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 742418514 Dignity Health Foundation East Valley % RANDY BRADLEY DIGN 4807283000 1727 W FRYE ROAD Suite 230 CHANDLER AZ 85224 ERIC SORENSEN CFO 4807283064 2020-06-30 true LISA M MEYER MANAGER P01490170 4159635100 2020-07-03 162.135.0.63 94661320201865000011 2020-07-04 P 373E0D25CA1BF1D541EBEAD0EC1DA5140FC1C530 6C6F510C6DBB30CB6B3A10A52E01BBA2D1FA3EEF 2018 2021-01-29 14:40:06Z X AARON PEACE 1727 W FRYE ROAD230 Chandler AZ 85224 4861429 false X www.supportdignityhealtheastvalley.org X 1985 AZ TO SUPPORT HEALTHCARE FACILITIES (DIGNITY HEALTH & DIGNITY COMMUNITY CARE DBAS, CHANDLER REGIONAL MED CTR & MERCY GILBERT MED CTR) AND PROGRAMS IN THE SOUTHEAST VALLEY. 22 20 0 125 0 0 4555867 4114402 0 0 -53957 157341 -299968 -159856 4201942 4111887 1309246 1560834 0 0 0 0 203767 205216 368653 1349553 1655548 2862566 3421598 1339376 690289 5715673 5242262 515693 932096 5199980 4310166 X TO SUPPORT DIGNITY HEALTH AND DIGNITY COMMUNITY CARE HEALTHCARE FACILITIES AND PROGRAMS IN THE SOUTHEAST VALLEY THROUGH PHILANTHROPY. THE FOUNDATION'S SUPPORT ALLOWS DIGNITY HEALTH AND DIGNITY COMMUNITY CARE DBA'S, CHANDLER REGIONAL MEDICAL CENTER AND MERCY GILBERT MEDICAL CENTER, FURTHER THEIR MISSION OF DELIVERING COMPASSIONATE, HIGH-QUALITY, AFFORDABLE HEALTH SERVICES, SERVING AND ADVOCATING FOR THE POOR AND DISENFRANCHISED, AND PARTNERING WITH OTHERS IN THE COMMUNITY TO IMPROVE QUALITY OF LIFE. false false 1560834 1560834 0 THE FOUNDATION IS AN IRC SEC 509(A)(3) SUPPORTING ORGANIZATION TO DIGNITY HEALTH, DBA'S CHANDLER REGIONAL MEDICAL CENTER AND MERCY GILBERT MEDICAL CENTER ("HOSPITALS"). 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 HOSPITALS WHICH INCLUDE MAKING PAYMENTS DIRECTLY TO THE HOSPITALS. 1560834 true true false true false false false false false true false true false false true true false true false false false false false true true true false true false true false false false false false false false false true false false false false true false false false true X 1 0 0 false false false false false true true false false false false false false X 22 20 false false false false true true true true true false false false true true true true true false false false AZ X RANDY BRADLEY 6023072546 3033 NORTH 3RD AVENUE PHOENIX AZ 85013 X Hassan Akinbiyi MD Board Member 1.0 0.0 X 0 0 0 Craig Bradley Board Member 1.0 0.0 X 0 0 0 Tom Canale Board Member 1.0 0.0 X 0 0 0 Carrie Hamstra Board Member 1.0 0.0 X 0 0 0 Deb Hoogestraat Board Member 1.0 0.0 X 0 0 0 Sandra Hudson Board Member 1.0 0.0 X 0 0 0 Rick Kettner Ex-officio Board Member 1.0 0.0 X 0 0 0 Teresa Lanham Board Member 1.0 0.0 X 0 0 0 JJ Linder MD Ex-officio Board Member 1.0 0.0 X 0 0 0 Julia Marreel Board Member 1.0 0.0 X 0 0 0 Carl Nelson Board Member 1.0 0.0 X 0 0 0 John Nissen Board Member 1.0 0.0 X 0 0 0 Nick Promponas Board Member (thru 2/2019) 1.0 0.0 X 0 0 0 JW Rayhons Board Member 1.0 0.0 X 0 0 0 Sheila Schmidt Board Member 1.0 0.0 X 0 0 0 Mark Slyter Board Member 1.0 40.0 X 0 1133284 99900 Dave Sobeck Board Member 1.0 0.0 X 0 0 0 Edward Tokatlian MD Ex-off Brd Mbr (thru 10/3/18) 1.0 2.0 X 0 3788 0 Felicia Vandermolen Board Member 1.0 0.0 X 0 0 0 Rhonda Curtis Treasurer 1.0 0.0 X X 0 0 0 Jack Martin Chairman 3.0 0.0 X X 0 0 0 Aaron Peace Board Member/FDN President 40.0 0.0 X X 0 240415 41045 Les Presmyk Vice-Chair 2.0 0.0 X X 0 0 0 Mia Van Eken DO Secretary 2.0 0.0 X X 0 0 0 Eric T Sorensen CFO 2.0 40.0 X 0 321530 54670 0 1699017 195615 0 false true false COMMUNITY COUNSELING SERVICE CO LLC 527 MADISON AVE 5TH FL NEW YORK NY 10022 COUNSULTING 231004 1 351781 2092548 75125 1594948 33853 4114402 0 19482 19482 0 0 0 0 0 658435 520576 137859 137859 137859 48760 351781 228966 -180206 -180206 20350 0 20350 20350 0 0 0 0 4111887 -2515 X 1560834 1560834 0 0 0 0 0 0 0 0 0 0 0 0 30 30 205216 205216 11520 11520 1323927 1310529 13398 130939 36382 94557 43922 23040 20882 0 0 75956 75356 600 19738 19738 0 852 852 0 0 0 0 DONOR CULTIVATION/RECOGNITION 26586 26586 DUES & SUBSCRIPTIONS 12425 10443 1982 FOOD 8612 4100 4512 OTHER EXPENSES 1041 121 920 3421598 1560834 1492111 368653 X 0 0 2250791 2531572 2535871 1751606 0 0 0 0 0 0 0 0 0 0 0 5379 0 0 314054 495516 614957 458189 0 0 0 0 0 0 5715673 5242262 12743 12251 452637 878068 0 0 0 0 0 0 0 0 0 0 0 0 50313 41777 515693 932096 X 315358 277263 4678130 3834870 206492 198033 5199980 4310166 5715673 5242262 X 690289 -127569 -1451223 -1311 X false true X true false X X X 1 DIGNITY HEALTH (DBA CHANDLER REGIONAL MC & MERCY GILBERT MC) 941196203 3 true 658546 1337387 DIGNITY COMMUNITY CARE (DBA CHANDLER REGIONAL MEDICAL CENTER 815009488 3 true 876853 548814 2 1535399 1886201 true false false false false false false false false false false false false false false true false SCHEDULE A, PART I, LINE 12G THE FOUNDATION PROVIDED OR PURCHASED FOR THE BENEFIT OF DIGNITY HEALTH DBAS CHANDLER REGIONAL MEDICAL CENTER AND MERCY GILBERT MEDICAL CENTER, VARIOUS SERVICES, FACILITIES AND GOODS. SEE FORM 990, PART IX FOR FURTHER DETAILS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 30 30 false SCH C, PART II-B, LINE I LOBBYING PORTION FOR ANNUAL MEMBERSHIP DUES: ASSOCIATION FOR HEALTHCARE PHILANTHROPY; $30. 277561 -8459 -4533 6843 257726 244588 19306 13667 277561 156170 50000 38418 244588 127531 30000 -1361 156170 120723 46637 39829 127531 0.77000 0.23000 false false POOLED INVESTMENTS 458189 F 458189 0 ANNUITY PAYABLE 37353 DUE TO RELATED PARTIES 4424 41777 X PART V, LINE 4 THE ENDOWMENT FUNDS ARE USED TO SUPPORT THE NEEDS OF THOSE DEPARTMENTS THAT ARE NOT COVERED UNDER NORMAL OPERATIONAL OR CAPITAL BUDGETS. THE CANCER PATIENT ASSISTANCE FUND IS USED TO PROVIDE ASSISTANCE TO PATIENTS FACING A FINANCIAL HARDSHIP WHILE UNDERGOING TREATMENTS. FUNDS ASSIST PATIENTS WITH DAILY EXPENSES SUCH AS GAS CARDS, TRANSPORTATION, UTILITY BILLS, ETC. 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 X true Community Counseling 527 Madison Ave 5th Fl NEW YORK NY 10022 CAPITAL CAMPAIGN false 0 181019 0 GOBEL GROUP 200 Old Foge Lane Suite 202 KENNET SQUARE PA 19348 CONSULTANT false 0 24196 0 0 205215 0 AZ Dancing for a c 158741 151411 7330 0 0 18574 28600 0 67829 2019 Golf Class 186800 148022 38778 0 25632 24000 20300 0 44031 1 55000 52348 2652 0 0 0 0 0 0 400541 351781 48760 0 25632 42574 48900 0 111860 228966 -180206 20350 true 1.00000 20350 20350 AZ false SEE SUPPLEMENTAL PAGE false false false 1.00000 Aaron Peace Foundation CEO 475 South Dobson RD Chandler AZ 85224 false Aaron Peace Foundation CEO 0 Supervise gaming activities/recordkeepin X false SCHEDULE G, PART III, LINE 9B EXPLANATION NO LICENSE REQUIRED. AS A NOT-FOR-PROFIT ORGANIZATION, THE FOUNDATION IS NOT REQUIRED TO REGISTER THEIR RAFFLE WITH THE ARIZONA ATTORNEY GENERAL'S OFFICE SINCE THEY MEET THE FOLLOWING EXCEPTIONS: -IT IS SPONSORED BY A NONPROFIT THAT HAS BEEN IN EXISTENCE FOR 5 YEARS -NO INSIDER RECEIVES A DIRECT OR INDIRECT PECUNIARY BENEFIT OTHER THAN PARTICIPATION ON AN EQUAL BASIS WITH ALL OTHER PARTICIPANTS; AND -NO PERSON PARTICIPATES DIRECTLY OR INDIRECTLY IN THE MANAGEMENT, SALE OR OPERATION OF THE RAFFLE OTHER THAN THE NON-PROFIT'S EMPLOYEES AND AGENTS. true DIGNITY HEALTH DBA CHANDLER REGIONAL MEDICAL CENTE 1875 W FRYE ROAD CHANDER AZ 85224 941169203 501(c)(3) 342713 25436 FMV BABY ITEMS,TOYS,ECHO Hospital Support DIGNITY HEALTH DBA MERCY GILBERT MEDICAL CENTER 3555 VAL VISTA DRIVE GILBERT AZ 85296 941169203 501(c)(3) 315833 n/a n/a Hospital Support Dignity Community Care dba Chandler Regional Medic 1875 W FRYE ROAD CHANDLER AZ 85224 815009488 501(c)(3) 871738 5115 FMV baby items Hospital Support 2 0 PART I, LINE 2 AS A SEC. 509(A)(3) SUPPORTING ORGANIZATION, THE FOUNDATION OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF THE GRANTEE LISTED IN PART II, ITEM 1, AND 2 (DIGNITY HEALTH), AND ITEM 3 (DIGNITY COMMUNITY CARE), WHICH INCLUDE MAKING PAYMENTS DIRECTLY TO THE BENEFICIARY ORGANIZATION. AS SUCH, THE FOUNDATION DOES NOT MONITOR THE HOSPITAL'S USE OF THE GRANT FUNDS. false true false false false false false false false Mark Slyter Board Member 0 447243 0 312576 0 373465 0 67893 0 32007 0 1233184 0 0 Aaron Peace Board Member/FDN President 0 212933 0 20914 0 6568 0 19552 0 21493 0 281460 0 0 Eric T Sorensen CFO 0 240920 0 65645 0 14965 0 31719 0 22951 0 376200 0 0 PART I, LINE 3 THE ORGANIZATION RELIED ON A RELATED ORGANIZATION, DIGNITY HEALTH, THAT USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3, TO ESTABLISH THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION. PART I, LINE 4a CERTAIN LISTED PERSONS OF THE ORGANIZATION PARTICIPATE IN A SEVERANCE PLAN ESTABLISHED BY ITS SUPPORTED ORGANIZATION. THE PLAN PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 10 WEEKS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE PLAN. NO PAYMENTS WERE MADE UNDER THIS PLAN DURING 2018. PART I, LINE 4B CERTAIN LISTED PERSONS ARE ELIGIBLE TO PARTICIPATE IN NON-QUALIFIED 457(F) PLANS THAT ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR EXECUTIVES HIRED PRIOR TO JUNE 30, 2006. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICE NOT BEEN FROZEN AT JANUARY 1, 2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NON-QUALIFIED PLANS. BENEFITS VEST UNDER THIS 457(F) PLAN AT THE LATER OF THE DATE THE PARTICIPANT ATTAINS AGE 62 OR IS CREDITED WITH 15 YEARS OF SERVICE. THE 2010 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR CERTAIN OFFICERS AND KEY EMPLOYEES, PRIMARILY THOSE WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN OR THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN DESCRIBED ABOVE. THIS BENEFIT PROVIDES AN ANNUAL ACCRUAL OF 10% OF TOTAL COMPENSATION AND IS PAYABLE ANNUALLY ON JULY 1 ONCE VESTED, WHICH IS AGE 62 WITH 5 YEARS OF SERVICE; THE PLAN ALSO ALLOWS FOR SPECIAL AWARDS. NO PAYMENTS WERE MADE UNDER THIS PLAN DURING 2018. 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 DISCLOSURE THE 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 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 118 RESALE VALUE X 21439 RESALE VALUE X GIFT CERTIFICATES/TICKETS 1 50 COMPARABLE SALE X FOOD & WINE 6 2852 COMPARABLE SALE X Electronics 1 25 COMPARABLE SALE X Toys 3 8969 COMPARABLE SALE X Southwest Airline miles 1 400 COMPARABLE SALE 36 false true false SCH M, PART I, COLUMN B TOYS: 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. AIRLINE MILES: THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. GIFT CERTIFICATES/TICKETS: THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. ELECTRONICS: THE FOUNDATION IS REPORTING THE NUMBER OF ITEMS RECEIVED. Form 990, Parts V, VI, VII AND XI 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 6 THE SOLE CORPORATE MEMBER IS 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 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 BOARD OF DIRECTORS HAS DELEGATED THE REVIEW OF THE FORM 990 TO THE FINANCE COMMITTEE. THE SUPPORTED ORGANIZATION'S ACCOUNTING DEPARTMENT WORKED CLOSELY WITH AN INDEPENDENT ACCOUNTING FIRM ENGAGED TO REVIEW THE RETURN AND PRESENTED EACH SECTION OF THE FINAL DRAFT OF FORM 990, EXCLUDING COMPENSATION INFORMATION TO THE FINANCE COMMITTEE. SUBSEQUENT TO ITS REVIEW, THE FINANCE COMMITTEE REPORTED BACK TO THE BOARD REGARDING ITS OVERSIGHT OF THE FORM 990 AND THE FINAL DRAFT WAS PROVIDED TO THE ENTIRE VOTING BOARD, AGAIN EXCLUDING COMPENSATION. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION HAS ADOPTED DIGNITY HEALTH'S CONFLICTS OF INTEREST POLICY. UNDER SUCH POLICIES, THE GENERAL COUNSEL IS DESIGNATED AS THE ORGANIZATION'S FILING OFFICER AND RESPONSIBLE FOR COLLECTING, REVIEWING AND VALIDATING ANNUAL DISCLOSURES OF ALL COVERED PERSONS INCLUDING THE MEMBERS OF DIGNITY HEALTH'S GOVERNING BODIES INCLUDING ITS BOARD OF DIRECTORS AND BOARD COMMITTEES, AS WELL AS DIGNITY HEALTH'S OFFICERS AND EXECUTIVE LEADERS, KEY EMPLOYEES, MANAGEMENT PERSONNEL AT THE VICE PRESIDENT LEVEL AND ABOVE, AND ANY OTHER PERSONNEL DESIGNATED BY THE FILING OFFICER (COVERED PERSONS). ALL COVERED PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS ARISING FROM THE BUSINESS, OWNERSHIP, FINANCIAL AND PERSONAL INTERESTS HELD BY SUCH COVERED PERSONS OR THEIR FAMILY MEMBERS. COVERED PERSONS ARE REQUIRED TO DISCLOSE TO THEIR SUPERVISORS AND TO RELEVANT DECISION MAKERS ANY INTEREST THAT MAY PRESENT A CONFLICT OF INTEREST, OR THE APPEARANCE OF A CONFLICT OF INTEREST. SUCH DISCLOSURE IS REQUIRED ON A TRANSACTIONAL BASIS AT THE TIME SUCH CONFLICTS ARISE, WHEN AN INDIVIDUAL BECOMES A COVERED PERSON (E.G. UPON HIRING OR UPON PROMOTION), AND ANNUALLY THEREAFTER. AS PART OF THE ANNUAL DISCLOSURE SURVEY CONDUCTED PURSUANT TO THE COI POLICIES, EACH COVERED PERSON IS REQUIRED TO CERTIFY THAT HE/SHE: (1) HAS RECEIVED A COPY OF THE COI POLICY OR COI POLICIES APPLICABLE TO HIS/HER POSITION; (2) HAS READ THE COI POLICY AND UNDERSTANDS SAID POLICY; AND (3) AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE COI POLICIES, INCLUDING COMPLETING THE CONFLICTS OF INTEREST DISCLOSURE SURVEY AS REQUIRED BY THE COI POLICIES. USING THE INFORMATION FROM THE ANNUAL DISCLOSURE SURVEY, THE FILING OFFICER PREPARES ANNUAL REPORTS OF REPORTED CONFLICTS OF INTEREST AND DISTRIBUTES THOSE REPORTS TO THE GOVERNING BODY CHAIRS, INCLUDING THE CHAIR OF THE BOARD OF DIRECTORS AND THE CHAIR OF DIGNITY HEALTH BOARD COMMITTEES, AS WELL AS TO KEY LEADERS OF THE ORGANIZATION TO ENABLE THE RESPONSIBLE INDIVIDUALS TO MONITOR AND MANAGE DISCLOSED CONFLICTS OF INTEREST AND ASSURE DECISIONS ARE MADE IN THE ORGANIZATION'S BEST INTERESTS. THE PROCEDURES FOR ADDRESSING A CONFLICT OF INTEREST RELATED TO A PROPOSED TRANSACTION IN THE CASE OF GOVERNING BODIES INCLUDE, BUT ARE NOT LIMITED TO: (1) THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST IS FULLY DISCLOSED TO THE APPLICABLE GOVERNING BODY AND ANY OTHER RELEVANT DECISION-MAKERS; (2) THE INTERESTED PERSON RESPONDS TO FACTUAL QUESTIONS RELATED TO THE SUBSTANCE OF THE TRANSACTION OR ARRANGEMENT BEING CONSIDERED, AFTER WHICH HE/SHE SHALL LEAVE THE MEETING; (3) THE INTERESTED PERSON MAY BE EXCLUDED FROM THE DISCUSSION AND MUST BE EXCUSED FROM THE MEETING PRIOR TO AND DURING THE APPROVAL OF SUCH TRANSACTION; (4) IF WARRANTED, ALTERNATIVES TO THE PROPOSED TRANSACTION ARE INVESTIGATED, AND COMPETITIVE BIDS OR COMPARABLE VALUATIONS ARE OBTAINED; (5) THE TRANSACTION OR ACTION IS APPROVED BY A MAJORITY OF DISINTERESTED MEMBERS OF THE GOVERNING BODIES, CONSISTENT WITH ANY REQUIREMENTS OF BYLAWS AND COI POLICIES; AND (6) ANY CONFLICTING ISSUES ARISING DURING THE COURSE OF A GOVERNING BODY MEETING WHICH CANNOT BE RESOLVED MAY BE PREFERRED TO AN INDEPENDENT COMMITTEE OF THE APPLICABLE GOVERNING BODY. THERE ARE SIMILAR CONFLICTS OF INTEREST PROVISIONS UNDER DIGNITY HEALTH'S STANDARDS OF CONDUCT, WHICH ARE APPLICABLE TO ALL EMPLOYEES AND WHICH ARE ADMINISTERED BY THE EVP/CHIEF COMPLIANCE OFFICER WHO HAS REPORTING RESPONSIBILITY TO THE PRESIDENT/CEO AS WELL AS TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 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 DIGNITY HEALTH'S WEBSITE AND UPON REQUEST. FORM 990, PART VII, SECTION A THE SUPPORTED ORGANIZATION DOES NOT COMPENSATE DR E TOKATLIAN FOR HIS SERVICES AS A BOARD MEMBER. THE COMPENSATION REPORTED REPRESENTS COMPENSATION FOR PHYSICIAN SERVICES FOR THE SUPPORTED ORGANIZATION. IN ADDITION, MR. SLYTER AND MR. E SORENSEN ARE COMPENSATED AS EMPLOYEES OF THE SUPPORTED ORGANIZATION. FORM 990, PART XI, LINE 9 CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS: $(1,311) FORM 990 PART IX LINE 11G DESCRIPTION:ADMIN SERVICES TOTAL FEES:1292911 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:12181 FORM 990 PART IX LINE 11G DESCRIPTION:CATERING TOTAL FEES:9178 FORM 990 PART IX LINE 11G DESCRIPTION:JANITORIAL TOTAL FEES:7794 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:1863 Bakersfield Memorial Hospital 420 34TH Street Bakersfield CA 93301 951802779 Hospital CA 501(c)(3) 3 DHDCC false Community Hospital of San Bernardino 1805 Medical Center Drive San Bernardino CA 92411 951643373 Hospital CA 501(c)(3) 3 DHDCC false Dignity Community Care 185 Berry Street Suite 300 San Francisco CA 94107 815009488 Hospital CO 501(c)(3) 3 CSH false Dignity Health 185 Berry Street Suite 300 San Francisco CA 94107 941196203 Hospital CA 501(c)(3) 3 CSH false Dignity Health Connected Living 200 Mercy Oaks Drive Redding CA 96003 237115371 Senior Center CA 501(c)(3) 7 Dignity Hlth false Dignity Health HPL Self-Insurance Trust 185 Berry Street San Francisco CA 94107 943006034 Administratio CA 501(c)(3) 12A-I Dignity Hlth false Dignity Health Insurance Nevada Ltd 185 Berry Street San Francisco NV 94107 813800752 Self Ins Fund NV 501(c)(3) 12A-I Dignity Hlth false Dignity Health Medical Foundation 3400 Data Drive Rancho Cordova CA 95670 680220314 Multi-sp CLIN CA 501(c)(3) 12A-I DHDCC false Dignity Health Workers' Comp Self-Insura 185 Berry Street San Francisco CA 94107 946612446 Administratio CA 501(c)(3) 12A-I Dignity Hlth false Dominican Health Services 1555 Soquel Drive Santa Cruz CA 95065 770056778 Community Hlt CA 501(c)(3) 12A-I Dignity Hlth false Dominican Oaks Corporation 1555 Soquel Drive Santa Cruz CA 95065 770127719 SR HOUSING CA 501(c)(3) 10 DHS false Mark Twain Medical Center 768 Mountain Ranch Road San Andreas CA 95249 680127677 Hospital CA 501(c)(3) 3 DHDCC false Mercy McMahon Terrace 3865 J Street Sacramento CA 95816 680117340 SR HOUSING CA 501(c)(3) 10 Dignity Hlth false Pacific Central Coast Health Centers 1400 E Church Street Santa Maria CA 93454 770447575 Clinic CA 501(c)(3) 3 DHDCC false Port City Operating Company LLC 3400 Data Drive Rancho Cordova CA 95670 465322209 Hospital CA 501(c)(3) 3 Dignity Hlth false Saint Francis Memorial Hospital 900 Hyde Street San Francisco CA 94109 941156295 Hospital CA 501(c)(3) 3 DHDCC false Sierra Nevada Memorial-Miners Hospital 155 Glasson Way Grass Valley CA 95945 941439787 Hospital CA 501(c)(3) 3 DHDCC false St Francis Hospital Support Corporation 601 E Micheltorena Street Santa Barbara CA 93103 770022302 INACTIVE CA 501(c)(3) 12A-I Dignity Hlth false St Mary Professional Building Inc 1050 Linden Avenue Long Beach CA 90813 237373088 INACTIVE CA 501(c)(3) 12A-I Dignity Hlth false Arroyo Grande Community Hospital Foundat 345 S Halcyon Rd Arroyo Grande CA 93420 203256066 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false Barrow Foundation UK 13 CHURCH 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