c)(3)3CSHfalse
THE PHYSICIAN NETWORK
2000 Q ST STE 500LINCOLNNE68503470780857PHYSICIANSNE501(c)(3)12A-ICHI NEBRASKAfalse
TOTAL HEALTHCARE
9100 E Mineral CircleCentennialCO80112840927232HEALTHCARECO501(c)(3)3CHICfalse
TRINITY HEALTH FOUNDATION
380 SUMMIT AVENUESTEUBENVILLEOH43952311329423FUNDRAISINGOH501(c)(3)12A-ITHSfalse
TRINITY HEALTH SYSTEM
380 SUMMIT AVENUESTEUBENVILLEOH43952341818681HEALTHCAREOH501(c)(3)12A-ISFHfalse
TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST STREETDENNISONOH44621275401105HEALTHCAREOH501(c)(3)3SFHfalse
TRI-STATE HEALTH SERVICES INC
ONE ROSS PARK BLVDSTEUBENVILLEOH43952341522484ASSIST LIVINGOH501(c)(3)7THSfalse
UNITY FAMILY HEALTHCARE
815 SE 2ND STLITTLE FALLSMN56345410721642HEALTHCAREMN501(c)(3)3CSHfalse
VILLA NAZARETH INC
801 PAGE DRFARGOND58103450226714LTERM CAREND501(c)(3)10CSHfalse
VISITING NURSE ASSOCIATION OF ST CLARE'S
191 WOODPORT RDSPARTANJ07871221768334HOME HEALTHNJ501(c)(3)10SCHSfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (80 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtUBI Code VUBICodeVAmtOwnershipOwnershipPct
Arizona Care Network LLC (ACN LLC)
4222 E THOMAS RD STE 400PHOENIXAZ85018454494682Care NetworkAZNAN/A$0$0$00.00000
CBCC Outsmarting Cancer LLC
6501 Truxtun AvenueBakersfieldCA93309461602286Radiation / OncolCANAN/A$0$0$00.00000
DE JV LLC
8686 New Trails DriveThe WoodlandsTX77381320496548Emergency CareNVNAN/A$0$0$00.00000
DHHP Surgery Centers LLC
1513 S Grand Avenue Ste 350Los AngelesCA90015831847466SurgeryDENAN/A$0$0$00.00000
DHRT Holdings LLC
185 Berry Street Suite 300San FranciscoCA94107352484591Holding CompanyDENAN/A$0$0$00.00000
Dignity- GoHealth Urgent Care Management
5555 Glenridge Connector Suite 700AtlantaGA30342352548698Management ServicDENAN/A$0$0$00.00000
Dignity Health Specialty Pharmacy LLC
185 Berry Street Suite 300San FranciscoCA94107320589462Specialty PharmacDENAN/A$0$0$00.00000
Dignity Home Recovery Care LLC
49 Music Square West Suite 401NashvilleTN37203832832522Home Recovery ProDENAN/A$0$0$00.00000
DIGNITYUSP LAS VEGAS SURGERY CENTERS LL
15305 Dallas Parkway Suite 1600 LBAddisonTX75001202999237SurgeryTXNAN/A$0$0$00.00000
DignityUSP NorCal Surgery Centers LLC
15305 Dallas Parkway Suite 1600 LBAddisonTX75001202468509SurgeryTXNAN/A$0$0$00.00000
DIGNITYUSP PHOENIX SURGERY CENTERS LLC
15305 Dallas Parkway Suite 1600 LBAddisonTX75001134248908SurgeryTXNAN/A$0$0$00.00000
DignityUSPJohn Muir East Bay Surg Ctrs
15305 Dallas Parkway Suite 1600 LBAddisonTX75001352584991SurgeryTXNAN/A$0$0$00.00000
Dignity-Abrazo Health Network LLC
3030 N Central Avenue Suite 1402PhoenixAZ85012465477985Management ServicAZNAN/A$0$0$00.00000
Dominican Magnetic Resonance Imaging Cen
1545 Soquel DriveSanta CruzCA94065770095477Imaging CenterCANAN/A$0$0$00.00000
Folsom Sierra Endoscopy Center LP
1650 Creekside Drive 1600FolsomCA95630680482416EndoscopyCANAN/A$0$0$00.00000
Memorial Medical Plaza
3838 San Dimas Suite B 201BakersfieldCA93301364510880Real estateCANAN/A$0$0$00.00000
Mercy Davis Cancer Center Management Co
2740 M StreetMercedCA95340943358445Management of CanCANAN/A$0$0$00.00000
NICU Operating CO of Santa Cruz LLC
1555 Soquel DriveSanta CruzCA95065460502935Neonatal HealthcaCANAN/A$0$0$00.00000
NSC Channel Islands LLC
3000 Riverchase Galleria Suite 500BirminghamAL35244770418197Ambulatory surgicCANAN/A$0$0$00.00000
OMG Arizona LLC
130 Sutter Street 2nd FlrSan FranciscoCA94104471708588Medical OfficeAZNAN/A$0$0$00.00000
Plaza Surgery Center LP
525 E Plaza Drive Suite 100Santa MariaCA93454770573567SurgeryCANAN/A$0$0$00.00000
Radiation Oncology Centers of Ventura Co
1700 N ROSE AVENUE SUITE 120OXNARDCA93030770191706IMAGINGCANAN/A$0$0$00.00000
RBR Management LLC
91 Corporate Park Drive Suite 120HendersonNV89074271466450AmbulanceNVNAN/A$0$0$00.00000
Santa Cruz Comprehensive Imaging LLC
1661 Soquel Drive Suite GSanta CruzCA95065010550623ImagingCANAN/A$0$0$00.00000
Santa Cruz Land & Building LP
1555 Soquel DriveSanta CruzCA95065770285236Real estateCANAN/A$0$0$00.00000
Santa Cruz Surgery Center LLC
3003 PAUL SWEET ROADSANTA CRUZCA95065770194916SURGERYCANAN/A$0$0$00.00000
St Joseph's Surgery Center LP
15305 Dallas Parkway Suite 1600 LBAddisonTX75001201019390SurgeryTXNAN/A$0$0$00.00000
Templeton Surgery Center LLC
1310 Las Tablas Road Suite 104TempletonCA94365202246616SurgeryCANAN/A$0$0$00.00000
The Medical Pavilion at St John's
1700 Rose AvenueOxnardCA93030770332349Real EstateCANAN/A$0$0$00.00000
Valley Physicians Surgery Center At Nort
18330 Roscoe BlvdNorthridgeCA91328800864336SurgeryCANAN/A$0$0$00.00000
Audubon Land Company LLC
630 Southpointe Court 200COLORADO SPRINGSCO80906841513085Real EstateCONAN/A$0$0$00.00000
AVON EMERGENCY AND URGENT CARE CENTER LL
9100 E Mineral CircleCentennialCO80112811727282HEALTHCARE SRVCCONAN/A$0$0$00.00000
BAYLOR CHI ST LUKES HEALTH SERVICES LLC
6624 Fannin St Ste 1100HOUSTONTX77030472079184HEALTHCARE SRVCTXNAN/A$0$0$00.00000
BERGAN MERCY SURGERY CENTER LLC
7710 Mercy Rd Ste 200OMAHANE68124208671994AMBUL SURG CTRNENAN/A$0$0$00.00000
BERYWOOD OFFICE PROPERTIES LLC
2501 Citico AvenueCHATTANOGATN37404621875199PHYS OFFICETNNAN/A$0$0$00.00000
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY STE 310LEXINGTONKY40504611386736DIAGNOSTIC IMAGINKYNAN/A$0$0$00.00000
CENTRAL NEBRASKA REHABILITATION SERVICES
3004 W FAIDLEY AVENUEGRAND ISLANDNE68803810653461Physical TherapyNENAN/A$0$0$00.00000
CENTURA-SCA HOLDINGS LLC
569 BROOK VILLAGE STE 901BIRMINGHAMAL35209474823023OP SURGERY CENTERALNAN/A$0$0$00.00000
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WESTENGLEWOODCO80112470727942INVESTMENTSCONAN/A$0$0$00.00000
CHICAMSURG Surgery Centers LLC
1A Burton Hills BlvdNashvilleTN37215465683027SURGERY CENTERCONAN/A$0$0$00.00000
CHICLARKIN VENTURES LLC
9100 E Mineral CircleCentennialCO80112474210888URGENT CARECONAN/A$0$0$00.00000
Colorado Springs CK Leasing LLC
630 Southpointe Court 200COLORADO SPRINGSCO80906262982714REAL ESTATECONAN/A$0$0$00.00000
FRANCISCAN SPECIALTY CARE LLC
680 SOUTH FOURTH STREETLOUISVILLEKY40202813725123HEALTHCARE SRVCWANAN/A$0$0$00.00000
HC SL VINTAGE I LLC
18000 W SARAH LANE STE 250BROOKFIELDWI53045270453767PROPERTY HOLDINGWINAN/A$0$0$00.00000
HEALTHCARE SUPPORT SERVICES LLC
PO BOX 9804GRAND ISLANDNE68802721546196LAUNDRYNENAN/A$0$0$00.00000
Heartland Oncology LLC
2337 E Crawford StSalinaKS67401464265403ONCOLOGYKSNAN/A$0$0$00.00000
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17031 LAKESIDE HILLS DROMAHANE68130204267902AMBUL SURG CTRNENAN/A$0$0$00.00000
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201OMAHANE68130205544496ENDOSCOPY SRVCNENAN/A$0$0$00.00000
LINCOLN CK LEASING LLC
555 SOUTH 70TH STREETLincolnNE68510262496856Real EstateNENAN/A$0$0$00.00000
Mercy Rehabilitation Hospital LLC
680 SOUTH FOURTH STREETLOUISVILLEKY40202814437201HEALTHCARE SRVCTXNAN/A$0$0$00.00000
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND ST STE 20300OMAHANE68122270263191SPINE HOSPITALNENAN/A$0$0$00.00000
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVESHERWOODAR72120710799771AMBUL SURG CTRARNAN/A$0$0$00.00000
ORTHOCOLORADO LLC
11650 WEST 2ND PLACELAKEWOODCO80228371577105ORTHO HOSPITALCONAN/A$0$0$00.00000
Pasadena Urgency Center LLC
4600 E SAM HOUSTON PKWY SOUTHPASADENATX77505812482854URGENT CARETXNAN/A$0$0$00.00000
PENINSULA RADIATION ONCOLOGY LLC
314 MLK JR WAY STE 11TACOMAWA98405870808610HEALTHCARE SRVCWANAN/A$0$0$00.00000
Penrad Imaging LLC
1390 Kelly Johnson BlvdCOLORADO SPRINGSCO80920841072619Medical ImagingCONAN/A$0$0$00.00000
PMC HOSPITAL LLC
3100 MAIN ST STE 500HOUSTONTX77002273280598HOSPITALTXNAN/A$0$0$00.00000
Pueblo Ambulatory Surgery Center LLC
25 Montebello RdPuebloCO81003621488737SURGERY CENTERCONAN/A$0$0$00.00000
SAINT JOSEPH - SCA HOLDINGS LLC
1451 Harrodsburg RDLEXINGTONKY40503453801157OP SURGERYDENAN/A$0$0$00.00000
SAINT JOSEPH-ANC HOME CARE SERVICES
1700 EDISON DRMILFORDOH45150263330545HOME HEALTHKYNAN/A$0$0$00.00000
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD STE 300COLORADO SPRINGSCO80918263134100REAL ESTATECONAN/A$0$0$00.00000
ST LUKE'S DIAGNOSTIC CATH LAB LLP
6624 FANNIN ST STE 800HOUSTONTX77030710959365DIAGNOSTICSTXNAN/A$0$0$00.00000
ST LUKE'S LAKESIDE HOSPITAL LLC
6624 FANNIN STE 2505HOUSTONTX77030300427437HOSPITALTXNAN/A$0$0$00.00000
ST LUKE'S THE WOODLANDS SLEEP CENTER LLC
6624 FANNIN STE 800HOUSTONTX77030462795726DIAGNOSTICSTXNAN/A$0$0$00.00000
THREE SPRING IMAGING LLC
1 Mercado St STE 200ADURANGOCO81301813571570HEALTHCARE SRVCCONAN/A$0$0$00.00000
WEST LAKES SURGERY CENTER LLC
12499 UNIVERSITY AVENUE STE 100CLIVEIA50325205345295HEALTHCARE SRVCIANAN/A$0$0$00.00000
Precision Medical Alliance LLC
198 INVERNESS DRIVE WESTENGLEWOODCO80112352569159Diagnostic ServicCONAN/A$0$0$00.00000
Dignity Health at Home LLC
1700 EDISON DRMILFORDOH45150824674115HEALTHCARE SRVCDENAN/A$0$0$00.00000
American Mercy Home Care LLC
1700 EDISON DRMILFORDOH45150830486150HOME HEALTHOHNAN/A$0$0$00.00000
Community Mercy Home Care Services of Sp
1700 EDISON DRMILFORDOH45150311746556HOME HEALTHOHNAN/A$0$0$00.00000
Good Samaritan Home Care Services of Vin
1700 EDISON DRMILFORDOH45150201792869HOME HEALTHOHNAN/A$0$0$00.00000
Reid-ANC Home Care Services LLC
1700 EDISON DRMILFORDOH45150371454747HOME HEALTHINNAN/A$0$0$00.00000
Southeastern Home Care LLC
1700 EDISON DRMILFORDOH45150271219638HOME HEALTHOHNAN/A$0$0$00.00000
St Elizabeth Home Care Services LLC
1700 EDISON DRMILFORDOH45150261236191HOME HEALTHKYNAN/A$0$0$00.00000
Patient Transport Services of Columbus I
1700 EDISON DRMILFORDOH45150264601285AmbulanceOHNAN/A$0$0$00.00000
Military Road Properties LLC
181 S 333rd Street STE 250Federal WayWA98003912067879Real EstateWANAN/A$0$0$00.00000
Performance Medical Equipment & Respirat
19625 62nd Avenue South STE 101KentWA98032452901632Holding CompanyWANAN/A$0$0$00.00000
Highline Physical Therapy Group
181 S 333rd Street STE 250Federal WayWA98003911431904Physical TherapyWANAN/A$0$0$00.00000
Franciscan Medical Pavilion Bonney Lake
6622 Wollochet Dr NWGig HarborWA98335463494108Real EstateWANAN/A$0$0$00.00000
Park Rapids Area Health Care
600 Pleasant Avenue SPark RapidsMN56470204926259HEALTHCARE SRVCMNNAN/A$0$0$00.00000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (68 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctAddress Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdCityForeignAddress/CityNm
Coastal Surgical Specialists Inc
921 Oak Park Blvd Suite 101Pismo BeachCA93449743000596Ambulatory SurgerCANAS Corp$0$00.00000
Dignity Health Holding Corporation
185 Berry Street Suite 300San FranciscoCA94107460675371Holding CompanyNVNAC Corp$0$00.00000
Dignity Health Insurance Ltd (Cayman Isl
981065338Self Ins FundNAC Corp$0$00.00000PO Box 1051GRAND CAYMAN ISLACJKY1-1102CJ
Dignity Health Provider Resources Inc
185 Berry Street Suite 300San FranciscoCA94107473366764Health PlanCANAC Corp$0$00.00000
Health Services of the Pacific Central C
1400 E Church StreetSanta MariaCA93454770074057Health ServicesCANAC Corp$0$00.00000
Integrated Medical Services
9250 N 3rd Street Suite 4010PhoenixAZ85020860783428Multi-sp phys grpAZNAC Corp$0$00.00000
Management Services Organization of Sant
1400 E Church StreetSanta MariaCA93454770318135INACTIVECANAC Corp$0$00.00000
Millennium Surgery Center Inc
9300 Stockdale Hwy 200BakersfieldCA93311770513445OP SURGERY SVCSCANAS Corp$0$00.00000
St Mary Health Ventures Inc
1050 Linden AvenueLong BeachCA90813951912528Retail PharmacyCANAC Corp$0$00.00000
Alegent HealthCreighton St Joseph Manag
12809 West Dodge RdOmahaNE68154470802396Managed CareNENAC Corp$0$00.00000
All Saints Insurance Company SPC Ltd
980556913InsuranceNAC Corp$0$00.00000PO BOX 10073 APOGRAND CAYMANCJKY1-1001CJGeorgetown
ALLIANCE HEALTH PROVIDERS OF BRAZOS Vall
2801 FRANCISCAN DRIVEBRYANTX77802742466914HealthcareTXNAC Corp$0$00.00000
Alternative Insurance Management Service
3900 OLYMPIC BLVD STE 400ErlangerKY41018841112049Management ServicCONAC Corp$0$00.00000
AMERICAN NURSING CARE Inc
1700 EDISON DRMILFORDOH45150311085414HOME HEALTHOHNAC Corp$0$00.00000
AMERIMED INC
1700 EDISON DRMILFORDOH45150311158699HOME HEALTHOHNAC Corp$0$00.00000
BC HOLDING COMPANY INC
1850 BLUEGRASS AVELOUISVILLEKY40215311542851Fitness ClubKYNAC Corp$0$00.00000
BrazoSport Health Alliance
1 WEST WAY COURTLAKE JACKSONTX77566760518376Health CareTXNAC Corp$0$00.00000
Caduceus Medical Associates INC
5600 Brainerd Road Ste 500ChattanoogaTN37411621570736HealthcareTNNAC Corp$0$00.00000
Captive Management Initiatives Ltd
980663022Captive ManagemenNAC Corp$0$00.00000PO BOX 10073 APOGRAND CAYMANCJKY1-1001CJGeorgetown
Catholic Health Initiatives Center for T
198 INVERNESS DRIVE WESTEnglewoodCO80112272269511ResearchCONAC Corp$0$00.00000
CHI St Luke's Health - Memorial Condomin
1201 W Frank AveLufkinTX75904834184717Condo AssocTXNAC Corp$0$00.00000
ClearRiver Health
198 INVERNESS DRIVE WESTEnglewoodCO80112464495960InsuranceTNNAC Corp$0$00.00000
Comcare Services Inc
5570 DTC ParkwayEnglewoodCO80111840904813InactiveCONAC Corp$0$00.00000
CONSOLIDATED HEALTH SERVICES
1700 EDISON DRMILFORDOH45150311378212HOME HEALTHOHNAC Corp$0$00.00000
Des Moines Medical Center Inc
1111 6TH AVEDes MoinesIA50314420837382Real EstateIANAC Corp$0$00.00000
Diversified Health Resources Inc
100 MEDICAL DRIVELAKE JACKSONTX77566760222679Health CareTXNAC Corp$0$00.00000
First Initiatives Insurance LTD
980203038InsuranceNAC Corp$0$00.00000PO BOX 10073 APOGRAND CAYMANCJKY1-1001CJGeorgetown
Franciscan City Urgent Care Services PS
C/O CPGUSA 1345 AVE OF THE AMERICASNEW YORKNY10105812174959HealthcareNYNAC Corp$0$00.00000
Franciscan Services Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112232487967HealthcareCONAC Corp$0$00.00000
Good Samaritan Outreach Services
PO Box 1990KearneyNE68848470659440Medical ClinicNENAC Corp$0$00.00000
HarvestPlains Health of Iowa
32129 Weyerhaeuser Way S STE 201FEDERAL WAYWA98001473451750InsuranceWANAC Corp$0$00.00000
Health Systems Enterprises Inc
PO BOX 1990KearneyNE68848470664558MGMTNENAC Corp$0$00.00000
Healthcare MGMT Services Organization IN
1149 MARKET STTacomaWA98402911865474Health Org.WANAC Corp$0$00.00000
HeartlandPlains Health
198 INVERNESS DRIVE WESTEnglewoodCO80112464368223InsuranceNENAC Corp$0$00.00000
Highline Medical Group
1717 S J StreetTacomaWA98405911407026Medical ServicesWANAC Corp$0$00.00000
KOMG-Louisville Region Inc
201 Abraham Flexner WayLouisvilleKY40202832481198HealthcareKYNAC Corp$0$00.00000
Medical Office Building Horizontal Prope
300 Werner StHot SpringsAR71913710720429Real EstateARNAC Corp$0$00.00000
Medquest
1301 15TH AVENUE WESTWillistonND58801450392137Sale of DMENDNAC Corp$0$00.00000
Memorial CV Service Line Management Comp
1201 W Frank AveLufkinTX75904463622849Heath CareTXNAC Corp$0$00.00000
Mercy Park Apartments LTD
1111 6th AVEDes MoinesIA50314421202422HousingIANAC Corp$0$00.00000
Mercy Services Corp
2700 STEWART PARKWAYRoseburgOR97471930824308Retail SalesORNAC Corp$0$00.00000
MHI Clinical Services
1201 W Frank AveLufkinTX75904461967952HealthcareTXNAC Corp$0$00.00000
Mountain Management Services Inc
6028 Shallowford RdChattanoogaTN37421621570739MGMT SVC ORGTNNAC Corp$0$00.00000
North Central Health Care Alliance
PO Box 5538BismarkND58506450439894HealthcareNDNAC Corp$0$00.00000
PATIENT TRANSPORT SERVICES INC
1700 EDISON DRMILFORDOH45150311100798HOME HEALTHOHNAC Corp$0$00.00000
QCA Health Plan Inc
12615 Chenal Parkway STE 300Little RockAR72211710794605InsuranceARNAC Corp$0$00.00000
QualChoice Advantage
32129 WEYERHAEUSER WAY S STE 201FEDERAL WAYWA98001473433912InsuranceWANAC Corp$0$00.00000
QualChoice Health Plan Services Inc (fka
198 INVERNESS DRIVE WESTEnglewoodCO80112461224037Admin ServicesCONAC Corp$0$00.00000
QualChoice Health Inc (fka CollabHealth
198 INVERNESS DRIVE WESTEnglewoodCO80112461222808Holding CoCONAC Corp$0$00.00000
QualChoice Holdings Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112274075520Holding CoARNAC Corp$0$00.00000
QualChoice Life and Health Insurance Com
12615 Chenal Parkway STE 300Little RockAR72211710386640InsuranceARNAC Corp$0$00.00000
QualChoice of Nebraska
2401 S 73rd StOmahaNE68124810738827InactiveNENAC Corp$0$00.00000
RiverLink Health
198 INVERNESS DRIVE WESTEnglewoodCO80112464380824InsuranceOHNAC Corp$0$00.00000
RiverLink Health of Kentucky Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112464828332InsuranceKYNAC Corp$0$00.00000
Ross Park Pharmacy Inc
380 SUMMIT AVESTEUBENVILLEOH43952341832654PharmacyOHNAC Corp$0$00.00000
Saint Clare's Primary Care Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112222441202Billing ServicesNJNAC Corp$0$00.00000
SJH Services Corporation
198 INVERNESS DRIVE WESTEnglewoodCO80112232307408HealthcareCONAC Corp$0$00.00000
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR STE 160LexingtonKY40503270164198MgmtKYNAC Corp$0$00.00000
SoundPath Health Inc
32129 Weyerhaeuser Way S STE 201Federal WayWA98001421720801InsuranceWANAC Corp$0$00.00000
St Anthony Development Company
1415 SouthgatePendletonOR97801931216943Athletic ClubORNAC Corp$0$00.00000
St Joseph Development Company Inc
1717 SOUTH J STTacomaWA98405911480569RentalWANAC Corp$0$00.00000
St Luke's Health System Holdings Inc
6624 Fannin STE 800HoustonTX77030760637138Holding CoTXNAC Corp$0$00.00000
St Vincent Community Health Services Inc
TWO ST VINCENT CIRCLELittle RockAR72205710710785HealthcareARNAC Corp$0$00.00000
StableView Health Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112464373713InsuranceKYNAC Corp$0$00.00000
STE Holdings
12809 West Dodge RdOmahaNE68154822383629Holding CoNENAC Corp$0$00.00000
Sugar Land Doctor Group
1317 Lake Point ParkwaySugar LandTX77478454270163Medical ClinicTXNAC Corp$0$00.00000
Towson Management Inc
7601 OSLER DRTowsonMD21204521710750Mgmt ServicesMDNAC Corp$0$00.00000
TRINITY MANAGEMENT SERVICES ORGANIZATION
380 SUMMIT AVESTEUBENVILLEOH43952341471026Mgmt ServicesOHNAC Corp$0$00.00000
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Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
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Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
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Transactions Related Org TransactionsRelatedOrgGrp

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FieldValueIRS element (for citing)
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Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART VIIFormAndLineReferenceDesc
ExplanationAS 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, PARTS II SINCE BOTH ENTITIES HELD CONTROL AT SOME POINT DURING THE YEAR.ExplanationTxt