2020-07-04T08:29:47-05:00 2019-06-30 KPMG LLP 55 SECOND STREET SUITE 1400 SAN FRANCISCO CA 94105 990 2018-07-01 203256066 Arroyo Grande Community Hospital Foundation % RANDY BRADLEY ACCOUNTING DE ARRO 8057393686 345 S HALCYON ROAD ARROYO GRANDE CA 93420 BILL FINLEY CFO 8057393686 2020-07-01 true LISA M MEYER MANAGER P01490170 4159635100 2020-07-03 162.135.0.63 94661320201865000023 2020-07-04 P 58D2EFD71874899272368D0A62EB83F204FE69E4 6C6F510C6DBB30CB6B3A10A52E01BBA2D1FA3EEF 2018 2021-01-29 14:40:06Z BILL FINLEY 345 S HALCYON ROAD ARROYO GRANDE CA 93420 1971753 false X www.dignityhealth.org X 2005 CA THE FOUNDATION RELIES ON THE GENEROSITY OF OUR COMMUNITY TO HELP SUPPORT OUR EFFORTS OF PROVIDING QUALITY HEALTHCARE FOR LOCAL PROGRAMS AND SERVICES OF DIGNITY HEALTH. 24 22 0 22 0 0 1586392 1805689 0 0 8192 14071 -17153 -52742 1577431 1767018 1523482 1576913 0 0 0 0 32317 35129 97240 561391 622187 2117190 2234229 -539759 -467211 4048549 3318818 1512935 1556619 2535614 1762199 ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION RELIES ON THE GENEROSITY OF THE COMMUNITY TO HELP SUPPORT DIGNITY HEALTH DBA ARROYO GRANDE COMMUNITY HOSPITAL'S EFFORTS OF PROVIDING QUALITY AFFORDABLE HEALTHCARE TO THE COMMUNITIES IT SERVES. false false 1576913 1576913 0 THE FOUNDATION IS AN IRC SEC 509(A)(3) SUPPORTING ORGANIZATION TO DIGNITY HEALTH, DBA ARROYO GRANDE COMMUNITY HOSPITAL. AS A SUPPORTING ORGANIZATION, THE FOUNDATION OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF THE HOSPITAL WHICH INCLUDE MAKING PAYMENTS DIRECTLY TO THE BENEFICIARY ORGANIZATION. 1576913 true true false true false false false false false false false false false false true true false true false false false false false true true false false true false true false false false false false false false false true true false false false true false false false true X 0 0 0 false false false false false true true false false false false false false X 24 22 true false false false true true true true true false false false true true true true true false false false CA X RANDY BRADLEY ACCOUNTING DE 6023072546 3033 NORTH 3RD AVENUE PHOENIX AZ 85013 X Sue Andersen Ex-officio Board Member 0.25 40.0 X 0 574770 82408 Michael Boyer Board Member 0.25 0.0 X 0 0 0 Cathy Cachu Board Member 0.25 0.0 X 0 0 0 Andrea Chavez Board Member 0.25 0.0 X 0 0 0 Barbara Cotton Board Member 0.25 0.0 X 0 0 0 Dennis Delzeit Board Member 0.25 0.0 X 0 0 0 Sandra Lee Dewar Board Member 0.25 0.0 X 0 0 0 Kathy Fissori Board Member 0.25 0.0 X 0 0 0 Jennifer Hardy Leininger Board Member 0.25 0.0 X 0 0 0 Calvin Harris Board Member 0.25 0.0 X 0 0 0 Alexander Harrison MD Ex-officio Board Member 0.25 0.0 X 0 0 0 Angie Mello Board Member 0.25 0.0 X 0 0 0 Kathy Roinestad Board Member 0.25 0.0 X 0 0 0 Elisa Ruiz Board Member 0.25 0.0 X 0 0 0 Nancy Rust Board Member 0.25 0.0 X 0 0 0 Shefali Vatsa PhD Board Member 0.25 0.0 X 0 0 0 Kevin Wilkinson Board Member 0.25 0.0 X 0 0 0 Julie Wobrock Board Member (THRU 6/30/19) 0.25 0.0 X 0 0 0 Julie Coleman Chair (THRU 6/30/19) 1.0 0.0 X X 0 0 0 Tom Cook Treasurer 0.4 0.0 X X 0 0 0 Kenneth Dalebout Foundation President 40.0 0.0 X X 0 274127 56132 Kim Goodwin Secretary 0.25 0.0 X X 0 0 0 Kathy Tompkins Imm Past chair (THRU 6/30/19) 0.4 0.0 X X 0 0 0 Jeff Zambo Vice-Chair 0.4 0.0 X X 0 0 0 Bill Finley CFO 0.25 40.0 X 0 309473 47421 Montisa Phelan Lopez Vice President Philanthropy 40.0 0.0 X 0 98666 34349 Charles Cova Service Area President 0.25 50.0 X 0 1660519 148078 0 2917555 368388 0 false true false 0 182577 730893 2482 889737 125077 1805689 0 16482 16482 0 0 0 0 0 74347 76758 -2411 -2411 -2411 68230 182577 127977 -59747 -59747 7005 0 7005 7005 0 0 0 0 1767018 -38671 X 1576913 1576913 0 0 0 0 0 0 0 0 0 0 1453 1453 0 15 15 35129 35129 150 150 470249 463963 6286 54125 48866 5259 58848 14406 44442 1031 1031 0 0 10106 10083 23 0 3649 3649 0 0 0 0 DUES AND SUBSCRIPTIONS 14558 12771 1787 FOOD EXPENSES 3645 1826 1819 LICENSES AND TAXES 939 150 789 FLOWERS/CANDY 697 349 348 2722 1364 1358 2234229 1576913 560076 97240 0 2000 2835939 2555569 1196861 715354 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15749 45895 4048549 3318818 0 6375 1510671 1532316 0 0 0 0 0 0 0 0 0 0 0 0 2264 17928 1512935 1556619 X 12001 13346 2523613 1748853 0 0 2535614 1762199 4048549 3318818 -467211 -306204 X false true X true false X X X 1 DIGNITY HEALTH (DBA ARROYO GRANDE COMMUNITY HOSPITAL) 941196203 3 true 1544416 689814 1 1544416 689814 true false false false false false false false false false false false false false false true false PART I, LINE 12G THE FOUNDATION PROVIDED OR PURCHASED FOR THE BENEFIT OF DIGNITY HEALTH DBA ARROYO GRANDE COMMUNITY HOSPITAL, VARIOUS SERVICES, FACILITIES AND GOODS. SEE FORM 990, PART IX FOR FURTHER DETAILS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 15 15 false SCH C, PART II-B, LINE I LOBBYING PORTION FOR ANNUAL MEMBERSHIP DUES: ASSOCIATION FOR HEALTHCARE PHILANTHROPY; $15. 0 DUE TO RELATED PARTIES 17928 17928 X PART X, LINE 2 - FIN 48 (ASC 740) FOOTNOTE COMMONSPIRIT HEALTH REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. X X X X X X true Gobel Group 200 Old Forge Ln Suite 201 KENNETH SQUARE PA 19348 CONSULTANT false 0 19176 0 Karen Rogers Fundraising CONSULTING 1015 JACQUELINE PLACE NIPOMO CA 93444 CONSULTANT false 0 12953 0 0 32129 0 CA COMEDY NIGHT 193957 141262 52695 0 31592 14217 731 3440 32294 GOLF 43850 32650 11200 0 1969 8348 1270 0 23589 1 13000 8665 4335 0 0 0 6375 0 4152 250807 182577 68230 0 33561 22565 8376 3440 60035 127977 -59747 SCHEDULE G, PART I, LINE 2B GOBEL GROUP AND KAREN ROGERS FUNDRAISING CONSULTANT ARE USED ONLY FOR CONSULTING PURPOSES AND DID NOT SERVE FOR THE PURPOSE OF RAISING FUNDS, THEREFORE, PART I, LINE 2B, COLUMN (IV) GROSS RECEIPTS FROM ACTIVITY HAVE BEEN LEFT BLANK. true Dignity Health dba Arroyo Grande Community Hospita 1400 E Church St Santa Maria CA 934545906 941196203 501(c)(3) 1544315 32498 FMV ART, DOLLS Hospital Support 1 PART I, LINE 2 AS A SEC. 509(A)(3) SUPPORTING ORGANIZATION, THE FOUNDATION OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTION OF, OR TO CARRY OUT THE PURPOSES OF THE GRANTEE LISTED IN PART II, ITEM 1 (DIGNITY HEALTH, DBA ARROYO GRANDE COMMUNITY HOSPITAL), WHICH INCLUDES MAKING PAYMENTS DIRECTLY TO THE BENEFICIARY ORGANIZATION. false true false false false false false false false Sue Andersen Ex-officio Board Member 0 392376 0 162670 0 19724 0 51982 0 30426 0 657178 0 0 Kenneth Dalebout Foundation President 0 220896 0 52155 0 1076 0 29997 0 26135 0 330259 0 0 Bill Finley CFO 0 242954 0 52574 0 13945 0 31937 0 15484 0 356894 0 0 Charles Cova Service Area President 0 569885 0 674274 0 416360 0 105900 0 42178 0 1808597 0 383944 PART I, LINE 3 THE ORGANIZATION RELIED ON A RELATED ORGANIZATION, DIGNITY HEALTH, THAT USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3, TO ESTABLISH THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION. PART I, LINE 4a CERTAIN LISTED PERSONS PARTICIPATE IN A SEVERANCE PLAN ESTABLISHED BY ITS SUPPORTED ORGANIZATION. THE PLAN PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 1 WEEK 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 PURSUANT TO THE PLAN ARRANGEMENT OCCURRED DURING 2018. PART I, LINE 4B CERTAIN LISTED PERSONS PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. NO PAYMENTS WERE MADE UNDER THIS PLAN DURING 2018. CERTAIN LISTED PERSONS ARE ELIGIBLE TO PARTICIPATE IN NON-QUALIFIED 457(F) PLANS THAT ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR EXECUTIVES HIRED PRIOR TO JUNE 30, 2006. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICE NOT BEEN FROZEN AT JANUARY 1, 2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NON-QUALIFIED PLANS. BENEFITS VEST UNDER THIS 457(F) PLAN AT THE LATER OF THE DATE THE PARTICIPANT ATTAINS AGE 62 OR IS CREDITED WITH 15 YEARS OF SERVICE. THE 2010 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR CERTAIN OFFICERS AND KEY EMPLOYEES, PRIMARILY THOSE WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN OR THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN DESCRIBED ABOVE. THIS BENEFIT PROVIDES AN ANNUAL ACCRUAL OF 10% OF TOTAL COMPENSATION AND IS PAYABLE ANNUALLY ON JULY 1 ONCE VESTED, WHICH IS AGE 62 WITH 5 YEARS OF SERVICE; THE PLAN ALSO ALLOWS FOR SPECIAL AWARDS. PAYMENTS WERE MADE UNDER THIS PLAN OCCURRED DURING 2018 TO C. COVA; $383,944. COMPENSATION AMOUNTS FOR THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR ACCRUED (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS REPORTABLE COMPENSATION IN THE YEAR PAID (SCHEDULE J, PART II, COLUMN B(III)). PART III, SUPPLEMENTAL DISCLOSURES ALTHOUGH THE ORGANIZATION DOES NOT DIRECTLY EMPLOY ANY PERSONNEL, THE SUPPORTED ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES IT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND THE ORGANIZATION'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2018. X 3 32428 COMPARABLE SALE X 1349 COMPARABLE SALE X 1 25410 Average market value X 2 170 COMPARABLE SALE X GIFT CERTIFICATES/TICKETS 5 4330 COMPARABLE SALE X FOOD AND WINE 105 37538 COMPARABLE SALE X Electronics 2 259 COMPARABLE SALE X JEWELRY 1 5500 COMPARABLE SALE X TOYS 2 469 COMPARABLE SALE X SAILING 2 445 COMPARABLE SALE X LIMO RIDE 1 432 COMPARABLE SALE X PRIVATE COOKING CLASS 1 400 COMPARABLE SALE X CATERING, ALCOHOL, RENTALS 2 10847 COMPARABLE SALE X TRIP TO DALLAS WITH FLIGHT, HOTEL & DINNER 1 3500 COMPARABLE SALE X PAPICH RANCH EXPERIENCE 4 2000 COMPARABLE SALE 0 false true false SCH M, PART I, COLUMN B ART-WORKS OF ART - THE FOUNDATION IS REPORTING THE NUMBER OF ITEMS RECEIVED. SECURITIES-PUBLICLY TRADED - THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. COLLECTIBLES - THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. GIFT CERTIFICATES/TICKETS - THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. FOOD AND WINE - THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. ELECTRONICS - THE FOUNDATION IS REPORTING THE NUMBER OF ITEMS RECEIVED. JEWELRY - THE FOUNDATION IS REPORTING THE NUMBER OF ITEMS RECEIVED. TOYS - THE FOUNDATION IS REPORTING THE NUMBER OF ITEMS RECEIVED. LIMO RIDE - THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. PRIVATE COOKING CLASS - THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. SAILING, TRIPS AND OTHER NONCASH - THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. FORM 990, PART V, LINE 2 THE ORGANIZATION DOES NOT HAVE EMPLOYEES. AS A SUPPORTING ORGANIZATION, THE FOUNDATION OPERATES FOR THE BENEFIT OF THE HOSPITAL AND UTILIZES THE EMPLOYEES OF THAT HOSPITAL. THE PROPORTIONATE SALARIES AND BENEFITS FOR THESE INDIVIDUALS ARE ALLOCATED TO THE FOUNDATION. THE SALARIES OF THESE EMPLOYEES ARE INCLUDED IN THE HOSPITAL ENTITY'S FORM W-3 AND FEDERAL EMPLOYMENT TAX RETURNS. FORM 990, PART VI, SECTION A, LINE 2 SUE ANDERSEN, KENNETH DALEBOUT AND CHARLES COVA - BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A SOLE CORPORATE MEMBER, DIGNITY HEALTH, A 501(C)(3) EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A DIGNITY HEALTH, AS THE SOLE CORPORATE MEMBER, RATIFIES THE SELECTION OF MEMBERS AND THE DIGNITY HEALTH BOARD APPROVES NEW BOARD MEMBERS, MAY APPOINT AND REMOVE ANY MEMBER OF THE FOUNDATION. ON FEBRUARY 1, 2019, DIGNITY HEALTH AND CATHOLIC HEALTH INITIATIVES ("CHI"), A COLORADO NONPROFIT CORPORATION, EFFECTED A BUSINESS COMBINATION. ON THAT DATE, CHI CHANGED ITS NAME TO COMMONSPIRIT HEALTH AND BECAME THE SOLE CORPORATE MEMBER OF DIGNITY HEALTH. COMMONSPIRIT HEALTH IS A CATHOLIC HEALTHCARE SYSTEM SPONSORED BY THE PUBLIC JURIDIC PERSON, CATHOLIC HEALTH CARE FEDERATION ("CHCF"). FORM 990, PART VI, SECTION A, LINE 7B RESERVED RIGHTS OF THE CORPORATE MEMBER INCLUDE ADOPTION OF MISSION AND PHILOSOPHY STATEMENTS, AMENDMENT OR RESTATEMENT OF ARTICLES OF INCORPORATION AND BYLAWS, DISSOLUTION OF THE CORPORATION, ACQUISITION OF ANOTHER CORPORATION, CREATION OF A NEW SUBSIDIARY, MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION, PARTICIPATION AS A GENERAL OR LIMITED PARTNER IN ANY VENTURE, INCURRING LONG-TERM INDEBTEDNESS IN EXCESS OF NORMAL OPERATING REQUIREMENTS, RATIFICATION OF BOARD MEMBER APPOINTMENTS AND DISMISSALS, SELECTION AND REMOVAL OF INDEPENDENT AUDITORS, AND TRANSACTIONS OUTSIDE THE ORDINARY COURSE OF BUSINESS. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS REVIEWED BY THE ACCOUNTING DEPARTMENT AND AN INDEPENDENT ACCOUNTING FIRM ENGAGED BY THE ORGANIZATION TO REVIEW THE RETURN. DUE TO TIMING, THE FORM 990, EXCLUDING COMPENSATION INFORMATION, WILL BE PRESENTED AND PROVIDED TO THE FOUNDATION BOARD SUBSEQUENT TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION HAS ADOPTED DIGNITY HEALTH'S POLICIES FOR THE DISCLOSURE AND MANAGEMENT OF CONFLICTS OF INTEREST. 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 15B FOR 2018 COMPENSATION, THE SUPPORTED ORGANIZATION'S HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR OFFICERS AND KEY EXECUTIVES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES OUTSIDE LEGAL COUNSEL AS NECESSARY AND QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED FROM THE INDEPENDENT EXPERTS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). KEY DELIBERATIONS OF THE COMMITTEE ARE DOCUMENTED IN MEETING MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING AND PROVIDED TO THE BOARD OF DIRECTORS. THE DOCUMENTATION OF THE DELIBERATIONS INCLUDES (A) THE TERMS OF THE TRANSACTION APPROVED AND THE DATE APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DISCUSSION OF THE APPROVED TRANSACTION AND THOSE WHO VOTED ON IT; AND (C) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMMITTEE AND HOW THE DATA WAS OBTAINED. FORM 990, PART VI, SECTION C, LINE 19 FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE ON ITS WEBSITE AND UPON REQUEST. FORM 990, PART VII, SECTION A DR P THOM AND DR W ASHLEY RECEIVED COMPENSATION FOR PHYSICIAN SERVICES PROVIDED TO THE SUPPORTED ORGANIZATION, DIGNITY HEALTH DBAS ARROYO GRANDE COMMUNITY HOSPITAL AND MARIAN REGIONAL MEDICAL CENTER. S ANDERSEN, B FINLEY AND C COVA RECEIVED COMPENSATION AS EMPLOYEES OF THE SUPPORTED ORGANIZATION. FORM 990 PART IX LINE 11G DESCRIPTION:ADMIN SERVICES TOTAL FEES:438984 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:16008 FORM 990 PART IX LINE 11G DESCRIPTION:CATERING TOTAL FEES:10913 FORM 990 PART IX LINE 11G DESCRIPTION:PHOTOGRAPHY TOTAL FEES:2893 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:1451 Bakersfield Memorial Hospital 420 34TH Street Bakersfield CA 93301 951802779 Hospital CA 501(c)(3) 3 DHDCC false Community Hospital of San Bernardino 1805 Medical Center Drive San Bernardino CA 92411 951643373 Hospital CA 501(c)(3) 3 DHDCC false Dignity Community Care 185 Berry Street Suite 300 San Francisco CA 94107 815009488 Hospital CO 501(c)(3) 3 CSH false Dignity Health 185 Berry Street Suite 300 San Francisco CA 94107 941196203 Hospital CA 501(c)(3) 3 CSH false Dignity Health Connected Living 200 Mercy Oaks Drive Redding CA 96003 237115371 Senior Center CA 501(c)(3) 7 Dignity Hlth false Dignity Health HPL Self-Insurance Trust 185 Berry Street San Francisco CA 94107 943006034 Administratio CA 501(c)(3) 12A-I Dignity Hlth false Dignity Health Insurance Nevada Ltd 185 Berry Street San Francisco NV 94107 813800752 Self Ins Fund NV 501(c)(3) 12A-I Dignity Hlth false Dignity Health Medical Foundation 3400 Data Drive Rancho Cordova CA 95670 680220314 Multi-sp CLIN CA 501(c)(3) 12A-I DHDCC false Dignity Health Workers' Comp Self-Insura 185 Berry Street San Francisco CA 94107 946612446 Administratio CA 501(c)(3) 12A-I Dignity Hlth false Dominican Health Services 1555 Soquel Drive Santa Cruz CA 95065 770056778 Community Hlt CA 501(c)(3) 12A-I Dignity Hlth false Dominican Oaks Corporation 1555 Soquel Drive Santa Cruz CA 95065 770127719 SR HOUSING CA 501(c)(3) 10 DHS false Mark Twain Medical Center 768 Mountain Ranch Road San Andreas CA 95249 680127677 Hospital CA 501(c)(3) 3 DHDCC false Mercy McMahon Terrace 3865 J Street Sacramento CA 95816 680117340 SR HOUSING CA 501(c)(3) 10 Dignity Hlth false Pacific Central Coast Health Centers 1400 E Church Street Santa Maria CA 93454 770447575 Clinic CA 501(c)(3) 3 DHDCC false Port City Operating Company LLC 3400 Data Drive Rancho Cordova CA 95670 465322209 Hospital CA 501(c)(3) 3 Dignity Hlth false Saint Francis Memorial Hospital 900 Hyde Street San Francisco CA 94109 941156295 Hospital CA 501(c)(3) 3 DHDCC false Sierra Nevada Memorial-Miners Hospital 155 Glasson Way Grass Valley CA 95945 941439787 Hospital CA 501(c)(3) 3 DHDCC false St Francis Hospital Support Corporation 601 E Micheltorena Street Santa Barbara CA 93103 770022302 INACTIVE CA 501(c)(3) 12A-I Dignity Hlth false St Mary Professional Building Inc 1050 Linden Avenue Long Beach CA 90813 237373088 INACTIVE CA 501(c)(3) 12A-I Dignity Hlth false Barrow Foundation UK 13 CHURCH STREET NUNNEY ENGLAND UK BA11 4LW 311724184 FNDRSING FND UK 501(c)(3) 12D-III-NFI NA false Barrow Neurological Foundation 350 West Thomas Road Phoenix AZ 85013 860174371 FNDRSING FND AZ 501(c)(3) 7 Dignity Hlth false California Hospital Medical Center Found 1401 South Grand Avenue Los Angeles CA 90015 954000909 FNDRSING FND CA 501(c)(3) 12A-I DHDCC false Dignity Health Foundation 185 Berry Street San Francisco CA 94107 462037641 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false Dignity Health Foundation - Inland Empir 2101 N Waterman Avenue San Bernardino CA 92404 237440086 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false Dignity Health Foundation East Valley 475 South Dobson Road Chandler AZ 85224 742418514 FNDRSING FND AZ 501(c)(3) 12A-I Dignity Hlth false Dominican Hospital Foundation 1555 Soquel Drive Santa Cruz CA 95065 942450442 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false French Hospital Medical Center Foundatio 1911 Johnson Avenue San Luis Obispo CA 93401 203256125 FNDRSING FND CA 501(c)(3) 12A-I DHDCC false Glendale Memorial Health Foundation 1420 South Central Avenue Glendale CA 91204 953625651 FNDRSING FND CA 501(c)(3) 12A-I DHDCC false Marian Regional Medical Center Foundatio 1400 E 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Francis Foundation of Santa Barbara 2323 De La Vina St Suite 104 Santa Barbara CA 93105 237137119 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false St John's Healthcare Foundation 1600 North Rose Avenue Oxnard CA 93030 202865781 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false St Joseph's Foundation 350 West Thomas Road Phoenix AZ 85013 942941245 FNDRSING FND AZ 501(c)(3) 12A-I Dignity Hlth false St Joseph's Foundation of San Joaquin 1800 N California Street Stockton CA 95204 510432777 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false St Mary Medical Center Foundation 1050 Linden Avenue Long Beach CA 90813 237153876 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false St Mary's Medical Center Foundation 450 Stanyan Street San Francisco CA 94117 943336143 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false St Rose Dominican Health Foundation 3001 St Rose Parkway Henderson NV 89052 880349432 FNDRSING FND NV 501(c)(3) 12A-I Dignity Hlth false Woodland Memorial Hospital Foundation 1321 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